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Articles 631 - 660 of 734
Full-Text Articles in Nursing
Postpartum Fatigue In The Active Duty Military Woman, Jacqueline D. Rychnovsky Phd
Postpartum Fatigue In The Active Duty Military Woman, Jacqueline D. Rychnovsky Phd
Dissertations
Up to 16,000 military women annually experience the birth of a child. Barring complications, regulations require a return to work 42 days postpartum, making them susceptible to the effects of postpartum fatigue. The purpose of this descriptive, longitudinal study of 109 military women was to describe fatigue levels across the first 6–8 weeks postpartum; to describe the relationship among selected psychological, physiological, and situational variables of fatigue; and to examine the relationship between predictor variables, fatigue levels, and performance after childbirth. The majority of the sample were married or partnered enlisted women in the U.S. Navy with a mean age …
Managing Stigma In Planned Lesbian-Parent Families, Natalie Cheffer Phd, Mn, Cpnp
Managing Stigma In Planned Lesbian-Parent Families, Natalie Cheffer Phd, Mn, Cpnp
Dissertations
The gay-and lesbian-parent family is a family form becoming more prevalent in today's diverse society. Now, with advances in reproductive technology and a growing acceptance of homosexuality, gay men and lesbians are having, adopting, and raising children in record numbers. The purpose of this study was to identify how parents and children in planned lesbian-parent families live in a homophobic society where they face social prejudice on a daily basis. Data were obtained from interviews with 12 planned lesbian-parent families. Data analysis included interviews with the parents as well as analysis of 48 of the children's drawings and the stories …
The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo Phd
The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo Phd
Dissertations
As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …
Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn
Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn
Dissertations
The purpose of this study was to examine the relationship between the level of exercise and age and self-perception of physical, mental and social health in older adults. Voluntary quota sampling was used to recruit 224 older adults aged 55 and up. The Physical Activity Questionnaire for the Elderly (Voorrips, Ravelli, Dongelmans, Deurenberg, & Van Staveren, 1990) was used to determine the current level of exercise of the older adult. Age was measured using the Demographic Questionnaire by Leach (1999) and self-perception of physical health and mental health was measured using the SF-36 Health Survey by Ware (1993). The Texas …
Development And Psychometric Evaluation Of The Wikoff Spiritual Focus Questionnaire, Karen Luther Wikoff Phd
Development And Psychometric Evaluation Of The Wikoff Spiritual Focus Questionnaire, Karen Luther Wikoff Phd
Dissertations
Spirituality is a concept that has been a part of nursing since nursing began. In every culture spirituality is a component of healing. However, in the United States, nurses seldom assess the concept of spirituality and the patient's spiritual needs are often not addressed. Wikoff Spiritual Focus Questionnaire was designed to help nurses assess and meet the patient's spiritual needs. A review of literature revealed that spirituality was comprised of a relationship between a Higher Power, Self, Others, and Nature which resulted in a sense of being, knowing and life purpose. A fifth dimension of Religion was identified through a …
An Interpretive Exploration Of The Meaning Of Being With Women During Birth For Midwives, Lauren P. Hunter Phd
An Interpretive Exploration Of The Meaning Of Being With Women During Birth For Midwives, Lauren P. Hunter Phd
Dissertations
This study explored the meaning of the phenomenon of the midwife's experience of being present with a woman during childbirth. The value and importance of being with a woman during childbirth, specific and unique to midwifery care, is reflected in midwifery philosophies and models of care. This study looked through the lens of midwives who have written poetry about births they have attended to learn more about the experience of being with a woman. Hermeneutical phenomenology was selected for the philosophical methodology and method because it looked at both the phenomenon and the use of language to describe the phenomenon. …
Justifying Coercion: Nurses' Experiences Medicating Involuntary Psychiatric Patients, Paula K. Vuckovich Phd, Rn
Justifying Coercion: Nurses' Experiences Medicating Involuntary Psychiatric Patients, Paula K. Vuckovich Phd, Rn
Dissertations
This grounded theory study delineates the process inpatient psychiatric nurses use to respond to the challenging nursing problem of medicating resistant involuntary patients. Since approximately one third of all admissions to psychiatric units in the United States are involuntary (Durham, 1996), caring for involuntary patients is a significant part of psychiatric nursing. Medication administration is a major treatment modality that is expected in caring effectively for psychiatric patients (American Psychiatric Association (APA), 1994; APA, 1997; Patel & Hardy, 2001). The process of getting the involuntary patient to accept medication is a major nursing function in a psychiatric unit that treats …
The Effect Of Professionally-Facilitated Group Support On Psychological Well-Being Among Clients With Cancer, Joann C. Harper Phd, Ms, Rn
The Effect Of Professionally-Facilitated Group Support On Psychological Well-Being Among Clients With Cancer, Joann C. Harper Phd, Ms, Rn
Dissertations
Many persons suffer from cancer, some of whom seek psychological relief through group support. Despite the widely held belief that group support helps, its efficacy has not been consistently evident in the scientific literature. The purpose of this study was to compare the effect of professionally-facilitated group support on the psychological well-being of clients with cancer between persons who participated in professionally-facilitated group support with those who did not. A comparison design measured effect by the Psychological General Well-Being (PGWB) index. Each study enrollee was diagnosed with a new or recurrent cancer within 18 months of study entry. ANCOVA was …
Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn
Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn
Dissertations
Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Mortality rates from 12 to 37 percent have been reported within one year after a hip fracture. It is estimated that 50 percent of individuals who experience hip fractures become partially dependent in activities of daily living, and 33 percent become totally dependent in activities of daily living. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. Motivating participation in rehabilitation activities poses a challenge for professional caregivers. The purpose …
The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn
The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn
Dissertations
Measurement of intuition use among nursing students has not occurred because developed intuition measures have been designed specifically for experienced nurses. The purpose of this study was to develop and psychometrically evaluate an intuition instrument for nursing students. An intuition instrument can provide the means to (a) determine if students use intuition in care providing activities and (b) measure intuition use over time. Instrument development included (a) concept clarification, (b) item development, and (c) psychometric testing. Intuition was defined as a nonlinear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Content experts established …
Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc
Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc
Dissertations
Prenatal maternal attachment and the practice of health promoting behaviors during pregnancy are considered universal phenomena to women. Yet, the understanding of these phenomena from the lived experiences of pregnant women has not been well researched. The purpose of this phenomenological study was to describe the experience of maternal attachment to the unborn child and how that attachment might relate to the practice of these behaviors during pregnancy. The participants in this study were ten English speaking women, college educated, professionally employed, who were pregnant for the first time. Unstructured interviews were conducted with the participants at 14–16 weeks and …
Protective Care: Mothering A Child Dependent On Parenteral Nutrition, Lorie H. Judson Phd, Mn, Rn
Protective Care: Mothering A Child Dependent On Parenteral Nutrition, Lorie H. Judson Phd, Mn, Rn
Dissertations
Home care of technology-dependent infants and children has become an accepted and expected consequence of higher survival rates among critically ill newborns and children who develop chronic illnesses. One of the high-tech modalities which foster dependence of these infants and children is parenteral nutrition. Parenteral nutrition, also called total parenteral nutrition (TPN), supplies life-sustaining nutrients through a central venous catheter and requires the use of machinery to pump this fluid directly into the bloodstream. Due to the tremendous cost of prolonged hospitalization for these children, and the deleterious effects to the child, home care is considered an obvious and viable …
Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn
Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn
Dissertations
Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …
Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd
Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd
Dissertations
In 1999, the Supreme Court ruled that school districts were financially responsible to provide related services including nursing services, to medically fragile students. This decision applied to children attending public schools who have complex health problems and are tracheostomy dependent. The purpose of this grounded theory study was to explore role perceptions of eighteen school nurses caring for these children in classrooms. Six dimensions emerged from the data: Promoting Family/Nurse Connections, Adapting the Environment, Claiming Authority, “Standing Out There”, Striking a Balance and Experiencing Success. Promoting Family/Nurse Connections emerged as the central perspective, essential to implementing a plan of care. …
Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn
Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn
Dissertations
Cigarette smoking is the leading preventable cause of death in the United States. Smoking also accounts for significant morbidity for others exposed to environmental tobacco smoke. Many women stop smoking during pregnancy. Most women relapse to smoking following delivery, yet postpartum smoking issues have received little attention. The purpose of this study was to develop and test an instrument, the Postpartum Smoking Questionnaire (PPSQ) using Ajzen's Theory of Planned Behavior. The belief-based items of the PPSR-Q were developed following content analysis of 35 individual, structured elicitation study interviews with postpartum women in the military healthcare system. Beliefs that prevented women …
A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd
A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd
Dissertations
In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …
Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn
Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn
Dissertations
Identification of resilience factors in adolescents is necessary to promote health and decrease the incidence of negative health outcomes related to risk-behaviors in this age group. The purpose of this descriptive-correlational research was twofold: (1) to investigate the inter-relationships of perceived health status, perceived self-efficacy, resilience abilities, self-care agency and self-care practices in adolescents and (2) to evaluate a revised measure, The Solem Adolescent Resilience Abilities Scale (SARAS-R). Orem's self-care theory was used as the theoretical framework for this study. The convenience sample of 100 adolescents from San Diego county in southern California were recruited through health professionals and secondary …
Women's Experiences With Chronic Heart Failure, Denise M. Boren Phd, Msn, Cns
Women's Experiences With Chronic Heart Failure, Denise M. Boren Phd, Msn, Cns
Dissertations
Nationwide, approximately 4.1 million Americans suffer from chronic heart failure accounting for estimated direct and indirect costs of over $21 billion spent annually for health care. The incidence of heart failure has doubled each decade since the 1940's and slightly more men were inflicted with the illness. This trend changed three years ago, with a decline in the overall incidence of heart failure and a slight predominance of the illness in women rather than men. The incidence of this condition was reduced in males nearly three times that of females. Women survive longer after diagnosis, however they are hospitalized more, …
Therapeutic Alliance: Development, Evaluation, And Application Of The Kim Alliance Scale, Son Chae Kim Phd, Msn, Fnp, Rn
Therapeutic Alliance: Development, Evaluation, And Application Of The Kim Alliance Scale, Son Chae Kim Phd, Msn, Fnp, Rn
Dissertations
The quality of therapeutic alliance between the patient and healthcare provider is a pivotal contributing factor toward optimal healthcare in the current context of rising healthcare costs, shorter hospital stays, and patient's rights. The availability of a well-designed and sound therapeutic alliance instrument can provide understanding and insight into improving the quality of healthcare. The purpose of this study was to develop a reliable and valid therapeutic alliance instrument, to evaluate its psychometric properties, and to explore its usefulness in predicting patient satisfaction. The retroductive triangulation method provided a framework for the development of the instrument, the Kim Alliance Scale …
Effect Of Relaxation On Neuro-Immune Responses Of Persons Undergoing Chemotherapy, Patricia K. Taylor Pothier Phd, Ms, Rn
Effect Of Relaxation On Neuro-Immune Responses Of Persons Undergoing Chemotherapy, Patricia K. Taylor Pothier Phd, Ms, Rn
Dissertations
Chemotherapy can be considered both a physiologic and a psychological stressor. Anxiety, nausea, emesis, and immunosuppression are commonly associated with chemotherapy, and may adversely affect the outcome or the process of treatment. Chemotherapy-related anxiety can exacerbate negative side-effects. Some psychological stressors, such as anxiety, can result in down-regulation of certain immune functions. Studies have demonstrated that behavioral interventions, such as specific relaxation strategies, can modify stress-related immune modulation. These behavioral interventions have also been shown to decrease the degree of nausea and vomiting associated with chemotherapy. The purpose of this study was to examine whether a relaxation intervention would result …
Exploring The Effects Of Guilt, Spousal Support, And Role Conflict On The Psychological Well-Being Of The Educated Full-Time Stay-At-Home Mother, Susan Donley Desimone Phd
Exploring The Effects Of Guilt, Spousal Support, And Role Conflict On The Psychological Well-Being Of The Educated Full-Time Stay-At-Home Mother, Susan Donley Desimone Phd
Dissertations
The purpose of this study was to examine the effect of guilt, degree of spousal support, role conflict, and decreased psychological well-being experienced by educated stay at home mothers with young children. Social role theory is utilized as a basis for the development of a theoretical model. Relevant research literature does not identify a link between guilt, degree of spousal support, role conflict, and decreased psychological well-being in stay at home educated mothers. The significance of this study was to bring recognition to the phenomenon among educated stay at home mothers that little or no attention has been acknowledged. The …
Crossing Myriad Borders: A Dimensional Analysis Of The Migration And Health Experiences Of Indigenous Oaxacan Women, Sharon Mcguire Phd, Op, Msn, Rn-C
Crossing Myriad Borders: A Dimensional Analysis Of The Migration And Health Experiences Of Indigenous Oaxacan Women, Sharon Mcguire Phd, Op, Msn, Rn-C
Dissertations
The growing feminization of the migration of ethnic indigenous women, such as Mixtecs, Zapotecs and Triquis from the southern Mexican state of Oaxaca, are altering the dynamics and configuration of traditional Mexican migration, making it especially significant for the health professions. Informed by a postcolonial ecofeminist paradigm, this bi-national grounded theory study explored the migration and health experiences of indigenous Oaxacan immigrant/migrant women. Data collection using participant observation and interviewing occurred in Oaxaca, Mexico, along the US-Mexico border, and the interior of California. Dimensional analysis was used as the method of data analysis to generate theoretical understandings of these phenomena. …
Comparison Of Health Promotion Behaviors And Performance On The Navy Physical Readiness Test Among Active Duty Shipboard Personnel With And Without Anterior Knee Pain, Robin Theresa Mckenzie Phd, Msn, Rn
Comparison Of Health Promotion Behaviors And Performance On The Navy Physical Readiness Test Among Active Duty Shipboard Personnel With And Without Anterior Knee Pain, Robin Theresa Mckenzie Phd, Msn, Rn
Dissertations
Health promotion is the number one health priority of the nation, yet, health promoting behaviors (HPB) are rarely part of the management plan for persons with anterior knee pain (AKP). In an active duty military population, AKP can interfere with performance on the required, semi-annual physical readiness test (PRT). The purpose of this descriptive, comparative study was to compare the relationships among HPB, AKP and performance on the PRT between two groups of active duty Navy shipboard personnel (those with AKP and those without AKP). Pender's (1996) Health Promotion Model (HPM) served as the theoretical framework. Subjects completed demographic and …
Noneconomic Barriers To Health Care Utilization By African-Americans, Johnie M. Tarver Phd, Msn, Rn
Noneconomic Barriers To Health Care Utilization By African-Americans, Johnie M. Tarver Phd, Msn, Rn
Dissertations
Many efforts have been made to maximize the utilization of health cue system. As a result the utilization of health care system by African Americans has increased, improving the health status (Blendon, Aiken, Freeman, & Corey, 1989). While some improvements have been made, recent reports show disparities between African Americans and Caucasians in the utilization of health care systems and in their health status. Barriers have been identified among those in the lower social economic status (SES). These barriers impede health care utilization and negatively affect health status. However, studies show that among some African Americans when health care is …
Missionary Nurse Dorothy Davis Cook, 1940–1972: "Mother Of Swazi Nurses", Susan Elaine Elliott Phd
Missionary Nurse Dorothy Davis Cook, 1940–1972: "Mother Of Swazi Nurses", Susan Elaine Elliott Phd
Dissertations
Dramatically absent from nursing's historical knowledge and professional recognition are the lives, roles, contributions, and legacies of Christian faith-based nurses. The purpose of this study was to investigate the ministry and service of Sister Tutor Dorothy Davis Cook, Church of the Nazarene missionary nurse in the African country of Swaziland 1940 to 1972. The multi-dimensional, multi-task expanded roles manifested in her integration of Christian missionary and nurse were explored and her legacy identified. The most significant primary source for this study was Mrs. Cook herself. She was interviewed on three occasions and has provided personal documents, journals, and photographs. Data …
Adolescent Perceptions Of Parent-Adolescent Communication And Adolescent Pregnancy, Susan L. Tohm Lloyd Phd, Ms, Rn
Adolescent Perceptions Of Parent-Adolescent Communication And Adolescent Pregnancy, Susan L. Tohm Lloyd Phd, Ms, Rn
Dissertations
Identification of adolescent perceptions of parent-adolescent communication, a significant factor in family functioning and connectedness, is important if effective interventions are to be provided by health care professionals related to decreasing the number as well as the adverse effects of adolescent pregnancy in the United States. The purpose of this descriptive, non-experimental, triangulated study was to examine the relationship between the perceived quality and effectiveness of parent-adolescent communication and pregnancy from the perspective of pregnant adolescent women in the Banning/Beaumont area of southern California. The theoretical framework for this study was based on adolescent and family developmental theories, family communication …
Crossing The Line: Experiences Of The Formerly Homeless Living Past Homelessness, Susan Marie Bennett Dnsc, Msn, Fnp, Rn, Cs
Crossing The Line: Experiences Of The Formerly Homeless Living Past Homelessness, Susan Marie Bennett Dnsc, Msn, Fnp, Rn, Cs
Dissertations
This grounded theory study explored the experiences of formerly homeless individuals and families who have moved from homelessness into stable housing. This was an ethnographic study and involved the researcher staying in an east coast shelter where some of the formerly homeless participants had become staff members and reside. Data analysis was informed by dimensional analysis. Moving out of homelessness was the studies perspective. Findings of the study revealed the following dimensions that related the formerly homeless's experiences: (a)reacting to circumstances, or how they became homeless; (b)surviving as homeless, or how they lived while homeless; (c)crossing the fine, or what …
Factors Related To Stage At Diagnosis In African-American And Caucasian Women Diagnosed With Breast Cancer In The Military Health System, Sandra C. Garmon Bibb Dnsc, Msn, Rn
Factors Related To Stage At Diagnosis In African-American And Caucasian Women Diagnosed With Breast Cancer In The Military Health System, Sandra C. Garmon Bibb Dnsc, Msn, Rn
Dissertations
The focus of this descriptive-comparative study was to investigate the relationships between potential access (race, age, socioeconomic status (SES), and the means of discovery of breast cancer), realized access (the length of time between discovery of breast abnormality and diagnosis of breast cancer, and the length of time between diagnosis and initiation of breast cancer treatment), and stage at diagnosis of breast cancer, in African American and Caucasian women, receiving care within an equal economic access health care system. The research questions were answered through secondary analysis, using data obtained from the tumor registry records of 62 African American and …
Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc
Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc
Dissertations
Acts of resistance can be expressions of creativity, protest or non-cooperation by oppressed groups. Resistance is seen as always present in the face of domination. Acts of resistance can help us to understand how the powerless mediate power relations, and they can actually give hope to the powerless. This study looked at the issues of power and resistance through critical and feminist perspective. A central concept of feminist theory is that women, and thus nurses as a women's profession, are oppressed. This study looked at female nurses' acts of resistance, which were defined as speaking up or taking action about …
Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn
Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn
Dissertations
The conceptual metaphor has meaning only when understood within the cultural framework which gives rise to the conceptualization. The purpose of this study was to investigate the interaction of cognition (conceptual metaphor) and culture as manifest during intercultural communication in teaching-learning sessions between health care providers and patients. An ethnography of communication (Hymes, 1974; Saville-Troike, 1989) was the method employed to investigate the use of metaphor by patients, nurses and other health care professionals. Patients were viewed as a sojourner group in the health care culture; nurses and their health care partners were seen as a host group. Data were …