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- Title
- Effectiveness of a multidisciplinary program on pregnancy outcomes for an adolescent population: A comparative study.
- Creator
- Adam, Barbara J., Florida Atlantic University, Hektor, Lynne M.
- Abstract/Description
-
The high rate of adolescent pregnancies and births in the United States has had an extensive impact on individual, family, community, and national issues related to health and economics. Teenagers, many of whom are already of lower socioeconomic status, are at risk for preterm birth and low birth weight, as well as incomplete use of available services. This inquiry used a retrospective comparative research design to evaluate the effectiveness of Project Teen in Palm Beach County, Florida....
Show moreThe high rate of adolescent pregnancies and births in the United States has had an extensive impact on individual, family, community, and national issues related to health and economics. Teenagers, many of whom are already of lower socioeconomic status, are at risk for preterm birth and low birth weight, as well as incomplete use of available services. This inquiry used a retrospective comparative research design to evaluate the effectiveness of Project Teen in Palm Beach County, Florida. Project Teen is a multidisciplinary program offering a continuum of support services to pregnant adolescents and newly parenting adolescents and their infants until the infants are 2 years old. Through frequent contacts, home visitation, resource referral, counseling, and education the health care professionals collaborate with the clients to facilitate clients' choices which will maximize families' health potential. Home visitation by care coordinators and senior community health nurses was positively related to pregnancy, family health, and family socioeconomic outcomes.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15248
- Subject Headings
- Teenage pregnancy, Maternal health services, Teenage mothers--Family relationships, Nursing models
- Format
- Document (PDF)
- Title
- What keeps nurses in nursing: a Heideggerian hermeneutic phenomenological study.
- Creator
- Dunn, Dorothy J., Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what...
Show moreThe purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what keeps nurses in nursing. The eight registered nurse participants provided rich descriptive data from which four relational themes emerged: Practicing from Inner Core Beliefs, Understanding the Other from Within, Making a Difference, and Nursing as an Evolving Process. The hermeneutical interpretative process guided the researcher to synthesize the themes into a constitutive pattern of meaning which the researcher named Intentional Compassion Energy. In intentional caring consciousness, the nurse intentionally knows the nursed as whole. Compassion energy is the intersubjective gift of compassion that gives nurses the opportunity to be with the nursed. Compassion energy is composed of compassionate presence, patterned nurturance and intentionally knowing the nursed and self as whole. Thus, intentional compassion energy is defined as the regeneration of nurses' capacity to foster interconnectedness when the nurse activates the intent to nurse. Intentional compassion energy was discovered in the meaning of the nurse participants being in their everydayness of practice. The participants described the intention to care compassionately as the grounding of their practice, striving to understand the other, to make a difference while living their nursing as an evolving process. Hermeneutic phenomenology provided the opening to discover what keeps nurses in nursing.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/2182084
- Subject Headings
- Nursing services, Administration, Medical personnel, Supply and demand, Nurses, Job satisfaction, Nursing services, Personnel management, Phenomenological psychology
- Format
- Document (PDF)
- Title
- How Community College Nursing Faculty View Service Learning Integration.
- Creator
- Norris, Shelby D., Guglielmino, Lucy M., Maslin-Ostrowski, Patricia, Florida Atlantic University
- Abstract/Description
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The purpose of this study was to explore the attitudes and experiences of community college nursing faculty related to the integration of service learning. An exploratory case study was conducted at three Florida community college nursing programs. The data were collected primarily through structured interviews with 14 community college nursing professors, three nursing administrators, and one service learning coordinator along with document analysis and site observation. The researcher posed...
Show moreThe purpose of this study was to explore the attitudes and experiences of community college nursing faculty related to the integration of service learning. An exploratory case study was conducted at three Florida community college nursing programs. The data were collected primarily through structured interviews with 14 community college nursing professors, three nursing administrators, and one service learning coordinator along with document analysis and site observation. The researcher posed six research questions related to service learning integration. These six questions addressed: (a) the differentiation of service programs at the three sites, (b) the meaning of service learning, (c) faculty motivation to use service learning, (d) institutional supports needed by nursing faculty, (e) the obstacles that nursing faculty face, and (f) the strategies they use to overcome them. The major conclusions were that community college nursing faculty members are vital to the integration of service learning and need training in service learning procedures. Service learning has potential for further development in community college nursing programs and may lead to a perspective change in how nursing students view the social dynamics of nursing. Time and workload obstacles, along with confusion regarding service learning, clinicals and community service have contributed to the slow growth of SL in nursing programs. There is a need for new models to guide service learning integration in nursing education. Two models for integration of service learning into community college nursing are offered. Recommendations for practice, educational leadership and further research are presented.
Show less - Date Issued
- 2007
- PURL
- http://purl.flvc.org/fau/fd/FA00000684
- Subject Headings
- Nursing--Study and teaching, Nurses--In-service training--Evaluation, Mentoring in education, Community health nursing--Study and teaching
- Format
- Document (PDF)
- Title
- An organ procurement coordinator's effect on referral rates made by emergency room nurses.
- Creator
- Jennings, Tabatha Lynn., Florida Atlantic University, Winland-Brown, Jill
- Abstract/Description
-
This study presents information on the effect an organ procurement coordinator had on referral rates made by emergency room nurses. Retrospective data were analyzed after a period of eight months of data collection. These data included a pre-test/post-test which was given to emergency room nursing staff in southeast Florida. Inservice education was given by an organ procurement coordinator during an eight month period. The number of referrals were analyzed at the beginning and end of this...
Show moreThis study presents information on the effect an organ procurement coordinator had on referral rates made by emergency room nurses. Retrospective data were analyzed after a period of eight months of data collection. These data included a pre-test/post-test which was given to emergency room nursing staff in southeast Florida. Inservice education was given by an organ procurement coordinator during an eight month period. The number of referrals were analyzed at the beginning and end of this period. There was a positive correlation between the increased knowledge of the emergency room nursing staff and the increase in referral rates. This information gives support to the significance of the organ procurement coordinator's role as educator to emergency room nurses. By increasing knowledge regarding the organ donation process, referral rates were increased, providing more opportunity for potential organ donors. This information can be useful for future programs to increase referral rates made by emergency room nurses. Further implications for practice, education, and research are discussed.
Show less - Date Issued
- 1998
- PURL
- http://purl.flvc.org/fcla/dt/15550
- Subject Headings
- Donation of organs, tissues, etc, Nurses--In-service training, Procurement of organs, tissues, etc, Emergency medical personnel
- Format
- Document (PDF)
- Title
- Effects of a Story-Sharing Intervention on Depression and Well-Being in Older Adults Transitioning to Long-Term Care.
- Creator
- Sullivan, Gail J., Hain, Debra J., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility,...
Show moreThe purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility, choice to move, and health problem(s) that may have resulted in the move) predict depression and/or well-being. Story sharing was defined as the respectful space where one tells and listens to stories of others (Heliker, 2009) while being guided by another (the investigator). Meleis’ middlerange theory of transitions (MMRTT) (Meleis et al., 2000) was used as a guide to understand the transitioning process. A convenience sampling design was used to recruit 100 participants from 11 LTC facilities in Broward County, located in Southeast Florida. The sample included adults, age 65 years and older, who were transitioning to a LTC facility within the past two years. Participants were randomly assigned to the control group (n = 52), who received standard care, or to the intervention group (n = 41), who received story-sharing and standard care. The results indicated there was no significant greater improvement to suggest an Intervention and Time effect for depression and/or well-being. Overall, predictive ability of the sociodemographic variables for depression and well-being were not statistically significant. However, LOE (junior college) did account for a significant portion of unique variance for increased depression, and time, marital status, ethnicity, LOE, and choice to move did account for a significant proportion of unique variance for well-being. Months living in LTC (more months) and marital status (all but divorced) were significant for improved well-being while ethnicity (Hispanic), LOE (high school and junior college), and choice to move (no choice) were significant for reduced well-being. Similar studies using a larger sample size, including non-English speaking participants; lengthier storysharing sessions; and measuring for pain, health, and bereavement may offer additional insights to healthy transition outcomes for this population.
Show less - Date Issued
- 2017
- PURL
- http://purl.flvc.org/fau/fd/FA00004827
- Subject Headings
- Loneliness--Psychological aspects., Depression in old age., Older people--Communication., Older people--Mental health services., Nursing home patients--Mental health., Nursing homes--Recreational activities., Recollection (Psychology)
- Format
- Document (PDF)
- Title
- Suffering in the midst of technology: the lived experience of an abnormal prenatal ultrasound.
- Creator
- Gottlieb, Jeanne C., Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is...
Show moreThe purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments.
Show less - Date Issued
- 2013
- PURL
- http://purl.flvc.org/fcla/dt/3362381
- Subject Headings
- Medical genetics, Medical care, Decision-making, Health services accessibility, Abortion, Moral and ethical aspects, Pregnancy, Complications, Diagnostic ultrasonic imaging, Communication in medicine, Genetic counseling, Genetic disorders, Nursing, Standards
- Format
- Document (PDF)
- Title
- Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program.
- Creator
- Cruise, Peter L., Florida Atlantic University, Clare, Donald A.
- Abstract/Description
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This study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home...
Show moreThis study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home admission measure. To assess satisfaction, both program constituencies--hospitals (N = 120) which place and nursing homes (N = 308) which agree to admit PWAs--were surveyed in 10 counties. For both constituencies, the surveys were designed to measure satisfaction along two dimensions: (1) the degree of satisfaction with the Florida program, and (2) the level of agreement with the general concept of incentive reimbursement. For nursing homes, the survey also measured: institutional characteristics, financial characteristics, and medical and technological issues. The goal attainment results revealed that the PWA admission rate showed no meaningful change over the five years studied. The constituency satisfaction results revealed that both constituencies were moderately satisfied with the Florida program and incentive programs generally, but that such satisfaction was not related to the number of PWAs admitted to nursing homes. Nursing home institutional characteristics and medical issues were not related to the number of PWAs admitted, but financial characteristics and technological issues were significantly (but negatively) related. The following policy implications were drawn. Although the Florida program did not meet its goal, both constituencies were satisfied with the program and incentives generally, leaving open the possibility for program modification. The previously unconfirmed concern that nursing homes fear intergenerational problems if PWAs were to be admitted was supported by the findings, but nursing home assertions that their lack of appropriate technology restricts PWA admissions were not.
Show less - Date Issued
- 1995
- PURL
- http://purl.flvc.org/fcla/dt/12397
- Subject Headings
- Nursing homes--Florida--Cost control, Medicaid--Florida, AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness, AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness
- Format
- Document (PDF)
