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Title: Caring attributes of nursing staff as rated by nurses in middle-management positions.
Creator: Harrell, Alma M., Florida Atlantic University, Parker, Marilyn
Abstract/Description: The purpose of this study was to describe how nurses in middle-management positions rate caring attributes of nursing staff. A convenience sample of 99 nurses from three acute-care hospitals was asked to rate caring attributes of nursing staff using the Nyberg Caring Assessment Scale, a 20 item 5-point Likert scale instrument. Fifty-nine nurses in the sample volunteered to participate in the study. Participants rated the attribute communicating a helping, trusting attitude toward others as...
Show moreThe purpose of this study was to describe how nurses in middle-management positions rate caring attributes of nursing staff. A convenience sample of 99 nurses from three acute-care hospitals was asked to rate caring attributes of nursing staff using the Nyberg Caring Assessment Scale, a 20 item 5-point Likert scale instrument. Fifty-nine nurses in the sample volunteered to participate in the study. Participants rated the attribute communicating a helping, trusting attitude toward others as extremely important, and the attribute consider relationships before rules as somewhat important. The remaining eighteen items were rated very important caring attributes to be exhibited by nursing staff in relations with patients and others in acute-care facilities. The study adds to the literature on caring and contributes to the nursing profession by expanding information about caring-based practice.
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Date Issued: 1992
PURL: http://purl.flvc.org/fcla/dt/14870
Subject Headings: Caring, Nursing services--Administration
Format: Document (PDF)

Title: Perspectives of professional competence by newly licensed, registered nurses.
Creator: Bartolone, Priscilla Dunson., Christine E. Lynn College of Nursing
Abstract/Description: Professional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly...
Show moreProfessional competence is expected of all nurses in practice. Although new nurses have met the competency requirement for practice legally, opinions vary among new nurses and nurse administrators as to whether new nurses are indeed competent to practice nursing. The purpose of this phenomenological research study was to learn what new nurses think about professional competence. The research question guiding this study was, "What is professional competence from the perspective of newly licensed registered nurses?"
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Date Issued: 2008
PURL: http://purl.flvc.org/fcla/dt/172666
Subject Headings: Clinical competence, Nursing, Standards, Nursing, Quality control, Nursing services, Administration
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.
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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: Home care as a gestalt: The lived experience of families receiving nursing care in the home.
Creator: Ruth, Marla Claire., Florida Atlantic University, Coffman, Sherrilyn
Abstract/Description: The purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the...
Show moreThe purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the transcribed texts, one common metatheme emerged: Home Nursing Care Experienced within the Gestalt of Home Health Care. Four associated sub-themes emerged: (1) Being in Relationship with the Nurse; (2) Feeling Decreased Stress/Increased Comfort; (3) Having the Nurse as Family Advocate/Mediator; and (4) Finding the Way Through Chaos to Control.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15108
Subject Headings: Home nursing, Home care services, Family nursing, Nursing
Format: Document (PDF)

Title: Nursing practice in a patient care setting where the director is not a nurse.
Creator: Cleva, Joyce., Florida Atlantic University, Warner, Marguerite
Abstract/Description: The purpose of this study was to describe the practice of nursing and the factors that influence nursing practice in one patient care setting where the Director is not a nurse. A qualitative design employing the methods of grounded theory was utilized. Reaching for Completeness was the core concept that emerged from the analysis. Reaching for Completeness describes the directionality of nursing practice in this setting. It includes: coming to Know the Client, Responding to the Immediate Needs...
Show moreThe purpose of this study was to describe the practice of nursing and the factors that influence nursing practice in one patient care setting where the Director is not a nurse. A qualitative design employing the methods of grounded theory was utilized. Reaching for Completeness was the core concept that emerged from the analysis. Reaching for Completeness describes the directionality of nursing practice in this setting. It includes: coming to Know the Client, Responding to the Immediate Needs of the Client, and Pulling it All Together. Factors that appeared to influence the practice of nursing in this setting were the management styles of the director and nurse manager, shared expectations of professionalism, and a shared sense of satisfaction in what the patients and staff accomplished together each day. The results of this study suggest that the main factor affecting the development of nursing practice in a patient care setting may not be whether the director is a nurse, but rather, whether nursing retains ownership of the practice of nursing.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15114
Subject Headings: Nursing services--Administration, Nurses--Job satisfaction, Nursing services--Business management
Format: Document (PDF)

Title: Views of registered nurses and unlicensed assistive personnel on the differentiating aspects of their roles in a partnership model of care delivery.
Creator: Sorbello, Barbara C., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description: The purpose of this study was to explore, through a descriptive method, views of registered nurses and unlicensed assistive personnel about their roles. Data sources included interviews with three registered nurses and three unlicensed assistive workers practicing in partnership on an acute patient care unit. Study findings supported role theory assertions that role strain and stress, manifested as role ambiguity, role confusion, role overlapping, and role overload occur when the role...
Show moreThe purpose of this study was to explore, through a descriptive method, views of registered nurses and unlicensed assistive personnel about their roles. Data sources included interviews with three registered nurses and three unlicensed assistive workers practicing in partnership on an acute patient care unit. Study findings supported role theory assertions that role strain and stress, manifested as role ambiguity, role confusion, role overlapping, and role overload occur when the role transition process and role expectations are not clarified or nurtured among role partners. Implications for nursing practice include the following: (1) Nurses in clinical and administrative practice need to be sensitized to the importance of nurses and ancillary personnel being active participants in the work redesign process, and must support the value of caring that transpires in the nurse-patient relationship. (2) Role theory can be utilized to understand dynamics that occur in work settings of nurses and assistive partners.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15305
Subject Headings: Differentiated nursing practice, Nursing services--Personnel management, Nurses--Attitudes, Nurses' aides, Nursing--Standards
Format: Document (PDF)

Title: Clinical nurse leader [SM] stories: a phenomenological study about the meaning of leadership at the bedside.
Creator: Sorbello, Barbara C., Christine E. Lynn College of Nursing
Abstract/Description: A new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological...
Show moreA new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological investigation examined the lived experiences of CNLs® to gain understanding about the meaning of leadership at the point of care and to discover the unique expressions of living caring that CNLs® experience as they embark upon this new role in the acute care hospital setting. Ten CNL® participants were interviewed for this study. Their stories about patient situations and relationships with other disciplines were shared with rich description and emotion. Hermeneutic analysis of the text revealed six essential themes. Six essential themes emerged revealing the essence of leading at the bedside and living caring in the CNL® role: navigating safe passage, pride in making a difference, bringing the bedside point of view, knowing the patient as person, helping nurses to grow, and CNLs® needing to be known, understood and affirmed. Taken as a whole through a synthesis of the themes, the understanding of the meaning of leading to CNLs® includes keeping their patients safe, being proud of their accomplishments and the respect gained from others, as well as being a helper and advocate for other nurses., This is accomplished through their privileged place at the bedside, where they come to know their patients as person and work hand in hand with nursing colleagues. When CNLs® are supported by management, and their roles are planned and understood, they are more fully able to optimally practice and live and grow in caring.
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Date Issued: 2010
PURL: http://purl.flvc.org/FAU/1930496
Subject Headings: Nurse practitioners, Nursing services, Administration, Study and teaching, Nursing, Study and teaching (Graduate), Nursing ethics
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.
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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)

Title: Unveiling The Mystery Of Covenantal Trust: The Theory of the Social Process Between the Nurse Manager and the Chief Nursing Officer.
Creator: Hilsenbeck, Julie R., Ray, Marilyn A., Florida Atlantic University
Abstract/Description: The purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open...
Show moreThe purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open coding and constant comparative analysis. Resulting categories consisted of preparing to trust, co-creating trust and co-creating the trusting environment. The basic social process of the nurse manager-chief nursing officer trusting relationship in healthcare was the substantive theory of Striving to Live the Golden Rule which refers to living the nurse manager-chief nursing officer ethical relationship in a nursing environment where trust may be difficult to establish. The formal theory generated was the essential link between Striving to Live the Golden Rule to Living the Golden Rule as Unveiling the Mystery of Covenantal Trust. The overall results of this research demonstrated the process of trust between the nurse manager and chief nursing officer as essential to the overall relationship and to the success of both.
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Date Issued: 2006
PURL: http://purl.flvc.org/fau/fd/FA00000621
Subject Headings: Nursing ethics--Philosophy, Nursing--Standards, Nurse administrators, Nursing services--Administration
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: 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)

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: Nursing practice in a contemporary health care corporation: Nurses' tensions and torment.
Creator: David, Beverly Ann., Florida Atlantic University, Appleton, Cathy
Abstract/Description: Tensions exist between the ideology of caring as a nursing practice ideal, and the corporately managed health care settings in which nurses work. The objective of this critical feminist ethnography was to understand these tensions by grounding them in nurses' experiences and perceptions. Data was gathered through ethnographic interviewing and participant-observations of a nurse key informant and her co-workers in the pediatric unit of a corporately managed acute care hospital. The data were...
Show moreTensions exist between the ideology of caring as a nursing practice ideal, and the corporately managed health care settings in which nurses work. The objective of this critical feminist ethnography was to understand these tensions by grounding them in nurses' experiences and perceptions. Data was gathered through ethnographic interviewing and participant-observations of a nurse key informant and her co-workers in the pediatric unit of a corporately managed acute care hospital. The data were analyzed according to the coding procedures and comparative method described by Strauss and Corbin (1990). Four characteristics of the corporate health care culture that conflict with nurses' practice ideals were identified: The Corporate Productivity Motive; The Priority of a Medical Regime Over Nursing Care; The Tolerance of Risk to Patient Safety; and The Hospitality Perspective. A critique of the patriarchal value structure that influences the health care system and recommendations for nursing practice, education, and research is provided.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15341
Subject Headings: Nursing--Philosophy, Caring, Feminism, Medical care, Health services administration
Format: Document (PDF)

Title: Caring in nurse managers as described by staff nurses.
Creator: Swinderman, Todd D., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description: A descriptive study of caring in nurse managers as described by staff nurses is presented. Five participants provided data from semi-structured, open ended, audiotape recorded interviews. The transcribed interview data were coded, concepts were identified, and the conceptual unit of meaning emerged. A conceptual model was developed and subsequently was analyzed in relation to Boykin's and Schoenhofer's (1993) Nursing as Caring Theory. It was discovered that staff nurses respect a nurse...
Show moreA descriptive study of caring in nurse managers as described by staff nurses is presented. Five participants provided data from semi-structured, open ended, audiotape recorded interviews. The transcribed interview data were coded, concepts were identified, and the conceptual unit of meaning emerged. A conceptual model was developed and subsequently was analyzed in relation to Boykin's and Schoenhofer's (1993) Nursing as Caring Theory. It was discovered that staff nurses respect a nurse manager when she participates in direct nursing care, provides for the overall needs of the unit by negotiating with administrators, and nurtures nurses through listening to, encouraging, supporting and role modeling. Recommendations for nursing administration, practice, education and research are presented.
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Date Issued: 1997
PURL: http://purl.flvc.org/fcla/dt/15443
Subject Headings: Nurse administrators, Caring, Nursing services--Administration, Nursing informatics, Nursing--Computer network resources, Nursing--Data processing, Information storage and retrieval systems--Nursing, Nursing records, Nursing--Statistical services
Format: Document (PDF)

Title: The nurses' experience of being assisted in practice by multiskilled personnel.
Creator: Ross, Michele Alessa Stankes., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description: This study's purpose was to explore, through a descriptive method, the registered nurses' experience of being assisted in practice by multiskilled personnel for the provision of direct patient care. The multiskilled personnel were unlicensed, functioned in an assistive role to the nurse, and were trained at the hospital to perform technical direct patient care tasks. Data sources included interviews with three registered nurses. Study findings supported the existence of a caring nurse...
Show moreThis study's purpose was to explore, through a descriptive method, the registered nurses' experience of being assisted in practice by multiskilled personnel for the provision of direct patient care. The multiskilled personnel were unlicensed, functioned in an assistive role to the nurse, and were trained at the hospital to perform technical direct patient care tasks. Data sources included interviews with three registered nurses. Study findings supported the existence of a caring nurse-multiskilled assistant relationship that was characterized by the concepts of communication, task responsibility, reciprocal helping, respect, commitment to a shared goal, and nurse leadership. Through a dialectical process, where the thesis was the nurse-patient relationship as identified in the study and the antithesis was the multiskilled assistant-patient relationship, the nurse-multiskilled assistant-patient relationship was synthesized. The study findings in relationship to previous studies, team theory, and Nursing as Caring theory were discussed.
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Date Issued: 1996
PURL: http://purl.flvc.org/fcla/dt/15361
Subject Headings: Delegation of authority, Nursing services--Personnel management, Differentiated nursing practice
Format: Document (PDF)

Title: Ethical evaluation by nephrology nurse administrators: An exploratory-descriptive study.
Creator: DiDominic, Vicki., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description: An exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined...
Show moreAn exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined that the nurses engaged in a common process of ethical evaluation, identified in the Common Ethical Ground Conceptual Model. The common nursing goal was the well-being of patients, and the creation of environments which enhanced patient well-being. Patient education was identified as a method to reach this goal during an era of economic constraint.
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Date Issued: 1995
PURL: http://purl.flvc.org/fcla/dt/15217
Subject Headings: Nurse administrators, Chronic renal failure, Nursing ethics, Hospitals--Nephrological services
Format: Document (PDF)

Title: Factors Affecting Registered Nurses' Job satisfaction and Intent to Leave.
Creator: Longo, Joy, Liehr, Patricia, Florida Atlantic University
Abstract/Description: It is estimated that there will be a 20% shortage of full time equivalent registered nurses (RN) by 2015. Retention of nurses is a priority in health care, so a better understanding of factors that contribute to job satisfaction and intent to leave is needed. One possible factor is the quality of the interpersonal relationships that occur among managers, peers, and nurses. A negative quality would be acts of hostility or horizontal violence, which is nurse-to-nurse aggression. This is...
Show moreIt is estimated that there will be a 20% shortage of full time equivalent registered nurses (RN) by 2015. Retention of nurses is a priority in health care, so a better understanding of factors that contribute to job satisfaction and intent to leave is needed. One possible factor is the quality of the interpersonal relationships that occur among managers, peers, and nurses. A negative quality would be acts of hostility or horizontal violence, which is nurse-to-nurse aggression. This is theorized to be a result of oppressed group behavior. These behaviors may influence job satisfaction and the intent to stay on the job and in the profession. The overall purpose of the study was to explore relationships between horizontal violence, oppressed group behavior, job satisfaction and intent to leave a position or nursing in the next 12 months. This pilot study examined factors that influence registered nurses ' job satisfaction and intent to leave a position or nursing. Convenience sampling was used to obtain the sample of registered nurses from a BSN completion program and a Novice Nurse Initiative Program (n=99). Written stories of conflict between nurses were obtained and analyzed with linguistic analysis and word count (LIWC) software and various standardized instruments were used including the Nurses Workplace Behavior Scale (NWBS), the Organizational Climate for Caring Scale (OCCS), the Peer Group Caring Interaction Scale (PGCIS), The McCloskey/Mueller Satisfaction Scale (MMSS) and two visual analogue scales (VAS). Significant relationships were found between job satisfaction and intent to stay in a position and nursing (p<.01), oppressed group behavior and intent to stay in nursing (p<.01), oppressed group behavior and job satisfaction (p<.01). Manager and peer caring behaviors were related to intent to stay in a position and nursing (p<.01). Using stepwise multiple regression, both manager and peer caring behaviors were found to influence the relationship between job satisfaction and intent to stay in a position or nursing. The findings of this study suggest that the quality of interpersonal relationships between managers, peers and nurses can influence job satisfaction and intent to stay in a position or nursing.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000622
Subject Headings: Nurses--Job satisfaction, Nursing services--Administration, Burn out (Psychology)--Prevention, Nurses--Job stress
Format: Document (PDF)

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

Title: The Lived Experience of Male Nurses Who Have Successfully Rehabilitated From Chemical Dependency Through the State of Florida's Intervention Project for Nurses.
Creator: Dittman, Patricia Welch, Chase, Susan, Florida Atlantic University
Abstract/Description: This dissertation reviews the multifaceted dimensions of male nurses in recovery from chemical dependency in the State of Florida's Intervention Project for Nurses Rehabilitation Program. These dimensions are not linear and fluctuation of the degree of intensity is individualized to the lived experience of the nurse. The purpose of this qualitative, phenomenological research study was to understand the lived experience of male nurses who have successfully completed the rehabilitation phase...
Show moreThis dissertation reviews the multifaceted dimensions of male nurses in recovery from chemical dependency in the State of Florida's Intervention Project for Nurses Rehabilitation Program. These dimensions are not linear and fluctuation of the degree of intensity is individualized to the lived experience of the nurse. The purpose of this qualitative, phenomenological research study was to understand the lived experience of male nurses who have successfully completed the rehabilitation phase and to determine themes that influenced their vulnerability to professional impairment. The study identified two overarching themes of person and profession. The major theme of person had three sub-themes of pre-determined risk, altered values, and sensation seeking behaviors. The major theme of profession had five sub-themes of masterminding, professional heteronomy, rehabilitation, getting caught, spirituality, and the nurse becoming the nursed. A model of professional impairment graphically depicts the interaction of these themes. Exploring the lived experiences of male nurses who have successfully rehabilitated from chemical dependency provided understanding and identification that can assist academic and clinical environments with prevention, education, and early intervention.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000619
Subject Headings: Intervention Project for Nurses (IPN), Successful people--Substance use, Nurses--Substance use--Treatment, Nurses--Rehabilitation, Nursing services--Personnel management
Format: Document (PDF)

Title: More Than Good, Kind Angels: The Daughters of Charity's Relationship to Valuation, Mission and Money, 1916 To 1994.
Creator: Rutherford, Marcella M., Baer, Ellen D., Florida Atlantic University
Abstract/Description: The ability to gain payment for services is strongly linked to the ability of a profession to define the value of its service. Valuation as an economic term is used to define an entity's worth or value. As an approach, valuation encourages a company to document the financial value of both the tangible and intangible assets associated with the services provided. Today there are a limited number of studies that document the value of nursing services. Valuation studies related to nursing are...
Show moreThe ability to gain payment for services is strongly linked to the ability of a profession to define the value of its service. Valuation as an economic term is used to define an entity's worth or value. As an approach, valuation encourages a company to document the financial value of both the tangible and intangible assets associated with the services provided. Today there are a limited number of studies that document the value of nursing services. Valuation studies related to nursing are challenged by the need to include the complexity of patient services that causes variation in research results. This historical case study examines one nursing initiative undertaken by the Daughters of Charity who were trained in nursing and finance and were able to demonstrate their value to the community of Jacksonville, Florida. In 1916, the Daughters of Charity came to Jacksonville to provide health care to the sick and the poor. They endured the hardships found in this southern city and endeared themselves to the community. They purchased a 42-bed Sanatorium and expanded this facility into a 528-bed hospital and health system. Across ninety years, the community supported and demonstrated their willingness to pay in order to sustain the Sisters mission. The themes identified in the study included an unwavering commitment to Jive the mission of the Daughters of Charity, an implicit authority allowing these Sisters to enter into business arrangements, an emphasis on ensuring that all Sisters gained education and mentorship in finance and nursing, the growth of a strong bond with the community of Jacksonville, and an ability to obtain funding needed to carry out their mission. Themes appearing to be in opposition to the Sisters mission included racial separation and the limited recognition given to nurses at the Sisters' hospital. In conclusion, the study tells the story of Sisters who were able to enhance their valuation by blending their knowledge of the health care business and nursing, while successfully obtaining the funding needed to fulfill their mission.
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Date Issued: 2007
PURL: http://purl.flvc.org/fau/fd/FA00000623
Subject Headings: Daughters of Charity of St Vincent de Paul, Women in charitable work, Nursing ethics, Nursing services--Administration
Format: Document (PDF)

Nursing services--Administration (7)	+ -
Nurse administrators (5)	+ -
Nursing (5)	+ -
Nursing services (5)	+ -
Administration (4)	+ -

Caring (4)	+ -
Nurse and patient (3)	+ -
Nurses--Job satisfaction (3)	+ -
Nursing ethics (3)	+ -
Nursing services--Personnel management (3)	+ -
Clinical competence (2)	+ -
Differentiated nursing practice (2)	+ -
Health services accessibility (2)	+ -
Health services administration (2)	+ -
Medical care (2)	+ -
Nurses--Attitudes (2)	+ -
Nursing models (2)	+ -
Nursing--Standards (2)	+ -
Standards (2)	+ -
AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness (1)	+ -
AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness (1)	+ -
Abortion (1)	+ -
Burn out (Psychology)--Prevention (1)	+ -
Children with disabilities -- Care (1)	+ -
Chronic diseases in children -- Psychological aspects (1)	+ -
Chronic renal failure (1)	+ -
Chronically ill children -- Services for (1)	+ -
Communication in medicine (1)	+ -
Community health nursing--Study and teaching (1)	+ -
Complications (1)	+ -

Florida Atlantic University (22)	+ -
Christine E. Lynn College of Nursing (8)	+ -
Ray, Marilyn A. (5)	+ -
Coffman, Sherrilyn (2)	+ -
Parker, Marilyn (2)	+ -

Sorbello, Barbara C. (2)	+ -
Adam, Barbara J. (1)	+ -
Appleton, Cathy (1)	+ -
Baer, Ellen D. (1)	+ -
Bartolone, Priscilla Dunson. (1)	+ -
Chase, Susan (1)	+ -
Clare, Donald A. (1)	+ -
Cleva, Joyce. (1)	+ -
Cruise, Peter L. (1)	+ -
David, Beverly Ann. (1)	+ -
DiDominic, Vicki. (1)	+ -
Dittman, Patricia Welch (1)	+ -
Dunn, Dorothy J. (1)	+ -
Eggenberger, Terry L. (1)	+ -
Francis-Liburd, Julyn Clair. (1)	+ -
Gottlieb, Jeanne C. (1)	+ -
Guglielmino, Lucy M. (1)	+ -
Hain, Debra J. (1)	+ -
Harrell, Alma M. (1)	+ -
Hektor, Lynne M. (1)	+ -
Hilsenbeck, Julie R. (1)	+ -
Jennings, Tabatha Lynn. (1)	+ -
Jester, LaFonda Renee. (1)	+ -
Keller, Kathryn B. (1)	+ -
Liehr, Patricia (1)	+ -

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