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Nurse-patient communication in oncology settings a phenomenological study of trust from patients' perspectives /Havelick, Julia B. January 2009 (has links)
Thesis (M.A.)--Regis University, Denver, Colo., 2009. / Title from PDF title page (viewed on Jun. 29, 2010). Includes bibliographical references.
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Patterns of interaction between nurses and patients in labor on two maternity servicesPride, Martha W. January 1900 (has links)
Thesis (D.N. Sc.)--Catholic University of America. / Typescript. Bibliography: leaves 279-290.
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Nursing students' experiences of being and presence : a hermeneutic approachIdczak, Sue Easter. January 2005 (has links)
Dissertation (Ph.D.)--University of Toledo, 2005. / Typescript. "Submitted as partial fulfillment of the requirements for the Doctor of Philosophy Degree in Higher Education." "A dissertation entitled"--at head of title. Title from title page of PDF document. Bibliography: p. 163-174.
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An instrument to measure ethical caring in clinical encounters between student nurses and patientsBrubaker, Cindy L. Rhodes, Dent. January 2005 (has links)
Thesis (Ed. D.)--Illinois State University, 2005. / Title from title page screen, viewed September 25, 2006. Dissertation Committee: Dent Rhodes (chair), Mary Autry, Peggy Flannigan, Barbara Nourie, Paul Vogt. Includes bibliographical references (leaves 65-67) and abstract. Also available in print.
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The nurses’ interpretation of the interaction between themselves and elderly, confused patientsBlais, Dawn Evelyn January 1985 (has links)
Using symbolic interaction as a theoretical framework, the researcher explored the nurses' interpretation of their interactions with elderly, confused patients for the purposes of understanding nurses' behavior and of implementing more effective nurse-patient interactions. Qualitative data were collected during interviews with 18 registered nurses currently working either full-time or part-time in one of three extended care units.
Findings indicated that the nurses perceived specific patient behaviors, nurse behaviors, and external factors as influencing all phases of this interaction.
Six categories of patient behaviors emerged from the data. These categories are: (a) disruptive behaviors, (b) contextually inappropriate behaviors, (c) unintelligible behaviors, (d) memory-impaired behaviors, (e) unproductive repetitions, and (f) unpredictable fluctuations. These behaviors influenced the nurse-patient interaction by reducing the frequency with which nurses attached understandable meaning to patients' behavior, thereby reducing the effectiveness of and their satisfaction with the interaction.
The nurses' perceived that their behavior influenced the type, frequency, and duration of nurse-patient
communication, the degree to which the interaction was individualized and patient focused, and the extent of patient control during the interaction.
When patients influenced nursing behaviors in ways that reduced the frequency and person-oriented nature of the interaction, the nurses experienced the interaction as stressful and dissatisfying and subsequently withdrew to some degree.
External factors described as personal, interpersonal, and impersonal either facilitated or impeded the nurses' ability to assign understandable meaning to patients' behavior. The amount of understanding that occurred influenced the quality of care and communication and the amount of stress experienced by the nurse.
The findings suggest that geriatric nurses should focus their behavior on patients' psychosocial and emotional needs in addition to their physical needs. Nurses must be aware of the impact of behavior identified as confusion on the interaction. In response they must direct their caregiving and communication behaviors toward minimizing the impact of the reduced understanding that occurs during the interaction. / Applied Science, Faculty of / Nursing, School of / Graduate
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Types of statements made by nurses as first impressions of patient problemsCraig, Jennifer L. (Jennifer Lynn) January 1984 (has links)
No description available.
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Workplace violence targeting student nurses in the clinical areasHewett, Deirdre 11 1900 (has links)
Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Workplace violence in health care is a worldwide phenomenon. In nursing, the
nature of workplace violence is predominantly non-physical in nature. Literature
reveals the devastating consequences for the individual nurse, both physically and /
or emotionally, depending on the nature of the violence. The consequences for the
organisation / institution and the profession are equally devastating, manifesting in
reduced standards of patient care and increased attrition from the profession. The
pervasiveness of this problem indicates that to date, remedial and protective
measures have been unsuccessful.
However, most of the research done on workplace violence in nursing has been
conducted amongst qualified nurses. The purpose of this study was to investigate
the extent of workplace violence, targeting student nurses in clinical areas. The
setting was the Western Cape College of Nursing and the population was second,
third and fourth-year, pre-registration students. The research objectives addressed
various aspects, for example, type, prevalence, perpetrators, consequences and
management of workplace violence.
A quantitative research design, utilising a survey, was chosen for the study. A
probability sample of n = 255 students was selected, using stratified, random
sampling as the sampling method. The variables selected for stratification were
gender and year of study. A self reported, anonymous questionnaire, guided by the
literature review and by the research objectives, was utilised for data generation.
Summary statistics were used to describe the variables, whilst distributions of
variables were presented in the form of histograms and frequency tables. Where
appropriate, the relationships between demographic and research variables were
described, using suitable statistical analyses.
The findings revealed that the perpetration of non-physical violence against student
nurses is widespread, particularly that perpetrated by co-workers, more specifically
registered, staff- and assistant nurses. The under reporting of workplace violence
was a common finding.
Student nurses suffer grave emotional consequences as a result of workplace
violence. Almost half of the respondents admitted that they had considered leaving nursing due to workplace violence and that it had negatively affected their standard
of patient care. The overall conclusion was that, in accordance with a worldwide
trend amongst all categories of nurses, student nurses are targets of workplace
violence in the clinical areas.
These findings have particular implications for the management of nursing education
institutions. The fact that student nurses are targeted to the extent revealed in this
study indicates that existing preventive measures in the clinical areas have not been
effective. The recommendations arising from this study therefore focus on equipping
the vulnerable trainee with the tools to withstand workplace violence. As such, the
recommendations are directed at the management of the nursing education
institution, to create awareness around the problem, to empower students to confront
and cope with workplace violence and to support students traumatised by workplace
violence.
Finally, this study suggests avenues for further research, for example, research in
the same setting after implementation of the recommendations, or further research
into the dynamics of workplace violence, targeting student nurses from the
perspective of qualified nursing staff or patients. / AFRIKAANSE OPSOMMING: Geweld in die gesondheidsdienste werksplek is ‘n wêreldwye verskynsel. In
verpleging is geweld in die werksplek oorwegend nie-fisies van aard. Die literatuur
wys op die ingrypende fisiese en / of emosionele gevolge vir die individuele
verpleegkundige, afhangend van die aard van die geweld. Die gevolge vir die
organisasie of instelling, asook vir die verpleegberoep, is eweneens ingrypend en
manifesteer in verlaagde standaarde in pasiëntsorg en ‘n toename in
verpleegkundiges wat die beroep verlaat. Die algemene verskynsel van die problem
dui aan dat regstellende en beskermende maatreëls tot dusver onsuksesvol was.
Die meeste navorsing oor geweld in verpleging is egter tot dusver onder
gekwalifiseerde verpleegkundiges gedoen. Die doel van hierdie studie was om die
omvang van werksplek-geweld, met studenteverpleegkundiges as teikengroep, in
die kliniese areas na te vors. Die studie is by die Wes-Kaap Kollege van Verpleging
uitgevoer en die populasie was al die tweede, derde en vierde-jaar, voor-registrasie
studente. Die geformuleerde navorsingsdoelwitte vir die studie het verskeie aspekte
aangespreek, soos byvoorbeeld, tipe, frekwensie, die uitvoerders van geweld,
gevolge en die hantering van werksplek-geweld.
‘n Kwantitatiewe navorsingsontwerp, met gebruikmaking van ’n opname, is vir die
studie geselekteer. ‘n Waarskynlikheidsteekproef van n = 255 studente is deur
middel van gestratifiseerde, ewekansige steekproefneming geselekteer. Geslag en
jaar van studie was as die veranderlikes vir stratifikasie gekies. Die instrument vir
data-insameling was ‘n self-voltooide vraelys, gebaseer op die literatuurstudie en
gerig deur die navorsingsdoelwitte.
Opsommende statistieke is aangewend om die veranderlikes te beskryf, terwyl die
verspreidings van veranderlikes in die vorm van histogramme of frekwensie-tabelle
aangebied is. Waar toepaslik, is die verhoudings tussen demografiese en
navorsingsveranderlikes met behulp van toepaslike statistiese analises beskryf.
Die bevindinge het onthul dat die pleeg van nie-fisiese geweld teenoor
studenteverpleegkundiges algemeen voorkom, veral daardie deur mede-personeel,
meer spesifiek geregistreerde, staf– en assistent verpleegundiges. Die onderrapportering
van werksplek-geweld was ‘n algemene bevinding. Studenteverpleegkundiges ly aan erge emosionele gevolge, as gevolg van
werksplek-geweld. Byna die helfte van die respondente het erken dat hulle oorweeg
het om die beroep te verlaat en dat sodanige geweld hul standaard van pasiëntsorg
negatief beinvloed het. Die oorkoepelende gevolgtrekking was dat
studenteverpleegkundiges, in ooreenstemming met ‘n wêreldwye neiging onder alle
kategorieë van verpleegkundiges, die teiken van werksplek-geweld in die kliniese
areas is.
Hierdie bevindinge hou spesifieke implikasies vir die bestuur van verpleegonderriginrigtings
in. Die feit dat studenteverpleegkundiges tot die mate, soos in die studie
onthul, geteiken word, het aangetoon dat bestaande voorkomende maatreëls in die
kliniese areas oneffektief is. Die voorstelle vanuit hierdie studie is dus daarop gerig
om die ontvanklike nuweling toe te rus om werksplek-geweld teë te staan. As sulks
is die voorstelle gemik op die bestuur van die verpleegonderrig-inrigting, om
bewustheid rondom die probleem te skep, om studente te bemagtig om geweld te
konfronteer en te hanteer, en om studente, wat as gevolg van werksplek-geweld
getraumatiseer is, te ondersteun.
Laastens word moontlikhede vir verdere navorsing voorgestel, soos byvoorbeeld,
navorsing in dieselfde omgewing na die implementering van die voorstelle, of
verdere navorsing in die dinamika van werksplek-geweld teenoor
studenteverpleegkundiges, vanuit die perspektief van gekwalifiseerde
verpleegpersoneel of pasiënte.
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NURSE-PATIENT COMMUNICATION DURING CRITICAL ILLNESS EVENTS.BARTZ, CLAUDIA CAROL. January 1986 (has links)
The purpose of this study was to explore and describe nurse-patient communication during critical illness events. The theoretical structure of the study was drawn from communication, sociolinguistic, and nursing theory. Data were collected in a 374-bed private hospital in the Southwest. The sample consisted of six registered nurses and nine patients experiencing cardiac surgery. Nine observed and audiotaped nurse-patient interactions, and fourteen audiotaped partcipant interviews provided the data base for analysis. Content analysis was used to organize the data. Findings were presented in terms of language, paralanguage, and nonverbal expression, and in terms of content, process, and product of nurse-patient communication. Participants used biomedical-technical language and casual-everyday language during the interactions. Nurses talked about what patients would experience while patients talked about themselves as a way of establishing their credibility within the biomedical setting. Nurses viewed nurse-patient communication as variable depending on the patients' needs and responses. Patients viewed nurse-patient communication as straightforward, not requiring adjustment for the needs of the participants. Products of communication for patients involved increased knowledge, reassurance, and increased confidence. Products of communication for nurses involved relieving the patients' anxieties, considering the patients' remembering, and increasing the nursing staff's knowledge about the patient while helping the patient to know the goals of the nursing staff. The introduction and closure segments of the six nurse-patient interactions for preoperative preparation of the patient were analyzed. Nurses began the introductions by assuming that the patients needed relief from anxiety but the patients demonstrated politeness more than anxiety. Nurses used strategies of questioning, starting the physical assessment, topic persistence, and self-monitoring to control the closure segments. Patients used narratives and humor as control strategies. The study findings suggest conceptual areas relevant to nurse-patient communication which may ground theoretical model development for nurse-patient communication. Nurses in clinical settings can compare their patient communication experiences with the findings of the study in order to increase their understanding of expression, form, and function of nurse-patient communication.
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THE STRESSES AND COPING STRATEGIES OF NURSES WHO WORK WITH DYING PATIENTS.Kaczmarski, Phyllis. January 1982 (has links)
No description available.
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PATIENT AND NURSE PERCEPTIONS OF THE IMPORTANCE OF NURSING ACTIVITIES IN THE AMBULATORY ONCOLOGY SETTING (CANCER, OUTPATIENT, CHEMOTHERAPY)Gilmartin, Eileen, 1949- January 1986 (has links)
No description available.
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