Abstract Type 2 Diabetes Mellitus (T2DM) is the seventh leading cause of death in the United States with a projected increase of 552 million people worldwide who will be affected with this illness by 2030. The need to address this issue is vital to prevent complications and reduce healthcare spending. The DNP project is aimed at planning and designing a nutritional education program tailored toward specific ethnic groups in order to increase knowledge in making healthy food choices. This project is intended to educate Registered Nurses (RNs) on nutrition so that they can offer dietary knowledge to T2DM patients. Additional patients can be reached by educating the RNs rather than patients being limited to consultations with a Certified Diabetes Educator or Registered Dietician. This project focused on whether healthy nutrition tailored toward the individual's own ethnic foods helps to stabilize glycemic values for patients with Type 2 diabetes. A toolkit was utilized to aid with the RNs' learning on healthy nutrition and its impact on the management of blood glucose. It addressed areas such as food groups and calories, grocery shopping, preparation methods, and portion control. The framework for design utilized the basic concepts associated with the systems theory with an intended goal to prevent further complications and improve patients' glycemic value through consuming nutritious foods. The logic model will be used to evaluate the impact of healthy nutrition on blood glucose through pre- and post-program tests of the RNs' nutritional knowledge on healthy eating. The continuation of this program will promote positive social change by helping patients to achieve a healthier lifestyle and reduce healthcare expenditures.

No description available.

Bakgrund:Allt fler äldre människor i Sverige och Norge avlider idag på särskilda boenden, i stället för på sjukhus. Trots detta har den palliativa vården ingen etablerad grund inom denna vårdform. Målet med palliativ vård är att ge patienten ökad livskvalitet och minskat lidande, liksom att erbjuda de anhöriga stöd i processen. Detta kräver strukturerad vårdplanering och lämplig kompetens hos samtliga berörda yrkesgrupper som vårdar den boende. Syfte:Att undersöka sjuksköterskor och omvårdnadspersonals upplevelser av palliativ vård i livets slutskede inom särskilda boenden i Sverige och Norge.  Metod:Denna kvalitativa litteraturöversikt baseras på 11 kvalitativa originalartiklar av svenskt och norskt ursprung. Data från dessa artiklar har analyserats med tematisk innehållsanalys.  Resultat:Översikten visar på flera faktorer som ligger till hinder för att sjuksköterskor och omvårdnadspersonal ska kunna ge god palliativ vård till äldre på särskilda boenden. Den palliativa vården initieras för sent, ansvarsfördelningen är oklar och det saknas tydliga rutiner för hur vården ska utföras. Tre huvudteman återfinns i resultatet; organisation, relationer och döden. Slutsats:Så väl sjuksköterskor som omvårdnadspersonal beskriver flera kritiska brister inom äldreomsorgen och den palliativa vården för de äldre med komplex multisjuklighet. / Background:It is getting more common for elderlies in Sweden and Norway do die in nursing homes, rather than in the hospital. Despite this fact, the palliative care has no established basis in this line of care.  The main goal in palliative care is to help the patient to retain quality of life and to reduce suffering, as well as offering the relatives support in the process. That requires structured care planning and adequate competence in all professions involved in the patients care. Aim:To investigate registered nurses ´and nursing staff`s experiences of end-of life care in nursing homes in Sweden and Norway. Method:This literature review is based on 11 qualitative original articles of Swedish and Norwegian origin. The data from these articles were analysed with thematic content analysis. Results:The result shows several factors that prevent registered nurses and nursing staff to from providing good palliative care to the elderly in nursing homes. The palliative care is initiated too late, the division of responsibilities is ambiguous and the routines for palliative care are deficient. The result contains three main themes: organization, relations and death. Conclusion:Registered nurses as well as the nursing staff describe several critical deficiencies in the elderly care, and the palliative care for older patients with multimorbidity.

No description available.

Bakgrund: Palliativ vård är en huvuddel av vårdkedjan som tillämpas till de döende patienter som kommit till livets slutskede. Palliativ vård innebär att vården syftar till att lindra lidandet istället för att vara behandlande och botande. Sjuksköterskor som vårdar dessa döende patienter har en centralt stödjande roll där syftet är att lindra och trösta patienter och deras anhöriga med målet att ge dessa patienter ett värdigt avslut på livet. Sjuksköterskor kan ha olika upplevelser och utmaningar under denna typ av arbete. Dessa upplevelser och utmaningar har undersökts i detta examensarbete i en vetenskaplig litteraturstudie. Syftet: Undersöka sjuksköterskors upplevelser av att vårda patienter vid palliativ vård. Metod: Systematisk litteratursammanställning av kvalitativa studier. Resultat: Denna litteraturstudie resulterade i en sammanställning av olika typer av utmaningar och känslor i arbetet med palliativ vård. Institutionella utmaningar som tidsbrist, kommunikationsbrist, informationsbrist och arbetsbelastningen bidrog till att sjuksköterskorna upplevde att de inte kunde utföra den palliativa vården på ett värdigt sätt. Det framkom även kunskapsbrist kring den palliativa vården som en viktig faktor till sjuksköterskornas osäkerhet kring utförandet av denna vårdform. Resultatet visade att det var utmanande för sjuksköterskorna att förmedla patientens önskan så som att påbörja palliativ vård när anhöriga och andra i vårdteamet såsom läkare hade andra uppfattningar. Slutsats: Grundutbildade sjuksköterskor behöver ytterligare kunskap kring palliativ vård under hela sitt professionella yrkesliv. Sjuksköterskor behöver även stöd från kollegor och arbetsgivare för att kunna hantera dessa svåra situationer. Bristande kommunikation har visat sig vara en stor del till att många utmaningar uppstått och förbättrad kommunikation visade sig även vara lösningen på många utmaningar. Den höga arbetsbelastningen bidrog till ohälsa för sjuksköterskorna och ett professionellt förhållningssätt var en tydlig förutsättning för deras goda hälsa samtidigt som stödet från högre instanser visat sig vara betydelsefullt. / Background: Palliative care is a central part of the care chain that is provided to the dying patients who have reached the end of life. Palliative care means that the care aims to alleviate the suffering instead of giving treatments and curative care. Nurses who care for these dying patients have a central supportive role where the purpose is to relieve and comfort patients and their relatives with the aim of giving these patients a dignified end of their life. Nurses might have different experiences and challenges during this type of work. These experiences and challenges have been examined in this degree project with the support of scientific literature studies. Aim: Examine nurses' experiences of caring for patients in palliative care. Method: A systematic literature revive of qualitative studies. Result: This literature study resulted in experiencing different types of challenges and emotions in the work with palliative care.  Institutional challenges such as lack of time, lack of communication, lack of information and the workload contributed to nurses feeling not being able to provide palliative care in a dignified manner. There was also a lack of knowledge about palliative care as an important factor of the nurses' uncertainty about the performance of this care. The results showed that it was challenging for the nurses to mediate the patient´s wishes, such as starting the palliative care, when relatives and other caregivers, such as doctors, had other aspects. Conclusion: Registered nurses need additional knowledge about palliative care during the entire professional life. Nurses also need support from colleagues and employers to be able to handle these difficult situations. Lack of communication has proven to be a source of many challenges and improved communication can be the solution to many challenges. The high workload contributed to health problems for the nurses and a professional approach was a clear prerequisite for their good health and the support from higher instances showed to be meaningful.

No description available.

The purpose of this study was to explore and describe the perceptions of registered nurses about patient-friendly health services rendered within an ambulatory care setting in the King Abdulaziz Medical City, Riyadh (KAMC-R), Kingdom of Saudi Arabia. A qualitative, explorative, descriptive and contextual design was used. Fifteen registered nurses (one male and 14 female) voluntarily participated in this study. The data collection process comprised of semi-structured individual interviews with the participants to explore what they perceived to be patient-friendly health services. The obtained data were analysed using Van Mannen’s thematic analysis method. The emerging empirical data identified four themes, three categories and nine subcategories; a literature control was incorporated to validate the findings. The study findings revealed that the participants identified cultural differences as a quintessential obstacle in rendering patient-friendly health services in the study context. Professional yet patient-friendly communication proved to be a challenge as did ambulatory care flow. This had the potential to compromise patient-friendly health services. Meeting the patients’ needs was acknowledged. However, the needs, goals and values of patientfriendly healthcare services were perceived differently by the patients on the one hand and the registered nurses on the other and this affected the process of interaction and delivery of patient-friendly care. Despite the fact that the registered nurses daily experienced ongoing challenges which compromised patient-friendly health services, they were aware and committed to deliver patient-friendly health services. The process of scientific inquiry concluded with the limitations of the study and recommendations were made based on the findings. / Health Studies / M.A. (Heath Studies)

Text in English / The purpose of the study was to explore the registered nurse’s perceptions with regard to the use of authority by nurse managers in the workplace. A qualitative approach using phenomenological descriptive design was used. Data was collected by means of audio-taped individual interviews and field notes. The sample included registered nurses aged 25-45 years with more than two years’ experience. Ethical issues were adhered to. The data was analysed using content analysis as proposed by Creswell (2013). Five themes and seventeen subthemes emerged from the data. The findings revealed that the registered nurses were unhappy with the way authority is being used, their non-involvement in decision-making; lack of two way communication between nurses and managers; poor relationship between nurses and health service managers which hindered nurses’ opportunity for growth. Autonomy is a major determinant of nurse job satisfaction, and failure to apply it may lead to high turnover and absenteeism. / Health Studies / M.A. (Health Studies)

The purpose of this study was to explore and describe the perceptions of registered nurses about patient-friendly health services rendered within an ambulatory care setting in the King Abdulaziz Medical City, Riyadh (KAMC-R), Kingdom of Saudi Arabia. A qualitative, explorative, descriptive and contextual design was used. Fifteen registered nurses (one male and 14 female) voluntarily participated in this study. The data collection process comprised of semi-structured individual interviews with the participants to explore what they perceived to be patient-friendly health services. The obtained data were analysed using Van Mannen’s thematic analysis method. The emerging empirical data identified four themes, three categories and nine subcategories; a literature control was incorporated to validate the findings. The study findings revealed that the participants identified cultural differences as a quintessential obstacle in rendering patient-friendly health services in the study context. Professional yet patient-friendly communication proved to be a challenge as did ambulatory care flow. This had the potential to compromise patient-friendly health services. Meeting the patients’ needs was acknowledged. However, the needs, goals and values of patientfriendly healthcare services were perceived differently by the patients on the one hand and the registered nurses on the other and this affected the process of interaction and delivery of patient-friendly care. Despite the fact that the registered nurses daily experienced ongoing challenges which compromised patient-friendly health services, they were aware and committed to deliver patient-friendly health services. The process of scientific inquiry concluded with the limitations of the study and recommendations were made based on the findings. / Health Studies / M. A. (Heath Studies)

The study investigated knowledge, attitudes and vaccination status of registered nurses regarding prevention and control of hepatitis B (HB). An analytical, cross-sectional study was conducted, and data was collected using self-administered questionnaires. 53.0% of the respondents (n=219) had good knowledge and 96.3% had positive attitudes regarding HB prevention and control. 86.8% had received at least 1 dose of the HB vaccine, but only 54.7% had received the 3 doses for complete vaccination. A positive attitude score was a significant predictor of HB vaccination uptake (OR=1.424, p=0.003). Female registered nurses were 3.479 times (95% CI: 1.495-8.098; p=0.004) more likely to be vaccinated than male registered nurses. Registered nurses are aware that hepatitis B virus infection can be prevented by a safe and effective vaccine, however, there is need to improve awareness and encourage complete HB vaccination uptake among all registered nurses to ensure their protection against the risk of HBV infection. / Health Studies / M. P. H. (Health Studies)