Dissertations / Theses: 'Interpersonal relations nursing'

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Bridgen, Annette Frances. "A heuristic journey of discovery : exploring the positive influence of the natural environment on the human spirit : a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Nursing /." ResearchArchive@Victoria e-Thesis, 2007. http://hdl.handle.net/10063/168.

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Garza, Christine Seftchick. "Inferential Set Adoption by Nursing Students." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc332240/.

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This study examines nursing students' adoption of inferential sets in a clinical situation. The investigation determines (1) the particular inferential set(s) nursing students adopt toward a patient in a clinical situation; (2) the particular inferential set(s) adopted by sophomore and senior nursing students in a clinical situation; and (3) whether or not inferential sets adopted by the sophomore and senior nursing students differ. Sophomore and senior nursing students at a woman's university in Texas were asked to complete a research tool designed to determine inferential set adoption.

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Sundberg, Sharon Eloise. "The effect of a relationship-building activity on nursing student anxiety in the clinical setting." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27736.

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A pre-test post-test group design was used to determine whether student nurses who received a relationship-building intervention would rate their relationship with the instructor higher than those who received a placebo/ whether student nurses who received the intervention would have less state anxiety than those who received a placebo/ and whether there was a relationship between ratings of state anxiety and student-instructor relationships. The intervention was designed to occur over a three-day period. Data were collected from a homogenous sample of 30 control nursing students and 31 experimental nursing students. Effectiveness of the intervention was determined by measuring student anxiety levels using the State-Trait Anxiety Inventory (Spielberger/ Gorsuch/ & Lushene/ 1970) and by measuring the student-instructor relationship using the Relationship Questionnaire (adapted from Truax & Carkhuff/ 1967). Additional data were collected from a Stressful Event Questionnaire/ a demographic data form/ and a debriefing session with participating instructors. Analysis of data indicated a treatment main effect was statistically significant. Members of the experimental group rated the perceived relationship with the instructor higher than members of the control group. There was no significant difference between groups in their ratings of anxiety. There was a trend/ however/ for those in the experimental group to have lower state anxiety than those in the control group. Correlations between the student-instructor relationship scores and the anxiety scores were low but were in the anticipated negative direction.
Applied Science, Faculty of
Nursing, School of
Graduate

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Brooks, Constance W. "The impact of people-centered team training on participants' engagement in the relationship requisites of self-development a qualitative evaluation study /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3025606.

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Brooks, Constance Wilhelmine. "The impact of people-centered team training on participants' engagement in the relationship requisites of self-development : a qualitative evaluation study /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3025606.

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Soares, Daniela Arruda. "Competência interpessoal no cuidado de pessoas com diabetes: percepção de enfermeiras(os)." reponame:Repositório Institucional da UFBA, 2008. http://www.repositorio.ufba.br/ri/handle/ri/9551.

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Este estudo versa sobre a percepção de enfermeiras sobre competência interpessoal no cuidado de pessoas com diabetes. Tem natureza qualitativa, do tipo exploratório, cujos objetivos foram apreender a percepção de enfermeiras (os) que cuidam de pessoas com diabetes sobre competência interpessoal e caracterizar a relação interpessoal entre ambos. Constituíram os sujeitos deste estudo onze enfermeiras (os) que exerciam suas atividades no Programa de Saúde da Família, na zona urbana, no município de Vitória da Conquista-BA, no período de fevereiro a julho de 2006. Para coleta dos dados utilizou-se entrevista semiestruturada e observação sistemática e não-participante. O conteúdo foi analisado e categorizado por meio da análise temática norteada por Bardin, tendo por base os pressupostos de Moscovici sobre competência interpessoal e a teoria de Travelbee sobre a relação pessoa-a-pessoa. Os resultados da entrevista apontaram que as percepções das (os) enfermeiras (os) acerca da competência interpessoal fundamentaram-se na habilidade de interação com o paciente e no estabelecimento de um relacionamento interpessoal efetivo, o que coaduna com as proposições teóricas acerca da temática em questão. Ainda caracterizaram os relacionamentos interpessoais como formas de relacionamentos eficazes com os pacientes, além de esses relacionamentos apresentarem elementos facilitadores e limitadores para sua consecução. Como elementos facilitadores mencionaram a confiança, o respeito, o interesse, a compreensão, a comunicação, a empatia e o conhecimento científico; e como limitadores as condições de trabalho inadequadas, as falhas no processo comunicativo, a resistência do paciente às mudanças e a falta de preparo profissional. Já nas observações feitas, o papel instrumental do profissional ficou evidente, enquanto as questões subjetivas mais distantes e, o seguimento de uma rotina de trabalho centrada fortemente na tarefa, ficou mais próximo do quotidiano cuidativo/relacional desses profissionais. Assim, com o fito de desenvolver a competência interpessoal nas (os) enfermeiras (os) que cuidam de pessoas com diabetes, é importante e necessário preencher as lacunas de informação, conhecimento e reflexão delas (es), bem como suas implicações para o contexto pessoal, profissional e para o paciente, e dos recursos necessários para sua mobilização.
Salvador

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Martinez, Bethany Surrey. "Visually impaired caregivers perspectives from patient focus groups /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2008r/martinez.pdf.

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Villanueva, Borbolla Montserrat. "Understanding nurse practitioner-patient communication : reconceptualizing power and relationships through music metaphor." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012, 2012. http://hdl.handle.net/10133/3247.

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In nursing literature, power is conceptualized as an object transferred, distributed, controlled or conquered by empowerment. In this management care paradigm, the service of care provides power to achieve the product of health. The socio-philosophical framework proposes power as intra-interpersonal set of relationships. Interdisciplinary collaboration allowed discovering power-and-relationships as inseparable mind-body subunits constituting micro and macro health interactions, through a mixed methods instrumental case study. Control and power mechanisms were revealed analyzing body movements and conversations in Case A-15min- and Case B-16.10min- nurse practitioner-patient videotaped encounters. Catalyzed by a hermeneutical music metaphor this thesis proposes relational healing care. Despite interruptions and disruptive postures, nurse practitioners-patients reverse differentials by sharing potentials in simultaneous connections. Power balance is developed by equitable-inequitable communication. Like diverse related tones, nurse practitioner-patient is an Intermelody solving tension continuum in concordance. Health struggles in that way are nothing to be fixed, but healing cycles to be played.
xiv, 436 leaves : ill. ; 29 cm

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Strevy, Sonia R. "Communicating with difficult patients : nurses' perceptions." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865936.

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Communicating With Difficult Patients: Nurses' Perceptions Effective communication is paramount in any nurse-patient relationship. Nurses must develop good interpersonal skills with which to evaluate patient needs, provide therapeutic interaction and obtain mutual goals. The purpose of this study was to describe the variables present in nurses self reported communication with difficult patients.Imogene King provides the theoretical framework for this study using the concept of goal attainment as the basis. The Difficult Patient Assessment Tool (Podrasky & Sexton, 1988) was used to measure communication with difficult patients, along with the addition of an open-ended question. A convenience sample of 25 (40%) R.N.'s and L.P.N.'s from a community hospital in the Midwest was used. The procedures for the protection of human subjects were followed. Descriptive statistics were used to analyze the data.Findings of the study included that nurses perceive difficult patients as demanding, never satisfied, confused, frustrating, female, noncompliant, manipulative and uncooperative. Nurses reacted to the communication that takes place with the difficult patient, with feelings of frustration, incompetence, anger, disgust, anxiety, and at times, "O.K.". Nurses most frequently interact with difficult patients in informative, pragmatic, supportive, prescriptive and catalytic manners. The resulting transaction between the nurse and the difficult patient included feelings of frustration, fright, confusion and hurt.Conclusions were that difficult patients are perceived as making unrealistic demands on the nurses' time, and impair nursing interactions. Nurses' transactions resulted in both positive and negative reactions, depending on the situation, and the reactive patterns of the nurse. Nurses tend to take a more authoritative, rather than a facilitative role in interactions with difficult patients.Implications include the need for learned communication patterns which may or may not be effective in dealing with difficult patients. Effective communication skills involve not only acquired knowledge, but also knowledge of self and one's perceptions and values. Self knowledge of communication patterns, and how to improve on those patterns, might be helpful.
School of Nursing

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Eklöf, Julia Malin, and Lorraine Mhlongo. "Sjuksköterskans erfarenheter av den vårdande relationen med patienten med schizofreni : En systematisk litteraturstudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-42812.

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Bakgrund: Vårdrelationen är grundläggande i den psykiatriska vården och den psykiatriska vårdens kvalitet beror på hur patienten upplever denna relation. Schizofreni kan göra det svårt att kommunicera, känna förtroende för och skapa relationer med andra människor. Sjuksköterskan kommer i kontakt med patienten med schizofreni oavsett yrkesspecialitet. Sjuksköterskans omvårdnad ska utgå från en holistisk människosyn och en tro på människans potentiella kapacitet. Syfte: Syftet med den systematiska litteraturstudien var att belysa faktorer i sjuksköterskans erfarenhet av den vårdande relation med patienten med schizofreni. Metod: Systematisk litteraturstudie genomfördes med databassökning i Cinahl, PsycINFO och PubMed. Resultat: I resultatet ingick 12 artiklar vilket presenterades i tre huvudkategorier och åtta tillhörande underkategorier vilka beskrev sjuksköterskans hämmande och främjande faktorer samt den terapeutiska processen relaterat till den vårdande relationen. Konklusion: Med felaktig attityd kan det vara svårt för sjuksköterskan att bygga den vårdande relationen med patienten med schizofreni. Vidare framkom det att sjuksköterskans övertygelse till schizofrenisjukdomen är avgörande för vårdande relationen. Ökad kunskap om schizofrenisjukdom ger sjuksköterskan verktyg till att bygga den vårdande relationen med patienten med schizofreni. Forskning behövs om den vårdande relationen och hur sjuksköterskans attityder påverkar patienten med schizofreni.
Background: The caring relationship is fundamental in psychiatric care and the quality of psychiatric care depends on how the patient experience this relationship. Schizophrenia can make it difficult to communicate, trust and create relationships with other people. The nurse meets the patient with schizophrenia regardless of occupational specialty. The nurse's care should be based on a holistic view of humanity and a belief in human potential capacity. Objective: The aim of the study was to elucidate factors in the nurse's experience of the caring relationship with the patient with schizophrenia. Method: The systematic literature review was based on a database search in CINAHL, PsycINFO and PubMed. Results: The result included 12 articles which are presented in three main categories and eight related subcategories which described the nurse's inhibitory and promotion factors as well as the therapeutic process related to the caring relationship. Conclusion: With an inaccurate attitude, it may be difficult for the nurse to build the caring relationship with the patient with schizophrenia. The result illustrates that how the nurse cares for the patient with schizophrenia is also dependent on the nurse's beliefs about schizophrenia disease. Increased knowledge of schizophrenia disease gives the nurse tools to build the caring relationship with the patient with schizophrenia. More research is needed on the caring relationship and how the nurse`s attitudes affect the patient with schizophrenia.

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Ribeiro, Mara Regina Rosa. "Avaliação educacional em enfermagem na perspectiva da complexidade: a trama das interações e estratégias de (sobre) vivência." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/7/7136/tde-11012010-141909/.

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A investigação foi desenvolvida em uma universidade pública da região centro-oeste, e teve como foco de interesse o processo interativo entre professores e alunos de um curso de graduação em enfermagem, que gerou a seguinte pergunta de pesquisa: como se processa a interação entre professores e alunos, na avaliação do ensino aprendizagem? Teve como objetivo principal conhecer e compreender a interação entre esses atores sociais, na avaliação do processo ensino-aprendizagem. O Pensamento Complexo foi o referencial epistemológico adotado, e o Estudo de Caso apresentou-se como uma opção compatível à investigação. As técnicas de coleta de dados foram Consulta a Documentos, Observação Participante e Entrevistas Semi-estruturadas com gestores, professores e alunos de três momentos do curso inicial, intermediário e final. A coleta de dados se estendeu entre fevereiro/2007 e fevereiro/2008. Os dados coletados foram organizados e analisados em três dimensões estrutural, particular e singular do fenômeno. A análise foi realizada a partir de categorias empíricas, que emergiram no processo - Os sentidos atribuídos; O entorno das Interações; e as Estratégias de (Sobre)Vivência, e de categorias analíticas, definidas a priori Princípio Hologramático, Princípio Recursivo, Princípio Dialógico. As estratégias de (sobre)vivência, apresentam-se como a essência da experiência investigada, e consistem em sistemas de defesa e adaptação, utilizados por professores e alunos, para mitigar sofrimentos, incertezas e ansiedades gerados pelo ser docente e acadêmico de um curso de graduação em enfermagem. As interações permeiam o processo ensino aprendizagem e de avaliação, e interferem nos resultados tanto em nível individual como coletivo. Os resultados apontam para a necessidade de tecer malhas de cordialidade, solidariedade e compreensão no grupo estudado, e de realizar investimentos na formação docente, em especial nos aspectos relativos à competência relacional
The investigation was developed at a public university of the center-west region (of Brazil), and had as its focus of interest the interactive process between professors and students from a undergraduate course in Nursing, which generated the following question of research: How is the process of interaction between professors and students, on the measurement of the teaching-learning process? It had as main objective recognize and understand the interaction between these social actors, on the measurement of the teaching-learning process. The Complex Thought was the epistemological reference adopted, and the Case Study presented itself as a compatible option to the research. The techniques of data gathering were Documental Verification, Participative Observation and Half-structured interviews with managers, professors and students from three stages beginning, middle and final stage of the course. The data gathering took place between February/2007 and February/2008. This collected data was organized in three dimensions structural, particular and singular of the phenomenon. The analysis was carried out through empiric categories, that emerged from the process The assigned senses; The surroundings of the Interactions; and the Strategies of Sur(Vival), and of analytic categories, determined beforehand Hologramatic Principle, Recursive Principle, Dialogic Principle. The strategies of Sur(vival) present itself as an essence of the researched experience, and consist on systems of defense and adaptation, used by professors and students, to mitigate sufferings, uncertainties and anxieties created by professors and academics in an undergraduate course in Nursing. The interactions permeate the teaching-learning and assessment process, and interfere on the results both in personal as in collective levels. The results point for the need of creating webs of cordiality, solidarity and comprehension in the studied group, and the need to invest on professors qualification, especially on the aspects related to their relational competency

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OLIVEIRA, Carlos Amaral de Sousa. "RELACIONAMENTO INTERPESSOAL E SATISFAÇÃO PROFISSIONAL DA EQUIPE DE ENFERMAGEM NA REDE HOSPITALAR PÚBLICA." Universidade Federal do Maranhão, 2017. http://tedebc.ufma.br:8080/jspui/handle/tede/1677.

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CAPES
Nursing work has as a characteristic the development of its assistance activities centered on teamwork, with communication being the main instrument for interpersonal relationships. Errors in communication lead to conflicts and affect caring. This study aims to analyze the communication, interpersonal relationships and professional satisfaction of the nursing team. Cross-sectional, descriptive study carried out in five public hospitals of São Luís-MA from March 2011 to December 2015 with nursing professionals, totaling a population of 2270 professionals. The questionnaire for data collection was adapted from validated research instruments, containing the following variables: communication; Relationship with work; Commitment to the institution and job satisfaction. The data were tabulated in Microsoft Excel and the relative and absolute frequency analysis in the SPSS version 22 program. The research was approved by the Ethics and Research Committee of the Federal University of Maranhão with the opinion nº 23115-005865 / 2010-40, observing the Recommendations of Resolution 466/12. The sample comprised 1065 nursing professionals, the results show the majority of females (88.2%), aged between 31 and 40 years (32.2%) and mean of 39.6 years; High school education (45.9%), full graduate (19.1%); Professional category are nursing technicians (65.2%) and nurses (24.3%). The majority of nursing professionals stated that they did not use written communication (67.4%) and did not hold formal work meetings (62%). Concerning interpersonal relationships, most of them feel recognized by the coordinator (79.4%), have a good relationship with the coordinator (89.8%), trust that other professionals help solve any problems (92.2%) and They think they receive conscious treatment (72.9%). Among professionals, attitudes of isolation occurred in 19.4% and received constant criticism (20.7%). Satisfaction at work is present in 95.2%, feeling of accomplishment with work (90.6%), consider that their work is worth (96.9%). Autonomy at work is reported by 63.8%, they think of leaving the institution, 39%. It was verified that the written communication is infrequent among the nursing teams, the relationship between nursing professionals presented favorable results, it is noteworthy the communication between the professionals and the coordinator with recognition of the professional potential, being satisfied and accomplished with the job. There have been cases of bullying and professionals who are thinking of leaving the institution. Recognizing that working conditions provide a more relaxed environment, valuing professionals with a positive impact on care, it is expected that this study will stimulate the discussion and improvement of working conditions of the nursing team.
O trabalho da enfermagem tem como característica o desenvolvimento de suas atividades assistenciais centrada no trabalho em equipe, sendo a comunicação o principal instrumento para as relações interpessoais. Erros na comunicação levam ao aparecimento de conflitos e afetam o cuidar. Este estudo tem por objetivo analisar a comunicação, relações interpessoais e satisfação profissional da equipe de enfermagem. Estudo transversal, descritivo realizado em cinco hospitais públicos de São Luís-MA no período de março de 2011 a dezembro de 2015 com profissionais de enfermagem, totalizando uma população de 2270 profissionais. O questionário para coleta de dados foi adaptado de instrumentos de pesquisa validados, contendo as variáveis: comunicação; relacionamento com o trabalho; comprometimento com a instituição e satisfação no trabalho. Os dados foram tabulados no Microsoft Excel e a análise de frequência relativa e absoluta no programa SPSS versão 22. A pesquisa foi aprovada pelo Comitê de Ética e Pesquisa da Universidade Federal do Maranhão com o parecer nº 23115-005865/2010-40, observando às recomendações da Resolução 466/12. A amostra composta por 1065 profissionais de enfermagem, os resultados mostram a maioria do sexo feminino (88,2%), com idade na faixa etária entre 31 e 40 anos (32,2%) e média de 39,6 anos; escolaridade ensino médio completo (45,9%), pós-graduação completa (19,1%); categoria profissional são técnicos de enfermagem (65,2%) e enfermeiros (24,3%). A maioria dos profissionais de enfermagem afirmaram não utilizar a comunicação escrita (67,4%) e não realizam reuniões formais de trabalho (62%). Sobre o relacionamento interpessoal, a maioria sente-se reconhecida pelo coordenador (79,4%), tem boa relação com o coordenador (89,8%), confiam que os demais profissionais ajudam a resolver quaisquer problemas (92,2%) e julgam receber tratamento consciente (72,9%). Entre os profissionais as atitudes de isolamento ocorreram em 19,4% e receberam críticas constantemente (20,7%). A satisfação no trabalho está presente em 95,2%, sentimento de realização com o trabalho (90,6% ), consideram que seu trabalho vale a pena (96,9%). A autonomia no trabalho é relatada por 63,8%, pensam em deixar a instituição, 39%. Verificou-se que a comunicação escrita é pouco frequente entre as equipes de enfermagem, o relacionamento entre profissionais de enfermagem apresentou resultados favoráveis, ressalta-se a comunicação entre os profissionais e coordenador com reconhecimento do potencial profissional, mostrando-se satisfeitos e realizados com o trabalho. Ficou evidente casos de assédio moral e profissionais que pensam em sair da instituição. Reconhecendo que as condições de trabalho proporcionam um ambiente mais tranquilo, valorizando o profissional com impacto positivo na assistência, tem-se a expectativa que esse estudo estimule a discussão e melhoria das condições de trabalho da equipe de enfermagem.

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Moreau, Paula J. "Development and Psychometric Testing of the EFURMS Scale: An Instrument to Measure Faculty Engagement with Underrepresented Minority Nursing Students: A Dissertation." eScholarship@UMMS, 2015. https://escholarship.umassmed.edu/gsn_diss/39.

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Background: The Institute of Medicine and numerous other healthcare organizations have identified the severe shortage of underrepresented minority healthcare professionals graduating into the workforce, and have called for a radical transformation of healthcare educational programs to make them more welcoming and supportive of underrepresented minority students. Purpose: The purpose of the study was to develop a reliable and valid measure of faculty response patterns to the needs of underrepresented minority nursing students. Theory: Yoder’s patterns of faculty interaction formed the conceptual basis for the development of this instrument. Methods: A mixed-method approach was used to develop this instrument. The first phase (item development phase) consisted of work with underrepresented minority nurse and faculty focus groups, individual interviews, and content experts to develop items. During the second phase of this study, psychometric evaluation of 134 survey responses from nursing faculty in the Northeast was conducted. Results: A 10-item scale was developed that measured faculty engagement with underrepresented minority nursing students. The Cronbach alpha for the EFURMS scale was .81. Principle component factor analysis with varimax rotation revealed a 3 factor solution that explained 66% of the variance in engagement with underrepresented minority students. The Cronbach alpha for the 3 factors ranged from .72-.78. The EFURM scale did not demonstrate ceiling or floor effects, or social desirability bias. More positive scores (higher EFURMS Scores) were associated with older faculty who had been teaching longer and had more experience teaching underrepresented minority students. Conclusion and Implications: The results of this study provide preliminary evidence for the reliability (internal consistency) and validity (content, criterion-related, and construct validity) of the 10-item EFURMS Scale. Further testing is needed to test the usefulness of this scale with wider samples of nursing faculty. With further development, the EFURMS Scale could be used to evaluate faculty readiness to engage with underrepresented minority students, and with studies to test the efficacy of interventions designed to improve faculty engagement with underrepresented minority students. A major finding of this study was the significance of age, years teaching, and experience teaching underrepresented minority students with EFURMS Scores suggesting that younger or less experienced faculty could benefit from mentoring by more seasoned faculty who have greater experience teaching underrepresented minority students.

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Gabatz, Ruth Irmgard Bärtschi. "Formação de vínculos e interação entre cuidadores e crianças em um abrigo." Universidade Federal de Pelotas, 2016. http://repositorio.ufpel.edu.br:8080/handle/prefix/3829.

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O estudo aborda o processo de formação de vínculo e interação entre cuidadores e crianças em um abrigo, considerando que essas são indispensáveis para o desenvolvimento dos seres humanos. Assim, objetivou-se compreender o processo de formação de vínculos e a interação entre cuidadores e crianças que vivem em abrigo, visando identificar os significados atribuídos a este processo pelos cuidadores. Trata-se de uma pesquisa com abordagem qualitativa que utilizou como referencial teórico o interacionismo simbólico e a Teoria do Apego e como referencial metodológico a Teoria Fundamentada nos Dados conforme apresentada por Charmaz. O cenário da pesquisa foi um abrigo institucional que acolhe crianças de 0 à 8 anos, encaminhadas pelo Juizado de Menores e Conselho Tutelar, situado em um município do sul do estado do Rio Grande do Sul. Os participantes da pesquisa foram 15 cuidadores/educadores que realizam o cuidado de crianças e seis crianças com idade de 0 à 3 anos. Os dados foram coletados no período de abril a julho de 2015, por meio de entrevista intensiva, observação estruturada e diário de campo. O estudo foi aprovado pelo Comitê de Ética na Pesquisa da Faculdade de Enfermagem da Universidade Federal de Pelotas sob o parecer número 1.035.995 e o CAAE: 42696915.9.0000.5316. Os resultados foram apresentados em três categorias e suas subcategorias: Vivenciando o impacto da realidade (Sendo institucionalizado; Se apegando e se desapegando); Trabalhando com o cuidado (Cuidando e educando; Trabalhando com o desconhecido; Ficando oculta; Aprendendo com a criança); Enfrentando o cotidiano do trabalho (Faltando estrutura e materiais; Faltando pessoal e capacitação; Trabalhando em equipe). Foi possível compreender o processo de formação de vínculos e a interação do cuidador com as crianças que vivem em abrigo como um trabalho voltado para atender às necessidades básicas para a sobrevivência como higiene, alimentação e medicação. Além disso, é um trabalho pouco reconhecido e valorizado, em que as cuidadoras se sentem invisíveis aos olhos da gestão do abrigo, da justiça e da sociedade. Neste contexto, o trabalho gera sofrimento e impõe a necessidade de lidar com as ‘mazelas’ geradas pelo abandono, violência e afastamento das crianças de suas famílias e comunidades, bem como com as próprias demandas emocionais vinculadas ao apego e desapego vivenciado cotidianamente no ambiente do abrigo. Essa situação é agravada pela falta de infraestrutura, capacitação e suporte psicológico, levando as cuidadoras a terem que buscar formas alternativas para resolverem os problemas que se apresentam no trabalho do cuidado da criança abrigada. Sugere-se a realização de estudos em outros cenários de acolhimento, tais como casas-lares e famílias acolhedoras, para identificar se, nestas situações, a formação de vínculo e a interação entre cuidadores e crianças se dá de forma mais estável, favorecendo o desenvolvimento físico e mental dos acolhidos.
The study approachs the process of bonding and interaction between caregivers and children in a shelter, considering that these ties are indispensable in order for human beings’ development. Therefore, the study aimed to understand the process of how the bonds happen and the interaction of the caregivers with the children being sheltered, wishing to identify the meanings associated with this process by the caregivers. It is a research with qualitative approach, which used as theorical reference the symbolic interactionism and the “Attachment Theory” and as methodological reference the Grounded Theory as presented by Charmaz. The scenario of the research was an institutional shelter that takes care of children from 0 to 8 years old, sent by the Court of Children and Children’s Protective Services, located in a city in southern Rio Grande do Sul. The participants of this research were 15 caregivers /educators who perform the care of these children and 6 children aged 0 to 3. The data was collected between April and July of 2015, through intensive interviews, structured observation and field diary. The study was approved by the Research Ethics Committee in the Nursing College of the Federal University of Pelotas registered under the number 1.035.995 and CAAE: 42696915.9.0000.5316. The results were presented in three categories and its subcategories: Living the impact of reality (To be institutionalized; Attaching and detaching); Working with care (Caring and educating; Working with the Unknown; Remaining occult; Learning with the child); Facing the everyday job (Lack of structure and material; Lack of people and qualification; Working as a team). It was possible to understand the process of how these links grow and the interaction of the caregivers with the sheltered children as a job concerned with meeting the basic needs for survival as hygiene, food and medication. Besides, with little recognition and undervalued this is a job in which the caregivers feel invisible to the eyes of the management of the shelter, justice’s and society’s. In this context, it generates suffering and imposes the need to deal with the scars generated by the abandonment, violence and separation of these children from their families and communities, as well as the very emotional demands tied to the daily attachment and detachment lived in the environment of the shelter. This situation is aggravated by the lack of infrastructure, qualification, and psychological support, leading the caregivers to search for alternative way to solve the problems that come up at work when taking care of the sheltered child. It is suggested the carrying out of studies in other scenarios of sheltering, such as shelter homes and host families, to identify if, in those situations, the bonding and the interaction among caregivers and children happens in a more stable way, favoring the physical and mental development of the sheltered.

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Saraiva, Ana Paula Figueiredo Carmo. "Competências sociais e emocionais nas relações interpessoais da equipa de enfermagem." Master's thesis, Universidade de Évora, 2007. http://hdl.handle.net/10174/16609.

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O estudo teve como principal propósito confirmar na perspetiva dos construtos da Inteligência/Competência Emocional e Social, a presença das referidas dimensões na auto-percepção dos enfermeiros, ao nível das relações interpessoais na equipa de enfermagem, em contexto organizacional, tendo sido conduzido em duas instituições Hospitalares EPE., junto de 122 enfermeiros, que foram avaliados, numa lógica de auto perceção de competências. Foram utilizados três questionários Emotional intelligence 360 View Questionnaire, de Nowack (1997, 2004), para avaliar a Inteligência emocional; TCS-A: Teste de Competência Situacional - Auto-percepção de Candeias (2001), Candeias e Almeida (2005), Candeias e Jesus (2006), para avaliar a Competência social; NEO-PI-R (NEO Personality Inventory - Revised), da Costa e McCrae (1989, 1990), para avaliar as cinco dimensões fundamentais da personalidade. Os resultados confirmam a relação entre competências emocionais e competências sociais e demonstram que as competências situacionais parecem estar associadas à experiência prática de relações interpessoais, tendo-se verificado uma relação positiva entre as variáveis: a idade, o tempo de serviço, o número de filhos e a competência situacional. Não havendo diferenças entre a percepção da competência emocional e a competência situacional, em função das restantes variàveis. /ABSTRACT - The study’s main purpose was to confirm, from the point of view of the constructs of the Intelligence/Emotional and Social Responsibility, the presence of these dimensions in self-perception of nurses, at the level of interpersonal relations in the team of nursing, in the organizational context, and was conducted in two medical institutions EPE, together with 122 nurses, who were evaluated, based on self-perception of competence. Three questionnaires were used: Emotional intelligence 360 View Questionnaire, Nowak (1997, 2004), to assess the emotional intelligence; TCS-A: Situational Competency Test - Self-perception, Candeias (2001), Candeias and Almeida (2005), Candeias and Jesus (2006), to assess the social competence; NEO-PI-R (NEO Personality Inventory-Revised), Costa & McCrae (1989, 1990), to evaluate the five fundamental dimensions of personality. The results confirm the relation between emotional abilities and social abilities and demonstrate that the situational competences seem to be associated to the practical experience of interpersonal relations, having itself verified a positive relation among the variables: age, time of service, number of children and situational ability. There weren’t any differences between the perception of the emotional ability and the situational ability in function of the remaining variables.

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King, Mary Tiara (Ti). "The experiences of mid-life daughters who are caregivers to their mothers : a phenomenological study." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28766.

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Many mid-life daughters are primary caregivers to their elderly mothers. However, in most research studies daughters have been grouped with other caregivers; thus, the daughters' experiences have not been specifically identified. Without this information nurses will be unable to adequately assist mid-life caregiving daughters to attain their optimal levels of health. The phenomenological research method was the methodology used to elicit the experiences of the mid-life daughters. The phenomenological method was congruent with the feminist perspective -- the conceptual framework -- which guided the study. The feminist perspective elucidated the importance of eliciting not only the visible caregiving experiences of the mid-life daughters, but also their internal experiences -- their feelings -- and the meanings they gave to their experiences. The researcher recruited subjects for the study through a daughters-of-aging-parents program which was held at the Women's Resource Centre in Vancouver, British Columbia. In order to collect the data, the researcher interviewed the subjects. Congruent with the phenomenological method, data collection and data analysis ran concurrently throughout the study. The conclusions that the researcher drew from the findings of this study include the following: at the start of a caregiving daughter-mother relationship, a daughter is very responsive to the needs of her mother; when a daughter realizes that she is self-sacrificing herself in order to care for her mother, she becomes less responsive to her mother's needs and focuses, instead, on caring for herself; a daughter who is able to identify her own needs and then act on them Is able to care for her mother and herself in a manner that meets both their needs; a daughter experiences a number of emotions while providing care for her mother; a daughter uses the logical process of working towards healthy differentiation in order to counterbalance her emotional reactivity, and a daughter who successfully counterbalances her emotions with logic discovers her basic self and becomes an entity distinct from, yet interdependent with, her mother.
Applied Science, Faculty of
Nursing, School of
Graduate

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Silveira, Aline Oliveira. "Buscando segurança para desenvolver suas competências: a experiência de interação da família." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/7/7133/tde-30102007-115603/.

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O trabalho com a família no contexto de cuidado pediátrico requer fundamentação teórica para que se desenvolva como filosofia de cuidado centrado na família. A partir do questionamento sobre quais os significados atribuídos pela família às interações vivenciadas ao longo da hospitalização da criança, este estudo buscou compreender a experiência de interação da família e identificar as intervenções consideradas efetivas na perspectiva da família. O Interacionismo Simbólico foi a perspectiva teórica que orientou o processo de pensamento e conferiu sustentação ao desenvolvimento da pesquisa que teve como referencial metodológico a Teoria Fundamentada nos Dados. Participaram do estudo seis famílias de crianças hospitalizadas. Os resultados permitiram a construção de um modelo teórico explicativo da experiência de interação da família, definida pela categoria central BUSCANDO SEGURANÇA PARA DESENVOLVER SUAS COMPETÊNCIAS que integra os fenômenos SENTINDO-SE SEGURA PARA ASSUMIR RISCOS e SENTINDO-SE INSEGURA PARA ASSUMIR RISCOS, que representam os contextos relacionais que emergem da interação com os profissionais de saúde. A compreensão dos significados atribuídos pela família à suas interações permitiu a identificação de intervenções consideradas na perspectiva da família efetivas por promoverem alívio e bem-estar familiar. Os conceitos identificados contribuem especialmente para ampliar a compreensão da abordagem de cuidado centrado na família e proporciona um caminho para a reflexão acerca da interação e intervenção com família na prática pediátrica.
The work with family in a pediatric care setting requires theoretical framework in order to develop itself as a family centered care philosophy. Starting from the question research about the meanings the family attributes to experienced interactions along the child\'s hospitalization, this study tries to understand the experience of family s interaction, as well to identify the interventions considered effective in the family s perspective. Symbolic Interactionism was the theoretical perspective that has oriented the mind processing and supported the Grounded Theory methodology. Six families with hospitalized children have participated in the present study. The results allowed the construction of an explanatory theoretical model of family\'s interaction experience, defined by the central category SEARCHING SECURITY TO DEVELOP COMPETENCES, which integers the both phenomena FEELING SECURE TO ASSUME RISKS and FELLING INSECURE TO ASSUME RISKS, both of them represent the relational contexts that emerge from interaction with health professional. The understanding of meanings that family attributes to interactions allowed identifying interventions considered effective, under familys perspective, to promote relief and well being. Identified concepts contribute specially to better understanding of family centered care approach as well provide a way to reflection about interaction and intervention with family in a pediatric practice.

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Balistieri, Aline Schütz. "A abordagem sócio emocional de enfermagem ao adolescente em situação crônica de saúde." Universidade Federal Fluminense, 2012. https://app.uff.br/riuff/handle/1/984.

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Universidade Federal Fluminense. Escola de Enfermagem Aurora de Afonso Costa
Dissertação de mestrado que se propôs a analisar o modo como a doença crônica afeta o estilo de vida do adolescente e sua forma de relacionamento social, identificar necessidades de saúde de natureza socioemocional dos adolescentes em situação crônica de saúde e discutir ações de natureza socioemocional, que possam ser realizadas pela equipe de enfermagem. Trata-se de um estudo qualitativo e descritivo, que foi realizado no ano de 2012 com adolescentes entre 12 e 18 anos, que se tratam no ambulatório de especialidades do Núcleo de Estudos da Saúde do adolescente (NESA), localizado no Hospital Universitário Pedro Ernesto (HUPE), Rio de Janeiro. Os aspectos éticos foram respeitados conforme a resolução 196/96. A coleta de dados se deu através de entrevistas semiestruturadas, individuais, com perguntas abertas. O estudo tem base no referencial teórico do Interacionismo Simbólico. Para análise dos dados, foi utilizada a análise temática de conteúdo de Minayo, com categorização dos dados. As categorias de base encontradas foram: “O cotidiano e a situação crônica de saúde: estilo de vida e o relacionamento social dos adolescentes”, “Necessidades socioemocionais do adolescente, decorrentes da situação crônica de saúde” e “O enfermeiro no ambulatório de adolescentes em condição crônica de saúde”. Após análise das entrevistas, verificou-se que a doença crônica pode afetar de formas diferentes os adolescentes, dependendo da singularidade de cada um, assim como foi identificado que o tempo favorece um melhor convívio dos mesmos com a doença crônica. As necessidades emocionais mais identificadas foram em relação ao medo e a tristeza, assim como a necessidade social relacionada à exclusão e à estigmatização pelos amigos, não sendo identificada nenhuma dificuldade de relacionamento familiar a partir da situação de saúde. As ações de enfermagem, que podem ser desenvolvidas a fim de atender as necessidades socioemocionais desses adolescentes, se relacionam à promoção da autonomia dos mesmos, a fim de que se tornem atores de seu cuidado e saibam lidar com as emoções negativas trazidas pela doença crônica. É válido ressaltar que a formação da aliança terapêutica com o adolescente é a maior ação de enfermagem destacada nesse estudo, pois é a partir dessa interação, com o desenvolvimento de respeito e confiança junto a esse sujeito, que o enfermeiro poderá se aproximar e participar ativamente desse tratamento, dando o suporte socioemocional que for necessário.
Master's dissertation that is proposed to analyze how chronic illness affects the teenager’s lifestyle and his social relationship, identify health needs of socioemotional nature of teenagers in chronical health condition and discuss actions of socioemotional nature, that may be performed by nursing staff. It’s a qualitative and descriptive study, that was performed in the year of 2012, with teenagers from 12 up to 18 years, whose treatment is at the Center of Studies of teenager health (NESA), located in University Hospital Pedro Ernesto (HUPE), Rio de Janeiro. The ethical aspects were respected as resolution 196/96. The Data collection occurred through semi-structured interviews, individual, with open questions. The study is based on theoretical referential of Symbolic Interacionism. For data analysis, was used to thematic content analysis of Minayo, with categorization of the data. The basic categories found were: "The quotidian and the chronical health condition: lifestyle and the social relationship of teenagers", " Socioemotional needs of teenager, resulting from the chronical health condition" and "The nurse in the outpatient clinic with teenagers in a chronical health condition". After interviews’s analysis, it was found that the chronic disease can affect the teenagers in different ways, depending on the uniqueness of each one, as it was also found that the time favors a better conviviality of the same with the chronic disease. The emotional needs more identified were in relation to the fear and sadness, as well as the social need related to exclusion and stigmatization by friends, not being identified difficulty in family relations. The nursing actions, which can be developed in order to assist the socioemotional needs of these teenagers, are related to promoting their autonomy, so they become actors of their care and know how deal with the negative emotions brought about by the chronic disease. It’s worth noting that the formation of therapeutic alliance with the teenager is the biggest nursing action highlighted in this study, and from this interaction, with the development of respect and trust in this subject, that the nurse will come closer and participate actively in this treatment, giving the emotional support that is necessary.

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Fernandes, Raquel de Oliveira Martins. "Relações interpessoais no acolhimento com o usuário na classificação de risco: percepção do enfermeiro." Universidade Federal de Juiz de Fora (UFJF), 2017. https://repositorio.ufjf.br/jspui/handle/ufjf/5930.

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A presente pesquisa tem por objetivo analisar as relações interpessoais no acolhimento ao usuário na classificação de risco sob a percepção dos enfermeiros das Unidades de Pronto Atendimento de uma cidade mineira. Trata-se de uma pesquisa descritiva de abordagem qualitativa na qual a análise de dados será operacionalizada à luz da hermenêutica dialética. O cenário da pesquisa foram duas unidades de pronto atendimento denominadas “Norte” e “Oeste” de uma cidade mineira. As mesmas utilizam o Sistema de Triagem de Manchester como sistema de acolhimento e classificação de risco. A população-alvo envolveu 17 enfermeiros referentes às duas Unidades de Pronto Atendimento, dos quais sete eram locados na UPA “A” e dez na UPA “B”. Os dados foram coletados por meio das seguintes técnicas: a ambiência, a observação participante, o diário de campo e a entrevista semiestruturada, realizadas no período de 21 a 28 de setembro de 2016. A análise de dados foi operacionalizada à luz da hermenêutica dialética. Foram identificadas as seguintes categorias: o processo do trabalho do enfermeiro na classificação de risco na UPA; percebendo as relações interpessoais com o usuário no processo de acolhimento com classificação de risco e, por fim, fatores limitantes às relações interpessoais no atendimento ao usuário no serviço de urgência e emergência: encontros e desencontros entre o pensar e o fazer. Por meio delas, identificou-se a importância da certificação dos enfermeiros no protocolo Sistema de Triagem Manchester para o bom andamento do processo; a importância do enfermeiro enquanto influenciador da dinâmica dos Serviços de Urgência e Emergência; a atuação do enfermeiro no ACR (Acolhimento com Classificação de Risco) ascende à humanização da assistência; o enfermeiro se vê em uma tentativa de superação do modelo biomédico ao priorizar as relações interpessoais neste contexto; a presença do técnico de enfermagem contribui para uma assistência humanizada; os enfermeiros compreendem e valorizam as relações interpessoais com o usuário, seu par profissional, equipe multidisciplinar e demais trabalhadores; os enfermeiros procuram desenvolver as relações interpessoais por meio de valores como cooperação. Percebeu-se também que sentimentos como respeito e confiança contribuem para qualidade da assistência e que a proximidade emocional, instrumentalizada pela comunicação e escuta qualificada, é fundamental para o desenvolvimento das relações interpessoais. Foram apontados como fatores limitantes às relações interpessoais: o tempo; a superlotação por conta da baixa resolubilidade da Atenção Primária; a insatisfação dos usuários quanto ao STM por desconhecimento de seus objetivos; os conflitos entre médicos e enfermeiros, que impactam a assistência ao paciente. Nenhuma entrevista foi mencionada como “acolhimento”. Conclui-se que, apesar dos SUEs se constituírem em locais de grandes contradições, há de se pensar na importância das relações interpessoais como instrumento catalizador na ação do enfermeiro ao iniciar um processo de transformação no pensar e agir em saúde. E, por fim, acreditando-se que pequenas ações podem transformar contextos, sentimentos, significados e prática, sugere-se um futuro estudo de pesquisa-ação que se beneficie do material desta pesquisa de forma a contribuir para um novo olhar ao ACR.
The present research has the objective of analyzing interpersonal relations with users on receiving in risk classification under nurses’ perception within the Prompt Help Units (Unidades de Pronto Atendimento – UPA) in a city located in the Brazilian state of Minas Gerais. This is a descriptive research with a qualitative approach which data analysis shall be operated under a dialectic hermeneutics view. The scenario for the research was two prompt help units named “north” and “west” in a city in Minas Gerais. They use the Manchester Tracking System as receiving and risk classification system. The target population involved 17 nurses from both Prompt Help Units, from which 7 nurses were located in UPA “A” and 10 located in UPA “B”. Data were collected through the following techniques: environment, participating observation, field diary and semi-structured interviews that took place from September 21 through 28, 2016. Data analysis was operated through dialectic hermeneutics. The following characteristics were identified: nurses’ working process in risk classification at the UPA; perceiving interpersonal relations with users in the receiving process with risk classification and, finally, limiting factors within interpersonal relations on helping users at the urgency and emergency service: matches and mismatches between what is thought and what is done. Through these it was the importance of nurses’ certification within the Manchester Tracking System protocol for good development at the process; the importance of nurses as influencer of the Urgency and Emergency Services; acting of nurses on receiving with risk classification goes toward assistance humanization; nurses see themselves in an attempt to surpass the biomedical model when they prioritize interpersonal relations in this context; presence of a nursing technician contributes for humanized assistance; nurses understand and value interpersonal relations with users, their professional peers multidisciplinary teams and other workers; nurses also try to develop interpersonal values through values like cooperation. It was also perceived that feelings like respect and trust contribute for assistance quality and that emotional proximity, instrumented by qualified listening and communication, is fundamental for developing interpersonal relations. Limiting factors found were: time; overcrowding due to poor effectiveness of Primary Attention; users’ unsatisfaction with STM due to their unawareness of their objective; conflicts between doctors and nurses that impact assistance to patients. None of the interviews was mentioned as “receiving”. We conclude that, although the SUEs are places with lots of contradictions, we must ponder on the importance of interpersonal relations as a catalyzing instrument in nurses’ action on starting a thought and action transformation in the health field. And finally, by believing that small actions can transform contexts, feelings, meanings and practices we suggest a future action-research study benefitting from the material within this research in order to contribute for a new look at receiving with risk calculation.

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Sanches, Ieda Cristina Pereira. "O acompanhante e os desafios do cuidado hospitalar: acesso ou barreira?" Universidade Federal Fluminense, 2012. https://app.uff.br/riuff/handle/1/834.

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Mestrado Profissional em Enfermagem Assistencial
Esta pesquisa de dissertação tomou por objetivo geral analisar as barreiras e acesso ao cuidado de enfermagem a pacientes na enfermaria cirúrgica, em presença de acompanhantes, baseada nas seguintes questões norteadoras: A presença de acompanhantes na enfermaria de clínica cirúrgica interfere no cuidado em saúde? É possível a elaboração de ferramentas que auxiliem no estudo sobre a presença do acompanhante no cuidado ao usuário internado na enfermaria de clínica cirúrgica? Apesar de incentivos das políticas públicas de saúde para a permanência da família ou amigos durante a internação do paciente, os benefícios dessa prática podem ser ou não obtidos devido a problemas estruturais no hospital e no relacionamento entre a equipe de enfermagem e acompanhantes. Foi uma pesquisa descritiva de abordagem qualitativa e para a coleta de dados foram utilizadas as entrevistas semi-estruturadas, pesquisa documental, observação de campo e grupo de discussão. Os sujeitos da investigação foram os pacientes internados, acompanhantes e equipe de enfermagem. O cenário foram as enfermarias de cirurgia de um hospital público no Municipio de Niterói. A coleta de dados foi realizada em duas etapas: a) Identificação dos analisadores através de entrevistas a usuários e pesquisa documental para a construção de caso analisador, realizadas em Agosto e Setembro de 2011 e; b) Realização de Grupo de Discussão com a participação de acompanhantes e membros da equipe de enfermagem, realizada em Maio de 2012, para a apresentação dos analisadores através de esquetes. Os dados foram categorizados através da análise proposta por Bardin e interpretados à luz da Análise Institucional desenvolvida por René Lourau a partir dos anos 60 do século passado. Identificaram-se três categorias para análise, a saber: o cuidado dialógico, o cuidado compartilhado e o cuidado a quem cuida. Concluímos que o acompanhante ainda não possui um perfil conhecido no ambiente hospitalar, o qual desconhece a sua função e as suas atribuições, que o cuidado compartilhado é confundido pelos profissionais de enfermagem com o treinamento ao acompanhante e que a maioria dos problemas entre a equipe de enfermagem e acompanhantes ocorre por falta de diálogo, por motivos que encontram explicação em situações impostas pelo sistema de saúde, tais como escassez de profissionais de enfermagem e falta de condições estruturais no hospital que propiciem conforto para os acompanhantes e os profissionais. Foram respeitados os aspectos éticos, de acordo com a resolução 196/96. O estudo foi submetido ao Comitê de Ética em Pesquisa do hospital, campo da pesquisa, respeitando os princípios éticos e legais relacionados à pesquisa com seres humanos e aprovado em 01/04/2011 sob o parecer nº 0053.0.258.000.
This dissertation research took as its main objective to analyze the barriers and access to nursing care to patients in the surgical ward, on the presence of companions, based on the following questions: Does the presence of companions in the surgical ward interfere in health care? Is it possible the development of tools that assist in the study about the presence of a companion in the care of hospitalized users in the surgical ward? Despite the incentives from public health policies for the persistence of family or friends during hospitalization user, the benefits of this practice may or may not be obtained due to hospital structural problems and in the relationship between the nursing staff and companions. It was a descriptive research of qualitative approach and for data collection were used semi-structured interviews, documentary research, field observation, if the analyzer and discussion group. The research subjects were hospitalized patients, companions and nursing staff. The setting was the surgical wards from a public hospital in the municipality of Niterói. Data collection was performed in two steps: a) Identification of the analyzers to users through interviews and documentary research to build the event analyzer, held in August and September 2011 and; b) a Group Discussion with the participation of companions and members of the nursing staff, held in May 2012, for the presentation of the analyzers through skits. Data were categorized by the analysis method proposed by Bardin and interpreted in the light of Institutional Analysis developed by René Lourau from the 60s of last century. We identified three categories for analysis: the dialogical care, the shared care and care for caregivers. We conclude that the companion does not have a profile known in the hospital environment, which its role and its responsibilities are unknowns, the shared care is confused by the nursing staff about training to the companion and that most problems between the nursing staff and companions occurs due to lack of dialogue, for reasons that are explained in situations imposed by the health system, such as shortages of nurses and lack of structural conditions in the hospital that will provide comfort for companions and professionals. We have respected the ethical aspects in accordance with Resolution 196/96. The study was submitted to the Ethics Committee in Research of the hospital research field, respecting the ethical and legal principles related to human research and approved on 01/04/2011 under Opinion No 0053.0.258.000.

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Domingos, Thiago da Silva. "Saúde Mental na Atenção Básica agregando aromaterapia e terapia floral à relação terapêutica /." Botucatu, 2019. http://hdl.handle.net/11449/181743.

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Orientador: Eliana Mara Braga
Resumo: Introdução: O cuidado em saúde mental na Atenção Básica representa um desafio para o sistema de saúde em suas dimensões políticas, organizacionais e técnico-assistenciais. A transposição do modelo biomédico e da fragmentação do cuidado são condições fundamentais para reverter a lógica de atenção à saúde e compor novos arranjos de cuidado. Essa pesquisa procurou agregar dois recursos terapêuticos, Aromaterapia e Terapia Floral, ao Relacionamento Terapêutico para pluralizar o cuidado aos usuários em sofrimento psíquico no contexto da Estratégia Saúde da Família. Objetivos: Compreender a dinâmica do cuidado formal e informal oferecido aos usuários em uso crônico de psicofármacos no contexto do processo de trabalho da Estratégia Saúde da Família e proporcionar o cuidado em saúde mental por meio da oferta de Aromaterapia e Terapia Floral associadas ao Relacionamento Terapêutico para usuários em uso crônico de psicofármacos. Método: Pesquisa qualitativa realizada em uma Unidade de Saúde da Família de uma município do interior do estado de São Paulo. Ocorreu em duas etapas inter-relacionadas, iniciando pelo referencial microssociológico que incorporou na coleta de dados a observação participante, o diário de campo, as conversas ocasionais, a entrevista etnográfica e a análise documental; foram participantes os trabalhadores de saúde da referida unidade. Na segunda etapa, guiada pelo referencial da pesquisa clínico-qualitativa, participaram usuários da unidade de saúde que faziam uso... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Introduction: The care in mental health in Primary Health care represents a challenge to the health system in its political, organizational and technical-supportive dimensions. The transposition of both the biomedical model and the care fragmentation is a fundamental condition to reverse the actual approach of health attention and set new arrangements for the service. This research aimed to aggregate two therapeutic resources, Aromatherapy and Bach Flowers remedies, to the Therapeutic Relationship in order to amplify the care offered to the users under psychological distress in the context of the Family Health Strategy. Objective: To understand the dynamics of formal and informal care provided to the users under chronic use of psychotropic drugs in the context of the working process of the Family Health Strategy and provide mental health care through Aromatherapy and Bach Flowers associated with the Therapeutic Relationship to users under chronic use of psychotropic drugs. Method: Qualitative Research carried out in a Family Health Unit in the countryside of São Paulo State. It was performed in two interrelated phases, beginning with the microsociological model which incorporated the participative observation, the health diary, the occasional talks, the ethnographic interview and the documental analysis in its data collecting; the health care workers of the referred unit took part in this phase. In the second moment, guided by the clinical qualitative research model, the pati... (Complete abstract click electronic access below)
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Bryan-Couch, Francesca A. "Evaluating VA Nurse Acceptance of Virtual Healthcare Technology During the Coronavirus Outbreak." Otterbein University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1619529997857295.

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Mello, Rosâne. ""Identidade social de usuários, familiares e profissionais em um centro de atenção psicossocial no Rio de Janeiro"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-14092005-104112/.

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A partir das mudanças que vêm ocorrendo na política de saúde mental, surgiram várias inquietações no que diz respeito aos resultados deste processo para os usuários, familiares, e profissionais dos Centros de Atenção Psicossocial (CAPS). Estas inquietações se estenderam também ao significado que estava sendo constituído por estes sujeitos sobre os CAPS. Surgiu, então, o desejo de estudar as identidades que estão emergindo destes sujeitos que atuam no cenário do CAPS, no que concerne a sua participação e integração a este serviço, como também conhecer os significados que estão sendo construídos a respeito destes serviços. O presente estudo possui os seguintes objetivos: Conhecer a identidade dos usuários, familiares e profissionais que atuam no cenário do CAPS e conhecer os significados relacionados ao CAPS. A pesquisa foi realizada com onze usuários, onze familiares e doze profissionais. O estudo seguiu o caminho teórico-metodológico da Teoria Ego-Ecológica, proposto por Zavalloni. Esta teoria permite conhecer a identidade do indivíduo, suas peculiaridades e sua realidade através da representação que ele possui acerca de si mesmo e do grupo. Esta teoria permite também compreender cada sujeito/identidade inserido em seu contexto, assim como as relações estabelecidas entre ele e seus pares e entre eles e os sujeitos de outros grupos com os quais se relacionam. Esta rede de relacionamentos intra e intergrupal possui significados que o Inventário Multifásico de Identidade Social (IMIS) permitiu conhecer e analisar de forma criteriosa e sensível. Este trabalho revelou o usuário com uma autopercepção fortificada, com esperança de constituir uma nova família e conseguir um emprego digno. Contudo, as mudanças observadas na identidade dos sujeitos com diagnóstico de transtorno mental não se estendem aos seus familiares que continuam sendo vistos de forma negativa, tanto pelos usuários como pelos profissionais. Para que a reabilitação social ocorra os familiares precisam ser incluídos neste processo, precisam se implicar mais no tratamento de seus familiares, e também os usuários e profissionais precisam modificar o modo como percebem e se relacionam com os familiares. O presente estudo mostrou que, apesar das dificuldades encontradas, o modelo psicossocial tem beneficiado a pessoa com transtorno mental, porém observa-se uma certa paralisia no movimento da Reforma Psiquiátrica. Indubitavelmente o modelo psicossocial beneficia a pessoa com transtorno mental severo, contudo, atualmente, corre-se o risco da cronificação destes sujeitos dentro do CAPS. O movimento da Reforma Psiquiátrica conseguiu mostrar que o modelo manicomial é ineficaz no tratamento das pessoas com transtorno mental, porém esse é só o começo do processo de reabilitação psicossocial. Faz-se necessário avançar neste processo e ir além do CAPS para que os usuários alcancem a vida. A falta de medicação e de alimentação, o número insuficiente de serviços e funcionários e a dificuldade em realizar uma assistência adequada vêm sobrecarregando e gerando estresse nos profissionais e, como um dos profissionais entrevistados fala, O CAPS é uma estrutura em crescimento, que não sabemos aonde vai dar.
Many issues have come up due to the changes in the mental health policies concerning users, relatives and professionals at the Day-Care Units (CAPS). Those issues also consisted of the idea that was being made of the Day-Care Units by such individuals. This work has the purpose of studying the identities that are emerging from the perspective of such individuals who act on the Day-Care Unit scene, considering their roles and their commitment to that service, and of knowing how those services are being perceived by the individuals. The present study aims at: knowing the identity of the users, related and professional who act on the Day-Care Unit scene, and putting in evidence the meanings attributed to the Day-Care Unit. The research includes eleven users, eleven family members and twelve professionals. The study is methodologically based on the Ego-ecologic Theory by Zavalloni. This method allows to know the identity of the subject, his/her peculiarities and reality by means of selfrepresentation and the representation made by him/her about the group. This theory also enables understanding of the subject/identity as inserted in his/her environment, likewise the relations within themselves, their pairs and subjects from other environments. This internal and external network of relationships has meanings capable of accurate and sensible analysis by means of the Multistage Social Identity Inquirer. This work reveals the user with the strengthened self-awareness, hoping to constitute family and getting a fair job. However, the changes seen in mentally impaired are not followed by their relatives, who are still seen negatively both by users and professionals. In order that the social rehabilitation occurs, relatives must be included in the process, thus improving the bonds to their related ones. Users and professionals must modify the way they see and relate to their relatives too. The present study shows that, despite difficulties, the psychosocial model has been doing good to the mentally impaired, although noticing a certain paralysis of the Psychiatric Reform movement. No doubt the psychosocial model benefit the subject under severe mental impairment, however risking nowadays the perennial stay of those subjects within the Day-Care Unit. The movement of Psychiatric Reform has shown that the asylum model is not efficient in treating people mentally impaired, although psychosocial rehabilitation is just in the beginning. It is fundamental to move such process forward and beyond Day-Care Units so that the users can reach life. Lack of medication, food, services and staff to a proper care overload professionals, and quoting: The Day-Care Unit is a growing structure which we know not where it is going to.

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Lindgren, Jonas, and Haruethai Nielsen. "God omvårdnad sett ur patientens perspektiv - en enkätstudie." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26543.

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Lindgren, J & Nielsen, H. God omvårdnad sett ur patientens perspektiv. En enkät-undersökning. Examensarbete i omvårdnad 15 högskolepoäng. Malmö högskola: Hälsa och Samhälle, Utbildningsområde omvårdnad, 2008.Omvårdnad är ett av sjuksköterskans huvudsakliga arbetsområden och ett viktigt forskningsområde. För sjuksköterskan är kunskap om vad patienter uppfattar som god omvårdnad viktig då det gör sjuksköterskan bättre rustad att bemöta dem på ett adekvat sätt. Flera kvalitativa studier har gjorts för att kartlägga patienters upp-fattning om vad god omvårdnad innebär. Syftet med denna studie är att, med hjälp av en enkätundersökning vid två avdelningar, undersöka patienters uppfattning om vad god omvårdnad är. Studien genomfördes på universitetssjukhuset MAS i Malmö. Resultaten från de tidigare studierna delades in i sex kategorier och for-mulerades som enkätfrågor. Inga signifikanta resultat erhölls i denna studie, p g a ett för begränsat underlag. Noterbart är dock tendensen att patienterna värderar professionell kompetens högst av allt medan delaktighet tycks betyda mindre för dem. Även behov av information till anhöriga framkom. Det behövs mer forsk-ning på området för att kunna utröna om resultaten av den tidigare forskningen är generaliserbar.
Lindgren, J & Nielsen, H. God omvårdnad sett ur patientens perspektiv. En enkät-undersökning. Examensarbete i omvårdnad 15 högskolepoäng. Malmö högskola: Hälsa och Samhälle, Utbildningsområde omvårdnad, 2008.Omvårdnad är ett av sjuksköterskans huvudsakliga arbetsområden och ett viktigt forskningsområde. För sjuksköterskan är kunskap om vad patienter uppfattar som god omvårdnad viktig då det gör sjuksköterskan bättre rustad att bemöta dem på ett adekvat sätt. Flera kvalitativa studier har gjorts för att kartlägga patienters upp-fattning om vad god omvårdnad innebär. Syftet med denna studie är att, med hjälp av en enkätundersökning vid två avdelningar, undersöka patienters uppfattning om vad god omvårdnad är. Studien genomfördes på universitetssjukhuset MAS i Malmö. Resultaten från de tidigare studierna delades in i sex kategorier och for-mulerades som enkätfrågor. Inga signifikanta resultat erhölls i denna studie, p g a ett för begränsat underlag. Noterbart är dock tendensen att patienterna värderar professionell kompetens högst av allt medan delaktighet tycks betyda mindre för dem. Även behov av information till anhöriga framkom. Det behövs mer forsk-ning på området för att kunna utröna om resultaten av den tidigare forskningen är generaliserbar.

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Håkansson, Per. "Vårdrelationen; det interpersonella samspelet : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8266.

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Bakgrund: Vårdrelationen är ett fackbegrepp som används för att betona patientperspektivet i vårdvetenskapen. Sjuksköterskan har en hjälpande roll och är delaktig i skapandet av vårdrelationen. Patienten bör uppfatta sjuksköterskan som genuint vårdande med relevanta färdigheter samt ha en professionell klokhet. Vårdrelationen förutsätter en respekt för patientens livsvärld och en öppenhet för patienten som levd och subjektiv varelse. Det är i mötet människor bidrar till varandras livshistoria och förståelsen av sig själva och världen de lever i. Vårdrelationen är till sin natur asymmetrisk och sjuksköterskan bör ha vårdandets etiska värdegrund samt idén om värnandet av patientens värdighet som utgångspunkt. Syfte: Syftet var att undersöka psykiatrisjuksköterskans erfarenheter av vårdrelationen. Metod: En litteraturstudie valdes som metod och data analyserades med kvalitativ innehållsanalys. Artikelsökningen genomfördes i databaserna Cinahl och PubMed. Resultatet baserades på åtta artiklar med kvalitativ ansats. Resultat: Ur resultatet framkom två teman och fem subteman. Teman var Personliga förutsättningar samt I praktiken med tillhörande subteman tillit, tidsaspekter, allians samt i mötet och utförande. Diskussion: Diskussionen delas upp i metod samt resultatdiskussion. I metoddiskussionen diskuteras styrkor och svagheter med metoden. I resultatdiskussionen diskuteras resultatet utifrån Hildegaard Peplaus teori samt nya vetenskapliga artiklar.
Background: The nurse-patient relationship is a professional term used to emphasize the patient perspective in health care science. The nurse has a helping role and is involved in creating the relationship. The patient should perceive the nurse as genuinely caring with relevant skills as well as having a professional wisdom. The relationship requires a respect for the patient's lifeworld and openness for the patient as a lived and subjective being. It is in the meeting that people contribute to each other's life history and the understanding of themselves and the world in which they live. The relationship is by nature asymmetrical and the nurse should have the ethical value of care as well as the idea of safeguarding the patient's dignity as a starting point. Aim: The aim was to investigate the psychiatric nurse's experiences of the nurse-patient relationship. Method: A literature study with qualitative content analysis has been applied. The article search was conducted in the databases Cinahl and PubMed. The result is based on eight articles with a qualitative approach. Results: The result shows two themes and five sub themes. Personal prerequisites and In practice with subthemes trust, time aspects, alliance as well as in the meeting and execution. Discussion: The discussion is divided into method and result discussion. In the method discussion, strengths and weaknesses are discussed with the method. In the results discussion, the results are discussed based on Hildegaard Peplau's theory and new scientific articles.

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Vilela, Sueli de Carvalho. "Escala de observação da interação enfermeiro-cliente: construção e validação." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-06112012-184946/.

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As relações interpessoais são discutidas em vários campos da enfermagem; na saúde mental e na psiquiátrica elas se desenvolvem como relações terapêuticas sendo abordadas como relação de ajuda ou relacionamento interpessoal. Na Abordagem Centrada na Pessoa as atitudes de consideração positiva incondicional, atitude empática e congruência são imprescindíveis para se desenvolver relações interpessoais terapêuticas promovendo nelas um clima de facilitação do crescimento e desenvolvimento do sujeito no cuidado. Na literatura brasileira de enfermagem não foram encontradas medidas de avaliação de tais atitudes embora se acredite que serão necessárias tanto no campo do cuidado quanto da educação. Através deste estudo, buscou-se desenvolver um instrumento de avaliação das relações interpessoais, abrangendo as três atitudes facilitadoras: consideração positiva incondicional, atitude empática e congruência e realizar a análise exploratória quanto à dimensionalidade e a fidedignidade do instrumento. O polo teórico envolveu a explicação dos construtos, a elaboração dos itens e as análises empíricas; o polo empírico relacionou-se a fase de experimentação do instrumento. Trata-se da escala de observação da interação enfermeiro-cliente constituída de itens positivos e reversos, tipo likert com cinco pontos. A consideração positiva incondicional ficou com 22 itens (15 reversos); a atitude empática compôs-se de 18 itens (2 reversos) e a congruência totalizou em 8 itens (2 reversos). Tais itens expressam o componente comportamental, verbal e motor de cada construto e foram indicados para o uso em situações de observação durante o cuidado. Optou-se pela filmagem das relações interpessoais desenvolvidas por 10 enfermeiros com 92 pessoas diagnosticadas com transtornos mentais durante consultas de enfermagem realizadas nas Estratégias de Saúde da Família de uma cidade do interior de Minas Gerais. No polo analítico, utilizou-se da análise fatorial (AF) e a consistência interna (coeficiente alfa de Cronbach) segundo referencial teórico-metodológico utilizado. O instrumento foi avaliado segundo modelo teórico apresentando alfa da escala global de 0,82, do atributo um (consideração positiva incondicional) 0,68, do atributo dois (atitude empática) 0,76 e do atributo três (congruência) 0,49. Devido à baixa consistência interna do atributo três em conformidade com os resultados das cargas fatoriais, analisou-se um modelo sugerido pela AF de 36 itens, o que se mostrou frágil em relação aos conceitos constitutivos e a operacionalização. Os melhores resultados apontaram para um instrumento composto de três subescalas. A escala global de consideração positiva incondicional apresentou alfa de 0,687, a escala de atitude empática teve escore global de 0,769 e a terceira de 0,517. Itens com cargas fatorais abaixo de 0,40 foram eliminados. Todos os coeficientes foram significativos com valor-p <0,01 e correlação significativa observada pelo coeficiente de Spearman. Consideram- se necessários ajustes no construto/atributo três, devido à fragilidade dos resultados, embora estejam dentro dos parâmetros considerados aceitáveis. O instrumento construído pode ser utilizado por profissionais que desejam avaliar as relações interpessoais no cuidado de enfermagem que tenha a finalidade de pesquisa ou didática.
The interpersonal relations are discussed in many nursing fields and in mental health or psychiatric nursing they develop themselves as therapeutic relations that are approached as help relations or interpersonal relationship. In the Person-Centred Approach, unconditional positive consideration attitudes, empathetic attitudes and congruence are indispensable to develop therapeutic interpersonal relations and to promote an environment of growing and development facilitation for the subject on care. In Brazilian nursing literature, evaluation measures for these attitudes were not found although one believes that they will be necessary so far as in care and education fields. Through this study, one had as an objective to develop an interpersonal relationship evaluation instrument that enfolds the three facilitating attitudes, unconditional positive consideration attitudes, empathetic attitudes and congruence, and to perform the exploratory analysis concerning the dimensionality and reliability of such an instrument. The theoretic pole involved the explanation of the constructs, elaboration of the items and empirical analysis; the empirical pole related to the experimentation phase of the instrument. It is a matter of nurse-customer interaction observation scale constituted of positive and reverse items like a Likert-scale with five points. The unconditional positive consideration stayed with 22 items (15 reverse); the empathetic attitude was composed of 18 items (2 reverse) and the congruence counted for 8 items (2 reverse). Such items express the behavioral, oral and motor component of each construct and were indicated for using in conditions of observation during care. One chose for recording the interpersonal relations developed by 10 nurses involving 92 subjects with mental-impaired patients during nursing inquiries performed in Family Health Strategies in an inland city of Minas Gerais. In the analytical pole one made use of the factorial analysis (FA) and the internal consistency (Cronbach\'s alpha-coefficient) according the used theoretic-methodological referential. The instrument evaluated concerning to the theoretical model presented an alpha-scale global outcome of 0.82, being 0.68 for attribute one (unconditional positive consideration), 0.76 for attribute two (empathetic attitude) and 0.49 for attribute three (congruence). Due to the low internal consistency of attribute three in relation to the factorial load results, one analyzed a model of 36 items suggested by FA that showed itself fragile in relation to constitutive concepts and operationalization. The best outcomes indicate a three-subscale instrument. The unconditional positive consideration global scale presented an alpha of 0.687, the empathetic attitude scale got a global score of 0.769, and congruence featured 0.517. Items with factorial load below 0.40 were eliminated. All coefficients were significant for p<0.01 and significant correlation confirmed by Spearman coefficient. Some adjustments are necessary for the third construct/item due to the fragility of the results, although they are within acceptable parameters. The instrument so developed can be used by professionals who wish to evaluate the interpersonal relations in nursing care with research or didactic purpose.

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"Strategies to promote cultural interactions among learners in a private nursing college." Thesis, 2008. http://hdl.handle.net/10210/1687.

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Solombela, Phyllis Welekazi. "Development of interpersonal relationships of a student nurse." Thesis, 1999. http://hdl.handle.net/10500/16084.

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This study sought to investigate: •!• student nurses' perceived role of tutors, preceptors and professional nurses in fostering the development of interpersonal relationships of students nurses during training •!• student nurses' espousal of positive interpersonal relationships with colleagues, patients, friends and relatives of patients •!• Whether or not any significant differences existed between the first and fourth year students' perceptions and espousal of positive interpersonal relationships. First and fourth year student nurses in the Eastern Cape Province were studied. More first, than fourth, year respondents contended that tutors, preceptors and professional nurses facilitated the development of student nurses' interpersonal relationships with colleagues, patients, friends and relatives of patients. On the espousal of positive interpersonal relationships vis-a-vis patients, friends and relatives of patients and amongst themselves as colleagues, both groups of respondents provided similar response profiles. A posteriori "t" comparisons revealed no statistically significant differences in the response profiles between the first and fourth year respondents in their espousal of positive interpersonal relationships with colleagues, patients, friends and relatives of patients. The major inference drawn from this was that the four-year comprehensive course should place greater emphasis on the development of interpersonal relationships of student nurses in the Republic of South Africa.
Health Studies
D.Litt. et Phil. (Advanced Nursing Science)

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Gargan, Sean Michael. "Attachment style and depression expanding a relationship : a report submitted in partial fulfillment ... for the degree of Master of Science, Psychiatric/Mental Health Nursing ... /." 1997. http://catalog.hathitrust.org/api/volumes/oclc/68800408.html.

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Fisher, Maura A. "Factors related to belonging, social support and quality of life of schizophrenic clients in two types of community-based treatment programs a report submitted in partial fulfillment ... for the degree of Masters of Science (Psychiatric-Mental Health Nursing) /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68798739.html.

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Lenkwane, Sophie Thelma. "A model for facilitation of continuous assertiveness for psychiatric nurses in a psychiatric context." Thesis, 2012. http://hdl.handle.net/10210/4555.

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D.Cur.
Psychiatric nurses are constantly in interaction with psychiatric patients, families, psychiatrists, auxiliary nurses and other multidisciplinary team members. Psychiatric nurses, during their basic training, have to complete the course in interpersonal skills and methods. However, some psychiatric nurses during their interaction with psychiatric patients, families, psychiatrists and auxiliary nurses behaved aggressively and passively towards them. This has led to this research study aimed at describing a model for facilitation of continuous assertiveness for psychiatric nurses. A theory-generative design which is qualitative, explorative, descriptive and contextual in nature was followed. The research method were dealt with in four steps in theory generation in the following manner: Step 1 - Concept analysis This step was dealt with in two phases namely concept identification and concept definition. During concept identification a qualitative research strategy which is explorative, descriptive and contextual was used. This was attained through field research conducted in a specified urban psychiatric hospital in Gauteng Province. The sample consisted of twelve psychiatric nurses and were purposively selected. Four different scenarios were role-played, each scenario was role-played twelve times. Each scenario lasted approximately forty-five minutes. One advanced psychiatric practitioner from a different hospital took the role of psychiatric patient, family psychiatrist and auxiliary nurse. Videotaped recordings, transcripts of videorecordings, non-participating observational field notes as well as written feedback were used as methods of data collection. Data were analysed according to the protocol of Tesch 1990 (in Creswell, 1994 : 155) and Bottorff (in Schurink & Poggenpoel, 1998 : 329) in analysing the videotape recordings. An independent coder helped in coding the results of videotapes. The researcher concluded from the results obtained from the fieldwork that psychiatric nurses are unable to facilitate interaction through assertive behaviour. This research was characterised by repetitive aggressive and passive behaviour of psychiatric nurses when in interaction with others. The result was validated through literature control. The major concept of the model was identified as "facilitation of continuous assertiveness" for psychiatric nurses. The concept was analysed thoroughly by looking at different dictionaries (see bibliography) and subject usage. The defining attributes were identified and synthesised through a definition. The other related concepts were identified and classified by using a survey list of Dickoff, James and Wiedenbach (1968: 430). Step2 This step dealt with the creation of interrelationship statements between concepts identified in Step 1 so that concepts were able to stand in relation to one another. Step 3 This step dealt with the description of the model by using strategies proposed by Chinn and Kramer (1991 ). Step 4 This step dealt with the description of guidelines for model operationalisation in psychiatric nursing practice, psychiatric nursing education and psychiatric nursing research. The proposed model was evaluated by a panel of independent experts. To ensure valid results a model of trustworthiness proposed by Guba (Lincoln & Guba 1985) was used. The following criteria for trustworthiness were applied in all the steps of theory generation : truth-value, applicability, consistency and neutrality. Ethical measures were applied right through the research. An unique contribution in the model description is the facilitation of continuous assertiveness for psychiatric nurses by the advanced practitioner in psychiatric nursing.

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Winkler, Megan. "Obesity and Overweight among Black American Adolescent Females: The Role of Social Influences in Everyday Dietary Practices." Diss., 2016. http://hdl.handle.net/10161/12859.

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Obesity and overweight disproportionately impact Black American adolescent females—placing them at a lifetime of elevated physical health risks. Despite this burden, the literature that explores the contributors to obesity and overweight among Black American adolescent females remains limited and unclear. This dissertation aims to develop knowledge related to obesity and overweight in Black American adolescent females, by appraising the current understanding of factors that contribute to their obesity and overweight, and explicating the everyday social influences on dietary practices. The primary study conducted for this dissertation used a mixed method, multiple case study design to examine the mother, daughter, and other household contributors to Black American adolescent daughters’ everyday practices of food consumption, acquisition, preparation, and planning. Findings reveal the importance of understanding the complex and dynamic ways mothers and other household members contribute to a holistic view of everyday dietary practices among adolescent daughters. By deeply examining the nuanced ways the multiple cases varied, context-dependent knowledge essential to understanding the complicated health challenge of obesity was produced. Subsequently, recommendations are provided for health providers and scholars to more holistically approach and examine obesity—particularly among populations who are disproportionately affected.

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McAllister, Mary. "Acute Care Nurse Practitioners', Physicians' and Staff Nurses' Relationships with Patients: A Descriptive, Comparative Study." Thesis, 2008. http://hdl.handle.net/1807/11233.

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Acute care nurse practitioners (ACNPs) are a new addition to the Canadian health care system, having been introduced in the Canadian health care system in the late 1980s. While some authors have suggested that nurse practitioners offer “something special” to patient care, no evidence to date has substantiated this claim. The findings of this grounded theory study offer a theory (Acute Care Health Professional-Patient Relationship (ACHPPR) Theory) to describe how three types of health care professionals establish relationships with patients in acute care settings (Figure 7). This qualitative study explored relationships that ACNPs, physicians and staff nurses establish with patients in a large urban multi-site university-affiliated hospital. Six quartets (patient, ACNP, physician, staff nurse) were recruited and interviews, using a semi-structured guide were audio-taped and subsequently transcribed verbatim. Each type of relationship was found to have a unique focus; ACNPs focus on making connections with patients, physicians focus on managing patients’ diseases and staff nurses focus on meeting patients’ needs. In order to establish relationships with patients, readiness conditions must be met. Health professionals use strategies to influence the achievement of readiness conditions as well as to move forward with relationship development. Each type of relationship varies in the range of potential intensity that can be achieved, which is influenced by various dimensions. Relational intensity ranges from the uncommon clinical relationship, which focuses on the patient’s disease, through the more typical professional relationship characterized by a comfortable rapport and then finally to the most relationally intense, but rare, personal relationship. If a relationship reaches professional or personal levels of relational intensity, relational products become evident. When comparing these three health professional-patient relationships, similarities and differences have been identified. Analysis of patient interviews yielded themes that substantiate the ACHPPR theory. The ACHPPR theory offers a beginning understanding of the complementary nature of three types of health professional-patient relationships in the acute care setting and has the potential to influence practice, education, theory development and future research related to ACNP-patient relationships.

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Santiago, Maria Dulce dos Santos. "Vivência afetiva em enfermagem." Doctoral thesis, 2013. http://hdl.handle.net/10400.14/14960.

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Na complexidade que caracteriza a afetividade humana, entende-se que é na totalidade da experiência de existir, na relação com o mundo e sobretudo com os outros homens, que a vivência afetiva se impõe de modo determinante no ser e agir pessoal. Nos contornos da questão filosófica da afetividade, justifica-se a relevância do tema no contexto da enfermagem, que hoje em dia e a vários níveis de reflexão, assenta na defesa da interação humana, como fundamento de uma prática que se faz de ajuda presencial. A afetividade em enfermagem afigura-se como um fenómeno complexo, ainda pouco clarificado e insuficientemente explorado, com evidência de dificuldade de conciliação entre a experiência afetiva vivida pelo enfermeiro na interação com o outro, com o compromisso profissional de prestar cuidados de enfermagem. Face a esta problemática, orientou-se uma tese com vista a um esclarecimento conceptual da questão da afetividade no comportamento humano, desenvolvendo-se um estudo no domínio da ética filosófica, aplicada à área dos cuidados de enfermagem. O estudo integra três partes principais. Na primeira, com os autores considerados, reflete-se sobre a pessoa e a esfera da afetividade; situa-se a afetividade em relação a eixos de referência que suportam a sua compreensão e esclarece-se a modalidade afetiva da presença na enfermagem. Na segunda, pela aproximação ao mundo da afetividade vivida pelos enfermeiros, constrói-se um caminho de descrição e interpretação do fenómeno na prática da enfermagem. A última parte, expressa a articulação entre as anteriores, evidenciando implicações éticas da afetividade na enfermagem. Os principais resultados, esclarecem sobre a afetividade enquanto reveladora da estrita ligação entre o nosso interior e o que fora de nós é motivo do nosso sentir, demarcando-se o vínculo entre afetividade, conhecimento e ação, num todo integrante da vida consciente. Afigura-se como determinante da experiência afetiva, o modo como é perspetivado o significado da afetividade no âmbito da enfermagem. Os elementos estruturantes da experiência afetiva, incluem: a presença da realidade que afeta, destacadas as situações de morte, doença, sofrimento e conflito; o modo como o enfermeiro é afetado, que nunca é neutro, mas pautado por sentimentos negativos e positivos; e o dinamismo inerente, emergindo o cuidado, como verdadeira ajuda pela participação dos afetos bem conduzidos. Por sua vez, a condução dos afetos, inscreve-os por diferentes vias num caminho de sentido, implicando a consciência e aceitação da sua existência, para usar a sua força de modo construtivo. Ao concluir, acresce conhecimento e compreensão sobre o papel da afetividade no ser e agir do enfermeiro, ressalvando que quer a negação, quer a expressão descontrolada dos afetos, são atitudes limitadoras da sua pessoa e do cuidado autêntico que configura a boa prática profissional. A conquista do desejável equilíbrio afetivo, afigura-se como tarefa contínua da vontade, determinante de uma manifesta sabedoria prática, que orienta o caminho da conciliação harmoniosa entre experiência afetiva e compromisso profissional de prestar cuidados, ditando ainda a possibilidade do enfermeiro ampliar o horizonte do cuidado além do dever profissional, ao integrar todos os gestos que expressam verdadeira solicitude.
It is a very complex matter to define human affectivity, however if we take into account the overwhelming existential experience, all the stimuli from the outside world and, above all, the immense interaction with other human beings, the affective experience becomes decisive in one’s behavior as well as in ourselves as human beings. If we consider the philosophical contours of human affectivity, we realize that the theme is not only relevant, but of a great importance in the nursing area. Nowadays, the subject revolves around several levels of reflection, with the defense of human interaction, as the cornerstone of a practice that affirms the aid to others who are in presence. The world of affectivity in nursing is intricate. Little is known about it, and there is much to clarify and explore, not to mention how difficult it is to combine the affective experience lived by the nurse during the interaction with the other person, and the requirement to provide professional nursing care. Facing this problem, the thesis was oriented, towards a conceptual clarification of the question of affectivity in human behavior, developing a study in the field of philosophical ethics, applied to the area of nursing care. This study integrates three main parts. In the first one, using the appropriate bibliography, reflection on the being and the affectivity sphere was seek; to establish comparison marks in order to understand better what affectivity is and in what consists and clarify the effect of its presence in nursing practice. In the second part, the phenomenon was described and interpreted, taking into account how related the nursing professionals are to affectivity. Finally, in the third and last part the aim was to articulate the former parts (first and second), highlighting the ethical implications of affectivity in the nursing practice. The main results, explain the affectivity while revealing the strict connection between our inside and what is outside of us feel our reason. It also marks the bond between affection, knowledge and human action, the entire conscious life. It appeared as a determinant of affective experience, how it is perceived the significance of affectivity in the context of nursing practice. The elements that structure the affective experience, include: the presence of reality that affects, especially for situations of death, disease, suffering and conflict; how the nurse is affected, which is never neutral but guided by positive and negative feelings; and the dynamism inherent in this experience, which arises care as real help for the participation of well-conducted affections. In turn, the management of affections, list them by different modes in a way street. A process that involves awareness and acceptance of their existence, to use his strength in a constructive way. In conclusion, this study increases knowledge and understanding of the role of affectivity in the being and action of the nurse. States that either denial or uncontrolled expression of affection, are attitudes that limit the person, as well as the authentic care, that sets the good professional practice. The achievement of desirable affective balance, it appears as a continuous task of the will. It is a clear determinant of practical wisdom, which guides the path of harmonious reconciliation between affective experience and professional commitment to provide care. It also shows the possibility of the nurse to expand the horizon of care beyond professional duty, to integrate all the gestures that express a true “solicitude”

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Clare, L., R. Whitaker, Catherine Quinn, H. Jelley, Z. Hoare, B. Woods, Murna G. Downs, and B. A. Wilson. "AwareCare: development and validation of an observational measure of awareness in people with severe dementia." 2012. http://hdl.handle.net/10454/5932.

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No
Signs of sensory and perceptual awareness can be observed in people with very severe dementia, and may be influenced by the extent to which the environment offers appropriate stimulation. We developed an observational tool, AwareCare, which care staff can use to identify signs of awareness in residents with very severe dementia, based on the concept of the Wessex Head Injury Matrix (WHIM). Using WHIM items as a guide, and following focus groups with care staff and family members, an expert panel identified 28 environmental stimuli and 35 response categories for the initial version of AwareCare. After baseline assessments of cognition, well-being and quality of life were taken, 40 residents were observed individually for 30 minutes on 5 occasions. Based on the observational data, 10 stimulus categories and 14 response categories were identified for further analysis and formed the final version of AwareCare. All participants showed awareness to varying degrees. Social stimuli elicited the most responses. Greater awareness was associated with better cognitive function, self-care, mobility, and responsiveness, but not with proxy-rated quality of life. Understanding the nature of awareness in this group is an important element in ensuring appropriate levels of interaction and stimulation, and hence enhancing quality of care.

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Andersson, Joakim, and Christina Westerberg. "Icke-verbal kommunikation i en vårdkontext : en litteraturöversikt." Thesis, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42646.

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Samhället har höga förväntningar på både en god patientsäkerhet och vårdkvalitet. För att uppnå en god personcentrerad och patientsäker hälso- och sjukvård måste samverkan ske på ett interpersonellt plan. Icke-verbal kommunikation är viktig för att upprätthålla en säker vård eftersom den utgör mellan 55 och 97 procent av vår kommunikation, och anses vara mer inflytelserik än verbal kommunikation.Syftet med examensarbetet var att beskriva dels hur icke-verbal kommunikation ser ut dels undersöka effekten i en vårdkontext. En litteraturöversikt har genomförts där tretton artiklar med kvantitativ ansats har använts och analyserats enligt Polit och Becks niostegsmodell för att skapa en överblick av kunskapsläget.Resultatet visade flertalet effekter som bland annat ökad patientnöjdhet, empati, dämpad oro, subjektiv smärtupplevelse, omtänksamhet och förståelse. Bemötande kan tolkas på olika sätt och det är därför viktigt att som sjuksköterska förstå att även små icke-verbala uttryck, medvetna som omedvetna, kan leda till missförstånd. Det är viktigt att man som sjuksköterska informera sig om varje patient för att lättare förstå hur icke-verbal kommunikation kan förmedlas och tydas.
Society has high expectations for both good patient safety and quality of care. In order to achieve a good person-centered and patient-safe health care, collaboration must take place on an interpersonal level. Non-verbal communication is important for maintaining a safe care as it represents between 55 and 97 percent of our communication, which is considered more influential than verbal communication.The purpose of the thesis was to describe how non-verbal communication is performed and examine the effect in a care context. A literature review has been carried out where thirteen articles with a quantitative approach have been used and analyzed according to Polit and Beck's nine-step model to create an overview of the state of knowledge.The result showed several effects such as increased patient satisfaction, empathy, subdued anxiety, subjective pain experience, thoughtfulness and understanding. Treatment can be interpreted in different ways and it is therefore important that as a nurse understand that even small non-verbal expressions, conscious as unconscious, can lead to misunderstandings. It is important that nurses inform themselves about each patient in order to more easily understand how non-verbal communication can be conveyed and interpreted.

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Zwane, Theresa Sheila. "A model for constructive nurse educator student interaction : facilitating the promotion, maintenance and restoration of mental health." Thesis, 2012. http://hdl.handle.net/10210/7710.

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D.Cur.
South Africa is currently undergoing radical transformational changes in all facets of its society. This is an era immediately following the first democratic elections in the country. The new Government, the Government of National Unity (GNU) which is dominated by the African National Congress (ANC), has introduced what is known as the Reconstruction and Development Programme (RDP)(ANC, 1994), which seeks to redress disparities of the past. This programme has significant social, political and economical implications for the South African community. It proposes that statutory bodies and institutions should be rationalized and restructured to reflect the diversity of the South African people and should be better able to promote and protect the standards of health care and training. It aims to, inter alia, promote mental health and to increase the accessibility, quality and quantity of mental health support and counselling services. In line with this goal and based on problems that arise because of anxieties and fears that are inherent in change, the mental health of nurse educators and nursing students of a selected nursing college was investigated utilizing a qualitative, theory – generative design which is exploratory, descriptive and contextual in nature. The study was conducted in two phases. In Phase 1, in-depth phenomenological interviews were conducted individually with ten nurse educators and nine nursing students to explore and describe their experience of interaction with one another. Follow-up interviews were also conducted with some of the participants. Data was analysed using Tesch's method. Based on the results of the analysis, the major concept, understanding was identified as the essence of a model for constructive nurse educator - student interaction envisaged. In Phase 2, a theory -generative design was utilized to develop a constructive nurse educator - student interaction model, founded on a mental health approach. The identified concept was examined in existing writings to determine essential criteria of the concept. In addition, a model case was written in which the concept was constructed to the best of the researcher's understanding. Essential criteria of the concept were identified and a concept map was drawn to depict the essential criteria in relation to each other. The related concepts were identified and portrayed in a structural form. The visual model depicts nurse educators and nursing students who function as a family, as the recipients of activity, and the advanced psychiatric nurse practitioner, who facilitates their interaction, as the agent. By utilizing the deductive reasoning strategy, relationship statements were inferred from the model. Guidelines were described for the advanced psychiatric nurse practitioner with regard to all three phases, namely, the Interaction Initiation Phase, the Interaction Cohesiveness Phase and the Interaction Dissolution Phase, in terms of objectives, strategies and proposed activities.

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Mei-Feng, Hsu, and 徐美鳳. "A Study on the Relationships between Pareting Patterns, Pareent-Child Relation and Interpersonal Interaction of Nursing College Students in South Taiwan." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/52753853262403099103.

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碩士
國立高雄師範大學
教育學系
93
The purpose of this research was to understand the following : First, the present situation of nursing college students’ background variables, their parents’ parenting patterns, parent-child relation and interpersonal interaction. Second, the differences between parenting patterns, parent-child relation and interpersonal interaction of students with different personal variables. Third, the differences between parent-child relation, interpersonal interaction and parents’ parenting patterns. Fourth, the correlations between the parent-child relation and interpersonal interaction of students. Fifth, the predictability of parenting patterns and parent-child relation towards their interpersonal interaction. The subjects were 457 third graders of the nursing colleges in South Taiwan. The instruments contained Parents’ Parenting Patterns, PCR and Interpersonal Interaction Questionnaires. Ways of statistics included descriptive statistics, oneway ANOVA, stepwise multiple regression, Scheff’ e posteriori comparisons and Pearson’s product-moment correlation. The research results were as follows: 1. Students in the Southern Taiwan were mostly eldest daughters with two-parent family and lower level of SES. 2. Most students received Indifferent-uninvolved parenting patterns from their parents. Most parents disagreed on their parenting patterns. 3. Parent-child relation of students was at higher–medium level and their interpersonal interaction was at medium one. 4. Parents of students with different background variables used different parenting patterns. 5. Students with different birth orders had different parent-child relation wholly and separately: Youngest daughters had better relationship than only one child in families. 6. Students from different types of families had different parent-child relation wholly and separately: Two-parent families and single-parent families had better parent-child relation than step-parent families and skipped–generation families. 7. Students who lived in families from different SES levels didn’t have much difference, except for their parent-child relation wholly and separately, in other aspects. 8. Students with different variables didn’t seem to be different in their interpersonal interaction wholly and separately. 9. Parenting patterns seemed to affect their parent-child relation wholly and separately: Parents who used authoritative-reciprocal parenting patterns had better parent-child relation than parents who used indifferent-uninvolved. 10. Parenting patterns seemed to affect interpersonal interaction wholly and separately: Students whose parents use indifferent-uninvolved parenting pattern were more likely to have self-loneliness; students whose parents used authoritative-reciprocal parenting pattern were more likely to have more friends. 11. Students’ parent-child relation seemed to correlate with their interpersonal interaction: Self-loneliness and personality were the most significant. 12. Parents’ parenting patterns and parent-child relation could predict the student’s interpersonal interaction, but the accounting power was low. Based on this research results, suggestions were made for parents, teachers, advisors and counseling departments.

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Kuan, Chu-yun, and 關筑云. "The Effect of Stress on Anger Expression in Medical Students and Nursing Students: The Moderating Effect of Self-esteem and Interpersonal Relation." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/gx9wq6.

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博士
國立臺南大學
教育經營與管理研究所博士班
100
The aim of this research is to investigate the effect of stress on anger expression in medical students and nursing students. Then, we add self-esteem and interpersonal relation as moderator to discuss whether there have any effects between stress and anger expression. In addition, it is to compare the similarities and dissimilarities in medical students and nursing students. The study adopt the quantitative research and questionnaire investigation methods. There has 405 medical students and 351 nursing students using as effective data samples, yielding an usable return rate of 79% and 83%. Experimental methods are self-design questionnaires. Data are analyzed with SPSS version by multiple regression analyses, the research methods include descriptive statistics, Exploratory Factor analysis (EFA), Pearson’s Product-moment Correlation and Multiple Regression Analysis. According to the results of literature review and statistical analyses of questionnaires, the conclusions of this study are as follows: 1. There is a positive effect between stress and anger expression in medical students and nursing students. Also, the self-esteem and interpersonal relation have moderating effect on the relationship between stress and anger expression in them. 2. The medical students and nursing students have stress about adapted teaching, are more easily used anger expression to relieving their emotions. The medical students have no stress about course work due to their parents expect stress. However, the future competitive stress has greater impact on nursing students. 3. Compare to nursing students, academic performance self-esteem has a consistent and stable effect on medical students. But, the result shows the weak influence of family atmosphere self-esteem on medical students. Besides the feeling of self-evaluation has no significant effects on medical students and nursing students. 4. The influence of peer relationships for medical students is deeper than nursing students. The influence of family relations for nursing students has reverse effect. Nevertheless, the medical students have not dare to express their anger emotion directly to teachers, but nursing students dare.

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