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The relationship of meaning of death field patterns to well-being, spiritual perspective and perception of health in healthy older adults(The University of Arizona., 1996)Rogers' Science of Unitary Human Beings offers a view of people and their world as an integral whole evolving or changing together via a continuous, mutual process. Facing one's mortality is a universal issue that older adults must integrate into their life view. The relationship of patterns of personal meaning of death to well-being, spiritual perspective and perception of health was the focus of this research. Using secondary data analysis, low and high scores were obtained on instruments measuring well-being, spiritual perspective and perception of health. Content analysis was used for personal meaning of death paragraphs. A Matrix Analysis was used to examine the relationships among these variables. Using a death awareness field pattern coding manual, manifestations were identified and coded. Four manifestations were identified in the death narratives from the sample of 35 aging adults (60 years or older), namely Pandimensional Awareness, Motion, Diversity and Rhythm. Findings revealed a high level of spiritual perspective in this group of older adults. Findings also revealed that low scores of well-being and low perception of health scores resulted in more frequent field pattern manifestations of Greater Diversity, Seems Continuous Motion, Seems Continuous Rhythm, and Visionary personal meanings of death.
Quality of life in women post-myocardial infarction : the relationship of health promoting behaviors with enrollment and attendance in a cardiac rehabilitation program(The University of Arizona., 2001)The purpose of this study was to describe the relationship between quality of life (QOL) scores in post-AMI women who attend cardiac rehabilitation program (CRP) and women who do not attend. QOL scores were measured by the use of the modified Woman's Health Questionnaire and the MacNew QOL Questionnaire. A non-probability sample of women was obtained who were diagnosed with acute myocardial infarction (AMI) based on ( a) elevated cardiac enzymes, (b) electrocardiogram (EKG) changes of a significant nature, ( c) AMI diagnosis at least 8 weeks from study but no more than 1 year from study date, and ( d) English proficiency. Women were not excluded due to history of previous AMI. The Internal Review Board at Northwest Hospital in Tucson, Arizona approved a medical record review to contact their previous patients who met the criteria for inclusion. The sample of 30 women obtained had a mean age of 65.23 years (range 33-87), a majority were married, with a current relationship being spousal, a total income of greater than $50,001 per year, with Medicare as their primary insurance. Comorbidities included heart disease (100% ), followed by diabetes mellitus, osteoarthritis, and thyroid disease. Medications correspond to chronic diseases listed. The women studied did not exhibit any significant differences on QOL scores regarding enrollment or non-enrollment in CRP, attendance or non-attendance in CRP, nor was significance found in the relationship between QOL scores and attendance at CRP. Other findings suggest that those women with greater education were more likely to attend greater than 2 sessions of CRP. Number of medications used also showed high correlational value with attendance at greater than 2 sessions of CRP. A significant relationship was found that with an increased number of comorbidities, QOL scores declined. The use of the MacNew QOL Questionnaire proved high internal consistancy, reliability for the total instrument and its subscales for this sample. Results of this small study showed no significant differences in post-AMI women and their QOL scores regarding attendance at CRP, illustrating a need for further nursing research. Advocating health promoting behaviors is essential for nursing to promote QOL in women who have experienced AMI.
Effect of antiperspirant on electrical impedance(The University of Arizona., 2000)An electrophysiological study was conducted to determine if an antiperspirant compound had any effect on electrical impedance in electroencephalography. Eight electrode sites, four control (n=36) and four experimental (n=36), on nine subjects were used to determine if there was a change in electrical impedance after application of an antiperspirant. Four electrode sites on each subject were treated with an antiperspirant. Four control electrode sites on each subject were not treated with antiperspirant prior to the application of electrodes. The student's t test was used to analyze the data, and indicated that there was no statistically significant difference between group means.
The lived experience of spiritual healing touch in older women with chronic pain(The University of Arizona., 1999)The Parse research method of phenomenology was used to explore the universal lived experience of Spiritual Healing Touch in older women with Chronic Pain. Three individuals with chronic non-malignant pain naive to touch modalities received one treatment and participated in audio-taped dialogical engagement. The taped discussions were analyzed using Parse's procedure of extraction-synthesis. Three core concepts emerged to formulate a structure of the lived experience of Spiritual Healing Touch. The core concepts identified were: 1) Transcendence of body, mind and spirit emerges with relaxation while pain intensifies-dissipates in the presence of integrated wholeness; 2) Co-transcending the physical boundaries of energy emerges into the unique experience of beneficial comfort in the presence of transformational uncertainty; and 3) Energy is experienced and meaning and value is placed on it throughout the treatment process. The structure was linked to the Human Becoming Theory and beyond through a process of heuristic interpretation. The findings from the study produced new knowledge and understanding regarding the human experience of Spiritual Healing Touch.
The effect of an asthma education program on healthcare workers' knowledge of and ability to use metered dose inhalers(The University of Arizona., 1998)Healthcare professionals should be the patient's best resource for learning metered dose inhaler technique. Past research shows the majority of healthcare workers can not correctly demonstrate use of inhalers. This study evaluated the skills and knowledge of 30 healthcare workers before and after an asthma educational program. A knowledge and demonstration score was obtained pre-education and within 48 hours post-education. The pre-education demonstration mean score was 4.3 (±2.3)~ total possible score 7. The pre-education knowledge mean score was 5 .3 (± 1. 7) total possible score 10. After education~ these scores rose significantly with the mean demonstration score increasing to 6.0 (p=.000)~ and the mean knowledge score increasing to 7.9 (p=.000). An additional 32 subjects were tested at one time period only. The scores of the pretest only and posttest only groups were similar to those tested at both times. More study should be done on long term retention of inhaler technique.