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Title: Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
Creator: Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
Subject Headings: End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
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: 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.
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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: Using Educational Materials to Increase Colorectal Cancer Screening Rates.
Creator: Padron, Loreta D., Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF]...
Show moreColorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years along with a FIT or gFOBT every 3 years, or a colonoscopy every 10 years in adults beginning at age 50 years and continuing until age 75 years (USPSTF, 2019). Early screening for CRC is of utmost importance with the main benefit being that it can prevent colorectal cancer or find it early, and reduce the chance that a person will die from CRC because treatment often leads to a cure (CDC, 2019c; USPSTF, 2019).
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007542
Format: Document (PDF)

Title: Use of the Hypertension Self-Care Profile Tool and DASH Diet for Self-Care Management among African American Adults with Hypertension.
Creator: Denson, Charity H., Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this...
Show moreAlthough there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide a comprehensive description of the issues with recommendations for practice change. An analysis of the quantitative results, an evaluation of the project, and plans for the future and dissemination of this project will be included.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00007530
Format: Document (PDF)

Title: USE OF COMPLEMENTARY THERAPIES FOR DIABETES MELLITUS BY JAMAICAN ADULTS IN SOUTH FLORIDA: A FOCUSED ETHNOGRAPHY.
Creator: Brown, Raquel, Chiang-Hanisco, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Jamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South...
Show moreJamaicans, the largest group of English-speaking Caribbean people living in the United States (US), have a history of using bush medicine/complementary therapies (CT) in diabetes management. However, no research described the emic views of Jamaican adults regarding how they select the bush medicine they use or how they know these are suitable to manage diabetes. The purpose of this focused ethnography was to explore and describe how Jamaican adults with diabetes mellitus who live in South Florida select and use complementary therapies for managing their diabetes. The objectives were to: (1) Explore the emic views of Jamaican adults about using CT to manage diabetes mellitus; (2) Describe the rationale given by Jamaicans adults for using CT to manage diabetes mellitus; (3) Analyze and synthesize the data gathered about use of CT for diabetes by Jamaican adults to see if their actions have cultural components that can serve as a basis for providing culturally competent care.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013287
Subject Headings: Diabetes--Alternative treatment, Jamaicans, Complementary Therapies, Ethnography, Culturally Competent Care--ethnology
Format: Document (PDF)

Title: Use of a Patient Centered Transitional Care Program to Decrease Hospitalization in Adults with Heart Failure and/or COPD.
Creator: Guerrier, Mouline, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2018
PURL: http://purl.flvc.org/fau/fd/FAUIR000360
Format: Citation

Title: Transitional care-APN guided care coordination.
Creator: Shields, Karen P., Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355959
Format: Document (PDF)

Title: Transition experiences of the chronically ill adolescent.
Creator: White, Kelly N., Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck,...
Show moreThe continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White, 2002). The main objective of this study was to explore the healthcare transition (HCT) practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im, Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system. Recommendations for healthcare providers that work with chronically ill young adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004234, http://purl.flvc.org/fau/fd/FA00004234
Subject Headings: Children with disabilities -- Care, Chronic diseases in children -- Psychological aspects, Chronically ill children -- Services for, Health services accessibility, Nursing -- Philosophy, Nursing models
Format: Document (PDF)

Title: Thriving in Healthcare Providers: Relationship to Emotional Exhaustion & Impact on Primary Care Population Health Outcomes.
Creator: Constantinides, Shannon M., Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: In 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the...
Show moreIn 2014 Bodenheimer and Sinsky published the Quadruple Aim model, which argued that healthcare provider wellbeing was the missing link to improving patient and population health outcomes, as well as cost containment. Rather than treating burnout, however, experts in fields outside healthcare are finding validity in promoting thriving at work as a means to prevent burnout and improve employee satisfaction, engagement, and productivity. The purposes of this study were to investigate the relationship between thriving and emotional exhaustion (which is widely considered a core element of burnout) in healthcare providers, and the impact thriving had on primary care population health outcomes as measured by quantifiable value-based quality performance metrics. Using Georges' (2013) Emancipatory Theory of Compassion and Bodenheimer and Sinsky's Quadruple Aim as conceptual frameworks, this descriptive, non-experimental study used advanced applied biostatistical techniques to analyze archival data from the December 2018 UCHealth Physician and Advanced Practice Provider Voice Survey as well as provider performance scores from the same time period. Results of the study were mixed, showing that while there is an inverse relationship between thriving and emotional exhaustion in healthcare providers, thriving did not predict population health outcomes. By evaluating thriving in healthcare providers in relation to emotional exhaustion and in context of value-based health care delivery systems, this study was the first of its kind.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013524
Subject Headings: Primary care (Medicine), Outcome Assessment, Health Care, Medical personnel, Well-being, Exhaustion
Format: Document (PDF)

Title: The Use of Spinal Cord Stimulator for Chronic Pain Management and Opioid Use – A Program Evaluation.
Creator: Alexis, Florine, Echeona, Xochil, France, Nancey E. M., Forte, Alyzza De La UZ, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Chronic pain is defined by the International Association of the Study of Pain as, “pain that persists beyond normal tissue healing time, which is assumed to be three months” (CDC, 2018 p.2). Chronic pain can be in any part of the body, but is most commonly experienced in the mid-back, lower back, leg, and head, in the form of headache. It is estimated that 80 percent of the U.S. population has experienced at least one episode of back pain in their lifetime.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000002
Format: Document (PDF)

Title: The Relationships among Sleep Quality, Fraility, and Falls in Older Adults Residing in the Community.
Creator: Staal, Jacqueline, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: One in three American older adults fall every year, making falls the leading cause of nonfatal injury treated in the emergency department (Centers for Disease Control and Prevention [CDC], 2013). Fall-related injuries cost the United States healthcare system nearly $30 billion a year and result in 27,000 deaths per year (Burns, Stevens, & Lee, 2016). The risk of falls increases with age, occurring more often in women than man. Age-related muscle weakness and functional decline contribute to...
Show moreOne in three American older adults fall every year, making falls the leading cause of nonfatal injury treated in the emergency department (Centers for Disease Control and Prevention [CDC], 2013). Fall-related injuries cost the United States healthcare system nearly $30 billion a year and result in 27,000 deaths per year (Burns, Stevens, & Lee, 2016). The risk of falls increases with age, occurring more often in women than man. Age-related muscle weakness and functional decline contribute to fall risk. Age-related changes in neuroendocrine hormone production and shifts in circadian rhythms promote sleep disorders, affecting nearly two-thirds of older adults. Poor sleep quality over time leads to drowsiness and impaired attention span and judgment. The purpose of this secondary analysis of a previously collected data set was to describe the relationships among frailty, subjective sleep quality, and falls in community-dwelling older adults. This secondary analysis also sought to determine the extent to which frailty and subjective sleep quality predict risk of future falls among community-dwelling older adults. Correlational analyses were performed to determine the nature and significance of the relationship between sleep quality and falls, frailty and falls, and sleep quality and frailty. A multiple regression analysis was performed to determine if sleep quality and frailty combined could predict falls. Frailty was found to account for a small variance in fall risk. However, sleep quality was not significantly related to falls nor was sleep quality predictive of falls. Risk for falls should be assessed at every clinical encounter and efforts to promote restful sleep should be addressed at least annually to reduce the risks of falls, functional decline, and sleep disorders among older adults in the community.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004846, http://purl.flvc.org/fau/fd/FA00004846
Subject Headings: Sleep--Physiological aspects., Sleep disorders--Age factors., Falls (Accidents) in old age--Prevention., Frail elderly--Wounds and injuries--Prevention., Older people--Functional assessment., Older people--Quality of life.
Format: Document (PDF)

Title: The relationship between basic conditioning factors and the self-care practice of meditation in HIV-seropositive persons.
Creator: Ludlow, Michael Dale., Florida Atlantic University, Freeman, Edward, Christine E. Lynn College of Nursing
Abstract/Description: This study was a secondary analysis of data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed in light of the Self-Care Deficit Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantram, which served as the interventions for the primary study. The primary researchers noted that ASCAS scores...
Show moreThis study was a secondary analysis of data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed in light of the Self-Care Deficit Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantram, which served as the interventions for the primary study. The primary researchers noted that ASCAS scores rose significantly after the intervention. Thus, secondary analysis focused on the relationships of the basic conditioning factors (BCFs) to the total scores on the Adult Self-Care Agency Scale (ASCAS) before and after the self-care intervention. Secondary analysis revealed that diet alone, from among the BCFs, differentiated the sample of HIV-infected or family members of infected persons according to ASCAS scores at study entry and exit.
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Date Issued: 1997
PURL: http://purl.flvc.org/fcla/dt/15439
Subject Headings: Self-care, Health, HIV-positive persons--Care, Meditation, HIV infections--Nursing, Quality of life
Format: Document (PDF)

Title: THE RELATIONSHIP AMONG HEALTHY WORK ENVIRONMENTS, NURSE CARING, AND NURSING-SENSITIVE PATIENT OUTCOMES IN MAGNET HOSPITALS.
Creator: Cassidy, Linda Franciose, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals...
Show moreThe purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals in a large faith-based system in the United States. A convenience, non-probability, purposive sample of permanently employed, direct-care RNs assigned to inpatient adult medical-surgical, telemetry, progressive care, stepdown, and critical care units were eligible to participate in the study. Three hundred and thirty-nine of 2632 eligible direct-care RNs participated in the study resulting in an overall response rate of 13.0% with a range of 5.5%–38.1% across hospitals. Nurse participants completed the AACN Healthy Work Environment Assessment Tool and the Nurse Caring Behaviors Inventory–24. Nursing-sensitive patient outcome data were obtained from patients cared for in the units during the study period.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013292
Subject Headings: Work environment, Nurses, Caring, Patient Outcome Assessment, Healthy workplaces
Format: Document (PDF)

Title: The PEACH Project: Improving Provider Education for HPV Vaccination.
Creator: Eisenberg, Rachel L., Stein, Elizabeth R., Goodman, Rhonda, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the...
Show moreIn the United States, the most common sexually transmitted infection (STI) is human papillomavirus (HPV) and although it is estimated that in the United States, 79 million people currently have HPV and an estimated 14 million people will become infected each year, vaccination rates to decrease HPV and associated cancers remains low (Jones et al., 2017). The Provider Education Achieving Community HPV Prevention (PEACH) program was created to enhance provider knowledge and understanding of the HPV vaccine and improve vaccination rates through a provider education program. The qualitative improvement project was conducted at a non-profit family planning clinic in West Palm Beach and a primary care pediatric outpatient facility in Atlantis, Florida. The project leaders utilized Icek Ajzen’s Theory of Planned Behavior to provide a framework to further understand the mindset and decision-making process patients and parents go through while deciding to vaccinate against HPV.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000007
Format: Document (PDF)

Title: The Meaning of School Body Mass Index (BMI) Screening and Referral to the Parents/Guardians of First, Third, and Sixth Grade Students.
Creator: Jorda, Mary Louise, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to discover the meaning of school body mass index (BMI) screening and referral to parents. The goal of school BMI screening and referral is to provide information to compel parents to change their child's diet and activity levels when overweight and obesity are identified. Measuring BMI in schools and alerting parents to findings above what is considered normal is one intervention to reduce overweight and obesity that has been utilized since 2001 in Florida. To...
Show moreThe purpose of this study was to discover the meaning of school body mass index (BMI) screening and referral to parents. The goal of school BMI screening and referral is to provide information to compel parents to change their child's diet and activity levels when overweight and obesity are identified. Measuring BMI in schools and alerting parents to findings above what is considered normal is one intervention to reduce overweight and obesity that has been utilized since 2001 in Florida. To determine the meaning of BMI screening and referral to parents a mixed methods approach was utilized. Voluntary interviews of 20 parents who had received BMI referrals for their children were conducted. Analysis of the interviews was guided by phenomenology, as delineated by van Manen (1997). A cross sectional survey developed by Ruggieri (2012), was distributed to measure parent beliefs and opinions regarding the BMI screening and their re action to referrals. Findings from interviews indicated that parents ascribe different meaning to school BMI screening and referral. Overarching themes of changing and reflecting were discovered. The themes were manifested as dichotomies; some parents reflected on their role as parent and were more satisfied with the process; they reported change of diet and activity for their families upon receipt of a BMI referral. Others reflected on the role of the school in their child's life. They were more dissatisfied with the school screening and recommended changes in the screening and referral process. Suggested changes for school screening and referrals included subthemes: sensitivity, accuracy, privacy, and notification. Parents responded in the survey that they would change diet and activity for their families if they were told by the school that their child had a weight issue. Actions taken upon receipt of a BMI referral were not limited to changing diet and activity levels but also included discussing weight with their child and others. Parents denied they would be offended by a BMI referral. School BMI screening and referral is a valuable and effective intervention to address child overweight and obesity, especially if the process is accomplished with characteristics that parents deem caring.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004511
Subject Headings: School health services., Preventive health services for children., Obesity--Cross-cultural studies., Obesity--United States--Prevention., DIet therapy for children., Health promotion--United States.
Format: Document (PDF)

Title: The Lived Experiences of Adolescents with Food Allergies During a Usual Weekday.
Creator: Martinez, Laurie Ann, Opalinski, Andra, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Global research on psychosocial factors related to food allergies and youth have increased significantly over the last decade. A plethora of countries provide literature indicating adolescents with food allergies experience social isolation, depression, anxiety, and fear. Most of the literature however favors parental perspectives with limited studies exploring adolescent subjective perspectives. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of...
Show moreGlobal research on psychosocial factors related to food allergies and youth have increased significantly over the last decade. A plethora of countries provide literature indicating adolescents with food allergies experience social isolation, depression, anxiety, and fear. Most of the literature however favors parental perspectives with limited studies exploring adolescent subjective perspectives. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of adolescents living with food allergies; the goal was to bring awareness to the ascribed meaning of food allergies from the perspective of adolescents and the impact of living with food allergies from day-to-day. Watson’s caring science and Erikson’s psychosocial theory were guiding frameworks for the study with story theory used to guide individual semi-structured interviews (n=14) (11-14 years). Analysis of data entailed various steps congruent with Interpretive Phenomenological Analysis. Four superordinate themes emerged from the data: (1) Living with Restraints: A Way of Life, (2) Managing Exposure, (3) Experiencing Stigma, and (4) Experiencing Lack of Knowledge. Results indicated adolescents living with food allergies have unique experiences that contribute to psychosocial upheavals and that traditional biological management may be too simplistic for promoting whole adolescent well-being and healthy development. Study findings may contribute to evidence-based interventions that nurture care for the whole adolescent.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013566
Subject Headings: Adolescents, Food allergy, Hermeneutics, Phenomenology
Format: Document (PDF)

Title: THE LIVED EXPERIENCE OF PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS ON PUBLIC AND PRIVATE INSURANCE: A PHENOMENOLOGICAL STUDY.
Creator: Reaves, Régine Placide, Chiang-Hanisko, Lenny, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Due to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer...
Show moreDue to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer nursing care coordination (or nursing case management) services. The purpose of this study was to understand the experiences of parents of CSHCN enrolled in public and private insurance with or without a nurse care coordinator assigned. A phenomenological approach was used. One-to-one semi-structured interviews were conducted with 16 participants. Colaizzi’s (1978) eight steps of data analysis was the selected methodological interpretation. Five themes emerged from this study: Struggle with Self-Preservation, Abandonment and Isolation, Self-Reliance and Advocate, Interdependence, and Lifeline. These study findings highlighted the major differences with parents navigating their child’s health insurance. These differences were dependent on the type of insurance and sources of support available. The experience of parents with a nurse care coordinator differed from parents without a nurse. Parents of CSHCN enrolled in public insurance with a nurse care coordinator considered the nurse to be a primary source of support. These nurses were instrumental in solving problems with the public health plan. On the contrary, parents with CSHCN enrolled in private insurance without a nurse care coordinator carried this additional burden. There were also noticeable differences in parents’ satisfaction with the adequacy and cost of their child’s health insurance. Parents of CSHCN enrolled in private insurance voiced dissatisfaction with higher costs associated with their child’s plan. Meanwhile, parents of CSHCN enrolled in Medicaid expressed that out-of-pocket expenses were covered. Results from this study can be used to make policy changes by insurance companies. Incorporating nursing care coordination not only results in healthcare savings for the health plan but improved health outcomes for its members as well.
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013582
Subject Headings: Health insurance, Phenomenology--Research, Parents of children with disabilities
Format: Document (PDF)

Title: The Lived Experience of Breastfeeding for Women With Perinatal Depression.
Creator: Pratt, Beth A., Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Exclusive breastfeeding for at least 6 months provides numerous infant and maternal benefits. Yet mothers with risk factors, such as lower education, lower socioeconomic status, younger maternal age, planned cesarean birth, and anxiety and depression, are more likely to stop breastfeeding in the early postpartum period. Few studies have focused on perinatal depression as a risk factor for breastfeeding cessation. To tailor effective interventions, nurses must first understand the lived...
Show moreExclusive breastfeeding for at least 6 months provides numerous infant and maternal benefits. Yet mothers with risk factors, such as lower education, lower socioeconomic status, younger maternal age, planned cesarean birth, and anxiety and depression, are more likely to stop breastfeeding in the early postpartum period. Few studies have focused on perinatal depression as a risk factor for breastfeeding cessation. To tailor effective interventions, nurses must first understand the lived experience of breastfeeding for mothers at risk for perinatal depression. A descriptive phenomenological study was conducted to elucidate the experience of breastfeeding for mothers with perinatal depression. The study was grounded in Swanson’s middle-range theory of caring. After university Institutional Review Board approval, a purposive sample of 10 women was recruited from various organizations. Participants completed a demographic questionnaire and the Edinburgh Postnatal Depression Scale, and semistructured, audiorecorded face-to-face or telephonic interviews were conducted. The researcher transcribed the data which was transformed into constituents of the mothers’ lived experience by utilizing Giorgi’s descriptive phenomenological method. Five constituents emerged: choosing selflessness, harboring inadequacy, deliberate persevering, discerning meaning, and cherishing intimacy. The constituents embodied the essence of the mothers’ thoughts and feelings connected to breastfeeding. By daily choosing selflessness, mothers consciously decided to breastfeed despite physical or psychological struggles. They often were harboring inadequacy due to ongoing struggles which led to incessant thoughts of maternal incompetence. Yet they successfully breastfed for at least 2 weeks after birth by deliberate persevering. Through breastfeeding, they were discerning meaning to realize their value as mothers. Finally, they reveled in purposeful moments of togetherness with their babies through cherishing intimacy. The study findings inform recommendations for nursing education, practice, research, and policy. Nursing education must include basic breastfeeding and perinatal mental health knowledge in prelicensure curricula and up-to-date lactation management techniques and perinatal mental health awareness training in continuing education. Practicing maternal-child nurses must provide education and support to mothers about advantages and difficulties of breastfeeding throughout the perinatal period. Future research includes determination of support needs for women with perinatal depression with subsequent development and evaluation of therapeutic actions to promote breastfeeding success.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004906, http://purl.flvc.org/fau/fd/FA00004906
Subject Headings: Breastfeeding--Psychological aspects., Motherhood--Psychological aspects., Childbirth--Psychological aspects., Mother and child., Stress (Psychology), Pregnant women--Mental health., Postpartum depression., Postpartum psychiatric disorders.
Format: Document (PDF)

Title: THE INFLUENCE OF MENTAL, PHYSICAL, AND SOCIAL ACTIVITY ON EPISODIC MEMORY OF PERSONS AGED 50 AND ABOVE IN THE UNITED STATES.
Creator: Malatyali, Ayse, Gordon, Shirley C., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe...
Show moreThe purpose of this study was to describe the relationship between mental, physical, and social activity, and episodic memory (EM) of cognitively intact older persons. The specific aims were (a) to describe the relationship between EM and mental, physical, and social activity, (b) to describe the role of gender, marital status, and race on EM, (c) to describe the moderating effects of each activity on the relationship between each of the remaining two activities and EM, and (d) to describe the moderating effects of gender, marital status, and race on the relationship between each activity and EM. Two theoretical frameworks: Cognitive Reserve Theory (Stern, 2002) and Theory of Nursing as Caring (Boykin & Schoenhofer, 1993) guided the study. This study was designed as a correlational and retrospective secondary analysis of data sets from the Health and Retirement Study. The sample consisted of 3,903 cognitively intact persons who were 50 years and older and completed immediate and delayed recall tests in the 2016 HRS and the 2015 Consumptions and Activities Mail Survey. Descriptive statistics included the means for age: 67 (SD 9.54), education:13.85 (SD 5.89), and total cognition 16.86 (SD 3.11). The sample was predominantly Caucasian (78.3%), female (59.8%), and married (60.9%).
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Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/FA00013564
Subject Headings: Older people--United States, Episodic memory, Cognition--Aged, Lifestyles--Health aspects
Format: Document (PDF)

Title: The Influence of Gardens on Resilience in Older Adults Living in a Continuing Care Community.
Creator: Bailey, Christie, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to explore the relationship between green environments and resilience in older adults. It had two aims: 1) to explore the effect of a reflective garden walking program on resilience and three of its related concepts - erceived stress, personal growth initiative, and quality of life - in older adults, and 2) to explore the resilience patterns of older adults engaging in the reflective garden walking intervention. A parallel mixed method design using a quasi...
Show moreThe purpose of this study was to explore the relationship between green environments and resilience in older adults. It had two aims: 1) to explore the effect of a reflective garden walking program on resilience and three of its related concepts - erceived stress, personal growth initiative, and quality of life - in older adults, and 2) to explore the resilience patterns of older adults engaging in the reflective garden walking intervention. A parallel mixed method design using a quasi-experimental quantitative and a descriptive exploratory qualitative approach was used. Participants engaged in a six week reflective garden walking program. By the end of the program, resilience levels exhibited a slight increase and perceived stress levels a decrease. The qualitative data supported some beneficial effects of the reflective garden walking program, but also indicated that much of the participants' experience of resilience may have been related to the rich social and nature-filled environment in which already they lived. Patterns of resilience that appeared in the data were maintaining a positive attitude, belief in one's self in the face of one's vulnerabilities, woven into the social fabric, purpose and meaning, personal strength, and communities for growing older.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004480, http://purl.flvc.org/fau/fd/FA00004480
Subject Headings: Aging -- Psychology, Exercise -- Psychological aspects, Exercise for older people, Exercise therapy for older people, Gardening -- Philosophy, Older people -- Mental health, Resilience (Personality trait), Stress (Psychology)
Format: Document (PDF)

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