Dissertations / Theses on the topic 'Shortage of nurses'
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1
Wallenburg, Mary K. "The nursing shortage: a fresh perspective." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/MWallenburg2008.pdf.
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Peterson, Jody-Kay McFarlane. "Strategies for Managing the Shortages of Registered Nurses." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4015.
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The purpose of this multiple case study was to explore strategies that healthcare facility leaders in Central Minnesota use to recruit and retain qualified nurses. Participants were 6 healthcare facility leaders including 2 nursing directors, 2 human resource personnel, 1 nurse supervisor/administrator, and 1 nurse recruiter who had the knowledge and experience in recruitment and retention of Registered Nurses (RNs) in healthcare facilities in Central Minnesota. The Herzberg 2-factor theory was the conceptual framework. Semistructured interviews were used to collect data. Data were analyzed using Morse's 4 steps data analysis process. The major themes were recruitment strategies and retention incentives. The recruitment strategies were the various hiring methods participants used to attract and gain RNs, and the retention incentives were the benefits that motivated and retained RNs. Participants relied on both recruitment strategies and retention incentives to manage the shortages of RNs. The results provide healthcare facility leaders with additional information about how to successfully recruit and retain qualified RNs, which may lead to a larger and potentially satisfied nursing population. Social implications include strengthening the nursing workforce, increasing productivity for healthcare facilities, providing better customer service and increased patient satisfaction, and contributing to more satisfied RNs and families, as well as helping the local communities and the economy.
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Benfield, Suzanne Lynne. "Bedside Nurses' Perceptions of Pursuing an Academic Career as Nursing Faculty." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7785.
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There is a nursing faculty shortage at a Mid-Atlantic associate degree nursing program. In response, program administrators have hired adjunct faculty with bachelor of science in nursing degrees (BSNs), hired full-time faculty with master of science in nursing degrees in areas other than education who also are not certified nurse educators, and reduced its minimum requirement for nursing faculty clinical experience. The nursing faculty shortage combined with the resulting gaps in practice are problematic because they may (a) negatively influence the program's ability to produce degreed nurses; (b) increase faculty workload; (c) decrease the quality of student education, which may decrease licensure exam scores; and (d) increase the potential for losing program approval and accreditation. The purpose of this study was to explore the perceptions of BSNs working at the bedside regarding the pursuit of careers as nursing faculty. This purpose was reflected in the 1 overarching and 5 specific research questions developed for this study. The conceptual framework for this generic qualitative study was behavioral intent, a construct based on 4 concepts: planned behavior, self-efficacy, self-determination, and motivation. Snowball sampling was used to recruit 10 BSNs who worked at local hospitals to participate in phone interviews. Data analysis using thematic analysis and the constant comparison method indicated that some BSNs had misconceptions about the roles of nursing faculty and did not feel they were qualified to teach. With insight about barriers to becoming nursing faculty, a nursing faculty champion program was developed. If implemented, the program could initiate social change by increasing the number of BSNs who become nursing faculty, thereby decreasing the nursing faculty shortage and resulting negative outcomes and gaps in practices.
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Gillespie, Brigid Mary, and N/A. "The Predictors of Resilience in Operating Room Nurses." Griffith University. School of Nursing and Midwifery, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070824.123750.
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The nursing workforce has experienced considerable change during the previous decade, resulting in a chronic shortage of nurses. Issues such as economic rationalism, increased workloads, changes in nursing education and the advancing age of the current nursing workforce are the chief contributors to this shortage (Australian Institute of Health & Welfare, 2005b; Buerhaus, Staiger, & Auerbach, 2000b). Operating room (OR) nursing is a primary specialty area that has been especially affected by rising nurse attrition and a reduction in nurse recruitment (Australian College of Operating Room Nurses, 2003; Australian Health Workforce Advisory Committee, 2002). Accordingly, the loss of skilled nurses from the OR specialty compounds the negative effects on morale for those who remain in the environment, as they struggle to provide safe patient care while concomitantly being responsible for the clinical development of neophyte and inexperienced nurses (Australian Health Workforce Advisory Committee, 2002; Arndt, 1998). In the midst of working in the OR environs where the nature of the associated stressors is unique, resilient qualities may assist nurses to meet and overcome these challenges. If there is to be a continued nursing presence in the OR, it is essential that nurses be given the opportunity to develop resilience. At this time when nurse retention rates are continuing to decline steadily, there is a compelling need to identify and describe the relationship between resilience and its predictors in the context of the OR. To date, little is known about predictors of resilience and their potential to ameliorate the effects of workplace stress in the OR. The overall purpose of this study was to identify and describe the predictors of resilience in OR nurses. A literature review and concept analysis of resilience was initially conducted. Hope, self-efficacy, coping and personal characteristics were identified as defining characteristics of resilience. Next, the research was conducted as a mixed method phased study that was underpinned by the pragmatist paradigm, and employed a sequenced combination of qualitative followed by quantitative inquiry (Morgan, 1998). The first phase used a mini-ethnography to identify and describe the components of workplace culture in an OR in relation to their potential impact on nurses ability to adapt in this culture. A triangulated approach was used involving participant observation, a reflective journal, field notes and interviews. This phase revealed that competence, knowledge, collaboration, peer support and the ability to manage challenges were central components of OR workplace culture. From these categories, three themes were abstracted and subsequently developed into constructs that were measured and validated in the larger second phase. The second phase used a predictive correlation survey to describe empirically the relationship between resilience and its hypothesised predictors in a systematic random national sample of nurses who were members of the Australian College of Operating Room Nurses (ACORN), and a combined sample of hospital nurses purposively drawn from two similar hospital sites. The survey included scales measuring perceived competence, collaboration, managing stress, self-efficacy, hope, coping, and resilience, as well as gathering information about the demographic characteristics of nurse respondents. Out of a total potential sample of 1,730 OR nurses, the overall response rate was 51.7% (n = 896). Differences between the ACORN and hospital samples were found in age, years of experience, education and years of employment; therefore, the national and hospital samples findings were analysed separately. Five independent variables hope, self-efficacy, coping, managing stress and competence predicted resilience in the larger sample of ACORN respondents (n = 772). For the substantially smaller sample of hospital respondents (n = 124), hope, self-efficacy and managing stress predicted resilience. Given that the smaller hospital sample resulted in a similar model, this consistency lends strength and weight to the revised resilience model. Over 60% of the variance in resilience was explained by the independent variables in each model. Given the dearth of literature describing the efficacy of resilience in ameliorating stress in OR contexts, the results of this study have extended the theoretical application of the resilience concept to include a nursing context. There is a need to implement resilience-building strategies that address the culture of the OR, both at the departmental and organisational levels. Strategies that provide a supportive workplace environment in relation to goal-orientation, the provision of stress management and education programs, and strategies that facilitate cultural assimilation may improve resilience, and hence retention and recruitment rates in the OR. The findings of this study support the need for further research not only to test the stability of the proposed model among other groups of nurses but also to explore further predictors of resilience in the OR setting.
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Gillespie, Brigid Mary. "The Predictors of Resilience in Operating Room Nurses." Thesis, Griffith University, 2007. http://hdl.handle.net/10072/365391.
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The nursing workforce has experienced considerable change during the previous decade, resulting in a chronic shortage of nurses. Issues such as economic rationalism, increased workloads, changes in nursing education and the advancing age of the current nursing workforce are the chief contributors to this shortage (Australian Institute of Health & Welfare, 2005b; Buerhaus, Staiger, & Auerbach, 2000b). Operating room (OR) nursing is a primary specialty area that has been especially affected by rising nurse attrition and a reduction in nurse recruitment (Australian College of Operating Room Nurses, 2003; Australian Health Workforce Advisory Committee, 2002). Accordingly, the loss of skilled nurses from the OR specialty compounds the negative effects on morale for those who remain in the environment, as they struggle to provide safe patient care while concomitantly being responsible for the clinical development of neophyte and inexperienced nurses (Australian Health Workforce Advisory Committee, 2002; Arndt, 1998). In the midst of working in the OR environs where the nature of the associated stressors is unique, resilient qualities may assist nurses to meet and overcome these challenges. If there is to be a continued nursing presence in the OR, it is essential that nurses be given the opportunity to develop resilience. At this time when nurse retention rates are continuing to decline steadily, there is a compelling need to identify and describe the relationship between resilience and its predictors in the context of the OR. To date, little is known about predictors of resilience and their potential to ameliorate the effects of workplace stress in the OR. The overall purpose of this study was to identify and describe the predictors of resilience in OR nurses. A literature review and concept analysis of resilience was initially conducted. Hope, self-efficacy, coping and personal characteristics were identified as defining characteristics of resilience. Next, the research was conducted as a mixed method phased study that was underpinned by the pragmatist paradigm, and employed a sequenced combination of qualitative followed by quantitative inquiry (Morgan, 1998). The first phase used a mini-ethnography to identify and describe the components of workplace culture in an OR in relation to their potential impact on nurses’ ability to adapt in this culture. A triangulated approach was used involving participant observation, a reflective journal, field notes and interviews. This phase revealed that competence, knowledge, collaboration, peer support and the ability to manage challenges were central components of OR workplace culture. From these categories, three themes were abstracted and subsequently developed into constructs that were measured and validated in the larger second phase. The second phase used a predictive correlation survey to describe empirically the relationship between resilience and its hypothesised predictors in a systematic random national sample of nurses who were members of the Australian College of Operating Room Nurses (ACORN), and a combined sample of hospital nurses purposively drawn from two similar hospital sites. The survey included scales measuring perceived competence, collaboration, managing stress, self-efficacy, hope, coping, and resilience, as well as gathering information about the demographic characteristics of nurse respondents. Out of a total potential sample of 1,730 OR nurses, the overall response rate was 51.7% (n = 896). Differences between the ACORN and hospital samples were found in age, years of experience, education and years of employment; therefore, the national and hospital samples’ findings were analysed separately. Five independent variables – hope, self-efficacy, coping, managing stress and competence – predicted resilience in the larger sample of ACORN respondents (n = 772). For the substantially smaller sample of hospital respondents (n = 124), hope, self-efficacy and managing stress predicted resilience. Given that the smaller hospital sample resulted in a similar model, this consistency lends strength and weight to the revised resilience model. Over 60% of the variance in resilience was explained by the independent variables in each model. Given the dearth of literature describing the efficacy of resilience in ameliorating stress in OR contexts, the results of this study have extended the theoretical application of the resilience concept to include a nursing context. There is a need to implement resilience-building strategies that address the culture of the OR, both at the departmental and organisational levels. Strategies that provide a supportive workplace environment in relation to goal-orientation, the provision of stress management and education programs, and strategies that facilitate cultural assimilation may improve resilience, and hence retention and recruitment rates in the OR. The findings of this study support the need for further research not only to test the stability of the proposed model among other groups of nurses but also to explore further predictors of resilience in the OR setting.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
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Barber, Jeffrey B. Grimes Richard M. "An analysis of the shortage of registered nurses (RNs) in acute care hospitals in El Paso, Texas /." See options below, 1991. http://proquest.umi.com/pqdweb?did=747428391&sid=2&Fmt=2&clientId=68716&RQT=309&VName=PQD.
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Reid, Mary Beth. "Rural Community Colleges and the Nursing Shortage in Severely Distressed Counties." Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4838/.
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The United States is in the middle of a gripping nursing shortage; a shortage that is putting patients' lives in danger. This study determined the impact community and tribal colleges in severely economically distressed counties of the United States have on the nursing shortage faced by health care facilities serving these areas. The initial sample of 24 institutions selected in the Ford Foundation's Rural Community College Initiative (RCCI) (1995-2000). Data were collected from the Fall 1998 National Study of Post Secondary Faculty to obtain characteristics of faculty and from the 2003 Integrated Postsecondary Education Data System (IPEDS) to obtain characteristics of students, both at all publicly-controlled community colleges, all tribal colleges, and the 24 RCCI colleges that included 18 community and six tribal colleges. A survey was sent to the directors/deans/chairs of the nursing programs to ascertain issues related to the nursing program, nursing faculty, and nursing students. Respondents were asked to identify the healthcare facilities used for students' clinical experiences. A survey was then sent to each of these facilities asking about rural health, and source of nursing staff. Findings: 1) 87% of these these rural healthcare facilities are experiencing a significant shortage of nurses, and they are challenged to recruit and retain nursing staff; 2) Nursing programs, including both Licensed Practical Nursing and Associate's Degree Nursing are important to these rural community and tribal colleges, have seen growth over the past 5 years and expect to continue growth (86%); 3) Financial aid for nursing students is critically important; 4) Students are predominantly white and female; minorities are significantly under-represented; 5) Lack of subsidized public transportation and child care for nursing students even at tribal colleges are barriers that impact program completion; and 6) A shortage of nursing faculty exists at rural community and tribal colleges that negatively impacts student enrollment in these programs, thus reducing the rural nursing workforce pipeline. It is the rural community and tribal college nursing programs help provide severely economically distressed counties of the United States with the nursing workforce needed to decrease the nurse to patient ratio.
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Björn, Catrine. "Attractive Work : Nurses´ work in operating departments, and factors that make it attractive." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-266338.
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Background: Previous studies show that nurse retention is one of the most effective strategies to counteract nursing shortages. Few studies have focused on the crucial resource of registered specialist nurses in operating departments. Aim: The overall aim of this thesis was to gain knowledge on registered specialist nurses’ and assistant nurses’ work in operating departments and on what factors they consider to be important for attractive work. Methods: In Study I, operating room nurses were interviewed regarding their perspective on their work. In Studies II and III, specialist registered nurses and assistant nurses at operating departments in a Swedish county council responded to the Attractive Work Questionnaire. Study IV is a case study with interviews, a review of organisational goal documents and data concerning the number of planned, acute and cancelled operations. Findings: The adaption of the Attractive Work Questionnaire for nurses in operating departments was satisfying. The most important factors for attractive work were: Relationship, Leadership and Status. The factors with the largest discrepancies between their important to work attractiveness and their rating at the nurses’ current work were: Salary, Organisation and Physical Work Environment. It was important for nurses to be able to prepare for and be in control of the different work tasks. However, the daily operating schedule guided the nurses’ work, and changes in the schedule, nurse shortages and the design of the premises constituted obstacles to their work. Conclusion: The Attractive Work Questionnaire provided specific information to management on what to focus on to make work attractive. The majority of the identified attractive factors are already known to be of importance in nurse retention; however, factors requiring more investigation are Equipment, Physical Work Environment and Location (of the workplace). Their work prerequisites did not enable the specialist and assistant nurses to reach what they saw as their daily goals. Regularly occurring activities, such as acute and cancelled operations, were interpreted as obstacles to reaching daily goals.
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Au, Yuen-shan, and 區婉珊. "A study on the problem of Hong Kong's nursing shortage: how and why policy makers have failed to tackle it." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B46755366.
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Jennings, Sheba. "Student and faculty perceptions of accelerated nursing programs on the nursing shortage in the Mississippi Delta." Diss., Mississippi State : Mississippi State University, 2008. http://library.msstate.edu/etd/show.asp?etd=etd-10312008-151941.
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Stahley, Amy. "Lived Experience of Post-licensure Nurses in a Perioperative Clinical Rotation." Diss., NSUWorks, 2019. https://nsuworks.nova.edu/hpd_con_stuetd/55.
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A projected deficit in the perioperative workforce of 32,000 perioperative nurses retiring by 2024, creates an inability to meet the nursing needs of the United States population. The need for experienced perioperative nurses has been increasing while the availability of nurses with perioperative education has been decreasing. The purpose of this phenomenological study was to explore the lived experience of post-licensure nurses who participated in a perioperative clinical rotation within their baccalaureate nursing program and did that experiential experience affect the recruitment and employment for perioperative nursing to halt the impending shortage. The integrations of Kolb’s experiential learning theory and Bandura’s theory of self-efficacy model was the framework that supported the study. Thirteen interviews were conducted using van Manen’s (1990) method for researching the lived experience. The two themes emerging from the data were value and attitude. Subthemes under value are gaining knowledge and skill set and a different type of nursing. Subthemes under attitude are (a) communication with the medical team and advocacy for families and patients. The experiential perioperative clinical rotation affected the study participants’ interest for working in the operating room (OR). Most had a highlighted interest in the specialty, and those participants’ not choosing the OR as their choice of employment expressed that the experience positively affected the type of nurse they are today. Experiential learning can build the fundamental knowledge necessary to understand the novice perioperative nurse’s role as a career choice.
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Thomas, Sarah. "Addressing Need for Research-Focused Nurses By Increasing Interest and Socialization at the Undergraduate Level." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1645.
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The U.S. shortage of qualified nursing teachers and researchers is affecting national health care outcomes. Methods such as fast-tracking Baccalaureate nurses into graduate programs and embedding leadership development early into nursing curricula have been proposed to address faculty and research shortages. Early interest in nursing research careers increases likelihood of enrollment in graduate education. One way undergraduate nursing students may develop an interest in research careers is through a mentored apprenticeship with research-active faculty. In this thesis, the author uses an autoethnography methodology to examine the benefits that a mentored research apprenticeship model brought to her undergraduate experience. Her experience incorporated a variety of roles in an adolescent intervention program with Dr. Anne Norris (PI) at the University of Central Florida College of
Nursing. Several themes about the experience were defined in the results. Early research exposure that socializes a student to the nursing research world may provide a means for addressing the nursing faculty shortage. This socialization can generate interest in a research career and promote undergraduate students with the essential tools and insights needed to pursue this career pathway. However, findings from this study suggest a student-mentor relationship early in the undergraduate education experience is essential.B.S.N.
Bachelors
Nursing
Nursing
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Penepent, David Rocco. "A Comparison Study of Gender Role Differences Between Funeral Professionals and Nurses." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1711.
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Women comprise over 57% of all U.S. mortuary school students, yet less than 20% of all funeral directors employed in this country are women. As such, women are underrepresented as funeral directors in the funeral industry. Research to date has not established clear differences between perceived gender roles and occupations in the funeral service industry. The research questions examined the perceived differences of gender role characteristics of masculine, feminine, and androgyny between the occupations of funeral service providers and nursing. Bem's gender role theory was the theoretical framework of this study. The research compared the mean scores of male and female funeral service professionals and nursing professionals as measured by the validated Bem Sex Role Inventory (BSRI). A sample consisted of 214 randomly selected male (n = 88) and female (n = 25) funeral service professionals and male (n = 37) and female (n = 64) nurse professionals. Data scores were analyzed using the factorial multivariate analysis of variance method. Results indicated nonsignificant gender role differences between male and female funeral directors. Funeral directors appear more androgynous compared to nurses. The present study contributed to the development of this important and neglected area of research by quantitatively examining the gender role perceptions of men and women in the funeral service industry for the first time. This study results highlighted the complexity in self-perceived gender role characteristics as measured by BSRI. When the funeral profession begins to dispel gender stereotypes and discrimination issues, positive social change can occur.
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Ward, Barbara Diane. "Nurse Resilience| Implications on Critical Care Nurse Shortage and Proposed Intervention." Thesis, Grand Canyon University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10272948.
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Abstract Critical care nursing is experiencing a high turnover and a global shortage crisis. The number of critical care nurses (CCNs) leaving the critical care environment is at an unprecedented high rate, negatively impacting the quality of care for the most critically ill of patients.. It is not known if and to what extent CCNs resiliency is affected by self-care and how it is associated with compassion satisfaction, interprofessional relationships, professional quality of life, psychological and psychosocial impairment (PPI), or intent to leave the critical care specialty area. The purpose of this quantitative, cross-sectional, descriptive project was to ascertain if the independent variable for CCNs self-care had an associative relationship among five dependent variables reflective of CCNs resilience: (a) compassion satisfaction, (b) interprofessional relationships, (c) professional quality of life, (d) PPI, or (e) intent to leave the critical care specialty area. An innovative, web-based CCN self-care intervention was introduced and outcomes measured through the administration of a descriptive survey pre- and post-assessment to determine relational association to the variables of CCNs resilience. The project, though limited by time constraints, inferred CCNs and non-CCNs respondents are interested in self-care and creating healthy critical care environments for safe patient care. Keywords: resilience, critical care, stress management, burnout, compassion
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Brinegar, Tina Melissa. "Retention of the Experienced Nurse." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4597.
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The nursing profession is facing a potentially devastating shortage of nurses by the year 2020. Contributing to the shortage is the retirement of experienced nurses who are over the age of 45, and an aging baby boomer population. The loss will place a considerable strain on the overloaded health systems. As a result, it is important to identify successful strategies for addressing the problem of experienced nurse retention. Therefore, the purpose of this project was to conduct a systematic review of literature to answer the question of what retention strategies have been used to prevent the loss of the experienced nurse who is approaching retirement age. The systematic review, guided by Benner's theory of novice to expert and Kanter's empowerment theory, included quantitative, qualitative and mixed methods studies published between 2007 and 2017. Studies published in the United States and Canada were 8studies selected for detailed review, were graded using the Joanna Briggs Institute grading criteria. The themes identified in this study included five key indicators: nurse autonomy and empowerment (75%), stress and burnout (62%), workplace engagement (68%), leadership commitment (56%), and training/career development action plans (56%). The key indicators may provide the basis for recommendations for managers and leaders in promoting experienced nurse retention in their work settings. Positive social change is possible when management takes into consideration the value of the key indicators above in experienced nurse retention efforts. By retaining experienced nurses, the nursing profession can promote positive patient outcomes and a mentoring plan for nurses approaching retirement age.
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Shockness, Sharon. "Faculty Perspectives on Factors Impacting Work as Nurse Educators." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3714181.
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Job dissatisfaction among nursing faculty could have a significant impact on nursing faculty retention and student enrollment in nursing programs. The purpose of this qualitative instrumental case study was to gain insight into the perspectives of faculty members who teach nursing education in a university program. This study used Herzberg, Mausner, and Snyderman’s motivation-hygiene theory to explore employee satisfaction and dissatisfaction in the workplace. The research question focused on the perspectives of nursing educators and challenges they face. Data were collected through individualized interviews with 15 nurse educators, using open-ended questions and reviewing relevant documents. The data were analyzed by sorting and highlighting the participants’ responses and using codes to categorize and develop themes. Six overarching themes (expectations, motivations, benefits, job fulfillment, challenges, and job dissatisfaction) and 3 subthemes (remuneration, excessive workload, and funding for advancing education, recruitment, and mentoring) emerged. These themes and subthemes identified critical aspects of job satisfaction that may help nursing faculty and nursing administrators strengthen the positive and diminish the negative aspects of the job for greater faculty satisfaction. Nursing leaders and health care administrators can use these findings to bring awareness to the nursing education community by creating realistic goals that address job satisfaction, retention, and recruitment of nursing faculty. These changes will improve student enrollment and increase the number of nurses available to provide quality care throughout the nurses’ respective communities.
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Wang, Mingchun. "From India to the U.S.: What Determines Nurse Migration Flow?" Scholarship @ Claremont, 2017. http://scholarship.claremont.edu/scripps_theses/921.
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India has become the second largest supplier of foreign-educated nurses in the U.S. The annual inflow of India-educated nurses has been increasing till 2008. The trend, however, reversed ever since the peak year. Three major events – the 2008 financial crisis, changes in the format of the NCLEX exam for registered nurses, and the adoption of WHO Code of Practice – are analyzed to understand the turning point in 2008 and the recent trend of nurse migration. Unemployment rate, health sector expenditure, exam pass rate and the behavior of recruitment agencies will be discussed to examine the impact of the three events on the push and pull factors driving international migration of nurses. The study found that the financial crisis and changes made to NCLEX exams reduced migration flow by weakening the pull factors while the impact of the adoption of WHO Code of Practice is not clear.
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Roberts, Elizabeth W. "Development of a Nurse Residency Program in Perinatal Nursing." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7730.
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Staffing turnover created a challenge for the women’s services department of a hospital in the southern United States, potentially compromising care for women and infants during childbirth. The gap in practice was the lack of a structured nurse orientation/residency program for nurses new to perinatal nursing, which requires specific competencies not learned at the prelicensure level of education. The guiding practice-focused question was whether a multidisciplinary team could develop a formal evidence-based perinatal nurse residency program that would meet the needs of on-boarding and support for the new nursing hires at this facility. A team of experienced nurses, which included two nurses from labor and delivery, high risk antepartum, mother baby, and assistant nurse manager developed a comprehensive program, which included defined competencies, didactic materials, detailed simulations, and evaluation tools. A multidisciplinary team of six nurses, and the assistant nurse manager achieved consensus on the quality and comprehensive nature of the program plan using the Appraisal of Guidelines for Research and Evaluation Instrument II assessment tool. The implications of this project to bring about positive social change include the potential for improved nursing care for patients during childbirth as a result of increased nurse knowledge and mentoring support. Improved retention might also contribute to stable teamwork and peer support. This project has the potential to improve both physical and psychological outcomes for women and infants in the perinatal period.
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Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.
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Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.
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Jansson, Hanna. "Kommuniktionens betydelse mellan patient och sjuksköterska : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397867.
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Bakgrund: Flertalet studier visar på hur sjuksköterskebristen är ett faktum världen över och att detta medför konsekvenser för kvaliteten på vården av patienten. Syfte: Syftet är att sammanställa kunskapsläget om kommunikation mellan patient och sjuksköterska påverkar patientsäkerheten och om sjuksköterskebristen har en inverkan på detta. Metod: En litteraturstudie utfördes för att besvara syftet. Artiklar söktes i databaserna Pubmed, Cinahl och Svemed och granskades sedan utifrån SBU´s kvalitetsmall. Artiklarna som bedömdes ha hög eller medelhög kvalitet användes i arbetet och de artiklar som bedömdes ha en låg kvalitet uteslöts från arbetet.Resultat: Resultatet visade att tung arbetsbelastning och tidsbrist bidrog till att kommunikationen med patienten inte prioriterades. Bristfällande kommunikation visade sig ha en direkt påverkan på patientsäkerheten då missförstånd uppstod, felaktiga diagnoser ställdes varpå patienten även i vissa fall fick fel behandling. Patienterna uppfattade sjuksköterskornas arbetsbelastning och kände sympati för dem samtidigt som många kände sig orättvist behandlade. Trots att många patienter berättade om bristfällande kommunikation samt en påverkad relation mellan sjuksköterskan och patienten var det emellertid några patienter som lyfte positiva möten och även möten som förstärkt patientens vilja att våga prata med sjuksköterskan om allting, inte enbart det medicinska. Slutsats: Resultatet visar på hur en bristfällig kommunikation kan leda till stora konsekvenser för patientsäkerheten. Ytterligare forskning och studier med fokus på patienternas synvinkel anses därav som en viktig aspekt för att visa på hur allvarsamt detta är.Background: Several studies show how nursing shortage is a fact worldwide and that it implicates the quality of patient care.Aim: The aim is too gather information on wheter the communication between patient and nurse affects patient saftey and if nurse shortage has an impact on this.Method: A literature review was conducted. Articles were searched in the following three databases; Pubmed, Cinahl and Svemed and then reviewed based on SBU´s quality template. The articles that was estimated too a high or medium quality were included in the article and the articles whom were estimated too a low quality were omitted from the essay.Results: The results showed that heavy workload and lack of time contributed to unprioritizd communication with the patient. Defective communication was found to have a direct impact on patient safety when misunderstandings arose, incorrect diagnoses were made and in some cases, the patient received incorrect treatment. Patients perceived the workload of the nurses and felt sympathy for them while many felt unfairly treated. Although many patients talked about inadequate communication and an affected relationship between the nurse and the patient, nonetheless, there were some patients who raised positive meetings and also meetings that reinforced the patient's willingness to dare to talk to the nurse about everything, not just the medical aspects. Conclusion: The result shows what devastating consequences a lack of communication can contribute to. Further research and studies that focus on the patients view is considered an important aspect to show how serious it is.
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Salako, Abiodun. "The impact of state nurse practitioner scope-of-practice regulations on access to primary care in health professional shortage areas." Diss., University of Iowa, 2019. https://ir.uiowa.edu/etd/7025.
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Primary care physician (PCP) shortages have been a barrier to accessing care for millions of Americans, particularly those living in areas facing the worst shortages - primary care health professional shortage areas (HPSAs). Increased use of nurse practitioners (NPs) has been proposed as a solution to the shortages as NPs can effectively substitute for PCPs. However, this proposal has been hampered by regulatory restrictions on NP scope-of-practice (SOP) that exist in many states. While some states permit NPs to practice and prescribe medications independent of physicians (NP independence), others require extensive physician supervision that limit NPs ability to provide care and substitute for PCPs. Despite the limitations that restrictive regulations pose to improving access to primary care, research evidence of their effect on access in primary care HPSAs is limited. This dissertation fills this gap in the literature.
Using individual-level data from the Medical Expenditure Panel Surveys (1996-2015) and a difference-in-differences approach, I exploit variation in NP independence across states and over time to evaluate the impact of NP independence on access to primary care in HPSAs Further, I examined for heterogeneity in the effect of NP independence between HPSAs and non-HPSAs as well as effect heterogeneity in HPSAs based on individual (age, insurance status, and insurance type) and health system characteristics (availability of primary care facilities and NP Medicaid reimbursement rate)
I find that NP independence led to a 5% increase in the number of individuals with a primary care provider and a 2% increase in the use of non-physicians (relative to physicians) as the primary care provider in HPSAs. However, non-HPSAs experienced no significant changes in access to care. Further, I find evidence of heterogeneity in the effect of NP independence in HPSAs for all three individual characteristics but find no significant effect heterogeneity for any of the health system characteristics. Non-elderly individuals experienced greater improvements in access following NP independence compared to their elderly counterparts, and while both insured and uninsured individuals experienced improvements in access to care, uninsured individuals benefitted more from NP independence. Further, I find evidence of greater improvements in access to care among Medicaid beneficiaries relative to their privately insured and Medicare counterparts.
These findings imply that removing regulatory restrictions on NP SOP could be an effective policy strategy for mitigating the effects of PCP shortages and improving access to care in HPSAs. Further, they demonstrate that NP independence could be a viable tool for addressing access to care issues in two traditionally underserved populations – the uninsured and Medicaid beneficiaries. Beyond addressing access issues, NP independence could also mitigate rising health care costs. The finding of increased use of lower-cost non-physicians rather than their more costly physician counterparts after NP independence indicates that this policy change could also bring about cost savings for society.
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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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Pearson, Julie Ann. "Perceived Deprivation in Active Duty Military Nurse Anesthetists." Also available to VCU users online:, 2006. http://hdl.handle.net/10156/1784.
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McLachlan, Maria Elizabeth. "Experiences influencing the academic performances of 1st year nursing students at the Western Cape College of Nursing, South Africa, during 2008." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9892_1338815714.
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This is a qualitative study, the aim of which is to explore experiences influencing the
academic performance of 1st Year nursing students at the Western Cape College of Nursing,
South Africa, during 2008 when the College was confronted with unprecedented failure rates
among 1st Year students. It describes the Collegeâs collaboration with a higher education
institution and the changes that emanated from this collaboration. The influence of
situational factors on 1st Year nursing students is explored. These include the legacy of the
inequality of past learning opportunities, institutional factors which hamper studentsâ sense of
belonging, and the social and academic integration of students into their learning
environment. The methodology used in the process of exploring these factors included focus
group discussions with students and in-depth interviews with staff in order to explore their
respective perceptions of the problem. From this it is hoped that the quality of human
resources for health will be enhanced.
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Heath, Hazel B. M. "The work of registered nurses and care assistants with older people in nursing homes : can the outcomes be distinguished?" Thesis, Brunel University, 2006. http://bura.brunel.ac.uk/handle/2438/6378.
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The need for Registered Nurses (RNs) in the long-term care of older people is being questioned, particularly in the context of nursing shortages, while suggestions for 'professionalising' Care Assistant (CA) roles are emerging. Despite ongoing debates about the importance of their work, research has so far been unable to provide an evidence-base for the outcomes of the work of either RNs or CAs in UK care homes. Using a multi-method interpretive approach, adopting a structure-process-outcome framework and grounded in the philosophical hermeneutics of Hans-Georg Gadamer, this qualitative research sought to illuminate the distinct contributions made by RNs and CAs to outcomes for older people in care homes. RNs and CAs from around the UK contributed 'significant' examples of their work for Phase 1 of the study and Phase 2 comprised researcher fieldwork (observation, interviews and documentary analysis) in three care homes around England. Participants included RNs, CAs, older residents, relatives, home managers and professionals working in the homes. The findings offer a rich and detailed analysis of the realities of the work, much of which takes place 'behind closed doors' and has been described to a limited extent in the literature. They suggest that the CAs' daily support helps residents to function and to feel valued, and that close, reciprocal, family-type relationships develop. The health knowledge and clinical expertise of good RNs is critical in determining residents' health outcomes, particularly in the long-term, and RNs' 24-hour 'perceptual presence' can make life or death differences in acute or emergency situations. RNs also influence the environment, atmosphere and quality of care in the home. In the context of the literature, the findings offer new insights into the role and contribution of RNs and CAs, the outcomes of their work and the priorities of residents. The study produced new models of RN and CA roles in care homes, encompassing dimensions not previously acknowledged in the literature or their job descriptions, and a new framework within which the outcomes of care for older people could be evaluated. The research offers a positive image of work with older people in independent sector care homes.
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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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Eliasson, Emma. "Operationssjuksköterskans profession : En fenomenografisk studie om grundutbildade sjuksköterskors uppfattningar om operationssjuksköterskans profession." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-63785.
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Bakgrund: Idag är det brist på operationssjuksjuksköterskor i Sverige, vilket har resulterat i att flera operationsavdelningar är förhindrade att bedriva full operationsverksamhet. Erfarna operationssjuksköterskor går i pension under de närmsta åren samtidigt som intresset att utbilda sig till operationssjuksköterska varit svagt. Bristen på behöriga operationssjuksköterskor kan förvärras om inte åtgärder görs, vilket kan få svåra konsekvenser som att antalet operationer måste reduceras ytterligare eller ställas in vilket skulle bidra till ett lidande för patienten samt en ökad arbetsbelastning på den befintliga personalen. Syfte: Syftet var att beskriva grundutbildade sjuksköterskors uppfattningar om operationssjuksköterskans profession. Metod: En kvalitativ studie med en fenomenografisk ansats utfördes. Ett strategiskt urval genomfördes, vilket resulterade i nio individuella intervjuer med grundutbildade sjuksköterskor på ett sjukhus i södra Sverige. Resultat: Analysen resulterade i fyra kategorier: En intresseväckande profession, En krävande profession, En teknisk profession och En osynlig profession. Var och en av kategorierna bestod av två underkategorier. Slutsats: Grundutbildade sjuksköterskor har otillräcklig kunskap och kännedom om operationssjuksköterskans profession. Ökad klinisk erfarenhet och information om operationssjuksköterskans profession skulle kunna skapa ett ökat intresse eller underlätta i valet om en framtida operationssjuksköterskeutbildning.Background: Today is a shortage of operating theater nurse in Sweden, which has resulted in several operational departments are unable to engage fully operational business. Experienced operating theater nurse will retire in the next few years while the interest to train as a operating theater nurse has been neglected. The lack of competent operating theater nurse may worsen if no measures implemented to change the situation, which can have serious consequences, such as the number of operations must be further reduced or canceled, which would contribute to the suffering of the patient and an increased workload on existing staff. Aim: The aim of the study was to describe nurses perceptions of operating theater nurse profession. Method: A qualitative study with phenomenographically was performed. A strategic choice was conducted, which resulted in nine individual interviews nurses at a hospital in southern Sweden. Results: The analysis resulted in four categories: An interesting profession, A demanding profession, A technical profession and An invisible profession. Each of the categories consisted of two categories. Conclusion: Nurses have inadequate knowledge and understanding of operating theater nurse profession. Increased clinical experience and information about the operating theater nurse profession could create an increased interest in or facilitate the election of a future operating theater nurse education.
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Visser, Anntha. "Investigating the relationship between intrinsic and extrinsic reward, job satisfaction, organisational commitment and turnover intention / Anntha Visser." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9243.
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Retention strategies in the nursing profession have been a significant subject among researchers for decades. The current shortages of these skilled professionals have reached an alarming extent globally, making it difficult for organisations to retain these workers, also in South Africa. It has become evident that nursing professionals from South Africa emigrate to other countries for more lucrative remuneration, sophisticated work resources and better career opportunities, impacting the South African economy and nursing workforce negatively.
The general objective of the research was to determine whether a relationship exists between intrinsic and extrinsic rewards, job satisfaction, organisational commitment and turnover intention among a group of South African healthcare workers in the private healthcare sector. Specifically of interest was also to see if nurses’ turnover intention could be predicted by the other variables.
A cross-sectional survey design was used. A convenience sample of 152 healthcare workers was obtained from three private hospitals in the Gauteng and North-West provinces. A measuring instrument for intrinsic and extrinsic rewards was adapted from a previous study, and applied with measures of job satisfaction, affective organisational commitment and turnover intention.
Results indicated that the measure of rewards did not present with sufficient reliability, and it was subjected to factor analysis. This delivered two reliable factors, which were labelled Objective experience of rewards and Perceived lacking organisational support. Objective experience of rewards showed to be significantly related to job satisfaction and inversely to turnover intention, and Perceived lacking organisational support was significantly negatively related to job satisfaction and positively to turnover intention. It was also seen that both job satisfaction and objective experience of rewards showed predictive value in terms of nurses’ turnover intention.
Conclusions and limitations regarding this study were made, and recommendations regarding the profession and future research are made.Thesis (MCom (Industrial Psychology))--North-West University, Potchefstroom Campus, 2013.
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Mendez, Therese M. "Horizontal Violence in the Nursing Work Environment: Beyond Oppressed Group Behavior." ScholarWorks@UNO, 2011. http://scholarworks.uno.edu/td/1377.
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The United States has been experiencing a nursing shortage since the mid-1990s. The shortage is expected to deepen as the provisions of the 2010 Patient Protection and Affordable Care Act are enacted. Horizontal violence is a negative phenomenon in the nursing workplace that contributes to difficulty in recruiting and retaining nurses in hospitals. Horizontal violence has been described as a form of mistreatment, spoken or unspoken, that is threatening, humiliating, disrespectful or accusatory towards a peer. The effects of this nurse on nurse aggression can be devastating for the nurse involved and also for the patients under the nurse's care.
Nursing and social science literature have advanced oppressed‐group behaviors as a motivating factor driving this phenomenon in nursing. Workplace stress has also been implicated in these negative behaviors. This study used a grounded theory approach to examine how nurses explain, through semi‐structured and open ended interviews, the phenomenon of horizontal violence in the nursing workplace. The primary outcome of this study was a small scale theory focused specifically on horizontal violence in the nursing work environment. The theory that emerged from this analysis was that horizontal violence can be influenced by other environmental factors beyond oppression theory. The results from the data indicated that these behaviors, described as horizontal violence, may be employed as a method of manipulating the care environment in an effort to enhance patient outcomes while maintaining group or individual perception of security through a sense of environmental control.
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Hickey-Keegan, Julia Grubbs Laurie. "The nursing shortage and reasons for RN flight from Florida hospitals." Diss., 2005. http://etd.lib.fsu.edu/theses/available/etd-04112005-134229.
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Thesis (M.S.)--Florida State University, 2005.Advisor: Dr. Laurie Grubbs, Florida State University, School of Nursing. Title and description from dissertation home page (viewed June 8, 2005). Document formatted into pages; contains xii, 86 pages. Includes bibliographical references.
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Jiyane, Makoasha Philistus. "Experiences of professional nurses on the shortage of resources in a tertiary hospital in Tshwane district." Diss., 2020. http://hdl.handle.net/10500/27420.
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South Africa is experiencing shortage of resources in most health services, including tertiary hospitals. This leads to a situation where health care workers, especially professional nurses (PNs) leave to private nursing or go abroad for better work conditions. The aim of this study was to explore and describe experiences of PNs on the shortage of resources at a tertiary hospital in Tshwane District. The study followed a qualitative, explorative, descriptive design based on phenomenological interpretive approach. Purposive sample of 16 participants were recruited. Unstructured interviews with a grand tour question was used to conduct face-to-face individual interviews. Interviews were recorded and transcribed verbatim. TheTesch’s method of analysis was utilised. Target group was PNs aged between 25 and 65 years who have worked for two or more years in selected units. Experiences of PNs on shortage of resources was reported as the major findings of this study.Health Studies
M.A. (Nursing. Science)
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Yumol, Benjamin B. "A Humanist Approach to Understanding the Migration of Filipino Nurses to the United States." 2009. http://hdl.handle.net/1969.1/ETD-TAMU-2009-05-700.
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The global nursing shortage created opportunities for registered nurses from less
developed countries to improve their working and living conditions through migration to
more progressive and affluent nations. In the Philippines, this phenomenon left the
country devoid of the much needed health care professionals.
In this research study, I described the lived experiences of eleven indigenous
Filipino nurses who migrated to the United States. Through the phenomenology
approach, I was able to probe into the meaning of the migration as the participants lived
through it, approaching it from a humanist perspective and using Abraham Maslow's
theory on the hierarchy of needs as the framework. The study was intended to illustrate
how the economic, social, and political characteristics of both countries impacted the
Filipino nurses' behavior and thought processes while in pursuit of personal goals.
Ultimately, this study could be used as a guide in the development of employment and
health care policies that are more responsive to the current state of the nursing
profession.
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Alqarni, Ayidah Sanad Mubark. "Designing a Simulation Intervention to Reduce Stress among New Graduate Registered Nurses in the Intensive Care Units in Saudi Arabia: A Mixed Methods Design." Thesis, 2018. http://hdl.handle.net/2440/117808.
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Introduction: Health care professionals, including registered nurses are prone to stress, with new graduates experiencing high levels of stress in their graduate year. In Saudi Arabia many new graduates are expected to be placed in critical care units due to a range of contextual issues. These units are stressful; effective ways to assist these new graduates are required. Simulation learning is envisaged to be a novel strategy to overcome this issue. Reducing stress levels in new graduates assists them to transition to professional practice and has the potential to improve workforce demands by increasing retention. Thus, this research explored both stressors among new graduate registered nurses (RNs) in intensive care units (ICUs) and the potential use of a complex intervention using simulation to reduce these stress factors. For the purpose of achieving the aim of this study, the research was based in one hospital in Saudi Arabia, the King Saud Medical City- Riyadh (KSMC-R). It is also noteworthy that the complex intervention was designed and will be implemented and evaluated in future research. Objective: This study aimed to design a simulation based learning exercise (SBLE) based on the specific stressors experienced by new graduate RNs working in the paediatric and adult ICUs at KSMC-R. Methods: This research was based on an interventional mixed method design. The research involved the integration of three studies which incorporated both quantitative and qualitative approaches, whereby a sequential exploratory design was employed. Study 1: Survey of new graduate RNs in which 189 Saudi new graduate RNs were surveyed about their experiences of stress in their ICUs units using the Perceived Stress Scale (PSS) to measure the level of stress and the Expanded Nursing Stress Scale (ENSS) that measured the factors/frequency of stressors experienced by new graduate RNs in the ICUs. Study 2: Individual interviews of 10 new graduate RNs further explored their experiences of stressors in ICUs. Study 3: a single group discussion with 5 nurse educators investigated the extent and type of educational support provided for new graduates and educators’ views of and experience with simulation. Results: The results from the three studies were integrated using complementarity and triangulation techniques. From the results a complex intervention based on SBLE was designed to potentially assist new graduates to better manage and overcome these stressors. Conclusion: This research has contributed new knowledge regarding the level and nature of stressors that are experienced by Saudi new graduate RNs working in critical environments such as the ICUs. In addition the study offers a potential intervention to assist new graduates to deal with these stressors. The approach of using multiple data sources to inform the design of an SBLE has the potential to be used in other contexts.Thesis (Ph.D.) -- University of Adelaide, School of Nursing, 2018
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Selebi, Ogorogile Clement. "Nurse's satisfaction with their working environment in a public sector hospital." Thesis, 2006. http://hdl.handle.net/10539/1567.
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Student Number : 9802242A -
MSc research report -
School of Therapeutic Sciences -
Faculty of Health SciencesIntroduction: The nursing profession in South Africa has lost skilled nurses due to intense international recruitment drives. This hospital in the West Rand has also failed to recruit and retain skilled nurses. The shortage of skilled nurses has led to a deterioration in the quality of patient care. The aims of this study: The aim of this study was to investigate nurses’ perceptions about their working environment and conditions, and their intention to stay in the workplace in this regional hospital. The methodology: A quantitative, descriptive survey was used. The data were collected using the Minnesota satisfaction questionnaire. The sample included professional and sub professional (staff and auxiliary) nurses. A stratified (random) sampling method was used. Respondents were one hundred and seventeen (117), namely, sixty two (62) professionals and fifty five (55) sub professionals. Results: Generally all the nurses were moderately satisfied with the intrinsic aspects of their job, such as motivation, responsibility, opportunity for creativity and innovation, independence, and recognition. Alarmingly nurses were to a greater extent dissatisfied with the extrinsic aspects of their job, namely, relationships in the workplace, supervisors’ decision-making skills, supervision, working conditions, policies, job security, and compensation. Conclusions: This study indicated that the important extrinsic aspects were not in place. The employer (Department of Health) needs to make major efforts in improving nurses’ salaries, promotion and advancement opportunities, and to empower all unit and area managers in the areas of supervisory skills, decision-making, communication, and mentoring of nurses.
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Mokoena, Machidi Julia. "Perceptions of professional nurses on the impact of shortage of resources for quality patient care in a public hospital: Limpopo Province." Diss., 2017. http://hdl.handle.net/10500/22928.
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Text in EnglishProfessional nurses are regarded as the backbone of the health care system and quality patient care is linked to patient safety.The purpose of the study was to describe and explore the perceptions of professional nurses on impact of shortage of resources for quality patient care. The resources include health professionals, equipment and drugs. The study was conducted in Mankweng hospital which is a public hospital in the Capricorn district in Limpopo Province. Qualitative descriptive exploratory design was used which provided the researcher with in-depth information regarding phenomena under study. Data was collected from ten (10) professional nurses who have 5 to 20 years of nursing experience allocated in medical and surgical wards. Unstructured face-to-face interview was conducted using field notes and audio tape. Data was analysed following Creswell (2014) Tesch method. Five themes and eighteen subthemes emerged from data. The findings revealed that the shortage of health professionals and inadequate resources has a negative impact on provision of quality patient care.
Health Studies
M.A. (Health Studies)
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Pillay, Zoe. "Measures to improve retention of nurses in a KwaZulu-Natal hospital : nurse managers' views." Diss., 2017. http://hdl.handle.net/10500/23589.
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The shortage of nurses in any health care setting increases workloads and complicates workflow. In South Africa the shortage is exacerbated by multiple factors, one of which is the emigration of nurses to countries that offer better benefits and working conditions.
The purpose of the study was to explore and determine the views of nurse managers regarding staff turnover and retention, and to recommend effective measures to improve the retention of nurses.
The inquiry was conducted in a KwaZulu-Natal hospital, a natural setting for the participants. The study utilized a qualitative, explorative, descriptive design. The population of this study comprised of 36 nurse managers. Purposive and convenience sampling techniques were applied to select a sample of 18 nurse managers. Data were collected through focus groups. Data were transcribed and analysed thematically, emerging patterns were noted. The researchers examined these categories closely and compared them for similarities and differences. identifying the most frequent or significant codes in order to develop the prominent categories. These were summarised in a narrative form.
Four themes emerged from the findings: the staff turnover challenge; current retention strategies; measures to improve retention and strengthening management. The shortage of nursing staff was critical at this selected hospital, and this situation could be considered to be a microcosm of what is happening in public health care sectors in South Africa. Various measures were put in place to curb the high turnover. However, these measures had a fair to low level of success. Therefore, improved retention strategies are required to reduce the staff turnover. It is evident from the findings that needs to be done to investigate, plan and implement effective measures that are likely to retain nursing staff and recruit more nurses into the profession.Health Studies
M. A. (Nursing Science)
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Giguère, Lucie. "Première validation d'une situation clinique de soins infirmiers en vue d'une intervention éducative de type "think aloud"." Thèse, 2008. http://hdl.handle.net/1866/7782.
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Bidstrup, Mads Blem. "Innovative business plan for care-recruit: international recruitment of foreign nurses to Denmark." Master's thesis, 2020. http://hdl.handle.net/10071/21950.
Full textAbstract:
The innovative business plan is developed to solve the rapidly growing problem of shortages of
nurses. This thesis focuses on how international recruitment could be a part of the solution.
To understand the concept of personnel selection, the literature review discusses personnel
selection's underlying factors, thereby recruitment to build up the innovative business plan.
Furthermore, the PESTL analysis brings in-deep knowledge about external factors influencing
the business plan and outlines market opportunities. The external analysis indicated a massive
demand for nurses, a bureaucratic and inefficient process for immigration and validation of
education, and Argentina as a country in crisis with young professionals motivated to seek new
opportunities.
The hosted country comparison showed that Denmark and Argentina culturally had many
similarities. Moreover, the competitive analysis pointed out that the recruitment industry is
intense, but none was recruiting nurses outside of Scandinavia.
The marketing strategy outlines a marketing mix and targeting of candidates and clients. The
strategy targets nurses in Argentina and the Regions managing the healthcare industry in
Denmark, with direct sales and a clear communication message.
Finally, the financial part covered an income- and cash flow statement indicating a relatively high
investment to start the Care-Recruit.O plano de negócios inovador é desenvolvido para resolver o problema crescente de da escassez de enfermeiros. Esta tese se concentra em como o recrutamento internacional pode ser uma parte da solução. Para compreender o conceito de seleção de profissionais, a revisão da maca discute os fatores subjacentes à seleção de profissionais, assim, o recrutamento para construir o plano de negócios inovador. Além disso, a análise de pragas traz o conhecimento profundo sobre os fatores externos que influenciam o plano de negócios e delineia as oportunidades de mercado. A análise externa indicou uma demanda massiva por enfermeiros, um processo burocrático e ineficiente de imigração e de validação da educação, e a Argentina é um país em crise com jovens profissionais motivados a buscar novas oportunidades. A comparação dos países hospedados mostrou que a Dinamarca e a Argentina culturalmente tinham muitas semelhanças. Além disso, a análise competitiva apontou que a indústria de recrutamento é intensa, mas nenhuma estava recrutando enfermeiras fora da Escandinávia. A estratégia de marketing descreve um mix de marketing e direcionamento de candidatos e clientes. A estratégia é voltada para enfermeiras na Argentina e nas regiões que gerenciam o setor de saúde na Dinamarca, com vendas diretas e uma mensagem de comunicação clara. Finalmente, a parte financeira cobriu uma demonstração de renda e fluxo de caixa indicando um investimento relativamente alto para iniciar o "Care-Recruit".
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Picmausová, Ivana. "Rozhodnutí o změně pracoviště u nelékařského zdravotnického personálu." Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-434730.
Full textAbstract:
The fluctuation of nursing staff in the medical facilities is not just current problem in the Czech Republic. Aging population will present higher demand for number of nursing staff. It is assumed that the insufficient number of nursing staff will remain and even rise (also due to aging of the staff) if appropriate actions are not taken (Simoens et al., 2005). This thesis discusses the decision to migrate amongst the nursing staff - general nurses, practical nurses, midwives, and emergency paramedics within the medical facility. It analyses the reasons for changing their workplace. The investigation was executed using the questionnaire method. It was conducted in January and February of 2020 in the selected medical facility in the Czech Republic. Total of 701 questionnaires were distributed to all inpatient wards, outpatient departments and intensive care units. The investigation targeted nursing medical staff. A statistical analysis of the results was performed Mann-Whitney U test was used to monitor the differences for decision to migrate based on various characteristics and responses. Total of 415 completed questionnaires were analysed in this investigation. 61/415 (14.7 %) responders consider the change of workplace. The most common nursing staff members to consider the change were general...
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Sedešova, Julie. "Faktory ovlivňující fluktuaci sester v ČR." Master's thesis, 2021. http://www.nusl.cz/ntk/nusl-446905.
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Introduction: The shortage of nurses is a global problem of a multifactorial nature, to which demographic change in the world's population contributes greatly. In the future, a growing imbalance in the supply and demand of nursing staff can be expected, and according to WHO estimates (2015), the deficit of nurses and midwives will reach 7.6 million in 2030. The lack of nurses is largely due to their turnover, which is influenced by a number of interrelated factors and has a negative impact on the quality and safety of health care, the economy, health systems and the nurses themselves. The first step in solving this issue is to examine the causes of institutional and professional turnover of nurses and then create stabilization measures. Aim: Identify, characterize and analyse the factors that influenced the decision to change the current job position of general nurses with more than two years of experience. Methodology: Qualitative research was carried out through individual semi-structured interviews, phenomenological approach and method of purposeful selection was methodologically chosen. The research survey was attended by 14 general nurses from Prague hospitals aged 30 to 52 years. Data collection was terminated by reaching theoretical saturation. Data analysis was performed using open coding...
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El-Khoury, Maha. "L’infirmière libanaise et le sens au travail en milieu hospitalier." Thèse, 2015. http://hdl.handle.net/1866/11950.
Full textAbstract:
Cette étude vise à étoffer la base conceptuelle du phénomène de sens au travail permettant ainsi de mieux le comprendre et le saisir et cherche à proposer un modèle théorique pouvant expliquer le processus de construction d’un sens au travail par des infirmières libanaises. Le sens au travail se présente à la fois en tant qu’un processus qui émerge suite aux interactions dynamiques qui s’établissent entre un individu et son contexte de travail et en tant que produit qui s’exprime chez un individu au niveau de la satisfaction, la motivation, l’engagement organisationnel, la performance et la santé au travail. L’étude de ce phénomène constitue une nouvelle voie permettant d’apporter un nouvel éclairage à un contexte de travail, tel que le contexte libanais, qui souffre depuis des années d’un problème de pénurie du personnel infirmier.
L’interactionnisme symbolique a constitué le cadre épistémologique et méthodologique de cette étude qui a adopté une approche qualitative par théorisation ancrée. L’étude s’est déroulée dans une région libanaise auprès de neuf infirmières hospitalières exerçant la profession dans des contextes de travail variés. La collecte des données a été faite par le recours à des entrevues individuelles enregistrées sur un support numérique ; les données ont été par la suite transcrites et analysées suivant la méthode constructiviste de Charmaz (2006).
Les résultats ont permis de proposer un modèle théorique qui explique le processus de construction d’un sens au travail qui découle des interactions des infirmières libanaises avec les divers éléments du contexte de travail. Ces infirmières ont développé une représentation du contexte de travail marquée par une surcharge de travail, un salaire inadéquat, des opportunités de développement et d’avancement professionnel réduites, un comportement inéquitable des supérieurs et un image publique dévalorisée de l’infirmière. Ce contexte porte atteinte à la satisfaction de trois objectifs recherchés par ces infirmières à travers leur travail et qui sont : 1) prendre soin des patients ; 2) subvenir à ses propres besoins ; et 3) être reconnue en tant que professionnelle. Afin de construire un sens au travail et composer avec ce contexte contraignant, les infirmières se basent sur leurs ressources intrinsèques. La valorisation de l’infirmière et du travail infirmier, la satisfaction de l’effort fourni, l’actualisation de soi et l’avancement professionnel permettent à ces infirmières de protéger et de maintenir un sens au travail. Finalement, il était possible de conceptualiser le sens au travail en tant qu’un phénomène subjectif et multidimensionnel, nourri par l’amour de la profession et se traduisant par un travail qui répond aux attentes des infirmières.
Les connaissances qui ont émergé de cette étude pourront aider à mettre en place des stratégies personnelles et contextuelles permettant de favoriser le processus de construction de sens au travail chez les infirmières libanaises afin de réduire le problème de pénurie du personnel infirmier. Des pistes de recherches sont encore avancées et des recommandations pour la formation sont proposées.This study aims to expand the conceptual basis of the phenomenon of meaning at work and seeks to provide a theoretical model to explain the process of constructing meaning at work by Lebanese nurses. The meaning at work is presented as a process that emerges through the dynamic interactions developed between an individual and his work environment and as a product that is expressed by the individual level of satisfaction, motivation, organizational commitment, performance and health at work. The study of this phenomenon is a new way to shed light to a work context, such as the Lebanese context, suffering for years from a problem of shortage of nurses. Symbolic interactionism was the epistemological and methodological framework of this study based on a qualitative approach using grounded theory. The study was conducted in a region with nine Lebanese hospital nurses practicing the profession in various work contexts. Data collection was done by the use of individual interviews recorded on digital media; data were subsequently transcribed and analysed following the constructivist method developed by Charmaz (2006). The results were used to propose a theoretical model that explains the process of constructing meaningful work that arises from interactions of the Lebanese nurses with the various elements of their work context. These nurses have developed a representation of the work context marked by an excessive workload, an inadequate pay, an reduced opportunities for development and professional advancement, an unfair behaviour of their supervisors and a devalued nurse’s public image. This context affects the satisfaction of these three objectives that emerged threw analysis witch are pursuit by these nurses through their work: 1) to take care for patients; 2) to meet they one needs; and 3) to be recognized as a professional. These nurses construct meaning at work and compose with theses context constraints by using their personal resources. By enhancing the value of the nurse and the value of her work, by getting satisfied threw their effort, by self-actualization and career advancement, these nurses get to protect and maintain meaningful work. Finally, the meaning at work could be conceptualized as a subjective and multidimensional positive phenomenon fuelled by the love of the profession and resulting in work that meets the expectations of nurses. Knowledge that emerged from this study will help develop personal and contextual strategies to foster the process of construction of meaning at work in order to reduce the shortage of nurses. Research avenues and recommendations for education are suggested.
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Kirchgessner, John C. "A reappraisal of nursing services and shortages : a case study of the University of Virginia Hospital, 1945-1965." 2006. http://wwwlib.umi.com/dissertations/fullcit/3218416.
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