Nursing Commons^™

Kids Into Health Careers: A Rural Initiative, Lori S. Lauver Phd, Beth Ann Swan Phd, Margaret Mary West Phd, Ksenia Zukowsky Phd, Mary Powell Phd, Tony Frisby Phd, Sue Neyhard Ma, Alexis Marsella Ba

College of Nursing Faculty Papers & Presentations

Abstract

Purpose: To describe a project that introduces middle school and high school students living in Pennsylvania’s rural geographic regions to nursing careers through outreach extended to students regardless of gender, ethnicity, or socioeconomic status.

Method: The authors employed many strategies to inform students about careers in nursing. The methods included: working with guidance counselors, participating in community health fairs, taking part in school health career fairs, collaborating with Area Health Education Centers, serving on volunteer local education advisory boards, developing a health careers resource guide, and establishing a rural health advisory board.

Findings: Developing developmentally appropriate programs may have …

Psychometric Properties Of Three Instruments To Measure Fatigue With Myocardial Infarction, Ann Eckhardt, Anne Fink, Michelle Fennessy, Jessica Jones, Donna Kruse, Kathryn Vanderzwan, Catherine Ryan, Julie Zerwic

Scholarship

The purpose of this study was to evaluate the psychometric properties of three questionnaires to measure fatigue with myocardial infarction. The Fatigue Symptom Inventory Interference Scale, Profile of Moods States Fatigue subscale (POMS-F), and Short Form 36 (SF-36) Vitality Scale were completed during hospitalization (n = 116) and 30 days after hospital admission (n = 49). Moderate to strong correlations were found among each of these fatigue scales and between each fatigue scale and measures of other variables to include vigor, depressed mood, anxiety, and physical functioning. POMS-F scores decreased significantly at Time 2, but this decline in …

Improving Caloric Intake And Nutrition For Elderly Dementia Patients By Modifying The Environment, Tiffany Hobbs, Sheila Hutchens

Graduate Research Projects

Visual perception, difficulty distinguishing objects, judging distance and determining color or contrast are common problems contributing to weight loss and nutritional decline in dementia clients. Mealtime burdens and challenges for individuals with dementia can be minimized or eliminated by some simple, inexpensive alterations in the physical environment that can profoundly influence how patients feel, behave, and function; as well as ease frustration and promote more independent functioning. The purpose of this pilot study was to examine the effect of table setting contrast on residents’ weight, oral intake, arm circumference, and feeding behaviors during meals in an assisted living facility serving …

Chhs August Enewsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Chhs September Enewsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

My Patient God, Sara Olakowski

Lake Union Herald

No abstract provided.

Assessing Mississippians’ Preparedness For Disasters Using The Citizen Corps National Survey 2009, Carl Huston Mangum Ii

Dissertations

Disaster preparedness, a shared responsibility of all citizens and disaster agencies, is the most critical component in minimizing risk and damage from disaster. Mississippi has been affected by some of the most devastating disasters in American history, both in terms of physical destruction and human life. The purpose of this study was to assess Mississippians’ disaster preparedness by replicating The 2009 Citizen Corps National Survey (CCNS). The 65 question 2009 CCNS was slightly modified to survey 678 randomly selected Mississippians about the Citizen Corps Personal Disaster Preparedness Model: Demographics, Volunteering, Drills/Exercises, Community Plan, Household Plan, Disaster Supplies, Prevention, Self-efficacy, Reliance, …

The Relationship And Effects Of Mindfulness On Comfort, Work Satisfaction, And Burnout Among Nurses Who Provide Direct Patient Care, Pamela Lichtenberg Heard

Dissertations

This study proposed to examine the problem of burnout in the nursing profession and ways to ameliorate burnout. Many burnout studies in the past focused on the problem and possible solutions that managers and/or hospital administrators could incorporate into their organization. The focus of this study is to evaluate ways that nurses can decrease their own propensity to burnout through the use of mindfulness. Therefore, this study examined burnout in a non-traditional manner. It is not assumed that others must assist nurses with decreasing their levels of burnout. Mindfulness is a means by which nurses can empower themselves to combat …

The Elderly Somali Bantu Experience Of American Health Care: The New Way, Cathy Marie Deckys

Boise State University Theses and Dissertations

A paucity of research exists involving the emic, or insider perspective, of the elderly Somali Bantu as it pertains to their experience of health care.  The purpose of this qualitative, descriptive study is to gain insight into the factors that influence the elderly Somali Bantus’ experience of American health care in Boise, Idaho based on their perspective.  The elderly Somali Bantu refugee has experienced many changes since their resettlement to the United States from United Nations’ refugee camps in Kenya four to seven years ago.  The majority of this population is illiterate and has no native written language.  This is …

Structural Empowerment: The Magnet Model Applied To Perioperative Nursing, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Perceived Levels Of Nurse Educators' Attainment Of Nln Core Competencies, Julie Kinney Higbie

Dissertations

Nurse educators need to be well-prepared with essential competencies, to prepare nurses for their future in health care. Nurses who are recruited to teach, must meet at least minimal competencies and be provided appropriate resources to assume their roles in academia. The recently published National League for Nursing (NLN) Core Competencies for Nurse Educators (2005) identify the skills, knowledge and attitudes necessary for both novice and experienced faculty.

This research study explored faculty's perceived attainment of these competencies utilizing Benner's Novice to Expert theory as a framework. It examined several areas of interest related to nurse educator competency, years of …

The Live Experience Of Non-Degree Learners From A Time Modified Traditional Baccalaureate In Nursing Program, Stephanie S. Deboor

UNLV Theses, Dissertations, Professional Papers, and Capstones

By the year 2016, it is projected that a million new and replacement nurses will be needed throughout the United States. The traditional 4-year baccalaureate program alone cannot adequately sustain this demand. The immediacy of the current nursing shortage demands our educational systems respond by building and maintaining a workforce that is sufficient to support the health care needs of our society. In an attempt to meet this challenge, nursing schools around the country began exploring the option of creating accelerated programs for those who already possess a bachelor's degree in another field without compromising the integrity and quality of …

Interventions To Promote Physical Activity And Dietary Lifestyle Changes For Cardiovascular Risk Factor Reduction In Adults: A Scientific Statement From The American Heart Association, Nancy Trygar Artinian, Gerald F. Fletcher, Dariush Mozaffarian, Penny Kris-Etherton, Linda Van Horn, Alice H. Lichtenstiein, Shiriki Kumanyika, William E. Kraus, Jerome J. Fleg, Nancy S. Redeker, Janet C. Meininger, Joanne Banks, Eileen M. Stuart-Shor, Barbara J. Fletcher, Todd D. Miller, Suzanne Hughes, Lynn T. Braun, Laurie A. Kopin, Kathy Berra, Laura L. Hayman, Linda J. Ewing, Philip A. Ades, J. Larry Durstine, Nancy Houston-Miller, Lora E. Burke, American Heart Association Prevention Committee Of The Council On Cardiovascular Nursing

Nursing Faculty Research Publications

Even modest sustained lifestyle changes can substantially reduce cardiovascular disease (CVD) morbidity and mortality. Because many of the beneficial effects of lifestyle changes accrue over time, long-term adherence maximizes individual and population benefits. Interventions targeting dietary patterns, weight reduction, and new PA habits often result in impressive rates of initial behavior changes, but frequently are not translated into long-term behavioral maintenance. Both adoption and maintenance of new cardiovascular risk-reducing behaviors pose challenges for many individuals. According to the National Center for Health Statistics, life expectancy could increase by almost 7 years if all forms of major CVD were eliminated.5 Improvements …

The Relationship Among Maternal Infant Bonding, Spirituality, And Maternal Perception Of Childbirth Experience, Linda Bennington

Theses and Dissertations

The beginning of life is an intense experience for both mother and baby and sets the foundation for future interactions. Researchers have theorized that maternal infant bonding begins prenatally and continues on through the postnatal period. Mṻller (1996) examined that process to determine if prenatal bonding was related to postnatal bonding and discovered that there was only a modest correlation between the two. This led to speculation as to what variables, besides prenatal bonding, could influence postnatal bonding. Klaus & Kennell (1976) noted the detrimental effects of a lack of bonding in terms of abuse and attachment disorders and emphasized …

A Secondary Data Analysis Of The Practice Intervention Designed To "Wipe Out C. Difficile", Kimberly Aronhalt

Theses and Graduate Projects

Clostridium dfficile infection (CDI) recognized as a global healthcare-associated infection (HAI) causing infectious diarrhea, has increased in incidence, severity, and mortality among patients in the last three decades. Related health care costs to patients and health care facilities are enormous. To prevent HAIs healthcare organizations are charged to have infection prevention control programs in place to address CDI. Surveillance of CDI and prevention strategies are challenged to impact the transmission of CDI due to its anaerobic, spore forming characteristics. At a tertiary medical center, Wipe Out C. dfficile was a targeted approach for five high incident units to reduce CDI. …

Mild Traumatic Brain Injury: Are Emergency Department Providers Identifying Which Patients Are At Risk?, Barbara Kay Stuart

Theses and Dissertations

Objective: Identify patients with specific emergency department (ED) discharge diagnoses who later report symptoms associated with a mild traumatic brain injury (MTBI), compare frequency and severity of MTBI symptoms by discharge diagnoses, investigate the frequency of head injury education provided to ED patients with each diagnosis, and finally, to learn what type of changes have occurred in the lives of patients as a result of their injury.

Methods: Fifty-two ED patients, aged 18 to 28 who were at least two weeks post injury, spoke English and were discharged with a diagnosis of concussion/closed head injury (CHI), head laceration, motor vehicle …

The Prevalence Of Postpartum Depression In Hispanic Immigrant Women, Nissa Breann Lucero

Theses and Dissertations

Purpose: The purpose of this study was to determine the prevalence of postpartum depression among Hispanic immigrant women seeking healthcare services at a community health clinic.

Data Sources: Hispanic immigrant women were recruited. Out of 116 study participants, 96 women were in the final sample. Using the Beck PDSS-Spanish version, women were screened for symptoms of postpartum depression.

Conclusions: The prevalence rate of significant symptoms of PPD was 54.2% for the entire sample of 96 women. Nearly 66% of women who screened positive for symptoms of PPD scored above the listed cutoff score for suicidal thoughts. Women were divided into …

Use It Or Lose It: Physical Fitness For Nurses, Kelly Amtmann, Msn, Rn, John Amtmann, Edd

Nursing

No abstract provided.

Pediatric Nurses’ Attitudes And Knowledge Regarding The Provision Of Breastfeeding Support In A Pediatric Medical Center, Tracy L. Brewer

Nursing Faculty Publications

Breastfeeding gives all neonates the best nutritional start in life.

Sexual Harassment At Work Place: Are You Safe?, Anila Naveed, Ambreen Tharani, Nasreen Alwani

School of Nursing & Midwifery

In today's world women are increasingly participating in the realm of work force, yet they are facing many obstacles in their way. Sexual harassment is one of those obstacles. Sexual harassment at work place is prevalent in every society. It could happen to anyone but women are the targeted victims. Sexual harassment is considered as a traumatic event and the victim may end up in having physical and mental sufferings that hinders a person to work effectively. At an organisational level this may result in decrease work effectiveness, decreased work productivity, high absenteeism, high turnover, and low staff morale. Hence …

Understanding The Perspective Of Adolescent Siblings Of Children With Down Syndrome Who Have Multiple Health Problems, Carol Ann Graff

Theses and Dissertations

The purpose of this qualitative descriptive study was to obtain information from adolescent siblings of children with Down syndrome (CWDS) regarding their perceptions of living with a child who has Down syndrome (DS). Twenty-three adolescents between 12 and 19 years of age who lived with a child who had DS and additional health problems including cardiac, endocrine, gastrointestinal, hematological, neurological, and behavioral conditions were interviewed individually. After examining the tape recorded interviews, major themes revealed both positive and negative aspects of living with a child with DS who has major health problems. However, overall the adolescents reflected more positive experiences …

Adn Program Benchmarking Using Standardized Exams For Assessment And Remediation, Amy J. Waters

Master's Theses or Doctor of Nursing Practice

The purpose of this research investigation was to determine the correlational values between testing scores when utilizing the Assessment Technologies Institute™, LLC (ATI) standardized content exams during the third and fourth semesters of an associate degree nursing (ADN) program, and the sub-scale scores in the same content areas of the comprehensive final exam, the ATI RN-Predictor, taken during the final weeks of nursing school. The RN-Predictor is used to assess graduating students’ preparedness for the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). A Level II, nonexperimental, correlational study design utilized convenience and retrospective sampling of academic variable data of …

The Effect Of Using A Turn Clock To Cue Patient Repositioning For Pressure Ulcer Prevention In An Acute Care Setting, Julie Wiens

Master's Theses or Doctor of Nursing Practice

Hospital-acquired pressure ulcers, a nursing care quality indicator, are becoming increasingly common in United States acute care facilities. In fiscal year 2007, the Centers for Medicare and Medicaid Services (CMS) recorded 257,412 “avoidable” Stage III and Stage IV pressure ulcers acquired in our nation’s hospitals on patients who were admitted to receive care for their primary diagnosis (CMS, 2007). Pressure ulcers are associated with pain and suffering, loss of function, increased length of stay, increased morbidity and mortality, and significant financial burden (Ayello & Lyder, 2008). In October 2008, the CMS discontinued payments for additional costs associated with pressure ulcers …

A Critical Reflection On Advanced Practice Nursing, Patricia Quinn Phd

Dissertations

Legitimation of the Nurse Practitioner (NP) and advanced practice nursing is explored using the framework of critical theory and the case study methodology of Yin. Three different cases are analyzed using classic themes of critical theory - oppression, alienation and ideology and false consciousness. Three publishable articles comprise this portfolio. First is "Looking for love (legitimation) in all the wrong places - A critique of Nurse Practitioner effectiveness literature". This article reviews the literature of NP effectiveness and offers an analysis of the failures and problems of these positivistic studies. Article two is "At least some of us are still …

Mobile Librarian Service To The Wayne State University College Of Nursing, Nancy A. Wilmes

Library Scholarly Publications

In recent years, College of Nursing faculty and students have visited the Science and Engineering Library (which houses the Nursing Collection) less frequently to obtain reference assistance and research support. Nursing faculty and students are using online resources for their research, but these patrons still need to be able to ask questions and obtain clarification about: database search strategies, electronic journal access and full-text document delivery. To address these important resource and service issues, the Nursing Librarian Liaison has been offering reference service and research support in person, on-site in the Wayne State University College of Nursing office building. This …

Thai Patients' Experiences Of End-Stage Renal Disease: A Path Through An Unknown World, Chuleeporn Piyasut Phd

Dissertations

The purpose of the study was to explore how Thai end-stage renal disease (ESRD) patients manage the challenges of living with hemodialysis. The participants were Thai ESRD patients, who were receiving hemodialysis in one of the central provinces in Thailand. A grounded theory approach was employed in this study as it focuses on social processes grounded in individual experiences of participants in the study. The participants included 30 ESRD patients, aged 26-75, who had been undergoing hemodialysis from 6 months to 12 years. Individual in-depth interviews were audio-recorded and transcribed. Data were analyzed by using Atlas.ti. Data analysis revealed "a …

The Influence Of Psychosocial Factors On Academic Performance Of Adolescents: A Quality Assurance Project, Saleema A. Gulzar, Tazeen S. Ali, Amina Aijaz, Neesha Hussain

School of Nursing & Midwifery

Adolescence is a time of rapid psychological and physiological changes and is associated with anxiety and mental distress. This project looks at the potential of school-based programs to reduce these negative effects of academic performance in both the short- and long-term. This study was conducted in a private school in Karachi, Pakistan between October 1998 and December 2006 on 305 students with low academic performance. Results show that students scoring low grades had a mean of 55 + 2.8 and postintervention score of 56 + 2.6. The intervention package significantly created a difference in reducing the number of students receiving …

New Mothers' Perceptions Of Their First Encounter With A Health Care Provider, Katherine Ure

Master's Theses or Doctor of Nursing Practice

Since its genesis, health care has been developing and evolving to meet the needs of the population it serves. Hospital length of stay after childbirth has progressively decreased over the past 29 years initially in response to public pressure to reduce the medical aspect of childbirth. More recently, the decrease in length of stay has accelerated in response to cost-containment pressures (Eaton, 2001). This investigation examined new mothers’ perceptions of their maternal role attainment through their initial interaction with a health care provider. Ramona Mercer (1990) stated in Parents at Risk that there is a pressing need to facilitate early …

Probiotics Are Food; Herbs Are Plants; What’S The Risk? Informed Consent For Complementary And Integrative Therapies, Lisa Hanson, Leona Vandevusse

College of Nursing Faculty Research and Publications

No abstract provided.

Adolescents' Preferences For Primary Care Provider Interactions, Kristine C. Schaeuble, Kristin Haglund, Melissa Vukovich

College of Nursing Faculty Research and Publications

PURPOSE. Adolescents receive less primary care than other age groups. One reason may be the negative ways that providers sometimes interact with adolescents. The purpose was to develop knowledge regarding adolescents' preferences for provider interactions.

DESIGN AND METHODS. Design was descriptive and mixed method. Donabedian's healthcare quality model guided the study. Data were collected via focus groups and a survey.

RESULTS. Twenty-four adolescents participated. Four themes described their preferences: forming a relationship, supporting independence, assuring confidentiality, and conveying caring.

PRACTICE IMPLICATIONS. Care that is congruent with adolescents' preferences may improve quality of, and access to, care and, ultimately, …