Public Health and Community Nursing Commons^™

Stress Reduction: A Neighborhood Introduction, Barbara D. Johnson

Master's Projects

Responding to reported health concerns a stress reduction program was developed for residents of an urban Latino neighborhood struggling with poverty, crime, and limited access to healthcare. The revised Health Promotion Model (HPM) was used as a framework (Pender, 1996). A qualitative study testing a 5-week Mindfulness-based Stress Reduction (MBSR) intervention was imbedded into the program 18 months after its implementation. Utilizing a pre/post test design participants were predicted to demonstrate significant reductions in post-intervention mean scores for 3 self-report measures, the Cohen Perceived Stress Scale, General Sleep Disturbance Scale, and a modified Memorial Symptom Assessment Scale. A 91% drop …

Recruitment And Retention Of African Americans With Severe Mental Illness In Community Research, Michelle Hampton, Mary White, Linda Chafetz

Faculty Publications

No abstract provided.

Improving The Health Literacy Of Rural Elders: An Interdisciplinary Approach, M. Susan Jones, Marilyn M. Gardner, Janelle A. Peeler, Serena Merry Britt, Marilyn Lewis Graves

Nursing Faculty Publications

No abstract provided.

'Science Of Trivalency', Kwaku L. Carlisle Woods Rn Md Metd1, Dr. Kwaku L Carlisle Woods Rn Md Metd1

Walden Faculty and Staff Publications

Due to mine cross cultural living, (I was born in the U.S. but grew in Southeast Asia), I became very interested in the Anthological, Social and Scientific difference between cultures. This led to a historical meta evaluation of humanity in general. Using the principals of Noetic Science, this evaluation reviled the ignorance and down right absence of any educational opportunities to learn the true functional abilities of mankind.

Integrating Disaster Preparedness Into A Community Health Nursing Course: One School's Experience, Mary Ireland, Emma Kontzamanis, Chantal Michel

Publications and Research

No abstract provided.

Primary Care Nurse Attitudes, Beliefs And Confidence Levels Regarding Alcohol Abuse And Its Treatment: Impact Of Educational Intervention., Raja Sekhar Vadlamudi

Electronic Theses and Dissertations

Alcohol abuse has been a major burden on the society. In the fight against it a key issue the education of the primary care nurses has been ignored. This study evaluates the effect of education program on the attitudes, beliefs, and confidence levels of primary care nurses regarding alcohol abuse and its treatment. Data from the Project Mainstream educational intervention were used with permission from the investigators. Two hundred one students and faculty of nursing at Vanderbilt University participated in the intervention, which was designed to train primary care providers in the Brief Negotiated Intervention technique for early detection and …

Impact Of An Adherence Program On The Health And Outlook Of Hiv-Infected Patients Failing Antiretroviral Therapy, Michael F. Parry, Pamela Wright, Julie G. Stewart, Gavin Mcleod, James Tucker, Amy R. Weinberg

Nursing Faculty Publications

Background: We prospectively studied the impact of an adherence counselor on the outcome of patients failing antiretroviral therapy because of nonadherence. Methods: Forty-six patients, identified as chronically nonadherent were enrolled. Individual attention was provided using the information, motivation and behavioral methodology. HIV RNA (viral load, in copies/mL), CD4 count (in cells/[mm.sup.3]), and body weight before and after the adherence counselor were measured. Qualitative outcome and patient satisfaction were assessed by deidentified third-party interviews. Results: Over half completed at least 1 year; only 8 patients were lost to follow-up. Mean CD4 counts increased significantly (P < .05) for completers at 6 and 12 months. Viral loads decreased between baseline and 6 months. Most clients reported subjective benefit from working with the adherence counselor. Conclusion: Although few clients showed complete virologic suppression, the value of an adherence counselor was validated. Longer term adherence programs should be evaluated.

Personal Respiratory Protection Use Among Confinement Workers, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Revisiting Vaccine Hesitancy, Barriers And Motivators To Obtaining A Flu Vaccine In A New Covid-19 Pandemic World, Ann M. Mayo Rn, Dnsc, Faan, Steffanie R. Cobler Np

School of Nursing and Health Science: Faculty Scholarship

Purpose

To describe and compare patient perceived barriers and motivators and decision-making conflict between two groups of hospitalized patients, those who receive flu vaccines and those who do not.

Data Sources

Data collection during 2003 included extracting data from databases and mailing two surveys to 436 discharged patients. One hundred eight (108) patients participated in the study.

Conclusions

Top barriers included fear of side effects from vaccine (35%) and fear of contracting the flu (30%). Top motivators for obtaining a flu vaccine included previous vaccination (93%) and provider recommendation (62%). Barriers, motivators and patient decisional conflict differed depending upon patient …

Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod

Nursing Faculty Publications

Our hospital led a multidisciplinary community team to improve the quality of care delivered to HIV-infected clients utilizing a disease management approach in a US metropolitan community of 150,000 people. Community needs assessment and client and community surveys were used to define the problems. Patient care flowcharting and the creation of an electronic patient database facilitated patient tracking across the entire community. Clinical guidelines and a consultation and referral immunology clinic standardized care practices. Measurable improvements in the quality of care were noted in multiple areas. Flowchart completion rates rose from 44% to 100%; medication adherence assessment rose from 82% …

Predicting The Use Of Personal Respiratory Protection Among Workers In Swine Confinement Buildings, M. Susan Jones

Nursing Faculty Publications

The purpose of this study was to identify the variables that influence the frequency of personal respiratory protection (PRP) use by workers in swine confinement buildings (SCBs). The study was designed to answer four research questions: 1). What is the validity and reliability of the Personal Respiratory Protection Survey (PRPS)? 2). How frequently do workers in SCBs wear PRP? 3). How do demographics, occupational histories, and self-reported respiratory health histories influence the use of PRP in SCBs? and 4). What are the relationships of the constructs (benefits, barriers, susceptibility, severity, norms) to the use of PRP by workers in SCBs? …

Knowledge Of Type Ii Diabetes And Its Complications Among Adult Vietnamese Immigrants, Thao Phuong Le

Master's Projects

This was a non-experimental quantitative study using survey method to assess diabetic knowledge of 102 adult Vietnamese immigrants. The Health Belief Model provided the theoretical framework, and the 24-item diabetes knowledge questionnaire was adopted from the Starr County Texas study to use for this study. Data were categorized and analyzed using descriptive methods such as frequency and percentage. The findings indicated that lack of knowledge about diabetes was a significant issue among the Vietnamese immigrant population. Health care providers should develop an appropriate cultural educational program about diabetes to help the Vietnamese population to detect diabetes early and to control …

Smoking Cessation Education Needs As Reported By Current Smokers, Former Smokers, And Nurses, Ana Grynwald

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to determine if there is a difference in the importance of selected smoking cessation information to current smokers, former smokers, and nurses in the Appalachian population. There were no instruments found in the literature to assess the perceptions of educational content for smoking cessation, therefore, a Smoking Cessation Education (SCE) survey was developed to measure the perceptions. The conceptual framework for this study was based on the Health Belief Model developed by psychologists Drs. Godfrey M. Hochbaum, S. Stephen Kegeles, Howard Leventhal, and Irwin M. Rosenstock..

Design: The SCE is a ten question …

Influences Of Alcohol, Marijuana, Peer Pressure, Parental Or Adult Supervision, Knowledge Of Std's/Hiv And Pregnancy On The Initiation Of Sexual Activity, Beatrice Ihegharauche Okonkwo, Marissa Louise Sitz

Theses Digitization Project

The purpose of the study was to show the variables that influence adolescents' sexual activities that have not been well defined. What leads adolescents to be more sexually active than previous generations? A Survey was conducted at the Fontana Unified School District.

An Evaluation Of The Care Of Displaced Elderly Evacuated During The San Bernardino Mountain Firestorms Of Fall 2003, Judith Lee Christman, Terry Lee Cottle

Theses Digitization Project

This project reflects on the observations and experiences that occurred during the firestorms in Southern California in October and November 2003. It specifically focused on elders during this disaster as a vulnerable population. Recommendations are made for the role of the nurse in preparation and planning for evacuation of the elderly.

Using Standardized Patients To Teach And Evaluate Nurse Practitioner Students On Cultural Competency, Carolyn M. Rutledge, Laurel Garzon, Micah Scott, Karen Karlowicz

Ellmer School of Nursing Faculty Publications

With the increasing diversity in the American population, it is imperative that nurse practitioners learn to manage patients with varying healthcare beliefs and needs. In order to develop culturally competent nurse practitioners, a number of methods have been developed. Many of the current methods focus on improving the awareness and knowledge of nurse practitioners regarding diverse populations. However, very few of the current programs focus on improving the skills and increasing the encounters the students have with diverse populations. This paper focuses on providing nurse practitioner students with diverse encounters using culturally enhanced standardized patient scenarios. The standardized patient programs …

Providing Education And Support For Rural Palliative Care Nurses In Western Australia: An Intervention Study, Ruth Mcconigley

Theses: Doctorates and Masters

Rural palliative care nurses (RPCNs) in Western Australia (WA) are a small population, who have embraced the specialist palliative care role since the first palliative care service in rural WA began in 1990. However, there are some challenges involved with being a specialist nurse in a generalist health care setting. fu particular, there is a suggestion in the literature that RPCNs may be professionally isolated, may be prone to burnout, and may therefore experience decreased job satisfaction and may consider leaving the palliative care field.

Mobilizing Students And Community Partners To Enhance The Health Of The Rural Elderly, M. Susan Jones, Marilyn M. Gardner, Janelle A. Peeler, Marilyn Lewis

Nursing Faculty Publications

The Health Enhancement of the Rural Elderly (HERE) project is a federally funded grant project designed to empower the rural elderly in Butler and Edmonson counties to maximize their use of the health care system. This project was developed after identifying the needs of approximately 25% of the population in the U.S. that reside in rural areas. Of this population in rural Kentucky, 14-15% is 65 years or older (U.S. Bureau of Census, 2000). A higher incidence of chronic diseases, disabilities, difficulties with daily living activities, and cutbacks in social services have been identified as factors causing this population to …

Ua61/6 Newsletter, Issue 1, Wku Institute For Rural Development

WKU Administration Documents

Newsletter created by and about the Institute for Rural Development. This issue contents:

• Mobile Health & Wellness Unit
• The New Hazard & Emergency Awareness Training (HEAT) Mobile Unit Arrives at WKU
• Gardner, Marilyn. Emergency Medical Services Monograph Coming
• A Nursing Student’s Perspective
• Enhancing Rural Student Postsecondary Decisions
• Lu, Ning & Richard Wilson. Kentuckian Socioecomic Status, Health Behavior, Access to Medical Care, & Health Status
• Austin, Lynn. School-based Dental Sealant Program
• The Institute for Rural Health Development & Research

Functional Health Literacy In An Urban Primary Care Clinic, Nancy Trygar Artinian, M. Patricia Lange, Thomas Templin, Lynda G Stallwood, Christopher E. Hermann

Nursing Faculty Research Publications

The purpose of this study was to determine the level of functional health literacy in a sample of patients treated in 1of our 5 primary care clinics. A total of 92 randomly selected adults (mean age = 59 years) completed the TOFHLA while waiting for a scheduled appointment. Twenty eight percent of the sample had less than adequate levels of functional health literacy. Income, car ownership and education were significant and independent predictors of literacy level in this sample. Low levels of functional health literacy limit a patient's ability to read, understand and act on health information. It is essential …

Identification Of The Spiritual Nursing Care Practices Of Volunteer Parish Nurses, Lynne Denise Roy

Theses Digitization Project

Parish nursing, a specialty nursing practice which includes the spiritual component of integration of faith and health, has been growing rapidly over the last decade. Standards of Parish Nursing Practice developed in 1998 are consistent with the nursing process and include the spiritual dimension.

Childhood Overweight And Childhood Obesity In Fifth Graders At Granite Hill Elementary School, Deborah Ann Toten

Theses Digitization Project

The purpose of this study was to determine if the students in the 5th grade class at Granite Hill Elementary were overweight or obese. The research questions included: (a) Does the Granite Hill Elementary School population mirror the world wide trend of increasing childhood overweight and childhood obesity, and (b) how does the Granite Hill Elementary School population compare to the International Obesity Task Force standards?

Educator's Perceptions Of Priority School Nursing Activities And Influencing Factors, Julie Marie Berg

Theses Digitization Project

The purpose of this study was to compare the relative priority rankings assigned by educators and practiontioners of activities performed by school nurses. It examines the factors that under lies the differences in priorities assigned.

Advanced Practice Nursing Health Care Needs Assessment In An Underserved Community, Michael Dean Conrad, Anna Kampanartsanyakorn

Theses Digitization Project

The purpose of this study was to gain information about the community health care needs through a comprehensive assessment. This information will allow providers to identify services and groups of people where the biggest gap exists in receiving needed health care services. This may provide the basis for the design of an advanced practice preventative health intervention for the community.

Evaluation Of The Effectiveness Of An Anaphylaxis Training Program For Unlicensed Assistive Personnel, Jean A. Litarowsky

Master's Projects

This study evaluated a training program designed to prepare unlicensed assistive personnel (UAP) in high school settings to recognize and respond effectively to an anaphylactic emergency. Subjects included 53 adults employed by a high school district in the San Francisco Bay Area of California. A training model was developed based on Bandura's theory of sources of self-efficacy. Knowledge and perceived self-efficacy of participants were measured before and after the training program to determine if a theory-based anaphylaxis recognition and epinephrine auto-injector training program would increase participants' knowledge and self-efficacy in responding to an anaphylactic emergency. Paired t-tests revealed significant improvement …

Public Health Nurse Interventions For Women In Dependency Drug Court, Ann Somervell

Master's Projects

There are an increasing number of children placed into foster care due to abuse and neglect. Parents of these children often have difficult drug abuse problems leading to the removal of their children. The cost of caring for these children is staggering reaching billions dollars. One program in Santa Clara County that has been created to assist parents is dependency drug court. This court utilizes many disciplines including nursing in its efforts to stabilize and reunify the children. Previous research has shown that home visitations by the public health nurse using interventions based on support of the family has aided …

Coping And Social Support For Parents Of Children With Autism, Edith H. Luther

Master's Projects

The increased incidence of autism in children impacts families, educators, and health professionals. A descriptive survey design was used to obtain responses from parents of autistic children in public schools. Data collection instruments included The Social Support Index, SSI (McCubbin, Patterson, and Glynn, 1982), and The Family Crisis Oriented Personal Evaluation Scale, F-COPES (McCubbin, Olson, and Larsen, 1981 ). The majority of parents of autistic children perceived that they had support within their families and communities. One half of the families identified serious stressors in addition to autism. Acquiring social support and reframing were the coping strategies used most frequently. …

Depot Medroxyprogesterone Acetate Discontinuation After Weight Gain In 17-19 Year Old Adolescent Girls, Donna Lea Church

Theses Digitization Project

Depot medroxyprogesterone acetate (DMPA) is a long acting progesterone only contraceptive agent. Side effects such as irregular bleeding patterns and weight gain are attributed to discontinuation. The purpose of this study was to describe depot medroxyprogesterone acetate discontinuation after weight gain in 17 to 19 year-old adolescent girls.

Drowning Prevention For Children In San Bernardino County, Joan Marie Williams

Theses Digitization Project

Drowning and near drowning is a significant problem nationwide and in San Bernardino County. Drowning in and around the home is the leading cause of accidental death of children under 5 years of age. In the United States, drowning is cited as the second most common cause of death for adolescents. This project was undertaken to help establish a funding source to develop a drowning prevention program in San Bernardino County. A request for assistance was obtained from the California Center for Childhood Injury Prevention and the California Kids' Plates Program.

Development And Coordination Of A Health Care Services Program For Foster Children In A Shelter Care Population, Rebecca Lynne Allen Spradling

Theses Digitization Project

The purpose of this project is to support health promotion of children entering foster care, ensure that children receive all health care services needed, prevent the trauma of duplication of immunizations, and reduce disruption of health care as children move through the foster care system.