Nursing Commons^™

Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse

Dissertations, Theses, and Capstone Projects

Abstract

Purpose: The aim of this study was to describe and conceptualize the experiences and processes involved when labor and delivery nurses provide care to women experiencing a stillbirth.

Background: The care of a woman experiencing a stillbirth is an important topic that requires attention, however, there is a paucity of literature on the specifics of a nurse’s experience as she or he cares for a grieving mother. These experiences may shed light on gaps in care that may exist as well as gaps in the resources, education and support needed to appropriately prepare nurses for providing care …

Validity Testing Of The Genetics And Genomics In Nursing Practice Survey (Ggnps), Alexandra Plavskin

Dissertations, Theses, and Capstone Projects

Genetics and genomics have the potential to change how health care providers screen for, diagnose, and treat diseases; as well as how they intervene to reduce disease risk. Because genetics/genomics play a role in disease prevention and health promotion, screening, diagnosis, treatment selection, and patient-education, all nurses must adopt genetics and genomics into clinical practice to provide competent care.

The purpose of this study was to evaluate the face, content, and construct validity of the Genetics and Genomics Nursing Practice Survey (GGNPS). The GGNPS is an instrument designed to measure Registered Nurses’ (RNs) competency/knowledge, confidence, attitudes/receptivity and decision/adoption of genetics …

Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho

Dissertations, Theses, and Capstone Projects

Infants born prematurely are at a greater risk for developing both cognitive and motor development delays related to continuing their development outside the normal uterine environment. Because of the potential adverse effects of the Neonatal Intensive Care Unit (NICU) environment on the quality of life of premature infants and their families, researchers have investigated, developed, and tested different developmentally supportive interventions to improve outcomes and decrease the negative effects of the NICU. The majority of successful interventions are based on the Synactive Theory of Individualized Developmental Care (IDC)-a form of patient/family- centered care for the neonate.

The majority of published …

Nursing Students At The Helm: A Study Of The Effect Of A Health Literacy Module (Helm) On The Health Literacy Knowledge, Skills And Attitudes Of Pre-Licensure Baccalaureate Nursing Students, Joy G. Borrero

Dissertations, Theses, and Capstone Projects

Background: Effective communication is a foundation of high-quality, patient-centered health care. Understanding health literacy is an essential attribute that health care professionals need to possess in order to promote effective partnerships with patients and their significant others. Nurses, especially, need to be involved in addressing the epidemic problem of low health literacy in the United States because they are responsible for the majority of patient, caregiver and community health education and communication. Nurses play a key role in providing health care information to individuals, families and groups in a variety of settings and therefore should be educated about the essentials …

Does An Intervention Designed To Improve Self-Management, Social Support And Awareness Of Palliative-Care Address Needs Of Persons With Heart Failure, Family Caregivers And Clinicians?, Margaret Sebern, Nasir Sulemanjee, Mauricio Garnier-Villarreal, Mark J. Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Aims and Objectives

To conduct a formative evaluation of the iPad‐Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers and clinicians. Together, persons with HF and family caregivers are referred to as partners.

Background

There is growing awareness of the caregiver's contributions to HF self‐management, social support and reciprocal benefits of interventions that involve both partners. The iSCIP engages both partners in a six‐session psychosocial intervention to address three preventable causes of poor outcomes in a HF population: poor self‐management skills, inadequate social support and underutilisation of palliative care. An iPad app is used …

Resilience From The Perspectives Of Caregivers Of Persons With Dementia, Abir K. Bekhet, Jennifer Sjostedt Avery

College of Nursing Faculty Research and Publications

No abstract provided.

Current Medical Research Winter/Spring 2017, Richard J. Fehring, Kathleen Raviele

College of Nursing Faculty Research and Publications

No abstract provided.

Psychometric Properties Of The Positive Thinking Skills Scale Among College Students, Denise M. Matel-Anderson, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Suicide continues to be in the top leading causes of death among college students. Positive thinking has been linked to increasing health outcomes and decreasing the effects of stress. The psychometric properties of the 8-item Positive Thinking Skills Scale (PTSS) has not been tested in American college students. The study used resilience as the theoretical framework. In 131 students, internal consistency and construct validity was supported. The Cronbach's alpha of 0.86 and significant correlation with measures of suicide resilience, perceived social support, and self-esteem demonstrated good reliability and validity. The findings of the study provide directions for future suicide prevention …

“I Was Relieved To Know That My Baby Was Safe”: Women’S Attitudes And Perceptions On Using A New Electronic Fetal Heart Rate Monitor During Labor In Tanzania, Sara Rivenes Lafontan, Johanne Sundby, Hege L. Ersdal, Muzdalifat Abeid, Hussein L. Kidanto, Columba Mbekenga

School of Nursing & Midwifery, East Africa

To increase labor monitoring and prevent neonatal morbidity and mortality, a new wireless, strap-on electronic fetal heart rate monitor called Moyo was introduced in Tanzania in 2016. As part of the ongoing evaluation of the introduction of the monitor, the aim of this study was to explore the attitudes and perceptions of women who had worn the monitor continuously during their most recent delivery and perceptions about how it affected care. This knowledge is important to identify barriers towards adaptation in order to introduce new technology more effectively. We carried out 20 semi-structured individual interviews post-labor at two hospitals in …

Orthopedic Nurse Practitioner As A Subspecialty: A Case Study, Debra M. Palmer

Dissertations

Purpose: The overall purpose of this study was to describe the ONP role by exploring how and why NPs are utilized in orthopedic health care settings. Two problems associated with the evolving ONP role were addressed: the concomitant decrease in the supply of and increased demand for orthopedic patient care services and the nursing profession’s unmet challenge to keep pace with that increased demand and protection of the public and nursing profession through credentialing of ONPs and programs providing certification and training for ONPs.

Approach: This study employed a single-embedded case study research approach to answer the research questions and …

Understanding Older Women's Experience Of Being Diagnosed With Breast Cancer, Molly Wilhelm

The Pegasus Review: UCF Undergraduate Research Journal

This study describes the experience of being diagnosed with early stage breast cancer for women age 65 and older. This qualitative study used content analysis to analyze twenty interviews of older women with early stage breast cancer. A variety of positive and negative factors influence the experience of being diagnosed with breast cancer. These factors include: their initial reactions, interactions with their respective medical teams, family support, religion, education, and misinformation. Nurses can use the information from this study to help make diagnosis more positive by educating older women about breast cancer and treatment, encouraging them to develop an optimistic …

Early Adolescent Latinas And Non-Coital Sexual Behavior: Individual, Social, And Parental Variables, Ellita Williams

The Pegasus Review: UCF Undergraduate Research Journal

Unplanned pregnancies and sexually transmitted infections (STI) are increasing at a faster rate among young, low income Latinas as compared to other low income groups of girls. However, little is known about the non-coital behavior that early adolescent girls may engage in, which puts them at risk for initiation of intercourse. This study examines the frequency of a particular non-coital behavior, being touched below the waist on top of clothes, and investigates how girls who engage in this behavior differ from those who do not with respect to individual (biologic and cognitive), social (peer norms and acculturation), and parental (single …

Alcohol Abuse And Mental Health Disorders In United States Veterans, Heidi Prentice

Nursing Capstones

No abstract provided.

Improving Male Middle School Nursing Recruitment: A Comprehensive Approach For Students, Families, And Counselors, Robert M. Patterson

DNP Qualifying Manuscripts

Middle school students have been identified as the prime age group to begin nursing recruitment efforts (Matutina, Newman & Jenkins, 2010); however, the current practice of recruiting middle school, male students is ineffective in increasing the number of new nurses. Efforts are required to encourage young, male students to consider nursing as a potential career choice, but this can’t be accomplished without influencing their decision, by sharing the value of the profession. The purpose of this project was to develop and present a PowerPoint presentation to influence middle school, male students to improve their perceptions of nursing as a career …

Factors Deterring Dentistry, Medical, Pharmacy, And Social Science Undergraduates From Pursuing Nursing As A Healthcare Career: A Cross-Sectional Study In An Asian University, Ling Ting Wu, Wenru Wang, Eleanor Holroyd, Violeta Lopez, Sok Ying Liaw

School of Nursing & Midwifery, East Africa

Background: Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career choice. This study aims to identify the deterrents to choosing nursing among healthcare undergraduates by examining the differences in the factors influencing healthcare career choices and nursing as a career choice.

Methods: A cross sectional study was conducted using a 35-parallel items instrument known as Healthcare Career Choice and Nursing Career Choice …

Data Saturation: The Mysterious Step In Grounded Theory Method, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; …

Pharmacists' Role In Harm Reduction: A Survey Assessment Of Kentucky Community Pharmacists' Willingness To Participate In Syringe/Needle Exchange, Amie Goodin, Amanda Fallin-Bennett, Traci Green, Patricia R. Freeman

Nursing Faculty Publications

Background: Pharmacists' role in harm reduction is expanding in many states, yet there are limited data on pharmacists' willingness to participate in harm reduction activities. This study assessed community pharmacists' willingness to participate in one harm reduction initiative: syringe/needle exchange.

Methods: In 2015, all Kentucky pharmacists with active licenses were emailed a survey that examined attitudes towards participation in syringe/needle exchange. Response frequencies were calculated for community pharmacist respondents. Ordinal logistic regression estimated the impact of community pharmacist characteristics and attitudes on willingness to provide clean needles/syringes to people who inject drugs and to dispose of used syringes/needles, where both …

Adults With Cystic Fibrosis: Self-Management And Health Outcomes, Amanda Rose Lambie

Theses and Dissertations

This dissertation is comprised of three manuscripts for publication reporting on adults living with cystic fibrosis, self-management behaviors and health outcomes. Chapter I explores what is known about adults living with cystic fibrosis (CF) and the factors impacting their self-management, including the complexities of a health maintenance regime required for survival while integrating and balancing the realities of adulthood. The review of literature provides direction for future research and implications for adult-focused CF studies. Chapter II is a manuscript describing the characteristics of prognostic survival models utilized in adult CF research and provides an overview of their development, validation, predictive …

Factors Affecting Effective Ventilation During Newborn Resuscitation: A Qualitative Study Among Midwives In Rural Tanzania, R. Moshiro, H. L. Ersdal, P. Mdoe, H. L. Kidanto, Columba Mbekenga

School of Nursing & Midwifery, East Africa

Background: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers.

Objective: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania.

Methods: Eight midwives, each with more than one year’s working experience in the labour ward, were interviewed individually …

Water Supply In Developing Countries, Jason K. Hawes, Ernest R. Blatchley Iii, Audrey Caprio, Andrew T. Kanach

Engagement & Service-Learning Summit

No abstract provided.

Understanding The Experiences Of Adjunct Nursing Faculty In The Curriculum Development Process: A Qualitative Case Study, Laurie Ann Colborn

Theses and Dissertations

This qualitative case study examines the experiences of adjunct nursing faculty within the curriculum development process at universities granting a bachelor's degree in nursing within the Philadelphia five-county region, and the state of New Jersey. Seven adjunct nursing faculty members participated in this study providing detailed input of their experiences in this process. Five themes were uncovered during analysis including: assembling a critical foundation, value added, incidental collaboration, a seat at the table, and trial by fire. These themes helped to provide a deeper understanding of the opportunities, rewards, and challenges experienced by these adjunct nursing faculty members in the …

Effect Of Staff Education Pre-Hospital Readmission Reduction Program Implementation In A Critial Access Hospital In Rural North Dakota, Jessica Jean Larson

Nursing Capstones

No abstract provided.

An Exploration Of The Impact Of Social Support On The Parents Of Children With Autism Disorder, Elizabeth Mcdevitt

Nursing Capstones

No abstract provided.

Effects And Moderators Of Psychosocial Interventions On Quality Of Life, And Emotional And Social Function In Patients With Cancer: An Individual Patient Data Meta-Analysis Of 22 Rcts, J. Kalter, I. M. Verdonck-De Leeuw, M. G. Sweegers, N. K. Aaronson, P. B. Jacobsen, R. U. Newton, K. S. Courneya, J. F. Aitken, J. Armes, C. Arving, L. J. Boersma, A. M.J. Braamse, Y. Brandberg, S. K. Chambers, J. Dekker, K. Ell, R. J. Ferguson, M. F.M. Gielissen, B. Glimelius, M. M. Goedendorp, K. D. Graves, Sue P. Heiney, R. Horne, M. S. Hunter, B. Johansson, M. L. Kimman, H. Knoop

Faculty Publications

Objective: This individual patient data (IPD) meta-analysis aimed to evaluate the effects of psychosocial interventions (PSI) on quality of life (QoL), emotional function (EF), and social function (SF) in patients with cancer, and to study moderator effects of demographic, clinical, personal, and intervention-related characteristics. Methods: Relevant studies were identified via literature searches in 4 databases. We pooled IPD from 22 (n = 4217) of 61 eligible randomized controlled trials. Linear mixed-effect model analyses were used to study intervention effects on the post-intervention values of QoL, EF, and SF (z-scores), adjusting for baseline values, age, and cancer type. We studied …

Achieving Pregnancy Using Primary Care Interventions To Identify The Fertile Window, Thomas Bouchard, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Objective: To determine the effectiveness of achieving pregnancy with focused intercourse in the fertile window identified using natural fertility indicators. Methods: 24-cycle prospective effectiveness study. Setting: A North American web-based fertility monitoring service. Participants: 256 North American women aged 20–43 (mean age 29.2 years) seeking to achieve pregnancy. Intervention: Participants identified their fertile window with either electronic hormonal fertility monitoring or cervical mucus monitoring, or both, and recorded their observations on an online fertility tracking system. Main outcome measures: Pregnancies were validated by nurses with an online self-assessed pregnancy evaluation form. Survival analysis was used to determine pregnancy rates. Results: …

A Qualitative Case Study On Delegation Of School Nursing Practice: School Nurses, Teachers, And Paraprofessionals Perspectives, Sharon L. Schofield

Theses and Dissertations

For the past decade, there have been many changes to school nursing with the implementation of unlicensed assistant personnel now known as paraprofessionals. This process has brought about several concerns such as mode of delegation, education, training, ability to monitor health-care needs, and organizational effects that trended downward without direction. This qualitative inquiry gave an interpretative meaning to the process of delegation in school nursing, the factors that hinder the delegation process as well as components that are needed to effectively delegate and utilize support staff (paraprofessionals) without detrimental effects to students. This study interviewed 20 participants.

Results of this …

A Mixed Methods Study Of Symptom Perception In Patients With Chronic Heart Failure, Elliane Irani

Faculty Scholarship

Background: Early heart failure (HF) symptoms are frequently unrecognized for reasons that are unclear. We explored symptom perception in patients with chronic HF. Methods: We enrolled 36 HF out-patients into a longitudinal sequential explanatory mixed methods study. We used objectively measured thoracic fluid accumulation and daily reports of signs and symptoms to evaluate accuracy of detected changes in fluid retention. Patterns of symptom interpretation and response were explored in telephone interviews conducted every 2 weeks for 3-months. Results: In this sample, 44% had a mismatch between objective and subjective fluid retention; younger persons were more likely to have mismatch. In …

Two Case Examples Of Reaching The Hard-To-Reach: Low Income Minority And Lgbt Individuals, Tricia K. Gatlin, Michael J. Johnson

Journal of Health Disparities Research and Practice

‘Hard-to-reach’ is a term primarily used by researchers to describe groups of people who have been historically difficult to find or contact. It is important for the public interest to include hard-to-reach groups in research because excluding certain sub-populations diminishes the ability to identify groups that potentially have the highest burden of illness and to develop an understanding of why group differences exist. Thus, the purposes of this paper are to: 1) describe the challenges in recruiting hard-to-reach population in two separate research studies; 2) discuss the strategies that were used to overcome those challenges; and 3) provide recommendations for …

Surprised By Benefit In Pediatric Palliative Care Research, Meaghann S. Weaver, Cynthia J. Bell, Jessica L. Diver, Shana Jacobs, Maureen E. Lyon, Kim Mooney-Doyle, Amy Rose Newman, Julia Slutsman, Pamela S. Hinds

College of Nursing Faculty Research and Publications

No abstract provided.

Learning Cultural Humility Through Stories And Global Service-Learning, Stephanie Fisher, Eloise Hockett, Linda Samek

Faculty Publications - College of Nursing

Service-learning experiences are often utilized by nursing programs in efforts to increase the cultural competence of nursing students. Through the use of sharing story, the concepts of cultural competence and cultural humility can be explained for students preparing for upcoming intercultural experiences. This case study describes the experience of nursing students and university faculty on their first service-learning trip to rural Kenya and how the intercultural issues were navigated there as students developed characteristics of cultural humility. This story is now being shared in preparations for subsequent international trips with nursing students and can be a model for programs wanting …