Nursing Commons^™

Myocardial Infarction In Women Versus Men, Anna Day

Nursing Student Class Projects (Formerly MSN)

As a future advance practice nurse (APN), it is important to recognize the symptoms of myocardial infarction (MI) and provide prompt treatment to patients to reduce morbidity and mortality. The worldwide leading cause of death is cardiovascular disease (CVD). In 2008, coronary heart disease (CHD) was the cause of 7.3 million deaths, while cerebrovascular disease was responsible for 6.2 million deaths. Since cardiovascular disease is the leading cause of death for women, it is imperative for the medical community to identify risk factors and seek an increased awareness of gender differences (Worrall-Carter et al., 2011). After myocardial infarction, 23% of …

Influences On Self-Care In Women With Heart Failure: A Pilot Study, Joy Corcione

Dissertations and Theses (Open Access)

Background: Heart Failure self-care becomes exceedingly difficult to perform as the disease progresses; therefore social support becomes important in facilitating heart failure self-care. Woman with heart failure represent a significant and growing vulnerable population. Women tend to have lower self-confidence in providing self-care, experience greater negative emotions, decreased social support, experience more adverse psychosocial factors affecting self-care and experience greater psychosocial adversity than do men. Self-care is vital in managing heart failure and social support greatly facilitates self-care behaviors.

Purpose: The purpose of this pilot study was to gain a deeper understanding about the sources of perceived social support and …

Effect Of An Educational Intervention For Prevention Of Std In Minority Women, Umparrys L. Witherspoon

Evidence-Based Practice Project Reports

Historically, African Americans and Hispanics in the United States have been disproportionately affected by human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs), as compared with non-Hispanic whites. Females continue to outnumber males with these diagnoses. Women are generally at greater risk of acquiring HIV and other STDs than men because the female genital tract is more prone to injury and infection resulting from high-risk heterosexual contact (Crepaz et al., 2009). The purpose of the evidence based project was to implement and evaluate an educational intervention for the prevention of HIV and STDs. The Health Belief Model (HBM) was …

Lois Whaley Highsmith, Lois Whaley Highsmith, Kelsey Duinkerken

Jefferson Nursing Oral Histories

After originally studying chemical engineering at Penn State, Lois Highsmith decided to instead pursue nursing. At Jefferson she found a passion for community health nursing, specifically related to obstetrics, gynecology, and maternal child health. Ms. Highsmith graduated in 1986 and over the years worked mostly in maternal care but also in psychology. Among other positions, she worked for ten years at Pennsylvania Hospital where she founded STEPS, Strategies to Encourage Parental Self-Sufficiency, a teen pregnancy clinic, and worked as a home visitor for Mercy Home Health educating new moms about postpartum care. Since 2002 she has worked for Nurse Family …

Vera Paoletti, Vera Paoletti, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Vera Paoletti became interested in nursing as a teenager after watching a close family member succumb to leukemia. This experience led her to work as a candy striper at Jefferson Hospital through her high school years and then enroll in the Jefferson Hospital School of Nursing in 1966. Once she graduated in 1969 Ms. Paoletti began her career as a nurse at Jefferson, first in surgery on Ninth Pavilion and then in oncology on Eleventh Pavilion before becoming head nurse first of a nineteen-bed unit reserved for VIPs and then two years later of Sixth Main. In 1975 she left …

Joan Walker Randolph, Joan Walker Randolph, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Joan Randolph is a 1956 graduate of the Jefferson School of Nursing’s Diploma Program. Though she enjoyed all of her nursing rotations as a student, upon graduation she decided to go into medical-surgical nursing, starting her career at Jefferson Hospital working with, among others, Dr. John Gibbon. After leaving Jefferson, Ms. Randolph spent the bulk of her career at Jeanes Hospital, where she worked her way up from staff nurse to head nurse and eventually on to Vice President of Patient Care Services. Though now retired Ms. Randolph continues to be involved with the field of nursing by serving on …

Colleen Young Elwood, Colleen Young Elwood, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Colleen Young Elwood discovered her interest in nursing after finishing a Bachelor’s of Science in psychology and starting her career at Juvenile Diabetes Research Foundation. Learning about diabetes and working with diabetics sparked an interest in public and community health so she enrolled in Thomas Jefferson University’s two-year BSN program, which she graduated from in 2013. While at Jefferson her clinical experiences confirmed she was not interested in hospital nursing but instead in community nursing. After graduating she started working at Nurse Family Partnership, first as an intern and then as a Nurse-Home Visitor, where she helps new mothers during …

Grace Spena, Grace Spena, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Grace Spena grew up with an interest in health sciences, first wanting to be a medical laboratory technologist and later a registered nurse after attending an open house on nursing at Saint Agnes Hospital, where she volunteered as a teenager. Upon completing her education in 1971 from the Jefferson Diploma School of Nursing, Ms. Spena began her career as a Staff Nurse in the Surgical ICU at Jefferson Hospital. She then went to Medical College of Pennsylvania, working as a Staff Nurse in the combined Medical/Surgical ICU and later as the Head Nurse of the 3 West Medical/Surgical unit. After …

Eileen Healy Garrity, Eileen Healy Garrity, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Eileen Garrity’s first draw to the medical field came through her interest in Christiaan Barnard’s work as a cardiac surgeon. After deciding to pursue nursing instead of medicine, Ms. Garrity entered the Jefferson School of Nursing’s Diploma program, graduating in 1976. She began her career as an ER and ICU nurse, working at Atlantic City Medical Center, Pennsylvania Hospital, and Mercy Fitzgerald. She eventually left hospital nursing to work at Blue Cross, ending there as the manager of their risk programs department before moving on to Taylor Hospital as a director of social work case management and later manager of …

Breanne Ward, Breanne Ward, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Though she originally decided to become an accountant during college, Breanne Ward soon realized she would rather be in a field where she could work more closely with people. She chose nursing because she wanted the opportunity to physically care for others. Ms. Ward was accepted as a nursing student in Jefferson’s Full-time Accelerated Coursework Track (FACT) program, during which time she discovered an interest in community health through both her non-hospital clinical experiences and volunteering with Jeff HEALTH (Helping East Africa Link To Health). After working in the Thomas Jefferson University Hospital and completing her Master’s in Community Systems …

Pat Owens, Pat Owens, Kelsey Duinkerken

Jefferson Nursing Oral Histories

From a young age Pat Owens had a strong interest in nursing, and as a high school student she was even the President of her school’s Future Nurses Club. However, she also really liked home economics so when she went to college she decided to pursue home economics rather than nursing. After working as at the Dairy Council as a nutrition consultant and later at Campbell’s Soup in their test kitchen, Ms. Owens decided that she wanted to instead pursue a career in nursing. After looking into different programs in the Philadelphia area, she chose Jefferson, entering in 1990 and …

Mary Greenwood Schaal, Mary Greenwood Schaal, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Schaal graduated from Jefferson’s Nursing Diploma Program in 1963 and received her BSN from Jefferson in 1981. Though she started her career as an operating room nurse she soon discovered an interest in public health. After coming back to Jefferson for her Bachelor’s degree and then going on to the University of Pennsylvania for her Master’s degree and Rutgers for her Doctorate, she began teaching Community Health to nursing students at Rutgers in Camden. Dr. Schaal then went on to teach in MCP Hahnemann’s graduate program, which is now Drexel, before coming back to Thomas Jefferson University and ending …

Preventing Reincarceration Of Women With Mental Illness, Anne M. Dolmovich

Honors Undergraduate Theses

Since deinstitutionalization of state hospitals began almost 50 years ago, there has been an increase in the population with mental illness seen in the prison system. A combination of factors were looked at when studying causes behind incarceration, including active symptoms of mental illness, socioeconomic status, social support systems, history of trauma, history of drug abuse, police education on mental illness, and public perspective on mental illness. This study is a literature review focusing on people with mental illness in the prison system, with particular attention to women.

It is costly to house inmates for any extended period of time. …

The Use Of The Illness Perception Questionnaire: Enhancing Clinical Staff Understanding, Typhanie Beasley

Walden Dissertations and Doctoral Studies

Women with Type II diabetes face unique challenges coping with the physiologic complications of the disease, which can be enhanced or hindered by their perception of their ability to effectively manage their diabetes. The Illness Perception Questionnaire (IPQ-R) is a tool that evaluates factors influencing patient-provider communication and assesses patient's perception of their health. Guided by the common sense model of self-regulation, this quality improvement project focused on familiarizing health care providers with the IPQ-R and evaluating their receptiveness to implement it with women with Type II diabetes. Seven Primary Care providers participated in an educational in-service that included information …

Assessment Of Depression Screening In Women’S Primary Care Clinic, Susanna Gorton

DNP Projects

Purpose: The purpose of this practice inquiry project was to evaluate provider adherence to depression screening documentation in the ambulatory electronic health record (AEHR) before and after changing locations of the depression screening questions within the AEHR. Provider knowledge about depression screening and barriers related to depression screening were also examined.

Methods: A retrospective chart review was completed for patients seen for an annual exam by a physician provider in a women’s primary care clinic. Data collected included demographic data, co-morbid conditions, depression screen documentation (PHQ-2 & PHQ-9), and interventions documented. A questionnaire was sent to providers in the primary …

Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols

Walden Dissertations and Doctoral Studies

In the United States, about 8.5 million women live with osteoporosis. Osteoporosis is a debilitating systemic skeletal disorder characterized by low bone mass and reduced bone mineral density that occurs with the loss of estrogen. The mortality rate for this group is about 3 to 4 times higher than other women and as many as 1 in 3 experience a fracture. Guided by the Health Belief Model, this project evaluated how a bone health fact sheet impacts knowledge about osteoporosis and self-efficacy for preventative behavioral change in premenopausal women (age 40-58 years). The project also evaluated if an electronic medical …

Aileen Ishuin Macmillan, Aileen Ishuin Macmillan, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Aileen Ishuin MacMillan did not grow up wanting to be a nurse, but after two years of college in Montclair not knowing what she wanted to do, Ms. MacMillan decided by chance to pursue nursing at Jefferson. After graduating in 1976 from the Diploma program she took a job as a nurse in the maternity ward of Thomas Jefferson University Hospital. During her forty year career at Jefferson Ms. MacMillan also completed her BSN at Gwynedd Mercy University. She remains very involved in Jefferson Nursing, serving on both the Jefferson Nursing College Alumni Board and, as president, on the Diploma …

Karen Jordan, Karen Jordan, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Born and raised in Philadelphia, Karen Jordan was a member of the civil rights movement in Philadelphia during the 1960s, first becoming involved with the fight to desegregate Girard College. After a semester at Cheyney University Ms. Jordan took time away from school before deciding to study nursing. She enrolled in the Jefferson Diploma Nursing program in 1973 and graduated in 1976. She would later go on to also receive her Bachelor’s in Nursing Science, also from Thomas Jefferson University. Ms. Jordan has spent her long career at Jefferson working as a medical-surgical, oncology, and neonatal nurse. In her free …

The Effect Of Hiv Knowledge And Hiv Attitudes On African American Women’S Decision To Hiv Test, Lisa Ann Green

Dissertations

Centers for Disease Control (2011a) Surveillance report revealed African American women comprised 63% of new HIV cases among women; 65% of African American women were infected with HIV transmitted by heterosexual sex; yet represent 13% of the female population in the United States. An existing data set was examined from a sample of 761 African American women with a history of drug use at high risk to acquire or transmit HIV and/or STDs to determine 751 women’s knowledge and attitudes about risky sexual behaviors, factors influencing a decision to HIV test, and the influence of sex trading on the decision …

Mary Woltemate Stec, Mary Woltemate Stec, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Stec began her nursing career in 1973 as a graduate of Jefferson’s Nursing Diploma School. She would go on to receive her BS in Nursing from the University of Pennsylvania, her MSN from Gwynedd Mercy College, and her PhD in Nursing from Widener University. Dr. Stec has spent the majority of her career as a nursing educator, including as an instructor at Thomas Jefferson University Hospital School of Nursing, Gwynedd Mercy College, and Abington Memorial Hospital Dixon School of Nursing. She is now an Assistant Professor at Temple University. She is also a Certified Nurse Educator, an Evaluator for …

Katherine Kingsley Kinsey, Katherine Kingsley Kinsey, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Kinsey received her nursing diploma from the Jefferson Hospital School of Nursing in 1963 and later a BS in Education and School Health from Millersville University. She also has a BS in Nursing, Magna Cum Laude, a MS in Nursing in Community Health, and a PhD in Education, all from the University of Pennsylvania. She currently serves as the Nurse Administrator and Principal Investigator for the Philadelphia Nurse-Family Partnership (NFP), the Mabel Morris Family Home Visit Program (MM), and other early childhood initiatives. Previously, Dr. Kinsey was a tenured professor at La Salle University School of Nursing where she …

Patricia Maro Dehart, Patricia Maro Dehart, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Patricia Maro DeHart first became interested in nursing in high school when she first volunteered, and later worked, as a nurses’ aide in a local nursing home. She decided to attend Jefferson’s Diploma Nursing program and graduated in 1977. After starting her career in medical surgery at West Jersey Hospital she then worked as an OB-GYN nurse at Thomas Jefferson University Hospital for eleven years. As her career progressed she moved to Bristol-Myers Squibb, where she held a number of varied positions that allowed her to combine both her degrees in nursing and business, including as account executive and government …

Conducting Research With Community Groups, Mary Molewyk Doornbos, Adejoke Ayoola, Robert Topp, Gail Landheer Zandee

University Faculty Publications and Creative Works

Nurse scientists are increasingly recognizing the necessity of conducting research with community groups to effectively address complex health problems and successfully translate scientific advancements into the community. Although several barriers to conducting research with community groups exist, community-based participatory research (CBPR) has the potential to mitigate these barriers. CBPR has been employed in programs of research that respond in culturally sensitive ways to identify community needs and thereby address current health disparities. This article presents case studies that demonstrate how CBPR principles guided the development of (a) a healthy body weight program for urban, underserved African American women; (b) a …

Stella Jedrziewski Wawrynovic, Genevieve Jedrziewski Williams, Kelsey Duinkerken

Jefferson Nursing Oral Histories

This oral history was completed with Genevieve (Jenny) Williams about her older sister Stella Jedrziewski Wawrynovic, a 1940 graduate of Jefferson's Nursing Training School.

Stella Jedrziewski Wawrynovic was born in Osceola Mills, Pennsylvania to Polish immigrants. Her parents championed the importance of education for all of their children, and so when the oldest daughter Stella graduated from high school in 1936 she moved to Philadelphia to pursue a nursing degree at Jefferson's Nursing School. She began her career at Jefferson before joining the Army during WWII to work as a nurse. After the war she returned to Jefferson, where she …

Conducting Research With Community Groups, Mary Molewyk Doornbos, Adejoke Ayoola, Gail Landheer Zandee, Robert V. Topp

College of Nursing Faculty Research and Publications

Nurse scientists are increasingly recognizing the necessity of conducting research with community groups to effectively address complex health problems and successfully translate scientific advancements into the community. While several barriers to conducting research with community groups exist, community based participatory research (CBPR) has the potential to mitigate these barriers. CBPR has been employed in programs of research that respond in culturally sensitive ways to identify community needs and thereby address current health disparities. This manuscript presents case studies that demonstrate how CBPR principles guided the development of: (a) a healthy body weight program for urban, underserved African-American women, (b) a …

Weight Loss Intervention Efficacy Among Black Women, Callie Chiroff, Kristin Haglund

College of Nursing Faculty Research and Publications

Obesity is a complex disease state that has challenged the health of Americans and has become a main concentration in health care. The highest rates of obesity are observed among black women. The purpose of this evidence-based review was to find evidence that specifically examined black women to determine if participation in weight loss interventions led to successful weight loss compared with usual care and control groups. Twelve experimental studies and 4 systematic reviews revealed that interventions contributed to successful weight loss among black women with obesity. However, maintenance of weight loss is an ongoing challenge.

Are We Empowered? A Qualitative Approach To Unfold The Experiences Of Female Nurses In Pakistan, Saleema A. Gulzar, Rozina Karmaliani, Nasreen Lalani, Qurratulain Nasiruddin

School of Nursing & Midwifery

The disparity of men and women in certain societies, such as Pakistan, is a growing concern. The disparity, unchanging mind-set, and definitions rooted in traditions do not free individuals from the socially bound gender identities. In such circumstances, educational institutions can become a way of transforming social structures. Considering female nurses in Pakistan as a case study, this paper explores the notion of “empowerment” and the factors responsible for empowerment or disempowerment of female nurses. The study also evaluates the role of a leading nursing institution in Pakistan namely the Aga Khan University- School of Nursing and Midwifery (AKUSONAM) in …

Is “Empowerment” A Trickle-Down Effect Of The Afghanistan Midwifery Education Program?, Fatima Gohar, Pashtoon A. Zyaee, Sabera Turkmani

Journal of Asian Midwives (JAM)

Introduction: The patriarchal Afghan society has thousands of years of history. For most parts it has been governed by its tribal systems. The society has systematically evolved with its thousands of years old tradition, which has resulted in the subjugation of women. Although it is widely assumed that the midwifery education program (MEP) has contributed to female empowerment, no formal investigation has been carried out that explores the actual impact of MEP on the status of women midwifery graduates. Therefore, this study systematically explores the trickle down effects of MEP on women’s empowerment.
Methodology:
Design: Exploratory qualitative study
Study sites: …

Weight Management Of Women Of Childbearing Age, Marcia Hagen

Walden Dissertations and Doctoral Studies

Black River Memorial Hospital identified obesity as a priority health concern in its rural service area; this concern was in line with the county's needs assessment. It was identified that women of childbearing age affect the lifestyle and health choices of their families and that they are at higher risk for the additional health risks associated with obesity affecting pregnancy and birth. Despite the identification of these risk factors, the factors that affect healthy weight management have not been well understood. Using the life course theory, a qualitative inquiry in the form of a structured interview was developed with local …

Treatment Outcomes For Opiate Addicted Pregnant Women, Jennifer L. Roth Parr

DNP Projects

The problem of opiate addiction is complex enough but compounded when the patient is pregnant. Substance use during pregnancy produces harmful and costly effects to both the mother and the fetus (Veilleux, Colvin, Anderson, York & Hines, 2010). The rate of opiate addiction among pregnant women in the U.S. has been increasing in epidemic numbers since the beginning of the 21st century. This paper looks at research on the origin of the problem, the demographics of the average pregnant opiate addicted patient, the effects on the woman and her unborn child, and available treatment options.