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Title: Perceived discrimination of Muslims in health care in the United States.
Creator: Martin, Mary Brigid, Williams, Christine L., Christine E. Lynn College of Nursing
Abstract/Description: Discrimination is not only a human and civil rights offense, but also a detrimental influence on the health outcomes of affected populations. The Muslim population in the United States is a growing religious minority increasingly encountered by health care professionals in the clinical setting. This group has been subject to heightened discrimination since the tragic events of September 11, 2001 and often is misunderstood within the context of American society today. While research has been...
Show moreDiscrimination is not only a human and civil rights offense, but also a detrimental influence on the health outcomes of affected populations. The Muslim population in the United States is a growing religious minority increasingly encountered by health care professionals in the clinical setting. This group has been subject to heightened discrimination since the tragic events of September 11, 2001 and often is misunderstood within the context of American society today. While research has been conducted on discrimination against Muslims in the employment and educational segments of society, more studies are needed which quantify the extent and type of discrimination faced by this group in the health care setting. This inquiry focused on the crossover of anti-Muslim discrimination from society to the health care setting. A newly developed tool to measure anti-Muslim discrimination in health care and an established perceived discrimination scale were used to create the questionnaire employed in this investigation. The items of this newly created tool addressed culturally congruent care practices based on the principles of cultural safety within the nurse-patient relationship and the cultural care beliefs of the Muslim patient/family to ascertain discriminatory occurrences in the health care setting. Ray’s (2010) transcultural caring dynamics in nursing and health care model served as a framework for this quantitative, univariate, descriptive, cross-sectional design. Findings revealed that nearly one-third of Muslim subjects perceived they were discriminated against in the health care setting in the United States. Being excluded or ignored was the most frequently conveyed type of discrimination, followed by problems related to the use of Muslim clothing; offensive or insensitive verbal remarks; and problems related to Islamic holidays, prayer rituals, and physical assault, respectively. Age was positively correlated with perceived anti-Muslim discrimination in society. Education was negatively correlated with perceived discrimination in both society and the health care setting. Findings revealed that three out of five of those surveyed reported that they wear Muslim clothing; the most frequently reported of which was the hijab, the most popular Muslim garment reported to be worn. Participants who wore Muslim clothing, especially females, reported more anti-Muslim discrimination than those who did not. Scores for self-reported perceived anti-Muslim discrimination were found to be higher after the Boston Marathon bombings, April 15, 2013, an act perpetrated by Muslims, which occurred during the time of data collection. The number one Muslim care preference reported was same sex caregiver followed by respect for modesty, prayer rituals, respect for privacy, family involvement in care, and dietary concerns. Implications for practice, policy, education, political science, and recommendations for further research are discussed.
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Date Issued: 2013
PURL: http://purl.flvc.org/fau/fd/FA0004036
Subject Headings: Discrimination -- United States, Discrimination in medical care, Health services accessibility, Minorities -- Health and hygiene, Muslims -- Public opinion
Format: Document (PDF)

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

Title: DIET COACHING TO IMPROVE PROTEIN INTAKE IN MIDDLE!AGED WOMEN.
Creator: Jackson, Kelley, Gropper, Sareen, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The loss of muscle (mass, strength, and function) occurs in many individuals in their 40’s and begins to accelerate after 50 years of age resulting from multiple understood mechanisms. While many factors are thought to contribute to the changes that are observed in muscle with aging, one significant, yet modifiable factor is dietary protein intake. This study proposed to improve dietary protein intake in a group of middle-aged women living in South Florida over a 12-week period using...
Show moreThe loss of muscle (mass, strength, and function) occurs in many individuals in their 40’s and begins to accelerate after 50 years of age resulting from multiple understood mechanisms. While many factors are thought to contribute to the changes that are observed in muscle with aging, one significant, yet modifiable factor is dietary protein intake. This study proposed to improve dietary protein intake in a group of middle-aged women living in South Florida over a 12-week period using individualized per-meal protein prescriptions (1.2 g protein/kg body weight evenly distributed for all three meals) provided by a Registered Dietitian, followed by weekly diet coaching from a Nurse Practitioner (coach). Aims included: (1) An examination of the effect of diet coaching on protein intake, nutrition knowledge, muscle mass, strength, and function and (2) An understanding of how diet coaching sessions help in the process of making dietary changes. A parallel mixed methods research design allowed for a synthesis of inferences from each aim resulting in a meta-inference highlighting interdisciplinary collaboration.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013545
Subject Headings: Middle-aged women, Dietary Proteins, Muscles--Aging
Format: Document (PDF)

Title: FINDING A UNIQUE PATH: EMBODYING PARENTING IN THE MIDST OF CONFLICTING COMPLEXITY WITHIN PEDIATRIC PALLIATIVE CARE.
Creator: Olafson, Elizabeth A., Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life...
Show moreThe purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life-limiting or life-threatening situations were asked: What matters most during the process of complex healthcare decision-making? A constant comparative method was used to analyze data collected from semistructured interviews and the theory of embodying parenting in the midst of conflicting complexity emerged. J. Watson’s (2020) theory of human caring grounded the researcher in living caritas processes throughout the study. All participants experienced a disruption of their expected parenting and family normal. Through constant comparative data analysis, the core category of embodying parenting was identified. Feeling respected as the parent, thoughtfully making right decisions, and maintaining presence support embodying parenting. The basic social process identified was finding a unique path. The process of finding a unique path included connecting with a supportive community, claiming decisional authority, moderating negative thoughts and feelings, and adjusting expectations. Living in peace was achieved by finding a unique path to embodying parenting in the midst of conflicting complexity. For the participants in this study, accepting circumstances, feeling gratitude, and perceiving life differently led to living in peace.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013599
Subject Headings: Palliative Care, Nursing, Pediatric nursing, Decision Making
Format: Document (PDF)

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

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

Title: Thriving in Healthcare Providers: Relationship to Emotional Exhaustion & Impact on Primary Care Population Health Outcomes.
Creator: Constantinides, Shannon M., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: In 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the...
Show moreIn 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the relationship between thriving and emotional exhaustion (which is widely considered a core element of burnout) in healthcare providers, and the impact thriving had on primary care population health outcomes as measured by quantifiable value-based quality performance metrics. Using Georges' (2013) Emancipatory Theory of Compassion and Bodenheimer and Sinsky's Quadruple Aim as conceptual frameworks, this descriptive, non-experimental study used advanced applied biostatistical techniques to analyze archival data from the December 2018 UCHealth Physician and Advanced Practice Provider Voice Survey as well as provider performance scores from the same time period. Results of the study were mixed, showing that while there is an inverse relationship between thriving and emotional exhaustion in healthcare providers, thriving did not predict population health outcomes. By evaluating thriving in healthcare providers in relation to emotional exhaustion and in context of value-based health care delivery systems, this study was the first of its kind.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013524
Subject Headings: Primary care (Medicine), Outcome Assessment, Health Care, Medical personnel, Well-being, Exhaustion
Format: Document (PDF)

Title: The Lived Experiences of Adolescents with Food Allergies During a Usual Weekday.
Creator: Martinez, Laurie Ann, Opalinski, Andra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Global research on psychosocial factors related to food allergies and youth have increased significantly over the last decade. A plethora of countries provide literature indicating adolescents with food allergies experience social isolation, depression, anxiety, and fear. Most of the literature however favors parental perspectives with limited studies exploring adolescent subjective perspectives. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of...
Show moreGlobal research on psychosocial factors related to food allergies and youth have increased significantly over the last decade. A plethora of countries provide literature indicating adolescents with food allergies experience social isolation, depression, anxiety, and fear. Most of the literature however favors parental perspectives with limited studies exploring adolescent subjective perspectives. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of adolescents living with food allergies; the goal was to bring awareness to the ascribed meaning of food allergies from the perspective of adolescents and the impact of living with food allergies from day-to-day. Watson’s caring science and Erikson’s psychosocial theory were guiding frameworks for the study with story theory used to guide individual semi-structured interviews (n=14) (11-14 years). Analysis of data entailed various steps congruent with Interpretive Phenomenological Analysis. Four superordinate themes emerged from the data: (1) Living with Restraints: A Way of Life, (2) Managing Exposure, (3) Experiencing Stigma, and (4) Experiencing Lack of Knowledge. Results indicated adolescents living with food allergies have unique experiences that contribute to psychosocial upheavals and that traditional biological management may be too simplistic for promoting whole adolescent well-being and healthy development. Study findings may contribute to evidence-based interventions that nurture care for the whole adolescent.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013566
Subject Headings: Adolescents, Food allergy, Hermeneutics, Phenomenology
Format: Document (PDF)

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

Title: PSYCHOMETRIC EVALUATION OF THE MORAL COMFORT QUESTIONNAIRE AMONG HOSPITAL-BASED DIRECT-CARE REGISTERED NURSES.
Creator: Bermudez, Natalie, Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Moral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found...
Show moreMoral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found. The Moral Comfort Questionnaire (MCQ) was theoretically developed. The purpose of this study was psychometric evaluation of this new 35-item instrument. Direct-care hospital-based registered nurses (n = 466) participated from February 2019 to September 2019 in this IRB-approved study. Participants completed demographic information, the MCQ, and the Moral Distress Scale revised (MDSR). Psychometric evaluation included a priori content validation and multiple statistical analyses: Cronbach’s alpha, Spearman’s correlation coefficient, weighted kappa, Bland- Altman analysis (B&A), discriminant validity, and confirmatory factor analysis (CFA).
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013445
Subject Headings: Nurses, Nursing, Nursing--Moral and ethical aspects, Nursing ethics
Format: Document (PDF)

Title: IDENTIFYING HEALTH PRIORITIES FOR A VULNERABLE UNDERSERVED COMMUNITY IN UGANDA, AFRICA USING COMMUNITY BASED PARTICIPATORY RESEARCH AND A PHOTOVOICE APPROACH.
Creator: Wallin, Cheryl Finch, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this descriptive phenomenological study was to give voice to an underserved and vulnerable population in Uganda, Africa to advocate for health priorities. Nineteen members of the village of Namagera, identified as a leper colony, were selected by community members and volunteered to participate in every element of this study. Descriptive phenomenology was the guiding philosophy and community-based participatory research methods and photovoice provided the lens for social action...
Show moreThe purpose of this descriptive phenomenological study was to give voice to an underserved and vulnerable population in Uganda, Africa to advocate for health priorities. Nineteen members of the village of Namagera, identified as a leper colony, were selected by community members and volunteered to participate in every element of this study. Descriptive phenomenology was the guiding philosophy and community-based participatory research methods and photovoice provided the lens for social action. Leininger’s theory of culture care diversity and universality (Leininger & McFarland, 2006) anchored the study in cultural caring and the community nursing practice model (Parker et al., 2020) kept the researcher grounded in the purpose of advancing the science of caring in community nursing. The research team included the researcher, the 19 participants, and six research assistants, who also served as language facilitators. Using photovoice methods, participants identified strengths and needs and used digital cameras to capture health concerns in the community. Eighty photos were analyzed by the participants and priorities were determined. The selected photos were placed on a photo board and shared with the whole community for input. Community members selected the health priorities and ranked them in importance: access to clean water, sanitation, disease, challenges for the elderly and disabled, lack of medical treatment, transportation, unemployment, and protection of the environment. The participants categorized the health priorities into three clusters of themes: basic needs, safety, and social/environmental. The themes were further incorporated into action plans identifying impeding factors for which the community would require outside assistance and promoting factors for which the community could solve themselves. Findings of this study illuminate the emergence of community empowerment: Community members found their voices, identified health priorities, and advocated for solutions.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013562
Subject Headings: Phenomenology, Uganda, Vulnerable Populations, Health Priorities, Community-Based Participatory Research, Caring
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS ON PUBLIC AND PRIVATE INSURANCE: A PHENOMENOLOGICAL STUDY.
Creator: Reaves, Régine Placide, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Due to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer...
Show moreDue to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer nursing care coordination (or nursing case management) services. The purpose of this study was to understand the experiences of parents of CSHCN enrolled in public and private insurance with or without a nurse care coordinator assigned. A phenomenological approach was used. One-to-one semi-structured interviews were conducted with 16 participants. Colaizzi’s (1978) eight steps of data analysis was the selected methodological interpretation. Five themes emerged from this study: Struggle with Self-Preservation, Abandonment and Isolation, Self-Reliance and Advocate, Interdependence, and Lifeline. These study findings highlighted the major differences with parents navigating their child’s health insurance. These differences were dependent on the type of insurance and sources of support available. The experience of parents with a nurse care coordinator differed from parents without a nurse. Parents of CSHCN enrolled in public insurance with a nurse care coordinator considered the nurse to be a primary source of support. These nurses were instrumental in solving problems with the public health plan. On the contrary, parents with CSHCN enrolled in private insurance without a nurse care coordinator carried this additional burden. There were also noticeable differences in parents’ satisfaction with the adequacy and cost of their child’s health insurance. Parents of CSHCN enrolled in private insurance voiced dissatisfaction with higher costs associated with their child’s plan. Meanwhile, parents of CSHCN enrolled in Medicaid expressed that out-of-pocket expenses were covered. Results from this study can be used to make policy changes by insurance companies. Incorporating nursing care coordination not only results in healthcare savings for the health plan but improved health outcomes for its members as well.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013582
Subject Headings: Health insurance, Phenomenology--Research, Parents of children with disabilities
Format: Document (PDF)

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

Title: THE INFLUENCE OF MENTAL, PHYSICAL, AND SOCIAL ACTIVITY ON EPISODIC MEMORY OF PERSONS AGED 50 AND ABOVE IN THE UNITED STATES.
Creator: Malatyali, Ayse, Gordon, Shirley C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe...
Show moreThe purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe the moderating effects of gender, marital status, and race on the relationship between each activity and EM. Two theoretical frameworks: Cognitive Reserve Theory (Stern, 2002) and Theory of Nursing as Caring (Boykin & Schoenhofer, 1993) guided the study. This study was designed as a correlational and retrospective secondary analysis of data sets from the Health and Retirement Study. The sample consisted of 3,903 cognitively intact persons who were 50 years and older and completed immediate and delayed recall tests in the 2016 HRS and the 2015 Consumptions and Activities Mail Survey. Descriptive statistics included the means for age: 67 (SD 9.54), education:13.85 (SD 5.89), and total cognition 16.86 (SD 3.11). The sample was predominantly Caucasian (78.3%), female (59.8%), and married (60.9%).
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013564
Subject Headings: Older people--United States, Episodic memory, Cognition--Aged, Lifestyles--Health aspects
Format: Document (PDF)

Title: THE EFFECTS OF VIGNETTES ABOUT DEMENTIA ON STIGMA AND ATTITUDES TOWARD DEMENTIA AMONG ETHNICALLY AND RACIALLY DIVERSE OLDER ADULTS IN SOUTH FLORIDA.
Creator: Rosenzweig, May Grace S., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this pilot study was to determine the effect of vignettes about Alzheimer’s dementia (AD) on stigma and attitudes toward people with Alzheimer’s dementia (PWAD) in a sample of community residents of adults 65 years and older. The specific aims of this study were: (1) to determine the effect of vignettes on AD- related stigma and negative attitudes toward people with AD among adults age 65 years and over, and (2) to describe AD- related stigma and negative attitudes in...
Show moreThe purpose of this pilot study was to determine the effect of vignettes about Alzheimer’s dementia (AD) on stigma and attitudes toward people with Alzheimer’s dementia (PWAD) in a sample of community residents of adults 65 years and older. The specific aims of this study were: (1) to determine the effect of vignettes on AD- related stigma and negative attitudes toward people with AD among adults age 65 years and over, and (2) to describe AD- related stigma and negative attitudes in ethnically and racially diverse groups of older adults. A convenience sampling design was used to recruit 50 participants from a medical office in Boca Raton. The sample included adults age 65 years and older from the community, who understood English and scored 25 or higher on Mini Mental State Exam (MMSE). Participants were randomly assigned to the control group (n=22) who received standard AD education or to the intervention (n=28) who received vignettes and standard AD education. Independent t-test was used to analyze the pretest- posttest change scores in the measures of DAS and STIG-MA survey. The significance (p value) was set at .05. In research question two, the samples were divided into 1) white non- Hispanic and 2) other diverse groups. Descriptive statistics were used to explore racial or ethnic differences in stigma and attitudes. The intervention used vignettes and AD education to decrease stigma and attitudes toward people with dementia and showed statistical significance as compared to the control group who received only the AD education.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013803
Subject Headings: Dementia, Older people--Florida, Stigma (Social psychology), Vignettes, Attitude (Psychology)
Format: Document (PDF)

Title: Acculturative Stress in Second Generation Haitian Americans.
Creator: Horne, Cassandre, Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Second generation Haitian Americans have a unique set of challenges created by the fluid balancing of three cultures. This group has to be able to understand and function appropriately between the American culture, Black American culture, and the Haitian culture. Balancing and living in between multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Youth transitioning into adulthood struggle with gaining independence while finding...
Show moreSecond generation Haitian Americans have a unique set of challenges created by the fluid balancing of three cultures. This group has to be able to understand and function appropriately between the American culture, Black American culture, and the Haitian culture. Balancing and living in between multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Youth transitioning into adulthood struggle with gaining independence while finding their way in their identity. This stress coupled with cultural expectations are increasing stress levels in this population and age group. This study implemented a mixed methods approach to explore if acculturative stress had an effect on the mental health of second generation Haitian Americans. Also, explored in this study is the degree of stress experienced by this population. Resulting themes revealed that Haitian parents and culture were strict, a dual identity, and lack of awareness/ support for mental health in the culture were stressors. Themes of admiration for the Haitian culture and resiliency serve as possibilities as to why many continued to be educated members of society.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013820
Subject Headings: Haitian Americans, Stress, Psychological, Acculturation, Haitian Americans--Ethnic identity
Format: Document (PDF)

Title: A STATEWIDE ANALYSIS OF THE SOCIAL DETERMINANTS OF OPIOID-RELATED DEATHS IN OLDER ADULTS.
Creator: Suriaga, Armiel, Bryan, Valerie C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Background: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older...
Show moreBackground: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older adults who used, misused, or abused opioids. Methods: This secondary analysis utilized data from the Florida Drug and Law Enforcement (FDLE) agency between 2014 - 2018. A generalized linear model with a normal probability distribution was used to examine which social determinants or factors such as race, income, education level, percentage of people in poverty, and population density predicted opioid death rate in Florida. Chi-square statistics were used to determine the association between gender, race, and opioid-related deaths (ORD), and the relationship of the manner of death to the opioid drugs involved. The trend of opioid death rate was also analyzed by Florida county and through the data years 2014 to 2018.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/FA00013683
Subject Headings: Opioids, Older people, Death
Format: Document (PDF)

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

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

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

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