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Title: Interview with Mary and Albert Pont – ca. 2001.
Creator: Pont, Mary, Pont, Albert, Riley, Charles
Date Issued: 2001-02-22 & 26
PURL: http://purl.flvc.org/fau/fd/FADT74161
Subject Headings: Indialantic, Brevard County, Florida, World War, 1939-1945, Great Depression, Navy, US Army Nursing Corps, Hospice, Oral histories --Florida, Oral history
Format: Set of related objects

Title: Immigrant status, substance use and sexual risk among Afro-Caribbean adolescents living in South Florida.
Creator: Jolly, Kim., Christine E. Lynn College of Nursing
Abstract/Description: Objectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results:...
Show moreObjectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results: The study consists of 106 adolescents, 75% (n = 79) documented and 25% (n = 27) undocumented. Forty-one documented and 10 undocumented adolescents were sexually active. Of those, 14.6% of the documented and 40% of the undocumented adolescents had been drinking alcohol while engaging in sexual activity; 7.3% of documented and 30% of undocumented adolescents used drugs while engaging in sexual activity. Undocumented adolescents had less adult presence before and after school; Creole was spoken at home more than English, and none of the parents had gone to or graduated from college. There was no significant difference in risk-taking and social adaptation scores as measured by the Adolescent Risk-Taking Instrument (ARTI) for the documented and undocumented Afro-Caribbean adolescents. The ARTI had acceptable internal consistency reliability for the risk-taking (.87) and social adaption (.82) scale in this population. The mean score of risk behavior was 2.04 (SD = .44) for documented Afro-Caribbean adolescents and 1.89 (SD = .47) for undocumented adolescents. For social adaptation, mean scores were 3.23 (SD = .45) for documented and 3.20 (SD = .35) for undocumented adolescents. The co-occurrence of substance use and sexual activity is nearly triple for alcohol use and more than triple for drug use when comparing undocumented to documented adolescents., However, scores on the ARTI did not differ.Socio-demographic factors related to risky behaviors suggest that the undocumented adolescents were more at risk. Health risk of undocumented adolescents demands more research attention if nurses wish to address the unique needs of this population.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/228769
Subject Headings: Behavior disorders in adolescence, Behavioral assessment of teenagers, Adolescent psychopathology, Acculturation, Transcultural nursing
Format: Document (PDF)

Title: The lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted.
Creator: Lucas, Louise A.
Abstract/Description: The implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac...
Show moreThe implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac arrest; the device is now being implanted in older adults with heart failure and no known history of cardiac arrhythmias. When talking with patients and personal family members who had an ICD, it was unclear what influenced their decision to have an ICD implanted. Understanding the experience of decision-making for older adults who had an ICD has added to nursing knowledge, practice, and education when working with people who had an ICD inserted. To understand the lived experience, the researcher conducted a phenomenological research study, guided by the theoretical lens of Paterson and Zderad's (1976/1988) humanistic nursing and analyzed the data as outlined by Giorgi (2009). The results of the study indicated the participants' lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted was influenced by the following : trust in their physician's decision; accepting the device was necessary; the decision was easy to make; and hope and desire to live longer.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3332724
Subject Headings: Arrhythmia, Treatment, Decision making, Hermeneutics, Research, Phenomenology, Research, Medicine, Decision making, Evidence based medicine, Nursing, Decision making, Outcome assessment (Medical care)
Format: Document (PDF)

Title: Partnering: An exploration of the process occurring between couples engaged in a Partner Breast Exam Program.
Creator: Scheinberg-King, Caryn R., Florida Atlantic University, Hektor, Lynne M.
Abstract/Description: The purpose of this study was to gain an understanding of what happens when partners participate in the Partner Breast Exam Program. A qualitative research design, using a grounded theory approach was used to understand the perspective of the couples participating in "Men Can Too" a Partner Breast Exam program. This approach was chosen because the experience of participation in Partner Breast Exam is "unchartered territory." Preliminary findings suggest that the process of partnering results...
Show moreThe purpose of this study was to gain an understanding of what happens when partners participate in the Partner Breast Exam Program. A qualitative research design, using a grounded theory approach was used to understand the perspective of the couples participating in "Men Can Too" a Partner Breast Exam program. This approach was chosen because the experience of participation in Partner Breast Exam is "unchartered territory." Preliminary findings suggest that the process of partnering results in a synergy between the couples. The three processes that comprise the Dynamics of a Synergistic Couple include: Sharing, Dyad: Male/Female Interaction, and Motivation. Partnering, by removing barriers such as fear, can promote a shared journey toward health for a couple, where they become synergistic partners in health, when they share the burden.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15363
Subject Headings: Breast--Cancer--Diagnosis, Breast--Examination, Helping behavior, Men--Attitudes, Women--Health and hygiene, Breast--Cancer--Nursing
Format: Document (PDF)

Title: The bureaucratic system: A positive or negative effect on nursing home quality of care?.
Creator: Lipsman, Lisa A., Florida Atlantic University, Evans, Arthur S.
Abstract/Description: Over the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care...
Show moreOver the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care. Although this hypothesis has proven to be accurate, additional factors were consistently cited as having detrimental effects on resident care. These include issues such as insufficient pay and lack of training/education for CNAs. Moreover, human greed and societal views of the elderly appear to be the true root of the problem.
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Date Issued: 2004
PURL: http://purl.flvc.org/fcla/dt/13148
Subject Headings: Long-term care of the sick--Quality control, Nursing home care--Quality control, Outcome assessment (Medical care), Long-term care facilities--Standards
Format: Document (PDF)

Title: The Effect of a Supportive-Educative Nursing Intervention on Weight Loss and Perceived Self Care in Overweight Women With Metabolic Syndrome.
Creator: Fleck, Laureen, Parker, Marilyn, Florida Atlantic University
Abstract/Description: Metabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist...
Show moreMetabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist women with metabolic syndrome lose weight. Based on Orem's Self-Care Deficit Nursing Theory, this study investigated the use of a specific supportive-educative nursing intervention to assist individuals make healthy lifestyle choices to reduce body weight. A pre-test post-test, two group experimental design was used. It was hypothesized that women given individualized support, education, and guidance about lifestyle modification, which included carbohydrate counting, would lose more weight and have greater self-care ability than women given general support and education. The sample included 51 pre-menopausal women between ages 19 and 55 who had been diagnosed with metabolic syndrome. Body weight and perceived self-care, using the Self-as-Carer inventory, were measured at the onset of the study and again three months later. The two groups did not differ significantly as to weight or perceived self-care at baseline or at conclusion of the study. A repeated measures analysis of variance for weight loss and perception of self care was calculated and the results indicated that there was no significant difference in weight loss (p=.13) or perception of self care (p=.85) between the two groups. The use of a supportive-educative individualized nursing intervention enhanced participant awareness of healthy lifestyle choices. Further research is needed to determine the effectiveness of the intervention with a larger, more ethnically diverse sample and with participants diagnosed with other metabolic disorders.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000620
Subject Headings: Metabolic syndrome, Obesity--Treatment, Lipids--Metabolism--Disorders--Treatment, Integrated delivery of health care, Self-care, Health, Nurse and patient
Format: Document (PDF)

Title: Maternal health policy: nursing's legacy and the Social Security Act of 1935.
Creator: Pope, Bonnie L., Christine E. Lynn College of Nursing
Abstract/Description: This study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the...
Show moreThis study explored the work of nursing and the social influences of eugenic policies established during the Progressive Era (1890-1930) on the writing and passage of the Social Security Act of 1935. The research questions: "Did eugenic philosophy and practice influence the Social Security Act of 1935 in relation to Maternal Health Policy?" and 'What was nursing's influence on the Social Security Act of 1935?" required the social history research method. Data were evaluated with the conclusion that eugenic policies did influence the writing and passage of the Social Security Act. Also, that nurses, and other women, played a specific, important and constructive role in developing the Act. During the late 1800s and early 1900s prominent leaders of business, science, philanthropy, and social reform supported the eugenic agenda to assure the wellbeing of hard working "Anglo-Saxon" American citizens. Industrialization and scientific advances in medicine gave Americans the impression that the "production" of healthy, intelligent children could be controlled, efficient, and predictable. Better breeding as a means for social improvement, which fueled the eugenics movement's use of science to solve social problems through governmental involvement, had two sides. Positive eugenics increased information on health and illness prevention, and established well baby clinics; however, negative eugenics advocated controlled reproduction through sterilization of persons considered "unfit." By 1935, twenty-eight states had eugenic sterilization laws. Noted reformers during this time (Lillian Wald, Jane Addams, and Florence Kelley) worked with Presidents Theodore Roosevelt and Woodrow Wilson to establish the Federal Children's Bureau. The Bureau had a direct influence on the maternal and child health policy established by the Social Security Act of 1935., This legacy continues today in the continued fight for women and children's social and economic rights.The Social Security Act's intention, economic security for all citizens, was not realized. Sections of the Act focused on maternalistic social views and sought to maintain a patriarchal family structure. The language of the Social Security Act created barriers to benefits for the most vulnerable. In fact, it seems reasonable to conclude that institutionalized health care disparities laid their roots in America through this legislation.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3172424
Subject Headings: Eugenics, History, Medical policy, Nursing, Political aspects, Social security, History, Public welfare, History, Health promotion, Community health nursing
Format: Document (PDF)

Title: EL SENO ESCONDIDO: NODRIZAS Y NANAS COMO AGENTES MARAVILLOSOS EN LA NOVELA LATINOAMERICANA DE LA SEGUNDA MITAD DEL SIGLO VEINTE.
Creator: Casanova, Betsaida L., Gosser Esquilín, Mary Ann, Florida Atlantic University, Department of Languages, Linguistics and Comparative Literature, Dorothy F. Schmidt College of Arts and Letters
Abstract/Description: In Latin America, wet nurses and nannies have played a relevant role in the transmission of legends, myths, medicinal knowledge, popular beliefs, and the religious practices of marginalized groups. This historical reality also ties them closely to the vitality of the marvelous real in Latin American culture and history as theorized by Alejo Carpentier. This dissertation focuses on examining the characters of wet nurses and nannies, especially in connection with the expression of the marvelous...
Show moreIn Latin America, wet nurses and nannies have played a relevant role in the transmission of legends, myths, medicinal knowledge, popular beliefs, and the religious practices of marginalized groups. This historical reality also ties them closely to the vitality of the marvelous real in Latin American culture and history as theorized by Alejo Carpentier. This dissertation focuses on examining the characters of wet nurses and nannies, especially in connection with the expression of the marvelous real in Latin American novels published in the second half of the twentieth century. Employing primarily Alex Woloch’s theory of characterization, this dissertation explores the character space and position within the character system of la Vieja in El acoso (1956) by Alejo Carpentier, Peta Ponce in El obsceno pájaro de la noche (1970) by José Donoso, and Petra Avilés in La casa de la laguna (1996) by Rosario Ferré. They serve as marvelous agents introducing elements of the marvelous real in the narrative. These characters are at the center of an extensive network of cultural codes that signify different sources of the marvelous real in Latin American culture. The marvelous network they establish functions as a vindicating mechanism that leads to the penalization of the families that hire their services, who represent a decadent and oppressive social system, whereas the wet nurses or nannies embody the oppressed groups in society. This is a literary strategy to impart, at a symbolic level, the justice that traditionally has been denied, both textually and socially, to these women.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013361
Subject Headings: Wet nurses in literature, Carpentier, Alejo, 1904-1980 Acoso, Donoso, José, 1924-1996 Obsceno pájaro de la noche English, Ferré, Rosario Casa de la laguna, Characters and characteristics in literature, Nannies--Fiction
Format: Document (PDF)

Title: Suffering in the midst of technology: the lived experience of an abnormal prenatal ultrasound.
Creator: Gottlieb, Jeanne C., Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is...
Show moreThe purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments.
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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: The experience of caring for an elderly parent with Alzheimer's disease.
Creator: Davies, Sally., Florida Atlantic University, Beckerman, Anita
Abstract/Description: The purpose of this study was to describe the experience of caring for an elderly parent in the last year of her life. Using the historical research design, the author examined a journal kept during the time of the experience. The analysis revealed the recurrent themes of mother/daughter and patient/nurse relationships in the journal. These themes were then analysed to reflect the frequency and the alternating rhythms of interactions throughout the time the journal encompasses. The writing of...
Show moreThe purpose of this study was to describe the experience of caring for an elderly parent in the last year of her life. Using the historical research design, the author examined a journal kept during the time of the experience. The analysis revealed the recurrent themes of mother/daughter and patient/nurse relationships in the journal. These themes were then analysed to reflect the frequency and the alternating rhythms of interactions throughout the time the journal encompasses. The writing of this personal story of caregiving and its analysis documents a personal event that can be used by others to understand the caregiving experience.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15342
Subject Headings: Aging parents--Care--Psychological aspects, Alzheimer's disease--Patients--Family relationships, Caregivers--Psychology, Daughters--Psychology, Parent and adult child, Diaries--Therapeutic use, Nurses--Psychology
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: 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.
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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)

Title: The lived experience of health among older Guatemalan women.
Creator: Ordonez, Maria de los Angeles., Florida Atlantic University, Jett, Kathleen F.
Abstract/Description: Older Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape...
Show moreOlder Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape-recorded, transcribed, and translated into English. A synthesized list of descriptive expressions emerged with seven themes. These were analyzed and a structural definition of the lived experience of health was formulated and compared to the concept of health as described by Pender (1982). Understanding the meaning of health among older Guatemalan women may influence policies, practice processes, and accessibility of health care while expanding nursing's body of knowledge. Specific recommendations to improve older Guatemalan women's access to health care were presented.
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Date Issued: 2006
PURL: http://purl.flvc.org/fcla/dt/13340
Subject Headings: Women--Health and hygiene--Guatemala, Health status indicators--Florida, Nursing--Social aspects--Florida, Health attitudes--Florida, Transcultural medical care--Florida, Women immigrants--Florida--Cross-cultural studies
Format: Document (PDF)

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