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Le, May Andree Christine. "Nurse-patient touch and wellbeing of elderly patients." Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392280.
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RinaldiFuller, Julie. "Patient to nurse ratios and safety outcomes for patients." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/JRinaldiFuller2008.pdf.
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Rycroft-Malone, Joanne. "Patient participation in nurse-patient interactions about medication." Thesis, University of Southampton, 2002. https://eprints.soton.ac.uk/50615/.
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The dominant political ideology emphasises the patient as a consumer and partner in health care. Correspondingly, the move towards patient-centred nursing, based on the principles of humanism and individualism, emphasise the central role patients' should play in the nurse-patient encounter. Additionally, changing social and demographic trends highlight the importance of medication as a health care issue. Thus, current health care policy and practice contexts highlight the importance of patients' participation in health care as consumers and partners and, nurses' ability to make an effective contribution to educating patients about medication as part of their role in health education and promotion. However, despite the significance of this context, little is known about the extent and manner of patient participation, or the contribution that nurses make to this important health promotion activity. Therefore the purpose of this study is to extend knowledge in this area by describing and explaining patient participation in medication interactions, as it occurs within the reality of the clinical context. In order to study patient participation in medication interactions in the reality of the clinical context, a case study approach was adopted. Three case sites were sampled and included: 1) an acute medical ward, 2) a community hospital rehabilitation unit, and 3) a community mental health service. Data collection methods employed to explore and describe patient participation in medication interactions included: non-participant observation, audio-recording of nurse-patient interactions, nurse interviews, patient interviews, reflective field notes, focus groups and documentation. The data analysis framework included the use of conversation analysis for nurse-patient interaction data and content analysis for other qualitative data. The findings indicate that patient participation can be understood at least in part by the communicative practices and choices that nurse and patients/clients make. More specifically a range of conversational strategies were employed by nurses to initiate and control conversations and by doing so inhibited patients' participation. However a comparison of findings across sites indicates that there were both differences and similarities in the extent to which nurses facilitated and inhibited patient participation. A number of influencing factors were identified that helped to explain these findings. These include: power, nurses' communicative style, knowledge, skills and experience, patients' age, acuity of illness and level of knowledge, and the organisation and philosophy of care. The findings from the study make a unique contribution to the body of knowledge in a number of ways. First, as the only study to describe patient participation in medication interactions between nurses and patients, it identifies that participation can occur at an interactional level, as well as a more practical level via, for example, the potential to self medicate and independently manage medications. Related to this, it has also contributed to the conceptual clarity and development of the concept of patient participation. This study has highlighted that patient participation may be realised and understood more fundamentally, at the level of the nurse-patient interaction, in contrast to previous research that conceptualises participation as making choices and involvement in decisionmaking. Furthermore, by the successful use of conversation analysis, this study has also advanced knowledge about potential ways to investigate patient participation at the level of nurse-patient discourse. Finally, this study provides a contribution to advancing theoretical explanations of patient participation through the construction of a framework of explanatory factors influencing patient participation. A framework for enabling participation has been developed based on the specific conclusions and principles for action drawn from the findings and from the philosophy of Freire (1972; 1983), which acknowledges an individual's potential to be empowered and assume control. The framework proposes that addressing attitudinal, interactional, relational, educational and contextual issues, might facilitate patient participation. Implications and recommendations reflect the practice and education requirements needed to implement such a framework.
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Curtis, Elizabeth Anne. "Nurses' attitudes and nurse-patient interactions on a paediatric ward." Thesis, University of Plymouth, 1995. http://hdl.handle.net/10026.1/2336.
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Despite the potentially very significant role of nurses in mitigating against the negative effects of hospitalisation on children, the attitudes and behaviour of paediatric nurses towards patients have been largely ignored within the literature. This study, therefore, aimed to consider paediatric nurses' attitudes and their interactions with patients and, in particular, to investigate the relationship between these two variables. However, in contrast with similar studies in other specialties, nurses' attitudes and behaviour were considered at a general and individual patient level. A general attitude measure, the Paediatric Attitude Scale (PAS), was developed during the first part of the study and indicated that nurses' attitudes towards patients as a whole tended to be tolerant and patient-centred. Nurses' interactions with patients were mainly positive and, in contrast with previous research, regularly occurred outside of the normal nursing routine. In addition, almost half of all nurse-patient interactions contained a social component. As predicted, no significant association was evident between nurses' scores on the PAS and their general behaviour with patients. However, modest associations with correlation ratios of between 0.10 and 0.16 were found between nurses' attitudes towards individual patients (as measured by ranking scales) and the quality, duration and, to a lesser extent, the number of interactions with those particular patients. Indeed, the results suggested that patients who were liked more and who were considered easier to nurse tended to receive interactions which were more positive and longer than patients who were liked less and who were perceived to be more 'difficult'. However, the actual differences between interaction scores for particular patients were relatively small and their clinical significance in terms of the impact on children and the need to modify nursing practice is, therefore, debatable.
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Usishkin, Monica Gun. "Nurse-patient communication in different clinical areas : the nurses' perspective." Thesis, Anglia Ruskin University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440245.
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Ross, Jane Daun. "Mental health nurse prescribing : using a constructivist approach to investigate the nurse patient relationship." Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=196346.
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Background: The interpersonal relationship between nurses and clients is seen as the central element or core activity of mental health nursing. Without this relationship therapeutic alliance cannot take place. Concern has been expressed that nurse prescribing could have a negative impact on the nurse patient relationship and result in the nurse sacrificing nursing skills for the prescribing role. Aim: The aim of this study was to explore the nurse patient relationship in the mental health setting when the nurse is a prescriber. In order to do this a comprehensive literature review was undertaken and views of participants were explored and relationships described. Methodology and methods: Nurse prescribers were sent questionnaires to gather demographic data and basic qualitative data. Focus groups and interviews were undertaken within a large NHS Foundation Trust. A constructivist approach was used with 57 participants including nurse prescribers, pharmacist prescribers, nurse managers, clients and doctors. A discussion guide and an iterative approach were used to clarify findings. Data analysis was guided by a Framework approach. Findings: The majority of clients preferred to have their nurse prescribe for them. Trust was highly valued within the pre-established relationship and clients found nurses easier to talk to about their medication than doctors. Nurse prescribers placed high importance on being able to reduce and discontinue medication for the client, terming this ‘un-prescribing’. Nurse prescribers were uncomfortable with the concept of power, preferring to use the term ‘empowerment’. All groups of participants were unanimous that nurse prescribers continued to provide care and that they had not moved from a traditional ‘caring’ role to a ‘medical’ curing role and importance was placed on the therapeutic alliance between nurse prescribers and clients. Conclusion: Rather than detracting from the nurse patient relationship, results from this study suggest that nurse prescribing enables the mental health nurse prescriber to provide more holistic care than previously. The action of ‘un-prescribing’ may indicate a new culture around mental health nurse prescribing
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Kan, Ching-yee Eva. "Diabetes education in Hong Kong : fulfillment of patient needs, nurse responses and patient satisfaction /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21020425.
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Taylor, Ian. "Registered mental nurses' experiences of nurse-patient relationships in acute care." Thesis, Swansea University, 2012. https://cronfa.swan.ac.uk/Record/cronfa42306.
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The changing context of mental health care provision in the United Kingdom in the last three decades has seen significant change in acute inpatient services. Service users have expressed dissatisfaction about current service provision and care. Nurses continue to represent the largest professional group providing care in these services. Comparatively little is known from nurses' perspectives about the present nature of the nurse-patient relationship in acute mental health inpatient settings. The purpose of this research study was to explore with a sample of 14 registered mental nurses, their experiences about the nature of the nurse-patient relationship. An interpretive, phenomenological approach was adopted. The principal research question asked 'What are registered mental nurses' experiences of the nature of the nurse-patient relationship in working age acute inpatient mental health care settings?' Following ethical approval, unstructured, individual interviews were used as the primary method of data collection. Transcribed interview texts were analysed hermeneutically, supplemented with the researcher's field notes and reflective journal. Key findings included the impact of poor ward environments, increased patients' acuity of illness, and multiple, competing demands placed on nursing time. Although nurses valued human interpersonal relationships with patients, they struggled to achieve their aspirations for the nurse-patient relationship, owing to a range of factors including organisational constraints, inexperience, and limited post-registration professional development. Nurses could experience stress and emotional fatigue, and their needs for support were not always met. These factors may challenge possibilities for the development of therapeutic nurse-patient relationships. Whilst nurses appear to acknowledge the benefits of therapeutic nurse-patient relationships, they may be insufficiently prepared to achieve their ideals, given the challenges of working within an area of practice which provides for short term admissions focussed on acute risk management and containment.
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Gunther, Anne M. "Nurse Mindfulness and Preventing Patient Harm." Walsh University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=walsh1397739103.
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Vollstedt, Inge. "Social distancing between nurse and patient." Thesis, University of Edinburgh, 1999. http://hdl.handle.net/1842/22714.
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This thesis accepts the claim of theories of knowledge which presuppose a non-cognitive principle, such as Derrida's difference, as the condition of interpreting the person's recognition of objects in the world. In non-cognitive theories, the person's recognition of objects is uncertain. This position is opposed to theories of knowledge which presuppose a cognitive principle, such as the ego of Descartes, and which claim that a correspondence between person and object is certain. The major aim of this thesis is to show how the nurse's certainty about a correspondence excludes the patient's recognition from her recognition. The effect is the creation of a social distance between nurse and patient. Another aim is to show how the nurse's uncertainty about a correspondence allows nurse and patient to exchange their recognitions. Such exchange, understood as the possibility of accomplishing a kind of correspondence, decreases a social distance between nurse and patient. Achieving these aims involves an explication of how nursing theorists interpret the nurse's recognition. For instance, Orlando's (1961) idea of "exploration" is analysed to be a non-cognitive and a minimal cognitive interpretation of the nurse's recognition. I draw on Johnson's (1974) work to elucidate how the development of conceptions of nursing imply a cognitive interpretation of the nurse's recognition. I then exemplify how the nurse's recognition when based on Abdellah's (1960) or Roy's (1984) conceptions of nursing of 'the whole patient' is not corresponding with 'the whole patient'. Finally, I examine the work of Benner et al (1996). I discuss the difference between the principles Benner et al and Dreyfus and Dreyfus (1996) presuppose in order to explain the nurse's skill acquisition as a move through stages from novice or advanced beginner to competency and then to proficiency and expertise.
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Walker, Annette Clare, of Western Sydney Nepean University, and Faculty of Nursing and Health Studies. "Nurse and patient work: comfort and the medical-surgical patient." THESIS_FNHS_XXX_Walker_ A.xml, 1996. http://handle.uws.edu.au:8081/1959.7/286.
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This grounded theory study investigates the experiences and perceptions of comfort and discomfort of hospital patients admitted for medical-surgical conditions, with a focus on the post-accute stage of hospitalisation. In-depth post-discharge interviews were conducted with seventeen English speaking adults who had been admitted to nine Australian hospitals. A substantive theory of finding comfort and of managing discomfort was generated. Processes of self-talk (anticipating, interpreting, accepting, making allowances and maintaining perspective) and self-care (self-help and seeking help, which involved accommodating to the level and type of help available through deferring, avoiding, persisting or desisting) were used to find comfort and to manage discomfort. The study has implications for nursign practice, management, research and education. Existing practice in the areas of assessment, communication, individualised care planning and the management of discomfort need to be strengthened if nursing care is to make a difference for this category of patient. The study revealed that integrated caring by nurses perceived by informants as 'experts', contributed most to the experience of finding comfort and managing discomfort in this group of informantsDoctor of Philosophy (PhD)
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Halldorsdottir, Sigridur. "The essential structure of a caring and an uncaring encounter with a nurse -- from the client's perspective." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27717.
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This phenomenological study was designed to explore the essential structure of caring and uncaring encounters, as perceived by recipients of nursing care in their interactions with nurses, with the aim of adding to the knowledge and understanding of these phenomena.
Data were collected through 18 in-depth interviews with nine former recipients of nursing care. The interviews were tape-recorded and transcribed verbatim for each participant. The researcher saw the participants in the study as coresearchers and through inter-subjective interaction, or dialogue, the essential description of a caring and an uncaring encounter was constructed.
The essential structures of both caring and uncaring encounters are composed of three basic components: the approach by the nurse, the presence or absence of relationship formation, and finally, the patient responses to the encounter. The first component in the essential structure of a caring encounter with a nurse — from the client's perspective, is the professional caring nurse approach. The nurse is perceived to be competent, administering her care with genuine concern for the patient as a person, giving him full attention when with him, and constituting a cheerful presence for the patient. The coresearchers reported that these characteristics, which were perceived by them as evidence of caring, had promoted in them a feeling of trust, which had facilitated a development of a nurse-patient relationship. The development of a nurse-patient relationship, or professional attachment, comprises the second essential component of a caring encounter. Developing a nurse-patient relationship was conceptualized in this study as a process involving five phases: initiating attachment, consisting of reaching out and responding by both nurse and patient; mutual acknowledgement of personhood, where nurse and patient recognize each others as persons; acknowledgement of attachment, involving confirmation of attachment; professional intimacy, when the patient feels safe enough in the relationship to reveal to the nurse particulars about his present condition and how he feels about them; and finally negotiation of care, when the nurse works collaboratively with the patient and truely takes his perspective into account when giving nursing care. Throughout the attachment development the professional nurse keeps a distance, an important dimension of professional attachment which the coresearchers clearly articulated had to be present in order to keep the nurse-patient relationship within the professional domain. This combination of intimacy and distance is referred to as nurse-patient attachment with professional distance.
The professional caring nurse approach and the resulting nurse-patient attachment with professional distance form the essential structure of professional caring. The patient responses to professional caring comprise the last component in the structure of a caring encounter with a nurse. Five themes were identified in the coresearchers' accounts: sense of acceptance and self-worth; sense of encouragement and support; sense of confidence and control; sense of well-being and healing; and finally sense of gratitude and liking.
The essential structure of an uncaring encounter with a nurse — from the client's perspective is also comprised of three basic components: the nurse's approach to the patient, which is perceived by the patient as indifference to him as a person; the resulting nurse-patient detachment with total distance between the nurse and the patient; and finally patient responses to uncaring.
Four dimensions of an uncaring nurse approach were identified in the data, characterized by increased indifference, inattentiveness, and insensitivity to the patient and his needs: apathetic inattention, unconcerned insensitivity unkind coldness, and harsh inhumanity. Perceived nurse indifference to the patient as a person makes the patient distrustful of the nurse. The patient often perceives the nurse as an authoritarian person with a need to control, and the patient's encounter with her is characterized by a lack of professional attachment, limited verbal communication, negative nonverbal communication by the nurse, and a lack of collaboration and negotiation of care. This is referred to as nurse-patient detachment with total distance.
It was the core searchers' unanimous perception that uncaring encounters with nurses were very discouraging and distressing experiences for them as patients. The coresearchers responses to the uncaring encounters were many-sided. Seven major themes were identified in their accounts: puzzlement and disbelief; anger and resentment; despair and helplessness; feelings of alienation and identity-loss; feelings of vulnerability; perceived effects on healing; and finally long-term effects of uncaring encounters. It was the coresearchers' unanimous perception that the uncaring encounters made an indelible impression on them, had a longer lasting effect than caring encounters, and tended to be both acid edged and memorable unresolved experiences.Applied Science, Faculty of
Nursing, School of
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Walsh, Kenneth David. "Being a psychiatric nurse : shared humanity and the nurse patient encounter /." Ttile page, contents and abstract only, 1996. http://web4.library.adelaide.edu.au/theses/09PH/09phw225.pdf.
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Delano, Holden Jessica. "A Toolkit to Support Nurse-Patient Communication through Nurse-Expressed Empathy." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3557.
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Empathy is the ability of a person to understand what another is experiencing from the receiver's perspective and the ability to communicate that understanding to the receiver. In nursing, empathy is believed to be a necessary component to the nurse-patient relationship. Evidence shows a decline in empathy specifically noted over time in nursing students who are preparing to graduate and enter the workforce. The practice focused question for this project asked whether an experiential learning toolkit for development of nursing empathy can improve sophomore nursing student empathy as measured via the Jefferson Scale of Empathy. This project was guided by evidence that demonstrated a continued need to measure the effect of activities aimed at fostering empathy in nursing students. The design for this project was a one group pre and post evaluation of a current healthcare program experiential learning toolkit. The project utilized a toolkit learning activity including case study and discussion in an undergraduate academic setting to assess whether empathy can be fostered in nursing students. Empathy levels were measured pre and post intervention utilizing the Jefferson Scale of Empathy. Analysis demonstrated a 3% increase in overall Jefferson score post intervention indicating an increase in empathic tendency. Of the 20 items on the scale, most scores increased pre to post survey. The findings are suggestive that experiential learning may be a viable strategy to increase empathy in nursing students. This project holds significant value for social change with the potential to identify effective methods to develop student nurses' expression of empathy.
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Archibald, Thomas. "Improving Patient Safety Through Nurse Collective Bargaining." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36169.
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Nursing workload and time worked are two key working conditions tied to the risk of adverse events and medical error. In Canada at the provincial level, these issues, which I call “patient safety issues”, are raised, negotiated and ultimately resolved within collective bargaining structures that are based on traditional “Wagnerist” labour law theory. I reviewed the results of decisions on patient safety issues within fifteen years of nurse collective bargaining in six of the thirteen provinces/territories. My findings are that patient safety issues of workload are inadequately addressed in nurse collective agreements, but at the same time these agreements contained strong patient safety-driven protections relating to time-worked issues of scheduling, hours of work and overtime. I further conclude that these limitations can be attributed to a series of trends in the process of nurse collective bargaining that tended to limit the ability of nurses’ unions to push for patient safety protections and more generally to marginalize patient safety issues in the bargaining process in favour of more traditional economic issues. To overcome these problems, I propose that patient safety issues in nursing be decided instead in locally-based “patient safety committees” instead of in the current traditional labour law model.
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BARTZ, CLAUDIA CAROL. "NURSE-PATIENT COMMUNICATION DURING CRITICAL ILLNESS EVENTS." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183833.
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The purpose of this study was to explore and describe nurse-patient communication during critical illness events. The theoretical structure of the study was drawn from communication, sociolinguistic, and nursing theory. Data were collected in a 374-bed private hospital in the Southwest. The sample consisted of six registered nurses and nine patients experiencing cardiac surgery. Nine observed and audiotaped nurse-patient interactions, and fourteen audiotaped partcipant interviews provided the data base for analysis. Content analysis was used to organize the data. Findings were presented in terms of language, paralanguage, and nonverbal expression, and in terms of content, process, and product of nurse-patient communication. Participants used biomedical-technical language and casual-everyday language during the interactions. Nurses talked about what patients would experience while patients talked about themselves as a way of establishing their credibility within the biomedical setting. Nurses viewed nurse-patient communication as variable depending on the patients' needs and responses. Patients viewed nurse-patient communication as straightforward, not requiring adjustment for the needs of the participants. Products of communication for patients involved increased knowledge, reassurance, and increased confidence. Products of communication for nurses involved relieving the patients' anxieties, considering the patients' remembering, and increasing the nursing staff's knowledge about the patient while helping the patient to know the goals of the nursing staff. The introduction and closure segments of the six nurse-patient interactions for preoperative preparation of the patient were analyzed. Nurses began the introductions by assuming that the patients needed relief from anxiety but the patients demonstrated politeness more than anxiety. Nurses used strategies of questioning, starting the physical assessment, topic persistence, and self-monitoring to control the closure segments. Patients used narratives and humor as control strategies. The study findings suggest conceptual areas relevant to nurse-patient communication which may ground theoretical model development for nurse-patient communication. Nurses in clinical settings can compare their patient communication experiences with the findings of the study in order to increase their understanding of expression, form, and function of nurse-patient communication.
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Risoldi, Sandra. "Preventing Patient on Nurse Violence Through Education." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7186.
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Many nurses are physically and verbally abused by the patients under their care, with those providing care to patients dealing with mental illness or addition being at particular risk. Leadership of the project site, an urban mental health treatment center, identified a need to provide additional education to improve their nursing staff's ability to work with combative patients and prevent escalation of violent behaviors. Albert Bandura's social cognitive theory and adaptation to the environment guided the development of this project to answer the question if an education program for nurses working with potentially combative patients will increase their knowledge of strategies to prevent escalation of violent behavior. The education program was developed using results from an extensive literature review and input from a team of local subject experts, who provided evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10 questions, Likert-type survey. All team members scored each question with a (5) strongly agree or (4) agree. Project deliverables handed over to the facility included the developed education program, an associated handout, a plan for later implementation, and plans for outcome evaluation through evaluation of learning. This project has the potential to achieve positive social change through less violent encounters between nurses and patients, contributing to an increased culture of safety.
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Matheson, Karen Ann. "Learning needs of cancer patients receiving chemotherapy : patient, nurse, and physician perceptions." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26133.
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Accurate assessment of educational needs is central to the planning of effective patient education programs. Adult learning theory holds that the more agreement that exists in the educator's and the learner's assessment of learning needs, the higher the probability that effective learning will occur. This descriptive survey was carried out to compare the learning needs of cancer patients receiving chemotherapy as perceived by three groups involved in patient education: nurses, physicians, and patients themselves.
Using the Assessment of Learning Needs Questionnaire (ALNQ) developed by Lauer, Murphy, and Powers (1982) and demographic data questionnaires developed by the researcher, the perceptions of patients' learning needs held by a convenience sample of 20 lymphoma patients, 24 nurses, and ten physicians were studied. Responses to the rating and ranking scales of the ALNQ were analyzed using nonparametric statistical techniques to determine the existence and location of differences in perceptions among the three groups. General comments about patient education and the ALNQ were gathered from the patient group in an interview setting and from the two care giver groups through responses to two open-ended questionnaire items.
Findings revealed that the learning needs of patients undergoing chemotherapy tend to focus on concerns related to the treatment experience, and the knowledge and skills required to cope with the impact of the disease and treatment on their lives. Patients described themselves as most knowledgeable in areas relating to life experience, rather than disease or treatment related areas, and were oriented to survival in their learning needs. The three groups demonstrated considerable similarity in their perceptions of areas problematic to patients and areas in which patients have the most knowledge. However, despite presumed knowledge and expertise in dealing with the concerns of chemotherapy patients, nurses' and physicians' perceptions of patients' learning needs differed from those held by patients. The care givers perceived patients to be more concerned with learning needs related to activities of daily living than patients reported. Implications for nursing practice and education are suggested, and recommendations made for further study.Applied Science, Faculty of
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Mullins, Ian R. "An examination of selected factors associated with nurses' behaviour and intentions related to patient teaching." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1163.
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Patient teaching is integral in the provision of an effective health care service. Registered nurses in all settings, have a professional responsibility to contribute towards their clients’ health promotion and maintenance by providing those clients with the health education they require. This study investigated the patient teaching intentions and behaviours of 181 registered nurses employed in acute medical and surgical settings at three metropolitan hospitals in Perth Western Australia. Within the framework of Ajzen and Fishbein’s (1980) theory of reasoned action, the study examined the relationships between registered nurses’ intentions to teach patients, their patient teaching behaviours and selected factors that have been associated with enhancing or hindering nurses in carrying out their patient teaching. One of the aims of the study was to examine the relationship between registered nurses’ patient teaching behaviours and intentions and their attitudinal and normative beliefs about patient teaching
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Tsung, Pui-kee Peggy. "Nurses' role in smoking cessation knowledge, attitudes and behaviours /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B26294825.
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Blais, Dawn Evelyn. "The nurses’ interpretation of the interaction between themselves and elderly, confused patients." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24411.
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Using symbolic interaction as a theoretical framework, the researcher explored the nurses' interpretation of their interactions with elderly, confused patients for the purposes of understanding nurses' behavior and of implementing more effective nurse-patient interactions. Qualitative data were collected during interviews with 18 registered nurses currently working either full-time or part-time in one of three extended care units.
Findings indicated that the nurses perceived specific patient behaviors, nurse behaviors, and external factors as influencing all phases of this interaction.
Six categories of patient behaviors emerged from the data. These categories are: (a) disruptive behaviors, (b) contextually inappropriate behaviors, (c) unintelligible behaviors, (d) memory-impaired behaviors, (e) unproductive repetitions, and (f) unpredictable fluctuations. These behaviors influenced the nurse-patient interaction by reducing the frequency with which nurses attached understandable meaning to patients' behavior, thereby reducing the effectiveness of and their satisfaction with the interaction.
The nurses' perceived that their behavior influenced the type, frequency, and duration of nurse-patient
communication, the degree to which the interaction was individualized and patient focused, and the extent of patient control during the interaction.
When patients influenced nursing behaviors in ways that reduced the frequency and person-oriented nature of the interaction, the nurses experienced the interaction as stressful and dissatisfying and subsequently withdrew to some degree.
External factors described as personal, interpersonal, and impersonal either facilitated or impeded the nurses' ability to assign understandable meaning to patients' behavior. The amount of understanding that occurred influenced the quality of care and communication and the amount of stress experienced by the nurse.
The findings suggest that geriatric nurses should focus their behavior on patients' psychosocial and emotional needs in addition to their physical needs. Nurses must be aware of the impact of behavior identified as confusion on the interaction. In response they must direct their caregiving and communication behaviors toward minimizing the impact of the reduced understanding that occurs during the interaction.Applied Science, Faculty of
Nursing, School of
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Johnsson, Cecilia, and Johanna Malmstedt. "Hur sjuksköterskor och patienter med fibromyalgi upplever vårdrelationen : En litteraturstudie." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8419.
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Fibromyalgi (FMS) är ett syndrom som främst karaktäriseras av kroniska smärtor i olika delar av kroppen. Patienter med FMS upplever ofta skepsis och misstro i mötet med vården på grund av att deras symptom är osynliga. Samtidigt kan det vara svårt för sjuksköterskor och övrig vårdpersonal att veta hur de ska förhålla sig till en sjukdom som inte uppvisar några kliniska fynd och vars etiologi fortfarande är relativt okänd. Dessa omständigheter gör vårdrelationen komplex. Syftet med denna studie är därför att utforska hur vårdrelationen upplevs mellan patienter med FMS och sjuksköterskor. 11 artiklar har analyserats, ur vilka ett huvudtema, fyra teman och två subteman identifierades. Resultatet visar att brist på tid, kunskap och förståelse resulterar i en problematisk vårdrelation. Betydelsen av att vårda dessa patienter i ett multiprofessionellt team framgår även. I diskussionen utvecklas på vilka sätt patienter med FMS och sjuksköterskor upplever vårdrelationen olika. Sjuksköterskornas känslor av maktlöshet kan från patientens sida istället uppfattas som ointresse och brist på engagemang, vilket kan medföra att patienterna tar med sig negativa känslor in i nya vårdmöten.
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Havelick, Julia B. "Nurse-patient communication in oncology settings a phenomenological study of trust from patients' perspectives /." [Denver, Colo.] : Regis University, 2009. http://adr.coalliance.org/codr/fez/view/codr:112.
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Williams, Caroline M. A. "Nurse-patient interaction in an intensive care setting." Thesis, University of Brighton, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273868.
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Corner, Jessica Lois. "The newly registered nurse and the cancer patient." Thesis, King's College London (University of London), 1990. https://kclpure.kcl.ac.uk/portal/en/theses/the-newly-registered-nurse-and-the-cancer-patient(be199839-8d7b-4657-930a-ebdce68565a6).html.
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Cruz, Anna Maria, and Anna Maria Cruz. "Patient Satisfaction with Nurse Practitioner Care on Guam." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/623005.
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Patient satisfaction has been identified as an indicator of quality care. There is no research on patient satisfaction with Nurse Practitioner (NP) care on Guam. Therefore, a cross sectional descriptive study was conducted to assess patient satisfaction with NP care at three primary care clinics on Guam. A convenience sample of patients 18 years and older, seen by an NP were invited to participate in completing the Nurse Practitioner Satisfaction Survey (NPSS). Data collection concluded after a one-month period (N = 108). Descriptive statistics, between group differences, and correlational analyses were conducted. Participation in the survey was voluntary and anonymity, confidentiality, and privacy were ensured. General patient satisfaction was very high for NP care on Guam. "My NP is caring" was the highest scoring item on the NPSS with a mean score of 4.43 (n=56). Participants selected the NP as providing the health education and care the patient found most satisfying. A statistically significant weak negative correlation between patient satisfaction and age and level of injury was found. Singles reported significantly higher patient satisfaction scores than widowers. Study limitations included the small sample size, convenience sampling, social desirability and selection bias. Caring is an essential tenet of NP care and patient satisfaction. Improving NP role clarity is vital to the continued success and growth of the NP profession. The value that NPs bring to primary care is substantiated by the high patient satisfaction levels consistently produced from studies across the globe. In order for NPs to significantly impact the primary care provider shortage all 50 states and the US territories must enact full practice authority (FPA).
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Kendall-Gallagher, Deborah Leslie. "Preventing patient harm : the role of nurse competency /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 113-132). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Lund, Kim, and Linnéa Myrhage. "Att vara människa - inte en diagnos! : En litteraturstudie om vuxna människor med psykisk ohälsa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10747.
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Psykisk ohälsa är ett växande problem i samhället och allmänsjuksköterskan möter i sitt arbete dagligen människor med psykisk ohälsa. Dessa människor upplever sig ofta osynliga i samhället och upplever även förutfattade meningar i mötet med sjuksköterskan. Forskning idag utgår mindre ofta från perspektivet hos människor med psykisk ohälsa, vilket behövs för att omvårdnaden ska kunna utvecklas. Problematiken är att sjuksköterskan många gånger möter människor utifrån deras psykiska diagnos, istället för att möta dessa människor utifrån ett helhetsperspektiv. Examensarbetet beskriver hur vuxna människor med psykisk ohälsa kan uppleva mötet med sjuksköterskan. Två teman framkommer efter sammanställning av befintlig forskning. Vuxna människor med psykisk ohälsa upplever antingen sig sedda i mötet med sjuksköterskan eller en känsla av osynlighet. Känslan av att vara sedd uppkommer när sjuksköterskan bekräftar individen genom att vara öppensinnad. Sjuksköterskan lägger ner tid i mötet genom att lyssna och att försöka förstå personens situation. En känsla av osynlighet i mötet uppkommer när sjuksköterskan förminskar personen till en diagnos. De med psykisk ohälsa upplever hinder i relationen genom att sjuksköterskan utövar makt och behandlar dem som barn. De känner sig ensamma när sjuksköterskan inte har tid för dem och inte tyckts bryr sig om dem. Genom denna studie kan sjuksköterskan få en ökad förståelse för hur vuxna människor med psykisk ohälsa upplever mötet med dem. Ökad förståelse kan förbättra relationen mellan människor med psykisk ohälsa och sjuksköterskan. Det kan även leda till en ökad känsla av hälsa hos människor med psykisk ohälsa.Background: Mental illness has in recent years increased in society. It has since centuries been seen as a shameful disease and mental illness has not been a high priority in health care. Aim: The aim of this study was to describe how adult humans with mental illness experiences the meeting with the nurse.Method: The method that was used was a literature based study with basis in analysis of qualitative research. 11 articles with a qualitative approach was analyzed. Result: The result showed two main theme. The first theme was a feeling of being seen in the meeting when an open dialogue was used and a relationship was created. The second theme was a feeling of invisible because they felt reduced to a diagnosis and encountered obstacles in the relation. Conclusion: Adult humans with mental illness could experience the meeting in different ways. A good meeting with the nurse could increase the human with mental illness trust in healthcare. It could improve the care and relationship between human with mental illness and the nurse.
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Dinwiddie, Lisa Taylor 1951. "A COMPARISON OF NURSE-PATIENT PERCEPTIONS OF PATIENTS' SURGICAL INTENSIVE CARE UNIT ORIENTATION NEEDS." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275535.
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Erikson, Sara, and Emelie Persson. "Relationen mellan sjuksköterska och patient när sjuksköterskan är stressad." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-9844.
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Uppsatsens syfte var att belysa relationen mellan sjuksköterska och patient när sjuksköterskan var stressad. För att fördjupa oss i relationens betydelse har vi använt oss av Joyce Travelbees teori kring mellanmänskligheten. Uppsatsen är gjord som en systematisk litteraturstudie där sex artiklar analyserades. Vårt resultat visade att stress påverkade relationen negativt. Våra fynd visade att förmågan att skapa en relation minskade då både sjuksköterskan och patienten skapade en distans till varandra. Sjuksköterskans stress gjorde att hon ändrade sitt fokus i arbetet, patienten mötte då en uppgiftsorienterad sjuksköterska som inte tillgodosåg patientens emotionella behov i relationen. Både sjuksköterskans och patientens personlighet, i stress, visade sig ha betydelse för hur relationen utvecklades. Författarna ansåg att när relationen sattes åt sidan var det även av stor vikt att patientens åtsidosatta emotionella behov synliggjordes. Sjuksköterskan behövde också få förståelse och stöd för hennes stressiga situation, såsom till exempel utbildning i stresshantering. Vi ansåg att det skulle vara av intresse med fortsatta studier kring strategier för sjuksköterskan att hantera stress.
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Berg, Hanna, and Anna Johansson. "PATIENTENS DELAKTIGHET : En förutsättning för god vård." Thesis, Linnaeus University, School of Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-6106.
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Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse’s does not always succeed in getting the patient involved. The purpose of this study is to describe factors that are important for patient participation in nursing care in a nurse- and patient perspective. Nine research articles were analyzed with qualitative content analysis. The analysis resulted in two themes: health care relationships and communication. Through various acts of nursing care, patients experienced themselves as being seen and confirmed. Patients experienced a sense of security and trust, which is the essence of a trusting relationship, which in turn is the basis for caring and patient participation in their own care. Patient participation requires a sophisticated interaction between nurse and patient, a quest of a safe relationship that can lead the patient to see themselves seen and confirmed.
Keywords: patient participation, nurse-patient relationship, nurse, care
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Yeung, Man Mandy, and 楊敏. "Nurse-led evidence based (hepatitis B) vaccination programme for nurses in the out-patient department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46583518.
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Magno, Ronald Dial. "Training mentally disabled individuals for effective nurse-patient communication." Scholarly Commons, 2004. https://scholarlycommons.pacific.edu/uop_etds/2683.
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Health care for the mentally disabled is often hindered by the inability of patients to identify and communicate their health problems to their health care professional. This study assessed the effectiveness of a nurse-patient communication skills training program for mentally disabled individuals. Forty-two participants who received a regular decanote shot (an injected anti-psychotic medication released over time) were randomly assigned to a treatment or control group. The treatment consisted of three 90-min skills training sessions on symptom monitoring, medication management, and communication skills. Assessments were conducted at an injection appointment pretreatment, posttreatment, and at follow-up. Participants were assessed by pencil-and-paper test on the acquisition of symptom monitoring and medication management skills. In addition, patients were observed in an audio-recorded interaction with their nurse. Results identified that communication training was effective in increasing the participation of patients during a nurse's visit at posttest and at up to a 1-month follow-up. Explanation of results and recommendations for improvements for future studies are discussed.
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Gaudet, Cynthia. "Electronic Bedside Documentation and Nurse-Patient Communication: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/32.
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Nurses are often the first members of the health care team with whom patients interact. The initial impression of the nurses’ receptiveness to the patients’ needs influences the patients’ views of their overall care. Researchers have suggested that understanding communication between individuals can provide the human link, or social element, to the successful implementation and use of electronic health records, including documentation (Lanham, Leykum, & McDaniel, 2012). Zadvinskis, Chipps, and Yen (2014) identified that the helpful features of bedside documentation systems were offset by the mismatch between the system and nurse’s workflow. The purpose of this micro-ethnography study was to explore the culture of nurse-patient interaction associated with electronic documentation at the bedside. Data were collected through passive participant observation, audio-taping of the nurse-patient interactions, and informal and semi-structured interviews with the nurses. A total of twenty-six observations were conducted on three nursing units at an urban healthcare facility in New England. These three units were occupied by similar patient populations and all patients required cardiac monitoring. Three themes consistently emerged from qualitative data analysis: the nurses paused during verbal communication, the nurses played a game of tag between the patient and the computer, and the nurses performed automatic or machine-like actions. The participants described these themes in the informal and semi-structured interviews. The nurses’ actions were observed during passive participant observation, and the audio-taped interactions supported these themes. Understanding the adaptation of caregiving necessitated by bedside electronic documentation will have a positive impact on developing systems that interface seamlessly with the nurses’ workflow and encourage patients’ active participation in their care.
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Principe, Imelda C. "Examining Nurse Satisfaction with a Bedside Handover Report Process." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3539.
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Nurses' job satisfaction affects work performance at the point of care in hospitals. The incoming nurses who are able to receive a comprehensive patient report at shift change are more prepared in comparison to incoming nurses who are not able to receive a comprehensive patient report to provide care that is safe. The purpose of this project, guided by the theory of organization change, was to explore whether the use of a bedside handover process impacts nurses' satisfaction in an adult postoperative orthopedic and spine unit. A post-implementation survey of the bedside handover process was conducted after one month and two months to examine registered nurses' (RN) (n = 50) satisfaction using a 7-question self-designed instrument with a reliability coefficient of 0.80. The Bedside Handover Report Staff Nurses' Satisfaction Survey consisted of 5-item Likert scale with scores ranging from 1 (strongly disagree) to 5 (strongly agree). The survey results found that RNs were satisfied with the bedside handover report process. Matched-pair t tests revealed significant differences between the first and second months after the handover report process was implemented. Specifically, 'Bedside handover report provides time for the incoming RN to verify patient's health issues' (p = .05),' I am satisfied with the handover report process conducted at the patient's bedside' (p = .01), and total score (p = .03) improved from the first to second month. A longitudinal study spanning 6 months to a year is recommended when the project will be implemented in the entire facility. A bedside handover report increases nurse satisfaction because the process allows the nurses to verify and address patient health issues that are essential for positive social change.
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Lee, Meredith L. "Nursing success in providing emotional support the patients' perspective ; an honors project /." [Jefferson City, Tenn. : Carson-Newman College], 2009. http://library.cn.edu/HonorsPDFs_2009/Lee_Meredith_L.pdf.
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Kan, Ching-yee Eva, and 簡靜兒. "Diabetes education in Hong Kong: fulfillment of patient needs, nurse responses and patient satisfaction." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31220988.
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Patrong-Uleskog, Angelika, and Ann-Sofi Söderling. "Asylsökandes upplevelser av bemötande inom flyktinghälsan och primärvården - en intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-48360.
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Bakgrund: Sverige tar emot många asylsökande vilket har medfört att arbetsbelastningen för distriktssköterskor inom primärvården har ökat. Några av de svårigheter som distriktssköterskan ställs inför när det gäller omvårdnaden och omhändertagandet kring asylsökande är bland annat, att bemöta dem med vänlighet och respekt och att försöka lindra deras lidande. Syfte: Syftet med studien var att beskriva asylsökandes upplevelser av bemötande från distriktssköterskor och övrig vårdpersonal på en flyktinghälsa och vårdcentral. Metod:Kvalitativ design med en induktiv ansats valdes till denna studie. Semistrukturerade intervjuer utfördes med hjälp av professionell telefontolk med 12 asylsökande. Materialet analyserades med kvalitativ innehållsanalys med fokus på det latenta innehållet. Resultat: Bemötande har många dimensioner som kan ge upphov till många olika känslor. Asylsökande har i vårdmötet upplevt bemötande som orsakat dem otrygghet och vårdlidande men även bemötande som har gett dem trygghet och känslan av att vara betydelsefulla som människor. Slutsats: Upplevelser kring varje vårdmöte är individuella och unika. Vårdlidande kan uppstå genom att asylsökande upplever otrygghet i det vårdande mötet. Om asylsökande däremot upplever trygghet i vårdmötet kan deras lidande lindras.Background: Sweden receives many asylum seekers which implies that the workload of district nurses in primary care has increased. Some of the difficulties that the district nurse face when it comes to the nursing care and the specific care of asylum seekers is, among other things, to treat them with kindness and respect and to try to lessen their suffering. Purpose: The purpose of this study was to describe the asylum seekers' experiences of nurse-patient encounters with the district nurses and other health professionals at a refugee health clinic and health center. Method: Qualitative design with an inductive approach was chosen for this study. Semi-structured interviews were conducted with the help of professional telephone interpreters’ with 12 asylum seekers. The material was analyzed using qualitative content analysis focusing the latent content. Results: Treatment (nurse-patient encounters) have many dimensions that can cause many different feelings. Asylum seekers have in the health care encounter experienced treatment that caused them a sence of insecurity and suffering due to care but also the nursing staffs’ attitude has given them increased confidence and a feeling of being an important person. Conclusion: Experiences of each nurse-patient encounter is individual and unique. Care suffering can be caused by that asylum seekers are experiencing a sence of insecurity in the encounter with health care. But if they experience security in the encounter with health care staff, their suffering lessened.
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Lundkvist, Anders. "”-Å nej, inte han igen!” : Varför patienter upplevs som svåra av sjuksköterskor inom den slutna psykiatriska vården." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2018.
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Bakgrund: En del patienter som vårdas inom slutenvårdspsykiatrin ses av sjuksköterskor svårare att vårda. Dessa patienter riskerar få en sämre vård än andra patienter. Genom att belysa sjuksköterskors egna förklaringsmodeller till varför patienterna uppfattas som svåra kan fokus riktas mot en utsatt patientgrupp inom den svenska slutenvårdspsykiatrin. Syfte: Att beskriva sjuksköterskors egna uppfattningar om varför patienter upplevs som svåra att vårda inom den slutna psykiatriska vården. Metod:Fem intervjuer med sjuksköterskor arbetandes inom slutenvårdspsykiatrin genomfördes. Intervjuerna var semistrukturerade och en intervjumall användes för att beröra studiens frågeområden. De transkriberade intervjuerna analyserades med hjälp av en kvalitativ innehållsanalys. Resultat:Fem olika kategorier framträdde ur materialet vilka återspeglade de intervjuade sjuksköterskornas förklaringar till varför en patient uppfattas som svår inom den psykiatriska slutenvården: Patientens negativa beteenden, omständigheter kring patienten, personalens känslor, personalens beteenden, dåligt anpassad vårdorganisation samt lätta patienter. Diskussion: Det finns många paralleller mellan patienter som uppfattas som svåra och en icke fungerande vårdrelation mellan sjuksköterska och patient. En modell presenteras som beskriver hur patienter i den slutna psykiatriska vården uppfattas som svåra utifrån ett sjuksköterskeperspektiv.
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Gustafsson, Josefin, and Robin Engström. "Sjuksköterskans yrkesroll och patientrollen i ett historiskt perspektiv : En kvalitativ intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-154206.
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Aim: The aim of this qualitative interview study was to describe the nurse's professional role and the role as a patient during different time periods. Data were collected through semi-structured interviews, where respondents had a link to the nursing profession, either as a student, now working nurse or retired nurse. Method: The data were analyzed using a content analysis. Result: The older nurses believe that nurses today has a high status and is seen as a well-read and well informed person. Most respondents believe that collaboration between nurses and doctors has improved since past. Most of the older nurses point out that new graduate nurses today have a good theoretical knowledge, but that the practical knowledge is not as good. Nurse’s work today is more independent, but has more administrative tasks. That health care professionals have a common dress is seen as something positive, however it may be difficult for patients to tell the difference between professional groups. The patient is more informed today, particularly with help from the Internet. There is today also a greater patient influence, especially in the pediatrics and psychiatric care. Conclusion: By gaining a comprehensive view of the impact changes has on the nurse profession today, the work on further developments can be made.Syfte: Syftet med denna kvalitativa intervjustudie var att beskriva sjuksköterskans yrkesroll samt patientrollens förändring under olika tidsperioder. Metod: Data inhämtades genom semistrukturerade intervjuer, där respondenterna hade en koppling till sjuksköterskeyrket, antigen som student, nu arbetande sjuksköterska eller pensionerad sjuksköterska. Datan analyserades med innehållsanalys. Resultat: De äldre respondenterna anser att sjuksköterskan har en hög status idag och ses som en påläst och välinformerad person. Samarbetet mellan sjuksköterska och läkare anser de flesta har förbättrats genom tiden. Flertalet äldre sjuksköterskor påpekar att nyexaminerade sjuksköterskor idag har en god teoretisk kunskap, men att den praktiska kunskapen inte är lika bra. Idag arbetar sjuksköterskan mer självständigt fast med mer administrativa uppgifter. Att hälso- och sjukvårdens yrkesgrupper har en gemensam klädsel ses som någonting positivt, dock kan det vara svårt för patienterna att se skillnad på yrkesgrupperna. Patienten får idag mer information och är även mer välinformerad, framför allt genom internet. Idag finns även ett större patientinflytande, särskilt inom barnsjukvården och psykiatrisk vård. Slutsats: Genom att få en övergripande syn på vad förändringarna har medfört kan arbetet med vidareutveckling inför framtiden ske.
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Crossland, Jill. "Training nurses to deal with aggressive encounters with the public." Thesis, University of Oxford, 1992. http://ora.ox.ac.uk/objects/uuid:0fd667ff-3b29-4d32-9c6f-1a33f662318b.
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Chapter one reviews the literatures on psychological studies of aggression, problems of aggression within the Social Services and the National Health Service, and nurse-patient communication. A number of issues are raised which are addressed by the current research. In chapter two nurses' theories about what defuses and what aggravates aggression are explored. It was found that nurses believe that by remaining calm, gentle and firm they will defuse both physical and verbal aggression. In the case of physical aggression they believe it to be aggravated by being authoritarian, demeaning and defensive, while in the case of verbal aggression they believe it to be aggravated by becoming angry or attempting to deflect it. In chapter three nurses' real-life experiences of what defuses and what aggravates physical and verbal aggression are compared with their theories. The nurses' experiences largely support their theories. It was also found that there are very few methods for dealing effectively with physical aggression, while there are a relatively large number of methods for dealing effectively with verbal aggression. Moreover, those nurses who believe themselves to be more capable of dealing with aggression suffer fewer emotional after-effects than those nurses who do not. Chapter four examines individual differences between nurses and relates these differences to their ability to recover from the emotional aftermath of aggression. It was found that nurses who are highly stressed and who bottle-up their feelings of anger suffer emotionally after aggressive incidents. In contrast, nurses who are assertive, extravert and who exercise interpersonal control are not so distressed by aggressive incidents. In chapter five nurses' attributions are related to their ability to select effective methods of dealing with aggression as well as their ability to recover from it emotionally. It was found that those nurses who have a tendency to blame themselves are both emotionally vulnerable and less capable of selecting effective methods of responding to aggression. In addition, a new method of measuring attribution was developed and tested, and was found to be preferable to the usual method of measuring attribution. Chapter six presents the two-day aggression training programme. The training was designed to incorporate the findings of the current research as well as theoretical issues. The training was carefully evaluated with a control group, pre-post measures of both subjective and objective change, and a seven week follow-up. The aggression training group was no different to the control group before training, but was different on all measures after training. It was concluded that the training model has been shown to make a significant difference to objective skills and subjective evaluations, and that the causal influence of some of the findings described in chapters two to five has been demonstrated. Chapter seven summarises the findings of the research, explores their theoretical and practical implications, and suggests directions for future research.
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Demitropoulos, Stacy M. "The extent of knowledge on the death and dying process as perceived by senior nursing students /." abstract and full text PDF (UNR users only), 2007. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1451073.
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Thesis (M.S.)--University of Nevada, Reno, 2007."December 2007." Includes bibliographical references (leaves 24-25). Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2008]. 1 microfilm reel ; 35 mm. Online version available on the World Wide Web.
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Larichiuta, Inez S. "What are the issues and challenges for the nursing profession with regard to HIV/AIDS?" Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1991. http://www.kutztown.edu/library/services/remote_access.asp.
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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1991.Source: Masters Abstracts International, Volume: 45-06, page: 2948. Abstract precedes thesis as 6 preliminary leaves. Typescript. Includes bibliographical references.
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Alliex, Selma. "Process of nurse-patient interaction in the presence of technology." Thesis, Curtin University, 1998. http://hdl.handle.net/20.500.11937/588.
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The purpose of this study was to develop a substantive theory or at least a set of theoretical propositions explaining the process of nurse-patient interaction in the presence of technology. This study was undertaken in Perth, Western Australia. The grounded theory method was chosen to undertake this research.The study's informants consisted of nurses. Theoretical sampling led to the inclusion of patients and patients' relatives. Purposive and theoretical sampling were used to choose the informants. Data were obtained using field observations and formal and informal interviews with nurses and post-discharge patients. Data analysis was conducted using the constant comparative method (Glaser and Strauss, 1967), writing memos and drawing a schema. The Ethnograph software package (Seidel, 1988) was used to organize and manage the data.The findings of the study indicated that nurses were stymied in their person-centered interactions with patients in the presence of technology. Nurses used the process of navigating the course of interaction to deal with this problem. The process of navigating the course of interaction consisted of three phases. These were the phases of embarking, steering and veering and disembarking. The action/interaction of the process occurred during the steering and veering phase and four specific strategies of interaction became evident in this research. These strategies of interaction were steadying, demurring, coasting and maximizing. The strategies of interaction used by nurses did not center on one type.There was rather a movement between strategies during and between interactions with patients in the presence of technology. This movement was termed oscillating connections. Conditions that modified the core process of navigating the course of interaction were also identified. The findings of the study provide an understanding of the problem encountered by nurses in their interaction with patients in the presence of technology and the process used by the nurses to deal with this problem.
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Allen, Marjorie. "Nurse to Patient Ratios Greater than 1|5 and the Effects on Nurse Satisfaction and Retention." Thesis, University of Mount Olive, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10807901.
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Inadequate nurse staffing levels by experienced Registered Nurses (RNs) are linked to higher rates of patient falls, infections, medication errors, and even death. As a result of massive reductions in nursing budgets, combined with the challenges presented by a growing nursing shortage, fewer nurses work longer hours and care for sicker patients. This situation compromises care and contributes to the nursing shortage by creating an environment that drives nurses from the bedside. The purpose of this small exploratory master’s thesis research study, which employed Husserl and Heidegger’s approach of phenomenology, examined the experiences of acute care RNs who regularly maintain nurse-to-patient ratios of 1:5 or greater during a 12-hour shift, and the impact these ratios have on nurse satisfaction and retention at a small rural community hospital in North Carolina through a basic qualitative research methodology. Purposive sampling was utilized, and the inclusion criteria required the participants to have an active unencumbered RN license and work in one of the acute care units at the hospital. If the RNs held any managerial or supervisory role at the hospital, they were excluded from the study. Semi-structured interviews using open-ended questions were utilized to collect rich, contextual data until data saturation occurred. Open and axial coding of the data documented in a code/theme frequency table, facilitated the discovery of central themes within the data including: the current system at work, what if it goes wrong, working with others, things nurses must do, and things nurses feel. The evidence from this basic qualitative study aligns with the published literature regarding the higher nurse-to-patient staffing ratios and supports making a proposal to the hospital’s administration for creating a patient acuity score that allows for a nurse staffing grid based on acuity, to improve patient safety and nurse satisfaction and retention.
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Alliex, Selma. "Process of nurse-patient interaction in the presence of technology." Curtin University of Technology, Australian Telecommunications Research Institute, 1998. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=11777.
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The purpose of this study was to develop a substantive theory or at least a set of theoretical propositions explaining the process of nurse-patient interaction in the presence of technology. This study was undertaken in Perth, Western Australia. The grounded theory method was chosen to undertake this research.The study's informants consisted of nurses. Theoretical sampling led to the inclusion of patients and patients' relatives. Purposive and theoretical sampling were used to choose the informants. Data were obtained using field observations and formal and informal interviews with nurses and post-discharge patients. Data analysis was conducted using the constant comparative method (Glaser and Strauss, 1967), writing memos and drawing a schema. The Ethnograph software package (Seidel, 1988) was used to organize and manage the data.The findings of the study indicated that nurses were stymied in their person-centered interactions with patients in the presence of technology. Nurses used the process of navigating the course of interaction to deal with this problem. The process of navigating the course of interaction consisted of three phases. These were the phases of embarking, steering and veering and disembarking. The action/interaction of the process occurred during the steering and veering phase and four specific strategies of interaction became evident in this research. These strategies of interaction were steadying, demurring, coasting and maximizing. The strategies of interaction used by nurses did not center on one type. There was rather a movement between strategies during and between interactions with patients in the presence of technology. This movement was termed oscillating connections. Conditions that modified the core process of navigating the course of interaction were also identified. The findings of the study provide an understanding of the problem ++encountered by nurses in their interaction with patients in the presence of technology and the process used by the nurses to deal with this problem.
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Rieck, Sue Boswell. "The relationship between the spiritual dimension of the nurse-patient relationship and patient well-being." Diss., The University of Arizona, 2000. http://hdl.handle.net/10150/289187.
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The purpose of this study was to examine if the spiritual dimension of the nurse-patient relationship (SDNPR) contributes to patient well-being. The research design was a nonexperimental, predictive, latent-variable model and two open-ended questions that asked participants to describe nurse characteristics and behaviors important to well-being. The model included age, significant life events, health, social support, and self-transcendence in addition to SDNPR as predictors of well-being. The sample consisted of hospitalized, postoperative adult patients (N = 98). The Spiritual Dimension Inventory (SDI), a 25 item, four dimensional scale was developed to measure SDNPR. Reliability coefficients for the SDI subscales (connection, empathy, commitment, and trust) and for the total scale were .84 and above. Construct validity was established through measurement model testing. Predictive validity was supported by regression analysis. Connection, commitment, and trust explained 53% of the variance of well-being. The predictive model was tested by confirmatory factor analysis and compared to five competing models. The results of the model testing did not support the hypothesized model of SDNPR predicting well-being. Four themes of nurse characteristics emerged from the content analysis of the responses to the open-ended questions: concern for the patient in time of need, being recognized as a person and feeling accepted, competence, and teaching and explaining.
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Maneejiraprakarn, Phattharamanat. "Effects of patient delivery models on nurse job satisfaction, quality of care and patient safety." Thesis, University of Southampton, 2016. https://eprints.soton.ac.uk/404586/.
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Background; a patient care delivery model describes a method of allocating work at hospital ward level. Four classical models are articulated which involve different work allocation paradigms. Research findings are varied in regard to the association between these models of care and outcomes. This study aimed to (1) describe current approaches to the delivery of nursing care to hospital based patients and (2) examine the association between patient care delivery models and nurse job-satisfaction, quality of care and patient safety. Method: a cross-sectional survey was conducted in two phases: (1) a pilot study and a preliminary survey; and, (2) the main study. Data were collected from general medical and surgical wards in 11 regional hospitals in Thailand from July 2013 to October 2014. Findings: The pilot study (9 wards, 1 hospital) demonstrated that the chosen data collection procedures are feasible and confirmed the reliability of the instruments. The preliminary survey (42 wards, 6 hospitals) suggested that there was a degree of incongruence between the models of care reported by the ward managers and the actual patterns of care delivery as well as dissonance with the classical model‘s characteristics derived from the literature. A revised classification, using the ward managers‘ reported current methods of care delivery was made. The majority of the wards (62%) can be classified as team nursing. However, all characteristics of the classical task allocation, and the patient allocation model existed in wards classified as following the team nursing paradigm. The main study (1,193 staff nurses and their 76 ward managers; 83% and 95% response rate) confirmed that current approaches to care delivery are not based on any single classical model; instead, the approaches observed are eclectic, combining the classical team nursing model with a hybrid assignment of tasks as well as patients, and the duration of responsibility lasting for one shift. Hierarchical modelling was performed. After controlling for nurse-to-patient ratio, skill mix ratio and work environment, it was demonstrated that work allocation patterns derived from the team nursing and patient allocation models were found to be independently significant associated with a likelihood of nurse reported good quality of care (odds ratio 3.1 and 1.5, 95% confidence interval: 1.4-6.7 and 1.1-2.1). No supportive evidence for any benefits of implementing work allocation patterns derived from the primary nursing and task allocation models has been found. Conclusion: The results provided both more accurate knowledge and a better understanding of work allocation mechanisms, at the micro level, within the nursing team. Shifting the emphasis from an evaluation of the patient care delivery model to the components of work allocation is suggested, as the pure classical model no longer exists. However, work allocation patterns that emphasise the formation of explicit nursing sub-teams with the ward compliment (elements of ?team nursing‘) and explicit assignment of nurses to individual patients (elements of ?patient allocation‘) based on nurses skills and patient need appear to be associated with better outcomes than patterns that involve task allocation or those which emphasise continuity of nurse to patient assignment.
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Nielsen, Gayla Halford. "A patient-accessible medical record patient and nurse satisfaction and attitudes toward medical record access /." Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1693063581&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
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Markus, Katarina. "Överrapportering av patient från intensivvårdsavdelning till vårdavdelning : Kvalitativ studie." Thesis, Högskolan i Gävle, Medicin- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24047.
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Bakgrund: Tidigare forskning har visat att patienter som överrapporteras från intensivvårdsavdelning till vårdavdelning är i en särskilt sårbar situation och att bristfälliga överrapporteringar är ett internationellt patientsäkerhetsproblem. Syfte: Syftet var att beskriva intensivvårdssjuksköterskors och avdelningssjuksköterskors upplevelser av överrapportering av patienter från intensivvårdsavdelning till vårdavdelning. Syftet var också att beskriva vad intensivvårdssjuksköterskor och avdelningssjuksköteskor ansåg vara viktigt vid överrapporteringen. Metod: Studien hade en kvalitativ ansats med beskrivande design. Åtta semistrukturerade intervjuer gjordes med intensivvårdssjuksköterskor (n=4) och legitimerade sjuksköterskor på vårdavdelning (n=4). Intervjuerna analyserades därefter med kvalitativ innehållsanalys. Huvudresultat: Vid analys av intervjuerna framträdde sex kategorier 1) Att se vikten av samverkan, 2) Att ta emot och ge relevant information för den fortsatta vården på vårdavdelningen, 3) Att ge och ta emot information från ett kunskapsområde till ett annat, 4) Miljöns betydelse vid överrapportering, 5) Att ha behov av strukturerad rapport och 6) Att känna ansvar. Intensivvårdssjuksköterskor och sjuksköterskor från vårdavdelning upplevde att brist på förberedelser inför överrapportering försvårade samarbetet. De upplevde att olika information var viktig vid överrapportering på grund av deras olika kunskapsområden. Båda yrkesgrupperna önskade att informationen skulle vara tydlig med relevant information för den fortsatta vården. De upplevde att miljön med frekventa störningar gjorde att information missades och att en strukturerad rapport gjorde överrapporteringen tydligare. De uttryckte också att de har ett ansvar vid informationsöverföringen. Slutsatser: Samverkan, strukturerad information för den fortsatta vården, kunskap, miljö och ansvar kan ha betydelse vid överrapportering och att utrymme för förbättring finns för att öka patientsäker överrapportering av patient mellan vårdinrättningar.Background: Studies have shown that the patients that are handed over from the intensive care unit to ward are in a particular vulnerable situation, and that deficient handover is an international patient safety problem. Aim: The aim was to describe the intensive care nurse's and ward nurse's experiences of handover patients from the intensive care unit to the ward. The aim was also to describe what the intensive care nurses and ward nurses considered important during the handover. Method: The study had a qualitative approach with descriptive design. Eight semi structured interviews with intensive care unit nurses (n=4) and registered ward nurses (n=4) were conducted. The interviews were analyzed with qualitative content analysis. Main results: Thorough the analyze six categories emerged 1) To see the importance of collaboration, 2) To receive and provide relevant information for the continuum of care, 3) To give and receive information from one level at knowledge to another, 4) The importance of the environments during handover, 5) The need of a structured handover, and 6) To feel the responsibility. The intensive care nurses and the registered ward nurses experienced that lack of preparation before the handover complicated the cooperation during handover. They expressed that different information was important during handover and that they had different areas of knowledge. Both professional groups wanted the information to be clear and relevant for the continued care. They felt that the environment, with frequent interruptions, resulted in missing information and that a structured report made the handover more direct. They also felt that they had a responsibility in the transfer of information. Conclusions: Collaboration, structured information relevant for the continued care, knowledge, the environment, and responsibility can be important during handover and there is room for improvement to increase patient safe handover between healthcare facilities.