Public Health and Community Nursing Commons^™

Parent-Mediated Contingency Management In The Normal Child, Lena Lantry

Loma Linda University Electronic Theses, Dissertations & Projects

Today there is great need in the community for a preventive nursing intervention tool that would reach a greater number of children who have behavior problems not serious enough to require clinical help, yet disruptive enough, to impair the quality of their lives. Specifically, there is need for a tool that could incorporate in its design an economy of manpower and means and yet preserve the dignity and security of its beneficiaries.

In 1972, researchers Miller and Reiswig demonstrated the effective use of parent-mediated contingency management with four families in the community by the case study, method. To further develop …

The Applicability Of Values Clarification To Cardiac Patient Education, Bonnie Berger, Vilma Raettig

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the applicability of the value clarifying approach as an additional educational method to assist the chronic heart patient to examine his life style, establish some priorities, and implement changes in his life style in light of his disease condition and the limitations it imposes.

In an experimental study 20 male and female, medical and surgical cardiac patients participated in an educational program involving 8 value clarifying sessions. After these sessions the patients evaluated their own behavior in terms of their self-set goals, in the life style areas of smoking, diet, work, exercise …

A Community Health Nursing Care Plan, Gayle Clark

Loma Linda University Electronic Theses, Dissertations & Projects

Structured nursing care plans are recognized tools in the effective utilization of the nursing process. Community health nursing services have not commonly used structured nursing care plans. The purpose of this study was to improve the management of patient problems through the deliberate use of the nursing process by providing the public health nurse with a structured nursing care plan. A plan was developed which consisted of a nursing history outline, a plan for action tool, and an evaluation form.

The nursing problem of milk anemia was selected to be managed by public health nurses in the study. Six nurses …

Positive Relationships Between Community Health Nurses And Alienated Families Reduce Threat, Dolly L. Avant

Loma Linda University Electronic Theses, Dissertations & Projects

This study concerned the identification of threat associated with alienation in families exhibiting "uncooperative" behavior within the community health nurse's caseload, and, the testing of nursing principles to establish a working relationship with an experimental group of these families to reduce those feelings of threat and thereby change the "colored" perception of the community health nurse as is held by patients with feelings of threat associated with alienation.

Twelve community health nurses were given the following specific behavioral criteria to select a population of "uncooperative" patients from their caseloads: 1. Gives unreliable information 2. Uses the nurse as a "buffer" …

Patient Preference In Two Types Of Colostomy Irrigations, Mildred Ann Marks

Loma Linda University Electronic Theses, Dissertations & Projects

The purposes of this study were threefold: (1) to find which method of colostomy irrigation (enema bag vs. bulb syringe) was best accepted by colostomy patients; (2) to functionally evaluate the two types of colostomy irrigation methods; and (3) to report the results of this study to medical personnel interested in advancements for colostomy irrigations. The population in this study consisted of colostomy patients who had irrigated on a regular basis with the bag technique for a minimum of six months. Twelve colostomates completed this study by recording the parameter of time, amount of irrigation fluid used, quality of return, …

A Comparison Of Various Teaching Methods For Patients With Chronic Obstructive Pulmonary Diseases, B. Carol Altizer, Nancy S. Bailey

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether patients with chronic obstructive pulmonary disease (C.O.P.D.) learn more from auditory or from visual teaching. Of the 30 patients in the sample, 10 used a programmed instruction booklet, 10 used a taped recording of the same programmed material and 10 were in a control group which received no specific teaching.

A pre-test was given to each of the patients who met the criteria for the study. One researcher gave the pre-test through an oral interview with the patient. After the pre-test, the patient received the teaching device assigned to him …

Influence Of Hospital Communication On Health Supervision Of High-Risk Infants, Alda L. Forte

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted to explore the extent to which communication about high-risk infants identified prior to hospital discharge, influences the public health nursing supervision to these infants during the neonatal period. A high-risk infant was defined as one that stands a greater than average chance of developing neonatal, life threatening disease or sequellae (physical, intellectual, or social handicap) due usually to maternal health or social factors, infant factors such as length of gestation, birth trauma, or complications at birth. The hypothesis tested was that when high-risk infants are identified prior to hospital discharge and this information communicated on the …

Adherence Of Men With Myocardial Infarction To Prescribed Exercise, Marsha Schwartz

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if men with myocardial infarction followed exercise prescribed by the physician. The reasons the patients did or did not follow the exercise prescription were investigated.

An interview guide was used to gather the data for this exploratory study. The questions on the interview guide were designed to obtain information to compare the former exercise pattern of the patient to exercise after infarction. Adherence to the exercise prescription was also determined by the exercise reported in the interview. Fifteen male subjects who had myocardial infarction were interviewed in the hospital and after …

Barriers To Attainment Of Health Care In West Central Maine : A Critique By The Poor, Health Facilities Planning Council

Maine Collection

Barriers to Attainment of Health Care in West Central Maine : A Critique by the Poor

"Conducted by the Health Facilities Planning Council, 11 Parkwood Drive, Augusta, Maine under contract to Maine Department of Health and Welfare, June, 1969."

Contents: Foreword / Table of Contents / Introduction / Map / Franklin County / Housing / Dental Rot / Franklin County Memorial Hospital / Family Planning / RN's / State Public Health Nurses / Unmet Health Needs / The Last Outpost / Home Visit in Farmington Falls / Home Visit in Industry / Home Visit in Rangeley Area / Conversations on …

Nursing Needs Of Selected Patients On Home Care, Margie Sue Temples

Loma Linda University Electronic Theses, Dissertations & Projects

A study was conducted to identify selected needs of patients receiving nursing care at home through the Loma Linda University Hospital Department of Home Care. The descriptive survey was used. Fifty patient home care records were reviewed.

From the general information secured, it was found that 68 percent of the patients studied were women. One-half of all patients were under sixty years of age. Fifty-four percent lived with a spouse only, while 26 percent lived with their family. There were 20 percent who lived alone and six of these were over the age of sixty. Patients were found in nine …

Everyday Living Needs Of The Non-Acute Medical Patient That Can Be Met By Public Health Nursing, F. Yvonne Miller

Loma Linda University Electronic Theses, Dissertations & Projects

The elementary principles of home nursing care have been employed since the dawn of time. These principles have evolved into the present-day home care programs. Due to the increase of chronic disease, a longer life span, a rise in hospital costs, and the changes in medical care — new demands are being made in planning for nursing care in the home.

The problem of this study was to determine by patient evaluation which everyday living needs would be present upon discharge and if these needs could be met best by Public Health nursing. For the purpose of this study patient …

Factors Hindering Public Health Nursing Of Tuberculosis Patients, Lida Mae Yeoman

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted to identify some of the factors that interfere or hinder the public health nursing of the private physician's tuberculosis patient. Of fifty-one tuberculosis patients who received their care from private physicians, nineteen were interviewed. The sample was limited because patients had moved and because patient or physician refused to participate. Data were collected by use of an interview in the home. The overall findings indicated that the private physicians tuberculosis patient recognized the role of the public health nurse and the responsibility of the Health Department but resented its authority. It would appear that the patients …

The Image Of The Public Health Nurse As Seen By The Medically Indigent Prenatal Patient, Arlene Parrish Gray, Corlene Waddell Lambeth

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to ascertain the image of the public health nurse as seen by the medically indigent prenatal patient who has had a public health nursing visit in the home. With this knowledge, she could plan a more effective approach, provide better services, and be better prepared to meet the needs of the prenatal patient. This study was aimed to explore the patients' concepts of the public health nurse's personal characteristics, her functions, and comparison of her image with other helping professions and to identify influencing factors affecting image formation. The exploratory approach was used and …

Motivating Factors In Completing Tetanus Immunization, Eva Mae Krohn Leech

Loma Linda University Electronic Theses, Dissertations & Projects

It was the problem of this study to find out the number of people who were given tetanus antitoxin who did and did not initiate and complete tetanus immunization and to find out why they did or did not do so. The subjects were patients from two hospitals who had been given tetanus antitoxin sometime between January 1, 1963, and October 15, 1963. These subjects were contacted through the use of a questionnaire. The 75 who returned the questionnaire were considered respondents of the study.

This sample was composed primarily of men who were married and were members of the …

Factors Which Deterred Twenty-Three Selected Patients From Utilizing Public Health Nursing Services, Lora Wood Welch

Loma Linda University Electronic Theses, Dissertations & Projects

A study was conducted to identify factors which deterred twenty-three selected epileptic patients from utilizing public health nursing services. The literature was reviewed in areas relating to factors which may contribute to or deter patients use of clinic or public health services.

The descriptive survey approach employing an interview guide was used. Data on the guide were classified in two areas: (1) personal characteristics and (2) participant responses. The participant responses were further categorized according to (1) perception of the public health department and public health nursing services, (2) perception of the needs of the epileptic patient and his parents, …

The Use Of A Programmed Textbook In Diabetic Patient Education, K. Helen Emori

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done to test the effectiveness of a programmed textbook as a method of teaching diabetic patients at home. The textbook used was prepared from a programmed filmstrip provided by the United States Public Health Service. The study was conducted in connection with the Los Angeles County General Hospital Metabolic Clinic and the White Memorial Hospital Lipid Clinic. A group of 37 patients who met the criteria of an I.Q. of at least 60, a reading level of at least the second grade, and who would be returning to the clinic within four weeks were included in the …

Patients With Transistor Pacemakers : Their Problems In Adjusting To Daily Living, Miriam L. Moore

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to gain greater insights into the problems and needs of patients with artificial pacemakers. The problem was to find out in what ways the pacemaker affected the patients' manner of living and what problems they had had in adjusting to a new way of life.

The method of the study was the descriptive survey; an interview guide was the tool. Seven patients who had been electronically paced for periods of four weeks to two and one half years were interviewed in their homes. The ages of the three men and four women ranged …

A Survey Of Patient-Centered Health Teaching Programs In A Selected Group Of Medical Institutions, Marian Davenport Hamilton

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out what patient-centered health teaching programs are currently being carried on in medical institutions belong to the Association of Seventh-day Adventist Self-Supporting Institutions. This organization is composed of representatives of the General Conference of the church and representatives of various private enterprises. Objectives of medical institutions belonging to this organization include care of the sick, and the improvement of patents' health through education of the patient.

A descriptive survey included all A. S. I. medical institutions licensed for overnight care of patients. These institutions were located in 29 states. The survey was …

Identification Of Needs In High Risk Prematures Significant To Public Health Nursing Follow-Up, Vida Francis

Loma Linda University Electronic Theses, Dissertations & Projects

Experts in the field of prematurity have stressed the need for an intensive follow-up program for premature infants after discharge from the hospital and cited the important role that public nurses can play. It was hypothesized that there are needs of high risk premature infant significant to public health nursing follow-up.

The descriptive survey method and an interview schedule was the selected manner for obtaining necessary data. The sample was chosen from high risk premature infants attending the Premature Clinic at the White Memorial Hospital. The selected infants had birth wrights of 1,500 grams of less, were under one year …

Identification Of Needs In High Risk Prematures Significant To Public Health Nursing Follow-Up, Vida Francis

Loma Linda University Electronic Theses, Dissertations & Projects

Experts in the field of prematurity have stressed the needs for an intensive follow-up program for premature infants after discharge from the hospital and cited the important role that public health nurses can play. It was hypothesized that there are needs of the high risk premature infant significant to public health nursing follow-up.

The descriptive survey method and an interview schedule was the selected manner for obtaining necessary data. The sample was chosen from high risk premature infants attending the Premature Clinic at the White Memorial Hospital. The selected infants had birth weights of 1,500 grams or less, were under …

A Study Of Patients With Recently Diagnosed Diabetes To Ascertain Extent Of Utilization Of Instruction, Ruth Yvonne Stafford

Loma Linda University Electronic Theses, Dissertations & Projects

This descriptive study was conducted to discover to what extent patients with diabetes utilized instruction received. If they did not, the reason why would be searched for. It was also hoped that area of instruction could be defined which needed greater emphasis while the patient was hospitalized at the time of diagnosis.

The interview with the aid of the interview guide was chosen as a data-gathering tool. The guide was complied and approve. Patients were selected from a review of medical records in the selected hospital, and their physicians contacted for permission to include their patient(s) in the study. The …

A Study To Ascertain Why A Selected Group Of Women Do Or Do Not Have Cervical Smear Cytologic Examinations For Cancer Detection, Jeanette Rudy Earnhardt

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this survey to find out the awareness of a selected group of Seventh-day Adventist women regarding the importance of cervical smear examinations in cancer detection; and to identify the need for health teaching in the prevention and control of uterine cervical cancer among women of this group. The 1715 women attending meetings at the General Conference Session in San Francisco July of 1962, who completed questionnaires were considered to be the participants in this study.

A review of literature revealed that through the use of yearly exfoliative cytology examinations, the approximately 14,000 annual deaths from …

A Study Of The Home-Care Instruction Needs Of Colostomy Patients, Nadine C. Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to determine how well colostomy patients were prepared to undertake self-care at home. Related to this goal was the secondary purpose of preparation of a basic list of instructional needs of colostomy patients. Such a list should be useful in determination of content for colostomy self-care teaching programs in hospitals.

The interview method was used in this study in order to ensure more complete returns. Twelve colostomy patients were interviewed using an interview schedule. These patients had had colostomy surgery within the last year in one of two hospitals used in the study. …

History Of Visiting Nurse Association Of Indianapolis, 1913-1959, Charlotte Akins

Graduate Thesis Collection

The Visiting Nurse Association of Indianapolis, formerly the Public Health Nursing Association of Indianapolis, is a nonofficial community agency in Marion County. It was incorporated January 11, 1913. According to its constitution, it was organized to "provide graduate registered nurses to teach needy individuals and the general public hygiene, cleanliness, and the proper care of the sick; to prevent disease; and to render such aid as may from time to time be proper."I This organization has provided nursing care in homes, in clinics, in industries, and in other situations outside the hospitals since its beginning. Since 1921 it also has …

A Comparison Of The Members Of A Children's Health Club With Non-Members By Use Of A Standardized Health Test And Behavior Inventory, Barbara Mcdonald

Loma Linda University Electronic Theses, Dissertations & Projects

Many methods of health education are being used today to help children and young people grow into healthy useful citizens. A health club is one such method which may be used to provide activities and health knowledge which may influence attitude and behavior.

The purpose of this study was to compare children who had been members of a health club with other children who were not members to see if there was any difference between the two groups in health knowledge, attitudes, and behavior as measured by a Health Achievement Test and a Health Behavior Inventory.

Twenty-two members of the …