Nursing Commons^™

Risk Factors Associated With Coronary Artery Disease In Individuals After Coronary Artery Bypass Graft Surgery, Deborah Benderman King

MSN Research Projects

Since the early 1960s coronary artery disease (CAD) has been the nation's leading killer of middle-aged men. Even with development of coronary artery bypass graft (CABG) surgery, the recurrence rate remains high. The research question addressed in this descriptive study was what risk factors associated with CAD can be identified in individuals after CABG surgery? Using Becker's Health Belief Model as a theoretical framework, a convenience sample of 69 postoperative CABG clients from a rural Mississippi cardiac rehabilitation program completed researcher-developed surveys. Descriptive analysis identified the following risk factors in the sample : Forty-three (63%) of subjects reported eating fried …

Health Beliefs And Practices Among African American Men Concernign Prostate Cancer Screening, Beverly A. Howard

MSN Research Projects

African American men have the highest incidence of prostate cancer in the United States and the world (American Cancer Society [ACS], 1996). Nevertheless, studies have indicated that African American men are the least likely to participate in prostate cancer screening programs (Myers, Wolfe, Balshem, Ross, & Chodak 1994; Underwood, 1991). Many researchers have hypothesized that health beliefs influence health practices. Therefore, this study examines the health beliefs and practices among African American men concerning prostate cancer screening. Becker's Health Belief Model was used as the conceptual framework for this study. The research questions examined the health beliefs and practices among …

Alternative Health Care Practices Of Patients Who Attend Nurse Practitioner Clinics In North Mississippi, Wesley Barrett

MSN Research Projects

As many as one out of three Americans uses alternative health therapies. The purpose of this study was to describe the type and frequency of alternative health care practices and sociodemographics of patients in nurse practitioner clinics in North Mississippi in order to determine implications for nurse practitioners. Leininger's Theory of Cultural Care Diversity and Universality served as the conceptual framework for this study. The researcher, using a descriptive study design, sought to answer the following questions: 1) What are the characteristics of patients who use alternative health care practices? 2) What types of alternative health care practices are being …

Coping Mechanisms Utilized By Women Survivors Of Breast Cancer, Elizabeth Polk Thomas

MSN Research Projects

The suspected and confirmed diagnosis of breast cancer evokes feelings of fear, anxiety, guilt, frustration, and vulnerability in an individual. A woman diagnosed with breast cancer may utilize a variety of coping mechanisms. This descriptive study sought to identify the most common and most effective coping mechanisms utilized by women survivors of breast cancer answering the following research question: Which coping mechanisms are most effective and most frequently utilized by women survivors of breast cancer? This study used the theory of Lazarus and Folkman (1984) as a framework for understanding coping. The final sample (N = 20) consisted of women …

Coping Strategies Of Mothers With Developmentally Delayed Children Who Attend A Support Group And Who Do Not Attend A Support Group, Donna Salvo Foster

MSN Research Projects

When faced with stress, behavioral and psychological reactions occur to decrease the person's perception of the stress. Rearing a child with developmental delay is one such stressful event. The purpose of this investigation was to explore coping strategies of mothers who are rearing a child with developmental delay. Two hypotheses were generated; There will be no statistically significant differences in perceived coping strategy scores used by mothers with developmentally delayed children in a support group and those not in a support group, and there will be no statistically significant differences in perceived effectiveness of coping strategy scores used by mothers …

The Impact Of An Educational Program On Asthma Symptoms And Knowledge In The Late Adolescent, Jeanette Arnold Lawson

MSN Research Projects

Despite advances in medical technology, statistical evidence indicates that asthma related morbidity and mortality rates continue to rise, especially in the late adolescent population. Current research literature suggests that patient education may be beneficial in obtaining and maintaining asthma control in the pediatric and adult populations. Currently, however, there is little research available regarding the impact of education in the late adolescent population. This study, therefore, sought to determine the impact of an educational program on asthma symptoms and knowledge among late adolescents. Becker's Health Belief Model was used as the theoretical framework. A quantitative, quasi-experimental design was utilized to …

Rural Acceptance Of The Nurse Practitioner, Mary Branstetter

Masters Theses & Specialist Projects

The rural community has lacked adequate healthcare providers for the past thirty years. Collaboration between physician and family nurse practitioner is an option for meeting the need for delivery of primary healthcare in the rural community. A descriptive design was used to describe the acceptance of the nurse practitioner by patients living in rural southcentral Kentucky who utilize the services of the community hospital. Every fifth inpatient and outpatient discharge was mailed the Kviz Assessment Questionnaire and a demographic survey. The questionnaires (N = 842) were mailed over a four week survey period with reminder postcards mailed to each survey …

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

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 …

Cytokine Profiles Of Stimulated Blood Lymphocytes In Asthmatic And Healthy Adolescents Cross The School Year, Duck-Hee Kang, Christopher L. Coe, Donna O. Mccarthy, Nizar N. Jarjour, Elizabeth A. Kelly, Raymond R. Rodriguez, William W. Busse

College of Nursing Faculty Research and Publications

T cell cytokines play an important role in mediating airway inflammation in asthma. The predominance of a Th2 cytokine profile, particularly interleukin (IL)-4 and IL-5, is associated with the pathogenesis and course of asthma. The aim of this study was to test the hypothesis that a stressful life event alters the pattern of cytokine release in asthmatic individuals. Thirteen healthy controls and 21 asthmatic adolescents gave blood samples three times over a semester: midsemester, during the week of final examinations, and 2-3 weeks after examinations. Interferon-γ (IFN-γ), IL-2, IL-4, and IL-5 were measured from supernatants of cells stimulated with PHA/PMA …

Which Type Of 911 Medical Call Is Most Stressful For A Paramedic?, Susan P. Schriefer

All Theses

The purpose of this study was to deter1nine which type of 911 medical call (code 1, cardiac/respiratory; code 2, trauma; code 3, neurological; code 4, pediatric; code 5, routine; and code 6, gastrointestinal/genitourinary) is most stressful for a paramedic. A sample of 22 subjects were obtained from three different counties in a southeastern state. Physiological measurements (blood pressure and heart rate readings) were the variables used to measure stress. Descriptive and inferential statistics were utilized to examine demographics, as well as the variables under study. Findings from this study revealed that routine calls elevated systolic blood pressure overall and trauma …

Rethinking The Nursing Paradigm: The Ethics Of Gatekeeping In American And British Nursing, David C. Grandy

Honors Theses

In the British National Health Service (NHS), the general practice physician (GP) serves as gatekeeper to resources.1 In the United States, managed care physicians, who attempt to contain health care expenditures by establishing priorities and strictly regulating treatment accessibility, necessarily employ gatekeeping responsibilities in practice.2 However, both systems of health care generally overlook the potential contribution of nurses in identifying and implementing effective methods of resource allocation. The central focus of this thesis includes two primary assertions. First, I will argue that nurses currently function as gatekeepers both in England and the United States, and that the traditional nursing paradigm …

Effect Of Peer Group Discussion On Self-Concept In The Gifted Adolescent Population, Helena Ann Rizer

MSN Research Projects

The purpose of this research study was to determine whether peer group discussions improve self-concept in the gifted adolescent population. The researcher also sought to ascertain what reflective themes emerged from journals written following the peer group discussions. The Theory of Modeling and Role-Modeling served as the theoretical framework for this quasi-experimental study. The sample consisted of 21 students enrolled in the 11th grade of a residential high school for mathematics and sciences. The school was located on a university campus in the southern region of the United States. The 21 students were randomly assigned to either the experimental (n …

Nurse Practitioner's Beliefs Regarding Controlled Substance Prescriptive Priviledges, Holly Taylor Robertson

MSN Research Projects

Prescriptive authority for controlled substances for advanced practice nurses has been a very controversial topic over the past years and continues to be an issue today. Research has shown that nurse practitioners prescribe medications appropriately but that barriers to nurse practitioner’s prescribing practices remain even th o u ^ legal authority has been granted. This descriptive study sought to describe the beliefs of nurse practitioners in the state of Mississippi concerning prescriptive privileges of controlled substances. Erickson, Tomlin, and Swain’s Theory of Modeling and Role-modeling (1983) provided the conceptual framework for this study. The research question asked in this study …

Out Of The Comfort Zone, Patricia R.E. Harris

Collected Faculty Scholarship

Imagine the following experience: Your are a student nurse working with other health care providers in the obstetric unit of your facility. A fifteen-year-old Haitian girl, along with her grandmother, arrives seeking help because her two-day-old, eight-pound baby boy is having difficulty breathing...

Pregnancy, Bedrest, And The Family: Development Of Communicative Tools Which Reflect The Stressors And Coping Strategies Of Childbearing Families Requiring Bedrest During Pregnancy, Amy R. H. Weeks

Honors Capstone Projects and Theses

No abstract provided.

The Flame, Summer-Fall 1997, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

The Relationship Between Job Satisfaction And Collegial Support To Retention Of Nurse Educators In Baccalaureate And Higher Degree Nursing Programs In Virginia, Estella Mary Henry Reynolds

Theses and Dissertations in Urban Services - Urban Education

This descriptive correlational study was designed to explore job satisfaction and collegial support in relation to the retention of nurse educators.

A survey questionnaire adapted from Batiste-Beaty (1990/1991) was used to collect data on nurse educators' retention rates and their perceptions of job satisfaction and collegial support in their present institutions. The survey was distributed to the 350 faculty members in the 12 baccalaureate and higher degree nursing programs in the Commonwealth of Virginia. The survey had a 51% return rate, with a total of 178 respondents. The two primary statistical procedures used in analyzing the data were Pearson's product-moment …

The Oncology Patient's Perception Of Support For The Use Of Alternative Therapies By Their Health Care Provider, Michelle Lynn Witkop

Masters Theses

The purpose of this descriptive study was to determine if patients with cancer communicated their use of alternative therapies to their health care providers, to identify factors that influenced their decision to share (or not to share) this information with the health care provider, to describe the types of alternative therapy they were using, to identify where information on the chosen alternative therapy was obtained, and to discuss the factors that influenced their use of an alternative therapy. A convenience sample of 29 subjects from five oncology practices in northwestern lower Michigan responded to questionnaires assessing their use of alternative …

Health Risk Behaviors In Rural Adolescents At Two High Schools Located In One Kentucky County, Melinda Hann

Masters Theses & Specialist Projects

Many adolescents throughout the United States practice health risk behaviors that place them at risk for serious health problems. Despite the high incidence of reported adolescent health risk behaviors, no reports have been published to document the current risk to rural adolescents in individual counties of Kentucky. The purpose of this retrospective descriptive study was to identify the health risk behaviors of rural adolescents from two high schools in one county in Kentucky and to compare the two schools to determine if the health risk behaviors of these students were the same or different. The study was accomplished through analysis …

Commencement Program 1997, Loma Linda University

Commencement Programs

CONTENTS

2 | 1997 Events of Commencement

3 | The Academic Procession

4 | The Speakers

9 | The Honorees

23 | The Zapara Award

Order of Programs

• School of Medicine, 25
• School of Dentistry, 33
• Graduate School, 41
• School of Nursing, 48
• School of Allied Health Professions (Physical Therapy), 53
• School of Allied Health Professions, 59
• School of Public Health, 66

Evaluation Of Patient Satisfaction In The Hypertension Management Clinic, Charu Bahuguna

Master's Projects

Hypertension is a disease that afflicts 50 million Americans. Hypertension is a major risk factor that contributes to coronary, renal, and cerebral artery diseases. In an effort to better serve the patients afflicted with hypertension, a major health maintenance organization has developed a nurse managed hypertension clinic. This hypertension clinic functions in accordance with the Joint National Commission on Hypertension guidelines. This study evaluated the satisfaction of those patients that were served by the health maintenance organization's clinic. The results of the study reflected that, overall, most of the patients surveyed were satisfied by the services they received in the …

Progressive Muscle Relaxation: A Stress Management Program For Nursing Students, Susan Cunningham

Master's Projects

The purpose of this study was to determine whether or not the use of progressive muscle relaxation reduced the physical complaints of stress among nursing students. This pilot quasi-experimental study used a pretest-posttest design with a convenience sample of five volunteers. Data were collected by the use of the stress-related complaint scale. In this 5-week intervention, students learned about stress management and practiced the use of this progressive muscle relaxation technique as a method for reducing the stress in their life. Stress-related symptoms rated as irritating or higher (3 on a 5 point scale) were tension headaches (3 .2), frequent …

An Hiv/Aids Educational Workshop For Adolescents, Sharron Anne Daggett

Master's Projects

Adolescents are threatened with infection by the Human Immunodeficiency Virus (IIlV) and Acquired Immunodeficiency Syndrome (AIDS). Data reveal that the number of adolescents infected with HIV is increasing. Adolescent risk taking behaviors and lack of preventive education are major factors associated with this rise. Family nurse practitioners (FNPs) who care for adolescents have a duty to offer their patients preventive health care. Adolescents can participate by attending HN and AIDS prevention workshops that will present them with facts. Adolescents who attend these workshops will gain the knowledge to protect themselves against mv and AIDS. The workshop in this study was …

1997 Commencement For College Of Health Professions

Jefferson College of Nursing Commencements

No abstract provided.

Ua66/14/1 Student Nurse, Vol. 1, Issue 2, Wku Nursing

WKU Administration Documents

Newsletter created by WKU Nursing.

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

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

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

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 …