Promoting healthcare and wellbeing requires the dedication of a multi-tiered health service delivery system, which is comprised of specialists, medical doctors and nurses. A holistic view to a patient care perspective involves emotional, mental and physical healthcare needs, in which caring is understood as the essence of nursing. Properly and efficiently capturing and managing nursing knowledge is essential to advocating health promotion and illness prevention. This thesis proposes a document-indexing framework for automating classification of nursing knowledge based on nursing theory and practice model. The documents defining the numerous categories in nursing care model are structured with the help of expert nurse practitioners and professionals. These documents are indexed and used as a benchmark for the process of automatic mapping of each expression in the assessment form of a patient to the corresponding category in the nursing theory model. As an illustration of the proposed methodology, a prototype application is developed using the Latent Semantic Indexing (LSI) technique. The prototype application is tested in a nursing practice environment to validate the accuracy of the proposed algorithm. The simulation results are also compared with an application using Lucene indexing technique that internally uses modified vector space model for indexing. The result comparison showed that the LSI strategy gives 87.5% accurate results compared to the Lucene indexing technique that gives 80% accuracy. Both indexing methods maintain 100% consistency in the results. / by Sucharita Vijay Chichanikar. / Thesis (M.S.C.S.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

The purpose of this study was to describe the lived experience of nurses who care for hospitalized women outside of an addiction treatment setting who have a problem with drugs and/or alcohol. The relational experiences of ten registered nurses who had cared for women with drug and alcohol problems were elicited. Heideggerian hermeneutic phenomenology was the method used to interpret the nurse participant's meaning of their experience. The theoretical framework that was used to explore the nurses' experience o caring for women who abuse or are dependent on alcohol and/or drugs was Boykin and Schoenhofer's Nursing as Caring (1993). The relational themes that emerged were: Caring in the dark; Intentionally knowing the woman with AOD as a unique person; and Experiencing sisterhood. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

Trata-se da modificação do instrumento Therapeutic Intervention Scoring System Intermediate: TISS-Intermediário para atender à necessidade do enfermeiro em quantificar a assistência de enfermagem residencial do paciente, no momento da alta hospitalar. O TISS – Intermediário foi traduzido para a língua portuguesa e adaptado para estabelecer horas diárias de assistência domiciliar, através da Técnica Delphi, tendo como participantes 16 enfermeiros, nomeados juízes, que atuam em empresas de assistência domiciliar e determinam horas diárias de assistência de enfermagem para pacientes que necessitam de atendimento na residência, após a hospitalização. A Técnica Delphi foi desenvolvida em três fases. Na primeira, os juízes acrescentaram ao instrumento original as intervenções que estão presentes nessa modalidade de assistência e que não constavam no TISS – Intermediário. Na segunda fase, os juízes avaliaram a pertinência das intervenções em relação à assistência na residência. Na terceira fase as intervenções de enfermagem foram classificadas, segundo seu tipo e foi estimado o tempo necessário para sua execução. Como conclusão deste estudo, apresenta-se um instrumento para dimensionar horas diárias de assistência de enfermagem residencial, para ser validado clinicamente e utilizado para subsidiar as decisões dos enfermeiros que atuam na avaliação dos pacientes em alta hospitalar, com extensão dos cuidados em sua residência. / This study deals with the modification of the Therapeutic Intervention Scoring Intermediate (TISS) to the needs of the nurse in quantifying the patient’s residential nursing assistance upon release from the hospital. TISS has been translated to Portuguese and adapted to establish daily hours of domiciliary assistance through the Delphi Technique, having as participants 16 nurses nominated as judges, who are active in domiciliary assistance companies and who determine daily hours of nursing assistance for patients who need residential services following hospitalization. The Delphi Technique was develope in three phases. In the first, the judges added to the original instrument the interventions present in this assistance modality and which were not part of the TISS. In the second phase, the judges evaluated the pertinence of the interventions to the residential assistance. In the third phase, the nursing interventions were classified according to their type and the time for their execution was estimated. As a conclusion of this study, is the presentation of an instrument to dimension daily residential nursing assistance hours to be clinically validated and utilized to subsidize the decisions of the nurses who act in the evaluation of patients who have been released from the hospital with an extension of care to their residences.

Introduktion: Statistik visar att antalet ambulansuppdrag i Sverige ökat de senaste åren. Samtidigt visar forskning att många patienter som ringer ambulans ej är i behov av den avancerade akutsjukvård som ambulansverksamheten erbjuder. Sjuksköterskor med specialistutbildning inom ambulanssjukvård förväntas kunna avgöra vilka patienter som verkligen är i behov av ambulanstransport, samt vilka som kan lämnas kvar hemma. Syfte: Att undersöka ambulanssjuksköterskans upplevelse av att prehospitalt bedöma om patienten kan lämnas hemma. Metod: En empirisk intervjustudie med kvalitativ design där 10 sjuksköterskor med specialistutbildning inom ambulanssjukvård samt minst två års klinisk arbetslivserfarenhet intervjuades. Intervjuerna var semistrukturerade och analyserades med kvalitativ innehållsanalys. Resultat: Resultatet presenterades i tre kategorier och 12 underkategorier. De tre kategorierna var: Vikten av patientfokuserad bedömning, Ambulanssjuksköterskans beslut samt Organisationen påverkar. Slutsats: Denna studie visar att ambulanssjuksköterskor till stora delar har samma upplevelser kring att bedöma om patienter kan lämnas hemma. Upplevelsen att flera olika faktorer påverkar beslutet är central och en oro över att fatta fel beslut präglar bedömningen. Om inte ambulanssjuksköterskan är helt säker på sitt beslut, eller patienten själv inte vill stanna hemma, får patienten oftast medfölja ambulansen. Detta skulle kunna resultera i onödiga kostnader för sjukvården samt att resurser utnyttjas felaktigt.

Care of the elderly, long-term care resident in the emergency department is an issue of importance because of the overall impact on healthcare costs, potential for negative outcomes for the resident, and the loss of revenue. The purpose of this project was to decrease avoidable transfer of residents to the Emergency Department. Using the Antecedent, Target, Measurement logic model, poor quality assessment data was deemed the antecedent of the avoidable transfer. The goal of the project was the implementation of a standardized process of assessment that would have decreased avoidable transfer of the resident. The project would have involved training of the nursing staff in the use of the Situation Background Assessment and Recommendation tool for collecting and communicating pertinent data. The tool would have been completed at each acute complaint and would have indicated disposition. Data would have been collected by the Education Coordinator and organized for review and comparison with preintervention data. Social change implications would have included enhanced communication, potential for increased nurse and physician satisfaction which could have potentially increased job satisfaction, and improved recruitment and retention. Autonomy and self-pertinence empowers the nurse to be a stronger advocate. Positive outcomes increase when care is provided by those familiar with the patient norms and the setting. Financial savings can have an impact on the cost of healthcare. This project would also have allowed for and encouraged internal review of process and practices. This project was not implemented and so remains inconclusive.

Thesis (MTech. degree in Business Information Systems.)--Tshwane University of Technology, 2008. / This study is about exploring and understanding the collective work activity involved in medical record keeping for patients within a district hospital. The unit of analysis was the activity of medical record keeping as a system.

It has been reported for over the last decade that the quality of nursing care provided towards patients has decreased tremendously. The literature shows the impact of poor quality nursing to patients and assumes the influence of nurses’ perceptions of quality nursing care on its delivery. However, studies about such perceptions are still few in Rwanda. Aim: The purpose of this study was to explore the perceptions of quality nursing care among nurses working in two district hospitals in Rwanda. Methodology: A non-experimental exploratory descriptive design which was quantitative in nature was used. A self-report questionnaire comprised items related to socio-demographic characteristics of participants, perceptions of quality nursing care, nurses’ role in continuous quality improvement and factors affecting the delivery of quality nursing care. The sample was obtained through a purposive non-probability sampling of the nurses (n=150) who were available during data collection from 16 to 28 October 2011, with a return rate of 110 (73%) of completed questionnaires. Results: The findings from demographic data indicated that many of nurses were young, with 48.2% falling into the 20 to 30 year old bracket and the majority of the participants (83.3%) were enrolled nurses. Many of the participants were new to the nursing profession, with 47.2% falling into the 6 months-5 years working experience bracket. This study suggests that nurses had an appropriate perception of quality nursing care, as evidenced by the mean score of 4.183 (SD: .5741), related to nurses’ understanding of quality nursing care with mean score of 4.137 (SD: .5763) for the perceptions of the delivery of quality nursing care. The role played by nurses in continuous quality improvement was evident, but it was constrained by the factors related their nursing practice environment, including: shortage of nurses, lack of time, heavier workloads, and few opportunities for advancement. Conclusion: In summary, this study provided insights into nurses’ perceptions of quality nursing care, and their current ongoing endeavours to provide quality improvement in spite of challenges in their workforce environment. This study has described the challenges which interfere with the delivery of quality nursing care that need to be addressed so that patients may benefit from evidence-based care. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2011.

Lyme disease is a multisystemic, infectious disease caused by the tick-borne spirochete Borrelia burgdorferi. The CDC designated LD as a reportable disease in 1990 and evidence suggests underreporting of the disease in Indiana. Local health department nurses have a major role in the areas of disease recognition, reporting, and education about LD. The present study assessed local health department nurses' knowledge of LD to determine their competence as LD educators.The study consisted of 428 nurses in 92 counties and three cities with independent health departments who were mailed a questionnaire containing 30 multiple-choice and/or true/false questions. Twenty-four nurses participated in a pilot study to establish the reliability of the instrument.The results were: (1) nurses did not differ in knowledge regardless of their duties, (2) urban and rural counties did not differ in knowledge, (3) experience did not make a difference in knowledge, and (4) less educated nurses were more knowledgeable. The nurses were least knowledgeable about LD reporting criteria, late stage symptoms, and and description of EM and most knowledgeable about prevention. The following are some of the recommendations suggested: more research with nurses on vector- borne diseases, better dissemination of information from CDC and ISDH, inservice programs for nursing personnel, and educational materials to distribute to the public. / School of Nursing

Diss. (sammanfattning) Stockholm : Karol inst., 2004. / Härtill 5 uppsatser.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2006. / Härtill 4 uppsatser.