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Articles 661 - 690 of 734
Full-Text Articles in Nursing
The Relationship Of Self-Esteem, Learned Resourcefulness And Social Support To Health-Related Quality Of Life In Long-Term Cancer Survivors, Leli W. Pedro Dnsc, Ms, Rnc, Ocn
The Relationship Of Self-Esteem, Learned Resourcefulness And Social Support To Health-Related Quality Of Life In Long-Term Cancer Survivors, Leli W. Pedro Dnsc, Ms, Rnc, Ocn
Dissertations
Increased survival and advances in oncology research demand that health professionals attend to the gap in knowledge regarding health-related quality of life (HRQL) variables associated with the unique sequelae of cancer in the long-term (LT) cancer survivor. Research in this area may direct the development of effective interventions to increase the HRQL of LT cancer survivors. The study's purpose was to describe the relationships between self-esteem, learned resourcefulness, and social support to HRQL as well as their predictive value to HRQL for LT cancer survivors. A quantitative, descriptive, correlational, and noninterventional design was used to describe the relationship of self-esteem, …
Relationships Between Posttraumatic Stress, Acculturation, And Maternal Sensitivity In Vietnamese And Hmong Mothers, Gwendolyn F. Foss Dnsc
Relationships Between Posttraumatic Stress, Acculturation, And Maternal Sensitivity In Vietnamese And Hmong Mothers, Gwendolyn F. Foss Dnsc
Dissertations
The purposes of this study were to determine if posttraumatic stress (PTS), depression, and anxiety occurred in a community sample of Vietnamese and Hmong mothers and to describe relationships between PTS, depression, anxiety, acculturation and maternal sensitivity. Transition theory (Bridges, 1980), and a conceptual model of parenting in immigrant populations building on Belsky's (1984) work, provided the theoretical framework (Foss, 1996). The sample was divided evenly between Vietnamese and Hmong participants. Ages ranged from 17–43 years, time lived in the United States ranged from 3–21 years, and education ranged from no formal education to completion of college. Maternal sensitivity was …
Being Alone: The Experience Of Elderly Homebound Females, Sharon Davis Burt Dnsc, Msn, Rn
Being Alone: The Experience Of Elderly Homebound Females, Sharon Davis Burt Dnsc, Msn, Rn
Dissertations
Elderly women comprise one of the fastest growing segments of the population in the United States. This growth is due in large part to increasing longevity, and a woman's life expectancy has now reached 79 years. However, along with those added years comes an increase in morbidity and a greater likelihood of living alone. This study describes the life experience of a specific group of elderly women, those who are homebound and living alone. When elderly women are included in research, the same combination of descriptors used for the participants in this study has not been incorporated. Consequently, while much …
Testing A Theoretical Model Of Critical Thinking And Cognitive Development, Jane Rapps Dnsc, Ms, Msed, Rn
Testing A Theoretical Model Of Critical Thinking And Cognitive Development, Jane Rapps Dnsc, Ms, Msed, Rn
Dissertations
The goal of nursing education is to educate individuals in such a way that they become self-determining, independent thinkers who are prepared to keep pace with the rapidly changing demands of today's health care system. Nurses must utilize critical thought and reasoned action in clinical practice in order to render state of the art health care for individuals, families, groups, and communities. The purpose of this study was to test a proposed theoretical model of critical thinking and cognitive development. Perry's theory of adult cognitive development and Kataoka-Yahiro and Saylor's Critical Thinking Model for Nursing Judgment guided this research. Data …
The Experience Of Decision-Making Among Telephone Advice/Triage Nurses, Ann Mayo Dnsc, Msn, Rn
The Experience Of Decision-Making Among Telephone Advice/Triage Nurses, Ann Mayo Dnsc, Msn, Rn
Dissertations
The role of the telephone advice/triage nurse is both complex and demanding. All decisions are made while assessing patients without seeing or touching patients. In addition, the role is often developed to decrease health care costs which can be perceived by nurses as being in conflict with their nursing beliefs. The ambiguous nature of the role makes these nurses' daily experiences with decision-making a challenge. Using a phenomenological method, the lived experience of decision-making among telephone advice/triage nurses was explored by conducting multiple interviews with ten nurses. The internal structure of the lived experience was identified through the philosophical perspective …
Major Trauma Outcomes: At What Cost? And For Whom? A Cost-Effectiveness Analysis, A. Elaine Bond Dnsc, Msn, Aprn, Ccrn
Major Trauma Outcomes: At What Cost? And For Whom? A Cost-Effectiveness Analysis, A. Elaine Bond Dnsc, Msn, Aprn, Ccrn
Dissertations
The purpose of this triangulated descriptive study was threefold: (a) to identify the financial costs for acute trauma care, including costs for those who die early in treatment, and who pays those costs; (b) to identify the relationship between costs and severity of injury; and (c) to identify survivor functional and psychosocial costs, or quality of life, not only by current health care outcome criteria, but also from patients' and families' perspectives. Retrospective review determined the financial differences (total charges of $9,945,973 and institutional costs of $7,089,962) for 370 patients' severity of injury and functional outcomes at discharge, using the …
The Journey Through Perspective Transformation: Learning Nursing Theory, Judith R. Heggie Dnsc, Ms, Rn
The Journey Through Perspective Transformation: Learning Nursing Theory, Judith R. Heggie Dnsc, Ms, Rn
Dissertations
Through the use of grounded theory, educational methods most useful for nurses to achieve a perspective transformation, as exemplified by learning nursing theory were examined. Perspective transformation is a theory originally developed by Mezirow (1978) in a study of older women returning to college for additional education. Mezirow defined perspective transformation as the alteration or change of meaning perspectives. Perspective transformation in an individual can be compared to a paradigm change within a scientific community. Within the nursing literature on perspective transformation, most articles related to the perspective transformation needed for nurses to learn to use nursing theory as the …
History Of The United States Air Force Nurse Corps, 1949-1954, Sharon A. Vairo Dnsc
History Of The United States Air Force Nurse Corps, 1949-1954, Sharon A. Vairo Dnsc
Dissertations
The Air Force Nurse Corps (AFNC) was established effective July 1, 1949, however, no history of the AFNC has been written. The purpose of this investigation was to examine the first five years of the AFNC when its initial framework, policies, and practices were established. Included in this period was the story of the AFNC response to its first great challenge of the Korean War beginning just before the corps first anniversary. The study framework consists of the four themes of (1) dedication to serve, protect, and care for soldier patients; (2) slow advance in status; (3) need for adequate …
Ethnographic Inquiry Of Social Support Throughout Women's Labor And Childbirth Experiences, Nancy Jane Pinder Saks Dnsc, Msn, Rn
Ethnographic Inquiry Of Social Support Throughout Women's Labor And Childbirth Experiences, Nancy Jane Pinder Saks Dnsc, Msn, Rn
Dissertations
The purpose of this study was to explore the phenomenon of social support throughout labor and childbirth in order to develop descriptive theory based on the behaviors of the labor and childbirth convoy. Utilizing ethnographic methodology, five women and their support convoys were observed throughout the women's labor and childbirth experience. Word processing and the ETHNOGRAPH software were used for data management, and constant comparative coding methodology was employed for data analysis. Affirmative, affective and aid-giving behaviors were enacted by all convoy members. Consistently, social support was found to be communicated to the laboring woman by her lay supporters by …
An Evaluation Of The Efficacy Of Selected Nonpharmacologic Pain Interventions In Infants, Cindy Smith Greenberg Dnsc, Ms, Rn, Cpnp
An Evaluation Of The Efficacy Of Selected Nonpharmacologic Pain Interventions In Infants, Cindy Smith Greenberg Dnsc, Ms, Rn, Cpnp
Dissertations
Infants subjected to painful stimuli respond with deleterious physiologic and metabolic effects, behavioral changes, and potentially long term effects on painful stimuli processing and response. There are few studies that address effective pain interventions for infants, particularly those interventions that staff nurses can implement independently. Interventions must be identified and their effectiveness must be validated for this vulnerable population. Pharmacologic management of pain may cause deleterious side effects and needs to be ordered by physicians or nurse practitioners. Nonpharmacologic methods to manage pain can usually be implemented by staff nurses independently. This study evaluated the efficacy of two nonpharmacologic pain …
The Lived Experience Of Women Prior To Hospitalization For Acute Myocardial Infarction, Llamae R. Hughes Dnsc
The Lived Experience Of Women Prior To Hospitalization For Acute Myocardial Infarction, Llamae R. Hughes Dnsc
Dissertations
Recent research indicates that the majority of women underestimate their risk of developing coronary artery disease (CAD). CAD claims the lives of more women than all forms of cancer; however, women have not received the symptom recognition or treatment that has been accorded to men with CAD. Review of literature indicated a lack of research regarding the experiences of women with acute myocardial infarction (AMI). This phenomenological study explored the lived experience of women with AMI immediately prior to hospitalization. The lines of inquiry focused on descriptive language regarding pre-event feelings, the symptoms experienced at AMI onset, their response to …
A Phenomenological Inquiry Of Nurse Transition To Family-Centered Perinatal Nursing, Paula Kaye Lilja Dnsc, Msn, Rn
A Phenomenological Inquiry Of Nurse Transition To Family-Centered Perinatal Nursing, Paula Kaye Lilja Dnsc, Msn, Rn
Dissertations
The purpose of this phenomenological study was to obtain a better understanding of how nurses caring for perinatal patients and their families view their clinical practice role after experiencing the transition from traditional maternity care to family-centered perinatal nursing. The volunteer participants in the study were 13 female registered nurses employed on a family-centered perinatal unit in one of four hospital settings. The researcher conducted unstructured interviews with the participants and analyzed the qualitative data. The history of the transition and the context in which the family-centered perinatal nursing model was being practiced are presented. Two major features of the …
Role Expectation Of Chief Nurse Executive Officers In Integrated Healthcare Systems Located In Highly Managed Care Markets, Daniel L. Gross Dnsc
Role Expectation Of Chief Nurse Executive Officers In Integrated Healthcare Systems Located In Highly Managed Care Markets, Daniel L. Gross Dnsc
Dissertations
The healthcare industry is undergoing radical transformation. Healthcare's transformation is characterized by new patterns of organization, alliance, management, administration, and governance. Traditional fee-for-service reimbursement strategies are rapidly dissolving and managed health care is proliferating. Managed care and managed competition are forcing hospitals and healthcare providers to reduce expenses and identify improved methods for healthcare delivery. Integrated healthcare delivery systems (IDSs) and networks are at the center of healthcare reform. Chief Nurse Executive Officers (CNEOs) are increasingly finding themselves in roles within complex IDSs located within highly managed care markets (HMCMs). This new work environment is altering old and mandating new …
Igniting The Mind: Engaging Nursing Students In The Process Of Learning, Jo-Ann L. Rossitto Dnsc, Ma, Rn
Igniting The Mind: Engaging Nursing Students In The Process Of Learning, Jo-Ann L. Rossitto Dnsc, Ma, Rn
Dissertations
The purpose of this grounded theory study was to explore the perceptions of associate degree nursing faculty regarding their classroom teaching experiences. A purposive, convenience sample of twenty-one educators volunteered to participate in the study. Data were primarily obtained through semi-structured interviews over a period of six months. Data collection and analysis occurred simultaneously utilizing the constant comparative method. Igniting the Mind emerged as the core category of the study. This category represented the methods nurse educators use to involve students in the process of learning. Igniting the Mind entails making a connection, letting go, getting buy-in, trying something new, …
The Perspectives Of The Woman/Nurse/Executive Working In The Managed Care Environment Of Southern California, Cheryl Lynn Brandi Dnsc, Ms, Msn, Rn
The Perspectives Of The Woman/Nurse/Executive Working In The Managed Care Environment Of Southern California, Cheryl Lynn Brandi Dnsc, Ms, Msn, Rn
Dissertations
The purpose of this study was to explore the perspectives of the woman/nurse/executive working in the managed care environment of Southern California. This research was extremely timely because (a) Southern California leads the nation in managed care market penetration, (b) changes in health care financing have resulted in a prolific expansion of nurse executive responsibilities, and (c) nurse executive experiences regarding increased responsibilities have not been researched. Role expansion impacts both male and female nurse executives, but female nurse executives must confront the dilemma of functioning in administrative domains which have been largely dominated by men. Knowledge about their experiences …
Correlates Of Staff Nurse Work Satisfaction In Hospitals With Shared Governance, Mary Kay Flynn Dnsc, Rn, Ccrn
Correlates Of Staff Nurse Work Satisfaction In Hospitals With Shared Governance, Mary Kay Flynn Dnsc, Rn, Ccrn
Dissertations
Lack of staff nurse participation in hospital decision-making has been cited as a major reason for the dissatisfaction in nursing. Shared governance has been proposed as an organizational model that provides staff nurses with both the structure and the mechanism for having increased decision-making authority. The purpose of this study was to investigate the relationship of organizational culture, perceived importance of involvement and actual involvement in decision-making, the discrepancy between importance and involvement, staff nurse years of involvement in shared governance, control over nursing practice, and work satisfaction among staff nurses working in hospitals with shared governance. A descriptive, correlational …
The Process Of Ending Domestic Violence Among Latinas: Aguantando No Mas, Nancy A. Coffin-Romig Dnsc, Msn, Rn
The Process Of Ending Domestic Violence Among Latinas: Aguantando No Mas, Nancy A. Coffin-Romig Dnsc, Msn, Rn
Dissertations
The purpose of this study was to explore the sociocultural factors which play a role in the process of ending an abusive relationship among Latinas. Dimensional analysis was the method employed for the development of a grounded theory. Aguantando or enduring emerged from this study as pivotal in gaining an understanding of the process of ending an abusive relationship for Latinas. Participants indicated that personal and religious beliefs, the importance of family, and the needs of their children were reasons for aguantando or enduring the abuse. The decision to no longer aguantar, or endure, occurred through a series of encounters …
The Work Of Living With Hiv: A Study Of Binational Groups, Christina Joy Dnsc
The Work Of Living With Hiv: A Study Of Binational Groups, Christina Joy Dnsc
Dissertations
The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the …
Determinants Of Health-Promoting Lifestyle Among Nurses In Taiwan, Chou Chuan-Chiang Yao Dnsc, Ms, Rn
Determinants Of Health-Promoting Lifestyle Among Nurses In Taiwan, Chou Chuan-Chiang Yao Dnsc, Ms, Rn
Dissertations
This two-phase study was undertaken to: (1) determine the relationships of self-efficacy, perceived health status, perceived social support, age, marital status, education, work shift, work setting, and years employed as a registered nurse (RN) to the practice of a health-promoting lifestyle; (2) determine the combination of predictor variables explaining the variance in the practice of a health-promoting lifestyle; and (3) investigate other personal and environmental cues and characteristics related to health-promoting lifestyles among nurses (N = 218) in Taiwan. Findings of the quantitative approach in Phase One indicated that a health-promoting lifestyle was significantly related to self-efficacy, perceived health status, …
The Experiences Of Taiwanese Women Caregiving For Parents-In-Law, Shu-Yuan Chao Dnsc
The Experiences Of Taiwanese Women Caregiving For Parents-In-Law, Shu-Yuan Chao Dnsc
Dissertations
Using grounded theory, a semi-structured in-depth interview was conducted to explore the experiences of Taiwanese women who were caregivers for their parents-in-law. Thirty-one Taiwanese women aged 23 to 58 participated in this study. Just Doing was identified as the core category to indicate the caregivers' striving process once they committed to their in-laws' care. Recognizing Duty, Experiencing Trials, and Responding to Caregiving were subcategories and reflected how a caregiver perceived her role, how she was affected by caregiving tasks, and what responses she had to the caregiving situation. The findings also suggested that caregiving behaviors were influenced by cultural expectations …
Living With Changing Health: Perimenopause Among Chinese Women In Taiwan, Lee-Ing Tsao Dnsc, Mnsc, Rn
Living With Changing Health: Perimenopause Among Chinese Women In Taiwan, Lee-Ing Tsao Dnsc, Mnsc, Rn
Dissertations
The purpose of this qualitative study was to generate theory about women's perimenopausal life experiences. Thirty-five Taiwanese women aged 40 to 59 who perceived themselves as perimenopausal and who were not using hormone therapy were interviewed. Data were generated from interviews which were conducted in Mandarin. Living with Changing Health was the core category for describing and guiding the process of perimenopause. During this process, Awareness was identified as the antecedent condition. Once the woman became aware, she would begin the process of living with her changing health. This process would be marked by action and interaction among the categories …
Cultural Discovery In Nursing Practice: The Experience Of Nurses' Who Work With Vietnamese, Evelyn Labun Dnsc, Mscn, Rn
Cultural Discovery In Nursing Practice: The Experience Of Nurses' Who Work With Vietnamese, Evelyn Labun Dnsc, Mscn, Rn
Dissertations
The purpose of this investigation was to generate a substantive theory of cultural discovery among nurses who work with Vietnamese. A grounded theory approach involving dimensional analysis was employed. A purposive sample of 27 registered nurses with experiences working with Vietnamese in acute care, community, and clinic settings was interviewed using a semi-structured format. Data were analyzed for dimensions as well as conditions, context, action strategies, and consequences. The theory of cultural discovery described how nurses learn to see their Vietnamese clients, how they saw a common humanity with others, and how they learn to see health. Nurses who made …
Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc
Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc
Dissertations
In the nearly two decades of cancer research in the United States, there has been little emphasis on the experiences of young adult women with breast cancer. I therefore adopted a qualitative multicase study method to explore the experiences of five young adult women from the time of discovery of a breast mass through the first three months of recovery from mastectomy. Utilizing data collected via semi-structured interviews, this study sought to describe their concerns, the way in which their concerns changed over time, and the influence of contextual factors. Three themes were identified. These included: "I'm going to die!" …
Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms
Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms
Dissertations
The intent of this investigation was to conduct an extensive study of the life and character of Elinor Gregg (1886-1970) in order to identify the contributions she made to professional nursing and to humanity. Nurse, educator, administrator, beloved relative, and friend, Elinor Gregg was an outstanding person whom nurses today might well emulate. Historical method provided the context for the study. Data were collected from the National Archives; National Library of Medicine Historical Section; Nursing Archives at Mugar Library, Boston University; Nursing Archives at Simmons College; National Headquarters of the American Red Cross; Archives of Colorado College; and Archives of …
Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp
Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp
Dissertations
With improvements in diagnosis and care, children with HIV infection are living long enough to reach school age, a stage when they are capable of perceiving the stigmatizing, life-threatening nature of their illness. Many parents desire to protect them from this knowledge by avoiding an open dialogue about their disease, even though pediatric professionals advocate disclosure. Research-based guidelines about the risks and benefits of telling, however, have not been available in the literature. Using an innovative, qualitative approach through the use of grounded theory and projective drawing techniques, this investigation sought to explore what parents said about the illness and …
The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc
The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc
Dissertations
Patients' satisfaction is one of the primary goals of emergency department (ED) providers today. As emergency departments are overcrowded, stressful environments, anxious patients want to be kept informed. Nurses have the opportunity to meet these needs and possibly influence the patients' perception of the experience and intent to return for future care. This study examined the effects of providing written information and reassurance on patient satisfaction, anxiety, and intent to return for emergency care. The design was a posttest design involving a comparison between the control and three experimental groups. Two hundred and forty patients participated in the study, approximately …
Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa
Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa
Dissertations
The health care business has created complex relationships between consumers and health care institutions. Rising health costs, rationing of health care and medical technology have put critical care unit (CCU) nurses in complex environments where they must face ethical conflict. CCU nurses find themselves ill equipped to make sound decisions concerning ethical dilemmas. Nurses must ensure the patient's choices are respected and honored due to the duties inherent in the nurse-patient relationship. The purpose of this study was to explore the process of ethical decision making (EDM) as it is experienced by CCU nurses. Gaining an understanding of this process …
Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn
Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn
Dissertations
This study sought to gain an insight into the phenomenon of nursing faculty members connecting with students. Caring has been espoused as a key component of nursing education for many decades. In the last 10 years the terms caring and connecting are commonly found associated with each other, and yet there is no clear definition of connecting. It is important to understand a phenomenon from the point of view of those who are experiencing it. Therefore, a study which asked nursing educators to tell stories of the times they had connected with students was undertaken. Ten nurse educators in the …
The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn
The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn
Dissertations
The physiological and psychological health benefits of regular physical exercise are well-documented; however, drop-out rates from both supervised and unsupervised exercise remain high. Many potential influences on exercise behavior have been studied, but with largely inconsistent results, making it difficult to identify key targets for intervention. The purpose of this study was to explore the process through which nonexercisers become exercisers, and the contextual factors which affect movement through this process, in order to enable nurses to more successfully assist clients to incorporate exercise into their lifestyles. The exercise experiences of 22 individuals who had successfully made the transition from …
A History Of The Concept Of Creativity In Western Nursing: A Cultural Feminist Perspective, Karen K. Fritz Dnsc, Ms, Ba, Rn
A History Of The Concept Of Creativity In Western Nursing: A Cultural Feminist Perspective, Karen K. Fritz Dnsc, Ms, Ba, Rn
Dissertations
Using historical methodology, this study examined the concept of creativity in Western nursing from a cultural feminist perspective. An exploration of the concept was accomplished by means of a review emanating from the English literature of Western nursing and its allied disciplines of education and psychology. Two distinct views of creativity were delineated--the classical and the contemporary. The classical understanding required the completion of a major product or attainment in order for creativity to be ascribed. In contrast, the contemporary view was that of a novel, unrestrained thought process. It required no creative work or attainment for its ascription. The …