M.Cur. / Please refer to full text to view abstract

This study explores the development and rigorous testing of a new self-concept instrument designed specifically for nurses for use in a longitudinal, multicohort study on self-concept, job satisfaction and retention in nursing.The outcomes of this study are that nurses' self-concept can now be measured by a new theoretically and empirically substantiated multidimensional instrument. This will provide potential new directions for nursing research on which to build specific self-concept enhancement and retention strategies. The transitional period of student to graduate nurse can be the subject of ongoing assessment by utilising the new self-concept instrument in conjunction with a valid measure of nurses' job satisfaction. The findings of this study have raised an awareness of the importance of self-concept in the retention challenge for all nurses and in particular the newly registered graduate nurse / Doctor of Philosophy (PhD)

Thesis (Ph. D.)--University of Virginia, 2006. / Includes bibliographical references. Also available online through Digital Dissertations.

Syfte: Studiens syfte var att jämföra en ny extubationsalgoritm med sedvanligtextubationsförfarande. Gruppen som studerades var patienter som genomgått en HIPEC-operationoch vårdats på Centrala intensivvårdsavdelningen. Metod: I En randomiserad kontrollerad klinisk pilotstudie randomiserades patienterna till en av tvågrupper. Därefter extuberades patienten enligt en studiealgoritm eller post-operativ standard. Resultat: Syresättningen var väsentligen oförändrad för studiegruppen (37,5 kPa till 36,6 kPa)medan den sjönk för kontrollgruppen (50,1 kPa till 40,6 kPa) vid jämförelse mellan 10 minuter efterankomst och 15 minuter efter extubation. Efter 13 till 18 timmars kontroll strax innan patienternalämnade intensivvårdsavdelningen var syresättningen på samma nivå som 15 minuter efterextubation för både studiegruppen och kontrollgrupp. Således kvarstod en försämrad syresättninghos kontrollgruppen vid utskrivning jämfört med 10 minuter efter ankomst. Slutsats: Studien visar att det skulle kunna vara fördelaktigt att extubera patienter enligt denstudiealgoritm som testats jämfört med dagens kliniska standard. Genom att fokusera på hur och ejnär extubationen ska ske är förhoppningen att denna studie kan bidra till att förbättra en procedursom i princip saknar konsensus. Mer forskning krävs för att kunna dra några generella slutsatser omresultatet. / Aim: To compare a new method of extubation with present standard procedure at the Central ICUafter HIPEC surgery. Method: In a randomized controlled study patients were randomized into two groups. Patients wereeither extubated according to a study algorithm based on best current knowledge, or according tostandard procedure. Results: The oxygenation remained on the same level in the study group (37,5 kPa to 36,6 kPa) butdecreased in the control group from 50,1 kPa to 40,6 kPa from 10 minutes after arrival to 15minutes after extubation. After 13 to 18 hours, just before the discharge from the ICU theoxygenation in both groups was at the same level as 15 minutes after extubation. Thus a decrease inoxygenation in the control group was found at discharge compared to 10 minutes after arrival in theICU. Conclusion: The result of the study showed that it may be benificial to extubate according to thestudy algorithm compared to present standard procedure. By directing focus from when to how theextubation is made, this study may contribute to the improvement of a clinical procedure that iscurrently lacking in scientific consencus. Further studies are needed to confirm these findings.

No description available.

Expectations and perceptions of expectations for the role of Head Nurse were investigated in four teaching hospitals of McGill University, Montreal, Canada. Head Nurses, nurses, Directors of Nursing, and doctors were respondents. The study examined three questions: What are the expectations held for the Head Nurse within groups? Are there differences in expectations held for the Head Nurse across groups? Are there differences between expectations of nurses and doctors for the Head Nurse, and Head Nurse perceptions of expectations of nurses and doctors? / Factor analysis was performed on responses of Head Nurses, nurses, and doctors separately. Expectations within groups were determined by frequencies, means, and standard deviations. Differences in expectations between groups were tested by chi-squares. / Conceptualizations of the Head Nurse as manager, clinician, patient care co-ordinator, and teacher were supported. Five factors, identified as doctor's helper, clinical leader, communication link, determiner of quality of care, and manager, accounted for 67 to 82% of variance in all groups. All groups agreed that the Head Nurse should be a determiner of quality of care given. Significant differences in expectations between groups were found in regard to the Head Nurse as doctor's helper, and clinical leader, and in regard to other activities related to patients, staff, and the unit. Head Nurses tended to overestimate nurse expectations for the Head Nurse, and underestimate doctor expectations for the Head Nurse.

This study examines the application of the Project Research in Nursing (PRN) patient classification/workload measurement system in a teaching hospital in Quebec. It also compares the workload estimates of direct and indirect care activities determined from patients' total PRN point scores and from corresponding PRN levels of care (classes 1-15). This study examines the allocation and the rankings of patients' needs for nursing care in relation to the categories of the classification instrument. Two documentary sources, audit records of 1988-1989 to 1992-1993 and audit data collection forms of 1992-1993 were used to conduct the study and to provide a comparison of the results. Audit findings were relatively consistent over the five-year period. Comparison of pre-audit and post-audit workload estimates provided detailed information on the measurement sensitivity between total PRN point scores and PRN levels of care; the direction and magnitude of differences between classification ratings; and the distinctive nature of patients' needs for nursing care within and across clinical departments. This study discusses the implications of these findings for nursing resource management decisions, staffing and workload and makes recommendations for practice and further research.

"While consumer participation is the focus of 21st century health policy, little is known about this concept from the perspectives of people who require acute hospital services. [...]This project set out to explore older people's perspective of participating in their care. Adopting critical ethnographic method, field work included observation of the inpatient experience. Following discharge home people were interviewed about their experiences including what helped and what hindered participation in their care. Similarly nurses involved in [...] a hospital experience were invited to be involved in individual and focus group discussions aimed at defining how they believed they facilitated people to participate as well as barriers that prevent this style of care." / Doctor of Philosophy

"While consumer participation is the focus of 21st century health policy, little is known about this concept from the perspectives of people who require acute hospital services. [...]This project set out to explore older people's perspective of participating in their care. Adopting critical ethnographic method, field work included observation of the inpatient experience. Following discharge home people were interviewed about their experiences including what helped and what hindered participation in their care. Similarly nurses involved in [...] a hospital experience were invited to be involved in individual and focus group discussions aimed at defining how they believed they facilitated people to participate as well as barriers that prevent this style of care." / Doctor of Philosophy

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 4 uppsatser.