Research Question: What are the main drivers to choose private vs
a very small pool of nurse researchers in general. Thus, nurse researchers and nursing research in the area of environmental or occupational health are underrepresented in terms of numbers and activity, respectively.
School of Nursing | Completed Master's Theses
Virtually every aspect of daily life activity of the irradiated head and neck patient is affected by xerostomia and its associated discomforts. Xerostomia is the subjective feeling of oral dryness and usually indicates major salivary gland dysfunction (Fox, van der Ven, Sonies, Weiffenbach, & Baum, 1985). Irradiated head and neck patients, where total salivary gland destruction has occurred, may be at severe risk for increased infections, dental caries, and cracked or bleeding oral mucosa. Despite the significance of the problem, current therapies for xerostomia are transient, costly, and in some cases unavailable to most patients. The purpose of this original study is to conduct a controlled clinical trial of vegetable oil as an alternative therapy for xerostomia. It may also provide significant information on, not only the efficacy of its use, but also the relationship between clinical oral pathology and subjective reports of dryness. The Oral Assessment Guide (OAG) is a clinically useful tool in assessing oral cavity changes in individuals receiving cancer treatment (Eilers et at., 1992). It will be used to determine severity of oral pathology. The Mouth Dryness Questionnaire (MDQ) which dissects the construct of dryness and will measure the patient's subjective complaint of dryness and its impact on daily life activities and quality of life. A crossover clinical trial design will be employed to compare vegetable oil versus artificial saliva. Repeated measures analysis of variance will be used for this analysis. Both the OAG and MDQ will undergo reliability testing during this study. The study will add to what is already known about the subjective complaint of dryness in the irradiated head and neck patient. The proposed nursing research is the first step in exploring this alternative remedy for a widespread and frustrating complaint that impacts virtually all elements of daily living.
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OVERVIEW: This proposed project is designed to test the effectiveness of a unit-based professional practice model on nurse satisfaction, nurse resources, quality of care, and fiscal outcomes. The purpose of this study is to implement and evaluate Differentiated Group Professional Practice (DGPP) in nursing. DGPP is an integrated model with three major components: group governance, differentiated care delivery, and shared values in a culture of excellence. Group governance entails four subcomponents directed toward creating a participatory nursing group practice at the unit level. The subcomponents are: participative unit management, shared decision-making through staff bylaws, peer review, and a professional salary structure. Differentiated care delivery consists of three subcomponents: differentiated registered nurse (RN) practice, the use of nurse extenders, and primary case management. Shared values in a culture of excellence includes three subcomponents: quality of care, support for entrepreneurship, and internal and external recognition. The implementation of this literature-based professional practice model is expected to strengthen the professional environment and to increase nurse satisfaction with practice. Increased nurse satisfaction is hypothesized to increase nurse resources. This, in turn, is hypothesized to increase quality of care while decreasing or maintaining the level of fiscal resources. The demonstration of this project is anticipated to last one year for which time funding is requested. The following two years are planned for longitudinal data collection to test the sustainment of the DGPP Model. Additional funding from other sources will be sought for the following two years. The DGPP Model will be demonstrated on two test units and two comparison units at Tripler Army Medical Center (TAMC). Data to test the research model will be analyzed using causal modeling and multiple regression statistics. SPECIFIC AIMS: The primary purpose of this project is to test the effectiveness of a unit-based Differentiated Group Professional Practice (DGPP) Model on professional practice, nurse satisfaction, nurse resources, quality of care, and fiscal outcomes. The specifc aims are to: (1) replicate the DGPP Model in a military setting (original study jointly funded by the National Center for Nursing Research and the Division of Nursing to demonstrate the DGPP Model in hospital nurses practicing in Arizona).The overall goal of a training initiative would be to increase the number of nurse researchers in the environmental sciences who are prepared to explore the environmental linkages to nursing practice and research as they affect the public's health. To accomplish this goal, it is important that applicants for research funding include a nurse scientist as cosponsor when the sponsoring environmental scientist (i.e., mentors) does not haveFew studies have examined the effects of nursing practice models on patient outcomes. In fact, previous research on patient outcomes rarely included variables representing the organization of nursing services. Despite this paucity of empirical evidence, many hospitals are implementing various models of nursing practice using work redesign or nurse extenders. In response to this, the National Center for Nursing Research and the Division of Nursing has funded two research demonstration projects in New York and Arizona. The Arizona project, Differentiated Group Professional Practice (DGPP), is designed to test the