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Parks, Kaitlyn Courtney. "Nurse Self Care: A Best Practice Approach." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/595046.
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The purpose of this thesis was to develop a best practice recommendation for health promoting interventions for nurses. A total of 26 studies were systematically included, and identified a nurse self-care deficit, its correlation with adverse patient events, followed by an array of health promoting interventions for nurses. An extensive review of this literature supported the implementation of exercise, Reiki, mindfulness meditation, psycho-educational programs, musical therapy, and auricular acupuncture as health promoting interventions for nurses. Inclusion of the findings into a CBT module for nurses at various facilities could increase awareness for the deficit and compliance for according health promoting interventions. Increasing the awareness for, and availability of, health-promoting interventions could result in an increase in nurse wellbeing could improve patient care, safety, and health as a whole.
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Chawewan, Sriburapapirom Veena Sirisook. "Self care practice of the elderly in Bangkok /." Abstract, 2000. http://mulinet3.li.mahidol.ac.th/thesis/2543/43E-Chawewan-S.pdf.
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Saidi, Sanisah. "An exploration of self-care practice and self-care support of patients with type 2 diabetes in Malaysia." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/an-exploration-of-selfcare-practice-and-selfcare-support-of-patients-with-type-2-diabetes-in-malaysia(b5d2f9d8-8056-47a8-8f6e-2b7eebd21eab).html.
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Background: A marked increase of type 2 diabetes and associated morbidity and mortality rate over the last 10 years has been recorded in Malaysia. Ineffective diabetes management and a lack of self-care practice among type 2 diabetic patients have been identified as the major reasons for this problem. Research in other countries has highlighted a range of factors influencing effective self-care of type 2 diabetes including patients' perspectives of diabetes, sociocultural issues, religious beliefs and support from healthcare. Nevertheless, there is paucity of research conducted in Malaysia. Therefore, the exploration of self-care practice and self-care support provision in patients with type 2 diabetes in Malaysia is needed to understand the problem. Aims: To understand the self-care practice of patients with type 2 diabetes in Malaysia and the factors that influence the patients' self-care practice. To understand the type 2 diabetes’ self-care support provision in Malaysia from the perspective of patients, healthcare professionals, and healthcare system. Methods: A qualitative, single embedded case study design was utilised. Eighteen patients with type 2 diabetes and 19 healthcare professionals (physicians, diabetes educators, nurse, pharmacist and dietician), involved in self-care support provision primary- and secondary-care settings in Kuala Lumpur and Putrajaya, Malaysia, participated in in-depth semi-structured interviews between November 2012 and June 2013. In addition, data were collected through participant-observation of clinic consultations, and analysis of relevant documents used in the provision of diabetes management in the respective clinics. The framework technique supported analysis of data. Data were stored and managed using Nvivo 9 software. Findings: The findings indicate that patients with type 2 diabetes had a good understanding of diabetes and self-care, but a lack of self-care support meant that effective self-care was difficult to sustain. Healthcare professionals’ (HCPs’) provision of self-care support was restricted due to several factors, including lack of opportunity to provide self-care support, unsuitable clinic environment and a fragmented management within primary and secondary care. Additionally, barriers in patient–HCP communication, a combination of the personal, interpersonal and inter-professional HCP factors, and a traditional medical model adopted by Malaysian healthcare system, seem to have influenced the practice and quality of the service delivered. Conclusion: It is clear that the increased incidence of uncontrolled type 2 diabetes is not merely due to poor self-care practice by patients, but also due to constraints in service delivery and underdevelopment of self-care support provision. The evidence generated can assist in the development of strategies to improve the quality of care and facilitate changes in the self-care support provision in Malaysia.
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Harris, Adelaide N. "Diabetes Self-Management Education Provision by an InterprofessionalCollaborative Practice Team: A Quality Improvement Project." Xavier University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1512645367935855.
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Meneses, LÃdia Stella Teixeira de. "Self-care practice of evaluation of patients with mechanical heart valve prosthesis." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15151.
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nÃo hÃ<br>Os pacientes com prÃtese cardÃaca valvar mecÃnica exigem acompanhamento regular da equipe de saÃde durante a vida, com vistas a praticar o autocuidado para recuperaÃÃo e promoÃÃo da sua saÃde. Tem-se como objetivo avaliar a prÃtica do autocuidado de pacientes com prÃtese valvar mecÃnica, acompanhados na consulta de enfermagem. Como objetivos especÃficos tÃm-se: identificar os fatores condicionantes para a prÃtica do autocuidado, considerando indicadores sociodemogrÃficos e clÃnicos; verificar as prÃticas de autocuidado e os dÃficits de autocuidado de pacientes portadores de prÃtese valvar mecÃnica; e levantar os consequentes decorrentes do dÃficit de autocuidado. Estudo descritivo e transversal, desenvolvido em dois ambulatÃrios de valvopatias de hospitais escola de Fortaleza-Ce. CompÃs a amostra 127 pacientes com prÃtese valvar mecÃnica. Coletou-se os dados por meio de entrevista, avaliaÃÃo da pressÃo arterial e medidas antropomÃtricas. O projeto foi aprovado pelo Comità de Ãtica e Pesquisa (No 422.098). Como resultados dos fatores condicionantes predominaram: sexo feminino (56,7%), faixa etÃria 40 a 59 anos (50,4%), estudaram mais de 5 anos (69,2%), casados/uniÃo estÃvel (63,8%), procedentes de Fortaleza (54,3%), renda familiar de atà um salÃrio mÃnimo (53,5%), cor da pele nÃo-branca (55,1%) e nÃo exerce atividade laboral (80,3%). As prÃticas de autocuidado universal de maior incidÃncia foram: higiene corporal (cabelos lavados-97,6%, banho diÃrio-92,1%); higiene oral (escova os dentes ao dormir-87,4%); ingestÃo de lÃquidos (ingere Ãgua potÃvel-95,2%); ingestÃo de alimentos (ingestÃo de sal < 2g/dia-92,1%, consumo de vegetais e frutas diariamente- 79,5%); eliminaÃÃes intestinais (sem sangue, muco ou secreÃÃo purulenta-96%, ausÃncia de parasitas-94,4%); eliminaÃÃes urinÃrias (ausÃncia de sangue ou pus-96,8%, frequÃncia urinÃria de 4 a 6 vezes ao dia-96%). Como requisitos de autocuidado desenvolvimental predominaram: nunca usou drogas ilÃcitas, nem fumou, nem bebeu ou parou na descoberta da doenÃa (70%). Como requisitos de autocuidado desvio de saÃde tem-se: faz uso de medicaÃÃo certa na dose certa (95,2%); comparecimento Ãs consultas da equipe de saÃde (cardiologista-92,1%; enfermagem-84,2%); controle do INR (identifica sinais de sangramento-85,8%); e conhecimento (57,4%). Os dÃficits de autocuidado universal foram: higiene corporal (unhas grandes ou sujas-43,6%, faz depilaÃÃo com aparelho manual-77,2%), higiene oral (nÃo usa fio dental-70,9%, usa palito de dentes-71,7%, nÃo realiza visita ao dentista-65,4%), ingestÃo de alimentos (consumo desregular de alimentos que contem vitamina k - 33,1%, faz poucas refeiÃÃes por dia- 36,3%); prÃtica de exercÃcio fÃsico (nÃo usa roupas adequadas-62,3%, faz exercÃcio fÃsico menos de 30 min-65,4%, faz exercÃcio fÃsico menos de 5 vezes na semana-70,9%,); sono e repouso (demora a dormir-37,1%). Como dÃficit de autocuidado de desvio de saÃde destacou-se: nÃo realiza controle laboratorial do INR (55,2%). Os consequentes do dÃficit de AC predominaram: eventos hemorrÃgicos (55,1%) e tromboembÃlicos (13,4%). Conclui-se que nenhum paciente com valva cardÃaca mecÃnica segue todas as prÃticas de autocuidado nos requisitos universais, desenvolvimentais e desvio de saÃde recomendadas, assim como nenhuma prÃtica à seguida por todos os participantes do estudo. Portanto, à necessÃrio que os profissionais dos ambulatÃrios de valvopatias estabeleÃam estratÃgias para reduÃÃo do dÃficit de autocuidado, considerando os fatores condicionantes do autocuidado dos pacientes.
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Gladstone, Jacob. "Are Martial Arts an Effective Self-Care Practice for Mental Health Professionals?" Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1525695951584473.
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Romero, Gracie. "THE PRACTICE OF SELF-CARE STRATEGIES AMONG MASTER OF SOCIAL WORK STUDENTS." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/950.
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This study examined the different types of self-care strategies that Master of Social Work students practice. This study used the National Alliance on Mental Illness Self-Care Inventory, a survey which asks participants about commonly used methods of self-care. Engaging in self-care can bring better understanding and insights on how to prevent the signs of stress while also increasing an individual’s ability to regulate their emotional needs. All MSW students at the California university were invited to participate in the study. The surveys were administered via Qualtrics online survey software to the 68 part-time and o-time MSW students who agreed to participate in the study. However, 52 participants completed the survey. Overall, the social work students in this sample indicated high levels of self-care practice within the five domains of self-care: physical self-care, psychological self-care, emotional self-care, spiritual self-care, and workplace/professional self-care. This finding suggests that the MSW student participants in this study seemed to recognize the importance of self-care practice as MSW students. The study’s implications for social work research, practice, and education are discussed.
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Fornasini, Silvia. "Clinical self-tracking to improve knowing in practice: designing self-experiments for Type 2 Diabetes care." Doctoral thesis, Università degli studi di Trento, 2021. http://hdl.handle.net/11572/312446.
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This thesis positions itself within the stream of research on self-tracking practices for the management of chronic illnesses. Self-care technologies, such as smartphones and many other mobile health devices, have led to the production of health data of patients outside institutional settings. This shift on the "personal" dimension of data has placed emphasis on self-knowledge practices supported by such technologies and on the concept of patient empowerment. Flanking a clinical trial conducted in north Italy aimed at quantifying the effectiveness and the acceptability of a self-tracking/remote-monitoring platform for type 1 and 2 diabetes patients, this work explores how a particular tool for self-tracking, the "personal experiment", fits in the process of knowledge of the patient with Type 2 Diabetes, exploring how the practice of learning to manage your own diabetes data is a complex activity that involves heterogeneous objects, actors and contexts. The leading research questions in this work were: (1) How do the knowing processes triggered by personal experiments involve patients’ with Type 2 Diabetes situated practices through their bodies, objects, technologies, contexts and relations? (2) How do personal experiments affect the empowerment and motivation of patients with Type 2 Diabetes to maintain a correct lifestyle? (3) How do personal experiments fit in the doctor-patient relationship, affecting existent educational practices and reconfiguring knowledge processes that involve patients with Type 2 Diabetes and their clinicians? By adopting a knowing in practice perspective and a subsequent qualitative research methodologies such as observation, semi-structured interviews, focus groups and co-design workshops, it was possible, firstly, to design a paper prototype of the digital personal experiment, “the notebook”; secondly, considering the notebook as a knowledge artefact allowed to explore the processes through which patients with Type 2 Diabetes learn to manage their disease, observing learning as a situated and emergent activity that involves first and foremost the patient's body, the objects and the power relationship with their clinicians.The main contributions of this thesis are on three different levels: first, analyzing self-knowledge of diabetes as a situated and emergent activity, it proposes to address the gap of studies on health literacy, which limit themselves to measuring what the patient learns as a result of the educational actions carried out by health professionals. Second, analyzing diabetes’ self-knowledge as a process that involves the practical knowledge and reconfigures power relationships between all actors involved, it aims to integrate studies on patient motivation and empowerment which conceive the doctor-patient reflections on patient’s data as a well-defined moment that follows a structured script. The ultimate goal of the thesis is to provide guidance to designers to develop digital personal experiments that are less standardized and more practice-based.
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Fornasini, Silvia. "Clinical self-tracking to improve knowing in practice: designing self-experiments for Type 2 Diabetes care." Doctoral thesis, Università degli studi di Trento, 2021. http://hdl.handle.net/11572/312446.
Full textAbstract:
This thesis positions itself within the stream of research on self-tracking practices for the
management of chronic illnesses. Self-care technologies, such as smartphones and many other
mobile health devices, have led to the production of health data of patients outside institutional
settings. This shift on the "personal" dimension of data has placed emphasis on self-knowledge
practices supported by such technologies and on the concept of patient empowerment. Flanking
a clinical trial conducted in north Italy aimed at quantifying the effectiveness and the
acceptability of a self-tracking/remote-monitoring platform for type 1 and 2 diabetes patients,
this work explores how a particular tool for self-tracking, the "personal experiment", fits in the
process of knowledge of the patient with Type 2 Diabetes, exploring how the practice of
learning to manage your own diabetes data is a complex activity that involves heterogeneous
objects, actors and contexts.
The leading research questions in this work were: (1) How do the knowing processes triggered
by personal experiments involve patients’ with Type 2 Diabetes situated practices through their
bodies, objects, technologies, contexts and relations? (2) How do personal experiments affect
the empowerment and motivation of patients with Type 2 Diabetes to maintain a correct
lifestyle? (3) How do personal experiments fit in the doctor-patient relationship, affecting
existent educational practices and reconfiguring knowledge processes that involve patients with
Type 2 Diabetes and their clinicians?
By adopting a knowing in practice perspective and a subsequent qualitative research
methodologies such as observation, semi-structured interviews, focus groups and co-design
workshops, it was possible, firstly, to design a paper prototype of the digital personal
experiment, “the notebook”; secondly, considering the notebook as a knowledge artefact
allowed to explore the processes through which patients with Type 2 Diabetes learn to manage
their disease, observing learning as a situated and emergent activity that involves first and
foremost the patient's body, the objects and the power relationship with their clinicians.
The main contributions of this thesis are on three different levels: first, analyzing self-knowledge
of diabetes as a situated and emergent activity, it proposes to address the gap of
studies on health literacy, which limit themselves to measuring what the patient learns as a result
of the educational actions carried out by health professionals. Second, analyzing diabetes’ self-knowledge
as a process that involves the practical knowledge and reconfigures power
relationships between all actors involved, it aims to integrate studies on patient motivation and
empowerment which conceive the doctor-patient reflections on patient’s data as a well-defined
moment that follows a structured script. The ultimate goal of the thesis is to provide guidance
to designers to develop digital personal experiments that are less standardized and more
practice-based.
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Chen, Cara. "The Experience of Workplace Emotional Distress and Practice of Self-care in Novice Counsellors." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39911.
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There is a gap in the literature concerning workplace emotional distress (WED) in novice counsellors. This study explored the lived experience of this phenomenon, as well as common responses used to mitigate it. Three research questions guided this research: (a) what do novice counsellors identify as triggers and predispositions to experiencing emotional distress, (b) what are the perceived consequences of emotional distress on novice counsellors’ clinical work and their work relationships, and (c) what self-care practices do novice counsellors use as protective strategies against emotional distress?
Five themes, each with several subthemes, emerged: (a) experiences and feelings associated with client work, which contained four codes; (b) clinician-specific characteristics contributing to WED, which contained three codes; (c) workplace-specific characteristics contributing to WED, which contained five codes; (d) individual actions taken to combat WED, which contained four codes; and (e) policy and training recommendations, which contained three codes. As counsellor distress may cause harm to clients, findings of this research have implications for (a) enhancing the understanding of professional accountability and concerns for public safety, (b) informing decisions of future policy makers, (c) encouraging valuable help seeking or consultation, and (d) de-stigmatize issues of clinician well-being.
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Wilson, Anne. "Self-employed nurse entrepreneurs expanding the realm of nursing practice: a journey of discovery." Title page, contents and abstract only, 2003. http://thesis.library.adelaide.edu.au/public/adt-SUA20030711.100333.
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Amoah, Rita K. "Ubiety in Nursing Practice — Making each patient the star of the minute." eScholarship@UMMS, 2021. https://escholarship.umassmed.edu/gsn_diss/67.
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PURPOSE: The purpose of this study was to explore the experiences of registered nurses when practicing ubiety. SPECIFIC AIMS: The specific aims of the study were to: Describe the attributes of the nurse, the care environment, and the person-centered processes nurses needed to possess in order to immerse themselves physically, cognitively, and spiritually into caring for one patient at a time in midst of distractions Explore possible patient-related and nurse-related outcomes when caring for one patient at a time in amidst distractions
DESIGN: Qualitative descriptive study guided with the Person-Centered Nursing (PCN) Theory by McCormack and McCance, (2006). A purposive sampling technique was used.
RESULTS: 13 nurses, who were nominated to receive the Daisy Award were recruited. One overarching theme: Practicing Ubiety—Making the patient the star of that minute, and 5 subthemes emerged: anticipating and managing distractions, putting my whole self in, self-preservation, my nursing identity, favorable practice environment. In addition, patient-related and nurse-related outcomes were identified.
CONCLUSION: Ubiety is a concept that is practiced by expert nurses. Results add to existing knowledge about the characteristics of exemplar nurses who practice person-centered nursing care. The importance of anticipating patient needs as a way to deal with distractions and working with nurses to individualize self-preservation strategies are emphasized.
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Knezevic, Danica. "The negotiation of Self and Other in Performative Art Practice as a site of Caregiving." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21911.
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The understanding of care: caregiving and receiving is fundamental in the way in which we function as individuals, families and as communities. Physically, the action of caregiving is both endurance and enduring. Within the relationship to performance art, caregiving is enduring through the body, duration and engages with the audience in experience through action. Within the traditional context of family, the connections established in infancy are then mirrored in adulthood through the mother (as) or primary caregiver. Within this fundamental relationship, the self acts for the other in an exchange that determines the understanding of self and its position in the world. The profound intimate action of caregiving is a performative act that is based on the relationship of artist and audience (Self and Other). The relationship of Self and Other is an ongoing negotiation that is identified through the carer as Self and the care-receiver as Other. In performance practice this is mutually recognised as the performer as Self and the audience as Other. However, these identifiers of Self and Other are exchanged in the caregiving process, as there are two selves that have their own identity, their own needs and wants. The intimate and focused relationship of caring can cause what I refer to as a Dissonance of Self, in which a reciprocal outcome affects both caregiver and receiver due to the duality of caregiving. My performative practice and this thesis incorporate and demonstrate pertinent psychological, moral and ethical philosophy, as well as gender theory that embraces the deeper characteristics of the relationship to the self and other through caregiving and receiving. This thesis and body of work demonstrate the intertwining of self and other, and the relationship of performative practice to caregiving.
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Kirdphon, Wasana. "Accepting and adjusting to chronicity of hypertension : a grounded theory study in Thai people /." Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/7311.
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Oduah, Chukwudi. "Chronic Low Back Pain- A Needs Assessment for Practice Change." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4666.
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There is a practice gap in the self-management education of patients with chronic low back pain. Insufficient self-management leads to increased frequency of flare-ups of low back pain, disability, loss of productivity, and increased cost of health care. The guiding practice-focused question was focused on the unmet self-management support needs of the chronic low back pain patients in a Midwestern state local pain clinic. The purpose of this descriptive cross-sectional study was to ascertain the unmet needs of patients' self-management support by analyzing the results of a patient study performed by this clinic. The theoretical principles of the model for evidence-based practice change, the chronic care model, and the middle-range theory of self-care of chronic illness were used. The evidence included the analysis of the Patient Assessment of Chronic Illness Care Survey (PACIC) data from 100 patients treated in this pain clinic. The clinic used the PACIC questionnaire to collect data from its 100 chronic low back pain patients, selected by simple random sampling method. The average weighted scores of these patients' responses were below the norm on all PACIC subscales and summary scores. According to study results, this pain clinic did not meet the self-management support needs of its chronic low back pain patients. Evidence-based recommendations were made for the improvement in the medical model of patient care by including nurse-led patient education and support. The positive social change is the improvement in the health status of this growing health population by meeting their identified education and support needs. Positive results from this nurse-led intervention could lead to the dissemination and widespread implementation of these recommendations in other pain clinics.
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Grech, Paul. "Personality disorders in clinical practice : Axis 1 comorbidity, management/treatment, psychologist boundary issues and self-care." Thesis, The Author [Mt. Helen, Vic.] :, 2003. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/69979.
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Three thematically linked placement project reports and an exegesis addressing professional/ethical issues in the practice of clinical psychology submitted in partial fulfilment of the requirements for the degree of Doctor of Psychology (Clinical).<br>Doctor of Psychology (Clinical)
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Dumit, Nuhad Yazbik. "Perceptions of cardiac self-care among Lebanese patients and their family caregivers /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.<br>Typescript. Includes bibliographical references (leaves 194-203). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Yang, Chia-chi Laffey James M. "Understanding participation and its relationship with arthritis self-efficacy in a computer-supported community of practice for rheumatoid arthritis patients." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6877.
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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 24, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. James Laffey. Vita. Includes bibliographical references.
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Sturt, Jacqueline Alys. "Implementation of self-efficacy theory into health promotion practice in primary health care : an action research approach." Thesis, Bucks New University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251328.
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Denney, Anabelle June. "The role of mindfulness in the relationship between self-care practice and vicarious traumatisation in trainee therapists." Thesis, University of Exeter, 2014. http://hdl.handle.net/10871/15385.
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Vicarious traumatisation (VT) has been defined as an experience of change in several domains of personhood including worldview, identity, and beliefs related to major psychological needs. Self-care practice is widely considered essential in sustaining personal and professional well-being, and a lack of appropriate practice can enhance the risk of VT in trainee and newly qualified therapeutic practitioners. Both quantitative and qualitative research suggests that mindfulness practice can have a protective role in the risk of VT for trainees. This study examined the relationship between VT, self-care and mindfulness in a sample of 238 trainee therapists from the UK, Australia, Canada and Ireland. Structural equation modelling was used to test a mediation model with good fit with self-care as predictor variable, mindfulness as mediator, and VT as outcome variable. The hypothesis that when controlling for the effects of mindfulness on VT the effect of self-care on VT is no longer significant could not be confirmed as no mediational effect was present. The hypothesis that predicted a negative association between self-care practice and VT was confirmed with a significant total effect although the direct effect of self-care on VT was not significant. Findings are discussed in relation to previous research involving mindfulness in trainee cohorts. Links are made with neuroscience research to consider underlying mechanisms of mindfulness within the context of VT.
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Andrews, Diane. "THE EFFECT OF JOB STRAIN IN THE HOSPITAL ENVIRONMENT: APPLYING OREM'S THEORY OF SELF CARE." Doctoral diss., University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2234.
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The purpose of this research was to evaluate the causal relationships between job strain, the practice environment and the use of coping skills in order to assist in the prediction of nurses who are at risk for voluntary turnover. It was conducted at the level of the individual nurse employee in order to better understand the health consequences associated with job strain, the factors in the professional practice environment which may contribute to the propensity to leave and the influence of coping behaviors in response to workplace stressors. It was undertaken with the intention of identifying intervention strategies which will promote a healthy workforce and the retention of nurses in the workplace. An exploratory cross-sectional survey of 1235 staff nurses employed on the intensive, progressive and general medical-surgical nursing units of seven hospitals associated with a major Central Florida healthcare network tested a client-centered model in an effort to identify nurses vulnerable to the health consequences of job strain using structural equation modeling. Human subject protection was assured. An 82 item questionnaire was used to collect demographic data and measure responses to items associated with the constructs of health status, autonomy, collaboration, decentralization, coping, satisfaction, absenteeism and intent to leave. A variety instruments that were previously demonstrated as valid and reliable were used in the construction of the instrument. Subjects were also given the option of including additional written comments. A total of 325 surveys were returned, of which 308 met inclusion criteria, for a response rate of 25%. Data analysis determined that the measurement of job strain as a function of self-assessed generic health status was predictive of propensity to leave (ã = -.21). The experience of job strain shared a strong association with indicators of mental health status. Job strain was significantly influenced by coping behavior (ã = .56) which targeted activities associated with sustaining and balancing. Anecdotal remarks suggested that the need for balance influenced perceptions regarding stressors in the workplace. The professional practice environment was associated negatively with the propensity to leave (ã = -.58). Those staff nurses who experienced higher levels of autonomy expressed a greater degree of satisfaction and lower intent to leave. The variables of collaboration and decentralization contributed minimally to the construct of professional practice. Anecdotal remarks suggested that the low contribution of collaboration and decentralization contributed to a sense of powerlessness and frustration with work related circumstances. The influence of job strain, coping and the professional practice environment upon staff nurses suggests that health promotion strategies, efforts to enhance coping behavior and promotion of a professional practice environment will increase employee satisfaction and reduce intent to leave. Adoption of policies and procedures which support the health and well-being of individual staff members will benefit employees, strengthen the organizations in which they practice and promote the overall retention of nurses in the face of looming nurse shortages.<br>Ph.D.<br>Health and Public Affairs<br>Public Affairs: Ph.D.
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Alsomali, Sabah Ismile M. "An investigation of self-care practice and social support of patients with type 2 diabetes in Saudi Arabia." Thesis, University of Salford, 2019. http://usir.salford.ac.uk/49498/.
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<strong>Background:</strong> The prevalence of Type 2 Diabetes Mellitus (T2DM) is increasing globally, and the number of people with T2DM has increased particularly dramatically in Saudi Arabia in recent years. The International Diabetes Federation (IDF) has indicated that Saudi Arabia has a higher prevalence of diabetes than most other countries, with a prevalence rate of type 2 diabetes of 20.5% of the population in 2014. Adherence to self-care activities is the cornerstone of T2DM management, along with adopting a healthy lifestyle. This study thus aims to investigate the extent to which healthcare professionals and social support act as determinants of self-care among adults diagnosed with T2DM in Riyadh, Saudi Arabia. <strong>Methods:</strong> This study uses a concurrent triangulation design that combines quantitative and qualitative methods in a convenience sample of adults (N=388) diagnosed with type 2 diabetes mellitus who were recruited from two separate hospitals. Each participant completed a set of questionnaires and a Summary of Diabetes Self-Care Activities (SDSCA). Semi-structured interviews were also conducted with 10 male and 10 female participants (n=20) and 12 healthcare professionals. <strong>Results:</strong> Five themes emerged from the qualitative data analysis. The quantitative findings were then integrated to provide further explanations and context for these themes. The study indicated that poor adherence to diabetes self-care activities may lead to heightened incidence of uncontrolled T2DM among patients in Saudi Arabia. Culture and Religion, Gender, Stigma, Social Support, and Healthcare Environment all influenced adult diabetes adherence to self-care activities in Saudi Arabia. <strong>Conclusion:</strong> The results of this study show that the successful management of T2DM is dependent on support from family, spouses, friends, and healthcare professionals. The findings of this study therefore have implications for the creation and implementation of healthcare policy and practice in Saudi Arabia. These findings contribute to expanding existing knowledge by enabling healthcare providers to tailor diabetes self-care management educational programmes to best fit the psycho-social and cultural needs of adults in Saudi Arabia. It is particularly necessary for healthcare professionals in Saudi Arabia to recognise the roles played by gender, culture, religion and stigma, and to integrate these into any educational programmes.
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Knupp, Amy. "Associations among Aspects of the Neonatal Intensive Care Unit Nursing Practice Environment, Individual Nurse Characteristics, and Self-Perceived Nurse Fatigue." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1490373101574216.
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au, A. Eades@murdoch edu, and Anne-Marie Eades. "Factors that influence participation in self-management of wound care in three Indigenous communities in Western Australia: Clients' perspectives." Murdoch University, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090702.111437.
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The purpose of this study was to identify any barriers or enablers as influences on wound care self-management by Indigenous people. A qualitative, interpretive study sought to investigate how participants perceived their wounds and their general health, and to identify the influences on them accessing wound care services.
There is a dearth of information on culturally appropriate practice in wound management for Indigenous Australians. This research project was therefore significant in attempting to bridge the gap in nursing knowledge of Indigenous clients' perceptions of barriers and enablers for seeking wound care services,especially in relation to lower leg ulcers. The lack of culturally sensitive wound management practices potentially impacts on Indigenous clients' behaviours in seeking treatment from their health service providers.
Participant observations and semi-structured interviews with the research participants investigated the management of their wounds, and the ways in which their culture influences wound management. The main aim was to understand participants' comprehension of the importance of wound care through reflection. Understanding the enhancing or obstructive influences on wound management practices was expected to provide a foundation for teaching self care of wounds in Indigenous populations and inform health professionals' approach to health education.
The data were analysed using thematic analysis, which generated common themes related to the research questions. These themes are: visibility, of the problem,4 perceived versus actual level of knowledge, acceptance of co-morbid health conditions and pre-determined path of ill health. These findings indicated that in one region, participants' perception of poor health was related to visibility of the problem. Participants chose to have their visible wounds managed by Silver Chain Nursing Association, whereas Diabetes and Hypertension and any other non-visible disorders were seen as appropriate to the Aboriginal Medical Service (AMS). Further to this finding, most participants displayed a sense of helplessness and hopelessness when sharing information about their diagnosis of diabetes, believing this was the norm. Many also believed that having a strong family history of a particular disease resulted in the participants also inheriting the disease. During post interview educational sessions many of the Indigenous participants were surprised by the evidence based-research reported to them by the researcher that diabetes is a manageable disease with life style changes.
Another issue highlighted was the perceived level of knowledge the participants had about wound care. Reassurance was given by the participants that their level of knowledge about how to manage their wounds was adequate. However, none of the participants were concerned about the length of time that their wound/s had or were being managed, between 3 months and 5 years. This acceptance that although a wound is not getting any worse and not getting any better was the norm is cause for concern, and indicates a low level of health literacy. This theme was 'perceiving an imbalance in perceptions of wound care knowledge with actual knowledge'.
The most important recommendation from the study findings is the need to consider health literacy more carefully in the development of health promotion and health education for Indigenous clients with wounds.
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Wright, Karen 1962. "Knowledge, exercise of self-care agency, and recidivism levels after completing a pulmonary education program." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/558144.
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Leone-Sheehan, Danielle M. "Intensive Care Unit Nurses’ Experience of Watson’s Theory of Human Caring Caritas Process Three: Cultivation of One’s Own Spiritual Practice and Transpersonal Self, Going Beyond Ego-Self." Thesis, Boston College, 2019. http://hdl.handle.net/2345/bc-ir:108711.
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Thesis advisor: Jane M. Flanagan<br>Purpose: The purpose of this study was to explore nurses’ experiences of Watson’s Theory of Human Caring Caritas Process Three: Cultivation of One’s Own Spiritual Practices and Transpersonal Self, Beyond Ego-Self. Background: There is currently an inadequacy of spiritual care provided to patients and families in the ICU despite a significant articulated need. Nurses report discomfort with and a lack of preparation in providing spiritual care competently. Nurses with strong personal spiritual development are more likely to report comfort with spiritual caregiving and provide spiritual care. Watson’s Theory of Human Caring Caritas Process Three; Cultivation of One’s Own Spiritual Practice and Transpersonal Self, Going Beyond Ego-Self makes explicit the primacy of relationship between nurse spiritual development and transpersonal spiritual nursing care. However, the nature of spiritual development of nurses in the ICU remains unknown. Methods: A qualitative descriptive methodology with directed content analysis applying Watson’s Caritas Process Three was used to analyze data for this study. Results: Ten ICU Nurses provided evidence of the experience of Caritas Process Three. Five themes were identified in the analysis of data: Caritas nurses vary in their ability to move beyond ego-self, Personal spiritual practices serve as a barrier and/or facilitator to nurses’ ability to provide spiritual care, Critical illness as experienced by patients and families provided the opportunity for nurses to explore spirituality with other, The care environment serves as a barrier and/or facilitator to nurses’ personal spiritual growth, and Cultivation of spiritual practice and spiritual identity is integral to a life-long process of consciousness evolution. Conclusions: The findings of this study extend and inform Caritas Process Three of Watson’s Theory of Human Caring. Nurses in this study provide evidence for the primacy of personal spiritual development for the delivery of spiritual and transpersonal care for patients in the ICU<br>Thesis (PhD) — Boston College, 2019<br>Submitted to: Boston College. Connell School of Nursing<br>Discipline: Nursing
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Föhr, Stephanie. "Beyond human (self-) care : Exploring fermentation as a practice of caring with humans, non-humans and the planet Earth." Thesis, Linnéuniversitetet, Institutionen för design (DE), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-96699.
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The present thesis deals with the playful exploration of fermentation as a practice of care. Fermentation has a lot of positive impacts and can be seen as a practice of care in relation to human self-care, caring with human others, relationships to non-human beings, like microorganisms, and caring with the planet Earth. Based on the question ‘What can game design do to explore fermentation as a practice beyond human (self-) care?’ I developed an Online Fermentation Game. The game functioned as a conversational framework to explore together with co-creators the possibilities of more careful and sustainability-oriented food practices on the example of fermentation. The game involved the step by step and hands-on fermentation of fruits and vegetables while exploring the complexity of care in relation to fermentation. With this project, I aimed to offer a co-learning space to explore together with co-learners the possibilities of more careful and sustainable food practices on the example of fermentation in a playful way. To create a dialogue about more than human care in relation to food, in particular fermentation. To inspire the co-learners to question their relationships around food and discover which actors to care with. Beyond this project and in a larger context, I aim for a paradigm shift from the individualistic human benefit towards a notion of more than human care. This shift can make a huge difference regarding a more sustainability-oriented future of food. With this thesis project, I strived to make a small contribution to this long term vision. Starting from the human need for healthy food, the blind spot of acknowledging fermentation as a sustainability-oriented practice beyond human care, that the majority of other fermentation workshops is missing, was explored in a playful way. The global Coronavirus (COVID-19) pandemic that this project happened to be situated in challenged me in creating a safe and comfortable co-learning space. Therefore, this project focused on creating a digital- and home-based game experience. To hand over, other design practitioners and change agents can apply and transform the game as part of their fermentation projects. On a broader perspective, the concept of this explorative design game can be adapted inside but also outside the food sector. The project serves as inspiration for a playful and at the same time careful approach to design and change-making. Moreover, it shows an example of shifting community spaces provoked by crises.
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Dunn, Troy W. "Inclusion of children with diverse needs in early childhood education and care services : exploring inclusive practice through self-authorship." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/104125/4/Troy_Dunn_Thesis.pdf.
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The inclusion of children with diverse needs in Early Childhood Education and Care (ECEC) services is now recognised internationally and within the Australian context as best practice and a crucial feature of providing high quality education and care (Kalyanpur, 2011; Mohay & Reid, 2006). As such, competent early childhood educators are essential to support the inclusion of children with diverse needs, while also facilitating high quality inclusive pedagogical practice. Through the theoretical framework of self-authorship this multiple case study design explored how three early childhood educators working in a long day ECEC setting made meaning of their experiences with the inclusion of children with diverse needs.
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Ringenbach, Ron T. "A Comparison Between Counselors Who Practice Meditation and Those Who Do Not on Compassion Fatigue, Compassion Satisfaction, Burnout and Self-Compassion." University of Akron / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=akron1239650446.
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Aziz, Omer. "An exploration of the practice of prescribing and use of medicines, with a special focus on self-medication practices in the context of developing reform within the health care system in Kurdistan-Iraq." Thesis, De Montfort University, 2017. http://hdl.handle.net/2086/16083.
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This research has been undertaken to evaluate factors with an association with the practice of self-medication amongst respondents living within three cities within Kurdistan. The research was designed to be a cross-sectional one by arranging for data collection through the direct interviewing of respondents via the use of a questionnaire that had been prepared previously. In total, the investigation involved 627 pharmacist participants, 647 general participants, and 28 interviewees from various age groups. An explanatory design is a mixed methods approach with two phases, with quantitative data collection in the first phase, and qualitative data collection in a second; data collection was conducted using a non-probability convenience sampling technique. The primary reason for self-medication practice was that participants with previous experience of attending to the same disease. The information source regarding self-medicated drugs were previous prescriptions, community pharmacies and friends. The most common indication for self-medication was the common cold or fever/headache/infection, the drugs used to treat these conditions being most commonly antibiotics, then painkillers and preparations for coughs. From the general public, a sample of 647 participants was taken that consisted of 38.4% females and 61.6% males, with participant ages ranging from 18-70 years. Within the study, 12.4% of the cohort had a degree level of education from a university. Moreover, 243 participants had the belief that it was an acceptable practice to purchase antibiotics without a prescription. Self-medication was practiced by 14/28 of the interviewees, and 28/28 (100%) of the interviewees held the belief that the pharmacy always has someone with knowledge of medicines, and who can advise and provide medication. There were 627 pharmacist participants, of which 28.1% were female and 71.9% were male, and 57.2% of them holding a Diploma in Health Institution, and 39.2% of them having a Bachelors Pharmacy degree. 20.7% of participants disagreed with keeping records for the dispensing of drugs, and approximately 20% of participants had little or no ideas regarding the characteristics of pharmacy practice that are considered professional. It was discovered that, if asked by the customer, advice was provided by 82.5% of community pharmacists. The sale of antibiotics was the most common, followed by pain-killers. A 95.5% proportion of pharmacists sold all of the medicines as OTC medicine without prescription. In conclusion, medicines are used by the people of Kurdistan in an inventive way, with suggestions provided by lay people and members of family or friends, which is acted upon without a qualified healthcare professional being consulted.
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Mapanga, Kudakwashe Godwill. "The influence of family and friends' basic conditioning factors, and self-care agency on unmarried teenage primiparas' engagement in contraceptive practice." Case Western Reserve University School of Graduate Studies / OhioLINK, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=case1057947440.
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Liou, Chin-Ping. "New way of healing : experienced counsellors' perceptions of the influence of ch’i-related exercises on counselling practice in Taiwan." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9496.
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This study examines how Taiwanese senior counsellors with substantial experience of ch’i-related exercise (CRE) perceived the influence of their regular CRE on their counselling practice. I am interested in the perceived influence of CRE on both self-care and professional practice. In this studyn this studyn this study n this study n this study n this study, CRE, CRE, CRE, CRE, CRE refers to any refers to any refers to any refers to any ch'i enhancing exercise that coordinates movement with breathing and inner concentration wherein ch'i is a first order concept used by practitioners and regarded by them as an embodiment of ideas related to human life and human existence and able to be experienced and refined through any ch'i related exercise. CRE is a set of practices and an intrinsic part of local culture in Taiwan which in recent years, has become popular practice in Taiwanese society. There are growing numbers of counselling professionals involved in regular CRE in recent years. Studies examining the effects of CRE indicate the benefits of CRE on practitioners' global health and personal growth. However, no previous study has investigated the influence of the long-term regular use of CRE on counsellors‟ self-care and counselling practice. The narrative research design for this study was developed from a post-structural theoretical perspective located in the domain of social constructivism. The data were co-constructed between the researcher and 12 senior Taiwanese counsellors with substantial CRE experience using a semi-structured in-depth interview approach. Interview data were analysed using the structure-based approach developed by William Labov in the field of socio-linguistics. The study reveals an overall benefit of regular involvement in CRE for practitioners' global wellbeing and personal growth counsellor' self-care. The research findings also reveals the potential of ch’i to be used as a way of expressing health and illness and a way of understanding in therapy and CRE to be lived out in therapy as an embodiment. I argue that collectively the narratives, as a whole, give evidence of an increasing integratin of the ideas and practices of ch’i into counselling practice in contemporary Taiwan. This might even make up a new form of integrated and culturally appropriate practice, what I term "a new way of healing." These are therapeutic practices which value the potential of CRE for counsellor's self-care and personal growth; recognize the integral whole of the human person; promote conscious use of the knowledge and experience of ch’i and CRE in therapy as an important aspect of the therapeutic use of self. Implications for practice such as the potential of CRE to be introduced into counsellor training programmes for counsellors' preparation or ongoing education are provided. Recommendations for future research such as the development of a new healing modality based on the research findings are offered.
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Nicholas, Jennifer. "The roles and responsibilities of WA general practice nurses in diabetes care and management." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/1313.
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The rising incidence of chronic diseases such as diabetes, associated comorbidities, an ageing population and rising health expenditure are all creating a greater burden on the Australian health care system.Purpose of the Study. The role of the practice nurse (PN) working within the general practice setting is expanding in response to health care demands and government policies, yet there is a lack of Australian research into how this role may impact upon the management of diabetes. This study explores current practice of PNs, their diabetes specific education, and driving and restraining forces that influence their involvement in diabetes management.Methodology. A cross sectional design with a postal survey, whereby 758 surveys were distributed to PNs via each of the 13 Western Australian Divisions of General practice, between October 2006 and May 2007. The final response rate was 16% (n = 118) with 118 surveys completed and returned. The Statistical Package for Social Sciences 15.0 was used for data entry and analysis.General Practice Setting. In the current study 85% (n = 94) of practices had a diabetes register, with 75% (n = 83) of PNs involved in operating this system. The PN has a defined role in contributing towards the development of chronic disease care plans and annual diabetes complication screening processes, services that are reimbursed through Medicare. However, current models of primary care delivery and funding appear to support the PN in this role as an adjunct to the general practitioner (GP), which may not permit full utilisation and recognition of the PNs’ professional scope of practice.The Role of the Practice Nurse. A statistically significant association was found between those PNs having completed diabetes related continuing education and the greater likelihood of providing education in insulin initiation, blood glucose monitoring, dietary advice, exercise and sick day education (p < .05). Whilst PNs in the current study displayed a high level of involvement in various areas of diabetes care, not all will be educationally prepared, yet may be undertaking what could be considered a more advanced practice role in diabetes self management education.Diabetes Knowledge Test. There was significantly higher scoring in the Diabetes Knowledge Test (DKT) where questions related to insulin therapy, amongst those PN’s with a role in providing education in self monitoring of diabetes (p = .036). Likewise, where the provision of dietary advice was part of the PN role, scoring was significantly higher in the DKT overall (p = .029). For those spending greater than two hours per week in diabetes related care, scores were significantly higher where questions examined principles surrounding management of blood glucose levels (p = .031). Practice nurses having undertaken a clinical audit related to diabetes care, scored significantly higher in the DKT overall (p = .037), particularly where those questions related to the complications associated with diabetes (p = .009).Barriers and Facilitators to PN Role in Diabetes Self Management Education. Practice nurses in the current study placed a significantly high level of importance on their role in patient teaching. However, time was found to be a significant barrier to this role (p < .05). The current study displays a high level of involvement by PNs in various areas of diabetes self management education and related clinical assessment, with a low level of involvement in diabetes specific continuing formal education. Whilst this facet of their role has more recently been acknowledged within general practice guidelines for diabetes management, the question remains as to the level of educational preparedness of the PN, to meet this expanding role.
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Puga, Federico Manuel. "An empirical study of leadership and strategy in a copper mining environment : care of the self, interactional patterns and sustainability." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/14929.
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This study extends the understanding of leadership emergence from a relational perspective (Hosking, 2011; Cunliffe & Eriksen, 2011; Uhl-Bien, 2006), specifically related to the forming of trusting relationships. The argument follows from the conceptual development of subjectification processes referred to as “care of the self” (Foucault M. , 1988; Foucault M. , 2005) and the implications of “regimes of practices" (Foucault M. , 2010; Dean, 2010). The findings contribute to our understanding of the relation between patterns of differentiation and reciprocity (as contextual definitions) and the relational emergence of leadership. We conceive leadership formed by actions that have no instrumental purpose beyond constructing a subject able to form trusting relationships and judge this to be a phronetic practice. The research is based on a case study of the executive team of a large copper mining company implementing a sustainability strategy that has as its central purpose the construction of trusting relations within a complex net of stakeholders. Based on this case, my second contribution is to conceptualise the function of “parrhēsia practice” (Foucault M. , 2010), a “truth game” about truth, truth-telling and action in the relation of the self and others, which is significant in the formation of the relational leadership of the “conscious pariah” (Arendt, 1978). The study examines how it is that “truth games” of examining the self and “reframing” interactional patterns can facilitate the relational emergence of phronetic forms of leadership. The research methodology, designed to deal from a non-dualistic perspective with the relational emergence of leadership, uses a narrative research approach to describe practices (Czarniawska, Narratives in Social Science Research, 2011). It is “uncovered” as representational and dualistic in the research relation, and a discussion of how a non-dualistic research approach could be developed is provided.
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Taylor, Andrew. "Effect of a Self-Care and Self-Awareness Education Program on Resilience to Burnout and Depression in Clinically Experienced Nursing Students." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/637.
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The purpose was to examine the effect of a self-care educational intervention on nursing student resilience and thus the potential for compassion fatigue, depersonalization, burnout, depression, and inadequate self-care. A one-group pretest-posttest research design was applied to a convenience sample of 104 nursing students near the end of their last semester in a baccalaureate nursing program. The measurements were demographics, a psychometric resilience scale, program evaluation, and reflection question. The intervention was a standardized, intensive 30 min training program on the high degree of stress and burnout nurses face and the core self-care methods that can promote resilience to these hazards. The educational intervention had a strong positive effect on resilience scores (effect size of r=72%; p < 0.05). Eighty-six percent of the participants believed that the intervention increased their capabilities for self-care, especially in sleep, spending time outside, hydration, nutrition, and physical stretching exercises but not in journaling. Eighty-one percent stated that they would be likely to seek professional help if needed. Although this study must be repeated in other samples before it be implemented with full confidence, the standardized, high intensity, short duration, resilience training session can be recommended to nursing programs just prior to graduation and to hospitals for nurse orientation programs.
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Scott, Adam. "How to survive and flourish : a case study and research informed-model of self-care and stress in trainee counselling psychologists." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/how-to-survive-and-flourish-a-case-study-and-research-informedmodel-of-selfcare-and-stress-in-trainee-counselling-psychologists(4cb6a45a-9648-466f-975d-e9526894ea94).html.
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Aims: This study aims to use trainee counselling psychologists' conceptualisations and experiences to create a research-informed model of self-care and stress. In order to do this, the study integrated the basic tenets of humanistic psychology, theory relating to human potentiality and motivation, pluralistic practice and the relevant research literature around self-care and stress in trainee counsellors, psychotherapists and psychologists. Methods: The study was qualitative in nature and utilised a theory-building case study design. The research participants where 12 trainee counselling psychologists enrolled on a Professional Doctorate in Counselling Psychology in the United Kingdom. A research-informed model of self-care and stress was developed from the relevant research and theory literature. The findings from the 12 semi-structured interviews with the trainees were applied to this model in order to contextualise and refine it. Findings: The data from the interviews was analysed using a thematic analysis and the following categories and themes were discovered: category one - conceptualisations of self-care with caring for self, caring for others and self-actualising as its lower order themes; category two - self-care strategies, with keeping work-life in balance, caring for my physical well-being, getting support from other people and realising there is more to life as its lower order themes; category three -conceptualisations of stress with theoretical understandings of stress, physical impact of stress and psychological impact of stress as its lower order themes; the final category - sources of stress with demands and pressures, financial strains, unhealthy relationships and personal and professional development as its lower order themes. Discussion: The revised research-informed model suggests a number of goals, tasks and methods of self-care and a number of practical examples for each of these areas. According to the model, the goals of self-care involve nurturing trainees' potentiality to become fully functioning trainee counselling psychologists through learning to care for self, others and self-actualising. The tasks of self-care are promoting trainees' wellbeing through meeting their training needs (social support, academic, developmental and placement). Finally, the model suggests the methods of self-care should encourage intentional individual and organisational engagement in strategies which enable trainees to meet their training needs. The study recommends the model is applicable to counselling psychology regulatory bodies and training programmes, as well as individual trainee counselling psychologists. It also proposes further development of the model through research and testing.
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Lan, Nguyen Thi Ngoc Phitaya Charupoonphol. "Self-care of mothers with children under five years of age on acute respiratory infection in Thanhdong commune of binhminh district, vinh long province, Vietnam /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-NguyenThiNgocLan.pdf.
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Bankston, Karen D. "Collective self-esteem and attitudes toward collaboration as predictors to collaborative practice behaviors used by registered nurses and physicians in acute care hospitals." Cincinnati, Ohio : University of Cincinnati, 2005. http://www.ohiolink.edu/etd/view.cgi?acc%5Fnum=ucin1131630469.
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BANKSTON, KAREN DENISE. "COLLECTIVE SELF-ESTEEM AND ATTITUDES TOWARD COLLABORATION AS PREDICTORS TO COLLABORATIVE PRACTICE BEHAVIORS USED BY REGISTERED NURSES AND PHYSICIANS IN ACUATE CARE HOSPITALS." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1131630469.
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Armstrong, Dometrives. "Educational Module Toolkit to Assist Adult Patients with Type II Diabetes Mellitus." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4498.
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Diabetes is a challenging chronic disease for adult patients to manage effectively. Poor adherence to prescribed medications treatment is one of the main reasons for poor blood sugar control. Despite healthcare providers' efforts to emphasize the importance of taking medications, adult patients with Type II diabetes frequently present with complications related to persistent failure to adhere to prescribed medication regimen. These patients should thoroughly understand why adhering to a strict medication regimen to maintain control of their blood sugar is so important. The purpose of this project, guided by Orem's self-care deficit nursing theory, was to develop an educational module toolkit that identifies best practices for nurses to address issues of medication adherence with adult patients with Type II diabetes. Future implementation of these toolkit resources may enhance nurses' ability to teach adult patients how to adhere to their medication regimen. Five participants, all considered professional diabetes content experts, were invited to evaluate the educational module toolkit subject matter. The completion response rate was 100% (n = 5). The content experts rated survey items using a 5-point Likert scale where 1= strongly disagree, 2= disagree, 3= not applicable, 4 = agree and 5= strongly agree and responded to 2 questions that allowed for narrative feedback. The experts were satisfied with the content of the educational module toolkit; suggesting that the toolkit may serve as a functional guide for nurses assisting adult patients with diabetes. Improved medication regimen compliance may produce cascading effects; helping these patients achieve a better quality of life while producing positive social change within their families and communities.
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Brandon, Amy Ford Schuessler Jenny H. "The effects of an advanced practice nurse-led telephone-based intervention upon hospital readmissions, quality of life, and self-care behaviors of heart failure patients." Auburn, Ala, 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SUMMER/Nursing/Thesis/Brandon_Amy_11.pdf.
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Jaworski, Christina A. "In-patient education : are patients' perceived learning needs met following first MI?" Connect to full-text via OhioLINK ETD Center, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1115838178.
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Thesis (M.S.)--Medical College of Ohio, 2005.<br>"In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Jane C. Evans. Includes abstract. Document formatted into pages: iv, 85 p. Title from title page of PDF document. Bibliography: pages 66-70.
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Allen, Daniel. "Changing relationships with the self and others : an interpretative phenomenological analysis of a Traveller and Gypsy life in public care." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/8249.
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Background: The implementation of the Care Matters: Transforming the Lives of Children and Young People in Care Green Paper (Department for Education and Skills, (DfES) 2006) and the subsequent Care Matters: Time for Change White Paper (DfES, 2007), witnessed the consolidation of a universal ambition to improve the opportunities for all children living in care. Arguably, the most important recommendation in this pursuit is reflected in the need to provide people who have lived in care as children with independent support, which enables them to discuss their experiences, and suggest ways in which the care system might be improved. However, whilst this recommendation has been implemented with a diverse range of care leavers, the impact of the experience of living in care and the associated disadvantage experienced by Travellers and Gypsies remains under researched, understated, and unacknowledged (Cemlyn et al., 2009). Methodology: Guided by the philosophical assumptions of interpretative phenomenological analysis (IPA), this study represents and constructs the experience of living in public care by focusing on the voices 10 Travellers and Gypsies who lived in care as children. Testimonies were collected through a wide variety of methods that included face-to-face interviews, focus groups, telephone interviews, blogs, emails, letters, song lyrics, and poems. Findings: Following a considered application of IPA, six main themes emerged from the analysis. These were social intervention; an emotional rollercoaster of separation, transition, and reincorporation; a war against becoming settled; leaving care and the changing relationship with the self and others; inclusion and strength; and, messages for children living in care. In line with the tenets of phenomenology, these findings are presented in such a way to as to invite the reader to move away from their own personal understanding of the world in order to enter the ‘lifeworld’ (Husserl, 1970, 1982) of Travellers and Gypsies who lived in care as children. However, to assist in this sense making activity, this study also provides a discrete interpretation of the findings before developing this knowledge to form a more detailed theoretical construct entitled ‘the model of reflective self-concepts’. Taken together with the testimonies of each person who took part in the study, the thesis enables an understanding of how the experience of living in care is inextricably linked to a process of social and psychological acculturation. By staying close to the experiences provided, it reveals how a process of change is determined, more often than not, by a sense of personal resilience directly related towards a Traveller or Gypsy self-concept. In attempt to move towards service improvement, this thesis offers a series of recommendations and conclusions which aim to support social workers and carers empower Traveller and Gypsy children to develop a secure Traveller and Gypsy self-concept thus enabling them experience improved outcomes including those opportunities set out in Care Matters social policy agenda (DfES, 2006; 2007).
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Lee, Tracie S. "Exploring the Experiences of Therapists After Participating in an Intensive Mindfulness Program." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/30300.
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The purpose of this study was to explore whether and in what ways an intensive eight-week Mindfulness-Based Symptom Management (MBSM) program might shape the therapeutic experiences of therapists. I used a hermeneutic phenomenological approach to interview and develop in-depth descriptions of four therapists’ experiences in relation to mindfulness and their therapeutic practices. The data collection consisted of: (1) a telephone screening interview; (2) pre-mindfulness training interview; (3) post-mindfulness training interview; (4) field notes based on my observations, subjective experiences, and beginning analyses; (5) and member-checks to verify the accuracy of my interpretations of participants’ interview responses.
The results pointed to several common themes indicating the changes therapists described after participating in the mindfulness program. Themes denoting the reported changes were organized into three categories: (1) personal relationship with mindfulness; (2) relationship between mindfulness and therapeutic experiences; and (3) mindfulness-oriented interventions performed in therapy.
The findings indicated that mindfulness training is associated with the enhancement of important relational attitudes and skills of therapists, including more acceptance of where clients are at, more presence in therapy, increased capacity to listen, openness and curiosity, and more compassion and empathy. In addition, mindfulness training may be linked to improved reflexive abilities, which has implications for more intentional and ethical decision-making in therapy. Further, the findings also indicated that mindfulness training may be linked to improvements in emotion regulation by decreasing stress, increasing feelings of relaxation and calmness, improving awareness of negative emotional and cognitive states as well as the ability to interrupt these negative cycles. As such, this study pointed to several potential benefits for the inclusion of mindfulness training in therapists’ self-care practices as well as in therapist education.
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Liangrugsa, Nuanladda 1961. "Evaluation of a diabetes education program." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/558139.
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Rosenberg, John Patrick. "A study of the integration of health promotion principles and practice in palliative care organisations." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16586/1/John_Patrick_Rosenberg_Thesis.pdf.
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The modern hospice movement emerged in the 1960s as a grassroots social movement that attempted to restore an holistic and contextualised approach to the care of people at the end of life. This approach embraced the lived experience of the dying person at the centre of care across physical, emotional, social and spiritual domains of life. To achieve this, the care of dying people was largely removed from mainstream health care systems to promote more holistic and socially contextualised dying. In recent decades, the evolution of palliative care demonstrates the gradual return of palliative care services to the mainstream. It has been asserted that, in this process, palliative care services have progressively abandoned the social context of dying people, increasing instead an emphasis on "physical care [while] simultaneously de-emphasizing psychological, social and spiritual care" (Kellehear, 1999a, p.76). Kellehear and others have proposed that the repositioning of palliative care within mainstream health care systems has increased a focus upon illness and disease at the expense of health and wellbeing. Subsequently, conventional palliative care services have been criticised for not adequately locating end of life care within the social contexts in which death and dying take place.
In an attempt to address this problem, Australian sociologist Allan Kellehear proposed an approach to end of life care that brought together the core concerns of palliative care with the principles and practices of health promotion (Kellehear, 1999b). Whilst their congruence is not immediately apparent, these two fields have been increasingly examined for their potential benefits in the provision of end of life care. In the current policy climate in Australia, there is an imperative to consider how end of life support services might be improved through adopting a health promoting palliative care approach.
The aim of this study has been to investigate the integration of health promotion principles and practice by a selected palliative care service by examining the qualitative impact of this change on the organisation. Specifically, it endeavoured to identify the factors that advanced or impeded this integration by examining how the structures and processes of, and outcomes for, the organisation reflected a health promoting approach. To meet these aims, this study undertook an in-depth examination of the implementation of a health promoting palliative care model by a community based palliative care organisation. Based in a constructionist-interpretivist paradigm, a mixed-method (QUAL+quant), instrumental case study research design was utilised to capture multiple perspectives of the implementation process. Data collection comprised examination of 127 organisational documents, 32 in-depth interviews with staff, volunteers and consumers, 5 focus groups with staff and volunteers, and 25 carer questionnaires. Qualitative data were subject to thematic analysis, with supplementary quantitative data analysed to generate descriptive statistics.
The findings demonstrated a large number of complex and interrelated enabling and impeding factors to the implementation in the case study site. These factors have been grouped into four key themes which have been examined in light of the aims of this study and the issues identified in a comprehensive review of the literature. This study found that:
◦ Conceptual congruence between health promotion and palliative care was a fundamental starting point in the implementation of a health promoting palliative care model.
◦ Where conceptual congruence was clear, activities associated with the model that were regarded as beyond conventional approaches to palliative care core business were viewed favourably by stakeholders and were less likely to encounter resistance within the organisation.
◦ When systematic approaches to organisational change, such as quality improvement systems, were rigorously applied, the impact of the transition upon stakeholders was qualitatively less.
◦ Where this transition had been effectively made, consumers, staff, volunteers and members of the wider community were seen to benefit.
This study adds to the current discourse regarding the intersection between end of life support and health promotion, and provides insight into how palliative care organisations might undertake the transition from conventional models to a health promoting palliative care approach.
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Rosenberg, John Patrick. "A study of the integration of health promotion principles and practice in palliative care organisations." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16586/.
Full textAbstract:
The modern hospice movement emerged in the 1960s as a grassroots social movement that attempted to restore an holistic and contextualised approach to the care of people at the end of life. This approach embraced the lived experience of the dying person at the centre of care across physical, emotional, social and spiritual domains of life. To achieve this, the care of dying people was largely removed from mainstream health care systems to promote more holistic and socially contextualised dying. In recent decades, the evolution of palliative care demonstrates the gradual return of palliative care services to the mainstream. It has been asserted that, in this process, palliative care services have progressively abandoned the social context of dying people, increasing instead an emphasis on "physical care [while] simultaneously de-emphasizing psychological, social and spiritual care" (Kellehear, 1999a, p.76). Kellehear and others have proposed that the repositioning of palliative care within mainstream health care systems has increased a focus upon illness and disease at the expense of health and wellbeing. Subsequently, conventional palliative care services have been criticised for not adequately locating end of life care within the social contexts in which death and dying take place. In an attempt to address this problem, Australian sociologist Allan Kellehear proposed an approach to end of life care that brought together the core concerns of palliative care with the principles and practices of health promotion (Kellehear, 1999b). Whilst their congruence is not immediately apparent, these two fields have been increasingly examined for their potential benefits in the provision of end of life care. In the current policy climate in Australia, there is an imperative to consider how end of life support services might be improved through adopting a health promoting palliative care approach. The aim of this study has been to investigate the integration of health promotion principles and practice by a selected palliative care service by examining the qualitative impact of this change on the organisation. Specifically, it endeavoured to identify the factors that advanced or impeded this integration by examining how the structures and processes of, and outcomes for, the organisation reflected a health promoting approach. To meet these aims, this study undertook an in-depth examination of the implementation of a health promoting palliative care model by a community based palliative care organisation. Based in a constructionist-interpretivist paradigm, a mixed-method (QUAL+quant), instrumental case study research design was utilised to capture multiple perspectives of the implementation process. Data collection comprised examination of 127 organisational documents, 32 in-depth interviews with staff, volunteers and consumers, 5 focus groups with staff and volunteers, and 25 carer questionnaires. Qualitative data were subject to thematic analysis, with supplementary quantitative data analysed to generate descriptive statistics. The findings demonstrated a large number of complex and interrelated enabling and impeding factors to the implementation in the case study site. These factors have been grouped into four key themes which have been examined in light of the aims of this study and the issues identified in a comprehensive review of the literature. This study found that: ◦ Conceptual congruence between health promotion and palliative care was a fundamental starting point in the implementation of a health promoting palliative care model. ◦ Where conceptual congruence was clear, activities associated with the model that were regarded as beyond conventional approaches to palliative care core business were viewed favourably by stakeholders and were less likely to encounter resistance within the organisation. ◦ When systematic approaches to organisational change, such as quality improvement systems, were rigorously applied, the impact of the transition upon stakeholders was qualitatively less. ◦ Where this transition had been effectively made, consumers, staff, volunteers and members of the wider community were seen to benefit. This study adds to the current discourse regarding the intersection between end of life support and health promotion, and provides insight into how palliative care organisations might undertake the transition from conventional models to a health promoting palliative care approach.
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Huggins, Michael. "GAY MEN AND SATISFACTION WITH HEALTH CARE INTERACTIONS." UKnowledge, 2019. https://uknowledge.uky.edu/nursing_etds/50.
Full textAbstract:
The purpose of this research was to determine relationships among depression, anxiety, self-rated physical and mental health, self-advocacy, internalized homophobia, and quality of patient-provider communication to satisfaction with health care interactions. These were measured while controlling for select demographic variables: age; ethnicity; urban or rural domicile; relationship status; household income; highest educational attainment; health insurance; disclosure to health care provider as a gay man; reason for last healthcare visit; and, general health self-rating. The specific aims of this study were to: 1) identify general characteristics of gay men in this sample; 2) examine how levels of satisfaction with health care differed by each characteristic; 3) assess relationships between each potential predictor of satisfaction and the level of satisfaction; and, 4) determine the relationship between each predictor and satisfaction after controlling for the most significant covariate(s).
A quantitative study was conducted in which 42 adult gay men participated. The author hypothesized that gay men who reported lower levels of depression, higher self-rated physical and mental health, lower levels of anxiety, higher self-advocacy scores, lower levels of internalized homophobia, and stronger evaluations of patient-provider communication would report more positive satisfaction with health care interactions. The hypothesis was supported by results of this research.
This research established that variables with the strongest effect on gay men’s satisfaction with health care interactions were whether the patient had revealed his sexual orientation to the provider, how he rated his anxiety, and how he rated the quality of communication with his provider.
These results emphasize the importance of health care providers’ awareness of specific psychosocial factors that influence communication during care of gay men, who understand their sexual orientation places them at a disadvantage when receiving health care services. Despite the pursuit of equitable, high quality, and satisfying health care, its achievement has been hampered by barriers that gay men encounter. Understanding those barriers while addressing health related needs of gay men will be important for providers who seek to improve satisfaction with health care interactions.
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Diamond-Caravella, Monica L. Diamond-Caravella. "Reopening a Dialog on Open Airways for Schools: Closing the Educational Gap Using a Multi-Site Academic-Practice Partnership." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1512210590712455.
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Rydell, Karlsson Monica. "Knowledge acquisition in patients with heart disease /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-257-6/.
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