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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
591

Aplicação do sistema de triagem de manchester pelo enfermeiro: valores, conceitos e significados

Pinto, Paulo Sérgio 11 August 2015 (has links)
Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-01-06T14:37:07Z No. of bitstreams: 1 paulosergiopinto.pdf: 1007302 bytes, checksum: e83dc5bb206e88c1c5c634a16811b8d1 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-25T16:35:47Z (GMT) No. of bitstreams: 1 paulosergiopinto.pdf: 1007302 bytes, checksum: e83dc5bb206e88c1c5c634a16811b8d1 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-25T16:36:32Z (GMT) No. of bitstreams: 1 paulosergiopinto.pdf: 1007302 bytes, checksum: e83dc5bb206e88c1c5c634a16811b8d1 (MD5) / Made available in DSpace on 2016-01-25T16:36:32Z (GMT). No. of bitstreams: 1 paulosergiopinto.pdf: 1007302 bytes, checksum: e83dc5bb206e88c1c5c634a16811b8d1 (MD5) Previous issue date: 2015-08-11 / Esta pesquisa objetivou compreender os valores e os conceitos relativos ao significado da aplicação do Sistema de Triagem de Manchester para o enfermeiro do serviço de urgência e emergência. Trata-se de uma pesquisa de natureza qualitativa. O cenário da pesquisa foi uma Unidade de Pronto Atendimento da Zona da Mata Mineira, tida como referência macrorregional no atendimento de urgência e emergência aos usuários do Sistema Único de Saúde, a qual utiliza o Sistema de Triagem de Manchester como sistema de classificação de risco. A amostra dos participantes do estudo configurou-se como de seleção completa, numa população de oito enfermeiros, os oito aceitaram participar da pesquisa. Os dados da pesquisa foram colhidos por meio da entrevista semiestruturada e da técnica da observação participante. A partir das informações colhidas, ocorreu a análise temática dos dados, desta emergiram cinco categorias: valores atribuídos pelos enfermeiros ao Sistema de Triagem de Manchester no cotidiano: “Ajuda? Ajuda! Desde que ele seja realmente funcionante [...]”; conceitos conflitantes relativos ao Sistema de Triagem de Manchester: “Ah, doutor, prefiro não comentar isso aí”; concepções da enfermagem relativas à comunidade sobre o Sistema de Triagem de Manchester: “[...] Há mais desgaste com a população, porque eles acham que é a enfermagem que põe pra dentro [...]”; des-valores que prejudicam o cotidiano do enfermeiro na aplicação do Sistema de Triagem de Manchester: “[...] O protocolo tem suas falhas, eu acho que a gente tem que adaptar essas falhas”; Sistema de Triagem de Manchester: valores do treinamento e aplicação e relevância para a enfermagem. Os achados deste estudo permitiram compreender que o Sistema de Triagem de Manchester pode possibilitar ao enfermeiro na produção do cuidado integrar conhecimentos que conduzam a uma compreensão do atendimento para além das relações de causa e efeito pertinentes à condição clínica do usuário, desde que sejam realizadas de modo efetivo. Também permite ao enfermeiro adotar um agir que extrapola o modelo biomédico, apesar dos conflitos que podem ocorrer entre as categorias profissionais envolvidas. O estudo mostra que os enfermeiros participantes conhecem o que a comunidade pensa sobre este sistema de triagem e que o referido sistema precisa de adequações a situações diversas, com capacitação periódica dos profissionais para a aplicação. Apesar de a atividade de classificação de risco por meio do Sistema de Triagem de Manchester ser de incorporação recente nos Serviços de Urgência e Emergência, o enfermeiro tem demonstrado atributos indispensáveis à aplicação desta ferramenta de forma exitosa, galgando a conquista deste espaço de atuação importante dentro da estrutura de saúde do país. Contudo esta conquista ainda pode ser ampliada pelos cursos de graduação em enfermagem com a inclusão da temática classificação de risco em suas grades curriculares. É preciso registrar que este estudo retratou um panorama local da temática sob a perspectiva apenas do enfermeiro, dessa forma, outros estudos precisam ser desenvolvidos em outros cenários e também sob a visão de outros profissionais e do próprio usuário. / This research aimed to understand the values and the concepts relating to the meaning of the application of the Manchester Triage System for nurses of the emergency care service. It is a qualitative research. The research scenario was one Emergency Unit of the Zona da Mata Mineira, taken as macro-regional reference in urgent care and emergency users of the Unified Health System, which uses the Manchester Triage System as a risk classification system. The sample of the study participants was configured as a full selection of a population of eight nurses, eight agreed to participate. The survey data were collected through semi-structured interviews and participant observation technique. From the information collected, there was a thematic analysis of the data, this five categories emerged: values attributed by nurses to the Manchester Triage System on daily life: "Help? Help! Since it is actually functioning [...] "; conflicting concepts for the Manchester Triage System: "Oh, doctor, I'd rather not comment on that here"; conceptions of nursing for the community on the Manchester Triage System: "[...] There is more wear with the people, because they think it is the nurse who puts inside [...]"; des-values that harm the nurse's daily life in the application of the Manchester Triage System: "[...] The protocol has its flaws, I think we have to adapt these failures"; Manchester Triage System: values training and application and relevance for nursing. The findings of this study allowed us to understand that the Manchester Triage System can enable the nurse in the care production integrate knowledge leading to an understanding of care beyond the cause and effect relevant to the clinical condition of the user, provided they are carried out effectively. It also allows nurses to adopt an act that goes beyond the biomedical model, despite conflicts that can occur between the professional categories involved. The study shows that participating nurses know what the community thinks about this screening system and that this system needs adjustments to different situations, with periodic training of professionals for the application. Although the rating activity by the Manchester Triage System be of recent incorporation in Urgent and Emergency Services, the nurse has shown attributes indispensable for the application of this successful form tool, climbing the achievement of this important performance space inside the health structure of the country. However this achievement can be further expanded by the undergraduate nursing courses with the inclusion of the theme risk rating in their curricula. You must register this study portrayed a local overview of the topic from the perspective only of nurses, thus further studies need to be developed in other settings and also in the view of other professionals and the users themselves.
592

Escalas concorrentes para mensuração da satisfação do cliente hospitalar / Scales competitiors for masurement of hospital customer satisfaction

Moglia Junior, João Batista 16 December 2015 (has links)
Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-05-13T20:57:42Z No. of bitstreams: 1 Joao Batista Moglia Junior.docx: 1252728 bytes, checksum: c8792648711cf3a3f6599da03658462c (MD5) / Made available in DSpace on 2016-05-13T20:57:42Z (GMT). No. of bitstreams: 1 Joao Batista Moglia Junior.docx: 1252728 bytes, checksum: c8792648711cf3a3f6599da03658462c (MD5) Previous issue date: 2015-12-16 / Patient satisfaction is not a new theme but gains importance in the current competitive scenario, mainly in private hospitals. The relevance is in the contribution of a new viewing perspective of the hospital customer's satisfaction. The goal of this study is to identify for the national context which one of the patient satisfaction scales is able to better reflect the general assessment of the hospital. Therefore, we used three satisfaction scales with the nursing care: PSI scale of Hinshaw & Atwood (1982) in the Brazilian version of Oliveira (2004), the NSNS scale of Thomas, McColl, Priest, Bond & Boys (1996) in the Brazilian version of Dorigan & Guidardello (2013), and the GPNS scale of Halcomb, Caldwell, Salamonson & Davidson (2011) in its already nationalized version by Moglia Junior, Motta and Lopes (2015). For the general assessment of the hospital it was used the Johnston scale (1995). Through the analysis of model of structural equations, the NSNS scale was identified as the most appropriate for measuring the quality of the nursing team comparing to the others scales tested. / A satisfação do cliente hospitalar não é um tema novo, mas ganha importância diante do cenário atual de concorrência, principalmente nos serviços privados. A relevância está na contribuição de uma nova perspectiva de visualização da satisfação do cliente hospitalar. O objetivo geral desse trabalho é identificar para o contexto nacional, qual das escalas de satisfação do paciente é capaz de refletir melhor a avaliação geral do hospital. Para tanto, utilizou-se de 03 escalas de satisfação com o atendimento de enfermagem: A escala PSI de Hinshaw & Atwood, (1982) na versão brasileira de Oliveira (2004), a escala NSNS de Thomas, McColl, Priest, Bond, & Boys, (1996) na versão brasileira de Dorigan & Guirardello (2013), e a escala GPNS de Halcomb, Caldwell, Salamonson, & Davidson (2011) na sua versão já nacionalizada (Moglia Junior, Motta, & Lopes, 2015). E para a avaliação geral do hospital utilizou-se a escala de (Johnston, 1995). Por meio da análise de um modelo de equações estruturais, identificou-se que a escala NSNS é mais adequada para mensuração da qualidade da equipe de enfermagem que as demais escalas testadas.
593

Barn på sjukhus – föräldrars upplevelse av omvårdnad. : En litteraturöversikt / Hospitalized children - perceptions of parents regarding nursing care. : A literature review

Kling, Linda, Tholén, Anna January 2020 (has links)
Bakgrund: Under 2018 vårdades över 80 000 barn på svenska sjukhus. Föräldrars upplevelse av omvårdnad vid deras barns sjukhusvistelse påverkar i hög grad barnets upplevelse av vården. Vårdsituationen är skrämmande och okänd; trygga föräldrar ger trygga barn. Pediatrisk vård ska genomsyras av ett familjecentrerat perspektiv där familjen är en aktiv part i vården.  Syfte: Att beskriva föräldrars upplevelse av omvårdnad vid deras barns sjukhusvistelse.  Metod: En litteraturöversikt innefattande vetenskapliga artiklar med såväl kvalitativ, kvantitativ som mixad metod.  Resultat: Baserat på fynden i de inkluderade artiklarna fanns en god upplevelse och hög tillfredsställelse hos föräldrarna med såväl omvårdnad som delaktighet vid barnets sjukhusvistelse. Under analys identifierades fem huvudkategorier gällande omvårdnadsupplevelsen; ”Föräldrars behov av god kommunikation”, ”Föräldrars behov av att vara informerade”, ”Föräldrars behov av att vara delaktiga”, ”Föräldrars förväntningar på sjuksköterskan” samt ”Föräldrars behov av ett gott bemötande”. Slutsats: Resultatet indikerar att föräldrarnas upplevelse av vad som är viktigt är universellt. Föräldrar var generellt positivt inställda till erhållen omvårdnad. Essentiellt för föräldrars upplevelse av god pediatrisk vård framkom vara: kommunikation, information, delaktighet, stöd, relationer, skicklighet och familjecentrering. Alla aspekter är tätt sammanflätade, och påverkar i hög grad varandra. När alla aspekter vävdes samman till en helhet fick föräldrarna en god uppfattning av vården. / Background: During 2018 over 80 000 children were hospitalized in Sweden. Parents' perception of nursing care during the hospitalization of their child highly influences the child's perception of care. The inpatient situation is frightening and unknown; parents feeling safe leads to children feeling safe. Pediatric care should have a family centered perspective that makes the family an active participator.  Aim: To identify the perception of parents regarding nursing care during hospitalization of their child.   Method: A literature review of scientific articles with both qualitative, quantitative and mixed methodology.  Findings: There was, generally, a positive perception and high satisfaction among the parents based on the findings in the included articles regarding nursing care and participation during their child's hospitalization. During the analysis five categories regarding the nursing experience were identified: “Parents’ necessity of good communication”, “Parents need to be informed”, “The importance of parental involvement”, “Parents’ expectations on the nurse” and ”Parental need of a kind approach”.  Conclusion: The results indicate that parents' perception of nursing care needs is universal. Parents generally have a positive perception of nursing care. Communication, information, participation, support, relations and family centeredness are, according to the parents, pivoting factors for creating a perception of good pediatric care. All aspects are tightly woven together, influencing each other. Parents are enabled a positive perception of nursing care if all aspects are intricately interlinked.
594

Hot och våld inom akutsjukvården : En litteraturstudie ur ett omvårdnadsperspektiv / Threat and violence in emergency care : A review from a nursing perspective

Karat, Claudia January 2020 (has links)
Bakgrund: Hot och våld från patienter är ett återkommande fenomen på akutmottagningar världen över som sjuksköterskor blir utsatta för. Det tar sig uttryck i både verbala och fysiska angrepp i form av hot, trakasserier eller aggressivt beteende. Dessa angrepp kan medföra konsekvenser för omvårdnadsarbetet. Syfte: Syftet med studien var att beskriva mötet mellan patient och sjuksköterska i hotfulla och våldsamma omvårdnadssituationer inom akutsjukvård. Metod: En allmän litteraturstudie baserad på elva vetenskapliga artiklar med kvalitativ ansats. Resultat: Tre teman genererades ”hot och våld som vårdutmaning”, ”barriärer för mötet” och ”betydelse för omvårdnadsarbete”. Slutsats: Studien kan bidra med ökad förståelse och kunskap hos både sjuksköterskor, ledning och allmänheten gällande utsattheten av hot och våldsincidenter på akutmottagningar. Med denna kunskap kan vården utvecklas och främja både sjuksköterskors välbefinnande och patientmötet. / Background: Threat and violence from patients are a recurring phenomenon at emergency departments worldwide that nurses are exposed to. It manifests itself in both verbal and physical attacks in the form of threats, harassment or aggressive behavior. These attacks can cause consequences for the practice of nursing. Aim: The aim of this study was to describe the encounter between patient and nurse in threatening and violent nursing situations in emergency care. Method: A general literature study based on eleven articles with qualitative approach. Result: Three themes were generated “threats and violence as a care challenge”, “barriers to patient encounter” and “importance for nursing work”. Conclusion: The study can contribute to increased understanding and knowledge to both nurses, managements and the public regarding the exposure of threat- and violence incidents in emergency departments. This knowledge can develop health care and promote both the nurses’ well-being and the patient encounter.
595

Faktorer som påverkar patienters nattsömn på sjukhus : En litteraturöversikt / Factors that affects patient's night sleep in hospitals : A literature review

Mårtensson, Rebecka, Wallin, Niclas January 2020 (has links)
Background: Sleep is one of mankind's basic needs and important for the experience of health, as well as essential for the patient's ability to recover. Lack of sleep has a negative effect on the ability to recover from the consequences of illness. Patients states that they have a negative quality of sleep during hospital stay. Aim: The aim of this study was to describe factors that influencing the night sleep of patients during hospital stay. Method: An overview of the literature was performed. Six quantitative, three qualitative and two mixed-method studies were included. Results: Two main categories emerged, which were; Environmental factors and physical- and psychological factors. The result showed that patients experienced environmental factor such as noise and lights, comfort and routines. Physical- and psychological factors experienced by patients was symptoms, anxiety and thoughts and also nurse's bedside manners. Conclusion: Nurses bedside manners have significant importance for patient's ability to experience a quality sleep. The result shows that factors affecting patients sleep are possible to influence and alter in order to enable best possible sleep for patients during hospital stay.
596

Familjefokuserad omvårdnad vid konfusion : Äldre patienter, närstående och sjuksköterskor

Brattberg, Maria January 2019 (has links)
Bakgrund: Konfusion är en vanlig företeelse hos äldre personer inneliggande på sjukhus. Så många som hälften kan vara drabbade, men det upptäcks sällan och kunskapen hos sjuksköterskor behöver öka. Eftersom patienterna ofta har svårt att kommunicera, så kan närståendes kunskap om patienten hjälpa vårdpersonalen samt förmedla lugn till patienten. Familjefokuserad omvårdnadsteori valdes därför som teoretisk utgångspunkt. Syfte: Den här studien syftade till att undersöka, äldre patienters, närståendes och sjuksköterskors upplevelse av konfusion på sjukhus, samt huruvida familjefokuserad omvårdnad kunde verka främjande vid konfusion. Metod: Litteraturöversikt med systematisk ansats baserad på femton artiklar från åren 2010–2019, från databasen PubMed. Åtta av artiklarna hade en kvalitativ metod, fyra hade en kvantitativ ansats medan tre artiklar använde mixad metod. Resultat: Litteraturöversikten resulterade i fyra teman: Upplevelsen av konfusion, kunskapsbrist, interaktion samt familjefokuserad omvårdnad. Dessa återspeglades utifrån patienten, de närstående samt sjuksköterskan. Utifrån temat Upplevelse av konfusion sågs att patienten ofta hade en skrämmande upplevelse under konfusionen. Temat Kunskapsbrist visade att närstående var frustrerade över att de inte fick någon bra förklaring till patientens tillstånd. I temat Interaktion sågs att hallucinationer och aggressivt beteende hos patienterna ledde till att sjuksköterskor ibland var tvungna att ta till tvångsåtgärder. Temat Familjefokuserad omvårdnad visade att genom att lyfta fram närståendes kunskap om patienten, kunde tidiga tecken på konfusion upptäckas och patienterna kände sig också i regel lugnare. Slutsats: Konfusion är en komplex åkomma som upplevs svår för både patienten, närstående och sjuksköterskan. Genom en ökad kunskap om konfusion både för sjuksköterskor och närstående kan samarbete förbättra omvårdnaden för patienten. / Background: Delirium is a common phenomenon for elderly people during hospitalization. As many as 50% might be affected by this severe condition. Due to poor knowledge among nurses in general, many patients neither get the proper diagnosis nor care. By enhancing the understanding of the lived experience of delirium by patients, their families and the caregiving nurses, it is possible to create a good foundation for cooperation among all parts. Since the patients often have trouble with communication, the family’s knowledge of the patient can help health professionals and calm the patient. Family-centered care theory was therefore chosen as nursing theory. Aim: To examine the lived experience of delirium at a hospital from the perspective of the elderly patient, the significant other and the nurse. It is also to explore if family-centered care can serve as prevention or positive impact on the patient with delirium. Method: A literature review with systematic approach based on fifteen articles from the years 2010–2019, from the PubMed database. Of the articles, eight had a qualitative method, four had a quantitative approach while three articles used the mixed method. Result: The literature review resulted in four themes: Experience of the confusion, Lack of knowledge, Interaction and Family-centered nursing. These were reflected according to the patient, the significant other and the nurse. The theme Experience of the confusion showed that the patients often had a terrifying experience during the delirium episode. The theme Lack of knowledge showed that significant others were frustrated that they did not receive a clear explanation for the patient’s condition. In the theme of Interaction, hallucinations and an aggressive behaviour in patients led to nurses sometimes having to use coercive methods. The theme of family-centered nursing showed that by highlighting significant others knowledge of the patient, early signs of confusion could be detected, and patients also felt calmer. Conclusion: Delirium is a complex state that is difficult for the patient as well as the family and the nurse. If the knowledge of delirium increases for the nurse and the significant other, the cooperation can improve the care of the patient.
597

Use of standardized nursing terminologies in electronic health records for oncology care: the impact of NANDA-I, NOC, and NIC

Tseng, Hui-Chen 01 July 2012 (has links)
The purpose of this study was to identify the characteristics of cancer patients and the most frequently chosen nursing diagnoses, outcomes and interventions chosen for care plans from a large Midwestern acute care hospital. In addition the patients' outcome change scores and length of stay from the four oncology specialty units are investigated. Donabedian's structure-process-outcome model is the framework for this study. This is a descriptive retrospective study. The sample included a total of 2,237 patients admitted on four oncology units from June 1 to December 31, 2010. Data were retrieved from medical records, the nursing documentation system, and the tumor registry center. Demographics showed that 63% of the inpatients were female, 89% were white, 53 % were married and 26% were retired. Most patients returned home (82%); and 2% died in the hospital. Descriptive analysis identified that the most common nursing diagnoses for oncology inpatients were Acute Pain (78%), Risk for Infection (31%), and Nausea (26%). Each cancer patient had approximately 3.1 nursing diagnoses (SD=2.5), 6.3 nursing interventions (SD=5.1), and 3.7 nursing outcomes (SD=2.9). Characteristics of the patients were not found to be related to LOS (M=3.7) or outcome change scores for Pain Level among the patients with Acute Pain. Specifically, 88% of patients retained or improved outcome change scores. The most common linkage of NANDA-I, NOC, and NIC (NNN), a set of standardized nursing terminologies used in the study that represents nursing diagnoses, nursing-sensitive patient outcomes and nursing interventions, prospectively, was Acute Pain--Pain Level--Pain Management. Pain was the dominant concept in the nursing care provided to oncology patients. Risk for Infection was the most frequent nursing diagnosis in the Adult Leukemia and Bone Transplant Unit. Patients with both Acute Pain and Risk for Infection may differ among units; while the traditional study strategies rarely demonstrate this finding. Identifying the pattern of core diagnoses, interventions, and outcomes for oncology nurses can direct nursing care in clinical practice and provide direction for future research tot targets areas of high impact and guide education and evaluation of nurse competencies.
598

Omvårdnad vid gynekologisk cancer

Anderson, Petra, Sinclair, Felicia January 2019 (has links)
Anderson, P & Sinclair, F. Omvårdnad vid gynekologisk cancer. En litteraturstudie. Examensarbete i omvårdnad 15 högskolepoäng. Malmö universitet: Fakulteten för hälsa och samhälle, Institutionen för vårdvetenskap, 2019.Bakgrund: Årligen insjuknar cirka 3000 kvinnor i gynekologiska cancersjukdomar i Sverige. Detta omfattar maligna sjukdomar i ovarier, uterus, endometriet, cervix, och äggledare. Kvinnor i alla åldrar och livsfaser insjuknar i sjukdomar som på olika sätt och beroende på vilken livssituation kvinnan befinner sig i, påverkar henne. Sjukdomarna har olika prognos, symtom och behandling och medför således olika behov av omvårdnad. Syfte: Syftet med litteraturstudien var att sammanställa kvinnors erfarenheter av omvårdnad vid gynekologisk cancer. Metod: Litteraturstudier genomfördes med sökningar i databaserna PubMed, Cinahl och PsycINFO, 13 kvalitativa artiklar valdes ut och sammanställdes i resultatet genom innehållsanalys där texterna lästes upprepade gånger, meningsbärande och återkommande delar valdes ut, tolkades och sammanställdes i gemensamma teman. Resultat: Ett huvudtema identifierades under analysens gång; Att bli sedd. Detta konkretiserades i tre teman; Kommunikation, Tillgänglighet och Tillit med totalt fem subteman. Konklusion: Gynekologisk cancer berör de kvinnor som insjuknar på olika sätt, bland annat beroende på vilken livsfas de befinner sig i. Kvinnor som insjuknar i gynekologisk cancersjukdom har en önskan om att ses som en individ och har olika behov av stöd och omvårdnad. Att bli sedd var ett genomgående tema som framkom i litteraturstudierna. Personcentrerad omvårdnad bör vara ett ledord i omvårdnad av gynekologiska cancersjukdomar.Nyckelord: gynekologisk cancer, omvårdnad, personcentrerad vård, sjuksköterska, upplevelser / Anderson, P & Sinclair, F. Nursing care during treatment for gynecological cancer. Degree project in nursing 15 Credits. Malmö University: Faculty of Health and Society, Department of Care Science, 2019.Background: Each year approximately 3000 women in Sweden is diagnosed with gynecological cancer. This includes malignant diseases of the ovaries, uterus, endometrium, cervix and the fallopian tubes. Women of all ages and in all phases of life are afflicted differently, depending upon the phase of life she is in and when the cancer is detected. Gynecological cancers have different prognoses, symptoms and treatments. Aim: The aim of this literature review was to compile women´s perceptions and experiences of nursing care during gynecological cancer. Method: A literature review was conducted using the databases PubMed, Cinahl and PsycINFO, 13 qualitative studies were chosen and analyzed through content analysis. Meaningful parts of the articles were extracted and interpreted. Parts with similar messages were then compiled into themes. Findings: One main theme was identified through the analysis; To be seen. Three themes were then further identified during the analysis; Communication, Accessibility and Trust. Five sub-themes were additionaly included in the results. Conclusion: Gynecological cancer affects women in different ways depending on the phase of life and age they are in. Women are afflicted differently and want to be seen as individuals. To be seen was a recurring theme in the literature review. Person-centred care should be considered a leading word in nursing care for gynecological cancer.Key words: Experiences, gynecological cancer, nurse, nursing care, person-centred care
599

Intensive Care Unit Nurses’ Experience of Watson’s Theory of Human Caring Caritas Process Three: Cultivation of One’s Own Spiritual Practice and Transpersonal Self, Going Beyond Ego-Self

Leone-Sheehan, Danielle M. January 2019 (has links)
Thesis advisor: Jane M. Flanagan / Purpose: The purpose of this study was to explore nurses’ experiences of Watson’s Theory of Human Caring Caritas Process Three: Cultivation of One’s Own Spiritual Practices and Transpersonal Self, Beyond Ego-Self. Background: There is currently an inadequacy of spiritual care provided to patients and families in the ICU despite a significant articulated need. Nurses report discomfort with and a lack of preparation in providing spiritual care competently. Nurses with strong personal spiritual development are more likely to report comfort with spiritual caregiving and provide spiritual care. Watson’s Theory of Human Caring Caritas Process Three; Cultivation of One’s Own Spiritual Practice and Transpersonal Self, Going Beyond Ego-Self makes explicit the primacy of relationship between nurse spiritual development and transpersonal spiritual nursing care. However, the nature of spiritual development of nurses in the ICU remains unknown. Methods: A qualitative descriptive methodology with directed content analysis applying Watson’s Caritas Process Three was used to analyze data for this study. Results: Ten ICU Nurses provided evidence of the experience of Caritas Process Three. Five themes were identified in the analysis of data: Caritas nurses vary in their ability to move beyond ego-self, Personal spiritual practices serve as a barrier and/or facilitator to nurses’ ability to provide spiritual care, Critical illness as experienced by patients and families provided the opportunity for nurses to explore spirituality with other, The care environment serves as a barrier and/or facilitator to nurses’ personal spiritual growth, and Cultivation of spiritual practice and spiritual identity is integral to a life-long process of consciousness evolution. Conclusions: The findings of this study extend and inform Caritas Process Three of Watson’s Theory of Human Caring. Nurses in this study provide evidence for the primacy of personal spiritual development for the delivery of spiritual and transpersonal care for patients in the ICU. / Thesis (PhD) — Boston College, 2019. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.
600

Sjuksköterskors omvårdnad av våldsutsatta kvinnor : En kvalitativ litteraturstudie

Vierth, Alva, Ghebrehawariat, Goitom January 2021 (has links)
Background: Intimate partner violence, nursing care, men’s violence against women, nurses. Intimate partner violence and men’s violence against women is a health problem globally,socially and across all social classes. Different theoretical perspectives exist about the causes of intimate partner violence. Health consequences for women who are victims of intimate partner violence is a fact and go against human rights. Healthcare and nurses have a responsibility in providing good reception and good nursing care. Women exposed to intimate partner violence have torn experiences of nurses nursing care. Aim: To describe nurses’ nursing care towards women that are victims of intimate partner violence. Method: A literature study based on nine qualitative scientific articles with a content analysis. Results: Two main categories and four sub-categories emerged about nurses’ care of abused women. The main category Aspects related to care with the subcategories Nurses’ treatment and Nurses’ nursing measures. The main category Aspects related to communication with the subcategories Nurses’ identification of intimate partner violence and Nurses’ sensitivity. Conclusion: A deficiency in nursing care is between nurses and women exposed to intimate partner violence. Organizational factor, social structures and uncertainty about referrals can affect nursing care. Screening for intimate partner violence, knowledge and experience of intimate partner violence as well as the women participating in their own care is important to provide good care. Clinical significance: Discussions regarding attitudes toward intimate partner violence and how the nurses nursing care can be facilitated on organizational level need to be carried out. Training about intimate partner violence is still needed in workplaces and nursing school to provide better care to women exposed to intimate partner violence. Screening should be implemented and insured in nursing care.

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