Research Papers, Essays, Term Papers.
Nursing
Type: thesis. Topic: Nursing. Code: nurs0015.
Format: pdf. Pages: 70
Format: pdf. Pages: 70
A description of sleep patterns and sleep hygiene practices for adults in cardiac rehabilitation programs
Despite the importance of coronary heart disease (CHD) as a major health problem and cardiac rehabilitation as a means of secondary prevention, no previous studies have been found which describe sleep patterns and sleep hygiene practices in this population. Sleep is essential for mental and physical well being and good sleep hygiene practices promote high quality sleep. Poor sleep quality can increase the risk of a myocardial infarction in persons with CHD. The purpose of this descriptive study was to describe sleep patterns and practices of adults diagnosed with CHD and participating in a cardiac rehabilitation program. Two survey tools, the Pittsburgh Sleep Quality Index and the Sleep Hygiene Index, were used to collect data on a convenience sample of 31 adults participating in cardiac rehabilitation programs located in southern Montana. The questionnaires were returned with a response rate of 69.3%. Study results indicate poor sleep quality in this sample population which was primarily due to poor sleep efficiency and sleep disturbance. Sleep hygiene practices of this sample were relatively good, with only a few areas of deficiencies observed. The findings from this study provide a basis for future research. Future research needs to approach the cardiac rehabilitation population on a larger scale and determine if specific sleep hygiene practices correlate with poor sleep quality. Nurse practitioners and other providers can incorporate this knowledge into interventions to promote sleep and sleep hygiene practices.
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Type: thesis. Topic: Nursing. Code: nurs0027.
Format: pdf. Pages: 143
Format: pdf. Pages: 143
Adolescent Males Involvement in Pregnancy Prevention: Deliberate Action to Protect Future Goals
The purpose of this qualitative study was to explore the process of adolescent
male involvement in teen pregnancy prevention. Grounded theory method was used to
discover the meaning of pregnancy prevention from the adolescent male perspective.
Individual interviews were conducted with eighteen 18-year old boys who were seniors in
high school. The data collected from the interviews were analyzed using constant
comparison and theoretical sampling techniques. The concepts and constructs which
emerged from the data analysis depict the social processes of adolescent male
relationships in regards to pregnancy prevention.
The findings revealed that these adolescent boys were very involved in the
process of teen pregnancy prevention and that they assigned meaning to their experiences
with pregnancy risk and prevention within the context of social norms, academic
environment, culture and religion, and societal myths and preconceived notions. Through
the psychosocial processes of becoming aware, having goals for the future, being
prepared, avoiding risk and using protection, these boys carried out strategies to avoid
teen fatherhood.
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Type: term paper. Topic: Nursing. Code: nurs0011.
Format: pdf. Pages: 36
Format: pdf. Pages: 36
Alternative therapies for individuals with Dementia
Dementia is a chronic insidious disease that destroys the individual`s cognitive, emotional and mental abilities. Ultimately, the individual is unable to appropriately verbalize basic wants and needs; therefore, behavioral symptoms become the way of communicating. Behavioral symptoms vary greatly from passivity to hostility and aggression. Unfortunately, due to the difficult task of caring for these individuals many families must place their loved ones in a long-term care facility for direct supervision. Long-term care facilities often use chemical restraints in order to treat the behavioral problems. Thus, with the use of pharmacologic restraints quality of care is diminished. This professional paper will discuss three alternative therapies that, through research studies, have been found to provide optimal quality of care for the individual with dementia. The three therapies that will be examined are Music Therapy, Snoezelen Therapy and Validation Therapy. These alternative therapies will be taught to staff in two nursing homes and one assisted living facility in a western community in Montana. The use of educational brochures and a multi sensory table will be used for the three in-services. There will be a telephone follow-up six months after the in-service to determine if any of the alternative therapies were used. The telephone follow-up revealed that there was a high degree of turnover with staff as well as administration. The results of the study established the need for ongoing in-services for alternative therapies due to the high turnover rate.
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Price: 2.99 GBP (3.57 EUR, 4.7 USD)
Type: term paper. Topic: Nursing. Code: nurs0021.
Format: pdf. Pages: 40
Format: pdf. Pages: 40
An evidence based policy recommendation addressing body art among nursing personnel
Body art in the form of tattoos and piercings is becoming more prevalent as a form of self-expression. Body art is found among members of all socio-economic groups and across a variety of professions. With this increased prevalence many organizations are developing policies to address body art among employees. The intent of this project is to look specifically at policy development in regard to body art among nursing personnel. A thorough review of literature was carried out, exploring body art from multiple perspectives. In addition to examining body art, careful consideration was made for the aspects of nursing potentially impacted by body art. Beyond the review of literature this investigation was expanded to include communication with an expert in body art research. Contact was also made with organizations of varying sizes to establish what policy statements currently exist regarding body art among nursing personnel. During these contacts rationale and references serving as a basis for these policies were also investigated. The desired outcome of the analysis was to identify evidence to support a body art policy among nursing personnel that provided for the well-being and safety of the patients while allowing the nursing staff as much personal freedom as possible. The results of the investigation revealed a lack of evidence identifying the prevalence of body art among nurses, or the impact of body art among nursing personnel on patient outcomes.
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Price: 3.99 GBP (4.77 EUR, 6.27 USD)
Type: thesis. Topic: Nursing. Code: nurs0001.
Format: pdf. Pages: 58
Format: pdf. Pages: 58
Application of the Modeling Role-Modeling Theory to Mentoring in Nursing
Mentoring has existed in some form since the days of Greek mythology. Today the debate is whether mentoring is really valuable at all, if the absence of a single definition interferes with its usefulness, and whether those in nursing perceive it useful within their profession. Purpose: The purpose was to explore the applicability of the MRM Theory to the relationship of nursing educators as mentors and students as mentees. This descriptive exploratory study aims were to 1) determine if the theory concepts were considered realistic to nursing faculty and nursing students, in relation to the mentor and mentee roles in nursing education and 2) discover if there are concepts nursing faculty and nursing students consider important components of the roles of nursing faculty as mentors and nursing students as mentees not identified by the Modeling Role-Modeling, MRM, Theory. Method: A total of 16 participants (nine faculty, seven students) were interviewed using open-ended questions. The questions centered around their experiences as mentors and mentees, perceived benefits of, conflicts within those relationships, and their opinions about whether the concepts of the adapted MRM Theory model are representative, realistic, and important components of the mentoring relationships between nursing faculty and students. The MRM Theory served as the conceptual framework. Content analysis was used to identify prominent themes or issues and terms. Results: The variety of terms used to discuss mentoring and mentors were consistent with the terms and variety described in the review of literature. A variety of themes applicable to the positive and negative aspects of mentoring were identified based on the interview data. The participants reported that the concepts were realistic, important, and useful. The conflicts reported were issues that should be taken into consideration and avoided in a mentoring relationship or program. The faculty and students had similar responses. The conflicts lent to recommendations for minor changes in the wording of the descriptions of the nurturance, unconditional acceptance, and modeling concepts. The adapted MRM Theory model was well received and responses were supportive of its use as a framework for the development of mentoring relationships or programs for nursing schools.
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Type: thesis. Topic: Nursing. Code: nurs0026.
Format: pdf. Pages: 72
Format: pdf. Pages: 72
Bariatric patients knowledge of postoperative complications and lifestyle changes
Obesity is a growing epidemic in the United States. With obesity comes the comorbities associated with this disease such as hypertension, diabetes and sleep apnea. To help combat this growing epidemic bariatric surgery has become an acceptable and widely used procedure for the severely obese. Although bariatric surgery can help mitigate the comorbities, there are many possible complications and lifestyle changes that are associated with this surgery. Healthcare providers provide a critical role in educating bariatric patients about the process of the surgery, lifestyle changes, and possible complications that can occur postoperatively. The primary purpose of this study is to explore the extent of bariatric patient`s knowledge related to specific post-surgical considerations associated with gastric bypass surgery. This study examined their knowledge of the postsurgical complications, postsurgical diet, fluid intake, and medication preparation following surgery. A descriptive, cross-sectional survey design was used to explore bariatric patient`s knowledge related to specific post-surgical considerations associated with gastric bypass surgery in a Central Montana facility. Bariatric patients were given a twelve question quiz regarding possible complications from surgery, lifestyle changes, and diet regimes postoperatively. None of the patients answered all of the questions correctly. Areas where patients had the most knowledge were questions pertaining to home medication doses and preparation, signs of infection, normal drain color, pain that is not controlled by pain pills being uncommon, and pain, redness or swelling in the legs being abnormal. Questions answered incorrectly included minimum fluid intake, protein intake, when the greatest weight loss would occur, and avoidance of fluids before and after meals. Demographic data explored age, occupation, educational materials received and sources of materials given. The results of this study demonstrated that bariatric patients in this Central Montana facility may not have sufficient knowledge regarding postoperative care and lifestyle changes. The data also suggests that more emphasis needs to be placed on using different types of educational materials and individual learning preferences to facilitate improving patient outcomes.
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Type: thesis. Topic: Nursing. Code: nurs0010.
Format: pdf. Pages: 38
Format: pdf. Pages: 38
Caregiver perceptions of children`s risks associated with exposure to environmental tobacco smoke
The detrimental health effects of exposure to environmental tobacco smoke are well researched and documented. Environmental tobacco smoke exposure has especially toxic effects on the respiratory health of young children. Children exposed to larger doses and for longer periods of time may suffer more severe consequences. Despite this compelling scientific data, evidence suggests that adults do not accurately recognize the risks of environmental tobacco smoke exposure. Therefore, children continue to be exposed to environmental tobacco smoke in their home environments. Through clean air legislation in all 50 states, environmental tobacco smoke exposure is partially regulated in public places. This does not, however, protect children from threats of environmental tobacco smoke exposure in private residences. The purpose of this study was to describe how caregivers of rural-dwelling children perceive the children`s risks associated with environmental tobacco smoke. Two aspects of the Health Belief Model, perceived susceptibility and perceived severity, were utilized in evaluating caregiver risk perceptions related to environmental tobacco smoke exposure. Data were selected from survey results gathered through the Environmental Risk Reduction through Nursing Intervention and Evaluation (ERRNIE) project. Survey results for rural, low-income caregivers (n = 31) residing in Gallatin County, Montana were included in this analysis. The scores reflected in the survey results indicate that knowledge regarding environmental tobacco smoke exposure risks is moderate in this population. Caregivers sense that environmental tobacco smoke may be harmful, but they do not report a high level of concern regarding the detrimental effects of environmental tobacco smoke exposure for their own children. Data from this study is consistent with other documented research suggesting that, despite available information, caregivers do not accurately perceive the true severity of environmental tobacco smoke exposure. The results of this descriptive study, nested within the larger ERRNIE project, indicate the need for further studies encompassing a larger sample size and an expanded geographic range. This study directs the focus of interventions at modifying risk perceptions of environmental tobacco smoke exposure to promote behavior change. Empowering caregivers with knowledge that may lead to behavior change is the key to enabling children to thrive in healthy environments.
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Price: 3.99 GBP (4.77 EUR, 6.27 USD)
Type: term paper. Topic: Nursing. Code: nurs0002.
Format: pdf. Pages: 55
Format: pdf. Pages: 55
Children with ADHD in a Rural Community
Children with ADHD experience a myriad of chronic behavioral and academic difficulties. If attributes among rural children are similar to those described by studies conducted on the urban population, educators and health care professionals may have grossly underestimated the public health impact of ADHD Research does not provide adequate descriptive data of children with ADHD in rural communities and until more is known about actual attributes of these children, there will continue to be disparities in identification, access to treatment, and reports of the manifestations of ADHD and its co-existing conditions. Levine`s Conservation Model- Nursing Process in the Community provides the theoretical framework for the study. A Descriptive Correlational study is conducted to gain information on the demographic attributes; to identify the distribution of ADHD subtypes; and to explore the comorbidity associated with ADHD in rural children. The sample consists of 88 children seen at a pediatric outreach clinic located in a rural community in southern Wyoming. Secondary data analysis makes the study exempt from IRB review. Descriptive statistics are used to organize and analyze the data. Because of the small sample size, results may only indicate potential trends. Findings may not be statistically significant but clinically they assisted the community in proposing systems for establishing family-centered, community-based care. The gender ratio is similar to those of larger studies with more boys than girls diagnosed. This raises the continued concern that ADHD may be under-diagnosed in girls in rural communities. Caucasians are diagnosed more frequently, raising the concern that minorities are under-diagnosed or underrepresented in research. Findings on the distribution of subtypes is somewhat ambiguous when compared to other studies. Most of the children were diagnosed during school transition times (1st and 3rd grades). Psychological comorbidities were diagnosed in 27.3% and 55.7% were identified with learning disabilities. Sleep disturbances were frequently associated with the diagnosis of ADHD and depression was found to contribute substantially to sleep disturbances. ADHD can be characterized by heterogeneity and ambiguity, and confounded by comorbidity. Nurse Practitioner strategies should include: collaborative assessment; case planning; advocacy; management; and building systems to provide a multimodal approach to interventions.
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Type: thesis. Topic: Nursing. Code: nurs0022.
Format: pdf. Pages: 53
Format: pdf. Pages: 53
Community education on stroke: early recognition and timely access to healthcare
In 2006, data collected from a hospital emergency room centrally located in Sanders County, Montana revealed that 33% of patients presenting with possible stroke symptoms were eligible to be evaluated for treatment with a potentially life-saving intervention. As a member of the community, I felt this rate of treatment could be improved. Review of data from state and national sources showed similar treatment statistics nationwide. One consistent suggestion in the literature for improving stroke detection and treatment was for increased public education. As a result of these findings I developed, presented, and evaluated a community-based education presentation on stroke symptoms and treatment. Knowledge about stroke symptoms and treatment was measured prior to the presentation and again afterwards with a pre- and post-test tool. Results of this testing showed overall improvement in the audience`s knowledge. On-going evaluation of emergency room data to assess for an improved percentage of persons being treated was beyond the scope of this project. Information discovered in a review of the literature consistently points out that late arrival to the Emergency Department is one of the major reasons people are not being treated for stroke, and most sources call specifically for increased public awareness regarding stroke and treatment available. This project served to educate a small population of people in a county with multiple risk factors for stroke. Although ongoing refinement and data collection are needed, continued use of this educational tool may serve to improve treatment of stroke, potentially decreasing the death and disability attributed to stroke in this county.
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Type: thesis. Topic: Nursing. Code: nurs0019.
Format: pdf. Pages: 71
Format: pdf. Pages: 71
Coronary Vasospasm: signs, symptoms, risk factors, and management
Registered nurses in the acute care setting are presented with the opportunity to interact with patients suffering from chest pain. One etiology behind chest pain, difficult to differentiate from the more common atherosclerosis, is coronary vasospasm. This health problem can be successfully identified based upon the presenting signs, symptoms, and risk factors. Nurses can then participate in carrying out medical and nursing management for this condition. An opportunity for continuing education is needed to update nursing knowledge. A review of professional literature was conducted and consistent themes derived that led to the development of a teaching project consisting of a pre and post evaluation, teaching slides, and a participant evaluation. This teaching project was designed to equip registered nurses, employed within a regional hospital, to recognize the signs, symptoms, and risk factors of coronary vasospasm as well as general medical and nursing management strategies. The teaching project was then made available to participants for a period of fourteen days via a computerized learning system available within the facility. The pre and post tests were then evaluated for differences in median and mean scores. Improvements in overall scores, as well as on the individual questions presented on the tests, were documented. These results lead to the conclusion that knowledge of the signs, symptoms, risk factors, medical, and nursing management increased following completion of the teaching project. Implications for future nursing practice, education, and research include the development of a teaching and evaluation tool that could be made available for continuing education on a larger scale to reach additional registered nurses.
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