Nursing Commons^™

The Relationships Among Health Promoting Behaviors, Perceptions Of Health, And Quality Of Life In Elders With Atrial Fibrillation, Eric W. Smith

MSN Research Projects

The purpose of this study was to define health-promoting behaviors, perception of health, and quality of life in elders with atrial fibrillation to develop a basis for development of guidelines for nurse practitioners in practice.

The Effect Of An Educational Intervention On Adolescents' Knowledge And Attitudes About Violence, Jean E. Szorady

MSN Research Projects

The purpose of this study was to examine the effects of an educational intervention on adolescents' knowledge and attitudes about violence.

Nurse Practitioners' Developmental Screening And Referral Practices For Children With Developmental Delays, Terri Chisolm Smith

MSN Research Projects

This descriptive study explored developmental screening and referral practices of pediatric and family nurse practitioners for children with developmental delays.

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, …

The Effects Of Reminiscence Therapy On The Elderly Client's Satisfaction With Nursing Care, Nancy Strong

Masters Theses

This study tested if reminiscence therapy would improve client satisfaction with nursing care. An experimental post test only design was used on 39 clients in a moderate sized home care agency in the Midwest. Ages ranged from 65 to 98. A single, one-on-one reminiscence session was done with 22 subjects in their homes after a routine nursing visit. The control group subjects did not receive the reminiscence intervention. The groups were homogeneous except for the number of hospitalizations experienced in the past year. The control group had a significantly higher number.

The Forbes Patient Satisfaction Questionnaire, modified for the home …

The Relationship Of Hardiness And Perceived Social Support To Nurses' Appraisals Of Stress, Susan A. Groesser

Masters Theses

Lazarus' Stress and Coping Theory was used to examine the relationship between hardiness, social support, and nurses’ appraisal of stress as a threat or challenge. This descriptive correlational design used a convenience sample of 40 registered nurses on orientation at a large West Michigan hospital.

Hardiness and social support were dichotomized by splitting them at the median. The proportion of the sample viewing orientation as a challenge versus threat was not significantly different regardless of their hardiness or social support status. The results were limited by lack of variation in stress appraisal (77% challenge) and hardiness levels, sample size, and …

Measurement Of Autonomic Function In Renal Disease And Diabetes, Ann King Cashion

Theses and Dissertations (ETD)

Renal disease and diabetes lead to dysautonomia resulting in consequences ranging from gastroparesis to sudden death. New technologies to detect dysautonomia, such as 24-hr heart rate variability, are being evaluated and compared to traditional evoked tests. These advances have, however, lead to a lack of standardization in testing batteries, procedures, and reporting formats. This series of 3 studies psychometrically assessed measures of autonomic function (AF) and explored relationships among objective and subjective measures in healthy adults and uremic patients. Participants underwent evoked tests that included change in heart rate with deep breathing and Valsalva. In addition, measures of 24-hr HRV …

Effect Of Postmenopausal Hormone Replacement Therapy On Heart Rate Variability, Diane Todd Pace

Theses and Dissertations (ETD)

Minimal research has addressed effects of postmenopausal hormone replacement therapy (HRT) on heart rate variability (HRV), a measure of cardiovascular autonomic balance and a predictor of cardiac morbidity/mortality. Using an exploratory, pre-test/post-test design to describe HRV in postmenopausal women (PMW) before/after six weeks of HRT, twenty-four Black (n=15) and White (n=9) women, (mean age=55±4 years), were recruited from two primary care clinics (n=20) and one church population (n=4) in a large urban midsouth community. Cardiovascular risk factors for the sample included chronic illnesses of DM (n=8), HRT (n=11), both DM and HRT (n=4), smoking (n=9), non-exercise (n=11), and obesity quantified …

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 …

The Level Of Confidence Of School Nurses To Perform 46 Specified School Nursing Services, Camille Maysonave Brinks

Master's Projects

The newly hired, novice school nurse often transitions from a baccalaureate program or an acute care setting to the school nurse role. This newly hired school nurse may be ill prepared for the wide range of services required in school nursing. The California, coastal school district where this pilot study took place, needed to develop an orientation program for newly hired school nurses. The purpose of the project was to ascertain confidence levels of novice school nurses in performing their new role as compared to experienced nurses. Benner's framework "From Novice to Expert" was used to guide this study. The …

Nurse Practitioners' Practices Related To Testicular Cancer And Testicular Self-Examination, April E. Schwegel

Master's Projects

Testicular cancer remains the number one cancer for men age 15 through 35. Early detection is essential to decrease morbidity and mortality. The purpose of this study was to identify and describe the extent to which California nurse practitioners screen for testicular cancer and the frequency of teaching testicular self-examination to patients. The study surveyed 425 adult or family nurse practitioners, currently practicing in the state of California, with a patient population that includes males age 15-35. The study supported the previous findings of Sladden and Dickinson (1995). Nurse practitioners do believe that testicular self-examination is an effective screening method …

Are We Asking The Right Questions? An Evaluation Of Client Reportability To Medical Providers Concerning Concurrent Use Of Alternative Therapies, Nektarios Butterfield

Master's Projects

The use of alternative therapies in the United States is becoming more and more prevalent. One out of three Americans use alternative therapies and the failure to report the use of alternative therapies could affect the client's health. The purpose of this study was to explore the extent to which clients use and report their use of alternative therapies to their medical care provider, as well as identifying barriers to reporting. A sample (N= 50) was selected randomly from a phone book. Of those 34 (68%) who used alternative therapies, 64% (n=32) reported use of alternative therapies while receiving medical …

The Relationship Between Family Functioning And Pregnancy Among Teens, Karen Tucker

Electronic Dissertations and Theses

Little is known about what makes teens experiment with sex earlier and earlier in their lives. These young girls are faced with the burden and responsibility of parenthood at a time in their lives when they are coping poorly with their own developmental tasks. The teen's perception of family functioning may have a direct impact upon adolescent risk for pregnancy. This study investigated the relationship between family functioning and pregnancy among 13- to 19-year-olds using the Family Apgar Questionnaire. Although no significant difference between perception of family functioning and incidence of pregnancy was found, this study did conclude that age …

Depression In Immigrant Chinese-American Elders, Sandy Chen Stokes

Master's Projects

Depression in later life is a treatable mental disorder (Blazer, 1993) if it is recognized as depression. Because depressive disorders may often go unrecognized and untreated in the Chinese-American elderly population and because treatment for depression can dramatically improve the quality of these later years, correct diagnosis and intervention are vital.

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 …

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 …

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 …

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 …

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 …

Quality Of Life In Grandparents After A Diagnosis Of Acute Lymphoblastic Leukemia In Their Grandchild, Laura S. Mullins

Masters Theses

The purpose of this study was to assess grandparents' perceptions of their quality of life (QOL) after the diagnosis and treatment of acute lymphoblastic leukemia (ALL) in their grandchild. The following questions were addressed: (a) How do grandparents of children with ALL perceive their current QOL; (b) How do grandparents of children with ALL perceive their current QOL has changed since their grandchild was diagnosed; (c) What specific changes in QOL have grandparents experienced since the diagnosis of ALL in their grandchild; (d) What is the grandparents' overall attitude about life with leukemia; (e) Is there a relationship between the …

The Relationship Between Leadership/Followership In Staff Nurses And Employment Setting, Elaine S. Vandoren

Dissertations

This study tested the hypothesis that staff nurses in hospitals used different leadership and followership behaviors than staff nurses in home care settings. Leadership behaviors were measured using the Multifactor Leadership Questionnaire (Bass, 1995); followership was measured using Kelley’s Followership Style Questionnaire (1992). Three hospital and home care agencies belonging to a private nonprofit corporation in the Midwest provided data. A total of 136 surveys were used in data analysis; 57% of distributed surveys were returned.

Differences between the hospital and home care staff nurses were not found. Self-perception, difficulty in applying clinical behaviors to the MLQ, unknown aspects of …

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

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 …

Belief-Desire Reasoning In Zimbabwean Children: A Search For Evidence Of The Universality Of A Child's Theory Of Mind, Chipo Dyanda

Dissertations

No abstract provided.

Characteristics And Perceptions Of Trauma Recidivists And Non-Recidivists, Vicki A. Keough

Dissertations

No abstract provided.

Health Ministry In The Life Of A Congregation With A Parish Nurse: Caring And Connecting Through Christ, Mary Ann Chase-Ziolek

Dissertations

No abstract provided.

Rupture In The Ordinary, Geraldine Abbatiello

Dissertations

No abstract provided.

The Effect Prone Positioning Has Upon The Oxygen Ratio Of Ventilated Children, Mary Schira

Masters Theses

The purpose of this study was to examine the effect of prone positioning on oxygen ratios for ventilated children. A retrospective research design was implemented to study the effect that changing ventilated children from the supine position to the prone position had upon their oxygen ratio two hours after the intervention. Twenty-three ventilated children admitted to an eight bed Pediatric Intensive Care Unit (PICU) in Southwest Nfichigan between January 1998 and July 1998 and were proned, had their medical records reviewed. Data analysis using a T-test for paired samples was performed to compare oxygen ratios just prior to proning and …

A Description Of General Self-Efficacy And Specific Self-Efficacy For Health Promoting Practices In A Disabled Population, Elizabeth M. Carrington

Masters Theses

This study examined disabled persons' self-efficacy in relationship to performance of health promoting practices. A descriptive research design in which questionnaires were administered by interview was utilized. The sample consisted of forty-four disabled adult individuals attending a vocational rehabilitation school. The General Self-Efficacy Sub-Scale (Sherer, et al, 1982) and the Self-Rated Abilities for Health Practices Scale (Becker, Stuifbergen, Oh & Hall, 1993) were administered.

Major findings related to the three research questions were: (a) this sample's Self-Rated Abilities Scores was higher than previously recorded for a comparable disabled population, (b) multiple disabilities had little impact on self-efficacy scores, (c) a …

Correlates Of Symptom Distress In Breast Cancer Patients Receiving Cyclophosphamide, Methotrexate, And Fluorouracil, Denise J. Bakker

Masters Theses

The purpose of this study was to describe the relationship between symptom distress and health locus of control, perception of illness, perception of treatment efficacy, and social support in breast cancer patients receiving cyclophosphamide, methotrexate, and flourouracil as adjuvant chemotherapy in the outpatient setting. A prospective descriptive correlational design was used. A convenience sample of women (N = 33) with breast cancer was assessed using five measurement tools: the Symptom Distress Scale (McCorkle & Young, 1978), the Multidimensional Health Locus of Control scale (Wallston, Wallston, & DeVellis, 1978), the Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1981), and two …