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- Title
- Identifying descriptions of quality nursing care shared by nurse and patient in the acute care hospital environment.
- Creator
- Grimley, Karen A., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Nursing care is considered a primary predictor of patient assessment of the overall hospital experience. Yet, quality nursing care remains difficult to define. Limited research about nurse or patient perspectives on what constitutes quality nursing care in hospital settings prevents the identification of a shared description or insight into their possible interrelationship. Research about nurse and patient descriptions is needed to establish behaviors, attributes, and activities associated...
Show moreNursing care is considered a primary predictor of patient assessment of the overall hospital experience. Yet, quality nursing care remains difficult to define. Limited research about nurse or patient perspectives on what constitutes quality nursing care in hospital settings prevents the identification of a shared description or insight into their possible interrelationship. Research about nurse and patient descriptions is needed to establish behaviors, attributes, and activities associated with quality nursing care to improve the health and well-being of hospitalized patients.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004375
- Subject Headings
- Nursing--Philosophy, Nurse and patient, Medical care--Quality control, Intensive care nursing--Quality control, Outcome assessment--Medical care, Total quality management, Evidence-based nursing.
- Format
- Document (PDF)
- Title
- Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
- Creator
- Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
- Subject Headings
- End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
- Format
- Document (PDF)
- Title
- The Experience of Caring for Women with Drug or Alcohol Problems in the General Hospital.
- Creator
- Payne, Linda Gail, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the...
Show moreThe purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the nurses' experience o caring for women who abuse or are dependent on alcohol and/or drugs was Boykin and Schoenhofer's Nursing as Caring (1993). The relational themes that emerged were: Caring in the dark; Intentionally knowing the woman with AOD as a unique person; and Experiencing sisterhood.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004534
- Subject Headings
- Communication in nursing, Nurse and patient, Nursing assessment, Nursing models, Outcome assessment (Medical care), Women -- Substance abuse -- Treatment
- Format
- Document (PDF)
- Title
- Evaluation of speak for myself™ with patients who are voiceless.
- Creator
- Koszalinski, Rebecca S., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
Patients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients...
Show morePatients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients in three hospitals in South Florida agreed to use Speak for Myself™ during their acute care hospital stay (M = 8.86 hours). This group of participants (n = 20) ranged from 45 to 91 years old (males = 14; females = 6). Of the participants, 15 (75%) self-identified as European American, 2 (10%) self-identified as Hispanic, 2 (10%) self-identified as African American, and 1 (5%) self-identified as Asian. Ten of the participants (50%) were in respiratory failure. Two (10%) were receiving oxygenation measures related to unspecified complications of their illnesses. Of the remaining eight participants (40%), one each was receiving oxygenation measures due to atrial fibrillation, arteriosclerotic heart disease, cardiogenic shock, endocarditis, neck abscess, renal failure, status post seizure activity, and tongue metastasis.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004298
- Subject Headings
- Communication devices for people with disabilities, Nurse and patient, Nursing -- Practice, Nursing -- Research -- Methodology, Outcome assessment (Medical care), People with disabilities -- Means of communication
- Format
- Document (PDF)
- Title
- Development and testing of an instrument to measure holistic attributes of nurse practitioner care.
- Creator
- Kinchen, Elizabeth V., Lange, Bernadette, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
With passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the...
Show moreWith passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the PPACA. The need for this study was identified through gaps in the literature related to nurse practitioner practice; specifically, the paucity of quantitative research regarding patients’ perspectives of core holistic nursing values in nurse practitioner care, and, since nursing care is by definition and tradition holistic in nature, this inquiry attempted to quantify the degree to which nurse practitioner care upholds and preserves core holistic nursing values.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004297, http://purl.flvc.org/fau/fd/FA00004297
- Subject Headings
- Holistic nursing, Nurse and patient, Nurse practitioners -- Training of, Nursing -- Philosophy, Nursing -- Practice, Primary care (Medicine) -- Practice
- Format
- Document (PDF)
- Title
- Decision making models utilized by nurses to activate rapid response teams.
- Creator
- Parker, Carlo G., Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made...
Show moreThe purpose of this study was to determine the relationships between the nurses' decision making model, frequency of Rapid Response Team (RRT) activation, and the nurse's skill at the early recognition of clinical deterioration. A descriptive, cross sectional quantitative design was used. The participants in this study were 167 acute care registered nurses who had activated the RRT at least once in the preceding 12 months. The participants first were asked to recall a time when they had made the decision to activate the RRT and then were asked to complete the instruments used in this study. Using the Nurse Decision-Making Instrument, the participant's decision making model then was categorized as analytic, intuitive, or mixed. The skill at early recognition of clinical deterioration was measured with the Manifestations of Early Recognition Instrument. Participant scores on the two instruments were significantly correlated with each other as well as to their frequency of RRT activation over the preceding 12 months. The findings of this study indicated that nurses who used analytical decision making activated the RRT with greater frequency than either the intuitive or mixed decision makers. In addition, registered nurses who used analytical decision making to activate the RRT tended to have higher levels of skill in the early recognition of clinical deterioration, as measured by the MER, than either the intuitive or mixed decision makers. Another finding of this study was that RNs with higher levels of skill in the early recognition of clinical deterioration tended to activate the RRT more frequently than RNs with lower levels of this skill. The implications of this study are that the use of analytical decision making may result in more frequent activation of the RRT., Increased frequency of RRT activation has been linked in the literature with decreased patient mortality rates. The significance of the findings from this study is that the use of analytic decision making has the potential to reduce the incidence of the number one patient safety indicator, failure to rescue.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3318676
- Subject Headings
- Nursing, Decision making, Clinical competence, Outcome assessment (Medical care), Nursing diagnosis, Nurse and patient
- Format
- Document (PDF)
- Title
- Holding the frontline: the experience of being a charge nurse in an acute care setting.
- Creator
- Eggenberger, Terry L., Christine E. Lynn College of Nursing
- Abstract/Description
-
Within the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring...
Show moreWithin the current context of the healthcare environment, the charge nurse role has become very important for safety and positive outcomes. There is little known about the role from the perspective of the charge nurse. This qualitative descriptive exploratory study examined the experience of being a charge nurse in acute care practice, and describes how charge nurses live caring in their support of nurses and patients. Ray's (1989, 2006) theory of Bureaucratic Caring, Swanson's (2008) caring attributes and leadership, and Boykin and Schoenhofer's (2001) theory of Nursing as Caring provided the theoretical lenses through which study findings were viewed. Semi-structured interviews were conducted with 20 charge nurses in 4 acute care facilities. Eight themes emerged from an inductive analysis of the data describing the experience of being a charge nurse in acute care practice: Creating a Safety Net, Monitoring for Quality, Showing the Way, Completing the Puzzle, Managing the Flow, Mak ing a Difference, Putting Out Fires, and Keeping Patients Happy. Participants also were asked questions about how they provide support to staff nurses and patients. Themes that reflected how charge nurses live caring in their support of staff and patients were: Jumping in the Trenches, Nurturing Staff Growth, Offering Authentic Presence, and Looking after Nurses. Additionally, the researcher used methods of narrative inquiry to get the participants to share stories of how they lived caring in their support of nurses and patients. Recommendations included the need to elevate the visibility of the charge nurse role and its importance to the organization, and provide support for leadership development. Job descriptions and competencies for charge nurses must reflect the complexity of the environment., Charge nurse participants did not dialogue explicitly about their functions in terms of communication and intraprofessional team building. Since charge nurses have an increasing involvement with mentoring novice nurses and new staff, they would benefit from developing coaching skills. Given the current environment, their responsibilities in these areas may need to be better articulated so that they can focus on increasing these abilities.
Show less - Date Issued
- 2011
- PURL
- http://purl.flvc.org/FAU/3170952
- Subject Headings
- Nursing services, Administration, Nurse and patient, Nursing, Philosophy, Nursing, Decision making, Clinical competence
- Format
- Document (PDF)
- Title
- Thai nurses' lived experience of caring for persons who had a peaceful death in intensive care units.
- Creator
- Kongsuwan, Waraporn., Christine E. Lynn College of Nursing
- Abstract/Description
-
The objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care...
Show moreThe objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care nursing experience, experience in caring for a person who had peaceful death, able to describe peaceful death, and willing to participate in this study. Participants who met the inclusion criteria were interviewed. Face-to-face individual verbal interviews were conducted in the Thai language. These interviews were audiotape recorded. Descriptions were transcribed and translated for data analysis. Van Manen's (1990) hermeneutic phenomenological approach was used to analyze and interpret the data. The findings of this study were presented in each of 4 categories of the lived world of temporality, of spatiality, of corporeality, and of relationality. The description of the lived experience of caring for persons who had a peaceful death in ICU was, "understanding the other through the valuing of experience and enhancing relations with others by recognizing time is short and is a priority." This study may contribute to nursing knowledge of the end-of-life care to enhance a peaceful death in intensive care units congruently with Thai culture and society. In addition, this study directs the translations of its knowledge into implications that will benefit in helping Thai nursing to move forward. The implications of this study in advance will benefit terminally ill persons and family members regarding receiving good quality end-of-life care.
Show less - Date Issued
- 2009
- PURL
- http://purl.flvc.org/FAU/186331
- Subject Headings
- Criticism and interpretation, Intensive care nursing, Nurse and patient, Terminal care, Psychological aspects, Nursing, Practice
- Format
- Document (PDF)
- Title
- Living in abundance: the experience of living with chronic illness for adults affiliated with a community of faith with access to a faith community nurse.
- Creator
- Dyess, Susan MacLeod, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their...
Show moreThe number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their primary essence is living in abundance while living faith and living caring. The findings from this study describe the relationship between adults living with chronic illness, the community of faith and the faith community nurse. Further, findings from this study contribute to essential knowledge necessary for developing models of health care in the community for adults living with chronic illness and nursing care in the community that are distinct and complex. Findings will also support the development of interventions in contexts of faith communities to support and strengthen adults living with one or more chronic illness. The emerging specialty practice in nursing labeled faith community nursing holds promise to come alongside current models of health care to support living in abundance.
Show less - Date Issued
- 2008
- PURL
- http://purl.flvc.org/FAU/108067
- Subject Headings
- Community health nursing, Philosophy, Nurse and patient, Nursing, Religious aspects, Christianity, Parish nursing, Pastoral nursing
- Format
- Document (PDF)
- Title
- The Effect of a Supportive-Educative Nursing Intervention on Weight Loss and Perceived Self Care in Overweight Women With Metabolic Syndrome.
- Creator
- Fleck, Laureen, Parker, Marilyn, Florida Atlantic University
- Abstract/Description
-
Metabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist...
Show moreMetabolic syndrome is a constellation of risk factors that are precursors to diabetes and cardiovascular disease. More women than men are diagnosed with metabolic syndrome. Emphasis on diagnosis of pre-diabetes has resulted in further interest in metabolic syndrome and the need for weight reduction. Advanced practice nurses care for women with overweight and obesity in the primary care setting; however there is a lack of evidence to support the effectiveness of nursing interventions to assist women with metabolic syndrome lose weight. Based on Orem's Self-Care Deficit Nursing Theory, this study investigated the use of a specific supportive-educative nursing intervention to assist individuals make healthy lifestyle choices to reduce body weight. A pre-test post-test, two group experimental design was used. It was hypothesized that women given individualized support, education, and guidance about lifestyle modification, which included carbohydrate counting, would lose more weight and have greater self-care ability than women given general support and education. The sample included 51 pre-menopausal women between ages 19 and 55 who had been diagnosed with metabolic syndrome. Body weight and perceived self-care, using the Self-as-Carer inventory, were measured at the onset of the study and again three months later. The two groups did not differ significantly as to weight or perceived self-care at baseline or at conclusion of the study. A repeated measures analysis of variance for weight loss and perception of self care was calculated and the results indicated that there was no significant difference in weight loss (p=.13) or perception of self care (p=.85) between the two groups. The use of a supportive-educative individualized nursing intervention enhanced participant awareness of healthy lifestyle choices. Further research is needed to determine the effectiveness of the intervention with a larger, more ethnically diverse sample and with participants diagnosed with other metabolic disorders.
Show less - Date Issued
- 2007
- PURL
- http://purl.flvc.org/fau/fd/FA00000620
- Subject Headings
- Metabolic syndrome, Obesity--Treatment, Lipids--Metabolism--Disorders--Treatment, Integrated delivery of health care, Self-care, Health, Nurse and patient
- Format
- Document (PDF)
- Title
- The student's experience of learning caring in a college of nursing grounded in a caring philosophy.
- Creator
- Drumm, Judith T., Florida Atlantic University, Chase, Susan
- Abstract/Description
-
Caring has been identified as an essential value for baccalaureate education across all programs of study. The purpose of this phenomenological research study was to investigate the lived experience of students learning caring in a college of nursing grounded in a caring philosophy. The question guiding the research was: "What is the student's experience of learning caring in a college of nursing that has caring as a central tenet in its philosophy?" This study was guided by the caring...
Show moreCaring has been identified as an essential value for baccalaureate education across all programs of study. The purpose of this phenomenological research study was to investigate the lived experience of students learning caring in a college of nursing grounded in a caring philosophy. The question guiding the research was: "What is the student's experience of learning caring in a college of nursing that has caring as a central tenet in its philosophy?" This study was guided by the caring theories of Boykin and Schoenhofer (2001), Roach (2002), and the philosopher Mayeroff (1971). The researcher interviewed seven senior baccalaureate student nurses attending a public university. The nursing program at this university was grounded in a caring philosophy. The research questions explored the students' experiences of learning caring at this school of nursing. One student shared this thought with the researcher, "I knew who I was and I knew I could care about people, but I didn't know how to use caring in nursing. The educational process helped me to transfer caring to nursing." Transcripts of the audiotaped interviews were analyzed using Colaizzi's seven-step methodology. Two major themes and six sub-themes related to learning caring emerged and an exhaustive description of the students learning of caring in a caring based curriculum was developed. The two major themes identified were: Innate Knowing of Self as Caring, and Caring in the Curriculum. The first major theme of Innate Knowing of Self as Caring is supported by the sub-themes: Being present for the patient, Being open to reshape the patient's experience, and Enhanced capacity to care. The second major theme of Caring in the Curriculum is supported by the sub-themes: Clinical experiences are valuable to learning, Doing little things to express caring, and Learning activities facilitated understanding caring. Descriptions of the two major themes and six sub-themes were portrayed with verbatim stories told to the researcher by the student participants. Finally, implications for nursing education, research, practice, theory, and policy are presented for the reader.
Show less - Date Issued
- 2006
- PURL
- http://purl.flvc.org/fcla/dt/12215
- Subject Headings
- Nursing--Study and teaching (Graduate), Nursing--Psychological aspects, Nurse and patient, Nursing--Philosophy
- Format
- Document (PDF)
- Title
- The lived experience of caring and the nurse executive: A phenomenological study.
- Creator
- Quinn, Colleen Marie, Florida Atlantic University
- Abstract/Description
-
The purpose of this phenomenological-hermeneutic study was to increase understanding of the caring experiences of the contemporary nurse executive practicing in four different types of health care systems. Nurse executives were asked to address the meaning of caring to them as a nurse executive. Five descriptive themes emerged from the participants: seeing things from a global perspective, advocating for the patient, providing an environment supportive of professional patient care,...
Show moreThe purpose of this phenomenological-hermeneutic study was to increase understanding of the caring experiences of the contemporary nurse executive practicing in four different types of health care systems. Nurse executives were asked to address the meaning of caring to them as a nurse executive. Five descriptive themes emerged from the participants: seeing things from a global perspective, advocating for the patient, providing an environment supportive of professional patient care, participating in the integration of services, and promoting a shared governance with the staff nurse or front line provider. An overall Interrelational Model of Health Care Delivery, derived from complexity science and chaos theory emerged from these descriptive themes.
Show less - Date Issued
- 2000
- PURL
- http://purl.flvc.org/fcla/dt/15769
- Subject Headings
- Nurse administrators, Caring, Nurse and patient
- Format
- Document (PDF)
- Title
- Caring behaviors of perioperative nurses.
- Creator
- Coogan, Russell S., Florida Atlantic University, Locsin, Rozzano
- Abstract/Description
-
The purpose of this study was to describe the caring behaviors incorporated into the practice of perioperative nursing. Utilizing a descriptive survey design, this study provided 104 perioperative nurse participants who were members of the AORN with the Caring Behaviors Inventory (CBI). Data collected in this study supported the use of the CBI as a reliable instrument for measuring caring behaviors as measured by a Cronbach's alpha coefficient of.9486. The top five caring behaviors that...
Show moreThe purpose of this study was to describe the caring behaviors incorporated into the practice of perioperative nursing. Utilizing a descriptive survey design, this study provided 104 perioperative nurse participants who were members of the AORN with the Caring Behaviors Inventory (CBI). Data collected in this study supported the use of the CBI as a reliable instrument for measuring caring behaviors as measured by a Cronbach's alpha coefficient of.9486. The top five caring behaviors that emerged were (1) showing respect; (2) treating patient information confidentially; (3) appreciating the patient as a human being; (4) showing concern; (5) and supporting the patient. The study revealed that perioperative nurses do incorporate caring behaviors into their practice that are both patient-centered and action oriented. These behaviors are similar to those previously described by nurses in other specialties. Implications for nurse education and practice are presented, as are recommendations for further research.
Show less - Date Issued
- 1998
- PURL
- http://purl.flvc.org/fcla/dt/15528
- Subject Headings
- Nurse and patient, Patient satisfaction, Empathy, Operating room nursing, Nursing audit
- Format
- Document (PDF)
- Title
- Effects of preoperative teaching on anxiety in pediatric ambulatory surgical patients.
- Creator
- Foord-Kelcey, Shelley Mae., Florida Atlantic University, Hayes, Janice S.
- Abstract/Description
-
The purpose of the study was to test experimentally the effectiveness of a presurgical teaching intervention on reducing the anxiety of children undergoing outpatient surgery and in facilitating the children's emotional adjustment during the postsurgical period. The efficacy of a child teaching session combined with a parent teaching session was compared with the efficacy of a parent only session. The participants of the study were 33 children, ages 4 to 12, and their parents. Two weeks...
Show moreThe purpose of the study was to test experimentally the effectiveness of a presurgical teaching intervention on reducing the anxiety of children undergoing outpatient surgery and in facilitating the children's emotional adjustment during the postsurgical period. The efficacy of a child teaching session combined with a parent teaching session was compared with the efficacy of a parent only session. The participants of the study were 33 children, ages 4 to 12, and their parents. Two weeks following the child's surgery, the parents assessed the child's postsurgical adjustment by completing the Post Hospital Behavior Questionnaire (PHBQ). Data was analyzed by t-test using.05 as the significance level. Results of the t-test showed no significant difference between the experimental and the control groups (t = 1.910, df = 27, p =.067). However, both groups showed behavioral upset on the PHBQ following surgery (control group = 87.75, experimental group = 84.46). This increased behavioral upset suggests that surgery is anxiety producing in children. The trend toward lower scores in the experimental group indicated less behavior upset and therefore less anxiety for the children receiving the teaching intervention.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15433
- Subject Headings
- Ambulatory surgery for children, Preoperative care, Patient education, Nurse and patient
- Format
- Document (PDF)
- Title
- Physicians' attitudes toward advance directives.
- Creator
- Herman, Nancy Lynn O'Connell., Florida Atlantic University, Fishman, Sarah
- Abstract/Description
-
The present study is a replication of a study concerning physicians' attitudes toward advance directives originally studied in 1989. A cross-sectional design was employed to assess whether physicians' attitudes toward advance directives had changed substantially since the passing of the Patient Self-Determination Act in 1990. The sample was obtained by mailing questionnaires to 400 physicians on the East central coast of Florida, chosen according to specialty and presumed interaction with...
Show moreThe present study is a replication of a study concerning physicians' attitudes toward advance directives originally studied in 1989. A cross-sectional design was employed to assess whether physicians' attitudes toward advance directives had changed substantially since the passing of the Patient Self-Determination Act in 1990. The sample was obtained by mailing questionnaires to 400 physicians on the East central coast of Florida, chosen according to specialty and presumed interaction with advance directives. Questions included demographics information about participants, usage and discussion of advance directives by physicians, and potential barriers to physician-initiated discussions. Results correlated with the original authors'. There were positive associations between attitude and year of graduation, gender, type of practice, size of town physician practiced in, and religion with chi-square testing. Overall results indicated a positive attitude, and a desire for patient autonomy.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15382
- Subject Headings
- Right to die, Nurse and patient, Physician and patient
- Format
- Document (PDF)
- Title
- Prayer and the well-being of the older adult.
- Creator
- Ragl, Sandra Lee Clark, Florida Atlantic University, Boykin, Anne
- Abstract/Description
-
Using a purposive sample of older adults, a qualitative descriptive study was conducted to illuminate the influence of prayer on their well-being. Content analysis was the method used to discern this relationship. Through the analysis of eight stories two themes on the "notion" of prayer and a primary theme on the influence of prayer on the well-being of the older adult emerged. The themes of prayer that emerged were: prayer was a conversation with God and an intimate relationship with God...
Show moreUsing a purposive sample of older adults, a qualitative descriptive study was conducted to illuminate the influence of prayer on their well-being. Content analysis was the method used to discern this relationship. Through the analysis of eight stories two themes on the "notion" of prayer and a primary theme on the influence of prayer on the well-being of the older adult emerged. The themes of prayer that emerged were: prayer was a conversation with God and an intimate relationship with God that fostered trust and belief. The primary theme was that a relationship with God through prayer fosters a sense of well-being.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15396
- Subject Headings
- Healing--Religious aspects, Older people--Religious life, Prayer, Nurse and patient
- Format
- Document (PDF)
- Title
- An exploratory study of biofeedback in reducing pain after thoracic surgery.
- Creator
- Angel, Laurie R., Florida Atlantic University, Freeman, Edward
- Abstract/Description
-
This study is a pilot concerning the relationship between acute pain management and biofeedback training. The population studied included patients from a local community hospital undergoing coronary artery bypass graft surgery. The study applied theories of the mind/body connection and stress frameworks for exploring the correlation between patients' hand temperatures and their reported levels of pain pre-operatively and post-operatively. Study findings indicated that there was significant...
Show moreThis study is a pilot concerning the relationship between acute pain management and biofeedback training. The population studied included patients from a local community hospital undergoing coronary artery bypass graft surgery. The study applied theories of the mind/body connection and stress frameworks for exploring the correlation between patients' hand temperatures and their reported levels of pain pre-operatively and post-operatively. Study findings indicated that there was significant within-subjects effect in hand temperature after biofeedback treatment across three points in time. But the study also found no difference between-subjects in hand temperature after biofeedback treatment across three points in time. Therefore, the sample proved to be heterogeneous. Further study was indicated with larger samples to demonstrate the analgesic effects of biofeedback in the management of acute pain.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15489
- Subject Headings
- Biological control systems, Pain--Treatment, Mind and body, Pain--Psychological aspects, Nurse and patient
- Format
- Document (PDF)
- Title
- Patient advocacy: Shared vulnerability and personal integrity.
- Creator
- Lomas, Lynne E., Florida Atlantic University, Beckerman, Anita
- Abstract/Description
-
Jean Watson's Theory of Human Caring and phenomenological methodology are the foundation of this descriptive study of four nurses' experiences of patient advocacy. The "meaning units" or constituents expressed by the participants were synthesized into an integrated whole to embody the experiences of patient advocacy and then objectively described by the researcher. Six components that embody the nurses' experiences are knowledge of self and others, caring commitment, expenditure of self,...
Show moreJean Watson's Theory of Human Caring and phenomenological methodology are the foundation of this descriptive study of four nurses' experiences of patient advocacy. The "meaning units" or constituents expressed by the participants were synthesized into an integrated whole to embody the experiences of patient advocacy and then objectively described by the researcher. Six components that embody the nurses' experiences are knowledge of self and others, caring commitment, expenditure of self, risks, emotional responses and psychological evolution and mutual affirmation. A better understanding of nurse's experiences of patient advocacy may provide more effective and satisfying nurse-client, nurse-as-person and nurse-as-professional relationships.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15323
- Subject Headings
- Nurse and patient, Patient advocacy
- Format
- Document (PDF)
- Title
- Temporary is avoidance, forever is a lobotomy: Nurses' silence on unpopular patients.
- Creator
- Little, Daniel James., Florida Atlantic University, Coffman, Sherrilyn
- Abstract/Description
-
This qualitative study of the phenomenon of nurse providing care to a client that the nurse does not like or determines to be unpopular was conducted with five professional nurses, who had experienced the phenomenon. Phenomenological method guided the inquiry through the narrative descriptions, from which essential descriptive themes of secrecy, avoidance, internalized conflict, specialness, and unfinishedness were uncovered and revealed by dwelling with the material. The implications for...
Show moreThis qualitative study of the phenomenon of nurse providing care to a client that the nurse does not like or determines to be unpopular was conducted with five professional nurses, who had experienced the phenomenon. Phenomenological method guided the inquiry through the narrative descriptions, from which essential descriptive themes of secrecy, avoidance, internalized conflict, specialness, and unfinishedness were uncovered and revealed by dwelling with the material. The implications for nursing education, nursing practice and nursing research are discussed.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15258
- Subject Headings
- Nurse and patient, Interpersonal relations, Hospital patients, Nurses--Attitudes
- Format
- Document (PDF)
- Title
- The meaning of care to patients in ICU: A phenomenological perspective.
- Creator
- Fleishman, Debra Ann., Florida Atlantic University, Boykin, Anne
- Abstract/Description
-
This research explored the patient in the intensive care units experience of care from a phenomenological perspective. The question guiding the study was: What is the meaning of care for patients in the intensive care unit? Using a phenomenological approach, six participants described their experiences of the phenomenon of care. The eight essential themes that emerged from the analysis of the descriptions of care for the patients in ICU are: (1) Being connected; (2) Feeling watched over; (3)...
Show moreThis research explored the patient in the intensive care units experience of care from a phenomenological perspective. The question guiding the study was: What is the meaning of care for patients in the intensive care unit? Using a phenomenological approach, six participants described their experiences of the phenomenon of care. The eight essential themes that emerged from the analysis of the descriptions of care for the patients in ICU are: (1) Being connected; (2) Feeling watched over; (3) Feeling the presence; (4) Feeling commitment; (5) Receiving Compassion; (6) Feeling valued as a person; (7) Receiving comfort; and (8) Experiencing Competence. Further analysis lead to the thematic phrase: The Essence of Isolation-Union while feeling the Presence and Competency of others. The unity of meaning was then discovered from analysis of the essential themes and thematic phrase. The unity of meaning which captures the experience of care for a person in the ICU setting is: The Illumination of the Human Spirit in the Celebration of Life.
Show less - Date Issued
- 1995
- PURL
- http://purl.flvc.org/fcla/dt/15128
- Subject Headings
- Intensive care nursing, Nurse and patient, Caring, Nursing--Philosophy
- Format
- Document (PDF)