Tesi: "Doctor Nurse"

1

Taylor, Helen. "An ethnographic study of nurse-doctor decision making in a dermatology unit". Thesis, University of Salford, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502804.

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The doctor-nurse relationship can impact on the nurses' decision-making capacity, yet very little is known about this relationship in the field of dermatology. This thesis provides an insight into the doctor-nurse relationship in the highly specialised area of dermatology, exploring how doctors and nurses make decisions about patient care, specifically, who made the decisions, and when and where the decisions were made.

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2

Christianson-Silva, Paula. "The influence of doctor of nursing practice education on nurse practitioner practice". Thesis, The University of Arizona, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3702907.

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Nurse practitioners (NPs) have been undergoing a rapid transition in their entry-level degree, from Master of Science in Nursing (MSN) to Doctor of Nursing Practice (DNP). At this time, it is important to establish research evidence on the effects of doctoral education on NP practice. Therefore, a qualitative study of practicing NPs that have returned for the DNP degree was conducted. The purpose was to describe NPs' perceptions of their DNP education, and particularly its influence on their professionalism and patient care. A literature review and evidence synthesis process showed that the available body of research provides little insight into the question of how DNP education affects NP practice; therefore, qualitative description methodology was used to describe this phenomenon. The research questions that guided the study were: 1) What changes do practicing NPs describe about their clinical practice after the experience of completing a DNP?; and, 2) What are the NPs' perceptions of and concerns about the influences of their DNP educational experience on their clinical practice? Two published models and the DNP Essentials (AACN, 2006) informed and guided the data collection and analysis process. Purposive sampling and analyses continued concurrently until data saturation was achieved. Ten DNP prepared NPs were interviewed, and there was wide variation in the sample. The overarching theme Growth into DNP Practice summarizes the participants' perceptions of the changes that have occurred as a result of their DNP educational experience. Four major themes that support the overarching theme are: (a) Broader Thinking and Work Focus; (b) New Knowledge and Interests; (c) New Opportunities; and, (d) "Doctor" Title an Asset. Conceptual categories under each major theme are described. Participants were overwhelmingly positive about the influences of their DNP education on their practice, but the role of the DNP graduate in knowledge translation has yet to be fully operationalized.

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3

Christianson-Silva, Paula Frances. "The Influence of Doctor of Nursing Practice Education on Nurse Practitioner Practice". Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556445.

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Abstract (sommario):

Nurse practitioners (NPs) have been undergoing a rapid transition in their entry-level degree, from Master of Science in Nursing (MSN) to Doctor of Nursing Practice (DNP). At this time, it is important to establish research evidence on the effects of doctoral education on NP practice. Therefore, a qualitative study of practicing NPs that have returned for the DNP degree was conducted. The purpose was to describe NPs' perceptions of their DNP education, and particularly its influence on their professionalism and patient care. A literature review and evidence synthesis process showed that the available body of research provides little insight into the question of how DNP education affects NP practice; therefore, qualitative description methodology was used to describe this phenomenon. The research questions that guided the study were: 1) What changes do practicing NPs describe about their clinical practice after the experience of completing a DNP?; and, 2) What are the NPs' perceptions of and concerns about the influences of their DNP educational experience on their clinical practice? Two published models and the DNP Essentials (AACN, 2006) informed and guided the data collection and analysis process. Purposive sampling and analyses continued concurrently until data saturation was achieved. Ten DNP prepared NPs were interviewed, and there was wide variation in the sample. The overarching theme Growth into DNP Practice summarizes the participants' perceptions of the changes that have occurred as a result of their DNP educational experience. Four major themes that support the overarching theme are: (a) Broader Thinking and Work Focus; (b) New Knowledge and Interests; (c) New Opportunities; and, (d) "Doctor" Title an Asset. Conceptual categories under each major theme are described. Participants were overwhelmingly positive about the influences of their DNP education on their practice, but the role of the DNP graduate in knowledge translation has yet to be fully operationalized.

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4

Chaplin, Clifford John. "What is best for the patient : the ethical experiences, reasoning and decision making of nurses". Thesis, King's College London (University of London), 2002. https://kclpure.kcl.ac.uk/portal/en/theses/what-is-best-for-the-patient--the-ethical-experiences-reasoning-and-decision-making-of-nurses(92467daf-7c72-4be3-8b5f-b0af491e8fac).html.

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5

Nied, Alice M. "New Nurse Residency - An Evidence Based Approach". UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/197.

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Nurse educators believe that their graduates are well-prepared for entry level positions in nursing. In the acute healthcare setting, new graduates are placed on virtually every type of nursing unit, including critical care. Employers have developed formal orientations to familiarize new graduate nurses new with the institution and its policies and procedures and to teach the things employers believe new RNs need to know but do not, either because they were never taught the material or they have not retained it. The purposes of this project were to (a) examine the evidence relative to a disconnect between nursing education and nursing practice, (b) design a formal residency program for new graduates based on the evidence, and (c) implement and evaluate the residency program. Based on the evidence, a 16-week new nurse residency was developed in which Residents were each assigned both a Preceptor and Mentor to assist their progress. Weekly educational offerings were targeted at specific competency deficits identified by Residents, Preceptors and Mentors at the beginning of the residency program. Seven out of the original 10 Residents completed the Residency. Pre-residency, the Residents were very confident of their clinical skills and abilities and this was unchanged post-residency. The Preceptors and Mentors were much less confident of the clinical skills and abilities of the Residents pre-residency. Post-residency, the confidence level of the Preceptors and Mentors was improved, but significantly so only for the Mentors. It is imperative that nursing administrators be aware of the discrepancy between the confidence new nurses have in their own skills and the perceptions of the nurses who work side by side with them on a daily basis. Residencies for new graduate nurses are costly. Nursing administrators must make the determination if the benefits outweigh the costs. They may find the results of not having a residency are far more costly.

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6

Navsa, Desiree Miriam. "An audit of diabetic care provided to patients conducted by a doctor-nurse team in a general practice". Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/25730.

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Introduction: I am a general practitioner in solo practice in Athlone. I work closely with a qualified nursing sister. Many of the patients we attend to have non-insulin dependent diabetes mellitus. Aim: To implement change in the management of our patients with diabetes by developing a protocol for future improved care. Objective: To assess the quality of care provided to patients with (NIDDM), by a doctor - nurse team in private general practice. Method : The study was quantitative and qualitative and consisted of 3 sections : 1) an internal audit based on the retrospective examination of patients' medical records, 2) a questionnaire which was administered to determine patients' knowledge of their disease and 3) a focus group interview which centred around patients' experience of the disease and feelings about the service provided. The interview was audio taped. Findings: Problem areas identified were sub-optimal record keeping; poor attendance and infrequent eye and foot examinations; patients' knowledge of their disease was limited; certain aspects of doctor-patient and patient-family relationships that may impact negatively on care; fears and anxieties relating to the disease and perceptions oflocus of control as external.

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7

Jones, Dolores C. "Nurse Practitioner Professional Autonomy: Relationship Between Structural Autonomy and Attitudinal Autonomy". UNF Digital Commons, 1998. http://digitalcommons.unf.edu/etd/149.

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The purpose of this study was to identify and describe the possible components of structural autonomy that influence Nurse Practitioners' (NPs) perceptions of independence in practice. The components identified were NP state regulatory practices, educational background, and managed care environment. The study explored the relationship between NP structural autonomy as it relates to the above components and attitudinal autonomy as it relates to perceptions of independence in practice. A conceptual framework derived from a review of the literature demonstrated the possible relationships. The investigator employed a mail survey to collect data from certified NPs in six eastern and mid-eastern states. Current state regulations regarding advanced nursing practice were used to establish current state practice scores. The Nursing Autonomy Scale (Pankratz & Pankratz, 1974), the Index of Work Satisfaction (Stamps & Piedmonte, 1986), and the Professional Inventory (Hall, 1974) measured perceptions of autonomy. Additional information was collected to determine the NP demographic background, educational background, practice setting and managed care circumstances. Of 300 surveys mailed, 227 participants responded. Data analysis included correlation analysis, t-tests, analysis of variance, and multiple regression procedures. Demographic information was summarized with descriptive statistics. The major findings of the study were: (1) State regulatory guidelines do not affect perceptions of autonomy as measured on the scales used. (2) Preceptor experience during NP education does not affect perceptions of autonomy as measured on the scales used. (3) Pharmacology preparedness does not affect perceptions of autonomy as measured on the scales used. (4) Managed care circumstances do not affect autonomy as measured on the scales used. It was concluded that structural autonomy is a more complex and multi-dimensional experience than originally hypothesized. Many additional factors must be taken into consideration when exploring NPs' perceptions of autonomy. It may be that most NPs are practicing in an independent, yet collaborative role, which provides opportunity for autonomy. The investigator also concluded that NP educational programs do not adequately prepare NPs for independent prescriptive authority. Variables related to NP autonomy were not determined in the study, yet it is evident that NPs' perceptions of autonomy are affected by many variables. Further study is needed to ascertain these variables.

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8

Lindholm, Emilia, e Madelene Händelsson. "Samtalen som påverkar patientsäkerheten". Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39931.

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Sammanfattning Bakgrund: Allt fler vårdtagare drabbas av vårdskador i Sverige och förutom mänskligt lidande innebär detta stora kostnader för samhället. Orsakerna till varför vårdskadorna ökar är delvis klarlagda. Brister i den muntliga kommunikationen mellan vårdpersonal anges vara en av orsakerna. Dessa brister kan bero på olika omständigheter som påverkar patientsäkerheten negativt. Syfte: Att beskriva vad som påverkar den muntliga kommunikationen mellan vårdpersonal i relation till säker vård. Metod: Litteraturöversikten bygger på tio vetenskapliga artiklar med kvalitativ ansats. Materialet analyserades med hjälp av Fribergs femstegsmodell. Induktiv ansats användes som grund för arbetet. Resultat: Tre huvudteman identifierades: Brist på struktur, Sociala strukturer och Arbetsmiljöfaktorer, samt sex subteman. Resultatet visar hur olika faktorer påverkar kommunikationen mellan vårdpersonal och vad det har för betydelse för möjligheten att erbjuda säker vård. Slutsats: Litteraturöversikten ger ökad kunskap om vad kommunikationen har för betydelse i det dagliga arbetet inom hälso- och sjukvården och på vilket sätt vårdpersonal kan kommunicera med adekvat innehåll för att uppnå en säkrare vård.
Summary Title: The conversations that affect patient safety Background: An increasing number of healthcare providers suffer from healthcare in Sweden, and in addition to human suffering, this implies major costs for society. The causes of why healthcare is increasing is partly clarified. Deficiencies in the oral communication between healthcare professionals are mentioned as one of the reasons. These deficiencies may be due to different circumstances that affect patient safety negatively. Aim: To describe what affects the oral communication between healthcare professionals in relation to safe care. Method: The literature review is based on ten scientific articles with a qualitative approach. The material was analyzed using Friberg's five-step model. Inductive approach was used as a basis for the work. Result: Three main themes were identified: Lack of structure, Social structures and Labor environment factors, as well as six subthemes. The result shows how different factors affect communication between healthcare professionals and what it matters to the possibility of offering safe care. Conclusion: The literature review provides increased knowledge of what communication is important in the day-to-day work in health care and how healthcare professionals can communicate with adequate content to achieve more secure healthcare.

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9

Fridrichovská, Iveta. "Stresogenní faktory ve zdravotnickém lůžkovém zařízení". Master's thesis, Vysoká škola ekonomická v Praze, 2012. http://www.nusl.cz/ntk/nusl-197221.

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This thesis deals with work-related stress and stressors of medical staff, doctors and nurses. The aim is to expound this issue and to determine the level of stressors influencing the medical staff in given hospitals. As first in the theoretical section, the characteristics and specifics of medical profession are described, thereafter personality traits supposed for this profession. The second chapter describes stress, which medical staff is burdened with, and concrete typical stressors as well. The third chapter concerns burnout syndrome, which is a possible consequence of long-acting stress. The fourth and last chapter is devoted to the prevention and coping of stress and burnout. The practical section presents the evaluation of the survey concerning effect of stressors on the medical staff of four selected hospitals. According to the ascertained results are outlined measures for improving the situation and preventing acting stressors.

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10

Newlands, Jillian. "Neither invisible nor forgotten : the nurse's story : the life and times of Myra Blanch, first flying nurse of the Royal Flying Doctor Service, 1945-1954". Phd thesis, School of Public Health, 2003. http://hdl.handle.net/2123/8212.

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11

O'Rourke, Nancy C. "Orchestrated Synergism: The Nurse-Leader as Facilitator in Collaborative Caring". UNF Digital Commons, 2000. http://digitalcommons.unf.edu/etd/292.

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Little is known of the way that nurses' roles have evolved within a hospital setting in which efficient and affective interventions include caring for sicker patients. The emergence of the Patient Care Coordinator (PCC) is one role that nursing developed to participate in an interdisciplinary collaborative team approach to caring for sicker patients. This qualitative study examined the exemplary role of eleven PCCs who practice in a regional nonprofit medical center. Research methodologies included interview, non-participant observation, and analysis of historical data. Interview questions were developed from the literature review on collaboration, caring, expertise, communication, and knowing the patient. Cognitive mapping comprised the initial organization of data. Grounded theory (Strauss, 1987), connoisseurship, and educational criticism (Eisner, 1991) comprised the design for further analysis. The results comprised the attributes of caring from a team perspective. This study helps demonstrate how caring for patients with complex acute and chronic health needs involves many attributes that are included in five themes: agility, confidence, leadership, quality, and stewardship. Further development of these themes may affect the ways that educational leaders explore the learning needs of nurses within academic and professional development opportunities.

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12

Holman, Helen M. "Effects of Community of Practice and Knowledge Translation Strategies on Nurse Practitioners' Knowledge and Practice Behavior". UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/231.

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Background: Emerging evidence suggests that interactive CE activities will have the most effect in terms of knowledge and practice. Using technology to provide interactivity via computer-based applications is as effective an educational strategy as traditional education formats. Methods: A randomized controlled trial was conducted to test the effectiveness and satisfaction of educational activities provided within an online community of practice(CoP) on nurse practitioner (NP) knowledge and practice behavior. The online interactive website combined certified continuing education, professional forum, Ask-the-Experts, national guideline links, patient education tools, and professional resources. A Two-Group Control Group design was used. Study participants were assessed on knowledge and practice behavior prior to and after the six month study. Results: A sample of 66 NPs was randomly assigned to an online education only control group (n=33) or a CoP group (n=33). NPs in both groups had similar pretest knowledge assessment scores: 46% (control) vs. 49% (CoP), and pretest clinical vignette scores: 51%(control) vs. 57% (CoP). After the intervention, there was no significant increase in the posttest scores of the CoP group at 6 months compared with the posttest scores of the control group (knowledge assessment: 67% vs. 60%, p =.17; clinical vignettes: 67% vs. 74%, p =.28). Conclusions: The pilot test did not demonstrate that the intervention (CoP access) had a more positive effect on knowledge or clinical performance than access to online CE activities alone. It did however confirm the effectiveness of online education in improving knowledge.

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13

Andriūnaitė, Justina. "Šeimos gydytojų ir bendruomenės slaugytojų bendradarbiavimo su šeima, auginančia vaiką su Dauno sindromu, patirtis". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130618_134331-23616.

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Šeimos gydytojai ir bendruomenės slaugytojai bendradarbiaudami su šeimomis, kuriose auga vaikai su Dauno sindromu, savo praktikoje susiduria su pakankamai sudėtingomis situacijomis, kuomet tenka pasirūpinti ne tik vaiko su negalia poreikiais, bet taip pat ir visa šeima. Gimus vaikui su negalia, kai šeima yra pasimetusi ir išgyvena sunkų laikotarpį savo gyvenime, tenka į tai jautriau atsižvelgti ir stengtis jiems padėti prisitaikyti prie naujų gyvenimo sąlygų, nes nėra geresnio būdo padėti vaikui, kaip stiprinti tėvų galimybes tai padaryti jiems patiems. Specialistų bendradarbiavimas su šeima, padedant susiorientuoti pagalbos sistemoje ir atrasti tinkmiausius pagalbos būdus, yra pagrindas siekiant visapusiškos gerovės vaikui bei abipusio pasitenkinimo teikiamų paslaugų kokybe.
Family doctors and community nurses, collaborating with families raising children with Down syndrome, encounter quite complicated situations in practice, when they must take care not only for the needs of the disabled child, but for the whole family as well. After the birth of a child with a disability, when the family is confused and experiencing difficult period, there appears a great need of external sensitivity and assistance for the family to adapt to new conditions of its life, because there is no better way to help the child, as to enhance parents’ ability to do it by themselves. Professionals’ collaboration with the family, by helping to orientate in the support system and to find the most suitable ways of support, is the basis for a comprehensive welfare of the child and for mutual satisfaction with quality of services provided.

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14

Harrison, Debra A. "Outcome Comparison of an Evidence-Based Nurse Residency Program to Other Orientation Models". UNF Digital Commons, 2012. http://digitalcommons.unf.edu/etd/410.

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The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP). NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur continuously over a 12-month period designed to assist NLRNs as they transition into their first professional nursing role. This cross-sectional, descriptive study utilized the Casey-Fink Graduate Nurse Experience Survey and intent to stay questions to collect data on NLRNs at one year post hire. Results indicated no statistically significant differences between the three sites and the subscales of the survey. There was a trend of a more positive score for professional satisfaction with Site A. Turnover was also similar between sites and lower than the reported 10% average, with Site A at 2%, Site B at 5%, and Site C at 4%. There was a statistically significant difference between Site A and C in the intent to stay in their current position, with Site A longer than Site C. The study supports the literature and evidence that a NRP is an effective strategy to decrease first year turnover. Further study is needed related to the effectiveness of the components of the NRP, length of time for mentorship, and the impact of accumulation of cohorts.

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15

Drummond-Huth, Barbara. "The Effect of Leadership Skill-Building on Nurse Leader Behaviors". UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/311.

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Patient outcome data are an important factor in healthcare. Reports by the Institute of Medicine between 1999 and 2001, as well as recent research by Linda Aiken and her colleagues have added more emphasis to measures that can be taken to improve patient outcomes. Because of the role they play in healthcare facilities, nurse leaders are in a position to take the lead in improving patient outcomes. There is evidence to suggest that nurse leaders' transformational leadership behaviors are associated with positive patient outcomes. The purpose of this project was to identify the effect of transformational leadership skill-building training on nurse leaders' behavior in the acute care setting. The project included assessments of nine nurse leaders by those nurses which are supervised by the nurse leaders. The results indicated the nurse leaders' behavior score of 3.1 was in the transformational range (3.0-3.75.) Transformational leadership skill-building training followed the assessment process. A post training evaluation by the previous assessors followed the training. The distribution of the transformational leadership behavior scores did not change following the training.

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Hunter, Linda Rhea. "Use of the Nurse Entrance Test and Other Factors as Predictors of Academic Success of Nursing Students". UNF Digital Commons, 1995. http://digitalcommons.unf.edu/etd/250.

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Attrition from schools of nursing continues to affect almost one third of students enrolled. Attrition is costly financially and personally to the student, to the educational institution, the health care consumer and the profession. The purpose of this study was to identify variables measurable at time of admission which might alone or together be predictive of successful persistence until graduation from a nursing program. The variables included cognitive and noncognitive characteristics measured by the Nurse Entrance Test (NET) as well as demographic and other academic achievement measurements. A convenience sample of associate degree nursing students admitted into two successive classes of a large, urban community college was used. Two hundred sixty seven students participated, with successful students defined as those who succeeded in each course of the program and continued in enrollment in an uninterrupted fashion until graduation. Cognitive factors included preadmission grade point average (GPA), California Achievement Test score, and measurements on the Nurse Entrance Test (NET) for Math Skills, Reading Comprehension and Rate, Testtaking Skill and Preferred Learning Style. Noncognitive factors were NET self-perceived scores on five areas of Life Stress and a Social Interaction Profile of passive and aggressive styles. Demographics were age, gender and race. Using univariate analysis of variance and discriminant analysis, the same six characteristics were found to be significantly different between the groups of successful and nonsuccessful students and predictive of success or nonsuccess: Reading Comprehension, preadmission GPA, age and stress in three areas -academic, family and social. When a discriminant analysis using a stepwise inclusion procedure was performed, these six were included among the ten variables found together to be useful in a prediction equation. Added to these six were Testtaking Skill, Money Stress, Social Interaction Profile and gender. By measurements in all types of analyses used, Academic Stress and Reading Comprehension were consistently the strongest of the predictors of group membership. Group membership was successfully predicted in 74.33% of the cases when the reduced set of ten variables was used. Findings from this research could be used as a basis for developing a risk profile for students either for use in making admission decisions or for identifying students at risk for nonsuccess. Nursing educators should become alert to the finding that the students in this study were at risk for failure because of noncognitive as well as because of cognitive characteristics. Future research could focus on the multifactorial influences in a student's life which affect success. Research could focus also on the examination, implementation and evaluation of intervention strategies designed to increase retention and improve academic performance.

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17

Yahuza, Jibril. "Communication in the Healthcare Organization: The Perceived use of Rhetoric among Healthcare Professionals". Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32404.

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The study of communication was born with the study of rhetoric, and scholars have been examining the creation and reception of messages for thousands of years. However, the term rhetoric often has negative connotations, as we hear people label some statement as “just rhetoric” or we hear them say, “The action doesn't match the rhetoric.” However, rhetoric is a style of communication that takes into account the effective use of both verbal and non-verbal languages, and it is one of the main ingredients in the day to day communication in organizations, healthcare organizations being no exception. It is virtually impossible to communicate without the use of rhetoric. This study focused on healthcare organizations because the delivery of healthcare is built on communication, and there is more to understand about the usage of language and organizational rhetoric in healthcare organizations. To these effects, the study examined communication in healthcare organizations and the perceived use of rhetoric among healthcare professionals; it explored how healthcare professionals perceive communication with their audiences, how the use of rhetoric, as perceived by healthcare professionals, affects communication in healthcare organizations and the contribution of rhetoric, as perceived by healthcare professionals, in motivating healthcare audience in healthcare organizations. The five canons of rhetoric were employed as a theoretical framework, and semi-structured interviews were used as tools for data collection. While contributing to existing literature on health and organizational communication, this study will also contribute in providing both government and private organizations insights into the use of rhetoric in professional communication with the hope of enhancing the quality of communication in the workplace.

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Tichý, Ondřej. "Počítačová gramotnost a komunikace ve zdravotnickém zařízení". Master's thesis, Vysoká škola ekonomická v Praze, 2017. http://www.nusl.cz/ntk/nusl-359282.

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The diploma thesis is focused on the analysis of the level of computer literacy in the EUC Premium medical facility for doctors and nurses. The introduction introduces the definitions of computer and information literacy and their development. The next part is focused on the research of computer literacy of the employees of EUC Premium. Research is based on two methods - ethnographic research and questionnaire research. Based on ethnographic research, it was found that the level of computer literacy in this company was not too high, as confirmed by the questionnaire survey. Research issues have been identified that have shown that the company's smooth running can not be without the physical participation of IT support to solve the problem. Research results show authors recommendations for company leadership that can help increase computer literacy in the target organization.

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Raines, Diane Smith. "The Impact of the Clinical Nurse Leader/Navigator on Clinical Outcomes and Patient Satisfaction". UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/479.

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In an era of value based purchasing and healthcare reform, hospitals face the challenge of delivering high quality care in an environment of diminishing resources. This performance improvement project describes the use of master’s prepared nurses on medical surgical units to improve quality and patient satisfaction. The setting was five medical surgical units in a 200+ bed hospital in the southeastern United States. Declining resources necessitated an increase in the nurse to patient ratios on the units (from 5:1 to 6:1). The project involved the modification of the model of care through the change in nurse/patient ratios and the addition of master’s prepared nurses to coordinate and supplement the care of the staff RNs for complex patients. While inconclusive, the literature review confirmed the impact of master’s prepared nurses on quality metrics and did not conclusively confirm that delivering high quality, safe care was not possible with nurse/patient ratios of 1:6. The goal of the project was to determine if the presence of the master’s prepared nurse could mitigate the changes in ratios and produce high quality and satisfaction outcomes. Measures of success were drawn from archived standardized quality measures in the realms of service (HCAHPS questions), patient safety (CABSI, HAPU) and quality outcomes (core measures and 30 day readmissions). The project design was a retrospective, one-group pre-post design looking at two six-month intervals—before and after project implementation. Results demonstrated sustained or improved quality in six of ten measures. Highest positive impact was in readmissions and nurse sensitive indicators. The most negative results were in patient satisfaction. Modifying the model of care is an iterative process requiring continued evaluation and changes to improve outcomes. Results of this project supported the further evaluation of staffing and expansion of the number of master’s prepared nurses on medical surgical units.

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20

Petersson, Anna. "Personer som är hemlösa och missbrukar: Så blir vi behandlade i sjukvården". Thesis, Ersta Sköndal högskola, Institutionen för socialt arbete, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1811.

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Syftet med den här uppsatsen har varit att undersöka hur personer som är hemlösa och missbrukar blir behandlade i sjukvården. Hur tycker de att de har blivit bemötta och har de fått den hjälp de har efterfrågat? Utifrån detta resultat har jag tittat på vilka förutsättningar vården har att utveckla en bra behandling och bemötande. Jag har intervjuat 25 hemlösa personer med kvalitativ metod. Den innebär att alla har fått samma frågor så att svaren går att jämföra. Samtidigt har det funnits utrymme för egna reflektioner och berättelser. De flesta menar att de blir både bra och dåligt behandlade, men att de sällan får den hjälp de efterfrågar. Inom vården har enskilda sköterskor och läkare fått beröm för sina insatser, men flera intervjupersoner vittnar om att personalen har ont om tid och missar allvarliga diagnoser. Över 80 procent anser att hemlösa och missbrukare behandlas sämre som grupp. Intervjupersonerna berättar om missade diagnoser, att de hamnar efter i kön på akuten och att de får höra nedsättande kommentarer på sjukhusen. De menar att utseende, dagsform och social status spelar in i bemötandet. Utifrån dessa svar har jag intervjuat experter på vård av hemlösa personer och missbrukare. Experterna bekräftar personernas berättelser. De säger att bristerna i bemötande och hjälp kan bero på att personalen har ont om tid och kan för lite om målgruppen. Jag har jämfört resultatet med stämplingsteorin och organisationsteorin. Stämplingsteorin visar att det ofta uppstår en motsättning mellan de som känner sig som avvikare och det etablerade samhället. Organisationsteorin visar att det byggs upp en intern gruppkultur i slutna organisationer som sjukhus och att det sättet att jobba ibland krockar med verkligheten. Den tidigare forskningen visar att det finns mycket att förbättra när det gäller hemlösa personers möte med vården: Överdödligheten är två till sex gånger högre i gruppen. Många dör i behandlingsbara sjukdomar som lunginflammation. Forskningen bekräftar också personernas ovilja att gå till läkare. Till sist visar forskningen att man kan uppnå betydligt bättre resultat i sjukvården genom andra sätt att jobba.

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21

Andersson, Sven-Olof. "Time and general practice consultations : aspects of length, attendance and quality". Doctoral thesis, Umeå universitet, Allmänmedicin, 1995. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100583.

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The consultation is the GP’s form of work. How long a consultation should be, and what short/long consultations imply with regard to the satisfaction of patient and doctor has been much debated. The aim of this thesis was to study consultations with regard to content and time consumption in a short term and long term perspective. Three studies were carried out. 1. Consultations with the members of a group of GPs were investigated, where patients and doctors separately assessed different aspects of the consultation, and their ratings were related to the real length of the consultations. The following questions were posed: Was there time enough? Could the patient tell the doctor about her/his problems? Were the problems physical or psychological? 2. Nurses at the primary care health centres were interviewed about their considerations in booking short or long appointments for the patients. 3. Patients who frequently attended one health centre during one year and consumed much time were studied. Quantitative and qualitative methods were used. The results of the first study (Papers I-III) show that the average length of the consultations was 21 minutes; there was considerable variation (ranging from 3 to 60 minutes). (About 600 consultations with 7 male doctors were registered in two batches). The doctors’ mean consultation length also varied widely, from 13-28 minutes. Consultations dealing with psychological problems were longer than those dealing with physical problems. Older patients had longer consultations than younger patients, and female patients had somewhat longer consultations than male patients. The patients were generally more satisfied with the consultations than the doctors were, and there were no clear affinities between long consultations and high satisfaction. Male patients and patients with physical problems mainly received short consultations, whereas patients with ”mixed" problems and older patients received long consultations. The single factors most decisive for the length of a consultation were ‘the doctor factor’, the character of the problem and the age of the patient. "Good” consultations (operational definition) were associated primarily with ‘the doctor factor’, and the real length of the consultations was less important. The interviews with ten experienced primary care nurses (Paper IV) showed that the nurses worked in two perspectives: in the ”immediate” perspective, appointments were booked according to rules which directly impacted the length of the visit, and in the "reflective" perspective, appointments were booked with a view to the quality of the work at the health centre and the long-term time consumption. Other factors of importance were the patient’s age and problem(s), the doctor’s experience and working style, and the current situation at the health centre. Frequent attenders (FAs) at one health centre (Paper V) were compared with a contrast group of matched patients (CPs). The FAs represented 1.7% of the population of the catchment area and made 15% of the visits. The FAs were a heterogeneous group where small boys, women of working age and pensioners of both sexes were overrepresented. The FAs had higher consultation frequency than the CPs during the year of investigation, but few remained FAs for longer periods. The FAs had more problems and more complex problems than the CPs. Complaints regarding the musculo-skeletal organs, and psychosocial problems were common among these patients, often in combination. The present work thus shows that longer consultations do not naturally imply higher patient satisfaction. Other factors than the time factor, in particular ‘the doctor factor’ seem to be more important. ‘The doctor factor’, the characteristics of the patients, the type of problem and the situation at the health centre also have a bearing on consultation length and time consumption in a short-term as well as long-term perspective. The implications of these factors and their relative importance are discussed, but further studies of certain issues, such as ‘the doctor factor’, are necessary.

Diss. (sammanfattning) Umeå : Umeå universitet, 1995, härtill 5 uppsatser.

digitalisering@umu

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22

Clendon, Jillian Margaret. "Motherhood and the 'Plunket Book' : a social history : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University, Auckland, New Zealand". Massey University, 2009. http://hdl.handle.net/10179/826.

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The Well Child/Tamariki Ora Health Book (the Plunket book) is a small booklet given to New Zealand mothers on the birth of a child. It has been used by nurses as a tool to record growth and development from birth to five years since the 1920s. Although use of the book decreases over time, it is frequently kept within the family and handed on from mother to child. Utilising an oral history approach, this study has traced the development of the Plunket book over time and explored the experiences of a group of 34 women and one man who have reflected on their ownership of, or involvement with, Plunket books. The study found that the Plunket book remains an effective clinical tool for mothers and nurses. Mothers have used the book as a tool to link past with present, to maintain kinship ties across generations, to deal with change intergenerationally, and in a manner that contributes to their self-identity as woman and mother. Although mothers were able to use the book to affirm their own knowledge and that of their mothers, a medically dominated discourse persists in the book. The book has also played a role in facilitating the interaction between mother and nurse, providing an opportunity to explore the relationship in detail. The study found that the most successful relationships at any time were those that bordered the division between a professional relationship and a personal one: it was not the information that nurses offered but the interaction and resulting care they provided that was important to the mothers in the study. The study recommends that nurses and other health professionals continue to use the Plunket book as a clinical tool mindful of the fact that the book remains in use beyond the health professional’s immediate involvement with the mother and child, playing an important role in the context of the New Zealand family across generations. Future versions of the book should contain written reference to the strengths and abilities the mother holds as she cares for her child, reaffirming her role and identity as mother not only when her children are younger but as they grow and become parents themselves.

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23

Lövqvist, Ulrika, e Anna Svensson. "Upplevelse av teamarbete vid vård av patienter i prehospital miljö. : En intervjustudie med sjuksköterskor från ambulansverksamheten och sjuksköterska/läkare från ambulanshelikopter". Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-39239.

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Introduktion: I den moderna prehospitala akutsjukvården kan ambulansens och ambulanshelikopterns samverkan ha stor betydelse för den svårt skadade eller sjuka patienten. Syfte: Syftet med studien var att undersöka vad sjuksköterskor inom ambulansen och sjuksköterska/läkare från helikoptern/akutbilen upplevde kunde påverka teamarbetet i den prehospitala miljön. Metod: En kvalitativ deskriptiv innehållsanalys med semistrukturerade intervjuer användes. 10 informanter från ett län i mellansverige inkluderades, fem kvinnor och fem män. Urvalet bestod i att informanterna skulle ha varit verksamma inom ambulansverksamheten i minst ett år samt ha erfarenhet av det prehospital samarbetet mellan ambulans och ambulanshelikopter. Intervjuerna spelades in, transkriberades till text och analyserades. Resultat: Studiens resultat presenterades i två teman med sju underkategorier. De två temana var: Ett dynamiskt teamarbete påverkas av tydliga roller och ett kontinuerligt förbättringsarbete och Teamarbete och kommunikation mellan kompetenserna i teamet. Konklusion: De olika rollerna vid teamarbetet har blivit tydligare med tiden och teamarbetet upplevdes ha blivit bättre med tiden. Hospitering och tid till övning beskrevs kunna optimera teamarbetet. Informanterna upplevde sig delaktiga i vården. Den prehospitala erfarenheten och bristen på den var av betydelse vid samverkan mellan enheterna.
Introduction: In the modern prehospital emergency care, ambulance and ambulance-helicopter's interactions play an important role for the severely injured or sick patients. Aim: The aim of the study is to examine what nurses in ambulance and nurse/doctor from the helicopter/emergency car experienced could affect the team work in the prehospital environment. Method: A qualitative descriptive content analysis of semi-structured interviews were used. 10 pieces of informants from a province in central Sweden were included five women and five men. The sample consisted of informants would have been active in the ambulance business for at least 1 year and have experience in the full spectrum of cooperation between ambulance and ambulance helicopter. The interviews were recorded, transcribed to text and analyzed. Results: The results of the study were presented in two themes with seven subcategories. The two themes were: A dynamic teamwork are influenced by clear roles and a continuous improvement and Team work and communication between the competencies of the team. Conclusion: The different roles in the cooperation has become clearer with time and team work was perceived to have become better with time. Site visits and time to exercise described to optimize teamwork. The informants perceived themselves involved in care. The prehospital experience and the lack of it was of importance to cooperation between units.

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Novak, Kevin Oliver. "Patients and Nurses and Doctors Oh My!: Nurse Retention from a Multi-Foci Aggression Perspective". PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/4013.

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Attrition is a serious issue in the nursing industry. One factor influencing rates of attrition in nursing is aggression victimization at work (Estryn-Behar et al., 2010). However, there is little research in the aggression literature that examines how aggression from different sources affects attrition (both job and career turnover) differently. This study attempts to better understand the linkages between aggression victimization and nursing attrition; specifically how aggression from different sources (i.e. patients/patients’ families, coworkers, and licensed independent practitioners) differentially affects retention factors (i.e. job satisfaction, turnover intentions, and career commitment). This study also attempts to understand the role that prosocial motivation may have in buffering against negative work attitudes brought about by patient aggression victimization. A two time point cross-sectional survey design was conducted in a hospital organization in the state of Oregon. The data presented here are part of an archival examination of that larger dataset that uses 337 voluntary nursing participants. Findings partially support the idea that different sources of aggression differentially affect retention outcomes like job satisfaction, turnover intentions, and career commitment. Some limitations and contributions of the study are also discussed.

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Golubevienė, Danutė. "Gydytojų, slaugytojų ir pacientų požiūris į slaugytoją". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.113701-18822.

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Darbo tikslas – Ištirti Viešosios Įstaigos Kauno Centro poliklinikos gydytojų, slaugytojų ir pacientų požiūrį į slaugytojos profesiją. Darbo uždaviniai: 1. Palyginti gydytojo, slaugytojo ir paciento požiūrį į slaugytojos profesiją. 2. Palyginti medicinos normose apibrėžtas slaugytojų funkcijas su gydytojų, slaugytojų ir pacientų požiūriu į slaugytojų atliekamas funkcijas. 3. Įvertinti slaugytojų pasitenkinimą darbu ir jo sąsajas su požiūriu į slaugytojos profesiją. Tyrimo metodika. Tyrimo metu buvo atlikta gydytojų, slaugytojų ir pacientų anoniminė anketinė apklausa. Gydytojų atsako dažnis 71 proc. ( N- 98), slaugytojų atsako dažnis 87 proc. (N-95) ir pacientų atsako dažnis 72proc. (N-420). Respondentų atsakymų įvertinimui buvo naudota 7 balų Likert skalė, kur: 1- visiškai nesutinku /niekada / visiškai nesvarbus / /labai blogai, o 7 – visiškai sutinku / visada /labai svarbus/ labai gerai. Duomenys buvo apdorojami naudojant statistinį duomenų analizės paketą SPSS 9.0. Duomenų analizei taikytos statistinės procedūros: chi kvadrato (χ2) kriterijus , Z – kriterijus ir 95proc. pasikliautinieji intervalai (PI), Kruskalio-Volison kriterijus ir 95proc. pasikliautinieji intervalai (PI), Spearmano koreliacijos koeficientas. Rezultatai ir išvados: 1. Nors slaugytojos vaidmuo teikiant pacientams paslaugas buvo įvertintas kaip svarbus, bet tiek gydytojų, tiek pacientų, tiek slaugytojų tarpe vyrauja požiūris į slaugytoją, kaip į gydytojo padėjėją. Gydytojai... [toliau žr. visą tekstą]
The aim of the Study – To investigate doctors’, nurses’ and patients’ attitude towards nursing specialists at Public Enterprise Kaunas Centre Outpatient Clinic. The tasks of the Study: 1. To compare doctors’, nurses’ and patients’ attitude towards nursing specialists. 2. To compare nursing functions specified in Medical Regulations with the doctors’, nurses’ and patients’ attitude towards nursing specialists. 3. To evaluate nurses’ satisfaction with their work and its link with nursing profession. Methods of the research. An anonymous inquiry of the doctors, nurses and patients using questionnaires has been applied during the research. Doctors’ response rate 71 % ( N- 98), nurses’ response rate 87 % (N-95) and patients’ response rate 72% (N-420). To evaluate the replies of the respondents, the 7-point Likert scale has been employed, where: 1- totally disagree /never/absolutely unimportant/very bad, and 7 – totally agree/always/extremely important/ very well. The data obtained have been processed using SPSS 9.0 statistical software package. The following statistical procedures have been applied to the data analysis: chi square (χ2) criterion, Z – criterion and 95% reliance intervals (RI), Kruskal-Wallis criterion and 95% reliance intervals (RI), Spearman’s coefficient of correlation. Results and conclusions: 1. Although the role of a nursing specialist during service provision to the patients has been assessed as an important one, the prevailing approach among... [to full text]

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26

Nylén, Sofie, e Katrine Ripel. "LÄKARE OCH UNDERSKÖTERSKORS SYN PÅ VAD SOM INNEFATTAS I SJUKSKÖTERSKANS KOMPETENSOMRÅDE ARBETSLEDNING AV OMVÅRDNADSARBETET". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25132.

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Kompetensområdet sjuksköterskans arbetsledning av omvårdnadsarbetet är ett tämligen outforskat ämne. Mer kunskap om läkare- och undersköterskors syn på vad som innefattas i sjuksköterskans arbetsledning skulle kunna bidra till ett bättre samarbete som på sikt kan gynna omvårdnadsarbetets utveckling och därigenom även patienten. Syftet med studien är att få ökad kunskap om läkare och underskö-terskors syn på vad som innefattas i kompetensområdet sjuksköterskans arbets-ledning av omvårdnadsarbetet. Metoden som användes var en empirisk intervju-undersökning där urvalet bestod utav fyra läkare och fyra undersköterskor. Mate-rialet analyserades med innehållsanalys, inspirerad av Burnard (1991). Resultatet utmynnade i följande huvudkategorier: Överblick, samarbete och yttersta om-vårdnadsansvaret. Resultatet visade att det som informanterna ansåg innefattas i sjuksköterskans kompetensområde arbetsledning av omvårdnadsarbetet i stor ut-sträckning stämde överens med uppgifter som benämns under huvudområdet ar-betsledning i Socialstyrelsens kompetensbeskrivning för legitimerad sjuksköterska (2005) men att rollen som arbetsledare av omvårdnadsarbetet inte var självklar och erkänd av alla informanterna.
Leadership in nursing is a relatively unexplored area of research. Further knowl-edge about doctors and staff nurses’ views on what is included in this area could gain development in nursing and thereby the qualities of patient care. The aim of this study is to gain further knowledge about doctors and assistant nurses’ views on what is included in the area of leadership in nursing. The method used was semi-structured interview. The selection of informants was four doctors and four assistant nurses. The analysis method was thematic content analysis inspired by Burnard (1991). The analysis resulted in the following main categories: General view, ability of cooperation and main responsibility. The result showed that doc-tors- and assistant nurses' views on what was included in the area of leadership in nursing to a large extent was congruent to job assignments written in The National Board of Health and Welfare’s competence description for registered nurses. However, the leadership role of nursing was not obvious and acknowledged by all the informants.

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Broberg, Teresia, e Camilla Larsson. "Läkare och läkarstudenters inställning till att skriva ut Fysisk aktivitet på recept (FaR®) : Utifrån ett interprofessionellt perspektiv". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-294879.

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Background: Poor health costs the Swedish society billions a year and affects every individual who lives with poor health. By a close collaboration between medical doctors, nurses and other health professions there are good opportunities to work with health promotion and for the individual patient’s health. One way to work with health promotion in health care is to work with Physical activity on referral, FaR®. Physical activity on referral was created to improve the health among the Swedish population and has been effective against diseases like cardiovascular disease and diabetes. Research has been done on which professional groups that makes the most prescriptions of Physical activity on referral and why patients don’t follow them. Objective: The aim of the study was to investigate the frequency of and the attitude toward prescribing Physical activity on referral, among medical doctors and medical students and to investigate if there were any differences between genders. Method: A web survey was designed and sent to 45 medical doctors at Akademiska Sjukhuset in Uppsala and to 286 medical students in semester 7-9 at Uppsala University. Results: The majority of the participants thought that physical activity had an important role in health promotion and knew about Physical activity on referral. Even though few of the participants had made a prescription of Physical activity on referral, the majority thought that it was an important part in the work with health promotion. The participants thought that more education in Physical activity on referral was needed. The participants prioritized to prescribe Physical activity on referral to patients at risk to get cardiovascular diseases, while patients who were less physical active than the recommendations of Livsmedelsverket got the lowest priority. Conclusion: Physical activity on referral was created to increase physical activity among the Swedish population and to reduce the risk to get diseases that can be related to low physical activity. It is therefore alarming that the participants were less prioritizing patients who were less physical active than the recommendations of Livsmedelsverket when it comes to prescribing Physical activity on referral, than other patients. By medical doctors and nurses working as a team, preventive actions can be taken early and therefore the risk for the individuals to develop secondary diseases can be reduced.

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Smith, Bonnie Lee Barbara. "Expectations for the role of head nurse held by head nurses, nurses, directors of nursing, and doctors : a survey in four teaching hospitals". Thesis, McGill University, 1985. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=72038.

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Expectations and perceptions of expectations for the role of Head Nurse were investigated in four teaching hospitals of McGill University, Montreal, Canada. Head Nurses, nurses, Directors of Nursing, and doctors were respondents. The study examined three questions: What are the expectations held for the Head Nurse within groups? Are there differences in expectations held for the Head Nurse across groups? Are there differences between expectations of nurses and doctors for the Head Nurse, and Head Nurse perceptions of expectations of nurses and doctors?
Factor analysis was performed on responses of Head Nurses, nurses, and doctors separately. Expectations within groups were determined by frequencies, means, and standard deviations. Differences in expectations between groups were tested by chi-squares.
Conceptualizations of the Head Nurse as manager, clinician, patient care co-ordinator, and teacher were supported. Five factors, identified as doctor's helper, clinical leader, communication link, determiner of quality of care, and manager, accounted for 67 to 82% of variance in all groups. All groups agreed that the Head Nurse should be a determiner of quality of care given. Significant differences in expectations between groups were found in regard to the Head Nurse as doctor's helper, and clinical leader, and in regard to other activities related to patients, staff, and the unit. Head Nurses tended to overestimate nurse expectations for the Head Nurse, and underestimate doctor expectations for the Head Nurse.

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Shuriquie, Mona. "The legitimate role of the medical-surgical staff nurse in Jordan : the views of patients, doctors and nurses". Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433226.

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Tsang, Alice Sau Mui. "The effect of organisational culture on leadership styles of nurse managers and job satisfaction of registered nurses". Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/36781/1/36781_Digitised%20Thesis.pdf.

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There is increasing interest to examine the leadership styles of ward managers following the introduction of hospital service reform in Hong Kong in 1991. The leadership effectiveness of ward managers reflects organisational characteristics and affects work satisfaction. This study explored the relationships among the organisational cultures of two Hospital Authority hospitals, the leadership behaviours of ward managers and the work satisfaction of qualified nurses. The data collection methods included a survey of ward managers (n=24) and qualified nurses (n=221), and in-depth interviews with the ward managers (n=26), their supervisors (n=8) (general managers of nursing (n=2) and department operations managers (n=6)) and their subordinates (qualified nurses (n=16)). The findings of the survey show that the two hospitals have weak constructive and predominantly defensive cultures. In the survey data, the ward managers perceive themselves to be less transformational and transactional in their behaviours than they are regarded by the qualified nurses. At interview, the ward managers reported using participative man_agement which accords with the expectations of the qualified nurses. The survey and interview data confirm that the qualified nurses' perceptions of the leadership behaviours of the ward managers are related to the training programmes they had followed and the educational preparation of the ward managers. The survey findings reveal differences in ward managers' and qualified nurses' levels of work satisfaction. The findings reported will serve as a baseline for the development of the organisational cultures of the hospitals, for improving the leadership of the ward managers, and for enhancing the work satisfaction of the qualified nurses. Change management strategies are proposed and directions for future research are suggested.

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Xu, Huan, e 徐幻. "Collaboration between doctors and nurses in two public hospitals in China". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/206692.

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Nurses and doctors have worked together to manage patients for a long time. Within the past decade, collaboration between doctors and nurses to provide improved health care has become commonplace especially, in hospitals. As and nurses differ in their professional goals – clinical care delivery and patient and advocacy – they face challenges in their work-related collaboration. Most instruments to measure doctor-nurse collaboration were developed for western healthcare institutions. As a result they were unlikely to be psychometrically or culturally oriented to a Chinese healthcare environment. The aim of this study was to develop a valid and reliable tool to test doctor-nurse collaboration in a Chinese healthcare setting and to assess collaboration in public hospitals in China. Two hospitals participated in the study, including 398 doctors and nurses. development included content validity through feedback from experts with international medical or nursing backgrounds to inform questionnaire refinement and reliability testing. Factor analysis was used for data reduction and factor structure and to confirm the factor structure of a previously validated instrument. Internal consistency and test-retest reliability were established. Summary descriptive statistics were calculated to compare the prevalence of levels of collaboration. Logistic and linear regression were used to identify factors contributing to work-place collaboration. 398 doctors and nurses participated. A 28-item questionnaire was developed and validated. Three factors (work related autonomy, work related skills and work related relationships) were identified. The high construct validity was determined for each factor and for the overall questionnaire. Overall Cronbach alpha was 0.83, by hospital 0.85 and 0.88 respectively; and by profession (doctors and nurses) 0.81 and 0.84 respectively. a profession nurses vs doctors and by location the general hospital vs the hospital were associated with more positive work-place collaboration scores. variables were included in the regression model explaining 56% of total variance collaboration scores. Doctor-nurse collaboration was negatively associated with working hours and number of patients under care. Finally, a negative relationship between doctor-nurse collaboration and depression was confirmed. In conclusion, the questionnaire “Work-related Collaboration among Doctors and Nurses Scale” had satisfactory validity and reliability. It has the potential to be a useful tool in evaluating doctor-nurse collaboration in public hospitals in China. The evaluation of both the clinical and cost effectiveness of strategies to improve effective inter-professional education and inter-professional work environments for doctors and nurses is needed to confirm these findings and to add to the evidence of the impact of collaboration on work efficiency, conflict management and avoidance, and unnecessary waste. Fostering collaborative relationships has the potential to decrease workplace stress and depression symptoms and perhaps thereby improve productivity and efficiency.
published_or_final_version
Public Health
Master
Master of Philosophy

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Blue, Ian A. "The professional working relationship of rural nurses and doctors : four South Australian case studies". Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb6582.pdf.

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De, Nobrega Nicia. "Interactional accomplishments between nurses and doctors in a medical context". Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10398.

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Includes bibliographical references
The use of language is significant in co-constructing reality. This highlights the way that speakers relate to each other through talk with the available discursive positionings in a specific context. An institutional context with particular asymmetrical relations introduces how the construction of reality is an area accessible to explore the use of language in maintaining and creating power relations. This research study explores institutional talk through conversation analysis. The focus is on asymmetrical working relations in medical settings. This considers the implications on individuals with a differentiating status with how power is managed in conversations. Nurses and doctors represent asymmetrical relations and their conversations illustrate differences in the way that language creates reality in a medical context, in this case a public teaching hospital in South Africa. Nurses and doctors were recorded during ward rounds, which spanned 22 hours of audio recordings. Approximately 40 ward rounds were followed where both a doctor and nurse were present. Ward rounds provided an opportunity to capture nurse-doctor conversations. The recordings were supplemented by ethnographic data that focused on the management of power. This focus is both at an individual interactional level and at a broader institutional level. Thus, showing how language coincides with the predominant subject positions available in a medical institution. The findings show how doctors do power overtly through various ways of speaking which show leadership in interactions. The findings also show how a doctor's subjectivity relates to qualities that continually build superiority in interactions. Nurses, on the other hand, manage power indirectly, by negotiating agency while enacting a passive actor role in conversations. Both doctors and nurses manage power and assertiveness, but continually show the sensitivity embedded in orienting themselves to one another. This aids in showing speaker support and is especially important for nurses, who are in a lower status, for managing their position in relation to doctors.

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Blom, Kajsa, e Linnéa Håcansdotter. "Time and Activity Analysis of Doctors and Nurses Work Assignments". Thesis, Linköpings universitet, Kommunikations- och transportsystem, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-121684.

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I och med människornas ökade livslängd har kraven på sjukvården ökat, samtidigt finns det en bristande tillgång på vårdpersonal. Genom att öka antalet arbetsuppgifter för sjukvårdspersonalen som är värdeskapande för patienten kan sjukvården svara på kraven, då sjukvårdens befintliga resurser kan användas på ett mer effektivt sätt. Utifrån observationer och tidmätningar som har utförts på Vrinnevisjukhusets vårdavdelning (AVD1) för stroke och rehabilitering av stroke, har detta examensarbete kunnat ge förslag på förbättringsområden som kan effektivisera och öka antalet värdeskapande arbetsuppgifter för läkarna och sjuksköterskorna. Utifrån tidmätningarna skapades även en tidfördelning av läkarnas respektive sjuksköterskornas arbetsuppgifter på AVD1, och visade att en läkare och sjuksköterska på AVD1 spenderade mest tid på administrativa arbetsuppgifter (48 % för läkare och 26 % för sjuksköterskor), kommunikation (15 % för läkare och 24 % för sjuksköterskor) patienttid (15 % för läkare och 20 % för sjuksköterskor). De största förbättringsområdena av både läkarnas och sjuksköterskornas arbetsuppgifter som identifierades utifrån observationerna och resultatet av tidfördelning var att bristen på riktlinjer för införandet av journalanteckningarna ineffektiviserade deras administrativa arbetsuppgifter, samt att saknaden av ett system för läkemedelssaldo försvårade sjuksköterskornas läkemedelshantering. För att åtgärda problemen bör AVD1 och hela medicinkliniken som AVD1 ingår i, fastställa riktlinjer för hur inskrivning av information i journal skall genomföras för att undvika dubbelarbete och underlätta informationssökningen. Medicinkliniken bör även investera i ett nytt lagersystem som uppdaterar saldot för läkemedel automatiskt, där det också går att utläsa hur mycket av varje läkemedel som finns på respektive avdelning och i respektive lager. Övriga förbättringsområden som identifierades för läkarna och sjuksköterskorna på AVD1 var att placeringen av utrustning och verktyg på AVD1 kan förbättras med hjälp av Leans 5S, samt att genom planering och tydligöring att rapportering pågår kan läkare och sjuksköterskor minska på sysslolöshet och antalet gånger de blir avbrutna under en arbetsuppgift. AVD1 skulle även kunna öka en läkares respektive sjuksköterskas värdeskapande arbetsuppgifter genom att uppdatera datorerna, samt omplacera eller investera i fler skrivare och telemetridatorer.
With people’s increased life span, the demand for health care services has increased, while there is a lack of health care professionals. By increasing the health care professionals’ value-adding work assignments for patient care, they will be used more efficiently and be able to meet the demand of the health care services. Based on observations and time studies carried out at Vrinnevisjukhusets health care facility for stroke and rehabilitation of stroke, this thesis has provided suggestions for areas of improvement which could increase the amount of doctors’ and nurses’ value-adding work assignments. Based on the result time studies at the health care facility, a time distribution of the doctors’ and nurses’ work assignments was also established and showed that they spent their most time on administrative work (48 % for doctors and 26 % for nurses), communication (15 % for doctors and 24 % for nurses) and time with patient (15 % for doctors and 20 % for nurses). Based on the observations and the result of time distribution, the doctors and nurses main areas of improvement was the lack of guidelines for implementation of journal notes which made their administrative work assignments inefficient, as well as the lack of system for the stock levels of medicines, which hindered the nurses’ medication management. To address these problems the health care facility and the entire medical clinic that the facility is part of, should determine guidelines on how the journal notes should be conducted for avoidance of duplications and to also facilitate the search of information. The medical clinic should also invest in a new storage system which updates the stock levels of medicines automatically, and also makes it possible to see how much of each medicine is available in each facility and storage. The arrangement of the facilities storage is also an area that could be improved by implementing the Leans’ 5S, which would improve the doctors’ and nurses’ time distribution and increase the value-adding work assignments. By also planning and clarify when a reporting is ongoing, as well as relocate or invest in more printers and telemetry computers, the facilities doctors’ and nurses’ time distribution will be improved and also increase the amount of work assignments that is value-adding.

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Makong, Makahlolo. "Retention strategies for doctors and nurses in Lesotho : an implementation framework". Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2559.

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Thesis (MTech (Business Administration))--Cape Peninsula University of Technology, 2017.
This paper reviews retention strategies for Lesotho’s doctors and nurses and presented an implementation framework to support and promote staff retention. . Based on the increasing necessity to retain doctors and nurses, the implementation framework becomes an essential element of retention strategy. A qualitative and quantitative research design technique using a self-managed questionnaire and interviews was adopted to gather data. The 120 doctors and nurses make up a sample. The information was statistically analysed using SPSS and grounded theory. Results identified that the current implementation strategy has failed to increase the retention rate of doctors and nurses. It is hoped that the implementation framework presented in this paper would help to achieve increased retention rate for doctors and nurses.

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Arsov, Svetoslav A. "Primary Care and Behavioral Health Services in a Federally Qualified Health Center". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6966.

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Between 2013 and 2016, 8.1% of U.S. adults 20 years and older suffered from depression, but only 29% of them sought help. This project addressed the low depression screening rate in a Federally Qualified Health Center (FQHC) that supported integrated care. The purpose of the project was to evaluate the integration of behavioral health into primary care in an FQHC through the rate of depression screenings. Two theoretical frameworks, the find-organize-clarify-understand-select/plan-do-study-act model and the Centers for Disease Control and Prevention's framework for program evaluation in public health were combined into a list of questions and data validity tests that were used to conduct the evaluation. This quality improvement (QI) project evaluated an existing QI initiative. Findings revealed that 75% of the patients seen, and not the initially reported 53%, received depression screenings, which indicated an improved outcome. Other findings were inadequate use of theoretical frameworks, poor data quality, and suboptimal effectiveness of QI team processes. The strategies and tools recommended in this project could be used by organizational leaders and QI teams to evaluate and improve QI initiatives. The project's contribution to awareness about depression through integrated care could increase patients' access to care, quality of life, and life expectancy, and positively impact social change.

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Davidson, Hilkka Anneli. "Territoriality among health care workers, opinions of nurses and doctors toward midwives". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ28116.pdf.

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38

Wat, Ka-lung, e 屈家龍. "Review on relationship between management measures and satisfaction of doctors and nurses". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193813.

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Introduction: Shortage of doctors and nurses is a global problem. How to retain them in the public sector is one of the most important issues that needs to tackle at the administrative level. There are numerous number of studies focusing on the factors that medical staff considered to be significant in enhancing their job satisfaction so as to make them stay in their existing job. However, there are relatively fewer studies on the intervention that are effective to increase the job satisfaction. In this project, literatures are reviewed on the effectiveness of different management measures in enhancing job satisfaction of the medical staff. Method: Literature search on the effect of different management measures on job satisfaction of medical staff. The review will also cover the combination of various measures in order to maximize their effects in enhancement of job satisfaction. Results: It is suggested that by improving the working environment, which includes unit re-organization, workload re-allocation and new technology adoption, is the most common and effective way to improve job satisfaction among medical staff. Indirectly, by allowing more autonomy and provision of training as well as learning opportunities to the staff can lead to an increase in self-esteem and respect from patients and colleagues. These will in turn improve job satisfaction. However, due to the use of different evaluation methodologies by different investigators, direct comparison of the management measurements is difficult. Conclusion: The management measures like improving the working environment, allowing more autonomy and providing trainings are found to be effective in enhancing job satisfaction of medical staff. Using standardized evaluation tools will allow a more valid comparison between different interventions.
published_or_final_version
Public Health
Master
Master of Public Health

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39

Perry, Shirley J. "Ethical decision making by nurses and doctors: Communication, professional and contextual influences". Thesis, Perry, Shirley J. (2001) Ethical decision making by nurses and doctors: Communication, professional and contextual influences. PhD thesis, Murdoch University, 2001. https://researchrepository.murdoch.edu.au/id/eprint/50479/.

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There are many decisions made in health that have an ethical dimension, and there is a growing realisation of this by health care professionals and by society. Understanding the factors that influence the processes employed in reaching an ethical decision is likely to be crucial in providing effective patient care. This study explores the communication patterns between health professionals when engaged in ethical decision making, and examines the way in which ethical decision making in health care practice is influenced by three factors- communication processes, professional background (as exhibited by professional values and the role perceptions of health professionals involved), and the context (represented by two specific types of health care settings). Existing literature has tended to focus on one or two aspects considered important in ethical decision making, but not how they are linked together, and may influence each other. A conceptual framework was developed to demonstrate the way in which the four factors affect ethical decision making in health care practice and to articulate the different theoretical perspectives used to explore them. The study used a combination of qualitative and quantitative methodologies to investigate the different aspects, using two in-depth interviews with each participant together with rating scales. The study included an analysis of qualitative interview data, and comparative analysis of responses on particular sets of questions. For the qualitative analysis. Coding Categories were developed from the data and from the literature, for ethical decision making. communication, professional values, and professional roles. The Participants were 12 nurses and 12 doctors (representing two professional health groups), from intensive care and palliative care-two specific contexts in health care where ethical issues arise and ethical decisions are made. Findings from the study indicate differences amongst participants in relation to crucial elements of the ethical decision making process, and a lack of clarity in their perceptions about their roles, values, and effectiveness in communication when decisions of an ethical nature are to be made. Differences due to professional education and socialisation processes, and the context, were of pivotal significance. There were differences between the two professional groups, doctors and nurses, and between members of the two speciality areas, intensive care and palliative care. Nurses and doctors operated at different levels of effectiveness in relation to ethical matters, had difficulty identifying ethical dilemmas, and identified different priorities when ethical decisions were to be made, i here were differences in relation to communication in ideal and actual situations in clinical practice. Nurses and doctors generally found collaboration (postulated to be the highest form of communication) difficult to define, and not often in evidence in their workplaces. Participants gave a variety of responses in relation to the priority of personal and professional values in professional behaviour. They also gave many examples of value conflict, but few examples of effective strategies used to deal with conflict. Most participants had difficulty defining their roles and each other’s, and had differing views about doctors’ and nurses’ roles in decision making. The findings of this study, which are relevant to almost all aspects of patient care, will facilitate a greater understanding of the complex factors which influence ethical decision making by doctors and nurses, and have implications for both practice and theory. Recommendations are made in regard to clinical and generic education, workplace practices and the potential for further research.

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Kissick, Leila. "An Educational Framework for Doctorally Prepared Family Nurse Practitioners". Thesis, The University of Arizona, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3741023.

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The purpose of this Doctor of Nursing Practice (DNP) Project was to establish preliminary evidence for validity of the Kissick Framework for DNP education and practice of Family Nurse Practitioners (FNPs). The history of the education of nurse practitioners (NPs) was explored to determine which frameworks should be considered in planning future curricula. The current need for more primary care practitioners due to the Affordable Care Act and the response in nursing to increase the number of primary care providers is discussed.

The role of the NP has expanded and in 2004 the American Association of Colleges of Nursing (AACN) endorsed the DNP as the terminal practice degree to replace the Masters’ of Science in Nursing (MSN) requirement for NPs. Frameworks for education and practice of doctorally prepared FNPs were examined and compared to the Kissick Framework.

The Kissick Framework integrates the Essentials of Doctoral Education for Advanced Nursing Practice recommended by the AACN, the National Organization of Nurse Practitioner Faculties (NONPF) Core Competencies, and Ida J. Orlando’s Theory of the Nurse-Patient Relationship. Preliminary evidence supports consideration of the Kissick Framework for the education of doctorally prepared FNPs and as a guide for practice.

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41

Farren, Elizabeth Anne. "Research Productivity of Doctorally Prepared Nurses". Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc331831/.

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The purpose of this study is to determine the possible relationship between post-doctoral research productivity of doctorally prepared nurses and instructional experiences of doctoral study, conditions of employment and other factors that may be related to research productivity. The design of the study is causal comparative.

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Dea, John Edwin III. "Differences between doctoral level nurse practitioner programs and master level nurse practitioner programs as reflected in the terminal objectives and curricular patterns". Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/dea/DeaJ0508.pdf.

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This study examined differences between doctoral level nurse practitioner programs and master\'s level prepared nurse practitioner programs as reflected in the terminal objectives and curricular patterns. The American Association of Colleges of Nursing\'s (AACN) decision in October 2004 led to adoption of the goal to have preparation in advanced nursing occur at the doctorate level (Doctorate of Nursing Practice or DNP). Other forces driving the DNP are increasing acuity of health problems, an aging population, increasing uninsured individuals and shortage of nursing faculty. Nursing educators must be proactive in meeting these challenges by preparing advanced practice providers with the necessary education and skills. The design of this study was a cross-sectional survey conducted between January 16 and February 10, 2008. Twenty DNP programs and thirty masters programs were randomly selected. The survey was developed in a Snap9Â® program and was sent by email to be completed on line. Survey results indicated higher numbers of required clinical hours correlated with higher pass rates in the board examinations. Additional credit hours were also found to result in higher pass rates. The study also indicated differences in the terminal objectives in master\'s programs compared to doctoral programs utilizing the Cognitive domain in Bloom\'s taxonomy. The findings from this study are limited and should be interpreted with care as the sample size was small.

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43

Kern-Coquillat, Françoise. "Les femmes dans le service de santé pendant la guerre de 1914-1918 en France". Thesis, Montpellier 3, 2013. http://www.theses.fr/2013MON30008.

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Ce sujet concerne avant tout les infirmières, les femmes « les plus louangées » de l’époque, mais aussi les femmes médecins, nouvellement arrivées, à la fin du siècle dernier, dans la profession. Les premières, très nombreuses, sont en quelque sorte évidente, connues par tous mais finalement invisibles, la surreprésentation les effaçant. Les secondes, en petit nombre, sont oubliées ou plus exactement ignorées. Ce sujet semble proche, presque familier, mais il est plus complexe qu’il n’y paraît, se situant à la croisée de plusieurs champs de recherche. L’histoire militaire d’abord, la femme évolue dans un monde d’hommes et dans un univers militarisé. L’histoire de la naissance des professions médicales au féminin, avec une réflexion sur les techniques médicales et sur l’approche de la douleur. L’histoire du genre, on assiste à la construction d’un sexe social, qui met en avant des rapports de domination masculine. Une histoire des représentations, ces femmes, vues à travers différents prismes, sont imaginées, construites par une société d’hommes. Enfin une histoire de l’intime à travers la parole des femmes. C’est celle d’une dominée, exclue des savoirs, du pouvoir, de la sphère guerrière, confinée dans un cadre surveillé, hier le foyer, ici l’hôpital, épinglée par des obligations de conduites, d’apprentissages, de hiérarchie. Le travail se décline à travers un triptyque : les femmes telles qu’on les veut, c’est le point de vue de l’institution masculine, puis les femmes telles qu’on les voit, à travers le prisme des représentations, enfin, ce sont les femmes telles qu’elles se disent, à travers leurs témoignages
This subject mainly concerns female nurses, « the most praised » women at that time, but also female doctors who had newly arrived in that profession at the end of the last century. The former, very numerous, are « evident » in a way, well known by everybody, but finally « invisible » owing to an over-representation that outshines them. The latter, in small numbers, are forgotten or more precisely ignored. This subject seems close to us, almost familiar, but it is more complex than we think it is, being at the crossroads of several fields of research. First, it has to do with the military history, as women evolve in a man's world, a militarized universe. Then, it is also the history of women entering medical professions for the first time, with a reflexion on medical techniques and the treatment of pain. It is the history of gender, as we witness the building of a social gender gap which highlights man's domination in his relationship with women. The history of the representation of women through different prisms, imagined and built by a male society. Lastly, it is the history of privacy through women's words too. It is the history of women who were dominated, excluded from knowledge, power, the war sphere, women confined to a watched environment - yesterday the home, here the hospital. Women tied by behavioral duties, training and hierarchical obligations. The work comes in a triptych : women such as we want them – and this is men's view - then women as we see them, through the prism of representations and lastly, women as they tell themselves through their testimonies

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44

Brammer, Jillian D. "Understanding the role of the registered nurse in student learning". Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/36782/1/36782_Digitised%20Thesis.pdf.

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The focus of this research study is the phenomenon of the registered nurses' role with students in clinical placement experience. With the transfer of nursing education from the hospital sector to higher education, the role of the student has changed from employee to supernumerary status. The role of the registered nurse with students has also changed, but very little is known about the way registered nurses view and understand their role with students in clinical placement experience. The research investigates the variation in understanding that registered nurses have of their role with students and identifies the dimensions of this experience of the role. While this study is located in Queensland, Australia, the role of the registered nurse with students is recognised as an area which has been the subject of little formal study in other states and countries. Students have frequently expressed satisfaction and dissatisfaction about their clinical placement experience, an essential component of the preparation for undergraduate nursing programs. The research approach represents an innovative way to the study of the understanding registered nurses have of their role with students in clinical placement experience. The approach was selected with the intention of exploring the issue from the perspective of registered nurses, rather than students or evaluation of programs which appears to be the traditional approach to studying clinical placement experience. Registered nurses are acknowledged as major participants in clinical placement experience for students but their perspective of the role has rarely been considered. The selection of phenomenography adopted for this study is based on the appropriateness of the research approach to explore the object of inquiry. The aim of phenomenography is to describe, analyse and understand the meaning people ascribe to their world and how they construe different phenomena. The central concern is not the phenomena being investigated, nor the people who experience the phenomena, but the relation between the two: the relation between the RNs and their role with students. The findings from this study result from 28 individual interviews with registered nurses in order to identify the variation of understanding of the experience of the role with students. The registered nurses who participated in the research were from fifteen public and private hospitals throughout regional and metropolitan, Central and South Eastern Queensland. The major outcomes that emerged from this study show that registered nurses have different ways of understanding their role with students in clinical placement experience and that the number of different variations is limited. Eight distinct categories of description were identified, denoting the understanding that registered nurses have of their role. These have been labelled: Facilitator role, Teacher/Coach role, Overseer/Supervisor role, Peer Support and Role Model role, Instructor role, Manager/Foreman role, Authority role and Resister/Dissenter role in recognition of the meaning identified for each category of description. The outcome space mapped a four level developmental relationship between the categories, which denote the variation of ways registered nurses understand their role with students. These ranged from minimal involvement to total commitment and involvement with students. These findings support the need for open acknowledgment of the informal but complex role registered nurses have with students in clinical placement experience, and the need for adequate preparation for this role. The findings also provide insight into the concerns of employers and recent graduate registered nurses of the adequacy of clinical placement experience as preparation for the role of registered nurse. Further research and recommendations are proposed using these findings as the basis to improve the quality of the experiences of registered nurses and students in clinical placement experience.

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Anderson, Martin. "A study of nurses' and doctors' perceptions of young people who engage in suicidal behaviour". Thesis, University of Nottingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342497.

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46

Santillo, Marta. "Intergroup communication and strategies to improve intergroup contact : the specific case of nurses and doctors". Thesis, University of Leeds, 2015. http://etheses.whiterose.ac.uk/9296/.

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Poor communication between doctors and nurses is known to be an important factor that impacts on the quality and safety of patient care (Lawton et al., 2012). The different professional roles, responsibilities and positions in the hierarchy of these two professional groups may lead to communication problems (Hewett, Watson, Gallois, Ward, & Leggett, 2009). Intergroup contact research has been applied to understand under which conditions contact between members of different groups results in more positive attitudes and behaviours (Pettigrew, Tropp, Wagner, & Christ, 2011). The aim of this thesis is to apply the intergroup contact hypothesis to the specific context of nurses and doctors, towards the improvement of inter-professional attitudes and communication. In Study 1 nurses and doctors were interviewed analysing communication breakdown and strategies used to avoid errors caused by miscommunication, based on the level of seniority of the clinicians. From the analysis of the interviews a scale of effective inter-professional communication was developed, to be used in Study 2 as part of a cross sectional survey on the effects of the quality of inter-professional contact on team work and communication in hospital. Results of study 2 showed that high quality contact predicted effective teamwork through more positive inter-professional perceptions and more effective communication, for both professional groups. In Study 3 nursing students and medical students were involved in a study on the effects of indirect contact on attitudes and communication. From the results, extended contact was successful in improving nursing students’ attitudes towards future professional interactions with doctors. Finally, the results of the three research studies were presented in a focus group in which health researchers and clinicians gave feedback on the applicability of the findings in the hospital setting and on the use of intergroup based interventions in inter-professional learning between nursing students and medical students.

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47

Trumbeckienė, Neringa. "Pirminės sveikatos priežiūros paslaugų kokybės vertinimas". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130618_134202-71888.

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Tyrimo tikslas – ištirti gydytojų ir slaugytojų paslaugų kokybės vertinimą pirminės sveikatos priežiūros centruose. Tyrimo uždaviniai: 1. Įvertinti sveikatos priežiūros paslaugų techninę ir funkcinę kokybę pirminės sveikatos priežiūros centruose gydytojų ir slaugytojų požiūriu. 2. Išanalizuoti gydytojų ir slaugytojų išorinio teikiamų paslaugų efektyvumo vertinimą. 3. Ištirti, koks yra gydytojų ir slaugytojų požiūris į pacientų pasitenkinimą pirminės sveikatos priežiūros paslaugų kokybe. 4. Palyginti gydytojų ir slaugytojų pirminės sveikatos priežiūros darbuotojų kompetencijos vertinimą. Tyrimo metodika. Tyrimas buvo atliktas 5 Kauno PSPC 2012 metų gruodžio-2013 metų vasario mėn. Tyrime dalyvavo 113 gydytojų ir 137 slaugytojos. Klausimynas sudarytas remiantis Ferguson ir kt. Gautas bioetikos leidimas vykdyti tyrimą. Rezultatai. Gydytojai ir slaugytojai visus techninės ir funkcinės paslaugų kokybės aspektus įvertino teigiamai, t.y. palankiai. Techninės ir funkcinės kokybės vertinimas priklausomai nuo gydytojų bei slaugytojų darbo stažo taip pat buvo teigiamas. Vertinant techninę paslaugų kokybę dėl dviejų teiginių buvo suabejota – 35,4 proc. gydytojų ir 31,4 proc. slaugytojų teigė, kad nei sutinka, nei nesutinka su teiginiu, kad patalpos, skirtos gydymui, yra aukščiausio lygio ir 36,3 proc. gydytojų bei 39,2 proc. slaugytojų teigė, kad nei sutinka, nei nesutinka su teiginiu, kad įranga, reikalinga tyrimams ir gydymui, yra aukščiausio lygio. Vertinant funkcinę paslaugų kokybę... [toliau žr. visą tekstą]
The aim of this study – to investigate of doctors and nurses services quality evaluation in primary health care system centers. Objectives: 1. To evaluate technical and functional quality of services by attitude of primary health care system centers doctors and nurses. 2. To analyze evaluation of doctors and nurses external services effectiveness evaluation. 3. To investigate doctors and nurses attitude to quality of patients satisfaction primary health care. 4. To compare doctors and nurses primary health care employer’s competition evaluation. Method’s. Research was held in five Kaunas primary health centers in Dec 2012 - February 2013. Questionnaire was made according to Ferguson etc. (1999) questionnaire about primary health care quality evaluation. Results. There were participating 113 doctors and 137 nurses in this research. Doctors and nurses all the technical and functional aspects of service quality review were assessed as positive, both by doctors and nurses. Technical and functional assessment of the quality depends on the doctors and nurses work experience has also been positive. The technical quality of the two statements has been questioned - 35.4 percent. physicians and 31.4 percent nurses said that neither agree nor disagree with the statement that the premises for treatment, is the highest level and 36.3 percent doctors and 39.2 percent nurses said that neither agree nor disagree with the statement that the equipment is necessary for research and treatment of... [to full text]

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48

Cowin, Leanne S. "The self-concept of nurses and its relationship to job satisfaction". Thesis, View thesis View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/59.

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This study explores the development and rigorous testing of a new self-concept instrument designed specifically for nurses for use in a longitudinal, multicohort study on self-concept, job satisfaction and retention in nursing.The outcomes of this study are that nurses' self-concept can now be measured by a new theoretically and empirically substantiated multidimensional instrument. This will provide potential new directions for nursing research on which to build specific self-concept enhancement and retention strategies. The transitional period of student to graduate nurse can be the subject of ongoing assessment by utilising the new self-concept instrument in conjunction with a valid measure of nurses' job satisfaction. The findings of this study have raised an awareness of the importance of self-concept in the retention challenge for all nurses and in particular the newly registered graduate nurse

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49

Schultz, Susan Jane. "Dysrhythmia Monitoring Practices of Nurses on a Telemetry Unit". UNF Digital Commons, 2010. http://digitalcommons.unf.edu/etd/216.

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Standards of practice for hospital electrocardiogram monitoring were recommended in 2004 by the American Heart Association; however they are not widely followed. Many nurses monitor in a single lead regardless of diagnosis and are unable to differentiate wide QRS complex tachycardias. The purpose of this project was to evaluate the effectiveness of an interactive web-based education program combined with unit-based collaborative learning activities on both telemetry staff nurses‘ knowledge of dysrhythmias and their monitoring practices for patients at risk for wide QRS complex tachycardias. This interventional, one group before-and-after cohort study design consisted of four components: interactive web-based educational program with a pretest and posttest, unit-based collaborative activities, competency skills validation, and patient audits of electrode placement and lead selection at baseline, six weeks, and 18 weeks. There were 34 nurses who consented to participate, 16 started the program, and nine finished all the components. The pretest scores ranged from 0 – 60% with median of 36.5%. The posttest scores ranged from 47 – 93% with median of 80%. The Wilcoxon Signed Ranks test showed a significant difference between the pretest and posttest scores (p = .008). The patient audit results did not indicate significant differences in proportions of correct electrode placement and correct lead selection between baseline, 6 weeks, and 18 weeks. The program was effective in increasing nurses‘ knowledge about dysrhythmias; however, it was not effective in changing monitoring behavior. More research is needed to see if this type of program is more effective if it involves all the staff on the unit who are responsible for monitoring, and if additional strategies are used, such as unit champions and group rewards.

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Fish, David Gomer. "An obstetric unit in a London Hospital : a study of relations between patients, doctors and nurses". Thesis, London School of Economics and Political Science (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265284.

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Tesi sul tema "Doctor Nurse"

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