Dissertations / Theses on the topic 'Nursing profession'
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Mahli, Jaswinder. "Horizontal violence in the nursing profession." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44323.
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Workplace violence, which exists in many professions, is not excluded from the nursing profession. The term horizontal violence is commonly used to define violence amongst colleagues in the work force. Despite an increase in the literature during the last three decades, horizontal violence continues to remain a serious issue for the nursing profession. This phenomenon must be taken seriously because studies indicate that nurses encountering co-worker violence often intent to leave the profession. Clearly, this will cause a greater strain on the current nursing shortage, which is currently projected to increase. The strain of nurses encountering incivility amongst one another, will not only impact the nursing profession but also health agencies/organizations. The ongoing recruitment and termination of nurses’ will adversely impact organizations. Finally, as health care is already associated with many stressors, the additional strain of horizontal violence will ultimately impact patient care.
The intent of this study was to explore nurses’ experience of horizontal violence; this to draw attention of the possible consequences and the seriousness of horizontal violence to the nursing profession and health care organizations. The intent was also to identify strategies to mitigate horizontal violence in the workplace. A qualitative approach was employed using phenomenology as the research methodology. Phenomenology is the study of the phenomena through the lived experience, which is exactly the essence that I intended to capture in the work place violence study. Data collection was completed via individual in-depth interviews. Themes and patterns were identified during the interview process. The results of this study revealed that nurses were enduring horizontal violence and the current methods of dealing with co-worker incivility were not effective. Although policies were in place to deter co-worker violence, these were not enforced, and the reporting methods were a deterrent to report horizontal violence.
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Carter, John. "Ethnicity, equality and the nursing profession." Thesis, University of Bristol, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336835.
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Chan, Man Wai (Sarah). "Mandatory versus voluntary Continuing Professional Education : perspectives from the nursing profession." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/39546/.
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Continuing Professional Education (CPE) is constantly evolving and is now mandatory in some professions in many countries. In Hong Kong, CPE for nursing profession remains voluntary. This research seeks to gather the perceptions, opinions and voices of nurse practitioners, college leaders and academic experts in Hong Kong if CPE is changed from a voluntary basis to a mandatory regime with the focus on analyzing different aspects of CPE. A literature review was carried out in order to distill the views of international scholars and practitioners, together with a review of policies pertaining to continuing professional development (CPD) and CPE. Furthermore, theoretical and practical implications were discussed, and suggestions for future researchers were made. In order to answer the research questions, a phenomenological qualitative study was conducted on the subject topic. Regarding the conceptual framework, the adult learning theory supplemented by motivation theories were scrutinized and analyzed while discussing the application of CPE. This study will contribute to the issue of CPE particularly as there were hitherto few qualitative studies on this topic. In connection with data collection, various methods were used, including individual interviews and focus groups, with participants recruited via (1) contact lists searched from the Internet, university directories, publications; (2) participants in relevant CPE courses for nurses. The study focuses on three cohort studies across time with a group of people who shared a similar characteristic and experience, involving 22 participants in total. 18 face-to-face individual interviews and 4 focus groups were organized. To probe the research questions, voices and opinions were collected from individual interviews. The data were transcribed, analyzed and organized by inter alia classifying by keywords and phrases. All the key concepts were coded, a technique helping to search for the relevant data to answer the research questions. Through feedback from participants on the findings, 10 key meaningful themes were successively derived from participants’ voices, opinions and answers. The results show that eleven participants were rather favorable to voluntary CPE at present. They doubted that mandatory CPE to some extent may bring along pressure and problems like labor shortage rather than professional and personal growth. On the other hand, the head of the nursing faculty of one of the universities in Hong Kong had no preference for adopting mandatory or voluntary CPE, while asserting that nurses should be self-disciplined and self-checking was necessary. In contrast, ten participants were slightly favorable to mandatory CPE in the long run for improving professional standards, provided that certain coordination and support would be given by employers.
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Orb, M. Angelica. "The ethical dimensions of the nursing profession." Thesis, Orb, M. Angelica (1993) The ethical dimensions of the nursing profession. PhD thesis, Murdoch University, 1993. https://researchrepository.murdoch.edu.au/id/eprint/52146/.
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This dissertation examines the professional and moral responsibilities of nurses, particularly the relevance of the ethical concepts of autonomy, clients' and nurses' rights. Also, it explores the meaning of a "profession”. Moral issues involved in the nurse/client relationship are discussed, highlighting the importance of respect for persons, responsibility, accountability and advocacy. Special attention is paid to the commitment to healing.
The methodology used in this enquiry is conceptual analysis which involves the identification of the ethical issues that needed to be examined, followed by the formulation of the theses that guide this enquiry. The data were obtained from relevant documents and literature available in the areas of philosophy, sociology, law and nursing ethics. Arguments in support of the moral and professional autonomy of nurses as responsible professionals are developed.
The findings of this enquiry assert that the ethical responsibilities of nurses are consistent with their professional mandate. It shows that the commitment to healing and the relationship with clients and their relatives, have a direct bearing on the welfare of clients and the quality of care delivered.
It establishes that nurses as members of the health team, collaborate with others. However, some difficulties are identified between nurses and other health professionals, related to the different values held by them. These difficulties are often reinforced by institutional organizational structures and policies.
Changes in the nurses' educational system and the development of nursing research is generating a specific body of knowledge that give nursing a distinct mark as a profession.
This enquiry is a contribution to the ethical awareness of the professional responsibilities of nurses towards society and the professional autonomy appropriate to them.
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Redekopp, Helen Mary. "Staff nurses’ perceptions of the profession of nursing." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24420.
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In its struggle to be recognized as a legitimate profession, nursing has proceeded in several directions, promoting diversity of professional views among its practitioners. The many changes taking place in nursing supported the need for a study determining exactly how staff nurses view the profession of nursing. The criteria of a profession as defined by Valiga (1982): the boundaries, goals, and scholarly component of the discipline, the recipient of the discipline's service, the relationship of the discipline to others, and the independence, responsibility, autonomy, commitment, and activities of the discipline's practitioners (pp. 126-127), were the basis of the study. The views of the profession as held by the staff nurses were related to the variables of age, preparatory and/or additional nursing education, number of years worked since graduation, length of time in present employment, and the agency of employment.
The 600 subjects were randomly selected by computer at the Registered Nurses' Association of British Columbia (R.N.A.B.C.). The Views About Nursing Questionnaire, developed by Valiga (1982), along with a background information questionnaire were sent to the subjects by the R.N.A.B.C. A total of 262 usable questionnaires were the basis of data analysis. Pearson product-moment correlations and analysis of variance were performed as appropriate. These analyses revealed that there was an inverse, but not statistically significant, relationship between age and number of years worked and scores on the Views About Nursing Questionnaire. There was no relationship between the scores and education and the scores and length of time in present employment. Because a large majority of respondents were employed in acute care hospitals, no analysis of the relationship of agency of employment and the scores was undertaken.
Conclusions and implications of this study are addressed and suggestions for further study are presented.Applied Science, Faculty of
Nursing, School of
Graduate
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Al-Mahmoud, S. A. "Saudisation of the nursing profession : the contribution of nursing education and training." Thesis, University of Birmingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.679219.
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Williams, Tamara Lynette. "Student Incivility and Its Impact on Nursing Faculty and the Nursing Profession." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3550.
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Incivility disrupts the learning environment for nursing students and faculty, and contributes to the national nursing shortage since many nursing faculty reportedly leave academia because of disruptive student behaviors. Academic leaders at a midwestern college of nursing are concerned by the increasing number of students engaging in uncivil behaviors and are seeking solutions. Using Clark's conceptual model, which holds that incivility can be mitigated with effective communication and engagement, this qualitative case study was designed to understand what faculty perceive as the cause of student incivility, and what actions they believe would decrease these uncivil behaviors. Data were collected from semi-structured interviews with 10 purposefully selected faculty members who met the established criteria for participation. The data were transcribed, member checked, and coded for emerging themes. Coding was completed using an open and axial coding process. Nursing faculty communicated a lack of knowledge regarding how to address student incivility, and expressed not feeling properly skilled to defuse uncivil encounters. Five major themes emerged, as follows: classroom expectations, caring culture, organizational support, orientation, and student entitlement. A 3-day professional development workshop on managing student disruptive behaviors and promoting civility within the learning environment was developed as the project outcome. Addressing incivility by learning effective ways to respond, manage, and diminish disruptive behaviors has the potential to positively impact the nursing profession, the patients in nurses' care, and the healthcare system.
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Thompson, Lee Ethne. "Profession and Place: Contesting Professional Boundaries at the Margins." Thesis, University of Canterbury. Geography, 2006. http://hdl.handle.net/10092/1268.
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There is considerable concern regarding the adequacy of rural health services in New Zealand, with much attention having been paid to issues of recruitment and retention of rural general practitioners. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. Using the notion of nurses as a 'stop-gap' in the provision of rural primary health care until problems with recruitment and retention of rural general practitioners are addressed, is a rhetorical device that facilitates the under analysis of the role nurses play and the contribution that they make. The longstanding practice of rural primary care nursing in its various guises over the last century challenges the notion of nursing as a stop-gap.Any investigation of health care in the contemporary moment needs to take account of the influence of biomedical dominance, an increasingly litigious mentality in relation to health care, a shifting focus towards primary rather than secondary health care, and the positioning and re-positioning of health professionals within the neo-liberal state. The very existence of nurses working as the first point of contact in the health care system, with success over time in so far as they do not provoke undue litigation, and appear to deliver an appropriate service must raise questions about who can claim the right to be a primary health care provider. Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.
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O'Connor, Thomas. "Men in the nursing profession : masculinities and gendered identities." Thesis, Keele University, 2013. http://eprints.keele.ac.uk/3733/.
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Nursing as a profession has historically been largely dominated by females, both in terms of the demographical profile and the common perception of nursing being a task for women. A small minority of men do however practice as nurses and as such are anomalous in a female dominated profession. Drawing on profeminist theories of masculinities this study aimed to investigate the experiences of men working as nurses in Ireland, how they relate to masculinities and how they negotiate a gendered identity. Using a qualitative interpretative methodology 16 in-depth interviews were conducted with practicing male nurses. Results reveal tensions and contraindications for men in negotiating gendered identities as nurses with significant evidence of positioning in relation to hegemonic ideals. The fluidity and contingency of masculinities is also revealed, particularly in relation to emotionality and embodiment. This study contributes to the knowledge base of sociological theories of masculinities but also to knowledge about the nursing profession and its gendered aspects.
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Aiken, Stephanie. "Nursing in metamorphosis : the profession and its image explored." Thesis, University of Brighton, 2012. https://research.brighton.ac.uk/en/studentTheses/bdebd74b-49b8-48cd-b227-7a5eea713dcb.
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This thesis explores perceptions of nursing held by a range of stakeholders at the beginning of the 21st century. Using a constructivist methodology, this study locates nursing within the current context of healthcare, acknowledging the historical and socio-political influences which have contributed to shaping nursing’s identity and nursing work. The use of a case study approach as the mode for constructivist inquiry draws on an understanding of this approach as a ‘depth examination of an instance’ (Lincoln and Guba, 1985 p.360). This recognises the contemporary and time bound nature of the study, located in a time of modernisation and change within both nursing and the wider National Health Service.
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Brynhildsen, Elfors Frida, and Mathilda Gustafsson. "Orsaker till varför sjuksköterskor lämnar sin profession." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-67806.
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Ouellet, Marie Louiselle Lise. "Perceptions of nursing as a profession of students graduating from college-based nursing diploma programs." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24419.
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This study examined the perceptions of nursing as a profession of students graduating from college-based nursing diploma programs. To answer the research question, the Concept of Nursing Scale designed and tested by Valiga (1982) was administered to 101 students in British Columbia Colleges approximately four weeks prior to graduation. Demographic data were also obtained. The responses were coded and scored by hand and the data entered into computer files. The statistical package used for analysis consisted of the SCSS Conversational System (Nie, et al., 1980).
The concepts reflected in the Valiga Concept of Nursing Scale consist of: (a) boundaries of the profession, (b) recipient of the profession's service, (c) goals of the profession, (d) relationship of the profession to others, (e) independence of the practitioner, (f) responsibility of the practitioner, (g) scholarly component of the profession, (h) autonomy of the practitioner, (i) commitment of the practitioner, and (j) activities of the profession. Scores were high in the areas of definition, client, goals, and scholarship. These results indicated that: (a) the students surveyed had a clear definition of the scope of the profession, (b) they were able to identify the recipient of the profession's service and the goal of the profession, and (c) they recognized a scholarly component to the profession.
The scores in the areas of independence and commitment were marginally lower than in the four areas mentioned above. These findings implied that the students graduating from college-based nursing diploma programs perceived nursing as functioning independently and that commitment was viewed as a characteristic of the nursing profession.
Finally, the scores in the areas of autonomy, responsibility, relationships, and activities were low. These results indicated that the students surveyed perceived nursing as having minimal control over its practice and did not view the members of the profession as being responsible and accountable for their own actions. In addition, these students did not have a clear understanding of the nature of nursing's relationship with other members of the health care team and were uncertain as to the activities of the nurse.Applied Science, Faculty of
Nursing, School of
Graduate
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Andersson, Johanna, and Ellinor Hallberg. "Medical Information Systems & the Nursing Profession : a Sociotechnical Approach." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-354050.
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Due to the digitalization era and challenges faced by the healthcare sector, Medical Information Systems are now being extensively used at hospitals. The implementation of the systems is a complex task which entails a need for careful considerations from a managerial view, since the main purpose with implementing the systems is for managerial control. One of the things management should consider is the professional aspect. The nursing profession is a highly specific one, and this could implicate special considerations. The aim of this master’s thesis is to take on a sociotechnical approach towards the implementation of Medical Information Systems and investigate how the nursing profession is affecting the implementation process, and what it may implicate for hospital management. To answer the research question a qualitative approach has been chosen. The empirical data has been gathered through semi-structured interviews with nurses from the case organization. The result implies that the nursing profession have a substantial impact on the implementation process. Instead of embracing the instructions and support offered by management, the nurses develop their own way of working within the system.
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Starns, Penny. "Military influence on the British civilian nursing profession, 1939-1969." Thesis, University of Bristol, 1997. http://hdl.handle.net/1983/6896c1fe-ef88-4220-8514-b823f6d022d7.
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This thesis examines the impact of military influence on civilian nursing development from the outbreak of war in 1939 until the restructuring of nurse administration in 1969. It will be argued that a military imposition on civilian nursing was responsible for hindering professional progress and preventing reform. This argument challenges the orthodox view of nursing history which maintains that nurses adopted a variety of professionalization strategies in order to gain credibility and state recognition. This recognition was only achieved as a result of a thirty year battle, during which status became an over-riding concern. This thesis argues that the medical demands of the Second World War threatened the professional foundations of nursing organization, and nurses responded by adopting militarization strategies in an effort to raise and protect their status. These militarization strategies affected all aspects of nursing practice and organizational development, and held significant implications for the post-war reconstruction of health -care delivery. Traditional studies of nursing history in this period have concentrated on the civilian nursing records alone, and have therefore overlooked the military dimension of nursing development. This study uses civilian nursing records, including those of the General Nursing Council and the Royal College of Nursing, in conjunction with military nursing records, including those of the War Office, and the correspondence and diaries of military A comparative analysis of these records proves that the militarization of nursing was an important issue. The analysis explores the interchange of military and civilian nursing personnel during the Second World War, and examines four key relationships in the post-war era: betweengovernment and nursing policy, between nurse leadership and nursing practice, between nurses and other occupational groups, and between various nursing grades at ward level. This analysis exposes the various ways in which militarism has infiltrated these relationships, and has been allowed to dictate the direction and scope of nursing development
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Prescott, Stephen Francis. "The nursing profession and graduate status in England : perspectives from student nurses and health professional educators." Thesis, University of Huddersfield, 2017. http://eprints.hud.ac.uk/id/eprint/33732/.
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This study investigates all graduate entry to nursing in England, focusing on the perceptions and experiences of nursing students and health professional educators at one English university. It presents a history of nurse education, debates the cases for and against the move to an all graduate entry, and introduces a conceptual framework based on the influences on, and expected outcomes of, the undergraduate nursing student. The study adopts a single-embedded case study design. Data was collected between October 2012 and September 2014 using questionnaires and focus groups. Statistical analysis and thematic analysis (using the framework devised by Braun and Clarke, 2006) were undertaken on the quantitative and qualitative data respectively. The undergraduate student nurses reflected a positive attitude towards nursing, seeing a therapeutic relationship and the values underpinning ‘compassion in practice’ as fundamental to the role of Registered Nurse (RN). They also demonstrated motivations that reflected these principles and, to some extent, recognised them in themselves. The importance of developing and demonstrating graduate attributes was acknowledged, but these were not seen to be as significant as the fundamental principles of what it means to be a nurse. The majority of health professional educators supported the move to an all graduate entry to nursing, with nurse educators being more in favour that their Allied Health Professional colleagues. There was also clear recognition that the role of the RN had changed and that RNs needed graduate attributes in order to manage the complexities of twenty-first century healthcare. Participants in this study saw the move to all graduate entry as welcome and necessary, although this view was not universal. Reasons students gave for pursuing a career in nursing reflected those identified in earlier studies. The students’ experiences in clinical practice were affected by the standards of care they observed, the quality of mentorship and by issues related to ‘belongingness’. The study highlights and contributes to the on-going debate surrounding the development of nursing as a profession, confirming that the ideals of altruism have not been lost in the development of academic processes and identity.
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Knobloch, Siedine. "Compassion fatigue within the nursing profession : a concept analysis / Siedine Knobloch." Thesis, North-West University, 2007. http://hdl.handle.net/10394/1611.
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Nurse practitioners have a duty to compassionately care for the sick, wounded, traumatised and weak patients in their charge, which personally exposes them to the patients' pain, trauma and suffering on a daily basis. In addition to this, nurse practitioners work in demanding and dire circumstances, which influences not only their well-being, but also their ability to provide compassionate care. The result is a nursing workforce that is experiencing compassion fatigue.
The aim of this study was to define compassion fatigue within the context of the nursing profession, through achieving three objectives which were guided by a philosophical inquiry design, used along with qualitative, exploratory, descriptive and contextual research strategies.
The first objective was to conduct a concept analysis of compassion fatigue in order to construct a connotative (theoretical) definition. Using the concept analysis method of Walker and Avant (2005) which is based on the original method of Wilson (1987), the characteristics of compassion and fatigue were listed, ordered and reduced to identify the defining characteristics (connotations) and categories of compassion fatigue. These defining characteristics (connotations) and categories were used to clarify the meaning of compassion fatigue through the construction of a connotative (theoretical) definition. A model case, borderline case and contrary case were described to confirm the defining characteristics (connotations) of the concept. The categories and defining characteristics (connotations) of compassion fatigue were further established through a literature control that grounded the findings of the concept analysis.
The second objective was to identify and describe the empirical indicators of compassion fatigue in order to construct a denotative (operational) definition. The empirical indicators were identified from the characteristics (connotations) of compassion fatigue and the literature control. These listed empirical indicators were then ordered and divided, so as to permit the synthesis of a denotative (operational) definition of compassion fatigue.
The third objective was to describe a conceptual framework through an integrative literature review. The main constructs embedded in compassion fatigue, namely the environment, the nursing practice, and the nurse practitioner, were described in detail and the relationship between these factors and compassion fatigue explicated, with their interconnectedness being graphically presented in a conceptual map
The findings reveal that there is an urgent need to make a concerted effort to deal with compassion fatigue, which is calamitous for the nursing profession. The recommendations for practice, education and research crystallize out of these findings.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.
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Dale, Charlotte Ann. "Raising professional confidence : the influence of the Anglo-Boer War (1899-1902) on the development and recognition of nursing as a profession." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/raising-professional-confidence-the-influence-of-the-angloboer-war-1899--1902-on-the-development-and-recognition-of-nursing-as-a-profession(4ba2c5fb-bffa-4437-bb3e-d78d409c51dc).html.
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The thesis examines the position of nurses during the Second Anglo-Boer War (1899 – 1902) and considers how their work helped to raise the profile of nursing. The experience of the war demonstrated the superiority of the work undertaken by trained nurses as compared with that of ‘amateurs’. At the commencement of war a small cohort of army nurses worked alongside large numbers of trained male orderlies, however these numbers proved insufficient during the period of the war and additional, entirely untrained orderlies (often convalescent soldiers) were relied upon to deliver nursing care. Against a backdrop of long term antipathy toward nurses at the seat of war, the work of both army and civilian nurses in military hospitals suggested that the clinical proficiency of trained nurses had a significant impact on military effectiveness. The thesis will develop arguments based on the personal testimonies of nurses who served during the Anglo-Boer War, relating to clinical nursing and nurses perceptions of professionalism during the period. Personal testimony will be used primarily to examine the working lives and experiences of serving nurses, as many historians simply state that the excellent work of the nurses forced changes, yet make no allusion to what this specifically entailed. Faced with the exigencies of war, including limited medical supplies and military bureaucracy (termed by nurses and doctors alike as ‘red tape’) that hindered nurses’ abilities to provide high levels of care, nurses demonstrated their developing clinical confidence. Despite accusations that nurses were ‘frivolling’ in South Africa, raising concerns over the control and organisation of nurses in future military campaigns, the social exploits of nurses on active service was not entirely detrimental to contemporary views of their professional status. Nurses were able to demonstrate their abilities to survive the hardships of war, including nursing close to the ‘front lines’ of war and the arduous conditions inherent in living under canvas on the South African veldt. Not only were nurses proving their abilities to endure hardship normally associated with masculine work, but they were also establishing their clinical capabilities. This was especially so during the serious typhoid epidemics when nurses were able to draw upon their expert knowledge to provide careful nursing care based on extensive experience. Nurses, who had undergone recognised training in Britain, demonstrated their professional competence and proved that nursing was a learned skill, not merely an innate womanly trait. The war also represented an opportunity to evidence their fitness for citizenship by using their skilled training for the benefit of the Empire. The subsequent reform of the Army Nursing Service, resulting in the establishment of the Queen Alexandra’s Imperial Military Nursing Service in 1902, suggests permanent recognition of the essential role of nurses in times of both war and peace.
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Pardue, Karen. "Learning together : the impact of interprofessional education among first-year health profession students." Diss., NSUWorks, 2013. https://nsuworks.nova.edu/hpd_con_stuetd/7.
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Travis, Shelia A. "Physicians and Rounding Teams| A Study of Followership in the Medical Profession." Thesis, Indiana Wesleyan University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10129695.
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Leadership implies followership, for without followers, there would be no true leaders. Followership has often been viewed in a negative fashion given the unidirectional nature of hierarchical power. Traditionally, a follower was assessed as unable to lead because of the assumption that a leader’s engagement is active and a follower’s engagement is passive. The word follower often advocates obedience and compliance in the minds of many and such a person may therefore be unfit for modern professional leadership discussions. However, assessing professional views of the term follower may provide insight for future leadership discussions, by understanding that followers get work done by working with other followers and leadership suggests the need for relational coordination with followers. This dissertation sought to advance the study of followership by examining the relational coordination of patient care through a study of hospital medicine. A hospitalist is generally thought of in terms of “service” (patient care), which is included in the literature on good followership. Hospitalists, as practicing physicians, are scientifically trained to possess the critical thinking skills that correspond to the Y-axis of Kelley’s Followership model. However, their training is to act independently without the intentional engagement (X-axis of Kelley’s model) of their interprofessional team members. This research detected a statistically significant relationship between relational coordination scores and followership types in the exemplary hospitalist followership type subscale of engagement with respect to other hospitalists and nurse managers. Additionally, there was a statistically significant relationship between relational coordination scores and followership types in the pragmatic hospitalist followership type subscale of critical thinking as related to case managers. Of the five followership types (exemplary, conformist, pragmatic, passive, and alienated), three types were eliminated from the analysis for the following reasons. For hospitalists, there were no conformist followers, there were no alienated follower hospitalists, and there was only one hospitalist who met the criteria for being a passive follower. As a result, it is more accurate to state that this research found a statistically significant relationship in relational coordination of hospitalists who are exemplary and pragmatic followers.
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Kellner, Marlene F. "Admissions Criteria That Best Predict Which Applicants Will Successfully Enter the Nursing Profession." Thesis, Long Island University, C. W. Post Center, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13425823.
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Currently, the same criteria are being used for admissions into nursing programs in one school of nursing in the Northeastern United States. To date there are no statistically significant data to correlate these criteria with successfully entering the nursing profession. Due to the nursing shortage, limited number of seats available in nursing programs, low nurse retention, and high nursing school attrition rates, it is necessary to use an admissions process designed to select the candidates who are most likely to succeed on the NCLEX-RN, and enter into the nursing profession. A latent class analysis was used, and revealed that the ideal candidate was found to be an individual who is either an optimistic, full-time student, who earned a high ACT score, and had a career prior to enrolling into the nursing program, or was an optimistic, part-time student, who earned a low ACT score, and had a career prior to enrolling into the nursing program. A survey provided further insight and the responses indicated applicants who self-reported that they: have good judgment, seek out challenges, are capable of anything, are professional, are optimist, need to utilize what is learned, are ethical in nature, are able to recover quickly for failure, are motivated by intrinsic factors, are self-directed, complete what they start, have a sense of team-awareness, admit to mistakes, are resilient, have a sense of spiritual well-being, and possess leadership qualities, ultimately entered into the nursing profession.
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Alroqi, Hammad Meshher. "Perceptions of the community toward the nursing profession and its impact on the local nursing workforce shortage in Riyadh." Thesis, Anglia Ruskin University, 2017. http://arro.anglia.ac.uk/702200/.
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Riyadh City in the Kingdom of Saudi Arabia (KSA) has a chronic and severe shortage of Saudi-trained nurses and a high nurse turnover rate. Expatriate nurses comprise most of the nursing workforce in Riyadh. This presents a challenge to safe healthcare delivery. To formulate strategies to promote and encourage secondary school Saudi students to choose nursing as their career path, it is imperative to understand community attitudes and perceptions toward the nursing profession. The aim of this study is to explore the perception of the Riyadh community toward nursing as a future career choice. In this study, the Riyadh community refers to final year high school students, parents of high school students and Saudi nationals working as nurses in Riyadh. A sequential exploratory mixed-method study was utilised to accomplish the aim and objectives of the study. The first phase uses qualitative focus groups and was conducted with the general community and nursing groups; it explored the issues and their perceptions of nursing in general. A questionnaire was adopted from Elham Al Naqshbandi. The validity and reliability of the questionnaire was tested, and the items of the questionnaire were assessed for their appropriateness. Finally, the questionnaire was distributed to the target sample in groups in Riyadh City. The qualitative findings were presented using explanatory themes in two sections. The three themes in section one are as follows: What is nursing? The contradictions; Social challenges; and Influence on the students’ decision to choose nursing as a career choice. The two themes in section two are the following: Experiences in career choice and a view of nursing in the Riyadh community. In the quantitative stage, 554 (86.6%) high school students completed the questionnaire in October 2014. The findings indicate that although school students respect the nursing profession, they demonstrated a lack of awareness in the community about nursing. Students’ concerns about nursing were around perceived future marital status and the lower financial remuneration compared to other professions. Riyadh community high school students are potential recruits for local nursing programmes and are a source of understanding about nursing as a career choice. The findings of this study support previous studies that reveal that choosing nursing as a career in Riyadh, KSA is strongly influenced by the societal image of the nursing profession and family attitude toward nursing. One’s perception of nursing as a career in Riyadh is influenced by institutional factors in the Saudi context (cultural-cognitive and normative factors). The reasons for not being interested in nursing as a future career include, but are not restricted to, normative factors; social status, financial status and sociocultural factors, such as influence of parents and religion; the issue of mixing with other genders; and long working hours and doing night shifts. Encouraging Saudi high school students to consider nursing as a future career option in Riyadh city requires fundamental reform and improvement to the societal image and understanding of the nursing profession. Strategies to do require plans to engage family members, particularly parents, as well as the leaders from high schools, nursing, the community, media and religious leaders to help reshape the image of nursing.
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Phiri, Wendy Augusta. "The development of a framework to align theory and practice to improve midwifery education in the Western Cape." University of the Western Cape, 2017. http://hdl.handle.net/11394/5674.
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Philosophiae Doctor - PhDMidwives play a critical role in the care of pregnant women from the first antenatal visit, through to the delivery and the postpartum period. The education of midwives has however become a concern, not only in South Africa but in many countries for a multitude of reasons. Evidence suggests that South Africa is devoted to reducing the maternal mortality rates as reflected in the Negotiated Service Delivery Agreement, signed in 2010, which identifies reductions in maternal and child/neonatal mortality rates as key strategic outcomes for the South African Health sector. However, by 2015 the set Millennium Development goals, specifically goal 4 (to reduce child mortality) and 5 (to improve maternal health) were not met and were replaced by Sustainable Development Goals, specifically goal 3 (to ensure healthy lives and promote wellbeing for all at all stages). This lag in meeting the indicators for improving the health of the population is associated in some respects to the education and training of health professionals.
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Takahashi, Aya. "Western influences on the development of the nursing profession in Japan, 1868-1938." Thesis, Royal Holloway, University of London, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410831.
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Cupido, Ema Elsbeth. "A reputation chain analysis of the nursing profession in the Western Cape Province." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/62693.
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Reputation management involves more than just image, identity and brand management. There is a definitive link between stakeholders within an organisation and its reputation, since those stakeholders can make or break the reputation of any organisation in any industry in all corners of the globe. The goal of this study is to analyse the reputation of the nursing profession by applying Davies, Chun, Da Silva and Roper's (2003) corporate reputation chain (CRC) model. The study concentrated on the motive for students wanting to enter the nursing profession within the public health sector in the Western Cape region in South Africa, the context of the nursing profession and its (negative) reputation, as defined by Chun et al. (2003), as well as the recruitment and retention of nurses. South Africa has unveiled plans for new clinics and hospitals across the country to meet the health needs of all citizens who use public health facilities. These hospitals and clinics need to be fully staffed. However, great care needs to be taken in selecting staff to work at these facilities. That selection process should begin by scrutinising the type of person who enters the profession. A qualitative exploratory design was adopted in this study, which used an electronic (closed and open-ended) survey with 27 statements/questions. The sample population for the survey consisted of 249 fourth-year students enrolled in the R425 Diploma in Nursing programme at the Western Cape College of Nursing. The objectives of the study were met, in that it succeeded in determining the motivation for students choosing nursing. The results showed that, although most of the respondents were positive about the profession, a significant proportion of them would have preferred other careers. There was also a definite disparity between students' perception of how the public views nurses and their own personal views of the profession. The research findings created the basis for the Nursing Reputation Management Framework and recommendations that may be applied in practice and have a positive impact on the nursing profession's reputation as well as the recruitment and retention of nurses in South Africa. Changing the negative reputation of nursing should rest in the hands of the profession itself. Nurses can therefore use these findings to rebrand themselves in a meaningful way that will have positive outcomes for their patients. Nurses need to change their own image and identity in order to change the negative perceptions/images of others, in particular that of the media and patients.Mini Dissertation (MPhil)--University of Pretoria, 2017.
Communication Management
MPhil
Unrestricted
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Hamilton, Helen. "Patricia Violet Slater : a remarkable leader in the nursing profession in changing times." Thesis, Federation University Australia, 2021. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/183621.
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Patricia Slater opposed the entrenched traditional system of educating nurses in hospital programs and, in the years 1960-1983, she was an advocate and activist for tertiary level ducation for nurses in the general education system. Ms Slater’s educational expertise and unique position in nursing affairs, positioned her to progress nursing education at both undergraduate (basic) and graduate (post basic) levels and to take a leading role in the reform of nursing education. In this biographical account of Ms Slater’s professional life, her contribution as a pioneer and key player in the late twentieth century radical reform of nursing education, is distinguished from the collective activity of the nursing profession. The 1950s-1970s, highlighted many shortcomings in nursing practice drawing attention to the inadequacy of the contemporary preparation of nursing students. The traditional nursing education system, couched as it was in the cultural ethos of nineteenth century and rule driven, is identified as a major contributing factor to the apparent stasis in educational growth and development in Nursing. Social, cultural and political ideologies, to which the nursing profession was subject, worked to constrain and contain the profession, contributing to the apparent powerlessness of the profession to readily adjust and rectify its position. Chief among these influences was firstly, the domination and control of the medical profession over the health system and all health matters. Secondly, paternalism, that kept women in society and in the workforce subordinate to men. Thus nurses, being mostly female, were also professionally subordinated in the workplace being subject to medical control and direction. Thirdly, the Nightingale legacy of discipline and obedience in combination with the apprenticeship model of nurse education and the hierarchical organisation of nursing work, combined to encourage passive and conservative traits in nursing students that persisted over time. Ms Slater returned from nursing studies in America in 1960 with a vision as to how the nursing profession in Australia could advance and prepare nurses able to carry the profession forward, to determine the role and function of the nurse and the education required to develop nursing students at all levels. It would not be until the 1970s that sufficient numbers of nurses were ready to support the radical solution that Slater advocated, the transfer of nursing education into the general education system. Achieving this aim drew support from leading nursing organisations and the profession’s collective effort, sustained for over a decade, ultimately proved successful. Ms Slater’s thinking on nursing education, her vision for the nursing profession’s future, her philosophy and values in respect of Nursing, are drawn from her published work and some unpublished papers. Finding little to give insight into her personal reactions to events in her professional life, I approached individuals who had worked with Ms Slater ranging in time from approximately 2-12 years. Sixteen individuals were interviewed to gain their perspectives on events and their views and perceptions of Ms Slater: all but four were former employees. Interviews were taped verbatim, transcribed and reviewed by participants, all of whom agreed to be identified in the study. The official records of the College of Nursing, Australia and the then Royal Australian Nursing Federation, provided further primary source material together with the many reports of inquiries into nursing education. A diverse range of material was used to place Ms Slater’s life and the Nursing profession as a whole, in the social, cultural and political context of the times. Nursing in Australia was compared with like countries in the same time period. It was established that all were facing similar problems for much the same reasons. Patricia Slater’s leadership and expertise, were essential components in the successful achievement of tertiary level education for nurses. As a result, in the years 1984-1994, the nursing profession moved from a skilled craft towards becoming a knowledge based discipline, the equal of other health professions. The change in nurse education at that time, was as radical as that introduced to Australia by the Nightingale nurses in 1860s, in that the position and status of nurses and Nursing was radically changed on both occasions. The story of one of the most important Australian nurse leaders of the twentieth century is related for the first time in this work.Doctor of Philosophy
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Larichiuta, Inez S. "What are the issues and challenges for the nursing profession with regard to HIV/AIDS?" Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1991. http://www.kutztown.edu/library/services/remote_access.asp.
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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1991.Source: Masters Abstracts International, Volume: 45-06, page: 2948. Abstract precedes thesis as 6 preliminary leaves. Typescript. Includes bibliographical references.
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Likeman, Janet. "Nursing at University College Hospital, London, 1862-1948 : from Christian vocation to secular profession." Thesis, University College London (University of London), 2002. http://discovery.ucl.ac.uk/10020394/.
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This thesis examines the development of nursing at University College Hospital, London, between 1862, the year in which the All Saints Sisters assumed responsibility for the provision of nursing services at the hospital, and the introduction of the National Health Service in July 1948. Although the care provided by the sisters marked a considerable improvement on what had gone before, in 1899 they were replaced by nurses whose motivation was professional rather than vocational. The profession of nursing was confirmed by the Registration Act of 1919. Following an introduction, the initial chapters of the thesis are concerned with defining and developing the themes of Christian vocation and secular profession. Chapter four is devoted to nursing management across the period, and the following chapter to patterns of care. Prior to 1919 a system of primary care was in operation; this was superseded by task allocation. Chapters six and seven outline the introduction of nurse training in some of the London teaching hospitals in comparison to the training of nurses at U.C.H. An analysis of the probationer records from 1890 - 1948 demonstrates recruitment and retention through these years. With the departure of the All Saints Sisters from U.C.H. in 1899 the school of nursing was established. A preliminary training school was introduced in 1926; ten years later University College Hospital school of nursing pioneered the block system of training which became the norm for all schools of nursing after the Second World War. The next two chapters concentrate upon nursing developments in wartime. The All Saints Sisters were part of the British Red Cross team that served in the Franco-Prussian War of 1870 and the hospital and its nurses were fully involved in the two World Wars. Although this period saw the transformation of nursing at U.C.H. from a Christian vocation to a secular profession, this thesis is as much concerned with continuity as with change - for example in noting the similarities between rules for the probationers and for the novitiates, which had continuing influence throughout the years of this study.
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Björlin, Magdalena, and Linnéa Lovén. "Faktorer som kan påverka sjuksköterskors varaktighet inom profession och arbetsplats - En litteraturöversikt." Thesis, Högskolan Dalarna, Institutionen för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-36825.
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Bakgrund: Sjuksköterskebristen är ett växande problem samtidigt som vårdbehovet hos befolkningen ökar. I Sverige rapporterar endast en region en balanserad situation med tillgång på grundutbildade sjuksköterskor, vilket kan innebära framtida utmaningar i att bemöta efterfrågan på vård. Brist på sjuksköterskor har visat sig ha en negativ inverkan på vårdkvalitet samt patientsäkerhet, vilket gör det angeläget att behålla befintligt antal sjuksköterskor. Syfte: Syftet med litteraturöversikten är att beskriva faktorer som kan påverka sjuksköterskor att lämna respektive stanna kvar inom sin profession och arbetsplats inom hälso- och sjukvården. Metod: Litteraturöversiktens resultat har baserats på 15 vetenskapliga artiklar, varav nio kvalitativa och sex kvantitativa artiklar, publicerade under tidsperioden 2011 till 2021. Artiklarna söktes fram i databaserna CHINAL, PsycINFO och PubMed. Resultat: I resultatet presenteras två huvudkategorier. I kategorin Arbetsmiljö framkom det att stöd från kollegor och ledning påverkar sjuksköterskors varaktighet i sin anställning och att tillfredställelsen till arbetet ökar vid upprätthållande av god och säker vård. I kategorin Individuella faktorer framkom det att personlig och professionell utveckling är viktigt för att skapa trygghet och säkerhet i arbetsrollen. Det framkom också att det är viktigt att privatlivet inte ska påverkas av arbetet. Slutsats: Faktorerna som nämns i litteraturöversiktens resultat kan bidra till att öka möjligheten att skapa attraktivare arbetsplatser och förlänga sjuksköterskors varaktighet på arbetsplatsen. Det i sin tur kan resultera i ökad vårdkvalitet och patientsäkerhet samt även bevara professionens förtroende.Background: The nurse shortage is a growing problem. Only one region in Sweden is reporting to have a balanced situation with access to educated nurses. The shortage of nurses has shown to have a negative effect on the quality of care and patient saftey, which makes it urgent to keep the existing number of nurses.Aim: The aim with the literature review is to describe factors which can influence nurses to leave or stay within the profession and workplace in health care.Method: The literature review is based on 15 research articles, published during the time-period 2011 to 2021. Databases that have been used is CHINAL, PsycINFO and PubMed.Results: In the result two main categories are presented. In the category Work environment it emerged that support from colleagues and management influences nurses' stay at the workplace and being satisfied at work contributes to maintain good and safe care. In the category Individual factors it emerged that personal and professional development are important to become comfortable and confident working as a nurse. It also emerged that it is important with recovery and that the personal life was not affected by work.Conclusion: The factors mentioned in the literature review result can contribute to increase the possibility to create more attractive workplaces, and thereby prolong nurses’ stay at the workplace. That in turn can result in improved quality of care and patient safety and thereby also keep the profession’s credibility.
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Hayes, Sally A. "The habitus of nursing : different by degree? : a critical analysis of the discourses surrounding an all graduate nursing profession in the UK." Thesis, University of Sheffield, 2013. http://etheses.whiterose.ac.uk/3803/.
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In 2009 the decision was made that from 2013 the only route onto the UK Nursing register would be through graduate programmes. This research problematises this decision, explores the discourses surrounding it and primarily questions whether the new standards for nurse education are a form of social (re) engineering. To do this it draws on both the conceptual tools of Pierre Bourdieu (field of practice, habitus and capital) (Bourdieu 1990) and on his three distinct levels of inquiry; the position of the field within other fields; mapping the objective structure of relations between positions occupied by those who occupy ‘legitimate’ forms of specific authority in the field; and by exploring the habitus of the agents. This is achieved by applying a layered approach of critical discourse analysis, to the examination of policy and professional text and to the stories of nurses as accessed through the use of online methodologies. The data reveals a picture of nurses engaged in definitional struggles influenced from both within and outside of the profession. Nursing and nurses are both surrounded by and contributing to complex, and on occasion, conflicting discourses. Nurses’ experiences are located between their affiliations to both externally declared expectations of quality and changing role, and their understood position as bedside carers, with graduate status perceived as educating nurses away from the bedside as the nature of what is good (authentic) nursing practice changes. The thesis concludes by recognising its place as further contribution to the discourses surrounding the move to an all graduate nursing profession and makes three recommendations: investment in an academic nursing community; a call for nursing to become a politically active/ effective profession; and action to counter the perception that the graduate nursing standards are creating a profession of uncaring and dispassionate nurses.
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Schriner, Cheryl L. "Clinical Nurses Transitioning Into a Faculty Role: A Cultural Analysis of the Nursing Profession, the Academic Discipline of Nursing, and the Academic Professorate." See Full Text at OhioLINK ETD Center (Requires Adobe Acrobat Reader for viewing), 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=toledo1104694385.
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Thesis (Ph.D.)--University of Toledo, 2004.Typescript. "A dissertation [submitted] as partial fulfillment of the requirements of the Doctor of Philosophy degree in Higher Education." Bibliography: leaves 198-211.
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Barker, Linsey Marinn. "Measuring and modeling the effects of fatigue on performance: Specific application to the nursing profession." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/28371.
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High rates of medical errors are well documented within the healthcare industry. Nurses, in particular, play a critical role in the quality and safety of healthcare services. Fatigue is a factor that has been linked to stress, safety, and performance decrements in numerous work environments. Within healthcare, however, a comprehensive definition of fatigue encompassing multiple dimensions has not been considered, but is warranted since nurses perform tasks consisting of diverse physical and mental activities. As such, â total fatigueâ was examined, as were interactions between its underlying dimensions and the effects of these dimensions on performance, in the context of actual and simulated nursing work.
In a survey study (Chapter 2), registered nurses reported relatively high levels of mental, physical, and total fatigue, and higher levels of fatigue were associated with perceived decreases in performance. Work environment variables, such as work schedule or shift length, were also related to differences in reported fatigue levels.
An experimental study investigated causal effects of mental and physical fatigue on mental and physical performance (Chapter 3). Mental fatigue affected a measure of mental performance, and physical fatigue had a negative effect on measures of physical and mental performance. A multidimensional view of fatigue that considers direct and crossover effects between mental and physical dimensions of fatigue and performance is relevant when quantifying effects of fatigue on performance.
A model of the relationships between fatigue dimensions and performance in nursing was developed using structural equation modeling techniques (Chapter 4). The model supported the existence of a total fatigue construct that is directly affected by mental and physical fatigue levels. The final model also provides quantitative path coefficients defining the strength of relationships between mental and physical dimensions of fatigue, total fatigue, and mental and physical performance.
The current research provides an increased understanding of fatigue levels in registered nurses across work environments, as well as the underlying causal mechanisms between dimensions of fatigue and performance decrements. The findings and the final model can aid in designing interventions to reduce or eliminate the contributions of fatigue to the occurrence of medical errors.Ph. D.
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Strålman, Malin, and Felicia Österlund. "Ett dolt yrke : Sjuksköterskors uppfattning om operationssjuksköterskans profession." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18080.
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Bakgrund: Både nationellt och internationellt råder idag en brist på operationssjuksköterskor vilket leder till ökade väntetider till operation och ett lidande för patienten. Bristen på operationssjuksköterskor gör det angeläget att undersöka synen på yrket och om yrket behöver synliggöras för att eventuellt öka intresset för specialisering. Syfte: Syftet är att undersöka sjuksköterskors uppfattning om operationssjuksköterskans profession. Metod: Deskriptiv tvärsnittsstudie med kvantitativ ansats med kvalitativa inslag baserad på webbenkät med öppna och slutna svarsalternativ. Resultat: Deltagarnas uppfattning är att de har god kunskap om operationssjuksköterskans profession. Yrket anses vara viktigt, fysiskt krävande och dolt för sjuksköterskor utanför operationsavdelningen. Konklusion: Operationssjuksköterskan anses vara viktig för patientsäkerheten och arbetar i nära samarbete med läkare och övriga vårdteam. Trots att sjuksköterskor anser att de har kunskap om yrkesrollen anses yrket som okänt och det finns behov av att ytterligare synliggöra operationssjuksköterskeyrket.Background: There is a shortage specialized nurses both national and international which leads to increasing waiting time for surgery and a suffering for the patient. The lack of operating theater nurses makes it important to examine how the profession is seen and if it needs to be illuminated to make it more interesting. Purpose: The purpose was to examine nurses' perceptions of the operation theatre nursing profession. Method: A descriptive cross-sectional study with a quantitative approach containing qualitative elements based on web survey with open and closed response options. Result: Nurses consider the knowledge of the operating nursing profession to be satisfactorily. The profession is considered as important, physical demanding and unknown for nurses outside the operating ward. Conclusion: The operating theater nurse is considered as important for the patient safety and is an important part of the surgical team. Despite that nurses consider themselves having knowledge of the profession the operating theater nurse is considered a hidden profession and there is a need to further make the profession visible.
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Whiteley, Sarah Jay. "The construction of an evaluation model for use in conjunction with continuing education courses in the nursing profession." Thesis, Queen Margaret University, 1989. https://eresearch.qmu.ac.uk/handle/20.500.12289/7394.
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Continuing education in Scotland underwent radical changes in the early 1980's, when the National Board for Nursing, Midwifery and Health Visiting for Scotland responded to the proposals of a working party report (Working Part 1981). They began re-designing their continuing education provision for qualified nurses, and in conjunction with this development, they commissioned two consecutive evaluations. One was to look at a course entitled 'The Experienced Charge Nurse Module', and the other was of a more complex modular development, entitled 'Professional Studies I and II'. This thesis uses the work that was carried out by the author in executing the two evaluations, to propose a new model of evaluation for use in conjunction with continuing education courses. The need for the model became apparent in the early stages of the research, after the relevant nursing, evaluation, and continuing education literature sources were considered. No existing models appeared to completely meet the demands of the complexities of adult, continuing education courses, although it was considered that the 'Illuminative Evaluation' model of Parlett and Hamilton (1972) was a good basis to work from. Through the initial evaluation of the Experienced Charge Nurse Module, certain methodologies - predominantly qualitative - were tested, and used in conjunction with progressive focusing (Parlett and Hamilton, 1972) and grounded theory techniques (Glaser and Strauss, 1967). This based the research strongly in the phenomenological field, and these techniques were pursued and strengthened through the second, much larger evaluation of Professional Studies I and II. The main development at this stage, was that of a monitoring exercise. This complemented the evaluative component, and when the two elements were combined, they formed the 'Structure-Process-Outcome' model of evaluation (based on the categories used in the quality assurance field (Donabedian, 1966). This is proposed as a flexible and comprehensive model which can be adapted for use at either the macro or micro level of evaluation.
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Smuts, Nicolette. "The elaboration and empirical evaluation of a partial talent management competency model in the nursing profession." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17786.
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Thesis (MComm)--Stellenbosch University, 2011.ENGLISH ABSTRACT: This study stems from an urgent need to understand which factors contribute to nurse practitioners’ intention to quit, and consequently what organisations can do to retain these practitioners. There is increased pressure on the healthcare sector, more specifically nursing, due to a severe shortage in this discipline. These shortages are not an isolated phenomenon, but influence the private as well as public sector worldwide, as well as in South Africa. A multitude of factors contribute to the fact that nursing is a scarce skill worldwide. Some factors are controllable, others not. By isolating the controllable factors, organisations and managers can be equipped to put action plans in place to decrease the impact of this crisis. Processes and action plans to enlarge the nursing pool, and also to retain the current workforce, can contribute to overcoming this challenge. There is proof that the implementation of a structured talent management programme can contribute to overcoming this challenge. Line managers and their competence regarding the management of personnel play a key role in such a talent management programme. This study has as its objective to re-evaluate an existing talent management competency model for line managers, and to propose additional variables that can influence organisational outcomes like job satisfaction, organisational commitment and turnover intention. By understanding which line manager competencies influence organisational outcomes, and the manner in which they influence these outcomes, line managers as well as organisations can be equipped to formulate processes and programmes that can contribute to the retention of a scarce skill, and importantly, also minimise the impact of a worldwide crisis. The results of the study indicated that the operationalisation of the talent management competencies failed. The originally proposed model consequently had to be reduced by deleting all talent management latent variables from the model. Poor model fit was obtained for the reduced model. Modifications were, however, made to the reduced model based on modification index suggestions derived from the data. The modified model showed good fit and support was obtained for all the paths in the modified model. Crossvalidation of the modified model was recommended.
AFRIKAANSE OPSOMMING: Hierdie studie spruit uit ‘n dringende behoefte om te verstaan watter faktore daartoe bydra dat verpleegkundiges die voorneme ontwikkel om ‘n organisasie te verlaat, en gevolglik wat organisasies kan doen om verpleegkundiges wel te behou. Toenemende druk word in die gesondheidsorgsektor ervaar, meer spesifiek op verpleging, weens ernstige tekorte in hierdie dissipline. Hierdie tekorte is nie ‘n geïsoleerde verskynsel nie, maar raak die privaatsektor sowel as die publieke sektor wêreldwyd, sowel as Suid-Afrika. ‘n Veelvoud van faktore dra daartoe by dat verpleegkunde ‘n skaars vaardigheid wêreldwyd is. Sekere faktore is beheerbaar, ander nie. Deur die beheerbare faktore te isoleer, kan organisasies en bestuurders aksieplanne in plek stel om die impak van hierdie krisis te verminder. Prosesse en aksieplanne om byvoorbeeld die verplegingpoel te vergroot, en ook om die huidige werksmag te behou, kan bydra tot die oorbrugging van hierdie uitdaging. Daar is bewyse dat die implementering van ‘n gestruktureerde talentbestuurprogram kan bydra om hierdie uitdaging te oorkom. ‘n Sleutelrol in so ‘n talentbestuurprogram, is die lynbestuurder en sy/haar bevoegdheid ten opsigte van die bestuur van personeel. Hierdie studie het ten doel om ‘n bestaande talentbestuurmodel vir lynbestuurders te her-evalueer en addisionele veranderlikes voor te stel wat organisasie-uitkomste soos werkstevredenheid, organisasie-verbondenheid en voorneme om te bedank beïnvloed. Deur te verstaan watter lynbestuurbevoegdhede organisasie-uitkomste beïnvloed en die wyse waarop hierdie bevoegdhede op hierdie uitkomste inwerk, kan lynbestuurders, sowel as organisasies, toegerus word om prosesse en programme te formuleer. Hierdie programme kan ‘n bydra lewer tot die behoud van ‘n skaars vaardigheid, en sodoende die impak van ‘n wêreldwye krisis minimaliseer. Die resultate van die studie het aangetoon dat die operasionalisering van die talentbestuurbevoegdhede onsuksesvol was. Die oorspronklik voorgestelde model moes gevolglik gereduseer word deur die talentbestuur-latente veranderlikes uit die model te verwyder. Swak modelpassing is vir die gereduseerde model bevind. Wysigings is egter aan die gereduseerde model aangebring gebaseer op modifikasie-indeksvoorstelle afgelei uit die data. Die gewysigde model het goeie passing getoon en steun is vir al die bane in die gewysigde model gevind. Kruisvalidasie van die gewysigde gereduseerde model is aanbeveel.
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Crace, Charlene. "An analysis of nursing home staffing patterns and the impact on the profession of social work." The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1399630946.
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Leighton, Diana J. "The epidemiology of back pain : comparative studies and ergonomic investigations of risk factors in the nursing profession." Thesis, Liverpool John Moores University, 1996. http://researchonline.ljmu.ac.uk/5014/.
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Donnelly, Christine. "Discovering the optimum strategies for teaching the Neuromuscular approach to efficient handling and moving within the nursing profession." Thesis, Edinburgh Napier University, 2001. http://researchrepository.napier.ac.uk/Output/3861.
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Andersson, Emma, and Ellinor Bergström. "Anledningar till varför sjuksköterskor överväger att lämna sin profession : En litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-66738.
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Ett stort hinder i dagsläget för att kunna bedriva en säker och effektiv sjukvård är bristen på sjuksköterskor. Bristen är global och påverkar folkhälsan på ett negativt sätt. Den låga bemanningen innebär att vårdkvalitén samt patientsäkerheten påverkas negativt. Syftet var att sammanställa kunskap om vilka anledningar som bidrar till att sjuksköterskor överväger att lämna sin profession. En integrerad litteraturöversikt tillämpades som metod där den systematiska litteratursökningen utfördes i två databaser. Arton vetenskapliga artiklar inkluderades där femton var kvantitativa och tre kvalitativa. I analysen framkom fem huvudteman vilka sågs som anledningar till varför sjuksköterskor överväger att lämna sin profession. De framtagna huvudteman var: demografiska faktorer, arbetsförhållanden, omvårdnadsarbetet, sjuksköterskeprofessionen och arbetsplatsens utformning samt påverkan på familjelivet. Förbättrade arbetshållanden, bättre förutsättningar till att utföra en god och säker omvårdnad samt ökade möjligheter till personlig utveckling är viktiga delar för att sjuksköterskor ska stanna kvar inom professionen. Detta skulle i sin tur bidra till ökad patientsäkerhet och högre kvalité på den givna vården.
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Lövgren, Malin, and Sofie Karlsson. "Att prestera under arbetsrelaterad stress - ur sjuksköterskans perspektiv : En litteraturbaserad studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-16391.
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Bakgrund: Sjuksköterskeyrket tillhör en egen profession som bygger på en vetenskaplig grund inom området omvårdnad. Sjuksköterskans arbetsområden är omvårdnad, forskning, utveckling och utbildning samt ledarskap. Yrket kan upplevas stressigt och det kan ha negativa följder på hur sjuksköterskan utför sitt arbete. Det blir vanligare att människan utsätts för långvarig stress som kan resultera i utmattning. Coping är en strategi för att hantera stressiga situationer och syftar till att minska på stressen i dessa sammanhang. Syfte: Syftet är att belysa sjuksköterskans erfarenheter av att arbeta och prestera under stress. Metod: En litteraturbaserad studie med kvalitativ metod innefattande tio kvalitativa artiklar. Resultat: I resultatet framkom sex kategorier: Hög arbetsbelastning påverkar erfarenheten av stress; Brist på kontroll bidrar till stress; Kollegor påverkar förmågan att utföra arbetet; Stress inverkar på relationen till patienten; Copingstrategier minskar stress och Arbetsrelaterad stress inverkar på privatlivet. Konklusion: Studien visar att stress påverkar sjuksköterskans prestation negativt och att en hög arbetsbelastning bidrar till en ökad upplevelse av stress. Relationen till patienten blir lidande på grund av den tidsbrist som sjuksköterskan upplever och påverkar även patientsäkerheten negativt. I studien framkommer det att ett gott samarbete med kollegor och olika copingstrategier påverkar sjuksköterskan positivt och underlättar hanteringen av stress.
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Matsinhe, Juvêncio Alfredo. "The factors influencing nurses to pursue advanced education outside nursing in Maputo Central Hospital in Mozambique." University of the Western Cape, 2012. http://hdl.handle.net/11394/5088.
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Masters of Public Health - see Magister Public HealthBackground: There is evidence that nurses are leaving their profession to seek better working environments and high salaried professions worldwide. This increases the scarcity of skilled nurses in health systems. In Mozambique, nursing staff is increasingly pursuing education out of nursing, which means that they intent to leave the nursing career. Aim: To find out why so many nurses are pursuing education out of nursing: Objectives, to explore: (1) nurses’ experiences of working at the Maputo Central Hospital; (2) the links between nurses’ future education outside of nursing and their job satisfaction; (3) the links between nurses’ future education, their job satisfaction and their intention to leave the profession, and (4) nurses’ and key informants’ opinions on which factors would improve nurse retention at MCH. Study Design: Exploratory qualitative Study. Methods: Focus Group Discussion with nurses and in-depth interviews with key informants, in order to explore perceptions regarding factors influencing nurses’ to pursue education out of nursing. Analysis: The content of focus group discussion and all interviews were recorded, transcribed, coded and analyzed by identifying recurring themes. Ethics: The author was aware that this study would raise sensitive topics in nurses’ lives, and he took great care to be alert and responsive to ethical issues which might arise. Thus, all nurses and key informants participated in the study voluntarily. They were provided with a letter explaining the research purpose, requesting their participation and assuring them of confidentiality and anonymity, and they were asked to sign a consent form which was explained to them in detail. The study was presented to, and approved by the Ethics Committee of the University of the Western Cape. Results: Study results revealed job dis-satisfaction and its essential components as the main factors influencing nurse’s intention to quit their profession. Further, the issue of nursing image and status were found to be most important factors contributing to nurses’ future education in other courses rather than nursing. Conclusions: Findings from this research are relatively consistent with previous studies in terms of identifying common factors that influence nurses’ decisions to quit nursing and pursue other professions, and also worrying as nursing is immersed in deep trouble because many nurses are quitting, and the current prevailing nurse image and status is not attractive for replacements, what will impact negatively on health care delivery. Relevance of study: It is expected that this study will contribute to the implementation of appropriate measures to improve nurses’ working experience at the Maputo Central Hospital, meantime, encouraging their retention.
World Health Organization
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Dahlbäck, Amelie, and Monika Håkansson. "Sjuksköterskors erfarenheter av rasism i sin profession : En litteraturöversikt med fokus på global omvårdnad." Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4027.
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Bakgrund: Rasism är ett system för social ojämlikhet som skapar negativa stereotyper samt hierarkiska strukturer baserat på etnicitet, nationalitet eller fysiska egenskaper. Rasism återfinns även i institutioner och samhälleliga strukturer. En påfrestande arbetsmiljö, sjuksköterskebrist och demografiska förändringar är några av sjuksköterskeprofessionens utmaningar. Rasism mot sjuksköterskor behöver identifieras för att förbättra sjuksköterskors arbetsmiljö. Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av rasism i sin profession. Metod: En allmän litteraturöversikt baserad på 14 vetenskapliga studier med kvalitativ ansats. Studierna analyserades med en kvalitativ innehållsanalys. Resultat: Tre teman identifierades; En rasistisk arbetsmiljö, Rasismens direkta och indirekta konsekvenser för sjuksköterskan och Ett ojämlikt arbetsliv. Sjuksköterskor utsattes för rasism av patienter, närstående och kollegor. Rasismen påverkade sjuksköterskornas mående negativt och resulterade i ett ojämlikt arbetsliv som begränsade deras möjligheter att göra karriär. Slutsats: Rasism inom sjuksköterskeprofessionen är ett arbetsmiljöproblem som påverkar sjuksköterskors mående och karriärmöjligheter negativt samt riskerar att förvärra sjuksköterskors redan ansträngda arbetssituation. Det krävs tydliga policys för att motverka rasism inom organisationer och institutioner. De principer som kännetecknar global omvårdnad bör tillämpas i arbetet mot rasism för att möjliggöra en hållbar framtid för sjuksköterskeprofessionen och bidra till en god hälsa för nuvarande och kommande generationer.
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Reid, Doreen. "A prospective policy analysis of the elimination of the exclusive scope of practice from the Nursing Profession Act." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq39615.pdf.
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Wells, Elaine, and n/a. "ANCI Competencies: An Investigation of Uniqueness and Importance." Griffith University. School of Nursing, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030527.132438.
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This study investigates the uniqueness and importance of the Australian National Competency Committee (ANCI) competencies to nurses and other health professionals. Very few Australian studies (Battersby, 1994; Hearn, Smith, Southerly & Close, 1995) have addressed this issue. Although there is widespread confusion of the term "competency", professional bodies regard competency standards as a process for supporting the integrity and control of their respective professions. The problem is that there is confusion across the health professions about competencies and their agenda. ANCI suggest that the nursing competencies reflect unique characteristics of nursing as well as those common with other professions. However, competencies that are unique to nursing have not been identified. ANCI have also not identified how competencies can enhance the development of nursing as a profession. The identification of differences in perceptions of uniqueness and importance of the ANCI competencies within nursing and across health professional groups may contribute to the debate on what is needed to achieve competence and those factors that may influence nursing autonomy, education, and future professional development. This study is important to assist in the identification of nursing as a profession in its own right. It will assist the arguments for and against economic reform in professional education courses and transfer of skills and competence across professions. This study compares the perceptions of nurses, physiotherapists, speech pathologists, and occupational therapists about the uniqueness and importance of the ANCI competencies to their professions. Participants completed a questionnaire that listed the ANCI competencies. They were asked to rate each competency first on uniqueness to their profession, and second, on importance to their profession. Two surveys were conducted; one in 1997 and the second in 2000. Surveys examined any change in perception over time by different cohort groups. The study takes a quantitative approach to data collection and analysis. Inferential analysis determined statistically significant differences and similarities of the four participating health professional groups. The differences are examined in relation to the characteristics that define a profession and implications for nursing are examined in relation to research, autonomy, and patient advocacy within an evidence-based practice framework. Eight hundred and thirty-one of questionnaires distributed were used in this study. The results showed that nursing emerged as significantly different to the other three health professions on perception of uniqueness of the competencies. Nineteen of the sixty-five competencies were perceived by nurses to be more unique to the nursing profession. This perception of uniqueness was found across all the four domains of the ANCI competencies. Although ANCI (2000) claimed that the competencies reflect the unique characteristics of nursing these characteristics have not previously been identified. This finding provides some support for the claim made by ANCI by identifying those competencies nurses perceive as more unique. The study findings showed also that the four participating health professions rated the ANCI competencies as important. However, there was a significant difference between nurses and the other three professional groups on the ratings of importance of the competencies of professional and ethical practice. The study found that nurses rated the competencies of this domain as more important than the other three professions rated these competencies. The findings indicate that the rank orders of importance of the competencies are different across the four professions. This reflects and indicates the different priorities and work roles of each of the four professional groups. It is interesting as well as being of concern to nursing that the participating nurses ranked research and management of care as being the least important of all of the competencies. This finding may help to explain why nursing research has been slow to develop in spite of changes to nursing education. Nurses have a subordinate past and are often described as doers rather than thinkers. It appears that this may not have changed. Current practice also reflects a dependency on other health professions such as the medical profession (Adamson & Harris, 1996). Finally, the study found that there was no change in nurses' perceptions of uniqueness over time. However, there was a slight increase in the nurses' ratings of importance of Critical Thinking and Analysis. There were no statistical significant differences for age, gender, year of graduation, state of residence, and employment status. The discussion chapter commences with an outline of the perceived importance of the competencies across the different health professions. Discussion compares the findings and methods of two important Australian studies of competencies (Battersby, 1994; Hearn et al. 1995, 1996) to this study. Discussion examines professionalism and identifies areas where nursing's perceptions of the competencies meet the criteria of a profession and where the four health professions have similar and different perspectives and qualities. Six characteristics of a profession that are discussed in relation to the perceptions of the ANCI competencies are: high intellectual functioning, special body of knowledge, responsibility and accountability, code of ethics, autonomy, and collegiality. The third part of the discussion highlights the implications of this studies' findings in relation to ANCI competencies as an evaluation tool, the empowerment of nurses, generic courses, scope of nursing, professional development, and curriculum development. The thesis concludes by arguing that 1) The ANCI competencies have the potential to increase the professionalism of nursing; 2) Nurses value accountability and responsibility, the code of ethics, and collegiality; 3) Nurses appear uncomfortable with the concept of autonomy; 4) Nurses undervalue high intellectual functioning and the importance of a body of knowledge; and 5) Perceptions are influenced by the context of competencies. The final chapter highlights a number of recommendations for nursing practice that include the need for further investigation of the uniqueness of the ANCI competencies. It is argued that there is a need for a number of changes to the ANCI competency list as well as a greater emphasis on research and management of care and support for discipline specific courses.It is apparent from the findings of this study that nursing education and clinical practice would benefit from the placement of more emphasis on the importance of research. Furthermore, nurses need to take better responsibility for pursing opportunities and funding for research and practice management. It is concluded that nursing research will increase the body of knowledge for the profession and will also increase professional autonomy with an outcome of better client care. Nurses need encouragement from administrators and educators to value management of care and the nursing process, as this will also encourage independence and quality of care provision. It is argued that commonalities in the perception of uniqueness and importance of competencies are not grounds for politicians to suggest the implementation of generic health professional courses. The commonality of the competencies being important to all four professions can be attributed to the complex nature of nursing practice, which captures aspects of other health professional roles and many of the competencies contribute to the characteristics that define a profession. There are differences in the rankings that can be attributed to the nature of knowledge, context, and priorities of the different professions. Each profession has its own governing body that ensures its members obtain an acceptable standard of professional competence and education. It has, and always will be, the responsibility of the profession to shape the service it provides (Pyne, 1998). This study highlights nurses' perceptions of competencies. The recognition of these perceptions could be used to guide nursing's strive toward autonomy, professional development, and recognition as a profession in its own right.
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Astralaga, Ingrid. "Emergency Room Nurse Perceptions of Emotional Intelligence." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5970.
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The delivery of quality care has been a priority for the health care industry in the United States. Researchers have established positive correlations between the levels of emotional intelligence of registered nurses and their clinical performances. However, new evidence suggests the need to enhance the use of emotional intelligence (EI) in high-risk clinical units. With the intent to understand the use of EI, a phenomenological research approach was used to identify the emergency room nurse's understanding of EI. The Four-branch Model of Emotional Intelligence was used as the theoretical framework, while the research question identified the emergency room nurse's perception of EI. Eight emergency room nurses from two facilities participated in the study. The inclusion criteria consisted of emergency room nurses with one to ten years of experience, nurses that worked thirty-six hours or more per week, and were not in leadership roles. The data were collected through face-to-face interview sessions and analyzed using the Colaizzi's Method of Data Analysis. All participants reported unfamiliarity with the concept of EI. Nevertheless, evidence that indicated the presence of all elements of this concept such as the ability to perceive emotions, understand emotions, use emotions to enhance reasoning, and manage emotions, were apparent in the stories shared by the nurses. The results of the study indicated a potential influence toward positive social change at the organizational and professional level. The implementation of educational activities to improve the use of this concept and the modification of current health care policies to incorporate emotional intelligence as clinical competencies are actions that can influence positive social change.
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Fortier, Paula A. "Crescent City Nightingales: Gender, Race, Class and the Professionalization of Nursing for Women in New Orleans, Louisiana, 1881-1950." ScholarWorks@UNO, 2014. http://scholarworks.uno.edu/td/1916.
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Through the examination of primary sources largely overlooked by historians, this dissertation traces the professionalization of nursing in New Orleans, Louisiana, from 1881 to 1950 while placing this localized history within the context of national trends. In the late nineteenth century, nursing developed into a middle class profession for women inspired by the careers of Florence Nightingale and Clara Barton. This dissertation investigates the process by which women became professional nurses while a complex intersection of issues related to gender, race, and class at times advanced, and at other times, hindered their progress towards professionalization. New Orleans serves as a useful case study to illustrate the progression of nursing in both location and time. The city’s subtropical climate and position as a major port of immigration fostered an array of natural and public health disasters that offered an opportunity for the development of professional nursing. Partnerships among male hospital administrators, Catholic Sisters, and upper class clubwomen in New Orleans led to the establishment of seven professional schools, six for whites and one for blacks, that offered specialized nursing education to women of all social classes. When disasters struck New Orleans and elsewhere, nursing for the American Red Cross demanded biracial cooperation for relief work. After the American Red Cross shifted its national mission to war relief and entered into a tenuous partnership with the military, nurses from New Orleans served around the world and at home. Disasters and wars had created opportunities for nurses to earn public recognition and trust and expand control over their careers. Their service in the military particularly influenced federal legislation that raised their status and authority and lifted restrictions on gender and race.
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Danhard, Rundquist Lisa. "Sjuksköterskors erfarenheter av att i sin profession möta barn som far illa : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-26556.
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Bakgrund: Barn som far illa är ett vitt begrepp och innefattar såväl fysiskt som psykiskt våld mot barn samt omsorgssvikt. Forskning visar att all form av vanvård och omsorgssvikt i barndomen har samband med ökad risk för en rad konsekvenser även i vuxenlivet. Hit räknas flera sjukdomar, ökat riskbeteende, sämre självskattad hälsa samt sämre socioekonomisk status. Staten har det yttersta ansvaret för alla barn under 18 år. Som ett led i detta har bland annat sjukvårdspersonal en plikt att anmäla till socialtjänsten vid misstanke om att ett barn far illa. Dock finns undersökningar som visar på underrapporteringar från just hälso- och sjukvården. Syfte: Att beskriva sjuksköterskors erfarenheter av att i sin profession möta barn som far illa. Metod: En beskrivande litteraturstudie av tio artiklar med kvalitativ ansats. Huvudresultat: Att möta barn som far illa genererar många gånger starka känslor hos sjuksköterskorna och det finns ett stort behov av emotionellt stöd. Många sjuksköterskor beskriver att de känner sig oförberedda på uppgiften att möta dessa barn. De finns även en osäkerhet över när misstankar anses giltiga att anmäla varför både utbildning och handledning återkommande efterfrågas. Slutsatser: Sjuksköterskor behöver stöd i arbetet med den här frågan. Specifik utbildning och utarbetade riktlinjer skulle utgöra bra verktyg, samt om stöd och debriefing också arrangerades från ledningsnivå. Ett förbättrat samarbete med socialtjänsten skulle kunna avdramatisera processen att anmäla.Background: Child abuse leave marks into adulthood. Research shows that abused children take higher risks in their teens, report lower self-estimated health as adults, are overrepresented in several physical and psychological conditions, and also hold lower socioeconomic status. Child abuse includes all forms of physical, psychological and emotional abuse as well as neglect. It is the outermost responsibility of the Swedish state to protect all children under the age of 18. As a part of that responsibility some professions, including health care personnel, are legally liable to report to social services. However, figures indicate that health care personnel in comparison to other professions with duty of mandatory reporting are under-reporting. Aim: To describe nurses’ experiences of in their role as professionals meeting abused or neglected children. Method: A descriptive literature review of ten studies with a qualitative approach. Main results: Meeting abused or neglected children is often a very emotional experience and several nurses express a need of support. A feeling of being unprepared is common and an insecurity of when to report a case is shown among many nurses. More education on the subject is requested as well as guidelines and support from the employer. Conclusion: Nurses are in need of support regarding these issues. Specific education, guidelines and a better communication with the child protective services has all emerged as possible improvements that can be implemented.
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Buskirk, Tricia L. "An Investigation on Stress and Burnout in the Profession of Child Life." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1449155981.
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White, Jill Fredryce. "The commodification of caring : a search for understanding of the impact of the New Zealand health reforms on nursing practice and the nursing profession : a journey of the heart /." Title page, table of contents and abstract only, 2004. http://web4.library.adelaide.edu.au/theses/09PH/09phw5822.pdf.
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Eriksson, Isabelle, and Haugholt Margit Evensen. "Att vårda med hjärtat : sjuksköterskors erfarenheter av att arbeta med medkänsla inom hjärtsjukvård." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3235.
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Bakgrund: Att förmedla medkänsla ses som en etisk grund i sjuksköterskans omvårdnadsarbete. Tidigare forskning tyder dock på att den personliga relationen mellan sjuksköterska och patient inte alltid upplevs hinnas med eller prioriteras. Att arbeta som sjuksköterska inom hjärtsjukvård innebär möten med patienter där en ökad oro och ångest kan förekomma och höga krav på prioritering ställs på sjuksköterskan. Dessutom kan medkänsla i sig vara krävande för sjuksköterskan, en profession som innehar ökad risk att drabbas av compassion fatigue. Syfte: Att beskriva sjuksköterskors erfarenhet av att arbeta med medkänsla inom hjärtsjukvård. Metod: Kvalitativ metod tillämpades och utgjordes av semistrukturerade intervjuer med sju allmänsjuksköterskor, verksamma inom hjärtsjukvård. Materialet analyserades induktivt med stöd av Graneheim och Lundmans beskrivning av innehållsanalys. Resultat: Tre huvudkategorier växte fram: Sjuksköterskors syn på medkänsla, sjuksköterskors erfarenhet av att arbeta med medkänsla och sjuksköterskors erfarenhet av compassion fatigue. Helhetssyn, information, närvaro och fysisk beröring var viktiga aspekter av att förmedla medkänsla. Arbetsmiljön i form av tid, arbetsbelastning samt samarbete i arbetsteamet framhölls som viktiga faktorer. Symtom av compassion fatigue beskrevs kunna förekomma där strategier som att ta en paus, ta stöd av kollegor och ha gemensamma reflektioner på arbetsplatsen beskrevs kunna minska risken att drabbas av utmattning. Slutsats: Sjuksköterskor beskriver medkänsla som att se helheten samt visa förståelse för patient, likväl anhörig. Sjuksköterskan använder medkänsla som en del av omvårdnaden i sitt yrke. Arbetsmiljön påverkar och kan både begränsa och gynna sjuksköterskans möjlighet att förmedla medkänsla. Vidare kan symtom av compassion fatigue förekomma hos sjuksköterskor som arbetar inom hjärtsjukvård.
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Karl, Cherry Ann Caldwell. "Giving up their place in the walls the lived experience of community college nursing faculty who leave the profession of teaching /." College Park, Md.: University of Maryland, 2007. http://hdl.handle.net/1903/7821.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2007.Thesis research directed by: Dept. of Education Policy and Leadership. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.