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1
Baker, Kay Stouffer. „Home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care“. Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276586.
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This descriptive correlational study describes the relationships among 30 home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care. The self-report data were collected using a Nursing Invasiveness Scale (NIS), Index of Patient Territorial Control Perceptions (IPTCP), and Patient Satisfaction Instrument (PSI). The subjects were males and females, aged 23 to 93 years, who were receiving home care nursing. Analysis of the data suggests that the subjects perceived a low level of invasiveness by home care nurses, "much control" within their homes (their primary territories), and were highly satisfied with their nursing care. There was a significant negative correlation (r = -0.79) between perceptions of nursing invasiveness and satisfaction with nursing care. The relationships between perceptions of nursing invasiveness and territorial control (r = -0.02) and between perceived territorial control and satisfaction with nursing care (r = 0.14) were not significant.
2
Wong, Tak-po Mike. „Nursing stress in acute-care and psychiatric hospitals: a comparison“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29697712.
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3
Swartz, Beryldene Lucinda. „Experiencing night shift nursing: a daylight view“. Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
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This study focused on nurses who work the night shift, and on some of the aspects of their lives. The objectives of the study were to identify and describe these experiences with specific reference to the physical, social and work-related effects.
4
Takase, Miyuki. „Influence of public image of nurses on nursing practice“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1346.
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Many researchers believe that nurses live in a dual structure, encompassing both the social and nursing worlds. They contend that these two worlds have contrasting views toward nurses. This is, while nurses are guided to establish professional status, society still expects them to remain in a dependent role. This conflict is assumed to have a negative impact on nurses’ psychological and functional states (Kalisch & Kalisch, 1983 & 1987). However, this assumption has not yet been explored sufficiently. The aim of this descriptive correlational study was therefore to investigate the relationships among the public image of nurses, nurses’ self concept, personal and collective self-esteem, job satisfaction, and performance. A total of eighty registered nursing students were invited to participate in this study by completing seven types of questionnaires (see Appendix C). The data were analysed by Pearson correlation and One-Way Analysis of Variance. The results of this study supported contention of the contemporary nursing scholars that the stereotypical public image of nurses could negatively affect nurses’ self-concept, self-esteem, job satisfaction and performance. The results, however, also demonstrated that the professional socialisation and cultivation of nurses’ personal self-esteem would help to buffer the negative effects of the public stereotypes on nursing practice. Based on these findings, this study suggests countermeasures to deal with the negative impacts of the public stereotypes. These strategies include public education, monitoring the media, changing nurses’ attitudes, encouraging professional socialisation, empowering nurses, and boosting nurses’ self-esteem. This study is expected to help nurses overcome the potential effects of the public stereotypes. The results of the study are also dedicated to nurses who have endeavoured to facilitate the process of professionalization in nursing.
5
Besomo, Virgina S. „Codependent concerns among nurses“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/948.
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Codependency is a complex dysfunctional behaviour pattern characterised by a dependence upon external reference points for ways of being. An abundance of nursing literature claims that codependency is (a) a problem among nurses, (b) related to the demands of the profession, and that (c) codependent nurses eventually suffer disillusionment and burnout. The purpose of this descriptive study was to examine the severity of codependent concerns among Western Australian registered nurses in order to direct a response to these claims. A random sample of 1000 West Australian registered nurses were mailed surveys with an option for them to respond anonymously by mail. A total of 590 returned surveys gave a response rate of 59%. Codependent concerns among subjects were measured using the Friel Codependency Assessment Inventory (CAl), a clinically based self-report tool. In addition, a demographic survey collected information regarding years of experience in nursing and current area of nursing practice in order to examine the relationships between these variables and severity levels of codependency. The mean severity rating for codependent concerns among subjects was mild to moderate according to Friel's CAl severity rating. One in three nurses reported moderate to severe or severe codependent concerns. Chi square, Pearson Correlation and ANOV A statistical analyses revealed no significant relationship between nursing practice variables and severity of codependent concerns. A post hoc factor analysis supported the construct validity of the CAl but did not support Friel's claim that this instrument covers specific areas of concern. The findings of this study suggest that codependency is problematic among West Australian registered nurses,-but that it is not related to years of experience in nursing or area of nursing practice. Further research is required to (a) describe the relationship, if any, between codependency and burnout among nurses, (b) refine the CAl as a more succinct measurement instrument, and (c) test the theoretical constructs of Friel and Friel’s conceptual mode, of codependency
6
Mejia, Gabriel. „Psychological quality of life in the nursing home environment“. CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/3178.
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This study confirms that depression is highly prevalent in nursing homes. In addition, this study reveals incongruency between depression rates and recognition rates of depression in the nursing home environment.
7
Tsoi, Ying-see, und 蔡凝思. „Psychological managements for adult patients with psoriasis“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48339295.
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Psoriasis is a chronic, inflammatory skin disorder and approximately 1% to 3% of the world’s populations are suffering from it. As numerous studies have shown that psoriasis is highly correlated with psychological distresses, one of the critical issues in the psoriasis patient care is the psychological problem. However, in the existing care for psoriasis, no guideline has been developed for patients’ psychological issue. Therefore, the aim of this translational research is to develop an evidence-based psychological care guideline with an implementation and evaluation plan for psoriasis patients in a dermatology setting.
In this dissertation, 11 studies were selected after assessing the relevance of the obtained full texts. Data of these studies were extracted, and the quality of data was assessed by the Critical Appraisal Skills Programme and the Scottish Intercollegiate Guidelines Network. Evidences obtained from the literature review were aggregated and also critically reviewed. After these processes, an Evidence Based Protocol was developed. In the guideline, information related to the psychological assessment and interventions for psoriasis are included. Then the implementation potential of the guideline produced was examined in terms of the transferability, feasibility and the cost-benefit ratio. A pilot test was also conducted to identify any problems of the actual implementation of the mentioned guideline. Both process and outcome evaluation would be as used to assess the feasibility and the effectiveness of the guideline. In the end, this guideline isexpected to manage psychological aspects of psoriasis patients so as to improve their quality of life.published_or_final_version
Nursing Studies
Master
Master of Nursing
8
Carnevale, Franco A. „Striving to care : a qualitative study of stress in nursing“. Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=28431.
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This study advances current explanations of stress in nursing. Research reports have documented a broad range of stressors experienced by nurses. This study was motivated by the scarce agreement across studies regarding how these stressors affect nurses and how they are managed by nurses. Virtually all studies of stress in nursing have been based exclusively on self-report data. As well, no studies have been documented regarding the enrichments of nursing that may serve to offset the effects of stress among nurses. A phenomenological method was used in this study in order to obtain rich descriptions of nurses' experience of stress and enrichment within their workplace. Twelve nurses were recruited, six from an intensive care unit and six from a medical unit, in a university-teaching general hospital. These nurses were observed while working on their units and then subsequently interviewed. The principal sources of stress reported were "conflict with the physicians," "complex patient care situations," and "shortstaffing." The coping strategies employed to manage these were "drawing on support" and "stressor-specific strategies." The principal sources of enrichment observed were "the patient" and "the team." A central developmental phenomenon was uncovered that described the nurses' overall attempts to manage their work stress, which has been named "striving to care." The informants' early career was characterized by reports of self-sacrifice, followed later by reports of disenchantment, which sometimes led to a discovery of "relational mutuality." This process resembles the psychological development of women described by Carol Gilligan. Implications for counselling research and practice are outlined in relation to the experience of nurses. These are also related to the broader counselling literature that addresses issues in the work of women and female-dominated occupations.
9
Shaffer, Leigh Larsen. „NURSES' RESPONSE TO CARING FOR PATIENTS WHO HAVE RECEIVED A HEART TRANSPLANT“. Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276401.
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10
Palazzo, Michael. „Pilot Testing a Paperless Nursing Assessment of Medical, Psychiatric, and Addiction Treatment and Re-entry Needs Among Women at Jail Intake“. Diss., University of Hawaii at Manoa, 2010. http://hdl.handle.net/10125/22062.
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This research was a pilot study at improving the medical, psychiatric and addiction care provided to women detainees at the jail. Few studies have been completed with women atjail intake, yet the population is suspected of having a multitude of medical, psychiatric and addiction in jail treatment and community reentry needs. Utilizing a descriptive, cross-sectional survey design, the following aims were completed for this pilot study: documented the creation of a nursing research infrastructure within a large jail; compared the results of the traditional 16- item paper and pencil Intake Service Center Screen with the 8-item paperless Brief Jail Mental Health Screen obtained via Audio Computer Assisted Self Interviewing (ACASI) technology; compared Addiction Severity Index scores and addiction treatment motivation and readiness scores obtained via ACASI technology with normative data; assessed the frequency of HIV risk behaviors and the medical, psychiatric and addiction treatment needs obtained via ACASI technology; while assessing the frequency and the average length of time for screening by providers at the jail via medical chart review.
The results showed that the ACASI technology proved to be more effective than paper and pencil methods. This technology not only assessed detainee treatment needs, but simultaneously created reentry/discharge plans. The study demonstrated that HIV risk behaviors and the prevalence of past suicide attempts were high among the participants. The Addiction Severity Index scores and the Circumstance Motivation and Readiness scores demonstrated that methamphetamine addiction, and mental health severity is high among this population however motivation and readiness for treatment arc low. Therefore, recommendations for the most suitable jail psychiatric Advanced Practice
Registered Nurse candidates could be given as a result of the study. This study was the first phase at improving the medical, psychiatric and addiction care provided to detainees at the jail. In future phases of this study more valid and reliable assessment tools and treatment planning aimed at reduced recidivism rates will be established. Future phases will build on the lessons learned here about working with security staff, collaborating with experienced researchers in the community, and seeking advice from the Department of Justice recognized experts.
11
Clark, Michele Candice. „Structural-functional aspects of caring for elders in the home environment“. Diss., The University of Arizona, 1989. http://hdl.handle.net/10150/184912.
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The purpose of this study was to identify variables that facilitate lay caregivers in maintaining dependent elders in the home setting. Specifically, this study: (1) tested a deduced theory designed to explain home maintenance of a dependent elder; (2) examined the relationship between the following variables: Seriousness of an Elder's Illness, Caregiver Overload, Quality of Care, Learning State, Caregivers Maintenance Ability, Acceptance of the Maintenance Role and the Caregiver's Perception of Power; and (3) evaluated the reliability and validity of the instruments that measured the proposed variables. A descriptive correlational design with causal modeling methodology was used to assess a five stage theory. The convenience sample was comprised of 70 English speaking caregivers providing a minimum of five hours of direct care to a dependent elder in the home setting. Reliability and validity of the instruments used to evaluate the theoretical concepts were assessed by Cronbach's alpha, factor analysis and predictive model testing. Multiple regression statistics were used to evaluate the theory and residual analysis was used to assess violations of statistical and causal modeling assumptions. The findings supported two of the predicted relationships: Seriousness of Illness had a direct and positive relationship with Caregiver Overload (B =.60, R² =.35) and Learning State had a direct and positive influence on Acceptance of the Maintenance Role (B =.36, R² =.18). As the disabilities of the dependent elder became more acute, the caregivers' feelings of being overloaded with the burden of the caregiving responsibilities increased. However, when the caregivers had a positive perception of their abilities to implement prescribed health care instruction as well as felt positively about their caregiving role (Learning State), they spent a greater amount of time giving direct care to the dependent elder (Acceptance of Maintenance Role). Identification of learning needs as they relate to the caregivers' ability to understand and implement health care instruction as well as feel positively about their role, can assist nurses in developing appropriate teaching interventions. The expected outcome of these interventions is direct care provided by the caregiver to the dependent elder.
12
Lawrence, Shelagh. „Women's perceptions of successful breastfeeding during the early stages of being a mother“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1427.
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The purpose of this qualitative study, guided by Rubin's Model was to describe women's perceptions of successful breastfeeding during the early stages of being a mother. The transition to motherhood marks a time of great developmental change in a woman's life. Infant feeding is an important aspect of this adaptation to the maternal role. The physiological benefits of breastfeeding for mother and baby are well documented, but there is limited research on the psychological advantages of breastfeeding for the mother. This Masters research was a discrete part of a larger research project entitled the Perth Metropolitan Breastfeeding Study. This project comprised two parts: 1) The Breastfeeding Duration Study (conducted by Dr. P. Percival and Mrs. E. Duffy), which investigated the effects of an antenatal group teaching session for 395 breastfeeding mothers on nipple pain, nipple trauma and breastfeeding duration and 2) The Successful Breastfeeding Study, which investigated 20 women's perceptions of successful breastfeeding during the early stages of being a mother. The latter study, which is the focus of this Masters research, recruited a convenience sample of 20 successfully breastfeeding participants from the experimental group of the Breastfeeding Duration Study. Interviews were conducted at four weeks postpartum. Data were generated from audiotaped, open-ended interviews and analysed using the method of content analysis described by Burnard. This method involved describing, interpreting and extrapolating themes and meanings from the data. Validity and reliability were confirmed throughout data collection and analysis. Six main themes emerged from the data: The Ideal Mother Breastfeeds, Achievements, Accommodating a Breastfeeding Baby, Concerns, Breastfeeding is a Learnt Skill and Approaches to Breastfeeding. The findings provide an increased understanding and knowledge of women's experience of successful breastfeeding during the early stages of being a mother. They have significance for health administrators, prenatal educators, midwives and community nurses in the provision of resources, education, care and support to assist women to meet their desired breastfeeding goals.
13
Rullander, Anna-Clara. „Adolescents' experiences of undergoing scoliosis surgery : psychological aspects and patterns of pain“. Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111552.
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Background: Adolescent idiopathic scoliosis (AIS) affects 1 – 3% of all children aged 10 – 16 years; of these approximately 80% are girls. Scoliosis surgery is a major (one of the most extensive) elective paediatric orthopaedic procedure and is known to cause severe and excruciating pain that requires advanced postoperative pain management. Until now, scoliosis surgery has mainly been studied in terms of corrective surgical outcomes, and techniques for surgery and pain management. Adolescents’ narratives and experiences of recovery after scoliosis surgery, as well as psychological aspects in correlation to postoperative pain have seldom been studied. Aim: The overall aim of this thesis was to explore adolescents’ experiences of undergoing scoliosis surgery, experiences and self-reporting of pain, and psychological consequences. Methods: This thesis comprises four studies. The participants in Studies I and II belonged to the same cohort, all of whom underwent corrective surgery in the period from 2004 to 2007. In Study I there was a cohort of 87 adolescents and young adults with different types of scoliosis, some of whom had impaired verbal communication. The patients and their parents/caregivers were asked to complete a survey with questions regarding experienced pain, nausea and overall satisfaction with the hospital stay. Study II was a qualitative study in which six adolescents from the cohort in Study I were interviewed. The adolescents included in Study II had idiopathic scoliosis, and the interviews took place about two years after they had undergone surgery. Study III, which included 37 adolescents, was a prospective study of adolescents with idiopathic scoliosis (AIS) from four spine centres in Sweden. They completed two psychometric instruments and one structured interview both before surgery and about six months afterward. They also self-measured pain on the third postoperative day. In Study IV the adolescents included belonged to the same cohort as in Study III. In this prospective, mixed-method study, the participants self-reported pain before surgery, every four hours for the first five days after surgery, once a day for the first fourteen days at home after discharge from the hospital, and finally at the six-month follow-up. They were also asked to keep a diary during the first two weeks at home after discharge from the hospital. At the six-month follow-up they were interviewed about the overall experience of undergoing scoliosis surgery: how they experienced the time before surgery, during the hospital stay and the recovery period up through the date of the interview. iv Results: Study I showed that the patients experienced severe pain and nausea postoperatively during the hospital stay. The parents/caregivers felt helpless and sometimes lacked confidence in the nurses. Despite this, overall satisfaction with the hospital stay was rated as good. Study II showed that the adolescents experienced nervousness and fear before surgery, severe pain and postoperative nausea and vomiting (PONV) during the hospital stay, had problems with the scars and experienced social difficulties during recovery. Nightmares were reported for up to two years after surgery. In Study III, the ratings of stress symptoms were higher before surgery than after. There were significant correlations between stress symptoms before surgery and levels of postoperative pain. There were also significant correlations between levels of postoperative pain and stress symptoms at the six-month follow-up. In Study IV, postoperative pain ratings showed great individual variation, and in the analysis of drop-outs it was found that those who did not keep a diary at home self-reported higher levels of pain at the six-month follow-up as well as higher levels of stress symptoms and internalizing symptoms. The participants described experiences of severe pain at the hospital and also during recovery. Nausea, constipation and lack of energy emerged from the narratives - but so did the desire to get back to school, sports and friends. The adolescents described how they were hovering between suffering and control and also striving towards normality. Conclusion: The results indicate a need for interventions among adolescent patients to reduce stress symptoms before major surgery. Nurses need to identify adolescents with stress symptoms, use stress-reduction techniques, and support adolescent patients with coping strategies aimed at reducing preoperative stress and managing postoperative pain. Postoperative pain management needs to be improved, both as regards pain assessment and pharmacological and non-pharmacological pain management. Nurses need to improve their medical technical skills in order to optimize pain treatment. After discharge from the hospital adolescents have to struggle with difficulties at home such as pain, nausea, constipation, mobilization and a lack of energy. An intervention with follow-up telephone calls during the second week at home could reduce stress and help resolve difficulties. Since this study indicates stress symptoms at the six-month follow-up, there should also be a nurse interview to check on well-being and to see if any further intervention is needed at that time. If preoperative stress can be reduced, postoperative pain management optimized and the recovery period better supported, the overall experience of going through scoliosis surgery should improve.
14
Palmer, Josephine Chiara. „Factors associated with professional nursing practice in medical-surgical nurses“. Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277266.
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The purpose of this study was to identify and describe factors perceived to be important to nursing practice by registered nurses. The sample, 170 medical-surgical nurses, was 37% of the total in the primary study (N = 455). An exploratory/descriptive design was used to content analyze the qualitative data obtained from one open-ended question asked in the Differentiated Group Professional Practice in Nursing project. Results showed two concepts in the conceptual framework, Group Cohesion and Job Satisfaction, with regard to Pay and Physician/Nurse Relationships, were supported. Other categories generated included the importance of Administrative Support, both Nursing and Non-Nursing, Education, Adequate Staffing, Flexibility in Hours, and Role Recognition. Another set of responses were categorized as Conflicts - Dissatisfiers. Categories generated included Entry into Practice, Non-Nursing Functions and Changing Attitudes.
15
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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16
Kendrick, Selma Jo. „Job burnout in nurses and patient satisfaction with nursing care“. Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558081.
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17
Campbell, Nancy, und University of Lethbridge School of Health Sciences. „Transitions in death : the lived experience of critical care nurses“. Thesis, Lethbridge, Alta. : University of Lethbridge, School of Health Sciences, 2008, 2008. http://hdl.handle.net/10133/653.
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Critical care nurses often face the ordeal of witnessing a patient's death in a tense and stressful environment. Anecdotal stories shared among nurses reveal that unusual experiences often occur at the time of or after a patient's death. This hermeneutic phenomenological study explored the meaning of these experiences for critical care nurses. Using Parse's research method, in-depth interviews were conducted with six critical care nurses who described their experiences at the time of a patient's death as well as during the post-death period. These experiences brought a sense of peace and comfort to each individual as well as reinforced their individual belief patterns about life after death. A distinctive sense of nursing knowing at the time of death was also identified. The findings of this study indicate that the experiences of the phenomenon of death by critical care nurses have a significant impact on each individual and that further research and understanding of this impact is needed.ix, 113 leaves ; 29 cm.
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Gregory, David Michael. „Narratives of suffering in the cancer experience“. Diss., The University of Arizona, 1994. http://hdl.handle.net/10150/186965.
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Suffering is a fundamental experience of the human condition. Whereas the arts and humanities have struggled to make sense of this condition, no concerted effort has taken place in nursing. Suffering is painfully absent within the cancer nursing research literature, a place where suffering should be conspicuous. The purpose of this study was to explore suffering inherent in the cancer experience. The concurrent use of Travelbee's Human-To-Human Relationship Model and narrative theory provided the conceptual underpinning for this prospective ethnography. Narratives of suffering were explored among seven patients diagnosed with cancer (breast, n = 4; brain; malignant melanoma; and ovarian cancer). Five women and two men were interviewed weekly (N = 89 interviews) for a period of up to five months. Participant observation supplemented the interview data. Seven richly textured narratives revealed the suffering endured in the living-of-cancer. The narratives also detailed the informant as person, the cancer trajectory, and explanatory models of cancer causation. A second level analysis of the narratives provided an intra-group comparison of suffering. "Cascade of losses" was the overarching theme. The undermining of personhood, and a loss of faith and trust in the medical system characterized this cascade of losses. Losses were further encountered: the dismissal of symptoms presented to physicians, the failure of treatment as cure, the death of other cancer patients, and the false reassurance that "cancer can be beaten". The remaining themes were "cancer as torture" and "the work of suffering--the beauty of cancer". The findings of this study suggest that nurses may not be capable of alleviating patient suffering. Patients' lives intersect at the suffering experience; their suffering is shaped by the past, present, and future. Nurses may influence these intersections of suffering to some extent, however, it is the individual who ultimately determines the living and outcome (if any) of their suffering. In the lives of the informants, it was the love of spouses and children, faith and trust in God, and satisfaction with life's accomplishments which permitted the endurance of suffering. Competent, comfort-care provided by compassionate nurses is needed by patients who suffer with cancer.
19
Duffy, Elizabeth P. „Bottle-feeding mothers' experiences of coping in a pro-breastfeeding context : the case for a caring-options-responsive model of midwifery services“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2002. https://ro.ecu.edu.au/theses/750.
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The original contribution of this qualitative study is that it sketches the front-line of the contested domain of infant feeding choices by exploring the under-researched experiences and perceptions of mothers who actively choose to bottle-feed their babies. Twelve bottle-feeding mothers in Western Australia participated in open-ended, in-depth interviews. The interview findings were further explored using participant observations of relevant hospital practices and critical, hermeneutic re-readings of midwifery's professional and policy documents. The thesis argues that bottle-feeding is marginalised by the midwifery profession that currently defines its practices in accordance with policies such as the Baby Friendly Hospital Initiative. Bottle-feeding mothers described experiencing negative, antagonistic encounters with midwives moralising about infant feeding choices, pressuring them to choose breastfeeding, and obstructing rather than supporting their infant feeding choice. The bottle-feeding choice is often marginalised in the literature by the deployment of nebulous concepts about parental emotions, most notably so-called "mother-child bonding". However, the mothers presented an identifiable "bottle-centric" perspective by which they considered bottle-feeding the best choice to support their priorities of overall life-style organisation, avoidance of discomfort and anxiety, and optimal family inter-relationship dynamics. Notably, the bottle-centric perspectives described breastfeeding as a threat to those goals and values. This study also identifies a previously unexplored phenomenon of the mothers' concept of “father bonding" with its symbolic meanings of bottle-feeding for the mother desiring the father's emotional involvement with the baby. A speculative theory of an evolved socio-biologic concept of "Father bonding/bondage" is forwarded. Theoretical dimensions of current health belief models, especially that underlying the BFHI, cannot adequately recognise or service this client group's needs. Bottle-feeding mothers intelligently engage in health decision-making processes when deciding their infant feeding options, considering a broad range of factors to optimise their family relationships. However, the mothers' value systems are diametrically opposed to those of the midwifery profession. Midwifery's approach to limiting information and practical educational demonstrations of bottle-feeding is a key aspect of marginalisation. The mothers strongly criticised bias in antenatal classes, poor support for their own training in bottle-feeding, experiences of learning by making mistakes, and some mothers afforded more credibility to advice from sources outside midwifery. These alarming findings appear to result from WHO/UNICEF anti-marketing principles mistakenly being generalised to educational functions in the BFHI policy. Variations in the mothers' levels of satisfaction with their experiences in hospitals depended upon whether facilities suited or inconvenienced their needs, how efficiently hospital administrative procedures upheld their choice, and staff attitudes towards them. Major differences appeared related less to public or private sector differences and more to how well facilities were oriented towards either bottle~ feeding or breastfeeding. Exemplary support should be provided to both breast- and bottle-feeding client groups but will require a more sophisticated approach. Practical suggestions for developing and disseminating more timely and relevant information and support for bottle-feeding, and suggested research projects to expand the present study's findings are forwarded. The thesis proposes a "Caring Options- Responsive" model of Midwifery services suited to fully informing and respectfully supporting clients in their choice.
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Johnston, Ian F. „Disruptive behaviour in nursing home residents: A study of some predisposing factors“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1212.
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Behaviour disorders are common among nursing home residents and the management of these problems is difficult and emotionally taxing for caregivers. Although widespread acknowledgment of the problem exists amongst those caring for the elderly, there has, until recently, been little formal investigation of these disorders in any systematic degree. This study investigated 63 nursing home residents (22 males and 41 females) in two primary diagnostic categories; those with vascular dementia and those with dementia due to other causes, primarily Alzheimer's disease. A review of the literature suggested that the nature and frequency of disruptive behaviour differed across these two prevalent forms of dementia. The level of cognitive impairment for each resident was assessed using the Mini Mental State Exam (MMSE). A two-week record of individual behaviours was recorded by nursing staff on a 24-hour shift basis, using the Cohen -Mansfield Agitation Index (CMAI). The results are generally consistent with earlier research demonstrating a negative correlation between cognitive impairment and aggression. However, no significant difference in behaviour was demonstrated between the two groups. Finally, a number of mediating variables is discussed in terms of their influence on the results.
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Thomas, Nanci Terese. „Burnout among Nursing Faculty in Texas“. Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc278474/.
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The study analyzed burnout of nursing faculty to determine the frequency, intensity, and predictors of burnout. Christian Maslach's burnout questionnaire, Maslach Burnout Inventory (MBI), and a demographic data survey were used to measure burnout. A random selection of 250 nursing faculty was mailed both a burnout questionnaire and a demographic data survey. There were 192 useable responses that were used in the study. Each questionnaire and demographic data survey were reviewed for completeness and rechecked for accurate data entry. The results were presented in summary tables. Data analysis included frequency, means, Pearson r, and downward, stepwise regression analyses. There was a high frequency and intensity of burnout in all nursing faculty, as measured in the three MBI subscales (depersonalization, emotional exhaustion, and personal accomplishment). There was a significant relationship between the number of hours nursing faculty spend with academic advising and the intensity of emotional exhaustion. None of the demographic data, except hours spent in academic advising, were a predictor of burnout.
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Nortje, Louise. „Perceptions and experiences of a multicultural peri operative nursing team in a middle Eastern hospital“. Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20208.
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Thesis (MCur)--Stellenbosch University, 2012.ENGLISH ABSTRACT: The researcher has identified in her place of work that the multicultural views and work experience of the staff negatively impacts on optimal team coherence and patient care. Given the pivotal role that teamwork plays in an OR, it is required of the peri-operative (PO) nurses working in a Middle Eastern hospital, to develop a high cultural sensitivity and awareness of each other's values. The goal of the study through the hermeneutic inquiry was to identify the PO participants’ meanings of their perceptions and experiences within a multicultural workforce in the OR environment. A phenomenological interpretative research design was used to illuminate the phenomenon of team coherence and to answer the question, “What are the perceptions and experiences of a multicultural PO nursing team in a Middle Eastern hospital.” A purposive sample of n=13 was drawn from a population of 107 PO nurses. A semi-structured interview guide was designed and validated before data collection. Ethical approval and permission to conduct the research was obtained from the Ethics Committee at the Faculty of Health Sciences, University of Stellenbosch and the Institutional Review Board of the Hospital. The data that emerged from the data analysis was coded and categorized into themes and constitute patterns. The four patterns were multiculturalism within PO nurse teams contributes to complex group dynamics; the pervasive influence of the medical model and power struggle on group cohesion; dominance renders the PO nurses powerless; and empowerment is the panacea to improving team communication. The researcher compiled a written account of the interpretations that emerged from the data analysis and verified it with an external research reviewer. In, addition, member checking was done on two (2) of the participants from the individual interviews to validate the transcribed data. The Conceptual Theoretical Framework of Habermas on Critical Social Theory and Freire’s model of Oppressed Group Behavior supports the findings of the study. The findings suggest that cultural values clarification should change the behavior of the PO nurses and team building activities should enhance group cohesion. Policies on disruptive behavior will create an awareness to illuminate fear and reiterate selfworth. However, empowerment through education, reflection in action and active communication was to liberate powerless PO nurses in a multicultural environment. The pervasive influence of the medical model can be overcome with strong leadership. Furthermore, culturally sensitive leadership might be essential to sustain a supportive and growth producing culture. Further research is recommended.
AFRIKAANSE OPSOMMING: In die navorsers' werksarea het sy geindentifiseer dat die multikultirele uitkyk en werkservaring van die personeel optimale span koheise en pasientsorg negatief beinvloed. Gegee die deurslaggewende rol wat spanwerk in die operasiesaal speel, word dit van die teater verpleegkundiges in n hospitaal in die Midde Ooste verwag om n hoe kulturele sensitiwiteit te kweek. Die doel van die studie, deur hermeneutiese navraag, was om die persepsies en ervaringe van multikulturele PO verpleegkundiges in die operasiesaal te identifiseer. n Kwalitatiewe benadering met n fenomenologiese interpreterende navorsingsonderwerp was toegepas om die fenomenoom van span kohesie te illumineer deur die vraag te beantwoord, " Wat is die persepsies en ervaringe van 'n multikulturele PO verpleegspan in a hospitaal in die Midde Ooste". n Doelbewuste steekproef van n=13 is geneem vanuit n totale bevolking van 107 teater verpleegkundiges. n Semi-gestruktureerde onderhoudsgids was ontwerp en geldig verklaarg voor die insameling van data. Etiese goedkeuring vir die studie was verkry van die Etiese Komitee van die Fakultiet van Gesondheidswetenskappe, Stellenbosch Universiteit. Goedkeuring om die navorsing te doen, was verkry van die IRB, en toestemming was op skrif geplaas. Die data wat voortspruit uit die analise, was geenkodeer en gekategoriseer in temas en omvattende patrone. Die vier (4) pattrone was, multikulturalisme dra by tot komplekse groep dinamika te midde van die teater verpleegkundiges; die persewerende invloed van die mediese model en onderlinge struweling op groeps kohesie; dominering veroorsaak weerlose teater verpleegkundiges; en bemagtiging is die redding om komminuksie in die span te bewerkstellig. Die navorser het n geskrewe verslag saamgestel van die weergawe van die data analise en is deur n eksterne navorsingskundige geverifieer. Bykomend is kontrole van lede van twee (2) van die deelnemers vanuit die individuele onderhoude gedoen, om die getransskribeerde data se geldigheid te verklaar. Die Konseptuele Teoretiese Raamwerk van Habermas se Kritiese Sosiale Teorie en Freire se model van onderdrukte groeps gedrag het die bevinding van hierdie studie gerigsteun. Die bevindinge beveel aan dat kulturele waarde uitklaring gedrag sal verander, en spanbou aktiwiteite groeps kohesie sal bewerkstellig. Die opstel van beleide wat ontwrigte gedrag identifiseer om sodoende 'n bewustheid te kweek wat vrees verminder en selfwaardigheid herstel. Bemagtiging, deur onderrig, refleksie in aksie en aktiewe kommunikasie was as sleutel elemente aangewys om weerlose PO verpleegkunidiges werksaam in die multikulturele omgewing, te bevry. Die aanhoudende invloed van die mediese model kan oorkom word deur sterk leierskap. Voorts mag kulturele sensitiewe leierskap essentiel wees om n ondersteunende, produserende en groeiende kultueer te bewerkstellig. Verdere navorsing word aanbeveel.
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Spencer, Paula. „Student nurse perceptions on commuting related to ontime arrival at clinical experiences“. CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3243.
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As a descriptive, pilot study utilizing an online survey, this study explores the perceptions of CSUSB student nurses related to their commute and ontime arrival at clinical sites, typically in the San Bernardino and Riverside Counties, and whether or not the commute is perceived as being stressful.
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Koenig, LeRoy Michael 1951. „PERSONAL NEEDS OF SIGNIFICANT OTHERS OF CANCER PATIENTS“. Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275512.
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Chae, Young Mi Lim. „Development of a behavioral nursing intervention strategy in grooming performance of elders with cognitive impairments“. Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186183.
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The purpose of the study was to develop a behavioral nursing intervention strategy for specific deficits in grooming performance of elders with dementia. A quasi-experimental two-group design using switching replications with removed intervention was employed. Three residents with severe cognitive impairments and three residents with mild cognitive impairments were chosen from a special dementia care unit of a long-term care facility. Three residents among six residents were randomly selected to receive the behavioral intervention early. Baseline and post-intervention assistance was provided by nurse aides. Each resident was asked to wash hands, brush teeth, wash face, and comb hair in a sequence. Ten intervention sessions were conducted by the trained intervener for two consecutive weeks. The intervention consisted systematic prompting and social reinforcement. A total of 21 sessions were collected in the morning using videotape recordings. Interobserver agreement for the instruments designed by the investigator was measured by the trained observers. Data were analyzed in two phases. First, the quantitative data were analyzed to determine the independent functional behaviors of individuals, and the change in the intensity of nursing effort associated with grooming of elders with dementia. Data were examined by individual graphic display throughout the three phases (baseline, nursing intervention, post-intervention). Second, the qualitative data were analyzed to determine the antecedents, consequences, and resident responses associated with grooming, the caregiver problem behaviors, and resident problem behaviors associated with grooming performance. The results show that the functional behaviors of even severely demented elders can be promoted, indicating the effectiveness of nursing care strategies on the ADL task of grooming. The data in this research suggest that maintaining or improving functional ability is possible with a behavioral nursing intervention, which was a highly structured and systematic approach that involved modifying the environmental and behavioral context, through strategies such as prompting and social reinforcement, when necessary. Furthermore, through the qualitative analysis, the functional relationships between antecedents, consequences, and behaviors of demented elders allowed the investigator to analyze the caregiver problem behaviors and resident behavior problems associated with grooming.
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Suwisith, Nongluck. „The lived experiences of people living with HIV infection“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/937.
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This phenomenological study was undertaken to describe the meaning of living with HIV infection. Descriptive phenomenology was utilised to investigate the lived experiences of persons who had human immunodeficiency virus infection (HIV/ AIDS), describe common elements, themes or patterns of lived experiences of persons with HIV / AIDS, and analyse the meaning of lived experiences of persons with HIV/ AIDS. Twelve Australians, experiencing HIV infection and participating in the community support groups in Perth, volunteered as participants. Two participated in the pilot study. The other ten participants were interviewed individually for the main study. Intensive open-end questions pertaining to the experiences of living with HIV infection were asked during interviews which were audiotaped, transcribed verbatim, and analysed using Colaizzi's (1978) method of analysis. Significant statements were gathered and clustered into themes. Validity and reliability was confirmed during data analysis. The phenomenon of living with HIV infection emerged as experiences of social discrimination, emotional disturbances, changes, losses, suicide attempts, and dealing with the difficulties. The experiences of living with HIV were influenced by chronic illness, terminal illness, and social stigmatisation towards people with HIV. Roy's (1984) Adaptation Model was utilised as a second level for analysis. The Model was able to be applied to explain the experiences of living with IDV to a certain degree. Human responses to a variety of situations showed similar patterns in people living with HIV infection.
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Wallis, Marianne C. (Marianne Clare). „Professional nurse caring in the world of coronary care nursing“. Thesis, The University of Sydney, 1996. https://hdl.handle.net/2123/27550.
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This phenomenological study explored the lived experience of professional nurse caring in the world of the coronary care unit (CCU). An initial exploration of the researcher’s assumptions about the phenomenon and the pre—understandings about the phenomenon that exist within the literature was undertaken. This revealed that although much is known about the experience of patients in coronary care units, the experience of professional nurse caring for nurses, patients and theirlspouses remains largely uncovered.
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Fawcett, Debra L. „AIDS attitudinal comparison between urban and rural perioperative registered nurses“. Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/834609.
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Acquired Immunodeficiency Syndrome (AIDS) is primarily identified as a metropolitan disease. However, it has suggested that the Centers for Disease Control may underestimate the prevalence of AIDS in the population of higher socioeconomic status, overstate the relative prevalence of AIDS in the minorities, and understate the prevalence of the disease in the Midwest (Laumann, Gagnon, Michaels, Michael, & Coleman, 1989). The problem addressed in this study was to determine whether groups of urban and rural perioperative registered nurses differ in their attitudes of tolerance toward AIDS patients. The attitudes of rural and urban perioperative nurses were examined in a comparative descriptive design. It is important to identify nurses' attitudes toward AIDS patients because nurses must interact with AIDS patients on an increasing basis.Lazarus and Folkman's (1984) Theory of Cognitive Emotion was used for the framework. A convenience sample of 77 perioperative registered nurses was obtained for the study. Five midwestern hospitals were used to collect the data. Two urban hospitals and three rural hospitals were used as collection sites. The AIDS Attitudes Scale (AAS) was used as the tool to collect the data (Shrum, Turner, and Bruce, 1989). The AAS consists of a fifty-four item questionnaire designed to measure attitudinal tolerance towards the AIDS patient. Validity and reliability of the tool were established with a resulting reliability score of .94.Findings revealed significant differences among urban and rural perioperative registered nurses in attitudes toward AIDS patients (p=.0387), with urban perioperative nurses being more tolerant of AIDS patients. Item-by-item analysis indicated that although urban perioperative nurses were more tolerant, an urban perioperative nurse would be more uncomfortable around a patient with AIDS (p=.0082). However, more rural perioperative nurses indicated that they would move out if a roommate had AIDS (p=.0030). Rural perioperative nurses indicated more often that no one deserved to have a disease like AIDS (p=.0057). Demographic profiles of registered perioperative nurses demonstrated similar backgrounds in relation to age, educational level, and gender.Conclusions of this study indicated urban perioperative registered nurses hold more tolerant attitudes toward HIV/AIDS patients than do rural perioperative registered nurses.School of Nursing
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Kalischuk, Ruth Grant, und University of Lethbridge Faculty of Education. „Nurses' perception of death education“. Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1992, 1992. http://hdl.handle.net/10133/49.
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The primary purpose of this study was to examine nurses including student nurses perceptions of death education in southern Alberta as one way of improving futrue nursing curricula. Five nurse subgroups were included, as follows: college and university students, hospital nurses, community nurses, and nurse educators. A questionnaire was developed and piloted prior to distribution to 450 nurses in six locations, including two urban and four rural sites, in southern Alberta. Completed, useable returns numbered 373 (83%). Descriptive statistics, ANOVA, and t-tests were used to analyze the data from scaled questionnaire items; content analysis was used to interpret written response items. Theoretical and conceptual frameworks were developed and utilized to guide the interpretation of findings. Generally, nurses perceived that existing death education remains inadequate as preparation for sound clinical nursing practice. Several statistically significant findings related to the provision of professional terminal care were reported amon the five nurse subgroups. Nurses identified concerns and deficits within existing nursing death educaiton and offered several
specific suggestions for improvement. The improvement of death education for nurses will most likely result in the delivery of safe, effective, quality nursing care practice to the dying person and family.xi, 160 leaves : ill., charts ; 28 cm.
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Steele, Edith Ann Bell. „ENTRAPMENT: A PASSAGE INTO DESPAIR IN LONG-TERM CARE FACILITIES (ELDERLY, HOPELESSNESS, GERIATRICS, LONELINESS, NURSING HOME)“. Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/291322.
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Cope, Vicki. „Portraits of nursing resilience: Listening for a story“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2012. https://ro.ecu.edu.au/theses/553.
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The nursing workforce in Australia is a workforce under pressure. Within in-patient settings, rapidly increasing turnover of more acutely ill or co-morbid patients, and staff retention issues, place those staff that remain under extra pressure to maintain a quality service. In nurse education settings the increasing imperative to recruit more students into the profession combined with financial cutbacks leading to staff retention issues creates a similar tension. Yet many Registered Nurses (RNs) do remain in their chosen work setting displaying tenacity and resilience despite well documented trials and tribulations.
A qualitative approach, Portraiture, was used to construct a collection of portraits which enabled an exploration of the ‘why’ that relates to the individual nurse’s remaining in a workplace often described as awful.
A narrative analysis of the portrait data allowed a meaningful interpretation based in current literature and contemporary experience in uncovering the individual’s resilience and motivation to continue. The portraits give an overarching insight of the nurse participant’s world view and why each continues in her work. The traits and attitudes uncovered have implications for educators and employers of nurses as well as for consumers of nursing care.
Several recommendations arose from the findings in relation to further research, education and policy making. These recommendations could contribute to enhance a satisfying professional milieu for the practising nurse; and to the education and ongoing professional development of nurses which acknowledges the changing socio-political and fiscal environment in which nursing service takes place.
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Morison, Susanjane. „A phenomenological study of the homebirth experience : The couples perspective“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/943.
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The purpose of this qualitative study was to describe the experience of parents who have had a homebirth in the past two years in Perth. Studies conducted to date have predominantly used quantitative research methods, investigating the safety of homebirth and comparing home to hospital birth without exploring a couples experiences. A phenomenological approach was used as it seeks to understand human experience in context. The research design consisted of a field study, in which ten parent couples were interviewed and three homebirth videos observed. Data analysis was conducted according to the procedure outlined by Colaizzi (cited in Knaack, 1984, p. 110) which is to describe, interpret and extrapolate common themes and meanings. Of the ten couples interviewed four couples spoke of their first child's homebirth and the remaining six couples had three or four children who had been born at home. Research participants were attended to during their homebirth by one of five registered midwives. The essence of these parents' experiences of homebirth was gained through identifying significant statements from transcripts and field notes then clustering these into themes. The four essential themes were Constructing the Environment, Assuming Control, Birthing, and Resolving Expectations. The research findings provide health professionals and consumers with an insight into homebirth which challenges them to alter their practices and assumptions regarding this birth environment.
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Treihart, Rose. „Competency ratings of BSN, AD, and diploma nurses by hospital administrators/directors of nursing and nurse supervisors“. CSUSB ScholarWorks, 1985. https://scholarworks.lib.csusb.edu/etd-project/413.
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Enyart, Kathy Jane. „A DESCRIPTION OF MARKERS OF PATIENT PROGRESS DURING HOSPITALIZATION“. Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275448.
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Newman, Linda C. „Maintaining self integrity in the care of AIDS patients : a grounded theory approach“. Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834521.
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The purpose of the study was to explore barriers hospital nurses perceive in the care of AIDS or HIV positive patients. According to the Center for Disease Control, the total number of AIDS cases reported in the United States as of December 1991 was 206,392. The Center for Disease Control reported of the known AIDS cases in the United States 59% have resulted in death.A grounded theory approach was used in the study of sixteen nurses working with AIDS patients in a medical surgical area of the hospital. Results of the study showed nurses had a need to maintain self integrity. All barriers found as a result of the study related to the nurses need to maintain self integrity. Barriers found as a result of the study include the following: fear of contagion, family concerns, fear of the unknown, issues in confidentiality, issues in universal precautions, and emotional and spiritual aspects.School of Nursing
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Abrahams, Johanna Magdalena. „The prevalence and factors influencing postnatal depression in a rural community“. Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17823.
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Thesis (MCur)--Stellenbosch University, 2011.ENGLISH ABSTRACT: Mental health is still the step-child of Health Services, although many studies show the serious negative impact it has on the mother, baby and the family. Knowledge about Postnatal Depression (PND) and associated risk factors which influence the development of PND is vital for early detection and intervention. Worldwide PND affects on average 10-15% of women after giving birth regardless of socio-economic status, race or education. Studies also reveal that the prevalence of PND is as high as 40-60% amongst women after giving birth. The goal of the study was to investigate the prevalence and factors influencing PND in a rural setting, in the Witzenberg Sub-district. The objectives included determining the prevalence of PND and identifying the contributing risk factors associated with PND. A descriptive explorative research design with a quantitative approach was applied. The target population was (N=1605) mothers, 18 years and older who gave birth in this Sub-district in one year, a convenience sampling method was used to select the study sample of (n=159/10%) participants who met the criteria and who gave voluntary permission to take part in the study. Validity and reliability was supported through the use of validated questionnaires EPDS and BDI including a questionnaire based on demographical, psychosocial and obstetrical data. In addition experts in statistics, nursing and psychiatry were consulted including language experts who validated the correctness of the Afrikaans and Xhosa translated questionnaires. A pilot study was conducted to test the feasibility of the study and all data was collected personally by the researcher with the support of two trained field workers. Ethics approval was obtained from Stellenbosch University and permission from the Department of Health, Provincial Government of the Western Cape, including informed written consent from each participant. The data was analysed with the assistance of a statistician and are presented with histograms and frequency tables. The relationship between continuous response variables and nominal input variables was analysed using analysis of variance (ANOVA). Various statistical tests were applied to determine statistical associations between variables such as the chi-square tests using a 95% confidence interval. Non-parametric tests such as the Mann-Whitney U–test or Kruskal-Wallis test were used for randomised design. Levene’s test was used for Homogeneity of Variance and the Bonferonni test of probability. The study revealed that 50.3% of the mothers, who participated in the study, had PND. Various risk factors were determined in this study that influences the development of PND. Results include statistical associations between PND and the following: - unplanned babies and unwelcome babies (p=<0,01) - life events (p=0.01) - partner relationship (p=<0.01) - family and social support (p=<0.1) Furthermore, the majority of the participants (53.8%) with PND (n=80) had a history of a psychiatric illness which was shown with significance (p=<0.01), the majority of the participants (63.5%) were unmarried and 23.8% were teenagers who suffered from PND. Recommendations include promoting healthy lifestyles, empowerment of women, prevention of teenage pregnancies, early and holistic assessment for symptoms of PND and approriate referral. In conclusion the prevention and promotive measures, early detection of PND and appropriate referrals and treatment are critical in managing maternal, child and family well being.
AFRIKAANSE OPSOMMING: Geestesgesondheid blyk die stiefkind van gesondheidsdienste te wees, ten spyte daarvan dat navorsing die negatiewe impak wat dit op moeder, baba en die gesin het bevestig. Kennis van postnatale depressie (PDN) en verwante risiko faktore wat die ontwikkeling van PND beïnvloed is van uiterste belang vir die vroeë opsporing en ingryping daarvan. PND affekteer gemiddeld 10%-15% van vroue wêreldwyd wat dit ervaar nadat hulle geboorte geskenk het, ongeag sosio-ekonomiese status, ras of opleiding. Navorsing dui daarop dat die voorkoms van PND so hoog is soos 40%-60% onder vrouens nadat hulle geboorte geskenk het. Die doel van hierdie studie was om die prevalensie van PND en die faktore wat PND beïnvloed in ’n landelike nedersetting in die Witzenberg Subdistrik te ondersoek. Die doelwitte sluit die bepaling van die prevalensie van PND in en die identifisering van die risiko faktore wat daartoe aanleiding gegee het. ’n Beskrywende verkennende navorsingsontwerp met ’n kwantitatiewe benadering is toegepas. Die teikengroep was (N=1605) moeders, 18 jaar en ouer wat geboorte geskenk het in hierdie subdistrik binne een jaar. ’n Gerieflikheidssteekproef metode is gebruik om die deelnemers (n=159/10%) te selekteer wat aan die kriteria voldoen het en vrywillig toestemming gegee het om aan die studie deel te neem. Geldigheid en betroubaarheid is gerugsteun deur die gebruik van geldige vraelyste, naamlik EPDS en BDI wat ’n vraelys insluit wat gebaseer is op demografiese, psigososiale en verloskundige data. Hierbenewens is deskundiges in statistiek, verpleegkunde en psigiatrie geraadpleeg, asook taalkundiges wat die taalkorrektheid van Afrikaans en Xhosa vertaalde vraelyste nagegaan het. ’n Loodsondersoek is uitgevoer om die haalbaarheid van die navorsing te toets en alle data is persoonlik deur die navorser met die hulp van ’n opgeleide veldwerker ingesamel. Etiese goedkeuring is verkry van die Universiteit van Stellenbosch en toestemming van die Departement Gesondheid, die Provinsiale Regering van die Wes-Kaap, asook skriftelike toestemming van elke deelnemer. Die data is ontleed met die bystand van ’n statistikus en is deur frekwensie tabelle aangebied. Die verhouding tussen volgehoue/aaneenlopende respons veranderlikes en nominale inset/invoer veranderlikes is ontleed deur gebruik te maak van die analise van variansie (ANOVA). Verskeie statistiese toetse is toegepas om die statistiese assosiasies tussen veranderlikes vas te stel soos die chi-kwadraat toetse deur ’n 95% betroubaarheidsinterval te gebruik. Nie-parametriese toetse soos die Mann-Whitney U-toets of Kriskal-Wallis toets is gebruik vir ewekansige ontwerp. Levene se toets is gebruik vir homogeniteit van variansie en die Bonferonni toets vir waarskynlikheid. Die toets het bewys dat 50.3% van die moeders wat aan die studie deelgeneem het, het PND. Verskeie risiko faktore is in hierdie studie vasgestel wat die ontwikkeling van PND beïnvloed. Resultate sluit statistiese assosiasie tussen PND en die volgende in: - onbeplande babas en onwelkome babas (p=<0,01) - lewensgebeure (p=0.01) - lewensmaat verhoudings (p=<0.01) - familie en maatskaplike ondersteuning (p=<0.1) Vervolgens het die meeste van die deelnemers (53.8%) met PND (n=80) ’n geskiedenis van ’n psigiatriese siekte met ’n beduidenis (p=<0.01), die meeste van die deelnemers (63.5%) is ongetroud en 23.8% is tieners wat aan PND ly. Aanbevelings sluit die bevordering van gesonde leefstyle, die bemagtiging van vrouens, voorkoming van tienerswangerskappe, vroeë en holistiese assessering van simptome van PND in en die aangewese verwysing. Daar kan tot die slotsom gekom word dat voorkoming- en bevorderingsmaatstawwe, vroeë opsporing van PND en aangewese verwysings en behandeling, krities is in die hantering van moeder-, kind- en gesinswelstand.
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Mc, Kenzie Lena. „Psychosocial factors that influence sibling donors during allogeneic bone marrow transplantation“. Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80264.
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Thesis (MCurr)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Haematopoietic stem cell transplantation has become an increasingly popular treatment option for persons with life-threatening blood related diseases such as leukemia, lymphoma, myeloma and certain forms of anaemia. Due to this new therapy the use of bone marrow from a healthy individual also called a living donor for transplantation is inevitable. These living donors can experience psychological and economic issues and these components needs to be addressed in the transplant protocol. The researcher described the psychosocial factors that influenced sibling donors during allogeneic bone marrow transplantation at a public sector hospital in Cape Town, whether the transplant team members explained the administrative process of the transplant in an understandable manner and language and the effect of the psychosocial factors and administrative process of the allogeneic bone marrow transplantation on the sibling donors. A quantitative research approach with a descriptive design was used in this study. The sample was selected by means of full population sampling. The final sample size of (n=64) stem cell sibling donors over 18 years of age participated in the study. A self-reporting questionnaire was used to gather data, inclusive of four open-ended questions to establish an in depth sense of what the donor experiences during the bone marrow donation process. Descriptive statistics used to describe the variables included frequency distributions in the form of histograms and frequency tables. The Pearson chi-square statistical analysis test was used to test for relationships amongst groups. The study drew on the Roy Adaptation Model (RAM) as the theoretical framework to explain the phenomena surrounding the psychosocial and administrative effect of the transplantation process on the sibling donor. Based on the findings the haematopoietic stem cell donors coped with the psychosocial impact of the donation process by making use of their coping mechanism to adapt to their situation according to the Roy Adaptation Model. This model also offers guidance to the nurses to apply this model to nursing practice. Results revealed that sibling donors developed feelings of anxiety in relation to the invasive procedures that cause them to experience physical pain. Most respondents claimed that they were not psychologically affected by the donation process. The moral obligation the sibling donor has towards his sister or brother outweighed the physical pain or discomfort experienced during the donation process. Results revealed that the responding donors claimed they were well informed regarding the donation process and understood the treatment plan of the recipient. However, results revealed that there was a lack in visual donor information such as books, pamphlets as well as internet information. Results concerning the demographics revealed that (n=29) respondents had no schooling and some respondents had some schooling which can give an indication of how to bridge the knowledge and information gap between them and the donor in terms of language. Statistical significance results regarding the emotional state and economic situation of the donors was found. Some of the respondents were responsible for their own transport and their own accommodation, some of those that are employed were responsible for leave without pay. An organ donation policy needs to be developed to prevent live organ donors from losing valuable working hours that could result in loss of salary and should provide other financial incentives. Furthermore, a lack in a post-donation follow-up medical to alleviate and detect post-donation complications was identified. Further nursing research can help nurses to understand living donation for transplantation, also how the nurses that practice in organ transplant units experience and deal with the psychosocial factors that influence them particularly.
AFRIKAANSE OPSOMMING: Hematopoïetiese stamseloorplanting het ’n toenemend gewilde-behandelingsopsie vir persone met lewensgevaarlike bloedverwante siektes soos leukemie, limfoom, miëloom en sekere soorte anemie geword. Vir hierdie tipe terapie word die beenmurg van ’n gesonde individu, ook bekend as ’n lewende skenker, vir oorplanting gebruik. Lewende skenkers kan sielkundige en ekonomiese probleme ervaar en hierdie kwessies moet in die oorplantingsprotokol hanteer word. In hierdie studie is ondersoek ingestel na die psigososiale faktore wat bloedverwante skenkers tydens allogeneïese beenmurgoorplanting by ’n openbare hospitaal in Kaapstad beïnvloed, of die oorplantingspan die administratiewe proses van die oorplanting op ’n verstaanbare manier en in verstaanbare taal verduidelik het, en wat die uitwerking wat die psigososiale faktore en administratiewe proses is op die bloedverwante skenkers tydens allogeneïese beenmurgoorplanting. ’n Kwantitatiewe benadering met ’n beskrywende navorsingsontwerp is in hierdie studie gebruik. Die steekproef is op grond van volledige populasiesteekproefneming gekies. ’n Finale steekproefgrootte van stamselskenkers (n=64) ouer as 18 jaar het aan die navorsing deelgeneem. ’n Selfverslaggewende vraelys is gebruik om data in te samel, wat vier oop vrae ingesluit het om grondige begrip te verkry van wat die skenker tydens die beenmurgskenkingsproses ervaar. Beskrywende statistiek wat gebruik is om die veranderlikes te beskryf, sluit in frekwensie-verspreidings in die vorm van histogramme en frekwensie-tabelle. Die Pearson chi-kwadraat- statistieseanalise is gebruik om die verwantskappe onder groepe te toets. Die Roy Adaptation Model (RAM) is as die teoretiese raamwerk vir die studie gebruik om die verskynsels betrokke by die psigososiale en administratiewe ervaring van die oorplantingsproses vir die bloedverwante skenker te verklaar. Op grond van die bevindinge het die hematopoïetiese stamselskenkers die psigososiale impak van die skenkingsproses hanteer deur gebruik te maak van hulle hanteringsmeganisme om by hulle situasie aan te pas, wat met die RAM ooreenstem. Hierdie model bied ook leiding aan verpleegkundiges om dit in die verplegingspraktyk toe te pas. Resultate het getoon dat bloedverwante skenkers gevoelens van angs ontwikkel het vanweë die indringende prosedures, wat fisiese pyn veroorsaak het. Die meeste deelnemers het aangedui dat hulle nie sielkundig deur die skenkingsproses geraak is nie. Die morele verpligting wat die bloedverwante skenker het teenoor sy of haar broer of suster het die fisiese pyn of ongemak gedurende die skenkingsproses oortref. Resultate het getoon dat die deelnemende skenkers aangedui het dat hulle goed ingelig was oor die skenkingsproses en die behandelingsplan van die ontvanger verstaan het. Die resultate dui egter daarop dat daar ’n gebrek was aan visuele skenkersinligting soos boeke, pamflette en internet-inligting. Resultate rakende die demografie het bewys dat van die deelnemers (n=29) ongeskoold en sommige deelnemers laag geskoold is, wat ’n aanduiding kan gee van hoe die kennis- en inligtingsgaping tussen hulle en die skenker ten opsigte van taal oorbrug kan word. Statisties beduidende resultate rakende die emosionele toestand en ekonomiese situasie van die skenkers is gevind. Sommige deelnemers was verantwoordelik vir hulle eie vervoer en verblyf. Diegene wat werk, het verlof sonder betaling geneem. ’n Orgaanskenkingsbeleid moet ontwikkel word om te verhoed dat lewende orgaanskenkers kosbare werksure verloor, wat kan lei tot ’n verlies aan salaris. Ander finansiële aansporings behoort ook gegee te word. Voorts is ’n gebrek aan opvolg mediese behandeling vir skenkers om skenkingskomplikasies vas te stel en te verlig, geïdentifiseer. Voortgesette navorsing kan verpleegkundiges help om begrip te verkry van die implikasies van lewende orgaanskenking. Verpleegkundiges wat in hierdie orgaanoorplantings- eenhede werksaam is, kan ‘n beter begrip kry van die psigososiale faktore wat hierdie skenkers spesifiek beïnvloed.
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Byrne, David M. „The lived experience of nurses caring for the dying“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1191.
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The study reported in this thesis describes and analyses the lived experience of caring for the dying amongst nine (9) nurses in a hospice setting. The research was established within the context of published literature on the subject of caring for the dying from nursing. A qualitative, phenomenological approach was chosen as the most appropriate for this study, in order to describe and interpret the understanding and shared meanings nurses have in the care of the dying. The major mode of data collection in this study was by in depth interview of nine (9) nurses, which was supplemented by the researcher's field notes. Data collection, data analysis and validation took place concurrently. Five key themes were identified from the information by the nurse participants which explain the structure of the lived experience of nurses caring for the dying. These themes are; being transformed by the experience, the influence of context on caring, the embodiment of caring, caring for the family, and coping. The findings of this study support, in part, related findings in published literature. However, this study extends prior research by capturing the essence of the experience of nurses caring for the dying, in the context of hospice care. The major implications for nursing practice are that nurses who care for the dying need an awareness of the processes involved in caring for the dying to better understand their own, and their patients' experiences. Several recommendations were made for further research which would substantiate and extend this work.
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Roy, Lynne Denise. „Identification of the spiritual nursing care practices of volunteer parish nurses“. CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2372.
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Parish nursing, a specialty nursing practice which includes the spiritual component of integration of faith and health, has been growing rapidly over the last decade. Standards of Parish Nursing Practice developed in 1998 are consistent with the nursing process and include the spiritual dimension.
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Greer, Cathy. „Comparison of the prevalence of adult children of alcoholics between nursing and noncaretaking occupations“. Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897488.
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Theoretical speculation implies Adult Children of Alcoholics (ACOAs) are drawn in disproportionate numbers to caretaking occupations. This study compared the prevalence of ACOAs between nursing and noncaretaking occupations. A cover letter, demographic questionnaire, and Children of Alcoholics Screening Test (CAST) were distributed to a random sample of 196 registered nurses and 184 noncaretaking employees at a large metropolitan hospital. Seventy-nine nursing and 104 noncaretaking occupations respondents completed the questionnaires.Comparison of demographic data for nursing and noncaretaking occupations revealed similar composition regarding age, number of marriages, and race. There were more male, divorced, widowed, and first born respondents in noncaretaking occupations than in nursing.ACOAs were identified in 21.5% of nursing respondents and 19.2% of noncaretaking occupation respondents. Chi-square showed no significant difference between the proportion of ACOAs in nursing and noncaretaking occupations at the .05 level of confidence. Thus, the null hypothesis was not rejected. This study found ACOAs are not drawn in disproportionate numbers to nursing.School of Nursing
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Jacobs, Laurie Marie. „Work Stress Reactivity and Health Outcomes: A Study of Nurses“. PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1515.
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Negative events encountered in daily life influence individual well-being. Individuals vary in their reactivity to these events, the extent to which they are behaviorally, physiologically, and psychologically influenced by them (Almeida, 2005; Neupert, Almeida, & Charles, 2007). Reactivity to events in the form of changes in health behavior could represent either an attempt at coping (Cooper, Frone, Russell, & Mudar, 1995) or a stressor-related failure of self-control (Muraven & Baumeister, 2000). Such changes in behavior could have later effects on health.
Although a great deal of attention has been paid to both the immediate and long-term effects of stressors on individuals, little is understood about the potential relationship between these immediate and long-term consequences. Exploration of this connection could not only expand the understanding of the relationships between stressors, behavior, and well-being, but also inform intervention strategies.
One important domain in which stressors occur is work; certain occupations such as nursing expose individuals to a greater likelihood of experiencing stressors simply by nature of the tasks and/or environment involved. As a nursing shortage continues, stress is in fact one of the most-often cited reasons for nurses to leave the profession (Cangelosi, Markham, & Bounds, 1998). Using a sample drawn from the Oregon Nurse Retention Project and the relatively novel statistical method of slopes-as-predictors, I examined the relationships between work stressors and nurses' health behaviors (alcohol consumption, diet, exercise) and then used those relationships as predictors of follow-up outcomes (depression, life satisfaction, perceived health).
Significant variability was found for five combinations of stressors and health behaviors, indicating that varying patterns of health behavior reactivity were indeed present in this sample; moreover four of those five stressor-behavior (reactivity) slopes emerged as significant predictors of later health and well-being. Notably, reactivity in the form of increased days of exercise during weeks of greater demands or negative events was associated with lower depression scores, and reactivity in the form of increased days of exercise during weeks of greater conflicts was associated with greater satisfaction with life. Implications of these findings, including the importance of exercise in maintaining well-being, are discussed.
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Plumb, Sarah. „A positive clinical psychology approach to developing resilience among state employed nurses“. Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1018879.
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Nurses are confronted with numerous work-related stressors that can result in burnout. This can contribute to absenteeism and high turn-over rates in the nursing profession. A review of the literature indicated that psycho-educational interventions to increase resilience could be an effective way of addressing this problem. The study aimed to develop a positive clinical-psychology approach to increasing resilience in State employed nurses. The study used a mixed-method approach to determine the current psychological functioning of a sample of 87 nurses. Quantitative data on personality traits, character strengths and levels of resilience were obtained, using the NEO PI-R, VIA – IS, and Resilience Scale. Qualitative data on the coping responses of nurses were obtained through the thematic analysis of focus groups. These data were integrated to create a positive clinical psychology conceptualisation of resilience and to develop therapeutic guidelines for a group psycho-educational intervention. The results of the study indicated a struggling psychological profile. This was defined as the ability to deal with work-related stressors – but with the potential risk of developing symptoms of burnout. The moderate levels of resilience were attributed to elevated character strengths in the sample. The distribution of personality traits indicated that the nurses in the sample were at risk of developing burnout; and this prevented them from flourishing. These data were synthesised to create therapeutic guidelines for developing resilience aimed: (1) increasing emotional stability and invulnerability; (2) increasing agreeableness; and (3) increasing conscientiousness. These guidelines were based on the personality traits that were deemed to negatively impact the resilience of the nurses. These personality traits were correlated with several character strengths that displayed strong relationships with resilience. This indicated that resilience could be developed through the cultivation of the following character strengths: perspective; perseverance; fairness; forgiveness; leadership; love; zest; hope; curiosity; and appreciation of beauty and excellence. These character strengths were identified to facilitate the positive adaptation of the personality traits identified in the therapeutic guidelines. A group psycho-educational intervention was developed, using the positive clinical psychology conceptualisation of resilience. The literature was reviewed to identify techniques to cultivate the ten character strengths specified in the therapeutic guidelines. These techniques were adapted to create experiential learning processes for the intervention. This psycho-educational programme can be applied as a secondary and tertiary intervention. It can be used to increase resilience to prevent burnout among nurses. It can also be used to psychologically empower nurses that have existing symptoms of burnout.
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Cash, Penelope Anne, und mikewood@deakin edu au. „Women clinical nurses' constructions of collegiality: An ethnomethodological study“. Deakin University. School of Nursing, 2000. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051123.122031.
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This research is about a shared journey of being together. It involved thirteen women nurses (including myself) in a process approach to working with data collected through audio transcriptions of conversations during group get-togethers, field notes and journalling over twelve months. The project was conducted in a large acute care metropolitan hospital where the ward staff interests lie in a practice history of the medical specialty of gynaecology and women's health.
Prior to commencement ethical approval was gained from both the University and hospital ethics committees. Accessing the group was complicated by the political climate of the hospital, possibly exaggerated further by the health politics across the state of Victoria, at a time of major upheaval characterised by regionalism, rationalisation and debt servicing.
In order to ascertain women clinical nurses' constructions of collegiality I adopted an ethnomethodological approach informed by a critical feminist lens to enable the participants to engage in a process of openly ideological inquiry, in critiquing and transforming practice. I felt the choice of methodology had to be consistent with my own ideological position to enable me to be myself (as much as I could) during the project. I wanted to work with women to illuminate the ways in which dominant ideologies had come to be apprehended, inscribed, embodied and/or resisted in the everyday intersubjective realities of participants. The research itself became a site of resistance as the group became aware of how and in what ways their lives had become distorted, while at the same time it collaboratively transformed their individual and collective practice understandings, enabling them to see the self and other anew.
Set against the background of dominant discourses on collegiality, women's understandings of collegiality have remained a submerged discourse. Revealed in this work are complex inter-relationships that might be described by some as collegial!, but for others relations amongst these women depict alternative meanings in a rich picture of the fabric of ward life. The participants understand these relations through a connectedness that has empathy as its starting point.
In keeping with my commitment to engage with these women I endeavoured to remain faithful to the dialogical approach to this inquiry. Moreover I have brought the voices of the women to the foreground, peeling away the rhizomatic interconnections in and between understandings. What this has meant in terms of the thesis is that the work has become artificially distanced for the purposes of academic requirements. Nevertheless it speaks to the understandings the participants have of their relationships; of the various locations of the visible and invisible voices; of the many landscapes and images, genealogies, subjectivities and multiple selves that inform the selves with(in) others and being-in-relation. Throughout the journey meanings are revealed, revisited and reconstructed. Many nuances comprise the subtexts illuminating the depths of various moral locations underpinning the ways these women engage with one another in practice. The process of the research weaves through multiple positions, conveying the centrality of shared goals, multiple identities, resistances and differences which contribute to a holding environment, a location in which women value one another in their being-in-relation and in which they stand separately yet together.
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Lea, Dorothy University of Ballarat. „Spiritual awareness of professional nurses in the western region of Victoria: Investigation of a significant component of holistic heath care“. University of Ballarat, 2005. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/12789.
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A desire to more fully understand the impact of altered states of spiritual health on the general health of patients has been a focus of recent research activity. Studies have explored the meaning of spirituality held by patients and nurses, the spiritual needs of patients, and methods of providing spiritual care in nursing. However, few studies have investigated nurses’ own spiritual health and the significance this may have on the provision of holistic nursing care. The aim of this study, therefore, was to inform nursing regarding the spiritual health of nurses and the influence that nurses’ own spiritual health has on their ability to provide holistic nursing care to their patients. The study was conducted in two phases using both quantitative and qualitative methodologies. Phase one consisted of a survey of Division 1 nurses currently employed in the Grampians region of Victoria to describe key dimensions of their spiritual health. This survey provided biographical data and, through the use of the “Shalom Measure of Spiritual Health”, discovered the ideal of spiritual health held by nurses as well as the nurses’ perception of patient needs pertaining to the achievement of spiritual health. Phase two utilised Naturalistic Inquiry to further explore the meaning of spirituality and spiritual health held by nurses, and the methods of achieving these for nurses and patients. The findings revealed that although nurses perceive the spiritual dimension of patient care to be important, they feel ill-equipped to provide this aspect of care. In addition, the major support for nurses, who themselves experience spiritual distress whilst at work, comes from colleagues. Further, prevailing health care systems in place do not always lend themselves to holistic approaches to care. This study identifies the need for nurse education to redress the clearly inadequate preparation nurses are given for this aspect of their role. Health care policy-makers and administrators also have a responsibility to consider all dimensions of care when designing and implementing health care guidelines and systems.Master of Nursing
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Bence, Carol J. „The effect of clinical practice on empathy in BSU students and graduates of religiously related and nonreligiously related schools“. Virtual Press, 1986. http://liblink.bsu.edu/uhtbin/catkey/471709.
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The present study investigated the relationship between the effect of clinical practice on empathy in BSN students and graduates in religiously and nonreligiously related programs. The non-experimental survey used a non-probability, convenience sample including 156 student and graduate nurses from two BSN programs. The subjects completed the Empathy Construct Rating Scale, a self-administered questionnaire demonstrating a high degree of validity and reliability. The results indicated no statistically significant correlation between the length of practice and empathy among students, first year, and fourth year graduates. Also, no statistically significant difference existed between the empathy scores of students and graduates from a religiously related and a nonreligiously related school. The conclusions drawn from this study are that there is no relationship between empathy and length of practice, nor is empathy related to the religious orientation of the nursing program.Ball State UniversityMuncie, IN 47306
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Lea, Dorothy. „Spiritual awareness of professional nurses in the western region of Victoria: Investigation of a significant component of holistic heath care“. Thesis, University of Ballarat, 2005. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/40615.
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A desire to more fully understand the impact of altered states of spiritual health on the general health of patients has been a focus of recent research activity. Studies have explored the meaning of spirituality held by patients and nurses, the spiritual needs of patients, and methods of providing spiritual care in nursing. However, few studies have investigated nurses’ own spiritual health and the significance this may have on the provision of holistic nursing care. The aim of this study, therefore, was to inform nursing regarding the spiritual health of nurses and the influence that nurses’ own spiritual health has on their ability to provide holistic nursing care to their patients. The study was conducted in two phases using both quantitative and qualitative methodologies. Phase one consisted of a survey of Division 1 nurses currently employed in the Grampians region of Victoria to describe key dimensions of their spiritual health. This survey provided biographical data and, through the use of the “Shalom Measure of Spiritual Health”, discovered the ideal of spiritual health held by nurses as well as the nurses’ perception of patient needs pertaining to the achievement of spiritual health. Phase two utilised Naturalistic Inquiry to further explore the meaning of spirituality and spiritual health held by nurses, and the methods of achieving these for nurses and patients. The findings revealed that although nurses perceive the spiritual dimension of patient care to be important, they feel ill-equipped to provide this aspect of care. In addition, the major support for nurses, who themselves experience spiritual distress whilst at work, comes from colleagues. Further, prevailing health care systems in place do not always lend themselves to holistic approaches to care. This study identifies the need for nurse education to redress the clearly inadequate preparation nurses are given for this aspect of their role. Health care policy-makers and administrators also have a responsibility to consider all dimensions of care when designing and implementing health care guidelines and systems.Master of Nursing
47
Lea, Dorothy. „Spiritual awareness of professional nurses in the western region of Victoria: Investigation of a significant component of holistic heath care“. University of Ballarat, 2005. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/14624.
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A desire to more fully understand the impact of altered states of spiritual health on the general health of patients has been a focus of recent research activity. Studies have explored the meaning of spirituality held by patients and nurses, the spiritual needs of patients, and methods of providing spiritual care in nursing. However, few studies have investigated nurses’ own spiritual health and the significance this may have on the provision of holistic nursing care. The aim of this study, therefore, was to inform nursing regarding the spiritual health of nurses and the influence that nurses’ own spiritual health has on their ability to provide holistic nursing care to their patients. The study was conducted in two phases using both quantitative and qualitative methodologies. Phase one consisted of a survey of Division 1 nurses currently employed in the Grampians region of Victoria to describe key dimensions of their spiritual health. This survey provided biographical data and, through the use of the “Shalom Measure of Spiritual Health”, discovered the ideal of spiritual health held by nurses as well as the nurses’ perception of patient needs pertaining to the achievement of spiritual health. Phase two utilised Naturalistic Inquiry to further explore the meaning of spirituality and spiritual health held by nurses, and the methods of achieving these for nurses and patients. The findings revealed that although nurses perceive the spiritual dimension of patient care to be important, they feel ill-equipped to provide this aspect of care. In addition, the major support for nurses, who themselves experience spiritual distress whilst at work, comes from colleagues. Further, prevailing health care systems in place do not always lend themselves to holistic approaches to care. This study identifies the need for nurse education to redress the clearly inadequate preparation nurses are given for this aspect of their role. Health care policy-makers and administrators also have a responsibility to consider all dimensions of care when designing and implementing health care guidelines and systems.Master of Nursing
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Reynolds, Carol A. (Carol Ann). „Attitudes of Nursing Faculty Toward Patients With AIDS and Patients With a Homosexual Lifestyle“. Thesis, University of North Texas, 1991. https://digital.library.unt.edu/ark:/67531/metadc332811/.
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The purposes of this study were (1) to determine whether patients with AIDS are stigmatized by nursing faculty, (2) to determine whether practicing homosexuals are stigmatized by nursing faculty, (3) to determine whether faculty attitudes toward AIDS patients are influenced by the patients' sexual preference, and (4) to determine whether faculty attitudes toward practicing homosexual patients are influenced by the patients' disease. This study is a modified replication of studies by Kelly et al.
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Vasquez, Elias Inez. „MEASURING THE NEEDS OF HISPANIC PARENTS OF HIGH RISK NEWBORNS (NURSING, CROSS-CULTURAL, COMMUNICATION)“. Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276445.
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50
Muller, Anna Petronella. „Burnout amongst primary health care nurses : a cross-sectional study“. Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86590.
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Thesis (MCurr)--Stellenbosch University, 2014.ENGLISH ABSTRACT: The imbalance between job demands and available resources could cause burnout which may impact quality patient care. A scientific investigation was conducted to evaluate burnout amongst primary health care (PHC) nurses. The objectives for the study were to identify the prevalence of burnout amongst PHC nurses and to explore the contributing factors to burnout in PHC settings. The Job Demands-Resources (JD-R) model (Bakker and Demerouti, 2007:309) was used as a conceptual framework for the study. A non-experimental, descriptive cross-sectional design with a quantitative approach was applied. The population and sample consisted of professional nurses (PN) and clinical nurse practitioners (CNP) (n=72) in the Eden District of the Western Cape. A self-report questionnaire was used to collect the data in an uncontrolled, natural environment. Analysis of the results exposed high levels of burnout amongst PHC nurses. Nurses in PHC facilities all had an equal chance to develop burnout, regardless of their level of experience. The occurrence of burnout is equal in community health centres and in community clinics, although a trend was observed that subjects in community clinics may experience more emotional exhaustion. Work pressure, workload or an increase in job demands, lack of organisational support and management problems were rated as the main factors contributing to burnout. Recommendations were made to improve the working environments of PHC nurses in order to increase motivational levels, job satisfaction and to foster work engagement, as well as to reduce levels of burnout. Opportunities for further research are recommended.
AFRIKAANSE OPSOMMING: Die wanbalans tussen beroepseise en beskikbare hulpbronne kan uitbranding veroorsaak en gevolglik kwaliteit patiëntsorg beïnvloed. ‘n Wetenskaplike studie is gedoen om uitbranding onder primêre gesondheidsorg (PGS) verpleegkundiges te evalueer. Die doelstellings van die studie was om die voorkoms van uitbranding onder PGS-verpleegkundiges te identifiseer, en om die bydraende faktore wat aanleiding gee tot uitbranding in PGS-instellings, te ondersoek. Die Beroepseise-Hulpbronne model (Bakker and Demerouti, 2007:309) is as ‘n konsepsuele raamwerk vir die studie gebruik. 'n Nie-eksperimentele, beskrywende dwarssnit studie met 'n kwantitatiewe benadering, is toegepas. Die populasie en die steekproef het bestaan uit professionele verpleegkundiges en kliniese verpleeg praktisyns (n=72) in die Eden Distrik van die Wes-Kaap. ‘n Self-rapport vraelys was gebruik om data in ‘n ongekontroleerde, natuurlike omgewing te versamel. Die analisering van resultate het hoë vlakke van uitbranding onder verpleegkundiges in PGS-dienste ontbloot. Verpleegkundiges in PGS-fasiliteite het almal 'n gelyke kans om uitbranding te ontwikkel, ongeag die vlak van ondervinding. Die voorkoms van uitbranding is dieselfde in gemeenskaps-gesondheidsentrums en gemeenskapsklinieke, alhoewel daar ‘n neiging sigbaar was dat personeel in gemeenskapsklinieke meer emosionele uitputting ervaar. Werkdruk, werklas of toename in beroepseise, die gebrek aan organisatoriese ondersteuning en bestuursprobleme is aangewys as die hoof redes wat aanleiding gee tot uitbranding. Voorstelle is gemaak om die werksomgewing van PGS-verpleegkundiges te verbeter en om motiveringsvlakke en werkstevredenheid te herstel. Dit sal werksverbintenis versterk en die voorkoms van uitbranding beperk. Geleenthede vir verdere navorsing is aanbeveel.