Dissertations / Theses: 'Community health nursing – Zimbabwe'

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Waterkeyn, Juliet Anne Virginia. "Cost-effective health promotion and hygiene behaviour change through community health clubs in Zimbabwe." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2006. http://researchonline.lshtm.ac.uk/682348/.

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Although safe sanitation and hygiene is critical for improving family health, rural communities in Sub Saharan Africa have shown little inclination to change their traditional behaviour, and sanitation coverage has now dropped to 47% (Cairncross 2003). With the Millennium Development Goals seeking to halve the 2.4 billion people without sanitation by the year 2015, there is an urgent need to find cost-effective health promotion strategies that will actively engage rural householders in modifying risky hygiene behaviour. This thesis evaluates an approach, developed over the past ten years in Zimbabwe, in which Community Health Clubs have successfully galvanised rural communities into active behaviour change leading to a strong demand for sanitation. In Tsholotsho District, after six months of weekly hygiene promotion sessions, at the cost of US 35c per beneficiary, good health knowledge of nine different topics was 47% higher in the intervention than for the control, and latrine coverage rose to 43% contrasted to 2% in the control area, with the remaining 57% members without latrines practicing faecal burial, a method previously unknown (p>0.0001). Spot observations of 736 Health Club households in two districts was contrasted to 172 in a control group, and showed highly significant changes in 17 key hygiene practices (p>0.0001) including hand washing. The study demonstrates that if a strong community structure is developed and the norms of a community are altered by peer pressure from a cyclical to linear world view, hygiene behaviour change will ensue and a demand for sanitation can be created. Maslow's Hierarchy of Needs (1954) is adapted to a rural context to analyse the qualitative data, providing some insight into the socio-cultural mechanisms at work. Despite adverse socio-economic conditions in Zimbabwe over the past five years, Health Clubs have flourished, providing a sustainable and cost-effective case study.

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Brookbank, Kathleen. "HIV : impact on community health nursing personnel." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834518.

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Ferguson, Clare. "Reproductive rights and citizenship : family planning in Zimbabwe." Thesis, London School of Economics and Political Science (University of London), 1999. http://etheses.lse.ac.uk/1540/.

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In this thesis, the relevance and practical value of discourses about reproductive rights to women living in a rural area of Zimbabwe are examined. Policy documents indicate that the Zimbabwe National Family Planning Council's (ZNFPC's) community based distribution service is based on principles of respect for particular definitions of reproductive rights and, concomitantly, a degree of women's reproductive self determination. In contrast, recent analyses of post Independence government action suggest that, as citizens of Zimbabwe, women are generally defined as dependants of men. This raises questions about the impact of the context of women's citizenship on the interpretation and realisation of reproductive rights through the family planning programme. Field work data focuses on the interpretation of policy and the consequent practices of local level health workers as well as women's interactions with health workers and their implications for reproductive self determination within household relations. It is suggested that health workers' actions result in the differential realisation of reproductive rights for particular social groups. Health worker relations with clients, in turn, reinforce differences between women in terms of the extent to which they are able to exercise reproductive self-determination within household relations. State employed health workers, in effect, act as policemen of private reproductive decision making. The use of an analytical framework of rights and citizenship highlights the relatively neglected issue of the political system in which family planning programmes are embedded. It is argued that health worker accountability to village populations is as important as the content of policy in determining the realisation and practical value of discourses about reproductive rights to rural women.

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Duah, Maame Akyaa. "Baccalaureate Nursing Students’ Perceptions of Community Health Nursing as a Career." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33388.

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Background: There has been an increasing shift in patient care from the acute hospital setting to the community. Nurses play an essential role as part of the community health care workforce; however, only a limited number of baccalaureate nursing students tend to choose a career in community health nursing after graduation. There is currently a gap in knowledge surrounding nursing students’ perception of a career in Community Health Nursing and the issues influencing their career choice upon graduation. Purpose: To explore issues that influence career choice in community health nursing from the perspective of baccalaureate nursing students. Research Methodology: The study was guided by a descriptive qualitative research approach. Individual semi-guided interviews and focus groups were conducted with 11 nursing students and a group of key stakeholders to share their thoughts on pursuing a career in community health nursing and the factors that enabled or hindered their decision making. Thematic analysis of the interview and focus group data generated relevant themes. Findings: Five major themes were revealed from study. These are 1) defining community health nursing, 2) the clinical practicum experience, 3) stereotypes of community health nursing, 4) societal trends and expectations, and 5) issues influencing career choice in community health nursing. Discussion and Implications: The personal and contextual factors influencing the perceptions and attitudes of students towards pursuing community health nursing were discussed. Existing literature was integrated into the discussion of the many factors that both motivated and hindered baccalaureate nursing students from pursuing community health nursing. The underrepresentation of new graduates in community health nursing calls for directed efforts by community health nursing organizations and the university to improve the situation. Conscientious efforts need to be made to provide students with knowledge and information surrounding the roles of community health nurses and the opportunities for nursing students and nurses in community health nursing settings. Conclusion: There is a need to increase awareness about community health nursing in order for nursing students to understand the importance and impact it has on the health status of communities and healthcare delivery infrastructure. Nursing education programs would be an ideal platform for this awareness-raising and facilitate student nurses decision to pursue community health nursing as a career.

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Lidstone, Terri Lynn. "Boundaries and trust in community mental health nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0010/MQ60083.pdf.

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Francis, Karen. "Poverty, chastity and obedience : the foundations of community nursing in New South Wales /." Title page, contents, abstract and introduction only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phf8185.pdf.

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Smee, Nancy L. "Factors associated with subsequent pregnancy in HIV-infected women and HIV-negative women: Experience from urban Zimbabwe." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3311337.

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Duncan, Susan Maxine. "Ethical conflict and response in community health nursing practice." Thesis, University of British Columbia, 1989. http://hdl.handle.net/2429/27333.

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The purpose of the study was to describe the types of ethical dilemmas experienced by community health nurses and their responses to them. Specifically, the research questions directed the identification of those clinical situations which contained the dilemmas, the inherent ethical conflicts, the nurses' responses to them, and the forces influencing their occurrence. Due to the exploratory nature of the study, a descriptive survey was selected as the research method. The Critical Incident Technique (Flanagan, 1954) and the Model for Critical Ethical Analysis (Curtin, 1978) were the basis for the development of the data collection guide. The CHNs who received copies of the guide were asked to describe in writing the practice situations which had contained dilemmas and their responses to them. Thirty CHNs practicing in communities throughout B.C participated by completing and returning their responses to the guides. Their written responses indicated they were able to identify common practice situations which had contained ethical dilemmas. Furthermore, these nurses were able to identify the conflicts which had existed for them, their feelings, and their experiences with the decision-making process. Content analyses of the nurses' responses resulted in three categories of dilemmas - clients' rights, system interaction, and nurses' rights. Within these categories, the dilemmas are characterized by one or more ethical conflicts which resulted in difficult choices for the nurses. During data analysis, the situations were further analyzed to identify underlying ethical themes and influential forces. The ethical themes underlying the nurses' dilemmas fundamentally involved conflicts between the principles of autonomy, beneficence and justice. Additionally, human rights and value conflicts are relevant in situations where the nurses are caring for high-risk client groups; interacting with the health care team; and asserting their own rights as employees, professional nurses, and citizens. Key restraining and driving forces influenced the CHNs' experience with the dilemmas. Restraining forces included policy, and a lack of interdisciplinary collaboration. Driving forces included supportive nursing leadership, consultants from other disciplines, nursing knowledge and skill, the nurse-client relationship and most importantly the nurses' interaction with colleagues. These CHNs saw their role as one of an advocate for their clients. Although the ethical dilemmas described by this sample of CHNs are not notably different from those experienced by nurses in other settings, the way in which these nurses experience them is influenced by unique features of their role. These unique features result from the CHN's position in the health care system. The CHN is often a primary contact for clients, and therefore often assumes a role in initiating and coordinating referrals to social workers, physicians, and others. Furthermore the independent nature of community health nursing practice increases their needs for collaboration with others who are often removed from their setting of practice. Finally, because this group of nurses see clients in their natural community settings, they have an awareness of community health conditions which are determinants of health. Based on these findings, implications for community health nursing practice, nursing education, and nursing research are proposed.
Applied Science, Faculty of
Nursing, School of
Graduate

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Chang, Pei-Jen. "Factors influencing occupational health nursing practice." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/factors-influencing-occupational-health-nursing-practice(117dd5b4-81ff-45dd-8966-3ea83809c449).html.

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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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Krassy, Margaret Mary. "As things change : an ethnography of a community health nursing agency /." Access Digital Full Text version, 1995. http://pocketknowledge.tc.columbia.edu/home.php/bybib/12136505.

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Thesis (Ed.D.)--Teachers College, Columbia University, 1995.
Includes tables. Typescript; issued also on microfilm. Sponsor: Elizabeth M. Maloney. Dissertation Committee: Herve Varenne. Includes bibliographical references (leaves 153-167).

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Weierbach, Florence M. "IGNITES Voices from Our Community." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7371.

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Bartholomeaux, Frances Marie 1955. "Variables influencing community cardiopulmonary resuscitation course participation." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277318.

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This study investigated the variables influencing community cardiopulmonary resuscitation (CPR) course participation. Forty-seven adults, male and female, participated in a descriptive study. Three questionnaires were given to participants of two community CPR courses: the Cues to Action questionnaire, the Health Belief Model in Cardiopulmonary Resuscitation questionnaire, and the Health Self-Determinism Index. The results indicated positive relationships between an individual's perceived susceptibility of others and perceived benefits in CPR course participation and utilization, and between cues to action and intrinsic motivations, specifically health judgments. The results also demonstrated an expected negative correlation between perceived benefits and perceived barriers; i.e., the benefits outweighed the barriers to CPR course participation and utilization. The results are all marketable concepts which can be utilized in promoting CPR course utilization and participation.

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Weierbach, Florence M. "Integrating Community Concepts, DNP Essentials & Practice." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7402.

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Boytell, Darlene M. "Relation of health related hardiness to health perception and psychosocial adaptation in adult hispanics with chronic hepatitis C." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1782.

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The purpose of this study was to investigate the role of hardiness in health perception and psychosocial adaptation in adult hispanics with chronic hepatitis C (n = 32). The Health Related Hardiness Scale and the Psychosocial Adaptation to Illness Scale were administered to 32 adult hispanics diagnosed with chronic heptitis C at a gastroenterology center. The results indicate that a comparison of subjects with low and high hardiness scores did not reveal significant differences on any of the PAIS domains (health care orientation, sexual relationships, psychological distress, vocational, domestic and social environments). Furthermore, hardiness subscales of control and committment did not have any influence on patient's psychosocial adaptation nor in its domains. However, a comparison of subjects with low and high challenge scores indicates that those with low challenge had lower total psychosocial adaptation scores (M = 5.55, SD = 2.13) than subjects with high challenge scores (M = 4.24, SD = .67) ,t = (1, 30) = 2.34, p < 0.05. Differences were also found for the domains of health care orientation, psychological distress, social and vocational environment. Lastly, there were significant differences on perceived health rating (poor, fair, and good) for the total hardiness score (F = (2,29) =5.49, p < 0.05), control (F =(2,29) = 4.09, p < 0.05), committment (F=(2,29) = 3.76, p < 0.05) and challenge (F=(2,29)= 4.92, p < 0.05). Thus, those patients who rated their health as poor had lower hardiness levels. Findings have implications for promoting hardiness for better health perception and in certain aspects of psychosocial adaptations in adult hispanics with chronic hepatitis C.

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Bjorn, Agnes Marie. "Community health assessment and nursing care needs of the elderly." Thesis, University of Manchester, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.237239.

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Alcazar, Maria. "Childhood/teen obesity in the Hispanic community." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1587255.

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Obesity in the United States should be of great concern to all Americans. The rates of obesity among children and adolescents have been on the rise, demonstrating the need for action now. Obesity at a young age can lead to obesity into adulthood, thereby also increasing the risk of health issues such as the development of high blood pressure and diabetes. Many factors go into play when dealing with obesity, yet the factors that will be considered in this study are the effects of decrease activity and the impact of BMI of a child or teen. Another factor that will be consideed in this study is the consumption of sugar sweetened beverages and how this also affects a child or teens BMI.

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Teasdale, John Kevin. "Reassurance in nursing." Thesis, Sheffield Hallam University, 1992. http://shura.shu.ac.uk/3162/.

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The aim of this study is to identify the ways in which nurses can be effective in helping anxious patients to feel calmer or more secure. This subject is important to all nurses who work in close day-to-day contact with people under stress. The study uses the Inferential Model of Communication as its main theoretical foundation, emphasising the value of identifying the intentions of the communicator and the inferences made by the respondent. It establishes a Nursing definition of the verb "to reassure" as "an attempt by nurses to communicate with patients who are anxious, worried or distressed with the intention of inducing them to predict that they are safe or safer than they presently believe or fear". The literature review reveals few research-based studies which explicitly refer to "reassurance", but many experimental studies of interventions designed to calm anxious patients. The inferential model helps to highlight the theoretical inadequacies of interventions based on "information-giving", and demonstrates the importance of the distinction between prediction and control in aversive situations. Grounded Theory methods were used to collect and analyse a total of 351 Critical Incidents reported in writing by 202 nurses, and in tape-recorded interviews by a further fifty-one nurses and fifty-one patients. The incidents were drawn from the experience of nurses and patients in a wide variety of clinical settings, including general hospital, community, psychiatric and mental handicap settings. A set of descriptive categories was developed from this database to code all the incidents collected. The classification scheme was tested for inter-rater coding reliability, yielding agreement levels of ninety per cent or higher in most categories. The results show that the nurses used five helping strategies - prediction, support, patient control, distraction and direct action. Of these, only the first two are always forms of "reassurance" as defined above. It appears that rational choice of a helping strategy requires nurses to compare their views of the aversiveness of patients' situations with the views of the patients themselves. Out of this comparative assessment, the study suggests that it is possible to predict which helping strategies are most likely to be effective in inducing patients to feel calmer, and which ones may have undesirable side-effects. The study concludes by offering some suggestions for further research, arguing that the inferential model of communication has demonstrated its potential as a powerful tool for the analysis of nurse-patient communication.

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Cheung, Philip L. "Phenomenology of nursing." Thesis, University of Southampton, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316012.

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Simons, Lucy. "Community mental health nurses' perspectives on the treatment of people with common mental health problems." Thesis, University of Southampton, 2006. https://eprints.soton.ac.uk/57942/.

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The study was in two parts. In Part 1 the thematic content analysis of the nurses’ individual accounts of their trial experience revealed how the CMHNs’ aimed to be an agent of change in the nurse-patient encounters and how the trial setting contrasted with everyday practice. Following this, detailed micro-analysis of the narratives of nurse-patient encounters found that the nurses’ goal to be an agent of change was not always borne out when the construction of their accounts was examined. In Part 2 the thematic content analysis of group discussions about CMHN role illuminated the tensions in CMHNs’ everyday practice and their perceived role with people with CMHPs outside of the experimental setting. Overall, the treatment of people with CMHPs was exceptional in that the nurses interpreted their trial experience in the way it contrasted with their everyday practice. Further, in line with the results of the randomised controlled trial, CMHNs did not think that people with CMHPs should be treated by specialist nurses within community mental health services. The nurses suggested a range of methods in which individual, community and primary care resources could be augmented to support people with the aim of preventing referral to specialist services. The integration of the key findings from both parts of the study demonstrated how the nurses used and valued a range of types and sources of knowledge, both in their practice and when forming their views about CMHPs and service organisation. These knowledge sources were not those valued in contemporary healthcare. The dominant evidence-based practice movement champions research evidence of effectiveness above other forms of knowledge. Broadening the understanding of evidence and narrowing the claims of evidence-based practice is suggested to permit all forms of knowledge to be valued in healthcare decision-making

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Dobbins, Elizabeth M. "Non-Language Barriers to Effective Care of the Hispanic Population." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/honors/274.

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This research study was designed to improve the quality of health care received by the Hispanic population in northeast Tennessee. After reviewing past research, it is evident that the Hispanic population reports a lower level of health care satisfaction and a greater number of health disparities. Although attempts to reconcile this problem have included implementing regulations and guidelines on the cultural competency of and the provision of language services by health care providers, no measurable improvement has been noted. To positively impact this pervasive problem, the focus must shift away from how health care agencies can affect health care for Hispanics, and toward how health care providers can improve patient care. It is the responsibility of health care providers to provide quality care to all patients, regardless of their culture, race, or language. By interviewing three primary care nurse practitioners who serve a large Hispanic population in northeast Tennessee, it became evident that even with a language aide present, barriers to caring for this population still exist, although these barriers are not unsurmountable. Through years of experience, these providers have developed skills that have improved communication with, and health-related outcomes of, Hispanic patients, but this type of care should not be impacted by nurse practitioner turnover. Each provider agreed that nursing students’ education and opportunities to work with diverse populations while in basic nursing education programs must be improved, so that when students graduate, they can become part of the solution to this ongoing problem.

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Spicer, Judith Evangeline. "District nursing : its focus through a comparative analysis of nursing problems." Thesis, University of Surrey, 1993. http://epubs.surrey.ac.uk/844117/.

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The thesis explores the focus of district nursing practice in order to identify areas of study for inclusion in the district nurse curriculum. The "focus" is defined as the point of greatest activity (Chambers, 1991) and so evolves from nursing actions. It is assumed that some nursing actions are dependent upon the patients'needs/problems identified in the assessment process. As all district nurse students are Registered General Nurses they are familiar with nursing needs in hospital and the knowledge that underpins them. The problems experienced frequently by patients at home were explored and compared with those that occur frequently in hospital. The differences in the problems between the two settings enabled knowledge specific to district nursing to be identified. Data was collected from hospitals and the community in one outer London Health Authority. The research was structured through Facet theory which allowed the focus and parameters of the study to be made explicit. The data was analysed using a multiple sorting task, multidimensional scaling procedures and statistical tests. The results demonstrated that a relationship exists between some problems and illustrated those that are likely to occur together. A difference was found between some common problems experienced by patients at home from those experienced in hospital. However, other problems occur with equal frequency and severity in both settings. This suggests that the focus of care is different at home from hospital but that a family resemblance exists. It was argued that the focus of district nursing is on health teaching, which is facilitated by the giving of physical care. Concepts fundamental to district nursing, which underpin the focus of care at home, were identified. Areas of study for inclusion in the district nurse curriculum were suggested and questions for further research raised.

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Runciman, Phyllis Janet. "Interpreting health promotion with older people in community health nursing : education and practice perspectives." Thesis, Glasgow Caledonian University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547440.

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Bennett, Amanda Dawn. "Project GENESIS: Community Assessment of a Rural Southeastern Arizona Border Community." Diss., The University of Arizona, 2009. http://hdl.handle.net/10150/194342.

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Purpose/Aims: The aim of this study was to understand the health issues of a rural Southeastern Arizona border community. More specifically, this study used community assessment with ethnographic principles to: 1) Conduct a community assessment centered on definitions of health, access to care, quality of care, and health needs in a rural Southeastern Arizona border community; and 2) Compared the findings of this study to previous studies, models, and theories of rural nursing and rural health.Background: It is important to understand that each community has a unique set of health priorities that are dictated by these factors; making every rural community different. Much of the work that has been done in rural America has been performed in the Midwest, Southeast, or Northern states. There is limited information regarding Arizona or even Southern US border communities and whether previous work can be generalized to areas that have not been studied.Sample and Methodology: This study utilized community assessment with ethnographic underpinnings through the use of focus groups, key informant interviews, participant observation, and secondary data analysis of existing community data. Sampling for the focus groups and key informants was purposive. Focus groups included: 1) participants who use local health services and 2) participants who do not.Analysis: Lincoln and Guba's (1985) guidelines for rigor in qualitative studies was utilized. Thematic analysis and thick description were used to analyze data. Theoretical triangulation was performed between individual, group, and community level data with theoretical linkages made to community capacity theory and rural nursing key concepts.Implications and Conclusions: The location of this project, rural Arizona community, near the US-Mexico border, posed an interesting contrast to the proposed concepts widely being used today. From this study, healthcare leaders in this community are better equipped to provide relevant, high-quality, and safe services; but an informed community emerged that has an interest in promoting the health and well-being of the community as a whole.

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Al-Darmaki, Salem A. "Assessing the need for community health nursing services in the UAE." Thesis, Durham University, 2004. http://etheses.dur.ac.uk/3173/.

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The rapid socio-economic development in the United Arab Emirates (UAE) has had a great impact on the establishment and growth of the health care system in the country. Despite the development of the health care system, various shortcomings interact with and impact upon health and the way the health system functions and operates. Hence, the aim of this study was to assess to what extent the introduction of Community Health Care Nursing (CHCN) services in the UAE would address some of these shortcomings, In order to achieve this aim, a better understanding of the UAE health care system and health needs was required. This was obtained through a comparison with the United Kingdom and Bahrain, with a special focus on Primary Health Care and CHCN services. In recognition of the importance of the views of the public regarding any new service, fieldwork was conducted with a sample of the community and health services staff living in the city of Al Ain, UAE. The data required were collected by means of quantitative (questionnaires) and qualitative (the focus group technique and interviews) research methods. The findings from this study demonstrated that some shortcomings characterising the current health services need to be addressed before planning and implementing the proposed service. Furthermore, the results suggested that CHCN, preventive, curative or both, could contribute to meeting some of the identified health care needs. The findings also indicated a lack of understanding on the part of the general public of the function of primary, secondary and tertiary health facilities, in particular that of hospitals. It is therefore argued that PHC centres could be suitable places to host a CHCN service in the country. The findings also indicated that, despite the many advantages of such a service, more effort needs to be made to tackle the barriers to its successful implementation and to raise public awareness of the proposed service within the UAE community.

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Conrad, Michael Dean, and Anna Kampanartsanyakorn. "Advanced practice nursing health care needs assessment in an underserved community." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2336.

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The purpose of this study was to gain information about the community health care needs through a comprehensive assessment. This information will allow providers to identify services and groups of people where the biggest gap exists in receiving needed health care services. This may provide the basis for the design of an advanced practice preventative health intervention for the community.

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Eastmond, Cheryl. "Implementation of a cardiovascular health-promotion program in a rural Africa-American community." NSUWorks, 2014. https://nsuworks.nova.edu/hpd_con_stuetd/20.

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Cuddy, Janet Brooke. "Development of an Evidence-Based Nursing Orientation Program for a Community Health System." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/748.

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Through discussion with the community health system's administration, it was identified that their current nursing orientation program was not well structured or comprehensive. The nursing staff also reported dissatisfaction with the current program. Therefore, a Doctor of Nursing Practice project commenced to develop an evidence-based nursing orientation program for Registered Nurses (RN) and Licensed Practical Nurses (LPN) at a community health system in Virginia. The Competency Outcomes Performance Assessment model guided development of the project through a comprehensive literature review to identify evidence-based data for competencies, learning strategies, and performance evaluations. This review highlighted the importance and benefits of nursing orientation programs as well as the use of evidence-based strategies. As a result of this review, an evidence-based nursing orientation program was developed to meet the needs of the nursing staff as well as the organization. The evidence-based nursing orientation program was translated into an electronic format with an accompanying manual to be used when nurses are hired by the community health system. An advisory board from the organization reviewed the program and their feedback was incorporated. Social change is expected to occur, as nurses will be better prepared for their new position with increased job satisfaction and also to provide optimal care to patients from the community. This project addressed a gap in the literature for generalized nursing orientation programs. Publication in a peer-reviewed journal or oral presentation at the Virginia Community Healthcare Association annual conference was selected for project dissemination.

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Brehm, Jerrilyn S., M. Yasin, and Florence M. Weierbach. "Building Trust with Novice Community Based Preceptors." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7397.

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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.

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Earle, Wendy. "Factors that influence heart failure self-management of community dwelling individuals." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/27195.

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Heart failure (HF) affects 350,000 Canadians, and is the third most common primary diagnosis for a hospitalization in Canada. People with HF experience periods of stability interspersed with exacerbations requiring hospitalization. During the fiscal year 2000-01, 85,679 patients were admitted to hospitals in Canada accruing a cost of over $1 billion per year for inpatient hospital services alone. These statistics indicate that in addition to the considerable influence on the lives of many Canadians, the burden of the problem is significant on the current and future health care system. This thesis examines factors that influence HF self-management as well as the profile characteristics of community dwelling individuals. The results of a systematic review and findings of a study that combines a mixed method approach including a quantitative secondary analysis, and a set of qualitative telephone interviews are presented. The qualitative data focuses on one factor, perception of social support, and how it relates to HF self-management. Finally, an integration of the information is presented. (Abstract shortened by UMI.)

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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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Morton, Jea, Florence M. Weierbach, Rebecca Sutter, Kae Livsey, J. Bliss, Jerrilyn S. Brehm, and J. Metcalf. "Transforming Community Health Nursing Education: Lessons Learned from Individual and Cross Grantee Program Evaluations from a Federal Bachelor of Science in Community Practicum Awards." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7379.

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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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Meurier, Clency Emmanuel. "Improving the quality of nursing care : a study of nursing errors and their reduction." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287996.

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Keith, Rosalind R. "Initiating Nicotine Cessation in a Community Mental Health Center." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2128.

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Individuals suffering from mental illness are often adversely affected by tobacco use. Historically, clinicians are reluctant and inadequately prepared to recognize and treat comorbid nicotine addiction in the chronic mentally ill (CMI) client. As evidenced by a review of the literature, healthcare providers are missing opportunities for nicotine cessation treatment. There is a lack of educational preparation amongst clinicians to treat nicotine addition and a concern that treatment of nicotine addiction can negatively impact existing psychiatric disorders. The purpose of this project was to create an educational plan for nicotine cessation for CMI clients at a community health center. The conceptual framework to guide this project is premised on Lewin's Change Theory and the Logic Model. Nine clinicians, specializing in mental health, reviewed the developing education program at three distinct times and responded to a 12-item author-developed questionnaire to determine their understanding of nicotine cessation and their willingness to initiate the nicotine cessation program. A review of the questionnaire responses indicates the clinicians agreed nicotine abuse is a problem for the CMI client, they had not received adequate training on nicotine cessation, and they would be comfortable incorporating the nicotine cessation education program in their practice. The findings were presented to key organization stakeholders at the community mental health center. Social change will result with implementation of the education program empowering clinicians, in this mental health center, to gain the knowledge to effectively diagnose and intervene when clients present with comorbid nicotine addiction and mental health conditions.

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Rice, Judy A. "The Johnson City Community Health Center: Treating the Uninsured Mentally Ill." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7624.

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Boulle, Therese Marie. "Developing an Understanding of the factors related to the effective functioning of Community Health Committees in Nelson Mandela Bay Metropolitan Municipality, Eastern Cape Province, South Africa." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4635_1253238212.

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This research aimed to investigate the factors related to the functioning of Community Health Committees in Nelston MandelaBay Municipality. It intended to elicit information on factors which promote and inhibit their effective functioning. It used the qualitative research methods of focus group discussions, concluded with a sample of Community Health Committee members, and in depth, individual interviews with key informants. The contents of the transcriptions of all focus group discussions and in-depth individual interviews were analysed so as to identify the recurring themes and key suggestions.The findings indicated that Community Health Committees are not functioning as per their original intention and that relevant policies have not been accurately translated into practice.

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Fordham, Maria. "Being and becoming a specialist public health nurse : net weaving in homeless health care." Thesis, University of Bedfordshire, 2012. http://hdl.handle.net/10547/304613.

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In this study, systematic reflection in professional practice is seen as a dynamic process towards socio-political action, negating a navel-gazing critique. Positioned within nursing, the pioneering narrative inquiry approach will be highly valuable in medicine, education and other health fields. When I embarked on this study, research to guide me in homeless health care was limited and there is, even yet, insufficient evidence to demonstrate the effectiveness of advanced nursing practice in England particularly with homeless people. Through its reflexive narrative nature that research gap is addressed in a profound journey that illuminates my transformation over a three year period of being and becoming a Specialist Public Health Nurse (homelessness). The methodology draws dynamically on an eclectic, philosophical framework which includes reflective practice/guidance, narrative inquiry, hermeneutics, aesthetics, critical social science theory, storytelling, performance-ethnography and ancient wisdom. The Six Dialogical Movements (Johns, 2009) provides coherence to the twenty-one practice experiences that adequately marked my transformation towards my practice vision. I used the Being Available Template (Johns, 2009) as a reflexive framework which became the metaphoric net of my practice, showing where and how homeless people fall through the net of care, and my role in weaving a stronger net. I also drew on the work of Belenky et al's (1986) voice perspectives to show empowerment in my specialist role. Within the narrative, each story illuminates complexity and brings new knowledge about homeless health care. The study tangibly links childhood trauma to adult homelessness; it illuminates suffering in homelessness, showing where and how mainstream health professionals contribute to suffering when they do not grasp their role within the net, perpetuating homelessness. Appreciating precarious engagement in four quadrants: health services, homeless services, the homeless person and my SPHN role, is a concept that illuminates the precariousness of the net. The study concludes with a SPHN Homeless Health Care Model. Towards an ensuing social action through dialogue, I use the term 'audiencing' rather than transferability of findings. Hearing stories from 'street to boardroom' - making the invisible visible - has been profound in health services as evidenced in the narrative.

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Greathead, Erica. "Role competencies of first-line nurse managers in community health centres : a delphi study." Master's thesis, University of Cape Town, 2000. http://hdl.handle.net/11427/2951.

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Bibliography: leaves 166-194.
This study was conducted to determine the role competencies required of first-line nurse managers of Community Health Centres (CHC) in South Africa with the implementation of the district health system and the corresponding delegation of authority and responsibility to lower levels of management. A Delphi technique was utilised, which involved a panel of 24 senior nurse managers.

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Adams, Faiza Kajee. "Violence in nursing : perceived prevalence and impact in community health clinics in Cape Town." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/12733.

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Includes bibliographical references (leaves 106-113).
The paper will be focusing on violence against nurses working in community health clinics in Cape Town. The study is a replication of Prof Doris Deedei Khalil's (principle researcher) larger studies on violence in all areas of nursing including general, paediatric and psychiatric nursing, midwifery and undergraduate nursing schools. Aim and objectives: to explore violence in nursing within community health care settings. Some of the objectives of the study examined the extent and frequency of violence against nursing staff in community health clinics. Research design: phenomenological approach was selected to capture experiences and views of nurses working in selected health centres.

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Udjombala, Hilka Tuyenikelao. "Malaria in Namibia : a community study." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52329.

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Thesis (Mcur)--Stellenbosch University, 2001.
ENGLISH ABSTRACT: The researcher has identified several problems in the North West Health Directorate community of Namibia regarding malaria and malaria related deaths. Against this background the study was undertaken to: • Identify the attitude(s) of the community towards malaria. • Determine the community's knowledge of malaria. • Determine the prevention strategies the community employed to guard against malaria. • Make recommendations. Methodological triangulation was used to obtain data and the findings reflected the following: • Lack of knowledge about malaria, its causes, management and prevention due to lack of adequate health information. • Socio-cultural factors have an influence on the community's knowledge of malaria, their attitudes towards malaria and on strategies employed by the community to prevent malaria. Recommendations included provision of proper and adequate health information to the community by health workers, increasing community participation in order to enhance attitude change and co-ordination and collaboration between traditional healers and the Ministry of Health and Social Services. Keywords: malaria I community I prevention I knowledge I attitudes
AFRIKAANSE OPSOMMING: Die navorser het verskeie probleme rakende malaria en malaria verwante sterftes in die gemeenskap van die Noordwes Gesondheidsdirektoraat van Namibië geïdentifiseer. Teen hierdie agtergrond is die studie gedoen om: • Die houding van die gemeenskap teenoor malaria te identifiseer. • Die gemeenskap se kennis omtrent malaria te bepaal. • Die voorkomende strategieë wat die gemeenskap toepas om malaria te voorkom te bepaal. • Aanbevelings te maak. Metodologiese triangulasie is gebruik om data te verkry en die bevindinge het die volgende gereflekteer: • Gebrek aan kennis aangaande malaria, die oorsake, hantering en voorkoming van malaria as gevolg van 'n gebrek aan voldoende gesondheidsinligting. • Sosio-kulturele faktore beïnvloed die gemeenskap se kennis van malaria, hul houding teenoor malaria en die strategieë wat hul toepas om malaria te voorkom. Aanbevelings sluit in die voorsiening van korrekte en voldoende gesondheidsinligting aan die gemeenskap deur gesondheidswerkers, verhoging van gemeenskapsdeelname om houdingsveranderinge teweeg te bring asook om die koërdinasie en samewerking tussen tradisionele helers in die Ministerie van Gesondheid en Welsyn te verbeter. Sleutelwoorde: malaria I gemeenskap I voorkoming I kennis I houding.

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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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Dudley, Nancy Elizabeth. "Factors Influencing the Uptake of Community-based Palliative Care." Thesis, University of California, San Francisco, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133428.

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Over the past ten years, community-based palliative care (CBPC) has rapidly expanded as older adults are living in the community longer with advanced illness and high symptom burden. Yet there are no models of standardized care for this population. It has been suggested that primary and secondary palliative care be delivered in the primary care setting to address palliative care needs in the community. However, a description of older adults in primary care with advanced illness and symptom burden who would benefit from primary and secondary palliative care, and a description of the process to deliver care are lacking. The aim of this dissertation was to explore the facilitators and barriers to providing palliative care in primary care, and to describe the prevalence of advanced illness and symptoms of older adults in primary care to identify who would benefit from palliative care in primary care.

Using a grounded theory methodology, twenty semi-structured interviews were conducted with primary care and palliative care providers in academic and community settings. Four major themes emerged from the data that are facilitators and barriers in care coordination: (i) role clarity; (ii) feedback and communication; (iii) time constraint and workforce; (iv) education.

A secondary analysis was conducted using the National Ambulatory and Hospital Medical Care Surveys 2009-2011 to examine primary care visits. There were more visits by older adults to primary care for advanced illness and symptoms than to non-primary care. More visits were due to advanced COPD, CHF, dementia, pain, depression, anxiety, fatigue, and insomnia compared to non-primary care. This research contributes to our knowledge of the delivery of palliative care in the community and the patient population that could benefit from primary and specialty palliative care. I offer a conceptual model of the process of primary care and specialty palliative care in order to coordinate care for older adults with advanced illness and progressive symptomatology.

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Sattler, Victoria. "Understanding the meaning of an international community focused teaching-learning experience in Peru." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Fall2009/v_sattler_111909.pdf.

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Green, Kemble. ""Nursing Contamination: Wearing Scrubs in Public"." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/238.

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Nurses are frequently seen in public in their “scrubs,” which could mean that contaminated clothing is being brought into the community, thereby posing an infection risk. The purpose of this study is to investigate if and which contaminants are present on the fabrics and the actions nurses are taking to eliminate contamination risks. Eleven scrub tops were worn on hospital units over one twelve-hour shift. The contaminated scrubs and three control tops were then swabbed and used to inoculate agar plates. After incubation, colonies were counted, streaked onto nutrient and Mannitol-salt agar for isolation, and incubated. Using API Staph strips and Gram staining, the bacteria were identified. The nurses also completed a short survey on laundering and scrub care. All scrub tops, except the controls, were contaminated with multiple species of bacteria including Staphylococcus species. Responses to the survey showed that no two nurses washed their scrubs in the same manner and many wear them in public. The results determined that bacteria can survive on clothing and pose the possibility of transmission throughout the hospital and public venues. The survey results indicate a need for employer laundering policies, public awareness of the risk for transmission of disease from contaminated clothing, and stricter regulations about employees wearing scrubs outside of health care facilities.

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Ghaly, Marina Adele. "Client outcomes in a community health setting." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277274.

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A descriptive design was used to describe five client outcome scales as potential measures of quality care in home health care: discharge status, client satisfaction, medication adherence, general symptom distress and caregiver strain. The conceptual model used necessitated three separate samples: a discharged sample of 20 clients, an active client sample of 14 subjects and a caregiver sample of three subjects for a total of 37 subjects. Structured interviews and questionnaires were used; descriptive statistics were applied to scores. The most notable indicator of quality of care, the medication adherence scale, showed all clients taking medications as prescribed. The primary reason for discharge showed that the client could manage without further services. Clients reported that they were somewhat satisfied or very satisfied with services. Caregivers reported a low perceived level of stress. The scales measuring discharge status and symptom distress need further investigation to determine if they are true indicators of the concept of quality care.

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Morton, Jea, Mary Kay Goldschmidt, Rebecca Sutter, Kae Livsey, D. Martin, Florence M. Weierbach, J. Bliss, and J. Metcalf. "Preparing Graduates for Roles in Community-based Nursing Practice." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7381.

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McLaughlin, Michael P. "Community college nursing and allied health education programs, and Iowa's healthcare workforce." [Ames, Iowa : Iowa State University], 2009.

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Coombs, Maureen A. "Medicine, nursing and policy development in intensive care : an ethnography to explore the contemporary nursing role." Thesis, Oxford Brookes University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323909.

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Dissertations / Theses on the topic 'Community health nursing – Zimbabwe'

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