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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: Development and testing of an instrument to measure holistic attributes of nurse practitioner care.
Creator: Kinchen, Elizabeth V., Lange, Bernadette, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: With passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the...
Show moreWith passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the PPACA. The need for this study was identified through gaps in the literature related to nurse practitioner practice; specifically, the paucity of quantitative research regarding patients’ perspectives of core holistic nursing values in nurse practitioner care, and, since nursing care is by definition and tradition holistic in nature, this inquiry attempted to quantify the degree to which nurse practitioner care upholds and preserves core holistic nursing values.
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Date Issued: 2014
PURL: http://purl.flvc.org/fau/fd/FA00004297, http://purl.flvc.org/fau/fd/FA00004297
Subject Headings: Holistic nursing, Nurse and patient, Nurse practitioners -- Training of, Nursing -- Philosophy, Nursing -- Practice, Primary care (Medicine) -- Practice
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: 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: 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: Living in abundance: the experience of living with chronic illness for adults affiliated with a community of faith with access to a faith community nurse.
Creator: Dyess, Susan MacLeod, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their...
Show moreThe number of adults over the age of 65 years living with one of more chronic illness in the United States is an acknowledged health challenge for the 21st century. This qualitative research investigation examined the lived experience for adults living with one or more chronic illnesses in the context of a community of faith with access to a faith community nurse. Interpretative hermeneutic analysis was used for the phenomenological study. Findings indicate that the adults expressed their primary essence is living in abundance while living faith and living caring. The findings from this study describe the relationship between adults living with chronic illness, the community of faith and the faith community nurse. Further, findings from this study contribute to essential knowledge necessary for developing models of health care in the community for adults living with chronic illness and nursing care in the community that are distinct and complex. Findings will also support the development of interventions in contexts of faith communities to support and strengthen adults living with one or more chronic illness. The emerging specialty practice in nursing labeled faith community nursing holds promise to come alongside current models of health care to support living in abundance.
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Date Issued: 2008
PURL: http://purl.flvc.org/FAU/108067
Subject Headings: Community health nursing, Philosophy, Nurse and patient, Nursing, Religious aspects, Christianity, Parish nursing, Pastoral nursing
Format: Document (PDF)

Title: Thai nurses' lived experience of caring for persons who had a peaceful death in intensive care units.
Creator: Kongsuwan, Waraporn., Christine E. Lynn College of Nursing
Abstract/Description: The objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care...
Show moreThe objective of this study was to describe the lived experience of caring for persons who had a peaceful death in the intensive care units in Thailand. A qualitative research design informed by hermeneutic phenomenology was used to analyze data. Participants were 10 intensive care nurses working at adult intensive care units in south Thailand. A snowball purposive sampling method was used to select the participants. Participant inclusion criteria were at least six months' critical care nursing experience, experience in caring for a person who had peaceful death, able to describe peaceful death, and willing to participate in this study. Participants who met the inclusion criteria were interviewed. Face-to-face individual verbal interviews were conducted in the Thai language. These interviews were audiotape recorded. Descriptions were transcribed and translated for data analysis. Van Manen's (1990) hermeneutic phenomenological approach was used to analyze and interpret the data. The findings of this study were presented in each of 4 categories of the lived world of temporality, of spatiality, of corporeality, and of relationality. The description of the lived experience of caring for persons who had a peaceful death in ICU was, "understanding the other through the valuing of experience and enhancing relations with others by recognizing time is short and is a priority." This study may contribute to nursing knowledge of the end-of-life care to enhance a peaceful death in intensive care units congruently with Thai culture and society. In addition, this study directs the translations of its knowledge into implications that will benefit in helping Thai nursing to move forward. The implications of this study in advance will benefit terminally ill persons and family members regarding receiving good quality end-of-life care.
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Date Issued: 2009
PURL: http://purl.flvc.org/FAU/186331
Subject Headings: Criticism and interpretation, Intensive care nursing, Nurse and patient, Terminal care, Psychological aspects, Nursing, Practice
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: Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
Creator: Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
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Date Issued: 2015
PURL: http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
Subject Headings: End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
Format: Document (PDF)

Nursing (4)	+ -
Clinical competence (2)	+ -
Decision making (2)	+ -
Nursing -- Practice (2)	+ -
Outcome assessment (Medical care) (2)	+ -

Philosophy (2)	+ -
Administration (1)	+ -
Christianity (1)	+ -
Communication devices for people with disabilities (1)	+ -
Communication in nursing (1)	+ -
Community health nursing (1)	+ -
Criticism and interpretation (1)	+ -
End of life care (1)	+ -
Evidence-based nursing. (1)	+ -
Haitian Americans -- Medical care -- Florida (1)	+ -
Holistic nursing (1)	+ -
Informed consent (Medical law) (1)	+ -
Intensive care nursing (1)	+ -
Intensive care nursing--Quality control (1)	+ -
Life and death, Power over (1)	+ -
Medical care -- Cross cultural studies (1)	+ -
Medical care--Quality control (1)	+ -
Medical ethics (1)	+ -
Nurse practitioners -- Training of (1)	+ -
Nurses -- Attitudes (1)	+ -
Nursing -- Philosophy (1)	+ -
Nursing -- Research -- Methodology (1)	+ -
Nursing assessment (1)	+ -
Nursing diagnosis (1)	+ -

Florida Atlantic University (6)	+ -
Tappen, Ruth M. (2)	+ -
Barry, Charlotte D. (1)	+ -
Dyess, Susan MacLeod (1)	+ -
Eggenberger, Terry L. (1)	+ -

Grimley, Karen A. (1)	+ -
Kinchen, Elizabeth V. (1)	+ -
Kongsuwan, Waraporn. (1)	+ -
Koszalinski, Rebecca S. (1)	+ -
Ladd, Susan Charlotte (1)	+ -
Lange, Bernadette (1)	+ -
Parker, Carlo G. (1)	+ -
Payne, Linda Gail (1)	+ -
Smith, Marlaine (1)	+ -

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