Nursing Commons^™

Struggling While Managing Chronic Illness, Amy M. Perkins

All Graduate Theses, Dissertations, and Other Capstone Projects

Although research documenting the struggling response to chronic illness would assist nurses in understanding their patients and potentially in the assessment and support of struggling patients, such research is only in the infancy stage. The purpose of this research study was to address the rarity of literature describing and defining the concept of families struggling while managing chronic illness. Using Strauss and Corbin's paradigm model and grounded theory methodology, the researcher analyzed interviews with nine rural families managing chronic illness. The analysis revealed that families managing chronic illness struggled with everyday living, to obtain a diagnosis, with spiritual beliefs, and …

Multisite Recruitment And Data Collection Among Older Adults : Exploring Methods To Conserve Human And Financial Resources., Valerie Lander Mccarthy, Karen Cassidy

Faculty and Staff Scholarship

The purpose of this article is to describe strategies that were effective in recruitment and data collection among older adults in 3 quantitative studies while decreasing costs in terms of time and money. Factors effective in reducing use of investigators' time and expenses included limiting exclusion of data because of abnormal Mini-Cog scores by careful initial screening and avoiding repeated reminders or follow-up, collecting data in small groups, collapsing consent, dementia screening, and data collection into single sessions, as well as accommodating for sensory and literacy deficits. The cross-sectional, descriptive studies were conducted among community-dwelling older adults attending senior citizen …

Development And Evaluation Of An Instrument To Measure Mother-Infant Togetherness After Childbirth, Carol Lawrence

Electronic Theses and Dissertations

No existing measure to date captures mother-infant togetherness. A valid measure of togetherness is essential to engage in evidence-based practice, evaluate obstetric delivery models and nursing interventions, and measure the level of togetherness which promotes optimal maternal-infant outcomes. When together and in close proximity, a women and her infant have access to one another to allow for mutual caregiving or caregiving on cue. A new measure entitled the Mother-Infant Togetherness Scale (MITS) was developed based on a review of the literature and conceptual framework of Mother-Newborn Mutual Caregiving. The MITS is a 35- item instrument composed of four subscales that …

The Effects Of Stress-Reducing Interventions On Perceived Test Anxiety And Achievement Of Nursing Students, Julie Mcdaniel

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

An Investigation Of The Relationship Among Social Support, Motivation, Perceived Competence, And Pursuit Of A Baccalaureate Degree Among Associate Degree Nurse Graduates, Margaret Joyce Reilly

Dissertations, Theses, and Capstone Projects

The Institute of Medicine Reports of the last ten years highlight the increased complexity of health care and the need for new ways for health providers to respond. While other professional programs have adapted to the growing complexity of the healthcare system and implemented increased educational requirements for entry to practice, notably pharmacy and physical therapy, nursing has not, and remains the least educated among health professionals The growing trend towards a two year Associate Degree as the initial nursing education degree is increasing at the same time that patient needs are becoming more complicated and health care is becoming …

2012-2013 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2012-2013 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Covert Violence In Nursing: A Western Australian Experience, Susette Bakker

Theses: Doctorates and Masters

Covert violence in the workplace has been extensively theorized amongst social scientists as having negative effects on the worker’s self esteem, job satisfaction and stress, resulting in increased absenteeism and a reduction in productivity, and yet it continues to fester in nursing. The purpose of this research was twofold. The first was to answer the question, ‘What are the characteristics of covert violence experienced by Western Australian nurses?’ and through the description of Western Australian nurses’ experience of covert violence and describe the characteristics related to this to form a definition of covert violence. The second question was ‘What are …

The Experiences Of Cancer Survivors As They Transition From Chemotherapy Treatment To Life After Cancer, Violet Platt

Theses: Doctorates and Masters

This study explored and described the experience of people with a diagnosis of cancer, as they transitioned from life as a chemotherapy patient to life after treatment as a cancer survivor. The purpose of this study was to ultimately improve the care of people as they transitioned into life after completion of chemotherapy treatment. There is minimal information related to this phase of the cancer trajectory, therefore this study was intentionally exploratory and descriptive. To achieve the proposed outcome a two-phased approach was undertaken. In Phase One a qualitative approach was followed using Grounded Theory to the descriptive level of …

The Emotional Intelligence Profiles And Cognitive Measures Of Nurse Anesthesia Students In The Southeastern United States, Shawn Bryant Collins

Dissertations

Problem. The purpose of this cross-sectional correlational study was to explore the relationship between emotional intelligence and personal and academic factors of nurse anesthesia students at three points in a program: matriculation, at one year of study, and in the last semester of study and the relationship of these to clinical scores and national certification examination (NCE) scores.

Method. An ex-post-facto cross-sectional study design was used to gather data at three critical times in nurse anesthesia (NA) programs to explore the relationships between emotional intelligence scores, preadmission demographics, clinical scores, and NCE scores.

Results. Data from 216 nurse anesthesia students …

Graduate Nurse Transition Programs In Western Australia: A Comparative Study Of Their Percieved Efficacy, Ce (Cecilia) Kealley

Theses

This research compares the findings of a survey questionnaire sent to 858 newly graduated Registered Nurses (RNs) in 2010, with those from a similar study conducted 10-years previously. The purpose of the present was threefold. Firstly, to investigate how current transition programs compared to those of 10-years ago; second, to gain insight into how well formal programs assisted the transition of the novice nurse into the workforce; and thirdly, to examine what effect transition programs have for making decisions to remain in the nursing workforce. A mixed methods triangulation design was selected to investigate the research questions. Additional questions to …

Tobacco Treatment In College Health, Joanne Brown

DNP Projects

ABSTRACT: Tobacco Treatment in College Health

The college years are a critical time in the development of smoking behavior and tobacco use. Smoking is linked to 30% of cancer deaths, 80% of deaths from chronic obstructive pulmonary disease and early cardiovascular disease and death. Effective treatment interventions at this time provide an opportunity to drastically reduce premature morbidity and mortality.

This document follows the progression from the discussion of the problem to evaluation of an intervention. The first manuscript is a review of existing literature on Internet interventions with young adults, including methodology, theoretical frameworks and outcome measures for tobacco …

Does The Perception That Stress Affects Health Matter? The Association With Health And Mortality, Abiola O. Keller, Kristin Litzelman, Lauren E. Wisk, Torsheika Maddox, Erika Rose Cheng, Paul D. Creswell, Whitney P. Witt

College of Nursing Faculty Research and Publications

No abstract provided.

Using Debriefing For Meaningful Learning To Foster Development Of Clinical Reasoning In Simulation, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Debriefing is critical to learning from simulation experiences, yet the literature reports little research describing best practices within nursing. Debriefing for Meaningful Learning (DML) is a systematic process for debriefing in which teachers and students explicate different aspects of reflection and generate new meanings from simulation experiences. The purpose of this exploratory, quasi-experimental, pretest–posttest study was to test the relationship of DML on the development of clinical reasoning skills in prelicensure nursing students when compared with customary debriefing strategies and on students’ perception of quality of the debriefing experience. Analysis of data demonstrated a greater change in clinical reasoning skills …

Directive Versus Supportive Approaches Used By Midwives When Providing Care During The Second Stage Of Labor, Kathryn Osborne

College of Nursing Faculty Research and Publications

Introduction: Although the risks associated with using sustained and forceful maternal bearing‐down efforts during the second stage of labor have been well documented, most women who give birth in the United States bear down in response to direction from care providers about when and how to push rather than in response to their own physiologic urges. The purpose of this study was to describe the practices used by certified nurse‐midwives/certified midwives (CNMs/CMs) in response to maternal bearing‐down efforts when caring for women in second‐stage labor and to identify factors associated with the use of supportive approaches to second‐stage labor care. …

Biological Measurement In Intervention Research, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

No abstract provided.

Stages Of Change In The Trajectory Of Postpartum Weight Self-Management, Jennifer M. Ohlendorf

College of Nursing Faculty Research and Publications

Objective

To identify women's patterns of readiness to engage in weight self-management behaviors during the postpartum period.

Design

Prospective, longitudinal design with repeated measures, guided by the transtheoretical model of behavior change (TTM).

Setting

A tertiary perinatal center in an urban setting in the midwestern United States with approximately 3,000 births annually.

Participants

One hundred ninety-one (191) adult postpartum women.

Methods

Participants were surveyed in person during their postpartum hospitalizations, and by telephone at 4 and 8 weeks postpartum using the Stages of Change for Weight Management (SOCWM) and the Decisional Balance for Weight Management (DBWM) tools.

Results

There …

Weight-Management Information Needs Of Postpartum Women, Jennifer M. Ohlendorf, Marianne E. Weiss, Polly Ryan

College of Nursing Faculty Research and Publications

Purpose: To describe the weight loss information-seeking behaviors of postpartum women.

Study Design and Methods: The study is part of a larger longitudinal descriptive study of factors associated with women's self-management of their gestational weight loss after birth. Participants answered questions about weight loss information they planned to access, had received, wished they had received, and desired sources of information. A total of 250 women were enrolled during the postpartum hospital stay; 179 completed a 4-month follow-up.

Results: A large portion of the sample (53.3% of normal weight women, 79% of overweight women, and 81.4% obese women) identified plans to …

Challenges In Conducting Research After Family Presence During Resuscitation, Jane S. Leske, Natalie S. Mcandrew, Crystal-Rae Waltons, Annette E. Garcia, Karen J. Brasel

College of Nursing Faculty Research and Publications

Family presence during resuscitation (FPDR) is an option occurring in clinical practice. National clinical guidelines on providing the option of FPDR are available from the American Association of Critical-Care Nurses, American Heart Association, Emergency Nurses Association, and Society of Critical Care Medicine. The FPDR option currently remains controversial, underutilized, and not the usual practice with trauma patients. This article is based on the methodological and practical research challenges associated with an ongoing study to examine the effects of the FPDR option on family outcomes in patients experiencing critical injury after motor vehicle crashes and gunshot wounds. The primary aim of …

Normal Weight Is Associated With Significant Reductions In Cardiovascular Risk For Adults, Even In Those Who Were Overweight Or Obese As Children, Commentary On "Childhood Adiposity, Adult Adiposity, And Cardiovascular Risk Factors", Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Understanding Stress In The Operating Room: A Step Toward Improving The Work Environment, Robert V. Topp, Jill Berger, Anthony Vowels

College of Nursing Faculty Research and Publications

Job-related stress is an important factor predicting staff satisfaction and position turnover among nursing staff, particularly in the operating room. The purpose of this study was to examine the perceived amount of stress elicited by events in the perioperative environment, the frequency of those events, and the impact of those events on the perceived stress of operating room nurses (ORNs) and operating room technologists (ORTs). The Survey on Stress in the OR instrument, which was used to query the subjects, exhibited high internal consistency of all items. The findings indicated that the ORNs and the ORTs exhibited remarkable similarities between …

Noncardiac Chest Pain: The Use Of High Resolution Manometry As A Diagnostic Tool, Iman Hilal

Electronic Theses and Dissertations

Chest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for diagnosing motor disorders and a promising procedure in detecting dysmotility disorders in patients with NCCP. Despite the increased sensitivity of HRM, the main …

Barriers To Timely Administration Of Thrombolytics In Acute Ischemic Stroke Patients, Elizabeth Joseph

Electronic Theses and Dissertations

Stroke is a leading cause of long term disability in the United States. The therapeutic benefits of intravenous thrombolytics is time dependent in an acute ischemic stroke patient and is an important determinant of 90 day and one year functional outcomes. This study investigated areas in the stroke alert process of a community based primary stroke care center that resulted in the delay of administration of thrombolytics within 60 minutes of an acute ischemic stroke patient's arrival to the emergency room. A retrospective descriptive design was utilized and chart reviews were done on 40 patients that received thrombolytics in the …

Predictors Of Immunosuppressant Adherence In Long-Term Renal Transplant Recipients, Sandra J. Galura

Electronic Theses and Dissertations

To sustain the health and viability of renal transplants, adherence to immunosuppressant therapy (IST) medications is critical. Studies continue to identify decreased adherence rates as time from transplant increases (Chisholm-Burns, Kwong, Mulloy & Spivey, 2008; Chisholm, Lance, Mulloy, 2005; Chisholm, Mulloy, & DiPiro, 2005; Nivens & Thomas, 2009). While previous research has explored the effect of variables known to influence IST adherence in adult renal transplant recipients, limited studies have explored these variables in a population of renal transplant recipients with longer time posttransplant intervals. The purpose of this study was to examine demographic variables, time posttransplant, immunosuppressive agents, health …

Infection Control And Health Care Associated Infection (Hcai) In The Nursing Home: A Study To Determine The Impact Of An Educational Video And Pamphlet About Infection Control On Knowledge And Perception Of Hand Hygiene In Certified Nurse Assistants, Kathe Hypes

Electronic Theses and Dissertations

The impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO’s Hand Hygiene Knowledge Questionnaire and the WHO Perception Survey. Friedman’s test and central tendencies showed no statistical relationship between the educational intervention and the overall knowledge scores of the sample. …

Mennonite College Of Nursing Annual Report, 2011-2012, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Awareness And Practive Of Health Promotion For Women In Calabar, Cross River State, Nigeria, P. E. Samson-Akpan, I. Akpabio, Ekaete Asuquo, O. B. Edet

School of Nursing & Midwifery, East Africa

Aim: A descriptive survey was undertaken to ascertain nurses’ awareness and level of practice of health promotion among women in Calabar.

Background: Women’s health is affected by array of factors; nurses could have a major impact in increasing women’s capacity to exercise increased control over their lives and determinants of health.

Method: One hundred and thirty six nurses drawn from the ante-natal clinics of primary, secondary and tertiary health facilities in Calabar participated in the study. A questionnaire with a content validity index of 0.91 was used for data collection. The test-retest reliability coefficient of the questionnaire was (r) 0.79. …

The Control Of Malaria Among Plwha In Calabar, Cross River State, Nigeria, Patience Edoho Samson-Akpan, Olaide Bamidele Edet, Ekaete Asuquo, Mary Achi Mgbekem, Idang Neji Ojong

School of Nursing & Midwifery, East Africa

The purpose of the study was to examine RBM programme’s efforts at controlling malaria among PLWHA and explore their perception of the control strategies. The study was a descriptive survey involving guided interviews of top managers of Roll Back Malaria (RBM) programme. A structured questionnaire was administered to 108 PLWHA attending an HIV/AIDS clinic in a secondary health facility in Calabar. Data were analyzed using descriptive statistics. Thematic analysis revealed that RBM programme strategies include effective case management, promotion of Long Lasting Insecticide Treated Nets (LLINs), intermittent preventive treatment (IPT) and integrated vector management (IVM). Complementary results showed that 104 …

Volume 04, Matt Szemborski, Phillip Van Ness, Sarah Croughwell, Sarah Mayfield, Alyssa Strackbein, Marley Kimmel, Stephanie Skipp, Jamie Yurasits, Katherine Taggart, Alex Leonhart, Kristen Rawls, Andrew Armes, Amanda Haymens, Allison Paqlowski, Erica May, Stephanie Lane, Luke Acree, Cassandra L. Wilson, Stephanie Pishock, Erica Hopson, K. Juston Osborne, Katheryn Grayson, Kyle Fowlkes, Jessica Cox, Kaity Byrum, John-Harwood Scott, Ashley Johnson, Samantha Hockman, Emily Staskiel, Nancy Macdonald, R. Kruger Bressin, Benjamin P. Bilodeau, Andrea Irby, Kristin Macquarrie, Sarah Bietsch, Elizabeth Bednar

Incite: The Journal of Undergraduate Scholarship

Please note that part of pages 92-95 are redacted, in the digital copy, due to a misprint of the original printed article.

Introduction from Dean Dr. Charles Ross

The Internal Other: Transculturation and Postcolonial Magical Realism in Rushdie’s Midnight’s Children by Matt Szemborski

Photography by Phillip Van Ness

Photography “Waterfall” by Sarah Croughwell

Romancing the Bite: Statistical Analysis of Young Adult Vampire Novels by Sarah Mayfield

Photography by Alyssa Strackbein

Photography by Marley Kimmel

Wine and Society in the Viceroyalty of Peru by Stephanie Skipp

Analysis of Claud Monet’s Impression, Sunrise by Jamie Yurasits

Exploring Meaning: The Lindisfarne Gospels by …

An Exploratory Study Of Physiologic Responses To A Passive Exercise Intervention In Mechanically-Ventilated Critically Ill Adults, Christina M. Amidei

Electronic Theses and Dissertations

Muscle weakness is the most common and persistent problem after a critical illness. Early mobilization of the critically ill patient, beginning with passive exercise and progressing to ambulation, may mitigate muscle effects of the critical illness. However, mobilization may produce adverse effects, especially early in the illness when risk for physiologic deterioration is common. If safe, introducing a mobility intervention early in the illness may facilitate ventilator weaning, shorten intensive care unit and hospitals stays, and improve functional status and quality of life for mechanically ventilated critically ill patients. The aim of this study was assess the cardiopulmonary and inflammatory …

Perceptions Influencing School Nurse Practices To Prevent Childhood Obesity, Susan Quelly

Electronic Theses and Dissertations

Approximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP perceptions and practices. A modified theoretical framework based on Bandura’s health promotion by social cognitive theory guided this study. The purpose of this study was to identify the key perceptions (self-efficacy, …