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- Title
- Health of veterans home from war.
- Creator
- Wands, LisaMarie., Christine E. Lynn College of Nursing
- Abstract/Description
-
Approximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of...
Show moreApproximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of coming home from war. Qualitative data collection and analysis was guided by story inquiry method. Quantitative data was collected using the 36-item Short-Form Health Survey, Version 2 (SF-36v2) and analyzed using QualityMetric Health Outcomes[TM] Score Software, Version 4.0. Seven OEF/OIF veterans who had completed at least one tour of duty in Iraq since October 2001 participated in this study. Three themes emerged from the qualitative data that capture the complicating health issues that participants encountered when coming home from war: flipping the switch, figuring out how to belong, and living the stress of a new normal. Two themes emerged from the qualitative data that capture approaches used to resolve complicating health issues associated with returning home from war: connecting with others and choosing a positive attitude. Quantitative data revealed that the majority of participants scored at or above general population norms on three of the subscales that measure physical health, as well as on two of the subscales that measure mental health; however a significant percentage scored below norms on the subscale that measures social functioning (57%) and on the subscale that directly measures mental health (43%)., All three themes describing complicating health issues that emerged during qualitative data analysis resonated with the SF-36v2's measures of mental health, especially social functioning which inquires about experiences with social interactions. Both themes describing movement toward resolving resounded strongly with the SF-36v2's measures of mental health. From this study's findings, changes to policy and practice, education of nurses and post-secondary faculty, and future research have been recommended to continue to assist the war veteran who is coming home.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3322516
- Subject Headings
- Post-traumatic stress disorder, Resilience (Personality trait), Veterans, Mental health, War, Psychological aspects, Iraq War, 2003-, Veterans, Medical care, Afghan War, 2001-, Veterans, Medical care
- Format
- Document (PDF)
- Title
- Muddling through: how young caregivers manage changing complexities.
- Creator
- Kain, Carole A., Christine E. Lynn College of Nursing
- Abstract/Description
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In the United States, an estimated 1.4 million children and adolescents, age 18 and under, provide daily unpaid physical, emotional and supportive care to a chronically ill or disabled family member (NAC & UHF). While the phenomenon of caregiving performed by adult children and spouses has been extensively explored by nursing, little is known about how Young Adolescent Caregivers manage being a caregiver while they attend school and mature socially as an adolescent. The purpose of this...
Show moreIn the United States, an estimated 1.4 million children and adolescents, age 18 and under, provide daily unpaid physical, emotional and supportive care to a chronically ill or disabled family member (NAC & UHF). While the phenomenon of caregiving performed by adult children and spouses has been extensively explored by nursing, little is known about how Young Adolescent Caregivers manage being a caregiver while they attend school and mature socially as an adolescent. The purpose of this Grounded Theory study was to identify and describe the basic social psychological problem shared by young adolescent caregivers girls, (N=9), aged 11-14, and the basic social processes used to manage the shared problem. Using the constant comparative method of data analysis, from audio taped and transcribed, semi-structured interviews were reviewed. The Basic Social Psychological Process (BSPP) identified was Managing Complexities. Muddling Through (BSP) was the process identified through constant comparison of the data to create categories. The phases of Muddling Through are: Becoming a Caregiver, Choosing Family, Creating Structure and Maintaining Balance. Young adolescents experienced becoming a caregiver through three paths: Embracing the Challenge, Sharing the Load and Being Assigned. Awareness of the consequences of being a Young Adolescent Caregiver and strategies used by Young Adolescent Caregivers to manage their changing complexities has implications for nursing interventions. Nurses in a variety of settings that treat persons with chronic illnesses can modify their practice to make significant supportive interventions with these largely invisible caregivers. Implications for policy change, nursing education and practice and future research are explored.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/227982
- Subject Headings
- Developmental psychology, Child caregivers, Children of parents with disabilities
- Format
- Document (PDF)
- Title
- What keeps nurses in nursing: a Heideggerian hermeneutic phenomenological study.
- Creator
- Dunn, Dorothy J., Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what...
Show moreThe purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what keeps nurses in nursing. The eight registered nurse participants provided rich descriptive data from which four relational themes emerged: Practicing from Inner Core Beliefs, Understanding the Other from Within, Making a Difference, and Nursing as an Evolving Process. The hermeneutical interpretative process guided the researcher to synthesize the themes into a constitutive pattern of meaning which the researcher named Intentional Compassion Energy. In intentional caring consciousness, the nurse intentionally knows the nursed as whole. Compassion energy is the intersubjective gift of compassion that gives nurses the opportunity to be with the nursed. Compassion energy is composed of compassionate presence, patterned nurturance and intentionally knowing the nursed and self as whole. Thus, intentional compassion energy is defined as the regeneration of nurses' capacity to foster interconnectedness when the nurse activates the intent to nurse. Intentional compassion energy was discovered in the meaning of the nurse participants being in their everydayness of practice. The participants described the intention to care compassionately as the grounding of their practice, striving to understand the other, to make a difference while living their nursing as an evolving process. Hermeneutic phenomenology provided the opening to discover what keeps nurses in nursing.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/2182084
- Subject Headings
- Nursing services, Administration, Medical personnel, Supply and demand, Nurses, Job satisfaction, Nursing services, Personnel management, Phenomenological psychology
- Format
- Document (PDF)
- Title
- The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
- Creator
- Johnson, Bridgette M., Christine E. Lynn College of Nursing
- Abstract/Description
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atisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the...
Show moreatisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the Patient Satisfaction Questionnaire-18 (PSQ-18), which measured how satisfied the participants were with their medical care; the Diabetes Empowerment Scale-Short Form (DES-SF), which measured attitudes towards diabetes and self-management of diabetes; and a demographic form, which collected data on the demographics of each participant. The most recent hemoglobin A1c (HbA1c) of each participant was obtained from the medical records. The correlations between HbA1c, DES, and the PSQ-18 subscales were exam ined. The study data indicated all correlations were statistically significant and negative with one exception. There was no correlation between HbA1c and time spent, a satisfaction subscale. Approximately half the participants were high school graduates, married, and reported being born in the Caribbean. Most had primary care physicians, but less than half reported attending a diabetes education program. The average BMI was 33.0. The findings of this study indicated older African adults who reported higher satisfaction with the care provided by their health care provider reported feeling more empowered to participate in diabetes self-care and reported lower HbA1c levels, suggesting better glycemic control (R2 = .39; P=<.001)., The implications of this study are that feeling empowered to participate in diabetes self-care management may result in improved glycemic control. Positive diabetes outcomes have been linked in the literature with persons feeling empowered to participate in diabetes self-care. The significance of the findings from this study is that given the relationship between empowerment and glycemic control, nurses should support the empowerment model of diabetes teaching. Diabetes education should provide written materials that are culturally sensitive for African American elders.
Show less - Date Issued
- 2012
- PURL
- http://purl.flvc.org/FAU/3342114
- Subject Headings
- Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
- Format
- Document (PDF)
- Title
- The lived experience of the spouses of transplant recipients.
- Creator
- Stecher, Jo Anne., Christine E. Lynn College of Nursing
- Abstract/Description
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The numbers of transplant surgeries continue to rise in the U.S. This results in a greater number of caregivers who are present in the recipients' lives. Most often these caregivers are spouses. Transplant spouses present with emotional needs, which have been expressed in this study. Nurses, especially those who work with the spouses of transplant candidates and recipients, could be appreciative of the requirements that have been told by these spouses. Six women and two men were interviewed...
Show moreThe numbers of transplant surgeries continue to rise in the U.S. This results in a greater number of caregivers who are present in the recipients' lives. Most often these caregivers are spouses. Transplant spouses present with emotional needs, which have been expressed in this study. Nurses, especially those who work with the spouses of transplant candidates and recipients, could be appreciative of the requirements that have been told by these spouses. Six women and two men were interviewed for this study. Their stories were analyzed using a phenomenological approach and five themes emerged from the data. The themes that surfaced included uncertainty, support, thankfulness and a positive approach, intimacy and the relationship as a couple, and guilt. Two general structures then evolved from these themes to include adaptation and belief in self and others. The general structures revealed the ways the spouses learned to live during the transplant journey.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/367765
- Subject Headings
- Transplantation of organs, tissues, etc, Family relationships, Caregivers, Conduct of life, Stress management
- Format
- Document (PDF)
- Title
- The lived experience of mothers as they sought health care for their internationally adopted children.
- Creator
- Murphy, Natalie L., Christine E. Lynn College of Nursing
- Abstract/Description
-
For the past 60 years, American citizens have turned to international adoption as a way to build their families. Unfortunately, international adoptees often spend the first months or years of their young lives in conditions of poverty and/or institutionalized care. Additionally, current U.S. immigration laws dictate that the children receive only a cursory health screening before arrival. As a result, many of the children adopted by Americans arrive to the United States with significant...
Show moreFor the past 60 years, American citizens have turned to international adoption as a way to build their families. Unfortunately, international adoptees often spend the first months or years of their young lives in conditions of poverty and/or institutionalized care. Additionally, current U.S. immigration laws dictate that the children receive only a cursory health screening before arrival. As a result, many of the children adopted by Americans arrive to the United States with significant physical, emotional, behavioral, and developmental health problems. Twelve mothers who had adopted children internationally were interviewed for this study. Their stories of obtaining health care for their newly adopted children were shared in descriptive narratives. The themes that emerged from the data analysis were seeing healthy children despite the challenges, struggling to help the children, needing help, missing lost pieces, being different, and wanting more from providers. The overall essence derived from the mothers' experiences was that seeking health care for their newly adopted children was one of hope to achieve wellness for their children and normalcy for their families within the context of loss and a desire for more support. These findings have significant implications for the health care providers who care for them.
Show less - Date Issued
- 2010
- PURL
- http://purl.flvc.org/FAU/2978947
- Subject Headings
- Adopted children, Medical care, Adopted children, Health and hygiene, Intercountry adoption, Adoptive parents, Adoption, Psychological aspects
- Format
- Document (PDF)
- Title
- The lived experience of adolescent females who self-injure by cutting.
- Creator
- Lesniak, Rhonda Goodman, Christine E. Lynn College of Nursing
- Abstract/Description
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Self-injury behavior is identified as the non-suicidal, deliberate infliction of a wound to oneself in an attempt to seek expression. Self-injury is becoming more prevalent in the adolescent population; however, many nursing professionals are unaware of this phenomenon and the implications it holds for nursing. Approximately 12 to 17 percent of adolescents deliberately injure themselves although accurate statistics are difficult to obtain due to the secret and private nature of the behavior....
Show moreSelf-injury behavior is identified as the non-suicidal, deliberate infliction of a wound to oneself in an attempt to seek expression. Self-injury is becoming more prevalent in the adolescent population; however, many nursing professionals are unaware of this phenomenon and the implications it holds for nursing. Approximately 12 to 17 percent of adolescents deliberately injure themselves although accurate statistics are difficult to obtain due to the secret and private nature of the behavior. Nurses, especially those who care for adolescents, could benefit from an understanding of the implications of self-injury, the characteristics of adolescents who self-injure, the expressivity of the behavior, and the repetitive patterns of the emotions experienced by adolescents who self-injure. Six adolescent females were interviewed for this study. Their stories were shared in rich, descriptive narratives. Common themes emerged from the words of the participants and these themes described the essence of self-injury by cutting for adolescent females. The themes which emerged were living with childhood trauma, feeling abandoned, being an outsider, loathing self, silently screaming, releasing the pressure, feeling alive, being ashamed, and being hopeful for self and others. The general structure that emerged from a synthesis of the themes was that the experience of self-injury by cutting for adolescent females is one where they are struggling for well-being and hoping for more being by using their skin as a canvas upon which internal pain is expressed as tangible and real.
Show less - Date Issued
- 2008
- PURL
- http://purl.flvc.org/FAU/186289
- Subject Headings
- Self-mutilation in adolescence, Self-injurious behavior, Peer pressure in adolescence, Teenagers, Conduct of life, Adolescent psychology, Stress in adolescence
- Format
- Document (PDF)
- Title
- The effectiveness of a violence prevention program used as a nursing intervention tool on agression among children in pre-kindergarten.
- Creator
- Stephenson, Carol W., Christine E. Lynn College of Nursing
- Abstract/Description
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Childhood aggression has captured media attention over recent years. Aggression and violence have permeated schools and affected many communities. There are policies and programs in place for young adults, teens and children in some high schools and elementary schools, but not in preschools or daycare centers. However, intervention programs need to be introduced at the preschool level. There is also a scarcity of nursing research on aggression among preschoolers and successful early...
Show moreChildhood aggression has captured media attention over recent years. Aggression and violence have permeated schools and affected many communities. There are policies and programs in place for young adults, teens and children in some high schools and elementary schools, but not in preschools or daycare centers. However, intervention programs need to be introduced at the preschool level. There is also a scarcity of nursing research on aggression among preschoolers and successful early intervention anti-aggression programs. This study evaluated the Second Stepª anti-aggression program, utilized as a nursing intervention tool, among 41 preschool children aged 3, 4, and 5 years of age. The 3-month long research study was based on King's 1981 general systems theory, which is classified as an interaction model. The research design was a randomized pre-test post-test, 2-group (control and experimental) experimental one, to test the hypothesis that children's aggression scores would be lower and their prosocial scores would be higher after the intervention program. It was also hypothesized that boys would have higher aggression scores than girls and that there would be differences in post aggression scores in the treatment group. Repeated measures ANOVA showed that there were no significant differences between the make-up of each group (p = .05). There was no statistically significant difference between pre- and post-test aggression scores (p = .14) or between genders (p = .13), with the exception that the preschool girls in both groups had slightly higher relational aggression scores than boys, pre- and post-test. The differences were statistically significant at p = <.05. The post-test relational aggression scores were not lower in either group. These findings are discussed in this paper.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/186766
- Subject Headings
- Violence in children, Children and violence, Community health nursing, Developmental psychology, Attribution (Social psychology)
- Format
- Document (PDF)
- Title
- Latinas experiencing transnational motherhood.
- Creator
- Sternberg, Rosa Maria., Christine E. Lynn College of Nursing
- Abstract/Description
-
Economic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and...
Show moreEconomic changes have made the immigration of women to the United States part of major political and social issues. Women from Latin America frequently immigrate alone and without legal documentation, leaving their children in the care of relatives or friends, thus becoming transnational mothers in the process. Hispanic/Latino groups comprise the largest minority in the U.S., and Latina women account for 48.9% of the total Latino population. This demographic trend is expected to continue, and Hispanic/Latino groups are projected to experience the largest population increase in the coming decades (Marshall, Urrutia-Rojas, Soto-Mas & Coggin, 2005). The separation from their family has a strong impact on the health and well-being of these women, rendering them vulnerable to health care barriers and health disparities. This qualitative research study explored the experiences of Latinas living transnational motherhood. Individual semi-structured interviews were conducted with eight Latin as living transnational motherhood between the ages 21- 39. The findings in this study describe the lived experience of Latina transnational mothers within their social, economic and cultural context. The narrative was analyzed using van Manen's (1990) interpretative hermeneutic phenomenological approach to narrative analysis. Findings indicate that Latinas experiencing transnational motherhood find meaning in mothering from afar through sacrifice, suffering, and hopefulness for a better life for their children, and for family reunification. Findings from this study inform nurses of the health care barriers that these Latinas living transnational motherhood encounter as they experience hardship in order to support their families abroad as well as themselves., Nurses caring for women who immigrate without their children are presented with professional and ethical challenges that require nurses to be knowledgeable about these women's pre- and post-immigration experiences findings of this study help narrowing the gap of information regarding lived experiences of Latinas transnational mothers. This knowledge offers guidance to the development of care that is compassionate, ethical and culturally appropriate.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/3333040
- Subject Headings
- Latin America, Emigration and Immigration, Social aspects, Parental deprivation, Families, Cross-cultural studies, Transnationalism, Nursing, Social aspects, Communication in nursing, Emigration and Immigration, Social aspects
- Format
- Document (PDF)
- Title
- Integrity and reflections of the past: a phenomenographic analysis.
- Creator
- Rio, Germina Emily Risos., Christine E. Lynn College of Nursing
- Abstract/Description
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The graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and...
Show moreThe graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and describe the meaningful life events elicited by the experience of Creative Reminiscence using a phenomenographic approach. Existing (archived) data-transcribed interviews, poetry and painting on planters that were obtained from 20 participants of the Creative Reminiscence program entitled Le Jardin de Sante were analyzed. Five variations of meaningful memories evoked by Creative Reminiscence were identified. These are described as follows: (a) memories that rejuvenate the elder's sense of connectio n; (b) memories that revive the elder's sense of love and intimacy; (c) memories that restore the elder's sense of being; (d) memories that reassert the elder's sense of control; and (e) memories that reinstitute the elder's sense of purpose. In a caring interaction with Creative Reminiscence, the nursed are able to transcend, moving back in time (past) to appreciate segment(s) of their lives, with triumphs and disappointments that give meaning to their inner conflict/human struggle (present), and integrate a sense of confidence and acceptance of their lives to sustain well-being and a sense of wholeness. This research highlights the similarities and differences in the description of memories by the nursing home residents evoked during Creative Reminiscence., The results of the study support Erikson's notion of the circular nature of the life cycle, wherein there is an inherent need at the last stage of life to re-integrate ascendant psychosocial themes.Taking into account the meaning that nursing home residents ascribe to their experiences provided data on strategies nurses and caregivers can use effectively to help these elders transcend despair. Further research is recommended using a more diverse sample and in more diverse geographical locations. Current standardized instruments may be revised to quantify effects on the ascendant psychosocial themes.
Show less - Date Issued
- 2008
- PURL
- http://purl.flvc.org/fcla/dt/177012
- Subject Headings
- Aging, Psychological aspects, Memory in old age, Analysis, Nursing, Philosophy, Depression in old age, Research, Reminiscing in old age
- Format
- Document (PDF)
- Title
- Suffering in the midst of technology: the lived experience of an abnormal prenatal ultrasound.
- Creator
- Gottlieb, Jeanne C., Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is...
Show moreThe purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments.
Show less - Date Issued
- 2013
- PURL
- http://purl.flvc.org/fcla/dt/3362381
- Subject Headings
- Medical genetics, Medical care, Decision-making, Health services accessibility, Abortion, Moral and ethical aspects, Pregnancy, Complications, Diagnostic ultrasonic imaging, Communication in medicine, Genetic counseling, Genetic disorders, Nursing, Standards
- Format
- Document (PDF)
- Title
- Perspectives of professional competence by newly licensed, registered nurses.
- Creator
- Bartolone, Priscilla Dunson., Christine E. Lynn College of Nursing
- Abstract/Description
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Professional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly...
Show moreProfessional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly licensed registered nurses?"
Show less - Date Issued
- 2008
- PURL
- http://purl.flvc.org/fcla/dt/172666
- Subject Headings
- Clinical competence, Nursing, Standards, Nursing, Quality control, Nursing services, Administration
- Format
- Document (PDF)
- Title
- Living in abundance: the experience of living with chronic illness for adults affiliated with a community of faith with access to a faith community nurse.
- Creator
- Dyess, Susan MacLeod, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their...
Show moreThe number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their primary essence is living in abundance while living faith and living caring. The findings from this study describe the relationship between adults living with chronic illness, the community of faith and the faith community nurse. Further, findings from this study contribute to essential knowledge necessary for developing models of health care in the community for adults living with chronic illness and nursing care in the community that are distinct and complex. Findings will also support the development of interventions in contexts of faith communities to support and strengthen adults living with one or more chronic illness. The emerging specialty practice in nursing labeled faith community nursing holds promise to come alongside current models of health care to support living in abundance.
Show less - Date Issued
- 2008
- PURL
- http://purl.flvc.org/FAU/108067
- Subject Headings
- Community health nursing, Philosophy, Nurse and patient, Nursing, Religious aspects, Christianity, Parish nursing, Pastoral nursing
- Format
- Document (PDF)
- Title
- Maternal health policy: nursing's legacy and the Social Security Act of 1935.
- Creator
- Pope, Bonnie L., Christine E. Lynn College of Nursing
- Abstract/Description
-
This study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the...
Show moreThis study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the conclusion that eugenic policies did influence the writing and passage of the Social Security Act. Also, that nurses, and other women, played a specific, important and constructive role in developing the Act. During the late 1800s and early 1900s prominent leaders of business, science, philanthropy, and social reform supported the eugenic agenda to assure the wellbeing of hard working "Anglo-Saxon" American citizens. Industrialization and scientific advances in medicine gave Americans the impression that the "production" of healthy, intelligent children could be controlled, efficient, and predictable. Better breeding as a means for social improvement, which fueled the eugenics movement's use of science to solve social problems through governmental involvement, had two sides. Positive eugenics increased information on health and illness prevention, and established well baby clinics; however, negative eugenics advocated controlled reproduction through sterilization of persons considered "unfit." By 1935, twenty-eight states had eugenic sterilization laws. Noted reformers during this time (Lillian Wald, Jane Addams, and Florence Kelley) worked with Presidents Theodore Roosevelt and Woodrow Wilson to establish the Federal Children's Bureau. The Bureau had a direct influence on the maternal and child health policy established by the Social Security Act of 1935., This legacy continues today in the continued fight for women and children's social and economic rights.The Social Security Act's intention, economic security for all citizens, was not realized. Sections of the Act focused on maternalistic social views and sought to maintain a patriarchal family structure. The language of the Social Security Act created barriers to benefits for the most vulnerable. In fact, it seems reasonable to conclude that institutionalized health care disparities laid their roots in America through this legislation.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3172424
- Subject Headings
- Eugenics, History, Medical policy, Nursing, Political aspects, Social security, History, Public welfare, History, Health promotion, Community health nursing
- Format
- Document (PDF)
- Title
- Holding the frontline: the experience of being a charge nurse in an acute care setting.
- Creator
- Eggenberger, Terry L., Christine E. Lynn College of Nursing
- Abstract/Description
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Within the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring...
Show moreWithin the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring attributes and leadership, and Boykin and Schoenhofer's (2001) theory of Nursing as Caring provided the theoretical lenses through which study findings were viewed. Semi-structured interviews were conducted with 20 charge nurses in 4 acute care facilities. Eight themes emerged from an inductive analysis of the data describing the experience of being a charge nurse in acute care practice: Creating a Safety Net, Monitoring for Quality, Showing the Way, Completing the Puzzle, Managing the Flow, Mak ing a Difference, Putting Out Fires, and Keeping Patients Happy. Participants also were asked questions about how they provide support to staff nurses and patients. Themes that reflected how charge nurses live caring in their support of staff and patients were: Jumping in the Trenches, Nurturing Staff Growth, Offering Authentic Presence, and Looking after Nurses. Additionally, the researcher used methods of narrative inquiry to get the participants to share stories of how they lived caring in their support of nurses and patients. Recommendations included the need to elevate the visibility of the charge nurse role and its importance to the organization, and provide support for leadership development. Job descriptions and competencies for charge nurses must reflect the complexity of the environment., Charge nurse participants did not dialogue explicitly about their functions in terms of communication and intraprofessional team building. Since charge nurses have an increasing involvement with mentoring novice nurses and new staff, they would benefit from developing coaching skills. Given the current environment, their responsibilities in these areas may need to be better articulated so that they can focus on increasing these abilities.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3170952
- Subject Headings
- Nursing services, Administration, Nurse and patient, Nursing, Philosophy, Nursing, Decision making, Clinical competence
- Format
- Document (PDF)
- Title
- Building the family network: A community is born.
- Creator
- Petit, Robin Cecilie, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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This research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The...
Show moreThis research study is a description of the meaning of membership in a network of families affected by HIV-AIDS. Four network members were interviewed using a phenomenological approach to guide the inquiry. Narrative descriptions were generated which revealed six essential themes. They were: "Reaching Out to Each Other", "Building a Foundation", "Sharing Hope", "Growing Stronger", "Respecting and Accepting", and "Belonging Together." One Metatheme emerged "Building a Community." The implications for nursing practice, education and research are discussed.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15348
- Subject Headings
- Psychology, Social, Health Sciences, Nursing, Health Sciences, Public Health, Sociology, Individual and Family Studies
- Format
- Document (PDF)
- Title
- The magnetic appeal of nurse informaticians: Caring attractor for emergence.
- Creator
- Swinderman, Todd D., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this phenomenological study was to understand the meaning of transition from the art of handwritten nursing documentation to electronic documentation from the lived experiences of nurse informaticians. Chaos Theory within Complexity Sciences and Ray's Bureaucratic Caring Theory informed the study. The Swinderman Research Model was created to visualize the tension between order and chaos in nursing practice. Twelve nurse informaticians were interviewed about their experiences in...
Show moreThe purpose of this phenomenological study was to understand the meaning of transition from the art of handwritten nursing documentation to electronic documentation from the lived experiences of nurse informaticians. Chaos Theory within Complexity Sciences and Ray's Bureaucratic Caring Theory informed the study. The Swinderman Research Model was created to visualize the tension between order and chaos in nursing practice. Twelve nurse informaticians were interviewed about their experiences in designing, building, implementing and supporting electronic nursing documentation systems using van Marten's human science phenomenological method. Descriptive themes where illuminated and metathemes were interpreted from the research data. The universal whole of nursing informatics was expressed as self-in-relation through the metaphor of magnetic appeal linking the metathemes of inspired leadership and education, caring relationships, complexity, and technology. The metaphor of magnetic appeal illuminates the nurse informatician as the embodiment of caring with gifts as educator, negotiator, translator, and liaison. The Swinderman Research Model was enhanced using the research to create further the Swinderman Conceptual Model for Nursing Informatics. Chaos Theory within Complexity Sciences facilitated the understanding of the subtle dynamic patterns of flux and flow and choice-making in nursing. The Swinderman Conceptual Model for Nursing Informatics emerged as the future of Nursing Informatics in the transformation from handwritten to electronic nursing documentation in complex healthcare organizations.
Show less - Date Issued
- 2005
- PURL
- http://purl.flvc.org/fcla/dt/12130
- Subject Headings
- Health Sciences, Nursing
- Format
- Document (PDF)
- Title
- The Effectiveness of Diabetes Self-Management Educational for Adults with Uncontrolled Type 2 Diabetes Mellitus in a Primary Care Setting.
- Creator
- Dorival, Sandy, Gropper, Sareen, Tumminia, Louis, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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Type 2 Diabetes Mellitus is a fast-growing global problem with vast social, health, and economic consequences. Approximately 382 million people worldwide have been diagnosed with the disease, and this number is expected to increase by 55% by 2035. Diabetes is the seventh leading cause of death in the United States. More than 34 million Americans have diabetes, including 2.4 million cases in Florida. The goal of this project was to improve the effectiveness of diabetes self-management...
Show moreType 2 Diabetes Mellitus is a fast-growing global problem with vast social, health, and economic consequences. Approximately 382 million people worldwide have been diagnosed with the disease, and this number is expected to increase by 55% by 2035. Diabetes is the seventh leading cause of death in the United States. More than 34 million Americans have diabetes, including 2.4 million cases in Florida. The goal of this project was to improve the effectiveness of diabetes self-management information on selection of healthy carbohydrate-containing foods and blood glucose monitoring in a group of adults with uncontrolled type 2 diabetes receiving care in a primary care setting. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life along with follow up phone calls, a pre- and-post Diabetes Self-Management Questionnaire (DSMQ) were administered to ten participants (6 females and 4 males 64-85 years of age) at a primary care site. Descriptive statistics and paired sample T-tests were used to analyze data on the DSMQ pre-and post-intervention. Results were statistically significant and showed that selection of healthy carbohydrate-containing foods and blood glucose monitoring increased in all ten (100%) participants from pre to post intervention. Data analysis showed that the pre-mean selection of healthy carbohydrate-containing foods was 5.3 out of 12 (SD, .675) and a post mean of 10.4 out of 12 (SD, .843) [t(9) = 16, p<.001. In addition, data analysis showed the mean of blood glucose monitoring increased from 4.4 out of 15 (SD, 1.075) on the pre-test to 12.3 out of 15 (SD, .675) on the post-test [t(9) = 18, p<.001]. The increase in the scores reflect the participants’ ability to choose foods that are congruent with healthy eating habits. It is strongly recommended that the 4 Steps to Manage Your Diabetes for Life booklet be used in practice to improve patients’ knowledge and self-management behaviors regarding diabetes.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/faudnp000043
- Format
- Document (PDF)
- Title
- The Effect of Peer Support on Weight Loss in Young Adults.
- Creator
- Honore, Astride, Brown, Raquel, Sainvil, Belvy, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The current generation of youth may be the first in the United States who dies sooner than their parents and lives sicker. Stereotyping and discrimination may degrade communication between overweight/obese patients and their providers, exacerbating this negative trend. The purpose of this quality improvement project was to determine if participation in online support groups is an effective tool to assist obese young adults in weight management. Six participants followed a low-calorie diet ...
Show moreThe current generation of youth may be the first in the United States who dies sooner than their parents and lives sicker. Stereotyping and discrimination may degrade communication between overweight/obese patients and their providers, exacerbating this negative trend. The purpose of this quality improvement project was to determine if participation in online support groups is an effective tool to assist obese young adults in weight management. Six participants followed a low-calorie diet (1500 cal/day for women and 1800 cal/day for men) and engaged in 30 minutes of daily exercise. All participants also filled out the Obesity and Weight Loss Quality of Life (OWLQOL) questionnaire before and after the project to determine improvements in overall sense of well-being. Additionally, half of the participants joined an online support group by the name of Overcoming Obesity through Facebook. The effectiveness of the project was determined by comparing weight loss results in participants who joined the online support group versus those dieting and exercising on their own. Results showed that participants who joined the online support group lost more weight and felt better about themselves compared to those who dieted on their own. In primary care practice, providers can recommend online support groups to young adults struggling with weight management due to it being easily accessible and giving participants the opportunity to express themselves without fear of judgment.
Show less - Date Issued
- 2022
- PURL
- http://purl.flvc.org/fau/fd/faudnp000057
- Format
- Document (PDF)
- Title
- The effects of a walking exercise program on glucose control in type 2 Diabetes Mellitus.
- Creator
- DaSilva, Judy R., Christine E. Lynn College of Nursing, Florida Atlantic University
- Date Issued
- 2012
- PURL
- http://purl.flvc.org/fcla/dt/3355955
- Format
- Document (PDF)
