The graduate and undergraduate research collections share, archive and preserve research from University of Arizona students. Collections include honors theses, master's theses, and dissertations, in addition to capstone and other specialized research and presentation topics.


If you have questions about items in these collections, or are a faculty member who would like to provide students in your program an opportunity to showcase their research, please contact the Office of Digital Innovation & Stewardship at repository@u.library.arizona.edu with your request. We look forward to working with you.

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  • Physical health impairment, depression and health care utilization among older adults

    Billing, Ann (The University of Arizona., 1997)
    The purpose of this research was to identify differences in demographic characteristics, illness characteristics, and health care utilization among four groups of older adults with varying levels of physical health impairment and depression. Data were used from an earlier study (Badger, 1993) where eighty older adults completed questionnaires regarding demographic characteristics, physical health impairment, depression, and utilization of health care services. There were statistically significant increases in utilization of some services when depression and increased physical health impairment were present. There were also some trends between usage of some services and depression alone or depression combined with moderate to severe physical health impairment. These data suggest interventions designed to alleviate depression in the elderly may reduce health care utilization and therefore reduce health care costs.
  • Christian Science : an ethnographic look at perceptions of health and health care

    Bryning, Susan Mary (The University of Arizona., 1997)
    Christian Science: An Ethnographic Look at Perceptions of Health and Health Care addresses the questions: 1. What do Christian Scientists believe about health and health care? and 2. What is the Christian Scientist's perception about illness? These questions were answered by using participant observation and ethnographic interviews. Participant observation took place in several different settings and three informants participated individually through ethnographic interviews. Seven domains of meaning and six cultural themes were identified from the data collected. Examples of domains include: Individual Beliefs About Being Healthy, and Culture of Health in the Christian Science Church. One of the cultural themes was: Staying healthy requires Spiritual nourishment. The Christian Scientist's connectedness to God through their spiritual beliefs contribute to their overall health. Recommendations for health care workers as well as recommendations for future, more in depth study about Christian Science and health are presented.
  • The lived experience of decision making that leads to pregnancy in the female teenager

    Claros, Deborah Marlene (The University of Arizona., 1998)
    The phenomenon of teenage pregnancy in the United States is increasing and can be a challenge to the parents, the infant, and to society. This study used a phenomenological research approach to describe the lived experience of the female teenager's decision making that leads to pregnancy. The research question was: What is the essential structure of the lived experience of the decision making that leads to pregnancy in the female teenager? The researcher interviewed four teenagers between the ages of 16 and 18, who were pregnant for the first time. Analysis of audio-taped and transcribed interviews resulted in significant statements. Using Colaizzi's method adapted by Haase, themes, theme clusters, theme categories, an exhaustive description, and an essential structure of the lived experience emerged. The theme categories derived from the data analysis were: Decision to Become Pregnant, I'm Pregnant, Teen Life, and Considering Motherhood. The essential structure indicated that the lived experience of decision making that leads to pregnancy in the female teenager was a passive process. Becoming pregnant was unplanned but had a marked effect on relationships and future life goals.
  • Influence of attitudes toward health care involvement on length of time returning to work post microscopic discectomy surgery

    Czarzasty, Nancy Lesnick (The University of Arizona., 1998)
    The purpose of this study was to examine the influence of individual's attitudes toward Health Care Involvement on length of time returning to work for post microscopic discectomy patients. A sample of 20 subjects who had undergone microscopic discectomy surgery provided the convenience sample for the study. This study used a correlational design to examine the relationship between the subject's level of Health Care Involvement and his or her length of time returning to work after surgery. It was predicted that the subject's length of time returning to work was predicted to be less if the subject had a high degree of Health Care Involvement. The findings demonstrated a weak correlation between the concepts of Information Seeking, Behavioral Involvement and length of time returning to work. In this study, Behavioral Involvement demonstrated a greater impact on length of time to return to work than did Information Seeking.
  • The psychosocial impact of urinary incontinence in women age 25-45 years

    Valerius, Arnold James (The University of Arizona., 1996)
    The purpose of this research was to describe the relationship between symptoms of urinary incontinence and their impact on daily activities, and the degree of incontinence-related distress perceived by 25-to 45-year-old women. A second purpose was to identify differences, if any, in impact on daily life and degree of incontinence-related distress perceived among women with stress, urge and mixed incontinence. Guided by Lazarus and Folkman's (1984) Stress, Appraisal and Coping Theory, a descriptive correlational prospective study (N=35) was conducted using the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) . A significant moderate (r-5701, p=.000) correlation was found between urinary incontinence symptoms and their impact on travel, social, physical and emotional activities. No significant differences were found among women with stress, urge and mixed urinary incontinence and the impact of incontinence symptoms on their daily activities or with their perceived degree of incontinence-related distress.
  • An exploration of culture among professional sign language interpreters

    Kartchner, Kathy Ann (The University of Arizona., 1998)
    This secondary data analysis was an ethnographic study to explore culture among five professional sign language interpreters. Subjects were recruited based on the following criteria, greater than five years as a sign language interpreter, currently involved in sign language interpreting and have the time and interest to participate in the study. King's general systems framework was modified to provide the organizing conceptual framework for this study. Data were collected using ethnographic interviews and analyzed using the ethnoscience method outlined in the development research sequence by Spradley. Findings from the ethnographic analysis identified five significant domains: kinds of interpreting, native terms, kinds of attitudes about interpreters, stages of interpreters, qualities of a good interpreter. The overall cultural theme of professional sign language interpreters was staying hearing while being in the deaf world.
  • Quality of life following laparoscopic fundoplication for the treatment of gastroesophageal reflux disease (GERD)

    McNeil, Kathryn Lynn (The University of Arizona., 2000)
    The purpose of this study was to explore the perceived quality of life of persons following laparoscopic fundoplication surgery for the treatment of gastroesophageal reflux disease (GERD). A secondary purpose was to explore the experience of gastrointestinal symptoms of persons following laparoscopic fundoplication surgery for the treatment of GERD. The Gastrointestinal Symptom Rating Scale (GSRS) was used to assess the perception of gastrointestinal symptoms and the Medical Outcomes Study Short Form 36 (SF-36) instrument was used to assess the subjects' perception of quality of life. A convenience sample of 20 subjects was recruited from one gastrointestinal surgical practice. Data analysis included descriptive statistics, analysis of variance (ANOV A), t-tests, and Pearson product-moment correlations. Results indicated that the subjects in this study who had undergone laparoscopic fundoplication for the treatment of GERD experienced a slight level of discomfort due to gastrointestinal symptoms and perceive themselves as having a moderately decreased quality of life. Differences were found between those subjects who had received a Nissen (complete wrap) fundoplication procedure and those who had received a Toupet (partial wrap) fundoplication procedure, with the Toupet group having statistically significant (p<.05) better scores on all subscales of the GSRS and on the social functioning, bodily pain and role functioning-emotional subscales of the SF-36. Nursing implications included assessment of multiple systems and promotion of quality of life in providing holistic care to the GERD client.
  • Pediatric asthma exacerbations seen in the emergency department : a descriptive study of factors that influence hospitalization as an outcome

    Marston, Debora Janet (The University of Arizona., 2000)
    To determine predictors of hospitalization as an outcome for pediatric patients experiencing a severe asthma exacerbation seen in the Emergency Department (ED), specific to Department of Defense (DoD) beneficiaries, a secondary data analysis was conducted on DoD data. Verran's (1997) theory-driven framework was used to guide the selection of variables and analysis. The study controlled for asthma severity and structure. Using variables identified through a literature review, a group of subjects with hospitalization as an outcome (n = 74) was compared to a group of subjects without hospitalization as an outcome (n = 158) by means of analysis of differences procedures. Logistic regression was conducted using the variables found to be statistically significant. Subjects with a history of intubation (OR= .066), having been admitted for asthma within 1 year (OR= .307), corticosteroid administered intravenously or intramuscularly (OR= .238) and the number ofbeta2-agonists administered (OR= 1.832) were the statistically significant variables.
  • Relation of agitation and restlessness among individuals with dementia and analgesic use

    Schmaling, John (The University of Arizona., 2000)
    Many individuals with dementia experience a number of disruptive behaviors such as agitation and restlessness. The purpose of this study was to examine the relationship of regular administration of analgesic medication to frequency of agitation and restlessness in demented subjects. The Enablement Model provided a conceptual basis for this study (Dawson, Wells & Kline, 1993). A quasi-experimental double blind, cross over research design was used with a convenience sample of 4 adult subjects with dementia. Agitation and restlessness were monitored and recorded 24 hours a day over a six-week period. The frequency of agitated and restless behavior was compared at three time periods; observation, placebo administration and analgesic administration. No significant difference in the number of episodes of agitation or restlessness was found when subjects were given regular doses of analgesic medication. A multi-site study with larger sample size is recommended.
  • Profiles of female students with anorexia or bulimia nervosa in a college health setting

    Johnson, Sandra Lee (The University of Arizona., 2000)
    A retrospective chart audit was conducted on the medical records of 30 female college students followed in a campus health service with a DSM-IV (1994) diagnosis of either anorexia (n=l4) or bulimia nervosa (n=16). There was no statistically significant difference in the selected characteristics of age, race, family history of an eating disorder or psychological disorder, and consent for parental involvement in treatment between the anorexic and bulimic groups. There were no statistically significant differences in the societal influences as measured by triggering factors, athletic involvement, sorority involvement, and major by college. There was a statistically significant difference in age of onset of dieting. The study found that bulimics were significantly younger. The study found that 83.3% of the subjects had a comorbid psychological diagnosis, the two most frequent diagnoses _as depression and anxiety. There were no measurable differences in the utilization of multidisciplinary services except in the number of medical visits attended. Anorexic were seen by medical providers significantly more often.
  • Perceptions of outcomes of psychiatric-mental health nurse practitioner practice

    Letellier, Marian Jane (The University of Arizona., 2000)
    Staff perceptions relay contextual factors which must be considered in developing psychiatric-mental health nurse practitioner (PMhNP) practice outcomes. This study, a secondary analysis, examined perceptions of interdisciplinary staff about outcomes of PMhNP practice on an inpatient, psychiatric unit. Data were originally gathered during two focus groups from seventeen participants, all integral to client care. Content analysis revealed philosophical differences between participants' and PMhNPs' perspectives about empowerment as a client outcome. These differences indicate that PMhNPs must consider interdisciplinary sensibilities in framing PMhNP outcomes. Participants concurred on systems outcomes of PMhNP practice required to support client empowerment. These findings support the utility of a social ecological model in interpreting staff perceptions relative to PMhNP outcomes developed in a complex, organizational environment.
  • Evaluation of a nursing intervention to provide health services to rural communities

    Wojcik, Mary (The University of Arizona., 2001)
    This study was a secondary analysis of data originally collected by the Comprehensive Multi-level Nursing Practice Model for Rural Hispanics (Ferketich, Philips, & Verran, 1990). The purpose of this study was to determine if those Mexican Americans who accessed the services perceived differently satisfaction and utilization of the services provided by the intervention. Overall evaluation of services by those who utilized them was also studied. Specific to the research questions was the impact that the culturally sensitive nature of this intervention had on use and satisfaction by the Mexican Americans in these communities. General evaluation of the services found many were satisfied. Data revealed that those in poorer perceived general health had greater use of services. No significant differences in satisfaction or utilization were found between those using services and those not visiting clinics. These findings are important for the nursing community for developing projects and providing interventions to minority communities.
  • The explanatory models of Quechuan mothers who have children with Pott's disease in the district of Chuquisaca, Bolivia

    Valenzuela, Rudy (The University of Arizona., 2002)
    The purpose of this study was to explore the Exploratory Models of Quechuan mothers who have children with Pott's disease. The conceptual model for this study was Kleinman's Explanatory Models framework. This study was an ethnography that utilized the clinical features of Kleinman Explanatory Models as probing questions. Descriptive ethnographic interviews, field notes, and participant observation were conducted with three informants in the District of Chuquisaca, Bolivia during a period of two weeks. Content analysis was used to group the domains and categories into five taxonomies. Five taxonomies were identified from the data: (a) etiology; (b) severity of illness; (c) time and onset of symptoms; (d) pathophysiology; and ( e) treatment. The results indicated that Pott's disease have a magical/mysterious origin. Wasasanay and Chuypa are the Quechuan words for back pain, which connotates the symptoms, etiology, and pathophysiology of Pott's disease. Pott's disease is not believed to be a disease, since everybody in the area suffers from back pain as a result of their work. Only when the disease is in the advanced stages is medical treatment sought. The poverty and isolation of the Quechuan people contribute, not only to the devastating effects of Pott's disease, but to the further marginalization of these people. The Quechuan people in this study were victims, not only of a fatal disease, but of a political and social system that promotes poverty.
  • Barriers and facilitators to care of beneficiaries of the United States military health system

    Linck, Stephen (The University of Arizona., 2001)
    Concerns about health care cost, quality, and access have led to major reform in the U.S. Military Health System (MHS). These changes may impact how clients view the system and their health care. The purpose of this study was to describe and compare the perceived barriers and facilitators to care for active duty and civilian health care beneficiaries. Secondary inductive content analysis was performed with 29 original phenomenological interviews. Categories and subcategories of barriers and facilitators were identified. Facilitators common across groups were: staff characteristics, system familiarity, and military health system processes and structures. Common barriers common included military processes, health care staff, health care system process and procedures, and oppressive milieu. Facilitators and barriers unique to each group were also identified. These findings can assist military nurse leaders advocate for and implement health care systems changes that will benefit the consumer as well as the system of care.
  • Strategies to improve patient adherence in the preoperative setting

    Nikolaidis, Connie D. (The University of Arizona., 2002)
    Patient education is a fundamental part of nursing practice. In the outpatient preoperative setting, patients are asked to perform self-care tasks necessary to ensure successful postoperative outcomes. Failure to adhere to preoperative education has resulted in poor outcomes, poor patient satisfaction, and the squandering of scarce health care resources. The purpose of this study was to test the value of an interactive checklist in improving preoperative patient adherence. The checklist was evaluated for its effectiveness in improving patient adherence to preoperative instructions as compared to standard preoperative educational methods. Eleven elderly patients having cataract surgery were randomly assigned into treatment and control groups. The conceptual framework for this study was Bandura's Social Cognitive Theory. Tactile stimulation and task division were employed to attempt to increase subject adherence. This was proposed to increase self-efficacy and decrease patient anxiety. No significant findings were obtained from this study, which may be a result of the small sample size. Efforts to replicate this study are warranted, however, given its significance to nursing, patient satisfaction, and the conservation of diminishing health care resources.
  • Internal body image among middle and older aged adults with health alterations

    Van Wyk, Beverly Alice (The University of Arizona., 2001)
    Ten middle and older aged adults, recently hospitalized at a local community hospital with health alterations, participated in testing of their knowledge of internal human anatomy and physiological function. Testing methods included use of the Mini-Mental Status Exam, screening for cognitive impairment prior to testing, then the Inside-the-Body Test and Interview. A strong correlation was shown to exist between know ledge of internal anatomy and knowledge of function. The size of the sample (N=lO) was a limiting factor in this study. Future recommendations for similar studies include using a larger, more economically, culturally diverse population sample, and comparing Internal Body Image (IBI) among adults with health alterations, and those adults considered healthy.
  • The effect of nurse-facilitated education using videotape prior to elective cardiac catheterization on stress and anxiety levels

    Gastelum, Nicole Antonia (The University of Arizona., 2001)
    This study used a pre-test post-test experimental design to evaluate the effect of nurse-facilitated education using videotape observation on stress and anxiety levels prior to elective cardiac catheterization. Forty subjects were randomized to either a treatment or control group. The treatment group viewed a video about cardiac catheterizations while the control group viewed a video about home improvements. The State Trait Anxiety Inventory (STAI) was used to measure anxiety levels in both groups both before and after the video. S-cortisol was used to measure stress levels in both groups both before and after the video. After analysis of data, it was determined that subjects who viewed the videotape on home improvements had lower STAl scores post video than those who received information about the cardiac catheterization. No correlation was found between the STAI scores and the s-cortisol concentrations. Future studies should be performed to address the issues identified in this study
  • Impact of nurse-managed health care delivery system on functional abilities of frail elderly

    Botwright, Edmee Violeta (The University of Arizona., 2001)
    The purpose of this study is to evaluate the impact of nurse-managed coordination of physical therapy relating to maintenance or improvement of functional abilities in frail elderly. A system's theory was used to examine those factors that make a particular population vulnerable, that could affect their health status, use of health services, and health outcomes. Quantitative analysis was used to compare physical functioning scores of frail elderly in two randomized groups in a national community-based nursing demonstration. Further measurements for analysis were taken from physical therapy usage, and physical functioning scores thereafter. The older adults in these two groups were not significantly different in functional performance. They did however demonstrate variations in number of physical therapy visits. Importance to nursing practice is the need to identify risks for altered functional performance in older adults and provide innovative interventions that focus on the needs of the individual the population.
  • Factors related to the hospital readmission of rural patients transferred to urban centers for acute cardiac interventions

    Fee, Sharon Sweeney (The University of Arizona., 2001)
    This study utilized a systems framework to measure variables related to the nonelective readmission of rural patients transferred to urban centers for acute cardiac intervention. Materials technology variables included rurality, age, gender and marital status. Knowledge technology in the rural hospitalization included admission diagnosis, number of comorbidities, length of stay and method of transfer. Urban knowledge technology consisted of medical intervention, length of stay and discharge diagnosis. Clinical readmission was analyzed using the number of days between urban discharge and rural readmission and the readmission diagnosis. All subjects were followed for one year post urban discharge for non-elective readmission to the rural hospital. Descriptive statistics were used to understand what factors were related to the hospital readmission. Significant variables for the readmitted group included rurality, method of transfer, medical intervention and discharge diagnosis.
  • The community dwelling elder's perception of chronic pain management strategies

    Pomeroy, Pamela Sue (The University of Arizona., 2001)
    One in five older Americans, aged 65 years and older report chronic pain for more than 6 months (Cooner & Amorosi, 1997). Researchers have neglected to explore how the community-dwelling elders effectively manage pain, and what elders think and believe is effective for pain management. The purpose of this study is to determine the elder's perspective on chronic pain management strategies. Based on the perspective of Orem's Self-Care Model, a qualitative study using a focus group method was conducted. The participants described various pain management strategies that were effective for pain relief, and their attitudes and beliefs about the various strategies. The strategies used included: 1) Prescribed interventions, 2) Over the counter pharmacological intervention, 3) Cutaneous stimulation, 4) Exercise/Movement, and 5) Other. The elders were actively involved in their own pain management. They were willing to take the advice of healthcare providers, but were selective on which advice they followed.

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