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Pryby, Felicia Katherine. "Improving the Charge Nurse's Leadership Role: A Collaborative Learning Forum." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2457.
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Staff nurses are frequently placed in charge nurse positions without the necessary formal training. The long-term goal of this project was to develop a curriculum for a formal institutional leadership workshop for the charge nurses at the practicum site. The Johns Hopkins Nursing Evidence-Based Practice model and Lewin's change theory were used to guide the development and implementation of the workshop. Data were collected using a focus group approach with 4 novice and 5 expert medical-surgical charge nurses. The short-term goal of the project was to understand the charge nurses' perceptions of leadership and the challenges as a front-line leader. Participating nurses were recruited from staff meetings and from a hospital flyer. Each participant answered the 3 leadership questions. The charge nurses' statements were categorized and color-coded to identify emerging themes from repetitions of words and patterns; themes were subsequently prioritized from the most to the least occurring. Member checking with participants as well as preceptor verification and validation of 10 themes that were utilized to develop the curriculum: communication, patient safety, roles, teamwork, conflict management, generational diversity, mentoring, cheerleader, prioritization, and delegation. Implementing the workshop 4 hours per month over a 3-month period and formal mentoring was recommended for optimal sustainability based on the proposed theoretical framework. Implications for positive social change include the potential for enhancing the quality of patient care delivered and improving patient safety as a result of charge nurse leadership being modeled.
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Versteeg, Cynthia Elaine. "Fostering collaborative evidence-based decision-making: The public health nurse's role." Thesis, University of Ottawa (Canada), 2002. http://hdl.handle.net/10393/6360.
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The Canadian Nursing Association promotes the use of evidence-based decision-making (EBDM) as a component of quality nursing care. A shift to a population health approach encourages public participation in health-related decision-making. Public health nurses (PHNs) participate in joint health-related decision-making with community partners. The purpose of this exploratory and descriptive study was to gain an in-depth understanding of EBDM from the perspective of the PHN. The meaning of EBDM, the perceived barriers and facilitators of using evidence, and the role of the PHN in bringing evidence to the joint decision-making process that they share with community partners was explored. A qualitative methodology known as ethnography was used and data were collected from two sources: observations at team meetings and semi-structured interviews with PHNs. Analysis of the data led to the identification of three sub-themes: holistically knowing the community, bridging 'evidence' to context, and actively managing information. All three sub-themes contribute to the main theme: the PHNs' role in fostering collaborative 'evidence-based' decision-making in the community. The PHNs' holistic view of evidence, which includes hard and soft data, contextual data and professional experience, is discussed. Basic steps in a shared EBDM process are described and dimensions of the context in which PHNs practice are explored. Implications for education, practice, research, and policy are discussed.
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Lack, Lesley. "Perceptions of change to the hospital nurse's role : a gounded theory." Thesis, Bournemouth University, 2004. http://eprints.bournemouth.ac.uk/403/.
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This investigation set out to explore the changes affecting the role of the hospital nurse from the perspectives of nurses and doctors working on, and patients receiving treatment in, hospital wards. The aim was to examine their perceptions through qualitative methodology using the systematic method of grounded theory. Initially, eighteen nurses were interviewed, and through theoretical sampling, these were followed by interviews with seven doctors and then eight patients. All the nurses had been registered for a minimum of one year, and included general and specialist nurses. The doctors ranged from the newly qualified juniors to senior doctors with between fifteen and thirty years' experience, and worked in assorted specialties. The patients varied both in age and previous hospital experience, and these variations in all the groups provided both similarity and diversity of findings. The data were collected and analysed separately for each group. Four constructs emerged from the nurses: providing a service, drifting away from the patients, being ambitious and getting on and making choices. Four constructs emerged from the doctors: working together, retaining nursing, challenging medical power and defining the boundaries, and three from the patients' data: the changing healthcare environment, building relationships and responding to patients' needs. The findings of each group were then compared to examine their similarities and differences and to provide a framework for the evolving theory. The results demonstrate that the perceptions of each group are subject to both internal and external influences affecting the health care context. Thus, the role of the hospital nurse is perceived as remaining the same in some areas, such as a need to retain the caring role for patients, whilst in others progressing towards technological change and overlapping with the roles of doctors. It is perceived as undergoing metamorphosis and changing as a consequence of external political pressure, societal influences and nurses own developing knowledge; at the same time the role retains traditional elements, where nurses build a therapeutic relationship with patients and respond to their needs. Thus, depending on the perceptions of specific factors affecting the health care context, these influences generate metamorphosis or stasis in the role of the hospital nurse.
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Siegel, Elena Ohanian. "An ethnographic approach to understanding the nurse's role as supervisor of nursing assistants in nursing homes /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/7203.
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Hedberg, Kristin, and Jill Westlund. "Hur sjuksköterskan erfar smärtbedömning och smärthantering av patienter med demenssjukdom : - En litteraturöversikt." Thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23645.
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Sawyer, Susan S. "Factors Affecting the School Nurse's Role in Effectively Managing the Child with Asthma: A Dissertation." Diss., eScholarship@UMMS, 2002. http://escholarship.umassmed.edu/gsn_diss/6/.
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Thesis (Ph. D.)--University of Massachusetts Worcester and University of Massachusetts Amherst, 2002.Title from opening page (viewed Oct. 10, 2007). "February 2002, Collaborative PhD in Nursing Program, Worcester and Amherst." Includes bibliographical references (p. 86-97).
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Faison, Maria. "Nurse's Role Within the Informed Consent Process: A Systematic Review of the Literature." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5330.
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Each year, over 50 million surgical and nonsurgical inpatient procedures are performed and yet, shared decision making between patients and health care providers is not achieved. Obtaining patients' informed consent is part of a nurse's daily routine during admissions and before a procedure. The purpose of this project was to evaluate evidence to answer the practice-focused question regarding support for a policy change to implement a nurse-driven informed consent protocol. The systematic literature review was conducted using the adapted literature review by Souz, Silva, and Carvalho, which consisted of 6 levels for evaluating evidence. A total of 15 articles were graded using the updated Johns Hopkins nursing evidence-based practice model. Evidence from the literature review showed that nurses had several roles in the informed consent process: advocate, communicator, and witness. A modified Real Time Delphi 2 round survey was used to measure an expert panel's reaction to the systematic review and to evaluate a nurse-driven informed consent protocol. The results showed consensus from the expert panel (n=16; 81% agreement) for implementing a nurse-driven informed consent protocol, with Cronbach's Alpha, α = .70 for internal consistency and reliability, and Fischer's exact test yielded p = 1.0, showing no differences between staff nurses and managers in advocating for a policy change. Implications for positive social change include improving a nursing process, and impacting patient outcomes, and encouraging collaborative decision-making in health care.
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Scruby, Lynn Sharon. "The community health nurse's role in health promotion policy, an interdisciplinary feminist research paradigm." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0020/NQ45137.pdf.
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Kaewsasri, Anchalee. "The nurse's role in promoting health in Thai adults with hypertension : a case study." Thesis, University of East Anglia, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554194.
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Hypertension is a disease that continues to rise across the world and in the past 30 years it has become a major health issue in Thailand. Health promotion plays a major role in the management of this disease and nurses have a key role in this management. The Thai government has developed a range of policies to promote the health of hypertensive patients and nurses in primary care settings for ensuring the success of these. The aim of this study was to investigate how health promotion policies are implemented in nursing practice which is aimed at enabling people with hypertension to manage and control their illness. Using a multi-case study approach, data were collected from documents, observations and semi-structured interviews with the Heads of the Primary Care Units, nurses, hypertensive patients and village health volunteers in four primary care units in one province in Thailand in 2009. A thematic approach was used as a framework for the within-case and cross-case analyses. Although Thai nurses do not have a role in policy generation, they are influential in its implementation and they adapt or modify these policies in order to meet the context and the needs of individual patients and the community. Nurses in this study adopted a narrow definition of health promotion by concentrating more on health education, medication education and promoting behaviour change. In line with the national policies, the nurses promoted community action by involving several stakeholders in developing a collaborative approach to care. The role of the nurse was greatly influenced by the uniqueness of the Thai cultural and religious beliefs. The implication of this study is that nurses need decision-making skills when implementing policy and to adopt a wider definition of health promotion by giving more consideration to the socio-economic and political influence on health.
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Hagelin, Elena, and Al Tatsiana Abdel. "Sjuksköterskans ledarskap på boende för personer med demens. En litteraturstudie." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25559.
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Bakgrund: Den vanligaste kroniska sjukdomen bland äldre människor i hela världen är demens. Vård och omsorg på ett boende för människor med demens kräver kompetens och erfarenhet. Dessutom är sjuksköterskans uppdrag att vara en ledare inom omvårdnad och hälso- och sjukvård. Syfte: Arbetets syfte är att belysa sjuksköterskans ledarskap på boende för personer med demens.Metod: En kvalitativ litteraturstudie innehållande tio studier med kvalitativ ansats. Databaserna PubMed, CINAHL, SveMed+ användes för sökning av vetenskapliga artiklar. Artiklarnas kvalitet granskades med hjälp av modifierad SBU:s (2018) granskningsmall. Analysen av samtliga vetenskapliga artiklar utgick utifrån Forsbergs och Wengströms (2013) beskrivning av innehållsanalys.Resultat: Sjuksköterskans ledarskap är ett komplext mångbottnat fenomen. Tio huvudkategorier identifierades inom ämnet: handledning och styrning, kunskap, etik, undervisning, kommunikation, teamarbete, hinder, stöd, vårdkvalitet och vårdmiljö.Konklusion: Mer uppmärksamhet till sjuksköterskans ledarskap behövs. Fördjupad kunskap inom ledarskap är nödvändig för succesivt arbete och sjuksköterskans status.Background: In the world dementia is the most common chronic disease among older people. Competence and experience are essential for providing care and ward in residential facilities for people with dementia. Nurses mission is to be a leader in nursing and healthcare.Aim: The aim of this paper is to describe nurse’s leadership in nursing home for people with dementia.Method: A qualitative literature review consisting ten research articles with qualitative approach. PubMed, CINAHL and SveMed+ databases were used for research. Articles were quality reviewed according to modified SBU’s quality template. Content analysis as described by Forsbergs and Wengströms (2013) was used for analysis. Result: Nurse’s leadership is a complex, multicomponent phenomena. Ten main categories of the subject were identified: coaching and guiding, skills, ethics, education, communication, teamwork, obstacles, support, quality of care and care environment.Conclusion: More attention is needed for nurse’s leadership. More research on nurse’s leadership, deeper knowledge in this area is needed for successful work and increasing of nurse’s status.
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Graf, Gertrud. "Skötares uppfattningar av specialistsjuksköterskans kompetens i psykiatrisk slutenvård." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-179325.
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Syfte: Syftet med studien var att beskriva skötares uppfattningar av specialistsjuksköterskans kompetens i psykiatrisk vård. Metod: För att analysera detta fenomen gjordes en intervjustudie med kvalitativ design och en fenomenografisk analys tillämpades. Semistrukturerade intervjuer genomfördes där nio skötare verksamma i den psykiatriska vården vid tiden för intervjutillfället deltog. Med avsikt att finna variation bland uppfattningarna bearbetades och analyserades det transkriberade materialet i en analys omfattande sju steg. Resultat: Fyra kategorier av skötarnas uppfattningar identifierades: Osynlig kompetens, otydlig kompetens, synlig kompetens och tydlig kompetens. Relationen mellan dessa kategorier förhöll sig hierarkiskt i förhållande till i vilken grad specialistsjuksköterskans kompetens uppfattades. Slutsats: Skötarens uppfattningar ger uttryck för att det finns ett starkt behov av specialistsjuksköterskans kompetens samtidigt som man inte kan se hur den urskiljer sig från skötarens egen kompetens. Områden i specialistsjuksköterskans kompetens som har stor betydelse för och kompletterar skötarens egen kompetens värdesätts särskilt, såsom specialistsjuksköterskans arbetsledarroll, samarbetsförmåga, somatiska kunskap och helhetsbild av psykiatrin i övrigt.Aim: The aim of this study was to describe how psychiatric aides’ understand the competence of specialist nurses in psychiatric care. Methods: In order to analyze this phenomenon, a phenomenographic interview study with qualitative design was carried out. Semi-structured interviews were conducted with nine psychiatric aides, working in psychiatric in-patient care at the time of the interview. In order to find the variation among the understandings, the transcribed material was processed and analyzed through an analyze method including seven steps. Results: Four categories of understandings were identified: invisible competence, unobvious competence, visible competence and obvious competence. The relationship between these different categories took a hierarchical structure in relation to the degree of which the specialist nurse competence was understood. Conclusions: The understandings of the psychiatric aides expresses the dependence of the specialist nurse's competence while at the same time one cannot see how it distinguishes itself from the psychiatric aides’ own competence. Areas of the specialist nurse competence that are of great importance for the psychiatric aides and complement their competence are especially valued, such as: the specialist nurse’s leadership, ability to cooperate, somatic knowledge and overall knowledge of psychiatry.
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Krampe, Eva-Maria. "Emanzipation durch Professionalisierung? : Akademisierung des Frauenberufs Pflege in den 1990er Jahren: Erwartungen und Folgen /." Frankfurt am Main : Mabuse-Verl, 2009. http://d-nb.info/987758071/04.
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Watson, Hazel E. "Minimal interventions for problem drinkers : a study of effectiveness and an analysis of the nurse's role." Thesis, University of Strathclyde, 1993. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21338.
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The study described in this thesis consists of two main parts. The first was a study of brief interventions for problem drinking. 998 general hospital in-patients, who were receiving treatment for conditions which were not primarily alcohol-related, were screened to identify potential problem drinkers. 24.5% reported levels of alcohol consumption which were in excess of the recommended "sensible limits" as suggested by the Health Education Authority (1989). 15% were regular consumers of alcohol who had not previously received treatment for an alcohol problem. The potential problem drinkers were assigned to one of four experimental groups. Patients in one group received a health education booklet about the effects of alcohol and how to reduce consumption to within recommended sensible limits. The second group were given this information verbally. The third group were given both the booklet and the verbal advice. The fourth group received no intervention. Follow-up data were collected one year later, at which time the mean level of alcohol consumption reported by the entire sample was significantly less than at entry to the study. This was also the case for the mean number of alcohol-related problems. These reductions were supported by reductions in the mean levels of ganima-glutamyl transferase and aspartate transferase but not in mean erythrocyte volume. No statistically significant treatment effects were found for any of the outcome variables. The second part of the study was a descriptive survey of nurses' practice of assessing patients' alcohol consumption. The nurses were also asked about their knowledge of factors which are necessary to enable them to give appropriate advice to problem drinkers. The results suggested that, although nurses acknowledged such a role, limitations in their knowledge prevented them from being effective in both detecting problem drinkers and in delivering health education.
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Campbell, Erica Basora. "The nurse's role in postpartum depression assessment, education and referral for women and their support system." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1376.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
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Nursing
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Drevenhorn, Eva. "Counselling patients with hypertension at health centers : a nursing perspective /." Göteborg : Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/713.
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Munkhammar, Emelie, and Susanne Pettersson. "Komplementära behandlingsmetoder och dess effekter på postoperativ smärta." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5889.
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El-Hneiti, Mamdouh Yasein. "An exploratory study of the registered nurse's role in health promotion relating to cardiovascular disease in Jordan." Thesis, King's College London (University of London), 2014. https://kclpure.kcl.ac.uk/portal/en/theses/an-exploratory-study-of-the-registered-nurses-role-in-health-promotion-relating-to-cardiovascular-disease-in-jordan(52407c7c-0198-4618-a013-a9dd06362d0f).html.
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Background: Obesity, smoking and sedentary lifestyles have led to a high prevalence of cardiovascular disease (CVD) in Jordan. This study aimed to examine the views of Registered Nurses (RNs), doctors and patients regarding the RNs’ role legitimacy in health promotion relating to CVD and develop an explanatory model relating to the RNs’ role legitimacy in Jordan. Methods: A correlational cross-sectional survey was conducted using cluster random sampling at the sector level with proportional quota sampling within individual study sites. A sample (n=1726) of RNs (n=676), doctors (n=458) and patients (n=592) were recruited from community and hospital settings in Amman. Data were collected using structured self-administered questionnaires. Findings: The RNs reported positive views regarding their role in health promotion relating to CVD and achieved high knowledge scores related to CVD. The doctors and patients, however, reported negative views regarding the RNs’ role. The RNs’ perceptions of general health promotion and their role in general health promotion together with personal health behaviours, were associated with their perceived role legitimacy in health promotion relating to CVD. Lack of time and perceived role together with limited health promotion training and communication problems with patients were constraints to the RNs’ role. Conclusion: The role legitimacy of the RNs in health promotion relating to CVD is limited in Jordan. It is important for professional bodies and healthcare employers to agree the RNs role in health promotion relating to CVD. Further examination of the barriers inhibiting the RNs role legitimacy in health promotion relating to CVD is crucial.
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Spjuth, Sofia, and Sara Elomri. "The Nurse's Role in the Care of Females with Urinary-incontinence in South Africa : - An empirical study." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42639.
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Summary Background: Urinary incontinence is a condition in which the patient experience involuntary leakage of urine. It is a significant global health issue which annually affect millions of people. However, statistics on prevalence and epidemiology on the condition is limited, which might be as the condition is considered stigmatizing in many populations. Aim: The aim of this empirical study was to describe the nurse’s role in the care of females with urinary incontinence. Method: A qualitative study with semi-structured interviews was the most appropriate method to use. Twelve nurses was interviewed, the data was analysed with an inductive approach and content analysis. Result: Three main themes were identified; To give emotional support, Providing knowledge and access to information and The nurse’s interaction with the female. The findings show that the role of the nurse in the care of females with urinary incontinence is more complex than expected. Conclusion: The result indicates that the role of the nurse is an important part for the female to feel secure and understood. The emotional support provided by the nurses' is a central element of the care. It is important to increase the knowledge about the condition since the female’s often feel ashamed to talk about their condition.
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Andersson, Papadogiannakis Nina. "Nurses in paediatric care competence, professional identity and research utilization /." Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-854-9/.
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Holland-Nell, Elisa, and Linnéa Regnstrand. "Faktorer som påverkar vårdrelationen mellan sjuksköterskan och kvinnan som lider av postpartumdepression : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3493.
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Bakgrund Att bli mamma kan uppfattas som en omtumlande händelse i en kvinnas liv. Kvinnor som inte varit deprimerade under graviditeten kan utveckla en depression efter förlossning, en så kallad postpartumdepression. Det krävs mod hos sjuksköterskan för att kunna bedriva god omvårdnad där sjuksköterskan i mötet med patienten tar hänsyn till relationen och möjliggör partnerskap. I denna studie kommer därför faktorer som påverkar sjuksköterskans vårdrelation med kvinnor som lider av postpartumdepression att belysas. Syfte Syftet var att beskriva faktorer som påverkar sjuksköterskans vårdrelation med kvinnor som lider av postpartumdepression. Metod Designen som valdes för studien var litteraturöversikt som omfattar vetenskapliga artiklar. Dessa har tagits fram genom databassökningar i PubMed, CINAHL och PsycINFO. Resultatet baserades på 17 vetenskapliga artiklar som kvalitetsgranskades och analyserades. Resultat Resultatet utgjordes av tre kategorier. Kunskap och information, Vårdrelation samt Stöd och uppmuntran. Resultatet visade att sjuksköterskan ska ha kunskap kring ämnet postpartumdepression för att kunna identifiera sjukdomen och kunna informera patienten. Sjuksköterskans förmåga att skapa vårdrelationer är grundläggande för om kvinnan kommer att vilja ta emot vården eller inte och därmed avgörande för kvinnans tillfrisknande. Stöd och uppmuntran är betydande i omvårdnaden som bör ske på ett familjefokuserat sätt. Slutsats Sjuksköterskan spelar en central roll i omvårdnaden av kvinnor som lider av postpartumdepression. Trots att studier visar att sjuksköterskor i de flesta fall är de första som tar emot kvinnorna som söker vård för depressiva symtom efter graviditet, så är kunskapen om denna sjukdom begränsad. Mer forskning krävs för att förbättra identifieringen och behandlingen av kvinnor med postpartumdepression inom sjukvårdsområdet.Background Becoming a mother may be a tumultuous event in a woman’s life. It is common that women who have not been depressed during pregnancy may develop postnatal depression, also known as postpartum depression. In order to facilitate a good working relationship between the nurse and a new mother suffering from postpartum depression, courage and consideration of the circumstances on behalf of the nurse are necessary. This study aims to highlight the nurse’s significance in the care of women with postpartum depression. Aim The aim of this study was to describe factors that affect the alliance between the nurse and the woman suffering from postpartum depression. Method The design of the study is that of a literature review. A search of the databases PubMed, CINAHL and PsycINFO resulted in 17 articles. These articles were reviewed and analysed. Results The review resulted in three major categories; Knowledge and information, The relationship between the nurse and the patient, and Support and encouragement. The results implicated that the nurse needs be knowledgeable about postpartum depression in order to identify the disorder and provide the patient with relevant information. The results showed that women with a good working alliance with the nurse were far more likely to accept care, and thus more likely to recover from postpartum depression. The role of the nurse is therefore crucial to the woman’s recovery. Support and encouragement was found important to be delivered to the entire family. Conclusions The role of the nurse when providing care for women suffering from postpartum depression was found to be of great significance. Even though nurses often are the first in contact with women seeking care for depressive symptoms after pregnancy, the knowledge about postpartum depression is limited. Further research is needed to improve the identification and treatment of women with postpartum depression in the nursing field.
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Bohlin, Maria, and Eleonore Johansson. "Personcentrerad vård i praktiken: Identifiering avbarriärer ur ett sjuksköterskeperspektiv." Thesis, Högskolan Dalarna, Omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29444.
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Bakgrund: Forskning tyder på att en vård som bygger på en personcentrerad grund bidrar till en högre kvalitet av vården och har en positiv påverkan på patienter samt hälso- och sjukvårdsprofessionen. Samtidigt pekar studier på att hälso- och sjukvården står inför en mängd utmaningar för att kunna införa ett personcentrerat förhållningssätt i den dagliga vården. Syfte: Att beskriva vilka barriärer som hindrar sjuksköterskan att arbeta personcentrerat i mötet med patienten. Metod: Studien har genomförts som en litteraturöversikt, där resultatet är baserat på 16 vetenskapliga artiklar. Resultat: Flera faktorer som kan utgöra svårigheter för sjuksköterskan att arbeta personcentrerat i vårdmötet med patienten identifierades och genererade fyra kategorier: Samarbete och teamwork, Attityd och kultur, Tid och resurser samt Kommunikation och Patient berättelsen. Resultatet tyder på samarbetssvårigheter mellan olika professioner inom hälso- och sjukvården, motsträvande attityder samt rutiner som inte vilar på vetenskaplig grund. Brist på utbildningsmöjligheter och bristande kunskap kring vad personcentrerad vård innebär och hur ett personcentrerat förhållningssätt kan tillämpas i klinisk praxis. Hög arbetsbelastning och brist på tid påverkade sjuksköterskans möjlighet till att skapa en relation till patienten, samt var en bidragande faktor till stress och känslor av otillräcklighet. Konklusion: Sammantaget tyder litteraturöversikten på att det finns ett flertal barriärer som försvårar för sjuksköterskan att arbeta personcentrerat i mötet med patienten. För att ett personcentrerat förhållningssätt ska praktiseras krävs aktivt arbete individuellt och kollektivt på olika nivåer inom en organisation för att bli en del av den dagliga praktiken.Background: Research suggests that care based on a person-centered basis contributes to a higher quality of care, and has a positive impact on the patients and the healthcare profession. At the same time, studies point out that health care is facing a variety of challenges in order to introduce a person-centered approach into daily care. Aim: To describe which barriers prevent the nurse to work person-centered in the healthcare meeting with the patient. Methods: The study was conducted as a literature review, the result is based on 16 scientific articles. Results: Several factors that may constitute difficulties for the nurse to work personcentered in the healthcare meeting with the patient were identified and generated four categories: Collaboration and Teamwork, Attitude and Culture, Time and Resources, and Communication and The patient Narrative. The result indicates cooperation difficulties between different health care professions, contradictory attitudes and routines that not lie on a scientific basis. Lack of educational opportunities and knowledge about what person centered care means and how a person-centered approach should be applied in clinical practice. High workload and lack of time affected the nurse's ability to establish a relationship with the patient, and contributed to stress and feelings of inadequacy. Conclusion: Summary the literature study indicates that there are several barriers that make it difficult for the nurse to work person-centered in the meeting with the patient. In order for a person-centered approach to be practiced, active work is required individually and collectively at different levels within an organization to become part of the daily practice.
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Mollakuqe, Shaka, and Tea Stankovic. "Sjuksköterskans erfarenhet av att bedriva personcentrerad vård relaterat till personer med demenssjukdom : En kvalitativ intervjustudie." Thesis, Högskolan Dalarna, Omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:du-30510.
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Bakgrund: Invånare i Sverige uppnår högre ålder än tidigare och fler diagnostiseras med demenssjukdom. Vården av personer med demenssjukdom är väldigt sårbar och forskning har visat att personcentrerad vård kan skapa bättre livskvalitet för denna grupp. Genom att förstå sjuksköterskans erfarenhet av att arbeta med personcentrerad vård hoppas vi kunna belysa fördelar men även hinder i vården av personer med demenssjukdom och förhoppningsvis ge förslag för utveckling. Syfte: Att beskriva sjuksköterskans erfarenhet av att använda personcentrerad vård i vården av personer med demenssjukdom Metod: En intervjustudie utfördes med 8 sjuksköterskor som arbetar med personer med demenssjukdom och analyserades med kvalitativ innehållsanalys. Intervjuerna genomfördes i 2 län. De transkriberade intervjuerna analyserades med en manifest innehållsanalys. Resultat: Resultatet visade att sjuksköterskans erfarenhet av att använda personcentrerad vård baseras mycket på tid för utbildning och handledning av kollegor, men även av kunskap för personcentrerad vård. Livsberättelsen spelar en central roll i utformningen av både vården och miljön kring personen. Slutsats: Sjuksköterskor som arbetar med personer med demens behöver mer tid för utbildning och handledning för att kunna ge bättre personcentrerad vård utifrån personens enskilda behov.Background: Swedens population is getting older then before and more are diagnosed with dementia. Caring for people with dementia is very vulnerable and research shows that person centered care can increase quality of life. By understanding the nurse´s experiance of working person centered can contribute to development of this type of care but also illustrade obstacles the nurses are facing. Aim: To describe the nurse's experience of using person-centered care in the care of people with dementia Methods: Qualitative interview study. 8 nurses that work with dementia care were interviewed in two different countys in Sweden. The transcribed interviews were analyzed with a manifest content analysis. Result: The result showed that the nurse's experience of using person-centered care is based on time for training and supervision of colleagues, but also on knowledge for personal center care. The life story plays a central role in the design of both the care and the environment around the person. Conclusion: Nurses working with people with dementia need more time for education and supervision to be able to provide better person-centered care based on the persons individual needs.
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Ström, Tobias, and Therese Holmström. "Omvårdnad på gruppboende jämfört med enskilt boende för en individ med grav utvecklingsstörning - en fallstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-213288.
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Bakgrund: I Sverige har individer med utvecklingsstörning rätt att välja boendeform. Det finns dock lite forskning som undersöker vilken boendeform som är mest lämplig för dessa individer. De är en sårbar individgrupp som behöver uppmärksammas mer i forskning. Syfte: Studien avsåg att undersöka vilken boendeform som var mest lämplig för en individ med grav utvecklingsstörning. Detta gjordes genom att granska dennes boendeformsbyte från gruppboende till enskilt boende, utifrån ett omvårdnadsperspektiv. Metod: Mixed methods användes för att besvara syftet. Intervjuer och fokusgruppmöte användes för kvalitativ datainsamling. Kvantitativ data samlades in från vårdtagarens aktivitetsdagbok. Resultat: Boendeformsbytet från gruppboende till enskilt boende verkar inneburit en förbättring på flera plan för vårdtagaren. Gruppbostaden hade begränsade möjligheter att ge den omvårdnad han behövde. På det enskilda boendet kunde de personliga assistenterna individanpassa omvårdnaden genom högre personaltäthet. Där fick han förbättrad nutrition eftersom måltiderna fullföljdes och maten var bättre. Aktivitetsmängden ökade då det fanns fasta rutiner och mer tid till aktivering i enskilt boende. Slutsats: God omvårdnad är individanpassad omvårdnad och för att uppnå detta krävs tillräckliga personalresurser. De personliga assistenternas kännedom om vårdtagaren är en förutsättning för att kommunicera, registrera avvikelser samt uppnå individanpassad omvårdnad. Enskilt boende verkar vara en mer lämplig boendeform än gruppbostad för en individ med grav utvecklingsstörning vad det gäller omvårdnadkvalité.Background: In Sweden, individuals with developmental disabilities have the right to choose type of housing. However, there is a small amount of research that examines which type of housing that is most appropriate for these individuals. They are a vulnerable group that need more attention in research. Objective: The study aimed to examine which type of housing that was most suitable for an individual with severe mental retardation by reviewing a change of housing from group home to individual housing, from a nursing perspective. Methods: Mixed methods were used. Individual interviews and focus group meeting was used for qualitative data collection. Quantitative data were collected from the individual's activity diary. Results: The change of housing from group homes to individual housing seems to have improved the care in many different ways. Group home had a limited ability to provide the care needed. In the individual housing, staff could individualize the care because of higher staffing levels. The nutrition was improved because, in the individual housing, the individual was given the time to finish meals, also the food was better. The amount of activity increased in individual housing, where they had set procedures and more time to do the activities. Conclusion: Good care is individualized care and to achieve this sufficient staff-resources are required. The staff’s awareness of the patient is essential to communicate, find abnormalities and achieve individualized care. Individual accommodation seems to be a more suitable type of housing than a group home for an individual with severe mental retardation.
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Kendall-Gallagher, Deborah Leslie. "Preventing patient harm : the role of nurse competency /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 113-132). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Wässing, Matilda. "Vårdrelatonen- nyckeln tlll patientdelaktighet : Sjuksköterskans syn på sin betydelse för patientens delaktighet inom den psykiatriska öppenvården för patienter som drabbats av psykos." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4680.
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Butkutė, Viktorija. "Moterų, kurioms atlikta krūties vėžio operacija, kūno įvaizdžio pokyčių vertinimas taikant radioterapiją." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130618_134155-89195.
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Šio tyrimo tikslas - įvertinti moterų, kurioms atlikta krūties vėžio operacija, kūno įvaizdžio pokyčius, taikant radioterapinį gydymą.
Tyrimo metodika. Tyrimas atliktas LSMU Krūtų chirurgijos skyriuje 2012 m. sausio – 2013 m. vasario mėnesiais. Tyrimo metu buvo naudojamos kūno įvaizdžio po krūties vėžio anketa (BIBCQ) ir papildomai sudaryti klausimai sociodemografiniams duomenims išsiaiškinti. Anoniminėje anketinėje apklausoje sutikusios dalyvauti pacientės buvo informuotos apie tyrimą, jo tikslą ir eigą. Sutikusios pacientės dalyvauti tyrime, savo sutikimą patvirtino raštiškai, pasirašydamos informuotą sutikimą.
Rezultatai. Apklausoje dalyvavo 98 respondentės, kurių amžius svyravo nuo 30 – 74 metų. Respondenčių amžiaus vidurkis 50,9 m. (SN ± 12,09). Tyrimo rezultatai rodo, kad respondentės didžiausiais balų vidurkiais įvertino „pažeidžiamumo“, „gėdos jausmo dėl savo kūno“ ir „pašalinių žmonių žvilgsnių“ skales. Labai stipri sąsaja nustatyta tarp „gėdos jausmo dėl savo kūno“ su „pažeidžiamumo“, „susirūpinimo dėl savo kūno“ ir „pašalinių žmonių žvilgsnių“ skalėmis. „Pažeidžiamumo“ skalė taip pat labai stipriai susijusi su „susirūpinimu dėl savo kūno“ skale. Socialiniai-demografiniai rodikliai turėjo sąsajas su visomis šešiomis kūno įvaizdžio charakteristikomis. Nustatyta, kad didžiausi kūno įvaizdžio balų vidurkiai turėjo sąsajas su vaisingo amžiaus moterimis, ištekėjusiomis ar gyvenančiomis su gyvenimo draugu, turinčiomis spec. vidurinį ar aukštąjį išsilavinimą... [toliau žr. visą tekstą]The goal of the study is to evaluate women who underwent breast cancer surgery, body image changes with radiotherapy. Methods. The study was conducted LSMUL Breast Surgery Department in 2012. January - 2013. February. The study has been used in body image after breast cancer questionnaire (BIBCQ) and additionally up questions to find out the socio-demographic data. Patients who agreed to participate in anonymous questionnaire survey, were informed about the study, purpose and progress. Patients consented to participate in the study by signing an informed consent. Results. The survey involved 98 respondents whose ages ranged from 30-74 years. Respondents' average age of 50.9 years (SD ± 12.09). The results show that respondents rated the highest score averages "vulnerability" scale , "body stigma" scale and "transparency" scale. Very strong correlation is found between „body stigma“ with "vulnerability", "body concerns" and " transparency“ scales. "Vulnerability" scale has also very strong correlation with „body concerns"scale. Socio-demographic indicators had correlation to all six characteristics of the body image. It was found that the largest body image point averages had correlation to child-bearing age women, married or living with their common-low, having a secondary or higher education, working, living in the town. Conclusions. 1.The assessment of body image characteristics, among women who underwent breast cancer surgery, during the treatment of radiotherapy... [to full text]
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Thor, Jessica. "Omvårdnadsåtgärders effekter påcytostatikarelaterade biverkningar." Thesis, Högskolan Dalarna, Omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:du-17845.
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Syfte: Syftet var att utvärdera effekten av sjuksköterskans föreslagna omvårdnadsåtgärder på cytostatikarelaterade biverkningar hos cancerpatienter som genomgår cytostatikabehandling. Metod: Examensarbetet utfördes som en litteraturöversikt. Resultatet grundar sig på 13 stycken kvantitativa artiklar. För datainsamlingen användes databaserna PubMed och Cinahl. Resultat: Resultatet visade att sjuksköterskan kan utföra omvårdnadsåtgärder som minskar patienters upplevelse av cytostatikarelaterade biverkningar. Effekterna som framkom av sjuksköterskans omvårdnadsåtgärder presenteras under rubrikerna; oral kryoterapi vid oral mukosit, personcentrerad patientutbildning med underrubriken utbildning utifrån ett teoretiskt perspektiv, automatiserad och sjuksköterske- assisterad symtombehandling samt musikterapi, bildspråk och avslappning. Slutsats: Sjuksköterskan kan genom olika omvårdnadsåtgärder hjälpa patienter att lindra symtom från cytostatikarelaterade biverkningar.Aim: To evaluate the impact of the nurse's suggested nursing interventions on chemotherapy-related side effects in cancer patients undergoing chemotherapy treatment. Method: The work was conducted as a literature review. The results are based on 13 quantitative articles. For data collection the databases PubMed and Cinahl was used. Results: The results showed that nurses can perform nursing interventions that reduce patients' experience of chemotherapy-related side effects. The effects that emerged from the nursing interventions are presented under the headings; oral cryotherapy for oral mucositis, person-centered patient education with the subtitle education from a theoretical perspective, self-care, automated and nurses assisted symptom management, music therapy, imagery and relaxation. Conclusion: Nurses can through various nursing interventions help patients to relieve symptoms from chemotherapy-related side effects.
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Ahmadi, Afsane, and Maryam Saleh. "Patientens utmaningar och livskvalitet efter stomioperation." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3528.
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SAMMANFATTNING Bakgrund Idag finns det runt 43 000 personer i Sverige som lever med stomi och sedan 2006 har antalet patienter ökat i alla regioner och landsting. Operationen förändrade patientens livssituation och dess upplevelse om den nya vardagen efter stomioperationen påverkade individens livskvalitet. Sjuksköterskans roll i möten med denna patientgrupp är att lindra deras lidande och främja deras livskvalitet. Patienters förändrade välbefinnande och livskvalitet efter stomioperationen ställer krav på sjuksköterskans kapacitet till att främja livskvaliteten. Syfte Syftet var att beskriva utmaningar, livskvalitet hos patienter efter stomioperation samt behov av stöd av sjuksköterskan. Metod Denna litteraturöversikt grundar sig på 15 vetenskapliga artiklar, både kvalitativa och kvantitativa studier. Databassökningen genomfördes i databaserna PubMed och CINAHL. De inkluderade artiklarna kvalitetsgranskades enligt Sophiahemmets bedömningstabell och analyserades med stöd av Integrerade analys. Resultat I studien framkom tre kategorier vilka ansågs viktiga för att beskriva patientens utmaningar, livskvalitet hos patienter efter stomioperation samt behov av sjuksköterskans stöd. Slutsats Sammanfattningsvis visar resultatet att patienter som får stomi upplever negativ i större utsträckning som har sämre inverkan på deras livskvalitet. Sjuksköterska stöd genom rådgivning, stomiutbildning och egenvård kan minska problem och komplikationer i vardagen som har bättre inverkan på livskvalitet.ABSTRACT Background Today, there are around 43,000 people in Sweden living with an ostomy and since 2006 the number of patients has been increased in all over the country. Changing the patient's life situation and their experience of the new everyday life after the ostomy operation affects the individual's quality of life. The nurse's role in meetings with this group of patients is to alleviate their suffering and promote their quality of life. Patients' changed well-being and quality of life after the ostomy operation lies demand on the nurse's capacity to promote quality of life. Aim The purpose was to describe challenges, quality of life in patients after ostomy surgery and the need for support from the nurse. Method This literature review is based on 15 scientific articles, both qualitative and quantitative studies. The database search was carried out in the databases PubMed and CINAHL. The included articles were peer-reviewed according to Sophiahemmet's assessment table and analyzed with support from Integrated analysis. Results The study identified three categories that were considered important to describe the patient's challenges, the quality of life of patients after ostomy surgery and the need for nurse support. Conclusions In summary, the results show that patients who have an ostomy experience negatively to a greater extent that have a lower impact on their quality of life. Nurse support through counseling, ostomy education and self-care can reduce problems and complications in everyday life that have a better impact on quality of life.
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Queiroz, Patricia Helena Breno 1963. "Enfermeiras na atenção basica de saude e a amamentação." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310687.
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Orientadores: Marcia Regina Nozawa, Antonieta Keiko Kakuda ShimoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Esta tese envolveu estudos com 287 mulheres, 69 não menopausadas e 218 pós-menopausadas; destas 84 em e 124 sem terapia de reposição hormonal (TRH), todas atendidas em hospitais públicos da Universidade Estadual de Campinas, Estado de São Paulo. As voluntárias foram recrutadas junto aos ambulatórios de dislipidemias (n=193), do Hospital das Clínicas Unicamp, e do ambulatório de menopausa (n=94), do CAISM/Unicamp. Seu intervalo de idades foi de 20 a 82 anos. As pós-menopausadas apresentavam idade acima de 40 anos e amenorréia por período superior a um ano. O grupo em terapia de reposição hormonal foi subdividido de acordo com o tipo de TRH em 2 subgrupos: pacientes em uso de estrógenos isoladamente (0.625mg/dia, n=48) ou pacientes em reposição hormonal combinada com acetato de medroxiprogesterona, (2,5mg/dia, 10% e 5mg/dia, 90%, n=36), por no mínimo um ano. Caracterizaram a metodologia a definição da menopausa, através do preenchimento de questionário sobre o tempo de amenorréia natural, a determinação do uso e tipo de terapia de reposição hormonal por meio de entrevistas, seguidas de exame médico clínico. Foi objetivo a determinação dos efeitos do uso da terapia de reposição hormonal oral no período pós-menopausal, estrogênica ou estrogênica associada à progestágenos sobre diversos marcadores séricos de oxidação no plasma. Como evento ponto-final da aterosclerose precoce determinou-se os efeitos da menopausa e da menopausa tratada com reposição hormonal sobre a aterosclerose precoce carotidiana e sua regulação metabólica. A abordagem de efeitos metabólicos da TRH foi realizada com a determinação após uso da terapia de reposição hormonal oral das atividades de proteínas reguladoras do metabolismo das lipoproteínas plasmáticas: a lípase hepática, a lipoproteína lipase, a proteína de transferência de colesteril-éster e a proteína de transferência de fosfolípides. Foram analisados também os seguintes parâmetros: colesterol, não HDL colesterol (NHDLcol), colesterol de lipoproteínas de alta densidade (HDLcol), colesterol de lipoproteínas de baixa densidade (LDLcol), triglicérides (TG), apolipoproteínas (AI e B 100), lipoproteína (a) Lp(a), autoanticorpos anti-LDL oxidada, anticorpos anti-epítopos proteicos da apolipoproteína B oxidada (anti-D, anti-D2 e anti-A); atividades das proteínas de transferência de colesteril-éster (CETP) e de fosfolípides (PLTP), da lipase hepática (LH), da lipoproteína lipase (LPL), a atividade séricas da catalase, determinação do nitrato, substâncias reativas ao ácido tiobarbitúrico (TBARS) e PCR séricos. O parâmetro radiológico medido foi o espessamento íntimo-médio da camada carotídiana (EIM) das artérias carótidas comuns direita e esquerda (ultra-sonografia Doppler). A análise estatística dos dados foi realizada através do programa SAS. Procedeu-se à correções para idade e IMC, quando indicado. A analise de regressão linear múltipla foi utilizada para acessar a influência dos diversos parâmetros bioquímicos e antropométricos sobre a EIM carotídea. Foram observados vários efeitos bioquímicos e antropométricos pró-aterogênicos da menopausa: aumento do EIM, do IMC, da medida da cintura e títulos de autoanticorpos anti-LDL oxidada e anti-D. A terapia de reposição hormonal apresentou efeitos modificadores benéficos reduzindo a lipase hepática (maior magnitude com a terapia conjugada), aumento de HDLcol, redução de autoanticorpos anti-D2 e aumento da concentração da catalase, (maior magnitude na terapia combinada). Outros marcadores de estresse oxidativo os nitratos, as substancias reativas ao ácido tiobarbitúrico e os lipoperóxidos não se modificaram com a TRH. Nas análises multivariadas a TRH conjugada e estrogênica modulou a EIM através de três fatores: via triglicérides, CETP (negativo) e lipoperóxidos (ao contrário do grupo sem TRH, com sete fatores de regulação); a terapia estrogênica atuou apenas via TG. Houve influência positiva do tratamento sobre a regulação positiva pela PCR a qual desapareceu. Este estudo reitera o risco aumentado para a doença cardiovascular (DCV) pelo aumento de um conjunto de fatores de risco na mulher em pós-menopausa, fato já demonstrado em estudos prévios. A TRH foi benéfica do ponto de vista de melhora do perfil de lípides. Modificou favoravelmente a lípase hepática aumentando o colesterol da HDL, lipoproteína anti-aterogênica. A redução de autoanticorpos contra a oxidação apoproteica B100 e o aumento da atividade sérica da catalase demonstram capacidade antioxidante maior e dredução do estersse oxidativo plasmático. Não menos importante e apesar do efeito ter sido insuficiente amostra populacional para alterar a EIM, a TRH modificou a modulação da aterosclerose precoce no sentido de maior ateroproteção
Abstract: This thesis was composed of studies conducted on 287 women: pre menopausal (69) and post (218); the last with (n=84, WHRT) and without (n=134, WTRT) hormone replacement therapy (HRT), attended at the UNICAMP university hospitals, São Paulo state. The volunteers were recruited from Hospital de Clínicas (n=193) and CAISM hospital (n=94). They aged from 20 to 82 years (y). Postmenopausal women were 40y old and above and presented amenorrhea for at least 1 year. WHRT women were subdivided in 2 groups: one using conjugated estrogens (0.625mg/day, n=48) or estrogen associated with medroxyprogesterone acetate (2.5, 10% of all or 5mg/day 90% of all, n=36). The methodology was characterized by the menopause definition and through questionnaires and a clinical exam. The objective of this study was to verify if HRT, estrogenic or combined, modified plasmatic oxidative markers. The end-point for atherosclerosis was the measurement of common carotid intima-media thickness (IMT), as well as its metabolic regulation. The study also dtermined the activities of several proteins of lipid metabolism: lipoprotein lipase, hepatic lipase, cholesteryl ester and phospholipid transfer protein under HRT estrogenic or combined. ELISA, nephelometric, enzymatic and radiometric methods were used to determine several parameters: cholesterol, non HDL cholesterol (NHDLchol), HDL-cholesterol, LDL-cholesterol triglycerides (TG), apolipoproteins (AI e B 100), lipoprotein (a), Lp(a), autoantibodies against oxidized LDL, epitopes of oxidized apolipoprotein B100 (anti-D, anti-D2 e anti-A); activities of CETP, PLTP, HL LH and LPL, catalase, nitrates, TBARS, lipid peroxides, CRP. The radiologic common carotid intima-media thickness was done by Doppler ultrasound. The data were analyzed by the SAS statistical package. Multiple linear regression analyses were used to assess the influence of diverse biochemical markers on carotid IMT. In this study several postmenopausal anthropometric and biochemical effects were pro-atherogenic: increases in IMT, BMI (body mass index), WC (waist circumference), antibodies against oxidized LDL and anti-apoD antibodies titers. HRT showed beneficial actions, decreasing HL activity, reducing anti-D2 antibody titers, increasing HDLchol and catalase activity. The nitrate concentration, TBARS and hydroperoxides showed no changes with HRT. HRT improved the women¿s lipid profiles but not ApoAI and B100. decreased hepatic lipase and increased HDLchol, an anti-atherogenic lipoprotein, reduced anti-D2 and increased catalase activity. Although HRT was insufficient to modify IMT, the multivariate analysis demonstrated that conjugated and estrogen HRT modulated IMT through triglycerides concentration, CETP (negative) and lipid peroxides a situation differently from non-treated women that presented 7 modulators; under estrogenic treatment only TG regulated IMT. As well the hormone treatment influenced favorably excluding the effects positive of CRP. This study reinforces the higher risk of CAD in post-menopausal women and the beneficial action of HRT by improving lipid profiles. It changed favorably HL, HDL-cholesterol, decreased antibodies against oxidized apoB100 and increased catalase activity indicating reduced oxidative stress; not less important are the results showing that HRT although not changing carotid IMT, modified beneficially the relationship of precocious atherosclerosis and its modulators suggesting an atheroprotective action
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Borgudd, Josefina, and Jönsson Josefine Holm. "Sjuksköterskors upplevelser av relationen till patienter med schizofreni : En litteraturöversikt." Thesis, Mittuniversitetet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-42164.
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Bakgrund: Relationen till patienter inom den psykiatriska vården utgjorde grunden i psykiatrisk omvårdnad. Patienter med schizofreni upplevde att relationen kunde förbättras. Sjuksköterskor upplevde det svårt att få utrymme för att skapa relation. Syfte: Var att belysa sjuksköterskors upplevelser av relationen till patienter med schizofreni. Metod: En litteraturöversikt med 19 granskade vetenskapliga originalartiklar. Litteratursökning genomfördes i Cinahl, PubMed och PsycINFO. Resultatet sammanställdes med en kvalitativ innehållsanalys. Resultat: Sjuksköterskor upplevde förutsättningar, hinder och betydelse för relation. Förutsättningar var att skapa tillit, att mötas på samma nivå, att förstå helheten samt att inge hopp. Hinder var brist på kompetens, sjukdomsbilden samt organisatoriska brister. Betydelse var att vara trygg i sin roll och att vara ett stöd. Diskussion: De olika delarna som framkom i resultatet var beroende av varandra på olika sätt. Genom att relationen förbättrades kunde patienters livsproblem synliggöras och främja den psykiska hälsan. Slutsats: Kunskap om relationens betydelse ökade och sjuksköterskan fick ytterligare verktyg för att förbättra relationen till patienter med schizofreni.Background: The relationship with patients in psychiatric care was the basis of psychiatric nursing. Patients with schizophrenia felt that the relationship could be improved. Nurses found it difficult to get space to create a relationship. Purpose: To elucidate nurses' experiences of the relationship with patients with schizophrenia. Method: A literature review with 19 original scientific articles reviewed. Literature search was conducted in Cinahl, PubMed and PsycINFO. The result was compiled with a qualitative content analysis. Results: The result showed that nurses experienced different factors in possibilities, obstacles and significance for the relationship. The possibilities were to create trust, to meet at the same level, to understand the whole and to give hope. Obstacles were a lack of skills, the disease picture and organizational deficiencies. Significance was being confident in their role and being a support. Discussion: The different parts that emerged in the result depended on each other in different ways. By improving the relationship, patients' life problems could be made visible and promoted mental health. Conclusion: Knowledge about the importance of the relationship increased and the nurse was given additional tools to improve the relationship with patients with schizophrenia.
Godkännandedatum: 2020-01-16
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Bueno, Flora Marta Giglio 1958. "O profissional enfermeiro e a gestão hospitalar : possibilidades e desafios." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/283916.
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Orientador: Gastão Wagner de Sousa CamposTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Enfermagem
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Resumo: Este estudo buscou compreender como se dá a inserção do enfermeiro na gestão hospitalar, a partir de um contexto de mudanças do modelo assistencial e de gestão que vinha ocorrendo no local do estudo. Utilizou os conhecimentos da filosofia para destacar o saber fazer da enfermagem (téchne), mais precisamente do enfermeiro no processo do cuidar e, buscando entender a atuação do enfermeiro na gestão. Realizou-se uma reflexão teórica, utilizando o conceito de Gramsci de "intelectual orgânico" e a busca pela hegemonia cultural no processo de gerenciar o cuidado na enfermagem. Desenvolveu-se uma construção dialética entre cuidado e gestão em saúde, utilizando-se referenciais de planejamento em situação de governo de Carlos Matus e a organização da assistência de enfermagem de Florence Nighitingale, além de discutir possibilidades de reformulação do papel gerencial do enfermeiro e refletir sobre a aplicação e impacto dos novos desafios na gestão das pessoas que produzem o cuidado. Participaram dessa investigação, profissionais enfermeiros não docentes que atuam como Diretores Técnicos de Serviço de Enfermagem (cargos de representação) das áreas assistenciais e supervisores de seção de um hospital público universitário do Estado de São Paulo. Trata-se de um estudo de abordagem qualitativa e as técnicas empregadas para a coleta e organização dos dados envolveram a elaboração de um questionário auto-aplicado com questões estruturadas e semiestruturadas, utilizando a técnica de tabulação dos dados para identificação de algumas variáveis. Para a análise de conteúdo das respostas obtidas, as mesmas foram tratadas, organizadas e interpretadas no intuito de apreender os seus significados. Constatou-se que os gerentes de enfermagem tem adequada concepção sobre suas responsabilidades tanto na dimensão assistencial quanto gerencial, porém na execução de suas atribuições não se notam estratégias de ação bem definidas para atuarem como "intelectuais orgânicos", bem para que se reconheça que o espaço do cuidado é o eixo central de sua téchne e que o mesmo existe e está institucionalizado e que suas ações no âmbito gerencial tem como finalidade a qualidade do cuidado, vislumbrando o indivíduo com necessidades de recuperação da saúde e as pessoas que realizam a assistência de enfermagem, articulando-as de forma eficiente com os demais membros da equipe de saúde. Os resultados e análises permitiram sugestões, reflexões e considerações relevantes para os enfermeiros gerentes, bem como para os gestores da área hospitalar, assim como poderão influenciar nos objetivos de ensino formal e desenvolvimento profissional na área da saúde.
Abstract: This study aims to understand the nursing professionals entered in hospital management process,from context changes of assistance model and management that occurs at the study site. To highlight the nursing expertise (téchne), philosophy knowledge are used, more precisely about the nurse practitioner care process, attempting to understand the nursing professionals's management function. This paper develops a theoreticalreflection about Gramsci's conception "organic intellectual" and the search of cultural hegemony in nursing care process. It also intends to develop a dialectical construction between care and health management using Carlos Matus's government situation benchmarks and Florence Nighitingale's nursing assistance organization, besides of discuss reformulation possibilities of management nurse function and to reflect about the application and impact people management of care production's new challenges. This investigation counted with the participation of 37 non-teaching nurses who act as Technical Directors of Nursing Services (representative positions) of assistance areas and are section supervisors of São Paulo state public university hospital. It is qualitative study and the techniques adopted to collect and the organizing of data involved the creation of a self-administered questionnaire with structured and semi-structured questions, using the technique of data tabulation to identify some variables. For the analysis of the responses obtained, they were treated, organized and interpreted in order to grasp their meanings. It was found that nursing managers have adequate conception of their responsibilities both in care responsabities dimension and management experience, however in the execution of their duties there are no action strategies well defined to act as "organic intellectuals", trying to understand that the care space, téchne core element, exists and is institutionalized, as well as to understand that their management sphere actions aims to care quality, seeing the needs of health recovery and people who perform nursing care, and better articulating with other members of the healthcare team. The results and analyzes allowed suggestions, reflections and relevant considerations to nursing managers as well as care area managers, and may influence the goals of formal education and health professional development.
Doutorado
Enfermagem e Trabalho
Doutora em Enfermagem
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Emilsson, Johan, and Jonna Kumpula. "Intensivvårdssjuksköterskans erfarenheter av patienters avvänjning från respirator: : En kvalitativ intervjustudie." Thesis, Mittuniversitetet, Institutionen för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-42169.
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Bakgrund: Avvänjning från respirator är en stor del av intensivvården. Där övergången från att andas med hjälp av respirator till att hitta den egna spontana andningen är en komplex uppgift för intensivvårdsjuksköterskan och kräver både tid och kompetens. Syfte: Syftet var att beskriva intensivvårdssjuksköterskans erfarenheter av vuxna patienters avvänjning från respirator. Metod: Kvalitativ design med semistrukturerade intervjufrågor användes. Studien innehöll totalt åtta stycken deltagare från två sjukhus i Sverige. Innehållsanalys med induktiv ansats användes vid analysen. Resultat: När analysen var klar framkom 5 stycken kategorier. Kategorierna var: Att förbereda och informera patienten, att patienten inte är stressad, att använda avvägningsprotokoll, betydelse av samarbete och kommunikation samt patientens tid i respiratorn har betydelse. Resultatet belyste sjuksköterskans erfarenheter kring en individuell vård, samarbetet och kommunikation. Diskussion: Ett protokoll som efterföljs har visat sig förbättra avvänjningen för patienten, samtidigt bör en individuell planering finnas med. Kommunikationen och närhet med patienten är viktig för att kunna åtgärda oro och stress och skapa trygghet. Slutsats: Resultatet påvisade att det var viktigt med kommunikation mellan intensivvårdssjuksköterskan, patienten och läkaren. Det var också viktigt att ge patienten bra förutsättningar till att lyckas med avvänjningen.Background: Weaning from the respirator is a large part of intensive care. The transition from breathing with the help of a respirator to finding its own spontaneous breathing is a complex task for the intensive care nurse and requires both time and competence. Aim: To describe the intensive care nurse's experience of adult patients weaning from respirator. Method: Qualitative design with semi-structured interview questions was used. The study included a total of eight participants from two hospitals in Sweden. Content analysis with inductive approach was used in the analysis. Results: When the analysis was completed, five categories. The categories were: Prepering and informing the patient, that the patient is not stressed, using balancing protocols, importance of cooperation and communication and the patient´s time in the respirator is important. The result highlighted the nurseś experiences regarding individual care, cooperation and communication. Discussion: A protocol that was followed has been shown to improve the respitory weaning for the patient while at the same time a individual planning should be involved. Communication and vicinity for the patient are important in order to be able to remedy anxiety and stress and create security. Conclusion: The result showed that communication between the intensive care nurse, the patient and the doctor is important. It is also important to give the patient the best possible conditions to succeed in weaning.
Godkännandedatum: 2019-11-08
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Carlton, Gaya. "Nurses' perceptions of factors leading to the discovery of potential medication administration errors /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2007.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2007.Typescript. Includes bibliographical references (leaves 190-197). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;
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Hampl, Matilda, and Alice Winrow. "Betydelsefulla aspekter för omvårdnaden av suicidnära patienter inom hälso- och sjukvården - från sjuksköterskans perspektiv : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3871.
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Bakgrund Hälso- och sjukvården har ett stort ansvar för suicidnära personer. Majoriteten av de som i slutänden tar sitt liv har tidigare varit i kontakt med vården, där första mötet ofta sker tillsammans med sjuksköterskan. Det är inte ovanligt att protokoll och anvisningar för hur vårdpersonalen ska ge dessa personer en fullgod omvårdnad saknas. Detta tillsammans med en bristfällig grundutbildning i ämnet omvårdnad av suicidnära patienter, vilket således tillsammans utgör orsaker till att sjuksköterskan saknar kompetens och redskap när det kommer till hur denna specifika omvårdnad bör utföras. Det betyder att den omvårdnad som ges således enbart kan komma att vara grundad i sjuksköterskans egna egenskaper och åsikter vilket i sin tur leder till en ojämn vård. Syfte Syftet var att undersöka betydelsefulla aspekter för omvårdnaden av suicidnära patienter inom hälso- och sjukvård ur sjuksköterskans perspektiv. Metod En litteraturstudie användes för att undersöka betydelsefulla aspekter för omvårdnad av suicidnära patienter. Databaserna PubMed, Cinahl och PsycINFO användes för att söka fram 15 artiklar som kunde belysa de aktuella aspekterna. En kvalitativ integrerad innehållsanalys grundad av Kristensson (2014) gjordes på alla artiklar i resultatet. Resultat Studien resulterade i sex kategorier av faktorer med underkategorier av betydelse för omvårdnadskvalitén. Kommunikation mellan sjuksköterskan och patienten, utbildning, rutinernas betydelse, teamsamverkan, vårdrelationen och sjuksköterskans personliga egenskaper. Dessa kategorier utgjorde de aspekter som sjuksköterskan ansåg viktiga för omvårdnaden av suicidnära patienter och var avgörande i många fall för att sjuksköterskan skulle känna att de kunde ge god omvårdnad. Viktigast var framförallt en välfungerande kommunikation mellan sjuksköterskan och patienten och relationen mellan dem samt egenskaper som sjuksköterskans besitter och hens utbildningsnivå för att kunna hantera en situation med en suicidnära patient och ge god omvårdnad. Slutsats Det är viktigt att sjuksköterskan tar sig tid, kommunicerar och lyssnar på patienten för att kunna bygga upp en god relation tillsammans vilket möjliggör upprättandet av en individuell vårdplan och att en personcentrerad vård utförs. För att sjuksköterskan ska veta hur man går till väga för att skapa en välplanerad omvårdnad för patienten krävs relevant utbildning i bland annat rätt bemötande, omvårdnad, psykisk ohälsa och riskfaktorer för suicid. Ett genuint engagemang i patientens mående och relevant utbildning är grunden i god omvårdnad för suicidnära patienter.
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Anstey, Katharine Mountfort. "The nurse's role in promoting the involvement of older patients and informal carers in the assessment of their individual continuing health and social care needs." Thesis, City University London, 2003. http://openaccess.city.ac.uk/8407/.
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This thesis looks at the concept of involvement as it applies to older patients and their informal carers in the assessment of their own continuing care needs. In particular it is concerned with the nurse's role within the multidisciplinary team in facilitating the involvement of patients and informal carers in this process. The study was conducted in a district general hospital in London. Patient involvement in continuing care assessments was explored by following the care of 20 individual patients and their informal carers throughout their hospital stay, and after discharge in the community. Observations of key decision making activities in respect of these patients were contrasted with interviews with multidisciplinary staff who had been involved in their care, to provide insights into assessment practice. Interviews with patients and informal carers gave an indicator of how involved they felt in their own assessments. In addition, interviews with 32 multidisciplinary staff provided more general data on professionals' perceptions of their own roles with regard to involving patients in assessments. Analysis of the data revealed nurses were not being seen to be contributing to the assessment of patients' continuing care needs. Nurses' marginal position in continuing care assessments meant that it was particularly difficult for them to facilitate the involvement of patients and informal carers. What makes these findings all the more remarkable is the fact that nurses' continual presence on the ward was almost universally seen by the multidisciplinary team as offering them unrivalled opportunities to build a rapport with patients and thereby develop better understandings of their needs. Furthermore findings suggest that continuing care assessments and patient and informal carer involvement in this process may be affected by strategic and practice issues, as well as factors relating to patients and informal carers themselves. One explanation for these findings may be offered by Nolan et al.'s (2002) 'senses' framework. The application of the framework to the data suggests that a lack of attention to, 'the fundamentals of care' may affect professional practice. In particular, applying the framework to this multidisciplinary context suggests that a lack of these 'fundamentals of care' in one discipline may also affect the practice of other members of the multidisciplinary team. Moreover, the findings indicate that the framework may be incomplete and that it may require modification by the addition of a 'sense of expertise'. It is intended that generalizations may be made at a theoretical level from this case study.
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Michalopoulos, Helen. "Greek hospital and community nurse's role of offering support, counselling skills and nursing rehabilitation to parents of children with chronic medical, surgical or genetic conditions or disabilities." Thesis, Cardiff University, 2006. http://orca.cf.ac.uk/54252/.
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Children with altered body images due to chronic illnesses, surgery, genetic diseases or disabilities are living longer (Newacheck et al., 1998) which requires nurses to undertake their basic nursing role of providing psychological support though offering information, counselling and nursing rehabilitation (Johnson, 2000 Maguire and Parkes, 1998). The parents of these children face a drastic change in their lifestyle which requires them to adapt by using personal, family and community resources, according to Hentinen and Kyngas (1998). The aim of this study was to explore the perceptions of Greek nurses and parents of children with chronic health problems (CHP) in relation to the nurse's role of offering psychological support. This study used a data and methodological triangulation approach which included two levels of persons, parents and nurses, and a combination of qualitative and quantitative paradigms. A survey was given to 103 parents and 83 community or hospital nurses, from these samples 30 parents and 30 nurses were chosen to be interviewed. King's Conceptual Framework of Goal Attainment (CFGA) guided the study and provided a framework in which to present the findings. The main findings from the descriptive analysis, chi-square and Fisher's exact tests, along with the qualitative findings, concluded that many nurses and parents both felt that nurses were not well enough informed, many nurses had offered information but parents refused to accept it and that many parents and nurses were unaware of the nurse's role in nursing rehabilitation. A disagreement was found between the samples as to whether or not it was the nurse's role to evaluate the adaptation of the child and his parents, an important part of nursing rehabilitation according to Gibbons et al. (1995). Additional findings were that a few parents had the fear of surgery for their child, there was great disagreement concerning the importance of whether or not these children should attend public school and that many health conditions could have been prevented. Although religion had not been included in the questionnaire, during the qualitative portion of the study the parents emphasised the importance of their Greek Orthodox religion as a source of strength. Comparisons of the perceptions of both sample groups provided information which may assist in developing future approaches in nursing practice, nursing research and nursing education.
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Thomas, Cynthia W. "The lives of liver recipients in the long-term : a descriptive-exploratory study /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 192-203). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Hjalmarsson, Veronika. "Autonomi vid omvårdnad är inte alltid verkligheten för patienterna - En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27009.
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Bakgrund: Sjuksköterskans uppgift i hälso- och sjukvården är att värna om patientens styrkor i omvårdnaden. Personcentrerad omvårdnad innebär att ett holistiskt synsätt och förhållningssätt till patienten praktiseras i omvårdnaden. Orems egenvårdsteori innebär att patientens hälsa främjas av att bedriva egenvård. Autonomi innebär självständighet och självbestämmande. Patientautonomi försummas inom omvårdnaden och det är därför väsentligt att undersöka patientens uppfattning av autonomins betydelse. Syfte: Att beskriva äldre och medelålders patienters upplevelse av autonomins betydelse vid omvårdnad. Metod: En litteraturöversikt där (n=16) kvalitativa artiklar söktes i databaserna PubMed och CINAHL. Analysen har skett genom att hitta teman och subteman utifrån likheter/skillnader i artiklarnas resultat. Resultat: Äldre och medelålders patienter upplevde att autonomi vid omvårdnad påverkade deras värdighet och identitet. Dessa påverkade patienternas välbefinnande och livskvalitet. Sjuksköterskan hade en betydande roll för möjligheten till autonomi, där tidsbrist, respekt för patienten och egna attityder kunde påverka autonomin. Majoriteten av patienterna upplevde inte autonomi vid omvårdnad. Konklusion: Både sjuksköterskan och patienten upplever att patientautonomi försummas vid omvårdnad vilket påverkar patientens välbefinnande och livskvalitet negativt. Tidigare forskning i ämnet är begränsat och det behövs vidare forskning kring ämnet.Background: The nurse's role in the health-care is to defend the patient's abilities. Person-centred care refers to the practice of a holistic approach towards the patient in the nursing care. Orem's theory of self care intends that patients' health benefits from practicing self care. Autonomy means independency and self-determination. Patient autonomy is found in previous research to be neglected in the nursing care, which makes it essential to further investigate the patient's experience of the meaning of autonomy. Aim: To describe elderly and middle-aged patients' experience of the meaning of autonomy in nursing care. Method: A review of the literature where (n=16) qualitative articles were searched for in the databases PubMed and CINAHL. The analysis focused on finding themes and subthemes in the similarities/differences of the articles' results. Results: Elderly and middle-aged patients experienced that the autonomy in nursing care affected their dignity and identity, which also affected their well-being and quality of life. The nurse had a significant role in terms of the opportunity to autonomy, their time restraints, respect for patients, and attitudes could influence the autonomy. The majority of the patients did not experience autonomy. Conclusion: Both nurses and patients experience that patient autonomy is neglected, which influences the patient's well-being and quality of life negatively. Few studies describes the patients' experience of autonomy in nursing care, so further research in this area is needed.
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Osborne, Yvonne Therese, and res cand@acu edu au. "An Exploration of How Nurses Construct their Leadership Role During the Provision of Health Care." Australian Catholic University. School of Educational Leadership, 2006. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp102.11092006.
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This research explores how registered nurses constructed their leadership role during the provision of health care services in acute care, adult hospitals in Brisbane, Queensland, Australia. As health care organizations change to meet the demands of the twenty first century, nurses in Australia are coming to realize there is a dissonance between what they perceive to be the relevance of their work and the perception of the relevance of nurses’ work by others in the health care system. Consequently, nurses’ contributions to health care services are not recognized. The literature highlights that one way to address this problem is to articulate the various leadership roles contemporary nurses are asked to undertake. This is the aim of this thesis. This research seeks to illuminate the role of the nurse within changing health care systems by making clear the nature of their work through the perspectives of leadership. Consequently, the purpose of this study is to explore how nurses have undertaken leadership initiatives in their role as health care providers within contemporary health care organisations. The literature review generated following research questions: 1. How do nurses describe leadership within their health care organisations? 2. How do nurses experience leadership within their health care team? 3. How do nurses construct their leadership role whilst providing health careservices? In order to legitimate its findings this study aimed to provide a clear theoretical framework. In order to gain a clear understanding of the personal experiences and meanings of the participants, the theoretical framework for this study was underpinned by the interpretive philosophies the epistemological framework of constructionism and the theoretical perspective of symbolic interactionism. The methodology of case study enabled an empirical investigation of a contemporary nursing phenomenon, leadership wherein the researcher was able to pose questions to those nurses from whom most could be learned. Data were collected through two stages. In stage one, the exploratory stage data was collected through three focus group interviews. Stage two aided deeper exploration of the nurses’ leadership constructs with data obtained through one-to-one interviews. Analysis of the data enabled the development of a model of nurse leadership. Participants identified that their leadership was constructed through three perspectives of Self as Leader, Self and Others and Self in Action. The findings contrast the nurses’ unique leadership constructs to those of health care organisations, highlight the lack of acknowledgment for nurse leadership within health care teams, and demonstrate how the nurses’ leadership constructs influence their decision to act in the provision of patient care. This study concludes that as the nurses come to realise traditional leadership models are incompatible with their goal of achieving patient centred care, they have developed a different style of leadership to achieve their vision of patient centred care. Finally this study offers recommendations in the areas of nursing practice, nursing education and research.
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Rislund, Sabina. "Nurses’ Conception of their Role in Acupuncture Therapy in a Clinic in Chengdu, China : An empirical study investigating the nurses’ role in a Chinese setting." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-42644.
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Introduction: Acupuncture is an ancient Chinese treatment. It is difficult to know what role the nurse performs during acupuncture in Sweden since no guidelines exist. Indications that patients appreciate receiving acupuncture justifies investigating nurses’ work in China. Good practice may be uncovered that could provide the basis for understanding, defining and promoting the nurses’ role in acupuncture in other countries. Aim: The aim of this study was to describe the nurses’ conception of their role in acupuncture therapy in an acupuncture clinic in Chengdu, China. Method: A descriptive qualitative study. Data collection by methodological triangulation from observations and interviews. Result: Results show that the role of the nurse is to perform practical procedures, support patients and have responsibility for hygiene. Conclusion: Nurses have an important role in acupuncture therapy to carry out treatment as well as caring for the patients and treating them as individuals.
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Gallo, Maria L. "Nursing advocacy and the accuracy of intravenous to oral opioid conversion at discharge in the cancer patient." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003235.
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Smith, Bonnie Lee Barbara. "Expectations for the role of head nurse held by head nurses, nurses, directors of nursing, and doctors : a survey in four teaching hospitals." Thesis, McGill University, 1985. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=72038.
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Expectations and perceptions of expectations for the role of Head Nurse were investigated in four teaching hospitals of McGill University, Montreal, Canada. Head Nurses, nurses, Directors of Nursing, and doctors were respondents. The study examined three questions: What are the expectations held for the Head Nurse within groups? Are there differences in expectations held for the Head Nurse across groups? Are there differences between expectations of nurses and doctors for the Head Nurse, and Head Nurse perceptions of expectations of nurses and doctors?Factor analysis was performed on responses of Head Nurses, nurses, and doctors separately. Expectations within groups were determined by frequencies, means, and standard deviations. Differences in expectations between groups were tested by chi-squares.
Conceptualizations of the Head Nurse as manager, clinician, patient care co-ordinator, and teacher were supported. Five factors, identified as doctor's helper, clinical leader, communication link, determiner of quality of care, and manager, accounted for 67 to 82% of variance in all groups. All groups agreed that the Head Nurse should be a determiner of quality of care given. Significant differences in expectations between groups were found in regard to the Head Nurse as doctor's helper, and clinical leader, and in regard to other activities related to patients, staff, and the unit. Head Nurses tended to overestimate nurse expectations for the Head Nurse, and underestimate doctor expectations for the Head Nurse.
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Begum, Tiasha, and Valeria Nyström. "Sjuksköterskans erfarenheter av barnmisshandel." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-25990.
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Bakgrund: Anmälningarna av barnmisshandel har ökat på sistone och hälsovårdspersonal har som plikt att anmäla vid misstanke av barnmisshandel till Socialtjänsten. Det finns många riskfaktorer relaterade till om ett barn kommer att bli misshandlade eller inte, både kring förövarna men även riskfaktorer kring barnet. Statistisk sett är majoriteten av förövarna föräldrarna till barnet. Syfte: Att beskriva sjuksköterskans erfarenheter av barnmisshandel inom Hälso- och Sjukvården samt vidare beskriva en metodologisk ansats valda artiklar använt sig av. Metod: Beskrivande litteraturstudie utifrån nio kvalitativa och tre kvantitativa artiklar där medverkande sjuksköterskor haft erfarenhet av barn som utsatts misshandel. Resultat: Det framkom att sjuksköterskans erfarenhet av sin egna förmåga, känslor, stöd och omgivning påverkar hur och om anmälningen av barnmisshandel genomförs. Trots att sjuksköterskor i studierna var medvetna om anmälningsplikten var det en del sjuksköterskor som inte anmälde vid misstanke om barnmisshandel. Sjuksköterskorna erfors även av många olika känslor när de var inblandad i barnmisshandelsfall, samt att samtliga sjuksköterskor i studien erfor att de saknade kunskap av barnmisshandel och många önskade att de haft mer stöd när det kom till våld mot barn. Slutsats: Erfarenheten av barnmisshandelsfall tog hårt på sjuksköterskorna till den grad att vissa ignorerade tecknen och undvek att anmäla till Socialtjänsten. Sjuksköterskorna erfor att de behövde mer stöd från en erfaren kollega men även att de behövde mer kunskap och erfarenhet.Background: Reports of child abuse have increased recently and healthcare staff are obligated by law to report any possible suspicion of child maltreatment to the Social Services. There are a lot of risk factors involved concerning whether a child will be abused or not, factors related to the perpetrators but also factors related to the child itself. Statistically the majority of perpetrators are the child's own parents. Aim: To describe the registered nurses experiences of child abuse within healthcare and also to describe one methodological aspect of the articles that this study is based upon. Method: A descriptive literature review based on nine qualitative and three quantitative articles, where the participating registered nurses have experience of children that have been abused. Results: It was found that the nurse’s own personal experiences, based upon their own feelings, the support they received and the actual environment affects how and indeed if child abuse will be reported. Although the registered nurses were aware that they are obliged to report all cases, some nurses failed to report child abuse to the Social Services. The nurses experienced a variety of emotions that arose when they were involved in child abuse cases. All nurses in this study experienced that they lacked knowledge concerning child abuse also a lot of nurses wished that they had had more support during child abuse cases. Conclusion: The experience of child abuse cases severely affected the nurses even to the extent that some ignored the signs and failed to report to the Social Services. The registered nurses experienced a need for more support from an experienced colleague and wanted to attain more knowledge and experience themselves.
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Montgomery, Tamara L. "Staff Nurse Perception of Professional Role Modeling for Student Nurses in the Clinical Learning Environment." Otterbein University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1492596984491297.
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Bladh, Matilda, and Ida Norrström. "Att våga tala om sexualitet : en del av sjuksköterskans roll i kommunikation med patienten." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-16894.
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Då sexualiteten är en integrerad del av varje människas liv hör det till sjuksköterskans ansvarsområde att tala om ämnet med patienten för att kunna bedriva en holistisk vård. Flertalet sjukdomar och behandlingar kan ha en inverkan på patientens sexualitet. Många patienter känner ett behov av att kommunicera kring detta ämne, trots det är sexualitet ett område som ofta undviks av sjuksköterskan. Det är därför av vikt att undersöka varför det är så och vilka faktorer som främjar sjuksköterskans kommunikation kring sexualitet. Därför var syftet att belysa vad som hämmar och främjar sjuksköterskans kommunikation kring sexualitet med patienten. Arbetet utfördes som en litteraturstudie där 12 vetenskapliga artiklar analyserades för att finna hämmande och främjande faktorer. Dessa faktorer låg sedan till grund för resultatet. I resultatet framgick att sjuksköterskans utbildning, ålder, kön, yrkeserfarenhet och känslor inför sexualitet var faktorer som både kunde hämma och främja sjuksköterskans kommunikation kring sexualitet med patienten. Arbetsplatsen har också en betydelse för huruvida sjuksköterskan samtalar med patienten om ämnet. Även kulturella skillnader mellan sjuksköterska och patient påverkade samtal om sexualitet. Sexualitetens inverkan på hälsan bör belysas redan i grundutbildningen och sedan genom fortbildning på arbetsplatsen. Tydliga riktlinjer på arbetsplatsen och mer djupgående forskning krävs för att sjuksköterskan i framtiden ska kunna tala mer öppet om sexualitet.As sexuality is an integrated part of every person’s life and it is the nurse’s responsibility to talk about the subject with the patient in order to conduct a holistic health care. Many diseases and treatments may impact the patient’s sexuality. Most patients feel the need to communicate regarding this subject, but still sexuality is an area that the nurse often avoids. It is therefore important to examine why this is so and what factors promote the nurse's communication regarding sexuality. Therefore, the aim was to highlight what inhibits and promotes the nurse's communication regarding sexuality with the patient. The work was carried out as a literature study where 12 scientific articles were analyzed in order to identify inhibiting and promoting factors. These factors formed the basis for the result. The results showed that the nurse's education, age, gender, work experience and feelings about sexuality were factors that could both inhibit and promote the nurse's communication regarding sexuality with the patient. The workplace also has bearing on whether or not the nurse talks to the patient about the subject. Cultural differences between nurse and patient also affected the conversation about sexuality. Sexuality's impact on health should be elucidated in the nurse education and then through training in the workplace. Clear guidelines and more in-depth research is needed to promote nurses in the future to speak more openly about sexuality.
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Tsung, Pui-kee Peggy. "Nurses' role in smoking cessation knowledge, attitudes and behaviours /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B26294825.
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Mossberg, Lina, and Ulrika Lundgren. "Erfarenheter av hälsosamtalet i Sörmlands hälsoprogram : En intervjustudie utifrån de inbjudna deltagarnas perspektiv." Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-162368.
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Bakgrund: Risken att utveckla hjärt- och kärlsjukdom samt diabetes typ 2 ökar vid ohälsosamma levnadsvanor. Ett av distriktssköterskans uppdrag är att arbeta hälsofrämjande för att förebygga dessa sjukdomar. Sörmlands hälsoprogram är en del i ett hälsofrämjande arbete och riktar sig till 40-, 50- och 60-åringar inom Region Sörmland. Syfte: Att identifiera och beskriva inbjudna deltagares erfarenheter av hälsosamtalet i Sörmlands hälsoprogram. Metod: Deskriptiv design med kvalitativ ansats. Semistrukturerade intervjuer genomfördes med stöd av en intervjuguide. Tio personer som deltagit i hälsosamtalet är informanter i föreliggande studie. Datan analyserades med tematisk analys enligt Braun och Clarke. Resultat: Analysen resulterade i två övergripande teman; Deltagarnas erfarenheter av samtalets kringliggande faktorer och Samtalets olika dimensioner och dess betydelse. Under vardera temat finns två underliggande subteman som skildrar resultatet. Slutsats: Sörmlands hälsoprogram som helhet och hälsosamtalet som en del i detta uppskattas av de som deltar. Hälsosamtalet upplevs som respektfullt och neutralt där informanterna beskriver att de får tid att reflektera och komma till insikt om sina levnadsvanor och att det skapar en ökad motivation.Background: The risk of developing cardiovascular disease and type 2 diabetes increases with unhealthy living habits. One of the district nurse's tasks is to work in health promotion to prevent these diseases. Sörmland's health program is part of a health promotion work and is aimed at 40-, 50-and 60-year-old in the Region of Sörmland. Aim: To identify and describe invited participants' experiences of the health dialogue in Sörmland's health program. Method: Descriptive design with qualitative approach. Semi-structured interviews were conducted with the help of an interview guide. Ten people who participated in the health dialogue are informants in the present study. The data were analyzed using thematic analysis according to Braun and Clarke. Results: The analysis resulted in two overall themes; The participants' experiences of the surrounding factors of the health dialogue and the different dimensions of the health dialogue and its significance. Under each theme, there are two underlying subthemes that depict the result. Conclusion: Sörmland's health program as a whole and the health dialogue as part of this are appreciated by those who participate. The health dialogue is perceived as respectful and neutral where the informants describe that they are given time to reflect and gain insight into their living habits and that it creates an increased motivation.
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Flanigan, Kelly. "Nurses' Perceptions of Supports and Barriers in Transitioning to the Nurse Faculty Role." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2727.
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This project study addressed nurses' perceptions of supports and barriers in transitioning from a clinician to a faculty role in a 3-year diploma nursing program located in Eastern Pennsylvania. This problem is significant at both the local and national level due to the shortage of qualified nursing faculty members. A qualitative case study design using in-depth interviews was used. The framework to guide the study was Schoening's Nurse Educator Transition (NET) Model. The guiding question addressed perceptions of new nursing faculty members regarding supports and barriers of transitioning to the faculty role. Interview questions focused on participants' identification of their current NET phase, description of an ideal transition into the faculty role, and perceived supports and barriers to role transition. Purposeful sampling was used to obtain 8 new nursing faculty members who had 5 years or less of teaching experience. Interview data were analyzed and coded using a priori codes based on the NET model. The themes identified from data analysis were: being thrown in with no orientation to the role, supportive colleagues, lack of support from administration, formal orientation, assigned resource person, time in the role, and asking questions. Based on findings from the study, an orientation/mentorship program was developed to help support clinical nurses' transition into the nursing faculty role. The orientation/mentorship program could lead to a positive social change by having nursing faculty members remain in their role long term, decreasing both the nursing faculty and registered nurse shortage.
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Hyldegård, Jessica, and Johanna Rosdahl. "Eutanasi : Sjuksköterskans delaktighet." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-5239.
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Eutanasi, eller den svenska översättningen dödshjälp, innebäratt vårdpersonal genom olika åtgärder påskyndar döendet hossvårt sjuka patienter. Aktiv dödshjälp är olagligt i Sverigeliksom i flertalet andra länder. Samtidigt är det inte ovanligtatt patienter efterfrågar eutanasi med hänvisning till att dödendärigenom kan bli mer stilla och fri från lidande. Genom sinnära kontakt med patienten har sjuksköterskan en given roll idet som här kallas eutanasiprocessen. Syftet med litteraturstudienvar att beskriva sjuksköterskans delaktighet i eutanasiprocessen.Utifrån riktlinjerna för en litteraturstudie i Friberg(2008) har 11 artiklar granskats. Artiklarna söktes i databasernaCinahl, PubMed och Academic Search Elit. Resultatetpresenterades i teman vilka var; att ta emot frågan, attdelta vid ELD, att vara delaktig i den aktiva handlingen, attvara ett stöd för anhöriga efteråt och att uppleva delaktighetensom sjuksköterska. Det visade sig att det fanns flertaletfaktorer som påverkade sjuksköterskans medverkan i eutanasiprocessen.De sjuksköterskor som deltog i beslut om dödshjälpdeltog för det mesta också i den aktiva handlingen viddödshjälp samt i eftervården av anhöriga. Sjuksköterskornauppfattade det som viktigt att ha ett nära och bra samarbete iarbetsgruppen. Slutsatsen är att sjuksköterskan har en viktigroll i vården om patienter som efterfrågar eutanasi. Det ärviktigt att det finns klara och tydliga riktlinjer och regler attfölja för att säkerställa omvårdnaden vid situationer som dessa.Det behövs även tydliga instruktioner och handledning avnya sjuksköterskor för att de skall förberedas för möte medpatienter som efterfrågar eutanasi. Ytterligare forskning inomområdet kan bidra till en utveckling av vården som då bättrekan möta patienter som efterfrågar eutanasi.Eutanasi, eller den svenska översättningen dödshjälp, innebäratt vårdpersonal genom olika åtgärder påskyndar döendet hossvårt sjuka patienter. Aktiv dödshjälp är olagligt i Sverigeliksom i flertalet andra länder. Samtidigt är det inte ovanligtatt patienter efterfrågar eutanasi med hänvisning till att dödendärigenom kan bli mer stilla och fri från lidande. Genom sinnära kontakt med patienten har sjuksköterskan en given roll idet som här kallas eutanasiprocessen. Syftet med litteraturstudienvar att beskriva sjuksköterskans delaktighet i eutanasiprocessen.Utifrån riktlinjerna för en litteraturstudie i Friberg(2008) har 11 artiklar granskats. Artiklarna söktes i databasernaCinahl, PubMed och Academic Search Elit. Resultatetpresenterades i teman vilka var; att ta emot frågan, attdelta vid ELD, att vara delaktig i den aktiva handlingen, attvara ett stöd för anhöriga efteråt och att uppleva delaktighetensom sjuksköterska. Det visade sig att det fanns flertaletfaktorer som påverkade sjuksköterskans medverkan i eutanasiprocessen.De sjuksköterskor som deltog i beslut om dödshjälpdeltog för det mesta också i den aktiva handlingen viddödshjälp samt i eftervården av anhöriga. Sjuksköterskornauppfattade det som viktigt att ha ett nära och bra samarbete iarbetsgruppen. Slutsatsen är att sjuksköterskan har en viktigroll i vården om patienter som efterfrågar eutanasi. Det ärviktigt att det finns klara och tydliga riktlinjer och regler attfölja för att säkerställa omvårdnaden vid situationer som dessa.Det behövs även tydliga instruktioner och handledning avnya sjuksköterskor för att de skall förberedas för möte medpatienter som efterfrågar eutanasi. Ytterligare forskning inomområdet kan bidra till en utveckling av vården som då bättrekan möta patienter som efterfrågar eutanasi.
Euthanasia means that a health professional through variousmeasures accelerates dying in severely ill patients. Euthanasiais illegal in Sweden as in most other countries. While it´snot uncommon for patients requesting euthanasia on thegrounds that death thus can be more quiet and free from suffering.Through their close contact with the patient nurse hasa specific role in the euthanasia process. The aim of thisstudy was to describe nurses' involvement in the euthanasiaprocess. Based on the guidelines for a literature review ofFriberg (2008) 11 articles has been reviewed. Articles weresearched in the databases Cinahl, PubMed and AcademicSearch Elite. The results presented in themes which were, toreceive the question, to participate in the end of life decisions,to be involved in the active process, to provide supportfor relatives afterwards and to experience the involvement asa nurse. It turned out that there were several factors that influencednurses' participation in the euthanasia process. Thenurses who participated in decisions on euthanasia were forthe most part also in the active process of euthanasia and inthe aftercare of relatives. The nurses felt that it was importantto have close and good cooperation of the working team.The conclusion is that the nurse has an important role in thecare of patients seeking euthanasia. It is important to haveclear guidelines and rules to follow to ensure nursing care insituations like these. There is also need for guidelines and introductionof new nurses so that they can be prepared to meetpatients who requests euthanasia. Further research on euthanasiacan contribute to the development sot that the caregiversbetter can meet the patients requesting euthanasia.Euthanasia means that a health professional through variousmeasures accelerates dying in severely ill patients. Euthanasiais illegal in Sweden as in most other countries. While it´snot uncommon for patients requesting euthanasia on thegrounds that death thus can be more quiet and free from suffering.Through their close contact with the patient nurse hasa specific role in the euthanasia process. The aim of thisstudy was to describe nurses' involvement in the euthanasiaprocess. Based on the guidelines for a literature review ofFriberg (2008) 11 articles has been reviewed. Articles weresearched in the databases Cinahl, PubMed and AcademicSearch Elite. The results presented in themes which were, toreceive the question, to participate in the end of life decisions,to be involved in the active process, to provide supportfor relatives afterwards and to experience the involvement asa nurse. It turned out that there were several factors that influencednurses' participation in the euthanasia process. Thenurses who participated in decisions on euthanasia were forthe most part also in the active process of euthanasia and inthe aftercare of relatives. The nurses felt that it was importantto have close and good cooperation of the working team.The conclusion is that the nurse has an important role in thecare of patients seeking euthanasia. It is important to haveclear guidelines and rules to follow to ensure nursing care insituations like these. There is also need for guidelines and introductionof new nurses so that they can be prepared to meetpatients who requests euthanasia. Further research on euthanasiacan contribute to the development sot that the caregiversbetter can meet the patients requesting euthanasia.
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Hallberg, Charolina, and Marie Rydh. "Barnfetma - sjuksköterskans roll vid behandling/Child obesity - the nurse’s role during treatment." Thesis, Kristianstad University College, Department of Teacher Education, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-4601.
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Obesity is one of the biggest threats to child- and adolescent health. The amount of obese children is today increasing more in Sweden than in the US. This may in a couple of years have bad consequences for the Swedish children’s quality of life. When a child suffers from obesity it is a big stress on the body and can lead to serious consequences in adulthood. An effective treatment in the early stages is important to prevent further obesity to develop. Purpose: The aim of this study was to bring forward the nurse role during treatment of obese children. Method: A literature study was performed and suitable articles were searched for in different Internet databases of which the result is based on. Result: The result is based on four main categories: inform and educate, recommend and motivate, follow up and co-operation. The result showed that nurses need to develop co-operation with the children’s parents. It is also important that the nurse motivates the children, especially the older ones to change their eating habits and increase their physical activity. Discussion: The nurse’s duty during treatment of child obesity needs to be clarified by for example increased education. The whole family needs to be involved for a succesful change of the child’s eating and physical habits.