During the past decade, nurses in the clinical setting have began making a paradigm shift from Quality Assurance to Total Quality Management, or as it is commonly referred to within health care facililties, Continuous Quality Improvement.In contrast, scant attention has been paid to quality management practices in nursing in the higher education sector. This study provides an applied example of where it investigates quality management practices in the context of organisational culture and human resource management with the aim of developing a quality culture model for a school of nursing in higher education.The research study that was conducted produced several major findings from the views of nurse academics who participated in it. Several issues associated with nurse academics' opinions of quality management practices utilised in schools of nursing have been unravelled.The fundamental issue is that procedures and policies formulated for nurses in the hospital setting do not serve the needs of nursing education.The most crucial factor to be considered in policy developments and future research is that it needs to be contextualised in the culture of nursing in higher education.It has become imperative that a transparent quality culture reflects contemporary nursing in Australia and the proposed model in this thesis provides nurses with an opportunity to shape a quality system for the nursing profession. / Doctor of Philosophy (PhD)

Thesis (M.S.)--Medical College of Ohio, 2004. / "In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Debra Buchman. Includes abstract. Document formatted into pages: ix, 112 p. Title from title page of PDF document. Bibliography: pages 91-97.

Thesis (Ph. D.)--University of Massachusetts Worcester and University of Massachusetts Amherst, 2002. / Title from opening page (viewed Oct. 10, 2007). "February 2002, Collaborative PhD in Nursing Program, Worcester and Amherst." Includes bibliographical references (p. 86-97).

Orientadores: Aloisio Jose Bedone, Maria Helena Baena de Moraes Lopes / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-13T02:24:07Z (GMT). No. of bitstreams: 1 Reis_MariaJosedos_M.pdf: 2056405 bytes, checksum: f7013d96992d70a949827a536179cc21 (MD5) Previous issue date: 2008 / Resumo: O objetivo deste estudo foi descrever algumas características do atendimento prestado pelo (a) enfermeiro (a) no Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas (Caism/UNICAMP), às mulheres que sofreram violência sexual e as vivências presentes na fala destes profissionais no desenvolvimento desta atividade. Foi realizado um estudo descritivo e retrospectivo para descrever as caracteristicas do atendimento prestado pelo (a) enfermeiro (a), e a metodologia clinico-qualitativa para identificar as suas vivências. Foram analisados prontuários de atendimentos realizados no período de junho de 2006 a maio de 2007 e calculadas as freqüências absolutas e relativas das variáveis. Para comparar o atendimento entre o período diurno e o noturno foi utilizando o teste qui-quadrado ou exato de Fisher. Junto aos (às) enfermeiros (as), usou-se a técnica da entrevista semidirigida de questões abertas e o tamanho da amostra foi estabelecido pelo critério de saturação das informações colhidas. Para análise, utilizou-se a técnica da Análise Qualitativa de Conteúdo e construtos da psicologia da saúde. Foram analisados 146 prontuários que correspondiam a 84,9% dos atendimentos realizados. A maioria dos atendimentos ocorreu no período diurno e os instrumentos foram preenchidos completamente. Houve coerência das intervenções com os diagnósticos de enfermagem e problemas colaborativos identificados e a maioria das mulheres referiu que receberam as orientações de acordo com o protocolo do Programa. O tempo de consulta de enfermagem foi maior no período noturno e as mulheres atendidas neste período mais freqüentemente conheciam os riscos de saúde; faziam uso dos medicamentos ARV em horários adequados às suas atividades diárias e estavam mais orientadas quanto à finalidade das sorologias para DST e HIV. Foram entrevistados(as) seis enfermeiros(as) e após várias leituras do corpus das entrevistas, elegeram-se quatro categorias: a) o que pensam b) o que sentem, c) como agem e d) como reagem. Os(as) enfermeiros(as) consideram que o acolhimento é um fator fundamental para uma assistência humanizada e individualizada e no estabelecimento de vínculo, realizar esse atendimento aflora sentimentos diversos, de acordo com vivência pessoal e profissional de cada indivíduo e demonstram diversos tipos de reação. Concluiu-se que o atendimento de enfermagem é adequado, aderente ao protocolo do serviço, sendo alguns indicadores melhores no plantão noturno. Os profissionais entrevistados apresentaram diferentes sentimentos; ao mesmo tempo em que aparece o desejo de fugir do atendimento ocorre a vontade de dar o melhor de si e a utilização de mecanismos internos no sentido de minimizar a dor e o sofrimento / Abstract: The objective of this study was to describe some characteristics presented by nurses at the Center for Integral Attention to Women's Health of the University of Campinas (CAISM/UNICAMP) regarding the nursing care to women with sexual assault history, as well as to interpret the nurses' experiences while developing their activities. Using the clinical-qualitative methodology, a retrospective and descriptive study was carried out to evaluate the care provided by the nurses, identifying their experiences. Medical records from June 2006 to May 2007 and the absolute and relative frequencies of variables were estimated. In order to compare the care between the daytime and nighttime periods, the Chi-square or Fisher's exact test was used. In order to assess the nurses' speech, the semi-directed interview technique was used, the sample size was established by the saturation criterion of information, and the qualitative content analysis technique and the health construct psychology were used. One-hundred and forty-six medical records were analyzed, corresponding to 84.9% of the consultations conducted. The data showed that the majority of assistance care occurred during the day and the instruments were completely filled. There was consistency among interventions nursing diagnoses and the collaborative problems identified; most women reported receiving the guidelines in accordance with the program protocol. The time for nursing consultation was higher during the night period, and the women assisted during this period most often knew the health risks arising from sexual assault, used ARV drugs at times appropriate to their daily activities, and were more focused on the purpose of STD and HIV serology. The six nurses were interviewed and, after several readings, divided into four categories: a) what they think, b) what they feel, c) how to act end react as nurses. The nurses believe that the humanized and individualized assistance and the establishment of ties are crucial factors. This type of assistance arise different feelings and reactions, in accordance with the professional experience of each nurse. It was concluded that the nursing care is adequate, consistent with the service protocol, and the night nursing group presented the best indicators. The professionals interviewed showed different feelings; the desire to escape from the assistance appears along with the need to make the best, and to use internal mechanisms to minimize their pain and suffering / Mestrado / Tocoginecologia / Mestre em Tocoginecologia

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A identificaÃÃo dos principais diagnÃsticos de enfermagem presentes nos pacientes com Angina InstÃvel contribui para o conhecimento do perfil de respostas humanas destes pacientes, colaborando para o planejamento de intervenÃÃes mais adequadas, viabilizando a sistematizaÃÃo da assistÃncia de enfermagem. O objetivo deste estudo foi analisar o perfil de diagnÃsticos de enfermagem apresentado por pessoas com Angina InstÃvel internadas em um hospital especializado em doenÃas cardÃacas. A populaÃÃo foi composta pelos clientes portadores do diagnÃstico de Angina InstÃvel, sob atendimento nesse hospital. Trata-se de estudo descritivo do tipo transversal, com abordagem de anÃlise quantitativa. Foram avaliados 57 pacientes com Angina InstÃvel, no perÃodo de janeiro a outubro de 2006. O instrumento de coleta foi um formulÃrio preenchido durante entrevista e exame fÃsico. Estes pacientes sÃo predominantemente do sexo masculino, com mÃdia de idade de 61 anos, sem companheiro, originÃrios do interior do estado do Cearà e procedentes da capital do estado. TÃm renda familiar prÃxima a 650 reais, tendo estudado por volta de quatro anos, pertencentes à religiÃo catÃlica e a maioria està aposentada. O tempo de internamento desses pacientes atà a coleta dos dados foi de, em mÃdia, cinco dias e estavam, em sua maioria, no primeiro episÃdio de Angina InstÃvel. Verificamos que as principais caracterÃsticas clÃnicas de base foram: HipertensÃo Arterial, Fumo, Cateterismo cardÃaco anterior e Menopausa. A mÃdia da RelaÃÃo Cintura-Quadril desses indivÃduos estava dentro do risco considerado alto, independente do sexo e da idade e a maior parte dos pacientes estava acima do peso ideal para a altura e a compleiÃÃo corporal. Constatamos que esses pacientes apresentavam em mÃdia, cinco diagnÃsticos de enfermagem, doze caracterÃsticas definidoras, quatro fatores relacionados, e sete fatores de risco. Examinamos que os diagnÃsticos de enfermagem mais freqÃentes eram decorrentes do quadro anginoso ou favoreciam seu surgimento, sendo o diagnÃstico de Risco de quedas o mais presente. Os fatores relacionados mais presentes eram relacionados aos diagnÃsticos de Dor aguda, IntolerÃncia à atividade, PadrÃo de sono perturbado e Estilo de vida sedentÃrio. Neste estudo tivemos a oportunidade de identificar aspectos do cuidado ao paciente anginoso possÃveis de serem aprimorados, por meio da anÃlise dos diagnÃsticos de enfermagem. Isso pode contribuir para conscientizar e incentivar a enfermagem na execuÃÃo de mais estudos cientÃficos nÃo sà com relaÃÃo à Angina InstÃvel, mas tambÃm alusivos a outras doenÃas isquÃmicas miocÃrdicas, alÃm de nortear a assistÃncia de enfermagem à populaÃÃo.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-05-12T13:16:58Z No. of bitstreams: 1 Priscila Garpelli Pássaro.pdf: 2943909 bytes, checksum: b167bb6c81a304736df42a762296232f (MD5) / Made available in DSpace on 2017-05-12T13:16:58Z (GMT). No. of bitstreams: 1 Priscila Garpelli Pássaro.pdf: 2943909 bytes, checksum: b167bb6c81a304736df42a762296232f (MD5) Previous issue date: 2017-05-04 / Introduction: The evolution of patient care should include the complete knowledge about the Adverse Events (AD) of a given procedure. In hemodialysis units there are risk factors that increase the chances of some type of AE occurring, which is why it is important that they are properly identified and recorded. Hemodialysis technicians, who have direct contact with patients in hemodialysis units, should be instructed to recognize and classify AE, in addition to understanding the importance of proper recording. Objectives: 1. Elaborate indicators and mechanisms for the registration of adverse events in hemodialysis patients. 2. To construct an educational program aimed at the training of nursing technicians (students), which allows the understanding of adverse events and aims to adapt the data records. 3. Evaluate the learning before and after the knowledge. Methodology: This was a prospective, longitudinal, descriptive, interventional and quantitative study that was performed at the Dialysis and Renal Transplant Center (CDTR) of Santa Lucinda Hospital, PUC-SP. A table was created for data collection and EA recording during hemodialysis sessions. Any clinical change presented by the patient in a hemodialysis session was considered as an AD. The presentation table and the understanding of the EA and its registration were made through a course, for which a mixed methodology was used, both face-to-face and online, using the Moodle platform for this purpose. In addition to the course itself, individual problems were constructed for each nursing technician, who described the occurrence of AD during the hemodialysis session. The filling in of the EA record models based on these cases served to evaluate online the knowledge of nursing technicians before and after the course. A satisfaction survey of the technicians participating in the course was also made. Results: Of the 16 participating nursing technicians, 9 were female (56%), their mean age was 39 ± 8.9 years and the mean time of experience in the hemodialysis sector was 10 ± 5.9 years. The total number of accesses of the participants to the course through the Moodle platform was 825, with the average access per student, 51.6 ± 21.7 times. In the initial test, the mean score was 3.7 ± 0.3 points and in the final assessment, after the course and using the same pre-course problem, 4.2 ± 0.3 points (p = 0.00002). In the assessment after the course, a different case was also offered than had been answered in the pre-course by each of the students. The mean of these evaluations was similar (4.3 ± 0.3 points, p = 0.26). Satisfaction survey of course participants showed that all students approved the course. Conclusion: The assessment of students before and after a course of presentation of a table developed to improve records of adverse events during hemodialysis showed that students had a low level of understanding of these facts before the course; There was a statistically significant improvement in the evaluation after the course; The students showed a homogeneous behavior in the evaluations; The course provoked interest of the students, and the number of accesses to the course was high / Introdução: A evolução do cuidado ao paciente deve incluir o completo conhecimento sobre os Eventos Adversos (EA) de determinado procedimento. Nas unidades de hemodiálise existem fatores de risco que aumentam as chances de ocorrer algum tipo de EA, motivo pelo qual é importante que eles sejam devidamente identificados e registrados. Os técnicos de hemodiálise, que exercem o contato direto com os pacientes nas unidades de hemodiálise, devem ser orientados a reconhecer e classificar os EA, além de entender a importância de seu adequado registro. Objetivos: 1. Elaborar indicadores e mecanismos para os registros dos eventos adversos em pacientes em hemodiálise. 2. Construir um programa educacional voltado para a capacitação dos técnicos de enfermagem (alunos), que possibilite a compreensão dos eventos adversos e que vise adequar os registros de dados 3. Avaliar a aprendizagem antes e após o conhecimento. Metodologia: Tratou-se de um estudo prospectivo, longitudinal, descritivo, intervencionista e com enfoque quantitativo, que foi realizado no Centro de Diálise e Transplante Renal (CDTR) do Hospital Santa Lucinda da PUC-SP. Foi criada uma tabela para a coleta de dados e registro de EA durante as sessões de hemodiálise. Foram considerados EA qualquer alteração clínica apresentada pelo paciente em uma sessão de hemodiálise. A apresentação da tabela e o entendimento do EA e de seu registro foram feitos através de um curso, para o qual se empregou metodologia mista, presencial e online, utilizando-se para essa finalidade, a plataforma Moodle. Além do curso em si, foram construídas situações de problemas individuais para cada técnico de enfermagem, que descreviam a ocorrência de EA durante a sessão de hemodiálise. O preenchimento dos modelos de registro dos EA baseados nesses casos serviu para avaliação comparativa, online, do conhecimento dos técnicos de enfermagem antes e após o curso. Foi feita ainda uma pesquisa de satisfação dos técnicos participantes do curso. Resultados: Dos 16 técnicos de enfermagem participantes, 9 eram do sexo feminino (56%), sua idade média era de 39± 8,9 anos e a média do tempo de experiência no setor de hemodiálise foi de 10±5,9 anos.O número total de acessos dos participantes ao curso através da plataforma Moodle foi de 825, sendo a média de acesso por aluno, 51,6±21,7 vezes. No teste inicial, a nota média foi 3,7±0,3 pontos e na avaliação final, feita após o curso e utilizando o mesmo problema do pré curso, 4,2± 0,3pontos (p=0,00002). Na avaliação após o curso, também foi oferecido um caso diferente do que havia sido respondido no pré curso por cada um dos alunos. A média dessas avaliações foi semelhante (4,3±0,3 pontos, p=0,26). A pesquisa de satisfação dos participantes do curso mostrou que todos os alunos aprovaram o curso. Conclusão: A avaliação de alunos antes e após um curso de apresentação de uma tabela desenvolvida para melhorar os registros de eventos adversos durante as hemodiálises mostrou que os alunos tinham um baixo nível de compreensão desses fatos antes do curso; houve uma melhora estatisticamente significante na avaliação após o curso; os alunos mostraram um comportamento homogêneo nas avaliações; o curso provocou interesse dos alunos, e o número de acessos ao curso foi elevado

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

M.Cur. / The purpose of the research study is to describe guidelines to counteract unethical behaviour in homes for the aged by auxiliary nurses and care workers. The objectives are to explore and describe the factors related to the unethical behaviour in homes for the aged by auxiliary nurses and care workers by: Exploring and describing the perceptions of the auxiliary nurses and care workers relating to unethical behaviour of auxiliary nurses and care workers in homes for the aged; and Exploring and describing the perceptions of the registered nurses relating to unethical behaviour of auxiliary nurses and care workers in homes for the aged. The point of departure for the research was an uncovering of abuse in homes for the aged by M-Net's Carte Blanche team and the observations of the researcher over a long period of time

This study uses a descriptive survey design to describe and examine the relationship among school nurses’ level of education, years of experience, knowledge of asthma and identification of the school nurse’s level of proficiency based on Benner’s (1984) model of Novice to Expert. A convenience sample of school nurses employed in public schools within the state of Massachusetts with an RN degree (registered nurse) were sampled. The demographic data revealed that of the 325 participants who participated in the study, the majority of school nurses were female ranging in age from 40 to 50 (M=47.0). The majority of nurses had a bachelor’s degree in nursing and were employed in the nursing profession on an average of twenty-two years and in school nursing for ten years. Since the majority of the school nurses did not have a master’s degree, they were not certified by a national certifying body. The majority of participants indicated that they had received certification through the Board of Education in Massachusetts. Most school nurses worked full time in a public school and were responsible for between six hundred and a thousand students. The majority of nurses indicated that they did not have a school-based clinic on site, nor did they have a school-based health center or clinic to refer students. There was little variability among sample characteristics with school nurses employed in Massachusetts being a fairly homogenous group. Those surveyed were sent a packet containing four questionnaires including one on demographics, as well as an asthma questionnaire, a questionnaire assessing chronic health problems in the schools, and a self-reporting questionnaire based on Benner’s (1984) model. Further results of this study revealed that the majority of the school nurses had an average to above average knowledge of asthma. The three most common interventions performed by school nurses as well as non medical personnel for those students with chronic illness are nebulizations, inhalers, and peak flow meters. Based on the self-report model of Benner’s (1984), these same nurses viewed themselves as expert in their level of practice. Mezirow’s Adult Learning Theory as well as Benner’s (1984) model of Novice to Expert were used to support the nurses level of practice based on experience, intuition and a constellation of meaning schemes developed from previous exemplars. Results of the study indicated that although the nurses surveyed were expert in their knowledge of basic nursing concepts, none had advanced practice level courses in advanced health assessment or clinical decision making in order to effectively manage the complexities of chronic illness such as ADHD, diabetes, and epilepsy, as well as asthma, the most common chronic illness in schools today.

Thesis (MPhil)--Stellenbosch University, 2012. / Includes bibliography / ENGLISH ABSTRACT: In the private health care sector the demand for skilled registered nurses as shift leaders exceeds the supply. The shift leader of each shift plays an important and essential role in the nursing unit. The Management and Leadership Fundamental (MLF) programme has been developed to provide, equip and empower registered nurses with the best skills, knowledge and attitudes to lead a shift with confidence. The aim of this study was to investigate and evaluate the facilitation and mentoring experiences of the registered nurses as learners who completed the MLF programme successfully. A qualitative methodology was used to address the research questions of the discussion guide in the real life situation. The discussion guide consisted of four sections: section one focused on facilitation, section two on mentoring, section three on management, and the focal point of the fourth section was on the MLF programme. The data were collected by means of structured interviews conducted with 14 registered nurses as learners who had completed the MLF programme. The data were analysed by doing verbatim transcriptions of the interviews, using coding and an Excel spreadsheet analysis. The results revealed that facilitation and mentoring can contribute significantly to the success of the MLF programme. / AFRIKAANSE OPSOMMING: Die aanvraag na bevoegde geregistreerde verpleegkundiges as skofleiers in privaat hospitale oorskrei die aanbod. Die skofleier in die verpleegeenheid vervul ’n belangrike en essentiële rol tydens die skof sodat kwaliteit produktiewe gehalte sorg aan pasiente gelwer kan word. Die ‘Management and Leadership Fundamental (MLF)’ program is ontwikkel om die geregistreerde vepleegkundige as skofleier toe te rus met die nodige kennis, vaardighede en ingesteldheid om met vertroue ‘n skof te kan lei. Hierdie navorsing ondersoek en evalueer die geregistreerde verpleegkundige as leerder se ervarings van fasilitering en mentorskap tydens die MLF program wat hul suksesvol voltooi het. Kwalitatiewe navorsing is gebruik om die navorsingsvrae in die werklike situasie te ondersoek. ‘n Besprekingsgids is ontwerp met navorsingsvrae in vier afdelings: afdeling een se fokus was op fasilitering, afdeling twee het gefokus op mentorskap, afdeling drie het gefokus op bestuur en afdeling vier se fokus was op die MLF program self. Die data is versamel met behulp van gestruktureerde onderhoude wat gevoer is met 14 geregistreerde verpleegkundiges as leerders wat die MLF program suksesvol voltooi het. Die data analise het bestaan uit verbatim getranskribeerde onderhoude, die kodering daarvan asook ‘n gerekordeerde Excel ontledingstaat. Die resultate van die ondesoek het aangetoon dat fasilitering en mentorskap ‘n betekenisvolle bydrae kan lewer tot die sukses van die MLF program.