Nursing Commons^™

Triglyceride/High Density Lipoprotein Cholesterol Ratio As A Screening Tool For Insulin Resistance In U.S. Adolescents, 12-19 Years Of Age, Constance Elaine Cephus

Nursing Dissertations - Archive

Background: Insulin resistance appears to be a metabolic process that occurs prior to the onset of cardiovascular disease and type 2 diabetes. A screening tool for insulin resistance may help clinicians determine which adolescents need intensive lifestyle modification to decrease risk of cardiovascular disease and diabetes.Purpose: The purpose of this study is to evaluate the performance characteristics of the TG/HDL ratio when used to assess risk of insulin resistance in U.S. adolescents.Methods: A secondary analysis of 2011-2012 data for adolescents (12-19 years of age) from the National Health and Nutrition Examination Survey (NHANES) was conducted to evaluate the performance characteristics …

Interaction Coaching And Holistic Obstetric Nursing Care, Megan Ellis-Gardner

A with Honors Projects

The quality of the bond between mother and child has ongoing consequences, setting the infant's psychosocial and cognitive development. This paper suggest Increases in training and additional staff to promote early interventions to support a woman's transition into motherhood and facilitate a strong maternal-child bond.

Women’S Perception And Attitude Towards Male Dominancy And Controlling Behaviors, Tazeen S. Ali, Noureen Karamali, Omer Malik

School of Nursing & Midwifery

Introduction/Background: The study was conducted in urban Karachi, Pakistan to investigate women’s perceptions and attitudes towards male dominancy, female autonomy, and controlling behavior of husbands.
Method: This was investigated in a population based study with a cross-sectional design, involving married women aged 25 to 60 years. A Structured questionnaire developed by World Health Organisation (WHO) on violence was used. Community midwives interviewed these married women living in pre-selected low, middle and upper socio-economic areas of urban Karachi, Pakistan.
Findings: This study revealed women’s overall perception regarding male dominancy and controlling behavior and highlighted this attitude, as being …

Complementary And Alternative Medicine In Oncology Nursing, Salima Somani, Fauziya Ali, Tazeen S. Ali, Nasreen Sulaiman Lalani

School of Nursing & Midwifery

Use of complementary and alternative medicine (CAM) has increased globally, particularly among oncology patients. This study investigated the knowledge, experience and attitudes of oncology nurses towards CAM. A quantitative study was conducted in tertiary care hospitals in Karachi, Pakistan, where 132 oncology nurses were surveyed. The survey revealed that more than 50% of nurses had never heard about many of the CAM therapies used in Pakistan. Approximately 65% of the nurses had knowledge about prayer and less than 30% had experience of CAM education or training. In addition, the majority of nurses had seen patients using CAM and felt that …

Associations Of Controlling Behavior, Physical And Sexual Violence With Health Symptoms, Tazeen S. Ali, Aamir Abbas, Fazal Ather

School of Nursing & Midwifery

Controlling behavior is often manifested as monitoring, coercing or threatening the partner. Globally, it has been experienced by the women (in range of 5.2% to 56.6%) and often results in their physical and mental ill health. To the best of our knowledge there is no published research on controlling behaviors. Therefore, a cross sectional study was conducted to measure the magnitude of the controlling behaviors and its association to some physical stress symptoms of women. The study was conducted in urban settings of Karachi, Pakistan, using simple random sampling technique. The data was collected by trained midwifes from the 759 …

Verbal Violence At Workplace: A Reality From Pakistani Context., Laila Akber Cassum

School of Nursing & Midwifery

Work place violence is the most distressing subject globally, and has been a concern for many decades affecting home and work environment.This cancer has even invaded health care sector worldwide. Nursing professionals whether they are at hospital or at academics institutions are subjected to violence. Although, it has been a burning issue, among nursing health care workers it has often gone unchecked, and people tend to accept it as the part of the system.

In this paper I would be discussing and deliberating that work place violence particularly verbal abuse is a serious matter and it can have negative consequences …

The Feasibility Of An Internet-Based Intervention For Chinese People With Mental Illness: A Survey Of Willingness And Attitude, Xiu-Y Yao, Zheng Li, David Arthur, Lili Hu, Gen Cheng

School of Nursing & Midwifery

Background: The easy accessibility, increasing usage, and low cost of internet make it a desirable way of providing health information and delivering interventions for health consumers. Studies in other countries have verified and confirmed the effectiveness of internet-based interventions among people with mental health problems. Similar programs have yet to commence in China. Purpose: This study investigated the willingness for, and attitude toward internet-based intervention in Chinese mental health service users and explored the feasibility of such an intervention.
Methods: A cross-sectional survey utilizing a self-developed questionnaire was administered to 186 mental health service users in Beijing, …

Psoriasis In Chronic And Acute Patients: A Comprehensive Care Guide For Practicing Nurses, Elena Segev

Senior Honors Theses and Projects

A guide for practicing nurses for psoriasis patient care. Includes pathophysiology, treatments, different demographics, psychological aspects and resources.

Pediatric Obesity: Taking Advantage Of Well-Child Visits For Early Identification, James E. Gelement

DNP Projects

Background: Pediatric obesity has reached epidemic levels in the United States and the burden of early identification and prevention lies with Primary Care Providers. With this burden comes the responsibility of increased documentation in order for patients to obtain the appropriate counseling, treatment, and referrals.

Objective: The objective of this study is to identify missed opportunities to identify pediatric patients that meet the criteria for overweight or obesity during well-child visits within a primary care practice.

Method: A retrospective chart review of 100 randomly selected patients born between 9/1/2001 and 9/1/2010 that have received a well-child visit between 1/1/2010 and …

Assessment Of The Accuracy Of The Diagnosis For Heart Failure In A Large Metropolitan Health Care System, Sandra Anne Carey

Nursing Dissertations - Archive

Purpose: There has been no significant improvement in heart failure (HF) readmissions regionally or nationally in the United States over the past decade. Additionally, there is no consensus nationally on defining the complex disease state of HF. This study retrospectively describes the accuracy of HF diagnoses in an adult HF patient population in a large metropolitan hospital setting. It also compares readmission rates between patients who were accurately diagnosed for HF versus those who were inaccurately diagnosed.Methods: A retrospective record review (N = 712) was performed at a large metropolitan health care center in North Texas from January 2012 to …

Fathers' Experience With Autism Spectrum Disorder, Linda Sue Frye

Nursing Dissertations - Archive

Autism spectrum disorder (ASD) is a lifelong neurodevelopmental disorder that causes very mild to severe impairments in communication skills, social interactions, and unusual behaviors that interfere with the children's ability to function independently and interact appropriately with other people (American Psychiatric Association [APA], 2013). Children with ASD often appear normal (without physical deformities). The impairments are sources of economic burden, decreased emotional well-being, and decreased family cohesion. Some parents of children with ASD adjust, adapt, and become resilient when facing the multiple challenges of ASD, but others experience anxiety, depression, and poor mental health that can lead to decreased family …

An Exploratory Descriptive Study On Task Shifting, Lori A. Spies

Nursing Dissertations - Archive

Task shifting is an approach to meeting population health needs in developing countries that is encouraged by the WHO and increasingly embraced by Ministries of Health. Task shifting has been implemented formally and informally for years in areas of human resource shortages. While often used, there is a lack of published information available about how best to prepare nurses to take on the expanded role. The nursing intellectual capital (NIC) theory was the theoretical framework for this study. NIC is derived from a business model and is used to represent the manner in which investments in the nurse and healthcare …

Adults With Congenital Heart Disease And Family Planning Decisions, Kathryn A. Osteen

Nursing Dissertations - Archive

Adults with CHD are living longer into adulthood than ever before, which increases the possibility of childbearing. Researchers have focused on the physiology and risks associated with contraception and pregnancy, but miss the personal stories surrounding these decisions. The adult with CHD has concerns about contraception, pregnancy, childbirth, and passing CHD on to offspring. The purpose of this qualitative narrative study is to describe the personal stories of adults with CHD and their family planning decisions.Narrative inquiry, guided by the Roy adaptation model, was chosen for this study because it is appropriate to describe the reproductive decisions of adults with …

Identifying The Characterestics Of Patients With Community Versus Hospital Acquired Pressure Ulcers, Ahmad A. Hamdan

Nursing Dissertations - Archive

Pressure ulcers (PU) are a common problem with important implications for the nursing community and for patients, including pain and suffering, delayed recovery, morbidity, mortality, and healthcare costs, but little is known regarding what characterizes the difference between community acquired pressure ulcers (CAPU) and hospital acquired pressure ulcers (HAPU). Therefore, the purpose of this descriptive correlational retrospective study was to describe patient characteristics associated with CAPU and HAPU. Measured variables included gender, age, ethnicity, PU site, albumin, weight, BMI insurance, length of stay, type of bed, type of admission, and weekend admission, as well as Braden Scale measures of moisture, …

A Comparison Of Instructor Audio-Video With Text-Based Feedback Versus Text-Based Feedback Alone On Students' Perceptions Of Community Of Inquiry Among Rn-To-Bsn Online Students, Marie Kelly Lindley

Nursing Dissertations - Archive

In order to meet the healthcare needs of the US population, Registered Nurses (RNs), with Bachelor of Science in Nursing degrees, are needed. This descriptive posttest study, with independent samples, examined the use of audio-video with text-based feedback versus text-based only feedback on student's perceptions of the community of inquiry RN to BSN online students (n=125), enrolled in one course at one university. The COI survey performed reliably with Cronbach's alpha .94 on the pretest and .98 on the posttest. No statistically significant difference was found between the groups on the pretest for teaching presence (p=.31), social presence (p=.40) or …

Self-Efficacy Of Caregiving And Caregiver Stress In Adult Informal Caregivers Of Individuals At The End-Of-Life, Michelle Mary Hampton

Nursing Dissertations - Archive

Researchers have established an association between the stressors of providing informal care and physiological and psychological health risks (Applebaum & Breitbart, 2013; Au et al., 2010; Bainbridge, Krueger, Lohfeld, & Brazil, 2009; Gilliam & Steffen, 2006; Mausbach et al., 2012; Merluzzi, Philip, Vachon, & Heitzmann, 2011; Perez, Ussher, Butow, & Wain, 2011). Despite the recognized negative consequences of informal care, researchers have identified the existence of mediators which have the potential to buffer, manage, transform, or prevent the negative influence of stress (Bolden & Newsome-Wicks, 2008; Kreitler, Peleg, & Ehrenfeld, 2007; Merluzzi et al., 2011; Roscoe, Corsentino, Watkins, McCall, & …

Factors Affecting Quality Of Life In Persons With Multiple Sclerosis, Brian E. Holland

Nursing Dissertations - Archive

Multiple sclerosis is an autoimmune disease that can negatively affect the physical, emotional, and social aspects of one's life. This purpose of this descriptive-correlational study was to explore the relationships among individual characteristics, perceived healthcare provider engagement, treatment adherence, functional ability, and quality of life in persons with multiple sclerosis (MS). Additionally, differences in perceived healthcare provider engagement, treatment adherence, functional ability, and quality of life were examined across the four MS disease stages of relapsing-remitting, secondary-progressive, primary-progressive, and progressive-relapsing. A convenience sample of individuals (N = 158) with MS completed an online survey related to perceived healthcare provider engagement, …

Improving Provider Adherence With Completion Of A Written Asthma Action Plan According To Evidence-Based Practice Guidelines, Stephanie L. Collins

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Asthma is a serious chronic inflammatory health condition of the airways that causes many Americans to experience distress {Agency for Health Care Research and Quality [AHRQ], 2009). Asthma prevalence over the age of 16 has become particularly concerning. It is a costly disease that has increased drastically in recent decades (AHRQ, 2009). Many factors cause our nation to collectively attempt to improve the quality of care for these individuals. The primary goal is to treat the underlying inflammation and manage daily symptoms. Regardless of national recommendations, health care providers experience challenges with compliance. In one study, all primary care providers …

Parent Health Literacy And Communication With Diabetes Educators In A Pediatric Diabetes Clinic: A Mixed Methods Approach, Carol J. Howe

Nursing Dissertations - Archive

The association between low health literacy and poor patient-provider communication has been well established in adult patients. Little pediatric research has been reported on the relationship between parent health literacy and parent-provider communication. This mixed methods study examined and explored how parent health literacy affected the communication process with diabetes educators in a pediatric diabetes clinic. This study used the Conceptual Framework of Provider Patient Communication as a theoretical framework. Health literacy was measured with the Rapid Estimate of Adult Health Literacy in Medicine. Quality of communication was assessed with quantitative and qualitative methods using 5 subscales of the Interpersonal …

Effects Of Practice On Competency In Single-Rescuer Cardiopulmonary Resuscitation, Marilyn H. Oermann, Suzan E. Kardong-Edgren, Tamara Odom-Maryon, Caleb J. Roberts

Nursing Faculty Publications and Presentations

This study demonstrated the effectiveness of brief practice on voice advisory manikins in improving skill retention by nursing students in single-rescuer cardiopulmonary resuscitation (CPR). Brief practice can assist nurses and other providers in maintaining their CPR skills and may lead to improved performance competency.