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1
Buffenbarger, Jennifer Sylvia. "Nurses' Experiences Transitioning from Staff Nurse to Management in a Community Hospital". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2346.
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This project study addressed the problem of frequent turnover of nurse managers at a Northeastern community hospital. The lack of retention of nurse managers has led to attenuated support for the nursing staff who continued to hold the front line in patient care. The purpose of this qualitative bounded case study was to explore nurse managers' experiences with turnover in order to identify strategies for enhancing retention. Work empowerment and servant leadership theories served as the frameworks for the study. Research questions focused on nurse managers' perceptions of empowerment and servant leadership characteristics that were important in decisions to assume and remain in a management/leadership role. Data collection included audio-recorded interviews with seven current or past full-time nurse managers, and observation of three of the participants at a leadership meeting. Interview transcripts were open coded and thematically analyzed. Observation data were categorized according to empowerment and servant leadership characteristics. Five themes were identified that related to research questions: struggling in management transition, seeking opportunity for transformation, being committed but powerless, embarking unprepared on an unplanned journey, and having the presence to lead others by serving. The findings of this study guided development of a 12-month program for new nurse managers that integrated characteristics of servant leadership to empower leaders and others. These contributions may promote positive social change by preparing new nurse managers for their role and developing their skills to become successful nurse managers.
2
Miller, Leng Chan. "Mentoring Project 2000 student nurses : community nurses' experience and perceptions of their roles". Thesis, University of Bristol, 1999. http://hdl.handle.net/1983/a7ffac92-cb56-4d84-a95a-c3750d530759.
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This study explores and analyses the experiences and perceptions of community nurses (District Nurses, Health Visitors and School Nurses) involved in mentoring Project 2000/Diploma in Higher Education student nurses within one site of a College of Nursing. It addresses the significance of mentorship in nursing education and in particular, the mentoring role of community nurses from their own perspective. Conceptual frameworks derived from the literature review on mentorship in nursing education are adopted in operationalising the research aims and the formulation of questions for data collection. The exploratory and descriptive nature of the study lends itself to utilising two methods of gathering data: postal survey questionnaires and semi-structured interviews. One hundred (100) respondents participated in the former, while twenty (20) informants took part in seventeen (17) interviews carried out by the researcher over a period of four months. The findings of the study indicate that mentoring Project 2000 student nurses is a complex, time consuming and skilled activity, and that there are positive as well as constraining factors which affect the effectiveness of the mentoring process and the quality of the mentors. It also suggests that mentors require educational and managerial support, continuing professional development, and recognition for their role. Recommendations are made for improving the mentoring process and the quality of mentors. It is hoped that the information will improve the quality and utility of nurse education, and enhance the quality of interpersonal relationships between mentors, students, and clients or patients in the community.
3
Kingma, Mireille Mady Fernande. "Economic policy : incentive or disincentive for community nurses?" Thesis, London School of Hygiene and Tropical Medicine (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298526.
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Lawton, Sally Margaret Rolfe. "The effectiveness of educating community nurses by distance learning". Thesis, Robert Gordon University, 1996. http://hdl.handle.net/10059/534.
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The purpose of this thesis is to examine the effectiveness of distance learning within post-registration community nurse education. In this context, 'effectiveness' is defined as being useful to the student or 'fit for purpose' and it focuses on the educational experience. The study, which was designed in two stages, aimed to investigate whether learning support needs were similar for full-time adult students and distance learners. In the first stage, an original survey instrument was designed and posted to a group of nursing students who had undertaken a diploma-level course (n=169). A response rate of 69% was achieved. It aimed to determine whether the learning and educational support needs were similar between these two groups. The findings suggested that the learning and educational needs were alike and suggested the need for proactive support with adult learners, irrespective of their mode of study. In the second stage, a phenomenological approach was used to determine the experiences of the first cohort of graduates from a distance-learning degree course in community nursing (n=6); their community supervisors (n=9) and the academic staff involved with the course(n=7). Each group interpreted the meaning of 'effectiveness' in varying ways. The findings confirmed that distance learning is an effective mode of education, providing that the students' learning is facilitated and supported by regular contact with course tutors and other students. The significance of this study is in the model of supportive learning which was developed in light of the findings that will assist in the effectiveness of distance learning. The model has five elements within it, addressing 'student characteristics 1, 'tutor characteristics', 'student-student contact', 'course content' and the relationship between the student and tutor. It is proposed that this model could be used for the support of students, as a framework for staff development and for course evaluation.
5
Calvin, Leanne. "A qualitative study : community nurses' experience of organizational trust". Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/45671.
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This qualitative inquiry explored nurses’ experience of organizational trust and factors that influence it within a community health context. The study aims were to provide awareness to health organizations as to how they may avoid negative impacts of decreased trust of community nurses' and increase the likelihood of positive acceptance of changing health services and a restructured organization.
The British Columbia healthcare system is becoming more reliant on the community nursing sector to address increasing demands in healthcare due to several factors such as an aging population, rise in chronic diseases, and limited financial and human resources. If community nurses do not have trust in the health organization, there may be resistance to changes that have been designed to improve health services. This may result in poorer health outcomes for the population and increased burden on the acute care system. Health organizations that are not aware of factors that may influence community nurses’ organizational trust may encounter higher rates of job turnover, decreased productivity, and challenges in maintaining a viable healthcare system.
A qualitative design with an interpretative description approach was used along with theoretical concepts pertaining to organizational trust. Community nurses within the interior region of British Columbia, Canada received invitations to participate via email. Data collection involved semi-structured interviews with 10 participants which were digitally recorded and transcribed professionally.
Three main themes identified were 1) leadership support 2) organizational restructure 3) evolving health services and practices. These main themes yielded the following conclusions: that nurses’ perception of leadership support, particularly nurse-leader relationships can significantly influence their trust in the health organization; and that nurses’ lack of participation in decision-making during change can negatively impact their trust in the health organization. The major implications that arose from this study include: 1) implications for leadership to implement strategies to improve interpersonal relationships with nurses, collaborative change processes and a shared vision, opportunities for nurses to engage with organizational structures; 2) implications for practice to include nurses in decision-making and utilize change models; 3) implications for policy to have a nurse representative at the senior level of leadership.
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Kipping, Cheryl Joan. "Stress and coping in mental health nurses". Thesis, King's College London (University of London), 2000. https://kclpure.kcl.ac.uk/portal/en/theses/stress-and-coping-in-mental-health-nurses(233e7fff-f064-48c0-b626-4ff18eef9e40).html.
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Bignell, Vivien. "The promotion of continence : implementing clinical guidelines for community nurses". Thesis, University of Surrey, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423535.
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Motswasele, Granny Tshabane Mary. "Experiences of community health nurses in the tuberculosis work environment". Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/65838.
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South Africa has one of the world’s worst Tuberculosis (TB) epidemics. Several interventions were instituted by the Department of Health to manage TB and, regrettably, people still die from the disease. The community Health nurses provide care to people diagnosed with TB in facilities that have low staffing ratios with increased workload and responsibilities. Objective: This paper explores and describes the experiences of community health nurses working in a TB work environment. Method: A qualitative, descriptive, phenomenological approach was used to investigate the experiences of community health nurses in the TB work environment. A purposive sampling was used and consisted of twenty nurses. Unstructured interviews were conducted at an urban clinic, a semi-urban clinic and a rural clinic to gather data. The researcher followed the steps of the Colaizzi process of data analysis. Findings: Four themes were identified and discussed. These themes include fear of being infected with TB, control of infection, defaulting TB treatment, and screening services. Themes were supported with literature during discussion. Conclusion: The study concluded that the participants’ fear of contracting TB was attributed to delayed diagnosis of TB patients, the patients’ ignorance regarding TB transmission and community health nurses with chronic diseases and interacting with undiagnosed TB patients. Compromised TB infection control measures, such as failure to wear protective masks, was revealed by several participants. Recommendations for the Community Nursing Management and Nursing Education have been clearly described.Dissertation (MCur Nursing Science)--University of Pretoria, 2017.
Nursing Science
MCur Nursing Science
Unrestricted
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Yon, Gadieja. "Community service professional nurses' experiences of bullying in state hospitals". Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1018622.
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It is estimated that 80 percent of nurses experience some type of bullying in the workplace during their working lives, and bullying from colleagues has become a major concern. Bullying involves repeated forms of negative behaviours directed at a victim over time. More specifically, the victim is bullied repeatedly over time, with bullying ranging from mild to more severe forms that often go unreported. Bullying in the workplace may cause low self-esteem, depression and anxiety, physical illness and in some cases, the inability to work. The aim of this research study was to explore and describe community service professional nurses’ experiences of being bullied in state hospitals. The information gathered during the course of the study was used to develop strategies that can prevent the bullying of community service professional nurses in the workplace. The design of the study was qualitative, exploratory, descriptive, and contextual in nature. The population sample included all community service professional nurses in state hospitals in the Nelson Mandela Bay area. The researcher employed purposive sampling to select participants from the population of community service professional nurses employed at state hospitals. She collected data by conducting semi-structured individual interviews to gain in-depth accounts from participants and by making observations, which were captured in field notes. Data collected during the interviews were transcribed verbatim and analysed according to Tesch’s eight steps of analysis. Themes were identified through this process and compared to relevant literature. The researcher used the services of an independent coder to aid in the coding process. Trustworthiness was ensured by following Lincoln and Guba’s model of trustworthiness, which comprises the following concepts: credibility, transferability, dependability, and conformability. The researcher ensured that the study adhered to high ethical standards through the principles of justice, beneficence, non-maleficence, and respect for people.
10
Bergen, Marilyn Ann. "A study to explore the current and potential relevance and value of case management to community nursing". Thesis, King's College London (University of London), 2001. https://kclpure.kcl.ac.uk/portal/en/theses/a-study-to-explore-the-current-and-potential-relevance-and-value-of-case-management-to-community-nursing(4f7ad179-c460-4de9-a7d0-2aa886d4f9f9).html.
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Roziers, Reinette. "Newly qualified nurses lived experience of role transition from student nurse to community service nurse a phenomenological study Reinette Roziers". Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/2962.
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Includes abstract.Includes bibliographical references.
The phenomenological study explored the experience of role transition of newly qualified nurses undertaking compulsory community service in health service facilities in the Western Cape in 2011.
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Slevin, Eamonn. "How do community nurses meet the needs of people who challenge services? : a theoretical explication of the role of community nurses for people with learning disabilities". Thesis, University of Ulster, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245809.
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Snodgrass, Tina. "Personality Types of Registered Nurses Employed in a Rural Community Hospital". TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/357.
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The purpose of this study was to identify the personality types of registered nurses in a rural community. An extensive literature review revealed that no studies, utilizing the Myers-Briggs Type Indicator (MBTI) to identify personality types, had been conducted with rural nurses. Jung's Psychological Type Theory was the theoretical framework for the study. The MBTI operationalizes Jung's theory and was utilized to determine the most frequently occurring personality types of the nurses. A descriptive study was conducted at a 68 bed acute care hospital. The sample consisted of 40 experienced registered nurses working in staff positions within the hospital. Sensing, feeling, and judging were the preferred functions of the nurses, consistent with the expected tasks of the direct care giver. The greatest number of nurses were classified as ISFJ (N=9) followed by ENFP (N=6)
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Lucey, Adrienne, i res cand@acu edu au. "Characteristics of adults with advanced hiv/aids referred to community nurses". Australian Catholic University. School of Nursing, 2001. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp7.25072005.
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Community nurses have a critical role in caring for people and families affected by HIV/AIDS in the home setting. Despite this, there is a dearth of Australian literature describing the health needs of these clients who are referred to them. This study identified the demographic, clinical and psychoemotional aspects of adult clients with HIV/AIDS in Sydney, Australia, who were referred to community nurses and died between 1993 and 1995. Retrospective data from the records of 73 clients identified on 171 Community Nursing Referral Forms completed within the study period from an inpatient HIV/AIDS Unit was analysed using descriptive statistics and content analysis. The sample was demographically similar to the general population of people with HIV/AIDS during the study period. The most commonly identified clinical aspects of clients included oral candida, mycobacterium avium complex, anaemia, drug intolerance, cytomegalovirus, pain, fever, diarrhoea, weight loss and cough. The most commonly identified psychoemotional variables were depressed mood, anxiety, grief and nonadherence to suggested interventions, with the most common emergent theme being the physical effects of HIV/AIDS illness. Emotional support, symptom monitoring and home assessments were the most common requests made of community nurses. The study sample represented 14% of people who died following AIDS in New South Wales during this known peak period of AIDS diagnoses and deaths following AIDS. As a result of this study, documentation exists describing the characteristics of clients with advanced HIV/AIDS referred to community nurses. Current and future clients with advanced HIV/AIDS referred to community nurses may experience a similar clinical picture to that identified in this study. The findings can be used to reveal relationships amongst the key variables; lay the foundation for further comparative, theory or hypothesis driven studies; and demonstrate how this influences the community nursing role, strategies, interventions and outcomes.
15
Howell, J. "An analysis of the involvement of community nurses in clinical governance". Thesis, University of Edinburgh, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.652633.
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The introduction of clinical governance requires that community nurses participate in the development of corporate accountability for clinical performance, accounting for normality as well as exceptional events in practice. The ability to deal with change has become a necessary part of the community nursing role, a factor complicated by the geographical spread and stratification of community nursing teams. If the development of clinical governance is to avoid domination by medical or managerial perspectives, each staff group is required to represent their standpoint. This is a study of the enacted narrative in the community context, to understand how nurses narrate and justify their involvement in these reforms and, to examine the development of a negotiated consensus by community nursing teams. A research approach within the social constructionist tradition informed by Burke’s (1969) dramatist pentad was used to explore and interpret the respondents’ accounts. Narratives of clinical governance were obtained from unstructured interviews with twenty staff, including district nurses and managers in two NHS trusts. The study findings suggested the continuing penetration of nursing practice by management systems, and associated hybridisation of nursing and management roles. Nursing governance is enacted through clinical audit and standard setting systems, building on the history of nursing involvement in these initiatives to develop a nursing consensus on the governance of nursing practice. The majority of nurses are presented as disengaged from these events, with the resultant nursing governance systems underpinned by an apparent rather than actual consensus. The uncertainty of the community nursing knowledge base in the face of clinical governance is illustrated, with practitioners reliant on rationalities drawn from managerial and evidence based logics. It is argued that the marginalisation of the nursing perspective by nursing governance systems, may result in a failure of the profession to develop the dialectical skills and articulacy required to present the nursing perspective in this and future developments. Difficulties arising from the way in which clinical governance is being developed are identified. The findings suggest the requirement of a revised approach to the management of nurses, enabling the explicit inclusion of the nursing majority in future policy implementation.
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Kruse, Beverley-Ann. "Retaining community service nurses in the Western Cape public health sector". Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/8515.
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Thesis (MBA)--University of Stellenbosch, 2011.Healthcare systems of the world’s poorer nations have been heavily impacted by economic globalisation. This has resulted in a steady deterioration of working conditions, resulted in less job security and has led to an increase in the spread of communicable diseases in developing countries such as South Africa. It is factors such as these, against the backdrop of a global recession, that have contributed to the escalation in global healthcare costs which has itself augmented the strain on already strained hospital resources in developing economies (Issues paper: Economic Globalisation, 2009). The current workplace faces complicated challenges which extend beyond the effects of the global recession. One of these challenges is the task of managing the diversity of the modern day workforce. This includes differences in gender, race, religion, culture, language, physical and mental ability, sexual orientation as well as generational differences. As a result, organisations that choose to exploit these differences are able to leverage a competitive advantage from them. This ability is however determined by the flexibility of organisations’ policies and practices. Furthermore, adapting an organisation’s human resource policies and practices pertaining to attracting, retaining, developing, promoting and managing a generational diverse workforce is only possible once these cohorts have been clearly identified, analysed and understood (Manion, 2009). Nurses are the pillar of healthcare systems throughout the world. In South Africa, however, the high staff turnover of nurses compared to the relatively small number of new recruits is of great concern due to its impact on the South African government’s capacity to provide a healthcare model of sustainable service delivery (Mokoka, 2007). The reality of the decline in the number of newly qualified nurses was clearly evident in the results of this study. Twenty-eight percent of the current community service nurses had previously considered leaving the profession, eight percent reported that they were considering leaving the profession within the next year and 20 percent intended leaving the public health sector after completing community service. The purpose of this qualitative study was to determine factors that preclude better remuneration that would influence community service nurses’ decision to remain employed in the public health sector. According to the Western Cape Nursing directorate, 270 nurses were registered to complete community service in the Western Cape in 2010. The 25 registered nurses who were scheduled to complete community service at Groote Schuur Hospital at the end of 2010 constituted the study sample. A self-administered questionnaire was used as the instrument for data collection from this fixed, convenient sample. Confidentiality of the participants was assured throughout the study and findings were reported as combined facts and figures using histograms. The majority of the participants were between the age of 20 and 25 years (48%). Furthermore, 88 percent of the participants were below the age of 35 years, largely representative of Generation X and the Millennials, Generation Y. The results of this study suggested an extremely complex interplay between intrinsic and extrinsic motivators, in influencing the decision of whether or not to remain employed in the public health sector. It was further evident that most of the factors that were rated to be of high importance were strongly self-centred, largely geared at personal reward and recognition. This finding is in clear agreement with literature published by Manion (2009) who supports the thinking that generations representative of Generation X and Y have a strong need for personal achievement and reward. Eighty percent of participants indicated a dire need for hospital management to recognise and manage generational diversity in the current workforce as this presented a daily challenge in the workplace. It was perceived that fundamental differences in needs, work ethic and values exist between Generations X and Y, compared to those of nurse and hospital managers who were representative of Baby Boomers. Consequently, there appeared to be a mismatch in the expectations and opportunities presented in the current workplace among the three generations. These findings merit further discussion on whether the permanent multi-disciplinary team at hospitals understand the influential role that they have on the complex task of retaining community service nurses in the public health service. Furthermore, 92 percent of community service nurses highlighted the need for mandatory orientation and induction programmes in each ward prior to commencing duty. This in itself was identified as a huge cause for anxiety and discord. In conclusion, even though this study was designed to establish factors that preclude better remuneration which could influence the decision of community service nurses to remain employed in the public health sector, it found that more than half the participants of this study recommended that receiving a more competitive salary was still an important issue for government to prioritise. However, it did not appear to be the overshadowing theme of dissatisfaction amongst community service nurses.
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Hugues, Gregoire Edwin L. "Community psychiatric nurses, support workers and clients perspectives on therapeutic interventions". Thesis, Liverpool John Moores University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.421401.
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Morgan, Natalie D. G. "The impact of health care reforms on community health nurses' attitudes /". St. John's, NF : [s.n.], 2002.
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Enzinger, Iwona Halina. "Teamwork Perceptions of Nurses and Nursing Assistants in a Community Hospital". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4512.
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Teamwork in healthcare is recognized as a significant factor in achieving patient safety and impacting patient outcomes. Despite the general focus on teamwork in healthcare, there has been little research on teamwork among nurses and nursing assistants working on patient care units. The purpose of this doctoral project was to identify, compare, and analyze perceptions of teamwork in a group of nurses and nursing assistants in a community hospital setting where the TeamSTEPPS program has been implemented. The framework of this project was the concept of shared mental model and Imogene King's conceptual system and middle-range theory of goal attainment. Teamwork perceptions were measured using the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), which is composed of five constructs: (a) team structure, (b) leadership, (c) situation monitoring, (d) mutual support, and (e) communication. Sixty-three nurses and 42 nursing assistants participated in the study. There was a significant difference between nursing assistants and staff nurses with respect to the Total T-TPQ mean score (4.03 and 4.26, respectively; p < 0.03), leadership (4.11 and 4.44, respectively; p < 0.01), and communication (4.13 and 4.35, respectively; p < 0.04). Nurses had a higher level of agreement than nursing assistants for Total T-TPQ, leadership, and communication. The results underscore the need to close the gap between nursing assistants' and nurses' perceptions of teamwork. Hospital and nursing leaders should make significant efforts to improve teamwork to build cohesive and highly functional nursing teams that can improve patient safety and thus create lasting social change.
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Jones, Demetrius Ann. "The Meaning of Feeling Fearful for New Community/Public Health Nurses". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3790.
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This study examined the meaning of feeling fearful for nurses entering community/public health (C/PH) nursing. Nurses are entering the C/PH workforce with less experience and education than ever before, and may feel afraid or fearful in their jobs. Additionally, the autonomous nature of C/PH nursing poses significant challenges for this population such as fear of isolation and/ or abandonment. Therefore, the purpose of this qualitative descriptive study was to explicate the meaning of feeling fearful for new C/PH health nurses. Ten nurses with up to 2 years of C/PH experience volunteered for this study. The research questions were guided by the humanbecoming theory and its objectives. The 3 objectives were to describe the significance of feeling fearful; rhythmical patterns of relating connected to feeling fearful; and the concerns, plans, hopes, and dreams related to feeling fearful. Participants provided narratives via face-to-face and telephone interviews. Data were analyzed using manual coding, analysis-synthesis, and were documented in humanbecoming language. The findings revealed a feeling of fear as a disquieting unease arising with the unforeseen, with unpredictable affiliations surfacing amid diverse encounters, and as pondering possibilities arise with potent assuredness. These findings may influence positive social change by providing an opportunity for hospital administrators, nursing faculty, and public health agencies to dialogue about fearful experiences that new C/PH nurses encounter. Moreover, this study could stimulate ideas that foster nonthreatening learning environments in academic nursing programs, C/PH orientations, and nursing residencies.
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Williams, Rachel. "Working in palliative care: exploring community nurses' experiences of their work". Master's thesis, Faculty of Humanities, 2019. http://hdl.handle.net/11427/31002.
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This study explored community-based Palliative Care nurses’ experiences of their work. The aim of this study was to explore the positive aspects of working in palliative care, as well as the challenges that community-based nurses experience in their work. The coping strategies that are employed by these nurses to deal with the difficulties of their work were understood, and the participants provided recommendations to their organisations to improve their working experiences. The research was conducted in two research settings, St Luke’s Combined Hospices and Tygerberg Hospice, which are both non-profit organisations providing Palliative Care in the community. Permission was gained to conduct research by the St Luke’s Combined Hospices Research Ethics Committee, and the Palliative Care Manager at Tygerberg Hospice. A qualitative research design was used to conduct this study, and purposive sampling was used to select the sample. Fourteen nurses were interviewed using a semi-structured interview schedule, and a digital recorder was used so that interviews could be recorded accurately. Qualitative data analysis was used to arrange the data into themes, categories and subcategories. Findings from the study indicate that there is a great sense of satisfaction from working in Palliative Care and positive aspects include feelings of honour and privilege, making a difference, appreciation from patients and families, life lessons learnt, having a role in the community and working in a team. The perceived challenges were emotional challenges such as persistent rumination about work, feelings of helplessness and dealing with challenging families. Organisational challenges pertained to demanding workloads and a lack of organisational support. Personal challenges were seen as having a negative impact on the physical health and family lives of participants. Lastly, environmental challenges included issues around safety and driving to communities. Coping strategies were the support from family and friends, avoidance coping and self-care as well as group support and debriefing and support from colleagues. Lastly, recommendations include an open-door policy within the organisation, improved training and education, a better understanding of community Palliative Care, improved interaction with staff and staff reward and recognition.
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Zaayman, Lizelle Sharon. "Professional nurses’ experiences of their community service placement year at a secondary academic hospital in the Western Cape". University of the Western Cape, 2016. http://hdl.handle.net/11394/5009.
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Magister Curationis - MCurCommunity service has been an inevitable part of most health professionals’ lives since it began in 1998. In 2004 the Health Minister in South Africa announced that community service will be extended to include nurses once the Nursing Bill of 2005 was passed by Parliament. Community service for nurses is one year of service after graduation and before the graduate is registered as a professional nurse with the South African Nursing Council. The period of transition from student to newly qualified nurse is known to be stressful. “Reality shock” is a common experience for newly qualified nurses who find themselves in work situations for which they feel inadequately prepared. The aim of the study was to explore the professional nurses’ experience of the community service year at a secondary hospital in the Western Cape. The two objectives were to explore the professional nurses’ experience of their transition from student to community service practitioner and to explore the support and challenges experienced by professional nurses during their community service year at a secondary hospital in the Western Cape. A qualitative research approach and an exploratory and descriptive research design were used to gain insight into the professional nurses’ experiences of their community service year. The population included all professional nurses employed in community service during 2012-2013 and who were working at the selected research site, a secondary academic hospital in the Western Cape. Participants, sampled through purposive sampling, participated in semi-structured interviews during September 2014-January 2015. The inductive process described by Thomas (2003) was used to analyse the data. The results of this study revealed that the community service year was experienced as difficult as it required the community service practitioners to apply new knowledge and take on a higher level of responsibility in practice. The undergraduate nursing programme was perceived as not preparing them for the responsibility as community service practitioner.However, transition from student to community service practitioner was experienced as positive as they developed positive relationships with staff that supported them through the process while they developed professionally.
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Turkington, Douglas. "Cognitive-behavioural therapy (CBT) for schizophrenia". Thesis, University of Newcastle upon Tyne, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271209.
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Worth, Allison. "An ethnographic study of assessment of the needs of older people by district nurses and social workers". Thesis, Glasgow Caledonian University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301379.
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Sapsford, Lesley Eliaine. "The professional development of primary health care nurses in integrated self managing teams". Thesis, Bucks New University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270297.
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Carter, Nancy Jo Crumpler Thomas P. Spycher Ellen A. "Perceptions of challenges and knowledge and skill for community based nursing practice". Normal, Ill. : Illinois State University, 2007. http://proquest.umi.com/pqdweb?index=0&did=1414124161&SrchMode=1&sid=3&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1205251510&clientId=43838.
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Thesis (Ed. D.)--Illinois State University, 2007.Title from title page screen, viewed on March 11, 2008. Dissertation Committee: Thomas P. Crumpler, Ellen A. Spycher (co-chairs), Anita P. Bohn, Nancy J. Bragg. Includes bibliographical references (leaves 209-218) and abstract. Also available in print.
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Van, der Walt Hester Maria. "Nurses and their work in tuberculosis control in the Western Cape : too close for comfort". Doctoral thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/26278.
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The setting for the research is the urban areas of Cape Town, South Africa where the notification rate of tuberculosis is the highest in the world. Despite the availability of modern drugs, the cure rate is low and approximately 40% of diagnosed patients do not adhere to treatment. This has serious implications for the spread of multiple drug-resistant tuberculosis. The relationship between the patient and health care providers is one of the main determinants of compliance to medical treatment. The main aim of the thesis is to develop an understanding of how nurses experience their work with patients who have pulmonary tuberculosis. The research explores how nurses interact with patients, how nurses perceive their relationship with patients and the processes and organisational arrangements which contribute to the patterns of nurse-patient interaction. The interpretive research design was largely informed by an ethnographic approach. The iterative research process led to several sub-studies; the analysis of each sub-study led to a further cycle of data collection. Data collection techniques include participant observation of nurse-patient interaction and depth interviews with nurses and key informants. An exploration of opportunities to change the prevailing work patterns yielded data on nurses' responses to change. The data were captured as field notes or audio taped and analysed thematically by using qualitative methods and by the application of psychodynamic theory. The research identifies task orientation and patient-centredness as the main patterns of nurse-patient interaction. Task orientation was found to be the dominant work pattern. Its origins are traced to the colonial history and to the influence of Taylorist labour practices. Task orientated work patterns are maintained because of complex mechanisms which operate at both intrapersonal and interpersonal levels. It is argued that the history of racial politics and racial identity has influenced the ways in which nurses manage the degree of distance between themselves and patients. The findings suggest that the closer the nurses identify with patients in terms of ethnic background, the more the nurses may feel the need to distance themselves from the patients. The notion of tuberculosis as a stigmatised disease, the concept of compliance, and the implementation of control measures such as directly observed therapy are critically examined. An exploration of the illness experiences of nurses who become infected with tuberculosis, provides an opportunity to explore how nurses perceive the role of the caregiver when they are in the unfamiliar position of being patients. The findings have implications for public health interventions aimed at transforming nurse-patient interaction. It is recommended that change management processes explicitly acknowledge the consequences of decades of apartheid policies and practices on the behaviour of health professionals and the users of health services. In the years to come change agents will need to address the emotional pain of the past, as well as the more well-known sources of organisational resistance to change.
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Schoonover, Heather Diane. "Barriers to research utilization among registered nurses working in a community hospital". Online access for everyone, 2006. http://www.dissertations.wsu.edu/Thesis/Spring2006/H%5FSchoonover%5F033106.pdf.
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Meagher-Stewart, Donna. "Public health nurses' community development practice with women in high-risk environments". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ63625.pdf.
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Chapman, Ysanne. "Dimensions of sadness - expanding awareness of community nurses' practice in palliative care /". Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phc4663.pdf.
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Chapman, G. E. "Text, talk and discourse : nurses' use of language in a therapeutic community". Thesis, University of London, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297236.
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Byrne, Geraldine. "The accident and emergency department : nurses' priorities and patients' anxieties". Thesis, Northumbria University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316497.
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This study investigated the sources of anxiety for patients in the Accident and Emergency Department and explored how patients' anxiety was influenced by their experiences in the department and the attitudes, behaviour and communication patterns of nurses and other staff. The research was carried out in twO Accident and Emergency Departments and consisted of three stages. Stage One employed structured interviews with 96 patients to identify sources of anxiety for patients in the Accident and Emergency Department and to examine the relationship between anxiety and the patient variables of age, sex, condition and department. In Stage Two in-depth interviews were conducted with 21 qualified nurses to explore their perceptions of their work and patients. Stage Three was an observational study, involving 23 patients, which examined the nature of nurse-patient communication in the Accident and Emergency Department. A Symbolic Interactionist framework was used in order to understand events from the perspective of those involved. Patients appeared to view their stay in the Accident and Emergency Department as an event occurring within the wider context of their daily lives and were concerned with social factors related to admission and the consequences of their illness or injury. Nurses held a different perspective and were more concerned with physical care and the organisation of the patients' stay in the department. In contrast to the patients, the nurses were concerned with short-term problems. Interaction between nurses and patients consisted predominantly of brief encounters which focused on the patients' illness or injury and their progress through the department. There was little attention explicitly directed towards dealing with patients' anxieties. A complex range of factors - interpersonal, cultural, interprofessional and structural - were found to influence communication. A number of recommendations are made identifying ways to enhance nurses' ability to deal with patients' anxieties.
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Gibbon, Bernard. "Stroke rehabilitation : the nurses' contribution to the multi-professional team". Thesis, University of Liverpool, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263873.
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Iverson, P. Dianne. "Spiritual care of the dying : a community nursing perspective /". View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031009.093517/index.html.
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Thesis (M. N.) (Hons.) -- University of Western Sydney, 2003.A thesis submitted in total fulfillment of the requirements for the degree of Master of Nursing (Honours), Faculty of Nursing and Community Health, Department of Nursing, University of Western Sydney, February, 2003. Bibliography : leaves 190-205.
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Duncan-Grant, Alec. "Clinical supervision activity among mental health nurses : a critical organizational ethnography". Thesis, University of Brighton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299192.
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This qualitative study IS underpinned by interpretive-constructionist methodological governing principles, and took shape around a developing research focus and aim rather than in relation to pre-existing research questions. The focus of the research is on clinical supervision activity. This refers to formal and informal research encounters with participants and significant others in the organization in which the study was carried out, about: the experience of the practice of clinical supervision; attempts to translate textual prescription and description of clinical supervision into organizational reality; finally, the meaning endowment placed on both of the above by myself, my participants, and significant others associated with my research. In order to address an important gap in the literature, the aim of the research developed as the need to unpack and clarify the meaning, and the affective and organizational theoretical implications of clinical supervision activity. Part one of the ethnographic report is constructed around three overlapping categories: owning, resisting and feeling. These categories are developed around the proposition that the bureaucratic rationality inscribed within both the literature on clinical supervision, and in organizational attempts to implement it, fails to take account of both the emotional underlife of the organization and otherorganizational factors. Specifically, I argue that clinical supervision activity, and my inscription within it as 'insider' researcher', was influenced, shaped and constrained by the pre-existing interpersonal rules and norms of the organization in which my research was conducted. Those governed what could and could not be done or said in or about clinical supervision activity, arguably undermining organizational goals to implement it. Part two of the ethnography explores the maIn theoretical and conceptual implications an sIng from the preceding ethnographic construction, around structural organizational power and politics. This addresses a significant gap in the contemporary literature in clinical supervision in nursing and mental health nursing. I conclude with a critical auto-critique of the study itself, around a discussion of its strengths and limitations and possible future research directions
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Timmons, Stephen. "Resistance to computerised care planning systems by nurses in the NHS". Thesis, Anglia Ruskin University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368274.
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Gray, Richard John. "A randomised controlled trial of medication management training for CPNs". Thesis, King's College London (University of London), 2001. https://kclpure.kcl.ac.uk/portal/en/theses/a-randomised-controlled-trial-of-medication-management-training-for-cpns(34bd9a07-da06-41f0-9002-222233ef3eba).html.
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Leamy, Mary Catherine. "Community psychiatric nurses' empowerment of people with serious and enduring mental health problems". Thesis, University of Newcastle Upon Tyne, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366590.
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Aranda, Kay. "Community nurses' talk of equal opportunities and anti-discriminatory practice : a postmodern analysis". Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392596.
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Peters, J. Melanie. "The impact of tele-advice on the community nurses' management of leg ulcers". Thesis, University of South Wales, 2003. https://pure.southwales.ac.uk/en/studentthesis/the-impact-of-teleadvice-on-the-community-nurses-management-of-leg-ulcers(d993ad94-af85-43e0-bdc1-af2c097d65a7).html.
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This study attempted to investigate the impact of new technology, specifically tele-advice on community nurses' care of leg ulcers. Firstly, a stratified randomised controlled study was designed to measure the impact of using this technology on their levels of wound knowledge and confidence. An individual self-test questionnaire and an attitudinal scale measured nurses' knowledge and confidence respectively both pre and post-intervention. Secondly, a new visual wound assessment tool was designed to represent the state of the wound by a single numerical value; the State of the Wound Index (SWI). Thirdly, the impact of nurses' knowledge, confidence and patient variables was explored to assess their impact on the state of the wound as represented by SWI. The sample consisted of thirty-eight registered primary care nurses from two local NHS trusts in South Wales and their corresponding 38 patients with venous leg ulcers. Nurses were stratified according to their qualifications into experimental or control groups. Both groups were shown to have comparable levels of knowledge and confidence pre-intervention. Nurses in the experimental group received expert tele-advice by a Clinical Nurse Specialist (CNS) over a 12 week period regarding the care of their patient's leg ulcer, whilst those in the control group continued to care for their leg ulcer patients in the traditional way. hi the experimental group, nurses' level of knowledge increased significantly (p=0.02) whilst no improvement was observed for the control group. In terms of confidence, the experimental group reached near significance when extremely positive statements were excluded with no improvement observed for the control group. Results show that the intervention had a positively significant impact on nurses' wound care knowledge and level of confidence. A set of 18 tele-transmittable wound factors was identified by a panel of wound experts. These factors were ranked by another independent panel of leg ulcer experts and no significance could be established in their order of importance. These factors were then examined for their highest and lowest possible estimates for every wound in the sample both pre and post intervention using a Visual Analogue Scale (VAS). These estimated values formed the basis for 95% confidence interval estimates from which 100 virtual nurse assessed values were generated. These values were then used to generate SWI. This new index ranged from 0 (best possible state) to 100 (worse possible) and was seen to reliably increase when the wound deteriorated and decrease as the wound improved. Linear regression models were built to establish the relationship between SWI, patient variables and nurses' knowledge and confidence levels pre and post-intervention. These indicated that knowledge and confidence can have a positive impact on the healing process. This study has shown that there is great potential for the use of tele-advice in community nurses' care of leg ulcers. For this to succeed, it is recommended that further pre and post registration nurse training is provided to enhance their knowledge in wound care, especially in the areas of physiology and wound assessment.
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Mobley, Deborah. "The Lived Experience of Faith Community Nurses Living the Call to Health Ministry". VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/101.
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Faith community nursing is one of the newest specialized practices of professional nursing. A faith community nurse is an actively registered professional nurse, who serves as a paid or volunteer staff member in a faith community. The faith community nurse promotes health and wholism of the faith community, its groups, families, and individual members. A faith community, as in a church, synagogue or mosque, is an organization of individuals and families who share common beliefs, values, religious doctrine, and faith practices that influence their lives. The faith community functions as a client system for the faith community nurse. The purpose of this study was to gain an understanding of the experiences of Protestant faith community nurses "living the call" to health ministry. Previous researchers have explored the roles of the faith community nurse, but have not specifically investigated the experience of living the call. A hermeneutical phenomenological methodology was used to answer the question, "What is the lived experience of faith community nurses living the call to health ministry?" The participants were ten Caucasian female faith community nurses residing in four regions in the Commonwealth of Virginia. All participants acknowledged receiving a "call" to health ministry. A structured interview of 60 to 90 minutes was conducted with each participant. The interview consisted of structured and semi-structured questions and explored the meaning of living the call to health ministry. Data were analyzed using the phenomenological method of Max van Manen. Five themes emerged including: 1) the calling; 2) relating to God in living the call; 3) practice in living the call; 4) challenges in living the call; and 5) blessings in living the call. Participants described the experiences of the callings to health ministry, consistent communications with God and the challenges and blessings of faith community nursing. The practices of faith community nurses were also described by the participants. The findings provide a glimpse into the lifeworld of the faith community nurse living the call to health ministry. This study may be helpful to others wanting to gain a deeper understanding of the meaning of the calling to health ministry as well as the experiences of relating to God, practice, challenges, and blessings.
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Adderley, Una. "Community nurses' judgement and decision making for the management of venous leg ulceration". Thesis, University of York, 2013. http://etheses.whiterose.ac.uk/4138/.
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Management of leg ulceration is an important part of community nurses’ workload but previous evidence suggests the quality of diagnosis and treatment of venous leg ulceration may be below that which should be expected. This thesis uses Judgement Analysis and Think Aloud methodologies to explore the performance of 18 tissue viability specialist nurses and 18 generalist community nurses managing patients with leg ulceration. The nurses made diagnostic judgements and treatment choices and assigned confidence ratings on 110 clinical scenarios generated from real patient cases. These were presented online, as written scenarios, and using photographs of wounds to add visual information. Data for the judgement ‘ecology’ was derived from consensus judgements of a group of ‘expert’ nurses using the same scenarios. Logistic regression models were constructed to examine ideographic Lens Model statistics for individual nurses. Comparisons were made between groups of nurses with different levels of education and expertise. Think Aloud data from three generalist nurses was analysed to identify their cognitive processes. The results showed that clinical decisions and judgements about venous leg ulceration are made in uncertain decision environments. In this study, community nurses achieved levels of accuracy below the achievable levels of judgement accuracy indicated by the diagnostic and treatment ecology models. Education alone was not a predictor of superior clinical performance. The ABPI was an important but under-weighted cue in diagnosis and the diagnosis (as a cue) was an important but under-weighted cue in treatment choice. Despite high levels of experience, nurses were under-confident in their judgements. A range of cognitive approaches to reasoning were apparent. The main contribution of this thesis is exposing the complexity of the clinical environment for leg ulceration and in setting out models for diagnostic judgment and treatment choices for venous leg ulceration. These models provide a starting point for developing robust strategies for supporting community nurses’ judgement and decision making.
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Hancock, Helen. "The decision-making processes of nurses when extubating patients following cardiac surgery". Thesis, University of Newcastle Upon Tyne, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251970.
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McCardle, John. "The exploration of the nature of community psychiatric nursing practice and the role of community psychiatric nurses (CPNS) in Ireland". Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399189.
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Sheridan, Ann Josephine. "An analysis of the activities of psychiatric nurses practicing in Ireland 1950 - 2000". Thesis, University of Birmingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275666.
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Pollock, L. C. "Community psychiatric nursing explained : An analysis of the views of parents, carers and nurses". Thesis, University of Edinburgh, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381405.
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Adams, Trevor. "Developing partnerships between people with dementia, their informal family carers and community psychiatric nurses". Thesis, University of Surrey, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390581.
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Weman, Karin. "Co-operation with family members : a challenge for registered nurses in community elder care /". Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-473-2/.
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Powis, Jane. "Working with people who deliberately self-harm : the experience of community mental health nurses". Thesis, University of Sheffield, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.412769.
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Lundy, Jo Lynne. "Using The Internet to Build Community and Provide Clinical Practice Guidelines for Camp Nurses". NSUWorks, 2002. http://nsuworks.nova.edu/gscis_etd/690.
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Approximately 10,000 camps are currently in operation in the United States, and an estimated 9 million youth attend camps annually. Each accredited camp is required to have a healthcare provider on the property when campers are present, and this provider is most often a registered nurse. Most nurses are unfamiliar with the outdoor milieu and must learn to adapt clinical skills and patient care to the camp setting. Camp nurses cannot rely on traditional medical equipment and supplies; they must use their own skills, clinical knowledge, critical thinking and problem-solving abilities to make independent decisions and nursing interventions. The many changes in healthcare and nursing in recent years have caused nursing professionals to realize that continuing education is necessary to insure professional advancement, and to keep current with the latest nursing research findings. The need for flexibility in the delivery of nursing education has been identified by various initiatives, and there is considerable pressure from professional nursing organizations, schools of nursing, and individual nurses to establish educational courses that are accessible and relevant. Nursing education is increasingly challenged to convert traditional course offerings to distance delivery, and courses in specialty nursing areas are in great demand.
This research study focused on the collection of data in order to design, implement, and evaluate a Web-based course for camp nurses. The goals of this study were to increase the camp nursing knowledge base, optimize the visibility of camp nursing research, establish a repository of research resources and information related to best camp nursing practices, stimulate camp nurses to create communication and support networks, create more opportunities for collaboration between camp nurses and camping organizations, promote an environment of continuous quality improvement in the camp health center, and deliver self-directed educational programs that prepare healthcare professionals to assume the camp nursing role. Since there are currently no educational programs available for camp nurses, a Web-based course for camp nurses would fill an educational void for this nursing population.