The purpose of this study was to determine if the level of Nurse Manager (NM) emotional intelligence (EI) predicted registered nurse (RN) job satisfaction and RN perceptions of the practice environment. In addition, relationships to patient, nursing, and hospital outcomes were explored. Participants included RNs (N=659) and NMs (N=38) from 53 nursing units at eight hospitals located in the southeast region of the United States. A cross-sectional, correlational research design was used to test the hypotheses. Pearson product-moment correlation coefficients, simple linear and multiple regression statistics were conducted to analyze the data. Level of NM EI had a positive, not significant relationshp to RN job satisfaction and RN perceptions of the practice environment. A direct, positive significant relationship was observed between the variables NM EI and patient satisfaction with nursing care. There was a positive, significant relationship noted between the variables RN job satisfaction and RN perceptions of the practice environment. The indirect relationships between the level of NM EI and patient, nursing and hospital outcomes were not significant. There was a direct significant, positive relationship noted between the variables RN perceptions of the practice environment and patient satisfaction with nursing care. In addition, the interaction between RN job satisfaction and RN hours of care had a positive, significant relationship with unit level pressure ulcer rates. This study indicated that units with higher RN hours of care have increased pressure ulcer rates. In addition, results illustrate a marked increase in pressure ulcer rates on those units with higher levels of job satisfaction. In this study, pressure ulcer rates depended on the level of RN job satisfaction.

Uppsatsen är till formen en reflekterande vetenskaplig essä som undersöker akutsjuksköterskans yrkespraktik. Den egna erfarenheten gestaltad i form av en berättelse från ett arbetspass på sjukhuset är i fokus och undersökningen tar sitt avstamp i den. Det som belyses är de olika kunskapsformer som akutsjuksköterskan lutar sig mot när hon använder sin "kliniska blick"och hur de samverkar och är beroende av varandra. Kunskapsformerna är hämtade från Aristoteles kunskapsbegrepp och stort utrymme ges till den praktiska kunskapen och den praktiska klokheten, som av Aristoteles benämndes fronesis. Texten undersöker också det för sjuksköterskan centrala begreppet omvårdnad utifrån den egna erfarenheten. Omvårdnadsbegreppet diskuteras ur ett fenomenologiskt perspektiv. Det är tolkandet, omsorgstiden, det etiska medvetandet och känslornas kunskap och dess påverkan på omvårdnaden som belyses. Undersökningen visar att det är det är det personliga engagemanget, nyfikenheten och motivationen som är den kraft som kan och lotsa sjuksköterskan genom vårdens svåra utmaningar och som kan hjälpa sjuksköterskan att stå upp för den goda omsorgen och omvårdnaden i en allt mer slimmad och pressad vårdorganisation. / This reflective scientific essay examines emergency-care nurse's professional practice. The nurse's personal experience is in focus and is portrayed in a narrative from an evening shift at the emergency hospital. The narrative serves as a foundation from where the reflective process forms it's content. The subjects explored are the different forms of knowledge that emergency-care nurse's uses when she uses her "clinical gaze" and how they interact and are interdependent. The theories of knowledge are taken from Aristotle's philosophy and great space are given to the practical knowledge and skill and practical wisdom, phronesis. The essay also examines the emergency-care nurse's central concept of nursing and caring. Nursing concept is discussed from a phenomenological perspective. The ability to interpret, the experience of time in nursing care, ethical awareness and emotional knowledge and its impact on the care are investigated. The essay shows that it is the personal commitment, curiosity and motivation, that can guide the emergency-care nurse through the challenges of everyday work and help the nurse to ensure that human dignity in nursing care stays as a main value and quality in the discipline despite increasingly lean and tight healthcare organizations.

The study included two groups of participants: research (case) and control groups. The data on the QOL and the most frequently symptoms as well as sense of coherence was evaluated comparing the differences between research and control groups. Patients by age were homogenic in both groups (Table 2). Table 2. Socio-demographic characteristics of research and control groups. Socio-demographic characteristics Research group (n=84) Control group(n=82) p value Age (years)Mean (SD) 70.46 (5.93) 69.50 (5.29) 0.27 Education n (%)Primary school8 years education12 years educationCollage educationUniversity education 20 (23.7 %)14 (16.7 %)14 (16.7 %)13 (15.5 %)23 (27.4 %) 19 (23.2 %) 7 (8.5 %)11 (13.4 %)23 (28.1 %)22 (26.8 %) 0.13 Marital status n (%)Married/Live with partnerSingle/widower 72 (85.7 %)12 (14.3 %) 74 (90.2 %) 8 (9.8 %) 0.86 Religion n (%)BelieverLibertine 58 (69 %)26 (31 %) 63 (76.8 %)19 (23.2 %) 0.12 The place of residence n (%)CityRural areas 67 (79.8%)17 (20.2%) 59 (72.0 %)23 (28.0 %) 0.89 Overall, 29.8 % of patients were indicated with the mild pain and 30.0 % of patients – with moderate and severe pain (Figure 3). The urine incontinency symptom was determined only for three patients in the last stage of research and it is not demonstrated in the picture thoroughly. Fatigue was the most frequently indicated and most intensive symptom (82.1 % - 89.3 %) of patients in the research group throughout all three stages of research. It tended to be increasing the entire... [to full text]

The general aim of the present thesis was to develop a theory on caring and uncaring encounters within nursing and health care from the patient's perspective. Results of an analysis of two phenomenological studies (paper I), as well as research findings from five other phenomenological studies (papers II-VI), were used to develop the theory. Caring and uncaring can be conceptualized on a continuum symbolizing five basic modes of being with another, which, for example, involves a neutral mode of being with another, where the individual is perceived as neither caring nor uncanng. There are two major metaphors in the theory, that of the bridge, symbolizing the openness in communication and the connectedness experienced by the recipient of care in an encounter perceived as caring. The other metaphor is the wall, which symbolizes negative or no communication, detachment and lack of a caring connection, experienced by the recipient in an encounter perceived as uncaring. In the theory the importance of professional caring within nursing and health care is proposed, essentially involving competence, caring, and connection. The above-mentioned 'bridge' is developed through mutual trust and the development of a connection between the professional and the recipient. This connection is a combination of professional intimacy and a comfortable distance of respect and compassion -- professional distance. On the other hand, uncaring involves perceived indifference and incompetence, creating distrust, disconnection and the above-mentioned 'wall' of negative or no communication. The recipient of professional caring is influenced positively. Theconsequences, which are an increased sense of well-being and health, can be summarized as empowerment. Uncaring, however, has the negative consequences of decreased sense of well-being and health, which can be summarized as discouragement. Empowerment and discouragement in this context are defined as subjective experiences of the recipients of care. The importance of seeing the recipient in his or her inner and outer contexts is emphasized in the theory. The inner context involves perceived needs, expectations, previous experiences and sense of self, which in the perspective of the recipient of nursing can be summarized as both a sense of vulnerability and the need for professional caring. The perceived hospital environment comprises the recipient's outer context. It is concluded that nurses and other health professionals can, by theirprofessional caring or lack of it, be powerful sources of empowerment ordiscouragement to those whom they are pledged to serve. / <p>Papers, included in the Ph.D. thesis, are not registered and included in the posts from 1999 and backwards.</p><p>The following papers included in the Ph.D. Thesis are removed due to copyright restrictions.</p><p>Paper I: Halldirsdottir, S. l 991. Five basic modes of being with another. In Gaut, D.A., &amp; Leininger, M.M., (eds) <em>Caring: The compassionate healer</em>. NationalLeague for Nursing, New York, 37-49.</p><p>Paper II: Halldirsdottir, S. &amp; Hamrin, E. 1997. Caring and uncaring encounters'vvithin nursing and health care: From the cancer patient's perspective. <em>Cancer Nursing</em> April, 20(2):120-128.</p><p>Paper III: Halldirsdottir, S. &amp; Hamrin, E. 1996b. Experiencing existentialchanges: The lived experience ofhaving cancer. <em>Cancer Nursing</em>, 19(1), 29-36.</p><p>Paper IV: Halldirsdottir, S. &amp; Karlsd6ttir, S.I. 1996a. Empowerment ordiscouragement: Women's experience of caring and uncaring encounters during childbirth. <em>Health Care for Women lnternational</em>, 17( 4).</p><p>Paper V: Halldirsdottir, S. &amp; Karlsdottir, S.I. i 996b. Journeying through labourand delivery: Perceptions of women who have given birth. <em>Midwifery</em> 12(2).</p><p>Paper VI: Halldirsdottir, S. 1996a. The lived experience of health: Aphenomenological case study. (on the day of the defence date the status of this article was <em>Submitted</em>. <strong>Published later:</strong> Halldorsdottir, S. 2000. Feeling empowered: A phenomenological case study of the lived experience of health.  In B. Fridlund and C. Hildingh (eds),  <em>Qualitative methods in the service of health </em>(pp. 82-96).  Lund: Studentlitteratur.</p>

Diss. (sammanfattning) Umeå : Univ., 2008. / Härtill 5 uppsatser.

Thesis (Dr. P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 1992. / Typescript. Includes bibliographical references (leaves 112-117).

Thesis (M.S.)--University of Michigan, 1985. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Michigan, 1985. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph.D.) -- McMaster University, 2001. / Includes bibliographical references (leaves 197-209). Also available via World Wide Web.

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;