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- 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
- A conspiracy of caring: The meaning of the client's experience of nursing as the promotion of well-being.
- Creator
- Wallace, Cathie L., Florida Atlantic University, Appleton, Cathy
- Abstract/Description
-
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.
Show less - Date Issued
- 1992
- PURL
- http://purl.flvc.org/fcla/dt/14874
- Subject Headings
- Nursing--Philosophy, Caring, Nurse and patient
- Format
- Document (PDF)
- Title
- A phenomenological study of caring in the nurse-patient relationship: The patient's perspective.
- Creator
- Weaver, Rosella A., Florida Atlantic University, Brown, Carolyn L.
- Abstract/Description
-
This research is a qualitative study using the phenomenological method to gain insight into the meaning of caring for the patient. Many nurse leaders have described caring as the essence of nursing (Benner & Wrubel, 1989,; Leininger, 1981, 1984a, 1988; Watson, 1985a, 1988b). The purpose of the study was to address the meaning of caring from the patient's perspective. The specific phenomenological method used was based on the work of Max van Manen (1984). A purposive sample of 8 adults, 6...
Show moreThis research is a qualitative study using the phenomenological method to gain insight into the meaning of caring for the patient. Many nurse leaders have described caring as the essence of nursing (Benner & Wrubel, 1989,; Leininger, 1981, 1984a, 1988; Watson, 1985a, 1988b). The purpose of the study was to address the meaning of caring from the patient's perspective. The specific phenomenological method used was based on the work of Max van Manen (1984). A purposive sample of 8 adults, 6 women and 2 men, in an acute care setting was selected. An unstructured interview technique was used. Through structured reflection the process of caring emerged as themes. These included: nurse's knowledge, nurse's presence, involvement and commitment. Expressions of caring emerged as subthemes. The subthemes included: decision making, competent clinical skills, nurse's true presence, nurse's availability, accepting, understanding, helping and informing. A model of caring from the patient's perspective was developed.
Show less - Date Issued
- 1990
- PURL
- http://purl.flvc.org/fcla/dt/14664
- Subject Headings
- Nurse and patient, Caring, Nursing--Philosophy
- Format
- Document (PDF)
- Title
- The patient perspective of caring expressed by nurses through patient explaining (teaching).
- Creator
- Kearney, Carol Lynne., Florida Atlantic University, Schoenhofer, Savina
- Abstract/Description
-
Nursing researchers studying the concept of caring in nursing have identified patient teaching as a valued nurse caring behavior. However, no research has been conducted that examines patient teaching as an expression of caring. The purpose of this study was to examine and describe the patient perspective of caring expressed by nurses through patient teaching. Twelve patients in a hospital setting shared their thoughts and feelings about caring expressed by nurses through 'explaining', as the...
Show moreNursing researchers studying the concept of caring in nursing have identified patient teaching as a valued nurse caring behavior. However, no research has been conducted that examines patient teaching as an expression of caring. The purpose of this study was to examine and describe the patient perspective of caring expressed by nurses through patient teaching. Twelve patients in a hospital setting shared their thoughts and feelings about caring expressed by nurses through 'explaining', as the participants preferred to call 'teaching,' during open-ended tape-recorded interviews or in writing. A qualitative descriptive content analysis method was used to analyze the descriptions. Twenty-six subcategories that emerged from the coded data were grouped into four broad categories defined as: Nurse's Way of Being; Nurse's Doing For Patient; Nurse's Being With Patient; and Nurse's Caring Affects Patient.
Show less - Date Issued
- 1991
- PURL
- http://purl.flvc.org/fcla/dt/14758
- Subject Headings
- Nurse and patient, Caring, Nursing--Philosophy
- Format
- Document (PDF)
- Title
- The work-life views of the nurse manager during transition from primary care to patient-focused care.
- Creator
- Dittman, Patricia Welch, Florida Atlantic University, Ray, Marilyn A.
- Abstract/Description
-
The purpose of this descriptive study was to investigate the work life of the nurse manager during the transition from primary care to patient-focused care. The sample population includes nurse managers who were in administrative roles at the time of transition from primary care to patient-focused care delivery model. Exploratory descriptive data were collected by an open-interview, semi-structured format utilizing focused questions with three nurse managers who participated in the study. The...
Show moreThe purpose of this descriptive study was to investigate the work life of the nurse manager during the transition from primary care to patient-focused care. The sample population includes nurse managers who were in administrative roles at the time of transition from primary care to patient-focused care delivery model. Exploratory descriptive data were collected by an open-interview, semi-structured format utilizing focused questions with three nurse managers who participated in the study. The study adds significantly to the current debate on caring, nursing, nursing administration, patient-focused care, and nursing care delivery systems.
Show less - Date Issued
- 1995
- PURL
- http://purl.flvc.org/fcla/dt/15218
- Subject Headings
- Nurse administrators, Caring, Nurse and patient
- 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
- 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
- Teenagers' perspectives of caring during labor and delivery.
- Creator
- Sanderson, Sylvia., Florida Atlantic University, Schuster, Eleanor
- Abstract/Description
-
The problem of the study was to understand the experience of being cared for by a nurse during labor and delivery. The review of literature for the study examined research focusing on adolescents in labor and delivery, caring and adolescent pregnancy and caring from current nursing literature perspective. Recalled labor and delivery experiences were analyzed phenomenologically in order to extract the meaning of the experience. Five recently delivered primiparous mothers were interviewed....
Show moreThe problem of the study was to understand the experience of being cared for by a nurse during labor and delivery. The review of literature for the study examined research focusing on adolescents in labor and delivery, caring and adolescent pregnancy and caring from current nursing literature perspective. Recalled labor and delivery experiences were analyzed phenomenologically in order to extract the meaning of the experience. Five recently delivered primiparous mothers were interviewed. Interviews followed guidelines designed to elicit descriptions of nurse caring. Interviews were tape recorded and transcribed. Data were reduced through a search for themes, and analyzed using guidelines of Colaizzi (1978). The findings were discussed with four of the participants and they all agreed that their perceptions of the experience had been described. Results of the study produced an exhaustive description and fundamental structure of nurse caring.
Show less - Date Issued
- 1992
- PURL
- http://purl.flvc.org/fcla/dt/14873
- Subject Headings
- Caring, Nurse and patient, Teenage pregnancy
- Format
- Document (PDF)
- Title
- The essence of caring between a nurse and client during cardiac catheterization.
- Creator
- Masella, Joanne Mary, Florida Atlantic University, Winland-Brown, Jill
- Abstract/Description
-
This research study, utilizing Colaizzi's phenomenological method, examined the clients' perspective of a caring interaction between a nurse and client during cardiac catheterization. Eight participants described their experience of a caring interaction with a nurse during cardiac catheterization. Formulated meanings were derived from their significant statements and then grouped into themes. Three common themes emerged to form the essence of caring. The ingredients for a caring interaction...
Show moreThis research study, utilizing Colaizzi's phenomenological method, examined the clients' perspective of a caring interaction between a nurse and client during cardiac catheterization. Eight participants described their experience of a caring interaction with a nurse during cardiac catheterization. Formulated meanings were derived from their significant statements and then grouped into themes. Three common themes emerged to form the essence of caring. The ingredients for a caring interaction included connecting through genuine presence, being there through technical competence, and caring as a way of seeing through verbal communication. By providing an understanding of the clients' perspective, this study will benefit the nursing profession and contribute to the foundation of a theory based practice for the care of the client who has experienced cardiac catheterization. This practice will be grounded in the caring philosophy.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15056
- Subject Headings
- Cardiac catheterization, Caring, Nurse and patient
- Format
- Document (PDF)
- Title
- The structure of values synthesized from the lived experiences of agency nurses.
- Creator
- Strews, Wendy Lea., Florida Atlantic University, Parker, Marylyn
- Abstract/Description
-
The purpose of this study was to identify nursing values from lived experiences of six nurses during interactions with patients. Nurses employed by nursing agencies were asked: "describe an interaction you have experienced with a patient that best represents your nursing values". Giorgi's method of interpretation for phenomenological studies was used to analyze the stories. From each participant's specific values a general description of the structure of all participants' values was generated...
Show moreThe purpose of this study was to identify nursing values from lived experiences of six nurses during interactions with patients. Nurses employed by nursing agencies were asked: "describe an interaction you have experienced with a patient that best represents your nursing values". Giorgi's method of interpretation for phenomenological studies was used to analyze the stories. From each participant's specific values a general description of the structure of all participants' values was generated. Caring was the predominant value that emerged and encompasses nursing practice and the compassionate action it teaches. Concepts emerging from the study are living and learning of values, unpretentious presence, and caring as the ascendent value in nursing practice. Recommendations for future study include exploration of these concepts toward development of a value based nursing practice to increase job satisfaction and self-esteem for nurses recognizing their values.
Show less - Date Issued
- 1992
- PURL
- http://purl.flvc.org/fcla/dt/14834
- Subject Headings
- Nurse and patient, Nurses--Job satisfaction, Nursing services
- 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)
- 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
- From hopeless to a miracle: The lived experience of rehabilitation.
- Creator
- Towers, Patricia M., Florida Atlantic University, Locsin, Rozzano
- Abstract/Description
-
This study used the Colaizzi phenomenological, descriptive method to uncover what it was like for patients to be in a rehabilitation program. Ten rehabilitation patients were interviewed. They were asked, "What is it like for you to be in rehabilitation?" Significant statements were extracted from which meanings were formulated. Clusters of themes were developed from the meanings. Four themes were identified: dependence versus independence, rehabilitation is a miracle, rehabilitation is a...
Show moreThis study used the Colaizzi phenomenological, descriptive method to uncover what it was like for patients to be in a rehabilitation program. Ten rehabilitation patients were interviewed. They were asked, "What is it like for you to be in rehabilitation?" Significant statements were extracted from which meanings were formulated. Clusters of themes were developed from the meanings. Four themes were identified: dependence versus independence, rehabilitation is a miracle, rehabilitation is a struggle, and trust and trusting that working the plan will pay off. These themes are related to other care concepts in nursing and the other literature and film. Understanding what it is like for patients in a physical rehabilitation program will assist nurses to plan care to meet the patients' needs, will provide personal glimpses of patients' view of care for nursing, and will help nurses to further explore the world of the patients.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15087
- Subject Headings
- Nurse and patient, Rehabilitation nursing, Rehabilitation--Psychological aspects, Patients--Rehabilitation
- 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 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
- 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
- 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
- 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
- Comfort measures provided by critical care nurses as rated on a Nursing Comfort Measures Scale.
- Creator
- Pitcher, Diana Lynn, Florida Atlantic University, Bruce, Nancie
- Abstract/Description
-
This study presents the development and testing of a tool, the Nursing Comfort Measures Scale, to measure comfort delivered by nurses to patients. The tool was shown to have excellent reliability in the form of internal consistency and test-retest reliability and was also found by a panel of experts to have content validity. The Nursing Comfort Measures Scale was then tested among a group of 50 critical care nurses. Overall, they were found to be delivering comfort often to their patients....
Show moreThis study presents the development and testing of a tool, the Nursing Comfort Measures Scale, to measure comfort delivered by nurses to patients. The tool was shown to have excellent reliability in the form of internal consistency and test-retest reliability and was also found by a panel of experts to have content validity. The Nursing Comfort Measures Scale was then tested among a group of 50 critical care nurses. Overall, they were found to be delivering comfort often to their patients. Nurses were also found to be delivering fewer comfort measures within the spiritual, environmental, and physical domains.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15101
- Subject Headings
- Intensive care nursing, Caring, Nurse and patient, Human comfort, Pain--Nursing
- Format
- Document (PDF)