http://idea.library.drexel.edu/handle/1860/1749 http://idea.library.drexel.edu/retrieve/8355 http://idea.library.drexel.edu/handle/1860/1749 Search the Channel search http://idea.library.drexel.edu/simple-search http://idea.library.drexel.edu/handle/1860/2737 Title: Exploring depression among a cohort of African American women <br/> <br/>Authors: Waite, Roberta; Killian, Priscilla <br/> <br/>Abstract: BACKGROUND: Depression is a chronic and disabling illness that occurs more often in women than men and commonly goes undetected and/or undertreated in African American women. Understanding sociocultural factors that may influence detection of depression is important for early intervention and treatment. OBJECTIVE: To improve understanding of how African American women articulate and conceptualize depression as well as how they manage depression in their daily life. This information can assist in detecting depression, which is requisite to accessing treatment. STUDY DESIGN: In accordance with this study's exploratory descriptive design, 36 African American women diagnosed with depression by a licensed mental health provider within the past year participated in five focus groups. RESULTS: Main themes included enduring the experience, revealing distress, and coping. CONCLUSION: Women's accounts of how they shaped their views and words used to communicate their depression were influenced by social and cultural experiences, values, and their knowledge about depression. http://idea.library.drexel.edu/handle/1860/2734 Title: Preliminary tests of an ecological model of Hispanic farmworker health <br/> <br/>Authors: Ward, Louise Sherrod <br/> <br/>Abstract: Objective: The purpose of this study was to propose and test an ecological model to structure research and practice concerning farmworker health in the United States. The research question was, “What is the relationship of selected social, cultural, and economic indicators to the health of adult Hispanic migrant farmworkers?” Design: A model of biogenetic, social, cultural, economic, individual response, and access factors affecting health was derived from the literature and nursing practice. Data from the 1998 National Agricultural Workers Survey (NAWS), conducted by the U.S. Department of Labor, was used in a secondary analysis to perform preliminary tests of the relationships proposed in the model. Sample: The NAWS conducts interviews with a nationally representative sample of farmworkers employed in the U.S. Because of the importance of theorized cultural factors, the sample for this study was limited to farmworkers who identified themselves as Hispanic, resulting in 1,864 subjects. Measurements: Variables were used directly from the data or constructed from the available data, and proposed relationships were tested statistically. Results: Analysis of the data supported the relationships proposed in the model. Conclusions: The proposed model is a useful tool for organizing variables and giving direction to farmworker health research. Suggestions for future research are made. http://idea.library.drexel.edu/handle/1860/2678 Title: Review of prior learning assessment options for adult continuing education degree programs <br/> <br/>Authors: Gambescia, Stephen F.; Dagavarian, D. http://idea.library.drexel.edu/handle/1860/2669 Title: Enlightenment thinking could bring health care for all americans <br/> <br/>Authors: Gambescia, Stephen F. <br/> <br/>Abstract: Many health care groups are giddy about the prospect of real national health care reform, following the Democratic takeover of both Congressional chambers in January 2007. Taking this cue, the several presidential campaigns give priority to health care reform and are, therefore, slowly divulging their plans. Recalling President and Mrs. Clinton’s efforts of fifteen years ago, presidential hopefuls of today perceive this as an opportunity to advance a Democratic “core value”: universal health care. President Bush and some Republican Congressional members understandably have their own ideas regarding how to slow the increase in costs of health care, to insure more people, and (generally) to assist the system to “heal thyself.” Getting health care reform onto a “national agenda” is a vital first step to improving the health care of all Americans, but keeping it there and making significant change is of far greater import. Thus, if the latest national health care reform movement follows the perfunctory political stream, the result will be yet another set of incremental policy changes that add more complexity, but these changes will provide little improvement to a system very much in distress. We must get serious about true health care reform. http://idea.library.drexel.edu/handle/1860/2635 Title: Review of "Essentials of Nursing Informatics, 4th Edition" <br/> <br/>Authors: Bloch, Joan Rosen <br/> <br/>Description: Book review. http://idea.library.drexel.edu/handle/1860/2624 Title: The psychiatric educational experiences of advance beginner RNs. <br/> <br/>Authors: Waite, Roberta L <br/> <br/>Abstract: The nursing profession is in an extraordinary position to improve educational experiences of prospective nurses, particularly within psychiatric nursing. To acquire an enhanced understanding of the nurse's instructive learning process and skills regarding psychiatric nursing, this study described and explored the experiences of advance beginner nurses employed in mental health facilities. It also denoted the registered nurses' (RNs) educational preparedness to function in their new professional role. Reflection of the nurse's personal experiences was acquired by using a qualitative study with a phenomenological approach. Colaizzi's Frame work [Colaizzi, P., 1978. Psychological research as the phenomenologist views it. In: Valle, R., King, M. (Eds.), Existential Phenomenological Alternative for Psychology. Oxford University Press, NY, pp. 48-71] guided the mode of data analysis by enlisting 15 advance beginner nurses to participate in in-depth, audio-taped interviews. Results from this study indicated a need for educational improvements to accurately reflect trends of psychiatric patient care in order to emphasize interpersonal relationships as well as multi-diagnosis and co-morbidity. Additionally, increased contact with diverse patient populations and responsibilities congruent with other clinical placements in managing the patient's overall care were noted to be critical This study suggests that some nursing educational programs can improve their curriculum, methods of teaching and approach used to introduce students to psychiatric mental health nursing. http://idea.library.drexel.edu/handle/1860/2622 Title: Current administrative structures used for online degree program offerings in higher education <br/> <br/>Authors: Paolucci, Rocco; Gambescia, Stephen F. <br/> <br/>Abstract: Online distance learning or distributed learning (i.e., learning via the Internet and the World Wide Web) can be regarded as one of the fastest mainstreamed instructional delivery systems and technologies introduced in higher education. Naturally with such a fast introduction of a radically new instructional innovation, major stakeholders were quick to assess distance learning via the Internet for its quality, academic standards, affect on accreditation, institutional strategic opportunities, pedagogical potential, and market value potential. I t is evident that colleges and universities see online distance learning as part of their strategic plans and initiatives. Therefore, more attention should be given to how best to structure distance learning programs within higher education organizations. This study identified the range of general administrative structures that universities are currently using in offering online degree programs. A typology is identified that accounts for the extent and nature of these general administrative structures through our analyzing 239 universities selected for offering at least one graduate degree fully online. The study looked at the launch date trends as they relate to selection of one of the six general administrative structures emerging into a typology: 1) Academic Department; 2) Continuing Education/Professional Studies Unit; 3)Distance Education Unit; 4) Consortium; 5) Alliance and 6) Outsource. We learned that 90 percent of schools in our study are delivering their online degree programs with an Internally-based administrative arrangement. Only 10 percent of the schools we investigated are using some type of External administrative structure to offer their online degree programs. More specifically, when we look at the locus of control for internally-based administrative programs, we see that 62 percent of those schools analyzed for this study still have the academic departments in control. When examining the frequency of launch dates for the respective Internal administrative structures for the yearly range 1998 to 2004, we found two significant trends: The decrease in the Department as a chosen Internal administrative structure and the more recent popularity of the Distance Education Unit as the chosen administrative structure. Findings from this research corroborate, clarify, or correct findings from prior research that looked at administrative structures used for online degree programs. Research limitations are given. Authors outline their areas for further investigation. http://idea.library.drexel.edu/handle/1860/2621 Title: Performance of physical activities by adolescents with cerebral palsy <br/> <br/>Authors: Palisano, Robert J; Copeland, Wendy P; Galuppi, Barbara E <br/> <br/>Abstract: Background and Purpose Mobility and self-care are important considerations for successful transition of adolescents with cerebral palsy to adulthood. The purpose of this study was to characterize performance of physical activities from the perspective of adolescents themselves. Subjects The subjects were 156 adolescents with cerebral palsy, 11.6 to 17.7 years of age. Methods A therapist completed the Gross Motor Function Classification System (GMFCS). Adolescents completed the Activities Scale for Kids–Performance Version (ASKp) twice over a 1-year period. Results A repeated-measures analysis of variance indicated a main effect for GMFCS level. The main effect for time and the GMFCS level time interaction were not significant. Post hoc comparisons indicated that ASKp scores differed among all GMFCS levels. Discussion and Conclusion Performance of physical activities by adolescents with cerebral palsy differed based on GMFCS level and did not change over 1 year. The ASKp scores of adolescents in levels II through V suggest the need for physical assistance at times throughout the day. The results have implications for the role of the physical therapist in transition planning. http://idea.library.drexel.edu/handle/1860/2617 Title: A comparison of motor behaviors, interaction, and playfulness during mother-child and father-child play with children with motor delay <br/> <br/>Authors: Chiarello, Lisa Ann; Huntington, Abigail; Bundy, Anita <br/> <br/>Abstract: The purpose of this investigation was to compare motor behavior, parent-child interactions, and child’s playfulness during mother-child and father-child play with children with motor delay. Play sessions of 20 children (ages 7 to 36 months) and their parents were videotaped in the families’ homes. Interval recording was used to measure the children’s motor behaviors, the parents’ handling/positioning, and the children’s position of play. The Maternal Behavior Rating Scale and the Test of Playfulness were used to measure the parents’ interactive behaviors and children’s playfulness, respectively. Mean differences were analyzed using paired t-tests. Children demonstrated similar occurrence of motor behaviors and degree of playfulness when playing with their mothers and their fathers. Mothers and fathers had similar occurrence of carrying their children, using adaptive positioning equipment, and manually positioning their children. Fathers held their children on their lap for a greater proportion of the play intervals compared with mothers. Mothers were more responsive than fathers during the play sessions but both parents demonstrated similar achievement orientation, affect/animation, and directiveness. Children’s playfulness was related to their developmental abilities and to parents’ responsiveness. Therapists are encouraged to consider the interactive styles of both parents, capitalize on the unique strengths of each parent and child, and partner with parents to promote interactions with their children and children’s playfulness. http://idea.library.drexel.edu/handle/1860/2615 Title: Quality of life and health-related quality of life of adolescents with cerebral palsy <br/> <br/>Authors: Rosenbaum, Peter L; Livingston, Michael H; Palisano, Robert J; Galuppi, Barbara E; Russell, Dianne J <br/> <br/>Abstract: This study assessed quality of life (QOL) and health-related quality of life (HRQOL) of 203 adolescents with cerebral palsy (111 males, 92 females; mean age 16y [SD 1y 9mo]). Participants were classified using the Gross Motor Function Classification System (GMFCS), as Level I (n=60), Level II (n=33), Level III (n=28), Level IV (n=50), or Level V (n=32). QOL was assessed by self (66.5%) or by proxy (33.5%) with the Quality of Life Instrument for People With Developmental Disabilities, which asks about the importance and satisfaction associated with the QOL domains of Being, Belonging, and Becoming; HRQOL was captured through proxy reports with the Health Utilities Index, Mark 3 (HUI3), which characterizes health in terms of eight attributes, each having five or six ordered levels of function. GMFCS level was not a source of variation for QOL domain scores but was significantly associated with the eight HRQOL attributes and overall HUI3 utility scores (p<0.05). Some QOL domain scores varied significantly by type of respondent (self vs proxy; p<0.05). Overall HUI3 utility values were significantly but weakly correlated with QOL Instrument scores for Being (r=0.37), Belonging (r=0.17), Becoming (r=0.20), and Overall QOL (r=0.28), and thus explain up to 14% of the variance (r2). These findings suggest that although QOL and HRQOL are somewhat related conceptually, they are different constructs and need to be considered as separate dimensions of the lives of people with functional limitations.