Nursing Commons^™

The Correlation Of Size Of Core Network And Frequency Of Contacts With Agitation And Positive Affect In Elderly With Dementia, Amal Ali Al Ghassani

Theses and Dissertations

In the country of Oman, care needs of older adults are primarily provided by family members in the home. The study was guided by socioemotional selectivity theory, the environmental vulnerability hypothesis, and the need-driven dementia-compromised behavior theories. The central premise was that the size of the person’s activities of daily living (ADL) core network and frequency of contact with the ADL core network would predict agitation and affect. A smaller core network with a higher frequency of contact may be better at identifying and treating the person’s unmet needs. A secondary premise was that the emotional closeness of the core …

Evaluation Of Student Competence In Simulation Following A Prebriefing Activity: A Pilot Study, Sarah Black Beman

Theses and Dissertations

Background: Simulation-based learning (SBL) shows promise to potentially improve clinical competence in nursing education. The efficacy of evidence-based prebriefing activities and valid and reliable systems to evaluate those strategies is a gap in the literature. Preliminary evidence shows that prebriefing can improve participant outcomes. The goal of this pilot study was to compare the outcome of clinical competence for prelicensure nursing students based on assignment to one of the following prebriefing activities: standard, careplan, or concept mapping. Methods: This is a quasi-experimental double-blind, posttest only, comparison-group design, pilot study. The participants were from an associate degree professional nursing program. Out …

Feasibility Of A Social Emotional Parenting Curriculum Applied In An Early Head Start Home Visitation Program With Mexican Immigrant Families, Patricia J. Ealy

Theses and Dissertations

Early social-emotional development is influenced by the experiences of the child especially the parent-child interaction and relationship. Influences on the parent’s ability to provide nurturing enriched parenting experiences include the parent’s past encounters with how they were parented. The Building Early Emotional Skills curriculum (BEES) has a component of self-awareness exercises that assist parents to understand personal parenting behaviors and attitudes. The BEES framework is an infant mental health model with a specific focus on early social emotional development. Curricula related specifically to early child social-emotional development based on an infant mental health model is limited in the literature. However, …

Exploring Resiliency And Family Functioning For Families Of Premature Infants, Karen Schnackel Gralton

Theses and Dissertations

The impact of a premature birth on a family is a crisis requiring a process of adjustment and adaptation. The Resiliency Model of Family Stress, Adjustment and Adaptation (RMFAA) describe this process for families and was the conceptual framework for the current study. A modified model of the RMFAA was used to explore family resiliency for Non-Hispanic Black (NHB) and Non-Hispanic White (NHW) families of premature infants through the identification of protective and recovery factors. The aims of the current study explored the association between protective and recovery factors and family functioning.

Biological mothers of premature infants (< 37 weeks gestational age) and one other family member, who identified as either NHB or NHW were recruited in five separate Level III or IV neonatal intensive care units. Fifty-five NHW (N = 110) and 24 NHB (N = 48) families completed five scales that assessed their use of protective and recovery factors and their perception of family functioning. Mean scores for family functioning indicated that most family members viewed themselves as functioning effectively at that point in time.

Specific demographic …

Relationships Among Climate Of Care, Nursing Family Care And Family Well-Being In Intensive Care Units, Natalie Susan Mcandrew

Theses and Dissertations

Family inclusion in health care delivery is vital for family well-being. However, intensive care (ICU) nurses experiencing frequent ethical conflict, low levels of organizational support and high levels of burnout may not be able to adequately care for families. The purpose of this study was to explore the relationships among variables related to the climate of care, nursing family care and family well-being in the ICU setting. A conceptual model derived from nursing, family, and organizational theories guided the study.

A cross-sectional, correlational design was used with a convenience sample of nurses (n= 115) and family members (n = 44) …

Influence Of Expectations Of Aging On Older Women’S Use Of Dietary Supplements Using The Health Promotion Theory, Barbara Emily Hekel

Theses and Dissertations

The use of vitamins, minerals and herbal supplements by older adults is increasing and changing. There are concerns about supplement quality, safety, and vitamin D overuse. Little is known about supplement use by nursing home residents and about factors that influence older women to use supplements. The current study describes the supplement use of 247 nursing home residents and 110 independent living women 65 years or older in the Midwestern United States. A secondary analysis of 247 medication administration records describes the prevalence of vitamin, mineral, and herbal supplement use of nursing home residents. Using the health promotion theory, the …

Patient Web Portal Use Among Women With Gestational Diabetes, Megan Anderson

Theses and Dissertations

Background: The prevalence of gestational diabetes mellitus (GDM) continues to increase. Research suggests that adverse maternal and newborn outcomes increase in relation to the mother’s elevated blood glucose levels. Diabetes researchers discuss that utilizing information technology for self-management, particularly Internet-based modes of delivery, may result in individual improvements in diabetes outcomes. Scant research exists on the use of Internet-based tools such as patient web portals (PWPs) for GDM self-management and outcomes.

Purpose: The purpose of this study was to examine PWP use in women with GDM. Specific aims of this study included: 1) compare the characteristics of nonusers and users …

Influence Of Health Beliefs On Diabetes Self-Care In Saudi Adults, Moudi Albargawi

Theses and Dissertations

The prevalence of Diabetes Mellitus Type 2 (DMT2) has increased among the adult population in Saudi Arabia. Many Saudi adults with DMT2 fail to follow the recommended daily self-care activities, increasing their risk for diabetes-related complications. Findings in the literature show that people’s health beliefs influence their self-care behaviors. However, limited studies were found to examine the association between the health beliefs of Saudi adults with DMT2 and their diabetes self-care. Therefore, the aim of this dissertation study was to examine the relationship between the health beliefs of adults in Saudi Arabia with DMT2 and their reported adherence to their …

Patient Acuity As A Predictor Of Length Of Hospital Stay And Discharge Disposition After Open Colorectal Surgery, Martha Kimpton Badger

Theses and Dissertations

Major areas of concern within the US healthcare system today include the quality and cost of healthcare. Open colorectal surgery patients have a higher prevalence of prolonged length of hospital stay (LOS) than most other types of surgery patients and are likely to be discharged to home care or other healthcare settings (DHCS), both of which contribute to increased costs. The ability to predict which patients are at risk for these outcomes early after open colorectal surgery could prompt nursing interventions aimed at improving quality of care and reducing healthcare costs. Radwin and Fawcett’s Refined Quality Health Outcomes Model served …

Maternal Abo Blood Phenotype And Factors Associated With Preeclampsia Subtype, Adriane Burgess

Theses and Dissertations

Preeclampsia affects 3-8% of all pregnancies and is a global issue that significantly effects the short and long-term health of women and neonates. The pathophysiology of preeclampsia remains unclear and there seems to be two distinct subtypes, early and late onset. Each subtype may have a unique pathophysiology and set of risk factors. Preeclampsia is linked to long-term risk of cardiovascular disease in previously affected women. Subsequently, risk factors shared between preeclampsia and cardiovascular disease should be explored. The main aim of this study was to determine the strength of association between maternal ABO blood type and preeclampsia subtype. This …

Improving Research Participants' Understanding Of Informed Consent, Debra Jean Gillespie

Theses and Dissertations

ABSTRACT

IMPROVING RESEARCH PARTICIPANTS’ UNDERSTANDING

OF INFORMED CONSENT

by

Debra J. Gillespie

The University of Wisconsin-Milwaukee, 2017

Under the Supervision of Professor Rachel Schiffman

Twenty-five to sixty percent of research participants are unable to understand important information during the research consenting process. This lack of comprehension may unintentionally expose research participants to potential harm. The purpose of this study was to test the teach back method of communication as an intervention to improve research participants’ understanding of informed consent. The Shannon Weaver Communication model was the theoretical framework supporting this study. The pre-intervention sample (control group) of 18 participants enrolled …

Exploring Factors Influencing Health Promoting Behaviors Among Latino Immigrants, Martin Joseph Mikell

Theses and Dissertations

Latinos immigrants may experience stress during acculturation to the U. S., which can influence their ability to engage in health-promoting behaviors, such as dietary intake and physical activity. Dietary intake and physical activity influence the prevention or development of pre-diabetes/Type 2 Diabetes (T2DM). The immigrant’s ability to perform health-promoting behaviors can also be influenced by their perceptions of self-efficacy to engage in health-promoting behaviors. Limited information is available in the literature on effective strategies for decreasing stress during the acculturation process of Latino immigrants, while also increasing self-efficacy on health-promoting behaviors. The purpose of this study was to explore the …

Factors Associated With Unmet Respite Care Needs In Families Of Children With Autism Spectrum Disorder, Kim E. Whitmore

Theses and Dissertations

Background. One in sixty-eight children have Autism Spectrum Disorder (ASD). To optimize outcomes to families through use of respite care, we examined the prevalence of unmet respite care needs and associated factors in families of children with ASD, compared to families of children with special healthcare needs (CSHCN) without ASD.

Design. An exploratory secondary analysis of the 2009-2010 National Survey of Children with Special Healthcare Needs (NS-CSHCN) was conducted using a non-experimental, descriptive, correlational design. The NS-CSHCN is a national cross-sectional telephone survey of 40,242 US households. The final sample included parents of children age 2-18 years old with ASD …

Exploring The Costs And Values Of The Household Model In Long Term Care, Mark Alan Proffitt

Theses and Dissertations

As part of the culture change movement in long term care, nursing homes are transforming into person centered living settings that reject the previous medical emphasis that dominated the industry. The household model is one approach to achieve this goal by systemically altering the traditional nursing home’s organization, routines and physical setting with an emphasis on recreating familiar, domestic places for its residents. The household model is hallmarked by three key characteristics: 1) the creation of a smaller functional group of residents within the nursing home that is delineated by the environment (24 residents or less) with the 2) intent …