The purpose of the study was to explore the perceptions of professional nurses on student mentorship. A qualitative, explorative, hermeneutic phenomenological research was conducted to determine the meaning of mentoring as perceived by professional nurses and to identify the successes and challenges encountered by professional nurses with regard to student mentorship during clinical practice. A face-to-face semi-structured interviews were done to collect data from operational managers (n=16) who were managing all unit activities, student mentoring included. Each interview lasted for ± 45 minutes. A hermeneutic data analysis (hermeneutic circle) was followed for data analysis. Four (4) themes and 15 sub-themes emerged from data collected from operational managers. The findings revealed that mentoring was perceived as a valuable phenomenon to apply in the preparation of student nurses for future professional role. In the process of mentoring, the caring attitude is revealed. Factors found to drive mentoring process successful was amongst other commitment, interest and partnership which guarantee the mutual efforts to the process. Though it is beneficial to mentor, mentee and the organisation as according to findings, challenges were also seen impacting on this process limiting its intentions / Health Studies / M.A. (Health Studies)

Varje dag väljer minst tre personer i Sverige att avsluta sina liv. Antalet personer som överlever ett suicidförsök är desto fler. Dessa personer kommer i kontakt med hälso- och sjukvård på olika sätt och möts ofta av stigmatisering och tystnad. Forskning visar att sjuksköterskan upplever en osäkerhet i mötet med patienten efter ett suicidförsök. För att bidra till en värdig vård behöver vi förstå vad patienten kan uppleva i vården. Syftet med litteraturstudien är därför att belysa upplevelsen av att vårdas efter ett suicidförsök ur ett patientperspektiv. Flera artikelsökningar resulterade i åtta kvalitativa artiklar vilka analyserades och sammanställdes i denna litteraturstudies resultat. Att vårdas efter ett suicidförsök förklaras i resultatet utifrån fem huvudteman där vårdarens bemötande ses som en central del. Patienten är också i behov av att få befinna sig på en trygg plats, där hen kan finna balans då patienten ofta tappat tilltron till sig själv. Det finns också en längtan efter att få dela sina tankar och planer på suicid med vårdpersonal. För att patienten ska få dessa behov tillgodosedda krävs en professionell och kompetent vårdare. Tyvärr visar forskning att vårdaren inte alltid lyckas tillgodose patientens basala behov. / At least three people commit suicide in Sweden every day. The numbers of the people who survive a suicide attempt are way more. These people get in touch with professional healthcare in different ways. Sadly they are often met with stigmatization and silence. Research shows that nurses often feel insecure when caring for these patients. To contribute to a meaningful care professional caregivers have to understand what these patients might experience. The purpose of this study is therefore to highlight the experiences of patients being cared for after a suicide attempt. Eight qualitative studies was selected and analysed. The result suggests how care after a suicide attempt can be understood throughout five themes: To be met in the right way, to feel safe, to find balance, to talk about suicide and to not trust in yourself. To be met by a professional caregiver was seen as the most important part of being cared for. There is also a longing to talk about the suicide attempt and the patient is in need of a safe place where he or she gets the opportunity to find balance. Lack of self-trust is also seen as a result of the suicide attempt. To be able to provide what the patient is in need of the caregiver has to be professional and competent. Unfortunately caregivers don’t always succeed in providing the care that the patient is in need of.

No description available.

Background: Violence in a close relationship refers to various acts that can be repeated and systematic, it occurs through physical, mental, financial, sexual violence and abuse. the suffering. Communication is the basis for all meetings, this means listening, understanding and getting closer and being able to receive the affected woman's report of violence. Aim: The aim was to describe nurses' experiences of and attitudes towards meeting women who are exposed to violence in close relationships.  Aim: The purpose was to describe nurses' experiences of and attitudes towards meeting women who have been subjected to violence in a close relationship.  Method: Literature review performed through 10 selected qualitative scientific studies. The studies were analyzed according to Friberg's method. Scientific articles were retrieved from two database Cinahl Complete and Pubmed.  Conclusion: The results of this literature review have been themed on the basis of four themes; (1) exposure to violence eats away at the nurse's strengths, (2) finding the balance between personal values and the nurse's professional role, (3) feeling understanding and hesitation in meeting women who have been subjected to violence & (4) lack of support and room for maneuver in the organization  Results: nurses described that it was difficult to meet abused women. Nurses described that it was not obvious how they would act in that situation. This was because the nurses did not understand the situation correctly, they had prejudices, fears or defense mechanisms. A conflict between themselves and their role, organizational constraints or uncontrolled stress made it difficult to work.

Indiana University-Purdue University Indianapolis (IUPUI) / Despite outstanding employment opportunities and high demand to address the global nursing shortage, men who consider becoming nurses are less likely to enroll in and to graduate from nursing programs. Many barriers that men commonly encounter during nursing education have been found in the literature; however, there is a lack of theoretically based research that examines factors that help men succeed as they study nursing. Based on a conceptual model derived from O’Lynn’s construct of male friendliness in nursing education and Frankl’s theory of will to meaning and purpose in life, this study examined facilitators for men during nursing education. This was accomplished through the development and psychometric testing of the Survey of Facilitators for Men (SFM) in a sample of 145 men in nursing. Strong evidence of reliability and validity was provided for the SFM consisting of three subscales (Internal facilitators, External Connections facilitators, and Institutional facilitators). Internal facilitators consist of intrapersonal strengths, experiences, and motivators. External Connections facilitators are interpersonal connections that emerge from relationships that men develop. Institutional facilitators involve structural or organizational aspects of institutions that ease barriers. Testing provided satisfactory evidence of internal consistency (α = .85) and test-retest reliability (intraclass coefficient = .72; confidence interval = 0.57–0.83). Dimensionality of three facilitator subscales was supported by Principle Axis Factoring with Varimax rotation and satisfactory factor loadings (.49–.72). Support for the conceptual model was provided using multiple regressions explaining 17% of the variance in purpose in life [F(4, 140) = 6.99, p < .001], 13% of the variance in GPA [F(6, 114) = 2.88, p < .01], and 49% of the variance in perception of nursing success [F(9, 128) = 13.42, p < .001]. Purpose in life was associated with Internal facilitators and comfortable income, GPA was associated with External Connections facilitators and age at BSN, while perception of nursing success was associated with purpose in life, holding an MSN, having a comfortable income, and having children. Future research is warranted to determine the usefulness of the SFM in designing strategies to recruit and retain men in nursing programs.

Bakgrund: Självskadebeteende kopplas ofta ihop med psykiatriska tillstånd så som depression och ångestsyndrom och en vanlig uppfattning är att syftet med beteendet är suicidalt. Självskada används ofta som en strategi för att reglera negativa känslor. Patienter med självskadebeteende kan behöva insatser från olika nivåer och områden inom hälso- och sjukvården Det finns stigmatisering av patienter med självskadebeteende inom vården och samhället. Ett dåligt bemötande inom vården kan minska patientens självkänsla, tillit till vården samt leda till att patienten blir mindre benägen att söka vård i framtiden. Sjuksköterskan har en central roll i omvårdnaden av patienter med självskadebeteende, genom att lyssna, skapa sig förståelse samt identifiera behov. Syfte: ​​Syftet var att belysa sjuksköterskans erfarenheter vid omvårdnad av patienter med självskadebeteende.​ Metod: Metoden var en litteraturöversikt i enlighet med Fribergs metodbeskrivning. Sökningar genomfördes i databaserna Cinahl Complete och PubMed. Tio kvalitativa vetenskapliga originalartiklar valdes ut. Artiklarna analyserades ​för att identifiera likheter och skillnader. Resultat: ​Kunskap om självskadebeteende samt kommunikationsstrategier efterlystes av sjuksköterskor. Flera sjuksköterskor upplevde bristande förmåga att ge omvårdnad till patienter med självskadebeteenden. Vårdrelationen lyftes som central i omvårdnaden av denna patientgrupp och sjuksköterskans bemötande. Förmågan att lyssna och få patienten att känna sig hörd ingick i sjuksköterskornas omvårdnadsarbete. Ytterligare aspekter av omvårdnaden var sjuksköterskans attityder och dessa ansågs kunna ändras med hjälp av ökad kunskap. Resultatet visade även att en del i omvårdnaden av patienter med självskadebeteende var att hindra patienten från att självskada, sköta om fysiska skador samt att göra olika typer av riskbedömningar. Omvårdnaden inom akutmiljöer beskrevs som utmanande då ett stort fokus låg på snabb somatisk vård samt att det var svårt att förse patienterna med en lugn miljö. Slutsats: ​​Det finns en osäkerhet hos sjuksköterskor kring vårdandet av patienter med självskadebeteende och mer kunskap efterfrågas. Den akuta vårdmiljöns brist på tid och resurser försvårar omvårdnaden av patienter med självskadebeteende. Vårdrelationen och kommunikationen mellan sjuksköterska och patient är centralt för en personcentrerad omvårdnad. Sjuksköterskor anser även att en viktig aspekt av omvårdnaden är bemötande och attityder där ett empatiskt, icke dömande och in lyssnande förhållningssätt är fördelaktigt. / Background: Self-injurious behavior is often linked with psychiatric conditions such as depression and a common perception is that the aim is suicide. Self-injury is often used as a strategy to regulate negative emotions. People with self-harming behavior may need interventions from different levels and areas within the health care system. There is stigmatization of patients with self-harming behavior, both within healthcare and society. Poor treatment in care can reduce the patient's self-esteem, trust in care and lead to the patient being less inclined to seek care in the future. The nurse has a central role in the care of patients with self-harming behavior, by listening, understanding and identifying needs. Aim: Nurses experiences of caring for patients with self-injurious behaviour Method: ​​The method used was a literature review following Friberg‘s methodological framework. Searches were conducted in the databases Cinahl Complete and PubMed. Ten qualitative original scientific articles were selected. The articles were analyzed  to identify similarities and differences.​ Results: Knowledge of self-injurious behavior and communication strategies were requested by nurses. Several nurses experienced a lack of ability to provide nursing care to patients with self-harming behaviors. The nursing relationship was highlighted as central in the care of this patient group, and the nurse's approach, ability to listen, and making the patient feel heard were integral aspects of nursing care. Other aspects of nursing care included nurse's attitudes, which were believed to be changeable through increased knowledge. The results also showed that an important part of the nursing care of patients with self-harming behavior was to prevent the patient from self-harming, caring for physical injuries and making different types of risk assessments. Nursing care in emergency settings was described as challenging as there was a large focus on rapid somatic care and it was difficult to provide patients with a calm environment.​ Conclusions: ​​Nurses express uncertanty regarding the care of patients with self- harming behavior and there is a demand for increased knowledge. The lack of time and resources in emergency departments complicates the care for patients with self-injurious behavior. The relationship and communication between the nurse and patient is central to person-centered care. Nurses also believe that a crucial aspect of care involves attitudes approaches, emphasizing the importance an empathic, non- judgemental and attentive demeanor.

A qualitative study following a phenomenological approach was undertaken to explore voluntary counselling and testing nurses' perception of educating HIV+ people about ARVs. Non-probability convenience sampling was used and in-depth semi-structured face-to-face interviews were conducted to collect data from 12 participants. The most important results were: &#61623; The need for extensive education on ARVs since it is a new technology used to curb the infection therefore clients need the information in order to use them effectively. &#61623; Stumbling blocks encountered when educating HIV+ people about the drugs. The problems are mainly due to the nurses lack of current knowledge about the drugs; patients' low economic status; severe side effects; difficulties in behaviour change; poor quality of life on ARVs and medical terminology. &#61623; Inability of clients to comply to the regimen because of severe side effects, complex regimen, lack of support from family and friends, lack of motivation, depression, cultural beliefs, lack of knowledge on how to use them and financial constraints. &#61623; Challenges for continuous education because of current nursing shortage, negative attitudes of some nurses, demotivation and inadequate funding for such activity. Recommendations include provision of continuing education and the incorporation of ARV therapy knowledge in the basic nursing curriculum in nursing education. / Health Studies / MA (HEALTH STUDIES)

The HIV/AIDS epidemic is described as a crisis by the Global Report (UNAIDS 2004:13). Swaziland¡¦s King Mswati III also declared the HIV/AIDS epidemic as a disaster when the HIV/AIDS prevalence rate increased from 3.9% in 1992 to 42.6% in 2004 (MOHSW 2004:3). In responding to the increasing numbers, the Government of Swaziland established various programmes; one of them being the Voluntary Counselling and Testing (VCT) services to meet societal needs. The MOHSW designed guidelines to be utilized when training nurses to be pre and post HIV test counselors (TASC 2003:2). The period of training ranges between 1 to 2 weeks, after which they are deployed to the VCT centres where nurses provide counseling and testing, treatment of opportunistic infections and distributing antiretroviral drugs. Much research has been done in Swaziland on HIV/AIDS however; there is insufficient knowledge on the impact of HIV/AIDS on nurses working at the VCT services. The objectives of the study were to: ,,« Explore and describe the experiences of nurses working in the VCT services. ,,« Explore and describe the experiences of clients receiving VCT services. ,,« Design and develop an empowerment programme for nurses working in the VCT services in Swaziland. ,,« Formulate and describe guidelines for the implementation of the programme. In this qualitative study, the exploratory descriptive and contextual methodology was utilized to look into lived experiences of nurses and clients. This was done within the adaptation of the intervention Design and Development genre proposed by Rothman and Thomas (1994). Data was collected through purposive sampling and analysed according to Tesch¡¦s methods (Tesch 1990:890) The study revealed one major theme; constant experience of stress that was related to psychological and physical factors (categories). Nurses identified the complexity of HIV/AIDS, shortage of staff, lack of social support, lack of a supportive working environment, and a need for staff development under psychological factors. Clients identified stigma and discrimination. Constant exhaustion and development of medical conditions were identified as physical factors that led to constant experience of stress. Conclusions drawn from the data analysis revealed that nurses were stressed and felt disempowered at working in the VCT services. An empowerment programme was designed and developed to enable these nurses to deal with issues and VCT services for rendering quality care and enjoy the work they do. Guidelines were formulated to implement the empowerment programme. The study concluded with the identification of limitations and recommendations for future endeavours. / Health Studies / D.Litt. et Phil.

The aim of the study was to investigate motivation, job satisfaction and attitudes of nurses in the public health services of Botswana. The objective was to discover how nurses felt about a wide range of variables in their work environment and ultimately to distil them into what they conceived as the mainstay motivators, job satisfiers and positive attitudes. The non pariel (unrivalled, unique) role of the government in creating both the hardware and the software of national health services was acknowledged and recognised with a particular reference to the primacy it placed on developing the human resources in the form of nurses, in order to realize the goals of administering the public health services efficiently and effectively. It was noted that nurses were the change agents and the axis in promoting quality standards of healthcare but in partnership with the government, which must be seen to be responsive and proactive in discharging its fiduciary responsibilities, in respect of both the content and the context of nurses’ occupational ambience. For the purposes of constructing a database from which both the government and the nurses can draw, the most salient thematic details of the theories of motivation, job satisfaction and attitudes were studied and examined and were used as a scaffolding for the empirical survey of nurses. Nine hundred questionnaires were distributed to both registered and enrolled nurses with a minimum of two years work experience in the public health sector and 702 of these were returned constituting a return rate of 78%. The findings indicated that a majority of nurses enjoyed job satisfaction in certain areas of their work namely autonomy, participating in decision-making, choice of type of nursing, change of wards or departments or work units, interpersonal relationships amongst nurses themselves and between nurses and their supervisors. Nurses also perceived the hospital as an environment in which they could continually learn and they were moreover satisfied with the nursing job or the work itself. The other end of the spectrum revealed an overwhelming majority of 92.2% of nurses who were dissatisfied with the level of pay and 88.5% who were not happy with the fringe benefits including the provision of accommodation. Working conditions were viewed as generally disliked by 67.3% of the nurses. Low pay, workload, lack of viii recognition for outstanding performance and or delayed promotional chances were singled out as being particularly disliked by 67.2%, 64.9%, 42.6% and 44.4% of the nurses respectively. Interviews held with 31 nurses yielded similar results. The research further showed that the most important motivators to nurses were dominated by competitive salary which was mentioned by 80.9% of the respondents, attractive or sufficient working conditions which were stated by 71.2% of the nurses, opportunity for continuous education which was rated by 63.8% of the nursing candidates, reduced workload which was claimed by 59.3% of the nursing cadres, opportunity for the recognition of outstanding performance and opportunity for promotion which were scored by 54.1% and 53.4% of the nurse respectively. Job satisfiers were also represented by competitive salary which received 76.1% of the nurses’ votes. Risk allowance occupied the second position with 69.1% and competitive working conditions were awarded a third ranking by 68.2% of the nurses. Those nurses who derived job satisfaction from the fact of each nursing shift being manned by an adequate number of nurses accounted for 63.1% of the sample. Competitive fringe benefits attracted 60.1% of the nurses. Opportunity to attend workshops and the need for high morale in nursing team-work were chosen as job satisfiers by 53.7% and 49.6% of the nurses respectively. In the section on recommendations the government was exhorted to invoke corrective or remedial measures in view of the detailed exegesis of the satisfactions and dissatisfactions in the nurses’ work environment and the ensuing problematique (doubtful, questionable) of raising the standards of health care in the public health services. Living up to these sanguine expectations should be the cherished longterm vision of the government if it is to meet and quench the soaring aspirations of its modernizing society for quality health care delivery and the escalating needs of the nurses. / Public Administration / D.P.A.

The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection