Thesis (M.Sc.), Memorial University of Newfoundland, Faculty of Medicine, 1999. / Typescript. Bibliography: p. 84-89.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Michigan, 1990.

Thesis (M.S.)--University of Michigan, 1993.

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

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 151-159). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

Bakgrund: Kommunikation är en tvåvägsinteraktion där information överförs mellan parterna. Att kommunicera, verbalt eller icke-verbalt, innebär att förmedla budskap, dela information och att etablera, förstärka eller påverka relationer. Informationen överförs via språk, ljud eller en kod där det sistnämnda innebär bland annat kroppsspråk. Dessa faktorer är grundläggande för kommunikationen men också för att sjuksköterskor skall kunna utföra en god och säker vård. Därav är det intressant att undersöka faktorer som påverkar kommunikationen och synliggöra dessa för att trygga sjuksköterskors fortsatta arbete med evidensbaserad omvårdnad. Syfte: Litteraturstudiens syfte var att beskriva faktorer som påverkar kommunikation mellan sjuksköterska och patient utifrån sjuksköterskans perspektiv. Metod: En litteraturöversikt med induktiv ansats. Resultat: Resultatet framkom från nio vetenskapliga artiklar av kvalitativ design. Artiklarna sammanfattades och presenterades i fyra huvudteman; språkförbistring, tolkning vid språkförbistring, icke-verbal kommunikation samt sjuksköterske-patienten relationen. Slutsats: Språkförbistring är en faktor som påverkar kommunikationen. En strategi är att använda tolk. Vid ickeverbal kommunikation används andra strategier, framförallt kroppsspråk men även hjälpmedel. Möjligheten till en bra kommunikation påverkas av relationen mellan sjuksköterska och patient. Tiden är en bristvara när svårigheter i kommunikationen uppstår mellan sjuksköterska och patient. / Background: Communication is a two-way interaction where information is transmitted between the parties. Communicating, verbally or non-verbally, involves communicating messages, sharing information and establishing, enhancing or influencing relationships. Information is transmitted via language, audio or code as body language. These factors are essential for communication, but also for nurses to be able to perform good and safe care. Hence, it is interesting to investigate factors that affect communication and make them visible to ensure the nurses' continued work with evidence-based nursing. Purpose: The aim of the literature review was to describe factors that influence communication between nurse and patient based on nurse perspective. Method: A literature review with inductive approach. Result: The result emerged from nine scientific articles of qualitative design. The articles were summarized and presented in four main themes; language barriers, interpretation at linguistic confusion, non-verbal communication and nurse-patient relation. Conclusion: Language barriers is one factor that affects communication. A strategy is to use an interpreter. When using nonverbal communication, other strategies are used, especially body language but also utility aids. The opportunity for a good communication is influenced by the relation between nurse and patient. When difficulties occur in the nurse-patient communication, time becomes a shortcoming.

In the theoretical part of the thesis, we described the conducting system of the heart, cardiac automaticity, physiological impulse formation and its conduction in the myocardium and mechanisms of arrhythmias. Furthermore, we focused on the classification of arrhythmias and their description in different types of arrhythmias, possibilities of treatment and the role of nurses in the care of patients with heart rhythm disorders. For the thesis, we chose a qualitative research conducted by the form of interviews with nurses. The research took place in three hospitals in the Czech Republic and three in the Slovak Republic. Before realization of the qualitative research, we contacted the management of every hospital in order to obtain a permission to carry on with our research. In each of these hospitals, we spoke to five nurses and then subsequently interviewed them. In overall, we interviewed 30 nurses, 15 of them work in the Czech Republic and 15 hospitals in the Slovak Republic. Research was conducted at the Cardiology departments of these hospitals. The criterion of selection was work of nurses with their patients with heart rhythm disorders. Interviews were recorded and then rewritten. The results were categorized into schemes and then finally compared. The first aim we set was to find out the specific knowledge of nurses care about patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. Most of them knew what is important for patients and what especially do they need to focus on, what to watch over and in what they need to draw patient?s attention. Nurses often spoke in general and especially in the case of education of the patient in this field. Despite nurses? work with patients with abnormal heart rhythm and their knowledge about arrhythmias, their treatment and their roles, we have decided to develop a handbook for them. This manual can expand knowledge of nurse working with these patients, but its main purpose is to serve nurses who have little knowledge in this field. Therefore, nurses are about to begin to work with patients with abnormal heart rhythm and would like to learn the basic information about arrhythmias, their treatment and the fraction of nurses? to care of these patients. The second aim we set to ourselves was to find out the workflow of the nurses working with patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. There were differences between the Czech Republic and the Slovak Republic. When asking Czech nurses what workflow do they use, the most common responses were invasive and non-invasive treatment methods. In the Slovak Republic, nurses talked about providing their patients with proper care and workflow according to developed standards. The ultimate aim was to compare the results of nursing care of patients with abnormal heart rhythm in the Czech Republic and the Slovak Republic. All in all we came to the conclusion that nursing care in both countries are in a good condition and complication rate is very low. None of interviewed nurses stated frequent occurrences of complications at her workplace.

Bakgrund och problemformulering: Transpersoner är historiskt sett en utsatt grupp som avviker från normer och strukturer i samhället. Genom förnyade och nystiftade lagar arbetas det i Sverige för att transpersoner ska få den vård som krävs för en god hälsa. Utan god hälsa och vård kan lidande uppstå i form av skam och otrygghet. Kunskap är en förutsättning för god vård. Syfte: Syftet med studien är att belysa sjuksköterskans bemötande av transpersoner i vårdande kontext genom att beskriva sjuksköterskans attityder gentemot och kunskap om personer med transidentitet. Metod: För att få en uppfattning om rådande forskning gjordes en litteraturstudie där innehållet strukturerades för att kunna urskilja subkategorier och därefter huvudkategorier. Artiklarna som analyserades var både kvalitativa och kvantitativa. Resultat: Tre kategorier representerade studiens resultat och var följande: ”kunskap och förståelse”, ”attityder” samt ”bemötande”. Det framkom en omfattande okunskap om transpersoner hos sjuksköterskor. Attityderna varierade men var ganska genomgående ifrågasättande och negativa. Sjuksköterskor var ofta påverkade av normer, medvetet eller omedvetet, vilket tog sig uttryck genom ett diskriminerande, auktoritärt och stigmatiserande bemötande. Kategorierna visade sig ha tydliga samband, klinisk kunskap kunde exempelvis kopplas till mer positiva attityder. Det fanns därtill ofta en vilja hos sjuksköterskan att ge en god vård. Diskussion: Sjuksköterskans kunskap kan innebära skillnaden mellan god och diskriminerande vård. Utbildning om transpersoner brister vid många universitet, vilket speglas i en utbredd okunskap. Det är viktigt att teamarbete främjas för att en kompetent vård ska främjas. Diskriminering och stigmatisering kan motverkas genom att arbetsledare och sjuksköterskor tar sitt professionella ansvar.

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / O cotidiano enfrentado pelas enfermeiras que trabalham em Unidade de InternaÃÃo Neonatal (UIN) lhes impÃe um alargamento de perspectivas na observaÃÃo, realizaÃÃo e gerenciamento, do ponto de vista das suas atividades profissionais. Como enfermeiras, atuando em Neonatologia, acreditamos ser necessÃria uma reflexÃo para transpor obstÃculos, procurando opÃÃes que levem a um trabalho com perspectiva emancipatÃria. Nosso interesse neste texto à defender a tese de que, apÃs aquisiÃÃo dos conhecimentos sobre a Teoria HumanÃstica de Enfermagem, de Paterson e Zderad, e, ao buscar o diÃlogo genuÃno com o recÃm-nascido (RN) de alto risco nas prÃticas diÃrias vivenciadas, com base em conhecimento cientÃfico e humano, a enfermeira conseguirà compreender o significado do seu bem-estar e estar-melhor. Objetivamos investigar a prÃtica da enfermeira na assistÃncia ao RN de alto risco na UIN com base na Teoria HumanÃstica; analisar a prÃtica da enfermeira na assistÃncia ao RN de alto risco, apÃs aprimoramento do seu cuidado, embasado nos pressupostos da Teoria HumanÃstica de Enfermagem, e elaborar um processo de cuidado humanÃstico ao RN com participaÃÃo coletiva das enfermeiras. Trata-se de pesquisa qualitativa, apoiada na Teoria HumanÃstica de Paterson e Zderad, desenvolvida na UIN de uma maternidade-escola, na cidade de Fortaleza-CE, perfazendo um perÃodo, referente à coleta de dados, de marÃo a agosto de 2005. Os sujeitos foram dez enfermeiras atuantes na UIN. Para a coleta de dados foram realizadas reuniÃes semanais, em um perÃodo de 60 dias, as quais foram filmadas. No segundo momento, apÃs as reuniÃes, usamos a observaÃÃo participante na UIN para registrar a comunicaÃÃo enfermeira/bebÃ/famÃlia/equipe interdisciplinar. No decorrer da anÃlise, sÃntese e descriÃÃo buscamos compreendÃ-la à luz da Teoria HumanÃstica, de Paterson e Zderad. Os dados foram organizados e apresentados por meio de quadros. As temÃticas extraÃdas das falas e das filmagens das participantes e, apÃs reflexÃes das exposiÃÃes teÃricas desenvolvidas pelo grupo foram: desmotivaÃÃo, cuidado, ambiente, relacionamento interpessoal. Da temÃtica desmotivaÃÃo, emergiram as subtemÃticas cansaÃo fÃsico e mental, o re-trabalho na UIN, falta de perspectiva para mudanÃas, autoconhecimento; da temÃtica cuidado, as subtemÃticas foram autocuidado e cuidado ao bebÃ; da temÃtica ambiente, emergiram as subtemÃticas o ambiente da UIN e os sentimentos da enfermeira ao atuar na UIN; da temÃtica relacionamento interpessoal, a subtemÃtica foi relacionamento com a equipe interdisciplinar na UIN. O processo de cuidado humanÃstico ao recÃm-nascido foi elaborado coletivamente pelas enfermeiras apÃs a compreensÃo do significado do seu estar-melhor em UIN, e incluiu todas as etapas da Teoria HumanÃstica. Tentamos compreender as relaÃÃes entre o discurso e a existÃncia, o meio, a ambiÃncia que rodeia a pessoa de cada enfermeira. Acreditamos que a tese defendida alcanÃa a compreensÃo da enfermeira sobre o significado de sua experiÃncia, do seu estar-melhor ao cuidar do RN em UIN, pelo desenvolvimento da autoconsciÃncia, da compreensÃo do outro, pelo olhar mais relacionador das diversidades, pelo estabelecimento de uma visÃo mais ampla das realidades vivenciadas em seu cotidiano, pela transiÃÃo do seu egocentrismo para o compartilhamento de suas emoÃÃes, do seu saber e de sua vocaÃÃo â o cuidar. / Daily tasks, carried out by nurses who work at the newborn internment unit (Unidade de InternaÃÃo Neonatal), (UIN), impose an explanation of perspective in observation, practice and management, regarding their professional activities. As nurses, working in neonatology, we believe in the necessity of reflection in order to transpose obstacles, leading to a job with an emancipatory perspective. Our interest in this text is to defend the thesis that after acquiring knowledge about the Humanistic Theory of Nursing by Paterson and Zderad, and searching for the genuine dialogue with the high-risk newborn (NB), in daily activities, based on scientific and human knowledge, the nurse will be able to comprehend the meaning of well-being and better-being. Seeking to investigate the practice of the nurses assistances to the high-risk newborn at the UIN based on the humanistic theory, analyze the practice of the nurses assistance to the high-risk newborn and to elaborate a process of humanistic care to the newborn, with the nurses collective participation. It is about a qualitative research supported by the humanistic theory, by Paterson and Zderad developed at UIN of a maternity school in the city of Fortaleza-CE. Totaling a period, referring to data collection from March to August 2005.the subjects were tem nurses in activity at UIN. During a period of sixty (60) days, weekly meetings, which were filmed, took place for the data collection. Later, after the meetings, we used participant observation at the UIN to register the interdisciplinary communication among nurse/baby/family/equip. During the analysis, synthesis and description we tried to comprehend it under the humanistic theory by Paterson and Zderad. The data was organized and presented using frames. After the reflection of the theoretical expositions, themes extracted from speeches and the filming of the participants, and developed by the group were: demotivation, caring, interpersonal relationship environment. Regarding the demotivation theme, mental and physical fatigue sub themes, the re-work at UIN, lack of a perspective of changes and self-knowledge emerged. Regarding the caring theme, the sub themes were self-care and caring for the baby. in the environment theme, the environment of the UIN and the feelings of the nurse in the UIN environment were the emerged sub themes. In the interpersonal relationship theme, the sub theme was found to be the relationship with the interdisciplinary equip in the UIN. The process of humanistic caring for the newborn was elaborated collectively by the nurseâs, after the comprehension of the meaning of better-being at the UIN, and included all stages of the humanistic theory. We tried to comprehend the relations among speech and existence, the environment, the ambiance around the person of each nurse. We believe that the defended thesis reaches the comprehension of the nurses experience significance, their better-being while caring for the newborn (NB) at UIN, by the development of self-conscience, by understanding the others, by a more relating look to diversities, by the establishment of a wider vision of the reality lived through in their daily lives, by the transition of their egocentrism to sharing of their emotions, by their knowledge and their vocation; caring.