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- Creator:
- Saldana, Irene
- Description:
- Background. Bachelor of Science in Nursing (BSN) students are at a high risk of making assumptions based on personal stigma, stereotypes, education, low exposure, prejudice, and religious beliefs toward the lesbian, gay, bisexual and transgender (LGBT) population, thus compromising the quality of health care provided. The purpose of this descriptive, correlational and exploratory research was to report the presence of homophobia in undergraduate nursing students. Methods. Data was collected from a convenience sampling of traditional and accelerated Bachelor of Science in Nursing students enrolled at a California State University in the Spring of 2016. Quantitative data was collected from a purposive sample of 256 nursing students using a demographic profile sheet, the Index of Attitudes Towards Homosexuals and Homophobic Behavior of Student Scale. Results. The cutting score for higher level of homophobia was set at 50 by the authors of the survey instruments. The result revealed lower level of homophobia among the BSN students. The mean IAH score (n= 256, M = 24.421 SD =15.91) and the mean HBSS score (n= 256, M = 12.37, SD = 15.29) were both lower than 50 suggesting lower-level of homophobia. There was a strong positive correlation between the IAH scores and HBSS scores of BSN students toward homosexuals, r = .682. These results suggested that the students’ behavior were consistent with their attitudes. Non-accepting religion to homosexuality accounted for strongest predictor for the homophobic scores. Conclusion: The results of this research revealed that nurses have lower level of homophobia. Future qualitative research should be built on this study to further investigate why nursing students continue to have homophobic attitudes and behaviors. The nursing faculty and students should continue to participate in cultural or diversity class to achieve neutrality regardless of their religious belief to truly advocate for patient’s health.
- Resource Type:
- Thesis
- Campus Tesim:
- San Marcos
- Department:
- Nursing
44742. Health perception of homeless women influencing healthcare utilization: an ethnographic pilot study
- Creator:
- Palmario, Diana
- Description:
- Healthcare access and utilization among homeless people remains a public issue. Inappropriate use of healthcare resources results in increased expenditures and poor health outcomes. Women and their families are the fastest growing group within the U.S. homeless population. Inspired by the concept of self-neglect, this ethnographic pilot study will find the “missing voice” of homeless women and will reveal how they perceive their health. The proposed study will employ participant observation and face-to-face interviews of 15 homeless women for data collection. The Spradley’s method of data analysis will be used to uncover the themes surrounding homeless women’s health perceptions, health seeking behaviors, and use of healthcare services. Knowledge gained from the proposed study will inform new programs and policies that will facilitate positive health-seeking behavior, reduce costs, and improve the overall health of homeless women.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Laxa, Russe Ella
- Description:
- Statement of Problem: There is a significant amount of research that focuses on identifying, describing, and preventing nursing burnout. More research was needed to explore the consequences of burnout. Due to the interactive nature with patients in a bedside nurse’s workload, this population was deemed useful in identifying the affective consequences of nurses experiencing burnout. Determining if there existed a relationship between patient satisfaction levels and nurses’ levels of burnout was considered a vital contribution to nursing burnout research. The purpose of this study was to explore whether a relationship exists between nurses experiencing burnout and patient satisfaction based on the nursing care received. Sources of Data: The theoretical model of burnout as a multifactoral concept has been defined and measured by the Maslach Burnout Inventory, while patient satisfaction of nursing care was measured using the nursing subscale of the Press Ganey Patient Satisfaction Survey. Conclusions Reached: No relationship was found between nursing burnout and patient satisfaction. Limited sample size may have played a significant factor in the study’s findings. The relationship between nursing demographics and patient satisfaction were also tested and had no statistically significant correlations. More research is recommended to duplicate the study over an extended period of time to reach target sample sizes.
- Resource Type:
- Thesis
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Alonzo, Natalie
- Description:
- Problem: The minimal focus on education related to breastfeeding and infant feeding options in the non-pregnant teen population is contributing to the low breastfeeding retention rates in California. Methods of providing education to non-pregnant adolescents to promote knowledge, positive attitudes, exposure, and sustained intentions towards future breastfeeding practices need to be identified. Therefore, it is important to provided infant feeding education to improve breastfeeding retention rates; ultimately, educating non-pregnant teens on infant feeding will promote a cultural shift in breastfeeding acceptance as a societal norm. Purpose/Objective: The purpose of this study is intended to determine the effect of an infant feeding health promotion education session on the non-pregnant adolescents’ knowledge, attitudes, exposure, and intentions toward infant feeding.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Agueda, Jennifer
- Description:
- The advent of the Affordable Care Act (ACA) created an influx of newly insured Americans that seek medical care through the primary care setting. This increase in insured Americans necessitates the increase of primary care providers. Nurse Practitioners (NPs) are the key players in alleviating the healthcare workforce shortage that our society is facing today. However, the increased demand for primary care providers creates a challenge for new graduate nurse practitioners entering the primary care setting. Increased patient demand limits the support given to new graduate nurse practitioners that can potentially affect the NP’s successful transition into practice and ultimately job satisfaction and retention rate in an organization. The purpose of this grant is to evaluate the relationship of a nurse practitioner residency program (NPRP) on job satisfaction and retention rate. This study will be conducted in thirty-five federally qualified health center (FQHC) that offers a NPRP. Participants for this study will include new graduate family NPs enrolled in the NPRP for year 2016-2017. At the conclusion of the NPRP, two survey instruments will be administered to NPs to determine their job satisfaction and intent to stay, as a predictor for retention. Data will be examined to analyze the assumption of the researcher that participating and completing a NPRP is positively related to the job satisfaction and the retention of new graduate family NPs. In effect, supporting the need for NPRP programs which will facilitate NP transition into practice and increase the number of NPs who will continue in primary care, alleviating the workforce shortage.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
44746. Cardiovascular Disease In Women: A Correlational Study Between Risk Factors And Health Beliefs
- Creator:
- Atwood, Lee Marie
- Description:
- Women’s personal awareness of cardiovascular disease has increased but failed to translate into a preventive modification of behaviors to decrease risk (Mosca, Hammond, Mochari-Greenberger, Towfighi, & Albert, 2013). There is evidence that perception of susceptibility, modifiable risk factors, and a lack of preventive measures contributes to the prevalence of cardiovascular disease in women (American Heart Association, 2014). Women’s perceptions of their risks for heart disease can also greatly influence their behaviors and healthcare decisions (U. S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, 2014b). The purpose of this study is to examine the relationship between health beliefs of women and their risk for cardiovascular disease. This study will use a cross-sectional, descriptive, correlation design with a convenience sample of women veterans between 20 to 40 years of age enrolled in the Veterans Affairs (VA) San Diego Healthcare System recruited from the women’s health clinics. Data will be collected using a combination of printed questionnaires to measure health beliefs, risks for cardiovascular disease, and demographic data and a chart review to obtain measurements of blood pressure, height, weight, total cholesterol, and serum glucose levels. Statistical Package for the Social Science (SPSS) will be used to analyze Pearson and Spearman correlation coefficient of health belief benefits and barriers to active engagement in preventive behaviors and risks for cardiovascular disease. The results will contribute to the development of interventions to educate women and healthcare providers to increase awareness, effectively identify personal risk and motivate women to engage in screening and preventive lifestyle behaviors to reduce risk.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Nguyen, Thao
- Description:
- Problem: The need for nurse practitioners (NPs) in the primary care setting is increasing with the Affordable Care Act (ACA) in 2010 due to the shortage of primary care providers. However, the role transition from registered nurse (RN) to NP has been described as overwhelming and stressful. NP residency programs are needed to help new NPs smoothly and successfully transition into confident and competent NPs to appropriately provide the quality and safe care of the complex and diverse patient populations. However, there is limited research on NP residency programs. Thus, there is a need for further research on NP residency programs. Purpose: The purpose of this study is to explore the perspectives of near-graduating and newly graduated NPs on the values of NP residency programs in helping them transition into the NP role.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Burgess, Jennifer
- Description:
- Pediatric obesity is a rising epidemic in the United States. With the many comorbidities associated with obesity, decreasing obesity in the pediatric population can have positive health outcomes for this population as they age and decrease the potential significant fiscal impact. The purpose of this study is to test the nutritional and physical activity intervention in its ability to lower the BMI z scores of the children participating in the intervention. The proposed intervention uses a 9-week school based curriculum for fifth graders developed by the United States Department of Agriculture and California Department of Education that includes a school garden and running club. A two-tailed paired t-test will be used to analyze pre and post intervention BMI z scores. It is hypothesized that there will be a clinically significant change in BMI z scores of children who receive the educational and physical activity intervention.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Moseley, Toni
- Description:
- Background: The caring relationship between nurse and patient is an essential part of the nursing process. Literature supports that both caring ability and burnout can have significant effects on the caring relationships in the nursing profession. Duffy’s (2013) Quality Caring Model is relationship-centered professional practice. Using Duffy’s model of caring relationships as a conceptual framework and Maslach Burnout Inventory (MBI), this study examined the relationship between caring ability and burnout among critical care nurses at a large, teaching medical center. Purpose: The purpose of this study is to determine if there is a relationship between caring ability and burnout in a group of critical care nurses. Methods: Using a descriptive, correlational survey design, participants completed a demographics form, the MBI and the Caring Ability Inventory (CAI). The MBI tool has 3 subscales-Personal Accomplishment (MBI-PA), Depersonalization (MBI-DP) and Emotional Exhaustion (MBI-EE). The CAI has 3 subscales –Patience (CAI-P), Knowing (CAI-K), and Courage (CAI-C). The data was analyzed with SPSS using Pearson and Spearman rho correlations as appropriate. Results: Eighty-four RNs responded. Demographics included 80% female, 10 average years of experience as a critical RN, 62% med-surg ICU. All of the caring subscales were weakly to moderately, positively correlated with the MBI-PA subscale (p<.05). The CAI-K and CAI-C subscales were weakly, negatively correlated with MBI-DP (p<.05). Only CAI-C was significantly correlated with MBI-EE (r=-.236, p<.05). Findings: The positively correlated CAI and MBI subscales show that patience, courage and knowing increase along with increases in personal achievement. Conceptually, Depersonalization appeared to decrease as Knowing and Courage increased. Emotional Exhaustion decreased with increases in Courage. The results signify that a relationship exists between caring ability and burnout in critical care nurses and with this understanding the potential to decrease burnout with interventions focused on promoting caring may exist.
- Resource Type:
- Thesis
- Campus Tesim:
- San Marcos
- Department:
- Nursing
- Creator:
- Huang, Stephanie
- Description:
- Venipuncture such as blood draw and intravenous (IV) access are commonly performed in the emergency department (ED) as a diagnostic and treatment intervention. The pain associated with these procedures is inadequately treated and poorly managed in the ED despite safe and effective topical anesthetics, which are available. Effective procedural pain management is essential in reducing physical pain and prevention of psychological and emotional trauma children experience with venipuncture. Research has been done and shows Eutectic Mixture of Local Anesthetics (EMLA) cream is fully effective after application of 60 minutes. However, a sixty minute application time might not be feasible in the ED. The purpose of the study is to evaluate if EMLA cream is as effective at 15 minutes and 30 minutes as it is at 60 minutes. This will be a quantitative, randomized, and One Way ANOVA design study. A convenience sample of 969 pediatric patients’ ages 5 to 12 years old who visit the Sharp Chula Vista Emergency Department (SCVED) will be utilized for this study. Samples will be categorized into three groups with different EMLA cream application times: group 1 at 15 minutes, group 2 at 30 minutes, and group 3 at 60 minutes. The Wong-Baker Faces Pain Rating Scale (WBFPRS) and patients’ heart rate (HR) will be used for pain assessment before and after EMLA intervention. The One-Way ANOVA test will be used to determine if there is a change in pain level and heart rate in the means of the three groups. The f-test statistic will be used to evaluate main effects. If a significance is found, a Bonferroni post hoc will be performed to determine which of the timed EMLA group means is different by comparing one group against the others. The study will use a significant level of p≤0.05 with a confidence interval of 95%.
- Resource Type:
- Project
- Campus Tesim:
- San Marcos
- Department:
- Nursing