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Title: Adolescents’ Equine-Assisted Experiences from a Unitary Caring Perspective.
Creator: Mygatt, Marla G., Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Although there appears to be heightened awareness of the alarming rise in adolescent mental health concerns, treatment initiation and adherence to traditional therapies remains low. Nurses are at the forefront of exploring innovative youth-friendly therapeutic options that engage adolescents who otherwise may be reluctant to care. Human-animal interactions (HAIs) are alternative approaches where animals are integrated as therapeutic partners to help break down barriers, build trust, uncover...
Show moreAlthough there appears to be heightened awareness of the alarming rise in adolescent mental health concerns, treatment initiation and adherence to traditional therapies remains low. Nurses are at the forefront of exploring innovative youth-friendly therapeutic options that engage adolescents who otherwise may be reluctant to care. Human-animal interactions (HAIs) are alternative approaches where animals are integrated as therapeutic partners to help break down barriers, build trust, uncover meaning, and foster transformation. Equine-assisted learning (EAL), a type of HAI, was the focus of this research. This study explored the lived experience of adolescents who participated in an equine-assisted learning program guided through the lens of the theory of unitary caring and the hermeneutic-phenomenological unitary-caring research method. Eleven participants between the ages of 11-19 were interviewed. The outcomes of improved self-confidence, better mood, healthier relationships, and an optimistic outlook were supported by the literature. Six essences evolved from the narratives: troubled by turbulent connections; embracing uncertainty and vulnerability; awakening to the shared human-horse condition; attuning as one; engaging harmonically; and cultivating peace and joy. These essences, blended with the theory of unitary caring, led to the discovery of the antecedents of transformational change defined in the conceptual representation of the Unitary Caring Relatedness Model. These findings contribute to nursing and HAI literature and suggest a model that may be implemented in adolescent practice.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014149
Subject Headings: Equine-Assisted Therapy, Teenagers--Mental health, Nursing
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF FAMILIES WHO DONATE THEIR NEONATE’S ORGANS.
Creator: Etheridge-Bagley, Erin, Hawthorne, Dawn, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this qualitative research study was to explore the lived experience of families who donated their neonate’s organs at the end of life. The experiences of five mothers and one father were elicited from those who experienced this phenomenon. Heideggerian hermeneutic phenomenology served as the methodology as well as the guiding philosophy for this research study. Watson’s theory of Unitary Caring Science and the Caritas Processed provided the caring lens through which the...
Show moreThe purpose of this qualitative research study was to explore the lived experience of families who donated their neonate’s organs at the end of life. The experiences of five mothers and one father were elicited from those who experienced this phenomenon. Heideggerian hermeneutic phenomenology served as the methodology as well as the guiding philosophy for this research study. Watson’s theory of Unitary Caring Science and the Caritas Processed provided the caring lens through which the research was completed. Deikelmann’s seven stage process for analysis was employed and through which four relative themes emerged: Enhancing the Fullness of the Baby, Celebrating the Ongoing Presencing of the Baby Within the Family, Ameliorating Grief through the Hope of Donation, and Being Embraced Within a Healing Environment. The four relational themes are represented with an aesthetic interpretation of the experience.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014178
Subject Headings: Donation of organs, tissues, etc., Newborn infants, Organ donors--Family relationships, Nursing, Caring
Format: Document (PDF)

Title: NURSE COACHING AND POWER AS KNOWING PARTICIPATION IN CHANGE IN THE PROCESS OF HEALTH PATTERNING.
Creator: Conrad, Shirley J., Butcher, Howard, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose was to study the results Professional Certified Nurse Coaches (PCNCs) potentially have in mutually patterning the human energy field toward a higher wave frequency pattern of power as measured by the power as knowing participation in change tool and reflected in the narrative pattern profiles obtained from in-depth interviews. Participants were nurses working during the COVID-19 pandemic. Using Barrett’s (1986, 2020) power as knowing participation in change theory an explanatory...
Show moreThe purpose was to study the results Professional Certified Nurse Coaches (PCNCs) potentially have in mutually patterning the human energy field toward a higher wave frequency pattern of power as measured by the power as knowing participation in change tool and reflected in the narrative pattern profiles obtained from in-depth interviews. Participants were nurses working during the COVID-19 pandemic. Using Barrett’s (1986, 2020) power as knowing participation in change theory an explanatory convergent parallel mixed method using a single group with repeated measures (pre/post) and qualitative directed content analysis was used. A method for apprehending pandimensional awareness of unity and a mutual rhythmic-frequency process of-analysis-synthesis and were developed for the synthesis of numeric and textual data within a unitary perspective. Findings included a statistically significant effect for the total and four interrelated dimensions with a large effect size, except for the dimension involvement, which had a medium effect size. The results were the same when controlling for years of experience indicating that regardless of years of experience, professional nurse coaching appears to be beneficial. Six essences were identified and articulated as a group, as individuals, and across time. Joint displays show the synthesis. These findings have implications for nursing research, caring sciences, nursing education, nursing practice, policy, and professional nurse coaching.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014260
Subject Headings: Nursing, Nursing--Education, Nurses
Format: Document (PDF)

Title: THE RELATIONSHIP OF GENE EXPRESSION, STRESS, DEPRESSION, AND THE SOCIAL DETERMINANTS OF HEALTH DURING PREGNANCY.
Creator: Brennen, Marlene Brown, Tappen, Ruth, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to explore differences in perceived stress, glucocorticoid receptor (GR), and the expression of histone acetylation (HAT) of the corticotropin-releasing hormone (CRH) gene between non-Hispanic Black and non-Hispanic White women in their 2nd trimester of pregnancy. Black women are 2–3 times more likely to experience preterm birth (PTB) and maternal mortality than White women (Hoyert, 2022; Martin et al., 2019). Researchers have reported chronic stress associated...
Show moreThe purpose of this study was to explore differences in perceived stress, glucocorticoid receptor (GR), and the expression of histone acetylation (HAT) of the corticotropin-releasing hormone (CRH) gene between non-Hispanic Black and non-Hispanic White women in their 2nd trimester of pregnancy. Black women are 2–3 times more likely to experience preterm birth (PTB) and maternal mortality than White women (Hoyert, 2022; Martin et al., 2019). Researchers have reported chronic stress associated with factors such as experiencing discrimination, financial hardship, and abuse may induce dysregulation of the stress hormones (Kramer et al., 2013; Shapiro-Mendoza et al., 2016). Likewise, the stress hormones glucocorticoid and CRH dysregulation have been linked to early labor, preeclampsia, and maternal death (Kramer et al., 2013; Shapiro-Mendoza et al., 2016; Yu et al., 2013). Additionally, social status, gender, education, and income are recognized as social determinants of health. This study used an observational, cross-sectional design to analyze the differences in perceived stress, depression, GR, and HAT of the CRH gene between a group of Black and White pregnant women in their 2nd trimester of pregnancy. This study analyzed perceived stress, depression, and peripheral blood monocytes cells (PMBC) using secondary, deidentified data from pregnant women. The Perceived Stress Scale was used to measure stress, the profile in Mood Depression Scale measured depression, a chromatin immunoprecipitation (ChIP) to quantitative Polymerase chain reaction (qPCR) analysis was used to measure GR and HAT of the CRH gene. The data were analyzed using correlation and analysis of covariance (ANCOVA) to examine relationships and the differences between groups.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014286
Subject Headings: Social Determinants of Health, Gene expression, Pregnancy--Health aspects
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF OLDER NEPALESE WOMEN WITH URINARY INCONTINENCE.
Creator: Panday, Somi, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Urinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally,...
Show moreUrinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally, limited research has explored the experiences of older women with urinary incontinence in Nepal. This descriptive phenomenological study aims to explore the lived experience of older Nepalese women dealing with urinary incontinence. By applying the theory of culture care diversity and universality and employing the Colaizzi process for phenomenological data analysis, this study seeks to interpret the experiences of older Nepalese women living with urinary incontinence. Data collection involved conducting semi-structured interviews with 16 participants aged between 60 and 80 years. Three themes emerged from the data: (1) Interference with daily living, (2) Modification of lifestyle, and (3) Impact on the whole family. The findings underscored the need for effective treatments and support systems to assist women with urinary incontinence in managing their symptoms.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014277
Subject Headings: Transcultural nursing, Older women, Urinary incontinence
Format: Document (PDF)

Title: THE RELATIONSHIP BETWEEN STIGMA AND LEVEL OF ALZHEIMER'S DISEASE KNOWLEDGE WITHIN THE SAUDI CULTURE.
Creator: Jambi, Amnah, Butcher, Howard K., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: There are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of...
Show moreThere are two types of stigmas: self-stigma and public stigma. The focus of this dissertation was public stigma. The public stigma encountered by persons with Alzheimer’s Disease (AD) contributes to the isolation of families due to the effort made by AD caregivers to adjust to social challenges (Abojabel & Warner, 2019). According to the Saudi Alzheimer’s Disease Association (2022), there are 130 thousand documented cases of AD, which comprised 9% of the aged population. The severity of stigmas can vary across cultures because stigmas of disease are connected to cultural norms (Corrigan, 2014). Most studies conducted in Saudi Arabia have assessed public stigma regarding mental illnesses, but no study has been found regarding public stigma within the AD scope. Population-based approaches that attempt to clarify stigma level prevalence in representative samples are important to develop methods to address these disparities and ensure equitable access to health care within the population's cultural context. The aim of this study was to 1) identify the relationship between public stigma and the level of AD knowledge among the Saudi population and 2) identify the potential factors that were associated with public stigma and AD knowledge levels among Saudi community members, within the context of a caring science perspective using critical caring theory and specific-situation theory.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014320
Subject Headings: Alzheimer Disease, Saudi Arabia, Stigma (Social psychology)
Format: Document (PDF)

Title: VETERANS’ PERSPECTIVES ON THE MEANING OF THEIR WELL-BEING EXPERIENCE: A PHENOMENOLOGICAL INQUIRY.
Creator: Birmingham, Cheryl Lynn, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to...
Show moreThe veterans are a unique community shaped by past military experiences that may have positive and negative effects on their well-being as soldiers. With nearly half of the 18.4 million veterans in the United States living beyond 61 years, age-related physical and mental health conditions may impact the veterans’ well-being. Promoting veterans’ well-being has been studied extensively but literature on how they define it is scanty. It is critical to understand how veterans define well-being to inform future program development to address mental health needs. The purpose of this study is to discover the meaning and the lived experience of well-being among veterans. The methodology used for this study was a qualitative hermeneutic interpretative phenomenological approach to understand the meaning of veterans’ well-being. It allowed the phenomena to surface while exposing the essence of and the experience. The sampling method for recruiting participants was purposive sampling, with semi structured interviews conducted via ZOOM and direct observations at Veteran Service Organizations (VSOs) to obtain data. Fourteen veterans participated in this study, comprising eight males and six females with majority aged over 61 years. In terms of race/ethnicity, 64 % were White, 21% Hispanic and 15 % African American. With the use of Max van Manen’s analysis strategy, seven major themes emerged: (a) A Connection With A Special Bond To The Military Sisterhood/Brotherhood, (b) The Lingering Effects Of Military Service Continue To Simmer In Veteran life, (c) Feeling Grateful/Prideful Through Appreciation For Their Military Service, (d) Healthy Companionships/Relationships With Mutual Respect Yield Veteran Equilibrium, (e) Creating A Veteran Framily/Fraternity, (f) Self-fulfilment By Giving Back And Making A Life With A Purpose and (g) Veterans Living A Healthy Life Caring For Self. Six of the seven themes addressed the veterans’ well-being. The lingering effects have persisted and challenged the Veterans’ emotional well-being. However, they were able to express their military camaraderie even in the veterans’ life. Programs based on social relationships that allow connections with veterans and/or their significant others need to be established.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014317
Subject Headings: Veterans, Veterans--Mental health, Well-being, Caring
Format: Document (PDF)

Title: The Association Between Informal Caregiver Knowledge about Type 2 Diabetes Mellitus and Patients’ HbA1C Level among a Saudi Arabian Cohort.
Creator: Fallatah, Jamilah Ahmed, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Background: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational...
Show moreBackground: Almost seven million persons in Saudi Arabia are diagnosed with Type 2 Diabetes Mellitus (T2DM). Lack of knowledge regarding T2DM among Saudi caregivers may impact T2DM management and disease outcomes, yet established educational programs for their caregivers are scant. There is a need to discover T2DM informal caregivers’ knowledge and its relation to patients' T2DM management, prior to designing educational interventions. Purpose: The purpose of this quantitative, correlational study was to measure disease knowledge among informal caregivers for patients with T2DM in Saudi Arabia, and to compare findings to the patient-health status presented by HbA1C level. This study was conceptualized within nursing caring science, using Nursing as Caring Theory (Boykin & Schoenhofer, 2001), and the Individual and Family Self-Management Theory (Ryan & Sawin, 2009).
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014307
Subject Headings: Diabetes Mellitus, Type 2, Caregivers, Saudi Arabia, Nursing
Format: Document (PDF)

Title: Mixed Method of Health Literacy and Diabetes Self- Management Among Saudi Adults with Type 2 Diabetes Mellitus.
Creator: Almashni, Ibtisam Y., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the...
Show moreThe worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the relationship between health and diabetes self-management among Saudi adults with Type 2 Diabetes Mellitus (T2DM). The study further aimed to explore how Saudi adult with T2DM seek and utilize diabetes knowledge to self-manage their diabetes. The study was guided by Leininger’s Culture Care Diversity and Universality Theory (2002). Leininger’s Sunrise Enabler- Model provided a framework to explore the various factors that affect diabetes self-management through a cultural lens. This model provides a comprehensive understanding pf multiple factors influencing diabetes self-management. A sample of 66 Saudi adults with T2DM aged 40-61 and older was recruited from diabetes center and Primary Healthcare Center (PHCC) at National Guard Hospital King Abdulaziz Medical City Jeddah, Saudi Arabia. A Parallel Mixed Method (PPM) design was applied, using semi-structured interviews, Diabetes Self-management Questionnaire (DSMQ), Short Test of Functional Health Literacy in Adult (S-TOFHLA), and sociodemographic surveys.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014326
Subject Headings: Diabetes, Health literacy, Self Management, Saudi Arabians, Health education
Format: Document (PDF)

Title: INVESTIGATING THE LIVED EXPERIENCE OF LATINO FARMWORKERS WHO DRINK ALCOHOL.
Creator: Solorzano, Angel Johann Martinez, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Excessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA...
Show moreExcessive alcohol use, in addition to economic and social impacts, increases the risks of numerous chronic health problems, which further increase societal costs (Gloppen et al., 2022). Over 5% of the global burden of disease and injury as calculated in disability-adjusted life years, stems from alcohol use (World Health Organization [WHO], 2023). In the United States, nearly 30 million persons in 2021 experienced alcohol use disorder (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2023a). Among these, the Latino population is prone to be diagnosed with alcohol use disorders (NIAAA, 2023a). Limited research is available regarding alcohol use among a particularly vulnerable Latino group: farmworkers (Arcury et al., 2016). To date, no phenomenological studies exploring the lived experiences of Latino farmworkers (LFWs) who drink alcohol have been found in the literature. The purpose of this study was to explore the lived experience of LFWs who use alcohol through a phenomenological approach to gain a greater understanding of LFWs’ experiences with alcohol. A semi-structured interview guide containing open-ended questions was used as the main qualitative measure. A sociodemographic survey was used at baseline to collect the participants’ sociodemographic data and to assess patterns of alcohol intake. Eighteen participants were interviewed. Interviews were audio-recorded on a digital recording device, and they were transcribed by the student researcher. Analysis of the transcriptions was performed by the student researcher and a dissertation committee member using Colaizzi’s (1978) seven-step phenomenological analytic method and ATLAS to search for themes.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014357
Subject Headings: Alcoholism, Hispanic Americans--Alcohol use, Farmworkers
Format: Document (PDF)

Title: Applying Story-Guided Dialogue to Examine Social Connections for Rural Caregivers of Persons Living with Alzheimer’s Disease and Related Dementias During A Global Pandemic.
Creator: Cappo, Kathleen, Wiese, Lisa Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: In the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness...
Show moreIn the U.S., an estimated 16 million persons provide unpaid care for family and friends with Alzheimer’s disease and related dementias (ADRD). These caregivers are experiencing challenges, such as lack social interaction, which further impacts their own health. Social isolation for caregivers is now considered to be another challenge due to living in a global pandemic. The purpose of this study was to address the gap in understanding rural informal caregiver by examining social connectedness through the use of story-guided dialogues among rural caregivers of PWD during a global pandemic. Story Theory guides intentional dialogue, to bring forward connecting with self-in-relation through use of story path, noting low, high, and turning points.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00013983
Subject Headings: Caregivers, Rural caregivers, Alzheimer's disease, Social isolation, Pandemics
Format: Document (PDF)

Title: THE RELATIONSHIP BETWEEN NURSE CARING AND READINESS TO TRANSITION FROM HOSPITAL TO HOME OR OTHER CARE SETTING.
Creator: Hernandez, Angelica C., Eggenberger, Terry, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Quality nursing care has significant impact on patient outcomes. There are many factors that can affect quality nursing care like staffing shortages when the caring demands are high, which can affect patient care. Even though there are existing healthcare policies, evidence-based practices and incentives for healthcare settings who perform and meet the healthcare benchmarks, the United States healthcare performance is poor. The researcher aimed to conduct a study to understand the...
Show moreQuality nursing care has significant impact on patient outcomes. There are many factors that can affect quality nursing care like staffing shortages when the caring demands are high, which can affect patient care. Even though there are existing healthcare policies, evidence-based practices and incentives for healthcare settings who perform and meet the healthcare benchmarks, the United States healthcare performance is poor. The researcher aimed to conduct a study to understand the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. In addition, the predictors among the patients’ characteristics of patients’ readiness to transition from the hospital to home or other care settings were examined too. The research study was grounded in the Quality Caring Model (Duffy, 2018). Descriptive correlational research design was used in the study to examine the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. The study was conducted on one medical-surgical unit in an urban medical center in South Florida during a global pandemic. There were 103 participants who answered the demographic data survey, Caring Assessment Tool-V (CAT-V) and Readiness for Hospital Discharge Scale-Adult Form (RHDS-Adult Form). Descriptive and inferential statistics were conducted using SPSS version 28. Based on data analysis, there was a significant relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings (p=<.05). Therefore, patients with positive experiences of nurse caring will be more likely to transition from the hospital to home or other care settings. In addition, among the patient characteristics, the marital status could predict patients’ readiness (knowledge, coping ability and expected support subscales) to transition from the hospital to home or other care settings. Therefore, paying attention to the value of support systems of the patients will determine the readiness of the patients to go home or to be discharged to other care settings (p=<.05). The limitations of the study were low generalizability, inability to recruit 135 participants and selection bias (threat to internal validity).
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00013902
Subject Headings: Nursing-Patient relations, Nursing Care, Hospital to Home Transition
Format: Document (PDF)

Title: FAMILY CAREGIVING DURING TRANSITIONAL CARE: AN ETHNOGRAPHIC EXPLORATION OF THAI-ISAN FAMILY CAREGIVERS PROVIDING CARE FOR SURVIVING STROKE OLDER ADULTS.
Creator: Thiengtham, Supavadee, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Providing family caregiving during transitional care of a stroke patient is the most challenging for family caregivers. This is because of the shift in the care environment from a hospital with an organizational culture to a home with a traditional culture. Yet, cultural influences on family caregiving during transitional care are not well studied. This ethnographic study aims to describe the family caregiving of older Thai-Isan stroke survivors through the transition from hospital to home....
Show moreProviding family caregiving during transitional care of a stroke patient is the most challenging for family caregivers. This is because of the shift in the care environment from a hospital with an organizational culture to a home with a traditional culture. Yet, cultural influences on family caregiving during transitional care are not well studied. This ethnographic study aims to describe the family caregiving of older Thai-Isan stroke survivors through the transition from hospital to home. This study employs Lininger's culture care theory (CCT) as the theoretical framework and utilizes the ethnonursing method to discover cultural knowledge. Data was collected through a demographic questionnaire, participant observations, and a semi-structured interview. Data was analyzed using the Four Phases of the Data Analysis Enabler. Fifteen dyads of older stroke patients and their family caregivers were recruited following the inclusion and exclusion criteria. The research settings included Srinagarind Hospital units and key informants’ homes in a Thai-Isan community.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00014114
Subject Headings: Caregivers, Thai ʻĪsān, Stroke, Transcultural nursing
Format: Document (PDF)

Title: THE RELATIONSHIP BETWEEN ADVERSE CHILDHOOD EXPERIENCES, RESILIENCE, AND PHYSICAL AND MENTAL HEALTH AMONG ADULTS IN SAUDI ARABIA.
Creator: Alanbry, Toqa, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Adverse childhood experiences (ACEs), involving abuse, neglect, and violence exposure, have been connected to undesirable physical and mental health consequences across the life span. With regards to the range of factors that moderates the impact of ACEs on life course health, resilience is suggested as a quality that can lead to better health and quality of life outcomes. The purpose of the study was to examine the relationship between adult-reported ACEs, resilience, and mental and physical...
Show moreAdverse childhood experiences (ACEs), involving abuse, neglect, and violence exposure, have been connected to undesirable physical and mental health consequences across the life span. With regards to the range of factors that moderates the impact of ACEs on life course health, resilience is suggested as a quality that can lead to better health and quality of life outcomes. The purpose of the study was to examine the relationship between adult-reported ACEs, resilience, and mental and physical health in Saudi Arabia. The study was a predictive/correlational design. A total of 328 participants completed the online questionnaire through (Qualtrics). The independent variables were ACEs and resilience while the dependent variable was physical and mental health. The variables were measured by: 1) The ACE International Questionnaire (ACE-IQ). 2) The Physical and Mental Health Checklist. 3) The Connor-Davidson Resilience Scale -25 (CD-RISC-25). Descriptive statics showed that 97% of participants were medically diagnosed with some health illnesses and they were under the age of 45 years old.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00014107
Subject Headings: Adverse Childhood Experiences, Mental Health, Resilience (Personality trait), Saudi Arabia
Format: Document (PDF)

Title: THE UNITARY CARING LIVED EXPERIENCE OF UNCERTAINTY AMONG FAMILY CAREGIVERS OF PERSONS WITH A STROKE DURING THE HOSPITAL STAY IN SAUDI ARABIA.
Creator: Alselami, Seham Eid, Butcher, Howard K., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Stroke is a major health problem in Saudi Arabia that impacts the health outcomes of adults and elderly persons. No matter its severity, stroke is a stressful life event not only for the survivors but their family caregivers as well. Uncertainty is one of the major problems facing family caregivers caring for persons with a stroke. Uncertainty affects overall health outcomes and the quality of life of family caregivers caring for persons with strokes. Current research has not yet identified...
Show moreStroke is a major health problem in Saudi Arabia that impacts the health outcomes of adults and elderly persons. No matter its severity, stroke is a stressful life event not only for the survivors but their family caregivers as well. Uncertainty is one of the major problems facing family caregivers caring for persons with a stroke. Uncertainty affects overall health outcomes and the quality of life of family caregivers caring for persons with strokes. Current research has not yet identified the meaning of the uncertainty of family caregivers of persons with strokes during hospitalization in Saudi Arabia. The purpose of this study was to gain an in-depth understanding of the meaning of uncertainty experienced by family caregivers of persons in the hospital who have survived strokes. This study used a phenomenological design. Data were collected through in-depth face-to-face and online semi-structured interviews with 15 family caregivers using openended questions. Participants were recruited from inpatient medical units and stroke care units in multi acute care hospitals in Saudi Arabia. The interviews were recorded, transcribed verbatim, translated, and analyzed using the hermeneutic phenomenological unitary caring research method. NVivo software (Version 12) was used to manage the qualitative data.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00014047
Subject Headings: Stroke, Caregivers, Nursing, Saudi Arabia
Format: Document (PDF)

Title: THE INFLUENCE OF NURSE-CARING FACTORS ON PATIENT SAFETY CULTURE.
Creator: Alfahd, Hanan, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study is to examine the influence of technology perception and caring nurse-patient interactions on patient safety culture from the perception of critical care nurses in Saudi Arabia and to assess the mediating role of compassion fatigue on the relationship between technology perception and patient safety culture and between caring nurse-patient interactions and patient safety culture. A cross-sectional study was conducted in July and August 2022, in three hospitals...
Show moreThe purpose of this study is to examine the influence of technology perception and caring nurse-patient interactions on patient safety culture from the perception of critical care nurses in Saudi Arabia and to assess the mediating role of compassion fatigue on the relationship between technology perception and patient safety culture and between caring nurse-patient interactions and patient safety culture. A cross-sectional study was conducted in July and August 2022, in three hospitals located in the eastern province of Saudi Arabia. A convenience, purposive sample of critical care nurses who provides direct care to patients in critical care units, stepdown, and emergency departments were recruited. one hundred and eighty-three nurse participated in this study with an overall response rate of 51.69%. Nurse participants completed the Survey of Patient Safety Culture for Hospitals, the Technological Influences Questionnaire subscale of the Caring Attributes, Professional Self-Concept, and Technological Influences scale, the Caring Nurse-Patient Interactions scale, and the Compassion Fatigue subscale from the ProQOL scale which contained the Secondary Traumatic Stress and Burnout subscales. Descriptive statistics and a linear regression model were used to analyze the research data. A significant relationship was found between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. There is no significant mediating role of the Secondary Traumatic Stress on the relationship between technology perception and patient safety culture and between caring nurse patient interaction and patient safety culture. The burnout has a full mediating effect on the relationship between technology perception and patient safety culture and a partial mediating effect on the relationship between caring nurse patient interaction and patient safety culture. The research findings have established the foundation of the relationship between nursing caring factors (perception of technology and caring nurse-patient interaction) and patient safety culture. However, more research is needed to understand the direct effect of these relationships on patient outcomes.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00014063
Subject Headings: Intensive care nursing, Saudi Arabia, Nurse-Patient Relations, Patient Safety, Compassion Fatigue
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF FAMILY CAREGIVERS OF PERSONS WITH SERIOUS MENTAL ILLNESS IN SAUDI ARABIA.
Creator: Alqhtani, Samirh Said, King, Beth, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Global research on family caregivers’ experiences with individuals who have serious mental illnesses has increased in different cultures. However, less research has been conducted on caregivers’ experiences within cultural contexts by using transcultural theory. Further, limited studies explored family caregivers’ lived experiences of people with serious mental illnesses in Saudi Arabia. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of family...
Show moreGlobal research on family caregivers’ experiences with individuals who have serious mental illnesses has increased in different cultures. However, less research has been conducted on caregivers’ experiences within cultural contexts by using transcultural theory. Further, limited studies explored family caregivers’ lived experiences of people with serious mental illnesses in Saudi Arabia. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of family caregivers of persons with serious mental illnesses in Saudi Arabia in a home environment. Guided by Ray’s (2016) Transcultural Caring Dynamics in Nursing and Health-Care Model and Diekelmann’s seven-stage analysis, this study interpreted the meaning of the family caregivers’ lived experiences for individuals with serious mental illness within Saudi Arabia. Data were collected through in-depth interviews and demographic data with participants. Participants included 10 males and 5 females, who ranged in age from 24 to 53 years. Fourteen of the participants were siblings. The meaning of families’ lived experiences was interpreted as a multidimensional process within Saudi culture in the constitutive pattern of the dynamic of an endless cycle of care. Three relational themes and 11 sub-themes were categorized to capture the multidimensional nature of the phenomenon: (a) development of caring experiences (formation of knowledge and Allah/spirituality); (b) living culture values and beliefs (societal views, caregivers’ beliefs and attitudes, caregiver in family, impact of social media, caregiver as financially supportive, and mental health care services); and (c) meaning of care ( being available, expressing love, and being present). This study's findings offer implications for nursing education, nursing practice, health policy, and future research recommendations.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00014051
Subject Headings: Caregivers, Mental illness, Saudi Arabia, Nursing
Format: Document (PDF)

Title: A COMPARATIVE STUDY OF RESILIENCE IN LATER LIFE IN THE U.S. AND NEPAL.
Creator: Neupane Poudel, Bandana, Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Resilience has been suggestive of successful aging. However, the resilience literature lacks a well-developed theoretical model of resilience in later life for diverse groups. The purpose of this study was to examine and compare the resilience and its predictive factors in participants 60 years and older from the U.S. and Nepal. Secondary data from the Healthy Aging Research Initiative and newly collected data from Nepal were analyzed. Independent t-test using Welch’s test was used to assess...
Show moreResilience has been suggestive of successful aging. However, the resilience literature lacks a well-developed theoretical model of resilience in later life for diverse groups. The purpose of this study was to examine and compare the resilience and its predictive factors in participants 60 years and older from the U.S. and Nepal. Secondary data from the Healthy Aging Research Initiative and newly collected data from Nepal were analyzed. Independent t-test using Welch’s test was used to assess the differences in resilience, functional activity, frailty, social support, personality, spirituality, physical health, and mental health of participants between the two countries. One-way analysis of variance and multiple comparisons of the groups using the Games-Howell post hoc test was conducted to assess the differences in resilience of participants across groups of ethnicities, frailty status, and religious attendance. Pearson correlations were used to assess the relationship of resilience with independent variables. Backward elimination regression was used to identify the predictive factors of resilience. The model fit for the constructed conceptual model in the study was tested by Structural equation modeling.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013800
Subject Headings: Resilience (Personality trait) in old age, Healthy Aging, Resilience (Personality trait)--Nepal, Resilience (Personality trait)--United States
Format: Document (PDF)

Title: The Lived Experiences of Saudi-born Parents Who Have Delayed Vaccines for Their Children Prior to School Age.
Creator: Albalawi, Hayam M., Opalinski, Andra S., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Parents are historically the decision makers related to vaccinations with infants and children. Over the past few years, healthcare providers have been facing a growing number of parents who are questioning the safety and the need for routine vaccinations. Studies conducted in Saudi Arabia revealed that not all Saudi-born parents support childhood vaccination and eventually delay their children vaccination. Understanding the cultural influences on parents in Saudi Arabia about the adherence...
Show moreParents are historically the decision makers related to vaccinations with infants and children. Over the past few years, healthcare providers have been facing a growing number of parents who are questioning the safety and the need for routine vaccinations. Studies conducted in Saudi Arabia revealed that not all Saudi-born parents support childhood vaccination and eventually delay their children vaccination. Understanding the cultural influences on parents in Saudi Arabia about the adherence to childhood vaccination program is crucial for health and safety of the whole society. The purpose of this study was to explore experiences of Saudi-born parents who have delayed vaccinations for their children prior to school age. Through a Heideggerian hermeneutic interpretive phenomenological method and the lens of caring theory, this research sought to uncover the essence of Saudi-born parents’ lived experiences where they were allowed to speak and provide their perspectives in their own words. Leininger’s Culture Care Diversity and Universality Theory was used as the theoretical framework guiding this study. Leininger’s Sunrise Enabler-Model provided a framework for assessing the sociocultural aspects of Saudi-born parents that may have influence the vaccine delays for their children. The nine participants provided a rich and thick description of the phenomenon in this study from which three essential themes emerged. The three essential themes were: 1) struggling with barriers, 2) seeking vaccine information (Formal and Informal) and their influence on participants’ decision, and 3) hesitating to vaccinate. Study findings explored cultural factors such as knowledge, access to healthcare centers, work responsibilities, and social media that influenced vaccinating children prior to school in Saudi Arabia. Greater understanding of delays in child vaccination by Saudiborn parents equips nurses in addressing cultural perspectives to reduce communicable diseases amongst children.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013811
Subject Headings: Vaccination of children, Saudi Arabians, Parents
Format: Document (PDF)

Title: THE KNOWLEDGE OF AND ATTITUDES TOWARDS SEXUAL RISK BEHAVIORS AMONG NIGERIAN AMERICAN ADOLESCENTS.
Creator: Adenmosun, Elizabeth Opeyemi, Archibald, Cynthia, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The disproportionate representation of African American adolescents engaging in sexual risk behaviors (SRB) compared to their other racial counterparts is stark. This SRB disparity can be eliminated by addressing ethnic group-specific populations, such as Nigerian American adolescents (NAAs), and requiring an intentional effort and sensitivity regarding the methodology. Protection Motivation Theory and selected Roach's Cs guided this study in a virtual setting, and the uniqueness of NAAs...
Show moreThe disproportionate representation of African American adolescents engaging in sexual risk behaviors (SRB) compared to their other racial counterparts is stark. This SRB disparity can be eliminated by addressing ethnic group-specific populations, such as Nigerian American adolescents (NAAs), and requiring an intentional effort and sensitivity regarding the methodology. Protection Motivation Theory and selected Roach's Cs guided this study in a virtual setting, and the uniqueness of NAAs surfaced. Twenty-five male and female participants were recruited through Nigerian American Foundation. Each participant met the inclusion criteria of self-identification as Nigerian American, male, and female adolescents aged 13 –17 years old, being able to read and provide written assent in English, South Florida residence, Nigerian parentage, or Nigerian birth living in the US within five years. An exploratory, descriptive design employed a mixed-methods study to identify SRB knowledge and attitudes among NAAs. Quantitatively, SRB knowledge and attitudes were assessed using the West Virginia Youth Risk Behavior Inventory, acculturation measure for Afro-Caribbean youths was adapted for the NAAs, and a sociodemographic questionnaire. For the qualitative component, a developed guide was used in focus group discussions.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013786
Subject Headings: Nigerian Americans, Sexual Behavior--Adolescent, Unsafe sex
Format: Document (PDF)

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