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).

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  • Health locus of control, value orientations, and health behaviors in Mormon women

    Cesarotti, Evelyn L. (The University of Arizona., 1983)
    A descriptive study was the relationships among health orientations and health behavior conducted to investigate locus of control, value in a specific subculture group of Mormon women. A convenience sample of 59 Mormon women who resided in a rural area of southeastern Arizona participated in the study. Four questionnaires were administered to the group to test health locus of control, health value,· health behaviors, and general value orientations. Findings revealed that the group had high Self Control Over Health beliefs (a measure of internal locus of control), rated health as their third highest value, and had a high level of positive health behaviors. General value orientations indicated that the group was future oriented, valued family solidarity, and was interested in self improvement and accomplishment.
  • The lumbar puncture : perceptions of leukemic children

    Dunscomb, Denise Renee (The University of Arizona., 1982)
    This thesis of a leukemic child's view of a lumbar puncture experience explored the question: What cultural knowledge informs the behavior of leukemic children experiencing a lumbar puncture. Data collection followed the ethnographic interview technique (Spradley, 1979). Four informants were individually interviewed four times. Data was analyzed after each interview and presented for verification by the informant. Seven culturally relevant domains were analyzed and include: "Parts of spinal tap process," "Kinds of people doing spinal tap with me," "Characteristics of the hurting experience," "Things that help during spinal tap," "Attributes of things I think about," "Kinds of spinal taps," and "Things to tell people." Domain analysis revealed six cultural themes: "Get a good doctor," "We don't like surprises," Eight-year-old boys need their parents, Getting my mind on other things, I need to "hold on," and You can't see behind your back. Recommendations for care of leukemic children experiencing lumbar punctures were suggested along with recommendations for further research.
  • Cultural meaning of pregnancy and childbirth among Mexican-American women

    Miller, Connie Sue (The University of Arizona., 1995)
    This study explored the cultural meaning of pregnancy and childbirth among Mexican-American women. Ethnographic interviews were conducted with a homogeneous sample of five Mexican-American women. The domains of meaning identified are: Health-promoting behaviors during pregnancy, Unhealthy behaviors during pregnancy, Health-promoting behaviors postpartum, Unhealthy behaviors postpartum, Kinds of things done to maintain baby's health, and Cultural expectations of women. The four cultural themes that emerged from the data analysis are: 1. Religious beliefs are important in the promotion of a healthy pregnancy and in the prevention of problems during pregnancy and following birth. 2. Maintaining health during pregnancy and postpartum involves many things that should be done as well as many things that should be avoided. 3. Traditional cultural rules and beliefs guide health care practices during the prenatal and postpartum period. 4. The fetus and newborn infant are particularly vulnerable to illnesses or outside influences, requiring special care and precautions.
  • The essential structure of the lived experience of long term oxygen therapy in elderly persons with COPD

    DeVries, Margaret Ruth (The University of Arizona., 1994)
    To explore the experience of being on long-term oxygen therapy (LTOT) the research methodology of phenomenology was used. Four persons on LTOT longer than one year were interviewed using an open-ended question. Interviews were audio-tape recorded, then analyzed using an adaptation of Colaizzi's eight step procedure. Nine theme categories were identified: (1) Ravages of chronic obstructive pulmonary disease (COPD), (2) Adjustment to LTOT, (3) Acceptance of LTOT, (4) Oxygen: The Unwelcome Lifeline, (5) Making It Through: Internal and External Resources, (6) striving for Normalcy, (7) When Determination and Ingenuity Aren't Enough, (8) Perceptions and Influences of Others, and (9) Relationships With Healthcare: A Mixed Bag. The essential structure of being on LTOT derived from theme categories indicated adjustment to LTOT occurs within the context of COPD. Restrictions placed by COPD and LTOT result in a struggle to continue to find meaning and quality in life. The support of others is acknowledged as essential to survival.
  • Nutritional risk and nutritional profiles of elderly men and women

    Wright, Regina Lynn (The University of Arizona., 1993)
    The risk for nutritional problems and the nutritional profiles of 40 community living women and men were examined utilizing assessment tools from the National Nutrition Screening Initiative (NNSI). Women and men over sixty years of age were asked to complete questionnaires concerning dietary patterns, living environments, income and education levels. Differences in nutritional risk scores of elderly women and men were not statistically significant. Eating behavior scores among women and men from the nutritional profiles questionnaire were significanctely different at the p<.05 level. Correlations between total risk scores and eating behaviors were statistically significant for both groups. Correlations between living environment and risk scores was also significant for the men tested. Multiple regression analysis revealed significant differences in eating behaviors and living environment between men and women and significant differences in the interaction between gender and risk assessment total scores
  • An analysis of sociodemographic and health-related variables related to occurrence and treatment outcome in Mexican American and non-Hispanic white clients diagnosed with alcohol-related disorders

    Garduño, Rosemarie (The University of Arizona., 1995)
    This study analyzed sociodemographic and health-related variables related to occurrence and treatment outcome in Mexican American and non-Hispanic white clients diagnosed with alcohol-related disorders. A sample of 551 clients diagnosed with alcohol abuse and dependence in a community treatment center were analyzed in the context of three research questions. Demographic and treatment outcome comparisons were made between two prominent ethnic groups--Mexican Americans and non-Hispanic whites. A demographic and health risk profile was derived utilizing standard statistical methods. The findings of the study suggest that Mexican Americans differ from non-Hispanic whites in various demographic characteristics and treatment outcome variables. However, considerable cross-cultural complexity exists such that more refined comparisons are essential in order to derive meaningful program design and clinical treatment strategies.
  • Validation of urinary incontinence as a nursing diagnosis in Hispanic and non-Hispanic women

    Hsueh, Kuei-Hsiang (The University of Arizona., 1994)
    This descriptive study used the clinical-retrospective model proposed by Gordon and Sweeney (1979) to clinical identify and validate the defining characteristics for three nursing diagnoses: stress, urge and mixed urinary incontinence in Hispanic (n = 28) and non-Hispanic women (n = 135). Significant differences found between Hispanic and non-Hispanic women were associated with the number of live births and two minor defining characteristics, 'loss when coughing, sneezing, laughing' and 'loss when running' for urge and mixed incontinence, respectively. Characteristics of urge incontinence were different between Hispanic and non-Hispanic women. Major defining characteristics reflected these identified in one previous study by Woodtli and Sidani (1993). The increased level of specificity of the major and minor defining characteristics contrasts with defining characteristics related to urge and stress incontinence currently defined by NANDA. Mixed incontinence was validated as a potential nursing diagnosis in both ethnic groups.
  • The relationship of hardiness and coping in patients receiving hemodialysis

    Williams, Debora Null (The University of Arizona., 1994)
    Patients' adaptation to chronic influenced by the personality trait coping. The purpose of this study was relationship between hardiness, coping illness may of hardiness to describe strategies, 8be and the and selected demographic variables of 26 end stage renal disease patients undergoing hemodialysis. The Health-Related Hardiness Scale measured the characteristic of hardiness; the Jalowiec Coping Scale measured the use of coping strategies. Statistical analysis indicated as age increased, use of coping strategies (except for the emotive strategy) and the hardiness characteristic, control, decreased. Women use more coping methods than men and Native Americans use significantly more emotive coping methods than White:non- Hispanics. A positive relationship exists between the hardiness subscale of committment/challenge and the optimistic coping subscale.
  • Factors related to maternal feeding practices of mothers of Mexican American and Anglo obese preschool children

    Chen, Shu-Wen (The University of Arizona., 1995)
    The purpose of this secondary analysis of data was to investigate the relationship between a maternal behavioral factor and maternal cognitive/perceptual factors in Mexican American and Anglo obese preschool children. The maternal behavior factor was represented by maternal feeding practices. The maternal cognitive/perceptual factors were represented by the maternal nutritional knowledge, acculturation level, values of perceived personal control over body weight, and ideal infant body size. The purposive sample consisted of 33 pairs of Mexican American and 15 pairs of Anglo mothers with obese children. The findings indicated that maternal knowledge, value of perceived personal control over body weight and acculturation level were related to maternal feeding practices. The results suggest directions for developing prevention programs for childhood obesity.
  • Reliability and validity of the clinical neurologic assessment (CNA) tool in elderly adults with brain injury

    Cavanaugh, Ellen Mary (The University of Arizona., 1995)
    The Clinical Neurologic Assessment (CNA) Instrument (Crosby & Parsons, 1989) was developed to assess for subtle changes in the level of consciousness of traumatically brain injured individuals. The instrument has been refined from a 56-item tool to a nine-item tool. This research determined the reliability and validity of the refined nine-item CNA instruments when used to assess brain injured elderly. Internal Consistency of the CNA using Cronbach' alpha demonstrated the total CNA estimated at .96. Concurrent validity of the CNA using Pearson's Product-Moment Correlation Coefficients was .94 for the CNA and the Glasgow Coma Scale (GCS) . The CNA proved to be a reliable and valid instrument for determining changes in the level of consciousness in the elderly brain injured patient.
  • The psychological differences between long-term practitioners of a meditation/relaxation technique and non-practitioners

    Hess, Helen Angela Coltrin (The University of Arizona., 1995)
    A comparative descriptive design study was undertaken to determine if there were psychological differences between long-term (more than 5 years) practitioners of a meditation/relaxation technique and non-practitioners. Two groups of 10 subjects each, were carefully matched by age (50-59), sex (female), and ethnicity (Euro-American), and screened for situational stressors, illnesses, lifestyle practices, and medication usage. Psychological distress symptoms were measured by the Symptom Checklist-90-Revised. Data analysis were performed using independent t tests and the Mann-Whitney U-Wilcoxon Rank Sum W test. No statistically significant psychological differences were found between the practitioner and non-practitioner groups. Both groups' scores indicated minimal psychological distress. Limitations (sample size and insensitivity of the instrument for this sample) may have contributed to the lack of findings between the two groups. More research is needed to determine if there are any psychological differences between practitioners of a meditation/relaxation technique and non-practitioners.
  • Shelter workers' perception of their role and factors in assisting homeless persons on preventive therapy for tuberculosis

    Confino, Justine Robyn (The University of Arizona., 1995)
    Tuberculosis is a threat to the health of homeless persons. Many factors, including residence in a homeless shelter, may have an impact on homeless persons' TB infection and its treatment. The conceptual orientation for this study consisted of components of the Health Belief Model: barriers, benefits, and cues to action. A descriptive design was used for secondary analysis in this study of homeless shelter workers' perceptions of their role and factors related to maintenance of homeless shelter residents on preventive therapy for tuberculosis. Data from interviews using a Shelter Worker Interview Guide in the parent study were content analyzed to address the research questions. Shelter workers perceived their roles as liaison, communicator, educator, care-provider, and clerk, providing cues to action for shelter residents. As part of the natural network of persons in contact with shelter residents, shelter workers perceive themselves as providing support for maintenance of preventive therapy for tuberculosis.
  • Educating long term care nursing staff about oral health assessment

    Fay, Martha Joy (The University of Arizona., 1993)
    The purpose of this study was to evaluate whether an educational program presented to nursing staff in a long-term care (LTC) facility increased their knowledge of oral assessment of LTC patients, and to determine if the staff could successfully complete an oral assessment using a tool. Thirty-two participants, who were either nurse aides or LPNs, completed a pre-test, attended an educational program, and took a post-test. A statistically significant (p=<.001) improvement in scores were found when the pre- and post-test scores were compared. Eleven of the 32 nurse aides or LPNs completed an oral health assessment on a LTC patient using the "Oral Assessment Guide for Nursing Assistants." Nine out of the 11 staff members were able to complete the assessment after attending the educational program with at least 80% accuracy compared to the investigator's assessment.
  • Critical paths : an evaluation of selected outcomes in two groups of surgical patients

    Bohnenkamp, Susan Kay (The University of Arizona., 1995)
    The purpose of this study was to evaluate the use of critical paths related to patient outcomes. A sample of 53 surgical patients admitted for a radical retropubic prostatectomy (RRP) or colostomy placement (CP) provided the convenience sample for the study. The five patient outcomes evaluated included length of stay (LOS), bowel elimination, pain medication, nutrition, and mobility. A retrospective descriptive design was used for this study. Data were analyzed by descriptive and correlation techniques. The critical paths were used significantly more with the RRP subjects than the CP subjects. The RRP subjects had a shorter LOS, converted to oral pain medication sooner, converted to a regular diet sooner, and walked farther on discharge than the CP subjects.
  • Symptom distress in middle-aged and elderly women undergoing treatment for ovarian cancer

    Harvey, Cecilia Ann (The University of Arizona., 1995)
    The incidence of ovarian cancer increases as women age. In the United States more than 20,000 new cases are diagnosed each year. Treatment for ovarian cancer can cause many distressful symptoms to the patient. According to Johnson's (1975) theory, if this population is informed of possible distressful symptoms their distress could be minimized. The purpose of this study was to explore the concept of symptom distress in middle-aged and elderly women undergoing treatment for ovarian cancer. The results of this study indicate that indeed these women have distressful symptoms as a result of treatment. Fatigue was the most frequent symptom distress experienced by this population, followed by change in sleeping pattern, outlook and pain. Further research needs to test interventions of providing information regarding distressful symptoms and an intervention that might include palliative treatment for such symptoms.
  • Health beliefs of obese school age children

    Vellucci, Gayle Marie (The University of Arizona., 1981)
    This exploratory study investigated the cultural knowledge which informs the behaviors of obese school age females to adhere to restricted calorie diet plans. Ethnographic interviews were conducted with three mildly obese females ages 10 years, 11 years and 12 years. The data provided by the informants was organized into domains of meaning, dimensions of contrast, and cultural themes. Two cultural themes identified from the data were "I control" and "I want to feel good about myself." Recommendations for care of obese school age children based on the findings of this investigation were: 1) care plan development should include the child as a co-developer; 2) elements which enhance the child's sense of self-esteem should be included into the care plan.
  • Description of important aspects of work satisfaction in hospital staff registered nurses

    Hubbard, Leigh Paul Jr (The University of Arizona., 1993)
    The purpose of this secondary data analysis was to determine if there were differences in the perceived importance of six aspects of work satisfaction among Registered nurses (RNs) employed in three different hospitals and in nine different nursing units within those hospitals. Additionally, the aspects of work were ranked repeatedly over a period of several years while a professional practice model was being implemented. The six aspects of work were: pay, autonomy, task requirements, organizational policies, interaction, and professional status. Using a technique of paired comparisons, the six aspects of work were ranked according to mean component weighting coefficients. The results suggest a consistently higher ranking of the importance of pay and autonomy and a consistently lower ranking of task requirements and organizational policies. In general, the rankings by RNs in all hospitals and units were more similar than different. There were few changes over time.
  • Oral health status of older male veterans in long-term care

    Gala, Sharon Johnson (The University of Arizona., 1994)
    Reliability of DeWalt's (1975) guide for the inspection of oral tissues was tested, to measure oral health status of older male veterans in a hospital-based long-term care facility. Two groups of subjects participated: six registered nurses/nurse practitioners and 27 NHCU residents. Residents received two oral examinations, one by a nurse and the other by the investigator, fifteen minutes apart. Demographic information was obtained from both groups. Health related information was obtained from the residents. Nurses completed an evaluation of the guide after the study. Findings revealed an interrater agreement of .847. A positive correlation was found between education and oral assessment by the nurses. No other correlation was found between oral assessment and the variables. Positive correlations were found between marital status and frequency of dental checkups, marital status and income, and income and education. Negative correlation was found between age and income and number of medications taken and income. Recommendations for future study include focusing on residents with cognitive impairment and mental disorders who are largely dependent on staff.
  • Antecedents of uncertainty in persons with arthritis at three points in time in the chronic illness trajectory

    Pierce, Mary Kaye (The University of Arizona., 1995)
    The purpose of this research was to describe the relationships among antecedents of uncertainty in chronic illness and how these relationships change over time. A secondary analysis was performed using 411 patients with arthritis related conditions. Over a five year period educational level, marital status, symptom pattern, type of arthritis, length of illness and level of uncertainty were measured at three different times. Multiple regression analysis revealed a statistically significant relationship between symptom pattern and uncertainty, educational level and uncertainty, and marital status and uncertainty at all three points in time. Pearson's product-moment correlations revealed a significant relationship between educational level and symptom pattern, and marital status and symptom pattern. These data suggest that certain patient characteristics may be identified that place patients at higher risk for uncertainty during chronic illness.
  • Survivability in air vs. ground transported trauma patients

    Higie, Stephanie Marie (The University of Arizona., 1993)
    Helicopter Emergency Medical Service (EMS) programs have shown a steady pattern of growth over the last 20 years. The impact of hospital-based helicopter EMS programs, on the survival of trauma patients has been evaluated by several investigators with conflicting results. The purpose of this study was to compare the survivability of trauma patients flown by helicopter versus the survivability of trauma patients transported by ground vehicle to a Level I Trauma Center. 11 The second purpose of the study was to determine the relationship between survivability and 1) age, 2) mechanism of injury, 3) severity of injury, and 4) physiologic insult in a population of trauma patients flown by helicopter to a Level I Trauma Center, and a population of trauma patients transported by ground vehicle to a Level I Trauma Center. Chi Square tests of statistical independence were used to analyze the data. Air transported patients were found to have statistically significantly higher injury severity scores, and a higher mortality rate. A blood pressure of < 80, age of > 54, and penetrating injury were also found to negatively impact survival.

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