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Quinlan, Amy. "Attitudes of nurse practitioners toward interprofessional collaboration." Thesis, The William Paterson University of New Jersey, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3680893.
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Effective interprofessional collaboration between nurse practitioners and physicians is imperative to meet the health care needs of all Americans. This project measures attitudes of nurse practitioners to determine the barriers to effective interprofessional collaboration with their physician colleagues. It was hypothesized that there is a positive relationship between nurse practitioner attitudes and interprofessional collaboration and a positive relationship between years in practice and interprofessional collaboration. Sixty-three nurse practitioners participated by completing the Collaborative Practice Scale and Jefferson Scale of Attitudes toward Physician and Nurse Collaboration. The Core Competencies for Interprofessional Collaborative Practice served as the framework for this project. Findings of this project revealed nurse practitioners are overall accountable for their patient care and report high levels of interprofessional collaboration. These results are a foundation for future inquiry in providing and evaluating programs to enhance interprofessional collaboration.
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Maxwell, Laurie. "Patients' Attitudes Toward the Use of Nurse Practitioners." TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/794.
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Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what patient variables were related to these attitudes. More specifically, this study focused on patients' attitudes about nurse practitioners working in the emergency department, a nontraditional practice setting for nurse practitioners. Two research questions were answered: (1) What are patients' attitudes about nurse practitioners? and (2) What subject variables are related to positive and negative attitudes about nurse practitioners? A telephone survey was conducted to adult patients who presented to the emergency room for treatment of conditions that were classified as "non-emergent" during the triage process. Patients were asked to answer questions concerning their visit to the emergency department. They were then asked to respond to 12 items on the Kviz Acceptance Questionnaire, which measured attitudes about nurse practitioners. Demographic data were collected from the medical record following the interview. The most significant finding of this study was that the role of nurse practitioner was generally accepted by patients presenting for treatment of non-emergent conditions in the emergency department. This finding is significant since the emergency department is not a traditional practice setting for nurse practitioners. Correlation coefficients showed that patients who had seen a nurse practitioner before were more accepting that those who had not seen a nurse practitioner. Patients who were younger, female, and who perceived their health as good or excellent had the most positive attitudes about nurse practitioners. Additional studies are needed to support the belief that nurse practitioners can function efficiently in the emergency department and other nontraditional settings. Information is also needed on the financial feasibility of such a plan. This time is one of great opportunity and challenge for advanced practice nurses to expand their roles in a rapidly changing health care environment.
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Hamilton, Robert M. "Knowledge, Attitudes, and Perceptions of Nurse Practitioners about Antibiotic Stewardship." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8550.
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Background: Antibiotic stewardship (ABS) is a set of strategies to optimize the use of antibiotics with the goal of reducing antibiotic resistance, improving patient outcomes and decreasing unnecessary costs. ABS affects all venues of patient care, including outpatient, inpatient, and long-term care. While many strategies for ABS exist and best practice continues to evolve, successful ABS programs utilize a multidisciplinary approach. Nurse practitioners (NPs) play an essential role in health care education and represent a valuable potential resource for ABS efforts. The purpose of this study is to describe the knowledge, attitudes, and perceptions of NPs towards ABS.Methods: A convenience sample of NPs attending the American Association of Nurse Practitioners annual conference was given a modified descriptive survey developed for use in a previous study conducted at a university-affiliated hospital in Florida. Descriptive statistics were used to assess normality. Chi-Square test of independence was used to test differences categorical scores by NP setting, gender, and level of education. Pearson r correlation was completed to measure the relationship between age and years in practice.Results: Two hundred NPs completed the questionnaire (88% female; 70% Master’s degree). The range of experience was 0-45 years (mean 11 years). Most NPs worked in a private office (23%) or community setting (29%). Factors affecting the decisions of antibiotic prescriptions included patient condition (79%) and patient cost (58%). NPs in this study also based their antibiotic decisions on the antibiogram (63%) in their setting, while 56% indicated they start with broad spectrum and tailor antibiotic choices when culture results are received. NPs reported understanding that inappropriate use of antibiotics causes resistance (97%), harms the patient (97%), and optimum antibiotic use will reduce resistance (94%). Participants also recognized that strong knowledge of antibiotics was important for their job (94%) and felt confident in their use of antibiotics (86%). However, while 94% of respondents somewhat or strongly agreed that antibiotics are overused nationally, only 62% thought antibiotics were overused in their health care setting. Conclusion: In this study, most NPs reported that antibiotic resistance is a problem and antibiotics are overused nationally. Fewer believe that antibiotic resistance is a problem locally and fewer still that they, personally, contribute to the problem. NPs recognize that knowledge about antibiotics is important to their career and would like more education about antibiotics and feedback about their antibiotic choices. Finding effective ways to provide this education could change practice and improve antibiotic use.
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Borbasi, Sally. "Surviving clinical nursing : a phemomenological text about the lifeworld of the clinical nurse specialist." Phd thesis, Faculty of Nursing, 1995. http://hdl.handle.net/2123/9043.
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Tidwell, Justin, and Justin Tidwell. "Attitudes, Knowledge, and Skills among Nurse Practitioners Providing Care to Transgender Patients." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624540.
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Context: The transgender community experiences excessive discrimination in in healthcare. Data continue to reveal that health care providers lack sufficient knowledge in transgender health, as well as difficulty in referring individuals to competent providers, to ensure the continuum of care (Brennan, Barnsteiner, Siantz, Cotter, & Everett, 2012; Cruz, 2014).
Methods: A modified Cross-Cultural Care Survey consisting of 56 questions was implemented via Qualtrics to 1,134 nurse practitioners (NPs) in the California Association of Nurse Practitioner to measure their cultural competence through the domains of attitude, knowledge, and skill.
Results: Completed responses were obtained from 30 out of 38 NPs (78.9%). Knowledge was positively correlated with Skills (Pearson's r = .688, p < .001); negatively correlated with Negative Attitude (Pearson's r = -.458, p = .011) and positively correlated with Positive Attitude (Pearson's r = .371, p = .043). Skills was positively correlated with Positive attitude (Pearson's r = .646, p < .001); however, the negative correlation between Skills and Negative Attitude was not statistically significant at the .05 level (Pearson's r = -.345, p =.062). There was a negative correlation between Negative Attitude and Positive Attitude, but this correlation was only marginally not significant at the .05 level (Pearson’s r = -.358, p = .052).
Conclusion: The results indicated that the balance between skills and negative attitudes may have created a barrier to care in transgender patients.
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Ocran, Joseph. "Nurse Practitioners' Attitudes Toward Nonpharmacological Interventions for Individuals Diagnosed with Clinical Depression." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2008.
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Depression negatively impacts the American economy, and there is a shortage of physicians to provide treatment. Nurse practitioners are viable alternatives to provide high-quality treatment of depression. The project's purpose was to describe nurse practitioners' attitudes toward nonpharmacological interventions to treat clinical depression. Attitude theory provided the theoretical framework. The American Psychiatric Association's guidelines for treating major depression provided the conceptual framework. The project used a quantitative nonexperimental descriptive survey research design. A purposeful sample of 63 nurse practitioners was obtained from members of the American Association of Nurse Practitioners. Data were collected through an online survey that included questions about participant demographics, attitudes about depression treatment modalities, and experience with individual and group psychotherapy in the treatment of depression. Frequencies and percentages were calculated for demographic information and information related to the use of individual and group therapy. Means and standard deviations were calculated for each of the Likert scale items. The findings showed that participants had more knowledge about medications used to treat depression and individual therapy than they did about group therapy. Findings showed that the participants believed that medication combined with individual therapy was the most effective treatment for individuals diagnosed with depression. Barriers to using group therapy were identified. These findings provided information to nurse practitioners about preferred treatment modalities for depression and the barriers to using group therapy to treat depression.
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Rizzo, Michael L. "The Prescribing Knowledge, Attitudes, and Practices among Nurse Practitioners in Maine towards Benzodiazepines." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/RizzoML2004.pdf.
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Smith, Hilary. "Attitudes and Beliefs of Nurse Practitioners to Augment Breast Cancer Screening with Ultrasonography." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/594387.
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Recent studies have suggested that the diagnostic reliability and accuracy of breast ultrasonography in place of mammography in women with dense breast tissue results in more accurate breast cancer screening in this population. Since breast cancer is the second leading cause of cancer deaths among United States women, a more accurate and reliable breast cancer screening tool is needed (American Cancer Society [ACS], 2014). This process starts with describing breast screening practice patterns of nurse practitioners and analyzing their attitudes and beliefs of alternative screening modalities gathered from the survey results obtained from this DNP project. The purpose of this study is to determine the attitudes and beliefs of if nurse practitioners towards the use of ultrasonography alone in lieu of mammography followed by sonography in women aged 40-74 with mammographically dense breast tissue. A survey consisting of 23 questions was sent to nurse practitioners in Arizona through the Coalition of Arizona Nurses in Advanced Practice listserv, and through an email list provided by the president of the Allied Health Providers of Yuma. Analysis of survey responses indicated that the majority of respondents believe that it is difficult to detect cancer using mammography in women with dense breast tissue, and more than half of respondents believe that ultrasounds are more accurate and reliable at detecting cancer in women with dense breast tissue. The results also demonstrate that the majority of nurse practitioners surveyed are not familiar with current literature regarding ultrasonography screening in women with dense breast tissue.
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Ferrelli, Joan. "A comparison of nurse practitioners' attitudes towards cost effectiveness in the managed care environment /." Staten Island, N.Y. : [s.n.], 1999. http://library.wagner.edu/theses/nursing/1999/thesis_nur_1999_ferre_compa.pdf.
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Goodman, Hope Ann, and Hope Ann Goodman. "A Brief Educational Intervention to Enhance Nurse Practitioners' Knowledge, Attitudes and Skin Cancer Counseling Behaviors." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/623149.
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Background: Skin cancer is the most common form of cancer in the United States and is a public health concern. There are over 5 million new cases of keratinocyte skin cancer (KC) (previously known as non-melanoma skin cancer) and over 65,000 new cases of melanoma annually in the United States. Skin cancer is highly preventable, although prevention methods are not commonly practiced. Nurse practitioners have a key role in educating and encouraging patients to practice skin cancer prevention methods. Purpose/Aims: The purpose of this project was to determine whether a brief educational video can improve nurse practitioner knowledge, attitudes, and behaviors regarding skin cancer and skin cancer prevention counseling. Methods: A single subject pre-test post-test design guided this project. Participants completed an online pretest assessing skin cancer knowledge, attitudes, and behaviors. Following the pretest participants were given access to the video intervention. The intervention included information about skin cancer and published guidelines about skin cancer prevention counseling. Changes in knowledge, attitudes, and behaviors and satisfaction with the intervention were assessed through a post-test. Results: A total of 30 eligible Arizona nurse practitioners completed both the pretest and posttest surveys. There was a statistically significant increase (p=.000) in knowledge from 64.17% on the pretest to 87.5% on the posttest. Attitudes about skin cancer and skin cancer counseling were fair on the pretest and significantly improved (p=.000) on the posttest. On the pretest, nurse practitioners had poor attitudes regarding skin cancer prevention counseling practice behaviors. These attitudes favorably increased (p=.009) on the posttest. Self-reported practice behaviors also improved significantly following the intervention (p=.000). Participants' attitudes regarding the intervention were generally favorable. Conclusions: A brief educational intervention offered online to nurse practitioners is highly effective for improving their knowledge, attitudes, and behaviors regarding skin cancer and skin cancer prevention counseling. The intervention is feasible to administer and is acceptable to nurse practitioners.
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Barnes, Ellen Sue M. "Perceived Importance of the Characteristics and Functions of the Advanced Nurse Practitioner." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc330779/.
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The purpose of this study was two-fold: to identify role functions and characteristics perceived as important to Advanced Nurse Practitioners (ANPs) in Texas, and to identify differences in perceived importance of role functions and characteristics of ANPs according to gender, educational preparation, practice setting, and whether the practitioner entered practice before or after the current rules and regulations for ANP practice were adopted. Two questionnaires and a demographic data form were mailed to 300 ANPs in primary health care in Texas, with 152 responding. Data from the questionnaire, "Characteristics of the Advanced Nurse Practitioner," were analyzed using independent group t-tests. The findings indicated that the characteristics "person-oriented," "perceptive," and "skilled in problem-solving" were the most valued by the practitioners, while aggressive" was the least valued. Independent group t-tests were used to analyze data from the instrument, "Advanced Nurse Practitioner Functions." The results of this analysis were not significant. The Chi square test was used to further examine data from this questionnaire to determine if the responses differed from chance. With the exception of four items, all of the responses differed significantly from chance. The responses "extremely important or important" were selected significantly more frequently that any of the other options. Not appropriate," was selected significantly more often than could be expected by chance for two functions: suturing minor lacerations and performing incision and drainage of wounds. Fourteen functions were examined further using frequency, percentage of responses, and the Chi square test to determine if there were differences in responses between groups. There were significant differences in responses between ANPs in nurse-managed settings and those in physician-managed settings on four functions: ordering diagnostic tests, prescribing medications in consultation with a physician, suturing minor lacerations, and performing incision and drainage of wounds. Practice setting and educational preparation were the variables which had the greatest impact on perceived importance of the characteristics and functions to ANP practice.
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Neal, Terry I. "Mentoring, self-efficacy, and nurse practitioner students a modified replication /." Muncie, Ind. : Ball State University, 2008. http://cardinalscholar.bsu.edu/754.
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Shelby, Debra Michelle. "Knowledge, Attitudes, and Practice of Primary Care Nurse Practitioners Regarding Skin Cancer Assessmnets: Validity and Reliability of a New Instrument." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5124.
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Background: Despite the rise in the occurrence of skin cancer, primary care nurse practitioners are reluctant to perform skin cancer assessments during patient visits. Melanoma is almost always curable if detected in the early stages, but invasive disease accounts for 9,000 deaths per year (American Cancer Society, 2013). Changing knowledge, attitudes and practice regarding skin cancer assessments potentially leads to early detection and treatment of skin cancers and impacts patient outcomes. However, in order to change knowledge and attitudes, we must first assess them. Purpose: The purpose of this research was to validate a new skin cancer assessment tool instrument called KAP-SCA to measure knowledge, attitude, and practice in primary care NPs. Methods: Sequential mixed methods were used. First, focus group interviews with 14 primary care nurse practitioners were conducted during Phase I. Interviews were audio-recorded then transcribed verbatim and imported into ATLAS.ti. Phase II involved instrument development from a blueprint and calculation of content validity indexes (CVI) for items and
subscales. Phase III of this study included testing the validity and reliability of a KAP instrument using quantitative methods. This new instrument assesses primary care nurse practitioner knowledge, attitudes, and practice regarding skin cancer assessment. Results: Content validity for the subscales was evaluated by CVI ranged from .90 to .95. The Cronbach's alpha was highest for the practice subscale (alpha =.89) while the lowest was seen with the knowledge subscales (alpha =.50). Construct validity assessed by exploratory factor analysis indicated the presence of three underlying factors, confidence in practice, confidence relating to education and NP role in practice. Implications for Practice: Interventions need to be developed based on the knowledge deficits and barriers to practice identified by these NPs including educational programs that focus on increasing primary care NPs' knowledge and confidence levels regarding skin cancer assessments and identification of malignant lesions. Conclusion: Beginning evidence of validity and reliability were found for the Knowledge, Attitudes and Practice-Skin Cancer Assessments (KAP-SCA), however further studies are warranted.
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Chu-Peterson, Angel L., and Angel L. Chu-Peterson. "Identifying Acute Care Nurses Practitioners' Knowledge, Attitudes, Behaviors and Practice on Current Thyroid Dysfunction Management in Acute Care." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621719.
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ABSTRACT Thyroid disease is one of the most common endocrine disorders in clinical practice. Critical illness is often associated with alterations in thyroid hormone functions. Thyroid dysfunction is a serious matter if managed inaccurately; it may increase morbidity and mortality. The purpose of this Doctor of Nursing Practice project is to identify the knowledge, attitudes, behaviors and practice of advanced practice nurses (acute care nurse practitioners (ACNP) and adult gerontology acute care nurse practitioners (AGACNP)) on current thyroid dysfunction management in the acute care setting. The DNP project demonstrated that most acute care nurse practitioners believe that TD screening, diagnosis and management is important in the acute care setting. The survey results also indicated that most of the AGACNP/ACNPs would initiate treatment while managing patient in an acute care setting and will likely collaborate with endocrinology for overall management or follow ups to ensure quality and comprehensive care in management of TD. Keywords: thyroid disease, thyroid dysfunction, identify, knowledge, attitudes, behaviors, acute care
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Krogue, Paul Anthony, and Paul Anthony Krogue. "Barriers to Practice: Understanding Phsyician and Hospital Administrator Knowledge, Beliefs, and Attitudes of the Role and Scope of Practice of Acute Care Nurse Practitioners in the Acute Care Setting in Rural Montana." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626676.
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Purpose: to describe the knowledge, beliefs, and attitudes of physicians and hospital administrators regarding the role and scope of practice of acute care nurse practitioners in rural Montana.
Background: Nurse practitioners have been increasingly called upon to provide high quality and cost-effective healthcare in variety of settings and have consistently shown to provide a high-level of patient care in both the primary and acute care settings. The acute care nurse practitioner specialty is relatively new, and with very few licensed acute care nurse practitioners in the state of Montana, the role and scope of practice is not well understood by physicians and hospital administrators who are often tasked with hiring and recruiting providers in the hospital setting. The Consensus Model, which served as the conceptual framework for this project, advocates that nurses provide care for the population that is specific to their licensure, accreditation, certification, and education.
Method: Some 28 physicians and hospital administrators completed a survey that included 21 Likert scale statements that were divided into the subscales of Knowledge, Belief, and Attitude.
Results included: 1) An existing gap in knowledge regarding the role and scope of practice of acute care nurse practitioners, 2) acute care nurse practitioners should always have some form of physician oversite, and 3) there is disparity in patient outcomes when patient care is provided by nurse practitioners.
Conclusion: Attitudes of survey respondents were overwhelmingly positive for the future of acute care nurse practitioners filling various provider roles in the hospital setting. These results can provide a foundation for future inquiry and can assist in the development of education and collaborative efforts to further advance the utilization of acute care nurse practitioners in Montana.
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Fabian, Evelyn C. "Nurse Practitioner Attitudes, Perceptions and Knowledge About Antimicrobial Stewardship." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7225.
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Resistance to antibiotics has increased dramatically in the United States, with serious associated medical, social, and economic consequences. The purpose of this project was to assess nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship and knowledge in the management of anaerobic infections as well as resistant gram-negative bacteremia. Data were collected using a web-based survey in a hospital facility. The practice question explored whether nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship significantly increased after an education program on antimicrobial stewardship. The project was framed by Knowles's adult learning theory. A 16-item survey was administered before and after an education program to 11 advance practice nurses to assess their knowledge, attitudes, and perceptions about antimicrobial stewardship. Seventy-seven percent of the respondents agreed that antibiotics are overused nationally, and 33% agreed that antibiotics are overused within the institution; 88.9% of respondents agreed that inappropriate use of antibiotics can harm patients and that inappropriate use of antibiotics causes antimicrobial resistance (87.5%). Overall, 55.5% of respondents agreed or strongly agreed they were concerned about antimicrobial resistance in the community when prescribing antibiotics. Awareness of antimicrobial stewardship might contribute to social change by increasing the proper identification of organisms and the appropriate use of antibiotics, with the assistance of the antimicrobial stewardship programs, to help reduce the development and spread of antimicrobial resistance.
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Mechling, Eileen. "Nurse practitioner clinic utilization by elderly women." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/144648.
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The purpose of this study was to explore the utilization patterns of elderly women in a nurse managed clinic (NMC). A convenience sample of 20 women, 65 and older, attending an NMC completed an questionnaire and an interview. A pilot study guided the development of the questionnaire. Interrater reliability was performed to enhance the reliability of the pattern categories developed from the interviews. The findings of this research were that elderly women utilized this NMC for: physical assessment and monitoring; health care information; evaluating a physical need; referral; emotional support; socialization; convenience; cost; familiarity/comfort; health care need; and reliability. Satisfaction was the main component of the clients' perception of their visit to the NMC. Conclusions reached were that utilization of this NMC was based mainly on perceptions of health care needs and that cost, convenience, and familiarity influenced clients in choosing this clinic in addition to their primary care provider.
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Riggs, Kelli J., and Kelli J. Riggs. "Assessing Arizona's Pediatric Nurse Practitioner's Attitudes, Knowledge, and Practice Behaviors for Adolescent Mental Health Screenings." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624530.
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Introduction: Adolescent Mental health is a growing topic of concern for pediatric nurse practitioners. Adolescents are known for risky behaviors that can lead to poor health habits, unintentional and intentional injuries. There are recommendations from the US Preventive Services Task Force (USPSTF), the American Academy of Pediatrics (AAP), and the National Prevention Council (NPC) to screen adolescents for mental health concerns including depression and suicide. There are established guidelines and evidenced based screening tools to assist practitioners in screening for at risk adolescents. Yet many practitioners are unaware of these screening tools or do not feel comfortable discussing these difficult topics with adolescent. Objective: The purpose of this study was to assess Arizona’s Pediatric Nurse Practitioners' attitude, knowledge, and practice behaviors towards adolescent mental health screenings. The Theory of Planned Behavior was used to address the relationship between the practitioner’s perceived predictive behaviors and actual behaviors. By assessing practitioners’ experience with adolescence mental health screening, barriers were identified for planned future implementation studies. Methods: From this DNP project, a survey was created and electronically distributed to members of the Arizona Chapter of NAPNAP. There were 23 participants who completed the survey. A Likert-scale was used to allow the participants to express their experiences and concerns. Results: The survey showed that most pediatric nurse practitioners strongly agreed about the importance of screening adolescent for mental health concerns such as depression and suicide. The survey also found that although the PNPs felt willing to discuss the topics, their lack of knowledge about the recommendations resulted in them not screening every adolescent every time. Conclusion: The survey showed that PNPs identified adolescent with mental health concerns including depression and suicide in their practice. The results of the survey showed the PNPs are willing to discuss these topics, but need more knowledge and training regarding screening tools. In addition, the survey identified the barriers in screening of adolescents' mental health which include financial reimbursement and time management. Future studies should focus on improving mental health education for pediatric practitioners and resources to assist them in screening their adolescent patients.
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Bauman, Louella Denee. "Nurse Practitioner Knowledge, Perception and Attitude for Behavioral Therapy Use in Type Two Diabetes." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/612609.
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Objective: Diabetes mellitus is a known epidemic that is increasing throughout the United States and if current trends continue, it is estimated that as many as one in three U.S. adults could have diabetes by 2050. Considerable evidence has been found to link the presence of depression and or Diabetes Distress Syndrome with type two diabetes mellitus. Current studies demonstrate that lack of treatment of Diabetes Distress Syndrome may result in a decrease in medication adherence, participation in diabetic group meetings, and quality of life. The purpose of this study was to examine nurse practitioners (NPs') knowledge, perceptions and attitudes in utilizing behavioral therapy in TTDM management. Research Design and Methods: A total of 20 NPs completed the survey using Qualtrics. Results: suggest that there is a lack of knowledge in regards to Diabetes Distress Syndrome. Current practice for behavioral services in TTDM treatment is also deficient, however, NPs' are willing to learn more and use it as a treatment modality in their practice.
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Dautaj, Saranda, and Susanna Thurell. "Vad innebär HBT-kunskap för sjuksköterskor?" Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24514.
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Enligt tidigare forskning upplever homosexuella, bisexuella och transpersoner (HBT) att de blir diskriminerade och osynliggjorda i vården till skillnad från heterosexuell befolkning. HBT-personer undviker delvis att uppsöka vården, samt att vara öppna med sin sexuella läggning av rädsla för negativt bemötande vilket får konsekvenser för deras hälsa. Därför efterfrågas mer HBT-kunskap i vården av dessa patienter. HBT-patienter efterfrågar en öppenhet för att kunna tala om livet i alla dess aspekter i vården. Studiens syfte var att undersöka vad sjuksköterskor innefattar i HBT-kunskap och hur det påverkar vården, bemötande för denna patientgrupp i praktiken. Studien genomfördes som en empirisk kvalitativ intervjustudie. Intervjuer gjordes med åtta legitimerade sjuksköterskor som har erfarenhet av HBT-patienter och/eller har genomgått kurs i HBT-kunskap. Materialet analyserades med kvalitativ innehållsanalytisk ansats. Analysen resulterade i ett tema – förhållningssätt, två huvudkategorier – vård på lika villkor, kompetens och fyra underkategorier – att förhålla sig öppen, medvetenhet om heteronormativitet, att känna till HBT-personers hälsa/levnadsvillkor, att ha utbildning/erfarenhet om sexuell mångfald. Av studiens resultat framgår att viljan att ta till sig och behovet av HBT-kunskap är stort hos sjuksköterskor. Men det finns också en brist i hur vården uppfyller de ramlagar som finns, som säger att vård skall ges på lika villkor till hela befolkningen.According to previous studies, lesbian, gay, bisexual and transgender persons (LGBT) feel discriminated and made invisible in the healthcare sector apart from the heterosexual population. They partly avoid seeking healthcare and being open with their sexuality for fear of negative reception, which has consequences for their health. Therefore more LGBT-knowledge is demanded in healthcare by this patients. LGBT-patients is asking for an openness from healthcare personnel so they can be able to talk about life in every aspect. The aim of the study is to examine what LGBT-knowledge means for nurse practitioners, how it affects healthcare for this group of patients. The study was carried out as an empirical interview study. Interviews were done with eight registered nurse practitioners who have experience of LGBT-patients or/and had taken a course in LGBT-knowledge. The analysis has an approach to qualitative content analysis. The analysis resulted in a theme – attitudes with two main categories – healthcare on equal conditions and competence – and four secondary categories – to be open minded, to be conscious of heteronormativity, to be aware of LGBT-persons health and living conditions and to have knowledge about sexual multitude. The result shows that there is a strong will to learn and a need for LGBT-knowledge among nurse practitioners. But there is also a lack of willingness to accept the general rules to provide equal healthcare to the entire population.
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Deprey, Teresa Mona. "Nurse practitioners views on menopause : attitudes and prescribing practices." Thesis, 1997. http://hdl.handle.net/1957/34201.
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Menopause is a critical life-cycle transition for women, and is associated with osteoporosis and cardiovascular disease, leading causes of morbidity and mortality in US women. Efforts to curb symptoms of menopause include HRT and ERT, although conflicting evidence exists linking ERT and HRT with the risk of breast cancer. Physicians attitudes and preferred mode of treatment have been extensively studied, but with the increased utilization of nurse practitioners in the field, a new paradigm is being established. The overall goal of this study was to assess the nurse practitioners knowledge and attitudes about menopause, hormone replacement therapy and estrogen replacement therapy. More specifically, the objectives include to: 1) determine methods of patient education for menopausal women; 2) examine whether attitudes of menopause are predictors of preferred modes of treatment; and 3) determine whether demographic factors of nurse practitioners are predictors of preferred modes of treatment.
A random selection of nurse practitioners from the state of Oregon were mailed a self-administered survey along with a stamped, addressed envelope. The questionnaire focused on knowledge of menopausal treatments, attitudes of menopause, continuing education in the menopause research, and methods of patient education. Follow-up surveys were mailed to non-responders at two and four-week intervals following the first mailing. Response rate was 60% with a sample size of 192.
Results describe the management practices of nurse practitioners and what influenced their prescribing and management practices. The influences included the following factors: perceptions about adequacy of formal education, continuing education and attitudes about menopause and managing menopause. Only 47.4% of the respondents felt that their formal education in menopause treatment and protocols was adequate. When asked how they treated women, a majority (64.6%) of the nurse practitioners depended on the women and her beliefs about menopause, HRT, and ERT when they considered how they cared for a menopausal women. Sixty-one percent were very likely to take time during a visit to discuss the changes a woman was going through, while 23.7% were most likely to answer questions if the client had any, otherwise leave the introduction of menopause to the client. When contraindications were present, all nurse practitioners were less likely to prescribe both ERT and HRT. A surprising trend was the high number of participants who were uncertain about how they would prescribe when contraindications were present.
In summary, this study describes Oregon nurse practitioners attitudes about menopause, the perceived adequacy of their formal education, and likelihood of prescribing ERT and HRT. Since almost 50% of the nurse practitioners felt their education was inadequate in menopause, a systematic analysis of masters level nurse practitioner programs in the area of menopause and menopausal treatments is needed. Ideally, a nationwide survey comparing physicians and nurse practitioners prescribing practices would help quantify differences between the two types of health care providers.Graduation date: 1997
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Faria, CATHERINE. "Nurse Practitioner Perceptions and Experiences of Interprofessional Collaboration with Physicians in Primary Health Care Settings." Thesis, 2009. http://hdl.handle.net/1974/5188.
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Primary health care reform is currently underway in Ontario with the goals of improving health care access, quality and continuity of care while increasing patient and provider satisfaction and cost effectiveness. Interprofessional collaboration in the provision of primary health care has been widely espoused in the health care literature as a means of achieving the goals of primary health care reform. Primary health care nurse practitioners in collaboration with physicians and other allied health professionals have a fundamental role in enhancing primary health care in Ontario.
The purpose of this study was to explore and describe nurse practitioners’ experiences and perceptions of interprofessional collaboration with physicians in the provision of primary health care in Ontario. A qualitative descriptive study design was used and six nurse practitioners working in a variety of primary health care settings in Ontario were purposively sampled and interviewed regarding their experiences and perceptions of interprofessional collaboration with partnering physicians. Interviews were analyzed using qualitative content analysis techniques and themes were identified.
Seven themes were identified as key factors influencing collaboration within the nurse practitioner – physician dyad from the nurse practitioner’s perspective. These themes included: quality of communication, complementary vision, physician remuneration methods, establishing and maintaining relationships, investing time and energy, nurse practitioner competency and expertise and mutual trust and respect. A model of nurse practitioner – physician interprofessional collaboration is used to organize the themes identified.
The findings of this study support current recommendations for joint education initiatives for health care professionals and practice initiatives aimed at improving collaboration between partnering nurse practitioners and physicians. Areas for future research include incorporating the client’s experiences and perceptions within collaborative practice as well as developing and evaluating interventions that strengthen collaboration within the health care teamThesis (Master, Nursing) -- Queen's University, 2009-09-22 12:06:31.203
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"Physical Activity Counseling Knowledge, Attitudes, and Practices Among." Doctoral diss., 2011. http://hdl.handle.net/2286/R.I.8889.
Full textAbstract:
abstract: Health care providers (HCPs) are an important source of physical activity (PA) information. Two studies were conducted to qualitatively and quantitatively examine nurse practitioners'(NPs) and physician assistants' current PA counseling practices, knowledge and confidence to provide PA counseling and providers' perceptions about their current PA counseling practices. The specific aims for these two studies included quantitatively and qualitatively identifying the prevalence of PA counseling, perceived counseling knowledge and confidence, and educational training related to counseling. In study 1, survey respondents were currently practicing NPs and physician assistants. Participants completed a modified version of the Promotion of Physical Activity by Nurse Practitioners Questionnaire either online or in person during a population specific conference. The majority of both NP and physician assistant respondents reported routinely counseling patients about PA. There were no differences in perceived knowledge or confidence to provide PA counseling between the two populations. Approximately half of all respondents reported receiving training to provide PA counseling as part of their educational preparation for becoming a health practitioner. Nearly three-quarters of respondents reported interest in receiving additional PA counseling training. In study 2, five focus groups (FGs), stratified by practice type, were conducted with NPs and physician assistants. Both NPs and physician assistants reported discussing PA with their patients, particularly those with chronic illness. Participants reported that discussing lifestyle modifications with patients was the most common type of PA counseling provided. Increased confidence to counsel was associated with having PA knowledge and providing simple counseling, such as lifestyle modifications. Barriers to counseling included having more important things to discuss, lack of time during appointments, the current healthcare system, lack of reimbursement and perceived patient financial barriers. PA recommendation knowledge was highly variable, with few participants reporting specific guidelines. FG participants, while not familiar with the American College of Sports Medicines' "Exercise is Medicine" initiative indicated interest in its use and learning more about it. The findings of these two studies indicate that while NPs and physician assistants are knowledgeable, confident and currently providing some amount of PA counseling to patients, additional training in PA counseling is needed and desired.Dissertation/Thesis
Ph.D. Exercise and Wellness 2011
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Botha, Lynette Ann. "Knowledge, attitudes and practices of central Gauteng occupational health nurse practitioners related to travel health and medicine." Thesis, 2016. http://hdl.handle.net/10539/21215.
Full textAbstract:
A research report submitted to the Faculty of Health Sciences,
University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirement
for the degree
Master of Science in Nursing
February 2016Background: Travel medicine (TM) is fast becoming an interdisciplinary speciality that is required for all medical and nursing practitioners. To facilitate comprehensive nursing care to a community of workers, in workplace settings where workers are required to travel, the occupational health nurse practitioner (OHNP) should be able to provide travel health education and guidance. Purpose and objective: The purpose of this study was to investigate the knowledge, attitudes and practices of Occupational Health Nurse Practitioners (OHNPs) related to travel health and medicine. The objective of the study was to describe the knowledge, attitude and practices of OHNPs related to travel health and medicine, in the Central Gauteng district, including the Vaal Triangle and West Rand. Research design and method: The study was a quantitative, descriptive survey. The survey design was cross sectional using a structured, open and closed ended, self-administered questionnaire that was designed by the researcher using Research Electronic Data Capture Software, version 6.9.5 (REDcap). Data Analysis: Descriptive statistics were used to analyse the data. Statistical assistance was obtained from a biostatistician from the Medical Research Council in Pretoria. Data were analysed by using the Data Analysis and Statistical Software Version 13 software (STATA) and presented in tables. Categorical data was presented using frequencies (counts) and percentages. Findings: No hypothesis was formulated for the study because the outcomes were not predictable. The study was guided by specific research questions that confirmed leisure, occupational travel and migration was increasing, leading to the rapid spread of disease. OHNPs indicated that the inclusion of travel medicine in the OHN curricula was important. Conclusions: In view of the fact that limited research has been done in the South African context on the knowledge, attitudes and practices of the OHNPs related to travel health and medicine, the researcher embarked on this research endeavour to investigate the knowledge, attitudes and practices of OHNPs within their OH practice. Provision of travel medicine services is a future role for OHNPs as it forms part of a comprehensive wellness/health promotion programme.
MT2016
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Mananiso, Nyaku Elizabeth. "The perceptions of nurses regarding communication with nurse managers in a public hospital in westrand in Gauteng Province." Diss., 2015. http://hdl.handle.net/10500/18828.
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The aim of the study was to explore the perceptions of nurses regarding communication with nurse managers in the workplace. The design of the study was a generic qualitative. The methodology of choice was qualitative, explorative method. The sample was non-probability and the approach or technique used was purposive sampling method. It comprised of thirty nurses, ten of each category. The category was a component of professional nurses, enrolled nurses and enrolled nursing auxiliary nurses. The data collection method used in the study was in-depth interviews using a self-designed interview guide. Face to face interviews was conducted in a quiet room within the hospital ward as a natural setting. Data was collected using a voice recorder for the sake of protecting the missing of information which may be important. The data analysis was with the help of employing transcribing and coding of voice recorded data and observation noted during the collection of data. The data collection method used in the study was in-depth interviews using a self-designed interview guide. Face to face interviews was conducted in a quiet room within the hospital ward as a natural setting. Data was collected using a voice recorder for the sake of protecting the missing of information which may be important. The data analysis was with the help of employing transcribing and coding of voice recorded data and observation noted during the collection of data. The findings showed that there were dynamics in communication from all nurse categories and that also indicated that there was a need to conduct a research so that the root cause may be identified and suggestions to be put in place to curb the challenges.
In conclusion it showed that communication is the key problem of all and it is a worldwide problem.Health Studies
M.A. (Health Studies)
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Pillay, Zoe. "Measures to improve retention of nurses in a KwaZulu-Natal hospital : nurse managers' views." Diss., 2017. http://hdl.handle.net/10500/23589.
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The shortage of nurses in any health care setting increases workloads and complicates workflow. In South Africa the shortage is exacerbated by multiple factors, one of which is the emigration of nurses to countries that offer better benefits and working conditions.
The purpose of the study was to explore and determine the views of nurse managers regarding staff turnover and retention, and to recommend effective measures to improve the retention of nurses.
The inquiry was conducted in a KwaZulu-Natal hospital, a natural setting for the participants. The study utilized a qualitative, explorative, descriptive design. The population of this study comprised of 36 nurse managers. Purposive and convenience sampling techniques were applied to select a sample of 18 nurse managers. Data were collected through focus groups. Data were transcribed and analysed thematically, emerging patterns were noted. The researchers examined these categories closely and compared them for similarities and differences. identifying the most frequent or significant codes in order to develop the prominent categories. These were summarised in a narrative form.
Four themes emerged from the findings: the staff turnover challenge; current retention strategies; measures to improve retention and strengthening management. The shortage of nursing staff was critical at this selected hospital, and this situation could be considered to be a microcosm of what is happening in public health care sectors in South Africa. Various measures were put in place to curb the high turnover. However, these measures had a fair to low level of success. Therefore, improved retention strategies are required to reduce the staff turnover. It is evident from the findings that needs to be done to investigate, plan and implement effective measures that are likely to retain nursing staff and recruit more nurses into the profession.Health Studies
M. A. (Nursing Science)
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Maake, Makgotlo Thalitha. "The perceptions of health care professionals with regard to the use of authority by health service managers in Pietersburg Hospital." Diss., 2015. http://hdl.handle.net/10500/20146.
Full textAbstract:
Text in EnglishThe purpose of the study was to explore the registered nurse’s perceptions with regard to the use of authority by nurse managers in the workplace. A qualitative approach using phenomenological descriptive design was used. Data was collected by means of audio-taped individual interviews and field notes. The sample included registered nurses aged 25-45 years with more than two years’ experience. Ethical issues were adhered to. The data was analysed using content analysis as proposed by Creswell (2013). Five themes and seventeen subthemes emerged from the data. The findings revealed that the registered nurses were unhappy with the way authority is being used, their non-involvement in decision-making; lack of two way communication between nurses and managers; poor relationship between nurses and health service managers which hindered nurses’ opportunity for growth. Autonomy is a major determinant of nurse job satisfaction, and failure to apply it may lead to high turnover and absenteeism.
Health Studies
M.A. (Health Studies)
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Mokoena, Machidi Julia. "Perceptions of professional nurses on the impact of shortage of resources for quality patient care in a public hospital: Limpopo Province." Diss., 2017. http://hdl.handle.net/10500/22928.
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Text in EnglishProfessional nurses are regarded as the backbone of the health care system and quality patient care is linked to patient safety.The purpose of the study was to describe and explore the perceptions of professional nurses on impact of shortage of resources for quality patient care. The resources include health professionals, equipment and drugs. The study was conducted in Mankweng hospital which is a public hospital in the Capricorn district in Limpopo Province. Qualitative descriptive exploratory design was used which provided the researcher with in-depth information regarding phenomena under study. Data was collected from ten (10) professional nurses who have 5 to 20 years of nursing experience allocated in medical and surgical wards. Unstructured face-to-face interview was conducted using field notes and audio tape. Data was analysed following Creswell (2014) Tesch method. Five themes and eighteen subthemes emerged from data. The findings revealed that the shortage of health professionals and inadequate resources has a negative impact on provision of quality patient care.
Health Studies
M.A. (Health Studies)
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Hoosen, Aslam Goolam. "Exploring the actions of general practitioners on abnormal findings identified by registered nurses conducting home comprehensive geriatric assessments (CGA)." Thesis, 2011. http://hdl.handle.net/10413/11090.
Full textAbstract:
Background: In South Africa there data is lacking on the health of the older
population. This study aims to report on actions taken by general practitioners on
abnormal blood pressure, blood glucose and osteoporosis screen identified by
registered nurses, conducting home based visits to older clients.
Methods
An agency piloted the Comprehensive geriatric assessment (CGA) tool in an urban
affluent population. In this cross sectional secondary study analysis, 465 participants
aged 60 years and over had a nurse visit in their homes and a subsequent General
Practitioner (GP) visit. The prevalence of specific geriatric problems was assessed as
well as the frequency of initiated procedures by the GP. This study will focus on
initiated actions by the General Practitioners in response to abnormal blood
pressures, blood glucose, and osteoporosis screen.
Results
Frequency tables were utilised to identify prevalence of the abnormal blood
pressures, blood glucose and osteoporosis screen. . Abnormal blood pressures were
detected (230/465, 49%) of the subjects , the GP initiated actions on only 15/465
(3.2%) of clients. Abnormal blood sugars were detected 106/465 (23%) of the GP
initiated actions on 23/465 (5%) of clients. Clinical risk factors for the development of
osteoporosis were detected in 252 /465 (54%) subjects GP initiated actions on 11/465
(3%)
Conclusion
This study explored the relationships between comprehensive geriatric assessment
and subsequent GP actions and found using the CGA in this population will be
successful in identifying abnormal health findings which will enable intervention.
However, due to challenges in the communications and marketing of this service, GP’s
were not well informed of their role and did not act on majority of the abnormal
findings detected by nursesThesis (M.N.)-University of KwaZulu-Natal, Durban, 2011.
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Prithiviraj, Thamotharampillai Gerard. "The knowledge, attitude and practice among primary health care nurse practitioners regarding oral health and oral HIV lesions in QE II and Roma health service areas in Maseru, Lesotho." Thesis, 2012. http://hdl.handle.net/10539/11441.
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M.P.H., Faculty of Health Sciences, University of the Witwatersrand, 2011Although the nursing sector has not been spared the effects of human resource shortages and Human Immune-deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) crisis in Lesotho, it still remains the backbone of the primary health care delivery. There is a well-established linkage between oral health and HIV/AIDS with many of the early symptoms of HIV manifesting in the oro-facial region. However, the lack of oral health personnel at primary health care levels in Lesotho makes Primary Health Care Nurse Practitioners (PHCNPs) often the first health care providers to consult, manage and refer patients with such oral lesions. Aim: To assess the “knowledge, attitude and practice” (KAP) of the PHCNPs regarding oral health and oral HIV lesions in Queen Elizabeth II (QE II) and Roma health service areas (HSA) of Maseru district in Lesotho. Objectives: To assess the demographic profile of PHCNPs in the target health facilities, their knowledge, attitude and practice regarding oral health and oral HIV lesions. Methods and Materials: The research was a descriptive cross-sectional survey. A convenience sample of 57 primary health care nurse practitioners (PHCNPs) from QE II and Roma health service areas were identified. During their monthly PHC meeting, a questionnaire was administered to assess the knowledge, attitude and practice regarding oral health and oral HIV lesions. The information gathered was both quantitative and qualitative. Data was entered and analysed using the SPSS statistical package. Results: The response rate was 87.7%. There was 100% consensus regarding the importance of oral health to the total well being of individuals. The majority of the PHCNPs recognised oral candidiasis (OC) (94.7%), bleeding gums (87.7%), herpes lesions (71.9%) and dental caries (75.4%). Lesions such as acute necrotizing ulcerative gingivitis (ANUG) (40.3%), angular cheilitis (AC) (56.1%) and apthous ulcerations (24.6%) were also recognised but to a lesser extent. The respondents associated OC (84%), herpes (61%), AC (54%), Oral Hairy Leukoplakia (OHL) (49%), Kaposi‟s‟ sarcoma (KS) (49%) with HIV/AIDS. OC was the most common lesion associated with HIV. Some lesions commonly seen in the clinics such as apthous ulceration and ANUG were not significantly associated with HIV (18% and 33%, respectively). The majority of PHCNPs (81%) indicated that they had knowledge about oral HIV lesions. Twenty nine 6 respondents (50.8 %) reported having received this knowledge through training institutions. Mass media (Radio (53%), TV (40%), and newspapers/magazines (49%)) was one of the major sources of information. Forty-four PHCNPs (77.2%) saw only Zero or one (0-1) HIV patients with oral lesions. Similarly, 15.8 % and 7% of the PHCNPs saw 11 to 20 and more than 20 (21+) HIV patients with oral lesions, respectively. The two thirds of the PHCNPs (67%) said they would not advise patients to seek care from Traditional Health Practitioners (THP) due to their lack of trust and confidence in the practices, knowledge and the patient management of the THPs. However, 16% of them reported that they would refer because they thought traditional medicine boosts the immune system. Only seven respondents (12.3%) routinely washed their hands with antiseptics. However, 44 of respondents (77.2 %) cleaned their instruments with bleach and disinfectants. The majority (89.5%) washed their hands with water and soap. Forty three respondents (75.4%) wore gloves during examination. Routine use of facemasks was limited to only 12 respondents (21.1 %). Ninety eight percent of the PHCNPs stated that they would like to learn to manage oral lesions at health centres. The majority (79%) of the respondents said that they would like to receive more training on the management of oral lesions through workshops. Conclusions: There was an observable correlation between PHCNPs self-assessment of oral health knowledge and the objective knowledge as assessed by ability to identify the oral lesions on a chart ( 2 –sided Fischer‟s test-0.000-0.261).This needs to be confirmed by undertaking a study with a larger sample size. OC was the most common lesion associated with HIV as reported by the PHCNPs. The majority of the participants (94.7%) identified OC and associated it (84%) with HIV infection. The finding indicated that with training and/or mentoring, PHCNPs are likely to confidently diagnose oral HIV lesions. PHCNPs showed a positive attitude towards learning more about the oral manifestations of HIV/AIDS. PHCNPs should be utilised more effectively in the diagnosis and management of HIV/AIDS.
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Lebese, Moipone Veronicah. "A phenomenological study of the experiences of nurses directly involved with termination of pregnancies in the Limpopo Province." Diss., 2009. http://hdl.handle.net/10500/2947.
Full textAbstract:
The South African government promulgated the Choice on Termination of pregnancy Act (CTOP Act, 92 of 1996). This was a dramatic declaration of intent unprecedented in the African continent and globally. This act changed the outlook of the practice of termination of pregnancy by ensuring that services play a critical role in the delivery of the service. This study, which is qualitative in nature, explored the experiences of Termination of Pregnancy service providers working in three designated public health institutions in the Limpopo Province. Interviews were conducted with six service providers to look at how they construct their practice of providing termination of pregnancy services. The information was analyzed and interpreted by means of a thematic analysis method. Major themes that emerged from the participants’ experiences centred on their relationship with family, colleagues, management, clients, and the community reflecting a sense of alienation and lack of adequate infrastructural support. Inadequate support has been found to greatly contribute to the loss of interest in the work around abortion.Psychology
M. A. (Clinical Psychology)
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Ziegler, Lucy, M. Bennett, Alison Blenkinsopp, and S. Coppock. "Non-medical prescribing in palliative care: a regional survey." 2014. http://hdl.handle.net/10454/9429.
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NoThe United Kingdom is considered to be the world leader in nurse prescribing, no other country having the same extended non-medical prescribing rights. Arguably, this growth has outpaced research to evaluate the benefits, particularly in areas of clinical practice where patients have complex co-morbid conditions such as palliative care. This is the first study of non-medical prescribing in palliative care in almost a decade. AIM: To explore the current position of nurse prescribing in palliative care and establish the impact on practice of the 2012 legislative changes. DESIGN: An online survey circulated during May and June 2013. PARTICIPANTS: Nurse members (n = 37) of a regional cancer network palliative care group (61% response rate). RESULTS: While this survey found non-medical prescribers have embraced the 2012 legislative changes and prescribe a wide range of drugs for cancer pain, we also identified scope to improve the transition from qualified to active non-medical prescriber by reducing the time interval between the two. CONCLUSION: To maximise the economic and clinical benefit of non-medical prescribing, the delay between qualifying as a prescriber and becoming an active prescriber needs to be reduced. Nurses who may be considering training to be a non-medical prescriber may be encouraged by the provision of adequate study leave and support to cover clinical work. Further research should explore the patients' perspective of non-medical prescribing.
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Weiß, Vivien. "Die Verordnung von Schlaf- und Beruhigungsmitteln: Ein Mixed-methods-Ansatz zur Exploration einer Drucksituation." Thesis, 2018. http://hdl.handle.net/11858/00-1735-0000-002E-E53F-F.
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