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Title: “Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults in Adopting Habit Forming Activities to Address Depression.
Creator: Michel, Madeline, Ordóñez, María de los Ángeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their...
Show moreDepressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation in routine physical and cognitive activities. Nurses routinely utilize a variety of nonpharmacological approaches and patient education interventions designed to reduce the negative impact of comorbid conditions, promote independence, and augment patients’ quality of life. The purpose of this paper is to address the need to develop a habit of engagement in regular physical and mental stimulation activities in older Haitian American adults, to highlight the best current evidence, and to provide a comprehensive description of this quality improvement project with recommendations for practice change. An analysis of the quantitative results, a thorough evaluation of the project, and a final critique with plans for future dissemination are also included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007540
Format: Document (PDF)

Title: A Systematic Review and Quantitative Meta-Analysis of the Accuracy of Visual Inspection for Cervical Cancer Screening: Does Provider Type or Training Matter?.
Creator: Driscoll, Susan D., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using...
Show moreBackground: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using community health workers (CHWs) may overcome these barriers, increase facilitators, and improve participation in screening for women in remote areas with limited access to clinical resources. Aim: To determine whether the accuracy of VI performed by CHWs was comparable to VI by physicians or nurses and to consider the affect components of provider training had on VI accuracy. Methods: A systematic review and quantitative meta-analysis of published literature reporting on VI accuracy, provider type, and training was conducted. Strict inclusion/exclusion criteria, study quality, and publication bias assessments improved rigor and bivariate linear mixed modeling (BLMM) was used to determine the affect of predictors on accuracy. Unconditional and conditional BLMMs, controlling for VI technique, provider type, community, clinical setting, HIV status, and gynecological symptoms were considered. Results: Provider type was a significant predictor of sensitivity (p=.048) in the unconditional VI model. VI performed by CHWs was 15% more sensitive than physicians (p=.014). Provider type was not a significant predictor of accuracy in any other models. Didactic and mentored hours predicted sensitivity in both BLMMs. Quality assurance and use of a training manual predicted specificity in unconditional BLMMs, but was not significant in conditional models. Number of training days, with ≤5 being optimal, predicted sensitivity in both BLMMs and specificity in the unconditional model. Conclusion: Study results suggest that community based cervical cancer screening with VI conducted by CHWs can be as, if not more, accurate than VI performed by licensed providers. Locally based screening programs could increase access to screening for women in remote areas. Collaborative partnerships in “pragmatic solidarity” between healthcare systems, CHWs, and the community could promote participation in screening resulting in decreased cervical cancer incidence and mortality.
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Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004755
Subject Headings: Women--Health and hygiene., Cervix uteri--Cancer--Diagnosis., Cervix uteri--Cancer--Prevention., Medical screening., Medical care--Quality control., Community health services.
Format: Document (PDF)

Title: A Well-Being Program Grounded in Caring: Increasing Staff Satisfaction.
Creator: Jasmin, Marie Rose S., Linette, Donna, Rotolo, Patrice, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Over the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment...
Show moreOver the last few decades, there has been a growing concern over the shortage and training of behavioral healthcare workers in the United States and more so over mental health workers' retention. Publicly funded mental health institutions have been the most affected by the high turnover rate of mental health staff, which increases operational costs by continually hiring and training new staff. Besides increasing health care costs, the high turnover rate creates an unstable work environment that negatively impacts the quality of care. However, when employees are empowered to do their job and care for themselves, they are more likely to experience overall satisfaction and be committed to their organization. Many authors suggest that providing ongoing training to help employees adapt to their daily routine and create a caring environment positively impacts job satisfaction and organizational commitment. Therefore, organizations must implement strategies to enhance employee work experience, satisfaction, and retention. This paper intends to present a unique evidence-based training strategy to improve mental health workers' caring behaviors and work experience. Analysis of this quality improvement project's quantitative results, its evaluation, and practice recommendations are addressed.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000010
Format: Document (PDF)

Title: AIDS as a call for nurse caring: A phenomenological perspective.
Creator: Madayag, Tomas Mina Jr., Florida Atlantic University, Schoenhofer, Savina, Christine E. Lynn College of Nursing
Abstract/Description: The question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting...
Show moreThe question that laid the basis for this study is: What is the meaning of nurse caring for patients with AIDS? This experience was unearthed through the phenomenological approaches of Van Manen and Munhall. The existential lived worlds provided the guide in amplifying the situatedness of participants. Through hermeneutical analysis, these themes emerged: being-with for another, knowing as a source of understanding and compassion, AIDS as stigma, AIDS as a call for nurse caring, connecting-severing, fear as a cause of dissonance, attachment by proxy, the experience of feeling for, corporeal vulnerability, the nurse as spiritless body, death as solace, and living time as hope. These findings were integrated with Roach's theory of nursing as the deliberate affirmation of caring as the human mode of being.
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Date Issued: 1993
PURL: http://purl.flvc.org/fcla/dt/14955
Subject Headings: Health Sciences, Nursing
Format: Document (PDF)

Title: An Evaluation of a Diabetes Self-Management Education Program in a Community Health Clinic.
Creator: Chetan, Daniela, Denny, Justine, Chadwell, Katherine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for...
Show moreThe incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make a multitude of daily self-management decisions and perform complex care activities. Diabetes programs providing self-management education may be one of the solutions to addressing this problem, both nationally and locally. This project evaluated the effectiveness of the diabetes education program at the Cora E. Braynon Family Health Center, a community health clinic caring for underserved individuals. A total of 15 patients were followed throughout their participation in the program in June and July of 2019 for three months. Measurable outcomes for this program evaluation included participation in the program as evidenced by chart review, glycemic control by means of hemoglobin A1c measurements, self-management behaviors including diet, activity and exercise, and medication adherence by administering the Diabetes Self-Management Questionnaire (DSMQ) both pre- and post-participation in the program. Patient satisfaction with the program was measured using qualitative interview techniques. The interprofessional team members’ perception of the program was measured using a questionnaire based on the 10 ADA Diabetes Self-Management Education Standards as well as by qualitative interview. Alignment with the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas was measured by direct observation. After three months, 28% of the patients referred by their primary care provider attended both sessions in June, while 37% of patients referred attended the first session in July and 40.7% the second, meeting the set goal. After three months the following objectives were met: at least 15% of participants reported improvement in diet, activity and exercise, and medication adherence as compared to baseline scores on the DSMQ, 100% of patients and members of the interprofessional team reported satisfaction with the program, and 100% of the interprofessional team reported knowledge of the 2017 National Standards for Diabetes Self-Management Education. After three months, the following measured objectives were not met: only one participant reached the set goal of a 1% reduction in their recorded hemoglobin A1c levels, and during direct observation of program processes, only five of the eight standards from the 2017 National Standards for Diabetes Self-Management Education and Support Curriculum Core Content Areas were met. Core content areas of activity, healthy coping with psychosocial issues and problem solving, needed improvement. Such results support the push for the addition of a mental health counselor to the Care Coordination Team.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007527
Format: Document (PDF)

Title: An Examination of the Demographic, Social, and Environmental Predictors of Risk for Schizophrenia in Afro-Caribbean Immigrants Living in the United States.
Creator: Gall-Ojurongbe, Sandra, Williams, Christine L., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates...
Show moreThe pioneering work of Ödegaard (1932) was the first to link migration and schizophrenia by reporting rates in Norwegian immigrants in Minnesota as twice that of native Minnesotans and of Norwegians in Norway. However, only in recent decades has an interest in migration and schizophrenia been rekindled as a result of reports of elevated rates of schizophrenia in Afro-Caribbean immigrants in the United Kingdom in the mid- 1960s (Hutchinson & Haasen, 2004). Later studies reported elevated rates in secondgeneration Afro-Caribbean immigrants compared to first-generation (Harrison, Owens, Holton, Neilson, & Boot, 1988). In the United States, Blacks were diagnosed with schizophrenia 2.4 times more often than Whites (Olbert, Nagendra, & Buck, 2018). However, mental health researchers in the United States generally combine all individuals of African descent as African- Americans. This practice obscures the nuances of culture and ethnicity within the Black subgroups as well as the immigrant status of Afro-Caribbeans. This research focused on the Afro-Caribbean immigrants and factors that predict risk for schizophrenia within this population. The process of migration is a complex enterprise that produces stressors and challenges, the effects of which are multifaceted. The social and environmental forces that parallel the process of migration may predispose individuals to severe psychiatric disorders such as schizophrenia. Socio-political dynamics in the host country that marginalize others of different cultural and/or racial persuasions can compound the negative effects of post-migration. Therefore, migration is considered a social determinant of health. Empirical evidence has substantiated that socio-environmental factors such as urbanicity, discrimination or socio-economic deprivation, social support, and goal striving stress are potential contributing factors to the development of psychotic disorders in immigrants. Moreover, evidence has supported that the darker the skin color of the immigrant the greater the risk (Cantor-Graae, 2007). The findings of this study confirmed that for Afro-Caribbean immigrants stressors in the post-migration phase such as discrimination, limited social support, and economic hardship that can be compounded by the number of dependent children were identified as possible predictors of risk for schizophrenia. This risk increased with length of residency and continued into the second-generation.
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Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FA00013003
Subject Headings: Schizophrenia--Risk factors, Migration, African-Carribbean
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: Breast Cancer Screening in Uninsured Women.
Creator: Porter, Carla, Archibald, Cynthia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Breast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates....
Show moreBreast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates. Despite breast cancer screening programs, minority women continue to have lower screening rates compared to non-minority women. A non-profit Community Health Center (CHC) in South Florida serves low-income, uninsured, and undocumented individuals: Treasure Your Chest (TYC) is CHC’s breast screening program. The purpose of this project was to assess utilization of TYC. This study was conducted through a retrospective approach examining the use of TYC in reducing breast screening among uninsured women ages 50 to 74 years old. After receiving permission, reviews were done on 57 charts of women who met criteria, and data was analyzed using SPSS. Results indicate women did not maximize the service. Recommendations are discussed.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007543
Format: Document (PDF)

Title: Building the family network: A community is born.
Creator: Petit, Robin Cecilie, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: This research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The...
Show moreThis research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The implications for nursing practice, education and research are discussed.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15348
Subject Headings: Psychology, Social, Health Sciences, Nursing, Health Sciences, Public Health, Sociology, Individual and Family Studies
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: Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
Creator: Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004320
Subject Headings: Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
Format: Document (PDF)

Title: Christine E. Lynn College of Nursing library tutorial.
Creator: Borglund, Susan T., Allen, Ethan J., McMullen, Lindsey, Roshaven, Patricia, Christine E. Lynn College of Nursing
Date Issued: 2006-08
PURL: http://purl.flvc.org/fcla/dt/11494
Subject Headings: Florida Atlantic University. College of Nursing --Curricula, Library orientation, Nursing students, Florida Atlantic University. Libraries, Information literacy, Information resources, Library orientation, Library research
Format: Document (PDF)

Title: Clinical nurse leader [SM] stories: a phenomenological study about the meaning of leadership at the bedside.
Creator: Sorbello, Barbara C., Christine E. Lynn College of Nursing
Abstract/Description: A new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological...
Show moreA new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological investigation examined the lived experiences of CNLs® to gain understanding about the meaning of leadership at the point of care and to discover the unique expressions of living caring that CNLs® experience as they embark upon this new role in the acute care hospital setting. Ten CNL® participants were interviewed for this study. Their stories about patient situations and relationships with other disciplines were shared with rich description and emotion. Hermeneutic analysis of the text revealed six essential themes. Six essential themes emerged revealing the essence of leading at the bedside and living caring in the CNL® role: navigating safe passage, pride in making a difference, bringing the bedside point of view, knowing the patient as person, helping nurses to grow, and CNLs® needing to be known, understood and affirmed. Taken as a whole through a synthesis of the themes, the understanding of the meaning of leading to CNLs® includes keeping their patients safe, being proud of their accomplishments and the respect gained from others, as well as being a helper and advocate for other nurses., This is accomplished through their privileged place at the bedside, where they come to know their patients as person and work hand in hand with nursing colleagues. When CNLs® are supported by management, and their roles are planned and understood, they are more fully able to optimally practice and live and grow in caring.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/1930496
Subject Headings: Nurse practitioners, Nursing services, Administration, Study and teaching, Nursing, Study and teaching (Graduate), Nursing ethics
Format: Document (PDF)

Title: The clinical scholar model: a strategy to bridge the theory-practice gap.
Creator: Arnold, Kathryn., Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical...
Show moreThe purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical framework for this study (Watson, 2007). A sequential mixed-methods approach that combined quantitative and qualitative data collection techniques was implemented using a pre-experimental, post-test only design with non-equivalent groups to determine differences between the Traditional Model (TM) and Clinical Scholar Model (CSM) in clinical nursing education... Limitations of this study include low sample size and are partially due to limitations of the class size and low survey participation. Additionally, only CSM students attended a focus group, which prevented comparisons of qualitative feedback between groups. Even with these limitations, CSM students scored as well or better than TM students, indicating that the CSM could be a viable model for nursing clinical education.
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Date Issued: 2013
PURL: http://purl.flvc.org/FAU/3360742
Subject Headings: Nursing, Study and teaching, Nursing, Philosophy, Evidence-based nursing, Nursing, Psychological aspects
Format: Document (PDF)

Title: Community Breast Screening “Treasure Your Chest”.
Creator: Joji, Lovely, Love, Tamara, Kinlaw, Nakisha, Florida Atlantic University, Christine E. Lynn College of Nursing
Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007538
Format: Document (PDF)

Title: Community Breast Screening “Treasure Your Chest”.
Creator: Joji, Lovely, Love, Tamara, Kinlaw, Nakisha, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote...
Show moreBackground: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote quality of life. Screening mammography has shown to reduce mortality from breast cancer in women 40-70years of age with increasing risk reduction with age. Purpose: This project evaluated “Treasure Your Chest”, a breast cancer screening program in a Community Health Center (CHC) to determine if the CHC met program goals of screening eligible women aged 50-74 yrs. during the given timeline. In addition to this, the purpose was also to identify perceived barriers to the breast screening program and process and to provide recommendations for future screening practices.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007537
Format: Document (PDF)

Title: Culturally Tailoring a Substance Use Intervention Among Southeastern Urban American Indian and Alaska Native Youth.
Creator: Wimbish-Cirilo, Rose M., Lowe, John, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton,...
Show moreIn the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton, Chadwick, & Bahr, 1975; Yuan et al., 2010). In an historical sense, the unsuccessful attempts of relocating AI/AN people to urban areas place the future generations of urban AI/AN youth at risk for substance use, health conditions, and health disparities. Nationally, incident rates of substance use among urban AI/AN populations ages 12 and over is rising steadily, two to three folds higher than other ethnicities in urban areas within states such as Florida. The overall objective of this study is to culturally tailor the evidence-based Lowe (2013) Cherokee Talking Circle Intervention for substance use prevention among Cherokee adolescents to that of an Urban Taking Circle Intervention for use among urban AI/AN adolescents in Florida. Therefore, the feasibility of culturally tailoring this substance use intervention among a southeastern urban AI/AN youth was examined and presented within this dissertation.
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Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004692, http://purl.flvc.org/fau/fd/FA00004692
Subject Headings: Alaska Natives -- Social conditions, Crisis intervention (Mental health services), Indians of North America -- Alcohol use -- Prevention, Indians of North America -- Social conditions, Indians of North America -- Substance use -- Prevention, Substance abuse -- Treatment
Format: Document (PDF)

Title: Cumulative trauma among adult Mayas living in southeast Florida.
Creator: Millender, Eugenia I., Christine E. Lynn College of Nursing
Abstract/Description: The toxic combination of social, psychological, environmental, cultural, and physiological trauma Mayas living in Southeast Florida face daily places them at higher risk for mental and physical disorders (Marmot & Wilkinson, 2006; WHO, 2010, September). The burden of disease is not limited to mental disorder comorbidities; psychological stress can also induce or exacerbate chronic medical diseases such as obesity, diabetes, and hypertension (Brunner & Marmot, 2006; Sridhar, 2007). ... The...
Show moreThe toxic combination of social, psychological, environmental, cultural, and physiological trauma Mayas living in Southeast Florida face daily places them at higher risk for mental and physical disorders (Marmot & Wilkinson, 2006; WHO, 2010, September). The burden of disease is not limited to mental disorder comorbidities; psychological stress can also induce or exacerbate chronic medical diseases such as obesity, diabetes, and hypertension (Brunner & Marmot, 2006; Sridhar, 2007). ... The continuation of this disregard will add to the health disparity of this nation by delaying assessment, treatment, and development of interventions. The purpose of this study was to explore cumulative trauma as it related to social determinants of health and pathophysiological, psychological, and health behaviors of 102 adult Mayas living in Southeast Florida. The trauma profile for the Mayan population sample obtained through this study reflected high exposure to different types of trauma; collective identity trauma was most frequently reported, followed by survival trauma, achievement trauma, secondary trauma, and personal identity trauma, with high rates of repetition of the same traumas ... Key words: Maya; alcohol; ASSIST; cumulative trauma; Beck Depression Inventory-II; genocide; Guatemala; Hispanic; social determinants of health.
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Date Issued: 2013
PURL: http://purl.flvc.org/fcla/dt/3362554
Subject Headings: Psychic trauma, Adjustment (Psychology), Resilience (Personality trait), Medicine and psychology, Immigrants, Cultural assimilation
Format: Document (PDF)

Title: Decision making models utilized by nurses to activate rapid response teams.
Creator: Parker, Carlo G., Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made...
Show moreThe purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made the decision to activate the RRT and then were asked to complete the instruments used in this study. Using the Nurse Decision-Making Instrument, the participant's decision making model then was categorized as analytic, intuitive, or mixed. The skill at early recognition of clinical deterioration was measured with the Manifestations of Early Recognition Instrument. Participant scores on the two instruments were significantly correlated with each other as well as to their frequency of RRT activation over the preceding 12 months. The findings of this study indicated that nurses who used analytical decision making activated the RRT with greater frequency than either the intuitive or mixed decision makers. In addition, registered nurses who used analytical decision making to activate the RRT tended to have higher levels of skill in the early recognition of clinical deterioration, as measured by the MER, than either the intuitive or mixed decision makers. Another finding of this study was that RNs with higher levels of skill in the early recognition of clinical deterioration tended to activate the RRT more frequently than RNs with lower levels of this skill. The implications of this study are that the use of analytical decision making may result in more frequent activation of the RRT., Increased frequency of RRT activation has been linked in the literature with decreased patient mortality rates. The significance of the findings from this study is that the use of analytic decision making has the potential to reduce the incidence of the number one patient safety indicator, failure to rescue.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3318676
Subject Headings: Nursing, Decision making, Clinical competence, Outcome assessment (Medical care), Nursing diagnosis, Nurse and patient
Format: Document (PDF)

Title: DESCRIPTIVE EXPLORATORY STUDY OF INDIVIDUALS’ USE OF PULSED ELECTROMAGNETIC FIELDS, THE MICRO-PULSE, FOR PAIN RELIEF.
Creator: Ravid, Stacey, Barry, Charlotte, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Pain has caused innumerable suffering to countless individuals and has impacted their lives in profound ways. There are many detrimental effects of pain including decreased ability to work, depression, isolation, increased pharmaceutical use, and addiction. Pain, on a worldwide scale, remains ineffectively treated and alternative solutions for managing pain are needed. Pain is conventionally treated with pharmaceuticals, primarily narcotics. Continuation of medications for these painful...
Show morePain has caused innumerable suffering to countless individuals and has impacted their lives in profound ways. There are many detrimental effects of pain including decreased ability to work, depression, isolation, increased pharmaceutical use, and addiction. Pain, on a worldwide scale, remains ineffectively treated and alternative solutions for managing pain are needed. Pain is conventionally treated with pharmaceuticals, primarily narcotics. Continuation of medications for these painful conditions often causes dependence and addiction. The pain and narcotics cycle contributes to the opioid epidemic. The cost in human lives is immense. Pulsed Electromagnetic Field (PEMF) is a holistic modality used for various ailments. This exploratory descriptive research study focused on the experience of individuals using the Micro-Pulse, PEMF, for pain relief. The mind/body connection was a foundation of the holistic theoretical framework for this study. The theoretical grounding for this study was Watson’s (2018) theory of human caring, which is based on a foundation of holistic healing incorporating mind, emotional body, physical body, and spirit for treatment of pain. Understanding an individual’s experience of pain relief will potentially raise awareness and promote the exploration of holistic therapeutic approaches for patients in pain.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013341
Subject Headings: Electromagnetic fields, Pain relief, Pain Management--methods, Holistic medicine, Mind and body--Health aspects
Format: Document (PDF)

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