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

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

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

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

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

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

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

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

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

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

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

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

Title: EXAMINING POST-TRAUMATIC GROWTH AND EASE AMONG ADULTS WHO HAVE EXPERIENCED THE TRAUMA CLUSTER OF HURRICANE DORIAN AND THE CORONAVIRUS DISEASE PANDEMIC.
Creator: Levarity, Breanne R., Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to assess the levels of posttraumatic growth (PTG) and ease and examine the relationship between PTG and ease among the Bahamian population who experienced a trauma cluster. A descriptive, cross-sectional, quantitative design was conducted on the island of Grand Bahama, Bahamas, nearly 4 years after the trauma cluster of Hurricane Dorian and the Coronavirus disease pandemic. A convenience sampling method was adopted, and 208 adult survivors of the trauma cluster...
Show moreThe purpose of this study was to assess the levels of posttraumatic growth (PTG) and ease and examine the relationship between PTG and ease among the Bahamian population who experienced a trauma cluster. A descriptive, cross-sectional, quantitative design was conducted on the island of Grand Bahama, Bahamas, nearly 4 years after the trauma cluster of Hurricane Dorian and the Coronavirus disease pandemic. A convenience sampling method was adopted, and 208 adult survivors of the trauma cluster completed the survey. The 21-item Post-traumatic Growth Inventory (PTGI) scale and Ease Measure were used in the assessment of PTG and ease, respectively. The mean total score for the PTGI was 73.68 (SD = 21.38), and the percentage of individuals with moderate-to-high PTGI scores was 77.4%. A general linear model repeated measures test (within-subjects factor) was used to compare the average total mean scores (range 0–5) of each of the five PTG subdomains. Results revealed there was a significant difference between each of the five subdomains [F(1, 207) = 180.37, p < .001] except for the difference between “appreciation of life” (M = 3.97, SD = 1.11) and “spiritual changes” (M = 3.94, SD =1.32) which had the highest average mean scores followed by “personal strength” (M= 3.73, SD = 1.10) “new possibilities” (M = 3.26, SD = 1.20) and “relating to others” (M = 3.19, SD =1.15). The mean score for ease was 59.72 (SD = 9.25). A Pearson’s correlation revealed there was a significant but weak, positive correlation between the PTGI-total and ease r(206) = .266, p < .001. Further investigation into the relationship between PTG and ease revealed there were no significant findings for PTG according to different sociodemographic characteristics or trauma cluster outcomes. However, there were significant findings for ease according to different age groups and multiple trauma cluster outcomes. Further research is needed to continue to uncover the conditions and approaches that give rise to PTG and ease. The knowledge gained can be used to create interventions to promote positive responses that lead to improved well-being, life satisfaction, and the ability to thrive after these disastrous events.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/FA00014408
Subject Headings: Posttraumatic growth, Bahamians, Public health nursing
Format: Document (PDF)

Title: AN ETHNOGRAPHY OF THE BREASTFEEDING AND NONBREASTFEEDING PRACTICES OF BLACK JAMAICAN WOMEN IN THE UNITED STATES.
Creator: Smith, Nikkisha, Edwards, Karethy, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Infant feeding is a universally recognized practice yet, it is profoundly influenced by culture. While it is well accepted that breast milk is the gold standard for infant feeding in the United States, the persistence of breastfeeding disparity among minorities, particularly among Black women in the U.S. is not well understood. According to the literature, Black mothers in the U.S. remain among the least likely to both initiate and exclusively breastfeed. Although infant feeding research...
Show moreInfant feeding is a universally recognized practice yet, it is profoundly influenced by culture. While it is well accepted that breast milk is the gold standard for infant feeding in the United States, the persistence of breastfeeding disparity among minorities, particularly among Black women in the U.S. is not well understood. According to the literature, Black mothers in the U.S. remain among the least likely to both initiate and exclusively breastfeed. Although infant feeding research related to African American women's practices has been widely explored, there is a paucity of knowledge related to the experiences and practices of foreign-born Black women in the United States. More studies are needed to examine factors influencing the infant feeding practices of foreign-born Black women. This research may identify new strategies for addressing breastfeeding disparity among Black populations. This ethnographic research employs Leininger's Cultural Care Diversity and Universality Theory and Bronfenbrenner’s (1994) Social-Ecological Model to explore influencing factors on Black Jamaican women’s infant feeding practices during the first six months of life. By applying these theories as a guide for inquiry, this study seeks to identify influencing factors on Jamaican women’s infant feeding practices in the United States. Data collection involved conducting semi-structured interviews and focus groups with 14 participants aged between 30 and 40 years. Five themes emerged from the data: (1) It’s What I Saw, It’s What I Know, (2) Me Personally, (3) Riding Out The Storm, (4) During the Storm, (5) On De Road and Outta Door. The findings highlight the need for culturally competent nursing care to promote infant health within this growing population in the United States.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/FA00014388
Subject Headings: Breastfeeding, Jamaican Americans, Women, Black, Nursing
Format: Document (PDF)

Title: Improving Eating Habits in Adults with Type 2 Diabetes: An experience with FOOD.
Creator: Noyan-Lue, Christine, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000359
Format: Citation

Title: The Effects of Integrating a Palliative Care Screening Tool at an Outpatient Oncology Clinic to Enhance Understanding and Utilization of Palliative Care Services.
Creator: Rela, Katarzyna E., Chadwell, Katherine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Palliative Care services are underutilized in patients who have cancer primarily due to lack of understanding of what it encompasses by both, the patients and providers. The purpose of this quality improvement project was to facilitate Palliative Care referrals by the use of a Palliative Care screening tool: the Edmonton Symptom Assessment Scale with the Canadian problem Checklist and the PCQN Distress Screener. The Representational Approach and Jean Watson’s theory of Unitary Caring were...
Show morePalliative Care services are underutilized in patients who have cancer primarily due to lack of understanding of what it encompasses by both, the patients and providers. The purpose of this quality improvement project was to facilitate Palliative Care referrals by the use of a Palliative Care screening tool: the Edmonton Symptom Assessment Scale with the Canadian problem Checklist and the PCQN Distress Screener. The Representational Approach and Jean Watson’s theory of Unitary Caring were utilized in the teaching moment. The screening tool was implemented at initiation and change of treatment during teaching visits by the nurse practitioners with the goal to increase palliative care referrals by 10% over a 3-month period of time and compared to the previous year. The results indicate that there were more palliative care referrals in the project implementation phase than the control quarter. A Chi Square test of Independence illustrated a statistically significant difference in the number of referrals during the project implementation phase versus the control quarter. The project’s short duration along with seasonal population fluctuations in South Florida limits data comparison to the previous year. A total of 10 palliative care referrals were made by nurse practitioners during the teaching visit in the 12-week project implementation period contributing to 3.5% of all palliative care referrals made. It is recommended that the project continue to provide more points for data analysis and continued patient exposure to palliative care services.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000073
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: 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: 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)

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