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Title: Gathering evidence to support the family members when a loved one has suffered a traumatic brain injury.
Creator: Piyakong, Duangporn, Liehr, Patricia, Graduate College
Date Issued: 2013-04-12
PURL: http://purl.flvc.org/fcla/dt/3361339
Subject Headings: Brain injuries, Acute, Nursing
Format: Document (PDF)

Title: Applying Roach’s Six C’s of Caring to Gather Health Data through Telephone Interviewing.
Creator: Moffa, Christine M., Tappen, Ruth M., Liehr, Patricia, Graduate College
Abstract/Description: The use of the telephone to speak to study participants about health-related issues is useful when logistics make it difficult for participant and researcher to meet in person. However, gaining the trust of the participant can be a challenge, partly due to fears of fraud and identity theft. A spirit of openness and caring must come across the telephone lines between interviewer and interviewee. Roach’s six C’s can be applied to convey a sense of caring, thereby relaxing the participant and...
Show moreThe use of the telephone to speak to study participants about health-related issues is useful when logistics make it difficult for participant and researcher to meet in person. However, gaining the trust of the participant can be a challenge, partly due to fears of fraud and identity theft. A spirit of openness and caring must come across the telephone lines between interviewer and interviewee. Roach’s six C’s can be applied to convey a sense of caring, thereby relaxing the participant and increasing their sense of safety to enhance the quantity and quality of health data being collected. According to Roach, caring is manifested through six C’s – compassion, competence, confidence, conscience, commitment, and comportment. Interviewers can be trained through role playing and scripting using Roach’s caring model. Compassion is expressed by being sensitive to the anxiety and apprehension they may feel toward receiving a call from a stranger, who is asking about health-related issues. Competence is expressed by being able to give the participant the information they need to have an understanding as to what they are consenting. Confidence is achieved by ensuring the participant that the information they share will be used appropriately and for the greater-good. Conscience is expressed by following ethical research protocols, adhering to confidentiality, and respecting the relationship with the research participant. Finally, interviewers manifest caring through comportment by identifying themselves with their name, credentials, and institution; addressing the participant formally; using language the participant can understand; and projecting caring through tone of voice.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00005839
Format: Document (PDF)

Title: Cognition and adherence in older adults undergoing hemodialysis.
Creator: Hain, Debra J., Florida Atlantic University, Liehr, Patricia
Abstract/Description: Background. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in...
Show moreBackground. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in global cognition, in self-report cognition, and in language ability relative to adherence in a sample of older adults undergoing hemodialysis. Methods. This pilot study examined the differences in cognition and adherence of older adults (≥60 years) undergoing out-patient hemodialysis three times a week for at least one year. Nonprobability purposive sampling was used to obtain a sample from multiple centers which offered a diverse sample of study participants (n=63). Stories of the challenges of making life style changes were audiotaped and analyzed with linguistic analysis and word count (LIWC) software and various standardized instruments that measure global cognition (3MS and MMSE), self-report cognition (KDQOL-CF) and language ability (COWA, subsets of BDAE Reading: Sentence and Paragraph and BDAE Complex Ideation) were administered during hemodialysis. Determination of adherence or nonadherence (based on literature) was completed as the last activity of data collection. Results. Statistical significance was not achieved when exploring the difference of global cognition, self-report cognition, and language ability relative to adherence (p > .05). A relationship between structural elements of big words, cognitive process and insight words used in story and measures of adherence was revealed (p < .05). Although statistical significance was not reached the descriptive data supports that a relationship between cognitive impairment and measures of adherence were present across groups. The majority (64%) of nonadherent participants had cognitive impairment; 34% of the middle group and 5% of the adherent group had cognitive impairment. Discussion. Cognitive impairment is prevalent among older adults undergoing hemodialysis, however a relationship between cognitive impairment and adherence was not revealed in this study. This may be the result of the small sample size and adherence markers that were not sensitive in this population. This preliminary work offered a descriptive foundation which generated more questions that may be answered with further research.
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Date Issued: 2006
PURL: http://purl.flvc.org/fcla/dt/12211
Subject Headings: Hemodialysis--Psychological aspects, Chronic renal failure--Patients--Rehabilitation, Adjustment (Psychology), Cognition in old age, Patient compliance, Clinical health psychology
Format: Document (PDF)

Title: Factors Affecting Registered Nurses' Job satisfaction and Intent to Leave.
Creator: Longo, Joy, Liehr, Patricia, Florida Atlantic University
Abstract/Description: It is estimated that there will be a 20% shortage of full time equivalent registered nurses (RN) by 2015. Retention of nurses is a priority in health care, so a better understanding of factors that contribute to job satisfaction and intent to leave is needed. One possible factor is the quality of the interpersonal relationships that occur among managers, peers, and nurses. A negative quality would be acts of hostility or horizontal violence, which is nurse-to-nurse aggression. This is...
Show moreIt is estimated that there will be a 20% shortage of full time equivalent registered nurses (RN) by 2015. Retention of nurses is a priority in health care, so a better understanding of factors that contribute to job satisfaction and intent to leave is needed. One possible factor is the quality of the interpersonal relationships that occur among managers, peers, and nurses. A negative quality would be acts of hostility or horizontal violence, which is nurse-to-nurse aggression. This is theorized to be a result of oppressed group behavior. These behaviors may influence job satisfaction and the intent to stay on the job and in the profession. The overall purpose of the study was to explore relationships between horizontal violence, oppressed group behavior, job satisfaction and intent to leave a position or nursing in the next 12 months. This pilot study examined factors that influence registered nurses ' job satisfaction and intent to leave a position or nursing. Convenience sampling was used to obtain the sample of registered nurses from a BSN completion program and a Novice Nurse Initiative Program (n=99). Written stories of conflict between nurses were obtained and analyzed with linguistic analysis and word count (LIWC) software and various standardized instruments were used including the Nurses Workplace Behavior Scale (NWBS), the Organizational Climate for Caring Scale (OCCS), the Peer Group Caring Interaction Scale (PGCIS), The McCloskey/Mueller Satisfaction Scale (MMSS) and two visual analogue scales (VAS). Significant relationships were found between job satisfaction and intent to stay in a position and nursing (p<.01), oppressed group behavior and intent to stay in nursing (p<.01), oppressed group behavior and job satisfaction (p<.01). Manager and peer caring behaviors were related to intent to stay in a position and nursing (p<.01). Using stepwise multiple regression, both manager and peer caring behaviors were found to influence the relationship between job satisfaction and intent to stay in a position or nursing. The findings of this study suggest that the quality of interpersonal relationships between managers, peers and nurses can influence job satisfaction and intent to stay in a position or nursing.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000622
Subject Headings: Nurses--Job satisfaction, Nursing services--Administration, Burn out (Psychology)--Prevention, Nurses--Job stress
Format: Document (PDF)

Title: Avatar Guided Stories of Ease from Adolescents with Cancer.
Creator: Curnan, Laurie Ann, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a...
Show moreThe overall purpose of this mixed method study was to describe adolescents’ experiences of ease while enduring treatment for cancer. Specifically, the study used avatar image-guided story-sharing (AIGSS) to explore adolescent sense-of-self, experiences of feeling uneasy, descriptions of qualities of ease, and best places for finding ease during treatment. The innovative research approach used in this study incorporated avatar images representing ‘ease’ in typical environments. By testing a developmentally relevant approach, AIGSS, to explore ease for adolescents enduring cancer, this study addressed a pressing need for meaningful approaches to engage adolescents in health-related dialogue about what matters most. While 10 qualities captured adolescent ease (beauty, fun, safety, strength, connectedness, calmness, rest, comfort, independence, and familiarity), connectedness, strength, fun, rest, and safety were the most significant qualities of ease threaded throughout stories. Two themes of self-reflected identity emerged: (a) valued personal qualities (extrinsic/admired) and (b) infused unique demeanors. Three themes described adolescent uneasiness during cancer treatment: (a) persistent uncertainty, (b) fearful anticipation, and (c) disrupted self. While home was most conducive for ease, personal meaning was given to the hospital enabling finding ease. This new knowledge is foundational for nurses who support adolescents during cancer treatment. This research lays the groundwork to re-define ease as a relevant outcome of quality nursing care, focusing on positive outcomes rather than catastrophic ones such as infection and death. Advancing caring science with interactive participative research enhanced communication with adolescents, having implications for both clinical research and pediatric oncology nursing practice.
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Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004582
Subject Headings: Avatar (Motion picture : 2009), Cancer in adolescence--Psychological aspects., Cancer in adolescence--Social aspects., Video games and children--Therapeutic use., Quality of life., Stress (Psychology), Psychophysiology.
Format: Document (PDF)

Title: Challenges faced by parents caring for their child after traumatic brain injury.
Creator: Greif, Shelley J., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: When children have a moderate to severe traumatic brain injury (TBI), they are treated in a continuum of care that includes triage and emergency care, hospitalization, rehabilitation and outpatient therapy. Physical and cognitive recovery from brain injury may take several years. Children’s recovery varies, depending on numerous factors including pre-injury conditions and injury severity. While children and families are eager to return home to familiar activities, there are often significant...
Show moreWhen children have a moderate to severe traumatic brain injury (TBI), they are treated in a continuum of care that includes triage and emergency care, hospitalization, rehabilitation and outpatient therapy. Physical and cognitive recovery from brain injury may take several years. Children’s recovery varies, depending on numerous factors including pre-injury conditions and injury severity. While children and families are eager to return home to familiar activities, there are often significant physical, cognitive, behavioral and emotional changes that challenge families. Successful community reintegration depends on the ability of the family to understand and support the child, dealing with and responding effectively to those challenges. The purpose of this study is to understand how parents manage the care and community reintegration of their child who has experienced a TBI over time. This study utilized a mixed methods approach exploring the dimensions of the health challenge faced by parents caring for a child after a TBI, critical turning points as they face health challenges, and approaches for movement toward resolving health challenges. Story theory and story inquiry method were used to gather stories from 10 parents of children who experienced moderate to severe traumatic brain injury between the ages of 12 and 18, and between 2 and 5 years ago. Parents’ perceptions of their child’s quality of life and their ability to manage their child’s health challenge were explored using the Pediatric Quality of Life Inventory and Family Management Measure. Health challenges identified were: living with overwhelming personal upheaval, navigating the unknown, and struggling with how to support independence/dependence. Turning points were chronological or epiphanies. Approaches for movement toward resolving were continuously re-creating a new normal, being fully engaged in meeting the needs of one’s child, and embracing caring relationships to construct the new normal. Qualitative and quantitative data were analyzed to synthesize the findings. Results include a sense of ease in managing the health condition of the child associated with continuously creating a new normal. Healthcare providers can support and strengthen family management of children after TBI by understanding the health challenge, critical turning points and how parents move toward resolving.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004199
Subject Headings: Brain -- Wounds and injuries, Brain damage -- Patients -- Rehabilitation, Brain damage -- Psychological aspects, Brain damaged children -- Family relationships, Brain damaged children -- Rehabilitation, Parents of children with disabilities
Format: Document (PDF)

Title: Exploring the Moderating Effect of a Caring Work Environment on the Relationship Between Workplace Mistreatment and Nurses’ Ability to Provide Patient Care.
Creator: Moffa, Christine M., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Workplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security,...
Show moreWorkplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security, reasoning, respect, attachment, and self-determination), and nurses’ ability to provide quality patient care. In addition, this study considered the moderating effect of caring work environment among co-workers on nurses’ ability to provide quality patient care in the face of workplace mistreatment. Stories of workplace mistreatment were collected anonymously and analyzed for alignment with threats to six dimensions of well-being. Ability to provide patient care was measured using the Healthcare Productivity Survey and a caring work environment was measured via the Culture of Companionate Love scale. The results demonstrated that threats to all six dimensions of well-being described by Powers and Faden (2006) were expressed in nurses’ stories of workplace mistreatment. Furthermore, 87% reported a decrease in ability to provide patient care after an incident of workplace mistreatment. Yet frequency of threatened dimensions did not have a significant relationship with ability to provide patient care. Moreover, there was a significant moderator effect of the caring work environment on the relationship between number of threatened dimensions of well-being and ability to provide quality patient care. Nurses in high caring environments loss less ability to provide care than nurses in low caring environments when one to three dimensions of well-being were threatened. However, this relationship reversed when four or more dimensions were threatened. Implications include further research on the relationship between workplace mistreatment and nurse well-being and changing practice to include fostering a caring work environment in healthcare facilities.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004990
Subject Headings: Dissertations, Academic -- Florida Atlantic University, Work environment., Bullying in the workplace., Nurses--Job satisfaction., Patient Care.
Format: Document (PDF)

Title: The effect of engagement interventions on uncertainty and coping of Thai family members of patients in a coma.
Creator: Piyakong, Duangporn, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to test the effect of the expressive writing and the expressive talking interventions on uncertainty and coping processes in Thai family members of patients in a coma, and to examine changes in positive emotion, negative emotion, and cognitive process word-use over three days. A quasi-experimental pretest-posttest, three group design was conducted with 45 Thai family members of patients in a coma who were in the intensive care units (ICU) at a hospital in...
Show moreThe purpose of this study was to test the effect of the expressive writing and the expressive talking interventions on uncertainty and coping processes in Thai family members of patients in a coma, and to examine changes in positive emotion, negative emotion, and cognitive process word-use over three days. A quasi-experimental pretest-posttest, three group design was conducted with 45 Thai family members of patients in a coma who were in the intensive care units (ICU) at a hospital in Thailand. Three ICUs were randomly assigned into groups: the expressive writing, the expressive talking, and the control group. Participants of the expressive writing group (n = 15) were asked to write about their thoughts and feelings following standard guidance for expressive writing, those of the expressive talking group (n = 15) were interviewed with questions guided by the story path approach, whereas those of the control group (n = 15) did not receive any specific interventions. Participants completed the Thai version of the Mishel Uncertainty in Illness Scale-Family Member Form and the Thai version of the revised version of the Ways of Coping Scale before and after the interventions.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004318
Subject Headings: Adjustment (Psychology), Critically ill -- Family relationships, Intensive care units, Stress (Psychology)
Format: Document (PDF)

Title: The Effects of a Brief Culturally Tailored Thai Mindfulness Intervention on Stress, Anxiety, and Mindfulness in Thai Parents of Children with Developmental Disabilities.
Creator: Petcharat, Manika, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Parents of children with developmental disabilities (DDs) often suffer from psychological distress stemming from their children’s behavioral problems. One cause of distress is their challenge to accept their children’s illnesses mindfully. A culturally tailored and readily accessible mindfulness intervention may increase mindfulness and reduce distress. Also, there were insufficient studies regarding culturally relevant mindfulness trainings that have been conducted in Thailand. Therefore, a...
Show moreParents of children with developmental disabilities (DDs) often suffer from psychological distress stemming from their children’s behavioral problems. One cause of distress is their challenge to accept their children’s illnesses mindfully. A culturally tailored and readily accessible mindfulness intervention may increase mindfulness and reduce distress. Also, there were insufficient studies regarding culturally relevant mindfulness trainings that have been conducted in Thailand. Therefore, a Brief Culturally Tailored Thai Mindfulness intervention (BCTTMi) was developed, merging the work of Jon Kabat-Zinn with Buddhist philosophy. The purpose of this study was to examine the effects of the BCTTMi on stress, anxiety, and mindfulness in these parents. An experimental waitlist control crossover design with the 2-weekend BCTTMi was employed in 22 Thai parents and caregivers of children with DDs. They were all Thais and Buddhists; more than half had practiced meditation. They completed three Thai-version questionnaires: (a) the Parenting Stress Index-Short Form-4th edition; (b) the State Anxiety Inventory-Form-Y-1; and (c) the Mindfulness Assessment Scale, at three measurements (baseline, posttest, and two-week follow-up). Repeated measure ANOVA analyses were used to analyze data. The findings showed that anxiety significantly decreased from baseline to posttest, and mindfulness significantly increased with the BCTTMi. Nevertheless, stress did not significantly reduce over time, and change between intervention and control conditions did not differ for anxiety level. Moreover, there were no differences in any outcomes from posttest to two-week follow-up. In spite of Buddhist homogeneity of participants and sustained stress, mindfulness increased, and anxiety decreased following the BCTTMi. These findings indicate the feasibility of tailoring the mindfulness-based training to specific cultures and its usefulness as an efficient option for parents and caregivers of children with DDs. Further studies regarding the BCTTMi are warranted in broader populations and settings.
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Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FA00013130
Subject Headings: Mindfulness-based cognitive therapy, Parents of developmentally disabled children, Culturally Competent Care, Thais
Format: Document (PDF)

Title: Health Challenges of Family Members in End of Life Situations.
Creator: Sopcheck, Janet, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study...
Show moreThe growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study used a qualitative descriptive exploratory design guided by story theory methodology to explore the dimensions of the health challenge of losing a loved one who had been in an acute care setting during the last three months of life, the approaches used to resolve this health challenge, and turning points that prompted decisions about a loved one’s care with 15 older adults residing in a Continuing Care Retirement Community (CCRC) in Southeast Florida. Theoretical grounding for this study was Watson’s (1988, 2002) theory of human caring and Smith and Liehr’s (2014) story theory. Older adults’ stories were analyzed through theory-guided content analysis. Themes that describe the health challenge include moving from painful holding on to poignant letting go, uneasiness that permeates everyday living and precious memories, patterns of disconnect that breed discontent, and pervasive ambiguity that permeates perspectives about remaining time. Approaches to resolve this challenge include active engagement enabling exceptional care for loved ones, appreciating the rhythmic flow of everyday connecting and separating to get by, and embracing reality as situated in one’s lifelong journey. Failure to establish normalcy, coming to grips with abrupt health decline/demise, and recognition – there’s nothing more to do – were the turning points identified by CCRC residents. Older adults’ vivid recollections of losing a loved one and willingness to share EOL concerns as well as recommendations regarding support of family members who are facing this challenge serve as invaluable guidance for improving EOL care for dying patients and their family members.
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Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004635
Subject Headings: End-of-life care., Terminal care--Psychological aspects., Hospice care., Palliative treatment., Critical care nursing., Loss (Psychology)
Format: Document (PDF)

Title: Sources of infant care informational social support for mothers of infants in the Appalachian region.
Creator: Wright, Mary Ellen, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the sources of infant care informational support systems that mothers residing in the Western North Carolina Appalachian region use and prefer in the postpartum period. In addition, the study explored the associations of the sources for informational social support on infant care with personal factors (age, socioeconomic status, parity, race, ethnicity, residence, marital status, education, access to Internet, access to cellular phone, prior...
Show moreThe purpose of this study was to describe the sources of infant care informational support systems that mothers residing in the Western North Carolina Appalachian region use and prefer in the postpartum period. In addition, the study explored the associations of the sources for informational social support on infant care with personal factors (age, socioeconomic status, parity, race, ethnicity, residence, marital status, education, access to Internet, access to cellular phone, prior attendance in childbirth classes, and other adult infant care assistance in the home) of the mothers.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004422
Subject Headings: Appalachian Region, Southern--Social life and customs, Maternal health services--Appalachian Region, Southern, Health services accessibility--Appalachian Region, Southern, Social networks--Appalachian Region, Southern, Infants--Health and hygiene--Appalachian Region, Southern, Communication in medicine, Appalachians (People)--North Carolina--Social life and customs
Format: Document (PDF)

Title: FLEEING ONE’S HOMELAND: HEALTH CHALLENGE OF CUBAN REFUGEES FROM THE MARIEL BOATLIFT.
Creator: Rodriguez, Mercedes L., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The decision to flee one’s homeland is a complex event that can have a life-long impact. The diaspora of the Cuban people has occurred throughout the United States since 1959. Their stories can shed light on the health challenge of leaving one’s homeland and can contribute to a body of knowledge that can inform nursing and health care. This study presents the qualitative findings from the stories of 13 participants who arrived in the U.S. from Cuba during the Mariel Boatlift of 1980. A story...
Show moreThe decision to flee one’s homeland is a complex event that can have a life-long impact. The diaspora of the Cuban people has occurred throughout the United States since 1959. Their stories can shed light on the health challenge of leaving one’s homeland and can contribute to a body of knowledge that can inform nursing and health care. This study presents the qualitative findings from the stories of 13 participants who arrived in the U.S. from Cuba during the Mariel Boatlift of 1980. A story inquiry research design, grounded in the theoretical underpinnings of story theory (Smith & Liehr, 2014), was utilized to explore the dimensions of the health challenge of fleeing one’s homeland, turning points and movement to resolve. Deductive and inductive analysis of the health challenge of fleeing one’s homeland revealed the dimensions of trauma related to the pre-migration, migration, and post migration experience, associated losses, and stigma. The upheaval induced stress in the lives of the participants tested their ability to cope. Managing day-to-day and utilizing internal and external resources, the participants moved to resolve the challenge of fleeing their homeland over time. Many turning points shaped the direction of their experience over decades and contributed to their ability to find meaning by becoming self-sufficient, recreating home, and reconstructing a sense of self-identity. Their unique experiences and stories have provided a voice to empower future studies to expand nursing science, influence empathy and understanding through education, foster awareness in practice, and inspire the potential for policy change for the well-being of refugee populations.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013546
Subject Headings: Refugees--Cuban, Mariel Boatlift, 1980, Refugees--Health aspects, Nursing, Caring
Format: Document (PDF)

Title: EXPLORING THE FACTORS OF NATURAL SPACE ON WELL-BEING OF URBAN-DWELLING CHILDREN.
Creator: Nagata, Misako, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Research has suggested positive effects of nature immersion––a state of being or an act of doing in natural space––for urban children who were otherwise at risk of emotional or behavioral problems. However, few studies have systematically investigated natural space qualities that predict child well-being at the clinical level. The purpose of this study was to increase understanding of natural space qualities as factors of urban child well-being. Explanatory mixed-methods were used....
Show moreResearch has suggested positive effects of nature immersion––a state of being or an act of doing in natural space––for urban children who were otherwise at risk of emotional or behavioral problems. However, few studies have systematically investigated natural space qualities that predict child well-being at the clinical level. The purpose of this study was to increase understanding of natural space qualities as factors of urban child well-being. Explanatory mixed-methods were used. Quantitative data (N = 174) included a survey and two parental-reports of child wellbeing. Interviews provided qualitative data (N = 15). Data were analyzed using: Generalized Linear Model and Content Analysis. Both data streams were merged into a point of meta-inference that contributed to parental assessment of enhanced child well-being: 1) Parental valuing of nature connection (p < 0.001) as a soothing and safe resource and 2) Shorter and more frequent nature-child space-time immersion (p < 0.001). Integration of natural spaces into urban environments may be a costeffective and meaningful way to address urban child well-being.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013436
Subject Headings: Urban children, City children, Well-being--Children, Nature
Format: Document (PDF)

Title: Risk Taking in First and Second Generation Afro-Caribbean Adolescents: An Emerging Challenge for School Nurses.
Creator: Jolly, Kim, Archibald, Cynthia, Liehr, Patricia
Date Issued: 2013-10-28
PURL: http://purl.flvc.org/fau/flvc_fau_islandoraimporter_10.1177_1059840513475819_1630336384
Format: Citation

FAU Theses and Dissertations (11)	+ -
FAU Graduate Student Research (2)	+ -
FAU College Collections (1)	+ -

Adjustment (Psychology) (2)	+ -
Nursing (2)	+ -
Stress (Psychology) (2)	+ -
Appalachian Region, Southern--Social life and customs (1)	+ -
Appalachians (People)--North Carolina--Social life and customs (1)	+ -

Avatar (Motion picture : 2009) (1)	+ -
Brain -- Wounds and injuries (1)	+ -
Brain damage -- Patients -- Rehabilitation (1)	+ -
Brain damage -- Psychological aspects (1)	+ -
Brain damaged children -- Family relationships (1)	+ -
Brain damaged children -- Rehabilitation (1)	+ -
Brain injuries, Acute (1)	+ -
Bullying in the workplace. (1)	+ -
Burn out (Psychology)--Prevention (1)	+ -
Cancer in adolescence--Psychological aspects. (1)	+ -
Cancer in adolescence--Social aspects. (1)	+ -
Caring (1)	+ -
Chronic renal failure--Patients--Rehabilitation (1)	+ -
City children (1)	+ -
Clinical health psychology (1)	+ -
Cognition in old age (1)	+ -
Communication in medicine (1)	+ -
Critical care nursing. (1)	+ -
Critically ill -- Family relationships (1)	+ -
Culturally Competent Care (1)	+ -
Dissertations, Academic -- Florida Atlantic University (1)	+ -
End-of-life care. (1)	+ -
Health services accessibility--Appalachian Region, Southern (1)	+ -
Hemodialysis--Psychological aspects (1)	+ -
Hospice care. (1)	+ -

Electronic Thesis or Dissertation (11)	+ -
abstract (2)	+ -
article (1)	+ -

Liehr, Patricia (14)	+ -
Florida Atlantic University (11)	+ -
Christine E. Lynn College of Nursing (9)	+ -
Graduate College (2)	+ -
Moffa, Christine M. (2)	+ -

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