Nursing
Permanent URI for this collectionhttps://hdl.handle.net/10323/11899
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Item type: Item , Prevalence, predictors, and impact of health-related social needs on caregiver burden among informal care partners of stroke survivors(2025-01-01) Shamoun, Charles Joseph; Pittiglio, Larua; Boni, Rebecca; Papadimitriou, Christina; Piscotty, RonBACKGROUND: Stroke imposes profound challenges not only for survivors but also for the informal care partners (ICPs) who provide day-to-day support. While healthrelated social needs (HRSNs) have been increasingly recognized as relevant to positive patient outcomes, little is known about the prevalence, predictors, and impact of HRSNs among ICPs of stroke survivors. Guided by the Roy Adaptation Model, this dissertation examined HRSNs and their association with caregiver burden among ICPs of stroke survivors. METHODS: A cross-sectional survey (n = 81) design was used to collect demographic data, assess HRSNs across 12 domains, and measure caregiver burden using the Caregiver Burden Inventory (CBI). Analyses included descriptive statistics, chisquare tests, t-tests, ANOVA, and stepwise multiple regression models. RESULTS: Results demonstrated that ICPs experienced an average of moderate burden, with diverse results across both cumulative and domain levels of burden. Unmet HRSNs were prevalent, particularly in domains such as mental health, physical activity, and family and community support. Regression analyses identified specific HRSNs as significantpredictors of overall caregiver burden and distinct CBI subdomains. Demographic factors, including age and marital status, further predicted the likelihood of experiencing multiple unmet needs. CONCLUSIONS: Findings underscore that ICPs’ burden is not only shaped by stroke-related care demands but also by HRSNs. By applying the Roy Adaptation Model, this dissertation conceptualizes HRSNs as stimuli influencing adaptive responses, offering a theoretical and empirical foundation for targeted interventions. Addressing HRSNs among ICPs represents a critical strategy to reduce burden, improve adaptation, and promote equity in the stroke care partnership experience.Item type: Item , Resilience in Trauma-Exposed Youth: A Qualitative Thematic Analysis of Interviews with Multidisciplinary Childhood Trauma Experts(2025-01-01) Kennedy, Margaret M; Glover, Toni L; Ehrlich, Olga; Parkhill Purdie, Michele; Zelechoski, Amanda DExposure to childhood trauma is pervasive worldwide, and the impacts are significant. A vast body of research has confirmed the link between childhood trauma and negative health outcomes into adulthood. However, not every child exposed to trauma goes on to experience adverse health impacts. Resilience following childhood trauma is increasingly studied, yet there remains a lack of congruence related to the definition and conceptualization of resilience. Further, few studies of resilience in children integrate developmental perspective, leaving a gap related to how a child’s specific developmental age may impact or be impacted by trauma. This qualitative study explored views and perspectives on childhood trauma and resilience captured in pre-recorded interviews with 15 internationally known, multidisciplinary child trauma experts. Roy’s Adaptation Model, rooted in the nursing discipline, provided the theoretical framework for the study, and through application of Braun & Clark’s reflexive thematic analysis, two primary themes and seven subthemes, addressing the research aims, were produced from the expert narratives. Theme One, developmental perspective, illuminates the experts’ perceptions of the intricate, vii interactive relationship between a childs developmental age and their experiences of and responses to trauma. Theme Two, toward resilience, explores key factors that contribute to resilience in trauma-exposed youth. Most research on this topic stems from disciplines other than nursing, therefore, it was prudent to employ a nursing framework in this research, as nurses are ubiquitous across healthcare settings, spend significant time with patients, and build strong and trusting relationships through the provision of care. The findings of this study provide nurses with an accessible framework and enhanced knowledge to care for youth impacted by trauma and empower nurses to lead research and practice initiatives in this area.Item type: Item , Nutrition for health promotion in nursing education: knowledge, attitudes, beliefs, and instructional practices of nursing faculty(2024-01-01) Alberta, Tracy Lee; Paul, Julia; Danford, Cynthia; Boni, RebeccaNutrition's role in health is undisputed, yet nursing education programs do not consistently integrate essential nutrition content into curricula. Nurses are well-positioned throughout the healthcare system to provide health-promoting nutritional guidance but must have the requisite knowledge to do so. The purpose of this study was to describe the knowledge, attitudes, beliefs, and instructional practices of nursing faculty regarding teaching nutrition for health promotion. The theory of planned behavior with Wilkins' KABP model was employed as the theoretical framework for the descriptive study. A pre-study validity evaluation of the attitude and belief measures for sufficiency, relevance, clarity, and coherence was completed by a group of experts. Data were collected via a nationwide survey of full-time faculty members (n = 266) teaching in prelicensure baccalaureate nursing programs. The instrument comprised five sections measuring knowledge (General Nutrition Knowledge Questionnaire-Revised), attitudes, beliefs, instructional practices, and demographics. The scores on the knowledge measure ranged from 59 to 95 (M = 80%, SD = 6.6, 95% CI (69.77 [79.2%], 71.37 [81.1%]). Attitude scores ranged from -7 to 20, with the average being 13.1 (SD = 5.10, 95% CI [12.47, 13.70]), and 80% of respondents' attitude scores fell in the top quarter (> 11). Belief scores ranged from -11 to 20, with the average being 7.08 (SD = 5.93, 95% CI [6.36, 7.79]. Only 154 (57.9%) of respondents have had previous experience teaching nutrition for health promotion. The findings highlight the importance of continuing education and resources for nursing faculty members in promoting the inclusion of nutrition for health promotion in prelicensure nursing education. Academic nursing must work to ensure that nursing program graduates are well-equipped with the required competencies to deliver health-promoting nutritional guidance and impact the growing chronic disease burden caused by poor dietItem type: Item , Examining Bystander Intervention during Sexual Assaults Experienced by Transgender Undergraduates(2023-01-01) Fulks, Elizabeth A.; Pittiglio, Laura; Cheezum, Rebecca; Kruse, Julie; Peitzmeier, SarahBystander intervention programs train college students to recognize sexual violence and to intervene when it occurs. However, little research has examined how often bystanders are present at assaults experienced by transgender undergraduates or how bystanders behave when there. Therefore, little is known about how plausible it is that bystander intervention programming could address the overwhelming incidence of sexual violence perpetrated against transgender students. Therefore, the purpose of this disseration is to determine how often bystanders are present during sexual assaults experienced by transgender students, describe what actions bystanders take, and determine if injury severity, presence of reproductive consequences, and number of psychological consequences vary based on bystander presence and bystander actions. Results from this dissertation demonstrate that the majority of assaults transgender students experienced occurred without a third party present (68.3%) and that bystanders were more likely to be present at a part and during assaults perpetrated by strangers as opposed to those that occurred outside of a social situation or those committed ty a current or former intimate partner. Assaults with attempted or completed penetration had significantly lower odds of having a bystander present compared to those with non-consensual contact. Additionally, results from the dissertation also indicate that when bystanders were present, the plurality of bystanders did not intervene (39%) and when they did, they engaged in helpful (21%) and harmful behavior (21.9%). However, active harmful behaviors by bystanders, such as joining the assault, were rare. Finally, bystander behavior had a significant impact on injury severity and psychological consequences. Further, there was a statistically significant increase in the number of psychological consequences experienced by victims when bystander engaged in harmful behavior as compared to when bystanders take no action. Helpful bystander behavior had no impact on psychological outcomes. Implications for research and programming are discussed throughout the dissertation