Thesis (Ed. D.)--University of Toronto, 2004. / Adviser: George Dei.

The recruitment of diverse nurse faculty fosters culturally competent teaching, role modeling of cultural awareness, and mentorship for diverse nursing students. However, with regard to the evolution of New York City’s diversity, the nursing profession has historically failed to parallel the societal transformation. This researcher investigated nursing education’s past in regard to race and ethnicity through the historical case study of one of New York City’s first schools established to educate Black women in nursing arts, namely, the Lincoln School for Nurses of the Bronx, New York. The lack of diversity within nursing is not an issue that developed overnight. Deficiencies of diverse nurse educators have been associated with decreased numbers of enrolled minority students, insufficient percentages of minority nursing staff, and the negative stimuli on healthcare that stemmed from unconscious biases and healthcare disparities. This researcher employed the historical research method and accessed archival materials (both primary and secondary sources) to study the Lincoln School for Nurses. The findings of this study identified the progressive development of African-American nursing students in New York and the pivotal role African American nursing faculty have played in the education of Black nurses. Along with the historical study of the Lincoln School for Nurses, biographical sketches of prominent graduates and leaders (such as Adah B. Samuels Thoms and Ivy Nathan Tinkler) were presented. Furthermore, previous studies of Lincoln School for Nurses’ institution and educational standards, such as the Ethel Johns Report of 1925 and the 1930 study of the school by Isabel M. Stewart and Teachers College, Columbia University, were investigated. The presence of structural racism and discrimination influenced the growth and development of Black nursing faculty in history and, arguably, set the foundation for Blacks in nursing education of present-day. It is vital that researchers examine the origins of this dilemma and provide clarity to the events and experiences that influenced the nursing profession’s current state of diversity, prior to attempting to resolve an issue that took decades to cultivate.

Thesis (MA)--University of Stellenbosch, 2002. / ENGLISH ABSTRACT: Many Black nurses who originally come from previously disadvantaged communities find themselves at present in relatively senior positions. The reality is, however, that many of these employees are still residing in residential areas where transformation and changes are still very limited and progress hardly noticeable. Such employees experience the stressful world of nursing on the one hand while on the other hand they also have to battle with the realities of the legacy of Apartheid. These may include aspects such as financial burdens, long distances from work, poor public transport, high crime rates in their communities and schools that are yet to improve standards. There are still Black South Africans, amongst them Black nursing sisters, who have to battle with these problems daily, in addition to having to cope with occupational stressors. One would assume then that they may be experiencing a large degree of strain and burnout. This research was therefore concerned with those nurses who remain productive and efficient in their work by overcoming constant occupational and non-occupational demands and stressors. Not all nurses, however, experience ill health due to stressors. There are nurses who do cope well. Two research questions were investigated with reference to the above: (a) Why some Black nursing sisters appear to cope better than others; and (b) What the role of Sense of Coherence (SOC) is as a coping resource. The study therefore investigated the statistical relationship between (a) SOC and well-being and (b) the effect that SOC has on the perception of a selected number of work characteristics. Significant Pearson Correlations were found between SOC and psychosomatic strain symptoms and burnout frequency. No significant relationship was found between SOC and burnout intensity. A significant relationship was found between SOC and work demands, as well as SOC and career rewards. Findings further indicate that no significant relationship was found between organisational climate, leadership relations, influence at work, time pressures and adverse factors in the work environment. Two-way ANOVAs indicate that no significant main effect exists in respect of SOC on psychosomatic strain symptoms. The study also indicates that a significant main effect exists for SOC on burnout frequency, whereas no significant main effect exists for SOC on burnout intensity. No significant interaction effect exists between SOC and age on psychosomatic strain symptoms, burnout frequency and burnout intensity. A significant interaction effect exists between SOC and education level on burnout intensity, while there is no significant interaction effect between SOC and educational level on psychosomatic strain symptoms and burnout frequency. A significant main effect exists for SOC on the perception of leadership relations, influence at work and career rewards. Findings further indicate that no significant main effect exists for SOC on the perception of: orgnisational climate, time pressures, work demands and adverse factors in the work environment. No significant interaction effect exists between SOC and age on the perception of organisational climate, influence at work, work demands, time pressures, career rewards, leadership relations and adverse factors in the work environment. Results indicate that no significant interaction effect exists between SOC and educational level on the perception of organisational climate, influence at work, work demands, time pressures, career rewards, leadership relations and adverse factors in the work environment. The results thus indicate that a positive correlation exists between SOC and wellbeing. / AFRIKAANSE OPSOMMING: Talle verpleegters uit voorheen benadeelde gebiede, bevind hulself huidiglik in relatiewe senior posisies. Die werklikheid is egter dat hierdie werknemers nog steeds onder andere in woongebiede bly waar transformasie en verandering gering is en algemene vordering nie waarneembaar is nie. Hierdie werknemers ondervind die stresvolle omstandighede van verpleging eendersyds en andersyds voer hulle 'n stryd teen die nalatenskap van apartheid. Dit kan aspekte soos finansiele probleme, lang afstande van hul werkplek, publieke vervoer, hoë misdaadsyfers in hul gemeenskappe asook skole waar die opvoedkundige standaarde nog aangespreek moet word, insluit. Daar is nog talle Swart Suid-Afrikaners, Swart verpleegsusters onder andere wat daagliks met hierdie probleme die stryd voer met 'n langsame veranderingsproses, terwyl hulle ook met talle stressors in hul beroepe te make het. Dit kan dus aanvaar word dat hierdie persone 'n groot mate van stres en uitbranding ondervind. Hierdie navorsing het te make met daardie groep verpleegsters wat produktief en bekwaam in hul werk bly funksioneer het, weens die feit dat hulle hierdie voordurende beroeps-en nie-beroeps vereistes en stressors suksesvol die hoof kan bied. Nie al die verpleegsters se geestegesondheid word dus deur genoemde stresfaktore benadeel nie en kan deurgaans effektief funksioneer. Twee navorsings-vraagstukke is met betrekking tot bogenoemde Suid-Afrikaanse realiteit ondersoek: (a) Waarom sommige Swart verpleegsusters die stressors in hul beroeps-en lewensomstandighede beter as ander hanteer en (b) Watter rol speel koherensiebelewing ("SOC") as enstreshantering meganisme. Die studie het (a) die verhouding tussen koherensiebelewing en werknemer welsyn en (b) die rol van koherensiebelewing ("SOC") as enmeganisme vir die hantering van stres, nagevors. Beduidende Pearson Korrelasies tussen koherensiebelewing, psigosomatiese stressimptome en die frekwensie van uitbranding is gevind. Geen beduidende verband is tussen koherensiebelewing, werkseise en loopbaanbelonings gevind nie. Die resultate dui verder aan dat daar geen beduidende verband tussen organisatoriese klimaat, leierskap verhoudings, invloed by die werk, tydsdruk, en nadelige faktore in die werksomgewing bestaan nie. Twee-rigting variansie ontledings dui egter aan dat daar geen beduidende hoof effek tussen koherensiebelewing en psigosomatiese stressimptome bestaan nie. Die studie dui ook op 'n beduidende hoof effek tussen koherensiebelewing en die frekwensie van uitbranding. Geen beduidende hoof effek is tussen koherensiebelewing en uitbranding intensiteit gevind. Geen beduidende interaksie effek bestaan tussen koherensiebelewing en ouderdom op psigomatiese stressimptome, frekwensie van uitbrandiqg en uitbrandings intensiteit nie. 'n Beduidende interaksie effek bestaan tussen koherensiebelewing en opvoedkundige kwalifikasie op uitbranding intensiteit, terwyl daar geen interaksie effek bestaan tussen psigomatiese stressimptome en frekwensie van uitbranding nie. 'n Beduidende hoof effek ten opsigte van koherensiebelewing op die persepsie van leierskap-verhoudings, invloede by die werk, en loopbaanbelonings is gevind. Die navorsing dui verder daarop dat geen betekenisvolle hoof effek bestaan ten opsigte van koherensiebelewing op die persepsie van organisatoriese klimaat, tydsdruk, werksvereistes en nadelige faktore in die werksomgewing nie. 'n Statisties beduidende hoof effek ten opsigte van koherensiebelewing op die persepsie van leierskap-verhoudings, invloede by die werk, en loopbaanbelonings, bestaan. Geen beduidende interaksie effek bestaan tussen koherensiebelewing en ouderdom op die persepsie van organisatoriese klimaat, invloed by die werk, werkseise, tydsdruk, loopbaanbelonings, leierskap-verhoudings en nadelige faktore in die werksomgewing nie. Resultate toon geen statisties beduidende interaksie effek tussen koherensiebelewing en opvoedkundige kwalifikasie op die persepsie van organisatoriese klimaat, invloede by die werk, werkseise, tydsdruk, loopbaanbelonings, leierskap-verhoudings en nadelige faktore by die werk nie. Die resultate dui derhalwe op 'n positiewe verband tussen koheresensiebelewing en werknemerwelstand.

Thesis (MCur (Nursing Science))--University of Pretoria, 2009. / Summary in English. Includes bibliographical references.

The study explored moral and ethical dilemmas experienced by Black nurses in a local community clinic. In particular, it examined the influences of the concept of self or personhood in nurses' ethical and moral decision-making. Influences of culture and family on morality were also investigated. Using the interview methodology developed by Gilligan (1982), nurses were asked to tell stories involving moral dilemmas in their work. Interviews were analysed using the voicecentred relational method. This method involves reading the interview narratives a number of times, each reading focusing on a particular aspect of a respondent's narrative. Results show that nurses often find themselves caught between two opposing moral and ethical viewpoints in their practices. On the one hand are hospital procedures, which are informed by universalist approaches to the person and the moral. From these are derived ethical principles emphasizing individual autonomy and choice. On the other hand, the majority of patients subscribe to a communal view . ofpersonhood. From this perspective, to be moral entails knowing one's position and responsibilities within family and community. Dilemmas arose from nurses' identification with patients' moral perspectives while realizing that this could lead to "unethical" conduct, (given , their training and current codes of ethics). It is recommended that moral and ethical deiiberations should dialogue with alternative, marginalised, viewpoints, in order to be culturally responsive. It is further recommended that ethics be conceptualised as a practical-moral engagement, rather than a detached application of knowledge. / Thesis (M.Soc.Sc.)-University of Natal, Pietermaritzburg, 2000.

No abstract available. / Thesis (M.A.)-University of Natal, Durban, 1972.

The early professional history of black South African nurses has not been the principal focus of local historians. Consequently, a qualitative historical inquiry was conducted into the available literature on the economic, social, political and cultural factors that influenced the professional development of black South African nurses from 1908–1994. Non-probability, purposive sampling assisted in assembling a corpus of historically rich data for analysis using time-specific a priori codes. The findings revealed that; culturally, black South African nurses had to adapt to a Western-dominated scientific health view; educationally, they had to master specialised formal Western terminology presented in a ‘foreign’ language (English) and, socio-politically, they had to adapt to being regarded as an elitist middle-class in the black community while remaining marginalised in the white-dominated workplace. Recommendations include expanding the historical research base, designing more effective strategies for promoting cultural sensitivity, and prioritising the focus on teaching and student retention. / Health Studies / M.A. (Health Studies)