Current Search: Caring (x)
Pages
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Title
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Exploring the Moderating Effect of a Caring Work Environment on the Relationship Between Workplace Mistreatment and Nurses’ Ability to Provide Patient Care.
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Creator
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Moffa, Christine M., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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Workplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security,...
Show moreWorkplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security, reasoning, respect, attachment, and self-determination), and nurses’ ability to provide quality patient care. In addition, this study considered the moderating effect of caring work environment among co-workers on nurses’ ability to provide quality patient care in the face of workplace mistreatment. Stories of workplace mistreatment were collected anonymously and analyzed for alignment with threats to six dimensions of well-being. Ability to provide patient care was measured using the Healthcare Productivity Survey and a caring work environment was measured via the Culture of Companionate Love scale. The results demonstrated that threats to all six dimensions of well-being described by Powers and Faden (2006) were expressed in nurses’ stories of workplace mistreatment. Furthermore, 87% reported a decrease in ability to provide patient care after an incident of workplace mistreatment. Yet frequency of threatened dimensions did not have a significant relationship with ability to provide patient care. Moreover, there was a significant moderator effect of the caring work environment on the relationship between number of threatened dimensions of well-being and ability to provide quality patient care. Nurses in high caring environments loss less ability to provide care than nurses in low caring environments when one to three dimensions of well-being were threatened. However, this relationship reversed when four or more dimensions were threatened. Implications include further research on the relationship between workplace mistreatment and nurse well-being and changing practice to include fostering a caring work environment in healthcare facilities.
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Date Issued
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2017
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PURL
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http://purl.flvc.org/fau/fd/FA00004990
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Subject Headings
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Dissertations, Academic -- Florida Atlantic University, Work environment., Bullying in the workplace., Nurses--Job satisfaction., Patient Care.
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Format
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Document (PDF)
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Title
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Development and testing of an instrument to measure holistic attributes of nurse practitioner care.
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Creator
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Kinchen, Elizabeth V., Lange, Bernadette, Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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With passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the...
Show moreWith passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the PPACA. The need for this study was identified through gaps in the literature related to nurse practitioner practice; specifically, the paucity of quantitative research regarding patients’ perspectives of core holistic nursing values in nurse practitioner care, and, since nursing care is by definition and tradition holistic in nature, this inquiry attempted to quantify the degree to which nurse practitioner care upholds and preserves core holistic nursing values.
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Date Issued
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2014
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PURL
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http://purl.flvc.org/fau/fd/FA00004297, http://purl.flvc.org/fau/fd/FA00004297
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Subject Headings
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Holistic nursing, Nurse and patient, Nurse practitioners -- Training of, Nursing -- Philosophy, Nursing -- Practice, Primary care (Medicine) -- Practice
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Format
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Document (PDF)
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Title
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Does physical fitness mediate the physiological and perceptual responses to 10-minutes of chest compression-only CPR?.
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Creator
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Berrones, Adam J., College of Education, Department of Exercise Science and Health Promotion
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Abstract/Description
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Purpose: To evaluate the influence of physical fitness on the metabolic and perceptual responses to chest compression-only (CCO) CPR. Methods: In a counterbalanced design, forty-seven CPR-certified participants were randomized to perform: 1) a fitness assessment in which muscular (e.g., push-ups = PU) and cardiorespiratory endurance (e.g., step test recovery heart rate = RHR) were determined, and 2) a 10-minute CCO-CPR trial in which the heart rate (HR) response and ratings of perceived...
Show morePurpose: To evaluate the influence of physical fitness on the metabolic and perceptual responses to chest compression-only (CCO) CPR. Methods: In a counterbalanced design, forty-seven CPR-certified participants were randomized to perform: 1) a fitness assessment in which muscular (e.g., push-ups = PU) and cardiorespiratory endurance (e.g., step test recovery heart rate = RHR) were determined, and 2) a 10-minute CCO-CPR trial in which the heart rate (HR) response and ratings of perceived exertion (RPE) were determined. Results: Both PU and RHR were significantly correlated to the HR response to CCO-CPR (r = - 0.45, p < 0.01; r = 0.54, p < 0.001). PU were significantly correlated to RPE: local muscular (r = - 0.43; p < 0.01), central (r = - 0.45; p < 0.01), and over-all (r = - 0.39; p < 0.01). Conclusions: Greater physical fitness lessens the metabolic and perceptual strain to CCO-CPR.
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Date Issued
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2010
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PURL
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http://purl.flvc.org/FAU/2953205
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Subject Headings
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CPR (First aid), Social aspects, First aid in illness and injury, Emergency medical services, Outcome assessment (Medical care)
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Format
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Document (PDF)
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Title
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Perceived discrimination of Muslims in health care in the United States.
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Creator
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Martin, Mary Brigid, Williams, Christine L., Christine E. Lynn College of Nursing
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Abstract/Description
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Discrimination is not only a human and civil rights offense, but also a detrimental influence on the health outcomes of affected populations. The Muslim population in the United States is a growing religious minority increasingly encountered by health care professionals in the clinical setting. This group has been subject to heightened discrimination since the tragic events of September 11, 2001 and often is misunderstood within the context of American society today. While research has been...
Show moreDiscrimination is not only a human and civil rights offense, but also a detrimental influence on the health outcomes of affected populations. The Muslim population in the United States is a growing religious minority increasingly encountered by health care professionals in the clinical setting. This group has been subject to heightened discrimination since the tragic events of September 11, 2001 and often is misunderstood within the context of American society today. While research has been conducted on discrimination against Muslims in the employment and educational segments of society, more studies are needed which quantify the extent and type of discrimination faced by this group in the health care setting. This inquiry focused on the crossover of anti-Muslim discrimination from society to the health care setting. A newly developed tool to measure anti-Muslim discrimination in health care and an established perceived discrimination scale were used to create the questionnaire employed in this investigation. The items of this newly created tool addressed culturally congruent care practices based on the principles of cultural safety within the nurse-patient relationship and the cultural care beliefs of the Muslim patient/family to ascertain discriminatory occurrences in the health care setting. Ray’s (2010) transcultural caring dynamics in nursing and health care model served as a framework for this quantitative, univariate, descriptive, cross-sectional design. Findings revealed that nearly one-third of Muslim subjects perceived they were discriminated against in the health care setting in the United States. Being excluded or ignored was the most frequently conveyed type of discrimination, followed by problems related to the use of Muslim clothing; offensive or insensitive verbal remarks; and problems related to Islamic holidays, prayer rituals, and physical assault, respectively. Age was positively correlated with perceived anti-Muslim discrimination in society. Education was negatively correlated with perceived discrimination in both society and the health care setting. Findings revealed that three out of five of those surveyed reported that they wear Muslim clothing; the most frequently reported of which was the hijab, the most popular Muslim garment reported to be worn. Participants who wore Muslim clothing, especially females, reported more anti-Muslim discrimination than those who did not. Scores for self-reported perceived anti-Muslim discrimination were found to be higher after the Boston Marathon bombings, April 15, 2013, an act perpetrated by Muslims, which occurred during the time of data collection. The number one Muslim care preference reported was same sex caregiver followed by respect for modesty, prayer rituals, respect for privacy, family involvement in care, and dietary concerns. Implications for practice, policy, education, political science, and recommendations for further research are discussed.
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Date Issued
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2013
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PURL
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http://purl.flvc.org/fau/fd/FA0004036
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Subject Headings
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Discrimination -- United States, Discrimination in medical care, Health services accessibility, Minorities -- Health and hygiene, Muslims -- Public opinion
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Format
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Document (PDF)
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Title
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The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
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Creator
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Johnson, Bridgette M., Christine E. Lynn College of Nursing
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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.
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Date Issued
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2012
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PURL
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http://purl.flvc.org/FAU/3342114
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Subject Headings
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Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
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Format
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Document (PDF)
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Title
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The relationship of self transcendance, social interest, and spirituality to well-being in HIV-AIDS adults.
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Creator
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Sperry, Jonathan J., College of Education, Department of Counselor Education
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Abstract/Description
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This study investigates the relationship of three protective factors : self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. It is the first study to explore the relationships of these protective factors to well-being. A convenience sample of 115 adults living with HIV or AIDS completed the Self-Transcendance Scale, the Social Interest Index- Short Form-Revised, the Spiritual Perspective Scale, and the Index of Well-Being. The participants...
Show moreThis study investigates the relationship of three protective factors : self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. It is the first study to explore the relationships of these protective factors to well-being. A convenience sample of 115 adults living with HIV or AIDS completed the Self-Transcendance Scale, the Social Interest Index- Short Form-Revised, the Spiritual Perspective Scale, and the Index of Well-Being. The participants were adults diagnosed with HIV or AIDS residing in a large southeastern U.S. city. Data were analyzed with correlational and multiple regression methods. Statistically significant positive moderate to strong relationships were found between well-being and self transcendance (r=.66, p<.001 ), social interest (r=.51, p<.001), and spirituality (r=.39, p<.001). A stepwise regression demonstrated that self transcendance held the highest variance on well-being among the three protective factors (43%). Additionally, self-transcendane and social interest accounted for 45% of the variance in well-being. In short, the hypothesized positive relationship among these protective factors with well-being was supported. This study provides theoretical and empirical support for linking self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. The clinical implications of these findings are also discussed.
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Date Issued
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2011
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PURL
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http://purl.flvc.org/FAU/3320105
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Subject Headings
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Medical ethics, Religious aspects, AIDS (Disease), Social aspects, AIDS (Disease), Patients, Care, Spirituality, Self-actualization (Psychology)
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Format
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Document (PDF)
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Title
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The relationship between leadership styles of directors of accredited higher education respiratory care programs and faculty satisfaction, willingness to exert extra effort, perceived director effectiveness, and program outcomes.
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Creator
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Weissman, Nancy L., College of Education, Department of Educational Leadership and Research Methodology
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Abstract/Description
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The purpose of this study was to examine the leadership characteristics of respiratory care program directors and determine the relationship between the director's leadership style, effectiveness, faculty satisfaction, extra effort, and program outcomes. Differences between the directors' perceived leadership style and faculties' perception of the directors' leadership style were also examined. Directors' leadership styles were measured by the Multifactor Leadership Questionnaire (MLQ)....
Show moreThe purpose of this study was to examine the leadership characteristics of respiratory care program directors and determine the relationship between the director's leadership style, effectiveness, faculty satisfaction, extra effort, and program outcomes. Differences between the directors' perceived leadership style and faculties' perception of the directors' leadership style were also examined. Directors' leadership styles were measured by the Multifactor Leadership Questionnaire (MLQ). Director, faculty and program information was measured with a researcher-designed questionnaire. CoARC accredited program directors (n=321) and their full and part-time faculty (n=172) received an e-mail and a web link to obtain demographic information. All participants received an e-mail from Mind Garden, Inc. with a web link to complete the MLQ. Regression analysis and t tests were used to analyze the data. The results found a significant relationship between faculty satisfaction, extra effort, and perceived director effectiveness and each of the predictors transformational, transactional, and passive/avoidant leadership behaviors. There was no relationship between program director leadership style and program outcomes. This study found no difference between the directors' and the faculty's perception of the directors' transformational and transactional leadership behaviors. However, there was a significant difference between the directors' and the faculties' perception of the directors' passive/avoidant behavior.
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Date Issued
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2008
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PURL
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http://purl.flvc.org/FAU/186324
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Subject Headings
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Educational leadership, Evaluation, College teaching, Evaluation, Organizational behavior, Medical care, Motivation in education
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Format
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Document (PDF)
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Title
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The Experience of Caring for Women with Drug or Alcohol Problems in the General Hospital.
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Creator
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Payne, Linda Gail, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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The purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the...
Show moreThe purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the nurses' experience o caring for women who abuse or are dependent on alcohol and/or drugs was Boykin and Schoenhofer's Nursing as Caring (1993). The relational themes that emerged were: Caring in the dark; Intentionally knowing the woman with AOD as a unique person; and Experiencing sisterhood.
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Date Issued
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2015
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PURL
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http://purl.flvc.org/fau/fd/FA00004534
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Subject Headings
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Communication in nursing, Nurse and patient, Nursing assessment, Nursing models, Outcome assessment (Medical care), Women -- Substance abuse -- Treatment
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Format
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Document (PDF)
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Title
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A web-based automated classification system for nursing language based on nursing theory.
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Creator
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Dass, Subhomoy D., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
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Abstract/Description
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Health care systems consist of various individuals and organizations that aim to meet the health care needs of people and provide a complete and responsive health care solution. One of the important aspects of a health care delivery system is nursing. The use of technology is a vital aspect for delivering an optimum and complete nursing care to individuals; and also for improving the quality and delivery mechanism of nursing care. The model proposed in this thesis for Nursing Knowledge...
Show moreHealth care systems consist of various individuals and organizations that aim to meet the health care needs of people and provide a complete and responsive health care solution. One of the important aspects of a health care delivery system is nursing. The use of technology is a vital aspect for delivering an optimum and complete nursing care to individuals; and also for improving the quality and delivery mechanism of nursing care. The model proposed in this thesis for Nursing Knowledge Management System is a novel knowledge-based decision support system for nurses to capture and manage nursing practice, and further, to monitor nursing care quality, as well as to test aspects of an electronic health record for recording and reporting nursing practice. As a part of a collaborative research of the Christine E. Lynn College of Nursing and the Department of Computer Science, a prototype toolset was developed to capture and manage nursing practice in order to improve the quality of care. This thesis focuses on implementing a web based SOA solution for Automated Classification of Nursing Care Categories, based on the knowledge gained from the prototype for nursing care practice.
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Date Issued
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2011
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PURL
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http://purl.flvc.org/FAU/3332184
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Subject Headings
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Nursing, Quality control, Outcome asssessment (Medical care), Nursing assessment, Digital techiques, Nursing, Computer-assisted instruction, Nursing informatics
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Format
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Document (PDF)
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Title
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SMARTPHONE BASED SICKLE CELL DISEASE DETECTION AND ITS TREATMENT MONITORING FOR POINT-OF-CARE SETTINGS.
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Creator
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Ilyas, Shazia, Asghar, Waseem, Florida Atlantic University, Department of Computer and Electrical Engineering and Computer Science, College of Engineering and Computer Science
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Abstract/Description
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The majority of Sickle Cell Disease (SCD) prevalence is found in Sub-Saharan Africa, where 80% of the world’s population who suffer from this disease are born. Due to a lack of diagnosis and early treatments, 50-90% of these children will die before they reach the age of five. Current methods used for diagnosing SCD are based on hemoglobin analysis such as capillary electrophoresis, ion-exchange high-performance liquid chromatography, and isoelectric focusing. They require expensive...
Show moreThe majority of Sickle Cell Disease (SCD) prevalence is found in Sub-Saharan Africa, where 80% of the world’s population who suffer from this disease are born. Due to a lack of diagnosis and early treatments, 50-90% of these children will die before they reach the age of five. Current methods used for diagnosing SCD are based on hemoglobin analysis such as capillary electrophoresis, ion-exchange high-performance liquid chromatography, and isoelectric focusing. They require expensive laboratory equipment and are not feasible in these low-resource countries. It is, therefore, imperative to develop an alternative and cost-effective method for diagnosing and monitoring of SCD. This thesis aims to address the development and evaluation of a smartphone-based optical setup for the detection of SCD. This innovative technique can potentially be applied for low cost and accurate diagnosis of SCD and improve disease management in resource-limited settings where the disease exhibits a high prevalence. This Point-of-Care (POC) based device offers the potential to improve SCD diagnosis and patient care by providing a portable and cost effective device that requires minimal training to operate and analyze.
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Date Issued
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2020
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PURL
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http://purl.flvc.org/fau/fd/FA00013475
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Subject Headings
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Anemia, Sickle Cell, Point-of-Care Systems, Sickle cell anemia--Treatment, Sickle cell anemia--Diagnosis, Smartphones
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Format
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Document (PDF)
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Title
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Therapeutic Options for the Treatment of Breast Cancer: Using Cytoreg and Genistein Isoflavone.
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Creator
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Johnson, Michelle M., Kumi-Diaka, James, Florida Atlantic University, Charles E. Schmidt College of Science, Department of Biological Sciences
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Abstract/Description
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In spite the heavy investments in therapeutic research breast cancer still impacts the lives of women globally. The projected incidence of new cases in USA for 2008 is 67,770, with estimated 40,480 deaths. In this study, we investigated the therapeutic efficacy of Cytoreg®-genistein combination treatment on MCF-7 human breast cancer cells. MCF-7 cells were treated with genistein and Cytoreg® single and combination treatments for 24- 48hr; and the chemosensitivity assessed using bioassays:...
Show moreIn spite the heavy investments in therapeutic research breast cancer still impacts the lives of women globally. The projected incidence of new cases in USA for 2008 is 67,770, with estimated 40,480 deaths. In this study, we investigated the therapeutic efficacy of Cytoreg®-genistein combination treatment on MCF-7 human breast cancer cells. MCF-7 cells were treated with genistein and Cytoreg® single and combination treatments for 24- 48hr; and the chemosensitivity assessed using bioassays: Trypan Blue and MTT for cell viability; Ethidium bromide/Rhodamine 123 to assess apoptosis induction; F AM PolyCaspase binding assay for mechanism of action. The overall data indicated dose- and timedependent cell death in the MCF-cells and that apoptosis was the major means of treatmentinduced growth inhibition. There was evidence of Cytoreg®-induced autophagy in the cells. The overall findings indicated that genistein-Cytoreg® combination was more efficacious than either genistein or Cytoreg® alone. Cytoreg® enhanced the phytosensitivity of MCF-7 cells to genistein isoflavone.
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Date Issued
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2008
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PURL
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http://purl.flvc.org/fau/fd/FA00000777
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Subject Headings
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Breast--Cancer--Treatment, Phytochemicals--Physiological effect, Apoptosis--Molecular aspects, Phytoestrogens--Health aspects, Outcome assessment (Medical care)
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Format
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Document (PDF)
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Title
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The influence of feminism on nursing and its relation to nursing education: 1970-1994.
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Creator
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Shinners-Gillenwater, Jean., Florida Atlantic University, Schuster, Eleanor
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Abstract/Description
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This is a historical research study of the influence of feminism on nursing and nursing education from 1970 to 1994. Historical research contributes to the knowledge of the underpinnings of nursing education practices and the socialization process of nurses as a profession within the male, patriarchal system of medicine. This inquiry identifies select nurse-woman leaders and their contributions in incorporating a new value system for education and nursing based on feminist principles. The...
Show moreThis is a historical research study of the influence of feminism on nursing and nursing education from 1970 to 1994. Historical research contributes to the knowledge of the underpinnings of nursing education practices and the socialization process of nurses as a profession within the male, patriarchal system of medicine. This inquiry identifies select nurse-woman leaders and their contributions in incorporating a new value system for education and nursing based on feminist principles. The implications of this paradigm shift for nursing education, practice and research are discussed.
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Date Issued
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1994
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PURL
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http://purl.flvc.org/fcla/dt/15086
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Subject Headings
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Nurses--United States, Nursing--Study and teaching, Nursing--Philosophy, Caring, Feminism, Nursing--History
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Format
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Document (PDF)
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Title
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Individual Profiling Of Perceived Tinnitus by Developing Tinnitus Analyzer Software.
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Creator
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Chaudhury, Baishali, Pandya, Abhijit S., Florida Atlantic University
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Abstract/Description
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Tinnitus is a conscious perception of phantom sounds in the absence of external acoustic stimuli, and masking is one of the popular ways to treat it. Due to the variation in the perceived tinnitus sound from patient to patient, the usefulness of masking therapy cannot be generalized. Thus, it is important to first determine the feasibility of masking therapy on a particular patient, by quantifying the tinnitus sound, and then generate an appropriate masking signal. This paper aims to achieve...
Show moreTinnitus is a conscious perception of phantom sounds in the absence of external acoustic stimuli, and masking is one of the popular ways to treat it. Due to the variation in the perceived tinnitus sound from patient to patient, the usefulness of masking therapy cannot be generalized. Thus, it is important to first determine the feasibility of masking therapy on a particular patient, by quantifying the tinnitus sound, and then generate an appropriate masking signal. This paper aims to achieve this kind of individual profiling by developing interactive software - Tinnitus Analyzer, based on clinical approach. The developed software has been proposed to be used in place oftraditional clinical methods and this software (as a part of the future work) will be implemented in the practical scenario involving real tinnitus patients.
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Date Issued
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2010
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PURL
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http://purl.flvc.org/fau/fd/FA00012512
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Subject Headings
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Medical care--Technological innovations, Tinnitus--Diagnosis--Aids and devices, Hearing disorders--Diagnosis--Technological innovations, Psychoacoustics--Research
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Format
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Document (PDF)
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Title
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Discourse delivered on the first anniversary of the Girard College for Orphans, : at the request of the Board of Directors by Job R. Tyson.
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Creator
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Tyson, Job R. (Job Roberts) 1803-1858
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Abstract/Description
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Cover title: Girard College. Mr. Tyson's discourse. January 1, 1849. Includes bibliographical references. FAU Libraries' copy imperfect: cover missing, edges trimmed to 21 cm.
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PURL
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http://purl.flvc.org/fau/fd/fauwsb14f20
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Subject Headings
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Girard College -- Anniversaries, etc, Girard, Stephen -- 1750-1831, Orphanages -- Pennsylvania -- Philadelphia, Orphans -- Institutional care -- Pennsylvania -- Philadelphia, Speeches, addresses, etc., American -- 19th century
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Format
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E-book
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Title
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An empirical analysis of factors influencing organizational cultural competence within emergency medical services systems.
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Creator
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Diggs, Schnequa, Thai, Khi V., Florida Atlantic University, College of Design and Social Inquiry, School of Public Administration
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Abstract/Description
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This dissertation examines factors with influence on the organizational cultural competence of Emergency Medical Services (EMS) systems. The purpose of this study was to draw on theories of representative bureaucracy and transformational leadership to assess cultural competence in Emergency Medical Services systems from the perspective of EMS leadership, within careful consideration of the external environment in which EMS systems operate.
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Date Issued
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2015
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PURL
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http://purl.flvc.org/fau/fd/FA00004439, http://purl.flvc.org/fau/fd/FA00004439
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Subject Headings
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Emergency medical personnel -- Training of, Emergency medical services -- Management, Organizational effectiveness, Outcome assessment (Medical care), Transformational leadership
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Format
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Document (PDF)
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Title
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A Systematic Review and Quantitative Meta-Analysis of the Accuracy of Visual Inspection for Cervical Cancer Screening: Does Provider Type or Training Matter?.
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Creator
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Driscoll, Susan D., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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Background: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using...
Show moreBackground: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using community health workers (CHWs) may overcome these barriers, increase facilitators, and improve participation in screening for women in remote areas with limited access to clinical resources. Aim: To determine whether the accuracy of VI performed by CHWs was comparable to VI by physicians or nurses and to consider the affect components of provider training had on VI accuracy. Methods: A systematic review and quantitative meta-analysis of published literature reporting on VI accuracy, provider type, and training was conducted. Strict inclusion/exclusion criteria, study quality, and publication bias assessments improved rigor and bivariate linear mixed modeling (BLMM) was used to determine the affect of predictors on accuracy. Unconditional and conditional BLMMs, controlling for VI technique, provider type, community, clinical setting, HIV status, and gynecological symptoms were considered. Results: Provider type was a significant predictor of sensitivity (p=.048) in the unconditional VI model. VI performed by CHWs was 15% more sensitive than physicians (p=.014). Provider type was not a significant predictor of accuracy in any other models. Didactic and mentored hours predicted sensitivity in both BLMMs. Quality assurance and use of a training manual predicted specificity in unconditional BLMMs, but was not significant in conditional models. Number of training days, with ≤5 being optimal, predicted sensitivity in both BLMMs and specificity in the unconditional model. Conclusion: Study results suggest that community based cervical cancer screening with VI conducted by CHWs can be as, if not more, accurate than VI performed by licensed providers. Locally based screening programs could increase access to screening for women in remote areas. Collaborative partnerships in “pragmatic solidarity” between healthcare systems, CHWs, and the community could promote participation in screening resulting in decreased cervical cancer incidence and mortality.
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Date Issued
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2016
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PURL
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http://purl.flvc.org/fau/fd/FA00004755
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Subject Headings
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Women--Health and hygiene., Cervix uteri--Cancer--Diagnosis., Cervix uteri--Cancer--Prevention., Medical screening., Medical care--Quality control., Community health services.
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Format
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Document (PDF)
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Title
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Differences in Nurses’ Perceptions of Safety Culture, Nurse-Physician Collaboration, and Level of Job Satisfaction Related to the Type of Obstetrical Physician Service Delivery Model Utilized.
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Creator
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Abiri, Olga, Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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Creating a safety culture is the focus in the current healthcare environment. An inhouse, around-the-clock laborist service delivery model has been associated with positive outcomes, but little is known about the laborist structure’s contribution to the labor-anddelivery working environment. The purpose of this descriptive correlational study was to explore the effects of physician service delivery model on safety culture, nurse-physician collaboration, and nurses’ job satisfaction. An...
Show moreCreating a safety culture is the focus in the current healthcare environment. An inhouse, around-the-clock laborist service delivery model has been associated with positive outcomes, but little is known about the laborist structure’s contribution to the labor-anddelivery working environment. The purpose of this descriptive correlational study was to explore the effects of physician service delivery model on safety culture, nurse-physician collaboration, and nurses’ job satisfaction. An additional purpose was to examine associations between nurses’ perceptions of safety culture, nurse-physician collaboration, and job satisfaction. Ray’s (1981, 1989) Theory of Bureaucratic Caring and Homan’s (1974) Social Exchange Theory guided this study. A survey consisting of demographic questions, the Collaborative Practice Scale (Weiss & Davis, 1985), the Hospital Survey on Patient Safety Culture (Agency for Healthcare Research and Quality, 2015; HSOPSC), and the McCloskey and Mueller Satisfaction Scale (McCloskey & Mueller, 1990) was distributed to registered nurses (RNs) nationwide. The results indicated that nurses in facilities using the around-the-clock model had higher perceptions of nursephysician collaboration, but not of safety culture or job satisfaction in relation to the physician service-delivery model. Significant moderate-to-strong correlations between nurses’ perceptions of patient safety and job satisfaction, and a weak correlation between bedside nurses’ perceptions of nurse-physician collaboration and job satisfaction were demonstrated. Additional significant correlations were found between the instrument subscales. Control/responsibility in the MMSS scale was positively associated with both management support for patient safety, supervisors’ and managers’ expectations and actions promoting patient safety, and overall perceptions of safety in the HSOPSC scale. Praise and recognition in the MMSS scale were positively associated with supervisor/manager expectations and actions promoting patient safety in the HSOPSC scale. Further appraisal is needed to understand the mechanism by which the laborist model affects patient care and work environment. Recommendations for future research include replicating the study with a larger sample sizes in specific groups based on the role and scheduled shift, conducting the study in a single system or location to mitigate the effects of other variables; and exploring physicians’ perspectives on the variables being studied.
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Date Issued
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2017
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PURL
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http://purl.flvc.org/fau/fd/FA00004969, http://purl.flvc.org/fau/fd/FA00004959
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Subject Headings
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Dissertations, Academic -- Florida Atlantic University, Obstetrics--Practice., Medical care--Safety measures., Nurse-physician collaboration., Nurses--Job satisfaction., Labor and delivery.
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Format
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Document (PDF)
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Title
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Evaluation of speak for myself™ with patients who are voiceless.
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Creator
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Koszalinski, Rebecca S., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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Patients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients...
Show morePatients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients in three hospitals in South Florida agreed to use Speak for Myself™ during their acute care hospital stay (M = 8.86 hours). This group of participants (n = 20) ranged from 45 to 91 years old (males = 14; females = 6). Of the participants, 15 (75%) self-identified as European American, 2 (10%) self-identified as Hispanic, 2 (10%) self-identified as African American, and 1 (5%) self-identified as Asian. Ten of the participants (50%) were in respiratory failure. Two (10%) were receiving oxygenation measures related to unspecified complications of their illnesses. Of the remaining eight participants (40%), one each was receiving oxygenation measures due to atrial fibrillation, arteriosclerotic heart disease, cardiogenic shock, endocarditis, neck abscess, renal failure, status post seizure activity, and tongue metastasis.
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Date Issued
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2014
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PURL
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http://purl.flvc.org/fau/fd/FA00004298
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Subject Headings
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Communication devices for people with disabilities, Nurse and patient, Nursing -- Practice, Nursing -- Research -- Methodology, Outcome assessment (Medical care), People with disabilities -- Means of communication
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Format
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Document (PDF)
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Title
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Family resiliency, sense of coherence, social support and psychosocial interventions: reducing caregiver burden and determining the quality of life in persons with alzheimer’s disease.
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Creator
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Shroff, Havovi B., Frain, Michael, Florida Atlantic University, College of Education, Department of Counselor Education
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Abstract/Description
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Alzheimer's disease (AD) is a progressive, degenerative disorder that attacks the brain's nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and results in behavioral changes and lack of communication. Family members and caregivers of persons with Alzheimer’s disease can assume added responsibilities and stress due to the progressive and degenerative component of this disability and places an added strain on the family system. This study was designed to...
Show moreAlzheimer's disease (AD) is a progressive, degenerative disorder that attacks the brain's nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and results in behavioral changes and lack of communication. Family members and caregivers of persons with Alzheimer’s disease can assume added responsibilities and stress due to the progressive and degenerative component of this disability and places an added strain on the family system. This study was designed to examine predictors of quality of life of persons living with AD and to examine caregiver burden and predictors of quality of life of persons living with AD. This study hopes to empower the caregivers and test the resiliency model of family stress, sense of coherence and social support while incorporating individual patient and family needs by surveying caregivers involved with working with patients with AD. Specific aims of the study include validating relationships of the resiliency model while determining the importance of family resiliency, the sense of coherence, social support and the role of psychosocial interventions specifically Validation Communication Intervention (VCI), to reduce caregiver burden and to predict the quality of life in persons with Alzheimer’s disease.
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Date Issued
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2014
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PURL
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http://purl.flvc.org/fau/fd/FA00004228, http://purl.flvc.org/fau/fd/FA00004228
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Subject Headings
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Alzheimer's disease -- Patients -- Family relationships, Alzheimer's disease -- Patients -- Home care, Caregivers -- Conduct of life, Caregivers -- Family relationships, Caregivers -- Psychology, Quality of life, Stress management
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Format
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Document (PDF)
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Title
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Predictive modeling for wellness.
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Creator
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Pulumati, Pranitha, Agarwal, Ankur, Florida Atlantic University, College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
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Abstract/Description
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Wellness and healthy life are the most common concerns for an individual to lead a happy life. A web-based approach known as Wellness Scoring is being developed taking into people’s concerns for their health issues. In this approach, four different classifiers are being investigated to predict the wellness. In this thesis, we investigated four different classifiers (a probabilistic graphical model, simple probabilistic classifier, probabilistic statistical classification and an artificial...
Show moreWellness and healthy life are the most common concerns for an individual to lead a happy life. A web-based approach known as Wellness Scoring is being developed taking into people’s concerns for their health issues. In this approach, four different classifiers are being investigated to predict the wellness. In this thesis, we investigated four different classifiers (a probabilistic graphical model, simple probabilistic classifier, probabilistic statistical classification and an artificial neural network) to predict the wellness outcome. An approach to calculate wellness score is also addressed. All these classifiers are trained on real data, hence giving more accurate results. With this solution, there is a better way of keeping track of an individuals’ health. In this thesis, we present the design and development of such a system and evaluate the performance of the classifiers and design considerations to maximize the end user experience with the application. A user experience model capable of predicting the wellness score for a given set of risk factors is developed.
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Date Issued
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2014
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PURL
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http://purl.flvc.org/fau/fd/FA00004321, http://purl.flvc.org/fau/fd/FA00004321
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Subject Headings
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Bayesian statistical decision theory, Expert systems (Computer science), Health risk assessment, Medicine, Preventive, Patient self monitoring, Self care, Health, Well being
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Format
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Document (PDF)
Pages