<p> The process of how nurses work in relationships to accomplish their work is presented in this dissertation. This study has made the relational work process of nurses explicit. While research demonstrates that increased nurse staffing is associated with better patient outcomes and with nurses experiencing less burnout and job dissatisfaction, the process is not explored in the empirical literature. The research question was: &ldquo;What is the process of relational work of the nurse?&rdquo; Data collection and analysis conformed to the process of classical grounded theory. Interviews were face to face with 23 registered nurses working as direct care staff nurses on inpatient units. Data analysis (constant comparison) occurred concurrently with data collection. </p><p> The core category, Coming Together to Get Through, emerged from the data as how nurses worked collectively to accomplish their work. Without the help from their nursing, and physician, colleagues they could not finish each day&rsquo;s work completely and do the best for their patients. The ten temporal categories of the process are: Spending Time, Knowing Other Nurses and Doctors, Asserting Authority, Trusting and Respecting, Being Approachable, Relying on One Another, Needing Each Other, Helping Each Other, Getting the Work Done, and Did the Best for Our Patients. This is the first study to empirically discover a basic social process that demonstrates how the nurse works in relationships. The importance of social and relational constructs and their creation in an organization posits relationships as work and the building blocks of work in organizations. Discovery of this substantive theory of relational work allowed for conceptualization of an explicit work process. This empirical knowledge fills a gap in the literature that may affect appropriate staffing levels which in turn impact both patient and professional outcomes. Future research will focus on creation of a scale of the relational work of nurses, the process of interprofessional relational work, and if high levels of relational work are a pathway to decreased levels of moral distress and burnout, as well as improved professional satisfaction, and better patient outcomes.</p>

<p> Aim &amp; Objective: The aim of this project is to review the background literature and discuss the PICOt question as follows: In adult nursing students, age 30+, who are experiencing anxiety in the clinical setting, does peer dyad mentoring support in the clinical setting enable these students to decrease their anxiety level and pass their clinical effectively over a 90 day period of time?</p><p> Background: Clinical experience is an integral part of nursing education and prepares students nurses to integrate knowing with doing. Anxiety can cause a disruption in the learning and professional functioning of the student, and subsequently of the graduate nurse. Further to this, many non-traditional mature nursing students are adults entering the college or university setting with life experience unrelated to their new nursing career. They are attempting to balance work, home and school responsibilities. This anxiety has a variety of causes and also appears to have a variety of solutions.</p><p> Design: This project is a mixed method analysis, which contains both quantitative and qualitative aspects. Participants in the project were a convenience sample of Nursing students age 30+, in the BSN program at California State University Sacramento, willing to partake in this intervention, to assist in reducing their anxiety level during clinical. The project engages the use of true peer dyads (students at the same level of education) for the purpose of collaborative learning in the clinical setting. All subjects were given pre- and post-tests consisting of the State form of the State-Trait Anxiety Inventory (STAI). The State-Trait Anxiety Inventory for Adults&trade; (STAI-AD) is the definitive instrument for measuring anxiety in adults. The participants also completed a written qualitative interview guide at the end of the semester. </p><p> Results: The mean score of the STAI Anxiety Scale shows a definite decrease in anxiety after the peer dyad intervention in clinical. Of interest is the fact that the trait anxiety level also decreased in the final measurement. All sixteen mature students completed the peer dyad experience. The overall quantitative response to the peer dyad experience in clinical was a positive one according to the mature students involved.</p><p> Conclusions: Nursing students, are stressed and anxious in both the clinical setting (State anxiety) and appear to be more anxious in general (Trait anxiety). Formalized peer learning can decrease anxiety, help students learn effectively and is an important addition to the repertoire of learning activities that can enhance the quality of nursing education. Meeting the present and future challenges of educating nurses will require innovative models of clinical instruction, such as collaborative learning using student peer dyads.</p>

This research project examined the needs of nurses in Leon County, Florida, the purposes of continuing education courses to nurses, the deterrents to continuing education courses in nursing, and the kinds of institutions/agencies that are best suited to meet different continuing educational needs of nurses. / The data collection techniques utilized in this project featured surveying the nurses in Leon County in order to identify their needs, their purposes for taking continuing education courses, and the deterrents to continuing education, and interviewing a panel of experts in continuing education so that the institutions/agencies best suited to meet specific continuing education needs of nurses could be identified. The findings suggest the general educational needs of nurses were for courses in: (a) nursing process, (b) clinical nursing, (c) concepts basic to nursing, (d) age continuum, (e) special issues, and (f) nursing education. The extent of these needs varied among groups of nurses by: educational preparation, length of licensure, and fields of employment. The primary purpose for nurses taking continuing education courses was for credit toward relicensure. Finances and not enough courses were determined as major deterrents to continuing education. / The panel of experts agreed that the continuing education process should be directed by a coordinating body, and that certain institutions are best suited to meet specific continuing education needs of nurses: the university was identified as having the sole responsibility for teaching courses in special issues, share the responsibility for teaching courses in nursing education and concepts basic to nursing with the community college, and share teaching courses in nursing process and clinical nursing with other employing/professional agencies. The community college should shoulder the responsibility for teaching courses in age continuum. / The results of this study will enhance the continuing education process in Leon County, Florida by allowing for a variety of quality courses to be taught which are sensitive to needs of nurses. / Source: Dissertation Abstracts International, Volume: 43-09, Section: B, page: 2855. / Thesis (Ph.D.)--The Florida State University, 1982.

Source: Dissertation Abstracts International, Volume: 30-02, Section: B, page: 0721. / Thesis (Educat.D.)--The Florida State University, 1968.

Source: Dissertation Abstracts International, Volume: 41-07, Section: B, page: 2561. / Thesis (Ph.D.)--The Florida State University, 1980.

Source: Dissertation Abstracts International, Volume: 40-09, Section: B, page: 4220. / Thesis (Ph.D.)--The Florida State University, 1979.

The purpose of this study was to examine the effects of music on selected stress behaviors, weight, caloric and formula intake, and length of hospital stay. Subjects were 52 preterm and low birth weight newborns in a newborn intensive care unit (NBICU) who were in stable condition and restricted to isolettes. The control group received routine auditory stimulation. The experimental group received music stimulation which consisted of approximately 60 minutes of tape recorded vocal music and routine auditory stimulation. Thirty minute segments of the recording were played alternately with thirty minutes of routine auditory stimulation three times daily. / Results suggest music stimulation may have significantly reduced initial weight loss, increased daily average weight, increased formula and caloric intake, significantly reduced length of the NBICU and the total hospital stays, and significantly reduced the daily group mean of stress behaviors for the experimental group. (Abstract shortened with permission of author.) / Source: Masters Abstracts International, Volume: 28-03, page: 0328. / Major Professor: Jayne M. Standley. / Thesis (M.M.)--The Florida State University, 1989.

Source: Dissertation Abstracts International, Volume: 35-05, Section: B, page: 2280. / Thesis (Ph.D.)--The Florida State University, 1974.

Source: Dissertation Abstracts International, Volume: 36-04, Section: B, page: 1656. / Thesis (Ph.D.)--The Florida State University, 1975.

<p> Cardiac rehabilitation is a multifaceted intervention aimed to enhance health and wellness in patients with cardiovascular disease and chronic heart failure. Many books on cardiac rehabilitation primarily focus on pathology, risk stratification, and patient assessment while giving less attention to designing an exercise regimen. <i>Exercise Prescription for Cardiac Rehabilitation: A Guide for Clinicians</i> concentrates on developing exercise programs for individuals with chronic heart disease based on recommendations from current research to meet a patient&rsquo;s personal goals. The purpose of this project is to present health care providers with comprehensive recommendations for treatment plans appropriate for each phase of recovery during rehabilitation. Through this guide, readers can better create individualized programs to help patients progress based on their skills, abilities, and physical capabilities. Physical activity will ultimately lead to short and long term benefits while increasing overall health and quality of life in patients with cardiovascular disease.</p><p>