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Title: Nursing practice in a contemporary health care corporation: Nurses' tensions and torment.
Creator: David, Beverly Ann., Florida Atlantic University, Appleton, Cathy
Abstract/Description: 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: 1996
PURL: http://purl.flvc.org/fcla/dt/15341
Subject Headings: Nursing--Philosophy, Caring, Feminism, Medical care, Health services administration
Format: Document (PDF)

Title: Finding common ground: The Future Search Conference experience.
Creator: Stewart, Tamala P., Florida Atlantic University, Schuster, Eleanor
Abstract/Description: Marvin Weisbord's (1992) Future Search Conference model is an innovative organizational planning method recently employed by the College of Nursing at Florida Atlantic University in the preliminary stages of the Global Environmental Project for Healing and Health. The purpose of this grounded theory study was to identify the basic social process (BSP) of a particular social world: the future search conference. A purposive sample of six participants volunteered to describe their perspective on...
Show moreMarvin Weisbord's (1992) Future Search Conference model is an innovative organizational planning method recently employed by the College of Nursing at Florida Atlantic University in the preliminary stages of the Global Environmental Project for Healing and Health. The purpose of this grounded theory study was to identify the basic social process (BSP) of a particular social world: the future search conference. A purposive sample of six participants volunteered to describe their perspective on "what happened" and "what was going on" at the conference entitled, "Discovering Common Ground: The Future of Health, Healing and Environment," February 23-25, 1995. Glaser and Strauss' (1967) constant comparative method of data analysis was used to identify the BSP, "Finding Common Ground." This enabled conference participants to cope with the unique conditions of a future search conference (sequestration, diverse population, and self-management) while accomplishing the goals of the conference.
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Date Issued: 1995
PURL: http://purl.flvc.org/fcla/dt/15199
Subject Headings: Organizational change, Nursing--Philosophy, Grounded theory, Sociology--Research
Format: Document (PDF)

Title: Struggling in changing priorities.
Creator: Brown, Linda L., Florida Atlantic University, Beck, Cheryl
Abstract/Description: The phenomenon central to this study is "struggling in changing priorities," a universal lived experience of health. Parse's (1981, 1991) theory of human becoming was the lens through which all aspects of this study were seen. The participants were four young adults infected with the AIDS virus. Parse's research methodology consisting of the processes of participant selection, dialogical engagement, extraction-synthesis, and heuristic interpretation was used to uncover the structure of the...
Show moreThe phenomenon central to this study is "struggling in changing priorities," a universal lived experience of health. Parse's (1981, 1991) theory of human becoming was the lens through which all aspects of this study were seen. The participants were four young adults infected with the AIDS virus. Parse's research methodology consisting of the processes of participant selection, dialogical engagement, extraction-synthesis, and heuristic interpretation was used to uncover the structure of the lived experience. Struggling in changing priorities is inspiring new awareness while camouflaging the perilous evokes solace amid harmonizing opposing rhythms. When taken to a higher level of abstraction and linked with the major concepts of Parse's theory, the theoretical definition of struggling in changing priorities is imaging the revealing-concealing of transforming.
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Date Issued: 1991
PURL: http://purl.flvc.org/fcla/dt/14775
Subject Headings: Choice (Psychology), Goal (Psychology), Health promotion, Nursing--Philosophy
Format: Document (PDF)

Title: The influence of feminism on nursing and its relation to nursing education: 1970-1994.
Creator: Shinners-Gillenwater, Jean., Florida Atlantic University, Schuster, Eleanor
Abstract/Description: This is a historical research study of the influence of feminism on nursing and nursing education from 1970 to 1994. Historical research contributes to the knowledge of the underpinnings of nursing education practices and the socialization process of nurses as a profession within the male, patriarchal system of medicine. This inquiry identifies select nurse-woman leaders and their contributions in incorporating a new value system for education and nursing based on feminist principles. The...
Show moreThis is a historical research study of the influence of feminism on nursing and nursing education from 1970 to 1994. Historical research contributes to the knowledge of the underpinnings of nursing education practices and the socialization process of nurses as a profession within the male, patriarchal system of medicine. This inquiry identifies select nurse-woman leaders and their contributions in incorporating a new value system for education and nursing based on feminist principles. The implications of this paradigm shift for nursing education, practice and research are discussed.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15086
Subject Headings: Nurses--United States, Nursing--Study and teaching, Nursing--Philosophy, Caring, Feminism, Nursing--History
Format: Document (PDF)

Title: Nutrire: Nurture, Nursing a Material Culture Analysis of Invalid/Infant Feeders and the Aesthetics and Caring of Nursing.
Creator: Smith, Nancy K., Dunphy, Lynne M., Florida Atlantic University
Abstract/Description: This dissertation analyzes a nursing artifact: the infant/invalid feeder. A material culture analysis, developed by the author, is utilized for the in depth study of 12 feeders. This work assumes that Caring is the core value of what constitutes nursing and nursing practice. The expression of the aesthetics of nursing through the act of feeding and use of infant/invalid feeders, aesthetic knowing and expression of that knowing, links caring and caring presence. The act of feeding another,...
Show moreThis dissertation analyzes a nursing artifact: the infant/invalid feeder. A material culture analysis, developed by the author, is utilized for the in depth study of 12 feeders. This work assumes that Caring is the core value of what constitutes nursing and nursing practice. The expression of the aesthetics of nursing through the act of feeding and use of infant/invalid feeders, aesthetic knowing and expression of that knowing, links caring and caring presence. The act of feeding another, whether sick or infant has been the domestic sphere of women throughout history and is also considered one of the most important duties of the nurse. For centuries women have provided nourishment to others. Much of this has been accomplished through the use of utensils designed specifically for the purpose of feeding those too ill or young to independently do so themselves. Material culture study, a method of examining artifacts and the cultural messages that they contain is employed as the methodology for research. A detailed investigation of the nursing literature reveals that there have been no material culture studies of nursing's artifacts to date. In this dissertation the author designed and utilized her own model for the analysis of 12 invalid feeders. The material culture analysis of the twelve feeders leads to a greater understanding of the history and evolution of nursing practice in the United States. Significance and recognition of feeders in England and their continued use versus their obscurity and unfamiliarity in the United States serves an example of the changes and differences that have occurred within the social context of the culture as a whole and nursing culture in particular. Feeding of patients with feeders by nurses serves as an example of the complexities of human caring and the aesthetic practice of nursing. Nurses can gain from the material culture studies of nursing artifacts, paying greater attention to the ways that make us human and humane. This work has related the caring and the aesthetic of nursing practice to the everyday act of feeding and challenges nurses to continue to find ways to demonstrate nurturing and caring to those we have the privilege to nurse.
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Date Issued: 2006
PURL: http://purl.flvc.org/fau/fd/FA00000625
Subject Headings: Nursing--Equipment and supplies, Infants--Care--Equipment and supplies, Nursing--Philosophy
Format: Document (PDF)

Title: Living a Caring-Based Program.
Creator: Boykin, Anne
Abstract/Description: This timely publication offers a description of community building within the College of Nursing at Florida Atlantic University. Nursing education programs have a reputation of being demanding, difficult, and exhausting. Since the education process is the way students are socialized into the culture of nursing, it is the obligation of faculty to create an environment in which students come to know each other as colleagues who are free to express their uniqueness. This book describes the...
Show moreThis timely publication offers a description of community building within the College of Nursing at Florida Atlantic University. Nursing education programs have a reputation of being demanding, difficult, and exhausting. Since the education process is the way students are socialized into the culture of nursing, it is the obligation of faculty to create an environment in which students come to know each other as colleagues who are free to express their uniqueness. This book describes the evolution and living of a caring-based program grounded in foundational beliefs and values of person and centered in caring.
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PURL: http://purl.flvc.org/fau/fd/FA00000438
Subject Headings: Florida Atlantic University -- College of Nursing -- Curricula, Nursing -- Study and teaching -- Philosophy, Education, Nursing, Educational resources, open
Format: Document (PDF)

Title: Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
Creator: Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004320
Subject Headings: Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
Format: Document (PDF)

Title: Caring for self for nursing leaders: Climbing to the mountain peak.
Creator: Brown, Cynthia J., Florida Atlantic University, Chase, Susan
Abstract/Description: The nursing leader's challenging position in today's work environment may lead to an experience of stress, over-commitment, and overdoing. The purpose of this phenomenological study was to examine the meaning of caring for self by registered nurse leaders who had participated in a caring for self project in a community hospital setting. This group of 10 nursing leaders had participated in a caring for self project and had experience in nursing ranging from 18 to 32 years. One year after...
Show moreThe nursing leader's challenging position in today's work environment may lead to an experience of stress, over-commitment, and overdoing. The purpose of this phenomenological study was to examine the meaning of caring for self by registered nurse leaders who had participated in a caring for self project in a community hospital setting. This group of 10 nursing leaders had participated in a caring for self project and had experience in nursing ranging from 18 to 32 years. One year after taking part in the caring for self project the 10 nursing leaders participated in individual taped interviews to explore the meaning of caring for self. Hermeneutic phenomenology (van Manen, 1990) was the method used for the interpretation of this research study. The depth of the lived experience of caring for self was described by each nursing leader. A metaphor of climbing a mountain to the peak of wisdom, being on the path and staying on the path regarding care of self, came from the words of the participants. In their words, the leaders communicate four common themes: Reflections on the Journey, Why Care for Self on the Journey, How to Care for Self on the Journey, and the Wisdom Learned Along the Path. Based on their reflections, recommendations include implementing creative ways to encourage care of self are for the hospital environment and educational methods to reinforce care of self for nurse leaders in the educational curriculum. A focus on care of self described by the leaders in this study may improve personal health, add to personal growth, assist in communication skills, allow for role modeling care of self to others, support setting priorities and boundaries, contribute to flexibility, and promote a work-life balance. These qualities would assist in creating a positive work environment and may influence the retention of nurses and contribute to recruiting new nursing leaders. Caring for self by nursing leaders is an important way for caring nursing theory to be brought to the practice setting. By role modeling a work-life balance nursing leaders bring the circle of caring out to others, beginning with care of self.
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Date Issued: 2006
PURL: http://purl.flvc.org/fcla/dt/12202
Subject Headings: Nursing--United States--Psychological aspects, Nurses--Conduct of life, Nursing--Philosophy, Self-efficacy, Burn out (Psychology)--Prevention, Stress management
Format: Document (PDF)

Title: Integrity and reflections of the past: a phenomenographic analysis.
Creator: Rio, Germina Emily Risos., Christine E. Lynn College of Nursing
Abstract/Description: The graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and...
Show moreThe graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and describe the meaningful life events elicited by the experience of Creative Reminiscence using a phenomenographic approach. Existing (archived) data-transcribed interviews, poetry and painting on planters that were obtained from 20 participants of the Creative Reminiscence program entitled Le Jardin de Sante were analyzed. Five variations of meaningful memories evoked by Creative Reminiscence were identified. These are described as follows: (a) memories that rejuvenate the elder's sense of connectio n; (b) memories that revive the elder's sense of love and intimacy; (c) memories that restore the elder's sense of being; (d) memories that reassert the elder's sense of control; and (e) memories that reinstitute the elder's sense of purpose. In a caring interaction with Creative Reminiscence, the nursed are able to transcend, moving back in time (past) to appreciate segment(s) of their lives, with triumphs and disappointments that give meaning to their inner conflict/human struggle (present), and integrate a sense of confidence and acceptance of their lives to sustain well-being and a sense of wholeness. This research highlights the similarities and differences in the description of memories by the nursing home residents evoked during Creative Reminiscence., The results of the study support Erikson's notion of the circular nature of the life cycle, wherein there is an inherent need at the last stage of life to re-integrate ascendant psychosocial themes.Taking into account the meaning that nursing home residents ascribe to their experiences provided data on strategies nurses and caregivers can use effectively to help these elders transcend despair. Further research is recommended using a more diverse sample and in more diverse geographical locations. Current standardized instruments may be revised to quantify effects on the ascendant psychosocial themes.
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Date Issued: 2008
PURL: http://purl.flvc.org/fcla/dt/177012
Subject Headings: Aging, Psychological aspects, Memory in old age, Analysis, Nursing, Philosophy, Depression in old age, Research, Reminiscing in old age
Format: Document (PDF)

Title: Transition experiences of the chronically ill adolescent.
Creator: White, Kelly N., Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck,...
Show moreThe continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White, 2002). The main objective of this study was to explore the healthcare transition (HCT) practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im, Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system. Recommendations for healthcare providers that work with chronically ill young adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004234, http://purl.flvc.org/fau/fd/FA00004234
Subject Headings: Children with disabilities -- Care, Chronic diseases in children -- Psychological aspects, Chronically ill children -- Services for, Health services accessibility, Nursing -- Philosophy, Nursing models
Format: Document (PDF)

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.
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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)

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