Thèses : « Nursing not elsewhere classified »

1

Carey, Marian Elizabeth. "The information needs of informal carers." Thesis, University of Central Lancashire, 1999. http://clok.uclan.ac.uk/20301/.

Texte intégral

Résumé :

This thesis is concerned with the information needs of informal carers, or, as they are now increasingly referred to, carers Within this thesis, the appellation carer is defined in terms chosen by carers themselves. In their words, • A carer is someone whose life is restricted by the need to assist another person to live independently at home. Information is similarly defined by reference to the perspective of the carers, whose information needs form the topic of this research. For the purposes of this thesis, therefore, information is defined as follows • information is all knowledge, ideas, facts and data which are communicated in any format either formally or informally, and which, for whatever reason, are needful for carers to know. Information has been identified as a key requirement by most of the surveys undertaken of carers since 1988. Most surveys of carers and their needs have noted the absence or deficiency of this critical resource; yet relevant information is prolific, and accessible through a multiplicity of mechanisms and formats. This thesis set out to answer four important questions: • Why, when information appears to be so widely accessible, do carers continue to assert that lack of information remains one of their key problems? • What is the role of workers and other professionals in information provision to carers? • What changes to current information provision and dissemination would remove the obstacles to carers obtaining the information they need? • Is there a role for the public library service in either creating or overseeing the provision of an information strategy for carers? These questions were examined within a Leicester-based study of a group of carers of older people, and carers who were themselves older people, during the period 1994-1996. The study followed a qualitative methodology and used a number of methods. The chief of these entailed the researcher, in her professional role as Community Care Librarian, acting as a critical friend, that is one, who through understanding the context of the presenting situation, is able to offer a helpful critique, a valued judgement and an honest response. This approach elicited a wealth of qualitative data through telephone contact with carers on a regular and frequent basis during a period of fifteen months. The study also included a sample of workers and potential information providers, already having professional responsibilities in the households of the participating carers and who were involved through a series of focused semi-structured interviews. The workers represented a range of health, social services and voluntary sector teams and organisations. The data obtained from this study was particularly rich and subtle, providing unexpected insights into considerably more than information provision, as well as confirmation of certain conjectured findings. For example, the results indicate that the carers in the study were proactive information seekers, rather than passive recipients of information despite having poor formal and informal information networks. As a result, they were almost entirely dependent upon the professional workers as sources of information. Because of restrictive multi-disciplinary and inter-agency working and a lack of systematic and effective information support, workers were unable to fulfill all the carers' expectations in this regard. The study would indicate a crucial role for an agency able to devise an effective information strategy, suitable to meet not only the needs of carers, but also of others similarly disadvantaged in information provision. Such an agency could itself act as an holistic information provider, or else take responsibility for overseeing such a service. In the perception of the study participants the public library service, in theory uniquely placed to fulfill such a role, held a low profile as an information provider. If such an opinion were to be confirmed amongst the general population, it would seem that this role could not automatically be assigned to public libraries. However, the availability of insufficient evidence to either corroborate or refute such an opinion resulted in this particular research question remaining unanswered.

Styles APA, Harvard, Vancouver, ISO, etc.

2

Kane, Ros. "Providing sexual health services in England : meeting the needs of young people." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. http://eprints.lincoln.ac.uk/11992/.

Texte intégral

Résumé :

There is an on-going debate among health professionals, policy-makers and politicians, as to the optimal way of delivering sexual health services to young people. There is as yet, no consensus on their best patterns of organisation or configuration. This study uses qualitative and quantitative research methods, to explore both the views of young people accessing sexual health services, expressed through in-depth interview, and variations in client satisfaction with different characteristics of service delivery, expressed through completion of a questionnaire. The key research questions are:  How does young people’s satisfaction with sexual health services vary with the age-dedication of the service; that is, whether it serves young people only, or all ages?  How does young people’s satisfaction with sexual health services vary with the integration of the service; that is, whether family planning and genito-urinary services are offered separately, or together?  How does young people’s satisfaction with sexual health services vary with the location of the service; that is, in community or hospital based services? In the qualitative component, in-depth interviews were conducted with 25 young people recruited from a purposively selected sample of young people’s services. In the survey, a total sample of 1166 was achieved. Of these, 36% were attending an integrated contraceptive and STI service and 64% were attending a more traditional ‘separate’ service. 48% attended a service dedicated to young people and 52% an all-age service. 50% attended a hospital-based service and 50% a service located in the community. Of the total sample, 22% were male and 78% female. The analysis has been done not on a comparison of services in their entirety, but on a comparison of key features of their organisation, that is, whether they are provided separately as contraceptive and STI sessions or services, or whether these aspects of sexual health provision are integrated in sessions or services (integration); on whether they are run exclusively for young people or for all ages (dedication); and on whether they are located in the community or in a hospital setting (location). Recommendations are made for future service development and delivery and implications for policy are discussed.

Styles APA, Harvard, Vancouver, ISO, etc.

3

Durosaiye, Isaiah Oluremi. "A framework for the assessment of nursing tasks and environmental demands." Thesis, University of Central Lancashire, 2017. http://clok.uclan.ac.uk/20470/.

Texte intégral

Résumé :

The nursing profession is pivotal to the delivery of healthcare services within the UK National Health Service (NHS). However, studies have shown that an increasing number of older nurses are leaving the NHS as a result of the physical and cognitive demands of the nursing job. In particular, a growing body of literature suggests that ward nurses are at risk of sustaining work-related injuries due to the demands of their job. Responding to these challenges, the aim of this PhD research project was to develop a framework to support NHS ward nurses in the ward environment, by exploring how the architectural design features of NHS hospital wards could be improved to create a better fit between ward nurses and their work environment, by applying the Person-Environment Fit theory. The Nursing Tasks and Environmental Assessment Framework (NTEA Framework) consists of two components. The Nursing Tasks Demand Matrix (NTDM), which provides a nuanced understanding of nursing tasks on wards and the Ward Environment Assessment Tool (WEAT), which is used to conduct Post-Occupancy Evaluation of hospital wards. The two together forms the NTEA Framework, which offers a holistic approach to improving nurses’ quality of life in the workplace. The NTEA Framework may be used by facilities managers, human resource managers, occupational health advisors, ward managers and the NHS management, for refurbishments decisions, in drafting nurses’ job descriptions, to perform occupation health screening and for the assessment of the adequacy of NHS healthcare estates for ward nurses. The NTEA Framework is also a benchmarking information tool that could inform design of healthcare facilities.

Styles APA, Harvard, Vancouver, ISO, etc.

4

Graham, Margaret. "Being available, becoming student kind : a nurse educator's reflexive narrative." Thesis, University of Bedfordshire, 2014. http://hdl.handle.net/10547/576352.

Texte intégral

Résumé :

This thesis is a story of how I came to construct and illuminate a reflexive narrative as a journey of self-inquiry and transformation towards personal realisation. It shares a view of reflection as lived in being and becoming a reflective nurse educator in higher education. My narrative draws upon, autoethnography, critical social theory and hermeneutic perspectives. Johns (2010) six dialogical movements have been used to give structure to my narrative. Nineteen reflections generate the reflexive narrative in a hermeneutic spiral, as each text informs the other along the journey. Insights become clearer through guidance, dialogue, and engagement with the literature. Early reflections show anxiety, emotional distress and entanglement as I tried to solve student problems. Maternalism influenced my approach to being with distressed and struggling students. Gradually these feelings give way to being available, becoming student kind as an enabling relationship with students. Becoming student kind is framed through my adaptation of the Being Available Template (Johns 2013). It is realised through; listening, presence, caring, empathy, compassion and emotional intelligence. Poise, a self-management practice ensures that personal concerns and tensions do not hinder my relationships with students. Mindfulness expressed as spirituality sustains this process. This path to becoming student kind creates a learning space for student growth and development. In so doing, students are enabled to enter into a nurse patient relationship through being available. I express my empowerment through a dialogical voice, transforming my practice with individual students, in the classroom and beyond. Understanding the tensions within the complexity of university culture influencing nurse education, informs collaboration with colleagues towards a shared vision of nurse education. I turn to reflect on a journey of constructing a reflexive narrative. Five stepping stones for dialogue in advancing guided reflection as a foundation for nurse education are offered. My inquiry weaves a story of reflection as testimony to a fusion of practice and theory. I reveal practice wisdom, informing my day to day work in being available becoming student kind in relationships with students. I explore the contribution to knowledge, my practice and future research, considering the strengths and challenges therein.

Styles APA, Harvard, Vancouver, ISO, etc.

5

Sengstock, Brian. "A grounded theory study of nursing students’ experiences in the off-campus clinical setting." Thesis, Central Queensland University, Australia, 2008. https://eprints.qut.edu.au/30282/1/c30282.pdf.

Texte intégral

Résumé :

Poor workplace relations are an issue of concern in many workplaces and this phenomenon is not restricted to the nursing profession. The issue of workplace violence in nursing is well documented and there are an increasing number of studies which have investigated the notion of horizontal violence amongst graduate nurses. The impact that poor workplace relations has on the development of a professional identity by nursing students in the off-campus clinical setting is significant in light of the current global shortage of nurses. There is a dearth of knowledge in understanding how Australian undergraduate nursing students experience the off-campus clinical setting and subsequently develop a professional identity as a nurse. Therefore the aim of this study was to discover and describe the phenomena in order to develop a substantive theory that explains the experiences of the undergraduate nursing students in a regional setting. Constructivist grounded theory methods were utilised in the conduct of the study. A sample of 29 participants was recruited permitting the formulation of a substantive theory regarding the development of a professional identity in nursing students. This substantive theory contributes knowledge relevant to the undergraduate nursing students, nurse educators, nursing workforce planners, and the tertiary educational institutions offering nursing. This is achieved through discovering, describing and explaining the phenomenon of ‘anxiety’ which the nursing students experience as a result of the interrelationship and interactions of tradition bearing, staff and student performance. These interactions intersect to form expectations of where the student fits within the hierarchy of the facility and the nursing profession in general. An understanding of the issues associated with tradition bearing, staff performance, and student performance and the impact that the interaction of these conditions has upon the student’s developing professional identity as a nurse is necessary to allow for the implementation of corrective strategies.

Styles APA, Harvard, Vancouver, ISO, etc.

6

(9805346), Eleanor Horton. "A Foucauldian gaze in nursing: A critique of the politics of difference in nursing." Thesis, 2014. https://figshare.com/articles/thesis/A_Foucauldian_gaze_in_nursing_A_critique_of_the_politics_of_difference_in_nursing/13437812.

Texte intégral

Résumé :

"In 1982, when questioned about his intellectual ability, French philosopher Michel Foucault replied: I don’t feel it is necessary to know exactly what I am. The main interest in life and work is to become someone else you were not in the beginning. If you knew when you began a book, what you would say in the end, do you think you would have the courage to write it? (Martin, Gutman & Hutton, 1988, p. 9) This thesis presents a post-structuralist gaze at the politics of difference in nursing from the perspectives of Foucault and Jacques Derrida, with the aim of presenting a new text that challenges the maintenance of the status quo of nursing. The thesis will use nursing as a discipline to examine subjectivity of the self through the conceptual lens of Foucault and Derrida and those factors that influence the politics of difference in nursing, such as ‘othering’, neoliberalism, managerialism and globalisation. Until nursing moves beyond binary thinking and considers a new politics of difference, the generation of new knowledge will endorse the philosophical thinking of the Enlightenment project and fail to progress nursing beyond this and into the post-structuralist ethos. Moreover: This post-structuralist approach to the politics of knowledge challenges the individual who is rational and coherent and has a rational and coherent story about themselves and society (Horton, 2013, p. 24)."<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

7

(13108657), Robert McClure. "The nature of coping and emotional intelligence: An empirical study with the nursing profession." Thesis, 2005. https://figshare.com/articles/thesis/The_nature_of_coping_and_emotional_intelligence_An_empirical_study_with_the_nursing_profession/20327460.

Texte intégral

Résumé :

<p> This thesis used a homogeneous sample of 116 professional nurses to empirically test the theoretical proposition that transactional coping and emotional intelligence are different constructs. Using that same sample, the research also empirically tested the theory that professional nurses' emotional work response behaviours require emotional intelligent ability (McQueen 2004; Molter 2001). Other research questions were related to testing relationships between emotional work, emotional intelligence, coping and the outcome variables of job satisfaction and health and well-being. </p>

Styles APA, Harvard, Vancouver, ISO, etc.

8

(9840005), Lorraine Thompson. "Coaching for clinical nurse leaders: A mixed methods study." Thesis, 2017. https://figshare.com/articles/thesis/Coaching_for_clinical_nurse_leaders_A_mixed_methods_study/13444781.

Texte intégral

Résumé :

This inquiry examined coaching as an approach for supporting and professionally developing clinical nurse leaders within their roles. An explanatory sequential mixed methods design was considered appropriate for this study consisting of a quantitative phase at the outset, followed by a qualitative phase.

Styles APA, Harvard, Vancouver, ISO, etc.

9

(9807182), Lynnette Jamieson. "The 'realities' of part-time nursing in regional Queensland." Thesis, 2005. https://figshare.com/articles/thesis/The_realities_of_part-time_nursing_in_regional_Queensland/13421057.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

10

(9801764), Julie Hanson. "Nursing students' preparation for adversity: Exploring the curriculum as a source of learning that prepares nursing students to cope with workplace adversity." Thesis, 2015. https://figshare.com/articles/thesis/Nursing_students_preparation_for_adversity_Exploring_the_curriculum_as_a_source_of_learning_that_prepares_nursing_students_to_cope_with_workplace_adversity/13437800.

Texte intégral

Résumé :

Nursing, like many other professions, is impacted negatively by the problem of adversity. It is widely documented that nurses experience stress and anxiety as a result of bullying, difficult working conditions and the accumulation of multiple stressors that deplete job satisfaction. Adversity amongst nursing students has not been widely explored, and it was hypothesised that with greater understanding of the unique experience of these students, that solutions could be generated that could enrich the curriculum. A study was designed to elicit stories of adversity from nursing students in order to understand what they anticipated might happen in the workplace and, uncover what they actually experienced. The study was undertaken at the University of the Sunshine Coast (USC), Australia, in an undergraduate Bachelor of Nursing Science 3-year programme. Critical social theory methodology, as developed by Antonio Gramsci, was chosen to illuminate how inequalities that nursing students experience are not always perpetuated consciously, but can be a failure to notice that injustice is taking place. When taking a critical social stance, educational solutions that address adversity can focus on awareness raising on the impact of culture and cultural norms on interpersonal and interprofessional relationships. By examining how discursive practices can be perpetuated, and resisted, the study sought to identify possibilities for change to build a more resilient workforce. Data were collected in three stages: individual interview groups (stage 1 and 2) included 7 nursing students from years 1-3 of the programme. Recruitment of nursing student interviewees was completed through email on the university intranet site. The focus group interview (stage 3) was composed of 5 academic staff. These participants were the researcher’s peers as they were involved in teaching into the undergraduate nursing programme at USC. Convenience sampling was used to recruit these academics for their role as peer educators.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

11

(11773901), Clive Leslie Miller. "Patient care information and its use by nurses: 'Becoming informed'." Thesis, 2000. https://figshare.com/articles/thesis/Patient_care_information_and_its_use_by_nurses_Becoming_informed_/13424186.

Texte intégral

Résumé :

<p> </p> <p>A major problem that nurses face at the start of each shift is the amount of information they receive in relation to the patients allocated to their care. The patient may have been in the ward for many days and the nurse has abundant previous information about them. The patient may be a newly admitted and the only information nurses have is their name and that of the consultant. Not only is information needed at the start of the shift, but there are also ongoing needs throughout the shift. Therefore there is a constant process of giving and gathering information. <br> A qualitative approach using interviews and participant observation was chosen as the most appropriate form of investigation. Ten nurses were interviewed, then observed both at handover and for some hours afterwards. The collected data were analysed using a grounded theory approach. Because of data and time constraints only an initial conceptual framework could be developed and presented in this work. <br> It was found that nurses both actively seek and are passively given information, which they use for providing patient care. A continuum was found ranging from low to high for both the nurses' knowledge of the patient and the patient's condition, as well as the nurses' clinical knowledge and experience, that has an affect on these activities. This gathering of information can be likened to nurses "learning" about the patient much as one 'learns' the meaning of a picture. Initially one passively absorbs the scene but then the person looks more closely to fill in the details raised by questions they may have. <br> The process of gathering information needed for patient care is a complex intertwining of many factors relating both to the nurse and the situation. This has implications in the way information is communicated at each nursing change of shift if ongoing care is to be continued appropriately. </p>

Styles APA, Harvard, Vancouver, ISO, etc.

12

(9788096), Kerrie Coleman. "A descriptive study on: The impact of climate and comfort on patient's compliance with compression therapy." Thesis, 2003. https://figshare.com/articles/thesis/A_descriptive_study_on_The_impact_of_climate_and_comfort_on_patient_s_compliance_with_compression_therapy/19352483.

Texte intégral

Résumé :

<div>Leg ulcers are a common problem especially amongst the elderly, with incidence rates of 3.3/1000 in Australia (Baker, Stacey, Jopp-McKay, Hoskin & Thompson 1991 p.864). The persistence and recurrence of venous ulcers presents a management challenge to the patient and the health care team (Chase, Melloni & Savage 1997). It is important therefore that treatment offered should be based on rigorous research, and that also in general this type of research should facilitate understanding of how venous leg ulcers, and their treatments, impact on people's lives (Walshe 1995).</div>

Styles APA, Harvard, Vancouver, ISO, etc.

13

(9796979), Ann Framp. "A narrative inquiry into the experiences of one family's predisposition to hereditary diffuse gastric cancer." Thesis, 2017. https://figshare.com/articles/thesis/A_narrative_inquiry_into_the_experiences_of_one_family_s_predisposition_to_hereditary_diffuse_gastric_cancer/13444751.

Texte intégral

Résumé :

Cancer is a challenging chronic disease. For families affected by hereditary cancers, understanding and adapting to the disease is complex. A Maori family in New Zealand have recently been found to have a genetically inherited form of stomach cancer – hereditary diffuse gastric cancer. They are armed with genetic knowledge about their predisposition to the disease and can take steps to avert the cancer but this knowledge does create risk and psychosocial ramifications. The aim of the study was to explore the experience of being predisposed to hereditary diffuse gastric cancer from members on one Maori family. The existing literature had an advanced scientific understanding of the cancer and led to useful treatment guidelines, but a subjective understanding of the experience of the cancer was limited. The study reported in this thesis used a narrative inquiry methodology to understand the subjective experience of being predisposed to the stomach cancer. Eight people were interviewed and the stories they shared revealed the complexities of how the illness was uniquely experienced, in context, and over time. Nuances were also uncovered about human interactions with health care providers.

Styles APA, Harvard, Vancouver, ISO, etc.

14

(9776663), Susan Alexander. "A phenomenological exploration of the lived experience of malignant wounds from the perspective of client, caregivers and nursing staff." Thesis, 2010. https://figshare.com/articles/thesis/A_phenomenological_exploration_of_the_lived_experience_of_malignant_wounds_from_the_perspective_of_client_caregivers_and_nursing_staff/13459535.

Texte intégral

Résumé :

Investigates the lived experience from the perspectives of patient, caregivers and nursing staff of dealing with a malignant wound. Interviews were conducted with patients, caregivers and nursing staff.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

15

(12552913), Karen L. Henderson. "Critical care nurses' knowledge of the care and use of central venous lines." Thesis, 2002. https://figshare.com/articles/thesis/Critical_care_nurses_knowledge_of_the_care_and_use_of_central_venous_lines/19776259.

Texte intégral

Résumé :

<p>The primary aim of this cross-sectional research project was to evaluate critical care nurses' knowledge of the care and use of central venous lines. A secondary purpose was to determine if their knowledge was related to sociodemographic characteristics.</p> <p>A true -or -false and multiple-choice questionnaire was developed by the researcher, subjected to review by a panel of experts and pilot -tested. It was examined for reliability, item difficulty and discrimination in order to improve the validity of the instrument prior to the research study. Sociodemographic questions were included to examine the influence of variables such as critical care nursing experience, educational background, job position and location of practice on the nurses' knowledge of the care and use of central venous lines. T -tests and analysis of</p> <p>variance were used to test hypotheses related to differences in mean scores among sociodemographic subgroups and a predetermined score that indicated sufficient knowledge of the participants in the study.</p> <p>The final 30 -item questionnaire was mailed to six hundred members of the Australian College of Critical Care Nurses. A total of 250 nurses (42%) completed the questionnaire. The mean knowledge score of all the participants was 23.4 or 78% items correct, with a standard deviation of 3.41. The range of correct scores was 14 to 30. Significantly low mean scores were found in all subgroups except for nurses in managerial or educational positions, nurses working in a large rural area and nurses with a Master's degree or higher level of education. Nurses who completed a hospital -based critical care program had significantly higher scores than those who did not. There was a significant difference in scores according to the years of critical care experience with increasing scores as the years of experience increased.</p> <p>The results suggest that critical care nurses have a general knowledge deficit of central venous lines. Educational programs, hospital -based critical care programs and the use of preceptors are methods that can be used to improve the knowledge base of nurses working in critical care areas. This study may be replicated on a larger scale to improve the validity and reliability of the questionnaire and to validate its findings.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

16

(9893261), JD Brammer. "The lived experience of clinical facilitation." Thesis, 1996. https://figshare.com/articles/thesis/The_lived_experience_of_clinical_facilitation/13462322.

Texte intégral

Résumé :

Cinical facilitation is an independent and autonomous role where the clinical facilitators rarely have an opportunity to observe other facilitators in their role. The purpose of this study was to identify the meaning of the lived experence of clinical facilitation for clinical factors.

Styles APA, Harvard, Vancouver, ISO, etc.

17

(9787085), Martin Christensen. ""Men are from Mars": The lived experience of male nursing students at a regional university." Thesis, 2018. https://figshare.com/articles/thesis/_Men_are_from_Mars_The_lived_experience_of_male_nursing_students_at_a_regional_university/13449152.

Texte intégral

Résumé :

The history of the male nurse is a long and varied one. From its early origins in the ancient world, through the Christian era and its formation within the religious faiths of the medieval period to it’s almost demise as a result of the reformation until the birth of formalised nursing practice in the 1850’s put paid to the image of the male nurse. More recent work has identified the barriers and pitfalls of the modern image of the male nurse, of one being homosexual or a sexual deviant, to claims that male nurses climb the hierarchical ladder quicker than their female colleagues. This not only applies to those men who are currently registered nurses but equally to male nursing students as well. However, male nursing students also experience the discomfort of being treated differently in the classroom as a result of the feminine nature of the nursing programme; being used as live mannequins during clinical skills sessions and excluded from providing care to female patients while on clinical placement. The aim of this study was to explore the lived experience of male nursing students at a regional Australian university. Using descriptive phenomenology after the tradition of Husserl, this study incorporated the empirical-phenomenological framework from which to structure the study which incorporated Colaizzi’s data analysis method as a means of elucidating central themes. Eight male student nurses were interviewed using Jones’ minimalist-passive interview technique. Data analysis identified three central themes: Nursing is for Men; Men are from Mars and Working in a World of Perceived Negativity. Each of the three themes formed the foundation from which to elucidate further extant literature to identify what is known and what is not known. There is a plethora of literature as it relates to men in nursing, however, this study identified a number of key areas that contribute new knowledge to the phenomenon: support in the decision making of spouses/partners of those men currently in the under-graduate nursing programme; the reasons why male nursing students are excluded from providing intimate care, the perception that male nursing students are seen as potential sexual predators and the differences in communication and learning styles compared to women. The men in this study certainly felt marginalised and isolated at times considering they made a significant career change to ‘train’ to be registered nurses. In certain situations, they felt vulnerable, especially during clinical placement where their presence was often unwelcome. On some occasions they were excluded, particularly from providing intimate nursing care which often left the male students with a skills deficit for their next placement. Despite the barriers these men enjoyed the prospect of becoming registered nurses, they felt at ease in the classroom, although not actively seeking out other men in the group, though often feeling comforted that there were other male students around which reduced their sense of isolation. There are a number of implications for education and practice which may include a review of the national nursing curricula to ensure that any gender inequalities are addressed appropriately. Second, during clinical placement experiences patient choice as to who provides care as opposed to members of the nursing team is paramount in reducing potential exclusionary practices. Finally, there could be a greater number of male nursing role models both clinically and educationally to support seamless transition and assimilation into the under-graduate programme and the profession.

Styles APA, Harvard, Vancouver, ISO, etc.

18

(9832781), Pamela Savage. "Registered nurse perceptions of legal consequences in clinical practice." Thesis, 2010. https://figshare.com/articles/thesis/Registered_nurse_perceptions_of_legal_consequences_in_clinical_practice/13457564.

Texte intégral

Résumé :

"The research documented in this thesis explored the way registered nurses currently working in regional Queensland health environments have learnt about legal issues and it describes their experiences of applying legal theory in the clinical environment. Further the study explored if there is a clinical culture, that is the beliefs and attitudes held about the law in practice, that are transmitted to colleagues and student nurses and what effects this might have. Thirty (30) registered nurses were interviewed for this study ..."--Abstract.

Styles APA, Harvard, Vancouver, ISO, etc.

19

(9785912), Jennifer Carter. "On the lived experience towards the end of life." Thesis, 2019. https://figshare.com/articles/thesis/On_the_lived_experience_towards_the_end_of_life/13451387.

Texte intégral

Résumé :

This qualitative research through the medium of social media, explored the lived experience of 8 people who have been given a terminal diagnosis. Uncovering many profound personal experiences and insights that has given them the resilience to embrace the changes and to improve the quality of their lives.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

20

(9818864), Nancy Mcnamara. "The experiences of students as nurses and patients in simulated nursing practice." Thesis, 2022. https://figshare.com/articles/thesis/The_experiences_of_students_as_nurses_and_patients_in_simulated_nursing_practice/22351546.

Texte intégral

Résumé :

Challenges in nursing, including an ageing population with increasingly complex health needs, an aging and decreasing global nursing workforce, and depressed government budgets, impact on the quality and availability of nursing students’ clinical placements as part of their education. Development and implementation of innovative activities are essential to ensure that students are both personally and professionally prepared for nursing practice. Simulation is an educational strategy adopted in nursing education to promote the safety and competence of nurses entering the clinical environment, and it offers a response to the problems around clinical placement. The current study investigated the simulated nursing practice activity of students in their first year of nursing education. The aims of this study were to explore and describe the experiences of students as nurses and patients in role play simulation and to develop a substantive theory through which to understand these experiences; to influence national simulation standards, policies, and guidelines; and to impact on the development of role play simulation activities for students in undergraduate nursing institutions. The research design adopted a grounded theory approach: incorporating the core elements of grounded theory, which frame all steps in the study. Data was gathered through semi-structured interviews through a purposive sample of 16 students in a New Zealand nursing institution. Findings emerging from the data revealed a substantive theory, connection in simulated nursing practice, consisting of the central category, connection, and its four principal categories: 1. discovering connections, 2. connecting with peers, 3.

Styles APA, Harvard, Vancouver, ISO, etc.

21

(9828347), Loretto Quinney. "The lived experience of nurses who care for family members during acute exacerbation of chronic illness: A phenomenological approach." Thesis, 2018. https://figshare.com/articles/thesis/The_lived_experience_of_nurses_who_care_for_family_members_during_acute_exacerbation_of_chronic_illness_A_phenomenological_approach/13447961.

Texte intégral

Résumé :

In the previous two decades, the incidence of chronic illness has grown extensively across all demographics in all countries of the globe. The increase in chronic illness places significant burdens on stressed and diminishing health resources. In this environment it is not unusual for family members to assume the role of carer and this is particularly true for family members who are nurses. Although the experience of caring for a family member with chronic illness has been investigated extensively, there is a paucity of information around the experience of nurses who care for family members with chronic illness. This phenomenological study, which is embedded in Heideggerian philosophy, was aimed at exploring the ways of ‘Being’ a nurse who was also a primary carer for a family member, during acute exacerbation of a chronic illness. The study used purposive recruitment through a snowballing strategy. Fifteen registered nurses who were primary carers for a family member with a chronic illness chose to participate in the study. Participants were from regional and metropolitan areas of two eastern Australian states. Face to face or telephone interviews were conducted between January 2013 and June 2014. Interviews followed an unstructured conversational format and were digitally recorded and professionally transcribed. Thematic analysis of data used a three step iterative approach of reading and writing as described by van Manen (1994). Analysis revealed that there were three overarching themes identified by participants as significant impactors on their lived experience of caring for a family member during acute exacerbation of a chronic illness. Participants consistently identified that there were; personal, professional and practical consequences of Being a nurse family carer (NFC). Participants recognised that there were personal benefits and costs as a consequence of their role. The findings indicated that acute exacerbation of a chronic illness had wide impact upon the functioning of the family unit and so the diagnosis had implications for all family members. Healthcare knowledge and expertise enabled the NFC to integrate professional and personal aspects of caring but also brought worries and concerns to the NFC that might not be felt by non-healthcare professionals. The findings around this theme have been described as; a shared experience, a caring experience and a fraught experience. The second overarching theme explicated the professional insights from being a NFC. Analysis of the transcriptions revealed that participants assumed different roles to enable them to optimize the outcomes for their ill family member. The findings around this second theme have been described as: NFC as mediator, NFC as navigator and NFC as protector. The third theme examined the practical strategies that NFCs implemented to integrate chronic illness and promote the best possible outcomes for their family member. The findings around this theme have been described as Adapting to a new life-world and have been organize into three subthemes; Renegotiating expectations, Circles of support and Finding balance in a new life-world. These findings expand and extend the body of knowledge around nurses who are family carers and provide insight into healthcare delivery from a person who has the perspectives of informed health care professional, carer and consumer. The outcomes of this research hold significant insights and are worthy of inclusion in orientation and education programs that inform healthcare professionals about the vital role of family carers for the chronically ill and specifically the role of nurse family carers. These findings have implications for healthcare providers, policy makers and individual professionals.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

22

(9833828), Brian Sengstock. "A grounded theory study of nursing students' experiences in the off-campus clinical setting." Thesis, 2009. https://figshare.com/articles/thesis/A_grounded_theory_study_of_nursing_students_experiences_in_the_off-campus_clinical_setting/13425191.

Texte intégral

Résumé :

Poor workplace relations are an issue of concern in many workplaces and this phenomenon is not restricted to the nursing profession. The issue of workplace violence in nursing is well documented and there are an increasing number of studies which have investigated the notion of horizontal violence amongst graduate nurses. The impact that poor workplace relations has on the development of a professional identity by nursing students in the off-campus clinical setting is significant in light of the current global shortage of nurses. There is a dearth of knowledge in understanding how Australian undergraduate nursing students experience the off-campus clinical setting and subsequently develop a professional identity as a nurse. Therefore the aim of this study was to discover and describe the phenomena in order to develop a substantive theory that explains the experiences of the under-graduate nursing students in a regional setting. Constructivist grounded theory methods were utilised in the conduct of the study. A sample of 29 participants was recruited permitting the formulation of a substantive theory regarding the development of a professional identity in nursing students. This substantive theory contributes knowledge relevant to the undergraduate nursing students, nurse educators, nursing workforce planners, and the tertiary educational institutions offering nursing. This is achieved through discovering, describing and explaining the phenomenon of anxiety which the nursing students experience as a result of the interrelationship and interactions of tradition bearing, staff and student performance. These interactions intersect to form expectations of where the student fits within the hierarchy of the facility and the nursing profession in general. An understanding of the issues associated with tradition bearing, staff performance, and student performance and the impact that the interaction of these conditions has upon the students developing professional identity as a nurse is necessary to allow for the implementation of corrective strategies.

Styles APA, Harvard, Vancouver, ISO, etc.

23

(13114334), Robyn Penny. "An ethnography of child health nursing: Understanding child health nurses' concept of risk in community child health practice." Thesis, 2001. https://figshare.com/articles/thesis/An_ethnography_of_child_health_nursing_Understanding_child_health_nurses_concept_of_risk_in_community_child_health_practice/20334960.

Texte intégral

Résumé :

<p> In health care the concept of risk has evolved on a medical and epidemiological platform (Hennekens & Buring 1987; Heyman 1998; Jacobs 2000) but despite use in nursing as early as Nightingale (1952) it has not been developed theoretically from a nursing perspective (Spiers 2000). At a time when contemporary health policy, managers and clinical practitioners are increasingly focusing on 'at risk' and `vulnerable' groups in society (Queensland Health 1993; Baum 1998) the terms risk and vulnerability continue to be recognised as nebulous (Appleton 1994), and conceptualised differently in epidemiological, clinical and individual terms (Spiers 2000; Jacobs 2000). Acknowledging these differences and clarifying these concepts has relevance for nursing practice and research (Rose & Killien 1983), in particular the development of common understandings has the potential to develop nursing knowledge, direct nursing research and ultimately develop the practice of nursing (Norris 1982; Kim 1999; Jacobs 2000). </p> <p>This study was motivated by the need to understand and account for a Child Health Nurses' (CHNs') concept of risk within contemporary child health practice so as to develop the knowledge base of child health nursing in relation to risk and to encourage reflection by child health nurse practitioners. Additionally this knowledge could lead to common meanings and shared understandings among CHNs, and ultimately improved practice. For the purposes of this study risk will be recognised as a term having both quantitative and qualitative dimensions with epidemiological, clinical and individual attributes which, when linked to nursing assessment directs the planning and implementation of preventive health practices. </p>

Styles APA, Harvard, Vancouver, ISO, etc.

24

(9778364), Patricia Awty. "Disquieting disconnection: Finding meaning and purpose in life when journeying with a partner who lived and died with Semantic Younger Onset Dementia." Thesis, 2020. https://figshare.com/articles/thesis/Disquieting_disconnection_Finding_meaning_and_purpose_in_life_when_journeying_with_a_partner_who_lived_and_died_with_Semantic_Younger_Onset_Dementia/14169227.

Texte intégral

Résumé :

This research explored the phenomenon of disquieting disconnection as experienced within a lifelong relationship as a consequence of the impact upon personhood when journeying with a partner who lived and died with Semantic Younger Onset Dementia (S-YOD). This study was informed by a heuristic approach to enquiry using Moustakas’ (1994) method, providing congruence when addressing the lived experience of the spouse, the lone subject, who was experiencing disquieting disconnections. Three major themes were identified during this research journey of finding meaning and purpose in life: ‘Feeling Abandoned’, ‘There Are No Words’ and ‘Running in the Opposite Direction’. Constant immersion in the heuristic process led to the acquisition of new realisations. The main themes along with associated sub-themes and/or paradoxes were integrated and the accompanying creative synthesis of the experience evolved. This provided a depiction of a process of grieving, expressed within a thematic conceptualisation entitled ‘Seasons of Grief’. Paradoxically, the strength of this research can be viewed as its limitation. In essence, it is one person’s journey, providing intensity and detail, however it is one person’s perspective. It is the recommendation there be further studies highlighting the experience of others. The more lenses we are provided to look through, the richer our understanding will become. More studies on spousal experiences of living, loving and grieving a partner who lives and dies with YOD are required, in particular from those who represent minority groups. Key words: disquieting disconnections, younger onset dementia, heuristic, grief, lesbian

Styles APA, Harvard, Vancouver, ISO, etc.

25

(9815483), Wendy Madsen. "Nursing, nurses and their work in Rockhampton: 1930 - 1950." Thesis, 1997. https://figshare.com/articles/thesis/Nursing_nurses_and_their_work_in_Rockhampton_1930_-_1950/20113994.

Texte intégral

Résumé :

<p>This dissertation has used an historical approach to investigate nursing at the Rockhampton Hospital between 1930 and 1950. It has focussed on the work practices of those nurses who carried out the majority of the work, the trainee nurses. The work practices examined include those related to infection control, treatments and interventions, monitoring activities and ward management issues such as hierarchical structure and communication.</p> <p>This dissertation has placed nursing history at the centrepoint of three related disciplinary fields - medical, labour and women's history. This has allowed some of the origins of the rituals, traditions and culture of nursing to be identified. In particular the image of nurses as the doctor's handmaiden has been examined. This dissertation has revealed that while a large proportion of nursing activities were regulated by doctors, nurses controlled a significant amount of their work. This dissertation has, therefore, supported and challenged the foundations of the handmaiden image.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

26

(9777596), Judith Applegarth. "Understanding Assisted Reproductive Technology nursing (ART) practice in Australia: A grounded theory study." Thesis, 2011. https://figshare.com/articles/thesis/Understanding_Assisted_Reproductive_Technology_nursing_ART_practice_in_Australia_A_grounded_theory_study/13464605.

Texte intégral

Résumé :

"The aim of this study was to develop a theory to explain the clinical practice experiences of ART nurses in Australlia ... Semi-structured interviews were undertaken with 15 ART nurses working in metropolitan and regional ART units around Australia"--Abstract.

Styles APA, Harvard, Vancouver, ISO, etc.

27

(9845663), Leonie Williams. "What needs? Nurses and Aboriginal patients in hospital. A grounded theory study." Thesis, 1999. https://figshare.com/articles/thesis/What_needs_Nurses_and_Aboriginal_patients_in_hospital_A_grounded_theory_study/13424732.

Texte intégral

Résumé :

Study examines the practice of nurses with members of a local adult Aboriginal community who were admitted to hospital. The grounded theory study was conducted in regional Queensland.. This dissertation provides the results of a grounded theory study undertaken in a regional area of Queensland which resulted in the development of a substantive theory of nursing practice with adult Aboriginal people who were admitted to hospital. This study is foundational both for nursing research and in developing an understanding of Aboriginal-non-Aboriginal relationships in the 20th century. There have been no previous studies identified through the literature or available databases which have attempted to explore or explain the relationships of nurses with Aboriginal people who are hospitalised. In addition, there is little evidence of any qualitative studies with urban Aboriginal people. Through the analysis of a variety of data, the research has identified a theory of nursing practice which is unique to the professional relationship between Aboriginal patients and professional nurses. In addition, the theory identifies those variables which support optimal nursing practices with Aboriginal patients and others which reduce standards of professional service. The development of the theory and the tenets of the theory have resulted in a number of significant implications for both the nursing profession and providers of health services to Aboriginal people. In this current climate of reconciliation, it is timely that professional nurses undertake a critical examination of their practices with Aboriginal people and those aspects which can redress some of the inequities perpetrated through ignorance or ethnocentricity over the last 160 years.

Styles APA, Harvard, Vancouver, ISO, etc.

28

(9831008), Irene Rogers. "Breaking bread with the dead: The Australian "Bluebird" nurses of World War One seen through the lens of microhistory." Thesis, 2017. https://figshare.com/articles/thesis/Breaking_bread_with_the_dead_The_Australian_Bluebird_nurses_of_World_War_One_seen_through_the_lens_of_microhistory/13450469.

Texte intégral

Résumé :

Through narrative inquiry and microhistory, this thesis contextualises and explores the collective and individual life experiences of the Bluebirds who were a group of twenty trained Australian nurses who served on the Western Front during World War 1. In July 1916, the Bluebirds left Australia aboard the Australian Hospital Ship Kanowna. They were under contract with The New South Wales Division of the Red Cross Society to work for the Red Cross Society or the French military authorities and called the Bluebirds because of their distinctive uniforms. The Bluebirds became the only group of trained nurses sent to the front by any Red Cross branch in Australia during WW1. Whilst some of their achievements during WW1 have been acknowledged, little is known about what may have shaped the experiences these nurses had and the lives they led before, and after, the war. Microhistory provides an opportunity to approach the subjects from a different direction, to listen to a variety of voices and to use the resulting paradoxes as a way to increase historical understanding. Investigating and exploring the personal experiences of the Bluebird nurses has enabled stories to emerge that can potentially illuminate and inspire. The detailed evidence presented, reveals new insights as well as variously supporting, supplementing or even calling into question some of the larger narratives of the lives of Australian women at war and at home.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

29

(9834218), Julie Shaw. "Constructing a grounded theory of young adult health literacy." Thesis, 2017. https://figshare.com/articles/thesis/Constructing_a_grounded_theory_of_young_adult_health_literacy/13443047.

Texte intégral

Résumé :

The health literacy of young adults indicates their preparedness to manage their health. Health literacy is currently viewed from the perspective of health professionals and patients with two dominant perspectives being functional health literacy and public health/health promotion health literacy, both of which are known to improve health outcomes. A review of the literature identifies that young peoples’ perception of health is inconsistent as well, there is limited information on the health literacy of young adults. The rise of the consumer society in Western countries in the 1950s created the need for the health literacy of the broader population to be enhanced as individuals are being increasingly asked to make choices/decisions in the management of their lifestyle and health. The lifestyle and health management choices of young people impact their current and future health. The young adult health literacy study aimed to address this gap in knowledge and construct a theory of young adult health literacy. Charmaz's constructive grounded theory approach underpinned this study. Recruitment of participants involved purposive sampling and snowballing. Twelve young adults who met the inclusion criteria for this study were recruited. Data collection involved completion of a demographic questionnaire along with semi-structured face to face and group interviews. Transcribed data was analysed using Charmaz's grounded theory framework resulting in the construction of a theoretical model of health literacy. The constructed theory has a central theme of My Health representing the embodiment of health. There are four other themes which are interconnected, Learning about Health, Developing Meaningful Knowledge, Making Health Decisions representing empowerment of the young adult, and Context representing the dynamics of daily living. The theory accommodates for the diversity of young adults and its fluidity allows for movement within the model. The theory contributes to the clarification of health literacy as a construct; identifies the enablers and barriers of health literacy for young adults; provides a framework for education, health information, health professionals and health services to use in the further enhancement of young adults’ health, health management and health literacy; as well as provide a foundation for young adults in making health decisions in later life.

Styles APA, Harvard, Vancouver, ISO, etc.

30

(9786557), Maureen Chapman. "An exploration of leadership of registered nurses in clinical settings." Thesis, 2017. https://figshare.com/articles/thesis/An_exploration_of_leadership_of_registered_nurses_in_clinical_settings/13444769.

Texte intégral

Résumé :

Nurses provide leadership at various levels throughout healthcare organisations as Directors of Nursing, Chief Nursing Officers, as well as clinical leaders at a unit level. Existing research into nursing leadership has mainly focussed on transformational and transactional forms of leadership, which has been at the expense of exploring more contemporary forms of leadership. Furthermore there is limited research into the experiences of leadership from registered nurses working in the clinical settings. This research explored the extent and appropriateness of four forms of leadership namely transactional, transformational, distributed and hybrid leadership as it applies in to clinical nursing.

Styles APA, Harvard, Vancouver, ISO, etc.

31

Kalaitzidis, Evdokia. "professional ethics for professional nursing." 2006. http://arrow.unisa.edu.au:8081/1959.8/30081.

Texte intégral

Résumé :

The thesis proposes and defends a maxim which can serve as a foundation and guideline for professional ethics in nursing, the maxim that nurses should act so far as possible to promote patient's self-determination. The thesis is informed by philosophical ethics and by knowledge of professional nursing practice.

Styles APA, Harvard, Vancouver, ISO, etc.

32

(9846839), Sandra Worsley. "A foot in both camps: A constructivist grounded theory study exploring the experience of nurses who became homeopaths." Thesis, 2020. https://figshare.com/articles/thesis/A_foot_in_both_camps_A_constructivist_grounded_theory_study_exploring_the_experience_of_nurses_who_became_homeopaths/13411316.

Texte intégral

Résumé :

This research aimed to understand the factors attracting qualified nurses to the practice of homeopathy and the influence if any, their respective identities as nurses and homeopaths had on their nursing and homeopathic practice. Using constructivist grounded theory methodology, data was collected via semi-structured interviews with fifteen registered nurses, who were also registered homeopaths, from three states of Australia. Data from the study resulted in the development of a substantive theory, the ‘Theory of Congruent Positioning’, which proposes that the nurses in this study were attracted to the practice of homeopathy through a process of experiential and transformative learning, whereby they connected with the core tenets of homeopathic philosophy. The ‘Theory of Congruent Positioning’ also provides insights into how the respective nursing and homeopathic identities of the nurses in this study influenced their respective nursing and homeopathic practice.

Styles APA, Harvard, Vancouver, ISO, etc.

33

(9787256), Jessica Clack. "Factors contributing to normothermia in people with a major burn injury in the first 24 hours of hospital admission." Thesis, 2020. https://figshare.com/articles/thesis/Factors_contributing_to_normothermia_in_people_with_a_major_burn_injury_in_the_first_24_hours_of_hospital_admission/13408010.

Texte intégral

Résumé :

Through a retrospective chart audit, this research revealed that the body temperature of a burn-injured person on admission to hospital is a key factor in contributing to normothermia following hypothermia. This finding will assist patients immediate emergency care needs.

Styles APA, Harvard, Vancouver, ISO, etc.

34

(9833654), Tammy Seckold. "Comparisons of silicone and polyurethane Peripherally Inserted Central Catheter post insertion complications." Thesis, 2019. https://figshare.com/articles/thesis/Comparisons_of_silicone_and_polyurethane_Peripherally_Inserted_Central_Catheter_post_insertion_complications/13453295.

Texte intégral

Résumé :

Background; Peripherally inserted central catheters (PICC) are increasing in popularity in healthcare systems around the world. Positive patient satisfaction and clear fiscal savings combined with perceived low insertion and post insertion complication rates when compared to other options have secured the popularity of PICC in health care systems around the world. However little quality evidence is available to PICC inserters with regards to the safest catheter choice in order to produce the lowest levels of post insertion complications both in general adult populations as well as specific patient groups. Research question; Is the make of the PICC catheter (silicone or polyurethane) selected by nurse inserters a primary influence in patients experiencing post insertion complications? Data Analysis- Descriptive statistics were used to present demographic findings in both phases of the study. Phase One results were graphically portrayed, while Phase Two data was entered into the computer program SPSS (version 24). For Phase Two comparisons of post insertion complication rates and varying factors of both PICC type were analysed with Pearson chi test, categorical regression, two sample independent t-test, nonparametric binomial test and ANOVA. Methods; To address this research question a two phase study guided by the Gearing framework was undertaken in a Medical Imaging department of a large public hospital in Far North Queensland, Australia. The Gearing framework is a retrospective chart audit research design that comprises nine steps including: conception of the research, literature review, proposal development, data abstraction, development of protocols for data abstraction, chart audit tool, sample, ethical considerations and pilot. Phase One of the study comprised steps 1 and 2 in the Gearing framework. Consistent with the Gearing framework the literature review is presented as systematic review, and forms part of the data collection process. Phase Two encompassed steps 3 to 9 of the Gearing framework and the chart audit process. Using the tool developed in steps 1 to 9 a total of 379 charts were accessed and data recorded on 295 of these on a secure electronic device. Data collected included; demographic data, patient status, reason for insertion and reason for removal of PICC. Results; Phase One, the systematic literature review, found a large variance in reported post insertion complications from 8 to 50% of all PICC inserted. Both silicone and polyurethane PICC showed similar overall rates of post insertion complication however with closer examination strengths and weaknesses in each PICC type were noted. These finding were used to inform Phase Two of the study. Of the 295 PICC insertions included in Phase Two, 141 were silicone PICC and 154 polyurethane PICC. Various patient groups were contained within the sample including: inpatient (142), outpatient (80) and transitional (73). Reason for requiring a PICC identified 102 oncology patients, 164 requiring intravenous antibiotics and 29 requiring other types medications. Reasons for removal of catheter varied from no complication/ completion of therapy (67.8%), infection (11.2%), migration (5.8%), deceased (4.7%), occlusion (3.7%), thrombus (2.7%), breakage (2.7%), phlebitis (0.3%) and upgrade to triple lumen catheter (0.3%). Overall the number of lumens the PICC contained (p=.001) was shown to be a predictor of removal due to post insertion complications. Categorical regression showed that oncology, not the catheter type, (Beta 0.253, p=.083), to be the strongest predictor of complications. Conclusions; PICC remain a safe and reliable form of medium to long-term intravenous access across PICC types, patient groups and for all patient types. The greatest predictors of post insertion complications were number of lumens and oncology patient groups. The emerging trend of health facilities to transition inpatients to outpatients in the community with PICC insitu was shown to be a safe practice with similar post insertion complication levels to inpatients.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

35

(9825173), Julianne Parry. "The effect of workplace exposure on professional commitment: A longitudinal study of nursing professionals." Thesis, 2007. https://figshare.com/articles/thesis/The_effect_of_workplace_exposure_on_professional_commitment_A_longitudinal_study_of_nursing_professionals/13416656.

Texte intégral

Résumé :

Examines the "findings of a study in which a theoretical model of the relationship between professional commitment prior to workplace entry and professional turnover intention was evaluated using path analysis"--Abstract.<p></p>

Styles APA, Harvard, Vancouver, ISO, etc.

36

(12241256), Glenis Rae Delmore. "Loss and grief in aged care facilities: Understanding nurses' experience of the daily reality." Thesis, 2001. https://figshare.com/articles/thesis/Loss_and_grief_in_aged_care_facilities_Understanding_nurses_experience_of_the_daily_reality/19359137.

Texte intégral

Résumé :

<div>Providers of Residential Aged Care have undergone major structural and philosophical change in the past fifteen years with vastly improved outcomes in service delivery. The improvements covered all aspects of daily living and have been coupled with greater demands for financial accountability. Introduction of the changes has been difficult, and many aged care workers have experienced characteristics of rapid, frequent change in the workplace, such as anxiety, tension and conflict. This is particularly applicable to registered nurses responsible for supervision of personal care, and who are largely responsible for the management of issues surrounding loss, grief and bereavement. It is an aspect of aged care at risk of neglect, because of competing pressures to meet complex needs of residents within a highly structured legislative environment.</div><div><div><br></div><div>This study is an exploration of nurses' experiences in coping with the daily realities of grief reactions. Reference to the literature provided information on previous research, and guidance for development of a pilot study which would further investigate the phenomenon. The aim was learn to 'what it is like' for nurses dealing with the complex reactions and relationships which occur among residents, families, friends and other staff. A small group of nurses participated in semi -structured interviews, responding to questions which addressed loss and grief among residents, relationships between staff, residents, families and management, and adequacy of available support. Participants indicated feeling frustration with time constraints of their work environment which impacts on their ability to provide adequate counseling. Support of colleagues, either positive or negative, was identified as having a major impact on daily experience. Management support was seen to be adequate in some aspects, however there were also expressions of dissatisfaction with the value placed on nurses by management.</div><div><br></div><div>These findings support further research to compare experience in alternative cultural environments, and explore themes of time availability, the ability of nurses to support each other, as well as being valued and supported by management.</div></div>

Styles APA, Harvard, Vancouver, ISO, etc.

37

(9875192), S. Crane. "Participatory action research : nurses and elderly people." Thesis, 1997. https://figshare.com/articles/thesis/Participatory_action_research_nurses_and_elderly_people/13425266.

Texte intégral

Résumé :

Project "theorises the engagement in an educational participatory action research project from the localised site of a nursing home for elderly people in Victoria".. This thesis presents the theoretical and practical development of a participatory action research project from the perspective of a localised site of action, a nursing home. The research design is inductively developed by participating staff of the nursing home, both nurses and non-nurses; the design and the range of participation are both unusual features of a nursing action research project in comparison with those conducted internationally to date. The role of the 'outsider' researcher, a nursing academic and a clinical nurse, was concurrently theorised and practically developed with the changing dynamics of this research project. A process of on-going theoretical and practical analysis of the research process and action in the nursing home was achieved through the use of 'critical incidents'. 'Critical incidents' arising during this participatory action research project have been theorised through a Foucauldian view of the history of institutions and the nature of modern power (Foucault, 1977). They gave rise to new understandings of the nature of nursing in a nursing home, and paid attention to issues of power, gender and ethics within this context. Social actions within the nursing home and the research process are explored, described and considered in the change process as being gendered in production. A focus on ethics, both of self ethics within the research process and of the development of situated, negotiated ethics in relation to others' daily actions in the nursing home, is explored and theorised through some of the critical incidents. Examples of the fourteen critical incidents include the exploration of aromatherapy which formed a way of interrupting the dominant production of medical interests in social actions of the nursing home, and the challenge to new staffing and catering decisions which interrupted managerial interests. A theoretical shift in this participatory action research project, and this thesis, is to see that undertaking new action rather than reflection may be the first step in liberatory processes and that these involve altering the boundaries of self.

Styles APA, Harvard, Vancouver, ISO, etc.

38

(9803771), Kathleen Hielscher. "The factors that facilitate or inhibit appropriately trained nurses carrying the pager." Thesis, 2005. https://figshare.com/articles/thesis/The_factors_that_facilitate_or_inhibit_appropriately_trained_nurses_carrying_the_pager/19776478.

Texte intégral

Résumé :

<p>A focus group study was conducted to provide a base of knowledge related to the facilitators and inhibitors of appropriately trained nurses carrying the pager that notifies of the need for a medical emergency team (MET) response. The study site was in regional Queensland and seventeen Registered Nurses participated in the study. The concepts found in data progressively contributed to the development of four major themes: motivators to do the training, applying theory to practice, the MET experience and prioritising the pager. The data uncovered some information that has not previously been reported in the literature. Other findings offer support for evidence that already exists.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

39

(11389736), Gina Richards. "Nurse leaders' perceptions of registered nurse professionalism: A narrative inquiry." Thesis, 2020. https://figshare.com/articles/thesis/Nurse_leaders_perceptions_of_registered_nurse_professionalism_A_narrative_inquiry/16911406.

Texte intégral

Résumé :

Aim: The aim of this study was to explore nurse leaders’ perceptions of registered nurse professionalism; expand knowledge related to registered nurse professionalism, and to identify the essential attributes of registered nurse professionalism. Background: Despite the general consensus by members of the public and the healthcare professions that professionalism is essential, a clear understanding of what constitutes professionalism is lacking. Most research studies aim to measure professionalism, with a paucity of research providing clear guidance on how to demonstrate the professional behaviours deemed essential by regulatory authorities and the public. Research design: In this study, narrative inquiry was used to examine professionalism as a fresh and innovative approach in the research of this topic. Through storytelling, nurse leaders voiced their perceptions of the professionalism of the registered nurse in the clinical setting. Through the iterative process of the telling and the retelling of the narratives, the nurse leaders’ voices were allowed to be heard. Data collection and analysis: Twelve nurse leaders were interviewed from the metropolitan healthcare setting in Perth, Western Australia. Data collection consisted of semi-structured interviews, analytical memos and field notes. Focus group interviews were used to verify themes related to the professional attributes of registered nurses in the clinical setting and the influence on these attributes. The two-step approach of Miles et al. (2014) to qualitative data analysis was undertaken. Findings: Four attributes of registered nurse professionalism were identified – respect, professional presence, accountability and collegiality. The influences which impacted on the demonstration of professionalism by the registered nurse were identified as a stable work environment. A professional framework was developed with these attributes and influences. Conclusion: The professional framework developed provides a functional perspective of professionalism. This framework is significant because the attributes are observable and provide a clear and visible understanding of what it means to be a professional registered nurse.

Styles APA, Harvard, Vancouver, ISO, etc.

40

(9794399), Pamela Ellem. "Professional challenges and support mechanisms for Specialist Breast Care Nurses in regional, rural and remote Queensland." Thesis, 2018. https://figshare.com/articles/thesis/Professional_challenges_and_support_mechanisms_for_Specialist_Breast_Care_Nurses_in_regional_rural_and_remote_Queensland/13450433.

Texte intégral

Résumé :

Specialist Breast Care Nurses (SBCNs) provide essential support and treatment for women experiencing breast cancer and their families (Cruickshank, Kennedy, Lockhart, Dosser & Dallas, 2008; Liebert, Parle, White & Rodger, 2001; Rogers-Clark, 2002; Yates et al., 2007). The broad role of the SBCN is to coordinate care and provide ongoing psychological support to women with breast cancer and their families during diagnosis, treatment rehabilitation, follow-up and palliative care (Yates et al., 2007). This study addressed the gap in practice and research around support for SBCNs working in regional, rural and remote Queensland.

Styles APA, Harvard, Vancouver, ISO, etc.

41

(9803198), Penny Heidke. "Exploring the barriers and facilitators of healthy lifestyles and educational responsibilities of registered nurses." Thesis, 2017. https://figshare.com/articles/thesis/Exploring_the_barriers_and_facilitators_of_healthy_lifestyles_and_educational_responsibilities_of_registered_nurses/13444787.

Texte intégral

Résumé :

Certain health risk behaviours are modifiable by the individual, such as diet, smoking, physical activity and alcohol consumption. This study aimed to investigate the prevalence of Registered Nurses’ (RNs) own health risk behaviours and whether these influenced the provision of regular health education to patients. This two phase study used a sequential, mixed methods design. Phase one, involved an online survey distributed to registered nurses in a coastal regional town in Australia. Findings from phase one informed the eight semi-structured interviews obtained in phase two. When compared to the general population, the participants in this study reported a lower levels of smoking and met national guidelines for daily fruit and vegetable intake. In contrast, this group reported higher levels of alcohol consumption and lower levels of exercise. Commonly cited barriers to adhering to healthy lifestyles were shift work, long work hours and family commitments. While participants endorsed the importance of the role of the registered nurse in health education, they were not consistent in providing regular advice. Two themes emerged from the phase two interviews: role modelling and lack of priority. The central tenet is that registered nurses’ own health risk behaviours strongly influence attitudes and education provision but that improving perceived self-efficacy may be helpful in improving nurses’ delivery of healthy lifestyle education to patients at risk of non-communicable diseases. The renewed prioritisation of health promotion and prevention of non-communicable diseases nationwide presents the nursing profession with a prime opportunity to be change agents. A number of recommendations have been made in relation to curriculum, practice and policy. Future research should further explore strategies to support RNs in their health education roles and to become workplace health champions.

Styles APA, Harvard, Vancouver, ISO, etc.

42

(9844970), Nicola Whiteing. "The practice of registered nurses in rural and remote areas of Australia: Case study research." Thesis, 2019. https://figshare.com/articles/thesis/The_practice_of_registered_nurses_in_rural_and_remote_areas_of_Australia_Case_study_research/13409945.

Texte intégral

Résumé :

This study aimed to delineate the roles and responsibilities of Registered Nurses (RNs) working in rural and remote areas of Australia and to explore the clinical and educational preparation required to fulfil such roles and responsibilities. Whilst much research exists surrounding rural and remote nursing, few studies have looked in depth at the roles and responsibilities and necessary preparation for rural and remote nursing. Indeed, much of the literature encompasses rural and remote nurse data within the wider metropolitan workforce. There is limited research which clearly defines the rural and remote populations being studied. This study, however, clearly delineates those nurses working in rural and remote locations by the Australian Standard Geographical Classification – Remote Areas system (ASGC-RA). It is known that nursing is facing a workforce crisis with many nurses due to retire in the next ten to 15 years. It is also known that this is worse in rural and remote areas in which the average age of the workforce is higher and there are issues with recruitment and retention of nurses. Thus, there is a need to understand the practice of RNs, preparation for the role and challenges that need to be addressed in order that such workforce issues can be addressed. The study was carried out utilising Yin’s case study research design. A multiple embedded case study design was selected as appropriate to explore and explain in greater detail the practice of Registered Nurses. The study was undertaken in two States of Australia, Queensland (QLD) and New South Wales (NSW). The philosophical paradigm in which the study is situated is that of social constructivism in which there is a belief that knowledge is generated through experiences and interactions with the social world. The study comprised three phases of data collection and analysis. The first, a content analysis of documents relating to the context of nursing and more specifically rural andremote nursing, second, a content analysis of an online questionnaire and third, a thematic analysis of semi-structured interviews revealing five major themes. Data from the three phases were converged through pattern matching and empirical propositions were derived from the data. Alongside many replicated findings the study also generated new findings. Major new findings included the influence of expectation on practice, perceived inadequate managerial understanding and support of the rural and remote RN role, an inability to fulfil the Primary Health Care (PHC) model of practice, the level of experience necessary to work in rural and remote areas, lack of preparation in mental health and maternity, an inability to access professional development, limited collaboration and networking opportunities, and misperceptions held by metropolitan staff. The Theory of Cognitive Dissonance was applied to the findings to explain the practice of the RN working in rural and remote areas. Through this theory it is evident that a number of implications and recommendations can be proposed in the areas of practice, organisation, education, policy and future research.

Styles APA, Harvard, Vancouver, ISO, etc.

43

(9804593), Pamela Hogan. "Registered nurse understanding of organisational commitment and its link to retention: A grounded theory study." Thesis, 2012. https://figshare.com/articles/thesis/Registered_nurse_understanding_of_organisational_commitment_and_its_link_to_retention_A_grounded_theory_study/13464893.

Texte intégral

Résumé :

"Destabilisation of the nursing workforce due to poor retention creates inconsistencies and disruptions to the delivery of health care services. It can also have a negative impact on patient care and safety. If registered nurses remain in their jobs then hospitals and the health care system will realise significant savings in costs associated with replacing registered nurses. The impact of the nursing shortage is that health care facilities will continue to have difficulty replacing registered nurses once they have left. Focusing on nurse retention rather than on recruitment, may be a useful strategy to address the nursing shortage. Organisational commitment as a construct in workforce research has been related both negatively to turnover intentions and positively related to retention amongst employees. This construct was applied to this research which used a Grounded Theory methodology to examine how registered nurses understand organisational commitment and its link to retention. The registered nurse participant group came from acute care hospitals in Australia. The findings of this research are posited privileging the voices of the participants. Results add to the existing body of knowledge and are able to be explained and supported by existing literature within the field. The purposive sample group contributed to this study by participating in semi-structured in-depth interviews in which they described and discussed their commitment and their experiences related to workplace commitment and its link to retention. The main finding of this study was that the registered nurse participants understood organisational commitment to be at the ‘local’ level. That is, being committed to their work unit, to their nursing practice within the work unit and to the patients within the work unit. The strength of the participants’ organisational commitment, and hence their retention, was influenced positively or negatively by the management behaviours of their Nurse Managers. These findings formed the substantive theory of how registered nurses understand organisational commitment and its link to retention"--Abstract.

Styles APA, Harvard, Vancouver, ISO, etc.

44

(7036682), Jennifer K. Ptacek. "Exploring the Salience of Occupational Identification Targets and Turning Points in Nurses’ Career Trajectories." Thesis, 2019.

Trouver le texte intégral

Résumé :

<p>Nursing is one of the most important professions in the United States but it has historically endured high levels of shortage and turnover (Apker, Propp, & Ford, 2009; Fox & Abrahamson, 2009). A nurse’s organizational climate and culture have been shown to impact a number of job outcomes including intention to leave the organization (Aiken & Patrician, 2000), and therefore is of interest to both scholars and practitioners alike. One way to understand the context in which nurses work is through organizational identification because people make sense of their own identities in part through the organizations to which they belong (Kuhn & Nelson, 2002). However, because individuals have various identities which can reinforce but at times conflict with each other (Scott et al., 1999) and the strength of these identities can dictate outcomes such as performance (Trybou, Gemmel, Pauwels, Henninck, & Clays, 2013), it is necessary to explore how nurses connect to different identities and social collectives (e.g., team, organization, and occupation/profession) within their work. Further, these connections with the multiplicities of identifications may help explain the decisions that guide nurses’ career trajectories as well as how the perceived identity of a nurse guides individuals to choose a career in nursing. This project seeks to understand how nurses talk about their jobs and how communicating with other nurses influences their career trajectory and decision to stay in or leave their organization or the nursing profession altogether. </p><p>This project draws upon both social identity theory and self-categorization theory to help explain how nurses communicate and situate themselves among others in their workplaces. Social identity theory and self-categorization theory are suited for this study’s social constructionist approach and the topic of this research because they explain how the strength and multiplicities of identification within an organization are constructed and shaped by communication with others. Data collection methods for this study consist of in-depth interviews with nurses of specific licensures, posts collected online from a nurse discussion forum, and a questionnaire of nurse forum participants. This study applies a mixed methods approach consisting of qualitative and quantitative analyses. In doing so, this project contributes in several ways including extending our understanding of (1) the connections between the multiplicities of identification; (2) how nurses construct meaning in their jobs to guide career decisions; (3) the nature of nurses’ interactions in online spaces; (4) nurse career decisions; and (5) nurses’ perceptions of the nursing profession before entering the profession.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

45

(9831875), Peter Russo. "Job design, workplace interaction and job satisfaction among nursing staff at the Rankin Park Unit John Hunter Hospital." Thesis, 1996. https://figshare.com/articles/thesis/Job_design_workplace_interaction_and_job_satisfaction_among_nursing_staff_at_the_Rankin_Park_Unit_John_Hunter_Hospital/20365527.

Texte intégral

Résumé :

<p> This research will investigate job design, workplace interaction and job satisfaction among the various classification of nurses employed at the Rankin Park Unit, John Hunter Hospital. This topic was chosen as the researcher believes and supported by Yoder & Heneman (1975) that the level of staff job satisfaction is reflected in the quality of care that is given to clients, and that improved career pathways and job design directly impact on staff morale and ultimately staff satisfaction. The research into job design, workplace interaction and job satisfaction among nursing staff within the Rankin Park Unit was carried out over a one year period. The instruments of survey, Job Characteristics Inventory (J.C.I.) andL Satisfaction Survey (J.S.S.), were administered to a sample of 181 nurses from the institution. This quota was representative of the various classifications of nurses within the Rankin Park Unit, including; Professional (Registered Nurses, R.N.), Technical (Enrolled Nurses, E.N.), and Service (Assistant In Nursing, A.I.N.) members. Definitions of these titles are located in Appendix A (Definitions of terms and Abbreviations). The responses were analysed and presented in thesis form, to both Central Queensland University and the Hunter Area Health Service. The responses to the instruments of survey and analysis of results give significant insight into areas of possible improvement in job design and job delineation for nurses, thereby flowing on to improved job satisfaction and improved productivity. The information stemming from this research will assist nursing staff at all levels, in association with Institutional Management to map career paths for nurses employed within the Hunter Area Health Service. </p>

Styles APA, Harvard, Vancouver, ISO, etc.

46

(9840359), Vanessa Tilbrook. "Real time to real life: Puppet simulation in health care." Thesis, 2017. https://figshare.com/articles/thesis/Real_time_to_real_life_Puppet_simulation_in_health_care/13444796.

Texte intégral

Résumé :

Puppets are used as a medium for learning and teaching, a way to communicate with children and for the purpose of play. Whilst the use of puppets with children in health care is well documented, especially with regards to play therapists and psychologists, little is understood about how nurses use puppets in their practice. Nurses are primarily the ones who engage and deliver clinical and medical care to the sick child in the hospital environment. Hence, effective communication strategies such as puppets could have a positive impact for the child. Understanding the experiences of nurses using puppets in the context of health care delivery including education potentially has merit as there is little known about this phenomenon. The purpose of this study is to explore the paediatric nurse clinicians’ and nurse educators’ experience of integrating puppet simulation in their practice, when they are the operator of the puppet. A descriptive phenomenological approach was adopted to guide this study as it was considered an appropriate design to elicit rich descriptions of the lived experience from the participants themselves. The results from this research identified that as wearers of the puppets both paediatric nurse clinicians and nurse educators were able to maximise learner engagement. The paediatric nurse clinicians perceived that the puppets provided a fun learning experience and reduced fear and anxiety for the child. The puppets not only helped to playfully facilitate communication with children but also to playfully communicate and engage learning and teaching. Understanding the perceptions of paediatric nurse clinicians and nurse educators experience provides an understanding of factors that both enhance and detract from implementing puppets in practice. Such information can be used to guide health care professionals who may wish to use the medium of puppets in their practice.

Styles APA, Harvard, Vancouver, ISO, etc.

47

(19140701), Trudy Ellen Yuginovich. "When the dust settles: A comparative history of remote area nursing in Queensland in the19th and 20th centuries." Thesis, 2000. https://figshare.com/articles/thesis/When_the_dust_settles_A_comparative_history_of_remote_area_nursing_in_Queensland_in_the19th_and_20th_centuries/26308549.

Texte intégral

Résumé :

<p dir="ltr">A sense of historical perspective is important to balance the historical nature of contemporary research and writing on health care. So many of the major health issues of our time have an important historical dimension that is often overlooked, cursorily treated or ignored. Not all of these outcomes are due to a linear causal effect and the historical comparative research method provides a means of making comparisons about certain times and events.</p><p dir="ltr">Remote area nurses have consistently practised in isolated areas since the very beginnings of white settlement (Schultz 1991, Priestley 1992, Strachan 1992, Russell 1995). This isolation was (and in some cases still is) imposed in the first instance by geography. In other instances it has been because these practitioners (who for the most part were prepared as any other general nurse throughout Australia for an urban setting) have been unable to access further education and professional support.</p><p dir="ltr">This study aimed to answer the following research questions using an historical comparative approach. 1) Which discourses have prevailed historically in order to ensure that remote area nursing practice is neither legitimised nor endorsed as an area of specialist, independent nursing practice in its own right within Australia? 2) Which specific legal criteria are currently being applied to define the scope of practice of remote area nursing and how appropriate are they given the reality of remote area nursing? Possibly, invisibility of remote area nurses was more a matter of being 'out of sight out of mind' and in many cases this seems to have suited these remote area nurses. This situation began to slowly change for metropolitan registered nurses in the early twentieth century, but until very recently, remote area nurses appear to have been uninvolved in any of the clamour for altered legislations.</p><p dir="ltr">In remote Australia, when the dust settles after a wind storm, nothing remains the same-everything becomes coated with the dust that penetrates all crevices and surfaces of life. So it was with remote area nurses -once they began to recognise the value of their own voices and the collective power they generated as a cohesive group, they began to listen to and be listened to by other nurses and legislators. At last the remote area nurses' voices and influence is being felt in political and legislating corridors as well as local practice areas. These voices may now be heard in all avenues of the media, conferences, ministerial task forces and inquiries, as well as at local community levels. This study explored public discourse from nurses, legislators and the media in order to determine why such recognition has taken so long to occur. The study identified that it is not enough to merely blame others -that nurses have not simply been the victims but in fact for many years contributed to their own silence.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

48

(9815639), Lydia Mainey. ""Doing the wrong thing for the right reason" Australian nurses' and midwives' experience of providing abortion care to people victimised by gender-based violence." Thesis, 2022. https://figshare.com/articles/thesis/_Doing_the_wrong_thing_for_the_right_reason_Australian_nurses_and_midwives_experience_of_providing_abortion_care_to_people_victimised_by_gender-based_violence/22273498.

Texte intégral

Résumé :

When a pregnancy-capable person is assaulted, abused, or killed, it is usually at the hands of a male partner or family member. Fatal and non-fatal injuries, chronic health conditions and risky behaviours are all outcomes of gender-based violence (GBV); furthermore, GBV can often lead to unplanned pregnancies. Abortion is, therefore, a predictable outcome for this population. Nurses and midwives are intrinsically involved in the care of pregnant people victimised by GBV. They could be instrumental in providing reproductive justice outcomes such as early intervention, support, and coordination of support services. However, limited research exists to explain how this occurs within abortion care. Effective GBV responses often require a multiagency approach; therefore, services across a range of Australian sectors such as health, women’s safety, and law enforcement could benefit from understanding how nurses and midwives provide abortion care to people victimised by GBV. To address this gap, I aimed to 1) explain the process through which Australian nurses and midwives provide abortion care to people victimised by GBV and 2) explore how the elements of the broader healthcare situation affect the provision of abortion care to people victimised by GBV. I approached the research with a third-wave feminist lens, designing a two-phased multiple methods study combining constructivist grounded theory and situational analysis—such an approach located research participants’ actions in the larger social and power contexts. To assist readers in understanding the scope of the research topic, I commenced the thesis with a scoping literature review of the role and scope of nurses and midwives in the provision of abortion care. The review demonstrates that abortion care is a common procedure performed across many healthcare settings and shows that nurses and midwives provide technical and psychosocial care within their roles. However, the review also highlights that the scope of practice of nurses and midwives within abortion care is probably unnecessarily restrictive. Notably (and foreshadowing the findings of this thesis study), it exposes a lack of person-centred models of abortion care. My research reveals that the Australian abortion arena is expansive and contains multiple sites of power and contested action, which contributed to the research participants’ belief that people seeking abortions in the context of GBV were mostly uncatered for. Participants described a workforce unprepared to provide abortion care generally, or a GBV safety-net more specifically. Pro-life colleagues were seen to centre conscientious objection over patient care, and the workplace environment placed clinicians’ and patients’ safety at risk. Consequently, participants underwent a process I labelled working with or against the system contingent on the degree to which the system was person-centred. When participants encountered barriers to person-centred abortion care, they bent or broke the law, local policy, and cultural norms to facilitate timely holistic care. Though many participants felt professionally compromised, their resolve to continue working against the system continued. They were aided by larger social groups – Smugglers, Navigators, Marie Stopes Australia, and the Family Safety Framework – which came together to resist systemic oppression in an attempt to achieve reproductive/social justice. I used the theoretical conceptualisation of resistance in health and healthcare to unify the findings of the thesis project. My thesis findings support a cultural shift and reorientation of health services to support reproductive justice. First and foremost, my findings support the involvement of nurses and midwives in the creation of healthcare policy, programming, and legislation. This includes their involvement in pro-choice hiring policies, design and facilitation of GBV and abortion care training, and the implementation and evaluation of comprehensive abortion care frameworks, that cater for diversity and offer trauma-informed and flexible care. Furthermore, expanding the scope of nurses and midwives to provide medical abortion, particularly in primary care, would address the current service gap, which compels these clinicians to undermine the current system. Many of these changes could be achieved if health services adopted the World Health Organisation’s technical and policy guidelines for abortion care. However, this will require amendments to regulatory structures, funding models and relaxation of prescribing and abortion procurement restrictions. My findings also highlight a dual loyalty issue between the Nursing and Midwifery Board of Australia’s (NMBA) requirement for clinicians to provide person-centred care and comply with legislation, regulations, policies, and guidelines. A key recommendation is that the NMBA reconsider their position where such complicity would lead to human/reproductive rights violations. This thesis has made a significant contribution to the body of knowledge concerning abortion care of marginalised people. Looking forward, the thesis findings and recommendations could be implemented at the practice level and beyond to improve reproductive justice outcomes for people in Australia.

Styles APA, Harvard, Vancouver, ISO, etc.

49

(12246246), Luc Drisdelle. "Barriers to and facilitators of research utilization in practice as seen by a group of perioperative nurses in New Brunswick." Thesis, 2005. https://figshare.com/articles/thesis/Barriers_to_and_facilitators_of_research_utilization_in_practice_as_seen_by_a_group_of_perioperative_nurses_in_New_Brunswick/19365107.

Texte intégral

Résumé :

<div>This comparative descriptive study was conducted at a public regional hospital located in the south-east region of the province of New Brunswick, Canada. The purpose of this study was to identify if the barriers to and facilitators of research utilization in a group of perioperative nurses are similar to other research areas utilizing the same scale.</div><div><br></div><div>The data collection process was done over a two (2) month period utilizing the Barriers and Facilitators to Using Research in Practice questionnaire (BARRIERS Scale) developed by Funk et al. (1991). The fmal sample size consisted of 46 nurses (61% response rate) who completed the survey.</div><div><br></div><div>The results show that the top barrier was 'The nurse does not feel she/he has enough authority to change patient care procedures' followed by 'physicians will not cooperate with implementation'. Seven out of the top ten barriers were related to the `setting'. The facilitating factors most frequently suggested by the nurses were related to the setting (organization) as well as the models of education to increase their knowledge of research methods and to develop skills in evaluating research findings. These results are congruent with previous findings regarding the barriers to research utilization. The implication of these and other findings are also discussed.</div>

Styles APA, Harvard, Vancouver, ISO, etc.

50

(9837695), Alisa Stimson. "Why Weight? Development of a Tool to Identify Factors Affecting Participation of Women in Resistance Exercise." Thesis, 2025. https://figshare.com/articles/thesis/Why_Weight_Development_of_a_Tool_to_Identify_Factors_Affecting_Participation_of_Women_in_Resistance_Exercise_/29150927.

Texte intégral

Résumé :

<p dir="ltr">Australians’ understanding of health benefits of exercise and physical activity generally has increased. Regrettably, this understanding fails to translate into action. National figures indicate 75% of adults do not meet Australian National Physical Activity Guidelines recommendations for aerobic and muscle strengthening activity (Australian Institute of Health & Welfare [AIHW], 2019). Neglecting the resistance exercise component of the physical activity guidelines is prominent in women. During 2017-2018 only 22% of women met these requirements (AIHW, 2019). The aim of this study was to develop a psychometrically valid self-report tool to prospectively identify barriers and motivation factors for resistance exercise participation in women aged 35-54 years. </p><p dir="ltr">A sequential exploratory mixed methods design was used develop a tool to discern issues for women aged 35-54 years in resistance exercise. This design method facilitated exploration of the composite of issues that need to be addressed in the development of a suitable tool, namely, a self-report tool advocating for resistance exercise - START. The study had eight stages starting with the qualitative components; conducting a review of the literature, identifying key issues influencing participation in resistance exercise for women aged 35-54 years; deciding domain specification and individual items for inclusion in the tool from the literature review; establishing face and content validity using stakeholders. Fourteen women provided opinions and feedback on the tool across three Team sessions using an iterative process to refine the tool. Six Experts were then interviewed for their opinions and feedback on individual item meaning, wording and construct. Stage six was construction of a complete preliminary version of the tool. Stage seven and eight made up the quantitative components of the study design. Data collection using Qualtrics XM as the survey platform was performed in stage seven. The final stage eight was psychometric testing of collected data for validity. Principal Component Analysis (greater than 0.4) was used for item reduction, Bartlett’s Test of Sphericity (p< 0.05) and Kaiser-Meyer Olkin (KMO) to measure sampling adequacy, and Cronbach’s alpha coefficient (> 0.70) to test reliability of the tool. Final reduced items were then collated to create a final version of the tool. </p><p dir="ltr">The scoping review revealed that engagement and participation in resistance exercise by women is a multifactorial and dynamic behavioural interplay between sociodemographic, pregnancy, intra-personal and inter-personal factors. A subsequent integrative review found five domains of importance for women aged 35-54 years: perceived time constraints, knowledge and education, modality and intensity, social support and behavioural strategies. Following stakeholder input, 20-items addressing knowledge and understanding of resistance exercise and 99-items addressing factors influencing participation in resistance exercise for women were determined for inclusion in the tool (START). Items reflecting barriers were mental challenges (mindset), perception of resistance training (intrinsic), physical barriers (actual and perceived), scheduling, user-friendliness, and programme leadership. Items reflecting motivators were intrinsic factors, extrinsic factors, scheduling, setting/environment, and programme leadership/instructor preference. </p><p dir="ltr">Refinement and reduction of questions after Principal Component Analyses resulted in 14 questions for, <i>Knowledge and understanding</i>, and 63 questions for, <i>Factors of participation. Knowledge and understanding</i> questions organised into three themes; theoretical understanding; practical understanding; and everyday inclusion. <i>Factors of participation</i> organised into eight content areas; consequences (perceived and actual); social/organised activity; social/instructor characteristics; significance to self; health; value; setting preference; and flexibility. Bartlett’s test of sphericity was significant across items (p<0.001). The KMO was above 0.5 for all but three items. Cronbach’s alpha coefficient demonstrated good internal validity of the final included items (averaging above the predetermined 0.7 across items). </p><p dir="ltr">To illicit change in resistance exercise participation levels for health and functional ageing, exercise health professionals’ cognisance of resistance exercise specific beliefs, understanding, and behaviours in women aged 35-54 years is necessary. Recurrent use of the START tool can identify shifting barriers and motivators to resistance exercise for individual women in their everyday life. Exercise health professionals may then work concurrently to develop strategies relevant to a woman’s shifting everyday life factors in ways that are meaningful and promote engagement and continued participation in resistance exercise.</p>

Styles APA, Harvard, Vancouver, ISO, etc.

Thèses sur le sujet « Nursing not elsewhere classified »

Créez une référence correcte selon les styles APA, MLA, Chicago, Harvard et plusieurs autres