Influence of attitudes toward health care involvement on length of time returning to work post microscopic discectomy surgery
Czarzasty, Nancy Lesnick
The purpose of this study was to examine the influence of individual's attitudes
toward Health Care Involvement on length of time returning to work for post microscopic
discectomy patients. A sample of 20 subjects who had undergone microscopic
discectomy surgery provided the convenience sample for the study.
This study used a correlational design to examine the relationship between the
subject's level of Health Care Involvement and his or her length of time returning to work
after surgery. It was predicted that the subject's length of time returning to work was
predicted to be less if the subject had a high degree of Health Care Involvement.
The findings demonstrated a weak correlation between the concepts of
Information Seeking, Behavioral Involvement and length of time returning to work. In
this study, Behavioral Involvement demonstrated a greater impact on length of time to
return to work than did Information Seeking.
Influence of attitudes toward health care involvement on length of time returning to work post microscopic discectomy surgery
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The lived experience of decision making that leads to pregnancy in the female teenager
The lived experience of decision making that leads to pregnancy in the female teenager
Claros, Deborah Marlene
The phenomenon of teenage pregnancy in the United States is increasing and can be
a challenge to the parents, the infant, and to society. This study used a phenomenological
research approach to describe the lived experience of the female teenager's decision
making that leads to pregnancy. The research question was: What is the essential
structure of the lived experience of the decision making that leads to pregnancy in the
female teenager? The researcher interviewed four teenagers between the ages of 16 and
18, who were pregnant for the first time. Analysis of audio-taped and transcribed
interviews resulted in significant statements. Using Colaizzi's method adapted by Haase,
themes, theme clusters, theme categories, an exhaustive description, and an essential
structure of the lived experience emerged. The theme categories derived from the data
analysis were: Decision to Become Pregnant, I'm Pregnant, Teen Life, and Considering
Motherhood. The essential structure indicated that the lived experience of decision
making that leads to pregnancy in the female teenager was a passive process. Becoming
pregnant was unplanned but had a marked effect on relationships and future life goals.
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Christian Science : an ethnographic look at perceptions of health and health care
Christian Science : an ethnographic look at perceptions of health and health care
Bryning, Susan Mary
Christian Science: An Ethnographic Look at
Perceptions of Health and Health Care addresses the
questions: 1. What do Christian Scientists believe about
health and health care? and 2. What is the Christian
Scientist's perception about illness? These questions were
answered by using participant observation and ethnographic
interviews. Participant observation took place in several
different settings and three informants participated
individually through ethnographic interviews.
Seven domains of meaning and six cultural themes
were identified from the data collected. Examples of
domains include: Individual Beliefs About Being Healthy,
and Culture of Health in the Christian Science Church. One
of the cultural themes was: Staying healthy requires
Spiritual nourishment.
The Christian Scientist's connectedness to God
through their spiritual beliefs contribute to their overall
health. Recommendations for health care workers as well as
recommendations for future, more in depth study about
Christian Science and health are presented.
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Physical health impairment, depression and health care utilization among older adults
Physical health impairment, depression and health care utilization among older adults
Billing, Ann
The purpose of this research was to identify
differences in demographic characteristics, illness
characteristics, and health care utilization among four
groups of older adults with varying levels of physical health
impairment and depression. Data were used from an earlier
study (Badger, 1993) where eighty older adults completed
questionnaires regarding demographic characteristics,
physical health impairment, depression, and utilization of
health care services. There were statistically significant
increases in utilization of some services when depression and
increased physical health impairment were present. There were
also some trends between usage of some services and
depression alone or depression combined with moderate to
severe physical health impairment. These data suggest
interventions designed to alleviate depression in the elderly
may reduce health care utilization and therefore reduce
health care costs.
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Predictors of caregiver burden among wife caregivers: a partial replication study
Predictors of caregiver burden among wife caregivers: a partial replication study
Sharrah, Karen Marie
This study was a partial replication of an earlier study by Robinson ( 1990) who
investigated burden for wife caregivers with social support and burden as the guiding
theoretical framework. A secondary analysis of data from a previous work by Phillips,
Komnenich, & Killeen ( 1994) was utilized as the data set for this study.
9
This study was a correlational investigation which included 31 wife caregivers of
disabled husbands. The purpose of the study was to gain a better understanding of how
subjective and objective burdens are related to the caregiver's health, past marital
adjustment, social status, number of years of the elder/caregiver marriage, number of
elder's remarriages, and receipt of social support. Past marital adjustment was
significantly correlated at p20 years.
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Indigenous lay health workers in rural Arizona
Indigenous lay health workers in rural Arizona
May-Garcia, Stephanie Ann
Indigenous, trained health workers or community health advisors (CHAs) serve as
a liaison between community and professional health providers. Particularly in rural
communities, where differences of culture, perspective, or language may distance
professional health care providers from clients, CHAs can serve as a bridge to reduce
barriers of access and acceptability of health care services.
This study was a secondary analysis of data from a larger study (Ferketich,
Phillips, and Verran, 1990.) The purpose of this study was to describe the activities,
services, and clients of one generalist CHA, called a promotora, in one small, rural,
southwestern town. Qualitative and quantitative data from three sources were individually
analyzed and then triangulated for results.
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Pet therapy for the elderly in residential care homes
Pet therapy for the elderly in residential care homes
Ruggles, Deborah
This study examined the presence of depression and life satisfaction in the elderly
living in residential care facilities and the effect of pet therapy. A Solomon Four-Group
design was used in this study. Two puppies were taken in to the homes for an hour a
week for six weeks. Demographic and pretest data were obtained prior to the
intervention. Posttest data were obtained once the intervention was complete. After an
extensive review of the literature, no studies were found in residential care facilities , as
defined by the State of Arizona, examining the relationship of depression, life
satisfaction, and pet therapy. The results of this study did not show a statistically
significant relationships between pet therapy, depression and life satisfaction in the
elderly living in residential care homes. However, the study did indicate a high
prevalence of depression in the facilities and the need for further research.
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Deaf mothers' views of family life in families with deaf parents and hearing children
Deaf mothers' views of family life in families with deaf parents and hearing children
Quick, Shawn
The purpose of this study was to describe Deaf mothers' perceptions of family
life in families with Deaf parents and nondeaf children. The study represented a
secondary analysis of data from a larger study entitled "Family Functioning: Deaf Parents
with Nondeaf Children" (Jones, 1990). Interviews based on an ecological family systems
approach were analyzed utilizing the organizational framework of Parse' s conceptual
model of nursing. Categories that emerged from interview analysis supported the themes
of structuring meaning, patterns of relating, and transformation found in Parse' s model.
The results of the study suggested a process whereby Deaf women structured meaning,
patterned relationships, and lived the transformations of adulthood and motherhood using
the vehicle of American Sign Language (ASL). Health care providers must be aware of
the many forms of non-verbal communication, and understand that ASL is the primary
language of the Deaf community.
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Blood glucose and participation in yoga/health education by Yaquis with type II diabetes
Blood glucose and participation in yoga/health education by Yaquis with type II diabetes
Greenwood, Kim Anderson
The purpose of this study was to compare the relationship between blood glucose,
blood pressure, weight, and participation in a 12 week low impact yoga/health education
class by Yaquis (N = 11) with non-insulin dependent diabetes mellitus. The Neuman
Systems Model was the conceptual framework for this study. The data analysis addressed
the difference in each of the measures before and after the yoga/health education class
intervention. These measures included glycosylated hemoglobin, mean one week finger
stick blood glucose levels, mean arterial pressure, and weight of the participants
completing the prescribed course. Results revealed a statistically significant drop in mean
one week finger stick blood glucose levels. No significant change was found in measures
of glycosylated hemoglobin, mean arterial pressure, or weight.
Prevalence of diabetes in the Yaqui population is high, requiring maximum use of
Yaqui Health Department resources. This study provides a background for decisions on
allocation of Yaqui Health funds.
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Variables influencing community cardiopulmonary resuscitation course participation
Variables influencing community cardiopulmonary resuscitation course participation
Mulkerin, Patrick Owen
This study investigated variables influencing community cardiopulmonary
resuscitation (CPR) course participation. Fifty-one adults, 18 male and 33 female,
participated in a descriptive study. A treatment groupof25 attended a free CPR class. A
comparison group of26 did not attend the class. All subjects completed four
questionnaires testing demographic characteristics, beliefs, experience, and intrinsic
motivation to perform CPR. The only significant difference between treatment and
comparison groups was that females were more likely to attend than males ( p ~ .05 ).
Intrinsic motivation measured by the Health Self Determinism Index ( HSDI) failed to
separate treatment and comparison groups. Motivation may be less important in
participation in CPR training than more personal variables, or the HSDI may not be
adequate to test feelings about learning CPR. In future research, increased sample size
from more diverse populations may yield more useful information.
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Mobility as a factor in incontinence in elderly men in long term care
Mobility as a factor in incontinence in elderly men in long term care
Herman, Kyle Colleen
This was a two group comparison study. It compared the specific aspects
of mobility: strength, balance, walking ability and manual dexterity in incontinent
and continent elderly men who reside in a VA long-term care setting. Orem·s
Self-care framework provided the theoretical base for the study. Student's t tests
were used to test for differences between continent and incontinent subjects for
three aspects of mobility: strength, balance and walking ability. A chi-square was
used to test for differences in manual dexterity. Group differences in
demographics were analyzed.
No significant differences were found between the two groups on study
variables. Small sample .size was the major limitation to the study. However, this
study provides a basis for future research on a complex major problem facing the
elderly. It also provides useful clinical measures, with evidence of reliability and
validity with elders, for use by nurse clinicians in assessing mobility.
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Nurses assisting families with the uncertainty of traumatic brain injury
Nurses assisting families with the uncertainty of traumatic brain injury
Peterson, Ingrid Leigh
In the intensive care unit (ICU), registered nurses are one of the primary educators
and support providers for families. This study examined nurses' perceptions of education
and support provided to families of patients with traumatic brain injury (TBI). The
research tool, questionnaire, was modified from Campbell's (1988) questionnaire, that
was used to assess families' needs after TBI. The findings indicated that the majority of
the nurses perceive they are educating the families about the ICU environment, physical
care, patient condition, prognosis, and offering comfort and support, but only 40% and
50% of the time respectively are families being offered guidance to communicate and a
sense of hope consistently. Thirty-five percent of the nurses felt they were not
adequately educated about the pathophysiology and prognosis of TBI. Further research
should explore what educational and supportive assistance families receive from nurses,
and what education nurses need to work with these families.
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A life apart : the experience of depression in older lesbians
A life apart : the experience of depression in older lesbians
Barnard, Amy G.
Depression is an affective mood disorder that has reciprocal relationships with social
interaction, intimacy, self-esteem, and overall quality of life. Identification and treatment
of depression is dependent upon an understanding of the phenomenon as individuals
experience it. The experience of depression is effected by social and personal factors.
Research had been conducted on the experience of depression in the older female
population but the effects of lesbianism have never been considered.
This study developed a theory of the experience of depression in older lesbians using
grounded theory methodology. Four self-identified lesbians over the age of 58
participated in this research. The theory, A LIFE APART, emerged from the data
analysis. Older lesbians live a marginalized life and marginality effects their experiences
of depression. Findings indicate there are four stages in lesbian sexual development.
Depression was experienced in each stage. The sources of depressive feelings are based
in both internal and external negative attitudes toward lesbianism. Depression is rooted in
feelings of fear and rejection and results in emotional and physical distancing.
Distancing and negative attitudes effect social support systems.
The implications of the relationship between marginality and depression are
significant for practitioners working with older lesbians attempting to provide culturally
congruent health care. The findings are significant and warrant further research in this
area.
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Uncertainty, spirituality, religiosity, and psychosocial outcomes among culturally diverse, younger women with breast cancer
Uncertainty, spirituality, religiosity, and psychosocial outcomes among culturally diverse, younger women with breast cancer
Barroero, Linda Sue
The purpose of this descriptive-exploratory, secondary analysis of data
from the Self-Help Intervention Project (SHIP) was to explore the ability
of the factors, uncertainty, spirituality, and religiosity, among young
Hispanic and Anglo women with breast cancer, to differentiate between
those who demonstrated psychosocial maladjustment and those who did
not. The sample consisted of low income, younger (M=41. 75) Anglo
(n=93) and Hispanic (n=96) women recently diagnosed with breast cancer.
Discriminant analysis with stepwise selection procedures was used to
identify the predictor variables of psychosocial adjustment as measured
by the social and psychological self-report domains of the PAIS. This
study supported a positive relationship between uncertainty levels and
psychosocial adjustment, demonstrating high prediction accuracy of nonmaladjustment
(social=92.3%, psychological=85.2%) but with less
accuracy for maladjustment (29.3%, 43.1 %). Spirituality and religiosity
were entered with uncertainty yielding limited additional explanatory
power for the group as a whole or the Hispanic women. However, three
items entered for social adjustment among the Anglo women, improving
prediction of maladjustment to 58.30% and for non-maladjustment,
92.60%. The addition of spirituality and religiosity among the Anglo
women for psychological adjustment only improved prediction for the
non-maladjusted group. Implications and limitations are discussed.
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The lived experience of being battered and pregnant
The lived experience of being battered and pregnant
Clark-Titley, Janna Ruth
Domestic violence occurs in many forms often beginning or escalating during a
woman's pregnancy. The experience of being battered and pregnant was studied using
the qualitative research approach of phenomenology. The researcher interviewed three
women who were English-speaking, age 18 or older, and who had been involved in a
relationship of battering while pregnant. The research question was: "What is the lived
experience of being battered and pregnantT These interviews generated narrative data
regarding their lived experience. The data were analyzed using Colaizzi's steps of
phenomenoiogical research~ with Haase's analysis modifications. The theme categories
that emerged were: In the Beginning, Signs and Symptoms of Impending Doom~ The
Dark Side of the Relationship-The Abusive Period, The Mixed Signals from Family
Members and Community Systems, and In Pursuit of a New Life. 'The essential structure
of this lived experience indicated that this chapter of life was one of entrapment. The
battered pregnant woman endures various degrees of mental and physical abuse that
continue until she is able to leave her abusive partner. Nursing implications include
direct routine screening for domestic violence followed by safety planning, appropriate
community referrals, and the facilitation of recovery.
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Neighborhood Connectivity, Walkability and Safety in Tucson, AZ
Neighborhood Connectivity, Walkability and Safety in Tucson, AZ
Pilli, Leslie
This research compares two neighborhoods in Tucson, with similar amenities, and age cohorts but one has adequate sidewalk infrastructure while the other does not. The neighborhoods included are Hedrick Acres and West University. Satellite imagery was used to measure the pathways and categorize them into paved, unpaved and nonexistent. A t-test two-sample assuming unequal variances with the interpretation of a two-tail p-value was done to see if there was a statistically significantly difference between the categories of pathways. It was found that two of the pathway categories had statistically significant findings, unpaved (p-value: 0.0049) and not present (p-value: 0.0181). In addition, this research looks at the effects of inadequate infrastructure through social capital, connectivity, and safety.
Sustainable Built Environments Senior Capstone Project
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Hydroponic Towering Agriculture vs Traditional Soil Farming in Southern Arizona
Hydroponic Towering Agriculture vs Traditional Soil Farming in Southern Arizona
Browne, Alexa
The purpose of this study is to define the sustainable differences between vertical agriculture and traditional soil based farming. In order to first understand what hydroponic towering agriculture, historical research will aid in explaining how technology and agriculture have advanced to create such sustainable farming techniques. Readily available food is a privilege that people take for advantage and forget that much of the world is not so fortunate. An analysis of nutriment deficiency is an important subject to discuss which will pave the path for the exploration of alternative types of farming. As populations are on a continuous rise, less space will be available for agriculture due to increased demand in houses and city sprawl. The concept of vertical agriculture is not only benefiting food availability but it also has the ability to beautify a city. It is important now more than ever to begin looking towards alternative sustainable ways of life so that there is a future that generations after us can enjoy. Hydroponics and aquaponics are advancements in agricultural technology that, if implemented correctly, could have tremendous long term benefits. This capstone is heavily based on qualitative information with quantitative data to support such results. Combining all of the data, through a mixed methods analysis, it will assist someone in understanding the importance of alternative agriculture.
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Nurse case management of clients in the Air Force weight management program
Nurse case management of clients in the Air Force weight management program
Prince, Melanie Ann
Purposes were to describe nurse case management effect on a weight management
program, compare weight and body fat changes in clients receiving usual services vs .
enhanced services, and describe goal attainment. Using a quasi-experimental design,
experimental group received case management and military weight program; the control
group, military weight program.
Data analysis employed paired t-test, two sample t-test, and chi-square analysis.
Paired t-tests indicated significant weight loss in experimental group (p =.01 ), but not in
control group (p = .16). Two sample independent t-tests indicated no difference between
group means (t = .57, df = 24, p =.58). Paired t-tests indicated significant difference in fat
loss in both groups (p = .01, p =.00). Two sample independent t-tests indicated no
difference between group means (t= . 71, df = 24, p =.49). There was no relationship
between the two groups on goal attainment x^2 (1, N = 26) = .02, p =.90).
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The populist movement
The populist movement
Montgomery, Winona
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The economic aspects of child labor in agriculture
The economic aspects of child labor in agriculture
Sung, Chieh
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