Dissertations / Theses on the topic 'Climatericprimary health care; nursing care'
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Hemphill, Jean Croce. "Homeless Health Care: A Nursing Initiative." Digital Commons @ East Tennessee State University, 1994. https://dc.etsu.edu/etsu-works/7569.
Full textHoward, Shevon Naomi. "Health literacy program proposal for health care workers." Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10145339.
Full textHealth information literacy influences patient health outcomes, yet almost 90% of adults struggle to understand health information. This study explored the impact of an education course in health literacy on healthcare professionals’ methods of providing information to patients in order to increase effective communication and improve patient outcomes. This study drew from an integrated theoretical framework that suggests development and validation of tools to measure health literacy. Access to and understanding of reliable, high-quality health care information equalizes many other variables that impact health outcomes, including age, economic class, and cultural background. This study analyzed survey data collected from 2 doctors, 2 nurse practitioners, and 1 staff nurse selected based on their expertise and experience working with patients. They completed a learner- centered course, in which learners interact and instructors provide feedback. Based on survey responses, the participants strongly supported implementing the proposed education module. Four of the 5 experts agreed that a course in health literacy will help health care workers recognize and address patients with low health literacy. Limited health literacy is associated with poor health outcomes and higher health care costs. This type of literacy requires a complex group of reading, listening, analytical, and decision- making skills, and the ability to apply these skills to health situations. The results of this study may guide educators to effectively communicate with patients, increase health literacy, and improve patient outcomes.
Damberg, Jonas. "Availability of primary care physicians in nursing homes and home care nursing services and associations with emergency care consumption." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61585.
Full textUpdike, Meghan. "Health Care for Hawaiian Foster Children." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/265365.
Full textHemphill, Jean Croce. "Health Care for the Homeless Population." Digital Commons @ East Tennessee State University, 1994. https://dc.etsu.edu/etsu-works/7592.
Full textFlorini, Marita A. "Primary care providers' perception of care coordination needs and strategies in adult primary care practice." Thesis, State University of New York at Binghamton, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3630859.
Full textProblem: Medical and nursing literature poorly identify primary care providers' (PCP) relationship to care coordination (CC). Primary care providers' education, experience, and perspective, contribute to: (a) assessments of patient's care coordination needs, and (b) variability in behavior to address needs. Dissimilar approaches to CC by PCPs affect work relationships and office flow.
Purpose: To pre-pilot a new tool describing PCPs' knowledge, perception, and behavior regarding CC. Methods: Primary care physicians, nurse practitioners, and physician assistants were surveyed.
Analysis: Frequencies and percentages provided sample characteristics. Descriptive statistics analyzed provider responses within and between groups. Narratives were analyzed for themes. Tool refinement is suggested however, the tool does describe PCPs and CC activities.
Significance: A tool was developed to evaluate areas of CC activity performed by PCPs. Information from surveys of PCPs can illuminate behaviors that lead to improved work flow, efficiency, and patient outcomes. Doctors of Nursing Practice who are PCPs contribute to primary care CC through leadership, experience, and descriptive evidence.
Kaye, Debra Anne. "Women's perceptions of telephone nursing care within an antenatal home care program." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/26308.
Full textFlores, Cristina. "The quality of care in residential care facilities for the elderly." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3261238.
Full textGoldsborough, Jennifer. "Palliative Care Integration in the Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4787.
Full textMacDonald, Ashley Patricia. "The Experience of Health Care Providers Who Care for the Refugee Population." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/570.
Full textLehman, Kay Frances 1953. "The effect of nurse care management on cost and health care resource utilization." Thesis, The University of Arizona, 1997. http://hdl.handle.net/10150/291880.
Full textSelezneva, Natalia. "CARE COORDINATION IN MANAGING POPULATION HEALTH." Thesis, Ternopil, 2021. https://repository.tdmu.edu.ua//handle/123456789/17198.
Full textPhelps, John Clayton. "Health Care Leaders' Strategies to Reduce Nursing Turnover." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7326.
Full textLee, Hyang Yuol. "Quality of care: Impact of nursing home characteristics." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352465.
Full textSource: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2206. Advisers: Mary A. Blegen; Charlene A. Harrington. Includes supplementary digital materials.
Jahn, Sandra, and Sandra Wedebrand. "To care or not to care." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24132.
Full textIn the nursing profession, caring is the most essential part. It is used by nurses’ everyday and is an integral part in the responsive nurse-patient relationship. The main aim of this study was to investigate caring in nursing. Furthermore, because of Maslach (1998) statement that close contact within the nurse-patient relationship contributes to burnout in nurses, the authors wanted to investigate studies exploring the cause of burnout in nurses.Additionally, the cause of burnout in nurses is explored. The authors reviewed 11 scientific studies, performed in the past ten years around the world. The results showed that five main themes could be identified. These were: patient’s view of good care, patient’s view of bad care, nurse’s view of good care, nurse’s view of bad care, and the process and consequences of burnout.
Van, der Heever Mariana. "An ideal leadership style for unit managers in intensive care units of private health care institutions." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4058.
Full textENGLISH ABSTRACT: The work environment in critical care units in South Africa is hampered by a profound shortage of nurses, heavy workloads, conflict, high levels of stress, lack of motivation and dissatisfaction among the staff. The task of managing a C.C.U. has therefore become a challenge. It is important that unit managers apply a leadership style that matches these challenges. The aim of this study was to investigate the ideal style of leadership. The objectives set for the study were to identify the ideal leadership style required in the following areas: administrative functions education functions patient care research An explorative, descriptive research design was applied, with a quantitative approach to determine the ideal leadership style for unit managers in critical care units of private health care institutions. The research sample consisted of all nurses working permanently in eleven private hospitals in the Cape Metropolitan area. A questionnaire consisting of predominantly closed questions was used for the collection of data, which was collected by the researcher in person. Ethical approval was obtained from the Committee of Human Science Research at Stellenbosch University. Permission to conduct the research was obtained from the institutions and informed consent from the participants. A pilot study was conducted to test the questionnaire at a private hospital which did not form part of the study. A 10% sample of the relevant staff, namely 27 participants were involved in this study. The validity and reliability was assured through the pilot study and the use of a statistician as well as experts in nursing and a research methodologist. Data was tabulated and presented in histograms and frequencies. Statistical significant associations were drawn between variables, using the Chi-square test. The Spearman rank (rho) order correlation was used to show the strength of the relationship between two continuous variables. Findings of the study show that participatory leadership style and transformational leadership approach were valued in all four (4) of the objectives. Emphasis was placed on consultation prior to any decisions. Nurses requested an opportunity to give feedback on a regular basis regarding the unit managers conduct (Chi-square test p = 0.025). They also agreed that unit managers should apply the necessary rules and procedures (Chi-square test p = 0.016). A huge request was made for integrity, trust, impartiality, openness, approachability and particularly honesty. The nurses also maintained that the nurse manager’s behaviour should be congruent. Furthermore, the results indicate that nurses would like to be empowered by: being involved in the scheduling of off-duties taking the lead in climate meetings being granted opportunities (to all categories of nurses) to attend managerial meetings. N = 41 (48.2%) of nurses admitted that unit managers would instruct them to cope with insufficient staffing pertaining to ventilated patients, putting them under severe strain and at risk legally. N = 39 (47%) of nurses admitted that unit managers only consider qualifications and experience in the delegation of tasks if the workload in the unit justifies it. Safe patient care is not always a priority. N = 99 (96%) of nurses agreed that autocratic behaviour relating to task delegation exists. Recommendations included the application of transformational leadership and participatory management. The aim to create a healthier, more favourable work environment for critical care nurses will hopefully be attained through applying the ideal leadership style and leadership approach.
AFRIKAANSE OPSOMMING: Die werksverrigtinge in kritieke sorgeenhede in Suid-Afrika word deur ‘n ernstige tekort aan verpleegsters, hoë werklading, konflik, spanning, min motivering en baie ontevredenheid onder verpleeglui gekortwiek. Die leiding en bestuur van ‘n kritieke sorgeenheid is dus nie ‘n maklike taak nie. Dit is dus belangrik dat eenheidsbestuurders ‘n leierskapstyl aan die dag lê wat dié uitdagings doeltreffend aanspreek. Die doel van die studie is dus om ondersoek in te stel na die wenslike leierskapstyl vir kritieke sorgeenhede. Die doelwitte daargestel is dus om die ideale leierskapstyl in elk van die volgende funksies te bepaal: administrasie opleiding pasiënte-sorg navorsing Die ideale leierskapstyl vir eenheidbestuurders in kritieke sorgeenhede in privaathospitale is bepaal deur ‘n kwantitatiewe benadering met ‘n beskrywende ontwerp toe te pas. Die populasie het alle kritieke sorg verpleeglui ( permanent werksaam by een van elf privaathospitale in die Kaapse Metropool) ingesluit. Instrumentasie het ‘n vraelys behels (met oorwegend geslote vrae) en data is persoonlik deur die navorser ingevorder. Etiese toestemming is vanaf die Etiese Komitee van die Mediese Fakulteit te Universiteit Stellenbosch verkry asook die hoofde van die verskillende privaathospitale waar navorsing plaasgevind het. Ingeligte toestemming is ook van elkeen van die deelnemers verkry. Ten einde die vraelys te toets, is ‘n loodstudie by ‘n privaathospitaal ( wat nie by die studie ingesluit was nie) gedoen. Die loodstudie het N = 27 (10%) van die totale populasie behels. Die betroubaarheid en geldigheid van die studie is deur die loodstudie, die gebruik van ‘n statistikus, verpleegdeskundiges en die navorser-metodoloog versterk. Data is getabuleer en in histogramme en frekwensies voorgestel. Deur die Chi-square- toets te gebruik, is statisties betekenisvolle assosiasies tussen veranderlikes bepaal. Ten einde sterkte van verhoudings tussen twee opeenvolgende veranderlikes te bepaal, is die Spearman rangordekorrelasie (rho) aangewend. Die bevindings van die studie het getoon dat ‘n deelnemende bestuurstyl en transformasie-leierskapbenadering die mees aangewese keuse vir al vier doelwitte is. Die toepassing van veral ‘n deelnemende besluitnemingsproses het groot voorrang geniet, Verpleegkundiges wil daarbenewens ook op ‘n gereelde basis geleentheid hê om terugvoering oor die leierskapgedrag van die eenheidsbestuurder te gee (Chi-square toets p = 0.025). Ook verlang die deelnemers dat eenheidsbestuurders nie reëls en regulasies moet verontagsaam nie (Chi-square toets p = 0.016). ‘n Ernstige versoek is gerig ten opsigte van integriteit met pertinente verwysing na eerlikheid, vertroue, onpartydigheid, deursigtigheid, toeganklikheid en dat die leier se woorde en dade moet ooreenstem. Die resultate het verder getoon dat verpleegsters graag bemagtig wil word deur: betrokkenheid in die skedulering van afdienste, leiding in klimaatsvergaderings te wil neem, geleentheid te hê om bestuurvergaderings by te woon (alle kategorieë van verpleegkundiges).. N = 39 (48.2%) van verpleegkundiges het erken dat hulle gedwonge personeeltekorte ten opsigte van geventileerde pasiënte ervaar en dus aan mediese geregtelike risiko’s en onnodige druk blootgestel word. N 39 (47%) van verpleegkundiges het erken dat eenheidsbestuuders kwalifikasies en ondervinding slegs in ag neem indien die werklading in die eenheid dit toelaat..Veilige pasiëntesorg kry dus nie altyd voorkeur nie. N = 99 (96%) van verpleegkundiges het erken dat outokratiese gedrag ( wat met werkstoewysing verband hou) wel voorkom. ‘n Transformasie leierskapsbenadering en deelnemende bestuurstyl is dus aanbeveel. Die hoop word dus uitgespreek dat deur aan die verpleegkundiges se versoeke ten opsigte van die ideale bestuursbenadering en bestuurstyl te voldoen, die werksatmosfeer binne kritieke sorgeenhede toenemend gesonder en dus aangenamer sal word.
Gentles, Marilyn Elaine. "School Nursing Health Care Transition Policies and Practices for Serving Youth with Disabilities and Special Health Care Needs." Thesis, The George Washington University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3557496.
Full textYouth with disabilities and special health care needs (YDSHCN) preparing to exit high schools should receive mandated secondary transition planning. Transition is required to move youth with disabilities smoothly from high school services to postsecondary education and training, work, and adult community participation. Health care transition (HCT) of youth to adult health services is an emerging national focus (Healthy People 2020), but the role of the school nurse in HCT has not been explored. I
n this study, literature is presented on the political, legal, and socio-cultural contexts of the study, the key players for school-based HCT, and a review of relevant research, with emphasis on the role of the school nurse in educational settings and transition services. Review of the literature indicates a lack of research on the roles and responsibilities of the school nurse regarding services to YDSHCN, particularly pertaining to HCT. It is not known what policies and guidance exist for school nurses serving YDSHCN.
This research uses a qualitative single-case study design, through interviews and document reviews, to discover policies and practices that exist for school nurses serving transition-age YDSHCN preparing to exit schools in a school district in a Mid-Atlantic state. Seven district school nurses and three elite informants from the same state were interviewed, and three expert informants, outside of the state, provided information to help inform the study and shape its focus.
The study adresses the overarching research question: What elements of health care transition policies and practices are in place for serving transition-age YDSHCN preparing to exit secondary schools in this one school district? Texts from the interviews and documents were coded and analyzed to gain insight into the policies and practices, and organized using Bronfenbrenner's (1979) ecological framework. The results indicate that no comprehensive policy that includes health care transition policy exists, and that gaps exist at each level of the ecological framework. The study concludes with policy and practice recommendations.
Ogbuji, Victoria Ngozi. "Improving Spiritual Care in Preoperative Nursing." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7246.
Full textBell, Mary Ann 1953. "Perceptions of quality of care in the nursing home." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/291785.
Full textStrollo, Jennifer Miranda. "Direct Care Staffs’ Experiences and Perceptions of Person-Centered Care Training." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7756.
Full textBorja, Jairo. "Recruiting Strategies for a Nonprofit Health Care Facility." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6524.
Full textGray, Debra. "Improving Seasonal Influenza Vaccine Uptake Among Health Care Workers." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3492.
Full textCaelli, Kathleen. "Health to health promotion : transforming health experience into nursing practice." Thesis, Curtin University, 1998. http://hdl.handle.net/20.500.11937/605.
Full textGarcia-Brinker, Dawn A. "Smoking Cessation Education for Acute Care Nurses." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10977237.
Full textTobacco use among veterans is significantly higher than among members of the general population. The purpose of this quality-improvement project was to increase acute care staff members? knowledge and confidence in using tobacco cessation interventions to increase quit rates among the inpatients of a veterans? hospital in the midwestern region of the United States. An evidence-based, standardized Tobacco Tactics Toolkit was developed and implemented, and a 6 sigma method guided the quality improvement process to define, measure, analyze, improve, and control the tobacco-cessation education initiative. The reach, effectiveness, adoption, implementation, and maintenance framework was used to ensure that evidence-based interventions were applicable to practice. The transtheoretical model was also used to understand the changing behavior of individuals addicted to tobacco and explain the phenomena of nicotine dependence. A convenience sample method was used, and a 10-question pre- and posttest was administered to 12 staff members. Results showed a 60% increase in posttest scores indicating a significant improvement in staff confidence, knowledge, and willingness to implement tobacco-cessation interventions. The Tobacco Tactics Toolkit has the potential to positively impact social change by increasing quit rates, decreasing admissions, and improving quality of life among veterans.
Glover, Gloria. "Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, and Quality of Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7142.
Full textSabin, Linda Emerson. "Nursing and Health Care in Jacksonville, Florida, 1900-1930." UNF Digital Commons, 1988. https://digitalcommons.unf.edu/etd/2.
Full textGoulter, Nicole S. "Patterns of care: Primary research in mental health nursing." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/90853/1/Nicole_Goulter_Thesis.pdf.
Full textHays, Bevely J. "Relationships among nursing care requirements, selected patient factors, selected nurse factors, and nursing resource consumption in home health care." Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054924269.
Full textLu, Wei. "Economic determinants of quality of care in nursing homes." Thesis, Wayne State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3626093.
Full textThis dissertation examines the factors that will affect nursing home quality of care using several national data sources on market regulation, county demographic characteristics, market structural and the characteristics of different types of long-term care providers in 2010.
The first study examines how nine different measures of nursing home care quality respond to the greater levels of local market competition from these alternative providers of long-term care, as well as other nursing homes. Findings reveal that faced with greater competition from assisted living facilities, nursing homes are left to care for more disabled, less healthy patients. Although the nursing home's staff-to-bed ratios rise in response, other measures of care quality decline, such as more process- and outcome-based measures. Competition from home health agencies likewise has mixed effects on nursing home care quality, and competition from other nursing homes in a market tends to decrease care quality. These finding suggest that care quality in nursing homes may continue to erode as the market for alternative, community-based long-term care services expands.
The second study examines the Medicare regulation effects on nursing home quality controlling for the whole long-term care market competition structure. In many local markets nursing homes now compete with assisted living facilities for residents, yet most previous studies of the effects of Medicaid nursing home reimbursement policies on care quality have analyzed nursing homes in isolation, ignoring the presence of nearby competitor firms, and how state regulation of assisted living facilities might also affect care quality in nursing homes. This study uses a richer model specification that accounts for a much broader range of state long-term care regulations as well as the structure of a nursing home's local market. Findings reveal that a higher Medicaid reimbursement rate leads to significant improvements in nine different aspects of nursing home quality, while state certificate-of-need programs for nursing homes lead to a decline in several (but not all) dimensions of it. A large presence of assisted living beds in a local market also tends to reduce nursing home quality, and state regulations regarding assisted living facilities indirectly affect nursing home care quality by altering the nature of local market competition. Overall, these results suggest that state laws related to all long-term care providers, not just nursing homes, are important determinants of nursing home care quality.
Davis, Meagan Chase. "Adolescent Depression Screening in Primary Care Practice." Thesis, The University of Arizona, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13864970.
Full textPurpose: The purpose of this DNP quality improvement project was to increase primary care provider knowledge about indications for adolescent depression screening.
Background: Approximately 13.3% of adolescents experienced depression in the past year. In Oklahoma alone, rates are increasing, with depression totaling 60% of all mental health illness among adolescents. Primary care providers see approximately 75% of adolescents; however, mental health conditions are missed 84% of the time. Current clinical guidelines recommend screening for adolescent depression during wellness visits or when risk factors are present.
Methods: The providers of interest were nurse practitioners, physicians, and physician assistants providing primary care to children between the ages of 12 and 17 in a private pediatric practice group consisting of three clinics. The Model for Improvement guided the process of developing, implementing, and evaluating an educational intervention through use of a pre-test/post-test quantitative design. An email invited participants to complete an anonymous pre-test survey to evaluate knowledge and beliefs surrounding adolescent depression, then view an educational presentation on adolescent depression and screening guidelines, then complete a post-survey to evaluate any changes in knowledge and intention to screen. Results were shared with clinic representatives to help refine the education for future testing cycles and other clinic sites.
Results: Data collection took place over one week. Five providers completed both the pre-test and post-test surveys. Provider knowledge scores significantly increased 29% after participating in the education and self-reported knowledge on screening increased.
Conclusions: DNP quality improvement projects like this help develop strategies to increase best practices, leading to improved patient outcomes. Nurse-led improvement programs like this contribute to healthcare literature and the advancement of the nursing profession by developing patient-centered interventions applicable to a wide variety of providers. Results may be used to develop strategies to increase and align provider practices with best standards to help promote early identification and treatment of adolescents with depression.
Jarek, Holly Elaine. "Administrative changes in pediatric long-term care." Thesis, The University of Alabama at Birmingham, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105905.
Full textThis research used a Delphi methodology to solicit challenges that significantly impact the operational success of pediatric long-term care facilities. Further, this study sought to understand the ability of pediatrics administrators to impact, affect, overcome, or resolve these challenges. Round 1 accomplished the desired goal of eliciting a substantial amount of new qualitative information regarding administrative challenges in pediatric long-term care, which previously had been extant in the literature. In Round 2, data were distilled into categories and unique exemplars which in turn were validated by participants. In Round 3, administrators ranked and rated categories and individual challenges in terms of significance and impact.
Findings revealed that the most important challenges for administrators are those of working with an inadequate model that is designed for a geriatric population, inadequate Medicaid funding, and the lack of clinical and administrative indicators in pediatric long-term care. The most important challenges that could be affected by the administrators are related to inadequate model, clinical practice, and the need for diversification. Administrators believe they can strongly impact the rules, regulations, and protocols that are currently geriatric focused, develop pediatric long-term care indicators and evidence-based research, and impact their financial security by diversification.
The Delphi research accomplishes the desired goal of eliciting a substantial amount of new information regarding administrative challenges in pediatric long- term care and contributes to the broader body of knowledge in health services administration. The significant research findings suggest the need for changes in the regulatory and financial models in pediatric long-term care and the need for enhanced clinical practice though evidence-based practice and outcomes.
Gearhart, Susan Frances. "The relationship between care provider perceptions of safety culture and patient perceptions of care on three hospital units." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3339189.
Full textHart, Marcella Ann. "Self-care agency and prenatal care actions: Relationships to pregnancy outcomes." Case Western Reserve University School of Graduate Studies / OhioLINK, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=case1060875429.
Full textBetz, Cecily, Lisa S. O'Kane, Wendy M. Nehring, and Marie L. Lobo. "Systematic Review: Health Care Transition Practice Service Models." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6518.
Full textRiggs, Jennifer Sue. "The Influence of Home Care Nursing Visit Pattern on Heart Failure Patient Outcomes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1244663522.
Full textRashotte, Judith Mary. "Pediatric intensive care nurses and their grief experiences." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/10425.
Full textPetteys, Annie R. "Effects of neonatal palliative care consultation on parental stress of patients in the neonatal intensive care unit." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1522646.
Full textThe hospitalization of one's infant is a stressful situation that can lead to decreased bonding and poor health outcomes. This longitudinal comparative design study examined the effects of neonatal palliative care (PC) consultation on stress levels and satisfaction scores of parents of neonatal intensive care unit (NICU) infants. Clinical data was abstracted from the medical record. Demographic data, stress scores, and satisfaction reports were obtained via self-report.
Mean stress scores indicated most parents experienced moderate stress due to NICU hospitalization. Some parents met diagnostic criteria for acute stress disorder. While all parents expressed satisfaction with care received; PC parents were extremely satisfied with care. No statistically significant differences in stress or satisfaction scores were noted between parents who received PC consultation and those who did not. Study conclusions validate previous research regarding NICU parent stress and show that additional quantitative and qualitative research regarding NICU palliative care is warranted.
Shapera, Leah Elizabeth. "Meeting the nursing care needs of the elderly in the community : clients' perspectives on adult day care." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28797.
Full textApplied Science, Faculty of
Nursing, School of
Graduate
Bostick, Jane E. "The relationship of nursing personnel and nursing home care quality." MU has:, 2002. http://wwwlib.umi.com/cr/mo/fullcit?3052150.
Full textMoyer, Agnes Alwyn. "The specialist nursing care of children with diabetes." Thesis, King's College London (University of London), 1993. https://kclpure.kcl.ac.uk/portal/en/theses/the-specialist-nursing-care-of-children-with-diabetes(22929284-947a-4706-9cc2-a9128e7623d1).html.
Full textMerriman, Carolyn S. "Diversity: Meeting the Health Care Needs of All." Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/8464.
Full textEnochs, Shannon. "Bridging the Gap between Emotional Trauma Practice Guidelines and Care Delivery in the Primary Care Setting." Thesis, Brandman University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13428017.
Full textWhen patients present with complaints of anxiety or depression, providers in the primary care setting often prescribe anxiolytics or antidepressants without conducting an early emotional trauma or adverse childhood experiences assessment. Several studies demonstrate the link between early emotional trauma (EET) or adverse childhood experiences (ACEs) and the increased risk of anxiety or depression as adults. This Clinical Scholarly Project (CSP) implemented the use of the Adverse Childhood Experience (ACE) Questionnaire with patients who had a diagnosis of anxiety or depression in the primary care setting to increase patient access to resources and align clinical practice with practice guidelines. Participants included eight primary care providers, 30 patients and 21 chart review patients. The CSP utilized a quasi-experimental design to determine if the use of the ACE Questionnaire by patients with anxiety or depression would result in patients receiving more community resources (to include counseling), strengthen the provider-patient relationship, increase provider comfort in discussing ACEs with their patients and result in patients receiving care that was evidence based. Patient sample participants received significantly more resources (M = 8.27, SD = 2.27) than the chart audit sample (M = 0.90, SD = 0.30). Patient sample members received an average of eight resources (M = 8.27) and utilized an average of five resources (M = 5.07). Use of the ACE Questionnaire resulted in more trust in provider-patient relationship by patients (80.0%) and the majority of the provider sample more comfortable discussing ACEs after the project (85.7%).
Aulbach, Rebecca K. "Nurses' practices with blood transfusions in medical-surgical patient care units of acute care U.S. hospitals the state of the science." Thesis, Texas Woman's University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3598453.
Full textBlood transfusions occur in all areas of a hospital with nurses at the point-of-care responsible for specimen collection, blood administration, patient surveillance, and adverse event reporting. Unfortunately there is a paucity of nursing research on blood transfusions. The purpose of this study was to describe the state of the science of medical-surgical acute care nurses' practices with blood transfusion therapy. Seven research questions addressed the comprehensive scope of nurses' involvement with blood transfusions. Data was collected via a valid and reliable web-based survey, Nurses' Practices with Blood Transfusions: Medical-Surgical Acute Care. A random selection of U.S. hospitals with a nurse executive who was a member of the American Organization of Nurse Executives was recruited via postal letter. One survey was completed per hospital with 148 hospitals responding (18.3% response rate).
Nurses' practices in transfusion processes are similar across the country. The hospital's transfusion policy was the most influential source of information for nurses because it specified nurses' transfusion practices. Limitations in surveillance of the medical-surgical patient with a blood transfusion were due to the lack of current information on transfusion reaction symptoms included in the education programs, delegation of transfusion vital signs to non-licensed staff that were not educated on symptoms of a transfusion reaction and transportation of patients with blood infusing to tests and procedures. Hospitals were in the process of adopting electronic technologies to reduce or eliminate wrong-blood-in-tube errors or wrong blood administered mistransfusion errors. Nurses need to collaborate with the transfusion service to update the transfusion policy and the blood transfusion education programs; include non-licensed staff in compulsory blood transfusion education; and closely evaluate the capabilities of an electronic documentation system to truly match the patient to the blood product. This descriptive study is a foundation for future research of nurses with blood transfusions.
Patterson, Elizabeth, and E. Patterson@mailbox gu edu au. "Primary Health Care Nursing: A Case Study Of Practice Nurses." Griffith University. School of Nursing, 2000. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030228.104735.
Full textStokes, Zwitter Miriam. "Nursing organizational structures in acute care hospital settings." Case Western Reserve University School of Graduate Studies / OhioLINK, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=case1059758111.
Full textMcCook, Judy G. "SANE Nursing, ACES and Trauma Informed Care." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7177.
Full textCaster, Marcus Ellis. "Strategies to Improve Customer Care Services in Urgent Care Businesses." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6979.
Full textSmith, Sally Ann. "Decision-making in acute care nursing with deteriorating patients." Thesis, University of Brighton, 2013. https://research.brighton.ac.uk/en/studentTheses/0b2fc4c1-b4b5-42f6-8ee8-2d29343db3b8.
Full textDobbins, Elizabeth M. "Non-Language Barriers to Effective Care of the Hispanic Population." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/honors/274.
Full textOgawa, Keiko. "Workload of Home Health Care Nurses in Japan." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207180785.
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