Dissertations / Theses on the topic 'Nursing Care – methods'
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Lyons, Maureen A. "Pre-conception care : current practice and methods of provision." Thesis, Aston University, 1988. http://publications.aston.ac.uk/15142/.
Full textEberwine, Julia K. "Methods Used to Assess Critical Care Nurses’ Ability to Detect the Deteriorating Patient and the Perceived Effectiveness of Those Methods." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459438932.
Full textStokes, Yehudis. "Exploring Nurses' Knowledge and Experiences Related to Trauma-Informed Care." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35223.
Full textCowey, Eileen Stewart. "Using an end-of-life care pathway in acute stroke : a mixed methods study of decision-making and care experiences." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7653/.
Full textEhrlich, Carolyn Elsie. "Implementing Care Coordination in General practice: Embedding New Methods." Thesis, Griffith University, 2011. http://hdl.handle.net/10072/366389.
Full textThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Human Services and Social Work
Griffith Health
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Rotich, Everlyne Chepkemoi. "Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya." Doctoral thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33002.
Full textPreshaw, Deborah Hazel Louise. "Ethical issues experienced by healthcare workers providing palliative care in nursing homes : a mixed methods study." Thesis, Queen's University Belfast, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.728393.
Full textHimes, Alisha N. "An Historical Analysis of the Perception of Pain & Pain Management Methods from 1800-1945." Walsh University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=walsh1587571133744558.
Full textZeitz, Kathryn. "Post-operative observations, ritualised or vital in the detection of post-operative complications." Title page, contents and abstract only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phz483.pdf.
Full textMallo, Ryan Seth. "Dying to Be a Man| A Mixed Methods Study Implementing Men's Health Promotion and the Psychology of Masculinity in Graduate Primary Care Curriculum." Thesis, Northwest Nazarene University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10933610.
Full textThe health outcomes of men are significantly worse, when compared to their female counterpart, for the top 15 leading causes of death nationwide. At this time, men are not actively engaged in the healthcare system and didactic and clinical education does not adequately prepare providers to care for men or understand the psychology of masculinity. As of 2016 there were no primary care programs or medical schools that incorporated a specific course in men’s health promotion or the psychology of masculinity within their curriculum. This research study implemented one curricular module on the content of men’s health promotion and the psychology of masculinity. The researcher sought to understand what aspects of men’s primary healthcare and masculinity were taught within Primary Care Providers (PCP) didactic and clinical studies, what PCPs state was lacking from their curriculum, and how that translates to their ability to practice clinically. The research took place at six separate universities throughout the United States. Using a five-point Likert scaled survey, quantitative data was collected from students in six universities after they participated in a single module on men’s health promotion and masculinity. One month after students at the six universities went through the intervention, a second quantitative, five-point Likert Scale survey was collected that sought to determine what information from the module was applicable in their clinical education and settings after going through the intervention. The researcher then conducted six, qualitative, semi-structured, open-ended interviews with students who responded favorably to such an interview in quantitative evaluations through Qualtrics. Data analysis was completed through Wilcoxon Signed Rank Testing. Cohen’s d effect size was utilized to understand the significance of effect size within the data. Students in primary care agree that lack of timely healthcare, on behalf of men, is a stressor on the healthcare system and 100% of students agree they would welcome more content in their didactic education on men’s health promotion and the psychology of masculinity. Similarly, 94.5% of respondent’s state there is a need for primary care students to learn how to engage men in primary preventive care with 77% of respondents requesting more gender specific training. Students that went through the educational endeavor found value in the content delivered with 83.4% of participants stating they planned to make changes in their practice as a result of going through the educational module. Quantitative findings revealed that less than 20% of those surveyed are consistently utilizing evidence based interventions noted in literature to recruit and retain men into primary preventive care. Qualitative interviews noted that participants found themselves unconsciously unaware of their limitations in caring for men in the primary care setting, but fully aware that diverse and holistic care improves patient outcomes. Qualitative respondents also expressed a desire to grow professionally and a willingness to engage in pioneering practices that would equip them to deliver excellence in care.
Archer, Elize. "Using simulation for achieving competency in the practical procedures of a Critical care nursing programme." Thesis, Stellenbosch : Stellenbosch University, 2008. http://hdl.handle.net/10019.1/2028.
Full textBackground to the study: The Critical Care nursing programme at the Faculty of Health Sciences (Stellenbosch University) is a one-year programme. The practical component consists of practical procedures and case presentations. Students have limited time available in the clinical areas to reach competency in the practical skills. Students tend to use the majority of the clinical teaching time available to reach competency in these practical procedures, rather than discussing the patient and learning the skills to integrate and understand the patient’s condition and treatment, which they can acquire by doing case presentations. The end result of this misuse of clinical contact time is that some of the students, by the end of their programme, still have difficulty to integrate a patient’s diagnosis and treatment regime, although they have managed to complete the expected practical procedures. Summary of the work: A case study design was used. I wanted to investigate whether one could make use of simulation and the Clinical Skills Centre (CSC) to complete the majority of the practical procedures so that more time would be available in the clinical areas for the students to do case presentations. The study focuses on describing how the tutors and students involved experienced the use of simulation, as well as how it impacted on the available teaching time in the clinical areas. Conclusions and recommendations: Some of the most important issues that were highlighted in the study and needs to be mentioned are the following: · The students highly valued supervision by a Critical Care tutor when practising their skills in the CSC. · Students indicated that they valued the opportunity to practise some of the more risky procedures in simulation, because it presents no risk to patients. · Case presentations seem important to be added to the CSC’s practical sessions in order to attempt making the practical simulated scenarios even more realistic. · The teaching at the bedside in the clinical areas used to be done somewhat ad hoc. With the teaching in the CSC now being much more structured, this necessitates the teaching at the bedside to be revisited and to be structured to a certain extent. Summary of the results: The information obtained from the Critical Care tutors and the students indicated that these two groups were largely in agreement that simulation seems to be valuable and can effectively be used in a Critical Care nursing programme.
Fishback, Benjamin P. "The Experiences, Attitudes, Beliefs, and Practices of Hospice Nurses who care for African American Patients: A Mixed Methods Study." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523629299989376.
Full textBalli, Eleni. "A PRELIMINARY STUDY EXAMINING NURSING HOME STAFF PERCEPTIONS OF COMMUNICATION WITH RESIDENTS: QUANTITY, METHODS, TOPICS, AND BARRIERS." Miami University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=miami1525375790535322.
Full textSmythe, Analisa. "The Impact of Training in Person-Centred Dementia Care and Supervision on Burnout in Nursing Home Nurses: A Mixed Methods Study." Thesis, University of Bradford, 2018. http://hdl.handle.net/10454/18413.
Full textBurdett Charitable Trust of Nursing
Ångström, Marie, and Lindqvist Emanuel Lööf. "Omvårdnadsåtgärder sjuksköterskan kan vidta i arbetet för att förebygga trycksår : en beskrivande litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24004.
Full textBackground: Pressure sores occur as a complication of care, treatment and disease where these can occur already after 60 minutes. The incidence of pressure ulcers in 2016 at 13.4% averaged over the whole of Sweden, as compared to 2015 is a reduction of only 0.2%. Aim: To describe the nursing care nurse can take in their work to prevent pressure sores and to report the selection method used in the selected articles. Method: Literature study with descriptive design that was based on thirteen articles from the databases CINAHL and Pubmed. Findings: The result of the above literature led four different themes: 1) Risk Assessment: By making a risk assessment of patients within 24 hours of hospitalization the risk of pressure sores was reduced. 2) Location Changes: Location Changes to the patients every two hours showed that the incidence of pressure ulcers decreased. Further, it has been shown that positions lying at 30 degrees is the method that provides the best output. 3) Pressure relief: Use of different pressure relieving agents have shown to reduce pressure sores in patients. The best method seen from differences in the control and intervention groups for pressure relief in this study is the use of a silicon border. 4) Collection of preventive care measures: The use of different protocols with several different care methods to reduce the occurrence of pressure sores have shown the best effect. Methodological aspect: 11 of the articles had a clear description of the sampling method, with the remaining two items missing description of how the selection had been made. Conclusion: The present literature review has shown that the above themes can be used by nurses in their daily work to reduce the risk of pressure ulcers in patients.
Cathelyn, Jim, and L. Lee Glenn. "Effect of Ambient Temperature and Cardiac Stability on Two Methods of Cardiac Output Measurement." Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/7534.
Full textCarter, Rebecca Rosaly Carter. "ANTIBIOTIC STEWARDSHIP IN AMERICAN NURSING HOMES." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1538588980802258.
Full textKristen, Haase. "Internet Cancer Information Use by Newly Diagnosed Individuals: A Mixed Methods Study of Interactions with Healthcare Professionals and the Health Care System." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37222.
Full textDokos, Malinda K. "The Role of Social Support in Dementia Care Facilities: Staff Member Perspectives." DigitalCommons@USU, 2019. https://digitalcommons.usu.edu/etd/7648.
Full textFromholdt, Jessica, and Elenor Jakobsson. "Vad göra : Sjuksköterskors upplevelser av att vårda patienter med självskadebeteende." Thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-124573.
Full textBackground: Self-harm is damage to the own body and includes cut, scratch or burn without intending to take one´s own life. It appears that staff feel lack of understanding and frustration for patients who self- harms and that they don´t know how to care for them. Aim: To describe nurses experiences of caring for patients who self- harm in psychiatric inpatient care. Methods: A qualitative approach was used and data collection was done through interviews with nurses in psychiatric inpatient care (n = 14). The interviews were transcribed and analyzed by content analysis. Results: The analysis resulted in one theme, three categories and six subcategories. The theme was "What to do", the three categories were "A population in need", "A population who affect" and "A profession in need". The six subcategories were "The inadequacies of yesterday”, "In the heat of battle," "Me as a nurse," "us in the personnel”, " "In need of support and guidance," and "In thirst for knowledge". Conclusion: Patients who self- harm affects the individual nurse but also the staff group. Experiences indicate a patient population with a situation in needs, both past and present. It is hoped that with the support, increased knowledge and guidance to the active nurses changing experiences of caring for patients with self-injurious behavior.
Edmonds, Stephanie Westlake. "Examining reproductive life planning practices among Title X clinicians in the Midwest: a mixed-methods study." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5461.
Full textGabrielsson, Sebastian. "A moral endeavour in a demoralizing context: Psychiatric inpatient care from the perspective of professional caregivers." Doctoral thesis, Luleå tekniska universitet, Omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-17666.
Full textGodkänd; 2015; 20150526 (sebgab); Akademisk avhandling som med vederbörligt tillstånd av Filosofiska fakulteten vid Luleå tekniska universitet för avläggande av Filosofie doktorsexamen kommer att offentligen försvaras i Deltasalen, D 770, Luleå tekniska universitet fredagen den 25 september 2015, kl. 10.00. Fakultetsopponent: Docent Ulla Hällgren Graneheim, Institutionen för omvårdnad, Umeå universitet Betygsnämnd: Professor Margareta Lilja, Institutionen för hälsovetenskap, Luleå tekniska universitet Professor Johan Sandström, Institutionen för ekonomi, teknik och samhälle, Luleå tekniska universitet Docent Lauri Kuosmanen, Institutionen för omvårdnad, Åbo universitet Huvudhandledare: Professor Stefan Sävenstedt, Institutionen för hälsovetenskap, Luleå tekniska universitet Biträdande handledare: Universitetslektor Malin Olsson, Institutionen för hälsovetenskap, Luleå tekniska universitet Professor Rolf Adolfsson, Institutionen för klinisk vetenskap, Umeå universitet
Jonasson, Lise-Lotte. "Ethical values in caring encounters from elderly patients’ and next of kin´s perspective." Licentiate thesis, Linköping University, Linköping University, Nursing Science, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-51739.
Full textThe welfare of the elderly population is one of the most important goals of the public health services. At macro level the Swedish National Board of Health and Welfare state that the premier goal is for elderly people to have dignified and comfortable lives. They should have a life with a sense of value and feel confident. These ethical values which are expressed on macro level or as normative ethics are expected to prevail at micro level. In our study the micro level is the caring encounter between the elderly patient, next of kin and nurses. Ethical values and morals are important aspects that influence the quality of care, videlicet in empiric ethics.
The aim of study (I) was to identify and describe the ethical values experienced by the older person in the daily interaction with nurses in a ward for older people during caring encounters. In study (II) the aim was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Study (I) which was an empirical observational study included follow-up interviews. Twenty-two older people participated voluntarily. In study (II) interviews with fourteen next of kin were conducted. In both studies Constant comparative analysis, the core foundation of grounded theory was used.
Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the basis for the core category in study (I): Approaching. Approaching concerns the way people become closer to each other in a physical space .It also includes how people become closer to each other in a dialogue, which involves verbal or bodily communication. Approaching indicates the ethical values that guide nurses in their caring encounters with older people. This ethical value is noted by the older person and has an individual value, as well as leading to improved quality of their care. The older person will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.
Four categories were identified in study (II): Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: “Being amenable”, a concept identified in the next of kin’s description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and next of kin. Nurses who focus on elderly patients’ well-being as a final principle will affect next of kin and their experience of this fundamental situation.
Kumpula, Tomi, and Tomas Sundström. "Sjuksköterskans attityder inom den rättspsykiatriska omvårdnaden : Litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27013.
Full textBackground: The nurse has a complex role of nursing care in a forensic care setting. This due to in addition to nursing care, also a safe environment should be preserved. Coercive measures may also have to be carried out, which can affect nurse´s ethical and moral principles. The most prominent task the nurse has are however to create health and wellbeing through nurse-patient relation as well as to offer the patient an opportunity to grow and to develop his behavior. Aim: The aim with this study was to describe current research of the nurse’s attitudes about nursing care in forensic care settings Method: Literature review including eleven qualitative studies. The studies have been analyzed and themes has identified. Database searches are made in PubMed, CINAHL, SveMed+ and PsycINFO. Results: Three main themes and two sub themes were identified. The first main theme was the nurse role with the sub themes the phases of a relationship and safety and coercive measures. The two other main themes that were identified are masculinity and coping strategies. Conclusion: The affective attitudes that the nurse experiences can control much of the decisions and actions that are performed. This can affect patients' health, well-being and development. Men considered themselves to contribute, through the action component, to a safe and secure environment.
Björk, Teres, and Emelie Wahlström. ""Som alla andra" : Sjuksköterskors erfarenheter av att vårda personer med psykossjukdom inom somatiskvård." Thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-129976.
Full textBeament, Tania L. "A mixed-method study to evaluate the effectiveness of a policy-driven tool to improve the recognition of and response to clinical deterioration in acute care." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2518.
Full textAlmutairi, Adel Faza. "A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in a Saudi Arabian hospital." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/51580/1/Adel_Almutairi_Thesis.pdf.
Full textMurphy, Nancy. "Studying and facilitating the development, installation, and initial implementation of an interdisciplinary buprenorhine treatment/practice with a publicly funded, HIV primary care, designated AIDS center in New York City| A practice-focused, action research, implementation study." Thesis, City University of New York, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3561905.
Full textUsing Action Research, Implementation Science, and Institutional Ethnography, this practice-focused research explored inhibiting and promoting factors related to implementing buprenorphine treatment within HIV primary care while simultaneously developing, installing and initially implementing an interdisciplinary buprenorphine treatment/practice. Data was collected and analyzed using constructivist grounded theory method strategies. Data collection/generation included documentary analysis, key informant interviews, field data from collaborative interdisciplinary team processes, researcher reflective practice, a patient focus group, and an interdisciplinary buprenorphine treatment/practice manual.
The research had several achievements. It identified three key implementation inhibiting categories, (1) significant and persistent bias, (2) plaguing and difficult questions, and (3) buprenorphine expectionalism. It also developed countering implementation promoting categories, (1) be an educated advocate and dispel myths, (2) identify core components of interdisciplinary buprenorphine treatment and uniformity of care, and (3) dementionalizing interdisciplinary treatment/practice. It exposed scope of practice issues and mapped out the specifics of the types of services each discipline would provide, the detail of those practices, their coordination, as well as the areas of practice where there was joint responsibility and overlap. It increased the capacity and competences of the research organization and the 18 interdisciplinary buprenorphine team members. It also explicated the many forms of power operating in the study and the importance of power sharing, adapting treatment, leadership support, structural components and resources on the development and implementation process.
This study shed light on the reality that prescribing buprenorphine and taking up the practice of treating opioid dependence/addiction means that clinicians must be prepared and skilled to provide care where issues of life and death, emotional distress, and significant uncertainties are part of the landscape. The study findings also highlight that balancing safety (both patient and staff) with control and authority is an important aspect of buprenorphine treatment. An interdisciplinary focus expanded the concept of treatment and addressed many important aspects of caring for people with opioid dependence/addiction that often go unaccounted for and/or unnoticed. Without an interdisciplinary frame, patients are at risk for receiving substandard care. This study demonstrated that the interdisciplinary practices needed to provide quality care and improve health outcomes are interdependent.
Somerville, Jacqueline Gannon. "Development and Psychometric Evaluation of Patients' Perception of Feeling Known by Their Nurses (PPFKN) Scale." Thesis, Boston College, 2009. http://hdl.handle.net/2345/662.
Full textThe importance of the nurse-patient relationship to the overall well- being of the person has been explored extensively by nurses. What is largely missing from this knowledge developed to date is the patient's perspective. The purpose of this study was to develop a reliable and valid measure of patients' perceptions of feeling known by their nurses during an acute, surgical, hospital admission. The development of the PPFKN Scale was guided by Newman's theoretical framework of Health as Expanding Consciousness (1994) and data from a qualitative descriptive study conducted in 2003 (Somerville). The current investigation focused on the development and psychometric testing of the PPFKN Scale. The four themes that emerged from the earlier qualitative study were used to guide the development of the 85-item scale. This scale was exposed to a panel of nurse experts to establish inter-rater agreement and content validity, item understandability and readability. The revised scale was piloted with five participants who had experienced an inpatient, surgical admission to determine content validity, item readability and understandability. The revised 77-item scale was then administered to 327 surgical inpatients across seven general care units at a large academic urban medical center. A sample size of 296 completed surveys was analyzed. A four-component solution was devised using Principal Components Analysis with Varimax rotation. This four-component solution accounted for 63.3% variance, with a total scale Cronbach's alpha coefficient of 0.99. A component loading cut-off was set at 0.3 and items not loading at this value on the expected component were dropped. This process resulted in a reliable and valid 48 item PPFKN Scale with four components and a total scale Cronbach's alpha coefficient of 0.98
Thesis (PhD) — Boston College, 2009
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
Jonasson, Lise-Lotte. "A comprehensive picture of ethical values in caring encounters, based on experiences of those involved : Analysis of concepts developed from empirical studies." Doctoral thesis, Linköpings universitet, Omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-67878.
Full textJones, Indra. "Reflective practice and the learning of health care students." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3471.
Full textLindberg, Maria. "Methicillin-resistant Staphylococcus aureus (MRSA) an Unclear and Untoward Issue : Patient-Professional Interactions, Experiences, Attitudes and Responsibility." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-168319.
Full textRice, Cameron R. "Review and Implementation of Orthopedic Patient Medication Education Best Practices." Wittenberg University Honors Theses / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=wuhonors162402923964133.
Full textTapp, Kelly Elaine. "Direct Supervisor Influence on Nurse Engagement." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5950.
Full textDhakal, Prativa. "Promoting Respectful Maternity Care by Undergraduate Nursing Students in Nepal: A Multi-Method Research Approach." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/420909.
Full textThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
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Walts, Lynn Maddox Walker George M. "Patient classification system : an integrated method for measuring nursing intensity and optimizing resource allocation /." See options below, 1992. http://proquest.umi.com/pqdweb?did=745208811&sid=2&Fmt=2&clientId=68716&RQT=309&VName=PQD.
Full textLundin, Christina. "Organizing Language Interpreting Services in Elderly and Emergency Healthcare." Licentiate thesis, Linköpings universitet, Avdelningen för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-145228.
Full textSchatz, Marilyn Rose, and Marilyn Rose Schatz. "Nursing Practice and Decision-Making Process in Response to Monitor Alarms among Critical Care Nurses." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/620966.
Full textMonteiro, Fernanda Silva. "Manejo familiar da alimentação de pacientes oncológicos gravemente enfermos." Universidade Federal de Alagoas, 2014. http://www.repositorio.ufal.br/handle/riufal/1752.
Full textTendo em vista que os pacientes oncológicos em algum momento de evolução da doença necessitam resolver problemas alimentares, a enfermagem adota a orientação aos pacientes e seus familiares como parte de seu processo cuidar, buscando assim uma assistência integral e mais humana. Com base nesta constatação, este trabalho tem como objeto a resposta dos familiares de pacientes oncológicos às alterações alimentares apresentadas pelo doente gravemente enfermo. Teve como objetivos conhecer a experiência de manejo da família referente a alimentação do familiar gravemente acometido pela doença oncológica no domicílio. Pesquisa qualitativa, descritiva e exploratória realizada através de entrevistas norteadas pelo modelo Family Management Style Framework - FMSF, com 10 cuidadores familiares. Os resultados apontam que a amostra teve como características principais o fato do cuidador ser mulher, na faixa etária de 51 a 60 anos, baixa renda familiar percapta e grande proximidade parental com o paciente. As famílias identificaram a situação alimentar como sendo inapropriada; a comida usualmente ingerida vista como causadora de transtornos a saúde do paciente gravemente enfermo e, tendo ainda dificuldade em proporcionar a satisfação das demandas biopsicossociais relacionadas ao fornecimento da alimentação. A partir das falas dos sujeitos foi possível descrever o comportamento de manejo tendo o cuidador familiar modificado a dieta do paciente em consonância com o que acredita ser uma alimentação saudável; a modificação do preparo e oferta da dieta; além do familiar ter modificado sua própria atitude quando não foi possível alterar a do paciente. Neste movimento, a consequências percebidas pelo cuidador se refletiram no descobrimento de estratégias eficientes na condução do manejo do problema alimentar e na confirmação de suas habilidades previamente desenvolvidas. Contudo, com o agravamento característico da evolução do câncer, o familiar se viu diante de um problema gradativo com evolução negativa, no qual percebeu-se impotente frente as questões de manejo.
Smart, Susanna Jennifer. "Grounded Theory of Rosen Method Bodywork." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524757138389208.
Full textAlliex, Selma. "Process of nurse-patient interaction in the presence of technology." Thesis, Curtin University, 1998. http://hdl.handle.net/20.500.11937/588.
Full textCrispin, Vivianne. "Information exchange between patients and nurses during routine nursing care in ward settings : a qualitative multiple case study." Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21158.
Full textHenricson, Maria. "Tactile touch in intensive care : Nurses' preparation, patients' experiences and the effect on stress parameters." Doctoral thesis, Karlstad University, Faculty of Social and Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-1636.
Full textAim: The overall aim of this thesis was to acquire knowledge about whether tactile touch as a complementary method can (i) promote comfort and (ii) reduce stress reactions during care in an intensive care unit (ICU) Method: In Paper I, five nurses with a touch therapist training were interviewed about their experiences of preparation before giving tactile touch in an ICU. To analyse the meaning of preparation as a phenomenon, Giorgi’s descriptive phenomenological approach was used. In Paper II and III a randomised controlled trial was set up to investigate the effects of a five-day tactile touch intervention on patients’ oxytocin levels in arterial blood (II), on patients’ blood pressure, heart rate and blood glucose level, and on patients’ levels of anxiety, sedation and alertness (III). Forty-four patients were randomised to either an intervention group (n = 21) or a control group (n = 23). Data were analysed with non-parametric statistics. In Paper IV, six patients who had received the tactile touch intervention were interviewed to illuminate the experience of receiving tactile touch during intensive care. To gain a deeper understanding of the phenomenon and to illuminate the meaning, Ricoeur’s phenomenological hermeneutical method, developed by Lindseth and Norberg, was used. Findings: The nurses need four constituents (inner balance, unconditional respect for the patients’ integrity, a relationship with the patient characterized by reciprocal trust and a supportive environment) to be prepared and go through the transition from nurse to touch therapist (I). In the intervention study, no significant differences were shown for oxytocin levels between intervention and control group over time or within each day (II). There were significantly lower levels of anxiety for patients in the intervention group. There were no significant differences between the intervention and control groups for blood pressure, heart rate, the use of drugs, levels of sedation or blood glucose levels (III). The significance of receiving tactile touch during intensive care was described as the creation of an imagined room along with the touch therapist. In this imagined room, the patients enjoyed tactile touch and gained hope for the future (IV). Conclusion: Nurses needed internal and external balance to be prepared for providing tactile touch. Patients did not notice the surroundings as much as the nurses did. Patients enjoyed the tactile touch and experienced comfort. The impact on stress parameters were limited, except for levels of anxiety which declined significantly. The results gave some evidence for the benefit of tactile touch given to patients in intensive care.
Furst, Laetitia Nicole. "The effect of teaching methods used as experienced and perceived by student nurses at a nursing college in the Western Cape province." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17812.
Full textENGLISH ABSTRACT: The 21st century teaching environment is unique in its diversity, and challenges academic staff to create a teaching environment that is conducive to all current learners. Various teaching methods are available and affordable, but technology remains an essential investment for the future of higher education institutions. The goal of the study was to evaluate the perceptions of student nurses regarding the effectiveness of the teaching methods which they experienced at a nursing college in the Western Cape Province. The objectives included an evaluation of the effectiveness of teaching methods as perceived and experienced by students of: - The traditional (green/whiteboard) lecture - Group activity - Self-activity - The use of technology such as PowerPoint presentations and video clips. An explorative descriptive research design was applied with a quantitative approach. The target population (N=1238) consisted of nursing students following the programme leading to registration as a professional nurse. Stratified random sampling was used to select the sample of participants (n=267). Data was collected personally by the researcher with a self-administered questionnaire which consisted of predominantly closed questions. Ethics approval to conduct this study was obtained from Stellenbosch University including permission from all other relevant parties. Reliability and validity of the study were assured through a pilot study, consultation with experts in nursing, education and statistics. The reliability of the questions were tested using the Cronbach alpha coefficient test which varied between .89 and .94. The data was analysed with the support of a statistician and was expressed as frequencies in tables and histograms. Descriptive statistics and post-hoc analyses including tests for statistical associations were performed. Results include a significant difference in generation X participants and the green/whiteboard teaching methods (Spearman p-value = 0.02) and their preference of the traditional lecture as a teaching method (Spearman p-value = <0.01). The perceived effectiveness of the teaching methods on student performance varied between very helpful and not helpful. Only (n = 49/19%) of participants experienced the traditional lecture as being very helpful on their general academic performance, in comparison to the effect of group work (n = 69/26%) and self-activity (n = 102/39%). Furthermore, no significant results were obtained between the participants and the perceived effect of the teaching methods. Open-ended questions showed that participants regarded the teaching strategies as boring and ancient and that much of the unhappiness expressed stems from the difference in the needs of millennials and the lack of change and obstinacy existing amongst academics. Recommendations include an increase in the use of technology, a blended approach to teaching, the re-training of academic staff, measures in counteracting a boring classroom environment, orientation for neophyte academics and students, workload perception of students and class size. In conclusion should recommendations be implemented a complete transformation of the college under study will result. It may force the education institution to move out of complacency, to a more vigorous and dynamic education environment that enables them to emerge as an Higher Education Institution (HEI) of good standing.
AFRIKAANSE OPSOMMING: Die een-en-twintigste-eeuse onderwysomgewing is uniek wat betref diversiteit en daag akademiese personeel uit om teenswoordig ’n onderwysomgewing te skep wat bevorderlik is vir alle leerders. Verskeie onderwysmetodes is beskikbaar en bekostigbaar, maar tegnologie bly ’n noodsaaklike belegging vir die toekoms van hoër onderwysinstansies. Die doel van hierdie studie was om die effektiwiteit van die gebruik van onderwysmetodes wat waargeneem en ondervind word deur studentverpleegkundiges by ’n spesifieke Verpleegkollege in die Wes-Kaap, te evalueer. Die doelwitte sluit in die evaluering aangaande die effektiwiteit soos waargeneem en ondervind deur studente van die volgende onderwysmetodes: - Die tradisionele groen/witbord lesing - Groepaktiwiteit - Selfaktiwiteit - Die gebruik van tegnologie soos PowerPoint-aanbiedings en video-insetsels. ’n Ondersoekende, beskrywende navorsingsontwerp met ’n kwantitatiewe benadering is toegepas. Die teikengroep is (n=1238) wat uit verpleegstudente bestaan wat die program vir die van ’n geregistreerde professionele verpleegster volg. ’n Gestratifieerde ewekansige steekproef is gebruik om die deelnemers (n=267) te selekteer. Data is self deur die navorser ingesamel deur gebruik te maak van ’n selfgeadministreerde vraelys wat hoofsaklik uit geslote vrae bestaan het. Etiese goedkeuring om die studie na te vors, is verkry van die Universtiteit van Stellenbosch, asook die van al die betrokke partye. Betroubaarheid en geldigheid van die studie is verseker deur ’n loodsondersoek, sowel as raadpleging met deskundiges op die gebied van Verpleging, Opvoedkunde en Statistiek. Die betroubaaarheid van die vrae is getoets deur gebruik te maak van die Cronbach-alpha koëffisiënt toets wat tussen .89 en .94 gevarieer het. Die data is geanaliseer met die ondersteuning van ’n statistikus en word voorgestel as frekwensies in tabelle en histogramme. Beskrywende statistieke en post-hoc analises, insluitende toetse vir statistiese assossiasies, is uitgevoer. Resultate sluit in ’n beduidende verskil in generasie x-deelnemers en die groen- of witbord onderwysmetodes (Spearman p-waarde = 0.02) en hul voorkeur vir die tradisionele lesing as ’n onderrigmetode (Spearman p-aarde >0.01). Die effektiwiteit van die onderwysmetodes op studenteprestasies wat waargeneem is, varieer tussen baie waardevol en van geen waarde nie. Slegs (n=49/19%) van die deelnemers het die tradisionele lesing as baie waardevol vir hul algemene akademiese prestasie ervaar, in vergelyking met die effek van groepwerk (n=69/26%) en self-aktiwiteit (n=102/39%). Vervolgens, is geen beduidende resultate verkry tussen die deelnemers en die effek van die onderrigmetodes wat waargeneem is nie. Ope vrae bewys dat deelnemers die onderwysstrategieë as vervelig en verouderd beskou en dat baie van die ongelukkigheid wat deurgevoer is, voortspruit uit die verskil in die behoeftes van die milleniums en die gebrek aan geneentheid, asook halsstarrigheid by akademici om te verander. Aanbevelings sluit in ’n toename in die gebruik van tegnologie, ’n saamgestelde benadering tot onderrig, die heropleiding van akademiese personeel, maatstawwe om ’n vervelige klaskameratmosfeer teen te werk, oriëntering vir neofiet akademici en studente se persepsie van werklading en klasgrootte. Ten slotte, indien aanbevelings geïmplementeer word, sal ’n volslae transformasie van die kollege onder die soeklig, plaasvind. Dit mag die opvoedkundige instansie forseer om te beweeg vanuit ’n toestand van gemaksugtigheid na ’n meer ondernemende en dinamiese onderrigomgewing wat in staat sal wees om as ’n Hoër Onderwysinstansie van formaat te funksioneer.
Farmer, E. S. "On introducing a systematic method for the practice and study of nursing in two clinical areas in Scotland : A retrospective analysis of the change process." Thesis, University of Edinburgh, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372965.
Full textEdens, Pamela L. "An Evaluation of the Idaho Plate Method for Adults with Type 2 Diabetes and Limited Health Literacy in Rural West Virginia." Thesis, West Virginia University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571652.
Full textThis capstone project evaluated the Idaho Plate Method (IPM) as an effective nutrition self-management program for adults with type 2 diabetes mellitus (T2DM) with limited health literacy (LHL) in one rural clinic in West Virginia. A one-way pretest-posttest design was used to evaluate the effects of the program on food choices, confidence, and HbA1c. A convenience sample of 30 volunteers participated in the program with 3-month follow-up data collected on 22 volunteers. A Wilcoxon test was conducted to evaluate choices of fruits, vegetables, and fatty foods and participant confidence in making healthful food choices. Data analysis found significant differences in fruit intake (z = -1.98, p 0.05); vegetables intake (z = -2.58, p .01); and skim milk intake (z = -2.094, p .04). There was a decrease intake of French-fries and fried potatoes (z = -2.26, p .02); butter or margarine on bread or pancakes (z = -2.494, p .01); regular fat hot dogs (z = -2.693, p<0.01); and total fat consumption ( z = -2.50, p .01). A significant increase in confidence was found in participants ability to prepare or share food with non-diabetics (z = -3.10, p .002); to choose appropriate foods when hungry (z = -2.72, p = .006); to eat smaller portions at dinner (z = -2.46, p .014); and to add less fat than a recipe calls for (z = -2.10, p .035). Paired t-test analysis compared pretest-posttest HbA1c results with a very nearly significant difference between the HbA1c pretest ( M = 7.96, SD = 1.83) and posttest (M = 7.34, SD = 1.60), t (24) = 2.02, p .055). Limitations of the study included the study design, lack of participants with LHL, high attrition rate, and study time restraints. Conclusions found, despite limitations, adults in rural WV with T2DM increased confidence in making healthy food choices, choosing healthy foods, and improving their glycemic control using the IPM.
Hemphill, Jean Croce. "Advanced Practice Nurse Preceptors Use of Role Clarity as a Teaching Method: Identifying Collaborative Referrals as an Outcome Measure in Primary Care with Homeless Persons." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7578.
Full textJansen, Nazmah. "Guidelines for facilitators to implement the skills laboratory method at an undergraduate institution in the Western Cape." University of the Western Cape, 2014. http://hdl.handle.net/11394/4177.
Full textThe clinical Skills Laboratory Method (SLM) is currently utilised at some universities in South Africa. This is an innovative clinical teaching and learning strategy that allows learner nurses to set their own goals and take responsibility for their learning. In 2007, the method had been introduced to the new first-year learners and subsequently the second, third and fourth year student levels followed. The skills laboratory method consists of five phases: orientation, visualisation, guided practice, independent learning, and assessment. It allows learners the opportunity to observe, practise, and develop their clinical skills in a safe and risk-free environment. In addition, it might assist learners with developing their critical thinking, critical reasoning, and decision-making abilities. As a clinical facilitator at a university, the researcher observed that certain problems occurred in relation to the implementation of the phases. The purpose of this study was to explore and describe learners’ perceptions of the manner in which the facilitators implemented the SLM and to describe guidelines for facilitators to improve the comprehensive implementation of the SLM of an undergraduate nursing programme. A quantitative, explorative, and descriptive research design was used to investigate how learner nurses perceive the skills laboratory method and to what extent the phases of the method were implemented. The accessible population (N = 980) consisted of learner nurses who were enrolled for a Bachelor of Nursing degree at a university in the Western Cape Province. In this study systematic stratified random sampling were used because class lists of all registered learner nurses from first to fourth year were available. The researcher identified every fourth learner (k = 4) of the four years respectively (n = 276). The researcher collected the data personally by means of a survey questionnaire with closed-ended questions that required responses to be indicated according to a 5-point Likert scale. It took approximately 15 - 20 minutes to complete the questionnaire. Descriptive statistics and a factor analysis were performed to reduce the data with the purpose of making it more interpretable. Data was analysed with the assistance of a statistician who used the Statistical Package for Social Sciences Version 21 (SPSS). For interpretation purposes, the researcher presented the statistical information in tables and figures. Twelve factors emerged from the factor analysis: (i) information received during orientation, (ii) introduction during orientation, (iii) orientation to resources in the skills laboratory, (iv) facilitator interaction during visualisation, (v) progression of demonstrations, (vi) authenticity of simulation, (vii) progression of guided practices, (viii) facilitator feedback during guided practice, (ix) encouragement during independent practice, (x) support during independent practice, (xi) planning of assessments, and (xii) facilitator’s role during assessments.The findings indicated that although facilitators did implement the phases of the SLM, some facilitators omitted or did not fully adhere to all the steps in each of the five phases. Factors such as the information and organisation during the orientation phase, knowledge and behaviour of facilitators throughout the phases, teaching strategies used by facilitators during demonstrations, and feedback to learners during assessments required attention. Twelve guidelines were described from those findings with the aim of improving the comprehensive implementation of the SLM and it was recommended that facilitators implement those factors to ensure positive learning experiences for learner nurses. The researcher ensured validity and reliability during the study and adhered to ethical considerations.
Kinneer, James W. "A comparison of health care recruiters' attitudes toward RN-to-BSN degrees based on instructional delivery method and college for-profit/nonprofit status." Thesis, Indiana University of Pennsylvania, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3602789.
Full textDespite the rapid growth of online learning and student enrollment at for-profit colleges, previous research has found that employers are wary of job applicants with credentials earned from these sources. This study compared the attitudes of health care recruiters toward four different RN-to-BSN degree options based on the method of instruction (classroom, online) and the type of college (traditional, for-profit). A sample of 116 health care recruiters from across the United States completed an online survey. The study revealed that there were significant differences in the perceived advantage in the hiring process, credibility, concerns about credentials and likelihood to recommend hiring. Applicants with RN-to-BSN degrees from traditional colleges and via classroom instruction were clearly most favored and those with degrees earned through online instruction at for-profit colleges were perceived the least favorably. An online degree from a traditional college was determined to be more acceptable than an online degree from a for-profit college but still less acceptable than a degree earned through classroom instruction at a traditional college. The implication of these findings is that the return on education for students earning college degrees online or from for-profit colleges may be inhibited by employer perceptions regarding the quality of credentials earned in these environments.
Steen, Anneli, and Anna Hallingbäck. "När palliativ vård i hemmet avbryts : En intervjustudie om erfarenheter inom kommunens hemsjukvård." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30559.
Full textBackground: Palliative end of life care should facilitate for sick persons to die in a place complied with expressed desire, in presence of significant people. Most people affected by serious incurable diseases, wish to be cared for and die at home. Despite this, most people die in hospitals. Aim: To describe nurses' experiences of why palliative care in the home gets interrupted. Methods: Qualitative interviews were conducted with 11 nurses in palliative care. The material was analyzed with inductive content analysis. Results: The analysis formed three categories. Changed conditions, meaning that the person and the relatives need to experience security, have strength and need to be aware. The home becomes a workplace. To create room for care and have multiple, sometimes unknown people present, can affect the privacy. Inadequacy of care includes skills and availability within the care, but also the organization's structure and collaboration with other health care providers. Conclusion: If people in palliative care should be able to remain at home, much resources and support are needed from home care and physicians. The reason that people in palliative care leave their homes is that they are seeking for more care and support. It should be of interest to strengthen home care conditions.