College of Nursing

Permanent URI for this communityhttps://hdl.handle.net/11274/8827

Browse

Now showing 1 - 20 of 1454

A comparison of family interaction on a health to pathology continuum
(1975-05) Neill, Barbara
No abstract available
A comparison of nursing and non-nursing salaries among inactive nurses
(1986-05) King, Yvonne; Huges, Oneida; Sandra, Strickland; Goad, Susan
This descriptive correlational study was undertaken to determine if nursing salaries influenced nurses' decisions to leave nursing. The difference between the last nursing salary and the salary of the current non-nursing employment was determined with years of non-nursing employment controlled. Data collection was done by mailed questionnaire to randomly selected inactive nurses in Texas. Analysis utilizing the Wilcoxon Signed-Rank test revealed that non-nursing salaries were significantly higher than nursing salaries at the 95% confidence level. A significant association was found between the importance of salary as a reason to leave nursing and the importance of salary in the choice of non-nursing employment.
A convergent parallel mixed method study on the experience of coping during high-risk pregnancy and prescribed bed rest
(5/14/2019) Boyd, Ellen; Freysteinson, Wyona M.
Antepartum bed rest and hospitalization are frequently prescribed for high-risk women experiencing pregnancy complications. Bed rest may result in problems for the high-risk mother including isolation, boredom, anxiety, depression and separation from their families. The aim of this study is to analyze the coping behaviors of high-risk pregnant women hospitalized and prescribed bed rest. Also, to describe the lived experience of high-risk pregnant women hospitalized and prescribed bed rest. A convergent parallel mixed method design was used to analyze the coping behaviors of 40 high-risk pregnant women. A secondary analysis of data from the Brief Cope Scale (Carver, 1997) was used for the quantitative portion. Transcripts from the same 40 high-risk mothers were reviewed as a secondary analysis using a Step-by-Step Simple Thematic Analysis (Nowell Norris, White & Moules, 2017). The most frequently identified maternal coping behaviors were emotional support, positive reframing, religion, acceptance, instrumental support and planning. The less frequently used coping behaviors were self-distraction, humor, substance use, self-blame, denial and behavioral disengagement. The overreaching theme from the qualitative analysis was Coping in High-Risk Pregnancy. Seven themes were identified from the transcripts: Family Burdens, Fearfully Waiting, Leaning on Faith, Hope, Acceptance, Knowledge Seeking and Support Enhances Maternal Coping. Quantitative and qualitative data were triangulated to identify those behaviors that were convergent or divergent in this mixed method design. By identifying adaptive coping behaviors of high-risk hospitalized mothers antepartum care may be improved.
A descriptive phenomenological study of nursing student experiences of clinical data use in clinical rotations
(11/9/2017) Straughn, Marcia; Liu, Fuqin, 1977-; Lee, Mikyoung; Zeigler, Vicki
Clinical learning experiences are important opportunities for nursing students in that they gather and synthesize data of patients’ conditions, provide appropriate nursing interventions, and evaluate patient outcomes, applying their knowledge and skills learned from the classroom in real practice. In order to ensure quality clinical learning for nursing students, it is vital to hear the voices of nursing students on how they experience clinical learning, particularly with regards to clinical data use. This qualitative, exploratory approach was conducted, using descriptive phenomenology as the philosophical framework, through in-depth interviews with eighteen junior and senior baccalaureate nursing students at a large, public university in Texas. The interview data were analyzed according to Colaizzi’s method of descriptive phenomenological data analysis. Theme 1: Help Wanted was revealed in descriptions of needing or wanting help with using clinical data. Theme 2: Making Sense, included descriptions about ways that clinical data make sense and ways that clinical data assisted students in making sense in both clinical and classroom. Theme 3: Recognizing Usefulness emerged from descriptions of how clinical data was used or could be used. Participant descriptions of how clinical data in clinical rotations was related to communication illuminated Theme 4: Engaging in Communication. Descriptions of the impact of the assigned nurse on student experiences with using clinical data in clinical rotations resulted in the emergence of Theme 5: Nurse as Key Player. Lastly, Theme 6: Emotionally Charged, emerged from descriptions about emotional experiences related to experiences of clinical data use in clinical rotations. The thematic findings were reduced according to Colaizzi’s method, resulting in an exhaustive statement of description, and a descriptive statement of identification of the phenomenon of interest. The findings may be used to assist nurse educators in developing effective ways to help students use clinical data for effective clinical learning. Suggestions to achieve this aim include improved orientation for educators and nursing staff and emotional support for students. Policy development to address barriers to effective clinical learning and the development of the future nursing workforce remains an important strategy for supporting nursing students and their preparation for entry into professional nursing practice.
A phenomenological exploration of the lived experience of concurrent AND-BSN program graduates in the Southwestern U.S.
(December 2023) Nelson, J. Michelle 1973-; Moore, Brenda; Kubin, Laura; Merritt, Linda
In 2010, the Institute of Medicine released a policy brief advocating for increased opportunities for nurses to obtain higher levels of education for increasingly complex patient care demands. Nursing programs in the United States responded by adding options for associate degree graduates to obtain baccalaureate degrees, including the innovative partnership pathway, which allows students to complete the associate degree and baccalaureate degree requirements concurrently. This pathway continues to expand in popularity and has proven to be a valuable option that allows students to take advantage of cost-effective and time-efficient associate degree programs while also gaining the additional knowledge offered by the baccalaureate degree. A review of the nursing literature revealed information regarding implementation strategies for concurrent enrollment programs and general descriptions of the challenges and strengths of these programs. However, a gap was identified in the existing literature describing the student perspective. This study aimed to address this gap and explore the lived experience of concurrent enrollment ADN-BSN graduates for the purpose of identifying the rewards, complexities, barriers, and challenges of the pathway for students. A descriptive phenomenological approach was used to gather data from graduates of a large concurrent enrollment ADN-BSN program in the Southwestern United States. Colaizzi’s seven-step data analysis method was used to analyze data. Six themes were identified, including “Choosing the concurrent enrollment program option,” “Managing time,” “Financial considerations,” “BSN curricular attributes,” “Belonging and engagement,” and “Feelings about the program.” Information obtained from the study validated findings in the current literature and added to the overall understanding of the student experience. Analysis of the findings suggests that the concurrent enrollment pathway is a valuable option for students seeking the BSN degree and that there are important implications from the data for nursing educators and the nursing profession in general.
A phenomenological study of parents of autistic children’s experiences with safety
(4/26/2019) Celia, Tania; Freysteinson, Wyona M.
Autism is a complex problem with a significant global burden with increasing prevalence. Autism is a complex disorder with varying presentations. Autistic children are most often cared for by parents who, at the time their child is diagnosed, are overwhelmed and have limited knowledge of autism and the potential safety issues that exist. Safety may not be an immediate consideration while they learn to cope with the diagnosis and what it means for them and their family. It is unknown if healthcare providers are communicating enough about safety issues specific to autism to give these parents appropriate anticipatory guidance during check-ups. A review of the literature reveals limited recommendations for the education of parents of autistic children about how to manage safety concerns specific to autism or what safety issues to anticipate once their child has been diagnosed with autism. During this phenomenological study, parents of autistic children were interviewed. The study explored the safety issues they have experienced with their child and where they obtained information about safety specific to autism. Ricoeur's hermeneutic phenomenology method was used to interpret the data. Two underlying structures which demonstrated the trajectory of the experience were: lost/ finding our way and battle-ready/battle weary. The phenomenological themes within battle weary included: living with fear, living with uncertainty, and living with disappointment. The participants provided recommendations for other parents and healthcare providers to help keep autistic children safe. This study illustrates the unique perspective of parents of autistic children concerning safety.
A phenomenological study on nurses' perceptions of participating in a root cause analysis process
(May 2023) Abreu, Tamu M 06/27/1979-; Freysteinson, PhD, Wyona; Paula Clutter; Rebecca Aulbach
The purpose of this study was to explore registered nurses' experiences of participating in a Root Cause Analysis (RCA) meeting because of their involvement in an adverse event. An RCA is the most common strategy used by organizations for adverse event investigations and nursing healthcare professionals directly involved in an adverse event may be asked to participate in the RCA. Semi-structured audio-taped interviews were held with 13 registered nurses who participated in an RCA. Ricoeur's hermeneutic phenomenology guided data analysis. Two structural elements represented the world of the nurses: 1) Learning about an RCA, and 2) Being on the other side of the RCA table. Three phenomenological themes emerged: 1) anticipatory and embodied fear, 2) To speak or not to speak, and 3) the aftermath. Nurses want to participate in RCA meetings, but desire education, and preparation on what to expect before, during, and after the RCA. Healthcare organizations must create safe and collaborative environments to empower nurses to speak up and have their voices heard during the RCA process. However, leaders must provide support for them throughout the process.
A randomized controlled trial evaluating the effectiveness of an online educational intervention on interprofessional team collaboration
(10/28/2021) Garey, Amanda Kay; Landrum, Peggy
The purpose of this study was to examine the effectiveness of an online interprofessional education competency (IPEC) online educational module intervention on the level of interprofessional team collaboration (ITC) on three subscales, as measured with the Assessment of Interprofessional Team Collaboration Scale (AITCS-II) in interprofessional healthcare providers. A two-group randomized controlled trial, with repeated measures design was used for this study. This study was conducted from October 2020 to June 2021. A computer-based randomized generator assigned 161 subjects to the intervention (n = 75) or control group (n = 86). The intervention group participated in an IPEC focused module and the control group participated in a routine family-centered care module. Data collection for both the intervention group and control group occurred at three time points: at baseline, immediately after completion, and at 1 month after completion of the module. The intervention group had statistically significant differences in all three subscales of the validated AITCS-II tool immediate post-intervention in partnership (p < .001), coordination (p < .001), and cooperation (p < .001) in comparison to the control group. The control group was not statistically significant at any time period. The intervention module was effective in increasing the level of collaboration within healthcare teams. This study supports assessing teams for their level v of interprofessional collaboration, providing insight into strengths and weaknesses of interprofessional teams, and integrating Interprofessional Education Collaborative (IPEC) related education is impactful. Study outcomes can assist organizations in building strategic plans to meet professional development goals and quality outcomes. The study findings have the potential to motivate healthcare leaders and researchers to replicate similar studies and seek further evidence to translate research into practice.
A retrospective study to identify unique contributors to falls in hospitalized adult hematology patients
(1/10/2020) Mbango, Catherine; Toms, Robin
A fall may be defined as an event that results in a person coming to rest inadvertently on a lower level surface or an unplanned descent to the floor with or without injury. Fall prevention is a concept associated with hindering a fall from happening through advance care planning or action. The body of knowledge on falls, risk factors, consequences, and prevention originates from studies of older persons who have experienced a fall. The medical community has made several efforts toward fall risk assessment with an emphasis on prevention of the reoccurrence of falls, but this approach could potentially skew attention away from initial fall prevention efforts. The purpose of this retrospective case-control study was to identify unique contributors to falls in hospitalized adult cancer patients with a hematologic diagnosis. Falls in this population are a great safety concern for nurses and other healthcare providers. Patients with hematologic disorders are at an increased risk of sustaining an injury due to their low platelet counts resulting from chemotherapy and radiation treatments. Patient falls, and patient falls with injury are healthcare outcome measures that are currently being used to evaluate the quality of hospital nursing care, and are an integral part of the National Database of Nursing Quality Indicators (NDNQI). The Centers for Medicare and Medicaid Services no longer reimburses hospitals for in-hospital falls with injury, therefore, placing a greater burden on nursing staff to ensure patient safety through the development of nurse-driven fall prevention strategies, and the implementation of risk reduction plans of care. A total of 94 electronic medical records, which served as the primary sources of data were reviewed in this study and data on ten independent variables and one dependent variable were analyzed. Simple logistic regression between continuous variables and one dependent variable, and cross-tabulation between categorical variables and the dependent variable was used to analyze study results. Stepwise logistic regression was utilized for the final analysis of data. The relationship between fall incident and fall risk assessment score on admission was significant, X2 (1) = 6.153, p<.013, Cramer’s V = .256. Additional research is planned for generalizability.
Abortion counseling: Role conflict for nurses?
(1975-08) Schilp, Jill Lenk; White, Opal; Kurtz, Pat
Abused women's perceptions of health before and after seeking help at a Police Department
(1999-08) Malecha, Ann; McFarlane, Judith; Young, Anne; Watson, Mary
This study describes how intimate partner violence (IPV) affects abused women's health and their perceptions of health before and after seeking help at a police department regarding the IPV in their lives. A descriptive, longitudinal, repeated-measures design was employed to examine the hypothesis that there would be a change over time in the health perceptions of abused women who go to a police department with the intent to file assault charges (helpseeking) against an intimate partner. A consecutive sample of 90 abused women attempting to file charges and meeting study criteria was obtained during a 35-day period. The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was used to assess the women's health perceptions for the 3-months prior to seeking help and was readministered at three and six months following helpseeking. Mean scores were calculated for each of the eight SF-36 scales at the three separate time intervals and a multivariate approach one-way repeated-measures analysis of variance (ANOVA) tested the hypothesis. Internal consistency reliability of the SF-36 was estimated by calculation of Cronbach's alpha for the eight scales of the instrument. Of the 90 abused women who were interviewed at time of helpseeking, 87 were available at three months (97%) and 83 were available at six months for a 92% final retention rate. The data analysis revealed this sample of abused women reported poor physical and mental scores on the SF-36 at time of helpseeking. Over time, perceptions of health did significantly improve for the scales of Bodily Pain (F2,81 = 27.58, p < .0005), Vitality (F2,81 = 13.21, p < .0005), Social Functioning (F2,81 = 8.17, p = .001), Emotional Role Performance (F 2,81 = 16.85, p < .0005), and Mental Health (F2,81 = 25.33, p < .0005). For these five scales, perceptions of health improved significantly both at three and six months after helpseeking. Adequate reliability of the SF-36 with the abused women was demonstrated.
Acceptance of a humanistic education approach to a drug abuse program
(1978-12) DeFord, Jackie Joyce; Stair, Jean; Bush, Helen; Kurtz, Estelle
Access to a home monitor and hypertension among Mexican American women: A randomized controlled trial
(2009-12) DeLeon, Evangeline; McFarlane, Judith M.; Malecha, Ann; Cesario, Sandra
Hypertension is widespread and often uncontrolled and untreated among Mexican-American women leading to possible morbidity and mortality associated with cardiovascular disease. Recent studies indicate that home blood pressure measurements improve blood pressure control rates. However, few studies have evaluated self blood pressure management in racial and ethnic minorities with hypertension. No studies were identified that examined access to a home monitor and subsequent blood pressure measurements among Mexican-American women diagnosed and treated for hypertension. This research evaluated the effects of access to a home blood pressure monitor and subsequent blood pressure measurements among Mexican-American women diagnosed and treated for hypertension. toward lowering blood pressure among Mexican-American women diagnosed with hypertension and prescribed at least one antihypertensive medication. This 2-group randomly assigned study recruited 63 women attending a primary health center. Participants were randomized to four 1-hour weekly education sessions and a wrist blood pressure monitor (n=32) or four 1-hour education session only (n=31). Additionally, all women were offered four weeks of education on the combination of diet, exercise and medications to control hypertension. The two-way mixed ANOVA with repeated measures was used to test the hypotheses that there would be a lower systolic and diastolic blood pressure over time in Mexican-American women who had access to a home monitor and education than those who had education only. The statistical analysis indicated no significant differences in the diastolic or systolic blood pressures between Mexican-American women who were given a wrist home blood pressure monitor and instructions on use and who attend weekly 1-hour education sessions for 4 weeks compared to Mexican-American women who attend the education sessions only. A significant difference was evident among the diastolic and systolic blood pressure through all 5 sessions in the intervention (monitor/education) and control (education only) group.
Accidental injuries of children and the behavioral effects on siblings
(1990-05) Tittle, Katharine O.; Vokaty, Donna; Young, Anne, RN; Robertson, James
This nonexperimental, descriptive study was done to gather data on the effect that a child who has sustained an accidental injury and is hospitalized has on siblings. The sample of 20 siblings was selected from families of 10 children who sustained an accidental injury and were hospitalized at a selected teaching hospital. The Revised Behavior Problem Checklist (RBPC) (Quay & Peterson, 1987) and a Demographic Data Record were used to collect data while the injured child was hospitalized and 4 weeks after discharge. The RBPC consists of 89 items scored on a scale of 0 to 2. Scores were analyzed using the Wilcoxin matched-pairs test; change in scores was not significant. The Wilcoxin matched-pairs test was also calculated for school grades, number of complaints of illness, and number of physician visits; results were not significant. However, Pearson product-moment correlation coefficients were significant at the .05 level for RBPC scores and age, number of siblings, and number of complaints of illness.
Acquired color vision deficiency in people taking digoxin
(1979-05) LeSage, Joan Marie; Gudmundsen, Anne; Mahon, Patricia; Stair, Jean; Rubal, B.J.; Hines, John
Acupressure and its use for dysmenorrhea
(1993-12) Mahoney, Debbie; Drapo, Peggy; Hamilton, Patti; Kashka, Maisie
The purpose of this study was to determine the effect of acupressure applied to the Ho-ku acupuncture point (on the hand between the index finger and thumb) on dysmenorrhea and attitudes towards menstruation. Sixty menstruating women were randomly assigned to a control group and an experimental group. The 33 item Menstrual Attitude Questionnaire (MAQ) was administered to all subjects upon admission to the study and at the completion of the study. Twelve women in the experimental group and twenty women in the control group completed the study. Subjects in both groups were given diaries to record data related to their next three menstrual cycles. All subjects recorded analgesic use and pre-analgesic and post-analgesic pain ratings using the 0 to 5 Present Pain Intensity (PPI) Scale from the McGill Pain Questionnaire (MPQ). Subjects in the experimental group used the acupressure technique initially. Analgesics were taken only if a satisfactory level of comfort was not achieved. Repeated measures analysis of variance was used to analyze the monthly averages of pre-treatment and post-treatment pain scores of the subjects in both groups. Treatment consisted of analgesics in the control group and acupressure in the experimental group. A significant group difference (F=.039) and test difference (F=.001) were demonstrated. Repeated measures analysis of variance of the pre-analgesic and post-analgesic pain scores of both groups demonstrated only a significant test difference (F=.000). Analysis of covariance of the post-test MAQ scores of both groups was performed using the pre-test MAQ scores as a covariate. No significance was demonstrated when pre-test differences were controlled. The conclusion of this study were: 1) there were significant differences in the two groups on both the pre-treatment and post-treatment pain ratings regardless of the month, 2) subjects in both groups experienced significant pain reduction whether they used analgesics or acupressure, 3) subjects in both groups experienced significant pain reduction after analgesic use, and 4) no change in menstrual attitudes was demonstrated as a result of participation in the study.
Acupressure for reduction of anticipatory anxiety among nursing students
(1982-05) Garcia, Mary K. Pruett; Hough, Lois
The acute myocardial infarction patient's perception of information needs
(1978-08) Hutcheson, Donna; Helen, Bush
No abstract available
Adaptation experiences of internationally educated Filipino nurses employed in the United States
(2014-01-01) Beriones, Gloria Lamela; Young, Anne; Cesario, Sandra; Symes, Lene
The nursing shortage is a global issue and countries throughout world, the United States (U.S.) more than others, are consistently challenged to meet their nursing needs. Recruitment of internationally educated (IE) Filipino nurses is one strategy used to fill gaps in the U.S. nursing workforce. Filipino nurses constitute over half of IE nurses in the U.S. This study described the adaptation process of IE Filipino nurses employed in the U.S. Hermeneutic phenomenology as espoused by Heidegger provided the philosophical underpinnings. Using the Philippine Nurses Association of Metropolitan Houston, 17 IE registered nurses were recruited through purposeful and snowball sampling methods. A demographic form and a semi-structured interview guide were used for data collection. Demographic data were analyzed using descriptive statistics. Interview transcripts were analyzed using a hermeneutic phenomenological approach incorporating the concept of hermeneutic circle. The three phases of adaptation were identified (a) Pre-arrival Dreams and Motivations, Followed by Reality; (b) the Transitional Phase, and (c) Adaptation. Pre-arrival Dreams and Motivations, Followed by Reality reflected aspirations prior to leaving the Philippines and the actualities of initiating U.S. practice. During the Transitional Phase nurses faced intrinsic and extrinsic barriers to adaptation as well as intrinsic and extrinsic factors facilitating adaptation. Intrinsic barriers consisted of being shy and timid, sensitive, and lonely. Extrinsic barriers included language and communication, variations in nursing practice and technology, cultural differences, fear of healthcare lawsuits, and facing discrimination. Intrinsic adaptation facilitators included quest for life-long learning, determination to succeed, strong faith in God, and love of family. Extrinsic adaptation factors related to support of management, preceptor, educator, co-workers, family, and friends; a thorough orientation and value of preceptor; interdisciplinary teamwork and partnership; utilization of evidence-based practice; and the impact of NCLEX-RN on practice. Adaptation strategies involved observing and listening to preceptors, educators, and co-workers; asking questions and hands-on practice; being a team player, and having a positive attitude, embracing the value of lifelong learning; building relationships and finding meaning in nursing practice; capitalizing on personality traits; and self-reflection. During the Adaptation phase nurses found a balance between overcoming barriers and positively contributing to U.S. nursing practice.
Adaptation to self management by the patient with a temporary colostomy
(1976-05) Kirn, Janet
No abstract available

Browse

Browsing College of Nursing by Title