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Title: Homeless mothers' perceptions of their experience of receiving nursing care.
Creator: Moore, Vivian Soeder., Florida Atlantic University, Appleton, Cathy
Abstract/Description: This research study is a description of the experience of receiving nursing care for homeless mothers. Nine homeless mothers, who described their experience of receiving nursing care, were selected as participants. Using a phenomenological approach to guide the inquiry, narrative descriptions were generated from interviews with each participant. The homeless mothers' experience of receiving nursing care is described in two essential descriptive themes: (1) being homeless, and (2) receiving...
Show moreThis research study is a description of the experience of receiving nursing care for homeless mothers. Nine homeless mothers, who described their experience of receiving nursing care, were selected as participants. Using a phenomenological approach to guide the inquiry, narrative descriptions were generated from interviews with each participant. The homeless mothers' experience of receiving nursing care is described in two essential descriptive themes: (1) being homeless, and (2) receiving nursing care. The implications of these mothers' experience for nursing education, practice, and research are discussed.
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Date Issued: 1993
PURL: http://purl.flvc.org/fcla/dt/14967
Subject Headings: Nursing assessment, Homeless women--Medical care
Format: Document (PDF)

Title: Automated nursing knowledge classification using indexing.
Creator: Chinchanikar, Sucharita Vijay., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description: Promoting healthcare and wellbeing requires the dedication of a multi-tiered health service delivery system, which is comprised of specialists, medical doctors and nurses. A holistic view to a patient care perspective involves emotional, mental and physical healthcare needs, in which caring is understood as the essence of nursing. Properly and efficiently capturing and managing nursing knowledge is essential to advocating health promotion and illness prevention. This thesis proposes a...
Show morePromoting healthcare and wellbeing requires the dedication of a multi-tiered health service delivery system, which is comprised of specialists, medical doctors and nurses. A holistic view to a patient care perspective involves emotional, mental and physical healthcare needs, in which caring is understood as the essence of nursing. Properly and efficiently capturing and managing nursing knowledge is essential to advocating health promotion and illness prevention. This thesis proposes a document-indexing framework for automating classification of nursing knowledge based on nursing theory and practice model. The documents defining the numerous categories in nursing care model are structured with the help of expert nurse practitioners and professionals. These documents are indexed and used as a benchmark for the process of automatic mapping of each expression in the assessment form of a patient to the corresponding category in the nursing theory model. As an illustration of the proposed methodology, a prototype application is developed using the Latent Semantic Indexing (LSI) technique. The prototype application is tested in a nursing practice environment to validate the accuracy of the proposed algorithm. The simulation results are also compared with an application using Lucene indexing technique that internally uses modified vector space model for indexing. The result comparison showed that the LSI strategy gives 87.5% accurate results compared to the Lucene indexing technique that gives 80% accuracy. Both indexing methods maintain 100% consistency in the results.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/186677
Subject Headings: Nursing, Computer-assisted instruction, Data transmission systems, Outcome assessment (Medical care), Nursing assessment, Digital techniques
Format: Document (PDF)

Title: The Experience of Caring for Women with Drug or Alcohol Problems in the General Hospital.
Creator: Payne, Linda Gail, Barry, Charlotte D., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the...
Show moreThe purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the nurses' experience o caring for women who abuse or are dependent on alcohol and/or drugs was Boykin and Schoenhofer's Nursing as Caring (1993). The relational themes that emerged were: Caring in the dark; Intentionally knowing the woman with AOD as a unique person; and Experiencing sisterhood.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004534
Subject Headings: Communication in nursing, Nurse and patient, Nursing assessment, Nursing models, Outcome assessment (Medical care), Women -- Substance abuse -- Treatment
Format: Document (PDF)

Title: Knowledge based evaluation of nursing care practice model.
Creator: Tripathi, Shubhang., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description: Provision of complete and responsive solution to healthcare services requires a multi-tired health delivery system. One of the aspects of healthcare hierarchy is the need for nursing care of the patient. Nursing care and observation provide basis for nurses to communicate with other aspects of healthcare system. The ability of capturing and managing nursing practice is essential to the quality of human care. The thesis proposes knowledge based decision making and analyzing system for the...
Show moreProvision of complete and responsive solution to healthcare services requires a multi-tired health delivery system. One of the aspects of healthcare hierarchy is the need for nursing care of the patient. Nursing care and observation provide basis for nurses to communicate with other aspects of healthcare system. The ability of capturing and managing nursing practice is essential to the quality of human care. The thesis proposes knowledge based decision making and analyzing system for the nurses to capture and manage the nursing practice. Moreover it allows them to monitor nursing care quality, as well as to test an aspect of an electronic healthcare record for recording and reporting nursing practice. The framework used for this system is based on nursing theory and is coupled with the quantitative analysis of qualitative data. It allows us to quantify the qualitative raw natural nursing language data. The results are summarized in the graph that shows the relative importance of those attributes with respect to each other at different instances of nurse-patient encounter. Research has been conducted by the Department of Computer and Electrical Engineering and Computer Science for the College of Nursing.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/2683141
Subject Headings: Nursing assessment, Digital techniques, Nursing, Research, Methodology, Nursing, Technological innovations, Nursing, Practice, Nursing informatics
Format: Document (PDF)

Title: THE RELATIONSHIP AMONG HEALTHY WORK ENVIRONMENTS, NURSE CARING, AND NURSING-SENSITIVE PATIENT OUTCOMES IN MAGNET HOSPITALS.
Creator: Cassidy, Linda Franciose, Longo, Joy, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals...
Show moreThe purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals in a large faith-based system in the United States. A convenience, non-probability, purposive sample of permanently employed, direct-care RNs assigned to inpatient adult medical-surgical, telemetry, progressive care, stepdown, and critical care units were eligible to participate in the study. Three hundred and thirty-nine of 2632 eligible direct-care RNs participated in the study resulting in an overall response rate of 13.0% with a range of 5.5%–38.1% across hospitals. Nurse participants completed the AACN Healthy Work Environment Assessment Tool and the Nurse Caring Behaviors Inventory–24. Nursing-sensitive patient outcome data were obtained from patients cared for in the units during the study period.
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Date Issued: 2019
PURL: http://purl.flvc.org/fau/fd/FA00013292
Subject Headings: Work environment, Nurses, Caring, Patient Outcome Assessment, Healthy workplaces
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.
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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)

Title: Emergency department patients' perceptions of supportive nursing behaviors.
Creator: Francis-Liburd, Julyn Clair., Florida Atlantic University, Coffman, Sherrilyn
Abstract/Description: Patients and nurses have been found to perceive support differently. This exploratory study was undertaken to: (a) identify those nursing behaviors perceived by emergency department patients as supportive, and (b) to identify the importance emergency room patients give to various nursing behaviors on a checklist. A sample of 30 emergency department patients completed a guided interview and the Supportive Nursing Behavior Checklist. The perceived attitude of the nurse toward the patient and...
Show morePatients and nurses have been found to perceive support differently. This exploratory study was undertaken to: (a) identify those nursing behaviors perceived by emergency department patients as supportive, and (b) to identify the importance emergency room patients give to various nursing behaviors on a checklist. A sample of 30 emergency department patients completed a guided interview and the Supportive Nursing Behavior Checklist. The perceived attitude of the nurse toward the patient and the availability of the nurse to the patient were the most important factors influencing patients' perceptions of support. The nurse being friendly and cheerful were the most important behaviors. The study has implications for nursing practice, nursing administration and nursing education. Suggestions are also given for further research.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15060
Subject Headings: Hospitals--Emergency services, Nurse and patient, Nurses--Attitudes, Nursing assessment, Caring
Format: Document (PDF)

Title: A web-based automated classification system for nursing language based on nursing theory.
Creator: Dass, Subhomoy D., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description: Health care systems consist of various individuals and organizations that aim to meet the health care needs of people and provide a complete and responsive health care solution. One of the important aspects of a health care delivery system is nursing. The use of technology is a vital aspect for delivering an optimum and complete nursing care to individuals; and also for improving the quality and delivery mechanism of nursing care. The model proposed in this thesis for Nursing Knowledge...
Show moreHealth care systems consist of various individuals and organizations that aim to meet the health care needs of people and provide a complete and responsive health care solution. One of the important aspects of a health care delivery system is nursing. The use of technology is a vital aspect for delivering an optimum and complete nursing care to individuals; and also for improving the quality and delivery mechanism of nursing care. The model proposed in this thesis for Nursing Knowledge Management System is a novel knowledge-based decision support system for nurses to capture and manage nursing practice, and further, to monitor nursing care quality, as well as to test aspects of an electronic health record for recording and reporting nursing practice. As a part of a collaborative research of the Christine E. Lynn College of Nursing and the Department of Computer Science, a prototype toolset was developed to capture and manage nursing practice in order to improve the quality of care. This thesis focuses on implementing a web based SOA solution for Automated Classification of Nursing Care Categories, based on the knowledge gained from the prototype for nursing care practice.
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Date Issued: 2011
PURL: http://purl.flvc.org/FAU/3332184
Subject Headings: Nursing, Quality control, Outcome asssessment (Medical care), Nursing assessment, Digital techiques, Nursing, Computer-assisted instruction, Nursing informatics
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: Evaluation of speak for myself™ with patients who are voiceless.
Creator: Koszalinski, Rebecca S., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Patients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients...
Show morePatients who are hospitalized and are without voice would like to participate in their care. This requires clear communication. Speak for Myself™ (SFM) was developed for use at the bedside so that communication may be facilitated between patient and nurse when the patient is voiceless. The objective of this study was to evaluate Speak for Myself™ at the bedside and to measure the outcomes. This was a mixed methods, one group pre-test-post-test, quasi-experimental study. Twenty adult patients in three hospitals in South Florida agreed to use Speak for Myself™ during their acute care hospital stay (M = 8.86 hours). This group of participants (n = 20) ranged from 45 to 91 years old (males = 14; females = 6). Of the participants, 15 (75%) self-identified as European American, 2 (10%) self-identified as Hispanic, 2 (10%) self-identified as African American, and 1 (5%) self-identified as Asian. Ten of the participants (50%) were in respiratory failure. Two (10%) were receiving oxygenation measures related to unspecified complications of their illnesses. Of the remaining eight participants (40%), one each was receiving oxygenation measures due to atrial fibrillation, arteriosclerotic heart disease, cardiogenic shock, endocarditis, neck abscess, renal failure, status post seizure activity, and tongue metastasis.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004298
Subject Headings: Communication devices for people with disabilities, Nurse and patient, Nursing -- Practice, Nursing -- Research -- Methodology, Outcome assessment (Medical care), People with disabilities -- Means of communication
Format: Document (PDF)

Title: The impact of satisfaction with care and empowerment on glycemic control among older African American adults with diabetes.
Creator: Johnson, Bridgette M., Christine E. Lynn College of Nursing
Abstract/Description: atisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the...
Show moreatisfaction with diabetes care, perceived feelings of empowerment to participate in self-care management, and glycemic control in a sample of older African American men and women with diabetes. A descriptive correlational quantitative design was used. The participants in this study were 73 men and women of African descent who were at least 50 years, English speaking, and diagnosed with diabetes for at least one year. The participants were asked to complete three survey instruments: the Patient Satisfaction Questionnaire-18 (PSQ-18), which measured how satisfied the participants were with their medical care; the Diabetes Empowerment Scale-Short Form (DES-SF), which measured attitudes towards diabetes and self-management of diabetes; and a demographic form, which collected data on the demographics of each participant. The most recent hemoglobin A1c (HbA1c) of each participant was obtained from the medical records. The correlations between HbA1c, DES, and the PSQ-18 subscales were exam ined. The study data indicated all correlations were statistically significant and negative with one exception. There was no correlation between HbA1c and time spent, a satisfaction subscale. Approximately half the participants were high school graduates, married, and reported being born in the Caribbean. Most had primary care physicians, but less than half reported attending a diabetes education program. The average BMI was 33.0. The findings of this study indicated older African adults who reported higher satisfaction with the care provided by their health care provider reported feeling more empowered to participate in diabetes self-care and reported lower HbA1c levels, suggesting better glycemic control (R2 = .39; P=<.001)., The implications of this study are that feeling empowered to participate in diabetes self-care management may result in improved glycemic control. Positive diabetes outcomes have been linked in the literature with persons feeling empowered to participate in diabetes self-care. The significance of the findings from this study is that given the relationship between empowerment and glycemic control, nurses should support the empowerment model of diabetes teaching. Diabetes education should provide written materials that are culturally sensitive for African American elders.
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Date Issued: 2012
PURL: http://purl.flvc.org/FAU/3342114
Subject Headings: Outcome assessment (Medical care), Nursing, Quality control, Medical economics, Patient satisfaction, Evaluation, African Americans, Health and hygiene, Sociological aspects
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)

Title: Immigrant status, substance use and sexual risk among Afro-Caribbean adolescents living in South Florida.
Creator: Jolly, Kim., Christine E. Lynn College of Nursing
Abstract/Description: Objectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results:...
Show moreObjectives: To describe the co-occurrence of substance use and sexual activity behaviors among Afro-Caribbean adolescents living in South Florida, with attention to legal status, socio-demographic factors and risk-taking attitudes and behaviors. Methods: Convenience sampling was used to select 106 Afro-Caribbean adolescents from community centers in South Florida. A descriptive exploratory study was conducted. Data was analyzed using an independent t test, frequencies and crosstabs. Results: The study consists of 106 adolescents, 75% (n = 79) documented and 25% (n = 27) undocumented. Forty-one documented and 10 undocumented adolescents were sexually active. Of those, 14.6% of the documented and 40% of the undocumented adolescents had been drinking alcohol while engaging in sexual activity; 7.3% of documented and 30% of undocumented adolescents used drugs while engaging in sexual activity. Undocumented adolescents had less adult presence before and after school; Creole was spoken at home more than English, and none of the parents had gone to or graduated from college. There was no significant difference in risk-taking and social adaptation scores as measured by the Adolescent Risk-Taking Instrument (ARTI) for the documented and undocumented Afro-Caribbean adolescents. The ARTI had acceptable internal consistency reliability for the risk-taking (.87) and social adaption (.82) scale in this population. The mean score of risk behavior was 2.04 (SD = .44) for documented Afro-Caribbean adolescents and 1.89 (SD = .47) for undocumented adolescents. For social adaptation, mean scores were 3.23 (SD = .45) for documented and 3.20 (SD = .35) for undocumented adolescents. The co-occurrence of substance use and sexual activity is nearly triple for alcohol use and more than triple for drug use when comparing undocumented to documented adolescents., However, scores on the ARTI did not differ.Socio-demographic factors related to risky behaviors suggest that the undocumented adolescents were more at risk. Health risk of undocumented adolescents demands more research attention if nurses wish to address the unique needs of this population.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/228769
Subject Headings: Behavior disorders in adolescence, Behavioral assessment of teenagers, Adolescent psychopathology, Acculturation, Transcultural nursing
Format: Document (PDF)

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)

Title: The bureaucratic system: A positive or negative effect on nursing home quality of care?.
Creator: Lipsman, Lisa A., Florida Atlantic University, Evans, Arthur S.
Abstract/Description: Over the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care...
Show moreOver the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care. Although this hypothesis has proven to be accurate, additional factors were consistently cited as having detrimental effects on resident care. These include issues such as insufficient pay and lack of training/education for CNAs. Moreover, human greed and societal views of the elderly appear to be the true root of the problem.
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Date Issued: 2004
PURL: http://purl.flvc.org/fcla/dt/13148
Subject Headings: Long-term care of the sick--Quality control, Nursing home care--Quality control, Outcome assessment (Medical care), Long-term care facilities--Standards
Format: Document (PDF)

Outcome assessment (Medical care) (7)	+ -
Nursing (6)	+ -
Nursing assessment (6)	+ -
Nurse and patient (5)	+ -
Caring (2)	+ -

Computer-assisted instruction (2)	+ -
Decision making (2)	+ -
Digital techniques (2)	+ -
Nursing informatics (2)	+ -
Quality control (2)	+ -
Research (2)	+ -
Acculturation (1)	+ -
Adolescent psychopathology (1)	+ -
African Americans (1)	+ -
Arrhythmia (1)	+ -
Behavior disorders in adolescence (1)	+ -
Behavioral assessment of teenagers (1)	+ -
Clinical competence (1)	+ -
Communication devices for people with disabilities (1)	+ -
Communication in nursing (1)	+ -
Data transmission systems (1)	+ -
Digital techiques (1)	+ -
Evaluation (1)	+ -
Evidence based medicine (1)	+ -
Evidence-based nursing. (1)	+ -
Health and hygiene (1)	+ -
Health services administration (1)	+ -
Healthy workplaces (1)	+ -
Hermeneutics (1)	+ -
Homeless women--Medical care (1)	+ -

Florida (1)	+ -
United States (1)	+ -

Christine E. Lynn College of Nursing (8)	+ -
Florida Atlantic University (8)	+ -
College of Engineering and Computer Science (3)	+ -
Department of Computer and Electrical Engineering and Computer Science (3)	+ -
Tappen, Ruth M. (2)	+ -

Appleton, Cathy (1)	+ -
Barry, Charlotte D. (1)	+ -
Cassidy, Linda Franciose (1)	+ -
Chinchanikar, Sucharita Vijay. (1)	+ -
Coffman, Sherrilyn (1)	+ -
Dass, Subhomoy D. (1)	+ -
Evans, Arthur S. (1)	+ -
Francis-Liburd, Julyn Clair. (1)	+ -
Grimley, Karen A. (1)	+ -
Johnson, Bridgette M. (1)	+ -
Jolly, Kim. (1)	+ -
Koszalinski, Rebecca S. (1)	+ -
Lipsman, Lisa A. (1)	+ -
Longo, Joy (1)	+ -
Lucas, Louise A. (1)	+ -
Moore, Vivian Soeder. (1)	+ -
Parker, Carlo G. (1)	+ -
Payne, Linda Gail (1)	+ -
Prestia, Angela S. (1)	+ -
Sherman, Rose O. (1)	+ -
Tripathi, Shubhang. (1)	+ -

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