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Crow, Sonia. "The integration of nursing education within higher education : an exploratory study." Thesis, University of Bristol, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297852.
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Burrows, Dee. "Engaging patients in their own pain management : an action research study." Thesis, Bucks New University, 2000. http://bucks.collections.crest.ac.uk/9966/.
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Traditionally analgesics have been the main stay of postoperative pain management. Taught non-pharmacological strategies have also been used. The possibility that patients may have a repertoire of self-generated strategies has tended to be overlooked. The aim of this study was to identify whether patients possess and utilise self-generated strategies for acute pain, and if so, to ascertain the effect of engaging patients in their postoperative pain management by supporting their strategies. To empower nurses to deliver effective pain management, and to promote evidence based practice, a second aim was to actively engage nursing staff in the process. A collaborative action research design based on critical theory was used to facilitate practitioner participation, enable practice development and generate a theoretical understanding of the issues. Three action research cycles were identified, each containing various methods and involving both patients and staff. The first cycle, entitled “telling the situation as it is”, described current practice from the ward staff’s perspective and identified 10 strategy themes through an outpatient survey. Cycle two focused upon “testing the proposed changes”. In contrast to many action research studies, a randomised controlled trial was undertaken to test the effect of incorporating patients’ self-generated strategies into postoperative pain management. The nursing staff were pivotal in both the decision to undertake the trial and in its management. The results indicated that identifying and supporting patients’ self-generated strategies significantly reduced postoperative anxiety, pain intensity and distress. Fewer experimental subjects required opiates, although non-steroidal anti-inflammatory consumption was increased in this group. Staff understanding and awareness of pain and their ability and confidence to manage pain increased. Certain staff also gained research skills. The third and final cycle, “creating change in practice: implementation and implications”, is being led by the nurses. The potential of action research to engage nurses in practice developments related to patient-centred care has been demonstrated.
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Andersson, Johanna, and Ellinor Hallberg. "Medical Information Systems & the Nursing Profession : a Sociotechnical Approach." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-354050.
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Due to the digitalization era and challenges faced by the healthcare sector, Medical Information Systems are now being extensively used at hospitals. The implementation of the systems is a complex task which entails a need for careful considerations from a managerial view, since the main purpose with implementing the systems is for managerial control. One of the things management should consider is the professional aspect. The nursing profession is a highly specific one, and this could implicate special considerations. The aim of this master’s thesis is to take on a sociotechnical approach towards the implementation of Medical Information Systems and investigate how the nursing profession is affecting the implementation process, and what it may implicate for hospital management. To answer the research question a qualitative approach has been chosen. The empirical data has been gathered through semi-structured interviews with nurses from the case organization. The result implies that the nursing profession have a substantial impact on the implementation process. Instead of embracing the instructions and support offered by management, the nurses develop their own way of working within the system.
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Hunnicutt, Jacob N. "Opioid Use and Safety in United States Nursing Homes." eScholarship@UMMS, 2018. https://escholarship.umassmed.edu/gsbs_diss/975.
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Background: Opioids are often used in nursing homes to manage non-malignant pain, but little is known about their long-term use, initiation, and comparative safety.
Methods: We used the Minimum Data Set 3.0 from 2011-2013 merged to Medicare and facility characteristics data to study opioid use and safety among older, long-stay residents. The specific aims were to examine the 1) prevalence of long-term opioid use; 2) geographic variation in the initiation of commonly used opioids (oxycodone, hydrocodone, tramadol); and 3) comparative safety of commonly used opioids and fracture hospitalizations.
Results: One in seven long-stay residents were prescribed opioids long-term. There was extensive geographic variation in the initiation of commonly used opioids, with oxycodone (9.4%) initiated less frequently than hydrocodone (56.2%) or tramadol (34.5%) but varying most extensively across the United States, with the majority of variation in prescribing explained by state of residence. Compared to hydrocodone initiators (7.9 fracture hospitalizations per 100-person years), those initiating tramadol had lower rates of fracture hospitalizations (subdistribution hazard ratio [HRSD] = 0.67, 95% Confidence Interval [CI]: 0.56-0.80), whereas oxycodone initiators had similar rates of fracture hospitalizations (HRSD=1.08, 95% CI: 0.79-1.48).
Conclusion: The prevalence of long-term opioid use was twice as common in nursing homes as community settings, with initiation patterns varying extensively by region and being strongly driven by state of residence. Although initiating tramadol was associated with lower rates of fractures than hydrocodone, questions on opioid risks and benefits remain and are especially pertinent given the high mortality rates in this population.
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Brakeville, Sue Lockhart Klass Patricia Harrington. "The roles and responsibilities of trustees related to endowment management and development at specialized colleges of nursing." Normal, Ill. Illinois State University, 2001. http://wwwlib.umi.com/cr/ilstu/fullcit?p3006615.
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Thesis (Ph. D.)--Illinois State University, 2001.Title from title page screen, viewed May 2, 2006. Dissertation Committee: Patricia Klass (chair), Edward Hines, David Strand, Susan Winchip. Includes bibliographical references (leaves 78-82) and abstract. Also available in print.
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Jones, Diana. "Mapping self-management strategies in Parkinson's disease : implications for physiotherapy practice and research." Thesis, Northumbria University, 2001. http://nrl.northumbria.ac.uk/472/.
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The overarching purpose of this research was to find out about life with Parkinson's disease and to use that knowledge to inform physiotherapy management. The project aimed to explore current and alternative ways in which professionals could seek to understand the experience of life with Parkinson's disease; to explore the implications of resultant new knowledge; and to investigate how physiotherapy relationships should take account of new ways of understanding and new knowledge. A spiral of research activity was undertaken comprising three successive cycles. The first two cycles were undertaken using case study methodology, focusing on the experience of life with Parkinson's disease from a group and an individual perspective. A wide range of qualitative and quantitative methods for both data collection (including interviews, disability and quality of life scales and activity monitoring) and data analysis were employed. The level and complexity of personal work undertaken by individuals to manage their condition was the principal theme to emerge from initial cycles. This insight led to the development of a tool — strategy mapping — to enable professionals to capture and use information about self- management in their interactions with individuals. The third cycle employed action research methodology to develop and evaluate the strategy mapping framework - centred on identifying strategies related to Self, Routines, Support and Involvement - in physiotherapy practice. A number of perspectives were developed in relation to the project's aims. The methodological perspective highlighted the need for commitment to listening to the experiential narrative and hearing the story of self-management. The ontological perspective offered the potential for practice and research to build on existing self- management solutions. The epistemological perspective pointed to addressing power differentials between knowledge bases to promote collaborative therapy relationships. The full potential of a paradigm shift which attempts to increase the degree of alignment between the everyday lives of individuals with Parkinson's disease and physiotherapy practice, education and research remains to be uncovered.
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Henley, Janet. "Exploration of the process of changing district nursing practice to reflect research findings in the management of female urinary incontinence." Thesis, Queen Margaret University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394549.
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Van, Dyk Anneline Lynette. "Die bepaling van standaarde vir die eenheidsbestuurder in geselekteerde hospitale." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51692.
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Thesis (MCur)--Stellenbosch University, 2000.ENGLISH ABSTRACT: The traditional management practice of the unit manager has changed dramatically in the past decade. She is responsible to supply nursing services in an environment which is characterized by smaller operational budgets, rapid developments and changes in every sphere. The researcher has identified deficiencies in the management process of the unit manager. This led to the evaluation of the management activities of the unit manager in a selected group of hospitals. A quantitative, non-experimental, descriptive approach was followed with a questionnaire survey as research design. Standards were set and the management activities were evaluated against these standards. The main findings were: • The unit manager was not 100% involved in her comprehensive management task • The unit manager did not have the necessary training to empower her to manage effectively. The researcher recommends that the unit manager should be empowered by inservice education programmes but should also follow the formal management programmes at a recognized tertiary education institution. Keywords: Unit management / Standard formulation
AFRIKAANSE OPSOMMING: Die tradisionele bestuurspraktyk van die eenheidsbestuurder het oor die afgelope dekade dramaties verander. Sy is verantwoordelik vir die verskaffing van verpleegdienste in 'n omgewing wat gekenmerk word deur kleiner operasionele begrotings, vinnige vooruitgang en veranderinge op alle gebiede, Die navorser het leemtes in die bestuursproses van die eenheidsbestuurder geïdentifiseer. Dit het gelei tot die evaluering van die bestuursaktiwiteite van die eenheidsbestuurder in 'n geselekteerde groep hospitale. 'n Kwantitatiewe, nie-eksperimentele beskrywende navorsingsbenadering is gebruik met 'n vraelysopname as navorsingsontwerp. Standaarde is gestel waarteen die bestuursaktiwiteite geëvalueer is. Die belangrikste bevindinge was dat: • Die eenheidsbestuurder nie 100% betrokke was by haar omvangryke bestuurstaak nie • Die eenheidsbestuurder nie oor die nodige opleiding beskik wat haar bemagtig om hierdie bestuurstaak effektief te verrig nie. Die navorser beveel aan dat die eenheidsbestuurder bemagtig moet word deur middel van indiensopleidingsprogramme maar ook deur formele bestuursopleiding aan 'n erkende tersiêre opvoedkundige intansie moet te volg. Sleutelwoorde: Eenheidsbestuur/standaard formulering
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Dent, Heather Elizabeth. "Development of a research base and management protocol for the use of nurses caring for patients with nausea and vomiting following acute myocardial infarction." Thesis, University of Exeter, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287999.
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Kobayashi, Rika Miyahara. ""Caracterização da disciplina noções de administração de enfermagem dos cursos de técnico de enfermagem"." Universidade de São Paulo, 2002. http://www.teses.usp.br/teses/disponiveis/7/7131/tde-06082003-041315/.
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Kobayashi RM. Caracterização da disciplina noções de administração de enfermagem dos cursos de técnico de enfermagem. [dissertação] São Paulo (SP): Escola de Enfermagem da USP; 2002 Este estudo, do tipo exploratório e documental, teve como propósitos identificar as competências e os enfoques temáticos descritos nos Planos de Ensino da disciplina Noções de Administração em Enfermagem dos cursos Técnico de Enfermagem. A população foi composta por 26 Planos de Ensino das escolas/cursos, em sua maioria, entidades particulares, que formam Técnicos de Enfermagem já há entre 1 a 5 anos, com turmas de 21 a 30 alunos, nos três turnos. A disciplina em questão era trabalhada em diferentes momentos do curso, com carga horária entre 25 e 50h, ministrada por 1(um) a 2 (dois) docentes nas aulas teóricas e no estágio supervisionado, sendo este último realizado em unidades de internação. Com relação às competências gerais e específicas descritas nos Planos de Ensino, obtivemos que a competência do saber fazer (59%, 54%) e do aprender a conhecer (34%, 45%) prevaleceram sobre a competência do saber ser (7%, 1%) mostrando que o saber fazer ainda é prevalente, mas também aponta que o aprender a conhecer é necessário à instrumentalização para o desenvolvimento do saber fazer. Dentre os resultados, relativos aos enfoques temáticos, foram encontrados os processos de trabalho voltados para a assistência de enfermagem e a estrutura organizacional. Assim, acreditamos que este estudo possa contribuir àqueles que trabalham com a educação profissional em enfermagem, permitindo o repensar as competências profissionais desejadas ao TE, conforme o perfil estabelecido bem como, estimulando a reflexão de como este pode atuar nos processos administrativos, sob supervisão do enfermeiro. Descritores: Educação em enfermagem. Técnicos de enfermagem. Pesquisa em administração de enfermagemKobayashi RM. Caracteristics of the Course Basics of Nursing Administration for Practical Nursing Programs [master´s degree thesis] São Paulo (SP) School of Nursing at University of São Paulo; 2002 This exploratory study was based on course descriptions and aimed at identifying the competences and the topics addressed, as reported in the course description of Basics of Nursing Administration for Practical Nursing programs. Twenty-six practical nursing programs were studied. Most programs have been offered by private schools/institutions for 1 to 5 years. Twenty-one to thirty students attended these courses, offered in the mornings, afternoons, and evenings. Basics of nursing administration was offered in the beginning, middle or end of the program, depending on the institution, and lasted 25-50 hours. One or two teachers were in charge of both theory and clinical practice, which took place in hospitals, mainly in inpatient units. When both general and specific competences described in the programs were analyzed, the know to do competence (59%, 54%) and the learn to know competence (34%, 45%) prevailed against the know to be competence (7%, 1%). This shows that the know to do competence prevails in practical nursing programs. It also shows that the learn to know competence is necessary as a tool for developing the know to do competence. Findings for topics addressed in the programs, as reported in the course description, show that working processes are aimed at nursing assistance and at organizational structure. Thus, we believe that this study can contribute to those working in the field of professional nursing education as a tool to rethink professional competences required for practical nurses, according to the profile established, The study also encourages us to consider how practical nurses can effectly participate in the administrative processes, under the supervision of a registered nurse. Keywords: Nursing education, practical nursing, nursing management research
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Evdokimoff, Merrily Nan. "Testing the Efficacy of a Nurse-Led, Patient Self-Management Intervention to Decrease Rehospitalization in Older Adults." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2911.
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Thesis advisor: Rosanna DeMarcoAbstract Testing the Efficacy of A Nurse-Led, Patient Self-Management Intervention to Decrease Rehospitalization in Older Adults Merrily Evdokimoff, Ph.D. Rosanna DeMarco, Ph.D., Committee Chair Rehospitalization rates of 20% within 30 days of hospital discharge and 27% within 60 days are one of the highest strains on the federal Medicare budget. The Center for Medicare and Medicaid Services (CMS) has responded by imposing financial disincentives in reimbursement regulations directed to those providers deemed responsible for preventable rehospitalizations. Identifying cost-effective interventions that are appropriate for individuals with chronic illnesses that may be provided within the current home health care system of reimbursement is critical. The purpose of this quasi-scientific intervention study was to test the efficacy of a cost-effective, nurse-led intervention to decrease rehospitalizations of community dwelling older adult Medicare beneficiaries receiving certified home health services following an acute care hospital admission. The intervention was based on Eric Coleman's Care Transition Intervention SM utilizing a personal health record, patient goal setting, and knowledge of "red flags" or changes in condition. Coaching by the home care nurses was added to Coleman's intervention to facilitate support of patient self-management. Three home care agencies, 60 clinicians and 87 patients participated in the study. Findings demonstrated a lower rate of readmission to the hospital in patients receiving the intervention. However, it was not statistically significant. Significant differences were noted between the intervention and the comparison groups including more married or partnered members and higher Case Mix Weight (CMW) or acuity score within the intervention group. Among the rehospitalized participants, provision of a greater number of skilled nursing visits was found. Future replication of the study should include a larger sample and greater time for education of the clinical staff. Inclusion of therapists and productivity adjustments for participating staff during initiation of study is also needed. Further examination of the role of depression in rehospitalization with a larger sample would provide greater understanding of the role depression plays in self-management and rehospitalization
Thesis (PhD) — Boston College, 2012
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Moraes, Viviana Carolina Oyan de. "O desenvolvimento de um clube de leitura sobre o processo gerencial subsídio para o gerenciamento baseado em evidência /." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/153070.
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RESUMO O objetivo desse estudo é desenvolver um ambiente de aprendizagem para discussão de temas com enfoque nos componentes que possibilitam o Gerenciamento e a Prática baseados em Evidência junto aos gerentes de Enfermagem de unidades hospitalares. O método é a pesquisaação, apoiada em encontros denominados journalclub, ou clube de leitura, meio empregado para a coleta de dados com a participação de enfermeiros em posição gerencial. Tem a finalidade de fomentar discussões e sensibilização para pesquisa científica em um processo educativo sobre gerenciamento baseado em evidências. A técnica de grupo focal foi utilizada para apreender, na perspectiva dos participantes, o significado do processo educativo e as possibilidades de transformação da prática gerencial. Os encontros foram gravados e os discursos transcritos e codificados com ajuda do NVivo9 software© QRS International. Os dados foram analisados considerando o diagrama proposto para a pesquisa-ação: Planejamento, Desenvolvimento, Descrição e Avaliação do Processo Educativo adotando-se a análise de conteúdo conforme referencial de Graneheim e Lundman. Os resultados revelaram os temas que interferem no Gerenciamento Baseado em Evidências. No tema, Aspectos referentes à organização, os subtemas foram: planejamento, processo de trabalho, estrutura e gestão de pessoas. No tema, Aspectos referentes à equipe, foram desvelados os subtemas: autonomia, comportamento/atitude, sensibilização e problemas sociais. Este estudo mostrou a abrangência de temas que o clube de leitura como estratégia pode abordar em relação ao gerenciamento e o quanto o embasamento científico é importante no cotidiano dos gerentes de enfermagem para melhorar a qualidade da assistência e a capacidade do gerenciamento baseado em evidências.
ABSTRACT The purpose of this project is to develop a learning environment to discuss the issues based on management concept of hospital device management systems. The method is an action research, through a strategy of meetings called Journal Club, a methodology used for data collection with a participation of nurses in managerial position, aiming to discussions and sensitization for scientific research in an educational process about evidence-based management. The focus group technique was used to understand from the perspective of the participants the meaning of the educational process and the possibilities of transformation of the managerial practice. The meetings were recorded and the speeches were transcribed and decoded with the help of NVivo 9 QRS International software. The data were analyzed considering the proposed diagram for action research: Planning, Development, Delimitation and Evaluation of the Educational Process, adopting a content analysis according to Graneheim and Lundman. The results revealed the issues that interfere with evidence-based management. In the theme, Aspects related to the organization, the sub-themes were: planning, work process, structure and people management. The theme, Aspects referring to the team, revealed the sub-themes: autonomy, behavior / attitude, sensitization and social problems. This study showed the scope of topics that the reading club as a strategy can address in relation to management and how much the scientific background is important in the daily routine of nursing managers to improve the quality of care and the capacity of evidence-based management.
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Lindholm, Olinder Anna. "Self-management of diabetes in adolescents using insulin pumps." Doctoral thesis, Uppsala universitet, Institutionen för medicinska vetenskaper, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-122952.
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Insulin pump treatment (CSII) is considered the most physiological way to imitate the healthy body’s insulin profile in adolescents with diabetes. However, despite the use of CSII, achieving the recommended disease control is difficult for adolescents. The aim of this thesis was to explore aspects of self-management of diabetes in adolescents using insulin pumps in order to describe conditions contributing to the recommended disease control. Three methods of bolusing (normal, dual-wave and square-wave) in connection with pasta meals were tested in a crossover study among 15 adolescents with diabetes to assess whether one method was superior in managing glucose levels. A cross-sectional study among 90 adolescents being treated with CSII was conducted to investigate the management of CSII, including the administration of bolus doses. Two qualitative interview studies, based on the grounded theory method, were performed to gain insight into the processes involved in taking bolus doses and to investigate reasons for missed bolus doses and strategies for avoiding missing them. Twelve adolescents, four parents and one diabetes specialist nurse were interviewed. No method of bolusing was found to be superior in managing the glucose levels after these meals. The post-prandial glucose peaks were <10 mmol/L, in 48% of the cases, regardless of bolus methods. This indicates that adolescents can be encouraged to individually test which bolus method gives them the most normal post-prandial glucose levels. The cross-sectional study showed that adolescents were satisfied with CSII, but that 38% had missed more than 15% of the bolus doses the day under study. The frequency of bolus doses correlated with the disease control. Findings from the interview study revealed the need to clarify the responsibility for diabetes self-management in continuous negotiation between adolescents and parents to avoid insulin omission. The main reason for missed boluses was lost focus, and the strategies for remembering them were agreements involving reminders. The thesis describes that individual dose testing, clarification of responsibility and agreements involving reminders are conditions contributing to the recommended disease control. The thesis also describes that lost focus and a lack of responsibility can lead to insulin omission and be a hindrance to achieving disease control.Anna Kernell avled maj 2010.
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Apelman, Lisa, Raik Klawitter, and Simone Wenzel. "Organizations as Functioning Social Systems : A Review of Social Sustainability in Management and Organizational Research." Thesis, Blekinge Tekniska Högskola, Institutionen för strategisk hållbar utveckling, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-2324.
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One of the reasons, why it is difficult to implement the concept of social sustainability into organizations, is its inherent complexity and vagueness. The new Social Sustainability Principles (SSPs) within the Framework for Strategic Sustainable Development (FSSD) offer a clear definition of success for the social system. This study aims to put the new SSPs into an organizational context. It investigates how people-related issues within organizations, discussed in six organizational and management journals, published between 2009 and 2014, are related to the SSPs. One fourth of the 3305 reviewed articles were found to relate to social sustainability. Most of the articles focused on improving performance through aspects related to social sustainability. The articles mainly discussed aspects related to barriers to the SSPs as problems, solutions or positive aspects that could remove barriers to the SSPs. The results show that for organizational research to be able to support organizations moving towards social sustainability, there is a need for a clear definition of success as well as a frame that takes the whole social system into consideration. The FSSD and the SSPs could help to structure the diverse topics, put research problems in a bigger context and discern relevant problems and solutions.
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Smith, Annetta. "An action research inquiry exploring the transfer of pain knowledge from a continuing education course into practice." Thesis, University of Stirling, 2008. http://hdl.handle.net/1893/474.
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Acute and chronic pain conditions have a significant impact on the individual who is experiencing pain and resolution of pain continues to present a challenge to nurses and other health care professionals. It is widely accepted that pain education for nurses is necessary if nurses are to deliver effective, evidenced based pain care. Although it has been shown that participation in pain education improves nurses’ pain knowledge, very little is known about the way in which nurses use their improved pain knowledge in their practice or about the conditions that promote application of that pain knowledge. The aims of this study are (a) to explore the transfer of pain knowledge from a continuing education nursing course into practice, and (b) to investigate the impact that the nurses’ participation in action research has on their ability to improve aspects of their pain practice. Participants are 14 registered nurses who successfully completed two accredited pain course units as part of their BSc / BN degree in Nursing. The nurses formed two groups of inquiry, who used both their participation in the pain course and in action research to investigate and change aspects of pain assessment and management practices within their clinical areas. The inquiry groups were located in two different Health Board locations in Scotland. Following involvement in a pain course, the strategies used by the participating nurses to enhance their pain assessment and management practices are examined. Qualitative data was obtained through individual and group interviews, and analysis of significant incidents. An action research approach contributes to an understanding of conditions that promote application of pain knowledge into practice following participation in the course, and focuses on the possibilities for action and improvement of pain care. The findings from this study demonstrate how nurses develop a more patient-centred approach to pain care and become more accountable for their pain practice. The research also identifies a range of strategies used by nurses to improve collaborative working practices with their colleagues that help to reduce some of the obstacles to delivery of effective pain care. From the outcomes of the inquiry, it is evident that these nurses’ participation in action research has increased the possibilities of their involvement in pain practice interventions. Conditions are created through pain course participation and involvement in action research, which supports nurses’ transfer of pain knowledge into practice Additionally, findings demonstrate the potential action research has for identifying problems with pain care and its potential for helping to develop relevant and workable solutions for improving aspects of care. The findings from this study are significant because they inform teaching and learning approaches which can be used with pain education that helps to prepare nurses to deliver more effective pain care within their health care settings.
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Murphy, Nancy. "Studying and facilitating the development, installation, and initial implementation of an interdisciplinary buprenorhine treatment/practice with a publicly funded, HIV primary care, designated AIDS center in New York City| A practice-focused, action research, implementation study." Thesis, City University of New York, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3561905.
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Using Action Research, Implementation Science, and Institutional Ethnography, this practice-focused research explored inhibiting and promoting factors related to implementing buprenorphine treatment within HIV primary care while simultaneously developing, installing and initially implementing an interdisciplinary buprenorphine treatment/practice. Data was collected and analyzed using constructivist grounded theory method strategies. Data collection/generation included documentary analysis, key informant interviews, field data from collaborative interdisciplinary team processes, researcher reflective practice, a patient focus group, and an interdisciplinary buprenorphine treatment/practice manual.
The research had several achievements. It identified three key implementation inhibiting categories, (1) significant and persistent bias, (2) plaguing and difficult questions, and (3) buprenorphine expectionalism. It also developed countering implementation promoting categories, (1) be an educated advocate and dispel myths, (2) identify core components of interdisciplinary buprenorphine treatment and uniformity of care, and (3) dementionalizing interdisciplinary treatment/practice. It exposed scope of practice issues and mapped out the specifics of the types of services each discipline would provide, the detail of those practices, their coordination, as well as the areas of practice where there was joint responsibility and overlap. It increased the capacity and competences of the research organization and the 18 interdisciplinary buprenorphine team members. It also explicated the many forms of power operating in the study and the importance of power sharing, adapting treatment, leadership support, structural components and resources on the development and implementation process.
This study shed light on the reality that prescribing buprenorphine and taking up the practice of treating opioid dependence/addiction means that clinicians must be prepared and skilled to provide care where issues of life and death, emotional distress, and significant uncertainties are part of the landscape. The study findings also highlight that balancing safety (both patient and staff) with control and authority is an important aspect of buprenorphine treatment. An interdisciplinary focus expanded the concept of treatment and addressed many important aspects of caring for people with opioid dependence/addiction that often go unaccounted for and/or unnoticed. Without an interdisciplinary frame, patients are at risk for receiving substandard care. This study demonstrated that the interdisciplinary practices needed to provide quality care and improve health outcomes are interdependent.
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Bernardina, Lucienne Dalla. "Competências dos enfermeiros da área hospitalar construção e validação de instrumento /." Botucatu, 2019. http://hdl.handle.net/11449/181309.
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Orientador: Wilza Carla SpiriResumo: Diante da evolução tecnológica na área da saúde, as competências do enfermeiro, estão diretamente relacionadas a assistência, educação e gestão dos serviços de saúde prestados à população. Atualmente as Instituições Hospitalares possuem uma parcela significativa de alocações de enfermeiros, cujos administradores estão com o foco da atenção voltada às competências profissionais, visando diretamente a qualidade e custo da assistência prestada à população. O objetivo foi construir e validar um instrumento de avaliação de competências dos enfermeiros atuantes em um hospital. Trata-se de um estudo transversal, descritivo e metodológico, com abordagem quantitativa, para a validação do conteúdo de um instrumento de avaliação de competências do enfermeiro. Instrumento inicial de 69 itens e 6 dimensões, validado pela técnica Delphi, e análise da concordância e a consistência interna verificadas pelos Índice de Validade de Conteúdo (IVC), Coeficiente de Kappa (k) e coeficiente Alpha de Cronbach. Após aplicação e análise fatorial exploratória e confirmatória, teste de regressão logística multinomial o instrumento final ficou com 37 itens e 6 dimensões. Os juízes predominaram em 88,90% sexo feminino, média de tempo de atuação em gestão institucional e educacional de 23,2 anos. Em relação ao instrumento foi obtido IVC 0,95 e Alfa de Cronbach 0,92. Os juízes julgaram: 95,30% manter e 4,70% excluir as proposições, houve concordância quanto a representatividade do conjunto de afirmações fren... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Faced with technological developments in the health area, nurses' competences are directly related to the assistance, education and management of health services provided to the population. Currently, the Hospital Institutions have a significant portion of nurses' allocations, whose administrators are focused on professional competencies, directly targeting the quality and cost of care provided to the population. The objective was to construct and validate an instrument to evaluate the competences of nurses working in a hospital.This is a cross-sectional, descriptive and methodological study, with a quantitative approach, for the validation of the content of a nurse competency assessment tool. Initial validity of 69 items and 6 dimensions, validated by the Delphi technique, and concordance analysis and internal consistency verified by Content Validity Index (CVI), Kappa Coefficient (k) and Cronbach's Alpha coefficient. After application and exploratory and confirmatory factorial analysis, multinomial logistic regression test the final instrument was with 37 items and 6 dimensions.The judges predominated in 88.90% female, average time of performance in institutional and educational management of 23.2 years. In relation to the instrument was obtained CVI 0.95 and Cronbach's Alpha 0.92. The judges judged: 95.30% maintain and 4.70% exclude the propositions, there was concordance as to the representativeness of the set of affirmations against the theoretical universe. Of the 180 n... (Complete abstract click electronic access below)
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Audulv, Åsa. "Being creative and resourceful : Individuals’ abilities and possibilities for self-management of chronic illness." Doctoral thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-13512.
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Individuals’ self-management styles are crucial for how they manage to live with illness. Commonly investigated factors include social support, self-efficacy, health beliefs, and demographics. There is a gap in the literature with regard to in-depth studies of how those factors actually influence an individual’s self-management. The aim of this thesis was to investigate the underlying mechanisms of self-management from the perspective of individuals living with chronic illness. Interviews were conducted with 47 individuals with various chronic illnesses, some of them repeatedly over two and a half years (a total of 107 interviews). The material was analysed with; constructive grounded theory, content analysis, phenomenography, and interpretive description. The Self-management Support Model identified aspects that influenced participants’ self-management: economic and social situation, social support, views and perspectives on illness, attribution of responsibility, and ability to integrate self-management into an overall life situation. For example, individuals with a life-oriented or disease-oriented perspective on illness prioritized different aspects of self-management. People who attributed internal responsibility performed a more complex self-management regimen than individuals who attributed external responsibility. In conclusion, individuals who were creative and resourceful had a better chance of tailoring a self-management regimen that suited them well. People in more disadvantaged positions (e.g., financial strain, limited support, or severe intrusive illness) experienced difficulty in finding a method of self-management that fit their life situation. These findings can inspire healthcare providers to initiate a reflective dialogue about self-management with their patients.Exploring individuals’ conceptions as a way to understand self-management among people living with long term medical conditions
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Kwocz, Fabienne. "Les cadres de santé à la croisée du management et du prendre soin : formation et usages de la recherche dans l'accompagnement des équipes soignantes." Thesis, Tours, 2017. http://www.theses.fr/2017TOUR2032/document.
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Le métier de cadre de santé de proximité dans les structures hospitalières publiques s’est profondément modifié depuis ces dix dernières années. Ses missions très largement tournées aujourd’hui vers des fonctions de management et de gestion, l’éloignent de celles d’encadrement des équipes soignantes vers une qualité de soins aux patients. Certains ne se retrouvent pas dans ce changement de profil et vivent très difficilement ces évolutions. L’intention de cette thèse est de porter un regard sur ce qui entre en jeu dans cette tension et d’interroger les éléments de la formation qui permettraient de la déjouer. Parmi ces éléments, la formation à la recherche - une certaine recherche dont les contours seront précisés - pourrait-elle permettre au cadre de santé de redonner sens à sa fonction ? L’auteur s’attache tout d’abord à définir, au travers de l’histoire, de son évolution et de sa formation, la fonction du cadre de santé. Puis, il examine ce qui la caractérise aujourd’hui à partir de trois notions principales : manager, encadrer, accompagner. Finalement, il éclaircit la question du prendre soin dans la fonction de cadre de santé. Ces éléments permettent de comprendre en quoi la démarche de recherche peut être un levier pour mettre en valeur l'art du prendre soin dans la pratique du cadre de santéThe position of nursing team managers in public hospital facilities has changed dramatically over the past ten years. It is now strongly focused on organization and administrative tasks, which draw them away from their role as nursing team managers dedicated to quality care to patients. Some of them resent this change in their job profile and find it very difficult to cope with this evolution. The intent of this thesis is to look into what causes this strain and to examine which elements in the training program could help prevent it. Among those elements, could research training (in a specific type of research to be defined further on) enable nursing team managers to enjoy their professional activity? First the author will define the function of nursing team manager through its history, its evolution and training methods. The author will then consider its specificities in the present day, based on three primary concepts: organization, management and support. Finally he will clarify the ‘care’ issue in the scope of the nursing team manager’s activity. These elements will give an understanding of how the research approach can promote the ‘art’ of ‘caring’ in the nursing team manager’s activity
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Magalhães, Ana Maria Müller de. "Carga de trabalho de enfermagem e segurança de pacientes internados em um hospital universitário." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/49116.
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Estudo com delineamento de método de pesquisa misto sequencial explanatório, no qual adotou-se um desenho transversal retrospectivo na fase quantitativa e acrescentou-se uma estratégia qualitativa, através da discussão em grupos focais e do uso de métodos fotográficos, na perspectiva do pensamento ecológico e restaurativo. O objetivo geral do estudo consistiu em analisar a carga de trabalho de enfermagem e sua potencial relação com a segurança do paciente, em unidades de internação das áreas clínica e cirúrgica de um hospital universitário. Os dados foram coletados no Hospital de Clínicas de Porto Alegre, em duas etapas. Na etapa quantitativa, a população e a amostra consistiram dos pacientes internados e dos profissionais de enfermagem que estavam atuando nas onze unidades de internação, no período de janeiro a dezembro de 2009, dos quais foram obtidos os indicadores mensais de qualidade assistencial e gerencial de segurança dos pacientes, assim como a carga de trabalho das equipes de enfermagem nos doze meses. Na etapa qualitativa, as informações foram coletadas por meio da técnica de grupos focais e métodos fotográficos de pesquisa, com os profissionais de enfermagem de uma das unidades pesquisadas, no período de agosto a novembro de 2011. Na primeira etapa, empregou-se a análise descritiva e analítica dos dados, com o recurso do SPSS/PASW 18.0, e aplicação do teste de Equações de Estimativas Generalizadas, considerando-se o intervalo de confiança de 95% e significância de 5%. Na segunda etapa, as informações foram organizadas, com o recurso do programa NVivo 9, e submetidas à análise de conteúdo temática. Os resultados indicam que a carga de trabalho das equipes de enfermagem, expressa pela razão do número de pacientes por enfermeiro/dia, variou de 2,97 a 8,97 e pela razão do número de pacientes por auxiliar-técnico de enfermagem/dia apresentou variação de 1,13 a 2,17. A partir dos valores de B, que medem a associação entre o fator em estudo e os desfechos, identificou-se que, para cada unidade que se aumenta na razão paciente por enfermeiro, aumenta-se em 0,189 a incidência de queda do leito, em 0,157 a infecção relacionada a cateter vascular central, em 0,171 o turnover e em 0,268 o absenteísmo. Evidenciou-se que, para cada unidade que se acresce na razão paciente por auxiliar/técnico de enfermagem, aumenta-se em 1,437 a incidência de queda do leito, em 1,095 a infecção relacionada a cateter vascular central, em 0,864 o turnover, em 1,933 o absenteísmo, e diminui-se em 10,799 a taxa de satisfação dos pacientes internados com a equipe de enfermagem. Os profissionais participantes do estudo apontaram a complexidade assistencial dos pacientes como um fator determinante para definir as atividades que causam maior impacto na carga de trabalho da equipe e na segurança dos pacientes. Nas discussões dos grupos focais, assim como na caminhada e narrativa fotográficas, foram destacadas as ações de cuidado como a administração de medicamentos, banho de leito e transporte dos pacientes, como aquelas que têm maior repercussão na carga de trabalho da equipe e chance de gerar riscos para a segurança dos pacientes, do ambiente e dos profissionais de enfermagem.A study employing a mixed explanatory sequential research method, in which a retrospective cross-sectional design was adopted in the quantitative phase with the addition of a qualitative strategy, by means of discussion in focus groups and the use of photographic methods, from the perspective of ecological and restorative thinking. The general objective of the study lies in analyzing the nursing workload and its potential relation to patient safety, in in-patient units in the clinical and surgical wards of a university hospital. Data was collected from Hospital de Clínicas, in Porto Alegre, in two stages. In the quantitative stage, the population and the sample consisted of in-patients and nursing professionals operating in the eleven in-patient wards, in the period from January to December, 2009, from which monthly indicators were obtained for care and management quality concerning patient safety, along with the work load of the nursing teams over the twelve month period. In the qualitative stage, information was collected by means of the focus group technique and photographic research methods, with the nursing professionals from one of the researched units, in the period from August to November, 2011. In the first stage, descriptive and analytical analysis of the data was employed, using the SPSS/PASW 18.0 tool, and application of the generalized estimating equation test, considering an interval of confidence of 95% and significance of 5%. In the second stage, the information was organized using the NVivo 9 program, and submitted to thematic content analysis. Results indicate that the work load of the nursing teams, expressed through the ratio of the number of patients per nurse/day, varied between 2.97 and 8.97 and the ratio of the number of patients per nursing technician assistant/day presented a variation from 1,13 to 2,17. Based on the values of B, which gauge the association between the factor under study and the outcome, it was noted that, for each unit in which the patient ratio per nurse is increased, the occurrence of falls from beds increases by 0.189, while infection related to central vascular catheter increases 0.157, the turnover by 0.171 and absenteeism by 0.268. It was shown that, for each unit in which the patient ratio is increased per nursing technician/assistant, there is an increase of 1,437 in the occurrence of bed falls, a 1,095 increase in infection related to central vascular catheters, a 0,864 increase in turnover, a 1,933 rise in absenteeism, and a reduction of 10,799 in the in-patient satisfaction rate regarding the nursing team. The professionals participating in the study point out patient care complexity as a determining factor in defining the activities that cause the greatest impact on the work load of the team and the safety of patients. In the focus group discussions, as well as in the photographic narrative and walk-through, care actions such as medication administration, bed bathing and the transport of patients were highlighted as those with the highest repercussion on the team workload and the chance of generating risks to the safety of patients, the environment and the nursing professionals.
Estudio con delineación de método de investigación mixto secuencial explanativo, en el cual se adoptó un diseño transversal retrospectivo en la etapa cuantitativa y se añadió una estrategia cualitativa, mediante una discusión en grupos focales y del uso de métodos fotográficos, en la perspectiva del pensamiento ecológico y restaurativo. El objetivo general del estudio constituye en analizar la carga de trabajo de enfermería y su potencial relación con la seguridad del paciente, en unidades de internación de las áreas clínica y quirúrgica de un hospital universitario. Los datos fueron recolectados en el Hospital de Clínicas, de Porto Alegre, en dos etapas. En la etapa cuantitativa, la población y la muestra consistieron de los pacientes internados y de los profesionales de enfermería que estaban actuando en las once unidades de internación, en el período de enero a diciembre de 2009, de los cuales se obtuvieron los indicadores mensuales de calidad asistencial y administrativa de seguridad de los pacientes, así como la carga de trabajo de los equipos de enfermería en los doce meses. En la etapa cualitativa, las informaciones fueron recolectadas por medio de la técnica de grupos focales y métodos fotográficos de investigación, con los profesionales de enfermería de una de las unidades investigadas, en el período de agosto a noviembre de 2011. En la primera etapa, se empleó el análisis descriptivo y analítico de los datos, con el recurso del SPSS/PASW 18.0, y aplicación del test de Ecuaciones de Estimativas Generalizadas, considerándose el intervalo de confianza del 95% y significancia del 5%. En la segunda etapa, las informaciones se organizaron, con el recurso del programa NVivo 9, y sometidas al análisis de contenido temático. Los resultados indican que la carga de trabajo de los equipos de enfermería, expresa por la razón del número de pacientes por enfermero/día, varió de 2,97 a 8,97 y por la razón del número de pacientes por auxiliar-técnico de enfermería/día presentó variación de 1,13 a 2,17. A partir de los valores de B, que miden la asociación entre el factor en estudio y los resultados, se identifica que, para cada unidad que se aumenta en la razón paciente por enfermero, se aumenta en 0,189 la incidencia de caída del lecho, en 0,157 la infección relacionada a catéter vascular central, en 0,171 el turnover y en 0,268 el absentismo. Se evidenció que, para cada unidad que se añade en la razón paciente por auxiliar/técnico de enfermería, se aumenta en 1,437 la incidencia de caída del lecho, en 1,095 la infección relacionada a catéter vascular central, en 0,864 el turnover, en 1,933 o absentismo, y se disminuye en 10,799 la tasa de satisfacción de los pacientes internados con el equipo de enfermería. Los profesionales participantes del estudio señalan la complejidad asistencial de los pacientes como un factor determinante para definir las actividades que causan mayor impacto en la carga de trabajo del equipo y en la seguridad de los pacientes. En las discusiones de los grupos focales, así como en la caminata y narrativa fotográficas, se destacaron las acciones de cuidado como la administración de medicamentos, baño de lecho y transporte de los pacientes, como aquellas que tienen mayor repercusión en la carga de trabajo del equipo y oportunidad de generar riesgos para la seguridad de los pacientes, del ambiente y de los profesionales de enfermería.
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Moffat, Mary I. "Certified Case Managers’ Lived Experiences in Hospital Networks: A Phenomenological Inquiry." Ohio University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1510574423348934.
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Sadlon, Penni P. "Eastern Woodlands Native Perspectives and Type 2 Diabetes: A Qualitative Study." eScholarship@UMMS, 2020. https://escholarship.umassmed.edu/gsn_diss/62.
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Purpose: This qualitative descriptive study was undertaken to describe Eastern Woodlands Native adult perspectives, health care beliefs and type 2 diabetes management experiences.
Specific Aims: The specific aims were to 1) explore and describe perceptions of type 2 diabetes among Eastern Woodland Native adults and how they relate to their understandings about the cause and treatment approaches to the disease, 2) describe how family, friends, and community intersect with type 2 diabetes management, 3) describe relationships with health care providers and 4) determine resources that would help diabetes-self management within their community.
Framework: The PEN-3 Model by Airhihenbuwa was the initial framework used for the study.
Methods: A qualitative descriptive design with maximum variation and snowball sampling was used and data was analyzed using qualitative content analysis.
Results: The overarching theme of Together We Can Return To Balance comprised five sub-themes: Coming to Know Life Paths with T2DM, Negotiating My Way Forward, Making Important Connections, Acknowledging the Imbalance, and Sticking Closer to Mother Earth illustrating physical, spiritual, and environmental health factors influencing DSM capacities.
Conclusion: Native perspectives should be viewed as a crucial contextual variation for type 2 diabetes care when developing DSMES and for improving DSM capacities in these populations.
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Marrs, Jo-Ann. "Research as an Experiential Experience." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7115.
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Cardoso, Adriana Serdotte Freitas. "Avaliação de desempenho de profissionais da saúde em uma instituição hospitalar pública." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/152707.
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A sistematização da avaliação de desempenho, levando-se em consideração a história da organização do trabalho, apresenta uma trajetória relativamente recente. Entretanto, o ato de avaliar sempre esteve presente no processo evolutivo da humanidade e o ser humano, desde o seu nascimento, é constantemente avaliado no âmbito de seus pares. O objetivo geral do estudo consistiu em analisar o processo de avaliação de desempenho de profissionais da saúde em uma instituição hospitalar pública. Desse eixo, desdobraram-se os objetivos específicos: caracterizar aspectos do ato de avaliar e do espaço/momento de ser avaliado na percepção dos sujeitos envolvidos nesse processo; identificar os aspectos que dinamizam e/ou obstaculizam o processo de avaliação de desempenho e discutir com a equipe multiprofissional estratégias facilitadoras do processo de avaliação de desempenho. Em Paulo Freire encontrou-se o marco teórico conceitual para ancorar a questão de estudo. A pesquisa tramitou na Plataforma Brasil, obtendo aprovação sob o CAAE número 47689015.0.0000.5347 e foi desenvolvida com profissionais da saúde de um hospital público, localizado em Porto Alegre, RS. Propôs-se uma investigação qualitativa, descritiva-exploratória, numa perspectiva dialética-emancipatória, em duas etapas, tendo coletado os dados entre novembro de 2015 e abril de 2016. Na primeira etapa participaram 65 trabalhadores em dupla condição de avaliador-avaliado, mediante preenchimento de um Questionário Semiestruturado Autoaplicado. Os resultados parciais desta etapa constituíram-se nos disparadores dos debates na segunda etapa da pesquisa. Houve três encontros de Grupo Focal com a participação de seis profissionais provenientes da primeira etapa. Para análise dos resultados das questões fechadas do questionário empregou-se a análise descritiva, enquanto que as informações das questões abertas e aquelas oriundas do grupo focal foram submetidas à análise de conteúdo temática e colocadas em diálogo com os conceitos do marco conceitual que norteia o estudo. O perfil dos participantes caracteriza predomínio do sexo feminino (89%), idade média de 42,68 anos, mediana de 18 anos de tempo de serviço na área da saúde e 10 anos na instituição. Na condição de avaliados (35%) e de avaliadores (44%), os respondentes consideram satisfatória a condução da entrevista avaliativa. Já a privacidade e confidencialidade no processo avaliativo é assegurada em ambas condições, alcançando índice de 65% das respostas. Para 51% dos participantes, o instrumento é adequado e supre demandas, mas, embora não explicitados, houve menção a entraves que derivam da cultura organizacional. Nos debates do grupo focal, os trabalhadores sinalizaram que a finalidade da avaliação de desempenho está vinculada à oportunidade para o desenvolvimento profissional, enfatizando a necessidade de alicerçá-la em um contexto dialógico capaz de potencializar a autorreflexão, a troca de saberes e a construção coletiva do conhecimento. Também, foi pontuado a respeito da cultura sobre avaliação de desempenho enquanto dinamizador/obstaculizador do processo avaliativo. Ainda, estratégias foram discutidas pelo grupo, reforçando a consolidação e fomento de espaços para diálogo e o impulso à noção de co-responsabilidade entre avaliador e avaliado para o exercício de um processo avaliativo crítico e propositivo.Considering the history of work organization, the systematization of performance appraisal is somewhat recent. However, evaluation has always been part of the evolutionary process of mankind, once man is constantly assessed by his peers. This study aims to analyze the process of performance appraisal of professionals in a public hospital. More specifically, it focuses on three objectives: to characterize the evaluation process and the location/moment of one’s state of being assessed under the perspective of the subjects; to identify points that enhance and/or hinder such process; and to discuss with the multi-professional team strategies to facilitate the performance appraisal process. This study was based on Paulo Freire’s conceptual framework. It was submitted to Plataforma Brasil, and approved under the CAAE code 47689015.0.0000.5347. It was carried out with health professionals in a public hospital in Porto Alegre, Brazil. This research employed a qualitative, descriptive-exploratory approach under a dialetical-emancipatory perspective. The data were collected between November 2015 and April 2016. The study comprised two phases. In the first phase, 65 professionals took part in the study both as evaluator and the person being assessed, filling out a Semi-Structured Questionnaire. The partial results from this phase triggered the debates in the second phase of the research. There were three focus group sessions with six professionals from the first phase. Descriptive analysis was employed for the results of the closed-ended questions, while the information gathered from the open-ended questions and focus groups was examined through thematic- content analysis and later discussed based on Freire’s conceptual framework. The subjects were mostly female (89%) and their average age was between 42 and 68 years old. They had been working for approximately 18 years in health care and 10 years at the hospital. The subjects being assessed (35%) as well as the evaluators (44%) considered the conduct of the appraisal interview satisfactory. Privacy and confidentiality of the evaluation process were also ensured in both conditions, reaching 65% of the answers. According to 51% of the participants, the tool is appropriate and meets the demands, but obstacles derived from organizational culture were mentioned, although not explicitly. In the focus group sessions, the employees linked the aim of the performance appraisal to professional development, which reinforces the need to base it on a dialogical context that promotes self-reflection, knowledge exchange, and collective construction of knowledge. Moreover, the subjects also highlighted that the culture of performance appraisal both enhanced and hindered the evaluation process. The group also discussed strategies, which shows the need for fostering opportunities for dialogue as well as for the encouragement of accountability between the evaluator and the one being assessed, in order to promote a critical and constructive evaluation process.
La sistematización de la evaluación de desempeño, llevándose en consideración la historia de la organización del trabajo, presenta una trayectoria relativamente reciente. Sin embargo, el acto de evaluar siempre estuvo presente en el proceso evolutivo de la humanidad y el ser humano, desde su nacimiento, es constantemente evaluado en el ámbito de sus pares. El objetivo general del estudio consistió en analizar el proceso de evaluación de desempeño de profesionales de la salud en una institución hospitalaria pública. De ese eje, se desdoblan los objetivos específicos: caracterizar aspectos del acto de evaluar y del espacio/momento de ser evaluado en la percepción de los sujetos involucrados en ese proceso; identificar los aspectos que dinamizan y/u obstaculizan el proceso de evaluación de desempeño y discutir con el equipo multiprofesional estrategias facilitadoras del proceso de evaluación de desempeño. En Paulo Freire se encontró el marco teórico conceptual para anclar la cuestión de estudio. La investigación tramitó en la Plataforma Brasil, obteniendo aprobación bajo el CAAE número 47689015.0.0000.5347 y fue desarrollada con profesionales de la salud de un hospital público, ubicado en Porto Alegre, RS. Se propuso una investigación cualitativa, descriptiva-exploratoria, en una perspectiva dialéctica-emancipatoria, en dos etapas, habiendo recolectado los datos entre noviembre de 2015 y abril de 2016. En la primera etapa participaron 65 trabajadores en doble condición de evaluador-evaluado, mediante llenado de un Cuestionario Semiestructurado Autoaplicado. Los resultados parciales de esta etapa se constituyeron en los disparadores de los debates en la segunda etapa de la investigación. Hubo tres encuentros de Grupo Focal con la participación de seis profesionales provenientes de la primera etapa. Para análisis de los resultados de las preguntas cerradas del cuestionario se empleó el análisis descriptivo, mientras que las informaciones de los temas abiertos y aquellos oriundos del grupo focal se sometieron al análisis de contenido temático y colocados en diálogo con los conceptos del marco conceptual que guía el estudio. El perfil de los participantes caracteriza predominio del sexo femenino (89%), edad promedio de 42,68 años, mediana de 18 años de tiempo de servicio en el área de la salud y 10 años en la institución. En la condición de evaluados (35%) y de evaluadores (44%), los que respondieron consideran satisfactoria la conducción de la entrevista evaluativa. Ya la privacidad y confidencialidad en el proceso evaluativo es asegurada en ambas condiciones, alcanzando índice del 65% de las respuestas. Para el 51% de los participantes, el instrumento es adecuado y suple demandas, pero, aunque no se explicite, hubo mención a trabas que derivan de la cultura organizacional. En los debates del grupo focal, los trabajadores señalaron que la finalidad de la evaluación de desempeño está vinculada a la oportunidad para el desarrollo profesional, enfatizando la necesidad de cimentarla en un contexto dialógico capaz de potenciar la autorreflexión, el intercambio de saberes y la construcción colectiva del conocimiento. También, se puntuó sobre la cultura sobre evaluación de desempeño como dinamizador/obstaculizador del proceso evaluativo. También, el grupo discutió estrategias, reforzando la consolidación y fomento de espacios para diálogo y el impulso a la noción de corresponsabilidad entre evaluador y evaluado para el ejercicio de un proceso evaluativo crítico y propositivo.
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Mansour, Tamam Botrous. "Teaching research to undergraduate nursing students." free to MU campus, to others for purchase free online, 2002. http://wwwlib.umi.com/cr/mo/preview?3052197.
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Hughes, Susan D. "Participatory Management and Absenteeism and Turnover of Nursing Assistants in Nursing Homes." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1609104/.
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Nursing assistants (NAs) provide the majority of daily care to older adults in nursing homes (NHs); NAs working in NHs are the focus of this study. This study examined the influence of participatory management (the independent variable), and mediating variables, burnout – measured as emotional exhaustion, task performance, and affective organizational commitment, on NA withdrawal behaviors (the dependent variables absenteeism and turnover). Most of the data come from a 113-item self-administered questionnaire designed to measure NAs' perceptions of their job and work environment. Turnover data were collected from the NA's NH, on average about 16 months later. The two dependent variables were examined in separate analyses with the samples consisting of 246 participants for the absenteeism analysis and 244 for the turnover analysis. Data were analyzed using SPSS 25 and PROCESS 3.3, an SPSS macro add-in. Both ordinary least squares and logistic binary regression were used to examine the associations between variables. The results indicated that participatory management had statistically significant indirect effects on both outcomes. There were two significant mediation results for absenteeism: 1) participatory management increased NA task performance, which, in turn, decreased absenteeism and, 2) participatory management also decreased NA burnout, which, in turn, increased their performance and decreased absenteeism. There were four significant mediation results for turnover: 1) participatory management increased NA attachment to the NH, which, in turn, decreased turnover, 2) participatory management improved NAs' perceptions of their job performance, which, in turn, increased their turnover, 3) participatory management tended to decrease NA burnout, which, in turn, tended to increase attachment to the NH, and, then, tended to decrease turnover, and 4) participatory management tended to decrease NA burnout, which, in turn, tended to increase task performance, and, then, tended to increase turnover. These findings broaden the research on NAs' withdrawal behaviors and demonstrate the need to further explore this hypothesized model.
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Mountcastle, Keitha K. "Barriers to research utilization among clinical nurse specialists /." For electronic version search Digital dissertations database. Restricted to UC campuses. Access is free to UC campus dissertations, 2003. http://uclibs.org/PID/11984.
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Thesis (Ed. D.)--University of California, Davis, 2003.Degree granted in Educational Leadership. Joint doctoral program with California State University, Fresno. Includes bibliographical references. Also available via the World Wide Web. (Restricted to UC campuses).
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Weierbach, Florence M. "Bridging Research and Practice." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7373.
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Washington, Georgita T. "Mentoring the Clinical Nurse in Nursing Research." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7606.
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The purpose of this article is to describe the research mentoring process used with a small team of nurses by a PhD prepared nurse certified as a Nursing Professional Development Specialist and as a Critical Care Clinical Nurse Specialist. It will describe how bedside nurses were actively engaged in the research process by having them learn about research while operationalizing that knowledge as simultaneously were mentored in conducting a relevant research study. The process described and discussed in this article should be useful to nurse leaders to facilitate removing the traditional barriers to nursing research that still remain in healthcare organizations today. These include lack of time and knowledge, about the process, lack of institutional support, and lack of mentoring through the process. It should also be helpful to nurse educators in the clinical area to encourage more nurses to participate in nursing research.
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Sather, Linda Strube. "Patient focused care : the path to empowered self-management a grounded theory approach /." Access Digital Full Text version, 1992. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11063890.
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Thesis (Ed.D.)--Teachers College, Columbia University, 1992.Typescript; issued also on microfilm. Sponsor: Elizabeth Maloney. Dissertation Committee: Jane Monroe, . Includes bibliographical references (leaves 85-90).
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Till, Theresa L. Riegle Rodney P. "The relationship between management performance and age and educational preparation of nursing students." Normal, Ill. Illinois State University, 2002. http://wwwlib.umi.com/cr/ilstu/fullcit?p3064525.
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Thesis (Ed. D.)--Illinois State University, 2002.Title from title page screen, viewed February 16, 2006. Dissertation Committee: Rodney P. Riegle (chair), Kenneth H. Strand, Donna A. Redding, Amelia D. Adkins. Includes bibliographical references (leaves 116-123) and abstract. Also available in print.
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Briggs, Emma Victoria. "Postoperative pain : nursing management and organisational commitment." Thesis, University of Hull, 2003. http://hydra.hull.ac.uk/resources/hull:5830.
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Postoperative pain management has been the subject of several national reports (Royal College of Surgeons of England and College of Anaesthetists, 1990; Audit Commission, 1997; Clinical Standards Advisory Group, 2000) that have each made recommendations for practice at ward level and Trust-wide strategies to improve pain management within an organisation. These two areas represent the foci of the work undertaken in this thesis. The research consisted of two studies; the first surveyed hospital Trusts in the Northern and Yorkshire region (n=35) and the second explored nursing care of 120 patients admitted to four English hospitals (two with an acute pain service) through nonparticipant observation, patient interviews and examination of nursing documentation. The questionnaire results highlighted increases in funding for pain management, staff education, audit practices and written guidelines compared to previous work by the Audit Commission (1998) but wide variations in the nature of these activities. In the second study, hospital two (without a pain service) achieved the lowest pain scores at rest (p=0.018) and on movement (p=0.013) but also had one of the lowest rates of analgesic administration and morphine equivalent doses. This ward had the highest number of pain-related interactions (p=0.004), entries onto pain assessment charts (p=0.03) and documented evaluations in nursing care plans. Data also illustrate the differences between observed and documented care in all hospitals and the low use of pain assessment tools in practice to inform analgesic decision-making. This study provides an insight into hospital activities aimed at improving pain management and surgical nursing practice across Trusts. Recommendations are made to further enhance pain relief in hospital including the promotion of pain as a quality of care indicator and increasing accountability within organisations.
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Bock, Evelyn Marieta. "Research supervision needs and experiences of master's students in nursing." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80105.
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Thesis (MCurr)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Background: Research supervision forms an essential part of higher education. The emergence of global trends in the production and dissemination of knowledge is compelling universities and university of technologies in South Africa to become more market-orientated, competitive and entrepreneurial. The supervision process is vital to successful completion of the research component of master’s degrees and consequently increase throughput in higher education. Successful and meaningful supervision contribute largely to mutual satisfaction and professional development between supervisors and students. Good supervision should be an integral component of quality research governance. Objective: The aim of this study was to explore research supervision needs and experiences of the master’s students in nursing. Methodology: A descriptive phenomenological research design was used with a qualitative research approach. A non-probability, purposive sampling method was used to select respondents in this study. The target population includes all nursing science master’s students enrolled at University of Stellenbosch in the past three years (N=109). A sample size of twelve students was included in the study, whereby all twelve face to face interviews were conducted using the semi-structured interview guide. The inclusion criterium for students was that they were all currently registered students who initially enrolled for the Masters in Nursing degree program between 2008 and 2010 in the division of Nursing at Stellenbosch University. Results: Eight themes arose from the interviews. These included: isolation; lack of skills/ time management; family dynamics/personal circumstances; supervisor support; student and supervisor roles and responsibilities; workplace dynamics and support; financial and institutional support and implications; and motivation to complete studies. Conclusions: Successful completion of research undertaken on postgraduate level and supervision at a master’s level depend on a healthy and productive relationship between the supervisor and the student. Exploring and implementing the guidance and suggestions in this paper will assist students in considering supervision preferences. This in turn will result in achieving a good supervisory relationship which is the key to successful master studies.
AFRIKAANSE OPSOMMING: Agtergrond: Navorsing toesighouding vorm ‘n belangrike deel van hoer onderwys. Die opkomende wêreldtendense in die toename en verspreiding van kennis verplig Resultate: Ag temas het vanuit die onderhoude voortgespruit. Dit het ingesluit: isolasie; gebrek aan vaardighede/tydsbestuur; familie-dinamika/persoonlike omstandighede; ondersteuning van toesighouer; rolle van student en toesighouer, asook verantwoordelikhede; werkplek dinamika/ondersteuning; finansiële en institusionele ondersteuning/implikasies en motivering om die studie te voltooi. Gevolgtrekking: Die suksesvolle voltooiing van die navorsing wat onderneem word op nagraadse vlak en toesig is afhanklik van ’n gesonde en produktiewe verhouding tussen die toesighouer en die student. Die nagaan en implementering van die leiding en voorstelle in hierdie studie sal die studente help in die oorweging van toesighouer voorkeure. Dit sal gevolglik aanleiding gee tot die bereiking van ’n goeie toesighoudende verhouding wat die sleutel is tot die suksesvolle voltooiing van magistergraad studies. universiteite en universiteite van tegnologie in Suid-Afrika om meer markgeoriënteerd, kompeterend en ondernemend te word. Suksesvolle en betekenisvolle toesig maak hoofsaaklik n bydra tot die onderlinge bevrediging en professionele ontwikkeling tussen toesighouers en studente. Goeie toesig behoort ’n integrale komponent van kwaliteit begeleiding in navorsing te wees. Doelwit: Die doel van hierdie studie was om die behoeftes van navorsingtoesig en ervaring van die magisterstudent in verpleging te ondersoek Metodologie: ’n Beskrywende, fenomenologiese navorsingsontwerp met ’n kwalitatiewe navorsingsbenadering is gebruik. ’n Nie-waarskynlike, doelbewuste steekproefmetode is gebruik om respondente vir hierdie studie te selekteer. Die teikenbevolking sluit in alle magisterstudente wat ingeskryf is vir verpleegwetenskap aan die Universiteit van Stellenbosch oor die afgelope drie jaar (N=109). ’n Steekproefgrootte van twaalf studente is ingesluit in hierdie studie, waaronder daar met al twaalf van aangesig tot aangesig onderhoude gevoer is deur gebruik te maak van die semi-gestruktureerde onderhoudsgids. Insluitingskriteria vir die studente was dat hulle almal bestaande geregistreerde studente moes wees wat aanvanklik ingeskryf het vir die program vir die Meestersgraad in Verpleging tussen 2008 en 2010 in die afdeling van Verpleging aan die Universiteit van Stellenbosch.
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Wadman, Wanda. "Staff nurses' attitudes and perceptions toward nursing research." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq23181.pdf.
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Nilsson, Kajermo Kerstin. "Research utilisation in nursing practice - barriers and facilitators /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-835-1.
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Ho, Mei-Yao. "Promoting research-based nursing practice in clinical settings." Thesis, Ulster University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.400863.
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Siddell, Erica Penley. "Maternal identity : finding a model for nursing theory and research /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
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Dettman, Lynn. "NURSING TURNOVER, IS IT ALL ABOUT PAY? A QUALITATIVE ANALYSIS OF NURSING TURNOVER IN RURAL HEALTHCARE." OpenSIUC, 2018. https://opensiuc.lib.siu.edu/dissertations/1561.
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This dissertation investigated the reason nurses (RNs, LPNs) stayed at one job for 20 years or longer and compared their responses to nurses (RNs, CMAs) who changed jobs more than four times in 20 years. The study divided their responses into two categories, hygiene factors or motivation factors, based on Herzberg’s two factor theory. The dissertation topic was chosen to determine if increased pay has a significant impact on the long-term employment of nurses, although quantitative research in the field heavily promoted pay as a solution to turnover. Healthcare companies incur costly consequences of turnover and this qualitative study adds information to the field on potential interventions to address and decrease turnover. This dissertation examined the real reasons these participants stayed at their jobs long-term and why these short-term employees left jobs frequently, with the results showing that pay would not decrease turnover of short-term employees. The long-term people stayed for motivation factors and the short-term people left to seek hygiene factors. The quantitative research in the field, focused on interventions to decrease turnover, was not supported in this research.
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Avin, Nadege. "Improving Diabetes Management in Elderly Haitians." Thesis, Grand Canyon University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10842164.
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Abstract For decades, type 2 diabetes mellitus (T2DM) has been prevalent in various vulnerable communities in America. American Haitians are disproportionately affected by T2DM. Diabetes is the primary cause of death among elderly Haitians, most of whom have no knowledge of diabetes management. The purpose of the project is to determine if an educational intervention would increase compliance with diet and exercise, decrease blood glucose, and promote successful management of T2DM among elderly diabetic patients living in District 16. A trans-theoretical model (TTM) that emphasizes intentional behavior change guided the project. A convenience sample of five females and five males ( n = 10) between 65 to 82 years of age who had been diagnosed with uncontrolled T2DM participated in the project. Interviews were conducted via focus groups and were audiotaped and analyzed using the Krueger and Casey method to extract themes. The emergent themes of the project were the standard of care for diabetes, diabetes care support, access to services and resources, diabetes knowledge and self-management, the educational intervention of diabetes, and cultural beliefs. There were marked differences in pre-mean finger sticks values of the participants when compared to post-intervention finger stick values; mean finger stick values began at 244.55 and decreased to 129.85. The efficacy of the exercises and diet were based on the difference in Finger stick values. A paired t-test showed a significant decrease in finger stick values, indicating finger stick improvement, and a reduction in baseline finger stick values after diabetes education intervention (t = 14.76; p < 0.05). Thus, diet and exercises decreased finger stick levels in Haitian patients with uncontrolled T2DM. There is limited transferability of the project due to small sample size.
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Medoh, Lisa N. "Prevention and Management of Postpartum Hemorrhage." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4465.
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Postpartum hemorrhage (PPH) remains a major traumatic event that can occur after delivery. All expectant women are considered to be at risk of PPH and its effects. PPH is a preventable condition and primary interventions including active management of the 3rd stage of labor, use of uterotonics, and uterine massage. Analysis of the project site showed that PPH affected approximately 15% of all deliveries that occurred between 2014 and 2015. The overarching aim of the project was to determine how a nursing-focused educational intervention would affect staff nurse knowledge regarding PPH to decrease the incidence rate. The goal of the project was to develop an educational module for obstetric and postpartum nurses about prevention and management of PPH, decrease the PPH incidence rate from 15% to 10%, and evaluate the obstetric and postpartum nurses' attitudes toward the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) guideline used to decrease the risk of PPH. Bandura's social learning and self-efficacy theories were used to guide the development and implementation of the educational intervention. A paired t test was used to analyze the differences in the staff nurses' knowledge of PPH before and after the educational intervention. The group's mean score preintervention was 53.65% and 90% postintervention, representing a 36.35% increase in the knowledge scores. The PPH rate decreased from 15% to 0% after implementation of the project. Social change will occur through a better understanding of the physiology of PPH and the positive adaptation of the use of AWHONN guidelines in managing PPH as such, may decrease mortality.
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Vanhook, Patricia M. "The Importance of Research in Stroke Centers." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7450.
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Nehring, Wendy M. "A Synthesis of Theory and Nursing Research Using High-Fidelity Patient Simulation." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6717.
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Book Summary: High Fidelity Patient Simulation in Nursing Education is a comprehensive guide to developing and implementing a high-fidelity patient simulation in a clinical setting. It is a necessary primer for administrators and nursing programs starting out with this technology. It includes examples for setting up a simulator program for nurses, developing and implementing this technology into particular clinical and laboratory courses, and setting up refresher courses in hospital settings. The text features appendices and case scenarios.
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Law, Emma. "Research in care homes : issues of participation and citizenship." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/25305.
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Across Scotland, there is a lack of research in care homes. This thesis explores this topic by examining links between inclusion, participation in general and participation in research and whether those who work and live in the care home environment experience social citizenship. Using a national survey and interviews with residents, staff, relatives and experts in care home research, this thesis investigated whether participation generally was linked to participation in research for residents, staff and visitors in a care home setting. The thesis further explored how social citizenship functions in a care home environment and whether there is a link between participation and citizenship. The findings suggest there is a lack of general participation which is connected with the leadership style and management within the care homes. There is misunderstanding about research and legislation amongst the care home staff, residents, visitors, as well as the junior research staff which inhibited staff and resident participation. Furthermore, citizenship is not experienced universally by residents or staff due to disempowerment, and exclusion occurs amongst residents due to age, frailty and dementia. By facilitating good leadership, communication and relationship-building such issues may be overcome. In addition, the analysis suggests a link is evident between inclusion, participation and citizenship. Where choice is provided and residents have their social position maintained, as well as have a degree of responsibility for shaping events, this leads to participation and inclusivity as described in Bartlett and O’Connor’s (2010) definition of social citizenship. Furthermore, if inclusion is adapted for cognition and frailty, then participation leads to the experience of social citizenship, encouraging a culture which can welcome research. The explicit emphasis on inclusion and participation in research has enabled this under-researched area of participation and experience of social citizenship in care homes to be more fully explored.
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Dunham-Taylor, Janne, Joseph Z. Pinczuk, and Jo-Ann Marrs. "Ethics in Nursing Administration in Health Care Financial Management for Nurse Managers." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/7105.
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Curtis, Kathleen Anne Public Health & Community Medicine Faculty of Medicine UNSW. "Trauma nursing case management: impact on patient outcomes." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/33367.
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Aim The purpose of the study was to formally identify trauma care delivery problems at the study institution, implement a solution in the form of trauma case management (TCM), and measure the effect of TCM on staff satisfaction, clinical coding accuracy and patient outcomes, using practice-specific outcome variables such as in-hospital complication rates, length of stay, resource use and allied health service intervention rates. This research also aimed to make a unique contribution to the international trauma literature by addressing the lack of any evidence specifically measuring the impact of trauma case management intervention. Methods St George Hospital is a 600 bed urban Teaching Hospital of the University of NSW. It is a designated Trauma Centre, seeing around 200 severely injured patients and around 2500 injury admissions per year. A series of focus groups and a staff satisfaction survey identified perceived problems associated with trauma care, and a trauma case management program was implemented. A preliminary study was conducted with positive results and funding was obtained to provide TCM seven days a week to all trauma patient admissions. A larger clinical trial was conducted and data from 754 patients were collected over fourteen months after TCM was introduced at the study hospital. These data were compared with 777 matched patients from the previous 14 months as a control group. An audit was conducted on trauma patient clinical coding using the daily progress record kept by the trauma case manager. The data were analysed with SPSS. The statistical tests used were Mann-Whitney U, chi-squared (2) logistic regression and generalised linear models. Results Focus groups and the staff satisfaction survey identified communication and coordination as the main problems associated with trauma care delivery. Following the initial implementation of the program, staff support for TCM was overwhelming. TCM greatly improved the rate of and time to Allied Health intervention (p<0.0001). Results demonstrated a decrease in the occurrence of deep vein thrombosis (p<0.038), coagulopathy (p=0.041) and respiratory failure. A reduced hospital length of stay (LOS), particularly in the paediatric (p<0.05) and 45 - 64 years age group was noted. There were 6621 fewer pathology tests performed (p<0.0001) and the total number of bed days was 483 days less than predicted from the control group. Many hospital clinical coding errors and omissions were highlighted by the TCM record comparison. The use of TCM records resulted in Twenty eight percent of recoded records having their Australian national diagnostic related group (AN-DRG) changed, which resulted in the identification over $39,000 in unidentified funding. Conclusion TCM improves staff satisfaction, communication and clinical coding accuracy. The introduction of TCM improved the efficiency and effectiveness of trauma patient care in our institution. This initiative demonstrates that TCM results in improvements to quality of care, trauma patient morbidity, financial performance and resource use. This research makes an important and original contribution to the international trauma literature by providing the results of a clinical trial formally measuring the impact of trauma nursing case management intervention.
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Russell, Anthony Charles. "A workshop intervention approach to nursing stress management." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/MQ33447.pdf.
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Blyden, Letitia. "Nursing knowledge and attitudes toward cancer pain management /." Staten Island, N.Y. : [s.n.], 2000. http://library.wagner.edu/theses/nursing/2000/thesis_nur_2000_blyde_nursi.pdf.
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Ko, Cindy. "Emotional Self-Management Experiences of Practical Nursing Students." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5739.
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In Ontario, Canada, practical nurses (PN) are educated through a 2-year diploma program. A review of PN program curricula in Ontario suggested that emotional intelligence (EI) and the core concept of emotional self-management are not specified in curriculum outcomes or courses. The study explored PN students' lived experiences with emotional self-management in the clinical settings where they are exposed to stress related situations using van Manen's orientation to hermeneutic phenomenology. The original four-branch ability model of EI by Mayer and Salovey was used as the theoretical framework to guide the explorative and interpretative processes of the study. Face-to-face interviews were conducted with a purposive convenience sample of 10 PN students at a southern Ontario community college in Canada. Van Manen's selective reading thematic analysis approach was used to analyze the data. Findings of this study suggested that the participants perceived themselves to have basic EI knowledge and are usually aware of their own and others' emotions, and indicated the notion of professionalism, ability to reflect, and empathy were meaningful in relation to EI. Participants expressed that their first knowing of EI provided them with more confidence and awareness and they would like to learn more about EI. An increased understanding of emotional self-management could enhance teaching and learning approaches, particularly with PN students who are exposed to high-stress clinical environments, thereby contributing to positive social change.
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Murphy, Kerri. "Nursing Staff Education for Heart Failure Disease Management." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6252.
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Heart failure (HF) has a global significance for the older population and is the most common reason for hospitalization. Patients with HF can reduce their risk for hospital readmissions and adverse outcomes through self-management of their disease. Nurses are responsible for educating patients about HF self-management; however, nurses at the project site lacked sufficient understanding and confidence to perform adequate HF patient education, creating a gap in practice. This project was guided by Pender's health promotion model and adult learning theory with the goal to increase nurses' knowledge and confidence with the self-management principles of HF. The purpose of this project was to develop an educational program for nurses to increase their knowledge of HF disease management and patient self-management principles. The education program was supported by research literature and recommendations from the Agency for Healthcare Research and Quality, in addition to input from a planning team consisting of 3 nursing leaders from the project site. The planning team provided process evaluation regarding satisfaction with the planning process by completing an anonymous, 10-question, Likert-type survey. Seven project evaluations were completed and all respondents indicated that they agreed or strongly agreed in response to questions regarding the effectiveness of the project, it's planning, and the leader. At the completion of the project, the education program was delivered to the project site, with a plan for later implementation and learner evaluation using assessment tools of HF knowledge and confidence. This project has the potential to achieve positive social change in relation to nurses' commitment to improving patient outcomes through quality initiatives and dedication to the implementation of evidence-based practice, thus, promoting positive patient outcomes.
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Jones, Wilma Lee. "Leadership Styles and Nursing Satisfaction Rates." Thesis, Walden University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3644307.
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The purpose of this project was to translate evidence-based literature into policy and practice guidelines in order to improve leadership standards and skills among nurse managers and improve patient outcomes and the quality of care. Guided by the American Nurses Credentialing Center Magnet Model and Lewin's change theory, which sets the framework for creating exceptional nursing leaders, a literature search was conducted from studies ranging from 2010 to 2012 from several databases. Inclusion criteria were based on the presence of one or more leadership styles discussed in the articles and the impact of leadership style on nursing satisfaction. A total of 25 articles were found during the electronic search, but only 7 articles met the inclusion criteria for analysis. The results of this review revealed that transformational leadership enhanced nursing satisfaction rates, while transactional leadership and situational leadership contributed to low levels of nursing satisfaction rates. This project contributes to positive social change for nurse managers because there is limited research available that focuses on leadership styles and its implication for practice. This project will inform the work of nurse managers by illuminating the importance of leadership styles on nursing satisfaction and work environment conditions.