No description available.

Aim The work seeks to explore the emotions felt by pre registration nursing students during their programme of study. How nursing students identify and manage their emotions and the effect this has on their lives will be analysed, and suggestions offered on how the findings can influence educational practices. Background Emotion work is an important aspect of nursing practice although one which may be overlooked during educational preparation. It is essential to support nursing students in a meaningful way to ensure that they can maintain a sense of self whilst managing the emotional challenges faced. This is important for the sake of their own and the patients well being. Approach Data was uncovered using the thoughts and feelings taken from fifteen unstructured interviews involving a sample of pre registration nursing students at a UK University. An exploratory approach underpinned by Heideggerian hermeneutic phenomenology has been taken. Written in first person, the work takes a reflexive stance and uses the researcher’s own stories and thoughts alongside the work of other authors and the data, to fully co-constitute the text. In this way a different understanding of the issues surrounding emotional nurse being is uncovered. Findings The findings revealed emotional nurse being as a multi faceted phenomenon with three main constituents. These relate to authenticity, being professional and coping. Emotional nurse being was found to be characterised by anxiety, frustration, anger and sadness. At times nursing students struggled to cope with their emotions and felt they did not get the necessary support. In some cases they felt isolated and one student left the programme. Their ability to cope related to feelings of vulnerability, past coping mechanisms and the amount of external support offered to them from practice and University staff. The findings suggest that further ways are required to support the emotional needs of nursing students. Conclusion The work adds to the growing body of knowledge on emotion work amongst nursing students. The term emotional nurse being is used to identify the phenomenon and provide a way of thinking about this important aspect of nursing work. Creative ways in which educators can provide mutual support and sharing with students is offered. In this way nursing students can retain a sense of who they are, and grow emotionally through their work which will ultimately become more meaningful both to themselves and those for whom they care.

Bibliography: leaves 226-236. / xiii, 236 leaves, 1 leaf of plate : [1] col ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / A study which examines the healing experiences of a group of people from a Victorian Community devastated by the 1983 Ash Wednesday bushfire. Using a theoretical framework of constructionism the study identifies amongst those interviewed an 'ecological postmodern cosmology.' This is used to formulate ideas about how this cosmology could inform nurses' work enabling them to create an environment of care and compassion. / Thesis (Ph.D.)--University of Adelaide, Dept. of Clinical Nursing, 1996

The major focus of this thesis is the role of feelings and emotions in moral thinking/knowing, ethical conduct and, in particular, moral distress in nursing. Research has consistently found that the moral decisions nurses must make can sometimes lead to distress. However, such experiences are overly individualised in the literature. An alternative view of the person, drawing on the philosophy of Alfred North Whitehead (e.g. 1927-8/1978) and the recent work of Paul Stenner (e.g. 2008), sees human subjectivity or mind as processual and always embodied and in-the-world. The emphasis upon the body draws attention to the role of felt experiences this thesis views feelings as integral to both sense-making knowing and thinking and sensibility or emotionality. The emphasis in-the-world highlights that subjectivity is embedded within social contexts, which include relations of power and organisations of material and symbolic capital aligned with those relations. Influenced by deep empiricism (e.g. Stenner, 2011a), this thesis develops a novel bricolage methodology based on a metaphor of diffraction to explore nurses experiences of moral distress. Nurses feelings of discomfort, a particular form of feelings of knowing , appear to be the seeds of moral distress. Various situations seem to be important antecedents for these seeds to bloom into full moral distress, including certain clinical issues, ethical conflict with colleagues, and issues of competency. Nurses also experience some aspects of their job as systemic barriers to high standards of care, which can also be morally distressing. Such distress sometimes affects nurses relationships, their physical health, and their mental health. Participants have found several strategies useful in coping with their distress. It is argued that these strategies are about altering one s feelings through changing one s activities and/or environment. Additionally, past distress may remain a dormant part of a person s subjectivity and re-emerge or become (re)enacted in the narrations of those past distressing experiences. It is suggested that subjectivity entails an organisation of past experiences in the present, for present purposes and in anticipation of the future. Six dominant thematic patternings, which recurred throughout the analyses, are discussed: (i) the centrality of feelings; (ii) the relationality of felt experiences; (iii) the complexity of morality, moral conduct, and moral distress moral/ethical issues become entangled with identity, power, professional competency, and social relations; (iv) the prominence of power and interest; (v) nurses' lives as afflicted by moral distress; and (vi) life-as-process. Discussion of these motifs leads to a rethinking of moral distress. Implications for nursing practice, moral distress research and the study of feelings, emotions, and affect are discussed.

In this qualitative phenomenological study, the researcher interviewed 18 hospitalised patients and community members in rural Appalachia to learn about their mystical experiences in the context of health care. A loosely structured interview format addressed factors that initiate mystical experience and essential qualities of mystical experience. In addition, the researcher examined the nursing process, focusing on assessments and actions which supported the participants in sharing their experiences. The researcher also considered her response to being the recipient of these shared experiences. Data were analysed using the crystallisation/immersion method and concept mapping. Mystical experience was conceptualised as a process incorporating initiation, occurrence, maturation, and integration of mystical experience. Essential aspects of the mystical experience itself were found to include sensory-motor perception, interaction with the supernatural, interaction with dead and living members of the family, conviction of reality, cognition, dynamic tension and emotional intensity. Nursing actions which supported the participant included listening and support. The researcher's response to the participants' sharing their experiences included tension, intimacy and empathy, sense of awe and autonomic responses. In addition, the researcher developed an appreciation of the mystical in everyday experience. / Health Studies / D. Litt. et Phil. (Health Studies)

A qualitative, grounded theory study was undertaken to explore and describe how nurses conceptualise spiritual nursing care, and how they integrate spiritual nursing care in practice. An in-depth literature review through concept analysis on the phenomenon was conducted to assist the researcher with theoretical sensitivity and theoretical saturation. In-depth Individual interviews and focus group interviews were conducted to generate data. Interviews were audio-taped and transcribed by the researcher verbatim. Symbolic Interactionism was the philosophical base for the study. Data analysis was done through the use of the NUD*Ist computer soft ware programme version 4.0. The direct quotes of participants were coded and arranged into meaning units for analysis. A constant comparison method of data analysis was applied by following a process of open, axial and selective coding. Tech’s (1990:142-145) eight steps of analysis to analyse textual qualitative data was used until themes, categories and subcategories were identified and developed. Data analysis revealed that nurses had difficulty to differentiate spiritual nursing care from emotional, psychological or religious care. Nurses still felt inadequately prepared educationally on how to integrate spiritual nursing care in nursing practice. A Humane Care Model and practice guidelines were developed to guide nurses in clinical practice on how to provide such care. Recommendations proposed that the matter be taken up by nurse managers, educators and nurse clinicians to guide nurses in this regard. / Health Studies / D. Litt. et Phil. (Health Studies)

In this qualitative phenomenological study, the researcher interviewed 18 hospitalised patients and community members in rural Appalachia to learn about their mystical experiences in the context of health care. A loosely structured interview format addressed factors that initiate mystical experience and essential qualities of mystical experience. In addition, the researcher examined the nursing process, focusing on assessments and actions which supported the participants in sharing their experiences. The researcher also considered her response to being the recipient of these shared experiences. Data were analysed using the crystallisation/immersion method and concept mapping. Mystical experience was conceptualised as a process incorporating initiation, occurrence, maturation, and integration of mystical experience. Essential aspects of the mystical experience itself were found to include sensory-motor perception, interaction with the supernatural, interaction with dead and living members of the family, conviction of reality, cognition, dynamic tension and emotional intensity. Nursing actions which supported the participant included listening and support. The researcher's response to the participants' sharing their experiences included tension, intimacy and empathy, sense of awe and autonomic responses. In addition, the researcher developed an appreciation of the mystical in everyday experience. / Health Studies / D. Litt. et Phil. (Health Studies)

A qualitative, grounded theory study was undertaken to explore and describe how nurses conceptualise spiritual nursing care, and how they integrate spiritual nursing care in practice. An in-depth literature review through concept analysis on the phenomenon was conducted to assist the researcher with theoretical sensitivity and theoretical saturation. In-depth Individual interviews and focus group interviews were conducted to generate data. Interviews were audio-taped and transcribed by the researcher verbatim. Symbolic Interactionism was the philosophical base for the study. Data analysis was done through the use of the NUD*Ist computer soft ware programme version 4.0. The direct quotes of participants were coded and arranged into meaning units for analysis. A constant comparison method of data analysis was applied by following a process of open, axial and selective coding. Tech’s (1990:142-145) eight steps of analysis to analyse textual qualitative data was used until themes, categories and subcategories were identified and developed. Data analysis revealed that nurses had difficulty to differentiate spiritual nursing care from emotional, psychological or religious care. Nurses still felt inadequately prepared educationally on how to integrate spiritual nursing care in nursing practice. A Humane Care Model and practice guidelines were developed to guide nurses in clinical practice on how to provide such care. Recommendations proposed that the matter be taken up by nurse managers, educators and nurse clinicians to guide nurses in this regard. / Health Studies / D. Litt. et Phil. (Health Studies)

Summaries in Afrikaans and English / Die doelwitte van hierdie studie is om een van die teoriee wat by opleidingsinstellings gedoseer word, in die gemeenskapgesondheidpraktyk op tienergesinne toe te pas en om 'n strategie te ontwikkel wat sodanige toepassing vir verpleegkundiges aanvaarbaar maak. Orem se selfsorgtekortteorie is gevolglik op gevallestudies by 'n Gemeenskapgesondheidskliniek van 'n stadsgesondheidsafdeling toegepas. Persoonlike onderhoudvoering is as navorsingstegniek gebruik om probleme te identif iseer, behoeftes te bepaal en selfsorgtekorte aan te spreek. Data is gemeet aan die hand van UNICEF se GOBI FFFF en die PKK se vyf konsepte, die verpleegproses en OREM SE KONSTRUKTE. Evaluasie toon dat Orem se selfsorgteorie 'n instrument bied om selfsorgvermoens te evalueer, die verpleegkundige te rig om tekorte te identifiseer en verpleegsorg te beplan sodat interdissiplinere konsultasie verminder en professionele verpleegkundiges beter aangewend word, hulpbronne en fasiliteite maksimaal benut word en elke indiwidu as selfsorgagent ontwikkel word. / The objective of this study is to apply one of the theories taught at training institutions to teenage families in the community health practice and to develop a strategy to make such application acceptable to nurses. Orem' s self-care deficiency theory was consequently applied to case studies at a community clinic of a Municipal Health Department. Personal interviews were mainly used as research technique to identify problems, determine needs and address self-care deficiencies. Data was evaluated according to UNICEF' s GOBI FFFF, the "PKK" 's five concepts, the nursing process and OREM's Constructs. Evaluation has proved that Orem' s theory offers an instrument to evaluate self-care abilities and guide the nurse in identifying deficiencies and planning nursing care in order to reduce multidisciplinary consultation, which results in professional nurses being employed appropriately, resources being utilised to the maximum and each individual developing into a complete self-care agent. / Health Studies / M.A. (Verpleegkunde)

Summaries in Afrikaans and English / Die doelwitte van hierdie studie is om een van die teoriee wat by opleidingsinstellings gedoseer word, in die gemeenskapgesondheidpraktyk op tienergesinne toe te pas en om 'n strategie te ontwikkel wat sodanige toepassing vir verpleegkundiges aanvaarbaar maak. Orem se selfsorgtekortteorie is gevolglik op gevallestudies by 'n Gemeenskapgesondheidskliniek van 'n stadsgesondheidsafdeling toegepas. Persoonlike onderhoudvoering is as navorsingstegniek gebruik om probleme te identif iseer, behoeftes te bepaal en selfsorgtekorte aan te spreek. Data is gemeet aan die hand van UNICEF se GOBI FFFF en die PKK se vyf konsepte, die verpleegproses en OREM SE KONSTRUKTE. Evaluasie toon dat Orem se selfsorgteorie 'n instrument bied om selfsorgvermoens te evalueer, die verpleegkundige te rig om tekorte te identifiseer en verpleegsorg te beplan sodat interdissiplinere konsultasie verminder en professionele verpleegkundiges beter aangewend word, hulpbronne en fasiliteite maksimaal benut word en elke indiwidu as selfsorgagent ontwikkel word. / The objective of this study is to apply one of the theories taught at training institutions to teenage families in the community health practice and to develop a strategy to make such application acceptable to nurses. Orem' s self-care deficiency theory was consequently applied to case studies at a community clinic of a Municipal Health Department. Personal interviews were mainly used as research technique to identify problems, determine needs and address self-care deficiencies. Data was evaluated according to UNICEF' s GOBI FFFF, the "PKK" 's five concepts, the nursing process and OREM's Constructs. Evaluation has proved that Orem' s theory offers an instrument to evaluate self-care abilities and guide the nurse in identifying deficiencies and planning nursing care in order to reduce multidisciplinary consultation, which results in professional nurses being employed appropriately, resources being utilised to the maximum and each individual developing into a complete self-care agent. / Health Studies / M.A. (Verpleegkunde)