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Articles 541 - 570 of 571
Full-Text Articles in Nursing
Enrichment Of Psychiatric Mental Health Clinical Rotations: A Suicide Scenario Simulation, Melinda Hermanns, Mary Luanne Lilly, Bill Crawley
Enrichment Of Psychiatric Mental Health Clinical Rotations: A Suicide Scenario Simulation, Melinda Hermanns, Mary Luanne Lilly, Bill Crawley
Faculty Posters
This poster was presented at the 27th Annual Psychiatric Mental Health Conference.
The Lived Experience Of Indonesian Nursing Faculty Participating In A Nursing Education Reform Based On The 2009 World Health Organization Global Standards, Joan Elaine Edwards
The Lived Experience Of Indonesian Nursing Faculty Participating In A Nursing Education Reform Based On The 2009 World Health Organization Global Standards, Joan Elaine Edwards
Nursing Theses and Dissertations
Problem: In 2009, the World Health Organization (WHO) published global standards for initial education of professional nurses and midwives. Curriculum revision is challenging; but even more difficult in developing countries such as Indonesia. Faculty may not be equipped educationally and experientially for the educator role. Indonesian nursing curricula are not currently based on the 2009 WHO global standards. Purpose: To understand the lived experience of Indonesian nursing faculty participating in curriculum revision based on 2009 World Health Organization global standards. Design: A mixed descriptive and interpretive phenomenological qualitative research approach, based on van Manne's methodology. Participants: Thirty-seven nursing faculty from …
Exploring The Differences Between Adult Cancer Survivors And Their Caregivers' Social Support, Self-Efficacy For Physical Activity, Physical Activity Behavior, And Quality Of Life, Fedricker Diane Barber
Exploring The Differences Between Adult Cancer Survivors And Their Caregivers' Social Support, Self-Efficacy For Physical Activity, Physical Activity Behavior, And Quality Of Life, Fedricker Diane Barber
Nursing Theses and Dissertations
Less than 20% of cancer survivors meet recommended physical activity (PA) guidelines. Research reporting positive impact of social support on PA in cancer survivors has not included their caregivers' PA. A review of the literature examining social support and PA in cancer survivors supported including caregivers in developing strategies to increase PA in cancer survivors. The purposes of this study were: (1) to explore the differences and relationships between adult cancer survivors' and caregivers' social support, self-efficacy for physical activity (SEPA), PA, and quality of life (QOL), and (2) understand cancer survivors and caregivers' perception of social support in PA …
Effect Of Telephone Counseling On Physical Activity Among Older Adult Cancer Survivors, Ellen C. Mullen
Effect Of Telephone Counseling On Physical Activity Among Older Adult Cancer Survivors, Ellen C. Mullen
Nursing Theses and Dissertations
The elderly population, especially those with cancer coupled with low health literacy, is at high risk for poor health outcomes. Telephone counseling has been shown to be effective in improving health behaviors among other populations, but it has not been studied for older adult cancer survivors. The purpose of this mixed methods study was to examine the effectiveness of telephone counseling on physical activity among older adult cancer survivors (n=50). The relationship between health literacy level and perceived changes in physical activity was assessed. Based on existing literature and Orem's Theory of Self-care, the following hypotheses were tested: H1: Telephone …
The Lived Experience Of Fathers Whose Children Are Diagnosed With A Genetic Disorder, Mary T. Rivard
The Lived Experience Of Fathers Whose Children Are Diagnosed With A Genetic Disorder, Mary T. Rivard
Nursing Theses and Dissertations
Parenting a child with a genetic disorder requires overcoming numerous obstacles. The purpose of this study was to understand the experience of fathers whose children have been diagnosed with a genetic disorder. By gaining insight into a father's reactions and needs, nurses will be better able to provide anticipatory guidance, emotional support, assistance with stressor identification, development of coping mechanisms, and problem solving strategies to assist him in coping with his child's condition.
Vulnerability And Adaptation For Traumatic Brain Injury Survivors, Amy Johnson
Vulnerability And Adaptation For Traumatic Brain Injury Survivors, Amy Johnson
Nursing Theses and Dissertations
Many of the over 5 million survivors of traumatic brain injury (TBI) with related disabilities living in the community do not have support for their unmet needs. Adapting to life after TBI is difficult because of cognitive, emotional, and behavioral complications. Nurses and other healthcare professionals have the opportunity to promote positive outcomes for persons with TBI. However, to increase the depth and breadth of that support, nurses need a base of knowledge that includes an understanding of the TBI survivors' needs, vulnerabilities, and obstacles to adaptation. TBIs result in physical, psychological, developmental, and emotional losses. The needs that ensue …
The Nature And Meaning Of Insulin Pump Use In Emerging Adults With Type 1 Diabetes, Donna G. Hood
The Nature And Meaning Of Insulin Pump Use In Emerging Adults With Type 1 Diabetes, Donna G. Hood
Nursing Theses and Dissertations
Emerging adults (ages 18-25) with type 1 diabetes are a vulnerable population as they transition from the family home and their pediatric healthcare providers and deal with multiple competing demands. There is very little literature addressing those in this developmental group who use insulin pump technology for diabetes self-management. Listening to the voices of emerging adults who use insulin pump technology will increase our understanding of their experience and will give health care providers the opportunity to develop evidence based practice based on their lived experiences. The qualitative research, using the hermeneutic phenomenological approach described by Max van Manen, provides …
Nurse Practitioner Home-Based Care, Nicole Peters Kroll
Nurse Practitioner Home-Based Care, Nicole Peters Kroll
Nursing Theses and Dissertations
The United States is currently faced with the challenge of how and where to care for its aging population. Nurse practitioner (NP) home-based care is a potential solution to meet this challenge. Current research indicates that care provision by advanced practice nurses reduces cost, decreases length of stay and readmission to hospitals, and improves patient quality of life. The purpose of this research was to examine the state of the science regarding home-based geriatric care by NPs and to determine the current status and potential expansion of NPs in home-based care for elderly patients. Advanced practice nurses are able to …
Second Life® As A Clinical Conference Environment: Experience Of Students And Faculty, Melinda Hermanns, Carol Kilmon
Second Life® As A Clinical Conference Environment: Experience Of Students And Faculty, Melinda Hermanns, Carol Kilmon
Nursing Faculty Publications and Presentations
The purpose of this article is to discuss the students' and faculty members' experience of using Second Life® during a psychiatric mental health clinical conference. The clinical conference is explained, as well as the process in which students were oriented to the use of Second Life. The students' and faculty members' experience, obstacles encountered, and lessons learned are also presented.
Evaluation Of The Clinical Integration Model For Hospital Care Delivery, Cheryl Mckay
Evaluation Of The Clinical Integration Model For Hospital Care Delivery, Cheryl Mckay
Nursing Theses and Dissertations
Purpose: Two studies were used to evaluate whether introduction of the Clinical Integration Model (CIM) would decrease cost, length of stay (LOS), and mortality in two populations: a psychiatric in-patient population and congestive heart failure (CHF) patients. Objectives: 1. Evaluate reliability and validity of a process tool, the CareGraph, essential in the CIM. 2. Determine if there is a difference for LOS and cost between patients receiving care in the CIM and those receiving care in a traditional primary care delivery model in a psychiatric population; compare the same parameters as well as survival in the CHF population. Methods: Reliability …
Effect Of The Total Girl Wellness Program On Wellness Behaviors In Adolescent Females, Jenifer M. Chilton
Effect Of The Total Girl Wellness Program On Wellness Behaviors In Adolescent Females, Jenifer M. Chilton
Nursing Theses and Dissertations
Adolescent females perceive themselves to be healthy but research suggests this population engages in unhealthy and risky behaviors. Health habits established during youth transition into adulthood and may contribute to chronic diseases later in life. Guided by Bandura's Social Cognitive Theory (SCT), the purpose of this study was to test the effect of a comprehensive wellness intervention on overall wellness, physical fitness, and self-efficacy for health promoting behaviors in female adolescents. A multidisciplinary concept analysis of shame suggested components of shame can impact environment, personal factors, and behavior, the key concepts of SCT. An intervention based on SCT and titled …
Early Term Infant Care: Hospital Utilization And Breastfeeding Practices, Debra Craighead
Early Term Infant Care: Hospital Utilization And Breastfeeding Practices, Debra Craighead
Nursing Theses and Dissertations
Early term infants (ETI), with gestational ages from 37 to 38 weeks, have higher morbidity and mortality rates when compared with later term infant counterparts born at 39 to 41 weeks. Although this newly identified term infant subcategory is gaining attention, the immediate and long term health outcomes and care needs of ETI remain largely unexplored. The purpose of this research project was to examine the current research documenting ETI health and explore care practices that are currently utilized to promote ETI health. The original research study describes care practices used to promote health for ETIs born in Louisiana in …
Effect Of A Multimedia Intervention On Outcomes Expectations And Perceived Self-Efficacy For The Sex Educator Role For Parents/Caregivers Of African American Adolescent Males, Carmon V.N. Weekes
Effect Of A Multimedia Intervention On Outcomes Expectations And Perceived Self-Efficacy For The Sex Educator Role For Parents/Caregivers Of African American Adolescent Males, Carmon V.N. Weekes
Nursing Theses and Dissertations
Risky sexual behavior among youth is a national concern and places adolescents at high risk for undesirable health outcomes. According to the Youth Risk Behavior Surveillance System, African American males are more likely to engage in intercourse before age 13 than other racial groups. Research reporting positive impact of parent-adolescent sex communication on influencing risky behaviors has rarely included parents of African American adolescent males. A systematic review of the literature examining health literacy in African Americans supported the importance of including non-print sources of information for this population. The purpose of this study was to test the effect of …
The Effect Of Guided Observation On Learning Outcomes In Simulation-Based Learning, Jamil Norman
The Effect Of Guided Observation On Learning Outcomes In Simulation-Based Learning, Jamil Norman
Nursing Theses and Dissertations
Nurse educators have been faced with the challenge of providing adequate clinical preparation for nursing students. Implementation of simulation-based learning (SBL) has been used to meet these challenges. Current research indicates that students and faculty are both satisfied with simulation; however, faculty concerns with improving student learning during SBL have led to a research intervention on the use of an Observation Guide. The purpose of this research was to examine differences in knowledge, self-confidence, satisfaction, and collaboration between baccalaureate nursing students using an Observation Guide when observing a simulated clinical experience (SCE) and those observers without an Observation Guide. Additionally, …
The Use Of Positive Deviance To Deliver Patient-Centered Care, Jodie Gary
The Use Of Positive Deviance To Deliver Patient-Centered Care, Jodie Gary
Nursing Theses and Dissertations
What happens when critical care nurses find themselves in situations where patient care needs are not covered by practice guidelines or standard orders or when the needs conflict with those guidelines and orders? Sometimes usual practices such as call the supervisor, call the physician, or follow the protocol just do not meet the needs of the patient at the exact time and place. Experienced critical care nurses often discuss such situations in private; however, there is little information in the literature about the types of situations encountered and the decision- making processes used in these situations. Those discussions that were …
Chronic Kidney Disease Educational Sessions: Assessment Of Current Practices And Attendance Barriers And Facilitators, Della Connor
Chronic Kidney Disease Educational Sessions: Assessment Of Current Practices And Attendance Barriers And Facilitators, Della Connor
Nursing Theses and Dissertations
Chronic kidney disease (CKD) educational sessions, whether part of a multidisciplinary plan of care or separate entities, have been increasingly utilized over the last 20 years. Although literature reviews exist in which randomized controlled studies concerning CKD educational sessions are addressed, none of the studies reviewed specifically addressed the low attendance rates of CKD educational sessions. The purpose of this research was to describe current and recommended CKD (predialysis) educational interventions and outcomes in controlled and multidisciplinary studies, examine documented issues related to attendance, and determine barriers and facilitators that affect attendance at educational sessions for CKD patients.
The Lived Experiences Of Mexican Heritage Mothers Caring For Overweight Preschool Children, Susan Mcdonald
The Lived Experiences Of Mexican Heritage Mothers Caring For Overweight Preschool Children, Susan Mcdonald
Nursing Theses and Dissertations
Mexican heritage children are at greater risk to become overweight or obese than children of other ethnic or racial groups. The objective of this study was to gain insight into the lived experiences of Mexican-heritage mothers caring for overweight or obese preschool children. A qualitative, hermeneutic phenomenological design was selected for this study. Saturation was achieved with 12 mothers of Mexican heritage. Data collection and analysis was guided by the phenomenological approach of Max van Manen. Six themes and sixteen subthemes emerged from the data. Maternal caring practices were influenced by their Mexican heritage, emotional burdens, perceptions of child's weight …
An Investigation Of Obstetrical Practice Patterns Through Secondary Data Analysis And Qualitative Inquiry, Barbara Shippey Mcalister
An Investigation Of Obstetrical Practice Patterns Through Secondary Data Analysis And Qualitative Inquiry, Barbara Shippey Mcalister
Nursing Theses and Dissertations
Mothers and their unborn are a vulnerable population. Despite overwhelming advances in health care and technology, the United States' indicators of maternal and infant mortality are dismal. To lay the foundation for a research trajectory ultimately aimed at improving the experiences and outcomes of pregnancy, two research projects were undertaken to investigate the impact of practice patterns for elective delivery on the current obstetrical paradigm. A qualitative clinical case study explored antepartum recommendations for cesarean section following the implied diagnoses of inevitable labor dystocia secondary to maternal physical stature in two healthy women. The women's perspectives on their experiences of …
The Immigrant Hispanic Population: Perceptions About Cultural Competency In The Healthcare Setting, Cheryl Swanson
The Immigrant Hispanic Population: Perceptions About Cultural Competency In The Healthcare Setting, Cheryl Swanson
Nursing Theses and Dissertations
Cultural competence has been reported as a means of impacting health disparities in minority populations. The Hispanic population has grown exponentially in the United States accounting for over fifty million people on the latest census report. Continued immigration by persons of Hispanic origin occurs for many reasons offering a challenge to nurses and other healthcare workers to provide culturally competent care. The majority of research on cultural competence and the immigrant Hispanic patient has been conducted from the viewpoint of the healthcare provider. Additionally, most research that has taken into account the perspective of the immigrant Hispanic patient focuses on …
The Lived Experiences Of Intended Parents During Surrogate Pregnancy And Transition To Parenthood In Relation To The United States Healthcare System., Kim L. Armour
Nursing Theses and Dissertations
Problem: A state of the science surrogate pregnancy manuscript revealed a dearth of research regarding intended parents of surrogate pregnancy. Not one U.S. study could be located. Intended parents are overlooked by the healthcare system during pregnancy due to the fact that that their surrogate is receiving obstetric care. Research was proposed and completed. Purpose: The aim of the research was to fill a gap by improving our understanding of intended parents lived experience during surrogate pregnancy and transition to parenthood with relation to the United States healthcare system Design: A study of phenomenology using van Manen's methodology Participants: Eleven …
Perinatal Palliative Care: Assessment Of Practice Barriers, Clinician Perspectives And Confidence, Charlotte Wool
Perinatal Palliative Care: Assessment Of Practice Barriers, Clinician Perspectives And Confidence, Charlotte Wool
Nursing Theses and Dissertations
Perinatal palliative care (PPC) is an emerging model of care that provides supportive services to families anticipating fetal or neonatal demise. Clinician reported practice barriers, their perspectives of PPC and confidence in caring for patients requiring PPC are unknown. The aim of this research is to fill a gap in understanding clinician perspectives, perceived practice barriers and reported confidence to providing PPC. A cross sectional survey design using the Perinatal Palliative Care Perceptions and Barriers Scale© was administered using a Web-based tool. Recruitment was completed via email invitation and list serves. Participants included physicians (n = 66) and advance practice …
The Effect Of Safety Climate, Teamwork, And Sustainable Motivation On Nurse Job Satisfaction And Intent To Stay, M'Lynda Owens
The Effect Of Safety Climate, Teamwork, And Sustainable Motivation On Nurse Job Satisfaction And Intent To Stay, M'Lynda Owens
Nursing Theses and Dissertations
Nursing is a hazardous occupation, and occupational safety in healthcare, particularly hospitals, is gaining attention. The Institute of Medicine (2003) ranked hospitals in the top five industries for occupational injuries and illness. This study explored the relationship between sustained motivation in nurses as depicted by their perceptions of workplace safety climate, teamwork climate, and autonomy and their job satisfaction and intent to stay at their current jobs. Sustained motivation was manifested as the ability of the nurses to consistently and persistently attend to routine activities such as actions to ensure safety. Over one-third (36%) of the variance in sustained motivation …
Voluntary Career Transition Of Managers In China: A Grounded Theory Study, Judy Yi Sun
Voluntary Career Transition Of Managers In China: A Grounded Theory Study, Judy Yi Sun
Nursing Theses and Dissertations
The purpose of this study is to investigate Chinese managers' voluntary career transitions (VCTs) in the contemporary Chinese organizational and socioeconomic context to offer an understanding and an explanation of the mass VCT phenomenon coupled with the Chinese organizational transformation. The study followed a qualitative research design with the traditional grounded theory approach. Following a theoretical sampling process, twenty-two Chinese managers were selected and interviewed for the study. The findings were reported in relation to three guiding research questions. A contextualized typology of VCTs emerged from data that revealed different patterns of VCTs from behavioral, cognitive and affective aspects. Career …
"It's Like We're Grasping At Anything!", B. Mastel-Smith, Melinda Hermanns
"It's Like We're Grasping At Anything!", B. Mastel-Smith, Melinda Hermanns
Faculty Posters
This poster was presented at the National Gerontological Association Annual Conference, in Louisville, Kentucky.
Analysis Of Texas Nurses' Preparedness And Perceived Competence In Managing Disasters, Sylvia Theresa Baack
Analysis Of Texas Nurses' Preparedness And Perceived Competence In Managing Disasters, Sylvia Theresa Baack
Nursing Theses and Dissertations
Awareness of disaster preparedness has penetrated every level of the government and has captured the attention of citizens around the world. The increased prevalence of natural disasters cannot be denied, and the growing turbulence of world affairs is the focus of intense media attention. Nurses make up the largest sector of the healthcare workforce and are integral responders to major natural and human-induced disasters. It is essential that nurses have the knowledge and preparation needed to respond effectively, not only for the benefit of health care organizations, but for the safety of the community at large. This article explores the …
A Cross-National Analysis Of The Nutrition Habits Of Hispanic Mothers And Daughters, Monica N. Ramirez
A Cross-National Analysis Of The Nutrition Habits Of Hispanic Mothers And Daughters, Monica N. Ramirez
Nursing Theses and Dissertations
The rates of obesity in Hispanic women increased significantly between 1994 and 2008 from 35.3% to 45.1% (National Center for Health Statistics, 2010). Poor nutritional habits and obesity have longterm negative health ramifications that warrant targeted efforts to stem this growing epidemic. Two articles are included in this portfolio. The first article discusses the state of the science in relation to cultural aspects of nutrition choices of Hispanic women. The aim of this article is to set the context for the cross-national study which is the focus of the second article. This study examines current eating habits, weight history, health …
Lived Experiences Of Transitions In International Nursing Students, Shellye A. Vardaman
Lived Experiences Of Transitions In International Nursing Students, Shellye A. Vardaman
Nursing Theses and Dissertations
Throughout life, individuals are faced with various transitions, and how they manage these transitions impacts the transition outcomes and actual or potential alterations in health. It is imperative that nurses have knowledge of the conditions and processes of transitions as well as possible effects on well-being. From this perspective, nurses are able to intercede and assist individuals to positive transitional outcomes. The purpose of this descriptive phenomenological study was to describe the transition experience of international nursing students studying in the United States.
Empowerment As A Hypertension Management Strategy For African American Women, E'Loria Simon Campbell
Empowerment As A Hypertension Management Strategy For African American Women, E'Loria Simon Campbell
Nursing Theses and Dissertations
Successful health management strategies remain elusive for the 25 million African- American (AA) women afflicted with high blood pressure. The purpose of this study was to determine if a psychological empowerment coaching (PEC) intervention had an impact on health promotion outcomes. The primary research strategy measured the impact of a PEC intervention on health care empowerment, self-efficacy, intent to exercise, and health outcomes among hypertensive AA women. Pender's Revised Health Promotion Model (Figure 1) served as the theoretical model for this quasi-experimental study utilizing pretest-posttest measurement with subjects serving as their own controls. A convenience sample of 35 hypertensive women …
The Effects Of A Community-Based Hospice Experience On Attitudes And Self Perceived Competencies Of Senior Nursing Students, Irene Gilliland
The Effects Of A Community-Based Hospice Experience On Attitudes And Self Perceived Competencies Of Senior Nursing Students, Irene Gilliland
Nursing Theses and Dissertations
Death is a universal phenomenon. Of all health professionals, the nurse is the most likely one to be present at the time of death. Although nursing curricula provide mandatory clinical experiences in labor and delivery, pediatrics, psychiatry and adult medical surgical areas, there is no mandatory requirement for a clinical experience with death. In fact, before 1999, there was not even a requirement to teach about death and dying in undergraduate nursing curricula. As a result, students (who later become nurses), feel unprepared to take care of dying patients. Because death has meanings beyond just the cessation of vital signs, …
Culturally Competent Care In Parkinson's Disease, Melinda Hermanns
Culturally Competent Care In Parkinson's Disease, Melinda Hermanns
Nursing Faculty Publications and Presentations
Findings from a qualitative ethnographic study that examined the experiences of a group of persons with Parkinson disease are presented in this article. Culturally competent care for persons who share a common illness, such as Parkinson disease, is facilitated when the findings are incorporated into the Clinically Relevant Continuum Model. Use of this model allows providers to evaluate and use appropriate published evidence in addition to provider expertise and patient preferences and values.