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Dissertations / Theses on the topic 'Nursing models'
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Ousley, Lisa, Retha Gentry, and Candice Short. "Instructional Dermatology Surface Models." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7360.
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Ousley, Lisa, Retha D. Gentry, and Candice N. Short. "Instructional Dermatology Surface Models." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7145.
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Merriman, Carolyn S., P. Ramsey, and S. Blowers. "Peer Tutoring Models That Enhance Nursing Student Success." Digital Commons @ East Tennessee State University, 2000. https://dc.etsu.edu/etsu-works/8456.
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Ousley, Lisa, Retha Gentry, and Candice Short. "Educators Impact Education Through Innovative Dermatology Models." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7358.
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Easter, Anna L. "Preliminary testing of the modes of being present scale (MBPS)." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9946253.
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Wimpenny, Peter. "An examination of nursing models from the practitioner's perspective." Thesis, University of Aberdeen, 1999. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU123926.
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This thesis reports a study that aimed to create a better understanding of nursing models. It set out to explore nursing models from the qualified nurse's perspective. Such perspective is of interest to the debate about nursing models which has often been conducted at the rhetorical rather than evidence based level. The methodological approach is that of grounded theory (Glaser and Strauss, 1967) with a three stage interview process as the data collection method. The sample comprised qualified nurses in Scotland who were undertaking educational programmes which included input on nursing models. The central themes from the interview stages were: first interview: operationalising the model; second interview: contextualising the model; and the third interview: nursing models and the reality of practice. These central themes were the foundation for the development of a three model typology distinguishing between: the theoretical model which is the conceptual model of the theorist, is abstract, general and developed through inductive and deductive approaches and presented as a potential picture of nursing; the mental model which is the personal pattern or schema of the individual nurse and represents the way nursing is described by the individual; and the Surrogate model which is a functional representation used by nurses to collect data, communicate and through which the organisation can standardise and audit practice. It is concluded that nursing models should not be seen as pertaining to a single entity but be described in the typologies described above. In this way some of the confusion about the way nursing models have been introduced and taught can be addressed. This is especially viewed in the context of models as forms of truth, external objects, adaptable, tools for use or tools for thought, as having individual or collective value and requiring evaluation from the individual's perspective.
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Ousley, Lisa, and Retha D. Gentry. "Instructional Dermatology Surface Models Patent Process." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7151.
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Cox, Karen R. (Karen Rose). "Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036817.
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Pestill, Melissa E. "Exploration of Nurses' Experiences Transitioning to a Team-Nursing Model of Care." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3915.
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In response to the needs of patients, coupled with nursing workforce predictions and the pressure of cost containment, a shift to a new team nursing model of care has been seen in Canada and Australia. Today's patients require multiple resources, nurses with additional skillsets and vast amounts of experience during their hospital stays, and a team of nurses can meet these needs. This project explored the experiences and perspectives of nurses during the implementation of a team nursing model of care on a 32-bed, inpatient, cardiology floor in southern Ontario. The purposes of this project were to conduct a formative evaluation of the pilot unit implementation and make recommendations for future units who will implement this change in model. The project tracked all nurses on the pilot unit, from frontline nurses to those of influence and authority. Guided by an action research framework and a qualitative approach, nurses' experiences were explored through observations and analysis of organizational reports. These data were triangulated and further validated with evidence from the current literature. Major themes included the need for clear definitions of roles and responsibilities, a strong organizational support system, and the recognition that team nursing was more than a division of tasks but was a shift in culture to that of shared responsibility and accountability for all patients. These findings have implications for positive social change by informing the work of those in the health care setting, illuminating the benefits of team-based nursing.
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Ubochi, Elizabeth Ndidi. "A Systematic Review of Nurse Staffing Models." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7960.
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Appropriate nurse staffing is essential to the delivery of high-quality patient care. Nursing leadership identifies nurse staffing model as an evidence-based staffing model following problems with nursing staff retention on 4 acute care units in a recently opened hospital. The linkage model guided the review of evidence on nurse staffing models and the relationship to nurse job satisfaction and nurse retention and to explore strategies that could lead to recommendations to nursing leadership. The 466 articles found were reduced to 7 articles, 2 at Level 1 (systematic review), 4 at Level VI (quantitative descriptive), and 1 at Level VII (expert opinion). Based on the key findings organized on 4 components of the linkage model (nurse job satisfaction, retention, burnout, and decision-making autonomy), flexibility with work schedules and a self-scheduling model were recommended, providing nurses with the freedom to organize shifts around non work responsibilities. Successful implementation of the self-scheduling model would require staff involvement and support of the organizations to improve nurse job satisfaction, confidence, professionalism, and work-life balance for nurses. In addition, the organization should foster the delivery of quality care in a work environment with an appropriate nurse staffing and patient to nurse ratio. These recommendations have the potential to (a) impact this facility's design of a more evidence-based nurse staffing model with the known benefits of patient-centered care, (b) promote nurse job satisfaction, (c) promote retention, and (d) promote social change within the organization and community.
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Ousley, Lisa, and Candice N. Short. "Instructional Dermatology Surface Models for Use in Simulation." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7158.
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Gentry, Retha D., Lisa Ousley, and Candice N. Short. "Educators Impact Nurse Practitioner Education through Innovative Dermatology Models." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7146.
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Ousley, Lisa. "Instructional Dermatology Surface Models for use in Simulation Education." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7153.
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Merriman, Carolyn S. "Promoting Nursing Student Success: Working With at-Risk Nursing Students: Using Success Courses as Models to Increase Retention." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/8437.
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Morgan, Jennifer L., Florence M. Weierbach, Rebecca Sutter, Kae Livsey, Elaine Goehner, Judy Liesveld, and Mary Kay Goldschmidt. "New Education Models for Preparing Pre-licensure Nursing Students with Enhanced Skills upon Entering Community-based Nursing Practice." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7364.
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Ousley, Lisa, Retha D. Gentry, and Candice N. Short. "Nurse Educators Impact Education through Innovative Dermatology Models." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7143.
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Lamb, Patricia Darlene. "Application of the modeling role-modeling theory to mentoring in nursing." Thesis, Montana State University, 2005. http://etd.lib.montana.edu/etd/2005/lamb/LambP0805.pdf.
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Short, Candice, Retha Gentry, and Lisa Ousley. "Instructional Dermatology Surface Models: An Innovative Paradigm in Educating Advanced Practice Nursing Students." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7356.
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Easter, Anna. "Preliminary testing of the modes of being present scale (MBPS) /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9946253.
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Woodward, Valerie Anne. "Nursing research in the National Health Service : activity, strategies and organisational models." Thesis, University of Plymouth, 2005. http://hdl.handle.net/10026.1/2803.
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In this study, nursing research activity and support for this within the English National Health Service (NHS) were examined. The study was carried out in two phases. The first phase involved working with one acute NHS trust to identify nursing research activity in the trust and to develop its nursing research strategy. The second involved working with five NHS trusts to explore nursing research activity and analyse support for nursing research within these organisations. The professional, educational and policy-related issues that set the context for the study were examined. The literature review for Phase 1 highlighted the fact that there were few accounts of the development of R&D strategies in the NHS. There were perceived barriers to the utilisation and undertaking of research in clinical settings. The importance and nature of organisational support in achieving an evidence-based culture was highlighted. The literature was further reviewed for Phase 2 and this reported that many changes in policy and local processes for R&D management had occurred during the last decade and showed that these, along with professional developments in nursing, have had an impact on nursing research activity. The study was a mixed methods investigation. Phase 1 was a survey using a questionnaire to collect data. Phase 2 used an organisational case-study approach. Data were gathered using both quantitative and qualitative methods. Although the main focus of the work was the role of organisational support for nursing research, what emerged has wider consequences for nursing research and the experiences of the researchers, as many other factors were found that influence nursing research activity in clinical settings. A global model of factors influencing nursing research activity was therefore constructed to account for these findings. This study has contributed to knowledge about nursing research in clinical settings. It has identified some organisational models of research support for nurses and has provided in-depth accounts of the perceptions of various groups towards nursing research. It has also analysed the perceptions and experiences of nurses undertaking research in the clinical setting. These have been represented in a global model of factors influencing nursing research activity.
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Kettles, Alyson McGregor. "Nurses' Attitudes Towards and Understanding of Nursing Theories, Models and Care Planning." Thesis, University of Aberdeen, 2005. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU200837.
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Aim: The research study sought to examine qualified registered nurses' attitudes towards and understanding of nursing theories, models and care planning in Scotland. Problems have been identified with the attitudes towards and understanding of nursing theories and models as well as the implementation of care planning. This is perceived as affecting the way care is carried out. Method: Qualified registered nurses' attitudes towards, understanding and knowledge of nursing theories, models and care planning in two regions of Scotland were explored. Data were collected through a questionnaire. Findings: The data suggest that there are five factor analysis themes (Enabling Theory; Caring Practice; Negative Doing; the Encompassing Nature of Nursing and Apprenticeship) concerning with nursing theories, models and care planning. These had some similarities and some differences with Benner and Wrubel's (1987) and Glen's (1998) ideas about these areas of nursing. There was a significant level of dissatisfaction with the education around care planning with more than half the respondents indicating that they had received no such training. The qualitative findings provided a more detailed picture of the quantitative results and showed that there are five groups of nurses where caring practice is involved. There was also uncertainty and confusion about whether or not nursing is an art or a science and a lack of knowledge about the issues surrounding models, theories and care planning. There is a negative attitude to care planning that specifically relates to the doing of care planning. Conclusions: There is a need to encourage the development of education about nursing theories, models and care planning for all nurses in all clinical areas because, despite the lack of credible evidence for them, there is an expectation by senior nurses that they should be used in practice.
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Busca, Erica. "Nursing care models in primary care and hospital settings: implementation and evaluation." Doctoral thesis, Università del Piemonte Orientale, 2021. http://hdl.handle.net/11579/128002.
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In the last year, the COVID‑19 pandemic has made clear how vulnerabilities in health systems can have profound implications for the health of people. Thus, organizations are taking in place significant changes which are also influencing nursing staff and the nursing care model.
This dissertation aims to: 1) explore the effects of primary nursing on patient, -staff,-organizational-related outcomes in hospital settings; 2) identify barriers and facilitators of nursing role implementation in primary care; and 3) assess the effects of the family and community nursing (FCN) practice model on patient-, organizational-related outcomes.
Method. To reach aim 1 a multi-centre, prospective before-after study is performed. Primary outcome are healthcare-associated infections. Also, staff-related outcomes are included. To reach aim 2 an integrative literature review was conducted. It combines data from quantitative and qualitative studies from two databases searches (Medline and CINAHL) up to 09 June 2020. Data extraction and identification of emerging themes are performed using the Consolidating Framework for Research Implementation (CFIR).
To reach aim 3 a prospective controlled study was designed. The study will recruit older and frail residents in municipalities belonging to Community Health Centres (CHC) of Santhià and Gattinara (Local Health Authority of Vercelli). The Intervention is the FCN and it is allocating in one of the CHC. Primary outcome is hospitalization.
Results. In this dissertation, the results of the integrative literature review are listed. 56 papers met the inclusion criteria. The major barriers identified are related to: i) the limited availability of nursing special education, ii) legislations and regulations, iii) organizational setting in which nurse’s role implementation is embedded; and iv) lack of nurse’s role clarity among stakeholders.
Major facilitators include: i) prior planning for role introduction and nurses’ involvement in the early stage of role implementation, ii) job satisfaction and nurses’ access to high-quality education, iii) successful doctor-nurse collaboration.
Finally, the two study protocols were submitted to the Local Ethics Committee. The before-after study has begun in 2019 with 10 Centres enrolled. Actually, the study has recruited 422 patients and 94 nurses.
Discussion. Implementation and evaluation of the nurse’s role in primary care and hospital settings are complex interventions due to several components which interact with each other. In this regard, the Medical Research Council framework has been used to guide the development and evaluation of complex interventions, related to nursing research and practice. Despite using this framework, two different studies have been designed to explore how the nursing care model works and its effects. The studies are still suspended due to restrictions imposed by the ongoing COVID-19 pandemic.
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Hopson, Christopher Paul. "Alternative Models of Nursing Home Care: A Study of the Impact of the Teaching Nursing Home Model on Staff Quality and the Quality of Resident Care." Diss., Temple University Libraries, 2009. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/47128.
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Business AdministrationPh.D.
As the percentage of elderly adults within the U.S. continues to grow, long-term care options will increase. Facing increased competition from other forms of long-term care, many nursing homes are seeking innovative models to enhance management and clinical care practices. The Teaching Nursing Home model, first established in the 1970s, is one in which academic institutions partner with nursing homes to create information exchanges between the nursing home and the school. Currently, nursing schools throughout the country work with nursing homes to create clinical training sites for nursing students. The partnership is also used to encourage research among school faculty and to assist nursing homes in their management of best practices. This study examined the impact of these relationships on nursing home quality. Twenty teaching nursing homes were matched with twenty nursing homes that are not engaged in this practice. Using nursing home quality scores published by the Centers for Medicare and Medicaid Services, mean outcomes for the matched pairs were compared using T-tests. Regression analyses were also performed to test whether quality improves over time within a teaching nursing home. The results from the T-tests performed did not show overall quality differences between the matched pairs. However, when analyzed regionally, some significance was observed for teaching nursing homes in the Upstate NY region (p<0.1). The study discusses some of the differences in design of the teaching nursing homes within that region and the impact that may have on results. Time as a teaching nursing home did not appear to affect quality for nursing homes in this study. Possible explanations for these insignificant results are discussed in the Summary, Discussion and Limitations section of the study. Overall, the findings from this study suggest that the Teaching Nursing Home model can add value to nursing homes by offering them research and professional training opportunities with academic institutions. Within the study, recommendations are made to further explore the impact of these partnerships on nursing home quality and to encourage the development and use of the model through policy changes.
Temple University--Theses
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Ousley, Lisa, Candice N. Short, and Retha D. Gentry. "From Idea to Patent: Instructional Dermatology Surface Models for Use in Simulation and Standardized Patients." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7152.
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Instructional Dermatology Surface Models (IDSMs) for use in Simulation are newly invented simulation tools created by a nurse practitioner. The idea for IDSM was imagined in the simulation lab and created from the need to improve dermatology education. Instructional Dermatology Surface Models can be used on manikins, standardized patients or persons of any age and with every skin color. The tools can authentically simulate any skin disease. Skin disease is a leading cause of disease burden. In 2013, 85 million Americans where seen by a provider for at least one skin disease which resulted in $75 billion direct health care costs (Lim et al., 2017). Skin cancer is the leading cancer in the United States (Guy, et al, 2015). Current skin cancer education has had very little effect on patient health outcomes. For example, compared with non-Hispanic whites, Hispanics and black patients have lower survival rates related to early Melanoma detection (Robinson, 2010). Quality education in Simulation supports reducing practice gaps, improving patient outcomes and lowering health care costs. Innovative tools can remove the barriers and limitations in skin disease Simulation education. What was the process of having an idea and bringing it to patent application like? This presentation focuses on walking the participants through the beginning steps of an idea to improve dermatology Simulation education and ends with the experience of patent application.
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Betz, Cecily, Lisa S. O'Kane, Wendy M. Nehring, and Marie L. Lobo. "Systematic Review: Health Care Transition Practice Service Models." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6518.
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Background: Nearly 750,000 adolescents and emerging adults with special health care needs (AEA-SHCN) enter into adulthood annually. The linkages to ensure the seamless transfer of care from pediatric to adult care and transition to adulthood for AEA-SHCN have yet to be realized.
Purpose: The purpose of this systematic review was to investigate the state of the science of health care transition (HCT) service models as described in quantitative investigations.
Methods: A four-tier screening approach was used to obtain reviewed articles published from 2004 to 2013. A total of 17 articles were included in this review.
Discussion: Transfer of care was the most prominent intervention feature. Overall, using the Effective Public Health Practice Project criteria, the studies were rated as weak. Limitations included lack of control groups, rigorous designs and methodology, and incomplete intervention descriptions.
Conclusion: As the findings indicate, HCT is an emerging field of practice that is largely in the exploratory stage of model development.
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Poznanski, R. R., and L. Lee Glenn. "Estimating the Effective Electrotonic Length of Dendritic Neurons With Reduced Equivalent Cable Models." Digital Commons @ East Tennessee State University, 1994. https://dc.etsu.edu/etsu-works/7549.
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Ousley, Lisa, Retha Gentry, and Candice Short. "Pre-Research Face and Content Validity for New Dermatology Education Tools for Use in Simulation." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7361.
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Ousley, Lisa, Candice Short, and Retha Gentry. "InstructiDerm Creates Skin Lesion Models for Learning." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8510.
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Damask-Bembenek, Betty. "Perceptions of Effective Forms of Structural Empowerment Models by Nursing Faculty Members and Administrators." Thesis, Northcentral University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3708831.
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The future of nursing education and the education of the next generation of professional nurses must be empowered through the expertise of qualified nurse educators and administrators in nursing programs across the country. Organizational leaders in higher education organizations must incorporate structural empowerment strategies to address the future nurse leaders in the midst of an extreme deficiency of qualified nurse faculty members to lead nursing education and the lack of effective structural empowerment models required within the context of nursing education programs. Changes in nursing education and the academic environment have the impending challenge of safeguarding and developing future nurse leaders for the upcoming nursing profession. The problem addressed in this study was the perspective of nursing educators concerning structural empowerment programs to enhance leadership skills was unknown. The purpose of this qualitative multiple case study was to address the lack of structural empowerment strategies in many nursing programs from the perspective of nursing faculty and administrators regarding what constitutes full structural empowerment. The unit of analysis was nursing programs in state funded academic organizations of higher education. The participants of the study included full-time nursing faculty members and nurse administrators in two nursing programs located in the Mountain West region of the United States. Semi-structured interviews of nurse faculty and nurse administrators were conducted to gather data about their perceptions of structural empowerment strategies that exist in these academic organizations and how these strategies constrain or enhance their leadership practices. The data collected were analyzed into themes and patterns. The findings revealed 12 themes pertaining to the achievement of structural empowerment. Nursing faculty members and administrators have access to empowerment through different processes and structures within the organization. Nurse faculty perceived a desire for greater autonomy with accountability in the classroom and more inclusion in decision making. Nurse administrators suggested constant review of policies and that the organizational structure was a powerful tool in influencing leadership potential. Further research is needed to expand the sample population, provide quantitative evidence on the impact of structural empowerment strategies on faculty motivation, and obtain the views of students on how these strategies impact learning.
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Harrison, Debra A. "Outcome Comparison of an Evidence-Based Nurse Residency Program to Other Orientation Models." UNF Digital Commons, 2012. http://digitalcommons.unf.edu/etd/410.
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The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP).
NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur continuously over a 12-month period designed to assist NLRNs as they transition into their first professional nursing role.
This cross-sectional, descriptive study utilized the Casey-Fink Graduate Nurse Experience Survey and intent to stay questions to collect data on NLRNs at one year post hire. Results indicated no statistically significant differences between the three sites and the subscales of the survey. There was a trend of a more positive score for professional satisfaction with Site A. Turnover was also similar between sites and lower than the reported 10% average, with Site A at 2%, Site B at 5%, and Site C at 4%. There was a statistically significant difference between Site A and C in the intent to stay in their current position, with Site A longer than Site C.
The study supports the literature and evidence that a NRP is an effective strategy to decrease first year turnover. Further study is needed related to the effectiveness of the components of the NRP, length of time for mentorship, and the impact of accumulation of cohorts.
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Kain, Victoria J. "Developing palliative care models in neonatal nursing : an investigation of barriers and parameters for practice." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/17012/1/Victoria_J._Kain_Thesis.pdf.
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The neonatal intensive care unit (NICU) is frequently occupied by newborns who are marginally viable, or critically unwell, and could be considered terminally ill. It is a busy, highly technical environment with an arsenal of life-saving medical equipment at its disposal, and advances in technology used in this field stretch the boundaries of viability. Despite technological advances, increases in the margins of viability and highly skilled healthcare delivery, some newborns will still die in the NICU. In recent years, palliative care for the neonatal population has become increasingly topical and part of the lexicon of contemporary neonatal practice. Evidence-based protocols are available to inform this model of care, yet in reality, provision of palliative care to newborns is ad hoc. The reasons why implementing a palliative model of care have been problematic are unclear. The purpose of this study was to identify the barriers and facilitators to palliative care practice in neonatal nursing, and to develop policy recommendations to improve this area of practice. This exploratory research was conducted to answer two research questions: 1) What are the barriers and facilitators to palliative care practice in neonatal nursing? 2) How can the identified issues be addressed to inform policy and clinical guidelines in the practice environment?
Phase one of this investigation developed, pilot tested, and administered an instrument to identify the barriers and facilitators to practice. Data analysis identified three subscales that indicated facilitators and barriers to palliative care practice. The second phase of this study used a translational research approach, utilizing interpretive methods to explore and contextualise the population study findings to inform policy development to improve palliative care practice in neonatal nursing. This research has identified that the facilitators that do exist for palliative care practice are subject to caveats that impinge markedly upon these facilitators. Furthermore, the barriers that were identified pose threats to the integration of a palliative model of care into Australian neonatal nursing practice. Thus, the overall results from this research have lead to a composite understanding of the barriers and facilitators to palliative care practice in Australian neonatal nursing, which may account for the gap between support of palliative care for marginally viable and critically ill newborns, and the application of this model of care in clinical practice. Translating the survey findings into policy directives that are applicable to the clinical environment has resulted in the development of recommendations that are aimed at improving palliative care practice in the NICU.
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Kain, Victoria J. "Developing palliative care models in neonatal nursing : an investigation of barriers and parameters for practice." Queensland University of Technology, 2008. http://eprints.qut.edu.au/17012/.
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The neonatal intensive care unit (NICU) is frequently occupied by newborns who are marginally viable, or critically unwell, and could be considered terminally ill. It is a busy, highly technical environment with an arsenal of life-saving medical equipment at its disposal, and advances in technology used in this field stretch the boundaries of viability. Despite technological advances, increases in the margins of viability and highly skilled healthcare delivery, some newborns will still die in the NICU. In recent years, palliative care for the neonatal population has become increasingly topical and part of the lexicon of contemporary neonatal practice. Evidence-based protocols are available to inform this model of care, yet in reality, provision of palliative care to newborns is ad hoc. The reasons why implementing a palliative model of care have been problematic are unclear. The purpose of this study was to identify the barriers and facilitators to palliative care practice in neonatal nursing, and to develop policy recommendations to improve this area of practice. This exploratory research was conducted to answer two research questions: 1) What are the barriers and facilitators to palliative care practice in neonatal nursing? 2) How can the identified issues be addressed to inform policy and clinical guidelines in the practice environment?
Phase one of this investigation developed, pilot tested, and administered an instrument to identify the barriers and facilitators to practice. Data analysis identified three subscales that indicated facilitators and barriers to palliative care practice. The second phase of this study used a translational research approach, utilizing interpretive methods to explore and contextualise the population study findings to inform policy development to improve palliative care practice in neonatal nursing. This research has identified that the facilitators that do exist for palliative care practice are subject to caveats that impinge markedly upon these facilitators. Furthermore, the barriers that were identified pose threats to the integration of a palliative model of care into Australian neonatal nursing practice. Thus, the overall results from this research have lead to a composite understanding of the barriers and facilitators to palliative care practice in Australian neonatal nursing, which may account for the gap between support of palliative care for marginally viable and critically ill newborns, and the application of this model of care in clinical practice. Translating the survey findings into policy directives that are applicable to the clinical environment has resulted in the development of recommendations that are aimed at improving palliative care practice in the NICU.
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Rose, Pauline Mary-Therese. "Implementation and evaluation of a new model of nursing practice in radiation oncology." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/37646/1/Pauline_Rose_Thesis.pdf.
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Patients undergoing radiation therapy for cancer face a series of challenges that require support from a multidisciplinary team which includes radiation oncology nurses. However, the specific contribution of nursing, and the models of care that best support the delivery of nursing interventions in the radiotherapy setting, is not well described.
In this case study, the Interaction Model of Client Health Behaviour and the associated principles of person-centred care were incorporated into a new model of care that was implemented in one radiation oncology setting in Brisbane, Australia. The new model of care was operationalised through a Primary Nursing/Collaborative Practice framework. To evaluate the impact of the new model for patients and health professionals, multiple sources of data were collected from patients and clinical staff prior to, during, and 18 months following introduction of the practice redesign. One cohort of patients and clinical staff completed surveys incorporating measures of key outcomes immediately prior to implementation of the model, while a second cohort of patients and clinical staff completed these same surveys 18 months following introduction of the model. In-depth interviews were also conducted with nursing, medical and allied health staff throughout the implementation phase to obtain a more comprehensive account of the processes and outcomes associated with implementing such a model.
From the patients’ perspectives, this study demonstrated that, although adverse effects of radiotherapy continue to affect patient well-being, patients continue to be satisfied with nursing care in this specialty, and that they generally reported high levels of functioning despite undergoing a curative course of radiotherapy. From the health professionals’ perspective, there was evidence of attitudinal change by nursing staff within the radiotherapy department which reflected a greater understanding and appreciation of a more person-centred approach to care. Importantly, this case study has also confirmed that a range of factors need to be considered when redesigning nursing practice in the radiotherapy setting, as the challenges associated with changing traditional practices, ensuring multidisciplinary approaches to care, and resourcing a new model were experienced.
The findings from this study suggest that the move from a relatively functional approach to a person-centred approach in the radiotherapy setting has contributed to some improvements in the provision of individualised and coordinated patient care. However, this study has also highlighted that primary nursing may be limited in its approach as a framework for patient care unless it is supported by a whole team approach, an appropriate supportive governance model, and sufficient resourcing. Introducing such a model thus requires effective education, preparation and ongoing support for the whole team.
The challenges of providing care in the context of complex interdisciplinary relationships have been highlighted by this study. Aspects of this study may assist in planning further nursing interventions for patients undergoing radiotherapy for cancer, and continue to enhance the contribution of the radiation oncology nurse to improved patient outcomes.
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Baker, Sarah C. "Patients’ Perceptions of Nurses as Role Models of Healthy Behaviors." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/336.
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Nurses are caregivers who are instrumental in improving patient outcomes through providing hands-on care and health education. In addition to performing prescribed interventions and providing instruction to patients, nurses can also have a positive impact by modeling healthy behaviors for their patients (Blake & Harrison, 2012). Nurses educate patients on the importance of maintaining healthy habits such as eating well, getting enough sleep and exercise, and avoiding alcohol and drug use; however, studies demonstrate that nurses have similar difficulty maintaining healthy lifestyles as the general population’s and in some cases are even more prone to develop problems with unhealthy habits. This discrepancy in knowledge versus behaviors may be due to high levels of occupational stress, struggles with balancing life and work, and added strain from working extended shifts (Marchiondo, 2014). This perceived discrepancy may negatively impact the patient-nurse relationship as patients may be less likely to follow the health advice of someone who does not appear to apply their own recommendations for healthy living (Zapka, Lemon, Magner, & Hale, 2009). Exploring how the patient views the nurse’s role is critical to determining if patients perceive nurses as one dimensional in their role as caregivers or if nurses’ care and personal appearances or behaviors impact patient health, care, and wellness. The results may identify a barrier to treatment requiring additional education for nurses regarding expanded role development and improving patient health.
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Nazarian, Masoumeh. "Hospital nursing staff productivity - the role of layout and people circulation." Thesis, Loughborough University, 2014. https://dspace.lboro.ac.uk/2134/14932.
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As a facility that offers an important service to its users, a hospital can be considered as a production unit ; a unit that provides health-care service. Therefore, a range of factors that facilitate this service (i.e. healthcare) need to be considered when speaking of improving the productivity in a hospital ward. Evidence suggests that one of the main factors that affect the productivity level of a hospital ward is how the design of the hospital deals with access and circulation of the people inside the ward (e.g. Joseph and Ulrich, 2007). A productivity-oriented circulation system will need to improve staff performance; enhance patients safety, privacy and rate of recovery; minimise the risk of cross-infection; reduce the delay time of external service delivery; create a more welcoming environment for visitors; and reduce the evacuation time in emergency situations. Thus, the need to design ward layouts that benefit from the most effective circulation system cannot be over-emphasised. The study presented in this thesis focused on finding a method for identifying different systems of access and people circulation in hospital wards and how they could affect nursing staff productivity. The study comprised five main phases. The first phase involved a literature review of existing healthcare environments to identify different types of access and people circulation requirements. In the second phase, data on nursing staff s movements were collected from a case study. The third phase focused on categorising and modelling the existing approaches and layout design systems. Phase four provided a comparative study of different categories of people circulation designs and contrasted their advantages and disadvantages to improve access and people circulation. In the fifth and final phase, the study concluded with proposing guidelines for choosing between different layout options in the design of new hospital wards or the refurbishment of the existing ones. Findings of the study included: further empirical and analytical support for the impact of the ward design on nursing staff s performance; a ranking of the suitability of different design layouts for minimising staff s unnecessary walking in wards similar to the case study; the importance of considering different staff members needs in such analyses; and a ranking of the criticality of different routes within a ward.
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Morrison, Jessica. "Reducing preventable hospitalizations: A study of two models of transitional care." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/468.
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Purpose: Transitional care is an emerging model of health care designed to decrease preventable adverse events and associated utilization of healthcare through temporary follow-up after hospital discharge. This study describes the approach and outcomes of two transitional care programs: one is provided by masters-prepared clinical nurse specialists (CNS) with a chronic disease self-management focus, another by physicians specializing in palliative care (PPC). Existing research has shown that transitional care programs with intensive follow up reduce hospitalizations, emergency room visits, and costs. Few studies, however, have included side-by-side comparisons of the efficacy of transitional care programs varying by health care providers or program focus.
Design: This is a retrospective cohort study comparing the number of Emergency Department (ED) visits and hospitalizations in the 120 days before and after the intervention for patients enrolled in each transitional care program. Each program included post-hospitalization home visits, but included difference in program focus (chronic disease vs. palliative), assessment and interventions, and population (rural vs. urban). Data from participants in the CNS program 9/2014 ' 12/2014 were analyzed (n=98). The average age of participants was 69 and they were 65% female.
Data was collected from patients from the PC program from 9/2014 to 4/2015 (n=71). Thirty participants died within 120 days after the intervention and were excluded, the remaining 41 were included in the analysis. Participants had an average age of 81 and were 63% female.
Methods: For the CNS program, a secondary analysis of existing data was performed. For the PC program, a review of patient charts was done to collect encounters data. A Wilcoxon Matched-Pair Signed-Rank test was performed to test for significance.
Findings: Patients in the CNS intervention had significantly fewer ED visits (p
Conclusions: Both transitional programs have value in decreasing health care utilization. The CNS intervention had a more significant effect on ED visits for their target population than the PC program. Further study with randomized control trails is needed to allow for a better understanding of the healthcare workforce best fitted to enhance transitional care outcomes. Future study to examine the cost savings of each of the interventions is also needed.
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Gies, Cheryl E. "Evaluating effectiveness of an inpatient nurse-directed smoking cessation program in a small community hospital :." Connect to full-text via OhioLINK ETD Center, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1115124358.
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Thesis (M.S.)--Medical College of Ohio, 2004."In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Debra Buchman. Includes abstract. Document formatted into pages: ix, 112 p. Title from title page of PDF document. Bibliography: pages 91-97.
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Glenn, L. Lee, and Jeff R. Knisley. "Use of Eigenslope to Estimate Fourier Coefficients for Passive Cable Models of the Neuron." Digital Commons @ East Tennessee State University, 1997. https://dc.etsu.edu/etsu-works/7540.
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Boundary conditions for the cable equation - such as voltage-clamped or sealed cable ends, branchpoints, somatic shunts, and current clamps - result in multi-exponential series representations of the voltage or current. Each term in the series expansion is characterized by a decay rate (eigenvalue) and an initial amplitude (Fourier coefficient). The eigenvalues are determined numerically and the Fourier coefficients are subsequently given by the residues at the eigenvalues of the Laplace transform of the solution. In this paper, we introduce an alternative method for estimating the Fourier coefficients which works for all types of boundary conditions and is practical even when analytic expressions for the Fourier coefficients become intractable. It is shown that terms in the analytic expressions for the Fourier coefficients result from derivatives of the equation for the eigenvalues, and that simple numerical estimates for the amplitude coefficients are easily derived by replacing analytical derivatives by numerical eigenslope. The physical quantity represented by the slope is identified as effective neuron capacitance.
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Góes, Marta Georgina Oliveira de. "Ressignificando o adoecimento : modelo de cuidado espiritual." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/169933.
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Este estudo foi de natureza qualitativa e utilizou como referencial teórico o Interacionismo simbólico e metodológico a Teoria Fundamentada em Dados. Objetivou-se desenvolver um modelo de cuidado espiritual para os pacientes e seus familiares no enfrentamento de situações de adoecimento. O estudo foi realizado em Hospital Universitário do sul do Brasil, com seis enfermeiras e quatro técnicas de enfermagem, com um ano ou mais de experiência na área de atuação e que estavam exercendo suas atividades. Para coleta dos dados utilizou-se uma entrevista semiestruturada do tipo intensivo e um grupo de expertise, com quatro participantes para validação do Modelo, no período de março a maio de 2016. Os preceitos éticos foram seguidos e obtidas as assinaturas de todas as participantes no Termo de Consentimento Livre e Esclarecido. A coleta e análise dos dados ocorreram de forma concomitante de acordo com o método. Na análise dos dados aplicaram-se as etapas da Teoria Fundamentada em Dados que prevê a codificação inicial, focalizada, axial e teórica. Os significados, pressupostos, ações e resultantes identificados a partir das experiências e vivências das participantes no cuidado aos pacientes e seus familiares foram descritas nas categorias Situando a espiritualidade no seu viver e as subcategorias “Reconhecendo a espiritualidade como uma necessidade e complemento” e “Caminhando na espiritualidade”. Exercitando a espiritualidade na vida e as subcategorias “Praticando a espiritualidade ao seu modo”, “Percebendo a espiritualidade como uma opção de vida”, “Respeitando as crenças do outro”, “Encontrando a espiritualidade na maneira de agir e pensar”. Percebendo o papel da equipe de enfermagem no cuidado espiritual e as subcategorias “Advogando os direitos do paciente e em prol da profissão”, “Conversando sobre espiritualidade”, “Preparando a equipe de enfermagem”, “Cuidando no processo e morte e morrer”, “Limitando o cuidado pelas crenças pessoais, organizacionais e religiosas”. Identificando as manifestações das necessidades espirituais e as subcategorias “Identificando as formas de enfrentamento do sofrimento” e “Acontecendo: o momento de atender as necessidades”. Colocando a espiritualidade como prioridade no cuidado e as subcategorias “Acolhendo os pacientes e familiares”, “Utilizando práticas integrativas”, “Rezando com o paciente”, “Confortando por meio da espiritualidade” e “Continuando a acreditar todos os dias”. A integração destas categorias possibilitou identificar a categoria central Ressignificando o adoecimento e o desenvolvimento do modelo de cuidado espiritual. Além disso, foi desenvolvida uma versão prática do modelo. O estudo originou uma compreensão e interpretação conceitual e prática sobre o tema espiritualidade na enfermagem e foram delineadas as conexões entre a equipe de enfermagem e os pacientes e familiares no momento do cuidado espiritual.This study was a qualitative approach, which used the theoretical symbolic interactionism and the Grounded Theory as methodological benchmarks. The purpose was to develop a spiritual model of care for patients and their relatives when confronting situations of illness. The study was conducted in a University Hospital in the south of Brazil and involved six nurses and four certified nurse practitioner, whose had one year or over of experience in the operating area and were performing their activities. In order to collect data, we used semi-structured interviews of intensive type and an expertise group, composed of four participants, with sights to validate the Model, during the period between March and May 2016. The ethical precepts were followed, and then we obtained the signatures of all participants in the Free and Informed Consent Form. The collection and analysis of data took place concomitantly in line with the method. When analyzing data, we applied the steps of the Grounded Theory, which foresees the initial, focused, axial and theoretical coding. The meanings, assumptions, actions and outcomes identified from the experiences and backgrounds of the participants in the care of patients and their relatives were described in the categories “Situating the spirituality in your daily life” and the subcategories “Recognizing the spirituality as a need and complement” and “Walking in the spirituality”. “Exercising the spirituality in life” and the subcategories “Practicing the spirituality in my own way”, “Perceiving the spirituality as a life choice”, “Respecting the beliefs of others”, Finding the spirituality in the way of acting and thinking”. “Perceiving the role of the nursing team in the spiritual care” and the subcategories “Advocating the patient’s rights and for the promotion of the profession”, “Talking about spirituality”, “Preparing the nursing team”, “Caring for in the process of death and dying”, “Limiting care through the personal, organizational and religious beliefs”. “Identifying the manifestations of the spiritual needs” and the subcategories “Identifying the ways of confronting the suffering” and “Happening: the time to meet the needs”. “Placing the spirituality as a priority in the care” and the subcategories “Welcoming the patients and relatives”, “Using integrative practices”, “Praying together with the patient”, “Comforting through the spirituality” and “Continuing to believe every day”. The integration of these categories has enabled us to identify the central category “Resignifying the illness”, as well as to develop a spiritual care model. In addition, we have developed a practical version of the model. The study gave rise to a practical and conceptual understanding and interpretation about the issue of spirituality in nursing, and then we drew up the connections between the nursing team and the patients and their relatives at the time of the spiritual care.
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Gross, Monty Dale. "Instructional Design Thought Processes of Expert Nurse Educators." Diss., Virginia Tech, 2006. http://hdl.handle.net/10919/29747.
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This study explores how expert nurse educators design instruction. Six female expert nurse educators volunteered to participate. Each participant had over ten years experience teaching, and all were recognized for their teaching excellence. They also had master's or doctoral degrees. Participants worked in small private schools, community colleges, or large public universities. The methodology was based in developmental research. Qualitative data sources included interviews, think-aloud protocols, and artifacts. Interviews and think-aloud protocols were audio-taped, transcribed, and member-checked. Artifacts, such as course packets and participant-authored books or interactive CDs, were collected. Data was coded and triangulated. Event-state diagrams and narratives were developed and member-checked. A between-subjects approach also was used to analyze data to develop a composite diagram and narrative that describes how expert nurse educators design instruction. Results indicate that the participants generally followed the steps of analysis, design, develop, implement, and evaluate (ADDIE), as they design instruction. Little was mentioned about actually developing material. However, six key elements were common among the participants. Enthusiasm, meaningful, prior knowledge, engaged, faculty-student relationships, and faculty preparation were common themes that the faculty found important in their process of designing instruction. This study provides information to build a knowledge base on instructional design in nursing education. It may also foster discussion to improve the effectiveness of how nurse educators design instruction.Ph. D.
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Kettlitz, Gary Russell. "The Validity of the Weighted Application Blank as a Predictor of Tenure in the Nursing Home Industry; A Test of Two Models." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc278477/.
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The first purpose was to develop and validate a quantitative selection tool, the weighted application blank, tailored to the nursing home industry. The second purpose of this study was to determine whether data scaling and increased statistical rigor can reduce the frequency of type I and type II errors in the weighted application.
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Lancero, Ann Wyckoff 1947. "Work satisfaction among nurse case managers: A comparison of two practice models." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/278403.
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Case management by professional nurses is a rapidly expanding function within managed care systems. The purposes of this study were to describe the extent of perceived control over nursing practice, job stress, and work satisfaction among 30 Nurse Case Managers (n = 30) practicing in two different models of nursing case management and to describe the impact of control over nursing and job stress on work satisfaction. Three instruments were used: Control Over Nursing Practice Scale, Nurse Case Manager Job Stress Index, and Index of Work Satisfaction for Nurse Case Managers. Work satisfaction was positively correlated with control over nursing practice (r =.65, p =.01) and a negatively correlated with job stress (r = -.43, p =.01). Demographic characteristics were not correlated with the variables under study. Control over nursing practice had a stronger impact (B =.59) on work satisfaction than did job stress (B = -.33); together they explained 53 percent of the variance in work satisfaction.
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Hurley, Shelia. "Nurses’ Perceptions of Self as Role Models of Health." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etd/2597.
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Given the sad state of obesity and lifestyle-related illnesses in the US, nurses, as the largest and most trusted health profession, must take the cause of health promotion seriously and personally. This study seeks to close the gap in knowledge of nurses’ perception of self as a role model of health and personal healthy lifestyle behaviors. This study focuses on four specific behaviors that lead to a healthy lifestyle: limit alcohol, avoid tobacco, improve nutrition, and engage in physical activity. The purpose of this study is to determine the relationship between nurses’ health practices and their perceptions of self as role models for health promotion using constructs of the Social Cognitive Theory. The final sample consisted of 804 registered nurses in the state of Tennessee. In this study, 4% report smoking, 24.9% drink alcohol, 34% are overweight and 30% obese. Approximately 70% do not meet the weekly physical activity recommendations of 150-minutes and 32.8% follow guidelines for a healthy diet only 50% of the time or less. There was a significant correlation between following a healthy diet or physical activity and the Self as a Role Model of Health Promotion (SARMHEP) scores. Based on the regression analysis, working in an acute care or ambulatory setting negatively affected the SARMHEP, as opposed to age and gender having a positive effect on the SARMHEP score. This study has the potential to provide key information that can be used to promote health among nurses.
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Cavalcante, Lousana Bioni. "Características pessoais e institucionais e comportamentos de autocuidado de docentes de enfermagem segundo os modos adaptativos de Roy: estudo em Instituições Públicas do Estado do Rio de Janeiro." Universidade do Estado do Rio de Janeiro, 2009. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2587.
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Este trabalho enfoca a promoção da vida através de comportamentos saudáveis, tendo como objetivos: delinear o perfil sociodemográfico e institucional/profissional dos docentes de enfermagem e analisar seus hábitos de vida, segundo os modos adaptativos de Roy. Foi utilizada a Teoria de Sister Callista Roy, destacando-se os modos de adaptação: fisiológico, autoconceito e interdependência. Implementou-se o método descritivo, quantitativo, transversal através da técnica de autorelato em amostra de 101 docentes. Para investigar esses aspectos, utilizou-se dois questionários, um deles com a escala de Likert, adaptado para a pesquisa. A produção de dados transcorreu de janeiro a março de 2009, após aprovação do Comitê de Ética em Pesquisa, Protocolo 2187, e concordância das quatro instituições públicas de ensino universitário, do Estado do Rio de Janeiro-Brasil, selecionadas. Os dados obtidos foram submetidos á estatística, aplicando-se medidas de tendência central. Quanto ao perfil docente: predomina a faixa etária de 40 a 59 anos, com 69,3%, de união estável. Relacionando cor e crença religiosa, constatou-se 37,6% de católicos brancos. Dos 50 docentes, 5% têm residência própria, na zona norte. Possuem renda individual acima de 8 salários mínimos, 67,32%, a maioria com vínculo trabalhista. No tempo de serviço, 22,94% situam-se entre 11 a 15 anos, com carga horária de 20 a 40 horas. Quanto à titulação, 42,56% são doutores e 80,2% possuem um tipo de regime estatutário. Concernente aos Modos Adaptativos de Roy foi atribuído, predominantemente, o conceito A- hábitos de vida saudável, aos modos Fisiológicos e de Autoconceito, seguindo-se o de Interdependência, que apresentou quatro conceitos B- em busca de hábitos de vida saudável, sendo o mais homogêneo dos três modos. Identificou-se que o Modo Fisiológico foi heterogêneo, pois os valores das medidas de tendência central se distanciam entre si. Concluindo-se que o pressuposto formulado atendeu parcialmente às expectativas dos docentes por utilizarem, em benefício próprio, seus saberes sobre o cuidar promovendo o bem-estar com qualidade. Considerou-se que a interdependência pode ser conquistada pelos sujeitos, visto que o enfrentamento das suas atividades profissionais, paralelamente ao viver pessoal, pode ser motivo de satisfação com o trabalho docente, remuneração recebida, ambiente institucional, relações de poder/saber no trabalho, além da possibilidade de atender sua necessidade gregária promovendo o convívio com a família e amigos. Lembra-se que lidar com pessoas cujas subjetividades devem ser objetivadas, visando sua compreensão para o atendimento de saúde, exige equilíbrio e progresso das dimensões corporais física, mental e espiritual do profissional.This work focuses the life promotion through healthy behaviors, having as objectives: delineate the nursing teachings socio-demographic and institutional/professional profile and analyze theirs life habits, according to Roy. It was utilized the Sister Callista Roys Theory, detaching the modes of adaptation: physiological, self concept and interdependence. It implemented the descriptive, quantitative, transversal method through the self relate technique in sample of 101 teachers. To investigate these aspects, it was utilized two questionnaires, one of them with the Likert scale, adapted to the research. The data production transcurred from January to March of 2009, after approval of the Comitê de Ética em Pesquisa (Committee of Ethics in Research), Protocol 2187, and concordance of the four public institutions of university teaching of the Rio de Janeiro state Brazil, selected. The data obtained were submitted to the statistics, applying central trend measures. As for the teaching s profile: it predominates the age group of 40 to 59 years, with 69.3% of stable union. In relating religious color and belief, it evidenced 37.6% of the white catholic persons. Of the 50 teachers, 5% have own residence, in the north zone. They have individual income above 8 minimal wages, 67.32%, the most of persons with labor link. In the service time, 22.94% situate between 11 to 15 years, with workload of 20 to 60 hours. As for the degree, 42.56% are doctors and 80.2% have a type of statutory regime. Concerning the Roy s Adaptable Modes it was attributed, predominantly, the A concept- healthy life habits, to the Physiological and of Self concept, following the one of Interdependence, that presented four B concepts- in search of healthy life habits, being the most homogeneous of the three modes. It identified that the Physiological Mode was heterogeneous, once the central trend measures values keep away from them. Concluding that the purposes formulated attended partially the teachers expectancies for utilizing, in own benefit, their knowledge about the care promoting the well-being with quality. It considered that the interdependence can be won by the subjects, respecting the facing of theirs Professional activities, parallelly to the personal live, can be satisfaction motive with the teaching work, remuneration received, institutional environment, power/knowledge relations in the work, besides the possibility of attending their gregarious need promoting the conviviality with the family and friends. It remembers that the dealing with persons, whose subjectivities must be objectified, aiming at their comprehension for the health attendance, requires equilibrium and progress of the professional s physical, mental and spiritual dimensions.
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Wadensten, Barbro. "Gerotranscendence from a Nursing Perspective - from Theory to Implementation /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3544.
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Daack-Hirsch, Sandra Elaine. "Context for Filipino community based orofacial cleft prevention interventions." Diss., University of Iowa, 2007. http://ir.uiowa.edu/etd/172.
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Husada, Dominicus Pornthep Chanthavanich. "Predictive model for diagnosis of neonatal sepsis /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5038607.pdf.
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Nehring, Wendy M., and Felissa R. Lashley. "Nursing Simulation: A Review of the Past 40 Years." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6706.
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Simulation, in its many forms, has been a part of nursing education and practice for many years. The use of games, computer-assisted instruction, standardized patients, virtual reality, and low-fidelity to high-fidelity mannequins have appeared in the past 40 years, whereas anatomical models, partial task trainers, and role playing were used earlier. A historical examination of these many forms of simulation in nursing is presented, followed by a discussion of the roles of simulation in both nursing education and practice. A viewpoint concerning the future of simulation in nursing concludes this article.
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Cavalcante, Karenine Maria Holanda. "Cuidado de enfermagem à pessoa com paraplegia fundamentado no modelo Roper-Logan-Tierney." Universidade Federal do CearÃ, 2007. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=976.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorO Traumatismo Raquimedular (TRM) à uma das principais causas de seqÃelas graves em paciente politraumatizado. ApÃs qualquer tipo de lesÃo raquimedular, a pessoa precisa enfrentar um processo de reabilitaÃÃo detalhado para que possa readquirir a capacidade de realizar suas atividades de vida, e viver de maneira independente. Este estudo teve como objetivo analisar a eficÃcia do cuidado de enfermagem fundamentado no Modelo de Enfermagem Roper-Logan-Tierney prestado a pessoas com lesÃo medular, bem como, conhecer a contribuiÃÃo da utilizaÃÃo de um modelo teÃrico para o cuidado direcionado a pessoas com lesÃo medular no domicÃlio. Trata-se de um estudo com abordagem qualitativa do tipo pesquisa de campo convergente-assistencial. Participaram do estudo trÃs pessoas (duas mulheres e um homem) com lesÃo raquimedular do tipo paraplegia, que estÃo incluÃdos no cadastro feito com os participantes das pesquisas realizadas pelo NÃcleo de Pesquisa e ExtensÃo em Enfermagem NeurolÃgica. O processo de investigar-cuidar se deu por meio de 10 visitas domiciliares (por sujeito), sendo os encontros fundamentados no Modelo de Enfermagem Roper-Logan-Tierney, utilizando o instrumento proposto pelas autoras, por meio do qual se abordou e identificou o desempenho das atividades de vida, destacando os problemas reais e potenciais, para ser traÃado o plano de cuidados e serem realizadas as intervenÃÃes necessÃrias, mantendo a constante avaliaÃÃo das respostas dos sujeitos. Para a obtenÃÃo das informaÃÃes foram utilizadas a observaÃÃo participante, a entrevista informal e a entrevista estruturada. No desenvolvimento dos processos assistenciais foram utilizados diagnÃsticos de enfermagem, NANDA, resultados de enfermagem, NOC, e intervenÃÃes de enfermagem, NIC. ApÃs detalhada sÃntese dos dados, foi dado significado a alguns achados provenientes do desempenho das atividades de vida pelos portadores de paraplegia, buscando contextualizÃ-los para uma ampliaÃÃo para a prÃtica assistencial dirigida a essa clientela. Com a anÃlise do comportamento dos trÃs sujeitos, o estudo mostra que a maior barreira para a efetividade do cuidado proposto à a dificuldade para mudanÃa de hÃbitos; entretanto, com a persistÃncia e a utilizaÃÃo de esclarecimentos e informaÃÃes necessÃrias obtÃm-se importantes resultados. Assim, ressalta-se a necessidade da promoÃÃo da auto-responsabilizaÃÃo da saÃde, para fortalecer a busca por mudanÃas de condutas. A utilizaÃÃo do modelo teÃrico Roper-Logan-Tierney no cuidado domiciliar, direcionado a esses portadores de paraplegia, contribuiu intensamente para a aquisiÃÃo do conhecimento sobre comportamentos e crenÃas em relaÃÃo a cada atividade de vida para que, diante disso, fosse feito o planejamento e implementado o cuidado. Com isso, o processo assistencial deixa de ser generalizado e passa a ser individualizado, trazendo melhores resultados. Foi possÃvel constatar a eficÃcia deste processo de investigar-cuidar, uma vez que foi notÃrio o benefÃcio resultante, por meio da conquista de maior independÃncia e capacidade de solucionar problemas pelos participantes do estudo e seus familiares. AlÃm disso, a utilizaÃÃo de um modelo teÃrico para o cuidado direcionado a pessoas com lesÃo medular no domicÃlio trouxe importantes contribuiÃÃes: proporcionou a sistematizaÃÃo da assistÃncia, facilitando a abordagem ao paraplÃgico e seu cotidiano e a eficÃcia do processo de cuidar proposto pela pesquisa; e promoveu uma fundamentaÃÃo teÃrica consistente para o desenvolvimento do cuidado.
The Spinal Cord Injury (SCI) is one of the main causes of serious sequels in trauma patient. After any type of spinal cord injury, the person will need to face a detailed process of rehabilitation, to reacquire the capacity to do its activities of life, and to live in independent way. The aim of this study was to analyze the effectiveness of the nursing care based on the Model of Nursing Roper-Logan-Tierney to people with spinal cord injury, as well as, knowing the contribution of the use of a theoretical model for the care directed to people with SCI in their home. It is a convergent-assistencial research. The participants of the study had been three people, two women and a man, with paraplegia, which are enclosed in a cadastre of participants of researches made by NUPEN. The process of investigating and taking care happened by means of 10 domiciliary visits (for each participant). The meetings were based on the Model of Nursing Roper-Logan-Tierney, using the instrument considered by the authors, in which it was approached and identified the performance of the activities of life, detaching the real and potential problems to be drawn the plan of cares up and to be done the necessary interventions, keeping the constant evaluation. The participant observation, the informal interview and the structuralized interview had been used for getting the information. In the development of the care process, it had been used nursing diagnosis, NANDA, nursing outcomes, NOC, and nursing interventions, NIC. After sum up in detail the data, I tried to give meaning to some information about the performance of the activities of life, trying to contextualize them for expanding for the care directed to people with spinal cord injury. When I was analyzing the behavior of the three participant of the study, I understood that the biggest barrier for the effectiveness of the considered care is the difficulty for change habits; however, with the persistence and the use of clarifications and necessary information important results are gotten. Therefore, I point out the importance of the promotion of the self-responsibility for health, to fortify the search for changes in behaviors. The use of the theoretical model Roper-Logan-Tierney in the domiciliary care directed to these clients contributed intensely for the acquisition of the knowledge about behaviors and beliefs related to each activity of life and up against this, planning and implementing the care. So, the care process leaves of being generalized and becomes individualized, causing better results. It was possible to detect the effectiveness of this process of investigating and taking care, once it was well-known the resultant benefit, by means of the conquest of more independence and more ability to solve problems for the participants of the study and its family. Moreover, the use of a theoretical model for the care directed to people with spinal cord injury in home brought important contributions: it provided the systematization for the assistance, facilitating the approach to the person with paraplegia and its daily and effectiveness of the process of taking care considered for the research; and promoted a consistent theoretical basis for the development of the care.
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Souza, Filho Zilmar Augusto de. "Acidente Vascular Cerebral e famílias: a abordagem da enfermagem na perspectiva do modelo calgary de avaliação da família." Universidade Federal do Amazonas - Universidade do Estado do Pará, 2012. http://tede.ufam.edu.br/handle/tede/2969.
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Previous issue date: 2012-12-11The Cerebral Vascular Accident (CVA) is one of the death causes in Brazil. Individuals who survive CVA may remain with some degree of injury become dependent on their family to perform some sort of activity of daily living. This study aimed to investigate at home the experience of families living with a stroke sequel person. It is an exploratory and descriptive study with a qualitative approach, conducted by Calgary Family Assessment Model (CAFM). The instruments used were semi-structured interview, the genogram, the ecomap and direct observation. The research subjects were five families who lived with one of their stroke sequel relative, residents in the area covered by a Basic Health Unit in Manaus city. Data collection was conducted from January to February 2012, after approval by the Ethics Committee of the Universidade Federal do Amazonas. The families were evaluated in three thematic categories of CAFM: structural, assessment development and functional evaluation. In structural evaluation, we found that among the sequel people (59 to 85 years), two had total dependence on family and three had partial dependence. In families, all with more than five members, the care provided was led by women. The dependence of being on the family extrapolated the limits of the internal structure, having need for a social support network, consisting of the extended family, social groups and institutions. In assessing the development, only one family was experiencing the last phase of their life cycle. The other lived more than one life cycle with overlapping tasks. In the functional assessment, the families performed daily activities both technical care like medication, tracheal suction and curative in pressure ulcers, as home care such as food, personal care (bathing), dressing, cleaning and organizing clothes and utensils, and others. This study allowed us to understand the experience of families dealing with a stroke sequel relative contributing to better understanding by the nursing staff of the role of the family in suffering situations due to a chronic disabling
O Acidente Vascular Cerebral (AVC) é uma das principais causas de morte no Brasil. Os indivíduos que sobrevivem ao AVC podem permanecer com algum grau de lesão tornando-se dependentes de sua família para realizar algum tipo de atividade de vida diária. Este estudo teve como objetivo investigar, em domicílio, a experiência das famílias que convivem com um sequelado de AVC. Trata-se de um estudo de caráter exploratório e descritivo, com abordagem qualitativa, conduzido pelo Modelo Calgary de Avaliação da Família (MCAF). Os instrumentos utilizados foram a entrevista semi-estruturada, o genograma, o ecomapa e a observação direta. Os sujeitos da pesquisa foram cinco famílias que convivem com um de seus entes sequelados pelo AVC, residentes na área de abrangência de uma Unidade Básica de Saúde da cidade de Manaus. A coleta de dados foi realizada no período de janeiro a fevereiro de 2012, após aprovação pelo Comitê de Ética em Pesquisa da Universidade Federal do Amazonas. As famílias foram avaliadas nas três categorias temáticas do MCAF: avaliação estrutural, avaliação de desenvolvimento e avaliação funcional. Na avaliação estrutural, verificamos que entre os sequelados (59 a 85 anos), dois apresentaram dependência total da família e três, dependência parcial. Nas famílias, todas com mais de cinco membros, a prestação dos cuidados era liderada pelas mulheres. A dependência do ente em relação à família extrapolava os limites da estrutura interna, havendo necessidade de contar com a rede social de apoio, composta pela família extensa, por grupos sociais e por instituições. Avaliação do desenvolvimento, apenas uma família vivenciava a fase última do ciclo vital. As demais viviam mais de um ciclo vital com superposição de tarefas. Avaliação funcional, as famílias executavam atividades diárias tanto de cuidados técnicos como medicação, aspiração traqueal e curativo em úlcera por pressão, quanto de cuidados domésticos como alimentação, higiene pessoal (banho), ato de vestir, limpeza e organização de roupas e utensílios, entre outros