Thesis (Ed. D.)--Illinois State University, 2007. / Title from title page screen, viewed on March 11, 2008. Dissertation Committee: Thomas P. Crumpler, Ellen A. Spycher (co-chairs), Anita P. Bohn, Nancy J. Bragg. Includes bibliographical references (leaves 209-218) and abstract. Also available in print.

No description available.

Thesis (Ph.D.)--Ohio University, November, 2007. / Abstract only has been uploaded to OhioLINK. Includes bibliographical references (leaves 399-405)

Thesis (M.N.)--Memorial University of Newfoundland, 2002. / Bibliography: leaves 180-188.

Mini-dissertation submitted in partial compliance with the requirements for a Master’s Degree in Technology: Homoeopathy, Durban University of Technology, 2013. / The aim of this study was to determine the knowledge, attitudes and perceptions of Primary Health Care nurses in the Ethekwini Municipality District regarding the inclusion of homoeopathy in Primary Health Care. Nurses working in Primary Health Care facilities were approached to conduct this study. The objectives of this study was to make nurses and their patients alike aware of an alternative to conventional medicine, and to the fact that homoeopaths are medically trained practitioners. The survey method used was a self-administered questionnaire to investigate the knowledge, attitudes and perceptions of Primary Health Care nurses towards homoeopathy. The study population was nurses with a minimum of 3 years of general nursing experience, working in Primary Health Care in the Ethekwini Municipality District. The data was collected and analysed statistically using SPSS version 19. A total of 205 questionnaires were distributed and a total of 108 (52.68%) questionnaires were returned with 100 correctly completed and then analysed. The results reflected that 74% of participants felt that homoeopathy should be made available at hospitals and clinics. 69% of participants agreed (strongly agreed or agreed) that homoeopathy should play an active role in the Primary Health Care system in South Africa. The target group’s attitudes were positive as 58% of participants said they would personally use homoeopathy as a source of Primary Health Care. The majority of the participants (71%) felt that homoeopathy should be available as a treatment for most conditions. The study demonstrated an otherwise positive trend of support of those Primary Health Care nurses surveyed toward the possible inclusion of homoeopathy in Primary Health Care. Further research into the nature of such integration and the potential contribution of homoeopathy and homoeopathic practitioners is warranted. This study has established a perceived requirement for Primary Health Care nurses to be exposed to education programs which may introduce the concepts of CAM, homoeopathy and its regulations in South Africa. These nurses may then reliably guide their patients that have a historical use or future need of such services. Generalisation of results and conclusions regarding the perceptions of Primary Health Care nurses regarding homoeopathy can be tentative.

Sammanfattning Inledning: Allt mer av distriktssköterskans omvårdnadsarbete går mot att vårda människor i livets slut. Döendet för med sig existentiella tankar som kan orsaka ångest hos patienter och deras närstående. Bakgrund: Palliativ vård förebygger och lindrar lidande genom tidig upptäckt, noggrann analys och behandling av smärta och andra fysiska, psykosociala och existentiella problem. Den innefattar även stöd till närstående under och efter vårdtiden. Syftet med studien var att undersöka hur distriktssköterskor upplever ångest i livets slutskede, hos döende patienter, deras närstående och sig själva, med fokus på orsaker Metod: Studien har en kvalitativ design där fyra fokusgruppsintervjuer har genomförts med sammanlagt 20 distriktssköterskor. Kvalitativ innehållsanalys användes för att analysera datamaterialet. Resultat: Sjuksköterskorna beskrev att brist på trygghet och tillit skapade ångest för patienter och deras närstående. Känslor av otillräcklighet gav ångest hos sjuksköterskorna. Mötet med döden väckte existentiella tankar och utlöste ångest hos patienter, deras närstående och sjuksköterskorna. Kontinuitet och tillgänglighet var viktiga för att ge trygghet. Sjuksköterskorna ansåg att bästa sättet att bearbeta och hantera svåra situationer var att samtala med kollegor och stödja varandra. Konklusion: Studien visar att tid och trygghet är centralt för att lindra ångest hos patienter, närstående och distriktssköterskor i palliativ vård. Palliativ vård är utmanade, kräver mod och kreativitet. Nyckelord: Palliativ vård, hemsjukvård, distriktssköterskor, ångest / Introduction: Today, community health nurses work increasingly more with the provision of end-of-life care. Dying and the existential dimension may cause anxiety in patients and their family. Background: Palliative care prevents and relieves suffering through early detection, careful analysis and treatment of pain and other physical, psychosocial and existential problems. It also includes support for the family during and after the period of care. Aim: The purpose of this study was to examine how community health nurses experienced anxiety during the last phase of a patient’s life. The nurses' experience of anxiety in dying patients, their families and in the nurses themselves was examined with a focus on the causes and attitudes. Design and method: The study used a qualitative design where four focus group interviews were conducted with 20 community health nurses. The data was analyzed using qualitative content analysis. Results: Nurses felt that lack of safeness and confidence created anxiety in patients and their families. Feelings of inadequacy created anxiety among nurses. According to the nurses encounter with death brought on existential thoughts and created anxiety among patients, their families and the nurses themselves. Continuity and accessibility were important to provide safeness. The nurses felt that the best way to process and handle difficult situations was through discussion with colleagues and by giving each other support. Conclusion: This study shows that according to nurses’ experiences, time and safeness are central to relieve anxiety in patients, family members and community health nurses in palliative care. Palliative care is challenging, demands courage and creativity.

Bakgrund: Personer påverkas olika av arbetsstress. Särskilt som ny sjuksköterska kan arbetsstress vara mer påtagligt. En viktig arbetsuppgift som distriktssköterska är att främja patientens hälsa. Då kan ens egen hälsa kan lätt glömmas bort. Motiv: Att gå från sjuksköterska till distriktssköterska kan upplevas som en identitetskris. En av de vanligaste orsakerna till långtidssjukskrivning under 2016-2018 var stress. Därav är det viktigt att belysa arbetsstress hos distriktssköterskan. Syfte: Att undersöka om upplevd självskattad stress var relaterat till hur länge man arbetat som distriktssköterska Metod: En kvantitativ tvärsnittsstudie med ett bekvämlighetsurval. Enkäten som användes var The Work Stress Questionnaire (WSQ), där deltagarna skattade sin upplevelse av stress utifrån deras arbetssituation. 68 enkäter skickades ut till distriktssköterskor i Region Västerbotten. Resultat: Jämförelse har gjorts mellan de som arbetat som distriktssköterska <10 år och ≥10 år. Huvudfynden i studien var att majoriteten av deltagarna upplevde att de trots ökad arbetsbelastning hinner med sina arbetsuppgifter. Många ställer höga krav på sig själv och vissa upplever att de har svårt att säga nej till extra arbetsuppgifter. Konklusion: Arbetsstress upplevs olika från person till person. Att någon arbetat länge som distriktssköterska betyder inte att hen upplever mindre arbetsstress. / Background: People are affected differently by work stress. Especially as a new nurse, work stress can be more noticeable. An important task as a district nurse is to promote the patient's health. Then one's own health can easily be forgotten. Motive: Shifting from being a registered nurse to a community health nurse can be experienced as an identity crisis. One of the most common causes of long-term sick leave during 2016-2018 was stress. Therefore, it is important to highlight the work stress of the community health nurse. Aim: To investigate whether perceived self reported stress was related to how long you worked as a community health nurse Methods: A quantitative cross-sectional study with a convenience sample. The questionnaire used was “The Work Stress Questionnaire” (WSQ),where participants rated their experience of stress based on their work situation. 68 questionnaires were sent out to community health nurses in “Region Västerbotten”. Result: Comparisons have been made between those who worked as district nurses <10 years and ≥10 years. The main findings of this study were that the majority of the participants felt that despite increased workload, they had time for their tasks. Many place high demands on themselves and some find it difficult to say no to extra work tasks. Conclusion: Work stress is experienced differently from person to person. The fact that someone has worked for a long time as a community health nurse does not mean that they experience less work stress.

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Homoeopathy, Durban University of Technology, Durban, South Africa, 2014. / Aim of the study The study aimed to identify the knowledge, attitudes and perceptions amongst post graduate homoeopathy students and post basic primary health care nurses serving in a primary health care setting regarding adverse effects associated with childhood vaccinations. Methodology In this qualitative study 18 participants were selected through purposive sampling. Semi-structured interviews were conducted with each participant. The interviews were recorded and analysed conceptually. Results The findings of this study revealed that all of the PHC nursing participants were in favour of the childhood immunisation schedule of South Africa, contrary to the homoeopathic participants where the majority of participants were not in favour of the childhood immunisation schedule. Knowledge, attitudes and perceptions varied amongst the homoeopathic participants in contrast to the PHC nursing participants where there was a much more unified stance and cohesive outcome with regard to their attitudes and perceptions. / M

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Homoeopathy, Durban University of Technology, Durban, South Africa, 2014. / Aim of the study The study aimed to identify the knowledge, attitudes and perceptions amongst post graduate homoeopathy students and post basic primary health care nurses serving in a primary health care setting regarding adverse effects associated with childhood vaccinations. Methodology In this qualitative study 18 participants were selected through purposive sampling. Semi-structured interviews were conducted with each participant. The interviews were recorded and analysed conceptually. Results The findings of this study revealed that all of the PHC nursing participants were in favour of the childhood immunisation schedule of South Africa, contrary to the homoeopathic participants where the majority of participants were not in favour of the childhood immunisation schedule. Knowledge, attitudes and perceptions varied amongst the homoeopathic participants in contrast to the PHC nursing participants where there was a much more unified stance and cohesive outcome with regard to their attitudes and perceptions. / M

Tuberculosis (TB) has re-emerged as a major worldwide public health challenge in the last decade with an increasing incidence amongst children. The diagnosis of TB in children is difficult as the presentation is not always classical and available diagnostic modalities are imperfect. Diagnosis is, especially complex in developing countries where resources and access to sophisticated diagnostic facilities are limited. Thus practical score charts combining a number of complementary clinical characteristics with affordable special investigations have been developed to aid diagnosis. The new South African primary health care (PHC) nurse-driven system demands that first line nurses be equipped to suspect, diagnose, confirm the diagnosis and treat children with TB. Very little is known about the ability of PHC nurses to diagnose TB in children. In Mpumalanga province relatively low rates of notified paediatric TB prompted an investigation to determine the ability of local PHC nurses to diagnose TB in children and explore whether the PHC setting allowed this. Within method triangulation was used in this quantitative descriptive study by combining a self-completed knowledge survey with clinic visits to audit records and assess access to diagnostic aids and tests. Important deficiencies in knowledge and limited access to certain diagnostic modalities found in this study must be addressed if appropriate management of TB in children is to be assured. / Health Studies / M. A. (Public Health)