Nursing Commons^™

Yale Nursing Matters Summer 2003 / Spring 2004, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

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Hrt: Decide Based On The Evidence, Sandra Lookinland, Renea L. Beckstrand

Faculty Publications

The effectiveness and safety of hormone replacement therapy (HRT) have been studied since the 1980s. However, much of the available evidence was contradictory, and practitioners were uncertain how to counsel peri- and postmenopausal patients. In this article, recent evidence, both for and against use of HRT in peri- and postmenopausal patients, is compared to past studies with recommendations for practice.

Managing Stigma In Planned Lesbian-Parent Families, Natalie Cheffer Phd, Mn, Cpnp

Dissertations

The gay-and lesbian-parent family is a family form becoming more prevalent in today's diverse society. Now, with advances in reproductive technology and a growing acceptance of homosexuality, gay men and lesbians are having, adopting, and raising children in record numbers. The purpose of this study was to identify how parents and children in planned lesbian-parent families live in a homophobic society where they face social prejudice on a daily basis. Data were obtained from interviews with 12 planned lesbian-parent families. Data analysis included interviews with the parents as well as analysis of 48 of the children's drawings and the stories …

The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo Phd

Dissertations

As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …

Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn

Dissertations

The purpose of this study was to examine the relationship between the level of exercise and age and self-perception of physical, mental and social health in older adults. Voluntary quota sampling was used to recruit 224 older adults aged 55 and up. The Physical Activity Questionnaire for the Elderly (Voorrips, Ravelli, Dongelmans, Deurenberg, & Van Staveren, 1990) was used to determine the current level of exercise of the older adult. Age was measured using the Demographic Questionnaire by Leach (1999) and self-perception of physical health and mental health was measured using the SF-36 Health Survey by Ware (1993). The Texas …

Yale Nurse: Yale University School Of Nursing Alumnae/I Newsletter, Spring 2003, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

This issue has a feature article on community health beyond borders in Oaxaco, Mexico.

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Development And Psychometric Evaluation Of The Wikoff Spiritual Focus Questionnaire, Karen Luther Wikoff Phd

Dissertations

Spirituality is a concept that has been a part of nursing since nursing began. In every culture spirituality is a component of healing. However, in the United States, nurses seldom assess the concept of spirituality and the patient's spiritual needs are often not addressed. Wikoff Spiritual Focus Questionnaire was designed to help nurses assess and meet the patient's spiritual needs. A review of literature revealed that spirituality was comprised of a relationship between a Higher Power, Self, Others, and Nature which resulted in a sense of being, knowing and life purpose. A fifth dimension of Religion was identified through a …

An Interpretive Exploration Of The Meaning Of Being With Women During Birth For Midwives, Lauren P. Hunter Phd

Dissertations

This study explored the meaning of the phenomenon of the midwife's experience of being present with a woman during childbirth. The value and importance of being with a woman during childbirth, specific and unique to midwifery care, is reflected in midwifery philosophies and models of care. This study looked through the lens of midwives who have written poetry about births they have attended to learn more about the experience of being with a woman. Hermeneutical phenomenology was selected for the philosophical methodology and method because it looked at both the phenomenon and the use of language to describe the phenomenon. …

Justifying Coercion: Nurses' Experiences Medicating Involuntary Psychiatric Patients, Paula K. Vuckovich Phd, Rn

Dissertations

This grounded theory study delineates the process inpatient psychiatric nurses use to respond to the challenging nursing problem of medicating resistant involuntary patients. Since approximately one third of all admissions to psychiatric units in the United States are involuntary (Durham, 1996), caring for involuntary patients is a significant part of psychiatric nursing. Medication administration is a major treatment modality that is expected in caring effectively for psychiatric patients (American Psychiatric Association (APA), 1994; APA, 1997; Patel & Hardy, 2001). The process of getting the involuntary patient to accept medication is a major nursing function in a psychiatric unit that treats …

The Effect Of Professionally-Facilitated Group Support On Psychological Well-Being Among Clients With Cancer, Joann C. Harper Phd, Ms, Rn

Dissertations

Many persons suffer from cancer, some of whom seek psychological relief through group support. Despite the widely held belief that group support helps, its efficacy has not been consistently evident in the scientific literature. The purpose of this study was to compare the effect of professionally-facilitated group support on the psychological well-being of clients with cancer between persons who participated in professionally-facilitated group support with those who did not. A comparison design measured effect by the Psychological General Well-Being (PGWB) index. Each study enrollee was diagnosed with a new or recurrent cancer within 18 months of study entry. ANCOVA was …

Yale Nurse: Yale School Of Nursing Alumnae/I Association Newsletter, January 2003, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

This issue has feature article on collegiality, collaborative practice, and a report on a School conference on knowledge of toxic health effects in Vietnam.

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The Evolution And Experience Of Stomal Therapy Nurses In Australia 1959-2000, Keryln Carville

Theses: Doctorates and Masters

In Australia, stomal therapy nurses are registered nurses who have undertaken an educational programme in the care, counselling and rehabilitation of persons-who have, or who could potentially have, a wound, an ostomy (that is an artificial opening into a body cavity) or incontinence of bodily waste. The genesis of stomal therapy nurses in Australia as a specialty group within the broader nursing profession was in 1971, when 11 founding members established an association for registered nurses with an interest in the care of patients with stomas. However, the serendipitous event that pre-empted the formation of this special interest group, can …

Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn

Dissertations

Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Mortality rates from 12 to 37 percent have been reported within one year after a hip fracture. It is estimated that 50 percent of individuals who experience hip fractures become partially dependent in activities of daily living, and 33 percent become totally dependent in activities of daily living. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. Motivating participation in rehabilitation activities poses a challenge for professional caregivers. The purpose …

The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn

Dissertations

Measurement of intuition use among nursing students has not occurred because developed intuition measures have been designed specifically for experienced nurses. The purpose of this study was to develop and psychometrically evaluate an intuition instrument for nursing students. An intuition instrument can provide the means to (a) determine if students use intuition in care providing activities and (b) measure intuition use over time. Instrument development included (a) concept clarification, (b) item development, and (c) psychometric testing. Intuition was defined as a nonlinear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Content experts established …

Nurses Alumni Association Bulletin, Fall 2002, Paula Levine, Elizabeth K. Prisnock, Marian E. Smith, Sally H. Wagner, John J. Wagner

Nursing Alumni Bulletins

2002 - 2003 Meeting Date Calendar

2003 Annual Luncheon & Meeting Notice

Officers and Committee Chairs

Bulletin Publication Committee

The President's Message

Treasurer's Report

Resume of Minutes

Office News

Committee Reports

• Relief Trust Fund
• Satellite - Harrisburg Satellite Area
• Scholarship
• Social
• Nominating
• By-Laws
• Bulletin
• Development

Annual Giving Contributions

News About Graduates

Janet C. Hindson Award

Celebrating 110 Years Nursing Excellence at TJU

Memories

A Nurse 2002

A Parish - What's That

50th Anniversary Class

Class of 1952 Trolley Tour

Happy Birthday to be 80 or more

In Memoriam, Names of Deceased Graduates

Center page

Class News

Scholarship Fund Application

Certification …

Vignette - Fall 2002, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Kinney, Marjorie Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Carol Holdcraft, Marjorie Kinney

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Carol Holdcraft interviewed Marjorie Kinney on June 25, 2002, about the founding of Wright State University College of Nursing and Health. In the interview Marjorie discusses the early clinicals, classes, and early administration.

A Young Girl With Missile Trauma Near The Eye, Renea L. Beckstrand, Ellen K. Sanders

Faculty Publications

A 15-year-old girl who came to the emergency department holding tissue to her right eye said that she had been shot. She had right eye pain and swelling below the eye, and she was bleeding. As the girl was getting off a school bus, a male occupant in a car that was driving past reached out of the passenger side window and shot multiple pellets at the school bus with a pellet gun. The shooter was unknown to the girl; the shooting seemed to be random. When the girl was shot she felt pain immediately in the area between her …

Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc

Dissertations

Prenatal maternal attachment and the practice of health promoting behaviors during pregnancy are considered universal phenomena to women. Yet, the understanding of these phenomena from the lived experiences of pregnant women has not been well researched. The purpose of this phenomenological study was to describe the experience of maternal attachment to the unborn child and how that attachment might relate to the practice of these behaviors during pregnancy. The participants in this study were ten English speaking women, college educated, professionally employed, who were pregnant for the first time. Unstructured interviews were conducted with the participants at 14–16 weeks and …

Protective Care: Mothering A Child Dependent On Parenteral Nutrition, Lorie H. Judson Phd, Mn, Rn

Dissertations

Home care of technology-dependent infants and children has become an accepted and expected consequence of higher survival rates among critically ill newborns and children who develop chronic illnesses. One of the high-tech modalities which foster dependence of these infants and children is parenteral nutrition. Parenteral nutrition, also called total parenteral nutrition (TPN), supplies life-sustaining nutrients through a central venous catheter and requires the use of machinery to pump this fluid directly into the bloodstream. Due to the tremendous cost of prolonged hospitalization for these children, and the deleterious effects to the child, home care is considered an obvious and viable …

Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn

Dissertations

Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …

Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd

Dissertations

In 1999, the Supreme Court ruled that school districts were financially responsible to provide related services including nursing services, to medically fragile students. This decision applied to children attending public schools who have complex health problems and are tracheostomy dependent. The purpose of this grounded theory study was to explore role perceptions of eighteen school nurses caring for these children in classrooms. Six dimensions emerged from the data: Promoting Family/Nurse Connections, Adapting the Environment, Claiming Authority, “Standing Out There”, Striking a Balance and Experiencing Success. Promoting Family/Nurse Connections emerged as the central perspective, essential to implementing a plan of care. …

Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn

Dissertations

Cigarette smoking is the leading preventable cause of death in the United States. Smoking also accounts for significant morbidity for others exposed to environmental tobacco smoke. Many women stop smoking during pregnancy. Most women relapse to smoking following delivery, yet postpartum smoking issues have received little attention. The purpose of this study was to develop and test an instrument, the Postpartum Smoking Questionnaire (PPSQ) using Ajzen's Theory of Planned Behavior. The belief-based items of the PPSR-Q were developed following content analysis of 35 individual, structured elicitation study interviews with postpartum women in the military healthcare system. Beliefs that prevented women …

A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd

Dissertations

In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …

Yale Nursing Matters Spring / Summer 2002 Volume 3 Issue 2, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

Please contact the Medical Historical Library if you need a higher resolution version.

Do You See What I See? Gepn Student Journal Entries 1999-2002, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

In 1974, YSN opened it doors to a unique program, originally called the three-year non-nurse college graduate program. Today it ts called the Graduate Entry Prespecialty in Nursing or GEPN. Simply put, during GEPN, the students learn to become a nurse. They will be caring for patients by the end of the second week at YSN because this program models adult learning principles-make it real and they will remember and perform quicker; when taught in the clinical context, it is real. Our hope is that they will continue recording their experiences that will ultimately serve as a record of their …

The Relationship Between Perspectives Ofspiritual Care And Organizational Climate In Seventh-Day Adventist Baccalaureate Nursing Programs In North America, Edelweiss Ramal

Dissertations

Problem

The purpose of this study was to explore the relationship between perspectives of spiritual care held by students and faculty in Seventh-day Adventist baccalaureate nursing programs and their perception of the school climate and compare these between faculty and students, Seventh-day Adventists and non-Seventh-day Adventists, and males and females.

Methodology

The University Version of the Kettering School Climate scale and the Role of Spiritual Care in Nursing Subscale answered by 49 faculty and 159 students of nine Seventh-day Adventist baccalaureate nursing programs provided the data. Pearson correlation, one-way analysis of variance, and t tests at a .05 level of …

A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge

Theses: Doctorates and Masters

The purpose of this study was to present issues and the paradoxes surrounding advanced nurse specialisation (ANS) and education, This study was conducted in two parts. Part A examined the prospective experiences of 13 registered nurses (RNs) who were advancing in an area of special is III ion: they were working in a specialist area of practice and studying in II course specific 10 their specialisation. Two rounds of interviews were completed over six-month intervals. Part B examined the data gathered from a focus group interview and follow-up feedback from 10 nurse executives as stakeholders. The intersubjective data from this …

Systems Analysis Projects In Advanced Nursing Practice Education, Barfield John, Debra Smith, Maribeth Smith

The Corinthian

The purpose of the presentation is to stimulate discussion among nursing educators regarding integration of an educational strategy which can enhance the ability of graduate students to analyze clinical and administrative problems.

Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn

Dissertations

Identification of resilience factors in adolescents is necessary to promote health and decrease the incidence of negative health outcomes related to risk-behaviors in this age group. The purpose of this descriptive-correlational research was twofold: (1) to investigate the inter-relationships of perceived health status, perceived self-efficacy, resilience abilities, self-care agency and self-care practices in adolescents and (2) to evaluate a revised measure, The Solem Adolescent Resilience Abilities Scale (SARAS-R). Orem's self-care theory was used as the theoretical framework for this study. The convenience sample of 100 adolescents from San Diego county in southern California were recruited through health professionals and secondary …