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Gartéus, Jaquelin, and Katarina Bothén. "Compassion Satisfaction : En källa till kraft." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-39962.
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Bakgrund: Vård av god kvalité innebär vård där sjuksköterskan känner medlidande med patienten och upplever inre tillfredställelse av att göra det. Det är sjuksköterskor och patienter eniga om. Sjuksköterskor som inte lyckas uppleva compassion satisfaction kan hamna i ett tillstånd som heter compassion fatigue vilket är ett tillstånd som har sin grund i höga påfrestningar som uppstår i arbetet. Syfte: Att beskriva sjuksköterskors erfarenheter av att hitta kraft av att vårda. Metod: En allmän litteraturöversikt genomfördes på två kvantitativa artiklar och elva kvalitativa artiklar. Analysen genomfördes enligt Friberg. Resultat: Resultatet visade på flera olika faktorer som leder till känslan av glädje och motivation i yrket som sjuksköterska. Fyra olika kategorier uppenbarades: mellanmänsklig bekräftelse, moralisk tillfredställelse, existentiell tillfredställelse, professionellt erkännande och utveckling. Kategorierna beskriver källor till tillfredställande och till kraft att fortsätta inom professionen. Exempel på dessa faktorer är: att få chans att göra skillnad för patienten, att kunna vara autonom och att få bekräftelse från arbetskollegor och ledningen. Slutsats: Sjuksköterskor kan finna kraft i att vårda dock finns det även sjuksköterskor som inte lyckas uppleva compassion satisfaction. Mer kunskap om compassion satisfaction kan gynna sjuksköterskor i framtiden.Background: Good quality care means nursing with compassion and experiencing inner satisfaction of doing so. Nurses and patients are in agreement on that. Nurses who fail to experience compassion satisfaction can end up in a state called compassion fatigue which is a condition that is due to the high stresses that arise at work. Aim: To describe nurses' experiences of achieving a sense of power through care. Method: A general literature review was conducted on two quantitative articles and eleven qualitative articles. The analysis was conducted according to Friberg Result: The results showed different factors that bring forth a sense of joy and motivation in the nursing profession. Four different categories were revealed: interpersonal confirmation, moral satisfaction, existential satisfaction, professional recognition and development. The categories describe different sources of satisfaction and the empowering elements that supports retention in the profession. Examples of factors are: a chance to make a difference for the patient, being able to be autonomous and getting confirmation from colleagues and the management. Conclusions: Nurses can find power in caring, however, there are also nurses who fail to experience compassion satisfaction. More knowledge about compassion satisfaction can benefit nurses in the future.
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Pham, Hieu Chi. "Effects of feedback, education, and work experience on self-efficacy." CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/2985.
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Examines the contextual effects of social persuasion (represented by self, client, peer and supervisor's feedback) and mastery experiences (represented by formal level of education and work experience) on specific self-efficacy outcomes and perceived advancement potential in a sample population of nurses at a Southern California hospital. Results of the study suggest that self, client, peer, and supervisor's feedback consistently predict significant self-efficacy outcomes.
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Svensson, Ing-Marie, and Charlotta Holmgren. "Livsstilsförändring vid prediabetes- vuxna patienters erfarenhet - en intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-90195.
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Background: Prediabetes is strongly related to an unhealthy lifestyle and it is a growing public health problem. It is of great importance to start a lifestyle change at an early stage to prevent type 2 diabetes. The primary care nurse ́s mission is to support patients with prediabetes to a lifestyle change. Objective: The aim of the study was to describe experiences of lifestyle changes on adult patients with prediabetes. Method: Qualitative study with semi-structured interviews. Adult persons with prediabetes were interviewed. The interviews were analyzed with a qualitative manifest content analysis. Results: Four main categories and ten subcategories were identified from the analysis. The main categories were consisted of: The importance in personal health in lifestyle change, which described the impact of the physical and mental health in lifestyle change. The importance of self- motivation, the main motivation to implement lifestyle change was the concern of developing type 2 diabetes. To succeed with the lifestyle change, the patients needed to create new routines and habits. The importance of healthcare relationship, emphasising the need for support from the nurse. The relationship with the nurse and the receiving of the patients was of high significance to succeed with the lifestyle changes. The impact of the surrounding, family and friends were described to have booth a positive and a negative impact on the implementation in lifestyle change. Conclusion: The patients with prediabetes had the insight that they needed to make a lifestyle change. Despite reaching the insight, the patients found it difficult to implement and sustain the lifestyle change. The nurses role and supportive functions were of great significance for facilitating a lifestyle change.Bakgrund: Prediabetes är starkt relaterat till en ohälsosam livsstil och är ett växande folkhälsoproblem. Det är av stor vikt att påbörja livsstilsförändring i ett tidigt stadium för att förhindra utveckling till diabetes typ 2. Distriktssköterskans uppdrag innebär att stödja patienter med prediabetes till livsstilsförändringar. Syfte: Syftet med studien var att beskriva vuxna patienters erfarenheter av livsstilsförändring vid prediabetes. Metod: Kvalitativ studie med semistrukturerade intervjuer. Nio vuxna personer med prediabetes intervjuades. Data analyserades genom kvalitativ manifest innehållsanalys. Resultat: Utifrån analysen identifierades fyra huvudkategorier och tio underkategorier. Huvudkategorierna bestod av: Den egna hälsans betydelse vid livsstilsförändring, som beskriver den fysiska och psykiska hälsans påverkan vid livsstilsförändring. Den egna motivationens betydelse, den främsta motivationen att genomföra livsstilsförändring var oron att insjukna i diabetes typ 2. För att lyckas med livsstilsförändringar behövde patienterna skapa nya rutiner och vanor. Vårdrelationens betydelse, framhäver behovet av stöd från sjuksköterskan. Relationen med sjuksköterskan och bemötandet var betydelsefullt för att lyckas med livsstilsförändring. Omgivningens påverkan, familj och vänner beskrevs ha både en positiv och negativ inverkan vid genomförande av livsstilsförändring. Slutsats: Insikten fanns hos patienter med prediabetes att de behövde göra en livsstilsförändring. Trots insikten kunde det vara svårt att genomföra samt bibehålla livsstilsförändringen. Sjuksköterskans roll och stödjande funktion var betydelsefull för att främja livsstilsförändringen.
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Höglund, Frida, and Frida Dahlgren. "Att genomföra livsstilsförändringar vid Diabetes mellitus typ 2 : Sjuksköterskor och patienters perspektiv." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-7321.
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Diabetes mellitus type 2 is a rapidly increasing disease worldwide. The disease is connected to lifestyle. Making lifestyle changes is hard. When suffering from Diabetes mellitus type 2 it is necessary to live healthy to prevent secondary diseases. Lifestyle changes includes for example changing dietary habits, become psychically active or losing weight. The aim of this study was to gain knowledge about different perspectives of lifestyle changes from both patients and nurses. This qualitative study was conducted as a literature study through analysis of relevant scientific articles. The results show that both patients and nurses experience difficulties managing lifestyle changes. Social support is important for the patient to succeed in making a change. It is important that there is a mutual interaction between the patient and the nurse for the patient to succeed to make a lifestyle change. This literature study shows that there is a need for more knowledge about preventing and managing this disease from a caring perspective. The nurse play an important role in the treatment of patients suffering from diabetes mellitus type 2. It is therefore important that the nurse has the knowledge needed to motivate and support patients to make a lifestyle change.
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Edvardsson, Elisabeth, and Anita Persson. "Patienters upplevelse av att få fysisk aktivitet på recept." Thesis, Högskolan i Gävle, Akademin för hälsa och arbetsliv, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-10482.
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Sammanfattning Syftet med studien var att beskriva patienters upplevelser av att få fysisk aktivitet ordinerat på recept av distriktssköterskan och om möjligheten att följa det ordinerade. Studien hade en beskrivande design med kvalitativ ansats. Tio kvinnor och tio män som erhållit FaR från två hälsocentraler i Mellansverige deltog i studien. Data samlades in via semistrukturerade intervjuer. Intervjuerna analyserades sedan med kvalitativ innehållsanalys. Analysen utmynnade i ett tema: Positivt och enkelt, men ändå svårt att följa receptet och förändra sin livsstil. Fyra kategorier framkom: Att se fysisk aktivitet/förändring som en möjlighet, Att se fysisk aktivitet/förändring som ett hinder, Att bli medveten om behovet av fysisk aktivitet och Att ta kontroll eller inte över sin fysiska aktivitet. De flesta av deltagarna i studien var positivt inställda till FaR. Många upplevde FaR som en "kick" för att börja motionera. Några hade även ändrat sina levnadsvanor gällande kosten. Olika hinder och omständigheter framkom varför ordinationen inte följdes. Slutsatsen är att patienterna i stort är positiva till FaR, men det kan vara svårt att följa ordinationen och förändra sin livsstil på grund av bristande motivation. Nyckelord: Distriktssköterska, FaR (fysisk aktivitet på recept), motivation, patient, upplevelseAbstract The purpose of this study was to describe patients' experiences of receiving physical activity prescribed by the district nurse, and the possibility of adhering to the prescription. The study had a descriptive design and a qualitative method was used. Ten women and ten men who received physical activity on prescription from two different medical centers in central Sweden participated in the study. Data was collected through semi-structured interviews. The interviews were analyses with a qualitative content analysis. The analysis resulted in one theme: Positive and simple, yet difficult to adhere to the prescription and change their lifestyles. The analysis resulted in four categories: To see physical activity and changes as an opportunity, To see physical activity and changes as an obstacle, To become aware of the need for physical activity and To take control or not over their physical activity. Most of the participants in the study were in favor of the prescription. Many experienced the physical activity prescribed as a motivation to start exercising, some had even changed their lifestyle habits and diets. Various obstacles and circumstances contributed to why prescriptions were not adhered to. The conclusion is that the patients in general proved positive to physical activity on prescription, however it may sometimes be difficult to adhere to the prescription and change lifestyles due to lack of motivation. Keywords: District nurse, physical activity on prescription, motivation, patient, experience
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Steinsdoerfer, Gregory J. "BURNED OUT FROM HEALING THE BROKEN HEARTED: THE EXPERIENCES OF CARDIAC NURSES." OpenSIUC, 2015. https://opensiuc.lib.siu.edu/dissertations/1091.
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AN ABSTRACT OF THE DISSERTATION OF GREGORY STEINSDOERFER, for the Doctor of Philosophy degree in PSYCHOLOGY, presented on December, 12, 2014, at Southern Illinois University Carbondale. TITLE: BURNED OUT FROM HEALING THE BROKEN HEARTED: THE EXPERIENCES OF CARDIAC NURSES MAJOR PROFESSOR: Kathleen Chwalisz, Ph.D. It has been well documented that prevalence of cardiovascular disease has become a major global healthcare problem. In the United States, healthcare expenditures have dramatically increased as more and more people are requiring cardiovascular treatment. Treatment outcomes (e.g., mortality rates, readmission rates) for cardiovascular disease related illnesses can vary drastically from one hospital to another. Researchers have recently attempted to understand why these drastic differences in performance exist from hospital to hospital. It has been suggested, that one important avenue for improving cardiovascular care is to improve hospital staff performance. Of all hospital staff, nurses spend the most time working directly with cardiac patients and their families. Nurses also frequently report high levels of occupational stress, burnout, and turnover rates. This study was a qualitative investigation of the lived work experiences of cardiac nurses. Qualitative research methodology was utilized as it provided the best opportunity to understand the individual experiences of nurses working with cardiac patients. In-person, semi-structured individual interviews were conducted with seven cardiac nurses. Through the analysis process, seven major categories and 24 sub-level categories emerged. More specifically, grounded theory methodology (Strauss & Corbin, 1998) was used to analyze the interview data. Participants described their experience working with cardiac patients as complex and multidimensional. The core theme of this study, revolved around the concept of cardiac nurses serving as bridges for their patients. Participants described feeling stuck in the middle between having a strong desire to help their patients improve their health, but also working with a high percentage of unmotivated patients who were not accepting of this help. This study also identified the unique stressors of working in a cardiac environment, and the resources that were utilized to help decrease or prevent symptoms of burnout.
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Likupe, Gloria. "Motivations, migration and experiences of black African nurses in the United Kingdom." Thesis, University of Hull, 2011. http://hydra.hull.ac.uk/resources/hull:5297.
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This thesis explores experiences of black African nurses from sub-Saharan Africa in the UK. The exploration starts with motivational factors which cause black African nurses to migrate, as it is argued that migration trajectories have an influence on nurses’ experiences. Managers’ experiences are also explored to obtain their perspectives. A qualitative approach was used as a methodological framework. Focus groups and individual, semi-structured interviews were used to explore experiences of black African nurses working and living in the UK. Semi-structured interviews were used to collect data from managers working with black African nurses. The data were analysed using Spencer, Ritchie and O’Connor’s framework. In total 30 black African nurses were interviewed, comprising 4 focus groups and 15 individual interviews. The number of managers interviewed was 10.The results indicate that black African nurses move to the UK as a result of historical, political and economic factors. However, the main factors are immigration policies and practices of the British government. Migration trajectories of black African nurses indicate that black African nurses are recruited to a subordinate position in the British National Health service; as a result, nurses are stereotyped and experience prejudice, racism anddiscrimination. Managers’ accounts largely echo black African nurses’ experiences.
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Di, Cara Veronika. "Trends, motivations and experiences of Czech migrant nurses : a mixed methods study." Thesis, Queen Margaret University, 2016. https://eresearch.qmu.ac.uk/handle/20.500.12289/7388.
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The migration of nurses is currently an important political theme, and it is only expected to intensify in the future, because of the current demographic trends. Considering the facilitating policies and the differences between salaries, the intra-European migration of nurses is rather small, but its monitoring is not very exact. The migration of Czech general care nurses remains under-researched. I used mixed research with explorative sequential design in this study. In the initial embedded qualitative strand, I interviewed informants with expert knowledge on the migration of Czech nurses. The second quantitative strand consisted of a survey of self-selected Czech migrating nurses using an electronic questionnaire. The last strand used a focus group technique with Czech nursing migrants to clarify some of the previously researched topics. Some findings from this study are similar to the previously conducted research, and some differ substantially. Almost all of the respondents and participants felt that their professional skills improved because of their migration. More than half eventually returned to the Czech Republic, often they provided direct care in the Czech Republic, and mostly they reported not being able to utilize all of the new knowledge gained abroad. The main destination country was Saudi Arabia, therefore the respondents often cooperated with a recruiting agency. Their families were typically not involved in the decision to migrate and the migrants only rarely sent remittances home. Instead, they invested their earnings in real estate. Consistent with the literature, the professional communication in a foreign language and the different nursing practices of the destination country were rated as difficult. Findings from all three strands suggested that the nurses were transformed by the migration. It is generally understood that nurses are vital for providing health care services, thus we should offer them motivating working conditions to prevent more extensive migration and use the potential of brain circulation.
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Yufei, Gu, and Xiong Shuyan. "Nurse's experience of caring infants in neonatal intensive care unit - A descriptive review." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-33135.
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Snook, Sky Elisabeth. "The nurse's experience of love in healthcare : a fundamental element of health and wellbeing." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/54831.
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Love as a fundamental element of wellbeing is a phenomenon that has been explored throughout history since questions of philosophy began. Only in more recent times has love been explored in the realm of healthcare, though most probably its presence has always been there. Part of everyday life, love’s necessity in wellness, illness, and the field of healthcare is becoming recognized, for in the absence of love, illness, addiction, failure-to-thrive and death are seen. Understanding the experience of love in healthcare, however, is limited particularly from the nurse’s perspective, regardless of the idea that perhaps the profession itself is based on love for humanity. The focus of this research was to increase understanding of love in healthcare from the nurse’s perspective using a qualitative Gadamerian approach and the hermeneutic circle. A Fusion of Horizons between what was previously understood about love and the experiences of six nurse participants was created. Photography and in-depth interviews illuminated love present in healthcare practice, which also turned out to be reflective of love in life. It was discovered that love manifests in forms of being, awareness, action and connection and that one cannot truly understand this love unless they experience it. Much understanding has yet to come, and though love certainly exists in healthcare, it is not yet present to the extent that it could be. Therefore, research like this study which focuses on illuminating the concept of love, could prove beneficial to healthcare and humanity.Health and Social Development, Faculty of (Okanagan)
Nursing, School of (Okanagan)
Graduate
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Kegel, Claudia. "Balinese nurse's experience of patient death : Viewed in the light of their cultural background." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5364.
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Background: Nursing is a profession in which one will face death in different circumstances,and how the nurse will be affected by the death of their patient may vary with the nurses’ cultural and religious background. Bali-Hinduism is the most practised religion on Bali in Indonesia, permeating the inhabitants’ day-to-day life. Aim: The purpose of this study was to explore Balinese nurses’ experiences of the death of a patient in their care, in the light of their cultural surroundings and background. Method: Semi-structured interviews analysed with qualitative content analysis. The material was organized in themes and subthemes. The participants were one male and three female nurses from a private hospital in Denpasar, Indonesia. Results: The results showed that the Balinese nurses were leaning rather heavily on their religious beliefs in their daily work, and that their cultural situations greatly affect their way of coping with patients’ deaths. Three major themes emerged during the analysis: cultural and religious aspects, emotional reactions to patients’ deaths, and factors that aid coping. Discussion: Many of the ideas the nurses expressed could be further understood when learning more about Balinese culture and Bali-Hinduism, for example the notion that the physical health of a person is closely related to the will and intention of that person. Similar to Parse’s view of the human being, the Balinese perceive the human being as a versatile and complex being, connected to and affected by various aspects such as background, culture, surroundings, religious context, education, family and other human beings. The results were discussed in comparison to recent research on the subject and to Parse’s theory of humanbecoming.Bakgrund: Att arbeta som sjuksköterska innebär att möta döden i olika situationer, och hur sjuksköterskan reagerar på sin patients bortgång varierar med sjuksköterskans kulturella och religiösa bakgrund. Denna studie fokuserar på den balinesiska sjuksköterskans upplevelser och undersöker vad för slags copingstrategier hon använder. Bali-Hinduism är den mest utbredda religionen på Bali i Indonesien, och genomsyrar invånarnas vardag. Syfte: Studiens syfte var att undersöka balinesiska sjuksköterskors upplevelser av patienters död, i ljuset av deras kulturella omgivning och bakgrund. Metod: Semistrukturerade intervjuer som analyserades med kvalitativ innehållsanalys. Resultaten diskuterades i jämförelse med aktuell forskning och Parses teori om humanbecoming. Resultat: Resultatet visar att balinesiska sjuksköterskor förlitar sig på religionen i hög grad i det dagliga arbetet, och att deras kulturella sammanhang kraftigt påverkar deras sätt att handskas med patienters död. Tre teman framträdde under analysen: kulturella och religiösa aspekter, sjuksköterskan och döden och faktorer som stödjer coping. Diskussion: Många av de tankar som de balinesiska sjuksköterskorna uttryckte kunde förstås djupare vid inhämtning av mer kunskap om den balinesiska kulturen och Bali-Hinduism, exempelvis föreställningen att en persons fysiska hälsa är nära sammankopplad med hennes vilja och intention. I likhet med Parses syn på människan, ser balineserna människan som en föränderlig och komplex varelse som är ansluten till och påverkas av olika faktorer såsom bakgrund, kultur, omgivning, religiös kontext, utbildning, familj och andra människor.
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Chiovitti, Rosalina Fiorino. "The psychiatric nurse's experience and meaning of caring in hospitals, a grounded theory of protective empowering." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ28114.pdf.
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Ronquillo, Charlene Esteban. "Immigrant Filipino nurses in Western Canada : an exploration of motivations and migration experiences through oral history." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/27706.
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Over the latter half of the twentieth century, a steady increase in the numbers of immigrant Filipino nurses have been incorporated into the Canadian healthcare workforce, mirroring trends of international nurse migration to other Western countries. Yet, there is a paucity of information on the contexts surrounding the motivations and experiences of this group of migrants who work as registered nurses in Canada. This study aims to add a historical perspective in order to understand the historical contexts surrounding this phenomenon, to gain an informed understanding of past and current trends, and more importantly, to examine what surrounded and shaped the experiences of immigrant Filipino nurses. This study explores the oral histories of nine immigrant Filipino nurses in Alberta and British Columbia who migrated from 1974 to 2005, and aims to take the beginning steps in understanding this migration phenomenon in the Canadian context.
The findings revealed that the motivations and experiences of migrant Filipino nurses were significantly influenced by the lasting effects of the historical colonial relationship between the US and the Philippines. Other important influences, however, include familial pressures and societal constructs of Filipino culture, the structure of nursing education in the Philippines, and issues of racism. These factors also shaped the transition process of the registered nurses into the Canadian workforce. With more attention and resources currently being directed at addressing foreign nurse transition and work integration in Canada, findings of this study prompt a critical reflection on these current trends and includes in the conclusion important implications on policy development for future foreign nurse immigrants entering Canada. The study concludes that social and cultural factors as much as economic ones shape nurses desire to migrate as well as their transition into the Canadian nurse workforce.
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Nakata, Yoshiyuki. "Motivation and experience in foreign language learning /." Oxford ; Bern Berlin Bruxelles Frankfurt am Main New York Wien : Lang, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015442386&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Andersson, Ellen. "Cognitive Workload, Game Experience, and Intrinsic Motivation." Thesis, Linköpings universitet, Institutionen för datavetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-139330.
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When it comes to game design, two features that have been linked to the success of a game are playability and the subjective game experience. This is perhaps not surprising, as the main purpose of a game is to entertain. What cognitive factors that may underlie these features has, however, not been explored. This study examines the relationship between both workload and cognitive workload and player experience. The results suggest that an increase in workload, including cognitive workload, positively affect the player experience of the game as well as the player’s intrinsic motivation.
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Mäkinen, M. (Mikael). "Motivation and trust:how millennials experience work motivation and see trust as part of it." Master's thesis, University of Oulu, 2015. http://urn.fi/URN:NBN:fi:oulu-201506111846.
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Yet there are almost countless studies of work motivation and/or workplace happiness and working performance, most of the researches have been in the perspective of older generations like Generation X or The Baby Boomers. The lack of perspective of Millennials (or Generation Y) is natural, since as part of workforce Millennials are still a very young generation. However, since humans do get older, more and more Millennials are joining world’s workforce and will eventually become tomorrow’s leaders. Therefore, it is important to learn how Millennials see the world and what are the features that can be seen as common to them. By understanding what makes a generation that is family-centric but ambitious, education oriented but upbeat, to reach goals and perform effectively, gives a clear advantage. Thus, the goals of this study are to find out what work motivation means to Western world Millennials and understand their values as well as how they perceive trust in a workplace. This study also investigates other generations’ values and generation-specific features, so that it is clearer to understand how much Millennials differ from them and what features have stayed the same over time.
Since this study is qualitative in its nature, the research method has been qualitative as well. This study utilizes semi-structured interview with three sub-themes, that all measure certain parts of the bigger picture of work motivation. The interview and the theoretical evidence provided interesting results that have academic value as well as managerial implications. Some of the most important results was the difference of values and the very nature between Millennials and other generations. Based on this study, it is safe to say that Millennials are the first generation for a long time that is clearly a crossroad generation of old and new business methods. This is greatly so because of Internet and its new perspective of technology and business practices. Although, this study provides information that can be widely generalized, the reader should bear in mind the cultural background of this study’s Millennials and the fact that the immediate business field in this study is knowledge-based, which means businesses that are offering expert services like consultancy.
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Qaid, Rafa T. A. "Patients' and nurses' perspectives on patients' experience for coronary care unit stressors using a mixed method approach." Thesis, Brunel University, 2011. http://bura.brunel.ac.uk/handle/2438/6359.
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Background: Getting admitted to CCU is viewed as a stressful event by patients. However, numerous studies have indicated that nurses do not always accurately perceive the stressors of their clients. Therefore, it is important for nurses to know what seems most stressful from the patients‘ perspective so that appropriate nursing measures can be directed towards minimizing such stressors. Objectives: The purpose of this study was to explore the perception of CCU stressors experienced by patients from both patients and nurses perspective and to compare between them, identify the effect of socio-demographic characteristics of participant's on the level of stress perception and to what extent clinical guidelines fulfil CCU needs. Methodology: A mixed method approach (qualitative and quantitative) was applied. Purposive random sampling was used to recruit data. Ethical approval was obtained prior to data collection. Data was collected from three CCUs within the West and Northwest NHS Trusts. Participants who met the inclusion criteria were interviewed and asked to rank the Environmental Stressor Questionnaire (ESQ). Qualitative data was analyzed using Gorgi's method of analysis. A quantitative data was analyzed using the SPSS software version 15. Results: There was some consistency in the data where patients and nurses provided same ranking for CCU stressors. Consistently nurses ranked physiological stressors higher than psychological stressors. Patients showed consistency in the findings between what they ranked in the ESQ and their narratives more than their counterparts. Perception of stress was affected by participant's socio-demographic characteristics. A key finding is that the current guidelines do not serve patients and nurses needs. Conclusions: Nurses should be well equipped with knowledge and experience to overcome stressful situations. Educational programs should be made available for nurses to improve stress management. Nurses should assess patient's needs by applying effectively communication skills.
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Damm, Lisa Marie. "The architecture of emotion experience." Diss., [La Jolla] : University of California, San Diego, 2009. http://wwwlib.umi.com/cr/ucsd/fullcit?p3352255.
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Thesis (Ph. D.)--University of California, San Diego, 2009.Title from first page of PDF file (viewed May 8, 2009). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references.
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Parks, Agatha Custodio Dado. "The relationship among registered nurse's years of experience, credentials, work location, completed non-required continuing education hours, moral development and conceptual level." W&M ScholarWorks, 1999. https://scholarworks.wm.edu/etd/1539618825.
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Limited research has been done regarding the relationship among registered nurses years of experience, credentials, work location, completed non-required continuing education hours, moral development, and conceptual level. This study's theoretical framework is based on the cognitive-developmental theory domains of moral and conceptual development. A descriptive and correlational research design was used to discover the relationship between variables. One hundred registered nurses were selected from a hospital in southeastern Virginia. Participants completed a general questionnaire, Defining Issues Test-2 and the Paragraph Completion Method. Findings resulted in failing to reject the null hypotheses. There was no statistically significant correlation among the variables. The findings may be related to low sampling, unclear understanding of terms and/or participant's demographic profile being more similar than different.
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Csikszentmihalyi, Mihaly, and Ulrich Schiefele. "Motivation and ability as factors in mathematics experience and achievement." Universität Potsdam, 1995. http://opus.kobv.de/ubp/volltexte/2009/3366/.
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This study examined relationships among interest, achievement motivation, mathematical ability, the quality of experience when doing mathematics, and mathematics achievement. One hundred eight freshmen and sophomores (41 males, 67 females) completed interest ratings, an achievement motivation questionnaire, and the Preliminary Scholastic Aptitude Test. These assessments were followed by 1 week of experience sampling. Mathematics grades were available from the year before the study started, from the same year, and from the following 3 years. In addition, a measure of the students' course level in mathematics was included. The results showed that quality of experience when doing mathematics was mainly related to interest. Grades and course level were most strongly predicted by level of ability. Interest was found to contribute significantly to the prediction of grades for the second year and to the prediction of course level. Quality of experience was significantly correlated with grades but not course level.
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Merrick, Kathryn Elizabeth. "Modelling motivation for experience-based attention focus in reinforcement learning." Connect to full text, 2007. http://ses.library.usyd.edu.au/handle/2123/1935.
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Thesis (Ph. D.)--University of Sydney, 2007.Includes graphs, tables. Title from title screen (viewed April 1, 2008). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Information Technologies, Faculty of Science. Includes bibliographical references. Also available in print form.
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Selent, Jette, and Michael Minge. "IM-UX – Fragebogen zu intrinsischer Motivation in der User Experience." Thelem Universitätsverlag & Buchhandlung GmbH & Co. KG, 2019. https://tud.qucosa.de/id/qucosa%3A36919.
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Intrinsische Motivation gilt als wesentlicher Einflussfaktor dafür, dass Verhaltensweisen mit erhöhter Wahrscheinlichkeit und über längere Zeiträume hinweg stabil gezeigt werden (Ryan & Deci 2000a, Vallerand 1997). Dies lässt sich auch bei der Nutzung von Software-Produkten beobachten, deren Nutzung nicht aus Notwendigkeit sondern freiwillig erfolgt. So gilt etwa die Playfulness (Verspieltheit) von Systemen nicht nur als Quelle für intrinsische Motivation, sondern auch als einer der wichtigsten Faktoren für das Entstehen und Aufrechterhalten von Akzeptanz und der Bereitschaft zur Nutzung eines Systems (Venkatesh 2000). Hwang und Yi (2002) sowie Lee, Cheung und Chen (2005) beschreiben, dass das Erleben von Lernerfahrungen bei der Nutzung eines Systems die Wahrscheinlichkeit erhöht, dass es langfristig genutzt wird. Sowohl Spaß, als auch Wissens-, Fähigkeits- und Fertigkeitserwerb sowie spielerische Erfahrungen können demnach als Quellen intrinsischer Motivation betrachtet werden und es gibt Grund zu der Annahme, dass sich das Hervorrufen intrinsischer Motivation positiv auf die Wahrscheinlichkeit, Häufigkeit und Dauer der Nutzung eines Software-Produktes auswirkt. Auch die User Experience (UX) bei der Nutzung interaktiver Produkte wird mit Faktoren intrinsischer Motivation in Verbindung gebracht. So beschreibt etwa Hassenzahl (2008) eine gute UX als Konsequenz der Befriedigung des Bedürfnisses unter anderem nach Autonomie, Kompetenz, und
Verbundenheit. Diese Bedürfnisse gelten laut der Selbstbestimmungstheorie (Self-Deter-mination Theory, SDT) von Deci und Ryan (1985) als Grundlage für das Entstehen intrinsischer Motivation. Kompetenz beschreiben Deci und Ryan (2002b) hier als das Gefühl dafür, in welchem Ausmaß eine Person einen effektiven Einfluss auf ihre soziale und physische Umwelt ausüben kann. Darüber hinaus beinhaltet Kompetenz im Sinne der SDT das Erleben von Möglichkeiten, die eigenen Fähigkeiten und Fertigkeiten auszuüben und in kontrollierbarer Art und Weise weiterzuentwickeln (Deci & Ryan 2002a, White 1959). Nimmt eine Person sich selbst als Ursprung und Initiator ihrer Handlungen wahr, so wird dies als Erleben von Autonomie bezeichnet. Diese Empfindung wird dadurch begünstigt, dass die Person erlebt, die eigene Umwelt beherrschen und beeinflussen zu können (Angyal 1941). Autonomes Handeln bedeutet ebenso, dass das gezeigte Verhalten als Ausdruck des eigenen Willens verstanden, aus eigenem Interesse initiiert und im Sinne der eigenen Wertvorstellungen ausgeführt werden kann (Deci & Ryan 2002a). Als drittes Grundbedürfnis wird Geborgenheit, Einbettung in ein emotional stabiles soziales Umfeld sowie die Bindung an Bezugspersonen und eine Gesellschaft beschrieben (Ainsworth 1989, Baumeister & Leary 1995, Bowlby 1979). Das Gefühl von Verbundenheit im Sinne der SDT wird ebenfalls durch das Erleben einer Verbindung zu anderen Menschen, die auf gegenseitigem Füreinander-Sorge-Tragen beruht, gefördert (Ryan & Deci 2000b). Für den langfristigen Erfolg von Technik und die Integration von Produkten in den Alltag von Nutzern ist die Frage entscheidend, ob es gelingt, diese intrinsischen Bedürfnisse zu befriedigen. Bestehende Fragebögen zur Erfassung intrinsischer Motivation, wie z.B. die Kurzskala intrinsische Motivation (KIM, Wilde et al. 2009) oder der Fragebogen zur aktuellen Motivation (FAM, Rhein-berg et al. 2001) sind allerdings nicht für den Bereich UX validiert und bilden in ihrer Struktur nur selten etablierte theoretische Modelle ab. Daher wurde auf Grundlage der SDT ein neues Messinstrument konstruiert und anhand mobiler Applikationen validiert [...] Das Ziel war demnach, mit Hilfe semantischer Differenziale ein kompaktes Messinstrument für die Betrachtung der Befriedigung der drei Grundbedürfnisse nach der SDT bei der Nutzung interaktiver Softwareprodukte zu entwickeln. [... aus der Einleitung]
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Chen, Fang. "Does an Early Second Language Immersion Experience Impact Student Motivation?" Otterbein University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1350927922.
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Grundblad, Marianne. "Lidandet genomsyrar sjuksköterskans värld." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-112.
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Lidande utgör ett hot mot hela människan som ej kan undflys. Patientens lidande påverkar vårdaren. Det skapar ett eget lidande i sjuksköterskan som inte kan lindra patientens lidande eller till och med orsakar ytterligare lidande. Också anhörigas lidande påverkar intensivvårdssjuksköterskan. Syftet med uppsatsen var att beskriva hur intensivvårdssjuksköterskor upplevde att vårda patienter med svårt lidande. En deskriptiv, semistrukturerad intervjuundersökning genomfördes med tre intensivvårdssjuksköterskor och tolkades medelst innehållsanalys. Resultat: Temat Lidandet genomsyrar sjuksköterskans värld identifierades och handlade om hur sjuksköterskan måste hantera sitt eget lidande likväl som patientens och anhörigas. Temat var uppbyggt av tre kategorier. Lidandets former beskrev det lidande informanterna mötte på intensivvårdsavdelningen. Lidandets samspel beskrev hur positiva och negativa känslor väcktes i samarbetet med lidande patienter, anhöriga och kollegor. Att göra den andres lidande till sitt eget beskrev sjuksköterskans personliga, ofta negativa, känsloupplevelser som aktualiserades vid mötet med stort lidande.Suffering is an unavoidable threat to the individual as a whole. Suffering of patient and relatives affects the nurse, and creates a personal suffering when incapable of relieving the patients suffering, or inflicting even more. The purpose of this study was to describe how ICU nurses experienced caring for suffering patients. A descriptive, semi-structured interview study was conducted on ICU nurses and interpreted by content analysis. Result: The theme Suffering permeates the nurse’s world was identified and described how the suffering of patient, relatives and self had to be handled by the nurse. The theme consisted of three categories. The manifestation of suffering described how suffering in the ICU is perceived. The interaction of suffering described how cooperating with suffering patients, relatives and colleagues caused negative and positive emotions. Integrating suffering of the other described often negative personal emotions of the nurse evoked when encountering suffering.
2010 felaktigt årtal titelsida
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Karlsson, Moa, and Jessica Pierre. "Sjuksköterskans psykiska reaktioner och behov efter traumatiska händelser i arbete på akutmottagning : med inriktning på avlastande samtal, psykologisk debriefing och hinder för genomförande." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3361.
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Inom arbetet på en akutmottagning utsätts sjuksköterskor regelbundet för traumatiska händelser. Detta kan påverka både den psykiska och fysiska hälsan negativt samt även påverka kvalitén på vården. Psykosociala arbetsmiljöbelastningar förekommer i hög grad och sjuksköterskor inom akutsjukvård är högrepresenterade inom sjukskrivningsstatistiken i Sverige. Att arbeta nära svårt sjuka patienter som genomgår svåra psykiska trauman kan påverka sjuksköterskan negativt och en akut sekundär stress kan uppstå. Sekundär traumatisk stress (STS) och posttraumatiskt stressyndrom (PTSD) är två former av ångestsyndrom som kan uppkomma efter att individer upplever, deltar eller bevittnar en emotionell traumatisk händelse. Forskning visas på förekomsten av både STS och PTSD-symtom hos sjuksköterskor som arbetar på akutmottagningar vilket skulle kunna vara relaterat till prevalensen av traumatiska händelser. Avlastande samtal och psykologisk debriefing är exempel på två former av strukturerade samtal som visat sig effektivt som stöd efter traumatiska händelser för sjuksköterskor. Syftet med studien var att undersöka sjuksköterskors psykologiska reaktioner och behov efter traumatisk händelse i arbete på akutmottagning. Detta med inriktning på avlastande samtal och psykologisk debriefing och vilka hinder som finns för genomförande i verksamheten. Metoden som använts var av kvalitativ design. Datainsamlingen skedde via fysiska, semistrukturerade intervjuer med nio sjuksköterskor som var yrkesverksamma på två akutmottagningar i Mellansverige. Resultatet analyserades genom latent innehållsanalys. Resultatet presenterades i tre teman med åtta underteman. De teman som framkom var: Individen, Behov och Organisation. Den personliga och professionella erfarenheten upplevdes ha betydelse för hur sjuksköterskor reagerar på samt hanterar traumatiska händelser. Detta påverkade i sin tur det upplevda behovet av stöd. Även socialt stöd i form av kollegor och vänner var komponenter som påverkade upplevelsen av behovet. Majoriteten av sjuksköterskorna upplevde ett behov av strukturerat samtal så som avlastande samtal efter traumatisk händelse, främst med inriktning på fakta och bekräftelse kring händelsen. Organisatoriska hinder försvårade möjligheten till avlastande samtal och psykologisk debriefing. Slutsatsen var att behovet av stöd i form av avlastande samtal och psykologisk debriefing efter traumatisk händelse på akutmottagning var en individuell upplevelse som påverkades av en rad olika faktorer. Sjuksköterskan som individ har olika behov av samtalsstöd efter traumatisk händelse baserat på tidigare privata och professionella erfarenheter. Fakta och bekräftelse kring händelsen framträdde som viktiga för att lättare kunna hantera och bearbeta traumatiska händelser. De flesta informanter upplevde ett behov av strukturerat samtal efter en traumatisk händelse och majoriteten av sjuksköterskorna upplevde att det generella behovet av samtal efter en svår händelse var stort. Strukturen i avlastande samtal tilltalade informanterna mer jämfört med strukturen i psykologisk debriefing som upplevdes för komplex. Studien belyser ett behov hos sjuksköterskorna som organisationen inte möjliggör då det förekommer brister i form av tid, resurser, ledarskap och rutiner.In the work at an emergency department, nurses are regularly exposed to traumatic events. This can adversely affect both mental and physical health and affect the quality of care. Psychosocial work environment loads occur to a large extent, and nurses in emergency health care are highly represented in the sick leave statistics in Sweden. Working close to severely ill patients who undergo severe psychological trauma can adversely affect the nurse and an acute secondary stress can occur. Secondary traumatic stress (STS) and post-traumatic stress disorder (PTSD) are two forms of anxiety disorder that can occur after individuals experience, participate or witness an emotional traumatic event. Research is shown on the presence of both STS and PTSD symptoms in nurses working at emergency clinics which could be related to the prevalence of traumatic events. Defusing and psychological debriefing are examples of two forms of structured conversation that’s been proved effective as support for traumatic events for nurses. The aim of the study was to investigate the emergency department nurses' psychological reactions and needs after a traumatic event. This with a focus on defusing and psychological debriefing and what barriers that may exist for implementation in the working environment. The method used was of qualitative design. The data was collected through physical, semi-structured interviews with nine nurses who were working at two emergency departments in central Sweden. The data was analyzed by latent content analysis. The result was presented in three themes with eight sub-themes. The emerged themes were: The Individual, Needs and Organization. The personal and professional experience felt to be of importance for how nurses react to and handle traumatic events. This affected the perceived need for support. Also, social support such as colleagues and friends were components that influenced the experienced need. Most of the nurses experienced a need for structured conversations such as defusing after a traumatic event, mainly focusing on facts and confirmation of the event. Organizational barriers obstructed the possibility of defusing and psychological debriefing. The conclusion was that the need for support such as defusing and psychological debriefing after traumatic event in work at emergency department was an individual experience impacted by numerous various factors. The nurse as individual has various needs of support conversations after a traumatic event based on earlier private and professional experiences. Facts and confirmations about the event appeared to be important in order to be able to handle and process traumatic events more easily. Most of the nurses experienced that the general need for conversations after a traumatic event was substantial. The structure of defusing was more appealing to the informants compared to the structure of psychological debriefing, as it was regarded as too complex. The study illustrates a need of the nurses that the organization fail to meet. Deficiencies in time, resources, leadership and routines emerge.
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Norman, Maria, and Camilla Wallberg. "Smärtskattning inom palliativ hemsjukvård : Kvalitativ studie av distriktssköterskors erfarenheter." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29581.
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Bakgrund: Enligt socialstyrelsens rekommendationer ska smärtskattning göras i livets slutskede. Bristande smärtlindring vid livets slutskede är inget någon vill uppleva. Om distriktssköterskan har en bra rutin för att smärtskatta med smärtskattningsinstrument ger det en kvalitésäkring för de palliativa patienterna. Syfte: Att beskriva distriktssköterskors erfarenhet av smärtskattning hos palliativa patienter. Metod: En kvalitativ empirisk studie med deskriptiv design. Resultat: Tre kategorier framkom vid analysen; organisationens inflytande, metoder för smärtskattning av palliativa patienter, organisationens betydelse för kvalitetsförbättring med underliggande subkategorier. I studien framkom att distriktsköterskorna saknade rutiner för smärtskattning. Distriktsköterskorna smärtskattade utifrån sin kliniska blick, erfarenhet och smärtskattningsinstrument. Distriktssköterskorna var medvetna om att smärta ska bedömas enligt smärtskattningsinstrument men instrumenten och dokumentationen av dem, glömdes ibland bort trots att det hade använts. Distriktsköterskorna framhöll att smärtskattning med instrument kan bli bättre genom utbildning i instrumenten och rutiner i smärtskattning. Slutsats: För distriktssköterskor skulle det underlättas med tydliga rutiner om vilka smärtskattningsinstrument som bör användas i specifika situationer. Utbildning efterfrågas i smärta och skattningsinstrumenten för att få till frekvent användning av smärtskattningsinstrument.Background: According to the recommendations of the National Board of Health, pain estimation should be made in the end of life. Lack of pain relief at the end of life is no one wants to experience. If the district nurse has a good routine for pain assessment instruments, it provides a quality assurance for the palliative patients. Aim: To describe district nurses' experiences of pain estimation in palliative patients. Method: A qualitative empirical study with descriptive design. Result: Three categories emerged from the analysis; the organization's influence, methods for pain estimation of palliative patients, the organization's importance for quality improvement with underlying subcategories. The study showed that district nurses lacked routines for pain estimation. District nurses pain assessment based on their clinical gaze, experience and pain assessment tools. The district nurses were aware of that pain should be assessed according to pain estimation instruments, but the instruments and their documentation were sometimes forgotten even though it had been used. District nurses believe that pain estimation with instruments can be improved through training in the instruments and routines of pain estimation. Conclusion: For district nurses, it would be easier with clear routines on which pain assessment instruments should be used in specific situations. Education is demanded in pain and the assessment tools to bring about frequent use of pain assessment instruments.
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Dahm, Theresa. "Goal pursuit, motivation and the experience of positive and negative affect in young people : an experience sampling study." Thesis, University of East Anglia, 2015. https://ueaeprints.uea.ac.uk/56835/.
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The study reported in this thesis aimed to test a psychological model of goaldirected behaviour in a sample of young adults, using experience sampling methods. The purpose was to assess the relationship between goal-related appraisals of success and importance, and fluctuations in both positive and negative affect as well as levels of ruminative thought. The influence of individual differences in transdiagnostic factors relating to motivation and anhedonia, as well as symptoms of depression, rumination and schizotypy were also considered. An analogue sample of non-clinical young adults was recruited and took part in this six-day intensive, longitudinal study. Subjective reports of momentary affect, rumination, and goal appraisals were assessed five times daily for six days. Baseline measures relating to symptoms of psychopathology, motivation and anhedonia were also administered. Using multilevel modelling, the relationship between goal appraisals and affective and ruminative responses could be analysed within the context of the days and individuals that they occurred. Results suggested that appraisals of success were associated with higher levels of momentary positive affect and lower levels of momentary negative affect and rumination. While importance was positively associated with momentary rumination, the expected interaction between success and importance was not found. Individual differences in depression symptoms and schizotypy were differentially associated with reduced momentary positive affect, whereas individual differences in trait rumination were differentially associated with increased momentary negative affect and rumination. There was some evidence that individual differences in depression symptoms were also associated with reduced overall enjoyment and goal success during the experience sampling period. These findings are relevant to our understanding of goal-directed behaviour, and how goal appraisals influence positive affect as well as negative affect and rumination. The results suggest that targeting appraisals of success and increasing activities that provide experiences of mastery and pleasure may be an important aspect of clinical interventions.
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Saunders, Nancy G. "A qualitative study of volunteer experience and motivation in a Christian setting." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/935921.
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The purpose of this study was to gain an understanding of volunteer experience and motivation by (a) identifying major influences impacting the volunteer with the Christian setting, (b) analyzing the impact of those influences upon volunteer experience and motivation, and (c) inferring volunteer motivation from that impact. Special attention was paid to the influences of the organization's climate, management practices of supervision and evaluation and involvement in a peer support group.The setting for this study was a Christian church with a membership of 726 people, located in a mid-sized town in Indiana. In this study formal interviews were conducted with ten informants chosen for their volunteer teaching activity. Using a recording device, three hours of interview evidence was gathered from each informant. This evidence was transcribed and analyzed.Five major categories of influence within this Christian setting emerged through an analysis of the evidence:Characteristics of the organizationInfluence of peer support group participationBenefits received by the volunteerFrustrations with volunteer teachingInteraction between the volunteer's Christian faith and the teaching experienceThis study's major conclusion was that a comprehensive peer support group system should be developed to address the problems of organizational support, teacher training, supervision and evaluation, and teacher accountability. This support group system should also address the need for greater church-wide communication and improved spiritual growth opportunities.Department of Educational Leadership
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Alexander, Keri M. "Generation Y knowledge workers' experience of work motivation| A grounded theory study." Thesis, Capella University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3682566.
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Despite the vast amount of research on work motivation, theorists still lack consensus regarding what truly motivates employees; yet employee motivation is widely recognized as critical to organizational survival in the global marketplace. In the knowledge economy, knowledge workers are the key to knowledge creation and, thus, organizational survival and success. Thus, organizations that wish to survive in the current economy must find ways to capitalize on the strengths of knowledge workers by developing an understanding of the motivating forces driving knowledge workers. Research suggests differences in employee motivation across age groups and generations. As Traditionalists and Baby Boomers approach retirement and exit the workforce, Generation Y, born between 1981 and 1997, is becoming a major part of the workforce. Thus, organizational leaders must develop an understanding of what motivates knowledge workers from Generation Y to contribute to the organization's goals and objectives, thereby contributing to higher levels of organizational performance; however, scholarly research has yet to address the work motivation experiences of Generation Y knowledge workers. This grounded theory study explored the work motivation experiences of Generation Y knowledge workers through a review of key motivation theories and exploratory, in-depth interviews with Generation Y knowledge workers in the healthcare industry, toward an understanding of Generation Y's intrinsic and extrinsic motivators, demotivators, and process of and approach to work motivation. The data revealed that Generation Y knowledge workers in the healthcare industry have a strong desire to contribute, both to their organizations and to their communities. The desire for purpose, which can be achieved through the attainment of social acceptance and self-worth, served as the primary motivator for the research participants.
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Shea, Paul W. "Years of decision the Houghton College experience and missionary motivation and preparation /." Theological Research Exchange Network (TREN), 1994. http://www.tren.com.
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Massey, Charles Duncan. "Emerging Adults' Motivation and Experience of Natural Recovery From Adolescent Methamphetamine Use." Thesis, Alliant International University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10813039.
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Substance abuse is the source of significant financial cost to our society and of more indirect interpersonal costs. It is estimated that only about 18% of people classified with either substance abuse or dependence in 2012 received treatment (SAMHSA, 2013). Drawing from the existing theories of motivation to change, theories regarding the contribution of effective coping skills, and various explanations of what motivates substance abuse recovery, this study investigated the phenomenon of natural recovery. Klingemann, Sobell, and Sobell (2010) described natural recovery as being when a patient interrupts problematic behaviors or experiences improvement in his or her condition without formal intervention. Despite the existing body of research on many substance-abusing populations, there remains little research focusing on motivation to change for adolescent methamphetamine users who recover naturally.
This study utilized a grounded theory design, as outlined by Maykut and Morehouse (1994), to retrospectively examine the experiences of emerging adults (18–28) who recovered without the use of formal treatment in order to identify factors related to motivation to change. Participants were required to have been formally diagnosed or met criteria for methamphetamine abuse or dependence between the ages of 12–18. This study included 10 participants. By attempting to understand the experiences of emerging adults, this study hoped to expand upon the understanding of motivations for those who recover naturally from methamphetamine abuse.
Participants needed to have at least 12 months of sobriety from methamphetamine use. The researcher conducted semi-structured interviews with participants in order to highlight the factors motivating change in recovery and discover overarching themes as they relate to motivation to change and change behaviors. These themes were integrated to illustrate the complex interaction between participants’ motivation to change. The results were also compared with current relevant substance abuse treatment literature. This study will help to expand existing knowledge regarding motivation to change and methamphetamine abuse, as well as adolescent substance abuse treatment. Future investigations could attempt to apply these characteristics to adolescents who are at risk of or actively involved in a substance abuse treatment program.
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Neandhers, Kamilla, and Taryn Varela. "När sjuksköterskan Maj-Britt möter patienten Lionel-Emilio : En litteraturstudie baserad utifrån sjuksköterskans upplevelse." Thesis, Röda Korsets Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-852.
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Bakgrund:Sverige förändras och blir ett mer mångkulturelltsamhälle. Sjuksköterskan behöver arbeta utifrån ett helhetsperspektiv för attkunna ge en patientcentrerad vård. Utmaningar kan uppstå när det finnskommunikationssvårigheter på grund av språkbarriären och olika kulturellatraditioner, vilket kan medföra olika värderingar om vad hälsa -och sjukvårdinnebär. Syfte: Att belysa sjuksköterskors upplevelser av kulturmötenmed patienter. Metod: En litteraturstudie med grund i kvalitativ ansats.Resultat: Kulturskillnader var något som väckte en reaktion hossjuksköterskorna i mötet med patienten. Det berodde bland annat på annorlundavärderingar, traditioner och attityder. Det mest framträdande varspråkbarriären och även anhörigas deltagande i omvårdnaden, en aspekt som mångasjuksköterskor upplevde att det försvårade möjligheten till en individanpassadomvårdnad. Andra skillnader var matkulturen, religion samt känslomässigauttryck och beteenden. Slutsats: Resultatet överensstämde med tidigareforskning som gjorts inom valt fenomen. De sjuksköterskor som sällan mötte patienterfrån andra kulturer upplevde oftast större utmaningar inom omvårdnaden medan desjuksköterskor som hade mer frekventa kulturmöten samt mer erfarenhet av attvårdat patienter med en annan kulturellbakgrund uppvisade en högre grad avkulturkompetens Det behövs ytterligare kunskap och utbildning om andrakulturer, något som skulle kunna implementeras under sjuksköterskeutbildningen föratt på så sätt förbereda sjuksköterskorna inför kulturella vårdmöten. En mervarierad personaluppsättning med olika kulturella bakgrunder skulle kunnaberika och underlättar omvårdnaden. Kliniskbetydelse: Det finns bådekunskapsbrist och kommunikationssvårigheter vid kulturmöten inom vården.Professionell tolk bör inkallasvid behov och utveckla kulturmedvetenheten genomklinisk utbildning hos sjuksköterskor och övriga vårdpersonal.Background: Sweden is changing and becoming a more diverse society. Nurses need to work holistically in order to provide a patient-centered care. Challenges may arise when there are communication difficulties due to language barriers and different cultural traditions, which may cause different values about what health-care involves. Aim: To illuminate nurses' experiences of cultural encounters with patients Method: A literature review with grounding in qualitative approach. Results: A cultural difference was something that brought a reaction of the nurses in the encounter with the patient. Something that was partly due to different values, traditions and attitudes. The most prominent was the language barrier and also relatives' participation in their care; one aspect that many nurses felt that it hindered the possibility of an individualized care. Other differences were food culture, religion, and emotional expression and behavior. Conclusion: These results were consistent with previous research undertaken in the chosen phenomenon. The nurses who rarely met patients from other cultures usually experienced major challenges in nursing, while those nurses who had more frequent cultural encounters and more experience tended patients with a different cultural background showed a higher level of cultural competence. The need for further knowledge and education about other cultures is something that could be implemented during nursing education in order to prepare nurses to cultural care encounters. A more diverse set of staff with different cultural backgrounds could enrich and facilitate nursing care. Clinical significance: There is both a lack of knowledge and communication difficulties in cultural encounters in health care. Professional interpreter should convene when necessary and develop cultural awareness through clinical training of nurses and other healthcare professionals.
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Borovay, Lindsay A. "Inquiry education as a context for the experience of flow." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=115862.
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Inquiry pedagogy encompasses many strategies and approaches (e.g., student-centered learning, a participatory role among students and teachers in constructing the curriculum, fostering autonomy) that have been identified to increase intrinsic motivation and mastery goal-oriented approaches to learning. However, little if any investigation has been conducted to investigate the motivation that is experienced among bright and average achieving students when engaged in this learning environment. Csikszentmihalyi's Flow theory is considered an optimal form of intrinsic motivation and has been linked to bright students because they appear to exhibit high motivation when engaged in challenging and interesting material. The purpose of the present study was to determine whether Flow was a good theoretical framework in which to explore the motivation that is experienced among high achieving and average achieving students in inquiry education and traditional settings. Participating students (N = 272, M age = 11.68) were from different instructional settings (i.e., traditional, occasional inquiry, and frequent inquiry classrooms) from upper elementary and early secondary school grades (grades five through eight). Data collection consisted of two administrations of questionnaires that targeted Flow experiences, one in a unit that students had recently completed in their particular instructional environment and the other, being more ideal, explored their experiences in their favorite subjects. Flow was measured using the Flow States Scale - 2; goal orientation and intrinsic motivation were used to further validate the Flow construct and were measured using the Goal Orientation Scale, and the Intrinsic versus Extrinsic Orientation in the Classroom Scale. Semi-structured interviews were also conducted with each teacher and eighteen randomly selected students. All students regardless of ability report higher Flow states in inquiry settings than students' experiences from traditional and occasional inquiry classrooms. Additionally, high ability students report the highest Flow states when engaged in their favorite subjects. The quantitative results were corroborated by the interview results.
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Farah, Amina. "Motivation in learning English as a foreign language : A study on motivation and classroom experience in adult students learning English." Thesis, Högskolan Dalarna, Engelska, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-28250.
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This essay examines whether a group of adult students of upper secondary school level are instrumentally and/or integratively motivated to learn English as a foreign language. The study also examines if there are any similarities/differences between the students in the different motivation categories classroom experience. This essay is based on a quantitative questionnaire. The questionnaire was answered by adult students who were studying English 5 at upper secondary level in Sweden. The results show that some of the students were instrumentally motivated by factors such as their desire to enter university or get a good job. They were also motivated by the notion that the English language is useful when working abroad. Furthermore, some of the students were integratively motivated by factors such as their desire to develop their language skills so they would be able to use them abroad when travelling. Some of the students, however, were both instrumentally and integratively motivated and the key factors which motivated them were combinations of instrumental and integrative elements. The instrumentally and the integratively motivated students’ classroom experiences were overall positive where the teachers were described in a positive light. The students who were both instrumentally and integratively motivated, however, were less positive than the other students regarding their classroom experiences and their descriptions of their teachers.
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Rosell, Johanna, and Michaela Sorttanen. "Livsstilsförändring i samband med Diabetes typ 2 : en intervjustudie ur patientens perspektiv." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-68599.
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Titel: Livsstilsförändring i samband med Diabetes typ 2 – en intervjustudie ur patientens perspektiv Kurs: Vårdvetenskap, självständigt arbete (magister) med inriktning mot distriktssköterska, 15 högskolepoäng Sidantal: 33 sidor Författare: Johanna Rosell & Michaela Sorttanen Handledare: Cecilia Fagerström Examinator: Ulla Peterson Bakgrund: Diabetes typ 2 är en växande och vanligt förekommande folksjukdom som är kopplad till livsstil. Livsstilsförändringar såsom hälsosam kost kombinerat med fysisk aktivitet är de grundläggande komponenterna i diabetesbehandlingen. Livsstilsförändringarna förebygger komplikationer och ger stora hälsovinster. Syfte: Syftet med studien var att beskriva erfarenheter av livsstilsförändring hos patienter med Diabetes typ 2. Metod: Kvalitativ intervjustudie med sex patienter med Diabetes typ 2 genomfördes, i åldrarna 48 till 70 år. Intervjumaterialet analyserades med kvalitativ manifest innehållsanalys. Resultat: Utifrån analysen identifierades tre huvudkategorier och sju underkategorier. Huvudkategorierna består av; Vårdrelationen med diabetessköterskan, som representerar patienternas erfarenheter av att diabetessköterskan har en betydande roll i motivationsarbetet angående livsstilsförändringar. Utifrån patienternas erfarenheter framkom att ett aktivt engagemang och personcentrerat arbete från diabetessköterskan motiverade och bevarade motivationen till livsstilsförändring. Vidare beskrevs det motiverande att bli informerad om mätvärden hos diabetessköterskan. I kategorin Patienternas inställning till livsstilsförändring framkom att patienternas inställning spelade en betydande roll i hur livsstilsförändringar efterlevs. Motivationen till livsstilsförändring beskrevs olika beroende på patienternas sjukdomsinsikt, ansvarstagande samt vanemönster och tidigare beteenden. Utomstående faktorer i form av social påverkan från familj och vänner beskrevs ha både positivt och negativt inverkan på motivationen till livsstilsförändring hos patienterna. Likaså erfor patienterna att vardagliga omständigheter såsom väder och arbete påverkade motivationen att genomföra rekommenderade livsstilsförändringar. Slutsats: Ett personcentrerat och engagerat arbete från diabetessköterskan skapar och bevarar motivation till livsstilsförändring hos patienter. En god vårdrelation med förmedlad kunskap möjliggör sjukdomsinsikt och ansvarstagande hos patienten. Ett gott och engagerat samarbete mellan diabetessköterska och patient motiverar livsstilsförändringar och bevarar en hälsosam livsstil.Title: Lifestyle change in type 2 Diabetes - an interview study from the patient´s perspective Course: Caring science, Independent project (Master) in Primary Health Care Specialist Nursing, 15 credits Pages: 33 pages Authors: Johanna Rosell & Michaela Sorttanen Supervisor: Cecilia Fagerström Examiner: Ulla Peterson Background: Type 2 diabetes is a growing and common public disease that is linked to lifestyle. Lifestyle changes such as healthy diet combined with physical activity are the basic components of diabetes treatment. Lifestyle changes prevent complications and give great health benefits. Objective: The purpose of the study was to describe experiences of lifestyle change in patients with type 2 Diabetes. Method: Qualitative interview with six patients with type 2 Diabetes were conducted, between ages 48 to 70 years. The interview were analyzed with a qualitative manifest content analysis. Results: Three main categories and seven subcategories were identified from the analysis. Main categories were; The nursing relationship with the diabetic nurse, which represents the patient´s experience that the diabetes nurse has a significant role in motivational work on lifestyle changes. Based on the experience of patients, it emerged that active involvement and person-centered work from the diabetic nurse motivated and maintained motivation for lifestyle change. Furthermore it was motivated to be informed of the measured values of the diabetic nurse. Patient´s attitude to lifestyle change category found that patient´s attitude played a significant role in how lifestyle changes are followed. The motivation for lifestyle change varied depending on the patient's disease insight, responsibility as well as habit patterns and past behaviors. External factors in terms of social influence from family and friends were experienced to have both a positive and negative impact on the motivation for lifestyle change in patients. Likewise, everyday circumstances such as weather and work affected the patient's motivation to implement recommended lifestyle changes. Conclusion: A person-centered and committed work by the diabetes nurse creates and maintains motivation for lifestyle change in patients. A good medical relationship with mediated knowledge enables patient insight and responsibility. Good and committed cooperation between diabetic nurse and patients motivates lifestyle changes and preserves a healthy lifestyle.
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Johansson, Gisella, and Anne Pyrell. "Distriktssköterskans erfarenheter av att arbeta med rökavvänjning inom primärvården - en intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-56435.
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Bakgrund: Inom primärvården möter läkare och distriktssköterskor dagligen patienter som söker hjälp för symtom som är direkt relaterade till rökning. Att arbeta sjukdomsförebyggande genom livsstilsförändringar är en viktig del av distriktssköterskans ansvarsområde. Enligt Socialstyrelsens (2011) nationella riktlinjer finns tydliga rekommendationer för hur distriktssköterskor ska gå till väga med patienter som söker hjälp för att sluta röka. Syfte: Syftet var att belysa distriktssköterskans erfarenheter av arbetet med rökavvänjning för patienter samt vilka arbetsmetoder de använder för detta. Metod: En kvalitativ metod användes och 14 semistrukturerade intervjuer utfördes med distriktssköterskor som arbetar med rökavvänjning inom primärvård i ett län i södra Sverige. Vid dataanalysen användes manifest kvalitativ innehållsanalys. Resultat: Analysen av data resulterade i två kategorier: Distriktsköterskans tillvägagångssätt och Faktorer som påverkar rökavvänjning med fem underkategorier under vardera kategori. Resultatet i studien visar att distriktssköterskornas arbetsmetoder vid rökavvänjning består av Motiverande samtal MI (Motivational Interviewing) och kvalificerade rådgivande samtal med patienter. Distriktssköterskornas erfarenhet är att dessa två arbetsmetoder är de mest effektiva att använda för att kunna finna ut hur beslutsam samt hur motiverad patient är till rökstopp och hur de tillsammans kan planera vägen dit. Distriktssköterskornas erfarenhet av rökavvänjningsarbetet är att det ger positiv energi när patienten lyckas bli rökfri. Det ger också ny energi till att fortsätta med motivationsarbetet. En generell svaghet som konstaterats är bristerna i uppföljning av om patienternas rökfrihet varit varaktig efter avslutad behandling. Slutsats: Motiverande samtal i kombination med nikotinersättningsmedel beskrevs av distriktssköterskorna som betydelsefullt i strävan efter att stödja patienter till rökfrihet. Stöd av kollegor i form av nätverksträffar, utbildning inom samtalsmetod samt arbetslivserfarenhet var viktiga delar för distriktssköterskorna och underlättade för dem i arbete med att försöka stödja patienter till varaktig rökfrihet.Background: In primary care physicians and district nurses faces on a daily basis patients seeking help for symptoms that are directly related to smoking. Working disease prevention through lifestyle changes is an important part of the district nurse's responsibility. According to the National Board of Health (2011) National guidelines there are clear recommendations for district nurses to proceed with patients seeking help to quit smoking. Objective: The objective was to highlight the district nurse practice and experience of working with smoking cessation for patients in primary care. Method: A qualitative method was used, and 14 semi-structured interviews were conducted with district nurses in Southern Sweden. The data was analyzed according to the method manifest qualitative content analysis. Results: The analysis of the data resulted in two categories: The primary nurse approaches and factors affecting smoking cessationwith five sub-categories in each category. The results of the study show that the district nurses working methods consists of Motivational Interviewing, MI and qualified advisory conversations with patients and smoking cessation. District nurses common experience that these two methods are the two most effective to use to find out how determined and how motivated the patient is to quit smoking and how they together can plan the way to quit smoking. District nurses experience from smoking cessation is that it gives them positive feedback when they manage to get the patient non-smoking and it gives positive energy to continue with the motivational work. An identified general weakness are shortcomings in monitoring whether patients' abstinence has been sustained after the treatment is finished. Conclusion: Motivational interviewing and nicotine replacement medicine was described by the district nurses as important in the quest for supporting patients to quit smoking. Support of colleagues, training in communication technique in the form of network meetings and work were important parts of the districts nurses and facilitating them in their work is often very difficult and important task to try to support patients to smoke.
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Sokoli, Adrian, and Rebecca Blomgren. "Val av utbildning : Arbetslivserfarenhetens betydelse för studenternas motivation och grad av self-efficacy." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-19341.
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Antal individer som söker sig till vidareutbildning på akademisk nivå har ökat under den senaste finanskrisen. Studier på landets lärosäten är oftast en mångårig process och kräver både motivation och tro på egen förmåga. Deltagarna i denna studie kommer från olika högskolor och studieinriktningar och har i många fall lämnat en trygg inkomstkälla i valet att vidareutbilda sig. För att undersöka betydelsen av en individs arbetslivserfarenhets i valet av utbildning användes mätinstrumentet AMS för att mäta motivation och GSE för att mäta grad av self-efficacy. Resultatet visade att det föreligger en statistisk signifikant skillnad på arbetslivserfarenhet och grad av self-efficacy samt att individer som saknar arbetslivserfarenhet upplever mer amotivation gentemot sina studier. Studiens slutsats ligger i linje med tidigare forskning vilket är att studenter motiveras i högre grad av yttre motivation vid valet av studier.
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Jonsson, Sara, and Desirée Söraa. "Är det någon som lyssnar? : En litteraturöversikt om sjuksköterskans upplevelse av sin arbetssituation." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4354.
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Bakgrund: Sjuksköterskeyrket har genomgått stora förändringar under de senaste decennierna. Sjuksköterskan förväntas att vara en länk mellan samtliga instanser i vårdkedjan i en organisation där omorganiseringar sker och arbetsvillkor ändras. Stress är ett inbyggt fenomen i vårdarbetet och är precis som hälsobegreppet högst individuellt och komplext. Sjuksköterskan behöver ta hand om den egna hälsan för att inte vården av andra ska äventyras. För att kunna göra detta har sjuksköterskan ett ansvar men en förutsättning för detta är dock att organisation, ledning och arbetsplats är utformad så att det är möjligt för sjuksköterskan att upprätthålla hälsa. Syfte: Syftet var att beskriva sjuksköterskans upplevelse av sin arbetssituation för att förstå hur den påverkar den egna hälsan Metod: Examensarbetet är en litteraturöversikt. Resultatet grundar sig på nio vetenskapliga artiklar. Vid analysen lästes artiklarna ett flertal gånger och likheter och skillnader identifierades. Resultat: Följande huvudteman utkristalliserades; sjuksköterskans upplevelse av organisation, sjuksköterskans upplevelse av ledning, sjuksköterskans upplevelse av stress samt sjuksköterskans upplevelse av patientmötet. Det andra huvudtemat har tre underteman; att inte bli lyssnad på, att inte få stöd och att få stöd. Huvudtema tre har två underteman; negativ stress och positiv stress som utvecklar. Diskussion: Resultatet diskuterades utifrån transition som teoretisk utgångspunkt. De intervjuade sjuksköterskorna visade sig i stor utsträckning har likartade uppfattningar om sin arbetssituation som i andra studier. De upplevde en hög grad stress och ett missnöje kring ledning och organisation på sin arbetsplats vilket visar på brister i ledning och organisation som påverkar på hälsan.Background: Nursing profession has undergone major changes in recent decades. The nurse is expected to be a link between all parts in the care chain in an organization where reorganization takes place and working conditions are continuously changing. Stress is an internal phenomenon in care work and is just as the concept of health of highly individual and complex. The nurse needs to take care of her/his own health in order to the care of patients. While the nurse has a responsibility the prerequisite for being capable to provide good care is that the organization, management and workplace is designed to make it possible for the nurse to maintain health. Aim: The aim was to describe nurses' experiences of their work situation in order to understand how it affects their own health. Method: The thesis is a literature review. The result is based on nine pieces of scientific articles. The articels were read several times and the similarities and differences were identified. Results: The following main themes emerged; nurse's experience of the organization, the nurse's experience of management, the nurse's experience of stress and nurses' experience of meeting the patient. The second main theme has three sub-themes; not to be listened to, not to get support and to get support. The main theme of three has two sub-themes; negative stress and positive stress that develops. Discussions: The results were discussed using transition as a theoretical base. The nurses had rather similar views about their work situation as showed also in other studies. They experienced a high degree of stress and dissatisfaction with the management and organization in their workplace that highlights the deficiencies in management, and organization that have strong impact on health.
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Lewandowski, Claudia. "Elevperspektiv på motivation i matematik : En studie kring elevers uppfattningar om motivation i grundskolans tidiga år." Thesis, Karlstads universitet, Institutionen för matematik och datavetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-31591.
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Denna studie handlar om elevers uppfattningar om motivation i ämnet matematik. Syftet med denna studie var att lyfta fram elevers egna utsagor och upplevelser om sin motivation, samt få en bild av eventuella förändringar eller mönster kring elevers motivation till matematikämnet under deras tidiga år i grundskolan. Studien har genomförts med hjälp av elevenkäter och elevintervjuer, där kvalitativa och kvantitativa metoder kombinerats för att möjliggöra ett fördjupat analysarbete i undersökningens resultatdel. Här presenteras elevers uppfattningar av motivation i ämnet matematik samt deras tankar om vad som påverkar motivationen. Analysen av resultaten visar att eleverna har en god uppfattning om vad som påverkar deras motivation. De ger många exempel, där fysiskt och psykiskt välmående samt lärarens pedagogiska arbete i klassrummet, har betydelse för motivationsprocessen. Vidare går det att avläsa ur resultaten från enkätundersökningen att inom ramen för denna begränsade studie, så är elever i årskurs tre och fem mer negativt inställda till matematik i jämförelse med elever i årskurs ett. För att belysa ämnet redogörs även för teoretiska aspekter från pedagogisk forskning kring ämnet motivation. Dessa diskuteras i studiens sista kapitel i förhållande till studiens resultat.This study is about pupils opinions of motivation in the subject mathematics. The purpose of this study was to get the pupils experiences and statements concerning their own motivation and to get a picture of changes or patterns that might have occurred during their early years in elementary school. The study has been made by inquiries and interviews, where qualitative and quantitative methods have been combined to make possible a deepened analysis in the result part of the investigation. Here are the pupil`s opinions about motivation in the subject mathematics presented and their thoughts about what influences the motivation. The analysis of the results shows that the pupils have a good understanding for what influences their motivation. They give us many examples where physical and psychical wellbeing plus the teacher`s pedagogical work in the classroom are of importance for the motivations process. The results from the inquiry further shows, within the frame for this limited study, that pupils in class three and five are more negatively disposed to mathematics compared to pupils in class one. To illuminate the subject, theoretical aspects from pedagogical research on the subject motivation, are also accounted for. These are discussed in the last chapter related to the results of the study.
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Forsberg, Gabriella. "Liverpool Care Pathway ur ett sjuksköterskeperspektiv." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3054.
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Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen. LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar. Metod: Litteraturöversikt är ett examensarbete som grundar sig på nio vetenskapliga artiklar. De är utformade utefter en kvalitativ design och söktes från databaserna: PubMed, Cinhal, Medline och ProQuest Nursing & Allied Health Source. Datamaterialet har sedan analyserats och strukturerats upp samt sammanställts till ett resultat. Artiklarna är baserade på studier utförda i England, Nya Zealand och Italien. Resultat: Utifrån de valda vetenskapliga artiklarna identifierades sex olika huvudteman. Dessa var: kommunikation, dokumentation, medicinska riktlinjer och vård, ökat självförtroende, förbättrad vård och ökad kontinuitet av vård i livets slut. Diskussion:Artiklarnas relevans har diskuterats i relation till Sverige eftersom ingen av dem var gjord i Sverige. De huvudteman som identifierats diskuterades i förhållande till tidigare forskning och mot Erikssons definitioner av lidande och vårdande.Background: The Liverpool Care Pathway is a guidance of care for the dying patient. It was created to transfer the hospice model of care into other hospital settings. LCP provides a pathway in communication within the multidisciplinary team, with relatives and the dying patient. LCP gives guidance for doctors to prescribe medication for the most common symptoms that can appear in the dying phase to improve symptom management. LCP is today used in several places in Sweden within different frameworks of medical facilities. Aim: The aim was to illustrate the use of Liverpool Care Pathway in an acute hospital setting from a nurse perspective. Methods: This essay is a systematic literature review and the data was based on nine articles of published research. The published articles were found in four different databases. These were: Pubmed, Chinhal, Medline and ProQuest Nursing & Allied Health Source. The data was then analyzed and structured into different main themes, and was then compiled into a result. The articles were based on studies made in England, New Zealand and Italy. Results: When analyzing the articles six different main themes emerged. These were: communication, documentation, increased self-confidents, medical guidelines and care, improved end-of-life care and improved continuity in the care of the dying. Discussion: The studies relevance to Sweden was discussed because none of them had been made in Sweden. The main themes were related to previous research and to Katie Eriksson's concept of suffering and care.
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Dahlqvist, Helen, and Anna Jonsson. "Sjuksköterskors upplevelse av det motiverande samtalet." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-14436.
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Sjuksköterskors kunskap inom hälsorådgivning kan alltid förbättras. En metod att bedriva hälsorådgivning kan vara det motiverande samtalet (MI). Syftet med denna litteraturstudie var att beskriva sjuksköterskors upplevelser av det motiverande samtalet vid patientrådgivning. 13 artiklar kvalitetsgranskades och användes i resultatet, där fyra kategorier bildades. I resultatet framkom att hälsa är en viktig del i sjuksköterskors kommunikation med patienter och omfattar en stor del av omvårdnaden. Det framkom dock att kunskap och utbildning till viss del saknades, för att på ett bra sätt kunna hålla en patientrådgivning. MI visade sig vara en bra metod för att bedriva hälsorådgivning och kunde öka sjuksköterskors pedagogiska insikt. Individanpassad information och öppna frågor underlättade för patientens reflektion angående sitt beteende. Att som sjuksköterska stå emot känslan att ta på sig hela ansvaret för patientens beteendeförändring, framstod som svårt men kunde genom MI-utbildning förbättras. Tidsbrist var något som försvårade för sjuksköterskor när de skulle använda MI. Den upplevda tidsbristen påverkade även följsamheten och kontinuiteten, vilka var betydelsefulla vid beteendeförändringen. Många sjuksköterskor upplevde att MI var något all vårdpersonal kunde ha användning för. Fördjupad utbildning, i sjuksköterskeprogrammen och verksamheter, är önskvärt för att kunna förbättra kommunikationsförmågan hos sjuksköterskor.Nurses’ knowledge of health education can always be improved. A method to conduct health education can be the use of motivational interviewing (MI). The purpose of this study was to describe nurses’ experiences’ of the motivational interviewing during patient counseling. 13 articles were reviewed, quality controlled and used in the result, which formed four categories. The result showed that health is an important part in nurses' communication with patients and covers a large part of the nursing care. It appeared, however, that knowledge and education to some extent were lacking, to in a good way keep a patient counseling. MI is proved to be a good method to carry out health advice and was able to increase nurses' educational insight. Individualized information and open-ended questions facilitated the patient's reflection on their behavior. It appeared to be difficult for the nurse to resist the feeling to assume full responsibility for patient behavior change but could by MI-training be improved. Lack of time was something that made it difficult for nurses when they would use MI. The perceived lack of time also affected the adherence and continuity, which was significant in behavioral change. Many nurses felt that the MI was something all health professionals might have use for. In-depth training, school and business, is desirable in order to improve the communication skills of nurses.
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Ekeberg, Helena, and Kristina Larsson. "Distriktssköterskors erfarenhet av hälsofrämjande arbete : En kvalitativ intervjustudie." Thesis, University of Skövde, School of Life Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-3741.
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Distriktssköterskan har en viktig funktion i motivationsarbete i samband med patientens livsstilsförändringar. Ohälsa medför risk att utveckla långvariga sjukdomar och olika komplikationer. Levnadsförhållanden och levnadsvanor har stor betydelse för människans hälsa. Syftet med denna studie var att beskriva distriktssköterskors erfarenheter av att motivera patienter till hälsofrämjande livsstilsförändringar. Studien är baserad på en kvalitativ metod med en induktiv ansats. Genom intervjuer samlades data in från sex distriktssköterskor och analyserades med hjälp av en innehållsanalys. Resultatet baseras på två kategorier: Kvalitén på det professionella stödet och Evidens och erfarenhet betydelsefulla för förändringsarbetet. Dessa kategorier bildade temat, Distriktssköterskors lyhördhet och kunskap är ledstjärnor för att motivera patienter till en hälsosammare livsstil. Resultatet av vår studie visar att det är viktigt att lyssna och bekräfta patienten för att stödja dem emotionellt. Vid livsstilsförändringar måste förklaring och information ges. Det behövs verktyg i förändringsarbetet och för att arbeta evidensbaserat måste distriktssköterskor ha ett reflekterande förhållningssätt. Att förändra sin livsstil innebär att patienten inser vikten av att göra en livsstilsförändring och att de är beredda att ta förlusterna för de ser att vinsterna är så stora.
The Health Care Nurse plays an important role in motivating patients to implement lifestyle changes. Unhealthiness causes risks of developing long-lasting diseases and other complications. Living conditions and living habits are of great significance in terms of human health. Lifestyle changes, in contrast to drugs, often have an impact on both risk markers and states of diseases. The purpose of this study was to describe district nurses’ experiences when motivating patients to take part in health-promoting lifestyle changes. The study is based on a qualitative method with an inductive approach. Through interviews, data was collected from six health care nurses and analyzed using a qualitative content analysis. The results are based on two categories, quality of the professional support together with evidence and experiences important to the changing process. These categories formed the theme: Health Care Nurses´, sensitivity and knowledge are the guiding principles in terms of motivating patients to pursue a healthier lifestyle. The results of our study show that it is important to listen and to acknowledge the patient to be able to support them emotionally. Undergoing lifestyle changes require explanation and information. The changing process requires tools, the informants must have a reflective attitude to be able to work based on evidence. The patient needs to realize the importance of making a lifestyle change and also be prepared to take the losses. When doing so the patients will learn that they gain more than they lose.
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Lessiter, Jane. "A dopaminergic model of reward motivation : a test of implications for personality and schizophrenia." Thesis, Goldsmiths College (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367917.
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Isaak, Cheryl Lynn. "Unsuccessful patient resuscitation: understanding aspects of the critical care nurse's experience." Thesis, 1995. http://hdl.handle.net/2429/3513.
Full textAbstract:
This study describes aspects of critical care nurses'
experience of unsuccessful patient resuscitation. The study
was guided by the philosophical perspective of phenomenology
in the tradition of Benner (1984, 1994) and Benner and
Wrubel (1989) because of the intent to understand the
commonalities and differences of the experience. Critical
care nurses (CCNs) frequently care for patients who are
unsuccessfully resuscitated, however, there i s a lack of
research concerning this phenomenon. The purpose of this
study was to explore and describe the experience of CCNs who
participate in unsuccessful patient resuscitation. Data
were collected through twenty seven interviews with nine
participants who work in an urban tertiary critical care
area in one Canadian city. The paradigm case interview
focused on the participant's narrative account of an
unsuccessful patient resuscitation. The researcher sought
to understand the CCN's experience through hearing and
analyzing the paradigm case. The interviews were analyzed
using constant comparative analysis and substantive coding.
The theme of "knowing" was central to the participants'
accounts of unsuccessful patient resuscitation. Knowing
involved three themes: knowing the case, knowing the
patient, and knowing the person. Each of the critical care
nurses began to know the individual through "knowing the
case". Knowing the case was significant as i t allowed the
participants to care competently and confidently for the
case as they developed a relationship with the patient.
"Knowing the patient" involves a relationship characterized
by professional concern and responsibility , between the
critical care nurse, the patient, and the patient's
significant others. The nurse's understanding of the
patient allows her or him to identify and anticipate the
patient's instability and the unsuccessful resuscitation.
The nurses valued knowing the patient as a mechanism f o r
preparing themselves to be emotionally stable during and
after an unsuccessful patient resuscitation. "Knowing the
person" involved a strong connection between the patient and
nurse that created an emotional attachment to the patient
and his or her significant others. The critical care
nurses' involvement with the person and his or her
significant others was frequently painful as they
experienced the loss of a person they had come to know and
care for prior to the resuscitation effort.
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Östlund, Ann-Sofi. "Motivational Interviewing in Primary Care : Nurses´ experiences and actual use of the method." Doctoral thesis, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-264259.
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Aim: The overall aim of the present thesis was to describe and examine primary care nurses´ self-reports on training, use and performance as well as experiences and actual performance of MI. Method: One qualitative and three quantitative studies were conducted among primary care nurses. A study-specific questionnaire was sent to 980 primary care nurses and 673 (69%) responded (Study I). Semi-structured interviews were conducted with 20 MI trained primary care nurses (Study II). MI sessions between 12 (Study III) respective 23 (Study IV) primary care nurses and patients (total 32 respective 50 sessions) were audio-recorded. Data were analyzed using qualitative content analysis, Motivational Interviewing Integrity Code, Motivational Interviewing Sequential Code for Observing Process Exchanges and statistical analysis. Results: The findings showed that primary care nurses reported and experienced lack of training in MI and lack of prerequisites for using MI (Study I-II), while training, knowledge, prerequisites and time were associated with use of MI. They also reported and experienced that MI facilitated their work with patients (Study I-II) as well as elicited their own ability to motivate and be empathetic (Study II). About half of the primary care nurses reported that they used MI (Study I), and none of the nurses (Study III) achieved the approved skill levels in MI in their recorded sessions. They overestimated their performance on six of eight aspects of MI (Study III). The most frequently used nurse talk in the recorded sessions was neutral, which is not consistent with MI. Questions and reflections directed toward change were most likely to be followed by change talk among patients (Study IV). Conclusions: Self-reported knowledge about MI and personal as well as workplace prerequisites for using it were associated with self-reported use of MI. Participating nurses´ experienced that MI requires openness, practice, support, feedback and willingness. The participating primary care nurses did not achieve approved levels of MI skills in their recorded MI sessions. Patients´ change talk is more likely to occur after open questions, complex reflections as well as after questions and reflections directed toward change.Finansisärer: Högskolan i Gävle, STROKE-Riksförbundet, Hjärt-lung fonden och Erik, Karin and Gösta Selander Stiftelse
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Tsai, I.-Cheng, and 蔡苡澂. "Golf Vacationers’Intrinsic Motivation, Involvement and Flow experience." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/87068149857556915480.
Full textAbstract:
碩士中國文化大學
觀光事業研究所
94
The aim of this study was to investigate the relationship between intrinsic motivations and flow experience for the golf vacationers, and examine the role of involvement as a moderating factor. The convenience sampling was selected from Shing-Fu, Lin-Kou, Taipei and Taoyuan golf courses. Three hundred and fifty participants filled in the sur-vey questionnaire. Excluding the sample who did not fit in the population of this study, a valid sample size of 312(89,1%) was obtained. The results are summarized as follows. 1.The dimensions of intrinsic motivation and flow experience were positively corre-lated. 2.The dimensions of involvement were positively correlated with intrinsic motivation and flow experience. 3.The difference tests between respondents’ profile and intrinsic motivation, involve-ment and flow, the education level, annual house hold income, and occupation dif-ference showed the most significant influences. 4.Different golf experience, previous golf vacation type and trip arrangement showed significant effects on both intrinsic motivation and flow dimensions. 5.The golf vacationers’ intrinsic motivation could affect their flow experience posi-tively. 6.The golf vacationers’ level of psychological involvement acted a moderating factor to intensify the relationship between intrinsic motivation and flow experience.
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Burns, Stephanie A. "The emotional experience of the adult learner /." 1998. http://arrow.unisa.edu.au:8081/1959.8/85094.
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LIN, YU-FENG, and 林玉芬. "Motivation and Experience of Female Backpacking in Nepal." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/s8zjgp.
Full textAbstract:
碩士萬能科技大學
經營管理研究所在職專班
107
The purposes of this study were to explore the motivation of female backpackers, the value to the backpackers and the growth and changes of the mind and body. The desires to revisit again and others factors were also investigated. In recent years, the elevation in womens economic independence and education level prompted the trend for self-assisted backpacking. The change in national lifestyle, leisure concepts and the development of the Internet have made traveling more convenient. Tourism has changed from traditional group-based to backpack travel. The researcher used a qualitative research method to interview six self-assisted female backpackers traveled to Nepal through semi-structured face-to-face interviews. There was also a male participant for comparison. Research results were as follow: (1) The motivation for female backpacking travelers were mainly to relax and for a change of the pace in their lifestyle, challenge the pursuit of self-realization, experience different foreign cultural landscapes and learn to self-growth. (2) Women were more concerned and paid more attention than men in safety due to physical differences. It was showed in the process of pre-departure preparation and travel experience. In terms of the travel experience, it was not just a tour, but also in-depth experience to taste a variety of local cuisine, learn about local customs, expand one’s horizons and build self-confidence. (3) All participants have indicated that there were causes for the growth and development in the mind and body after the Nepal’s journey. They cherished their life and work environment, shared their experiences and helped others, and then wanted to revisit the local life and human landscape. (4) The affordable cost of travel, slow-paced life and pleasant scenery in Nepal were the main factors of attractions for their willingness to revisit again.
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Chun-Chia, Kuo, and 郭純嘉. "Exploring Tzu Chi Couple Volunteers’ Motivation and Experience." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4v4uc7.
Full textAbstract:
碩士崑山科技大學
企業管理研究所
106
The study aims to explore the motivation and experience of Tzu Chi couples volunteer joining social services. And to further understand the impact of the joint participation of the couple in volunteer services on work, career and family. In the face of challenges, how do they overcome and persist? This research adopts qualitative research methods, mainly through the collection of relevant data, personal participation in observation and in-depth interviews. The interviewees were three generations of old, middle, and young; four pairs of couple ; and eight Tzu Chi volunteers. The results of the study show that respondents’ motives for participating in volunteer work are attributed to charitable personalities, as well as being inspired by the moral integrity of the Master Dharma Mater Cheng Yen, the selfless dedication of the Tzu Chi people, and the simplicity of the Hualien Jing Si Abode. After participating in the Charity and Disaster Relief Activities in 921, most people realized the truth of “see suffering and recognize blessings” and “life is impermanent,” and then they changed their bad habits or improved the family-child relationship, and in the circumstance of “ more and more happy”, they encouraged their spouses to join the volunteer service. The benefits of joint participation of the couple in the volunteer include：There is more time to share life stories with each other. At the same time, they can complement each other in work, family, and volunteer work to support and learn from each other. Although the long-term volunteer activities will inevitably lead to frustrations in personnel management and communication, or due to physical load problems, which may generate the idea of displacing volunteer activities. However, Tzu Chi’s efforts to create a volunteer environment for the development of true, good, and beautiful volunteers, the mutual support and care of Tzu Chi’s selflessness, and the more intelligent expression of the interviewees’ more and more happy are the key factors in the joint and continuous input of Tzu Chi’s couple volunteers. This study looks forward to providing objective references and suggestions to the couple volunteers.
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Tsai, Ying-Huan, and 蔡盈緩. "Couchsurfers’ Travel Motivation, Participation Characteristics and Travel Experience." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/01239429233097752865.
Full textAbstract:
碩士國立臺北教育大學
社會與區域發展學系碩士班
102
Couchsurfing is a new favorable way of traveling nowadays. Couchsurfers, do not stay in hotels or hostels as their first choice, but rather set upon their journey through a hospitality exchange network (i.e. couchsurfing.org) that enables travelers to locate locals who would offer them free accommodation This study aims at observing those couchsurfers’ travel motivation, participation characteristics and travel experience and is constructed as a qualitative research. As for the research data, eight Taiwanese couchsurfers are selected to constitute our study samples. The study findings are as follows: The age between those couchsurfers ranks from twenty-two to thirty-three, mostly unmarried; educational background shows they are either masters or bachelors. As for occupation, majority of them are students or work in service industry. Their estimated income is between twenty thousand to forty thousand New Taiwan dollars. As for their personal characteristics, three types of the followings: openness to experience, extraversion and agreeableness can best represent those couchsurfers in this study. The destinations of their journey locate mostly in Europe and Japan. They like to travel solo or with a few company only. The duration of their lodging depends on their interactive situation with hosts, and on hosts’ habits. They gain their traveling information from their hosts firstly, from internet blogs the second, and then from guide books the last. The types of motivation of couchsurfers can be analyzed consequently as two types. The first type is push factors, which are: cultural motivation, interpersonal motivation, self-actualized motivation. The second is pull factors, constituted of the features of journey’s destination and the lodging conditions provided by their hosts. To couchsurfs, free hostage, curiosity towards people and culture, and different experience of way of living are most concerned. From anticipated phase, on-site activities to recollection phase, couchsurfers’ travel experience is a serial process, focusing mainly on educational orientation experience and fulfillment orientation experience; and supportively on adventure experience and entertainment experience.