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An epistemological study of the power of women as nurses : a phenomenological approach.Van der Merwe, Anita Serdyn. January 1996 (has links)
Aim: The aim of the study was to do an epistemological analysis of the power of women as nurses working in one of the larger and more deprived regions of South Africa, namely KwaZulu-Natal. This research was based on the premises of the Standpoint theory. Concurrent to the collection of data, a literature review and a concept analysis of power, powerfulness, powerlessness and empowerment were done and incorporated where applicable in the final theoretical framework. Methodology: A phenomenological approach was used. This incorporated two to three in depth interviews with each participant, lasting an average of thirty minutes each, was used. Women, relating to the gender factor, as nurses were also marginalised in terms of class, as they belonged to the enrolled category of nurses, and race, being African. A fourth selection criterium was added to analyse the reality of locality, called rurality. The researcher applied the principle of theoretical saturation and a total number of nine women, who belonged to the enrolled category of nurses and who worked in a distinct rural health care setting, were interviewed. A second group consisting of five women enrolled nurses and working in an urban setting were interviewed, as were a third relatively contrasting group of four women registered nurses. All forty four interviews were audio taped and transcribed, and a qualitative
software package called NUD*IST was used to identify and refine experiential themes. Findings: The relationship between power and rights was often layered in contradiction during the interviews and the participants portrayed a picture of being oppressed or marginalised and powerless. The women as nurses belonging to the enrolled category were alienated as women and as nurses in terms of being severed from the nursing profession and from the ruling gender of men, of being lost in an ever present routinization of activities, of being misused,
maternalised and domesticated at home and at work. These phenomena were quantitatively more voiced by the rural group of women and these participants strongly emphasized the limiting influence of their prescribed scope of practice, the approach of the senior category of nurses and they conveyed a traditionalist and altruistic view of nursing and nurses. The women as registered nurses created their own freedom often away from their men as in divorce. They also sought for solutions concerning powerlessness in more global and distant terms, for example in relation to cultural practices. They communicated a sense of empowerment in terms of for example education, personal qualities and increased job satisfaction. Culture rather than race was emphasized as an essence of womens' oppression. An epistemological framework of the power of women as nurses developed by the researcher constructed the totality of empowerment in terms of fifteen
transformational and hierarchial actions incorporating and adapting Dooyeweerd's theory of modalities and the surfaces of class (categorial
divide), gender (the eternal carer), race (culture) and locality (rurality). These actions and reformulated concepts could be used for the development of specific strategies to facilitate the empowerment of individuals, groups and communities of women as nurses and nurses as women. Further collaborative research into the phenomenon of power, a reconceptualization of nursing education and levels of expertise and hierarchies within nursing were some of the suggestions for the way forward. / Thesis (Ph.D.)-University of Natal, Durban, 1996.
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An exploration into mystical experience in the context of health careWitte, Alison Schell 30 June 2007 (has links)
In this qualitative phenomenological study, the researcher interviewed 18 hospitalised patients and community members in rural Appalachia to learn about their mystical experiences in the context of health care. A loosely structured interview format addressed factors that initiate mystical experience and essential qualities of mystical experience. In addition, the researcher examined the nursing process, focusing on assessments and actions which supported the participants in sharing their experiences. The researcher also considered her response to being the recipient of these shared experiences. Data were analysed using the crystallisation/immersion method and concept mapping. Mystical experience was conceptualised as a process incorporating initiation, occurrence, maturation, and integration of mystical experience. Essential aspects of the mystical experience itself were found to include sensory-motor perception, interaction with the supernatural, interaction with dead and living members of the family, conviction of reality, cognition, dynamic tension and emotional intensity. Nursing actions which supported the participant included listening and support. The researcher's response to the participants' sharing their experiences included tension, intimacy and empathy, sense of awe and autonomic responses. In addition, the researcher developed an appreciation of the mystical in everyday experience. / Health Studies / D. Litt. et Phil. (Health Studies)
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Experiences of people living with epilepsy presenting for treatment at Umlazi ClinicShabangu, Ntombizakithi Yvette Thandeka 28 May 2014 (has links)
Submitted in fulfilment of the requirements for the Degree in Masters of Technology: Nursing, Durban University of Technology, 2013. / Epilepsy is one of the world’s most common neurological disorders of the brain. It is a condition that affects individuals in most countries worldwide. However, there is still stigma attached to epilepsy, and the condition is often misunderstood. However, there are people who understand the condition and the care that PWE need.
Aim of the study : The aim of the study was to describe the lived experiences of people with epilepsy.
Methodology : A descriptive phenomenological methodology was used. This study is guided by Parse’s Theory of Human Becoming. In-depth interviews were conducted with eight participants. The main research question that was asked in this study was: What are experiences of people living with epilepsy?
Results : The findings of this study revealed that people with epilepsy still face challenges unique to their lifestyles. The lack of knowledge among communities has led to negative experiences of people with epilepsy. Family members often provide support to people with epilepsy; especially female partners support their husbands.
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Orem se teorie toegepas in die gemeenskapgesondheidpraktyk / Orem's theory applied in the community health practiceEsterhuysen, Anna Elizabeth Carolina 11 1900 (has links)
Summaries in Afrikaans and English / Die doelwitte van hierdie studie is om een van die
teoriee wat by opleidingsinstellings gedoseer word, in
die gemeenskapgesondheidpraktyk op tienergesinne toe
te pas en om 'n strategie te ontwikkel wat sodanige
toepassing vir verpleegkundiges aanvaarbaar maak.
Orem se selfsorgtekortteorie is gevolglik op
gevallestudies by 'n Gemeenskapgesondheidskliniek van
'n stadsgesondheidsafdeling toegepas.
Persoonlike onderhoudvoering is as navorsingstegniek
gebruik om probleme te identif iseer, behoeftes te
bepaal en selfsorgtekorte aan te spreek. Data is
gemeet aan die hand van UNICEF se GOBI FFFF en die PKK
se vyf konsepte, die verpleegproses en OREM SE
KONSTRUKTE.
Evaluasie toon dat Orem se selfsorgteorie 'n
instrument bied om selfsorgvermoens te evalueer, die
verpleegkundige te rig om tekorte te identifiseer en
verpleegsorg te beplan sodat interdissiplinere
konsultasie verminder en professionele
verpleegkundiges beter aangewend word, hulpbronne en
fasiliteite maksimaal benut word en elke indiwidu as
selfsorgagent ontwikkel word. / The objective of this study is to apply one of the
theories taught at training institutions to teenage
families in the community health practice and to
develop a strategy to make such application acceptable
to nurses.
Orem' s self-care deficiency theory was consequently
applied to case studies at a community clinic of a
Municipal Health Department.
Personal interviews were mainly used as research
technique to identify problems, determine needs and
address self-care deficiencies. Data was evaluated
according to UNICEF' s GOBI FFFF, the "PKK" 's five
concepts, the nursing process and OREM's Constructs.
Evaluation has proved that Orem' s theory offers an
instrument to evaluate self-care abilities and guide
the nurse in identifying deficiencies and planning
nursing care in order to reduce multidisciplinary
consultation, which results in professional nurses
being employed appropriately, resources being utilised
to the maximum and each individual developing into a
complete self-care agent. / Health Studies / M.A. (Verpleegkunde)
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Identifying descriptions of quality nursing care shared by nurse and patient in the acute care hospital environmentUnknown Date (has links)
Nursing care is considered a primary predictor of patient assessment of the overall
hospital experience. Yet, quality nursing care remains difficult to define. Limited
research about nurse or patient perspectives on what constitutes quality nursing care in
hospital settings prevents the identification of a shared description or insight into their
possible interrelationship. Research about nurse and patient descriptions is needed to
establish behaviors, attributes, and activities associated with quality nursing care to
improve the health and well-being of hospitalized patients. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection
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Transition experiences of the chronically ill adolescentUnknown Date (has links)
The continued development of the American health care system and evolving
technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White,
2002). The main objective of this study was to explore the healthcare transition (HCT)
practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im,
Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and
Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system.
Recommendations for healthcare providers that work with chronically ill young
adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2014. / FAU Electronic Theses and Dissertations Collection
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Orem se teorie toegepas in die gemeenskapgesondheidpraktyk / Orem's theory applied in the community health practiceEsterhuysen, Anna Elizabeth Carolina 11 1900 (has links)
Summaries in Afrikaans and English / Die doelwitte van hierdie studie is om een van die
teoriee wat by opleidingsinstellings gedoseer word, in
die gemeenskapgesondheidpraktyk op tienergesinne toe
te pas en om 'n strategie te ontwikkel wat sodanige
toepassing vir verpleegkundiges aanvaarbaar maak.
Orem se selfsorgtekortteorie is gevolglik op
gevallestudies by 'n Gemeenskapgesondheidskliniek van
'n stadsgesondheidsafdeling toegepas.
Persoonlike onderhoudvoering is as navorsingstegniek
gebruik om probleme te identif iseer, behoeftes te
bepaal en selfsorgtekorte aan te spreek. Data is
gemeet aan die hand van UNICEF se GOBI FFFF en die PKK
se vyf konsepte, die verpleegproses en OREM SE
KONSTRUKTE.
Evaluasie toon dat Orem se selfsorgteorie 'n
instrument bied om selfsorgvermoens te evalueer, die
verpleegkundige te rig om tekorte te identifiseer en
verpleegsorg te beplan sodat interdissiplinere
konsultasie verminder en professionele
verpleegkundiges beter aangewend word, hulpbronne en
fasiliteite maksimaal benut word en elke indiwidu as
selfsorgagent ontwikkel word. / The objective of this study is to apply one of the
theories taught at training institutions to teenage
families in the community health practice and to
develop a strategy to make such application acceptable
to nurses.
Orem' s self-care deficiency theory was consequently
applied to case studies at a community clinic of a
Municipal Health Department.
Personal interviews were mainly used as research
technique to identify problems, determine needs and
address self-care deficiencies. Data was evaluated
according to UNICEF' s GOBI FFFF, the "PKK" 's five
concepts, the nursing process and OREM's Constructs.
Evaluation has proved that Orem' s theory offers an
instrument to evaluate self-care abilities and guide
the nurse in identifying deficiencies and planning
nursing care in order to reduce multidisciplinary
consultation, which results in professional nurses
being employed appropriately, resources being utilised
to the maximum and each individual developing into a
complete self-care agent. / Health Studies / M.A. (Verpleegkunde)
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Spirituality and spiritual care amongst professional nurses at public hospitals in KwaZulu-NatalChandramohan, Sandhya 24 July 2014 (has links)
Submitted in fulfilment of requirements for the Degree of Masters in Technology: Nursing, Durban University of Technology, 2013. / Introduction : Empirical research pertaining to spirituality has grown in the Western context, with a myriad studies, that have documented the salience of spirituality to health and wellbeing in relation to a range of issues such as HIV/AIDS, cancer and heart disease (Koenig et al. 2001:1189). It is against this backdrop that nursing scholars have begun to research the role of spirituality and spiritual care in nursing practice, in the Euro-American context. In South Africa research in this field is sparse, hence prompting the need for the current study.
Problem statement : There is a huge gap in the South African nursing literature on spirituality and spiritual care, grounding the need for research in this area. Internationally however studies have grown focussing on the views of practitioners and faculty with regard to spirituality and spiritual care in nursing practice.
Objectives : To explore the views of nurses at public hospitals in KwaZulu-Natal regarding the role of spirituality and spiritual care in nursing practice. To investigate nursing practitioners’ views on the salience of spirituality to patients. To investigate whether nurses utilize spiritually based activities in nursing. To investigate whether current nursing education and training has prepared nurses for spiritual care.
Methodology : The study utilized a descriptive survey utilizing a cross-sectional design. A quantitative research design was utilized to survey nursing practitioners at selected public hospitals through a process of multiphase random sampling. Data was collected using survey questionnaires.
Findings : Findings of this study have shown that nurses do accept spirituality and spiritual care as being part of their role. Participants (n=385) acknowledged that spiritual care is a component of holistic patient care. This aspect of care, they agreed, lacks the attention it seriously needs. In addition, majority of nurses considered nursing to be part of their spiritual path. Results indicated that the more spiritual nurses viewed themselves, the more positive their perspectives were towards providing spiritual care.
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Critical reflective practice : conceptual exploration and model constructionVan Aswegen, Elsie Johanna 06 1900 (has links)
Although it is relatively easy to study and learn about a practice discipline in the safe
environment of an academic institution, it is far more complex to make sense of what
has been learned when faced with the real world of practice. Practitioners need to
think on their feet and have to find new ways of managing complex problems which
do not fit directly into the theoretical frameworks learned in a more formal setting.
Knowledge of what the various disciplines say is not in itself sufficient, experiential
knowledge is necessary.
The key to learning in the experiential domain is critical reflective practice and
emancipatory learning, which empower practitioners to explicate their implicit
theories. If autonomy is the goal of professional education, the key is to help adult
learners to distance themselves from their own values and beliefs in order to entertain
more abstract modes of perception.
The purpose of this inquiry was therefore, to construct a model for facilitation of
critical reflective practice, based on thorough analysis of the main concepts (critical
thinking and reflection), related viewpoints, models and theories; and the data
gathered and analyzed during, the naturalistic inquiry. The inquirer sought to.
develop each participant through Socratic & Learning Through Discussion
(Dialogical) Technique, Critical Incident Reporting and participation in Critical
Reflective Exercises.
The constructed model for facilitation of critical reflective practice evolved from
empirical observations, intuitive insights of the inquirer and from deductions
combining ideas from several fields of inquiry. The model for facilitation of critical
reflective practice postulates that practitioners have the inherent potential to change
from auto-pilot practice to critical reflective practice. The purpose of the model is
the facilitation of heightened awareness of the self, to enable health care professionals
to consciously meet community needs and expectations. The desired outcome is
transformative intellectuals who will strive to empower others to become critical
reflective learners and practitioners. / Health Studies / D.Litt. et Phil. (Nursing Science)
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Critical reflective practice : conceptual exploration and model constructionVan Aswegen, Elsie Johanna 06 1900 (has links)
Although it is relatively easy to study and learn about a practice discipline in the safe
environment of an academic institution, it is far more complex to make sense of what
has been learned when faced with the real world of practice. Practitioners need to
think on their feet and have to find new ways of managing complex problems which
do not fit directly into the theoretical frameworks learned in a more formal setting.
Knowledge of what the various disciplines say is not in itself sufficient, experiential
knowledge is necessary.
The key to learning in the experiential domain is critical reflective practice and
emancipatory learning, which empower practitioners to explicate their implicit
theories. If autonomy is the goal of professional education, the key is to help adult
learners to distance themselves from their own values and beliefs in order to entertain
more abstract modes of perception.
The purpose of this inquiry was therefore, to construct a model for facilitation of
critical reflective practice, based on thorough analysis of the main concepts (critical
thinking and reflection), related viewpoints, models and theories; and the data
gathered and analyzed during, the naturalistic inquiry. The inquirer sought to.
develop each participant through Socratic & Learning Through Discussion
(Dialogical) Technique, Critical Incident Reporting and participation in Critical
Reflective Exercises.
The constructed model for facilitation of critical reflective practice evolved from
empirical observations, intuitive insights of the inquirer and from deductions
combining ideas from several fields of inquiry. The model for facilitation of critical
reflective practice postulates that practitioners have the inherent potential to change
from auto-pilot practice to critical reflective practice. The purpose of the model is
the facilitation of heightened awareness of the self, to enable health care professionals
to consciously meet community needs and expectations. The desired outcome is
transformative intellectuals who will strive to empower others to become critical
reflective learners and practitioners. / Health Studies / D.Litt. et Phil. (Nursing Science)
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