Critical Care Nursing Commons^™

Implementation Of A Prone Position Pressure Injury Prevention Bundle In The Picu, Lauren Hacker

Dissertations

Pronation is a low cost, high value intervention used in treating children and adults with Acute respiratory distress syndrome (ARDS). Hospital-acquired pressure injury is the most common complication of pronation. While the presence of PI bundles and protocols have been shown to reduce incidence of PI in the prone position there is no standard bundle or protocol found in the literature, and no bundle or protocol specific to pediatric patients. The purpose of this quality improvement project is to create and implement a prone position pressure injury prevention bundle, called “Prone Pack”. This QI project setting was a 40 bed …

Outcome Evaluation Of A Critical Care Orientation Program For Nurses, Mary Frances Wisniewski

Master's Theses

No abstract provided.

An Explanatory Study Of Maternal Stress And Coping With A Cystic Fibrosis Child, Leslie G. Potter

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to explore the concept of coping with a cystic fibrosis (CF) child and to define coping strategies from the perspective of the mother. The research design was based upon a phenomenological approach with analysis of transcribed, semi-structured interviews with mothers of CF children. A purposive sample of eight mothers with CF children were interviewed to explore the maternal CF experience. Each interview was tape recorded and followed up with a phone call to allow the mothers to add additional information, if so desired. Data analysis consisted of reviewing each typed, verbatim transcript to categorize …

Head Nurse Leadership Behavior And Head Nurse And Staff Nurse Job Satisfaction And Burnout In The Intensive Care Setting, Dianne Vick Benton

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to examine the relationship between head nurse (HN) leadership behavior and head nurse and staff nurse (SN) job satisfaction and burnout in the Intensive Care Unit (ICU). The two target populations for this study were: ICU HNs and ICU SNs. A sample of 10 HNs and 65 SNs completed four questionnaires. This study was conducted in eight community hospitals ranging in bed size between 150 to 700. Four research questions were tested. Utilizing t-tests. a significant difference was found between ICU HNs' and SNs' perceptions of the HN leader behavior of high task - …

Parental Perceptions Of Neonatal Intensive Care Unit Discharge Teaching, Virginia A. Passero

Dissertations

The purpose of the study was to determine parental perceptions of Neonatal Intensive Care Unit (NICU) discharge teaching. Orem's (1985) self-care deficit theory was the conceptual framework. Fifty mothers and 15 fathers were interviewed in their homes following the infant's discharge to determine their perceptions of involvement, recall, need, satisfaction and importance of NICU discharge teaching.

The 50 infants in the sample were hospitalized an average of 41 days with a variety of neonatal diagnoses. The average age of the mothers was 27 years, and the sample of 50 included 82% married women, 42% primiparas, and 52% cesarean deliveries. Forty-two …

The Influence Of Nursing Experience And Education On Nurses Inferences Of Patients' Suffering, Patricia A. Coots

Ellmer School of Nursing Theses & Dissertations

A primary dimension of nursing is caring tor patients who suffer. This study examined the inferences made about patients' suffering oy 65 registered nurses employed in acute care health facilities. Utilizing The standard Measure of Inferences of Suffering Questionnaire. the purpose of the study was to explore the influence of nursing education and experience on the degree of pain and psychological distress inferred by the nurses. Analysis of Covariance was used to test for group differences on the basis of nursing education when number of months of nursing experience was controlled. Although nursing education did not influence nurses' inferences of …

Development And Testing Of The Stress Adaptation Scale For Parents With Chronically Ill Children (Sasp), Carolyn M. Rutledge

Ellmer School of Nursing Theses & Dissertations

This research study consisted of four phases used to develop and test the Stress Adaptation Scale for Parents with Chronically Ill Children (ASP). The first phase dealt with developing the items on the SASP from a review of the literature and the researcher's professional experience. The SASP was then divided into the six categories of health care, social, personal, familial, financial, and spiritual. In phase II, content validity was evaluated by a panel of experts. In phase III, stability over time and face validity was demonstrated using 26 parents of chronically ill children. The SASP achieved a Pearson's r=.85 with …

Perceived Job Stress In Critical Care Nursing In A Military Setting, Jeannette Theriault

Ellmer School of Nursing Theses & Dissertations

The purposes of this study. were: to explore job-related perceptions of stress in a group of military critical care nurses; and to determine if differences in anxiety and stress levels existed between nurses working in coronary care (CCCU) and medical/surgical intensive care (ICU) settings using the State/Trait Anxiety Inventory and the Questionnaire of Stressful Factors in Intensive Care. A free response question and a force-response checklist were also used to identify and rank work-related stressors. The sample of Navy nurses (n=105) consisted of 39 CCU nurses, 62 medical/surgical ICU nurses and 4 critical care supervisors. The results of the mailed …

Use Of Two Data Collection Strategies To Evaluate Stressors And Coping In Spouses Of Patients Sustaining A Myocardial Infarction, Pamalla Manz Stockho

Ellmer School of Nursing Theses & Dissertations

This study compared stressors and coping mechanisms identified by spouses of myocardial infarction (MI) patients in a close-ended, self-administered questionnaire (SAS) and an open-ended, nurse-administered questionnaire (NAS). Twenty female participants were divided into two groups and completed the NAS, SAS, and demographic information. The purpose of dividing the group was to explore possible experimenter effect. One group was administered the NAS preceding the SAS. The second group completed the SAS preceding the NAS. Qualitative analysis revealed equivalent stressors and coping mechanisms identified by the NAS and SAS. Stressors related to the MI decreased over time for spouses whose husbands made …

Correlates Of Knowledge And Locus Of Control On Burden In Professional Caregivers Of Alzheimer's Disease Victims In Three Institution Types, Ruth A. Manning-Gay

Community & Environmental Health Theses & Dissertations

In assessing professional caregivers of Alzheimer's Disease victims, this study tested whether, 1) knowledge would influence perceptions of burden in providing care to such patients, and if 2) individual locus of control would influence perceptions of burden in caring for; Alzheimer's I patients. Professional nurses (BSN's, RN's, and LPN's) from nursing banes, hospitals and psychiatric facilities were asked to complete a three part survey. Three instruments were utilized in this study: the Burden Self-Interview by Zarit, Reeves and Bach-Peterson and adapted for professional caregivers, a 15 item knowledge quiz and the North Carolina Internal External scale (short form) by Schopler, …

Human Need Fulfillment Alteration In The Client With Uterine Cancer: The Registered Nurses' Perception Versus The Clients' Perception, Linda Lane Lilley

Ellmer School of Nursing Theses & Dissertations

This study was a comparison of the similarities and differences between the registered nurses' perception and clients' perception of human need fulfillment alterations in the client with uterine cancer. The effect of level of educational preparation and number of years work experience on the nurses' perception was also analyzed. The participants were 15 registered nurses and 15 clients who had uterine cancer and were admitted to two acute care hospitals in Tidewater. Registered nurses were asked to complete the tool entitled Human Needs Assessment Scale and rate the 35 human needs in relation to the perceived importance for the client. …

The Effect Of A Cardiac Education Program On The Knowledge, Stress, And State Anxiety Levels Of First Time Post Myocardial Infarction Patients In A Post Coronary Care Unit, Jeanine L. Johns

Ellmer School of Nursing Theses & Dissertations

The effect of a cardiac education program in terms of changes in knowledge, state anxiety and stress were examined for persons suffering a myocardial infarction for the first time. In addition, the relationship between stress and trait anxiety and changes in knowledge and state anxiety were examined. A sample of 20 patients were selected from two medium sized hospitals in Southeastern Virginia. Statistically significant differences at the .01 level were found between the means of the pretest and posttest scores of the experimental group for knowledge and state anxiety using the t test for dependent groups. The same test showed …

Need Satisfaction Of Families Of Emergency Department Clients, Patricia Marie Rovelli

Master's Theses

No abstract provided.

The Concept Of Self In Role Of Nurses Working On The Critical Care Unit As Compared To Nurses Working On The General Unit, Cheryl Mae Goldberg

Master's Theses

No abstract provided.

The Effect Of Lateral Body Positions Upon Pulmonary Artery And Pulmonary Wedge Pressures In Critically Ill Patients, Sharon Greer Millard

Loma Linda University Electronic Theses, Dissertations & Projects

The effect of lateral body positions on pulmonary artery pressures and pulmonary capillary wedge pressure was studied in a clinical comparative study using eight critically ill patients. Pulmonary artery pressures (systolic, diastolic, and mean) and pulmonary capillary wedge pressure measurements were taken with the patients in three different positions, i.e., supine flat, right lateral, left lateral. Comparison was made between the control data (pressure measurements in the supine flat position) and the pressure measurements in each lateral body position. Mean pressures were lower in the lateral body positions than those in the supine flat position, ranging from 0.1 mm Hg …

The Effect Of Lateral Body Positions Upon Pulmonary Artery And Pulmonary Wedge Pressures In Critically Ill Patients, Sharon Greer Millard

Loma Linda University Electronic Theses, Dissertations & Projects

The effect of lateral body positions on pulmonary artery pressures and pulmonary capillary wedge pressure was studied in a clinical comparative study using eight critically ill patients. Pulmonary artery pressures (systolic, diastolic, and mean) and pulmonary capillary wedge pressure measurements were taken with the patients in three different positions, i.e., supine flat, right lateral, left lateral. Comparison was made between the control data (pressure measurements in the supine flat position) and the pressure measurements in each lateral body position. Mean pressures were lower in the lateral body positions than those in the supine flat position, ranging from 0.1 mm Hg …

The Cardiovascular Effects Of Human Contact With Coronary Artery Disease Patients In The Coronary Care Unit, Margaret A. Palmour

Loma Linda University Electronic Theses, Dissertations & Projects

Ten coronary artery disease patients were selected using purposive method of sampling and observed for six hours. It was postulated that 1) Human contact with coronary artery disease patients in the coronary intensive care unit would be associated with significant (p = 0.05) changes in the electrocardiogram such as: (a) increased heart rate more than 10 per cent, (b) changed atrio-ventricular conduction more than 10 per cent, (c) changed ST segment one millimeter or more and (d) increased frequency of ectopic beats more than 10 per cent. 2) The degree of stress and cardiac response was related to a number …

Relationship Of Ventilation Ability And Positioning In Left-Sided Congestive Heart Failure Patients, Nancy E. Carson

Loma Linda University Electronic Theses, Dissertations & Projects

Proper positioning is used to relieve dyspnea, edema, and fatigue in congestive heart failure patients. According to the review of literature, improved ventilation as measured by specific lung volumes and lung mechanics occurred with upright positioning in normal persons. The effects of specific changes in lung volumes related to position change in congestive heart failure patients has not been documented in literature, although various recommendations related to positioning are made. This exploratory study was undertaken with nine congestive heart failure patients to see if a relationship existed between degree of head elevation and lung ventilation ability as measured by water-bell …