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Title: Nutrire: Nurture, Nursing a Material Culture Analysis of Invalid/Infant Feeders and the Aesthetics and Caring of Nursing.
Creator: Smith, Nancy K., Dunphy, Lynne M., Florida Atlantic University
Abstract/Description: This dissertation analyzes a nursing artifact: the infant/invalid feeder. A material culture analysis, developed by the author, is utilized for the in depth study of 12 feeders. This work assumes that Caring is the core value of what constitutes nursing and nursing practice. The expression of the aesthetics of nursing through the act of feeding and use of infant/invalid feeders, aesthetic knowing and expression of that knowing, links caring and caring presence. The act of feeding another,...
Show moreThis dissertation analyzes a nursing artifact: the infant/invalid feeder. A material culture analysis, developed by the author, is utilized for the in depth study of 12 feeders. This work assumes that Caring is the core value of what constitutes nursing and nursing practice. The expression of the aesthetics of nursing through the act of feeding and use of infant/invalid feeders, aesthetic knowing and expression of that knowing, links caring and caring presence. The act of feeding another, whether sick or infant has been the domestic sphere of women throughout history and is also considered one of the most important duties of the nurse. For centuries women have provided nourishment to others. Much of this has been accomplished through the use of utensils designed specifically for the purpose of feeding those too ill or young to independently do so themselves. Material culture study, a method of examining artifacts and the cultural messages that they contain is employed as the methodology for research. A detailed investigation of the nursing literature reveals that there have been no material culture studies of nursing's artifacts to date. In this dissertation the author designed and utilized her own model for the analysis of 12 invalid feeders. The material culture analysis of the twelve feeders leads to a greater understanding of the history and evolution of nursing practice in the United States. Significance and recognition of feeders in England and their continued use versus their obscurity and unfamiliarity in the United States serves an example of the changes and differences that have occurred within the social context of the culture as a whole and nursing culture in particular. Feeding of patients with feeders by nurses serves as an example of the complexities of human caring and the aesthetic practice of nursing. Nurses can gain from the material culture studies of nursing artifacts, paying greater attention to the ways that make us human and humane. This work has related the caring and the aesthetic of nursing practice to the everyday act of feeding and challenges nurses to continue to find ways to demonstrate nurturing and caring to those we have the privilege to nurse.
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Date Issued: 2006
PURL: http://purl.flvc.org/fau/fd/FA00000625
Subject Headings: Nursing--Equipment and supplies, Infants--Care--Equipment and supplies, Nursing--Philosophy
Format: Document (PDF)

Title: Resiliency enhancement: A comparison of after-school child care programs for selected elementary school students.
Creator: Martin, James F., Florida Atlantic University, Morris, John D.
Abstract/Description: The purpose of this study was to determine whether at-risk elementary school students enrolled in an after-school program offering resiliency training would be positively affected both academically and behaviorally. Survey results and literature reviews indicate that the issue of at-risk, neglected, or abused students is the number one issue facing society and has moved it to the forefront of educational prominence. Although there is a substantial amount of literature on the subject, most is...
Show moreThe purpose of this study was to determine whether at-risk elementary school students enrolled in an after-school program offering resiliency training would be positively affected both academically and behaviorally. Survey results and literature reviews indicate that the issue of at-risk, neglected, or abused students is the number one issue facing society and has moved it to the forefront of educational prominence. Although there is a substantial amount of literature on the subject, most is not research based and is focused only on the pathology or risk factors with which children have to cope, rather than on controlled, evaluative studies that could assess success or failure of specific strategies or programs. The researcher evaluated students from two Florida elementary schools identified by the Florida Department of Education as "critically low performing schools." The students in the population were identified as critically low academic achievers and/or those demonstrating aggressive behaviors. The key characteristics of students targeted were academic performance and behavior in school. The schools identified in the study, in addition to having low academic achievement and a high level of behavior problems, also had demographic issues that contributed to the needs of the school population. The researcher targeted appropriate activities and behaviors necessary to evaluate the programs within each of the schools selected. Although results of the statistical treatment failed to reveal significant differences among the hypotheses tested, resiliency enhancement is still a viable means by which academic or behavioral gains can be made with students. The researcher suggests that additional evaluative activities be incorporated into future studies. It is recommended that further analysis to determine the specifies of problems facing individual schools be more qualitative. It is also suggested that increasing the sample size to increase the power of the analysis will rule out the inconclusiveness of the analysis. Previous research indicates that although students may make academic or behavioral gains, they may still be far from the absolute levels of performance that are recognized as being significant. This research has also established that the imperative for growth and development exists and develops naturally in the presence of certain environmental attributes. Other conclusions and recommendations for further study were offered.
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Date Issued: 2000
PURL: http://purl.flvc.org/fcla/dt/12636
Subject Headings: School-age child care, Resilience (Personality trait) in children, Children with social disabilities--Education
Format: Document (PDF)

Title: Vocal health and rehabilitation for the singer.
Creator: Dorchin, Susan R., Florida Atlantic University, Fleitas, Patricia P.
Abstract/Description: Vocal production depends upon the coordinated efforts of the mind and body. Disruption of this balance leads to various vocal disorders. The ability to recognize dysphonias and a thorough knowledge of laryngeal and facial anatomy, the mind/body connection, skeletal structure, and medical and homeopathic remedies are essential to the voice teacher. Based upon scientific and empirical knowledge, therapies are suggested for use in the voice studio to establish a healthy vocal technique, treat...
Show moreVocal production depends upon the coordinated efforts of the mind and body. Disruption of this balance leads to various vocal disorders. The ability to recognize dysphonias and a thorough knowledge of laryngeal and facial anatomy, the mind/body connection, skeletal structure, and medical and homeopathic remedies are essential to the voice teacher. Based upon scientific and empirical knowledge, therapies are suggested for use in the voice studio to establish a healthy vocal technique, treat various voice problems and promote vocal health.
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Date Issued: 2003
PURL: http://purl.flvc.org/fcla/dt/13051
Subject Headings: Voice disorders--Treatment, Voice--Care and hygiene, Voice culture, Vocal cords
Format: Document (PDF)

Title: The effects of meditation on global and factor scores on the BSI: A secondary analysis.
Creator: Buti, Rebecca Leigh., Florida Atlantic University, Freeman, Edward
Abstract/Description: This study was a secondary analysis or data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed considering the Self-Care Deficit Nursing Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantra, which served as the interventions for the primary study. The primary researchers noted that Brief...
Show moreThis study was a secondary analysis or data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed considering the Self-Care Deficit Nursing Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantra, which served as the interventions for the primary study. The primary researchers noted that Brief Symptom Inventory (BSI) scores rose significantly after the intervention. Thus, secondary analysis focused on the relationships of the basic conditioning factors (BCF) to the global and factor scores on the BSI before and after the intervention of meditation. Secondary analysis revealed a difference in scores between entry and exit on the Global Severity Index (GSI) of the BSI in reference to the basic conditioning factor of age. By the end of the 10 weeks of meditation, age was no longer a factor in causing GSI scores to increase.
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Date Issued: 1998
PURL: http://purl.flvc.org/fcla/dt/15541
Subject Headings: HIV-positive persons, AIDS (Disease)--Patients, Psychodiagnostics, Self-care, Health
Format: Document (PDF)

Title: Ethnography of Adherence to Plans of Care in the HIV Positive Patient.
Creator: Saslo, Mark Christopher, Chase, Susan, Florida Atlantic University
Abstract/Description: Human Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay...
Show moreHuman Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay this decline in health. Can clinicians expect absolute commitment to plans of care without their knowing their effects on patients' life? This study was conducted to answer the research question, "What is the culture of living with HIV as it shapes adherence to plans of care for patients in south Florida?" in order to understand HIV positive patients' responses to managing complex medical regimens. In an effort to understand the life-world and experiences of patients who are HIV positive, an ethnographic study was conducted to explore how patients manage the daily demands of living with IDV. In addition, environment of care was observed to determine if it influenced adherence to medications and plans of care. Through the use of ethnography, interviews of IDV positive patients were conducted, several of whom had significant adherence issues and one person who might be considered an ideal patient. Several different settings were included in the research to determine what impact environment had on patients' adherence to medications and plans of care. Fear, trust, self-worth, literacy, financial and disease specific themes emerged and lead to the development of a model for adherence to plans of care for IDV positive patients. This model may enhance clinician/patient collaboration to achieve maximized health and delay progression of mv disease.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000624
Subject Headings: Patient compliance, Chronic diseases--Treatment, AIDS (Disease)--Treatment--Psychological aspects, Outcome assessment (Medical care)
Format: Document (PDF)

Title: Mechanisms of Placental Dysfunction in Pregnancy Malaria.
Creator: Lybbert, Jared, Oleinikov, Andrew V., Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Biomedical Science
Abstract/Description: The molecular mechanisms by which pregnancy malaria affects the outcome of fetal development are unknown. Megalin, which has been well studied in kidney, has high expression in the placenta from early stages to term, and is proposed to be an important factor in extensive maternofetal exchange during development of the fetus. Pregnancy malaria (PM) is characterized by inflammation in placenta and is associated with low birthweight (LBW), stillborn birth, and other pathologies. It is...
Show moreThe molecular mechanisms by which pregnancy malaria affects the outcome of fetal development are unknown. Megalin, which has been well studied in kidney, has high expression in the placenta from early stages to term, and is proposed to be an important factor in extensive maternofetal exchange during development of the fetus. Pregnancy malaria (PM) is characterized by inflammation in placenta and is associated with low birthweight (LBW), stillborn birth, and other pathologies. It is hypothesized that PM disturbs megalin function/expression/distribution in the brush boarder of syncytiotrophoblast which, in turn, may contribute significantly to pathology of LBW. Our studies show that the presence of infected erythrocytes in placenta at the time of delivery negatively affects protein abundance for megalin and Dab2. This is the first report associating the abundance of placental megalin system proteins with the birth weight of newborn babies, and associating PM with changes in megalin system protein abundance.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004520, http://purl.flvc.org/fau/fd/FA00004520
Subject Headings: Birth weight, Low, Critical care medicine, Fetus -- Diseases -- Molecular diagnosis, Pregnancy -- Complications, Prenatal diagnosis, Stillbirth
Format: Document (PDF)

Title: A structure of values synthesized from the lived experience of new registered nurses.
Creator: Amole, Carol., Florida Atlantic University, Parker, Marilyn
Abstract/Description: The purpose of this study was to evolve a description of values of nurses who were recent graduates of associate degree nursing programs. Six new nurses who were employed in hospitals were asked for illustrations of nursing situations that described values important to their practice. Giorgi's method of interpretation for phenomenological studies was utilized for data analysis. Caring was the value that emerged as central to nursing. New graduates expressed this value as caring promoting...
Show moreThe purpose of this study was to evolve a description of values of nurses who were recent graduates of associate degree nursing programs. Six new nurses who were employed in hospitals were asked for illustrations of nursing situations that described values important to their practice. Giorgi's method of interpretation for phenomenological studies was utilized for data analysis. Caring was the value that emerged as central to nursing. New graduates expressed this value as caring promoting growth. Subsumed within the value of caring for new nurses are hope, conscience, courage, honesty, humility, empathy and human connectedness.
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Date Issued: 1995
PURL: http://purl.flvc.org/fcla/dt/15125
Subject Headings: Nursing--Philosophy, Nursing ethics, Values, Caring, Nurses--Job satisfaction
Format: Document (PDF)

Title: A phenomenological study of connectedness.
Creator: Lee, Gayle Jean., Florida Atlantic University, Beckerman, Anita
Abstract/Description: This research study, utilizing Colaizzi's phenomenological method, explored the lived experience of connectedness as experienced by nurses practicing in an acute care setting. Eight currently-practicing nurses described their experiences of connectedness with a patient. Based on the significant statements which were formulated into meanings and then grouped into themes, five common themes emerged. These themes revealed that connectedness occurs with death or during near-death situations, when...
Show moreThis research study, utilizing Colaizzi's phenomenological method, explored the lived experience of connectedness as experienced by nurses practicing in an acute care setting. Eight currently-practicing nurses described their experiences of connectedness with a patient. Based on the significant statements which were formulated into meanings and then grouped into themes, five common themes emerged. These themes revealed that connectedness occurs with death or during near-death situations, when the nurse identifies with the patient, provides an authentic presence in the nursing situation, utilizes non-verbal communication, creating a pleasant and exhilarating experience. Through providing a better understanding of this phenomenon, nurses may experience a greater fulfillment in nursing.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15009
Subject Headings: Nurse and patient, Communication in nursing, Caring, Nursing--Psychological aspects
Format: Document (PDF)

Title: Emergency department patients' perceptions of supportive nursing behaviors.
Creator: Francis-Liburd, Julyn Clair., Florida Atlantic University, Coffman, Sherrilyn
Abstract/Description: Patients and nurses have been found to perceive support differently. This exploratory study was undertaken to: (a) identify those nursing behaviors perceived by emergency department patients as supportive, and (b) to identify the importance emergency room patients give to various nursing behaviors on a checklist. A sample of 30 emergency department patients completed a guided interview and the Supportive Nursing Behavior Checklist. The perceived attitude of the nurse toward the patient and...
Show morePatients and nurses have been found to perceive support differently. This exploratory study was undertaken to: (a) identify those nursing behaviors perceived by emergency department patients as supportive, and (b) to identify the importance emergency room patients give to various nursing behaviors on a checklist. A sample of 30 emergency department patients completed a guided interview and the Supportive Nursing Behavior Checklist. The perceived attitude of the nurse toward the patient and the availability of the nurse to the patient were the most important factors influencing patients' perceptions of support. The nurse being friendly and cheerful were the most important behaviors. The study has implications for nursing practice, nursing administration and nursing education. Suggestions are also given for further research.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15060
Subject Headings: Hospitals--Emergency services, Nurse and patient, Nurses--Attitudes, Nursing assessment, Caring
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 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: MICROFLUIDIC ELECTRICAL IMPEDANCE TECHNOLOGY FOR POINT-OFCARE ASSESSMENT OF SICKLE CELL DISEASE.
Creator: Dieujuste, Darryl, Du, Sarah, Florida Atlantic University, Department of Ocean and Mechanical Engineering, College of Engineering and Computer Science
Abstract/Description: Sickle Cell Disease (SCD) is a genetic disease that affects approximately 100,000 people in the USA and millions worldwide. The disease is defined by a mutation in hemoglobin, the red blood cell’s oxygen carrying component. Under hypoxic (low oxygen) conditions, the mutated hemoglobin (known as HbS) polymerizes into rigid fibers that stretch the cell into a sickle shape. These rigid cells can occlude blood vessels and cause an individual immense pain. Currently, no point-of-care devices exist...
Show moreSickle Cell Disease (SCD) is a genetic disease that affects approximately 100,000 people in the USA and millions worldwide. The disease is defined by a mutation in hemoglobin, the red blood cell’s oxygen carrying component. Under hypoxic (low oxygen) conditions, the mutated hemoglobin (known as HbS) polymerizes into rigid fibers that stretch the cell into a sickle shape. These rigid cells can occlude blood vessels and cause an individual immense pain. Currently, no point-of-care devices exist in the market for assisting those with SCD. Using microfluidics with custom designed portable impedance measuring hardware we can achieve label-free in vitro analyses of SCD rheology. This dissertation presents two impedance-based devices for finger-prick volume blood testing, including a microflow cytometer for SCD diagnostics and a vaso-occlusion tester for monitoring blood flow activities. First, the microflow cytometer is validated by measuring the electrical impedance of individual cells flowing through a narrow microfluidic channel. Cellular impedance is interpreted by changes in subcellular components due to oxygen association-dissociation of hemoglobin, using an equivalent circuit model and Multiphysics simulation. Impedance values of sickle cells exhibit remarkable deviations from normal blood cells. Such deviation is quantified by a conformity score, which allows for measurement of SCD heterogeneity, and potentially disease severity. Findings from this study demonstrate the potential for SCD screening via electrical impedance. Second, a vaso-occlusion tester is validated by measuring the impedance response of blood flow within a microfluidic mimic of capillary bed.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/FA00014243
Subject Headings: Sickle cell anemia, Microfluidics, Point-of-care testing, Electric Impedance
Format: Document (PDF)

Title: MULTIPHYSICS SIMULATION OF DIELECTROPHORESIS ENRICHMENT FOR DETECTION OF LOW PARASITEMIA PLASMODIUM FALCIPARUM IN HUMAN BLOOD.
Creator: Oladokun, Oladiran, Du, E., Florida Atlantic University, Department of Ocean and Mechanical Engineering, College of Engineering and Computer Science
Abstract/Description: Malaria is an ancient lethargic disease that remains a global burden. It has been difficult to end the scourge of P. falciparum malaria because of the parasites’ drug resistance so early diagnosis of malaria is crucial. Microscopy remains the gold standard but has limited reliability in detecting malaria parasites. This study proffered a method towards detection of low parasitemia P. falciparum infected RBCs (Pf-RBCs) based on dielectrophoresis (DEP). A microfluidic device was designed for...
Show moreMalaria is an ancient lethargic disease that remains a global burden. It has been difficult to end the scourge of P. falciparum malaria because of the parasites’ drug resistance so early diagnosis of malaria is crucial. Microscopy remains the gold standard but has limited reliability in detecting malaria parasites. This study proffered a method towards detection of low parasitemia P. falciparum infected RBCs (Pf-RBCs) based on dielectrophoresis (DEP). A microfluidic device was designed for label-free cell sorting of Pf-RBCs from other whole blood in a continuous manner, based on the intrinsic electrical signatures of the cells. The design was validated by a finite element simulation using COMSOL Multiphysics. Simulations show the feasibility of the separation in a 9-mm long microfluidic channel under laminar flow conditions, using a low voltage supply of +/-10 V at 50 kHz.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/FA00014415
Subject Headings: Plasmodium falciparum, Microfluidic devices, Dielectrophoresis, Biomedical engineering, Point-of-care testing
Format: Document (PDF)

Title: TELEHEALTH UTILIZATION IN MENTAL HEALTH: THE UNEXPECTED CATALYST.
Creator: Perrys, John, Feyereisen, Scott, Florida Atlantic University, Department of Management Programs, College of Business
Abstract/Description: This quantitative research study explored the impact of the COVID-19 pandemic on the utilization of telehealth in mental health services, focusing on the Veterans Health Administration (VHA) of the U.S. Department of Veterans Affairs. The study assessed changes in appointment types across location, modality, gender, age, race, and rurality. Drawing on the Technology Acceptance Model (TAM) and introducing a COVID-19 moderation factor, the study investigates the adoption of telehealth...
Show moreThis quantitative research study explored the impact of the COVID-19 pandemic on the utilization of telehealth in mental health services, focusing on the Veterans Health Administration (VHA) of the U.S. Department of Veterans Affairs. The study assessed changes in appointment types across location, modality, gender, age, race, and rurality. Drawing on the Technology Acceptance Model (TAM) and introducing a COVID-19 moderation factor, the study investigates the adoption of telehealth technology and its effects on traditionally underserved groups. The research method involved a quantitative analysis of de-identified patient appointment data from FY 2017 to FY 2022, encompassing 66 million appointments. Empirical research was assessed for any impact of the coronavirus disease 2019 (COVID-19) pandemic on the proliferation of the telehealth modality in mental health. The study incorporated statistical analyses, including time series regression, to test the hypothesis that telehealth positively influenced mental health service delivery, with the COVID-19 pandemic as a moderating factor. Descriptive statistics were used to present the mean and standard deviation scores for the independent and dependent variables. Frequency statistics were used to describe the independent variables for the study further. Three regression models were used to answer the hypotheses. Comprehensive results were presented, showcasing the impact of the pandemic on telehealth adoption, and behavioral intentions. Specifically, the COVID-19 pandemic has fundamentally altered the landscape of doctoral healthcare provider visits, generally decreased in-person visits while substantially increased video and phone visits. The findings highlighted sizable shifts in healthcare dynamics, emphasizing the influence of demographic factors on visit types and the complex interplay with COVID-19. This study contributed valuable insights into the transformative role of telehealth in mental health care, especially during global health crises like the COVID-19 pandemic.
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Date Issued: 2024
PURL: http://purl.flvc.org/fau/fd/FA00014461
Subject Headings: Mental health services, Medical telematics, Delivery of Health Care, Veterans Health
Format: Document (PDF)

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

Title: Thai nurses' lived experience of caring for persons who had a peaceful death in intensive care units.
Creator: Kongsuwan, Waraporn., Christine E. Lynn College of Nursing
Abstract/Description: The objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care...
Show moreThe objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care nursing experience, experience in caring for a person who had peaceful death, able to describe peaceful death, and willing to participate in this study. Participants who met the inclusion criteria were interviewed. Face-to-face individual verbal interviews were conducted in the Thai language. These interviews were audiotape recorded. Descriptions were transcribed and translated for data analysis. Van Manen's (1990) hermeneutic phenomenological approach was used to analyze and interpret the data. The findings of this study were presented in each of 4 categories of the lived world of temporality, of spatiality, of corporeality, and of relationality. The description of the lived experience of caring for persons who had a peaceful death in ICU was, "understanding the other through the valuing of experience and enhancing relations with others by recognizing time is short and is a priority." This study may contribute to nursing knowledge of the end-of-life care to enhance a peaceful death in intensive care units congruently with Thai culture and society. In addition, this study directs the translations of its knowledge into implications that will benefit in helping Thai nursing to move forward. The implications of this study in advance will benefit terminally ill persons and family members regarding receiving good quality end-of-life care.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/186331
Subject Headings: Criticism and interpretation, Intensive care nursing, Nurse and patient, Terminal care, Psychological aspects, Nursing, Practice
Format: Document (PDF)

Title: A philosophical analysis of America's transformation to universal health care: implications for responsibility and justice.
Creator: Mantoni, Jennifer Lynn., Dorothy F. Schmidt College of Arts and Letters, Department of Philosophy
Abstract/Description: Human beings have two apparently conflicting fundamental rights. On the one hand, individuals have a right to health care as the United Nations declared in 1948. On the other hand, individuals have a right to liberty; that is, the freedom to make one's own health related choices, even poor ones. One goal of this essay is to show how to reconcile these two apparently conflicting core American values. This reconciliation is important, because a universal health care system that is fair and just...
Show moreHuman beings have two apparently conflicting fundamental rights. On the one hand, individuals have a right to health care as the United Nations declared in 1948. On the other hand, individuals have a right to liberty; that is, the freedom to make one's own health related choices, even poor ones. One goal of this essay is to show how to reconcile these two apparently conflicting core American values. This reconciliation is important, because a universal health care system that is fair and just must account for individual rights in tandem with attempts to address matters of social justice. In order for this reconciliation to occur, matters of individual responsibility, social responsibility, and social justice must be central to health care reform.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3171680
Subject Headings: Health care reform, Health services accessibility, Insurance, Health, Government policy, Political science, Philosophy, Health care rationing, Moral and ethical aspects, Social justice, Responsibility
Format: Document (PDF)

Title: Influence of ethnicity, relocation, and social integration on the decision to complete an Advance Medical Directive: A survey of Boca Raton retirees.
Creator: Frank, Abbott., Florida Atlantic University, Evans, Arthur S., Dorothy F. Schmidt College of Arts and Letters, Department of Sociology
Abstract/Description: Research has shown that generally no more than 20% of populations surveyed have completed Advance Medical Directives and that there is a strong ethnic variation in their choice (i.e. Protestants and Whites were more likely to have an Advance Medical Directive than Jews, Catholics, Hispanics, or Blacks). This thesis developed and tested the hypothesis that the use of Advance Medical Directives by Jews would comparably vary inversely with their degree of social integration as measured by their...
Show moreResearch has shown that generally no more than 20% of populations surveyed have completed Advance Medical Directives and that there is a strong ethnic variation in their choice (i.e. Protestants and Whites were more likely to have an Advance Medical Directive than Jews, Catholics, Hispanics, or Blacks). This thesis developed and tested the hypothesis that the use of Advance Medical Directives by Jews would comparably vary inversely with their degree of social integration as measured by their degree of orthodoxy. Survey results confirmed this hypothesis, but more significantly demonstrated that for all samples tested, regardless of religion, 74% of the over-65 respondents had completed an Advance Medical Directive. It is postulated that this high rate of implementation is an effect of the lower degree of social integration of the Boca Raton retirees brought about by a physical relocation to Florida from their former family, residential, and business networks.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15276
Subject Headings: Right to die, Do-not-resuscitate orders, Terminal care--Decision making, Older people--Long-term care, Jews--Florida--Boca Raton--Statistics, Boca Raton (Fla)--Population--Statistics
Format: Document (PDF)

Title: An empirical examination of the President as a policy entrepreneur: health care (1959-2004).
Creator: Smith, Skyler., Harriet L. Wilkes Honors College
Abstract/Description: My study focuses on oscillating political context to find what factors are conducive to the proposal and ultimate success of executive-generated, liberal health care policy. When it comes to initiating policy change, most of the existing literature concentrates on individuals in Congress or local level politicians. Beginning with the advent of the so-called "Modern Presidency" during the early years of the twentieth century, the President has increasingly played an active role in government,...
Show moreMy study focuses on oscillating political context to find what factors are conducive to the proposal and ultimate success of executive-generated, liberal health care policy. When it comes to initiating policy change, most of the existing literature concentrates on individuals in Congress or local level politicians. Beginning with the advent of the so-called "Modern Presidency" during the early years of the twentieth century, the President has increasingly played an active role in government, particularly with respect to legislation--he can be considered a "policy entrepreneur." I use data on variables from 1959 to 2004 and employ the Two-Stage Conditional Maximum Likelihood Model. I find that a more liberal President is likely to propose health care legislation that necessitates increased government involvement. I also determine that Congress is more likely to approve a liberal Presidential proposal when the government is unified and public opinion polls indicate people are more receptive to government intervention.
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Date Issued: 2008
PURL: http://purl.flvc.org/FAU/77692
Subject Headings: Health care reform, Medical policy, History, Political leadership, History, Presidents, History
Format: Document (PDF)

Title: Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
Creator: Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004320
Subject Headings: Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
Format: Document (PDF)

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