Tesis: "Attitudes and care"

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Haynes, Liana Iris y Liana Iris Haynes. "Palliative Care: Attitudes and Practices of Trauma Care Providers". Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624549.

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Background: Palliative care focuses on improving quality of life for patients and their families by providing relief from the stress, pain, and other symptoms of a serious disease or injury. Trauma care has a heavy focus on improving resuscitation efforts, which has left little room in the literature for studies on utilization of palliative care in this population. Objective: The purpose of this DNP project was to better understand the use of palliative care for trauma patients at a Level 1 trauma center in southern Arizona to inform a future quality improvement (QI) project. Project Design: A survey was completed to determine 1) how palliative care is utilized for trauma patients at this institution; 2) what barriers exist for the use of palliative care in this population; 3) what is the culture of the trauma team regarding palliative care; and 4) whether there are differences in palliative care use between physicians and advanced practice providers (APPs) on the trauma service. Participants and Setting: Eleven trauma APPs and attending physicians at a Level 1 trauma center in southern Arizona. Measurements: APPs and physicians were surveyed using a survey tool created by the author to answer the project questions. This survey assessed barriers to the use of palliative care, situations and patient characteristics prompting palliative consults, previous education in palliative care, comfort with difficult topics and symptoms, and suggestions for improving palliative care use at this facility. Results: As a team, there was agreement between APPs and attending physicians that lack of timely availability of palliative care staff was a barrier to initiating consults, in addition resistance from families regarding palliative care. Both groups were also likely to consult palliative care for assistance with transitions of care and when there is family conflict in decision making. Both groups felt that increased availability of palliative staff to cover nights and weekends, as well as provider education on palliative concepts would improve utilization of palliative care. Conclusion: Future QI projects should focus on provider-identified interventions to improve palliative care use, such as continuing education on palliative care and increased availability of palliative care staff.

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2

McCarthy, Marcia. "Nurses attitudes and nursing care plans /". Staten Island, N.Y. : [s.n.], 1991. http://library.wagner.edu/theses/nursing/1991/thesis_nur_1991_mccar_nurse.pdf.

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3

Garossino, Candance Jo. "Nurses' attitudes towards the care of the dying". Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29709.

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Terminally ill patients and their families describe hospital care as nonsupportive to their needs during the final phase of life. Nurses generally are not comfortable with a supportive role when caring for the dying and tend to adhere to a curative role. The purpose of this descriptive, correlational study therefore was to describe the attitudes of general staff nurses working on medical-surgical units in hospitals towards the care of the dying and to ascertain the relationship between these attitudes and the education and experience of the nurses. An adaptation of the model for role episode, conflict, and ambiguity by Kahn, Wolfe, Quinn, Snoek and Rosenthal (1964) was the applied theoretical framework. The sample consisted of 197 randomly selected registered nurses employed full or part-time on general adult medical-surgical hospital units in British Columbia. The majority of the sample were married, Protestant females, between the ages of 26 and 45 years who were prepared at the diploma level in nursing. The mean length of time worked as a nurse was 8.5 years with a mean of 7.5 years on medical-surgical units. Attitudes towards the care of the dying were generally ambiguous, neither negative nor positive as measured by scores obtained on the ‘Questionnaire for Understanding the Dying Person and His Family’. Additionally, half the respondents did not believe that nurses should be the primary health care professionals equipped to deal with the emotional reactions of the dying yet three-quarters of the sample believed that patients turned to nurses to discuss such emotional issues. Data revealed that close to two-thirds of the respondents had received structured death and dying content in their basic nursing education yet less than half furthered their death and dying education since graduation. Overall death education for the sample was low. A small positive correlation (r=-0.26) was found between respondents' death education and their attitudes towards the care of the dying; no significant association was found between respondents' level of general nursing education and their attitudes. Although there was variability in the amount of professional and personal death experience, over half of the respondents experienced between one and three terminally ill patient deaths on their medical-surgical units per month. Additionally, the majority of respondents had experienced the death of an immediate family member. Overall death experience was low to moderate. A small, but significant positive correlation (r=0.24) was found between overall death experience and attitudes' towards the care of the dying; no significant association was found between general experience and attitude. Findings suggest that supportive nursing care is not being demonstrated with dying patients and their families. However, the influencing natures of death education and death experience on nurses' attitudes are positive, thereby providing the nursing profession with two possible ways of positively influencing nurses' attitudes to the care of the dying.
Applied Science, Faculty of
Nursing, School of
Graduate

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4

Blanton, Sandra. "Justice in Health Care Access Measuring Attitudes of Health Care Professionals". TopSCHOLAR®, 2000. http://digitalcommons.wku.edu/theses/714.

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To measure attitudes toward justice in access to health care services in managed care plans in a convenience sample of medical professionals at Clark Memorial Hospital in Jeffersonville, Indiana. Methods. A sixteen item, self-administered instrument based on Morreim's four concepts of justice in health care access was administered to 147 health care professionals, representing physicians, allied health, and hospital administration. SPSS was used to analyze the results. Results. The attitudes of the respondents were negative toward managed care. They did not feel that managed care had been a positive development in the United States or that managed care had improved access to preventive care or improved primary care. On the survey instrument, respondents scored highest on the scale measuring fairness to individual patients. Conclusion. In a convenience sample of health care professionals at Clark Memorial Hospital in Jeffersonville, Indiana, equity in distributing access to health care among individual patient needs was found to more closely meet their expectations of justice in health care access. There were no differences found across occupational groups in their responses to the two scales. There were differences in attitudes toward managed care among occupational groups.

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5

Patterson, William Paul. "Self harm : experiences and attitudes to care". Thesis, University of Liverpool, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399214.

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Health care professional's relationships with those who self harm have been found to be failing, characterised by negative staff attitudes leading to a phenomenon termed 'terminal malignant alienation' prior to client suicide (Morgan, 1979). Greater understanding of attitude and care experience is vital to enhancing care process and its outcomes. A mixed method approach was required to examine both meanings given to care experience and attitudes of a large group of qualified nurses attending post qualification courses. The phenomenology of the care experience of six participants, carer, clients and their nurses is the focus of Study 1. Four essential themes (van Mannen 1990) were derived; Trying Hard Getting No where (Past relating) Time Strain and Apprehension, Incongruent Relating and Acceptant Engagement. A transition in ways of relating is emergent in these themes and sub themes which is marked by movement from nurse/carer focus on control of self harm and the repeated experience of strain apprehension, avoidance and disempowerment, to greater acceptance of client experience. Shared responsibility and more authentic relationships are accompanied by diminished belief that self harm is a direct reflection of carer effort and competence. Study 2 describes both the development of a thirty item Self Harm Antipathy Scale (SHAS) and six attitude dimensions derived using exploratory factor analysis and a survey of attitudes to self harm (n=153). Between groups analysis using the Mann-Whitney test showed that; previous study of self harm and contact with self harming clients was associated with more positive attitudes (p<.05) and general nurses held more negative attitudes than participants with mental health qualifications. Gender and years of experience and age were not found to be related to attitudes to self harm (p>.05). Qualitative content analysis of written responses in the questionnaire informed by Carper (1978), revealed three main themes describing attitudes and perspectives on care; 'Need for knowledge understanding and skill; 'Care Strain; reactions and feelings '; 'Therapeutic Approach and Treatability '. Analysis revealed tension and contrast between awareness of professional care values, perceived competence and personal feelings. Study 3 investigated the effect on attitude of a post qualification course on self harm. In a quasi-experimental design utilising an intervention and comparison group, participant's attitudes were measured immediately on course commencement and twice following course completion. Analysis using within groups Wilcoxon test on post course scores (n=65) revealed less antipathy in the intervention group; scores were significantly lower on both the SHAS scale and 4 attitudes dimensions derived from factor analysis (p<.05); Care Futility; Client Intent; Rights and Responsibilities; Needs Function. The intervention group demonstrated more belief in the value of care, less critical motivational attributions and more recognition of client responsibility and need. In a comparison group (N=22), (no teaching on self harm), no significant difference was found between pre and post test SHAS on 5 of the 6 attitude dimensions (p>.05). It was concluded that attitude, perceived competence can be positively influenced by the educational intervention and optimise the potential to restore caring and therapeutic qualities to alienated relationships. Clinical supervision is recommended as a resource for enhancing practice and a means of promoting learning for those who cannot access formal courses on self harm.

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6

Bloch, Elise M. "Occupational therapists' attitudes toward family-centered care". FIU Digital Commons, 2004. http://digitalcommons.fiu.edu/etd/2016.

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The purpose of this study was to examine pediatric occupational therapists attitudes towards family-centered care. Specific attributes identified by the literature (professional characteristics, educational experiences and organizational culture) were investigated to determine their influence on these attitudes. Study participants were 250 pediatric occupational therapists who were randomly selected from the American Occupational Therapy Association special interest sections. Participants received a mail packet with three instruments to complete and mail back within 2 weeks. The instruments were (a) the Professional Attitude Scale (b) the Professional Characteristics Questionnaire, and (c) the Family-Centered Program Rating Scale. There was a 50% return rate. Data analysis was conducted in SPSS using descriptive statistics, correlations and regression analysis. The analysis showed that pediatric occupational therapists working in various practice settings demonstrate favorable attitudes toward family-centered care as measured by the Professional Attitude Scale. There was no correlation between professional characteristics and educational experiences to therapists' attitudes. A moderate correlation (r=.368, p These study findings suggest that organizational culture has some influence on occupational therapists attitudes toward family-centered care (R2 =.16). These findings suggest educators should consider families as valuable resources when considering program planning in family-centered care at preservice and workplace settings.

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7

Baker, Norma G. L. "Health care restructuring in acute care settings : implications for registered nurses' attitudes /". St. John's, NF : [s.n.], 2002.

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8

Poole, Gail Frances. "Talking about tubes : attitudes of health care professionals". Thesis, [S.l.] : [s.n.], 1998. http://www.nlc-bnc.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.

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9

Poole, Gail Frances. "Talking about tubes, attitudes of health care professionals". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.

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10

Samuelsson, Mats. "Attempted suicide : studies of attitudes and psychiatric care /". Stockholm, 1997. http://www.kibic.ki.se/ki/diss/971031samu.html.

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11

King, Nigel. "Innovation in elderly care organizations : process and attitudes". Thesis, University of Sheffield, 1989. http://etheses.whiterose.ac.uk/1830/.

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The importance of innovation as an academic research field and for society in general is stated, and existing definitions of the concept discussed. A new definition is proposed emphasizing the social nature of innovation and distinguishing it from creativity and non-innovative change. The innovation research literature is reviewed in relation to the two main approaches: 'antecedent factors' and 'process'. Conclusions from these reviews, and from a preliminary study of experiences of innovation, guide the design of the main research program. Three field studies are described. The first, carried out in two Homes for the Elderly, examines the sequence of the innovation process, influences on it, and staff attitudes towards it. Data are collected through semi-structured interviews, incorporating verbally administered questionnaires. Findings regarding the effect of involvement in the innovation process upon attitudes towards innovations are followed up in the second study, again in two Homes for the Elderly. A longitudinal questionnaire design is used. The third study is in a psycho-geriatric ward, using a participant observation methodology to follow the development of innovations as they occur. An overview of all the findings is presented in the final discussion chapter. Three areas are highlighted. (1) Attitudes to innovation: the primary importance of involvement in change processes is emphasized. (2) Influences on the innovation process: differences in perceptions according to phase of the process, and between staff groups, are interpreted in terms of individual and group role in the process. Possibilities of attributional bias are also raised. (3) The development of the process: the problems in identifying discrete stages are discussed and variations in the process for different innovation types are described. Building on these findings, especially in the third area, a general model of the innovation process is proposed. Its implications for future research are outlined.

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12

Chiu, Y. M. "Nurses' attitudes towards computerization". Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972895.

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13

Rosant, Celeste. "Knowledge of and attitudes towards kangaroo mother care in the Eastern Subdistrict, Cape Town". Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7613_1277072386.

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Kangaroo mother care (KMC) was first initiated in Colombia due to shortages of incubators and the incidence of severe hospital infections of new-born infants during hospital stay (Feldman, 2004). Currently it is identified by UNICEF as a universally available and biologically sound method of care for all new-borns, particularly for low birth weight infants (Department of Reproductive Health and Research, 2003) in both developed and developing countries. The Western Cape Provincial Government implemented a policy on KMC as part of their strategy to decrease the morbidity and mortality of premature infants in 2003 (Kangaroo Mother Care Provincial task team, 2003). Essential components of KMC are: skin-to-skin contact for 24 hours per day (or as great a part of the day as possible), exclusive breastfeeding and support to the motherinfant dyad. Successful implementation of KMC requires relevant education of nurses, education of mothers on KMC by nursing staff, monitoring of the implementation of KMC by nurses, planning for a staff mix with varying levels of skill and experience with KMC, the identification of institution specific barriers to the implementation of KMC, and the implementation of institution specific strategies to overcome these barriers (Wallin,et al., 2005
Bergman &
Jurisco, 1994
Cattaneo, et al., 1998). This study aims to determine the knowledge of and attitude towards kangaroo mother care, of nursing staff and kangaroo mothers in the Eastern sub-district of Cape Town.

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14

Fortin, Chelsea. "Women's Attitudes and Knowledge of Infertility Treatments". Miami University Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1304603697.

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Rimkuvienė, Jūratė. "Attitudes towards infection control among dental health care professionals". Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110630_133927-98023.

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The oral flora is one of the most ecologically diverse microbial populiations known to man. It has been proved that any dental intervention: dental preparation, professional oral hygiene, extraction of teeth, regular prophylactic examination of patient‘s mouth is related with a possible spread of infection. Therefore, one of the most important tasks for the dental care professionals is to prevent the spread of infection and create safe environment for a patient, the dentist himself and other dental staff The aim of the present study is to identify and evaluate the attitudes of Lithuanian dental health care professionals towards infection control and carried out infection control procedures, and to determine vaccination frequency against hepatitis B among dental health care professionals. The study highlighteningt the dental health care professionals‘ attitude towards infection control and infection control procedures as well as incompliance of infection control procedures with the valid normative documentation was conducted at the Institute of Odontology, Faculty of Medicine, Vilnius University in 2008-2010. All 2,235 Lithuanian dentists, registered in the Lithuanian Dental Chamber Registry in 2008 and carrying general practice dentist‘s license, all 1,814 dental assistants and all 370 dental hygienists registered in 2010 (according to the database of the Lithuanian Dental Chamber Registry) were invited to take part in the investigation. The participants of the study survey... [to full text]
Burna yra viena labiausiai infekuotų žmogaus organizmo sričių. Įrodyta, kad bet kuri odontologinė intervencija – dantų preparavimas, profesionali burnos higiena, dantų šalinimas, įprastinė profilaktinė paciento burnos apžiūra – yra susijusi su galimu infekcijų plitimu. Todėl vienas iš svarbiausių odontologine praktika besiverčiančių asmenų uždavinių yra užkirsti kelią infekcijų plitimui ir sudaryti saugią aplinką pacientui, gydytojui odontologui ir kitam personalui. Darbo tikslas – nustatyti ir įvertinti Lietuvos odontologinės sveikatos priežiūros specialistų požiūrį į infekcijų kontrolę ir atliekamas infekcijų kontrolės procedūras, išsiaiškinti vakcinacijos nuo hepatito B apimtį tarp Lietuvos odontologinės sveikatos priežiūros specialistų. Odontologinės sveikatos priežiūros specialistų požiūrio į infekcijų kontrolę, atliekamas infekcijų kontrolės procedūras, infekcijų kontrolės procedūrų neatitikimus galiojantiems norminiams dokumentams tyrimas atliktas 2008 – 2010 metais Vilniaus universiteto Medicinos fakulteto Odontologijos institute. Tyrime buvo pakviesti dalyvauti visi 2235 Lietuvos gydytojai odontologai, 2008 metais registruoti Lietuvos odontologų rūmuose ir turintys bendros praktikos gydytojo odontologo licenciją ir visi 1814 gydytojų odontologų padėjėjai bei visi 370 burnos higienistai, registruoti 2010 metais (pagal Lietuvos odontologų rūmų duomenų bazę). Tyrimo dalyviams buvo išsiųsti anoniminiai klausimynai. Odontologinės sveikatos priežiūros specialistų požiūris... [toliau žr. visą tekstą]

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Lintern, Tracey Carol. "Quality in dementia care : evaluating staff attitudes and behaviour". Thesis, Bangor University, 2001. https://research.bangor.ac.uk/portal/en/theses/quality-in-dementia-care--evaluating-staff-attitudes-and-behaviour(7b098d81-8853-4d24-9e31-5638d348fb29).html.

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Research suggests that for many older people with dementia living in residential care, communication with staff often provides the most significant element of their day. It seems likely that the quality of the interactions provided by staff during their care of people with dementia will be an essential factor in affecting the person's quality of life. Research also suggests that the attitudes of nursing and care staff towards people with dementia is a central component in the quality of care they deliver, however, to date, there has been no empirically established evidence that staff attitudes have a direct effect on the quality of life of the people cared for. This study aims to examine the impact of staff attitudes on both the quality of care delivered and on the quality of life of residents and to examine whether there are any changes in any of these areas as a result of training and development interventions. The research includes a review of existing attitude measurements and the development of a new attitude scale for use with dementia care professionals, offering evidence for its reliability and validity. In order to evaluate quality of care, a new observational technique is developed, which draws on previous observational methodologies, with a focus on the behaviour of staff during their care of people with dementia. Results suggest that staff with more 'hopeful' attitudes about people with dementia are more likely to engage in social interactions and activities with residents and use more quality indicators (such as giving choice and information) during physical care tasks. The study also showed improvements in staff attitudes, the quality of care provided and in resident well-being following a number of training and development inputs. The implications of the results are discussed in relation to the limitations of the research.

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17

Zvonkovic, Jessica. "Development of the Attitudes Toward Integrated Health Care Scale". OpenSIUC, 2015. https://opensiuc.lib.siu.edu/theses/1663.

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This study created and tested a measure of the attitudes of health care providers toward integrated health care (IHC). Phase one of this scale development involved contacting experts in IHC to rate the quality of the items and provide qualitative feedback regarding content of the measure. The instrument was further revised based on this expert feedback. The final phase of instrument development was a field test of the measure with a larger, more representative sample of Physicians, Nurses, and Psychologists. Exploratory Factor Analysis (EFA) was used to determine the factor structure of the measure and to inform the final item composition of the measure. The Attitudes Toward Integrated Health Care scale (ATIHC) appears to be a reliable, valid, and potentially useful instrument for researchers and health care settings to use to assess professionals attitudes toward health care integration. It taps general positive and negative attitudes as well as ideas about characteristics that facilitate health care integration. Since there is now a base knowledge of health professional's attitudes toward IHC, work needs to be completed to better discern which items will differentiate between participants with positive and negative attitudes. Further, it will be essential to highlight items having the largest practical implications in health settings. In order to determine the most relevant questions to be included in the ATIHC and the corresponding most appropriate factor structure, further research should be completed with a larger and more representative sample of participants who posses a wider range of attitudes.

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McNeely, Sylvia Anne. "Stress and death attitudes in nurses". Thesis, University of Northampton, 1998. http://nectar.northampton.ac.uk/2697/.

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Both qualitative and quantitative methods are used to investigate stress and death attitudes in nurses from three clinical areas (palliative, psychiatric and general nursing). The work investigates: the experience of stress (reported sources and levels, coping strategies); fear of death (based on Howells et al, 1986, with nurses’ reported fears compared with those reported by a general population sample); coping with death and caring for dying patients (nurses’ perceived ability to cope and elements of the experience of patient death which contribute to stress); and perceived effects of working with the dying. Results show differences on fear of death across nursing groups and between nurses and the general population sample suggesting that nursing work does affect levels of fear of death in some respects. Patient death ranks seventh on a list of 24 sources of stress and appears to be perceived by nurses as a unique stressor. Nurses report a range of coping strategies, most important of which is the use of social support, but often regard their coping strategies as less than effective. Evidence indicates that many nurses perceive their training to have been inadequate to deal with some aspects of caring for the dying and general nurses report less confidence in their ability to cope with death and dying issues than the other groups. Qualitative accounts emphasise nurses’ aims to provide ‘good death’ for their patients and suggest that failure in that aim increases the nurses’ stress and that working with the dying can have a major impact on nurses’ lives and relationships with others. It is concluded that some difficult aspects of the experience may not be amenable to change, making adequate and effective coping strategies an important goal for nurses engaged in this work and suggesting implications for training and organisational provision of social support

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19

Mik, Danielle. "Personality characteristics, attitudes about parental care and pervasive/sexual attitudes in child and adult sex offenders /". Title page, contents and abstract only, 1990. http://web4.library.adelaide.edu.au/theses/09SPS/09spsm636.pdf.

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20

Gravely, Marie R. "West Virginia registered dietitians knowledge and attitudes of diabetes care". Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=157.

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21

Marks, Steven Adam. "Nurses' attitudes toward computer use for point-of-care charting". CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/2006.

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22

Thakker-Desai, Bayjool. "Health attitudes and personal health-care decisions in Bombay, India". Thesis, London School of Economics and Political Science (University of London), 1992. http://etheses.lse.ac.uk/2821/.

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Utilisation of medical sources other than the modern Western medicine (Allopathy) is characteristic of most societies. Health-care utilisation studies, in medically pluralistic societies, fall short of providing adequate explanation of how and why different medical sources are used. The present thesis is an attempt to delineate the social psychology of the health-care utilisation behaviour of people in Bombay by concentrating on the interplay between the individual, the social environment and the culture. It, therefore, benefits from disciplines both within and outside mainstream psychology like societal psychology, sociology, anthropology and medicine. The study addresses a twofold question: how are treatment related decisions made and what are their determinants. To answer these questions, an understanding of variables pertaining to the person as well as a consideration of the societal context is necessary. Following a quantitative pilot study, the research involved retrospective data collected with the help of a partially structured questionnaire using a quota sample of 480 Gujarati-speaking adults. The quotas were set for sex, income and illness types. The survey instrument elicited information on predisposing (demographic, social structural, belief and social), enabling (family resources and prior access) and illness (type and manifestation) variables as well as the process of seeking care. The results, highlight that health-care utilisation behaviour in a medically pluralistic setting is not a singular act but a continuously evolving decision-making process wherein sources are used differentially. Typically, the treatment-seeking process began with the use of non-formal sources, followed by an entry into the professional sector, invariably through an Allopathic family doctor. Subsequently, the individuals either revert back to non-formal sources, continue to remain within Allopathy or exhibit an irreversible shift to non-Allopathic formal sources. Accordingly, there exists a need to redefine health-care utilisation behaviour in terms of sequential patterns of usage. These patterns, are determined by individually based variables belonging to all three categories as mentioned above. However, in contrast to certain trends, the effect of demographic, social structural and income variable was very small. Between 18-42% of the respondents within each illness cluster, used two or more formal medical systems. Compared to their counterparts who used only one formal system, the multiple users were more likely to suffer from chronic illnesses, rely on lay advice, prefer non-Allopathic systems and already have an access to non-Allopathic sources of care.

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23

Rodrigues, S. D. S. "Management of cancer pain : knowledge and attitudes of healthcare professionals". Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/11627.

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Includes bibliographical references.
The control of pain is an important aspect of patient care for physicians who deal with cancer and has significant impact on the quality of life of patients. With appropriate care, pain can be controlled in 90% of patients who have advanced malignant conditions.

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Chiu, Y. M. y 招以文. "Nurses' attitudes towards computerization". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972895.

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25

Miller, Amie Jacqueline. "Hospice Nurses- Attitudes and Knowledge about Pain Management". Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4165.

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It has been well established that many people will suffer with pain at the end of life, and untreated pain contributes to reduced quality of life. Many barriers contribute to this issue including a lack of knowledge in nurses who care for dying patients. Many nurses in general practice settings do not possess adequate knowledge about basic pain management principles; and the same may be true about hospice nurses despite the assumption that hospice nurses are more adept at pain management. Contributing to this problem may be the attitudes that nurses, including hospice nurses, have regarding pain and its management. This study sought to identify the knowledge levels of hospice nurses. Because attitudes may affect the delivery of effective pain management, the study also sought to determine attitudes of hospice nurses regarding pain and its management. Thirty-five hospice nurses completed two instruments: The Pain Management Principles Assessment Test measured levels of knowledge and the Nurses Pain Management Attitude Survey determined attitudes. Data was analyzed using means, standard deviations, frequencies and percentages. A correlation between knowledge level and attitude was also calculated, along with a correlation between knowledge level and certification status. The overall mean knowledge score for the nurses studied was 21.74 (72.3%), which falls below accepted standards. The mean attitude score found was 82.34, which demonstrates only slightly positive attitudes. These findings support the idea that knowledge and attitude are not synonymous and that a nurse may have a positive attitude about the management of pain, without sufficient knowledge to effectively alleviate pain. It is often said that hospice nursing is a calling, and these are the nurses who are at the forefront of pain management. This study demonstrates that slightly more positive attitudes may indicate that this group of nurses is motivated to gain a better knowledge base. This should motivate hospices and other education institutions to incorporate more specific instruction regarding pain management into their curricula. Despite some common misconceptions pain does not have to be an unavoidable part of life, and with a better knowledge base hospice nurses could more effectively deliver compassionate, expert care.

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Brown, Janet L. "Attitudes and knowledge about learning disabled students in health care faculties". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0015/MQ58016.pdf.

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27

Allan, Catherine Louise 1958. "MATERNAL ATTITUDES ABOUT PROVIDING BREAST MILK FOR THE INTENSIVE CARE INFANT". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276377.

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Kaser, Scott. "Patient Attitudes Regarding Medical Student Involvement in a Primary Care Setting". Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/281752.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Previous studies on patient comfort with medical student involvement have consistently reported positive or neutral results within multiple specialties. The objective of this study was to examine patient attitudes toward medical students in a private family practice setting. This study also looked to examine whether recent medical student interaction alters patient attitude and if patient attitude can be improved with the prospect of providing feedback. It was hypothesized that there would be a positive pre-to-post test change in patient attitudes and that patients would respond positively to the prospect of providing feedback. Ninety-nine consecutive consenting adult patients completed a self-administered questionnaire before and after their office visit, which included a medical student interaction. Patient demographics (age, gender, race, prior student exposure, # years with doctor) as well as their attitudes toward the involvement of medical students were recorded. Data were collected for 10 months at Renaissance Medical Group, a private family practice with one physician provider. Data were compiled in Excel and analyzed with STATA12. Paired two-tailed T-tests and ANOVA were used to determine statistical significance. The results demonstrated that, prior to medical student interaction on 8 of 9 measures, patients have positive attitudes toward medical students. After medical student interaction, on 7 of 9 measures, respondents changed their response to a more positive position (P<=0.05). In addition, patients demonstrated a willingness to provide feedback to the medical student, but providing this feedback would not significantly alter their patient care experience. There were also statistically significant demographic differences on specific measures. This study provides evidence that patients respond positively to medical student interaction in the private Family Medicine setting. This study also demonstrates areas in which the patient care experience can be improved and provides the basis for further study on the patient - medical student interaction.

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Frensborg, Camilla y Sophia Obitz. "Care of obese patients in Costa Rica : Nurses’ attitudes and experiences". Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-344.

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Obesity is a serious growing public health issue in the world, and it is increasing rapidly in Latin America. Obese people are an exposed group of patients that are stigmatized for various reasons. Negative attitudes and stigma against obese patients among healthcare personnel and within the healthcare environment can affect their care negatively. This study aims to see if nurses in Costa Rica view and experience the healthcare environment as a stigmatizing place for obese patients and if they experienced any negative attitudes that may affect the care of obese patients. The aim is to examine nurses attitudes and experiences with obese patients in the healthcare environment in Costa Rica. Semi-structured interviews were conducted with seven registered nurses (RN). The semi-structured interview guide contained 11 questions in four different areas based on a survey about healthcare professionals attitudes about obesity (Attitudes Toward Obese People). The registered nurses perceived obesity as a disease with uncontrollable causes as genetics and socioeconomic factors but also with self-inflicted factors as excessive eating of junk food and sedentary lifestyles. The lack of resources and time in the healthcare environment in general were major factors for the stigmatizing attitudes. Exhausted nurses could be more vulnerable for making mistakes and present bad attitudes. Despite the reported experiences of stigmatizing and negative attitudes in the healthcare environment none of the nurses felt that they had contributed to such attitudes. No particular differences between female and male attitudes were found through the interviews, but the female nurses pointed out that it is more difficult for a female to be obese in this superficial society.

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30

Morgan, Natalie D. G. "The impact of health care reforms on community health nurses' attitudes /". St. John's, NF : [s.n.], 2002.

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31

Curtis, Drew A., Han-Hung Huang y Kendra L. Nicks. "Patient Deception in Health Care: Physical Therapy Education, Beliefs, and Attitudes". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/ijhse/vol5/iss1/4.

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A good professional-patient relationship is important to clinical practice, which may be compromised by deception. Deception research in physical therapy is scant. The current study investigated how the topic of patient deception is addressed in Doctor of Physical Therapy (DPT) educational curriculum, explore DPT students’ beliefs about deception and attitudes toward patient deception, and examine the effects of a pedagogical intervention on DPT students’ beliefs about deception and attitudes toward patient deception. The first objective was pursued by a descriptive survey sent to 217 DPT programs in the US. The second and third objectives were achieved by one-group pretest-posttest design provided to 17 DPT students before and after an educational workshop. Most DPT programs minimally include the topic of patient deception within their curriculum. DPT students held several inaccurate beliefs about the indicators of deception and negative attitudes toward patients who lied. After the educational intervention, students’ inaccurate beliefs were corrected and negative attitudes were reduced. Patient deception seems to be an under-addressed topic in current physical therapy education. An education workshop improved students’ beliefs about deception and attitudes toward to patient deception. Implications of deception research and theory in the applied practice of physical therapy are discussed.

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32

Harrison, Pearl A. "Knowledge and Attitudes of Emergency Room Nurses Regarding Palliative Care Patients". Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10931506.

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Abstract Palliative care (PC) is the comprehensive management of patients diagnosed with terminal illness. Care for PC patients focuses on relieving symptoms. The purpose of this study was to determine the difference between pretest and posttest scores on the Frommelt Attitude towards the Care of the Dying (FATCOD) and the Palliative Care Quiz for Nurses (PCQN) after an educational intervention to emergency department (ED) nurses. The framework for this project was Bandura?s social cognitive theory. The FATCOD was used to assess ED nurses? attitudes toward PC, and the PCQN was used to assess ED nurses? knowledge about PC prior to the educational program. The educational intervention was developed using evidence obtained from the literature review and guided by the PCQN. The program presented to the ED nurses covered the essentials of palliative care and the information and skills needed by the ED nurse caring for the PC patient. The FATCOD and the PCQN were then administered as a posttest. A total of 70 nurses from two ED units volunteered to take part in the project. Results of the PCQN pre- and posttest showed a significant difference (p < .05), and the FATCOD pre- and posttest showed no significant difference (p = .849). The results revealed that education significantly improved knowledge of PC for the ED nurses participating in the project. Attitudes about PC were not significantly changed after the education program. The project promotes positive social change by raising awareness of the need for PC educational opportunities for ED nurses. By improving PC in the ED, patients and their families may experience increased satisfaction with end-of-life care and improved quality of life.

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33

Perry, Rachel Elizabeth. "Complementary and alternative medicine in primary care : practice, attitudes and effectiveness". Thesis, University of Bristol, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.752755.

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34

Harrison, Pearl Alethea. "Knowledge and Attitudes of Emergency Room Nurses Regarding Palliative Care Patients". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5716.

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Palliative care (PC) is the comprehensive management of patients diagnosed with terminal illness. Care for PC patients focuses on relieving symptoms. The purpose of this study was to determine the difference between pretest and posttest scores on the Frommelt Attitude towards the Care of the Dying (FATCOD) and the Palliative Care Quiz for Nurses (PCQN) after an educational intervention to emergency department (ED) nurses. The framework for this project was Bandura's social cognitive theory. The FATCOD was used to assess ED nurses' attitudes toward PC, and the PCQN was used to assess ED nurses' knowledge about PC prior to the educational program. The educational intervention was developed using evidence obtained from the literature review and guided by the PCQN. The program presented to the ED nurses covered the essentials of palliative care and the information and skills needed by the ED nurse caring for the PC patient. The FATCOD and the PCQN were then administered as a posttest. A total of 70 nurses from two ED units volunteered to take part in the project. Results of the PCQN pre- and posttest showed a significant difference (p < .05), and the FATCOD pre- and posttest showed no significant difference (p = .849). The results revealed that education significantly improved knowledge of PC for the ED nurses participating in the project. Attitudes about PC were not significantly changed after the education program. The project promotes positive social change by raising awareness of the need for PC educational opportunities for ED nurses. By improving PC in the ED, patients and their families may experience increased satisfaction with end-of-life care and improved quality of life.

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35

Collins, Lynette Collins. "Knowledge, Attitudes, and Beliefs About Preconception Care Among American Adolescent Females". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2349.

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Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females' knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited through criterion sampling and they each engaged in 2 individual in-depth interviews. The health belief model, social cognitive theory, and adolescent affective and cognitive theory were the conceptual frameworks used to develop the interview guide, conduct the interviews, analyze the data, and formulate the recommendations for future studies. Moustakas's phenomenological interview process was used as a guiding framework to prepare and conduct the interviews. Qualitative data were analyzed using Moustakas's modified version of the Stevick-Colaizzi-Keen method of analysis. Findings were that participants (a) had no experiences with PCC or RLP, (b) lacked knowledge about preparing for pregnancy, (c) had negative interactions with medical personnel, and (d) wanted more information about PCC and RLP. Further research is recommended to examine current PCC/RLP practices, conduct additional PCC studies of adolescents, and develop culturally- and age-appropriate PCC programs. Findings from these studies could improve both the lives of the adolescents and the health of their offspring.

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36

Makadia, Nirav, Amit Shah y Ankur Shah. "The Knowledge, Attitudes, and Beliefs Regarding Geriatric Care among Student Pharmacists". The University of Arizona, 2012. http://hdl.handle.net/10150/623655.

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Class of 2012 Abstract
Specific Aims: The purpose of this study was to assess the attitudes, beliefs and knowledge of pharmacy students regarding geriatric care. Methods: A questionnaire was administered to first, second and third year pharmacy students to assess the impact of geriatric curriculum on students at the University of Arizona College of Pharmacy. The primary grouping variable was whether or not students had previously taken a course focused on geriatrics. Main Results: A total of 193 pharmacy students completed the questionnaire which resulted in a response rate of 64.33%. There is no comparison group for the first year class as all students in this class had never taken a geriatric-focused course. Therefore, no tests for statistical significance could be performed for this class. Students in the second year class who have taken a geriatrics-focused course scored higher than those without course experience on all four of the attitude and beliefs questions (p = 0.104, p = 0.042, p = 0.045, p = 0.025). The same held true for the third year class (p = 0.006, p <0.001, p = 0.050, p = 0.653). Both classes showed a statistically significant increase in knowledge of geriatric care in those students who have previously taken a geriatrics-focused course (p = 0.032 for second years, p = 0.022 for third years). Conclusions: This study showed that pharmacy students at the University of Arizona College of Pharmacy who have previously taken a geriatrics- focused course have more positive attitudes and beliefs regarding geriatric care as well as a stronger knowledge base regarding geriatrics. With an aging population, it is important that pharmacists be knowledgeable and capable of caring for geriatric patients. Thus, we recommend that all pharmacy schools include a geriatrics-focused course as part of the standard curriculum for Pharm D. candidates.

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37

Makadia, Nirav, Amit Shah, Ankur Shah y Jeannie Lee. "The Knowledge, Attitudes, and Beliefs Regarding Geriatric Care among Student Pharmacists". The University of Arizona, 2012. http://hdl.handle.net/10150/614508.

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Class of 2012 Abstract
Specific Aims: The purpose of this study was to assess the attitudes, beliefs and knowledge of pharmacy students regarding geriatric care. Methods: A questionnaire was administered to first, second and third year pharmacy students to assess the impact of geriatric curriculum on students at the University of Arizona College of Pharmacy. The primary grouping variable was whether or not students had previously taken a course focused on geriatrics. Main Results: A total of 193 pharmacy students completed the questionnaire which resulted in a response rate of 64.33%. There is no comparison group for the first year class as all students in this class had never taken a geriatric-focused course. Therefore, no tests for statistical significance could be performed for this class. Students in the second year class who have taken a geriatrics-focused course scored higher than those without course experience on all four of the attitude and beliefs questions (p = 0.104, p = 0.042, p = 0.045, p = 0.025). The same held true for the third year class (p = 0.006, p <0.001, p = 0.050, p = 0.653). Both classes showed a statistically significant increase in knowledge of geriatric care in those students who have previously taken a geriatrics-focused course (p = 0.032 for second years, p = 0.022 for third years). Conclusions: This study showed that pharmacy students at the University of Arizona College of Pharmacy who have previously taken a geriatrics-focused course have more positive attitudes and beliefs regarding geriatric care as well as a stronger knowledge base regarding geriatrics. With an aging population, it is important that pharmacists be knowledgeable and capable of caring for geriatric patients. Thus, we recommend that all pharmacy schools include a geriatrics-focused course as part of the standard curriculum for Pharm D. candidates.

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38

Collins, Lynette A. "Knowledge, Attitudes, and Beliefs About Preconception Care Among American Adolescent Females". Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10112027.

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Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females’ knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited through criterion sampling and they each engaged in 2 individual in-depth interviews. The health belief model, social cognitive theory, and adolescent affective and cognitive theory were the conceptual frameworks used to develop the interview guide, conduct the interviews, analyze the data, and formulate the recommendations for future studies. Moustakas’s phenomenological interview process was used as a guiding framework to prepare and conduct the interviews. Qualitative data were analyzed using Moustakas’s modified version of the Stevick-Colaizzi-Keen method of analysis. Findings were that participants (a) had no experiences with PCC or RLP, (b) lacked knowledge about preparing for pregnancy, (c) had negative interactions with medical personnel, and (d) wanted more information about PCC and RLP. Further research is recommended to examine current PCC/RLP practices, conduct additional PCC studies of adolescents, and develop culturally- and age-appropriate PCC programs. Findings from these studies could improve both the lives of the adolescents and the health of their offspring.

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39

Foster, Norma. "Nurses' perspectives of parental participation in the care of preterm infants in a special care nursery". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/29712.

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Nurses in neonatal special care nurseries with a philosophy of family centered care involve parents in the care of preterm infants. There is little research describing nurses' perspectives of parental participation in care. Using interview data obtained from one secondary level neonatal special care nursery, this study attempts to understand the meaning parental participation in care has for neonatal nurses and the way that meaning is expressed in various nursing activities. Twelve nurses were interviewed about their reaction to parental participation in various activities such as feeding and bathing their babies. These nurses are all full time staff members in the nursery. Findings of the research are that there are two main nursing perspectives of parental participation in the care of preterm infants in a special care nursery. These two perspectives are labelled the 'our baby' and 'their baby' perspective. The 'our baby' group of subjects maintain a traditional role of control of care. The 'their baby' group are committed to the philosophy of family centered care within certain boundaries. An example of the difference., in the two perspectives was discovered in the area of infant feeding. The 'our baby' nurses thought that parents engaged in this activity increased the workload while the 'their baby' nurses thought that parents decreased workload. The 'our baby' nurses treated most parents in a similar way but the 'their baby' nurses individualized their approach to parents. The 'their baby' nurses' enjoyed spending time with parents but the other group said that there were less parents to deal with when they were working at night. Both groups work side by side with little conflict. Implications for the selection and training of nurses are noted as well as implications for further research.
Education, Faculty of
Curriculum and Pedagogy (EDCP), Department of
Graduate

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40

Woods, Bernadette M. "Assessment of staff attitudes to patient safety". View thesis, 2004. http://handle.uws.edu.au:8081/1959.7/46693.

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Thesis (M.N. (Hons))--University of Western Sydney, 2004.
A thesis presented to the University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health, in fulfilment of the requirements for the degree of Masters of Nursing (Honours). Includes bibliographical references and appendices.

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41

Dorgan, Kelly A. "Taking Care". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1225.

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Excerpt: It’s July 26, 2010, late. I’ve sunk onto the edge of the bed in my childhood home. The bedroom reminds me of one of those cozy, pretty Valentine’s Day shoeboxes I made back in elementary school: small, pink, white, flowery.

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42

Lindgärde, Maria y Andrej Mionic. "Brand Equity within Skin Care : A Qualitative Study of Consumer Attitudes and Preferences towards Green Skin Care Brands". Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-415150.

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The green trend has exploded on the skin care market, as it is the fastest growing sector in the world market compared to other green cosmetic products. However, previous literature has primarily focused on cosmetics rather than skin care, which is why this study uses an exploratory and qualitative approach to study the attitudes Swedish consumers have towards skin care brands. The study aims to test the applicability of Keller’s (2001) Customer-Based Brand Equity (CBBE) model pyramid in a growing brand segment, to understand which aspects of green skin care brands consumers find to be important. Furthermore, this study provides managerial implications to help brands develop marketing strategies on how to strengthen the consumer-brand relationship. The findings indicate that there are opportunities for green skin care brands to increase their brand equity with the help of Keller’s brand building blocks. However, the findings suggest that green skin care brands need to focus on strengthening how consumers perceive the price and performance of green skin care products in order to establish a strong brand. Ultimately, the study presents a revised CBBE model that highlights the established subdimensions of green skin care brands and those that are in need of improvement.

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43

Chu-Peterson, Angel L. y Angel L. Chu-Peterson. "Identifying Acute Care Nurses Practitioners' Knowledge, Attitudes, Behaviors and Practice on Current Thyroid Dysfunction Management in Acute Care". Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621719.

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ABSTRACT Thyroid disease is one of the most common endocrine disorders in clinical practice. Critical illness is often associated with alterations in thyroid hormone functions. Thyroid dysfunction is a serious matter if managed inaccurately; it may increase morbidity and mortality. The purpose of this Doctor of Nursing Practice project is to identify the knowledge, attitudes, behaviors and practice of advanced practice nurses (acute care nurse practitioners (ACNP) and adult gerontology acute care nurse practitioners (AGACNP)) on current thyroid dysfunction management in the acute care setting. The DNP project demonstrated that most acute care nurse practitioners believe that TD screening, diagnosis and management is important in the acute care setting. The survey results also indicated that most of the AGACNP/ACNPs would initiate treatment while managing patient in an acute care setting and will likely collaborate with endocrinology for overall management or follow ups to ensure quality and comprehensive care in management of TD. Keywords: thyroid disease, thyroid dysfunction, identify, knowledge, attitudes, behaviors, acute care

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44

Mullins, Tanya Lilliane Kowalczyk. "HIV Testing Attitudes and Preferences Among Urban Adolescents". University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1211488756.

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45

Little, Tracy A. "Prospective attitudes toward the use of hospice care in a university population". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0013/MQ52600.pdf.

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46

COONS, STEPHEN JOEL. "THE EFFECT OF SELF-CARE INFORMATION ON HEALTH-RELATED ATTITUDES AND BELIEFS". Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183944.

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Health-case costs in the United States have been rising at an alarming pace. Therefore, a great deal of emphasis has been placed on finding more cost-effective methods of providing care and maintaining health. An area that warrants investigation is the potential for reducing inappropriate utilization of medical-care resources for relatively minor self-limiting problems. One method of accomplishing this is to provide the proper encouragement, skills, and resources to enable individuals to appropriately involve themselves in self-care activities. A study was conducted to determine if an intervention involving self-care information would change participants' beliefs and attitudes concerning responsibility and involvement in their own health care. Students entering the Student Health Service at the University of Arizona during the study period were randomly assigned to the treatment group or control group. Members of the treatment group received the intervention and were asked to complete a survey instrument. Members of the control group were asked to complete the survey instrument only. The survey instrument consisted of a measurement of attitudes toward information and behavioral involvement in health care (i.e., Krantz Health Opinion Survey) and a measure of beliefs regarding one's ability to exert control over their health (i.e., Multidimensional Health Locus of Control). Also on the instrument was a measure of the individual's behavioral intentions regarding projected use of medical-care practitioners. Results of the study indicated that the intervention was able to change the treatment group's attitudes regarding a greater preference for more active involvement in their health care. Also subsequent to the intervention, the treatment group's responses reflected less of a belief that health was outside of their control. No difference was found between the treatment and control group in regard to behavioral intentions. These results demonstrate that a positive change in health-related beliefs and attitudes can come about as a result of a relatively uncomplicated and inexpensive intervention.

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47

Dykstra, Aaron James. "Nutritional Prevention Of Colorectal Cancer: Attitudes And Practices Of Primary Care Providers". Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/332768.

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Colorectal cancer (CRC) is a leading cause of cancer-related deaths around the world. The identification and description of many modifiable and non-modifiable risk factors to CRC has spurred the development of prevention and early detection protocols and recommendations to help reduce CRC incidence and mortality. Measures to manage CRC include diagnostic screenings and lifestyle changes. As rates of screening increase, prevention counseling rates among primary care providers (PCPs) remain low. Barriers to nutrition prevention reported by PCPs are inconsistent across the literature which has led to confusion about the reason for poor nutrition prevention efforts among PCPs. This practice inquiry (PI) addressed the identified practice gap using the Plan-Do-Study-Act (PDSA) quality improvement (QI) model. In the "Plan" phase (Chapter 2), a systematic review of the research literature determined existing nutrition recommendations for CRCs and barriers to implementation by PCPs. Development of several nutrition recommendations for fiber, vitamin D, alcohol, red and processed meats intakes, and dietary patterns were outlined for PCP use in practice. Barriers to nutrition prevention implementation were identified as time, reimbursement, knowledge, and health literacy. To augment findings from the literature, a provider survey was completed (Chapters 3-4). Barriers identified by the participants (n=47) include lack of time, education materials, nutrition knowledge, low health literacy, and lack of patient interest. These findings indicate that several changes are needed to improve the use of CRC prevention guidelines, including additional education and education materials, changes in office policy and additional research to create and analyze the interventions recommended to improve existing nutrition prevention counseling for CRC.

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48

Cheatham, Carla Ann. "Predictors of Protestant clergy's attitudes toward pastoral care regarding issues of homosexuality". [College Station, Tex. : Texas A&M University, 2006. http://hdl.handle.net/1969.1/ETD-TAMU-1129.

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Lynn, Nancy Bridger. "Correlates of attitudes toward behavioral health services among older primary care patients". [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002881.

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50

Leverich, Cynthia S. "Mid-level Dental Care Provider: Awareness and Attitudes of Ohio’s Dental Hygienists". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etd/3148.

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The purpose of this study was to determine the awareness and attitudes of dental hygienists in Ohio regarding the Advanced Dental Hygiene Practitioner (ADHP) as an occupation proposed by the American Dental Hygienists’ Association and to determine whether the ADHP could be a viable career option for Ohio dental hygienists. I developed a survey to assess dental hygienists’ awareness, attitudes, and their views regarding the new mid-level dental provider. The study was limited to licensed dental hygienists in Ohio. The study included a simple random sample of 400 of the 4100 dental hygienists in Ohio obtained by a systematic approach, a random start and selection of subjects at a constant interval. The method of data collection was electronic surveys. Fifty-four dental hygienists (13% of the sample) participated in the study. The results show that most of those responding were aware of the ADHP. Also, their attitude regarding the new mid-level dental provider was positive. Attitudes varied more when the respondents provided data on the adoption of legislation for the new provider. There was no consensus among respondents regarding the ADHP as a viable career option. More robust research is needed on the viability of the ADHP in Ohio.

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