More than 30,000 theses and dissertations produced at the University of Arizona are included in the UA Theses and Dissertations collections. These items are available open access, and are full-text searchable. A small percentage of items are under embargo (restricted).

We have digitized the entire backfile of master's theses and doctoral dissertations that have been submitted to the University of Arizona Libraries - since 1895!

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  • Maternal concerns and readiness to learn during postpartum hospitalization

    Kerr, Luann Marie (The University of Arizona., 1997)
    The purpose of this study was to describe maternal concerns and readiness to learn during postpartum hospitalization. Thirty primigravidae women completed written questionnaires to identify concerns and selfreported readiness to learn at 4-8 and 28-32 hours after delivery. The most frequently identified areas of moderate or much concern related to the categories of self and baby at both assessment times. No statistically significant change was noted between time 1 and time 2 in regard to the focus of maternal concern. Self-reported readiness to learn related to the category of baby increased significantly 9 (P=.016) between the first and second assessment times. This study helps refine earlier models of readiness to learn in the early postpartum period.
  • Perceived insomnia, life-events and self-transcendence in middle and older adults

    Sabre, Linda Kay (The University of Arizona., 1997)
    Perceived insomnia, significant life events and self-transcendence were investigated in 15 individuals who ranged in age from 46 to 80. Participants were interviewed over the telephone in effort to assess their occurrence and severity of three types of insomnia as well as the variables of self-transcendence and occurrence of significant life events. Results indicated that 5 (33%) experienced the most severe level of insomnia that includes difficulty falling asleep, difficulty maintaining sleep and early morning awakening. Three types of significant life events were reported by the majority of respondents: health events, career and family problems were identified as occurring during the onset of insomnia. There was no significant relationship between selftranscendence and insomnia, yet additional analysis identified some significant positive relations between Self-Transcendence Scale items and types of insomnia. No demographic variables were associated with severity to any degree of significance, yet males had higher frequency of severity than females. Implications for better understanding and treating insomnia in adults are discussed.
  • Spirituality in oncology nurses : a phenomenological study

    O'Connor, Mary Francine (The University of Arizona., 1997)
    This study aims to illuminate the lived experience of spirituality in practicing oncology nurses. Definitions of spirituality, a conceptual framework for understanding spirituality in nursing, and the purpose of the study are offered in Chapter One. Chapter Two reviews the literature on spirituality in nursing and illustrates the lack of research on spirituality from nurses' perspective. Concepts in the literature related to spirituality, including intuition, miracles, and hope are reviewed. Literature on spirituality in related fields is also reviewed. Chapter Three provides a historical perspective on phenomenology and scrutinizes its usefulness in examining spirituality in oncology nurses. It also describes the sample, human subjects, and the procedure used in the study. Trustworthiness, credibility, and data analysis are also addressed. Chapter Four presents the findings of the study in the exhaustive description and essential structure. Finally, Chapter Five presents a review of the conceptual :framework, discussion and conclusions, implications for further research, and clinical implications.
  • Symptom management effectivness in multiple sclerosis patients

    Merriman, Elisabeth Lamb (The University of Arizona., 1997)
    The purpose of this study was to describe perceptions of self-rated symptom management effectiveness over time in multiple sclerosis clients living in the community. Secondary data analysis was conducted on Lamb's (1993) study Comprehensive Case Mana~ement for Individuals with Pro~ressive Forms of Multiple Sclerosis: An Experimental Study. The four most frequently identified symptoms were pain, mood, bladder problem and activity level. Symptom management strategies identified to deal with reported bothersome symptoms were grouped by similarity into 13 clusters. The symptom management strategy clusters were discussed at two points in time with a decrease in symptom management strategies noted at T-2. The mean effectiveness of symptom management strategies increased slightly from a baseline of M=2.4 to M=2.5 over time. The secondary study clarifies the components necessary to examine more comprehensively symptom management strategy effectiveness and establishes a basis for further research.
  • An examination of depression, self-transcendence, perceived health, and functional status among male veterans in a geriatric rehabilitation program

    Saboe, Susan (The University of Arizona., 1995)
    Until recently, intensive rehabilitative services were rarely offered to the elderly or those with significant comorbidities. However, the salience of geriatric rehabilitation programs has increased in this the "century of old age" (Butler, 1991 ). This study, a secondary data analysis, evaluated the outcomes of one such program on three identified variables of depression, self-transcendence, and perceived health and explored the relationships of those variables and social support as predictors of functional status, the traditional marker of rehabilitative success. Sixty-four veterans were evaluated before and after a program of geriatric rehabilitation. Results indicated a significant increase in functional status and perceived health. Consistent with previous studies, the degree of functional status on admission to the program was the only significant predictor of discharge functional status. These findings support the utility of geriatric rehabilitation programs in increasing functional status in the elderly.
  • Effects of testosterone/estrogen combined on the lipid profiles in menopausal women

    Andrews, Mary Frances (The University of Arizona., 1996)
    Adding methyltestosterone to oral estrogen therapy has gained popularity for treatment of menopausal symptoms. Concern exists that adding methyltestosterone to estrogen replacement therapy may interfere with the advantageous effects of estrogen on the lipid profile of menopausal women. An experimental design was used to investigate the effects of testosterone added to estrogen therapy on the lipids of 36 climacteric women. Subjects, recruited from a clinic setting at a local military hospital, were randomly assigned to either an estrogen or an estrogen/methyltestosterone combination group. Questionnaires were administered to obtain information on lifestyle habits. Fasting serum lipids were evaluated at pretreatment and at three and six months of therapy. A significant decrease in HDL cholesterol and a significant increase in the total/HDL cholesterol ratio was found with the Estratest™ . Based upon these initial findings, it would be prudent to perform baseline and follow-up lipid profiles in women receiving Estratest™ .
  • Perspective of Navajo women in recovery from breast cancer

    Ashley, Veronica Jean (The University of Arizona., 1996)
    This research was an ethnographic study of the perceptions of five Navajo women who were in recovery from breast cancer. The conceptual orientation for this study consisted of the cultural and social structure dimensions from Leininger's Sunrise Model (Leininger, 1991). The domains identified in this study reflect the Sunrise Model's religious and philosophical factors, kinship and social factors, and cultural values and lifeways. The domains of meaning identified are: Support Persons and Practices, Power and Strength, Self-Care Practices, Difficult Feelings about Breast Cancer, and Biomedical Treatment. The three cultural themes that emerged from the analysis are: (a) Elders' teachings guide the process of recovery and all of lifeways; (b) Ceremonies and beliefs give the power for healing and are the spiritual journey that is woven throughout the culture; and ( c) Recovery is important because a long life is desirable.
  • Sensations of dyspnea in patients with acute lobar atelectasis

    Mawk, Kristina Janeil (The University of Arizona., 1998)
    Dyspnea is a subjective symptom, a symptom which is presumably experienced differently depending upon the underlying pathology. Most previous research on dyspnea symptom perception has been done in patients with chronic lung diseases. The present study investigated symptom perception in a group of 24 subjects with acute respiratory disease, acute lobar atelectasis. Patients were surveyed within 48 hours of deve.lopment of atelectasis. Visual analogue scales for dyspnea and distress \\1th breathing were used to identify symptom intensity. Subjects also identified terms which best described their breathing. Results demonstrated patients with atelectasis do perceive dyspnea and distress with breathing, although at a lesser intensity than levels published for subjects with chronic disease. The terms used to describe dyspnea were subjected to factor analysis. Seven symptom clusters were identified. The clusters identified were different than those previously identified in the literature for asthm~ interstitial disease, and others.
  • Occupational nurse case management : a study of cost effectiveness

    Luttrell, Pamela Victoria (The University of Arizona., 1997)
    The purpose of this study was to explore the cost-effectiveness of a pre-existing Medical Management (MM) occupational health program (N=62) with an on-site Nurse Case Management (NCM) occupational health program (N=67) for employees with work related injuries or illnesses . Selected occupational health program costs between the two occupational health models were compared and relationships between demographic variables and incidence of work related injuries were explored. Subjects in the two comparison groups were those with work related injuries over a two year period. Functional, clinical and financial program outcomes were explored. Findings indicated significantly fewer lost work days for the NCM group. Nearly $240,000 was saved in total wage compensation, medical care, and manhours replaced costs in the NCM program compared to the MM. This outcome was attribured to decreased number of lost work days and developing and maintaining an effective modified duty program for injured employees by the nurse case manager. These findgins support the opportunity to strengthen ties with business consumers .
  • Exposure to chlorpyrifos and use of pesticides in Arizona

    Krinsley, Jeanne S. (The University of Arizona., 1998)
    This study of pesticide use and exposure in the Arizona NHEXAS sample explored demographic variation in pesticide use and the feasibility of predicting the subjects' urinary TCPY (a chlorpyrifos metabolite) using questionnaire data. A variety of demographic differences in pesticide use patterns such as frequency of personal application, use of professional exterminators, and frequency of use outside the home were found. In contrast, there were few demographic differences in TCPY, although mean TCPY was higher than in earlier epidemiological studies. Two mulitvariate (multiple regression) methods of predicting TCPY from questionnaire responses were tested. The first method combined pesticide use questions into a scale; the second method treated them separately. R2s were similar and below .25 using either method. Including only subjects reporting some pesticide use raised the R2 to .35. These results suggest that questionnaire responses cannot predict exposure accurately enough to be useful proxies for biological samples.
  • Cultural heritage and motherhood : experiences of a Mexican American family : daughters, mother and grandmother

    Gatto, Kathleen Mahoney (The University of Arizona., 1997)
    An ethnographic study of three generations of Mexican American women was conducted to discover cultural beliefs regarding pregnancy, childbearing and parenting. The study examined ways that beliefs are transmitted from generation to generation, if beliefs are maintained from generation to generation, and if beliefs are maintained, changed or lost between generations. Leininger's Culture Care Diversity and Universality conceptual orientation was combined with Spector' s concepts of Heritage Consistency to guide data collection and analysis. Data were collected using participant observation and ethnographic interviews. Data were analyzed using the ethnoscience method. Findings indicate that the family has maintained many traditional values and beliefs. Cultural beliefs and values were taught by example. Most values and beliefs were retained between generations. A single example of a changed value was found. One mother failed to follow the culturally prescribed 40 day period of rest after childbirth.
  • Evaluation of a program to reduce prenatal risk among pregnant teenagers

    Bolton, Mary Louise Hartman (The University of Arizona., 1995)
    The United States has the highest incidence of teenage pregnancy among the developed countries of the world. Complications associated with pregnancy among teenagers are theorized to be associated with their higher rates of morbidity and mortality as compared with their older counterparts. A secondary analysis of data on seven problems related to pregnancy (ie; complications of labor, Cesarean section, premature birth, congenital abnormalities, Neonatal Intensive Care Unit (NICU) admissions, low birth weight, and neonate deaths) was conducted to explore the effectiveness of the Pima County Comprehensive Prenatal Care Initiative program designed to combat these issues. Significantly lower proportions in complications of labor, Cesarean sections, and premature births were found among those mothers enrolled in the program than in the comparison group. The frequency of NICU admissions and low birth weight infants showed no significant change, and the occurrences of congenital abnormalities and neonate deaths among the infants were more frequent. The possible explanations for these results are explored, and implications for the nursing profession are delineated.
  • The influence of in-home primary care on emergency department, hospital inpatient, and urgent care service utilization

    Dionne, Barbara Ann (The University of Arizona., 1997)
    The purpose of this study was to determine if there was a difference in utilization of emergency department (ED), hospital inpatient, and urgent care (UC) services between patients living in Adult Foster Care (AFC) homes, receiving their primary care in a clinic, and others living and receiving primary care in their home. Subjects included all of those enrolled in the Home Visit (HV) program during 1996 (n=3 5), and two groups of AFC residents (n=70). It was found that the HV group was similar to the AFC 1 group in all areas evaluated. The AFC 2 group was different from the HV group in many respects. The differences were attributed to the AFC 2 group representing a chance drawing of one extreme group. It was concluded that clients cared for in their homes required no more high cost health services than clients cared for in clinics.
  • Use of clinic services by older women in rural communities

    Shult, Piyachat (The University of Arizona., 1996)
    This study was a description of the use of clinic services by women aged 60 and older in four rural Arizona communities. A secondary data analysis was conducted on data collected by staff during clinic visits. For the entire sample, the most common types of visits/services were adult health, chronic disease, case management, and assessment/ screening. Anglo women were more likely to have visited clinics for immunizations and Mexican-American women for chronic diseases, skilled care, and education on prevention, use of resources, and nutrition/diet. More 60-69 year old than 70 and older women's visits were for immunizations, potential infection, nutrition/diet information, and chronic diseases. Women 70 years of age and older were seen more often for noncompliance issues, preventive health care, adult health, and case management.
  • The perception of health in the Hispanic older person

    Terrazas, Dorothy (The University of Arizona., 1997)
    The purpose of this study was to describe perception of health, perception of emotional well-being, and perception of functional ability of Spanish-speaking (SS) and Englishspeaking (ES) self-identified Hispanics of the Carondelet Community Nursing Organization of southeastern Arizona. In this secondary analysis of data from an original Medicare demonstration project, SS and ES subsamples did not differ in most demographic characteristics, but did differ in educational level (~<.01) and income (~<.01). There were no differences between subsamples in perception of health, perception of emotional well-being, or perception of functional ability. Implications for nursing include considering limited educational and financial resources in the Spanish-speaking population and not assuming Hispanic perception of health differs with language preference.
  • A study of motor control of the tongue : implications for swallowing

    Gilliam, Edwin Eugene, 1959- (The University of Arizona., 1997)
    ABSTRACT As the control of tongue movement is important during the first two phases of swallowing, the purpose of this study was to evaluate the initiation of swallowing by examining the control of tongue movement in a rat animal model. Measurement of the contractile properties of the tongue were made. The retrusive twitch and tetanic tensions evoked by stimulation of the whole Xllth nerve or lateral branch were significantly greater, than the protrusive responses elicited by medial branch stimulation. Maximum tetanic tension evoked by lateral branch stimulation was significantly greater than the maximum tetanic tension elicited by whole nerve stimulation. In addition, the protrusive contraction time of the tongue in response to medial branch stimulation was significantly faster than the retrusive contraction time in response to whole Xllth nerve or lateral branch stimulation. Also, the fatigue properties of the tongue muscles appear to be different than those of other rat muscles.
  • The relationship of shortness of breath, functional status, self-perception of well-being, and disease severity in perons with chronic obstructive pulmonary disease

    Carreon, Geraldine Mead (The University of Arizona., 1997)
    The purpose of this study was to describe the relationship of shortness of breath. functional status, self-perception of well-being. and disease severity in persons with chronic obstructive pulmonary disease (COPD). Using a descriptive design. persons with COPD (N=33), who were beginning an outpatient pulmonary rehabilitation program. completed the Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ) and the Index of Well-Being (IWB). A positive correlation was found between levels of activity and levels of shortness of breath (r=.53). A negative correlation (r=-.59) was found between activity and selfperception of well-being. Almost no correlations were found between disease severity and activity (r=-.03). and shortness of breath (r=-.20). Margaret Newman's conceptualization of health as expanding consciousness and the dyspnea spiral as described by Petty and Tiep was supported.
  • Adolescents' use of clinic services in rural Mexican-American communities

    Sotelo, Rebecca (The University of Arizona., 1996)
    There is a lack of health services in rural areas for adolescents. A large portion of adolescents in rural southwestern U.S. are Mexican-American. The purpose of this study was to describe the use of clinic services by adolescents in several rural Mexican-American communities. This study is a descriptive survey utilizing The Neuman Systems Model as the conceptual framework. This secondary analysis of data was conducted on data collected through encounter forms completed by clinic staff. The sample was drawn from adolescents age 10 to 18 years in four rural towns in Pinal County, Arizona. Data were analyzed using descriptive statistics, chi-square, and t-tests. Clinic services sought by Mexican-American adolescents age 10 to 18 are described. There were no statistically significant differences between clinic services sought by Anglo-European and Mexican-American adolescents age 10 to 18 years. There were no statistically significant differences in services sought by Mexican-American adolescents age 10 to 14 and those age 15 to 18. There were statistically significant differences in services sought by Mexican-American adolescents age 10 to 18 and people older than 18, including: type of visit, service provided, health education, nursing diagnoses, and referrals. Nursing is concerned with the well-being of all people. Nurses are sometimes the only providers in rural areas and also traditionally care for underserved populations. Nursing should be prepared to give adolescents the services which they desire. By having a better understanding of the population, and services sought, nurses can plan more effective care.
  • Factors related to rural residents' satisfaction with and use of health services

    Chu, Jui-hsin (The University of Arizona., 1997)
    This descriptive study was conducted to examine factors related to patients' satisfaction with and use of health care services among rural populations in four communities in south-central Arizona. A secondary analysis was conducted, using data from the Comprehensive Multi-level Nursing Practice project (Ferketich, Phillips, & Verran, 1990). 10 Certain factors related to residents' satisfaction with general health care and use of health services were examined among groups categorized by knowledge and use of free health services. Analysis of the data suggested that there was a statistically significant difference in gender and ethnicity among groups reflecting knowledge and use of free clinic services (p < .05). In this study, females and Hispanics represented a higher proportion of people knowing and using free clinic services, but this was not so for age, level of education, and family composition. There was not a statistically significant difference in patients' satisfaction among groups reflecting knowledge and use of free clinic services. The relationship between predisposing factors and patients' satisfaction with health care showed that only age was statistically significantly, but weakly, related to patients' satisfaction (r = .13, 12 < . 05).
  • The use of slow stroke back massage in hospice and palliative care

    Huff, Ingrid Margaret (The University of Arizona., 1998)
    This descriptive, non-randomized study of a convenience sample of eleven subjects describes the use of Slow Stroke Back Massage (SSBM) relative to the hospice/palliative care patient's perception of pain and distress. Data collection included two self-report tools: the Faces Pain Rating Scale and the Distress Scale. Also used \Vas the Datascope Accutor Pulse OximeterTM to obtain data on peripheral pulse rate and peripheral Sp02 levels. Chart review and a demographic form were also used. Data analysis vvas done using descriptive non-parametric statistics. The subjects reported lower pain and distress and demonstrated lower pulse rates after the intervention. This study provides some evidence of the usefulness of this 3- minute independent nursing intervention which can be safely used as a complementary pain and stress relief measure on a hospice/palliative care unit.

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