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lived experience of making a difficult decision
Title
The lived experience of making a difficult decision.
Creator
Hogan, Renee LaCroix., Florida Atlantic University, Schoenhofer, Savina
Abstract/Description
The purpose of this study was to generate a structure of the lived experience of making a difficult decision, using Parse's human becoming research methodology. This methodology evolved from the human becoming theory of nursing which includes an existential view of person and the nursing simultaneity paradigmatic view of man and health. The entity for study in this research was the lived experience of making a difficult decision. Parse's methodology was used and includes: participant...
Show moreThe purpose of this study was to generate a structure of the lived experience of making a difficult decision, using Parse's human becoming research methodology. This methodology evolved from the human becoming theory of nursing which includes an existential view of person and the nursing simultaneity paradigmatic view of man and health. The entity for study in this research was the lived experience of making a difficult decision. Parse's methodology was used and includes: participant selection, dialogical engagement, extraction-synthesis and heuristic interpretation. The structure of the experience of making a difficult decision was discovered through the experiences of four participants. This is expressed as living with feelings of self doubt that give way to assurance while searching within and reaching out to others until affirming the circumstances of the chaos generates possibilities and enables perseverance. This study demonstrates Parse's research methodology and broadens nursing's knowledge base.
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Date Issued
1993
PURL
http://purl.flvc.org/fcla/dt/14972
Subject Headings
Decision making, Nursing
Format
Document (PDF)
FINDING A UNIQUE PATH: EMBODYING PARENTING IN THE MIDST OF CONFLICTING COMPLEXITY WITHIN PEDIATRIC PALLIATIVE CARE
Title
FINDING A UNIQUE PATH: EMBODYING PARENTING IN THE MIDST OF CONFLICTING COMPLEXITY WITHIN PEDIATRIC PALLIATIVE CARE.
Creator
Olafson, Elizabeth A., Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description
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
2020
PURL
http://purl.flvc.org/fau/fd/FA00013599
Subject Headings
Palliative Care, Nursing, Pediatric nursing, Decision Making
Format
Document (PDF)
lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted
Title
The lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted.
Creator
Lucas, Louise A.
Abstract/Description
The implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac...
Show moreThe implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac arrest; the device is now being implanted in older adults with heart failure and no known history of cardiac arrhythmias. When talking with patients and personal family members who had an ICD, it was unclear what influenced their decision to have an ICD implanted. Understanding the experience of decision-making for older adults who had an ICD has added to nursing knowledge, practice, and education when working with people who had an ICD inserted. To understand the lived experience, the researcher conducted a phenomenological research study, guided by the theoretical lens of Paterson and Zderad's (1976/1988) humanistic nursing and analyzed the data as outlined by Giorgi (2009). The results of the study indicated the participants' lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted was influenced by the following : trust in their physician's decision; accepting the device was necessary; the decision was easy to make; and hope and desire to live longer.
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Date Issued
2011
PURL
http://purl.flvc.org/FAU/3332724
Subject Headings
Arrhythmia, Treatment, Decision making, Hermeneutics, Research, Phenomenology, Research, Medicine, Decision making, Evidence based medicine, Nursing, Decision making, Outcome assessment (Medical care)
Format
Document (PDF)
Holding the frontline
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.
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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)
Decision making models utilized by nurses to activate rapid response teams
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.
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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)
Values identified by nurses in middle management positions
Title
Values identified by nurses in middle management positions.
Creator
Jester, LaFonda Renee., Florida Atlantic University, Parker, Marilyn
Abstract/Description
The purpose of this study was to describe the values identified by nurses in middle management positions at a Florida for profit hospital. Latent content analysis was the method used to describe values identified by ten nurses in middle management positions. The analysis revealed a total of eight value themes. Two themes emerged as overarching: the value of economics and the value of caring. Six other value themes were interwoven into the overarching themes and consisted of commitment,...
Show moreThe purpose of this study was to describe the values identified by nurses in middle management positions at a Florida for profit hospital. Latent content analysis was the method used to describe values identified by ten nurses in middle management positions. The analysis revealed a total of eight value themes. Two themes emerged as overarching: the value of economics and the value of caring. Six other value themes were interwoven into the overarching themes and consisted of commitment, compassion, competence, patience, respect for the other and technology.
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Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/15129
Subject Headings
Nurse administrators, Nursing services--Administration, Values, Nursing--Decision making
Format
Document (PDF)
Suffering in the midst of technology
Title
Suffering in the midst of technology: the lived experience of an abnormal prenatal ultrasound.
Creator
Gottlieb, Jeanne C., Christine E. Lynn College of Nursing
Abstract/Description
The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is...
Show moreThe purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments.
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Date Issued
2013
PURL
http://purl.flvc.org/fcla/dt/3362381
Subject Headings
Medical genetics, Medical care, Decision-making, Health services accessibility, Abortion, Moral and ethical aspects, Pregnancy, Complications, Diagnostic ultrasonic imaging, Communication in medicine, Genetic counseling, Genetic disorders, Nursing, Standards
Format
Document (PDF)