Tesis sobre el tema "Critical care nursing"
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Fisher, Joyce Ann. "Critical thinking in critical care nurses". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1036181.
Texto completoSchool of Nursing
Christensen, Martin. "Advancing practice in critical care nursing". Thesis, Bournemouth University, 2008. http://eprints.bournemouth.ac.uk/15988/.
Texto completoHendricks, Lucia Elizabeth. "Critical thinking : perspectives and experiences of critical care nurses". Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71821.
Texto completoENGLISH ABSTRACT: The increasingly complex role of the critical care nurse in an intensive care environment demands a much higher level of critical thinking and clinical judgment skill than ever before. Critical thinking in nursing practice may be defined as the cognitive ability to analyse, predict and transform knowledge, ensuring quality nursing care. To reason from a nurse’s perspective requires that we learn the content of nursing; this includes the concepts, ideas and theories of nursing. The aim and objectives of the study were to explore critical care nurses’ perspectives and experiences with regards to the concept of critical thinking, facets influencing the application of critical thinking skills in clinical practice and how these impact on the delivery of quality nursing care. A qualitative approach, using a case study design was utilised. A sample of six participants, who met the study inclusion criteria and consented to participate, were interviewed individually. Subsequently, five of these six participants took part in a focus group discussion to capture additional data to clarify and enrich the individual interview data. A field worker was present during the interviewing processes to note non-verbal data and later verify transcribed data. Feasibility of the proposed study was established by conducting a pretest which elicited relevant information. Ethical approval for the study was obtained from the Health Research Ethics Committee at the Faculty of Medicine and Health Sciences, Stellenbosch University. Permission and consent was obtained from the relevant hospital group to interview nurses working in the intensive care units. Qualitative content analysis, which focuses on the content or contextual meaning, was used to analyse interview data. Coding of the data through emergent themes and sub-themes was done by the researcher and supported through independent coding to verify and strengthen the analysis and interpretation of the researcher. . The results depicted how the participants personally understood the concept of critical thinking and the components influencing the application of critical thinking skill in clinical practice. The study of the participants’ perspective of the concept of critical thinking and portrayed how they experience analytical and independent thinking, competence and confidence, as well as knowledge, skill and expertise, to influence the quality of patient care. The data revealed several themes that facilitated critical thinking in critical care nurses. These themes were ‘team support’, ‘experience and exposure’ and ‘empowering the mind’. Emergent themes elaborating the limitations of critical thinking included ‘being stressed’, ‘professional boundaries’ and ‘being busy’. Several recommendations and suggestions for future research were offered.
AFRIKAANSE OPSOMMING: Die toenemende komplekse rol van die kritieke-sorgverpleegster in ’n intensiewe-sorg omgewing verg ’n veel hoër vlak van kritiese denke en ’n kliniese oordeelvaardigheid as ooit tevore. Kritiese denke in ’n verplegingspraktyk kan gedefinieer word as die kognitiewe vermoë om te kan analiseer, om vooruit situasies te kan bepaal en die vermoë om kennis te omskep sodat kwaliteit verpleegsorg verseker kan word. Om soos ’n verpleegster te kan dink, stipuleer dat die inhoud van verpleging geleer moet word wat konsepte, idees en teorieë daarvan insluit. Die doel en oogmerke van die studie is om die ervarings en perspektiewe van kritieke-sorgverpleegsters te ondersoek, met betrekking tot die konsep van kritiese denke, fasette wat die toepassing van kritiese denkvaardighede in ’n kliniese praktyk beïnvloed en die impak daarvan op die lewering van kwaliteit verpleegsorg. Die metodologie wat toegepas is, is ’n kwalitatiewe benadering deur middel van ’n gevalle-studie ontwerp. ’n Steekproefgrootte van ses deelnemers wat aan die inklusiewe kriteria voldoen het, is mee onderhoude individueel gevoer en daarna is met vyf van hierdie ses deelnemers in ’n fokusgroep onderhoude gevoer ten einde data op te neem wat andersins verlore kon geraak het. ’n Veldwerker was teenwoordig gedurende die proses van onderhoudvoering om die opgeneemde en getranskribeerde data te verifieer. Die data-insamelingsinstrument is in die vorm van ’n onderhoudsgids ontwikkel om die navorser gedurende die onderhoudvoering te help. ’n Loodsondersoek is uitgevoer om die haalbaarheid van die voorgestelde studie te ondersoek en is sodoende geskep om relevante inligting te onthul. Etiese goedkeuring vir die studie is verkry van die Gesondheidsnavorsing Etiese Komitee aan die Fakulteit van Geneeskunde en Gesondheidswetenskappe, Universiteit Stellenbosch. Goedkeuring en toestemming is van die hospitaalgroep aan wie die hospitaal behoort verkry, waar die studie onderneem is om sodoende onderhoude te kan voer met verpleegsters wat in die intensiewe-sorgeenhede werk. ’n Primêre, kwalitatiewe inhouds analise is gebruik om omderhoud data te analiseer wat fokus op die inhoud of kontekstuele betekenis daarvan. Kodering van die data deur die toepassing van die temas en sub-temas wat voorgekom het, is deur die navorser gedoen. Die data is onafhanklik gekodeer om die analise en interpretasie van die navorser te verifieer en te bekragtig ten einde die akkuraatheid en getrouheid in die formulering van die betekenis en interpretasie van gebeure met juiste weergawe daarvan, te verseker. Die resultate wat as hooftemas vanuit die individuele onderhoude voortgespruit het, asook die van die fokusgroep het die deelnemers se eie begrip van die konsep van kritiese denke en komponente wat die toepassing van kritiese denkvaardigheid in ’n kliniese praktyk beïnvloed, getoon. Die konsep van kritiese denke het die wyse waarop analitiese en onafhankilke denke, bevoegdheid en selfvertroue, asook kennis, vaardigheid en kundigheid die kwaliteit van pasiëntsorg beïnvloed, uitgebeeld. Die voortkomende data het daartoe aanleiding gegee dat die faktore wat die fasilitering en beperking van kritiese denke beïnvloed, bespreek kon word. Data rakende fasilitering het getoon hoedat die ondersteuning van die span, ervaring, blootstelling en die verruiming van die gees, kritieke-sorgverpleegsters positief kan beïnvloed om kritiese denke in hulle daaglikse verplegingsaktiwiteite effektief te kan toepas. Data wat verband hou met beperkings het getoon hoedat stres, professionele kwessies en besigwees kritieke-sorgverpleegsters negatief kan beïnvloed in die toepassing van kritiese denke gedurende daaglikse verplegingsaktiwiteite. Verskeie aanbevelings vir toekomstige navorsing is voorgestel.
Chang, Catherina Ivette. "Relationship between personality hardiness and critical care nurses' perception of stress and coping in the critical care environment". FIU Digital Commons, 2000. http://digitalcommons.fiu.edu/etd/2107.
Texto completoMoon, Mikyung. "Relationship of nursing diagnoses, nursing outcomes, and nursing interventions for patient care in intensive care units". Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/3356.
Texto completoAllen, Rose. "Addressing moral distress in critical care nurses". NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/17.
Texto completoCurrey, Judy A. y mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making". Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.
Texto completoKaddoura, Mahmoud. "New graduate nurses' perception of critical thinking development in critical care nursing training programs /". Access online resource, 2009. http://scholar.simmons.edu/bitstream/handle/10090/9655/Mahmoud%20Dissertation%207%20%20JULY.pdf?sequence=1.
Texto completoComeau, Odette. "Delirium Screening in Adult Critical Care Patients". ScholarWorks, 2016. http://scholarworks.waldenu.edu/dissertations/1675.
Texto completoFerrel, Cynthia Lynn. "The experience of critical care nurses in initiating hospice care". abstract and full text PDF (free order & download UNR users only), 2008. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1453534.
Texto completoPerry, Mary Barbara. "Critical care nurses' perceptions of their experience with nursing quality assurance". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28795.
Texto completoApplied Science, Faculty of
Nursing, School of
Graduate
Fulbrook, P. "The nature of evidence to inform critical care nursing practice". Thesis, Bournemouth University, 2003. http://eprints.bournemouth.ac.uk/295/.
Texto completoStevens, Brent Alan. "Improving the Quality of Electronic Documentation in Critical Care Nursing". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3636.
Texto completoOdorisio, Cathy. "The relationship between critical care nurses' knowledge and attitude toward organ procurement /". Staten Island, N.Y. : [s.n.], 1991. http://library.wagner.edu/theses/nursing/1991/thesis_nur_1991_odori_relat.pdf.
Texto completoSingleton, Alsy R. "Patient satisfaction with nursing care : a comparison analysis of critical care and medical units". Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1061875.
Texto completoSchool of Nursing
Westbrook, Linda Oakes. "Cognitive structures of first-line nurse managers in critical care settings /". Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7299.
Texto completoPatton, Lauren Ashley. "Education and Standardized Discussion Guides to EnhanceNurses' Spiritual Care Practices in the Medical Intensive Care Unit". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1519836081431734.
Texto completoGreaves, Judith M. "Understanding palliative care: An ethnographic study of three Australian palliative care services". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2005. https://ro.ecu.edu.au/theses/1553.
Texto completoBennett, Paul Norman y paul bennett@flinders edu au. "SATELLITE HAEMODIALYSIS NURSES PERCEPTIONS OF QUALITY NURSING CARE: A CRITICAL ETHNOGRAPHY". Flinders University. Nursing and Midwifery, 2009. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20090828.154836.
Texto completoWhelan, Ruth N. "Factors influencing critical care nurses' participation level in continuing nursing education". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0015/MQ49464.pdf.
Texto completoAlbarran, John W. "Taking Cardiovascular Critical Care Nursing Forward: A Journey of Systematic Inquiry". Thesis, University of the West of England, Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.505320.
Texto completoMcLean, Christopher Duncan. "Thinking about patients and talking about persons in critical care nursing". Thesis, University of Southampton, 2012. https://eprints.soton.ac.uk/349086/.
Texto completoFoley, Jo Anne. "Providing Optimal Nutrition in Critical Care". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2351.
Texto completoKroeger, Linda L. "Critical care nurses: their knowledge and experiences regarding the acutely confused elderly". Thesis, Boston University, 1988. https://hdl.handle.net/2144/38058.
Texto completoPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
The purpose of this descriptive study was to describe critical care nurses knowledge and experience regarding the acutely confused elderly. A questionnaire, developed by the investigator, was mailed to two hundred nurses who were members of the American Association of Critical Care Nurses (AACN). The questionnaire consisted of three parts; a case study and questions assessing the respondents' knowledge of acute confusion, questions about the respondents' past personal experiences with the elderly, and a section on demographics. The response rate was 45%. The essential findings were: 1) the mean score on the knowledge items was 60% correct 2) ICU nurses had limited personal experiences with confused elderly people 3) neither level of education nor years of nursing experience affected how well the respondents did on the knowledge items 4) ICU nurses tended to attribute the cause of acute confusion in an elderly patient to ICU psychosis. Further research needs to be done on the etiology and characteristics of acute confusion and on nursing actions and interventions concerning the acutely confused elderly patient. The concept of ICU psychosis needs to be further explored.
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Mansour, Mansour. "Critical care nurses' views on medication administration : an organizational perspective". Thesis, University of Nottingham, 2009. http://eprints.nottingham.ac.uk/11014/.
Texto completoSwickard, Scott W. "Patient Safety Events During Critical Care Transport". Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1468431671.
Texto completoWillmore, Elizabeth Elouise. "Physician Behaviors, Nursing, and Other Obstacles in End-of-Life Care: Additional Critical Care Nurse Perceptions". BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/9061.
Texto completoEmmons, Margaret M. "Exploring the Enteral Feeding Practices Used by Critical Care Nurses: A Dissertation". eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/34.
Texto completoOwen-Fisher, Gail Marie. "A study of the relationship between anxiety levels and coping skills of critical care nurses /". Staten Island, N.Y. : [s.n.], 1986. http://library.wagner.edu/theses/nursing/1986/thesis_nur_1986_owen_study.pdf.
Texto completoBall, Carol. "Legitimate influence : the key to advanced nursing practice in adult critical care". Thesis, City University London, 2000. http://openaccess.city.ac.uk/8158/.
Texto completoGillespie, Rencia S. "A descriptive survey of the nursing workforce in critical care unit in hospitals of the Western Cape Province". Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/2949.
Texto completoA global shortage of Registered Nurses (RNs) has been reported internationally, and confirmed in South Africa by the National Audit of Critical Care services. Critical Care Nurses (CCNs) especially are in great demand and short supply. This has affected the quality of patient care. The purpose of this study was to perform a workforce analysis and needs assessment of critical care nursing services in the Western Cape Province as at 1 January 2005. The study design is a descriptive survey conducted on site in the critical care units of the private and public sector hospitals of the Western Cape, using a structured questionnaire, with a 96.5% return rate. Findings showed that the 35 hospitals surveyed in the public and private healthcare sectors had 80 functional critical care units including Intensive Care Units and High Care Units for adults, children and neonates, and High Dependency Units for adults. Factors that contribute to the demand for critical care nurses include the number of critical care beds, patient admissions, severity of illness, available facilities, medical, nursing and support staff. Compared to internationally accepted norms, the Western Cape units have a deficit of 74% of Registered Nurses (RNs) in the public sector hospitals, and a deficit of 82% in the private sector. This equates to an actual shortage of 3010 RNs for both sectors. If all categories of nursing staff are included in the calculation, the public sector meets 49% of its requirements and the private sector 24%. Half of the private sector and 28.9% of the public sector Registered Nurses are Critical Care Nurses. Few measures appear to be taken to recruit and retain nursing staff. The number of students being trained at both the undergraduate (300 during 2004) and the postgraduate (80 CCNs during 2004) level at the educational institutions, in conjunction with the hospitals, is inadequate. Clinical training institutions are available, but the numbers of educators and clinical mentors are inadequate to train the number of nurses required to meet the demand.
Zomorodi, Margaret Gambrell Lynn Mary R. "Instrument development to measure critical care nursing values and behaviors when providing end-of-life care". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,1909.
Texto completoTitle from electronic title page (viewed Dec. 11, 2008). "... in partial fulfillment of the requirements for the degree of Doctorate of Philosophy in the School of Nursing." Discipline: Nursing; Department/School: Nursing.
Van, Belkum Corrien. "A process of quality improvement for outcomes-based critical care nursing education". Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52125.
Texto completoENGLISH ABSTRACT: A thoughtfully planned learning program provides a blueprint for critical care nursing and gives direction to theory and clinical practice. The design of a learning program for critical care nursing that is adaptive, learner focussed and integrated, helps nurses acquire the necessary competencies (knowledge, technical skills and attitudes/values) needed for critical thinking. It also enables critical care nurses to grow professionally and to develop expertise in critical care nursing. Outcomes-based education has become the "new buzz word" in South Africa, and a paradigm shift from content-based to outcomes-based education has become essential. Institutions are concerned with efficient and effective approaches to critical care nursing delivery. The institution (nursing department) proves its worth by anticipating patient care needs and planning its learning program cognizant of the need to correlate activities with the institution's (nursing department) mission and outcomes. Planning that meets the learning needs of the critical care nursing learners not only provides the ability to meet job expectations, but also experiences for professional growth and satisfaction. In an age of nursing shortage, a well planned, integrated and outcomes orientated critical care learning program is essential. The outcome of the research was identified as a process of quality improvement for outcomes-based critical care nursing education, which included validated standards to facilitate quality critical care nursing education. This was researched by utilising an adapted Laing and Nish Model for Quality Assurance (1981) as the research strategy. Seven (7) steps were identified, namely: Step one included the identification and clarification of values; step two determined criteria, established standards for outcome, structure and process; step three ratified criteria and validated standards; step four identified and analysed factors influencing the results; step five selected appropriate actions to maintain or improve critical care nursing education; step six implemented the selected actions and in step seven, assessment (testing) was done. In steps two and three of the quality improvement process the Muller's (1996) Three Phase Model for Standard Development was implemented. Seven (7) standards were identified and formulated, namely: Standard one - Quality improvement; Standard two - Standard formulation; Standard three - Philosophy; Standard four - Legislative framework; Standard five - Curriculum development (learning program development); Standard six - Outcomes-based education; and Standard seven - Critical care nursing education. During the process of validation of the standards, standards five and six were combined and became Standard five - Outcomes-based learning program development. In step three the Delphi technique as part of the second phase of Muller's model (1996), was utilised to gain expert opinions / validation of standards. Operationalisation and assessment of the validated standards as part of a process of quality improvement for outcomes-based critical care education were done in a higher education institution. The results of this pilot study that was done supported the central theoretical assumption, namely that outcomes-based critical care nursing facilitates quality critical care nursing. The uniqueness of the research lies in the fact that in outcomes-based critical care nursing education there is no formal process of quality improvement for outcomes-based critical care nursing education. In this research, standards were developed and presented as part of a process of quality improvement for outcomes-based critical care nursing education. These standards should guide the developer of an outcomes-based critical care nursing education program during the development of the learning program (meso curriculum) and could be utilised to judge the quality of the current learning programs' quality. Five of the six standards are generic and could be utilised with minor adjustments in any higher education learning program.
AFRIKAANSE OPSOMMING: 'n Weldeurdagte leerprogram dien as 'n bloudruk vir kritiekesorg-verpleging, en rig beide die teorie en die kliniese praktyk. Die ontwerp van 'n leerprogram vir kritiekesorg-verpleging wat ge"integreerd,leerder-gefokus en aanpasbaar is, help verpleegkundiges om die nodige vaardighede (kennis, tegniese vaardighede en houdings/waardes) vir kritiese denke te ontwikkel. Dit stel kritiekesorg verpleegkundiges ook in staat om professioneel te groei en om kundigheid in kritiekesorg-verpleging te ontwikkel. Uitkoms-gebaseerde onderrig is die "nuwe wagwoord" in Suid-Afrika en het 'n paradigmaskuif van inhoud-gebaseerde- na uitkoms-gebaseerde onderrig genoodsaak. Instellings is begaan oor doeltreffende en effektiewe benaderings vir die lewering van kritiekesorg verpleging. Die verrnoe van 'n instelling (departement verpleging) om pasientsorq-behoeftes te voorspel en om die kritiekesorg leerprogram se aktiwiteite in ooreenstemming met die instelling (departement verpleging) se missie en verwagte uitkomstes te beplan, bewys die waarde van die instelling (departement verpleging). 8eplanning wat aan die leerbehoeftes van die kritiekesorg-Ieerders voldoen, bevredig nie aileen hul werksverwagtinge nie, maar het ook professionele groei en genoegdoening tot gevolg. In Goed-beplande, ge"integreerde en uitkoms-georienteerde kritiekesorg leerprogram is essensieel in 'n tyd waar verpleegtekorte aan die orde van die dag is. Ten einde gehalte-verpleegonderrig te fasiliteer, is die uitkoms van die navorsing as 'n proses van gehalteverbetering vir uitkoms-gebaseerde kritiekesorgverpleegonderrig, wat gevalideerde standaarde insluit, ge"identifiseer. 'n Aangepaste Laing en Nish Model vir Gehalteversekering (1981) is as navorsingstrategie vir hierdie navorsing gebruik. Sewe (7) stappe is ge"identifiseer, naamlik: Stap een sluit die identifisering en verduideliking van waardes in; stap twee bepaal kriteria en skep standaarde vir uitkoms, struktuur en proses; stap drie bekragtig en valideer die standaarde; stap vier identifiseer en ontleed faktore wat die resultate belnvloed; stap vyf selekteer toepaslike aksies om kritiekesorg-verpleegonderrig te handhaaf of te verbeter; stap ses implementeer die geselekteerde aksies en in stap sewe is assessering (toetsing) gedoen. Muller (1996) se Drie Fase Model vir Standaardontwikkeling is in stappe twee en drie van die gehalteverbeteringsproses ge"implementeer. Sewe (7) standaarde is ge"identifiseer en geformuleer, naamlik: Standaard een - Gehalteverbetering; Standaard twee - Standaardformulering; Standaard drie - Filosofie; Standaard vier - Wetlike raamwerk; Standaard vyf - Kurrikulumontwikkeling (Ieerprogramontwikkeling); Standaard ses - Uitkoms-gebaseerde onderrig; en Standaard sewe - Kritiekesorg-verpleegonderrig. Tydens die valideringsproses van die standaarde, is standaarde vyf en ses gekombineer as Standaard vyf - Uitkomsgebasseerde leerprogramontwikkeling. Gedurende stap drie is die Delphitegniek tydens die tweede fase van Muller (1996) se model gebruik om deskundige opinies te verkry I die standaarde te valideer. Operasionalisering en assessering van die gevalideerde standaarde as deel van In sisteem van gehalteverbetering vir uitkoms-gebaseerde onderring is in 'n hoeronderwysinstelling gedoen. Die resultate van hierdie toetsstudie het die sentrale teoretiese aanname, naamlik dat uitkoms-gebaseerde kritiekesorg-verpleging gehalte kritiekesorg-verpleging fasiliteer, ondersteun. Die uniekheid van hierdie navorsing is gelee in die feit dat daar in uitkomsgebaseerde kritiekesorg-verpleegonderrig, geen formele proses van gehalteverbetering vir uitkoms-gebaseerde kritiekesorg-verpleegonderrig is nie. In hierdie navorsing is standaarde ontwikkel en aangebied as deel van In sisteem van gehalteverbetering vir uitkoms-gebaseerde kritiekesorg-verpleegonderrig. Hierdie standaarde kan tydens die ontwikkeling van die leerprogram (mesokurrikulum), die ontwikkelaar van In uitkoms-gebaseerde kritiekesorgverpleegondderigprogram begelei, en kan gebruik word om die gehalte van huidige leerprogramme te beoordeel. Vyf van die ses standaarde is generies en kan, met minimale veranderinge in enige hoer onderwys leerprogram gebruik word.
Al, Chami Mohamad Hamze. "Economization of Home Care in Ontario: A Critical Ethnography of Nursing Actions". Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42670.
Texto completoKrinsky, Robin S. "Fatigue and Alarm Fatigue in Critical Care Nurses". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757.
Texto completoWard, 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.
Texto completoAbstract 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
Vanderspank, Brandi. "The Social Construction of Intensive Care Nursing, 1960-2002: Canadian Historical Perspectives". Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30922.
Texto completoLeBlanc, Allana E. "The Experience of Intensive Care Nurses Caring for Patients with Delirium". Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34266.
Texto completoCrocker, Cheryl. "The development of a nursing technology : making visible the nursing contribution to the development of critical care". Thesis, University of Nottingham, 2006. http://eprints.nottingham.ac.uk/11903/.
Texto completoGarwood, Bruce. "Nurses' perceptions of caring for dying patients in critical care| A phenomenologic study". Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10240722.
Texto completoDying with dignity in the critical care unit (CCU) is a difficult process to define and limited information is available to assist with that definition. The purpose of this descriptive phenomenological study was to explore the critical care nurses lived experiences of caring for the dying patient in CCU. Understanding nurses’ perceptions and lived experiences of the phenomena will contribute to nursing knowledge, new insights for nurse leaders, and the possible development of a nursing model to guide nurses who are providing care to the dying patient. A qualitative, descriptive phenomenological methodology was used to guide this study. Twelve critical care nurses were recruited and interviewed, exploring their lived experiences of caring for the dying patient in the critical care setting. Three board questions comprised the interview guide allowing each nurse an opportunity to share their lived experiences of caring for the dying patient. Five themes emerged from the data: communication, family, technology, lack of education, and dying with dignity. Recommendations included early discussions with patients and families regarding end-of-life wishes as well as, strategies for nurses providing end-of-life care. The study participants also noted the need for increased awareness and education for patients, families and health care providers regarding end-of-life care, dying with dignity, and palliative and hospice referrals. Community education was also noted as an integral part of the awareness process. For nurses and physicians, the education should start during their basic education program and continue throughout their career especially those working in high acuity areas in health care. As in life, death and dying are important aspects of all of health care providers. Facilitating quality end-of life care could relieve pain and suffering for the dying patient and assist family members with allowing their loved one, the patient to die with dignity.
Callender, Debra. "Compassion Fatigue Among Critical Care Nurses". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7464.
Texto completoBatch, Mary Philomena. "Communication and the casualisation of nursing : a critical ethnography". Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/60918/1/Mary_Batch_Thesis.pdf.
Texto completoAnthonie, Ramona F. G. "The experiences of critical nurses regarding staffing management in critical care units in private hospitals of the Cape Metropole". Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71776.
Texto completoENGLISH ABSTRACT: Nurse managers are responsible to staff different hospital units and departments with sufficient, trained and experienced personnel. Most critical care units in the private healthcare in South Africa are staffed below maximum workload levels and additional staff is supplemented when needed. Current staffing management strategies comprises the application of the patient acuity score, the utilisation of contracted agency staff and ward staff who assist occasionally in the critical care unit (CCU). The aim of the study was to explore the experiences of critical care nurses regarding staffing management within critical care units in private health care institutions in the Western Cape. The following objectives were set to: - explore the experiences of CCNs regarding staffing management strategies such as o the patient acuity score o the employment of ad hoc agency staff and o the utilization of ward staff A descriptive design with a qualitative approach was applied. A sample size of n=15 was drawn from a total population of N=377, using purposive sampling technique. A pilot-test was also completed. The trustworthiness of this study was assured with the use of Lincoln and Guba’s criteria of credibility, transferability, dependability and confirmability. All ethical principles were met. The findings of the study demonstrated that nurses perceive the workload in critical care units as heavy. The utilisation of the acuity score does not really assist in relieving the workload as managers tend not to consider the staffing requirements as predicted by the acuity score due to budget constraints. The enrolled nurses who assist occasionally in the critical care unit require supervision as well as ongoing development to ensure safe and quality patient care. Yet agency nurses were perceived as either extraordinary good or incompetent.
AFRIKAANSE OPSOMMING: Verpleegbestuurders het die verantwoordelik om verskillende hospitaaleenhede en departemente met voldoende opgeleide en ervare personeel te voorsien. Die meeste kritieke sorgeenhede in Suid-Afrika word met minder as dan die maksimum werkladingsvlak beman en addisionele personeel word aangevul wanneer nodig. Huidige personeelbestuurstrategieë behels die toepassing van die pasiënt akuïteit telling, die gebruik van ingekontrakteerde agentskap-personeel en saalpersoneel wat per geleentheid in die kritiekesorgeenheid help. Die doel van die studie was om die ervaringe van kritieke-sorgverpleegsters ten opsigte van personeel bestuur binne die kritiekesorgeenhede in die privaat gesondheidsorginstellings in die Weskaap, te ondersoek. Die volgende doelwitte is gestel: - Om die ervaringe van kritieke-sorgverpleegsters aangaande personeelbestuur-strategieë te ondersoek, soos: o die pasiënt akuïteit telling o die gebruik van agentskapverpleegpersoneel en o die gebruik van saal personeel, te ondersoek ’n Beskrywende kwalitatiewe studie is toegepas. ’n Steekproef van n=15 is uit ’n totale populasie van N=377 getrek deur die doelgerigte steekproeftegniek te gebruik. ’n Loodstoetsing van die semi-gestruktureerde vraelys is ook gedoen. Die betroubaarheid van hierdie studie was verseker deur van Lincoln en Guba se kriteria vir geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid gebruik te maak. Daar is aan alle etiese vereistes voldoen. Die bevindings van die studie toon dat die verpleegpersoneel die werklading in die kritiekesorgeenheid as veeleisend ervaar. Die aanwending van die pasiënt akuïteit-telling dra nie werklik by tot verligting van die werklading nie, aangesien bestuurders weens begrotingsbeperkings neig om nie die personeelbenodigdhede soos deur die akuïteit-telling voorspel in ag neem nie. Die ingeskrewe verpleegsters wat per geleentheid in die kritieke-sorgeenheid hulp verleen, benodig toesig asook volgehoue ontwikkeling ten einde veilige en kwaliteit pasiëntsorg te verseker. Die agentskapverpleegpersoneel is egter as baie bekwaam of onbevoeg beskou.
Forozeiya, Dana. "Critical Care Nurses’ Experiences of Coping with Moral Distress". Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35894.
Texto completoBaxter, Marian. ""Being certain": Moral distress in critical care nurses". VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2939.
Texto completoMallory, Caitlin Brook. "Critical Care Nurses' Experiences of Family Behaviors as Obstacles in End-of-Life Care". BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6903.
Texto completoMamet, Wendy Ellen. "An examination of how critical care nurses' knowledge, attitudes, and concerns impact their administration of opoid analgesics /". Staten Island (M.S.) -- Wagner College, N.Y. : [s.n.], 1995. http://library.wagner.edu/theses/nursing/1995/thesis_nur_1995_mamet_exami.pdf.
Texto completoPryor, James Russell. "Improving Sepsis Care for Non-Critical Care Hospitalized Patients by Using the Three Hour Treatment Bundle from the Surviving Sepsis Campaign". Thesis, Brandman University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10253593.
Texto completoPurpose: The purpose of this clinical scholarly project was to plan and execute a sepsis education presentation on identifying sepsis and using the three hour treatment bundle from the Surviving Sepsis Campaign to treat sepsis. The target audience is non-critical care inpatient nurses in a medium sized acute care community hospital.
Methods: Nurses were assigned a course over HealthStream, a web-based platform, which included the presentation along with a pre-test and post-test, and a consent statement to have their score reports analyzed. A descriptive analysis of group pre-test and post-test scores, compliance with completing each component of the three hour treatment bundle, sepsis mortality, and sepsis length of stay was completed.
Findings: There were 586 nurses who completed the course. A total of 172 nurses consented to having their test scores analyzed. The same test was used for the pre-test and the post-test. Overall, the mean test score for the pre-test was 75% and the mean post-test score was 92.6%. Completion compliance with each of the four components of the three hour treatment bundle increased in the 90 days following the education. Unfortunately, sepsis mortality and sepsis length of stay increased in the 90 days following the education using an outcome/expected variance ratio.
Conclusions: This project increased the post-test scores over pre-test scores. There was a linear relationship between increased post-test scores and at least one component (initial lactate vii measurement) of the three hour treatment bundle. There were confounding factors that might contribute to increased compliance of the treatment bundles. This method of education delivery proved useful for one person to provide education to a large group of nurses over a short period of time and allowed for the nurses to complete the course when they had time to do so.
Recommendations: This project should be expanded to include other areas of the hospital such as wound care, surgery clinic, emergency department, and other outpatient areas. In addition, the program could be modified for critical care unit nurses to include training on the six hour treatment bundle which focuses on critical care interventions.
Page, Pamela. "Critical illness survivorship and implications for care provision : a constructivist grounded theory". Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/17242/.
Texto completoRedman, Pam. "Effectiveness of a Critical Care Nurse Residency Program". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3201.
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