Social and Behavioral Sciences Commons^™

Sickle Cell Disease: Development Of An Acute Pain Management Program In A Hematology/Oncology Practice, Elizabeth Pohl

Doctoral Projects

Background: Patients with sickle cell disease experience can experience acute episodes of severe pain that require prompt pain medication. Treating uncomplicated, acute sickle cell disease pain in the emergency department setting has been shown to be costly and lead to higher rates of hospitalization than similar care in a dedicated outpatient setting.

Objectives: The aim of this article is to outline the program development efforts undertaken to apply current literature findings and evidence-based practice guidelines to create a program development toolkit and business plan for a sickle cell disease acute pain management program in an outpatient hematology practice.

Methods: A …

Insight Into Student Perceptions Of Lgbtqia+ Content Inclusion In Bsn Education, Kenny Sullivan, Jae Basiliere

Honors Projects

Previous research has indicated that LGBTQIA+ clients continue to receive discriminatory care from healthcare professionals. Undergraduate nursing students (n = 24) completed a survey inquiring about their perceptions of knowledge of this vulnerable population, their preparedness to provide care, and the education they received from their BSN program. Twenty-two students’ responses, 91.67%, indicate a need for further education on the provision of care to LGBTQIA+ patients. These students demonstrated discrepancies in their perceptions and the application of their knowledge. As such, nursing programs should begin to consider providing more thorough education on this vulnerable population to prepare student nurses with …

Exploration Of The Effectiveness Of Naprotechnology In Women’S Healthcare, Cecilia Cerven

Student Scholars Day Posters

Many women today struggle with abnormal menstrual cycles and the painful symptoms of reproductive disorders. The standard approach to treatment of irregular menses, PCOS, endometriosis, hormonal abnormalities, PMS, and other conditions is the prescription of a pill for symptom management. A relatively new and innovative method to fertility care is drawing the attention of healthcare providers and prospective clients alike, which offers an alternative approach. NaProTechnology, or Natural Procreative Technology, works with Fertility Awareness-Based Methods (FABMs) to detect and treat various reproductive disorders. This project will assist in bridging the gaps in education and overall awareness of treatment options available …

Images Of Nursing From West Michigan: A Photo Essay, Aldina Mahmutovic

Honors Projects

The image of nursing is diverse and complex, with public perceptions influenced by traditional imagery and negative stereotypes. Few recent studies consider how nurses view their professional image. My study aimed to uncover how West Michigan nurses perceive the image of nursing. Approval was given by the local Sigma chapter (Kappa Epsilon at Large), to recruit participants from members, and by Grand Valley's IRB. Via an online REDCap survey, participants submitted an original photo and written narrative. Submissions were searched for underlying patterns using thematic analysis. Themes identified were: (1) nurses establish relationships with unique and vulnerable clients, using their …

The Relationship Between Spirituality And Depression In Family Caregivers Of The Elderly, Mary Jean Chappel

Masters Theses

The purpose of this study was to examine the relationship between spirituality and depression in family caregivers of the elderly. This study sought to test the following hypothesis: The level of spirituality will be negatively correlated with the level of depression for family caregivers of the elderly. A descriptive, correlational design utilizing Neuman's wholistic system theory was used with a convenience sample of 44 family caregivers aged between 32 and 88 years. Self-reporting questionnaires were mailed to clients (identified as caregivers) of a home care agency, a caregiver respite program, and a Parkinson's support group all providing services in Northern …

Intuition And The Decision Making Process Of Expert Critical Care Nurses, Kelley A. Hempsall

Masters Theses

The purpose of this study was to examine the role of intuition and the decision making process of expert critical care nurses in providing health care for hospitalized patients. A descriptive correlational design was employed using a non-probability convenience sample of 172 registered nurses working in critical care areas. Data were obtained by a questionnaire developed by the researcher. Ninety five nurses (55.2%) responded. Data analysis included a comparison of the relationship of expert nurses' (n = 49) total scores and the total scores of the non-expert nurses (n = 46). No statistically significant difference was found in either the …

A Comparison Study Of Emergency And Medical/Surgical Registered Nurses' Understanding Of Pain And Its Management, Jo A. Oborski

Masters Theses

This replication study was designed to compare emergency and medical/surgical registered nurses' actual and perceived knowledge of the pharmacological and nonpharmacological aspects of pain and its management. A modification of the original tool that consisted of a combination of multiple choice, short answer and open-ended questions was utilized. A convenience sample representing beginner and expert medical/surgical and emergency nurses was obtained.; No difference was found between specialty or experience and current pain knowledge. All participants functioned at a similar level. Participants were unable to describe basic terms related to current pain theory and therapy. The only significant difference identified between …

The Effectiveness Of Viewing The "Life After Brain Injury" Video Tape By Family Caregivers, Nan Meyers

Masters Theses

Family caregivers readily identify the physical signs of brain injury but the cognitive dysfunction and behavioral change symptoms are less easily recognized. Families need to be knowledgeable about brain injury and how to manage its symptoms. Nurses are in the unique position to provide brain injury education for family caregivers early in the acute hospitalization. This study replicated the works of Sanguinetti and Catanzaro (1987) and Pardee (1993).; Statistical comparison of pretest and posttest knowledge and the pretest and posttest application scores were used to evaluate the effectiveness of family caregivers' ability to apply learned information about brain injury and …

Contributing Factors In Medication Nonadherence In Schizophrenic Clients: A Descriptive Study, Sharron E. Howarth

Masters Theses

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most …

Loss Associated With Chronic Illness: Application Of The Roy Adaptation Model, Linda M. Dehaan

Masters Theses

The Roy Adaptation Model guided this pretest-posttest quasi-experimental study to test an intervention addressing loss associated with chronic illness. Differences in adaptation and well-being were evaluated between control (n = 20) and experimental groups (n = 20) 30 days after intervention. Adaptation was measured by PAIS-SR scores and analyzed using ANCOVA to adjust for pretest differences. T-test and Mann-Whitney U was used to evaluate well-being as measured by the Global Well-being Scale. Changes in adaptation were not significantly different between groups, but well-being improved 12.8% in the experimental group as compared with 1.4% in the control group. Inconsistency of results …

Relationship Of Perceived Social Support To Readmission Of The Congestive Heart Failure Patient, Margaret A. Guthaus

Masters Theses

This study examined the relationship between perceived social support and the time between hospital admissions for congestive heart failure (CHF) patients based on Lazarus' Stress and Coping Theory. A descriptive correlational design was used with a convenience sample of 40 inpatients aged 33-100 at a mid-western hospital. The Personal Resource Questionnaire was used to measure social support.; Data indicated that 50% of the sample were readmitted within 90 days of discharge. However, the hypothesized positive relationship between perceived social support and the number of days between admissions was not supported. Subjects' age was related to time between admissions(r =.33, df …

What Are The Perceived Needs Of Parents Of Critically Ill Neonates?, Linda B. Corliss

Masters Theses

The purpose of this study was to identify needs of parents during the hospitalization of their critically ill neonate. Studies indicate that parents of critically ill neonates are under a certain degree of stress and that sources of stress are identifiable by parents and equated to needs and the importance of those needs.; This study used an exploratory, descriptive design to document the needs of parents while also identifying variables that influenced those needs. Parents of 29 critically ill neonates (n = 53) were interviewed using a revised version of the Critical Care Family Needs Inventory (CCFNI) designed by Molter …

A Descriptive Study Of The Needs Of Family Members Of Trauma Patients, Sally Laur Sutkowi

Masters Theses

This study examined the perceived needs of family members of trauma patients using Molter's (1979) Critical Care Family Needs Inventory. The ranking of needs of major and minor trauma patients family members were analyzed to determine differences between these two groups.; A convenience sample of 41 family members of trauma patients were surveyed. They included family members of 17 minor trauma patients and 24 major trauma patients. Minor trauma patients were those patients with Injury Severity Scores 12 or less. Major trauma patients had ISSs scores of 13 or greater. All 45 needs were considered very important by at least …

African American Nurses' Perceptions Of Social Support Available During Graduate School, Jacquelyn Denese Pettis

Masters Theses

This study examined African American nurses' perceptions of social support available during graduate school that contributed to their completion of graduate studies. A descriptive correlational research design using a mailed questionnaire was employed for the study. The sample consisted of 91 African American nurses who were women and had completed graduate studies within the United States. A modified Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1981) was used to collect the data.; Data analysis consisted of reporting means, standard deviations, and range of scores for perceived social support available. Pearson's correlations and t-test were used to examine significant differences …

Concerns/Needs Experienced By Low-Income Mothers Following A Postpartum Hospital Stay Of Less Than Forty-Eight Hours, Karen S. Kujala

Masters Theses

The purpose of this study was to describe the needs and concerns that low income women experience during the first seven days at home following discharge from a postpartum hospital stay of less than forty-eight hours. Dorothea Orem's theory of self-care was the conceptual framework.; The sample (n = 50) consisted of Medicaid eligible postpartum mothers, 18 years of age or older, who were discharged with their infants in less than 48 hours after delivery. The mothers were contacted by telephone seven days after discharge to complete an interview regarding concerns they might have experienced.; Data were analyzed descriptively. The …

Low Income Women's Perception Of Preparedness For Self Care And Infant Care Following Discharge From A Less Than Forty-Eight Hour Hospitalization For Birth, Patricia M. Ritola

Masters Theses

The purpose of this study was to describe perceptions of preparation for self care and infant care of new mothers of low income following a short hospitalization for childbirth. Orem's nursing model was used as the conceptual framework for the study. A descriptive correlational, cross sectional design was used to examine preparedness for self care and infant care. The sample (N = 50) consisted of women who were served by Michigan Medicaid, 18 years or older and were hospitalized less than 48 hours. A telephone interview was conducted seven days after discharge.; Data were analyzed using descriptive statistics. Findings identified …

Caregiver Wellness Following Interventions Based On Interdisciplinary Geriatric Assessment, Julie A. Smith

Masters Theses

The study purpose was to examine the effect on interventions based on interdisciplinary geriatric assessment on family caregiver's wellness. A pretest-posttest research design was used, including a sample of 35 family caregivers of frail older adults. Neuman's Systems Model provided the theoretical framework. Care recipients and caregivers were evaluated by an interdisciplinary geriatric team and interventions for that family were developed and implemented. Paired t-tests and Wilcoxon matched-pairs signed rank test were performed to compare scores of pretest and posttest scores on self-rated health, the Burden Interview and Life Satisfaction, before and after the intervention. Results indicated that there was …

Development And Evaluation Of The Cardiac Exercise Health Belief Scale, Virginia R. Mcginn

Masters Theses

The purpose of the study was to develop and evaluate the Cardiac Exercise Health Belief Scale (CEHBS) which is based on the Health Belief Model. The CEHBS focuses on the concepts of benefits and barriers. Ninety post cardiac event subjects, 69 males and 21 females, were recruited from two Michigan hospitals during their hospital stay. The CEHBS was mailed to subjects six to eight weeks following discharge.; Cronbach alpha for the CEHBS benefits subscale was.90 and for the barriers subscale was.84. Content validity was established by expert review. During factor analysis all items did load on factors related to the …

The Relationship Between The Level Of Codependent Behavior And The Level Of Differentiation Of Self Among Nursing Students, Vicki Lynn Brandes Hillborg

Masters Theses

The purpose of this research was to investigate the relationship between the level of codependent behavior and the level of differentiation of self among nursing students. This study employed a descriptive correlational design. The convenience sample of 241 nursing students (221 female, 20 male, ages 18-55) from associate degree, diploma, and baccalaureate degree nursing programs completed, by self-report, the Friel Adult Child/Codependent Assessment Inventory (Friel & Friel, 1988), the Haber Level of Differentiation of Self Scale (Haber, 1990), and an author created respondent characteristics questionnaire. There was a significant moderate negative correlation between the level of codependent behavior and the …

Perceived Needs Of Parents Of Critically Ill Children, Linda D. Scott

Masters Theses

The purpose of this study was to (a) identify the perceived needs of parents of critically ill hospitalized children, (b) identify parental needs as perceived by critical care nurses, and (c) identify the differences in these perceptions.; A descriptive research design with a non-probability convenience sample was used. The sample consisted of 30 parents or primary caretakers of critically ill children and the responses of 30 pediatric critical care nurses. Data were obtained by a structured interview technique. Data analysis included a comparison of the relationship of parental total scores and the nurses' total scores. No significant differences were found …

Spouse Adaptation After The Partner's Open Heart Surgery, Marietta J. Gardner

Masters Theses

The purpose of this study was to describe the adaptation of male and female spouses after their partners' open heart surgery using the theory of person as an adaptive system. A descriptive correlational design was used to examine adaptation of male and female spouses to their partners' open heart surgery (criterion variable); and partners' health prior to surgery, length of time partner diagnosed with heart disease, number of years married, and general state of marital relationship prior to surgery as perceived by the spouse were predictor variables. The sample consisted of 20 male and 25 female spouses, 31 to 88 …

Diploma Nursing Students' Attitudes Toward Poverty, Elizabeth Louise Phillips

Masters Theses

According to King, stereotyped perceptions may interfere with nurse-client transactions. Therefore, nurses' should possess attitudes which enable them to care for individuals who live in poverty. A descriptive correlational design was used to examine first year and second year diploma nursing students' attitudes toward individuals living in poverty. It was hypothesized that second year diploma nursing students would demonstrate a more positive attitude toward those living in poverty than first year diploma nursing students.; A convenience sample of diploma nursing students (N = 102) completed the "Attitudes about Poverty and Poor Peoples" scale utilized to assess students' attitudes (Atherton et …

Perceptions Of Nurse Behaviors By Persons With Copd During Acute Shortness Of Breath, Joyce A. Kowatch

Masters Theses

This study employed a qualitative approach to explore the perceptions of clients with chronic obstructive pulmonary disease recalling nursing behaviors as a part of a process of helping during dyspnea. Grounded theory was used to look at how a client's world was constructed in this particular situation. Examination of data led to the generation of a hypothesis to explain the process of helping. Subjects were asked what it was like when they were extremely short of breath and what nursing behaviors helped or didn't help them.; Identified changes were categorized as suffocation, pain, energy depletion, panic, and cognitive haze. Helpful …

Maternal Adjustment To Premature Birth: Utilizing The Roy Adaptation Model As A Theoretical Framework, Ivy Razmus

Masters Theses

The purpose of this study was to ascertain whether the adjustment for primiparous mothers of preterm infants was less positive than for primiparous mothers of term infants utilizing the Roy Adaptation Model as a conceptual framework. This secondary analysis utilized data from a larger longitudinal study. The data was collected at three months post birth in the homes of the mothers. The sample consisted of 55 preterm and 46 full term mothers. The Affects Balance Scale (Derogatis, 1983) was used to measure adjustment. A significant difference was found between preterm and full term mothers on the Positive Affects Scale and …

Coping With Multiple Roles, Deborah J. Laughlin

Masters Theses

Women in increasing numbers have been combining career and family. Balancing the multiple roles may be stressful at times. The purpose of this study was to examine how different stressors influence a woman's ability to utilize coping responses. This study examined the relationships between situational variables and a nurse's ability to cope with multiple roles. The situational variables studied were: age, educational level, number of hours worked, job type, number of children, ages of the children, view of nursing, husband's agreement with the wife on the number of hours worked, and satisfaction with child care. The survey tool, the "Coping …

Hardiness And Its Relationship To Anticipatory Nausea And Vomiting Experienced By The Patient Receiving Cisplatin Chemotherapy, Colleen K. Smith

Masters Theses

Research suggests that the hardiness characteristic acts as a buffer in the stress/illness relationship. The purpose of this study was to assess the presence of hardiness and examine its relationship to the amount of anticipatory nausea and vomiting experienced within a sample of patients receiving cisplatin chemotherapy. It was hypothesized that individuals with a high level of hardiness would experience less anticipatory nausea and vomiting than individuals with a low level of hardiness.; A prospective descriptive correlational design was utilized. A convenience sample of adults with cancer (n = 29) receiving cisplatin intravenously was studied. All patients were assessed via …

Perceived Stress Levels Of Registered Nurses Employed In Medical-Surgical And Critical Care Units, Karen Snyder Keese

Masters Theses

The purpose of this research was to compare perceived stress levels of registered nurses employed in medical-surgical units to perceived stress levels of registered nurses employed in critical care units. A descriptive, correlational study was conducted using Wolfgang's (1988) Health Professions Stress Inventory. Perceptions of stress were measured and related to specialty, years of experience, years of nursing education, hours worked per week, and shift worked. A convenience sample of 102 registered nurses from two midwestern hospitals participated by a self administered questionnaire. Study findings included: medical-surgical nurses perceived significantly higher levels of stress than critical care nurses; stressors for …

An Investigation Of Stress And Burnout In Hospital Registered Nurses, Ellen Nora Hale

Masters Theses

This study investigated job stressors and burnout among hospital registered nurses and was based on a systems theory model in which inputs and throughputs interact to effect outputs. Job stressors were measured using the Job Stress Questionnaire (JSQ). Top-ranked stressors included heavy work load, insufficient resources, and inability to satisfy conflicting demands. Burnout was measured using the three subscales (emotional exhaustion, depersonalization, and personal accomplishment) of the Maslach Burnout Inventory. Based on multiple regression analyses, total JSQ scores accounted for 21% of the variance in emotional exhaustion scores. Together, years of experience and an education level of BSN or BA …

The Relationship Between Acculturation Level Of Mexican-American Parents And Coping With Their Chronically Ill Children, Nancy Ellen Tena

Masters Theses

This investigation focused on 19 Mexican-American families with neurologically impaired children to determine to what extent they selected particular coping patterns in relationship to their level of acculturation to the Anglo-American culture. Using the Acculturation Rating Scale for Mexican-Americans (ARSMA), the families were categorized according to acculturation level (low, bicultural, and high). The families identified coping patterns (Family Support, Social Support, and Medical Support) which were helpful to them by completing the Coping Health Inventory for Parents (CHIP). Only one statistically significant relationship between acculturation level of these families and extent of their use of coping patterns was found: high …