Department: School of Nursing ![[clear]](close-x.png "Remove this limiter")
10 matches in the database.
These are records: 1 - 10.
1.
Brinkley, Renee Lynn.
The Correlation Between Perceived Stress and Health Promoting Self-care Behaviors in High-risk Third Trimester Pregnancies.
Degree: MS, School of Nursing, 2004, University of Toledo Health Science Campus
► The purpose of this study was to explore the impact of maternal…
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▼ The purpose of this study was to explore the impact of maternal perceived stress in high-risk pregnancy on participation in health promoting self-care. Orem’s self-care deficit theory of nursing was the theoretical framework. A secondary analysis from a convenience sample of 69 women experiencing a high-risk pregnancy was conducted. The correlation between the Perceived Stress Scale by Cohen and associates (1983) and the Health Promoting Lifestyle Profile II by Walker and associates (1987, 1997) was negative. The findings indicated that women in the third trimester of a high-risk pregnancy with higher perceived stress levels were less likely to be involved in health promoting self-care behaviors, specifically in the areas of spiritual growth, interpersonal relations, and stress management. These findings suggest that nursing can be beneficial to decrease stress for the high-risk pregnant woman by implementing interventions, which offer support, stress management, and an opportunity for spiritual growth.
Advisors/Committee Members: Lamp, Ph.D., CNM, Judith K.
Subjects: Health Sciences, Nursing
Keywords: High-risk pregnancy; Self-care behaviors; Stress; Health promotion
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2.
Cohen, Bonni.
Prodromal Signs and Symptoms of Women with Acute Coronary Syndrome.
Degree: MS, School of Nursing, 2005, University of Toledo Health Science Campus
► Coronary artery disease is the most frequent cause of death among women…
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▼ Coronary artery disease is the most frequent cause of death among women in the United States. This may be due to differences in presentation of women with acute coronary syndrome. A convenience sample of 136 women who presented to an emergency department and were eventually diagnosed with ACS were reviewed for signs and symptoms at presentation, time to ECG and first cardiac medication. This study found that the majority of women (54.4%) presented with chest pain, however, a large number (45.6%) presented with other symptoms; sob, syncope weakness and falls. Presenting with non-chest pain symptoms was found to result in increased times to first diagnostic test and to first cardiac medication. The results are discussed in terms of Orem’s Self Care Deficit Theory of Nursing. Future studies should utilize larger sample sizes and multiple settings to validate findings and investigate outcomes in female patients who present with non-chest pain symptoms.
Advisors/Committee Members: Evans, Jane.
Subjects: Health Sciences, Nursing
Keywords: Women; Acute Coronary Syndrome; Signs and Symptoms
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3.
Cook, Amanda Michelle.
Teaching Needs of Persons Dealing with Stroke as Perceived by Allied Health Professionals.
Degree: MS, School of Nursing, 2006, University of Toledo Health Science Campus
► Educational planning is essential for successful transitions from hospital to home for…
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▼ Educational planning is essential for successful transitions from hospital to home for persons with stroke and their caregivers. Guided by Orem’s self-care deficit nursing theory, the aims of this study were: 1) identification of the most frequent teaching needs for persons with stroke and their caregivers as perceived by physical and occupational therapists and 2) comparison of these identified needs with those of registered nurses and family caregivers. The subjects (n=113) were mostly white women prepared at the occupational therapy graduate educational level in the eastern United States. Descriptive statistics revealed demonstrating safe transfer techniques (82%) [hazards in Orem’s terms] was the top teaching need identified by physical and occupational therapists. Caregivers were concerned with preventing falls (71%) [hazards], and nurses’ focused on understanding the disease process (82%) [normalcy]. Educational interventions designed by healthcare teams and focused on optimal self-care outcomes promote well-being for caregivers and their care recipients.
Advisors/Committee Members: Pierce, Ph.D., R.N., Linda.
Subjects: Health Sciences, Nursing
Keywords: stroke; Allied Health Professionals; teaching needs
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4.
Dumas, Jane.
The Lived Experience of Spirituality for Christians During a Life-threatening Illness.
Degree: MS, School of Nursing, 2004, University of Toledo Health Science Campus
► The lived spiritual experience of 5 Christian persons was studied using Colaizzi’s…
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▼ The lived spiritual experience of 5 Christian persons was studied using Colaizzi’s (1978) phenomenological method for analysis. Six main themes with sub themes emerged from significant statements made by the participants. The main themes included: An initial sense of disintegration; a sense of peace is sought; this sense of peace is interrupted by worries for the future; prayer support comes in many ways; life experiences are seen as lessons to be learned; and the experience results in a total trust in God. Results were integrated into an exhaustive description of the experience of spirituality for the five Christians during a life-threatening illness. Orem’s (2001) self-care deficit theory was used to illustrate the connection between the Christian beliefs and values to the state of well-being. Implications for nursing practice and further research were made.
Advisors/Committee Members: Anderson, Ph.D., Judith.
Subjects: Health Sciences, Nursing
Keywords: Spirituality; Life-threatening Illness; Nursing
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5.
Gies, Cheryl E.
Evaluating Effectiveness of an Inpatient Nurse-directed Smoking Cessation Program in a Small Community Hospital.
Degree: MS, School of Nursing, 2005, University of Toledo Health Science Campus
► The purpose of this study was to evaluate effectiveness of a nurse-directed…
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▼ The purpose of this study was to evaluate effectiveness of a nurse-directed smoking cessation intervention for hospitalized adult smokers using a quasi-experimental, prospective, longitudinal design. Pender’s revised health promotion model was the conceptual framework. Sixty-eight inpatients were assigned to either a control or an intervention group. The control group received smoking cessation literature. The intervention group received smoking cessation literature and a nursing intervention. The intervention group was randomized to a one or four telephone call subgroup for post discharge nurse follow-up. Fifty-five participants completed the study. Smokers receiving the nurse-directed intervention were more likely to be tobacco-abstinent at 3 months (n = 17, 55%) than smokers in the control group (n = 5, 21%). Tobacco abstinence between the one and four telephone call groups was not significant; however, additional telephone calls appeared to delay smoking relapse. Smoking relapse was higher for participants who lived with another smoker.
Advisors/Committee Members: Buchman, Ph.D., RNC, Debra.
Subjects: Health Sciences, Nursing
Keywords: tobacco abstinence; nursing intervention; Pender's revised HPM; smoking cessation; adult smoker
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6.
Jaworski, Christina A.
Inpatient Education: Are Patients Perceived Learning Needs Met Following First MI?.
Degree: MS, School of Nursing, 2005, University of Toledo Health Science Campus
► This comparative-descriptive study was conducted to identify the perceived learning needs of…
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▼ This comparative-descriptive study was conducted to identify the perceived learning needs of patients following their first myocardial infarction (MI) and to examine the teaching effectiveness of the Cardiac Rehab In-patient Education Program at meeting these needs. Gender differences in learning needs and whether men’s or women’s needs were more effectively met by the education were also explored. Roy’s Adaptation theory was used as a framework for the study. A sample of 23 MI subjects completed a CPLNI questionnaire in the hospital to identify their learning needs. Subjects also completed a CHD Teaching Evaluation form in the hospital and 2 weeks after discharge to determine teaching effectiveness at meeting the identified learning needs. Three areas of concern were ranked as important to learn by subjects including Physical activity recommendations, Dietary information and Anatomy and Physiology. Women ranked Dietary information most important to learn, however, men ranked physical activity. There was no significant difference in learning needs based on gender. The in-patient education program was effective at meeting the learning needs regarding physical activity. The in-patient education did not meet one gender’s learning needs more effectively than the other’s. In-patient education should be implemented after patients’ perceived learning needs are identified to provide them substantial information before returning home with the diagnosis of heart disease.
Advisors/Committee Members: Evans, Ph.D., Jane C.
Subjects: Health Sciences, Nursing
Keywords: cardiac patients; cardiac diet; physical activity
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7.
Jorstad, Michele L.
Perceived Life Changes and Feelings of Depression in Caregivers of Persons with Stroke.
Degree: MS, School of Nursing, 2004, University of Toledo Health Science Campus
► The relationship between perceived life changes related to caring and feelings of…
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▼ The relationship between perceived life changes related to caring and feelings of depression in caregivers of persons with stroke was examined. A convenience sample of caregivers (n = 29) who were receiving ongoing support completed two questionnaires: Bakas Caregiving Outcomes Scale (BCOS) and Center for Epidemiologic Studies Depression Scale (CES-D). Subjects were primarily white, middle-aged spouses who had been caring for the person with stroke for about a year. The mean score on the BCOS was 55.79, indicating an overall change for the worst due to the caregiving role. The item addressing time for social activities with friends resulted in the lowest score. The mean score on the CES-D was 33.86, indicating a risk for clinical depression. Correlational analysis found that as perceived life changes decreased (changed for the worst), feelings of depression increased. Interventions aimed at decreasing the negative perceived life changes related to caring need further exploration.
Advisors/Committee Members: Pierce, Linda L.
Subjects: Health Sciences, Nursing
Keywords: Caregivers; Life Changes; Depression; Stroke
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8.
Kemper, Rachel F.
Anticholinergic Medications Used by Older Adults with Memory Problems.
Degree: MS, School of Nursing, 2005, University of Toledo Health Science Campus
► The purpose of this study was to determine the frequency of over-the-counter…
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▼ The purpose of this study was to determine the frequency of over-the-counter and prescription medications with anticholinergic side effects being used in a sample of 193 older adults with memory problems seen an outpatient setting between October 1999 and April 2004. Medications with anticholinergic side effects are contraindicated in this population because they can worsen memory impairment, increasing memory deficits, confusion. Using data from a retrospective chart review, this study was a secondary analysis of the medications that adults (>50 years of age) were taking at their initial clinic visit. Mintzer and Burn’s (2000) list was used to identify drugs posing an anticholinergic danger. Findings revealed that 10.3% of these adults were consuming one or more medications with anticholinergic side effects. These finding demonstrate a need for continued and perhaps, increased education for medical personal and healthcare consumers concerning the dangers of medications with anticholinergics side effects.
Advisors/Committee Members: Pierce, Ph.D., R.N., Linda.
Subjects: Health Sciences, Nursing
Keywords: dementia; memory loss; older adult; inappropriate medications; memory problems; anticholinergic
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9.
McCray, James.
Describing and Differentiating Pain Responses from Non-pain Responses in Low Birth Weight Pre-term Infants.
Degree: MS, School of Nursing, 2004, University of Toledo Health Science Campus
► This study sought to establish the utility of heart rate variability measurement…
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▼ This study sought to establish the utility of heart rate variability measurement as a tool to assess pain in low birth weight premature infants. It used a repeated measures design with secondary analysis and paired samples. Subjects were a subset of 10 infants who were less than 28 weeks gestational age. Heart rate increased significantly following a heel stick and remained unchanged following an axillary temperature measurement. There was a significant increase in heart rate during what is thought to be pain that did not occur following a presumably non-painful stimulus. Heart rate was shown to be a sensitive indicator of pain in this sample of infants. No support was found for the use of heart rate variability as a pain measure in this age group and post-conception age range.
Advisors/Committee Members: Evans, Jane.
Subjects: Health Sciences, Nursing
Keywords: pain; low birth weight; pre-term infants; infants pain; premature infants; fast fourier transform
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10.
Moore, Linda A.
The Lived Experience of Being a Mother of a Child with Severe Cerebral Palsy.
Degree: MS, School of Nursing, 2005, University of Toledo Health Science Campus
► This qualitative study describes the lived experience of five mothers who care…
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▼ This qualitative study describes the lived experience of five mothers who care for their child with severe cerebral palsy. The phenomenon was elicited utilizing Roy (Roy and Andrews, 1999) adaptation model of nursing as the theoretical framework and phenomenology implementing Colaizzi’s (1978) method of data analysis. The themes identified capture the collective experiences of these women. The study examines an altered mothering role that begins with the diagnosis of the child with severe cerebral palsy and the adaptation necessary to care for the child. It describes how the mothers bonded and communicated with their child. Mothers also described how they dealt with multiple burdens, adapted with and without support and the altered family relationships that resulted. There is a description of the intense emotional responses of these mothers to the experience, and the positive aspects of this parenting experience.
Advisors/Committee Members: Robinson, Ph.D., Janet H.
Subjects: Health Sciences, Nursing
Keywords: Cerebral Palsy
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