Current Search: Caring (x)
Pages
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Title
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RESIDENT, FAMILY, AND SNF STAFF PERCEPTIONS ON TRANSITIONING FROM ACUTE CARE TO A SKILLED NURSING FACILITY.
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Creator
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Kaye, Suzie E., Tappen, Ruth, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
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Abstract/Description
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Transitions in care have been a national priority for decades to promote the safe and timely passage of patients between levels of healthcare and across care settings. Improving hospital discharge processes is an important quality improvement initiative to reduce adverse outcomes, and thirty-day readmission rates and increase patients’ satisfaction after discharge. This qualitative design study explored the perceptions, experiences, and gaps in understanding the needs of the resident and...
Show moreTransitions in care have been a national priority for decades to promote the safe and timely passage of patients between levels of healthcare and across care settings. Improving hospital discharge processes is an important quality improvement initiative to reduce adverse outcomes, and thirty-day readmission rates and increase patients’ satisfaction after discharge. This qualitative design study explored the perceptions, experiences, and gaps in understanding the needs of the resident and family in the transition from a hospital to a skilled nursing facility (SNF). It is essential to understand the perspective of the residents, families, and healthcare professionals who experience this transitional process to inform future research, and practice initiatives and to effectively prepare the residents and families for this transition. The purposive sample included 15 residents, 13 family members, and 12 SNF staff. The setting was a SNF within a continuing care residential community with an 89-licensed-bed capacity in Palm Beach County, FL. This doctoral research applied a descriptive qualitative methodology to capture the essence of the perceptions of residents, families, and staff participants transitioning from acute care to a skilled nursing facility. Interviews were qualitatively analyzed with an interactive model utilizing open, pattern, and thematic coding, and data (network) display to help organize, inform, and justify conclusions and explanations. Overall, 53% of residents, and 62% of families expressed confusion, frustration, concern, uncertainty, disappointment, and stress.
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Date Issued
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2024
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PURL
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http://purl.flvc.org/fau/fd/FA00014469
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Subject Headings
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Transitional Care, Nursing, Health care management
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Format
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Document (PDF)
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Title
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"Finding a snowflake": A journey into caring as experienced by nurse managers.
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Creator
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Bartolon, Marian Carmel., Florida Atlantic University, Brown, Carolyn L.
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Abstract/Description
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The purpose of this phenomenological research was to capture the experience of caring in the lived world of the nurse managers. Interviews with six nurse managers were utilized to generate data and then transcribed into text. The researcher's analysis of the data followed the phenomenological method as interpreted by Ray. Essential themes of growth, listening, frustration, intuition, support, and receiving of gifts were described by participants. Variant themes of touch, humor, flexibility,...
Show moreThe purpose of this phenomenological research was to capture the experience of caring in the lived world of the nurse managers. Interviews with six nurse managers were utilized to generate data and then transcribed into text. The researcher's analysis of the data followed the phenomenological method as interpreted by Ray. Essential themes of growth, listening, frustration, intuition, support, and receiving of gifts were described by participants. Variant themes of touch, humor, flexibility, counseling, limitations, and competence also emerged. Interpretive themes of nurses' way of being, reciprocal caring, and caring moment as transcendence unfolded. A metatheme of energy emerged from further analysis. Deeper reflection and intuition afforded the researcher the opportunity to grasp the unity of meaning as a metaphorical snowflake and poetic expression.
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Date Issued
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1992
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PURL
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http://purl.flvc.org/fcla/dt/14864
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Subject Headings
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Caring, Nurse administrators
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Format
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Document (PDF)
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Title
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Empower: A concept analysis for the new paradigm.
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Creator
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Siccardi, Patricia Mahoney., Florida Atlantic University, Brown, Carolyn L.
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Abstract/Description
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Concepts create our language and shape our world. Clarifying concepts will empower nurses to facilitate the changes needed in the future. Rodgers' (1989) evolutionary method of concept analysis was used to clarify the meaning of empower. This method was further developed to be congruent with the new processual paradigm foundational for this study. In order to examine the concept, a systematic random sample of 30 articles from the periodic literature of five disciplines was used (nursing,...
Show moreConcepts create our language and shape our world. Clarifying concepts will empower nurses to facilitate the changes needed in the future. Rodgers' (1989) evolutionary method of concept analysis was used to clarify the meaning of empower. This method was further developed to be congruent with the new processual paradigm foundational for this study. In order to examine the concept, a systematic random sample of 30 articles from the periodic literature of five disciplines was used (nursing, sociology, psychology, education, and business). Through a reflective analytic process twenty-nine attributes of the concept were identified and gathered into the five themes representing the concept. Two metathemes were identified, one for the concept and one for the context of the concept. To give, share, and/or have the ability to fully participate in life situations and experience well-being in the process is the definition of empower, as it emerged in the study.
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Date Issued
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1992
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PURL
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http://purl.flvc.org/fcla/dt/14858
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Subject Headings
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Caring, Nursing--Philosophy
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Format
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Document (PDF)
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Title
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Creating a healing portrait of the soul's journey: A description of spiritually emergent nursing.
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Creator
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Howell, Julia Ann., Florida Atlantic University, Appleton, Cathy
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Abstract/Description
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This research explored a nurse's experience of creating visual art with patients in clinical settings. The question guiding the study was: What is the experience of creating visual art for a nurse? The aim of this descriptive study was to discover what is the nature of the experience of creating visual art as an aspect of nursing care from a nurse's perspective. Using van Manen's phenomenological approach, a description of the experience of creating visual art with patients occurred. Five...
Show moreThis research explored a nurse's experience of creating visual art with patients in clinical settings. The question guiding the study was: What is the experience of creating visual art for a nurse? The aim of this descriptive study was to discover what is the nature of the experience of creating visual art as an aspect of nursing care from a nurse's perspective. Using van Manen's phenomenological approach, a description of the experience of creating visual art with patients occurred. Five essential themes emerged and express this experience. The unity of meaning for the experience is portrayed as A Healing Portrait of the Soul's Journey in Compassionate, Cocreative Relationships of Openness, Human Connectedness and Transformation. Implications for nursing inquiry, practice, and education are discussed.
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Date Issued
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1994
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PURL
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http://purl.flvc.org/fcla/dt/15034
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Subject Headings
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Nursing, Art therapy, Caring
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Format
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Document (PDF)
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Title
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EQUITY IN THE DELIVERY OF MEDICAL CARE IN SOUTHEAST FLORIDA.
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Creator
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MITCHEL, CLAIRE FURMAN., Florida Atlantic University, Schultz, Ronald R., Charles E. Schmidt College of Science, Department of Geosciences
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Abstract/Description
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This study gives an overview of medical care delivery in southeast Florida. Examination is made of the change in location of physicians over time and inequitability in distribution of medical care service. Conclusions are drawn about the reasons for inequitable distribution based on socioeconomic class and race.
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Date Issued
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1974
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PURL
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http://purl.flvc.org/fcla/dt/13668
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Subject Headings
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Medical care--Florida
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Format
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Document (PDF)
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Title
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Nursing practice in a contemporary health care corporation: Nurses' tensions and torment.
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Creator
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David, Beverly Ann., Florida Atlantic University, Appleton, Cathy
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Abstract/Description
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Tensions exist between the ideology of caring as a nursing practice ideal, and the corporately managed health care settings in which nurses work. The objective of this critical feminist ethnography was to understand these tensions by grounding them in nurses' experiences and perceptions. Data was gathered through ethnographic interviewing and participant-observations of a nurse key informant and her co-workers in the pediatric unit of a corporately managed acute care hospital. The data were...
Show moreTensions exist between the ideology of caring as a nursing practice ideal, and the corporately managed health care settings in which nurses work. The objective of this critical feminist ethnography was to understand these tensions by grounding them in nurses' experiences and perceptions. Data was gathered through ethnographic interviewing and participant-observations of a nurse key informant and her co-workers in the pediatric unit of a corporately managed acute care hospital. The data were analyzed according to the coding procedures and comparative method described by Strauss and Corbin (1990). Four characteristics of the corporate health care culture that conflict with nurses' practice ideals were identified: The Corporate Productivity Motive; The Priority of a Medical Regime Over Nursing Care; The Tolerance of Risk to Patient Safety; and The Hospitality Perspective. A critique of the patriarchal value structure that influences the health care system and recommendations for nursing practice, education, and research is provided.
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Date Issued
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1996
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PURL
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http://purl.flvc.org/fcla/dt/15341
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Subject Headings
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Nursing--Philosophy, Caring, Feminism, Medical care, Health services administration
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Format
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Document (PDF)
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Title
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Physicians' perceptions of managed care.
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Creator
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Angeletti, Michelle A., Florida Atlantic University, Thai, Khi V.
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Abstract/Description
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The active physician members of the Broward County Medical Association were sent a mail survey requesting information about their perceptions of and experiences with the managed care industry. Currently, as gatekeepers, physicians are the implement of the managed care system. From an organizational perspective, the role of implementer is a critical position and physicians are directly affected by and affect the operations of managed care as a healthcare delivery system. Even though managed...
Show moreThe active physician members of the Broward County Medical Association were sent a mail survey requesting information about their perceptions of and experiences with the managed care industry. Currently, as gatekeepers, physicians are the implement of the managed care system. From an organizational perspective, the role of implementer is a critical position and physicians are directly affected by and affect the operations of managed care as a healthcare delivery system. Even though managed care has the beneficial aspects of controlling healthcare costs and an emphasis on preventive care, it still appears that physicians perceive the managed care industry quite negatively. Because managed care does not appear to be a transitory phenomenon and is rapidly expanding in both the private and public sectors, it is important to identify the aspects of the managed care industry at are associated with the negative perceptions of physicians. The study focused on such topics as changes in the physician's level of satisfaction with both patients and practice that have been caused by managed care, the financial incentives used by MCOs to limit treatment and the ethical conflicts that these incentives can create for physicians, whether physicians need to participate in managed care to maintain their financial viability, the presence of gag clauses in physician contracts, the physician-patient relationship and how it is affected by the managed care environment, patient continuity of care, whether managed care should be regulated by the government, whether physicians have been penalized by or involuntarily disenrolled from MCOs, and whether physicians played by managed care rules or "game the system" or bent managed care rules to improve patient outcomes. This study also reviewed the professional and demographic variables that may influence differences between perceptions and experiences. The results indicate that there are few between group differences based on gender, practice location and years in practice. There are more differences based on race, type of practice, type of medical training, location of medical training, and percentage of practice income based on managed tare contracts. There appear to be many significant between group differences based on percentage of patients in managed care and number of managed care affiliations.
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Date Issued
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1999
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PURL
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http://purl.flvc.org/fcla/dt/12595
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Subject Headings
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Physicians--Attitudes, Managed care plans (Medical care)
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Format
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Document (PDF)
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Title
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The meaning of care to patients in ICU: A phenomenological perspective.
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Creator
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Fleishman, Debra Ann., Florida Atlantic University, Boykin, Anne
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Abstract/Description
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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.
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Date Issued
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1995
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PURL
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http://purl.flvc.org/fcla/dt/15128
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Subject Headings
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Intensive care nursing, Nurse and patient, Caring, Nursing--Philosophy
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Format
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Document (PDF)
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Title
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Health Challenges of Family Members in End of Life Situations.
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Creator
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Sopcheck, Janet, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
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Abstract/Description
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The growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study...
Show moreThe growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study used a qualitative descriptive exploratory design guided by story theory methodology to explore the dimensions of the health challenge of losing a loved one who had been in an acute care setting during the last three months of life, the approaches used to resolve this health challenge, and turning points that prompted decisions about a loved one’s care with 15 older adults residing in a Continuing Care Retirement Community (CCRC) in Southeast Florida. Theoretical grounding for this study was Watson’s (1988, 2002) theory of human caring and Smith and Liehr’s (2014) story theory. Older adults’ stories were analyzed through theory-guided content analysis. Themes that describe the health challenge include moving from painful holding on to poignant letting go, uneasiness that permeates everyday living and precious memories, patterns of disconnect that breed discontent, and pervasive ambiguity that permeates perspectives about remaining time. Approaches to resolve this challenge include active engagement enabling exceptional care for loved ones, appreciating the rhythmic flow of everyday connecting and separating to get by, and embracing reality as situated in one’s lifelong journey. Failure to establish normalcy, coming to grips with abrupt health decline/demise, and recognition – there’s nothing more to do – were the turning points identified by CCRC residents. Older adults’ vivid recollections of losing a loved one and willingness to share EOL concerns as well as recommendations regarding support of family members who are facing this challenge serve as invaluable guidance for improving EOL care for dying patients and their family members.
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Date Issued
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2016
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PURL
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http://purl.flvc.org/fau/fd/FA00004635
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Subject Headings
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End-of-life care., Terminal care--Psychological aspects., Hospice care., Palliative treatment., Critical care nursing., Loss (Psychology)
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Format
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Document (PDF)
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Title
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Caring attributes of nursing staff as rated by nurses in middle-management positions.
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Creator
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Harrell, Alma M., Florida Atlantic University, Parker, Marilyn
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Abstract/Description
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The purpose of this study was to describe how nurses in middle-management positions rate caring attributes of nursing staff. A convenience sample of 99 nurses from three acute-care hospitals was asked to rate caring attributes of nursing staff using the Nyberg Caring Assessment Scale, a 20 item 5-point Likert scale instrument. Fifty-nine nurses in the sample volunteered to participate in the study. Participants rated the attribute communicating a helping, trusting attitude toward others as...
Show moreThe purpose of this study was to describe how nurses in middle-management positions rate caring attributes of nursing staff. A convenience sample of 99 nurses from three acute-care hospitals was asked to rate caring attributes of nursing staff using the Nyberg Caring Assessment Scale, a 20 item 5-point Likert scale instrument. Fifty-nine nurses in the sample volunteered to participate in the study. Participants rated the attribute communicating a helping, trusting attitude toward others as extremely important, and the attribute consider relationships before rules as somewhat important. The remaining eighteen items were rated very important caring attributes to be exhibited by nursing staff in relations with patients and others in acute-care facilities. The study adds to the literature on caring and contributes to the nursing profession by expanding information about caring-based practice.
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Date Issued
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1992
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PURL
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http://purl.flvc.org/fcla/dt/14870
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Subject Headings
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Caring, Nursing services--Administration
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Format
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Document (PDF)
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Title
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The single antepartum mother's lived experience of receiving care from the father of the baby: A phenomenological perspective.
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Creator
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Ream, Brenda Elizabeth., Florida Atlantic University, Coffman, Sherrilyn
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Abstract/Description
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The purpose of the study was to come to understand the experience of a caring interaction between a single mother and the father of the baby. A qualitative study from a phenomenological perspective was used, with eleven participants being interviewed. Significant statements from the interviews were analyzed according to the four steps developed by Giorgi (1985). A description of the meaningful experience was obtained which includes the common themes of caring and non-caring. The themes and...
Show moreThe purpose of the study was to come to understand the experience of a caring interaction between a single mother and the father of the baby. A qualitative study from a phenomenological perspective was used, with eleven participants being interviewed. Significant statements from the interviews were analyzed according to the four steps developed by Giorgi (1985). A description of the meaningful experience was obtained which includes the common themes of caring and non-caring. The themes and the implications for nursing practice are discussed.
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Date Issued
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1992
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PURL
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http://purl.flvc.org/fcla/dt/14883
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Subject Headings
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Unmarried mothers, Unmarried fathers, Caring
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Format
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Document (PDF)
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Title
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Managed competition in Florida health care system: An implementation study.
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Creator
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Feldheim, Mary Ann, Florida Atlantic University, Thai, Khi V.
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Abstract/Description
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The study examines the implementation of managed competition in Florida as a legislated, decentralized, public-private partnership having the characteristics of a network. The policy subsystem model of Milward and Wamsley was used to examine the network, the network structure, the reasons and rewards for participation, and the normative theory that holds the CHPA network together. A snowballing interview procedure was used to reconstruct the unit of analysis and data were analyzed using...
Show moreThe study examines the implementation of managed competition in Florida as a legislated, decentralized, public-private partnership having the characteristics of a network. The policy subsystem model of Milward and Wamsley was used to examine the network, the network structure, the reasons and rewards for participation, and the normative theory that holds the CHPA network together. A snowballing interview procedure was used to reconstruct the unit of analysis and data were analyzed using grounded theory (open coding, axial coding, selective coding), descriptive statistics, and a matrix for network analysis. Findings on network structure, organizational and/or individual roles and participation provide public administration with important clues on how to survive in an increasingly networked world. In addition, the study demonstrates the usefulness of the policy subsystem model in examining public-private partnerships.
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Date Issued
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1998
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PURL
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http://purl.flvc.org/fcla/dt/12559
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Subject Headings
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Managed care plans (Medical care)--Florida, Health care reform--Florida
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Format
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Document (PDF)
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Title
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The elephant in the room: why is it difficult for hospice workers to discuss death with their terminally ill patients?.
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Creator
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Beroldi, Kristi, Earles, Julie
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Date Issued
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2013-04-05
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PURL
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http://purl.flvc.org/fcla/dt/3361070
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Subject Headings
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Hospice nurses, Terminally ill, Death, Hospice care
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Format
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Document (PDF)
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Title
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Denial is just not a river: relationships between experimental avoidance, personality, and relevant outcomes on hospice workers.
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Creator
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Hallam, Georgianne, Earles, Julie
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Date Issued
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2013-04-05
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PURL
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http://purl.flvc.org/fcla/dt/3361089
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Subject Headings
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Denial (Psychology), Hospice care, Burn out (Psychology)
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Format
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Document (PDF)
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Title
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FINDING A UNIQUE PATH: EMBODYING PARENTING IN THE MIDST OF CONFLICTING COMPLEXITY WITHIN PEDIATRIC PALLIATIVE CARE.
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Creator
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Olafson, Elizabeth A., Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
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Abstract/Description
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The purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life...
Show moreThe purpose of this qualitative study was to explore the process of complex healthcare decision-making by parents for their children within the milieu of a pediatric palliative care team. As healthcare has advanced, the number of children living with complex chronic conditions has increased. Decision-making by parents for their children referred to palliative care has not, up to this point, been widely explored by nursing. A purposeful sample of 22 participants, parents of children in life-limiting or life-threatening situations were asked: What matters most during the process of complex healthcare decision-making? A constant comparative method was used to analyze data collected from semistructured interviews and the theory of embodying parenting in the midst of conflicting complexity emerged. J. Watson’s (2020) theory of human caring grounded the researcher in living caritas processes throughout the study. All participants experienced a disruption of their expected parenting and family normal. Through constant comparative data analysis, the core category of embodying parenting was identified. Feeling respected as the parent, thoughtfully making right decisions, and maintaining presence support embodying parenting. The basic social process identified was finding a unique path. The process of finding a unique path included connecting with a supportive community, claiming decisional authority, moderating negative thoughts and feelings, and adjusting expectations. Living in peace was achieved by finding a unique path to embodying parenting in the midst of conflicting complexity. For the participants in this study, accepting circumstances, feeling gratitude, and perceiving life differently led to living in peace.
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Date Issued
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2020
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PURL
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http://purl.flvc.org/fau/fd/FA00013599
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Subject Headings
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Palliative Care, Nursing, Pediatric nursing, Decision Making
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Format
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Document (PDF)
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Title
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A conspiracy of caring: The meaning of the client's experience of nursing as the promotion of well-being.
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Creator
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Wallace, Cathie L., Florida Atlantic University, Appleton, Cathy
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Abstract/Description
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This research explored the client's experience of nursing as the promotion of well-being. The question guiding the study was: What is the meaning of nursing as the promotion of well-being? Using a phenomenological-hermeneutical approach, eight participants described their experiences of the phenomenon. Three metathemes emerged and expressed nursing as the promotion of well-being: (1) Being There Conveys a Willingness to Relate; (2) Being With Enables the Feeling of Comfort; and (3) Being in...
Show moreThis research explored the client's experience of nursing as the promotion of well-being. The question guiding the study was: What is the meaning of nursing as the promotion of well-being? Using a phenomenological-hermeneutical approach, eight participants described their experiences of the phenomenon. Three metathemes emerged and expressed nursing as the promotion of well-being: (1) Being There Conveys a Willingness to Relate; (2) Being With Enables the Feeling of Comfort; and (3) Being in Tune While Creating the Future. Further analysis led to the apprehension of a unity of meaning: An Emancipating Togetherness--The Creation of a Caring Synchrony that Empowers a New Meaning for Living. The metaphor, A Conspiracy of Caring, conveys a theory of the meaning of nursing as the promotion of well-being.
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Date Issued
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1992
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PURL
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http://purl.flvc.org/fcla/dt/14874
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Subject Headings
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Nursing--Philosophy, Caring, Nurse and patient
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Format
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Document (PDF)
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Title
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How do home and community based services change long-term care?.
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Creator
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Perez, Enrique M., College for Design and Social Inquiry, School of Public Administration
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Abstract/Description
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The relationship between Public Administration and the people is one that requires legitimacy and compromise in order to solve complex problems. Individuals with intellectual and developmental disabilities (IDD) and their families during the last fifty years have put forth an agenda that calls for the advancement of rights for the disabled and more integration into the larger society. In this arena, government, with post civil rights legislation like the 1990 Americans with Disabilities Act ...
Show moreThe relationship between Public Administration and the people is one that requires legitimacy and compromise in order to solve complex problems. Individuals with intellectual and developmental disabilities (IDD) and their families during the last fifty years have put forth an agenda that calls for the advancement of rights for the disabled and more integration into the larger society. In this arena, government, with post civil rights legislation like the 1990 Americans with Disabilities Act (ADA), plays a huge role in promoting social awareness and bringing down barriers of stigmatization, understanding, and access. This struggle is fought on many fronts. A significant part of the effort focuses on moving the locus of long-term care of the disabled, including the IDD population, from an institutional setting to the least restrictive setting that will foster social ties and integration. Since the early 1980s as part of this effort to deinstitutionalize the disabled, legislation at both the federal and state level has supported and incentivized the creation of Home and Community Based Service (HCBS) programs. HCBS waivers, as they are typically called, are also promoted as a means of containing government expenditures for long-term care. However, the effectiveness of these waivers is poorly understood. The critical questions being - Do HCBS waivers promote and create an environment that increases awareness of the needs of IDD individuals? Do the programs help reduce stigmatization, promote understanding, and increase access to services and activities that foster social interaction? Or, do HCBS waivers create a new "iron cage" where the intellectually or developmentally disabled are once again relegated to existing as second class citizens? In this research, programs are mapped and then evaluated to paint a better picture of how HCBS waivers change long-term care., This research combines qualitative and quantitative approaches to triangulate on these phenoamea as a means to investigate when and how HCBS waiver programs facilitate, promote, or stifle the social integration of those with IDD. How does social integration manifest itself in the quality long-term care of those who often cannot take care of themselves?
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Date Issued
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2011
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PURL
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http://purl.flvc.org/FAU/3318667
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Subject Headings
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Long-term care of the sick, Medical care, Quality control, Sociology of disabiltiy, Heath care rationing, Outcome assessment (Medical care), Community health services
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Format
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Document (PDF)
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Title
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Effects of nature-based sounds on patient anxiety during the preoperative period.
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Creator
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Cullum, Alcinda Louise., Florida Atlantic University, Locsin, Rozzano
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Abstract/Description
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This study investigated the effect of nature-based sounds on the preoperative anxiety of 30 patients scheduled for elective surgical procedures. Preoperative anxiety was measured utilizing a visual analog scale. Of the 30 subjects who were randomly placed in either control or experimental groups, 15 subjects comprised the experimental group who were provided with nature-based sounds, and 15 subjects comprised the control group who listened to non-vocal musical sounds. Pre-test data were...
Show moreThis study investigated the effect of nature-based sounds on the preoperative anxiety of 30 patients scheduled for elective surgical procedures. Preoperative anxiety was measured utilizing a visual analog scale. Of the 30 subjects who were randomly placed in either control or experimental groups, 15 subjects comprised the experimental group who were provided with nature-based sounds, and 15 subjects comprised the control group who listened to non-vocal musical sounds. Pre-test data were collected upon admission to the preoperative area, while post-test data were collected prior to entering the operating room suite. Measurements consisting of blood pressure, heart rate, and respiratory rate were also obtained both times. Using the t-statistic, results showed significant differences in the anxiety responses and the systolic blood pressures of patients who were provided with nature-based sounds than those provided with non-vocal musical sounds. The results of this study suggest that nature-based sound decreases anxiety responses of the preoperative patient.
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Date Issued
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1997
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PURL
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http://purl.flvc.org/fcla/dt/15390
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Subject Headings
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Nature sounds, Preoperative care, Music therapy
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Format
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Document (PDF)
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Title
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Nurses' perceptions of their ability to interact with family members in the intensive care unit.
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Creator
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Pagano, Diane Patricia., Florida Atlantic University, Warner, Marguerite
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Abstract/Description
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The purpose of this research was to explore and describe nurses' perceptions of their ability to interact with families under a variety of circumstances in the intensive care unit. Bandura's theory of self-efficacy (1986) provided a framework for the study. Twenty-six critical care nurses ranked their experiences and perceived self-efficacy on a list of twenty situations of family-nurse interaction. Information about years of experience in critical care nursing, personal experience of family...
Show moreThe purpose of this research was to explore and describe nurses' perceptions of their ability to interact with families under a variety of circumstances in the intensive care unit. Bandura's theory of self-efficacy (1986) provided a framework for the study. Twenty-six critical care nurses ranked their experiences and perceived self-efficacy on a list of twenty situations of family-nurse interaction. Information about years of experience in critical care nursing, personal experience of family illness, and family nursing courses was also gathered. The results of this study suggest that nurses' sense of self-efficacy varies with the circumstances of family-nurse interaction. Level of self-efficacy was also significantly related to nursing experience with families and to previous family course work. This study has implications for nursing administration, education, and practice. Suggestions for further research are also made.
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Date Issued
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1996
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PURL
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http://purl.flvc.org/fcla/dt/15246
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Subject Headings
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Self-efficacy, Intensive care nursing
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Format
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Document (PDF)
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Title
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Philosophical exploration in search of the ontology of authentic presence.
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Creator
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Linden, Danielle Moffatt., Florida Atlantic University, Freeman, Edward
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Abstract/Description
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This study examines authentic presence. Authentic presence, as identified in the study, comes from a theory of nursing developed by Anne Boykin and Savina Schoenhofer, Nursing as Caring: A Model for Transforming Practice. Authentic presence must be viewed in a philosophical context in order to be fully understood in practice. This analysis of Nursing as Caring reveals philosophical underpinnings in the theory's foundation. The primary texts of Soren Kierkegaard and Gaston Bachelard, both...
Show moreThis study examines authentic presence. Authentic presence, as identified in the study, comes from a theory of nursing developed by Anne Boykin and Savina Schoenhofer, Nursing as Caring: A Model for Transforming Practice. Authentic presence must be viewed in a philosophical context in order to be fully understood in practice. This analysis of Nursing as Caring reveals philosophical underpinnings in the theory's foundation. The primary texts of Soren Kierkegaard and Gaston Bachelard, both philosophers, are used to develop a foundation upon which is built a preliminary aesthetic framework to guide the examination of authentic presence. It is proposed that this framework reflects the meaning of the essence of abstract concepts and is demonstrated in an analysis of two poetic expressions.
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Date Issued
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1996
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PURL
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http://purl.flvc.org/fcla/dt/15343
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Subject Headings
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Authenticity (Philosophy), Nursing--Philosophy, Caring
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Format
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Document (PDF)
Pages