The purpose of this study was to explore the need for school nurses in the Saudi school system and to explore the current role of nurses in school health education and health promotion in Saudi Arabia. The study used a qualitative approach that was guided by implementation literature. Fifteen participants (8 nursing students; 4 nursing faculty members; 3 nurses) answered open-ended questions and participated in semi-structured interviews. From the findings, three themes emerged to identify the current role of nurses in Saudi Arabian school: “Health educator”, “Health promoter”, and “Liaison with community”. Four themes were identified based on the potential role of nurses in Saudi Arabian schools: “Leadership role”, “Care provider role”, “Educator role”, and “Liaison with community”. Five themes were identified based on facilitators and barriers to providing health and physical education in Saudi schools: “University and college level support”, “School health services”, “Governmental support”, “Lack of cultural approval”, and “Demand for nurses exceeds supply”. This study contributes to our understanding of what are the current and potential roles of nurses in Saudi Arabian schools, are nursing students currently prepared to provide health education and promotion to school staff and students, and what facilitators and barriers exist for nursing to provide health education and promotion in Saudi schools. This information can contribute to decision-making processes, formulation of necessary legislation, and government measures towards the implementation of school nursing and physical education, particularly in girls’ schools in Saudi Arabia, so as to maximize health and wellness in the Saudi community. / Graduate / 0680,0523,0714 / hebah.alqallaf@gmail.com

This dissertation used an experience sampling design to examine effects of experienced workplace incivility from three categories of organizational insiders (coworkers, supervisors, and physicians) and from organizational outsiders (patients and their visitors) on targets' emotions, burnout, physical symptoms, and their own uncivil behaviors toward each of the four groups of people. Data were collected from 75 nurses with each nurse responding to online surveys twice per week for 5 consecutive weeks. Results from hierarchical linear modeling showed that within individuals, negative emotions were positively associated with experienced workplace incivility (overall and source-specific), burnout was positively associated with overall workplace incivility and incivility from coworkers, and that physical symptoms were positively associated with experienced workplace incivility from supervisors. In addition, within individuals overall and source-specific experienced workplace incivility all positively predicted targets' own uncivil behaviors correspondingly. None of the proposed moderating effects of three between-person level personality traits (emotional stability, hostile attribution bias, and emotional competence) were supported, and the only significant moderating effect found was that emotional stability moderated the relationship between experienced workplace incivility from- and targets' own uncivil behaviors toward- supervisors was opposite to the prediction. Further, both violence prevention climate and civility climate showed main effects in negatively predicting participants' own uncivil behaviors, but only violence prevention and two of its dimensions (policies and procedures, and pressure for unsafe practices) buffered some of the negative effects of experienced workplace incivility. In summary, the current study found that within individuals experienced workplace incivility had negative effects on targets' emotions, well-being, and behaviors, and that perceived violence prevention climate buffered some of the negative effects.

Thesis advisor: Sean Clarke / In the popular press and in the public imagination there has been much interest in the concept of generational differences—the idea that one’s experiences might vary as a function of the timing of one’s birth and other key life events relative to historical markers or periods. While research findings on generational differences in the workplace, including occupational health, have been limited and inconsistent, nurse administrators have noted important occupational health differences in work-related experiences of the nurses they supervise. This secondary analysis of cross-sectional data on 1,146 direct care staff registered nurses in non-administrative roles enrolled in the Boston Hospital Workers Health Study (BHWHS) in 2014 examined the relationships between being a member of one of three generationally-defined age groups (Baby Boomers, Generation X and Millennials) and indicators of three major categories of health. Physical (measured by body mass index, pain presence and severity, absences and limitations related to pain, and occupational injury), psychological (measured by psychological distress), and overall work-related (measured by work limitations) health variables were analyzed using regression modeling controlling for individual and work-related characteristics. Overall, this sample of nurses from two major teaching hospitals in a single city, which was relatively homogeneous in terms of gender, race, and ethnicity, reported generally good health and serious symptoms or limitations were rare. With a few notable exceptions, poor physical health was more common in older age groups and psychological symptoms were worse in the younger age groups in this cohort. However, the findings should be interpreted cautiously and may reflect a number of selection and survivor biases. Further research is needed to replicate these findings before drawing broader conclusions about age or generation as influences on nurse occupational health. As the empirical literature stands, it appears that energy would best be focused on nurturing a culture of health, emphasizing risk factors for various health problems, across all age groups, rather than in tailoring health promotion efforts for nurses by age or generation. / Thesis (PhD) — Boston College, 2020. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

The communication between patient and healthcare professional is one of the keys to patients' adherence to treatment and to successful therapy; hence communication is a relevant and widely discussed issue of our healthcare. The relationship between a patient and a health worker is rather asymmetric, which affects the course of their communication. This asymmetry is based on the patient made weak (helpless) by illness whereas the expert/physician is in the position to prescribe treatment with the health staff administering such treatment. The aim of the study is to explore the extent of asymmetry in Czech hospitals, the situations where it is most pronounced and the changing structure of asymmetry as seen from the patients' point of view. We conducted a qualitative analysis of 16 interviews with respondents who have experienced hospitalization. The analysis focuses on the psychological level of communication and on the dynamic process in which the asymmetry is being negotiated. We have proved that there is an a priori asymmetry in the relationship, which, under certain circumstances, is effective for the treatment. The asymmetry is being continually negotiated throughout the communication as it fluctuates within four areas: (1) providing information, (2) rules and practices of the hospital, (3)...

Parish nursing, a specialty nursing practice which includes the spiritual component of integration of faith and health, has been growing rapidly over the last decade. Standards of Parish Nursing Practice developed in 1998 are consistent with the nursing process and include the spiritual dimension.

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