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Full-Text Articles in Nursing
Challenges For Nurse Anesthetists Re-Entering Practice Following Substance Use Disorder Treatment, T'Anya Marye Carter
Challenges For Nurse Anesthetists Re-Entering Practice Following Substance Use Disorder Treatment, T'Anya Marye Carter
All ETDs from UAB
Substance use disorder (SUD) is a persistent, relapsing condition that is present in approximately 10% of anesthesia providers, who, compared to other healthcare providers, face a greater risk of developing an SUD by virtue of constant access to medications. The ability of Certified Registered Nurse Anesthetists (CRNAs) to obtain employment or maintain employment after treatment for SUD treatment is not well documented. CRNAs in recovery from SUD in the United States experience challenges when attempting to return to work following treatment for SUD for reasons yet to be identified. The purpose of this qualitative multiple-case study was to explore the …
Alabama's Acute Care Registered Nurse Workforce: A Study In Supply And Demand, Tracey Dick
Alabama's Acute Care Registered Nurse Workforce: A Study In Supply And Demand, Tracey Dick
All ETDs from UAB
Background/Significance: Nurses comprise the largest sector of the total health care workforce. Acute care hospitals have historically been major employers of registered nurses (RNs). What is currently known about Alabama’s acute care RN workforce supply is limited. Additionally, a paucity of data is available to describe employer demand. Alabama’s aging population, chronic disease burden, and health care system reforms suggest that the demand for RNs will continue to grow. Data are needed to provide a greater understanding of current and future RN supply and demand to inform workforce planning, educational investment, and state health policy. Purpose: To characterize the current …
Exploring The Nursing Work Environment And Patient Outcomes Associated With Nurse-Reported Workplace Bullying: A Mixed Methods Study, Colleen Anusiewicz
Exploring The Nursing Work Environment And Patient Outcomes Associated With Nurse-Reported Workplace Bullying: A Mixed Methods Study, Colleen Anusiewicz
All ETDs from UAB
Workplace bullying (WPB) in nursing is a workplace problem that can undermine the safety culture necessary to minimize adverse patient events and improve health care quality. Nurses continue to experience and report WPB despite a substantial and growing body of evidence reflecting the negative effects of WPB on nurses, published position statements and alerts, and the initiation of workplace violence policies and protocols. To decrease WPB and inform the development of effective anti-bullying interventions, there has been a shift in focus from individual factors and interpersonal relationships among nurses and health care workers to organizational factors that contribute to nurse-reported …
Understanding Adolescent Sexual Health Through Exploration Of Their Perceptions, Behaviors, And Beliefs, Jessica L. Corcoran
Understanding Adolescent Sexual Health Through Exploration Of Their Perceptions, Behaviors, And Beliefs, Jessica L. Corcoran
All ETDs from UAB
Adolescents in the United States disproportionately experience adverse sexual health outcomes compared to adolescents in other developed countries. The purpose of this dissertation is to provide an in-depth examination of adolescent sexual health through the generation of three manuscripts. The first manuscript will provide an integrative review of adolescents’ perceptions of sexual health education programs. The second manuscript will illuminate the five-year trends in adolescent chlamydia rates by region, race, and sex. The third manuscript will provide a qualitative analysis from interviews with African American adolescent females in the southern U.S. Manuscript one reviewed studies from 2008 to 2019. The …
Work Engagement Of Hospital Nurses And Patients’ Ratings Of Nurse Communication, Overall Hospital Rating And Likelihood To Recommend The Hospital To Others, Apryl S. Lewis
All ETDs from UAB
Significance/Background: Work engagement may play a key role in quality patient outcomes. The inpatient hospital experience is a U.S. healthcare system priority with one component of the patients’ hospital experience focused on hospital staff-to-patient communication. Nurses are the main communicators of vital information about inpatient care and recovery and, therefore, play a critical role in achieving high scores on patient experience measures. Past studies show a relationship between high levels of nurse work engagement and positive patient outcomes, such as quality of health services, but it is unknown if hospital nurses’ work engagement is associated with patients’ hospital experience ratings. …
Nursing Staff Approaches To Providing Oral Hygiene In Stroke Survivors With Dysphagia: A Grounded Theory Study, Willard Edward Brewer
Nursing Staff Approaches To Providing Oral Hygiene In Stroke Survivors With Dysphagia: A Grounded Theory Study, Willard Edward Brewer
All ETDs from UAB
The purpose of this qualitative grounded theory study was to explore how the nursing staff approaches oral hygiene in stroke survivors with dysphagia during the rehabilitation phase of recovery and what guides their decisions. Oral hygiene is a proven effective task known to prevent systemic health disparities (i.e. aspiration pneumonia, diabetes, gastrointestinal disparities, and even stroke). However, there are no current evidenced-based guidelines that provide instruction on how to execute oral hygiene to stroke survivors with dysphagia. Little is known about how nurses make decisions to implement oral hygiene in stroke survivors with dysphagia. Using a theoretical sampling strategy, data …
Sexual Behaviors And Non-Initiation Of The Hpv Vaccine Among Young Adult Cancer Survivors, Brooke Cherven
Sexual Behaviors And Non-Initiation Of The Hpv Vaccine Among Young Adult Cancer Survivors, Brooke Cherven
All ETDs from UAB
Advances in treatment for childhood cancer have led to increased survival rates. There are currently an estimated 400,000 survivors of childhood cancer living in the United States who are at risk for developing subsequent malignancies, including cancers associated with the human papillomavirus (HPV). HPV is the most common sexually transmitted infection; sexual behaviors associated with increased risk for HPV acquisition include younger age at first intercourse, multiple sexual partners, and inconsistent condom use. The prevalence of high-risk sexual behaviors, and the relationship between sexual behaviors and HPV vaccine non-initiation among young adult cancer survivors is unknown. This study used data …
A Survey Of Shoulder Injuries In Commercial Truck Drivers Using A Retrospective Medical Record Review, Bryan Combs
A Survey Of Shoulder Injuries In Commercial Truck Drivers Using A Retrospective Medical Record Review, Bryan Combs
All ETDs from UAB
Introduction: Musculoskeletal injuries in the occupational setting have significant impact on the worker, employer, and healthcare system. Commercial truck drivers (CTD) experience some of the highest rates of injury, missed days of work, and workers’ compensation costs compared with other workers. In this population, back injuries occur most commonly, followed by shoulder injuries which require 5 times more days away from work. Commercial truck drivers are significantly impacted by shoulder injuries; however, little is known about the unique mechanisms of injury, specific injuries, or possible preventative measures among this group of workers. Methods: A retrospective medical record review was completed …
Exploring Dose Effect Of An Early Palliative Care Intervention For Advanced Heart Failure Patients, Rachel Duncan Wells
Exploring Dose Effect Of An Early Palliative Care Intervention For Advanced Heart Failure Patients, Rachel Duncan Wells
All ETDs from UAB
Heart failure (HF), a progressive condition with reduced quality of life (QoL) and high healthcare use, affects 6.5 million US adults. Research supports positive effects of palliative care integration into HF care, but there is limited consensus about the most beneficial intervention ‘dose’ (e.g. amount, duration, frequency, intensity). To date, no studies examining dose in palliative care HF interventions have been completed. Therefore, we examined dose using an existing data from the ENABLE CHF-PC trial (Educate, Nurture, Advise, Before Life Ends Comprehensive Heart Care for Patients and Caregivers; NCT02505425). Operationalizing dose as dichotomous complete/noncomplete of all intervention components (6-weekly, psychoeducational …
An Exploratory Study Of The Influence Of Perceived Organizational Support, Coworker Social Support, The Nursing Practice Environment, And Nurse Demographics On Burnout In Palliative Care Nurses, Marcia Ann Lowe
All ETDs from UAB
AN EXPLORATORY STUDY OF THE INFLUENCE OF PERCEIVED ORGANIZATIONAL SUPPORT, COWORKER SOCIAL SUPPORT, THE NURSING PRACTICE ENVIRONMENT, AND NURSE DEMOGRAPHICS ON BURNOUT IN PALLIATIVE CARE NURSES MARCIA A. LOWE SCHOOL OF NURSING ABSTRACT Burnout, a condition characterized by emotional exhaustion, depersonalization, and decreased personal accomplishment, has been studied in many disciplines in healthcare, including nursing, medicine, and social work. Working with palliative care patients and their families is innately challenging and may predispose nurses to burnout. The purpose of this study is to examine the influence of perceived organizational support (POS), coworker social support, the nursing practice environment, and nurse …
Investigating The Relationship Between Nurse Burnout And Self-Reported Medication Administration Errors In Alabama Hospitals, Aoyjai Prapanjaroensin
Investigating The Relationship Between Nurse Burnout And Self-Reported Medication Administration Errors In Alabama Hospitals, Aoyjai Prapanjaroensin
All ETDs from UAB
Background: Approximately 30% to 60% of nurses report high levels of burnout worldwide. Nurse burnout may impact vigilance and job performance. Nursing job performance may decrease due to lowered alertness if nurses have high levels of burnout, and this issue may be related to the act of committing a medication error. Of the very few studies exploring the relationship between nurse burnout and medication errors, the findings are conflicting. The purpose of this study is to examine the relationship between nurse work environment characteristics, burnout levels and self-reported medication administration errors as well as patient safety grades among nursing staff …
Occupational Health Outcomes In Women Living With And At Risk For Hiv, Jenni Wise
Occupational Health Outcomes In Women Living With And At Risk For Hiv, Jenni Wise
All ETDs from UAB
Women living with HIV (WLWH) are now able to work and need to work to attain the fruitful benefits of employment. Regardless of the need for income, employment provides esteem, confidence, structure, social support, and is associated with improved physical and psychological outcomes. Yet, in spite of the documented benefits associated with employment, an estimated 60% of WLWH are not employed. Thus, occupational disparities among WLWH contribute to disparities in health and quality of life among this population. While the historical trajectory of HIV is unique compared to other populations with chronic disease, evidence suggests that gender-specific difference in socioeconomic, …
Vagal Mediated Heart Rate Variability And Cognitive Impairments In Hiv-Seropositive Women, William C. Nicholson
Vagal Mediated Heart Rate Variability And Cognitive Impairments In Hiv-Seropositive Women, William C. Nicholson
All ETDs from UAB
Regardless of sufficient viral suppression, HIV exerts an ongoing inflammatory process that promotes chronic autonomic nervous system (ANS) dysfunction, accelerates physiological aging, and increases the risk of developing a spectrum of cognitive disorders (known as HIV-associated neurocognitive disorders [HAND]). Given this, identifying pathological mediators of this inflammatory response could provide insight into the mechanisms driving HAND. The vagus nerve (indexed by vagal-mediated heart rate variability [vmHRV]) could provide such a mediator as it regulates ANS activity via reciprocal cardio-neural pathways, which regulate inflammation and homeostasis. Vagal dysfunction is associated with persistent inflammatory signaling (e.g., stress or inflammatory-based disorders [such as …
African American Caregivers’ Decision To Use Hospice Services For A Loved One: A Grounded Theory Study, Paula M. Gordon
African American Caregivers’ Decision To Use Hospice Services For A Loved One: A Grounded Theory Study, Paula M. Gordon
All ETDs from UAB
This qualitative grounded theory study explored the process of decision making for African American family caregivers in the southeastern United States, as they make hospice decisions for their loved ones, Although hospice use in the United States has grown over the last decade, a disparity continues to exist between African American and Caucasian populations. African Americans represent a small percentage of hospice users in the United States, despite research that has found that patients who use hospice experience improved symptom control, fewer unmet needs, and better end of life care. Research has identified many reasons for this disparity; however, little …
Gender-Specific Facilitators And Barriers To Health-Related Quality Of Life In Adults With Cystic Fibrosis: A Mixed Methods Study, Leigh Ann Bray
Gender-Specific Facilitators And Barriers To Health-Related Quality Of Life In Adults With Cystic Fibrosis: A Mixed Methods Study, Leigh Ann Bray
All ETDs from UAB
BACKGROUND: With the life expectancy of individuals with cystic fibrosis (CF) doubling over the last two decades, it is critical that healthcare providers address both quantity and quality of life. Health-related quality of life (HRQoL) encompasses physical, social, psychological, and functional aspects of daily living and how CF impacts each one. Women with CF consistently report having an overall poorer quality of life across international studies, but the cause of the gender difference is unknown. The purpose of this study was to explore gender differences in HRQoL and then build upon those results to better understand gender-specific facilitators and barriers …
Parental Self-Efficacy, Feeding Practices, And Weight Gain During Infancy: A Secondary Analysis, Jessica Bahorski
Parental Self-Efficacy, Feeding Practices, And Weight Gain During Infancy: A Secondary Analysis, Jessica Bahorski
All ETDs from UAB
Mechanisms contributing to childhood obesity begin during early life, including infant feeding practices and an excessive rate of infant growth. Parental decisions regarding their infant contribute to these mechanisms. Parental self-efficacy (PSE) is the belief parents have in their ability to accomplish the tasks of parenting and is associated with infant outcomes. A high sense of PSE, breastfeeding self-efficacy, or self-efficacy for feeding has been found to be associated with healthy infant feeding practices. However, this research is limited in scope and has not been conducted in populations at greatest risk for childhood obesity such as low-income or African-American infants. …
The Influence Of Perceived Stress And Sleep Disturbance On Fatigue And Blood Pressure As Mediated By Cortisol In Children With Sickle Cell Disease, Heather Carol Soistmann
The Influence Of Perceived Stress And Sleep Disturbance On Fatigue And Blood Pressure As Mediated By Cortisol In Children With Sickle Cell Disease, Heather Carol Soistmann
All ETDs from UAB
ABSTRACT Introduction: Life expectancy is improving for those with sickle cell disease (SCD); however, with this improvement come increasing risks for long-term health complications. Early identification of health concerns could lead to improved long-term health outcomes. Two health concerns in school-age children with SCD are fatigue and blood pressure (BP). Previous research with other populations indicates perceived stress and sleep disturbance may influence outcomes of fatigue and BP. Further, cortisol, a stress hormone, may mediate the proposed relationships. Therefore, the purpose of the study was to determine effect sizes of relationships between fatigue, BP, perceived stress, and sleep disturbance in …
Reaching Consensus On Global Health Nursing Competencies For Baccalaureate Nursing Education In The United States: A Delphi Method Study, Herica Maria Torres-Alzate
Reaching Consensus On Global Health Nursing Competencies For Baccalaureate Nursing Education In The United States: A Delphi Method Study, Herica Maria Torres-Alzate
All ETDs from UAB
The purpose of this study was to reach consensus among experts on global health competencies for baccalaureate nursing students in the United States. A Nursing Global Health Competencies Framework (NGHCF) was created to guide identification of the domains and competencies for BSN nursing education. A three-round modified Delphi study intersected with a mixed methods research approach to reach consensus from experts in global health on essential global health competencies in nursing. The first phase revised the original list of competencies based on: (a) qualitative responses to the surveys conducted by Wilson et al. (2012), Ventura et al. (2014), and Warren …
Cardiovascular Disease Risk Among Breast Cancer Survivors, Jacqueline B. Vo
Cardiovascular Disease Risk Among Breast Cancer Survivors, Jacqueline B. Vo
All ETDs from UAB
Background: There are nearly 3.5 million breast cancer survivors in the U.S., and approximately 10% are diagnosed prior to age 45 and considered “young.” The overall five-year survival rate for breast cancer survivors is approaching 90%. Living longer, many breast cancer survivors are at risk for developing cardiovascular disease due to cancer treatment, such as anthracyclines and/or trastuzumab. This study’s purpose was to examine cardiovascular disease risk, measured using excess heart age, among young breast cancer survivors. Methods: A retrospective, two-year longitudinal design was used to review electronic medical records of breast cancer survivors diagnosed between 30 and 44 years …
Exploring Long-Haul Truck Drivers' Cpap Use When Working Over The Road, Kenya D. Kirkendoll
Exploring Long-Haul Truck Drivers' Cpap Use When Working Over The Road, Kenya D. Kirkendoll
All ETDs from UAB
Obstructive sleep apnea (OSA) is a chronic health condition affecting an estimated 13-26% of U.S. adults. The condition is characterized by partial or total airway collapse. It has been associated with increased cardiovascular disease, hypertension, and diabetes mellitus morbidity. Risk factors include middle-age, obesity, male gender, narrowed airway, and smoking. Continuous positive airway pressure (CPAP) is the recommended treatment for OSA. Though it is an effective treatment modality, uptake and adherence to CPAP remains low. With concern for public safety, OSA has received a great amount of attention in the trucking industry. When working over the road, long-haul truck drivers …
A Mixed Methods Study Evaluating A Pediatric To Adult Care Transition Program For Sickle Cell Disease, Ardie Vanessa Pack-Mabien
A Mixed Methods Study Evaluating A Pediatric To Adult Care Transition Program For Sickle Cell Disease, Ardie Vanessa Pack-Mabien
All ETDs from UAB
A MIXED METHODS STUDY EVALUATING A PEDIATRIC TO ADULT CARE TRANSITION PROGRAM FOR SICKLE CELL DISEASE ARDIE VANESSA PACK-MABIEN SCHOOL OF NURSING ABSTRACT Sickle cell disease is a potentially life-threatening hereditary hematological disorder. Transition from pediatric to adult care is a challenging process for many adolescents and young adults with sickle cell disease. These challenges involve the adolescent, young adult, family caregiver, health care provider, and health care system. To address the challenges, a limited number of sickle cell centers have developed transition programs to facilitate the transition process. However, research on transition programs is sparse. To address this gap, …
A Qualitative Descriptive Study Exploring The Adaptation Of Families Of Children With Multiple Sclerosis From The Perspective Of Family Caregivers, Yolanda Carol Harris
A Qualitative Descriptive Study Exploring The Adaptation Of Families Of Children With Multiple Sclerosis From The Perspective Of Family Caregivers, Yolanda Carol Harris
All ETDs from UAB
Two to 5% of the US population of individuals afflicted with multiple sclerosis (N = 400,000) are diagnosed prior to the age of 18 with pediatric onset multiple sclerosis (POMS). Most children and teens with POMS have a relapsing remitting course of the disease with unpredictable relapse onset causing cognitive and physical disability. This can result in school absences, hospital and outpatient visits, poor academic performance and interruption in normal social activities. In turn, these individuals may develop an inability to provide self-care, which could lead to poor quality of life. POMS can affect the individual diagnosed but may also …
Improving Cognitive Predictors And Everyday Outcomes In Adults With Hiv, Shameka L. Cody
Improving Cognitive Predictors And Everyday Outcomes In Adults With Hiv, Shameka L. Cody
All ETDs from UAB
As adults age with HIV, they may encounter challenges with cognitive impairments. Perhaps, the neurobiological effects of HIV, subtle lifestyle changes, and the aging process may negatively influence cognitive functioning. Some cognitive impairments may interfere with everyday functioning and even compromise quality of life. In this dissertation, three articles were presented which focused on the overall theme of HIV and cognition. Article 1, a review of literature published in the Neurobiology of Disease, focused on how HIV affects the brain independently and the synergistic effects of HIV and aging on cognitive health. Also, the article closed with a section on …
African American Child And Adolescent Obesity: The Parents Perspective, Alice Marie Austin
African American Child And Adolescent Obesity: The Parents Perspective, Alice Marie Austin
All ETDs from UAB
Nearly 36% of African American children ages 2 to 19 are overweight or obese. Childhood obesity results in children with social and psychological disorders, chronic disease, and an increase in morbidity and mortality. Solutions have been offered but none have made a significant impact on African American children living in the Southern United States. Studies that implement life style change produce short-term reductions in African American children but few show life-long change. Parents are responsible for making lifestyle choices for children, it is imperative to understand parental perceptions of child and adolescent obesity and its relationship to lifestyle change. The …
Identification And Exploration Of The Information Needs And Information-Seeking Behaviors Of Medical-Surgical Nurses During Patient Care, Carrie Lee Gardner
Identification And Exploration Of The Information Needs And Information-Seeking Behaviors Of Medical-Surgical Nurses During Patient Care, Carrie Lee Gardner
All ETDs from UAB
Errors during the course of clinical practice are common and can lead to adverse events in hospitalized patients. Insufficient information and lack of clinician knowledge can serve as major contributing factors to the incidence of errors that occur during patient care. Nurses at the bedside need immediate access to patient specific information, at the point of care, and in an easily accessible format. There is a need for better understanding of the information needs and information-seeking behaviors of medical-surgical nurses. The purpose of this mixed-methods study was to explore the information-seeking behaviors of nurses when delivering patient care on medical-surgical …
Effect Of Parents’ Adhd Status, Parents’ Sleep Hygiene, And Child Sleep Hygiene On Sleep Of School-Aged Children With Adhd, Laura Gray
All ETDs from UAB
EFFECT OF PARENTS’ ADHD STATUS, PARENTS’ SLEEP HYGIENE, AND CHILD SLEEP HYGIENE ON SLEEP OF SCHOOL-AGED CHILDREN WITH ADHD LAURA GRAY NURSING ABSTRACT The purpose of this study was to determine effect sizes for the relationships between parents’ attention-deficit/hyperactivity disorder (ADHD) symptoms, parents’ sleep hygiene, and child sleep hygiene, and to determine effect sizes for the amount of variance in ADHD child sleep explained by parent ADHD symptoms, parent sleep hygiene, and child sleep hygiene. Children who have ADHD are more likely to have sleep problems than peers without ADHD. Sleep problems can exacerbate or even mimic ADHD symptoms. Consistent …
Cancer-Related Symptoms And Cognitive Intervention Adherence Among Breast Cancer Survivors: A Mixed Methods Study, Jennifer Bail
Cancer-Related Symptoms And Cognitive Intervention Adherence Among Breast Cancer Survivors: A Mixed Methods Study, Jennifer Bail
All ETDs from UAB
Advancements in screening, early detection, and treatment have increased breast cancer survival. In the United States, the 5-year relative survival rate for breast cancer is 89%. With more women surviving breast cancer, there are now more than 3.5 million breast cancer survivors (BCS), a figure estimated to increase to 4.3 million by 2020. Survivors experience long-term symptoms of their cancer and treatment which may last years and even decades after diagnosis and treatment. This symptom experience may potentially have exacerbating effects on BCS’ cognitive function as well as their ability to adhere to interventions aimed at improving cognitive function. The …
Exploring Psychosocial And Situational Factors That Influence Female College Students' Participation In Oral Sex, Margaret Bergeron
Exploring Psychosocial And Situational Factors That Influence Female College Students' Participation In Oral Sex, Margaret Bergeron
All ETDs from UAB
Although sexually transmitted infections (STI) are not officially reported via the route of transmission, the CDC (2016) reports that individuals who provide fellatio have the highest risk of oral transmission of a STI. Therefore, females who engage in fellatio are at risk for acquiring a STI. The majority of research studies on young adult heterosexual female sexual activities primarily focus on vaginal sex and the associated risks of pregnancy and sexually transmitted infections. Limited research exists on the oral sex behaviors of female college students and their understanding of the risk for contracting an STI through fellatio. The purpose of …
The Military Nursing Practice Environment's Association With Patient Outcomes, Pauline Arminda Swiger
The Military Nursing Practice Environment's Association With Patient Outcomes, Pauline Arminda Swiger
All ETDs from UAB
In the United States, preventable medical errors account for many avoidable patient deaths per year. A favorable nursing practice environment, characterized by factors that improve or enhance a nurse’s ability to practice professional nursing, is a potential mechanism for promoting a culture of safety and enhancing the quality of care in hospitals. The Practice Environment Scale of the Nursing Work Index (PES-NWI) is the national standard for measuring the nursing practice environment, and its importance has been validated repeatedly in civilian nurse populations around the world. For the last several years, the scores on the PES-NWI in military facilities have …
Effects Of Maternal And Child Depressive Symptoms And Child’S Perceived Stress On Glycemic Control As Mediated By Cortisol In Prepubertal Children With Type 1 Diabetes, Sara Laubinger Davis
Effects Of Maternal And Child Depressive Symptoms And Child’S Perceived Stress On Glycemic Control As Mediated By Cortisol In Prepubertal Children With Type 1 Diabetes, Sara Laubinger Davis
All ETDs from UAB
Introduction: Type 1 diabetes (T1D) is one of the most common diseases of childhood affecting over 167,000 children under the age of 20. Despite adequate insulin regimens and concurrent treatments, many children still have trouble achieving glycemic control as evidenced by elevated HbA1c levels. Previous research indicates that parent-child interactions and parental involvement in diabetic care influence glycemic control. However, these relationships may be impaired in mothers with depressive symptoms or in children who have high levels of depressive symptoms or perceived stress. Moreover, cortisol, a stress hormone, may mediate the proposed relationships. Therefore, the purpose of this study was …