As the twenty-first century approaches, science and technology in healthcare are making dramatic changes within the healthcare system. These changes are impacting the profession of nursing. Many of the changes included organ-transplants, genetic manipulation, surrogate mothering and other dramatic events that will collide with many of societies concepts of right and wrong. Nursing ethics has been lost in the modern day milieu of science and technology. This dissertation posits a foundation of ethics, axiology and nursing ethics via an historical review of nursing history. Included is a historical review of ethics, axiology and philosophical theories which encompass nursing ethics. This is followed by an analysis of nursing ethics and its historical development through codes of nursing. At the end of the analysis, a conceptualized learning module is presented to allow the nurse to develop an understanding in the area of nursing ethics with an educational foundation for understanding ethics and axiology. The conceptualized module contains theoretical situations which the nurse may encounter followed by an analysis of each situation. Within the context of the analysis, options and choices have been presented to help the nurse make an ethical decision.

<p> Nurses may share a commonality of issues which can affect their willingness and ability to respond as post-disaster emergency care providers. Guided by expectancy, locus of control, and chaos theory, a systematic literature review was conducted to identify the barriers which affect nurses&rsquo; willingness and ability to report to their unit after a disaster occurs. Briggs methodology guided this systematic review, and Fineout-Overholt&rsquo;s and Melnyk levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Fifteen articles meeting the inclusion criteria (addressed nurses&rsquo; willingness to report to their unit or to contact the incident command center for mobilization, published in 2005 or after, and written in English) were reviewed. Twelve were systemic reviews of descriptive and qualitative studies (Level 5), one was a cohort study (Level 4), one was a report of expert committees (Level 7), and one reported findings from a pilot study. Five articles reported personal barriers related to the nurses&rsquo; home caregiver responsibilities and four articles reported personal barriers related to nurses&rsquo; concern for personal and family safety. Three articles reported institutional barriers related to unsure availability of necessary safety equipment and two articles reported lack of disaster preparedness. Developing a disaster plan that includes emergency phone numbers, a prepared backpack of basic survival gear, and a plan for emergency child and elder care arrangements, as well as providing disaster training for nurses was recommended. Understanding health provider needs and willingness to respond to emergency situations contributes to positive social change by contributing to disaster risk reduction and ensuring safer and more resilient communities.</p>

Thesis--Indiana University. / Includes bibliographical references (leaves 151-158).

<p> The quality of health care in the United States is often measured by the patient&rsquo;s satisfaction. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was developed by the Center for Medicare and Medicaid Services (CMMS) along with the Agency for Healthcare Research and Quality (AHRQ) in 2002 to standardize the assessments and measures of patient satisfaction (Koch, 2014). Healthcare organizations are mandated to report their HCAHPS results to CMMS and AHRQ. Because of the significant role nurses take in the care and overall experience of hospitalized patients, this project explored RN scores on the Judgments About Nursing Decisions (JAND) instrument by Dr. Shake&rsquo; Ketefian (1984) and patient satisfaction data. The findings from the project suggest that RNs who are functioning in the post-conventional area of Kohlberg's Moral Development Theory as measured by the JAND may have an influencing effect on patient satisfaction outcomes as measured by the HCAHPS.</p>

Thesis--Indiana University. / Includes bibliographical references (leaves 151-158).

Thesis (M.S.)--University of Michigan, 1992.

Thesis (Ph. D.)--University of Missouri--Columbia, 2002. / "May 2002." Typescript. Vita. Includes bibliographical references (leaves 92-101). Also available online.

Assignment (MCur)--University of Stellenbosch, 2008. / Bibliography. Also available via the Internet.

Thesis (M.S.)--University of Michigan, 1992.

Thesis (M.S.N.)--Florida State University, 2006. / Advisor: Linda Sullivan, Florida State University, School of Nursing. Title and description from dissertation home page (viewed June 14, 2006). Document formatted into pages; contains vii, 50 pages. Includes bibliographical references.