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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: 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: Development and testing of a measure of Alzheimer’s disease knowledge in a rural Appalachian community.
Creator: Weise, Lisa K., Williams, Christine L., Christine E. Lynn College of Nursing
Abstract/Description: Rural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the...
Show moreRural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the reliability and validity of a new measure of knowledge about AD that is culturally congruent, and to examine factors that may predict AD knowledge in this rural population. A correlational descriptive study was conducted with 240 participants from four samples of older adults in south central rural Appalachian West Virginia using surveys and face-to-face interviews. Results from tests for stability, reliability including Rasch modeling, discrimination and point biserial indices, and concurrent, divergent, and construct validity were favorable. Findings were that although more diversity in test item difficulty is needed, the test discriminated well between persons with higher and lower levels of education [F(2, 226) = 170.51, p = .001]. Using multiple regression, the predictors of AD knowledge included caregiver status, miles from a healthcare provider, gender, and education; (R2=.05, F(4,187) = 2.65, p =. 04). Only years of education accounted for a significant proportion of unique variance in predicting the total BKAD score (t = 2.14, p =. 03). Implications include the need for further tool refinement, testing for health literacy, coordination with recent statewide efforts to educate the public regarding AD, and community based participatory research in designing culturally effective education programs that will ultimately increase screening and detection of Alzheimer’s disease in rural populations.
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Date Issued: 2013
PURL: http://purl.flvc.org/fau/fd/FA0004074
Subject Headings: Alzheimer's disease -- Diagnosis -- Social aspects, Alzheimer's disease -- Research -- Methodology, Health literacy -- West Virginia -- Appalachian Region, Southern, West Virginia -- Appalachian Region, Southern -- Social aspects
Format: Document (PDF)

Title: The effectiveness of a violence prevention program used as a nursing intervention tool on agression among children in pre-kindergarten.
Creator: Stephenson, Carol W., Christine E. Lynn College of Nursing
Abstract/Description: Childhood aggression has captured media attention over recent years. Aggression and violence have permeated schools and affected many communities. There are policies and programs in place for young adults, teens and children in some high schools and elementary schools, but not in preschools or daycare centers. However, intervention programs need to be introduced at the preschool level. There is also a scarcity of nursing research on aggression among preschoolers and successful early...
Show moreChildhood aggression has captured media attention over recent years. Aggression and violence have permeated schools and affected many communities. There are policies and programs in place for young adults, teens and children in some high schools and elementary schools, but not in preschools or daycare centers. However, intervention programs need to be introduced at the preschool level. There is also a scarcity of nursing research on aggression among preschoolers and successful early intervention anti-aggression programs. This study evaluated the Second Stepª anti-aggression program, utilized as a nursing intervention tool, among 41 preschool children aged 3, 4, and 5 years of age. The 3-month long research study was based on King's 1981 general systems theory, which is classified as an interaction model. The research design was a randomized pre-test post-test, 2-group (control and experimental) experimental one, to test the hypothesis that children's aggression scores would be lower and their prosocial scores would be higher after the intervention program. It was also hypothesized that boys would have higher aggression scores than girls and that there would be differences in post aggression scores in the treatment group. Repeated measures ANOVA showed that there were no significant differences between the make-up of each group (p = .05). There was no statistically significant difference between pre- and post-test aggression scores (p = .14) or between genders (p = .13), with the exception that the preschool girls in both groups had slightly higher relational aggression scores than boys, pre- and post-test. The differences were statistically significant at p = <.05. The post-test relational aggression scores were not lower in either group. These findings are discussed in this paper.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/186766
Subject Headings: Violence in children, Children and violence, Community health nursing, Developmental psychology, Attribution (Social psychology)
Format: Document (PDF)

Title: GIving voice to historical trauma through storytelling: the impact of boarding school experience on American Indians.
Creator: Charbonneau-Dahlen, Barbara K., Christine E. Lynn College of Nursing
Abstract/Description: Objectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in...
Show moreObjectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in relating their survival stories. Seven were tape-recorded and two were hand-written on the Dream Catcher-Medicine Wheel, a model specifically designed for this study; this, combined with traditional spiritual grounding ceremonies, enhanced perspective for researcher and participants alike. Data Analysis: Liehr and Smith's (2008) Story Theory guided the methodology in the data gathering and analysis process using the Dream Catcher-Medicine Wheel combined with taped and written storytelling sessions. Major themes were categorized and supported with interview quotes through inductive analysis of the two research questions: What were the health challenges faced by survivors of American Indian mission boarding schools over time?, and, How have American Indian mission boarding school survivors resolved the health challenges they have faced over time? The first theme, subdivided into Breaking and Silencing of Spirit, examined physical, mental, and sexual abuse. The second theme, Survival of Spirit, examined relationships/parenting, coping/substance abuse, and spirituality. Findings: The seven dimensions described in Lowe and Struthers' (2001) Nursing in Native American Culture Conceptual Framework provided the value structure used for interpretation of findings. Implications for practice and research were related to the seven dimensions as culturally appropriate parameters for nursing., Data analysis identified disturbing themes; unanticipated candor emerged, possibly owing to the fact that the researcher is a historical trauma survivor. Despite having survived historical trauma through the survival of the spirit, each participant struggles to resolve health challenges to this day. Unable to voice mission boarding school experiences for most of their adult lives, each affirmed the rediscovery of Native spirituality empowering; all expressed appreciation for traditional methods woven into storytelling sessions, particularly the Dream Catcher-Medicine Wheel, and all indicated they experienced release and healing through telling their stories. Key words: American Indian; historical trauma; nursing; boarding school; Dream Catcher-Medicine Wheel.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/2975245
Subject Headings: Psychic trauma in children, Treatment, Resilience (Personality trait), Identity (Psychology), Indians of North America, Cultural assimilation, Indians of North America, Social conditions, Indians of North America, Medical care, Boarding schools, History, Narrative therapy, Interpersonal relations in children, Psychological aspects
Format: Document (PDF)

Title: Health of veterans home from war.
Creator: Wands, LisaMarie., Christine E. Lynn College of Nursing
Abstract/Description: Approximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of...
Show moreApproximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of coming home from war. Qualitative data collection and analysis was guided by story inquiry method. Quantitative data was collected using the 36-item Short-Form Health Survey, Version 2 (SF-36v2) and analyzed using QualityMetric Health Outcomes[TM] Score Software, Version 4.0. Seven OEF/OIF veterans who had completed at least one tour of duty in Iraq since October 2001 participated in this study. Three themes emerged from the qualitative data that capture the complicating health issues that participants encountered when coming home from war: flipping the switch, figuring out how to belong, and living the stress of a new normal. Two themes emerged from the qualitative data that capture approaches used to resolve complicating health issues associated with returning home from war: connecting with others and choosing a positive attitude. Quantitative data revealed that the majority of participants scored at or above general population norms on three of the subscales that measure physical health, as well as on two of the subscales that measure mental health; however a significant percentage scored below norms on the subscale that measures social functioning (57%) and on the subscale that directly measures mental health (43%)., All three themes describing complicating health issues that emerged during qualitative data analysis resonated with the SF-36v2's measures of mental health, especially social functioning which inquires about experiences with social interactions. Both themes describing movement toward resolving resounded strongly with the SF-36v2's measures of mental health. From this study's findings, changes to policy and practice, education of nurses and post-secondary faculty, and future research have been recommended to continue to assist the war veteran who is coming home.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3322516
Subject Headings: Post-traumatic stress disorder, Resilience (Personality trait), Veterans, Mental health, War, Psychological aspects, Iraq War, 2003-, Veterans, Medical care, Afghan War, 2001-, Veterans, Medical care
Format: Document (PDF)

Title: Hedonistic or Epistemic Cultural Immersion: Photo Shorts Methodology.
Creator: June, Henry, Smith, Adam, Christine E. Lynn College of Nursing
Abstract/Description: The research determined whether hedonistic immersion imagery or epistemic cultural immersion imagery would be more likely to attract college students to book a spring break cruise. Photo Sorts, a projective method, was used to present seven hedonistic and seven epistemic cultural photographs to a convenience sample of college students to determine preferences for Caribbean island excursions. Subjects were asked to assume that they were on a cruise in the Caribbean island; deciding which...
Show moreThe research determined whether hedonistic immersion imagery or epistemic cultural immersion imagery would be more likely to attract college students to book a spring break cruise. Photo Sorts, a projective method, was used to present seven hedonistic and seven epistemic cultural photographs to a convenience sample of college students to determine preferences for Caribbean island excursions. Subjects were asked to assume that they were on a cruise in the Caribbean island; deciding which excursions to take. Forty respondents were tasked with looking at fourteen photographs; placing each one into either the “Do not want to do” or “Want to do” bin. Nominal variables, categories (Want to do/Do not want to do), and an analysis based on counts rather than rating scales characterized the research. Thus, the Chi-Square method found, at 90% confidence, that Royal Caribbean should emphasize hedonistic imagery in its video and digital brochure to attract cruise-bound college students.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00005199
Subject Headings: College students --Research --United States.
Format: Document (PDF)

Title: Holding the frontline: the experience of being a charge nurse in an acute care setting.
Creator: Eggenberger, Terry L., Christine E. Lynn College of Nursing
Abstract/Description: Within the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring...
Show moreWithin the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring attributes and leadership, and Boykin and Schoenhofer's (2001) theory of Nursing as Caring provided the theoretical lenses through which study findings were viewed. Semi-structured interviews were conducted with 20 charge nurses in 4 acute care facilities. Eight themes emerged from an inductive analysis of the data describing the experience of being a charge nurse in acute care practice: Creating a Safety Net, Monitoring for Quality, Showing the Way, Completing the Puzzle, Managing the Flow, Mak ing a Difference, Putting Out Fires, and Keeping Patients Happy. Participants also were asked questions about how they provide support to staff nurses and patients. Themes that reflected how charge nurses live caring in their support of staff and patients were: Jumping in the Trenches, Nurturing Staff Growth, Offering Authentic Presence, and Looking after Nurses. Additionally, the researcher used methods of narrative inquiry to get the participants to share stories of how they lived caring in their support of nurses and patients. Recommendations included the need to elevate the visibility of the charge nurse role and its importance to the organization, and provide support for leadership development. Job descriptions and competencies for charge nurses must reflect the complexity of the environment., Charge nurse participants did not dialogue explicitly about their functions in terms of communication and intraprofessional team building. Since charge nurses have an increasing involvement with mentoring novice nurses and new staff, they would benefit from developing coaching skills. Given the current environment, their responsibilities in these areas may need to be better articulated so that they can focus on increasing these abilities.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3170952
Subject Headings: Nursing services, Administration, Nurse and patient, Nursing, Philosophy, Nursing, Decision making, Clinical competence
Format: Document (PDF)

Title: Immigrant status, substance use and sexual risk among Afro-Caribbean adolescents living in South Florida.
Creator: Jolly, Kim., Christine E. Lynn College of Nursing
Abstract/Description: Objectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results:...
Show moreObjectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results: The study consists of 106 adolescents, 75% (n = 79) documented and 25% (n = 27) undocumented. Forty-one documented and 10 undocumented adolescents were sexually active. Of those, 14.6% of the documented and 40% of the undocumented adolescents had been drinking alcohol while engaging in sexual activity; 7.3% of documented and 30% of undocumented adolescents used drugs while engaging in sexual activity. Undocumented adolescents had less adult presence before and after school; Creole was spoken at home more than English, and none of the parents had gone to or graduated from college. There was no significant difference in risk-taking and social adaptation scores as measured by the Adolescent Risk-Taking Instrument (ARTI) for the documented and undocumented Afro-Caribbean adolescents. The ARTI had acceptable internal consistency reliability for the risk-taking (.87) and social adaption (.82) scale in this population. The mean score of risk behavior was 2.04 (SD = .44) for documented Afro-Caribbean adolescents and 1.89 (SD = .47) for undocumented adolescents. For social adaptation, mean scores were 3.23 (SD = .45) for documented and 3.20 (SD = .35) for undocumented adolescents. The co-occurrence of substance use and sexual activity is nearly triple for alcohol use and more than triple for drug use when comparing undocumented to documented adolescents., However, scores on the ARTI did not differ.Socio-demographic factors related to risky behaviors suggest that the undocumented adolescents were more at risk. Health risk of undocumented adolescents demands more research attention if nurses wish to address the unique needs of this population.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/228769
Subject Headings: Behavior disorders in adolescence, Behavioral assessment of teenagers, Adolescent psychopathology, Acculturation, Transcultural nursing
Format: Document (PDF)

Title: The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
Creator: Johnson, Bridgette M., Christine E. Lynn College of Nursing
Abstract/Description: atisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the...
Show moreatisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the Patient Satisfaction Questionnaire-18 (PSQ-18), which measured how satisfied the participants were with their medical care; the Diabetes Empowerment Scale-Short Form (DES-SF), which measured attitudes towards diabetes and self-management of diabetes; and a demographic form, which collected data on the demographics of each participant. The most recent hemoglobin A1c (HbA1c) of each participant was obtained from the medical records. The correlations between HbA1c, DES, and the PSQ-18 subscales were exam ined. The study data indicated all correlations were statistically significant and negative with one exception. There was no correlation between HbA1c and time spent, a satisfaction subscale. Approximately half the participants were high school graduates, married, and reported being born in the Caribbean. Most had primary care physicians, but less than half reported attending a diabetes education program. The average BMI was 33.0. The findings of this study indicated older African adults who reported higher satisfaction with the care provided by their health care provider reported feeling more empowered to participate in diabetes self-care and reported lower HbA1c levels, suggesting better glycemic control (R2 = .39; P=<.001)., The implications of this study are that feeling empowered to participate in diabetes self-care management may result in improved glycemic control. Positive diabetes outcomes have been linked in the literature with persons feeling empowered to participate in diabetes self-care. The significance of the findings from this study is that given the relationship between empowerment and glycemic control, nurses should support the empowerment model of diabetes teaching. Diabetes education should provide written materials that are culturally sensitive for African American elders.
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Date Issued: 2012
PURL: http://purl.flvc.org/FAU/3342114
Subject Headings: Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
Format: Document (PDF)

Title: Increasing Cognitive Screening, Neuropsychological Referrals, and Dementia Detection among Older Haitian Adults.
Creator: Daccarett, Sandra, Christine E. Lynn College of Nursing, , Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000358
Format: Citation

Title: Integrity and reflections of the past: a phenomenographic analysis.
Creator: Rio, Germina Emily Risos., Christine E. Lynn College of Nursing
Abstract/Description: The graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and...
Show moreThe graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and describe the meaningful life events elicited by the experience of Creative Reminiscence using a phenomenographic approach. Existing (archived) data-transcribed interviews, poetry and painting on planters that were obtained from 20 participants of the Creative Reminiscence program entitled Le Jardin de Sante were analyzed. Five variations of meaningful memories evoked by Creative Reminiscence were identified. These are described as follows: (a) memories that rejuvenate the elder's sense of connectio n; (b) memories that revive the elder's sense of love and intimacy; (c) memories that restore the elder's sense of being; (d) memories that reassert the elder's sense of control; and (e) memories that reinstitute the elder's sense of purpose. In a caring interaction with Creative Reminiscence, the nursed are able to transcend, moving back in time (past) to appreciate segment(s) of their lives, with triumphs and disappointments that give meaning to their inner conflict/human struggle (present), and integrate a sense of confidence and acceptance of their lives to sustain well-being and a sense of wholeness. This research highlights the similarities and differences in the description of memories by the nursing home residents evoked during Creative Reminiscence., The results of the study support Erikson's notion of the circular nature of the life cycle, wherein there is an inherent need at the last stage of life to re-integrate ascendant psychosocial themes.Taking into account the meaning that nursing home residents ascribe to their experiences provided data on strategies nurses and caregivers can use effectively to help these elders transcend despair. Further research is recommended using a more diverse sample and in more diverse geographical locations. Current standardized instruments may be revised to quantify effects on the ascendant psychosocial themes.
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Date Issued: 2008
PURL: http://purl.flvc.org/fcla/dt/177012
Subject Headings: Aging, Psychological aspects, Memory in old age, Analysis, Nursing, Philosophy, Depression in old age, Research, Reminiscing in old age
Format: Document (PDF)

Title: Latinas experiencing transnational motherhood.
Creator: Sternberg, Rosa Maria., Christine E. Lynn College of Nursing
Abstract/Description: Economic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and...
Show moreEconomic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and Hispanic/Latino groups are projected to experience the largest population increase in the coming decades (Marshall, Urrutia-Rojas, Soto-Mas & Coggin, 2005). The separation from their family has a strong impact on the health and well-being of these women, rendering them vulnerable to health care barriers and health disparities. This qualitative research study explored the experiences of Latinas living transnational motherhood. Individual semi-structured interviews were conducted with eight Latin as living transnational motherhood between the ages 21- 39. The findings in this study describe the lived experience of Latina transnational mothers within their social, economic and cultural context. The narrative was analyzed using van Manen's (1990) interpretative hermeneutic phenomenological approach to narrative analysis. Findings indicate that Latinas experiencing transnational motherhood find meaning in mothering from afar through sacrifice, suffering, and hopefulness for a better life for their children, and for family reunification. Findings from this study inform nurses of the health care barriers that these Latinas living transnational motherhood encounter as they experience hardship in order to support their families abroad as well as themselves., Nurses caring for women who immigrate without their children are presented with professional and ethical challenges that require nurses to be knowledgeable about these women's pre- and post-immigration experiences findings of this study help narrowing the gap of information regarding lived experiences of Latinas transnational mothers. This knowledge offers guidance to the development of care that is compassionate, ethical and culturally appropriate.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/3333040
Subject Headings: Latin America, Emigration and Immigration, Social aspects, Parental deprivation, Families, Cross-cultural studies, Transnationalism, Nursing, Social aspects, Communication in nursing, Emigration and Immigration, Social aspects
Format: Document (PDF)

Title: The lived experience of adolescent females who self-injure by cutting.
Creator: Lesniak, Rhonda Goodman, Christine E. Lynn College of Nursing
Abstract/Description: Self-injury behavior is identified as the non-suicidal, deliberate infliction of a wound to oneself in an attempt to seek expression. Self-injury is becoming more prevalent in the adolescent population; however, many nursing professionals are unaware of this phenomenon and the implications it holds for nursing. Approximately 12 to 17 percent of adolescents deliberately injure themselves although accurate statistics are difficult to obtain due to the secret and private nature of the behavior....
Show moreSelf-injury behavior is identified as the non-suicidal, deliberate infliction of a wound to oneself in an attempt to seek expression. Self-injury is becoming more prevalent in the adolescent population; however, many nursing professionals are unaware of this phenomenon and the implications it holds for nursing. Approximately 12 to 17 percent of adolescents deliberately injure themselves although accurate statistics are difficult to obtain due to the secret and private nature of the behavior. Nurses, especially those who care for adolescents, could benefit from an understanding of the implications of self-injury, the characteristics of adolescents who self-injure, the expressivity of the behavior, and the repetitive patterns of the emotions experienced by adolescents who self-injure. Six adolescent females were interviewed for this study. Their stories were shared in rich, descriptive narratives. Common themes emerged from the words of the participants and these themes described the essence of self-injury by cutting for adolescent females. The themes which emerged were living with childhood trauma, feeling abandoned, being an outsider, loathing self, silently screaming, releasing the pressure, feeling alive, being ashamed, and being hopeful for self and others. The general structure that emerged from a synthesis of the themes was that the experience of self-injury by cutting for adolescent females is one where they are struggling for well-being and hoping for more being by using their skin as a canvas upon which internal pain is expressed as tangible and real.
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Date Issued: 2008
PURL: http://purl.flvc.org/FAU/186289
Subject Headings: Self-mutilation in adolescence, Self-injurious behavior, Peer pressure in adolescence, Teenagers, Conduct of life, Adolescent psychology, Stress in adolescence
Format: Document (PDF)

Title: The lived experience of mothers as they sought health care for their internationally adopted children.
Creator: Murphy, Natalie L., Christine E. Lynn College of Nursing
Abstract/Description: For the past 60 years, American citizens have turned to international adoption as a way to build their families. Unfortunately, international adoptees often spend the first months or years of their young lives in conditions of poverty and/or institutionalized care. Additionally, current U.S. immigration laws dictate that the children receive only a cursory health screening before arrival. As a result, many of the children adopted by Americans arrive to the United States with significant...
Show moreFor the past 60 years, American citizens have turned to international adoption as a way to build their families. Unfortunately, international adoptees often spend the first months or years of their young lives in conditions of poverty and/or institutionalized care. Additionally, current U.S. immigration laws dictate that the children receive only a cursory health screening before arrival. As a result, many of the children adopted by Americans arrive to the United States with significant physical, emotional, behavioral, and developmental health problems. Twelve mothers who had adopted children internationally were interviewed for this study. Their stories of obtaining health care for their newly adopted children were shared in descriptive narratives. The themes that emerged from the data analysis were seeing healthy children despite the challenges, struggling to help the children, needing help, missing lost pieces, being different, and wanting more from providers. The overall essence derived from the mothers' experiences was that seeking health care for their newly adopted children was one of hope to achieve wellness for their children and normalcy for their families within the context of loss and a desire for more support. These findings have significant implications for the health care providers who care for them.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/2978947
Subject Headings: Adopted children, Medical care, Adopted children, Health and hygiene, Intercountry adoption, Adoptive parents, Adoption, Psychological aspects
Format: Document (PDF)

Title: The lived experience of the spouses of transplant recipients.
Creator: Stecher, Jo Anne., Christine E. Lynn College of Nursing
Abstract/Description: The numbers of transplant surgeries continue to rise in the U.S. This results in a greater number of caregivers who are present in the recipients' lives. Most often these caregivers are spouses. Transplant spouses present with emotional needs, which have been expressed in this study. Nurses, especially those who work with the spouses of transplant candidates and recipients, could be appreciative of the requirements that have been told by these spouses. Six women and two men were interviewed...
Show moreThe numbers of transplant surgeries continue to rise in the U.S. This results in a greater number of caregivers who are present in the recipients' lives. Most often these caregivers are spouses. Transplant spouses present with emotional needs, which have been expressed in this study. Nurses, especially those who work with the spouses of transplant candidates and recipients, could be appreciative of the requirements that have been told by these spouses. Six women and two men were interviewed for this study. Their stories were analyzed using a phenomenological approach and five themes emerged from the data. The themes that surfaced included uncertainty, support, thankfulness and a positive approach, intimacy and the relationship as a couple, and guilt. Two general structures then evolved from these themes to include adaptation and belief in self and others. The general structures revealed the ways the spouses learned to live during the transplant journey.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/367765
Subject Headings: Transplantation of organs, tissues, etc, Family relationships, Caregivers, Conduct of life, Stress management
Format: Document (PDF)

Title: Maternal health policy: nursing's legacy and the Social Security Act of 1935.
Creator: Pope, Bonnie L., Christine E. Lynn College of Nursing
Abstract/Description: This study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the...
Show moreThis study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the conclusion that eugenic policies did influence the writing and passage of the Social Security Act. Also, that nurses, and other women, played a specific, important and constructive role in developing the Act. During the late 1800s and early 1900s prominent leaders of business, science, philanthropy, and social reform supported the eugenic agenda to assure the wellbeing of hard working "Anglo-Saxon" American citizens. Industrialization and scientific advances in medicine gave Americans the impression that the "production" of healthy, intelligent children could be controlled, efficient, and predictable. Better breeding as a means for social improvement, which fueled the eugenics movement's use of science to solve social problems through governmental involvement, had two sides. Positive eugenics increased information on health and illness prevention, and established well baby clinics; however, negative eugenics advocated controlled reproduction through sterilization of persons considered "unfit." By 1935, twenty-eight states had eugenic sterilization laws. Noted reformers during this time (Lillian Wald, Jane Addams, and Florence Kelley) worked with Presidents Theodore Roosevelt and Woodrow Wilson to establish the Federal Children's Bureau. The Bureau had a direct influence on the maternal and child health policy established by the Social Security Act of 1935., This legacy continues today in the continued fight for women and children's social and economic rights.The Social Security Act's intention, economic security for all citizens, was not realized. Sections of the Act focused on maternalistic social views and sought to maintain a patriarchal family structure. The language of the Social Security Act created barriers to benefits for the most vulnerable. In fact, it seems reasonable to conclude that institutionalized health care disparities laid their roots in America through this legislation.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3172424
Subject Headings: Eugenics, History, Medical policy, Nursing, Political aspects, Social security, History, Public welfare, History, Health promotion, Community health nursing
Format: Document (PDF)

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Florida (2)	+ -
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