Bakgrund: Barnsjuksköterskor har en högre pediatrisk kompetensnivå än allmänsjuksköterskor. Teoretisk kunskap i kombination med erfarenhet skapar kompetens och utöver kompetensutveckling bidrar specialistutbildning till förbättring av vården, personlig tillfredställelse, löneutveckling och möjligheter till befordran. Trots detta ökar integreringen av allmänsjuksköterskor inom hälso- och sjukvården för barn och ungdomar till följd av den rådande bristen på barnsjuksköterskor. Syfte: Syftet med studien är att belysa barnsjuksköterskans professionella erfarenheter av att arbeta med barn och ungdomar i hälso- och sjukvården efter genomförd specialistsjuksköterskeutbildning. Metod: Studien var av kvalitativ design där data samlades in genom semistrukturerade intervjuer med åtta barnsjuksköterskor som tagit specialistsjuksköterskeexamen mellan år 2020-2024. Data analyserades med kvalitativ innehållsanalys. Resultat: Analysen resulterade i fyra kategorier: Specialistkompetens ger ökad trygghet, Specialistkompetens ger ökad respekt, Specialistkompetens medger nya arbetsmarknadsmöjligheter och Specialistkompetens fördjupas med erfarenhet. Konklusion: Specialistutbildning innebär en kompetensutveckling för barnsjuksköterskor och en förbättrad kvalitet av arbetet med barn och ungdomar. För att motivera fler allmänsjuksköterskor att specialisera sig krävs en tydlig skillnad i arbetet före och efter specialisering. Det är även avgörande att utbildningen betalas av arbetsgivaren för att specialisering ska vara gynnsam för allmänsjuksköterskor. / Background: Pediatric nurses have a higher level of pediatric competence than general nurses. Theoretical knowledge combined with experience creates competence, and in addition to competence development, specialist training contributes to the improvement of care, personal satisfaction, salary progression, and promotion opportunities. Nevertheless, the integration of general nurses in pediatrics is increasing due to the current shortage of pediatric nurses. Purpose: The purpose of the study is to shed light on the pediatric nurse's professional experiences of working with children and adolescents in health and medical care after completed specialist nurse training. Method: The study was of a qualitative design where data was collected through semi-structured interviews with eight pediatric nurses who graduated specialist nursing degrees between the years of 2020-2024. Data were analysed using qualitative content analysis. Results: The analysis resulted in four categories: Specialist competence gives increased security, Specialist competence gives increased respect, Specialist competence allows new labor market opportunities and Specialist competence deepens with experience. Conclusion: Specialist training means competence development for pediatric nurses and an improved quality of work with children and adolescents. In order to motivate more general nurses to specialize, a clear difference in the work before and after specialization is required. It is also crucial that the training is paid for by the employer in order for specialization to be beneficial for general nurses.

Bakgrund: Hos barn i åldern noll till fem år är feber ett vanligt symtom vid sjukdom. Det är därför viktigt att vårdnadshavare förstår betydelsen av egenvård för att kunna ta hand om sitt barn i sin hemmiljö. Syfte: Syftet var att belysa barnhälsovårdssjuksköterskans preventiva arbete för barn med feber. Metod: Vald metod var kvalitativ design med induktiv ansats. Intervjuer av 11 specialistutbildade sjuksköterskor innefattande distriktssköterskor samt sjuksköterskor med specialistutbildning inom hälso- och sjukvård av barn och ungdomar. Barnhälsovårdssjuksköterskor (BHV-sjuksköterskor) i både privat samt regional regi deltog från två Halländska kommuner. Resultat: Tre kategorier: Information till vårdnadshavare, stöd till vårdnadshavare och egenvårdsrådgivning utgjorde resultatet. Därefter tillkom underkategorier. Likvärdigt resultat har kunnat ses hos deltagande BHV-sjuksköterskor. Konklusion: Slutsatsen var att majoriteten av BHV-sjuksköterskorna ansåg att det fanns ett stort behov av egenvårdsutbildning om barn med feber för vårdnadshavare. Goda kunskaper om egenvård av barn med feber kan troligtvis förhindra en del besök till akutmottagning. / Background: In children aged zero to five years, fever is a common symptom of illness. It is therefore essential that the caregiver understands the importance of self-care to effectively care for their child at home. Aim: The aim was to illuminate the preventive efforts of the child health care nurse for children with fever. Method: The chosen method was qualitative design with an inductive approach. Interviews of 11 specialist nurses including district nurses and nurses with specialist training in health care of children and adolescents. Child health Care nurses (CHC nurses) in both private and regional management participated from two municipalities in Halland. Results: Three categories: Information to guardians, support to guardians and self-care counselling constituted the result. Subcategories were then added. Similar results have been seen in participating child health nurses. Conclusion: The conclusion was that the majority of the child health care nurses felt there was a significant need for self-care education regarding children with fever for caregivers. Good knowledge of self-care of children with fever can probably prevent some visits to the emergency department.

Bakgrund: Organdonation är en metod för att behandla kritiskt sjuka patienter med organsvikt i slutstadiet. Det finns två olika metoder till hur organ kan doneras från avlidna patienter och dessa är donation efter död till följd av cirkulationsstillestånd efter total hjärninfarkt. Specialistsjuksköterskor inom intensivvård har en viktig roll i donationsprocessen där arbetsuppgifter involverar att identifiera potentiella donatorer, stötta närstående och bedriva organbevarande behandling. Syfte: Att beskriva intensivvårdssjuksköterskans upplevelse av att vårda patienter under donationsprocessen.  Metod: Designen är en strukturerad litteraturöversikt med ett systematiskt tillvägagångssätt och induktiv metodansats utifrån kvalitativa artiklar. Artiklarna har granskats med en granskningsmall av Caldwell et al som finns beskrivet av Bettany-Saltikov och McSherry (2016). Data analyserades enligt en tematisk analysmetod med 9 steg av Burnard (1991) som är anpassad och finns beskrivet i Bettany-Saltikov och McSherry (2016). Resultat: Dataanalysen resulterade i tre huvudteman och 6 subteman, De tre huvudteman är: ”Vårdövergångens komplexitet”, ”att se människan och hitta mening” och ”gemensam styrka och kunskap”.  Slutsats: Intensivvårdssjuksköterskan har en stödjande funktion i relation till närstående. Dem upplevde svårigheter att balansera behovet av stöd till närstående och den medicinska behandlingen under donationsprocessen. Intensivvårdssjuksköterskan hade svårt att hitta mening under donationsprocessen och det fanns en korrelation mellan att vårda donatorpatienter och senare uppleva känslor av fatigue och moralisk stress. Det föreligger ett behov av stöd från andra professioner, ökad kunskap, riktlinjer och utbildning gällande donationsprocessen. / Background: Organ donation is a method of treating critically ill patients with end-stage organ failure. There are two different methods of how organs can be donated from deceased patients, and these are donation after death because of circulatory arrest and after total cerebral infarction. Specialist nurses in intensive care have an important role in the donation process where tasks involve identifying potential donors, supporting relatives, and conducting organ preservation treatment. Purpose: To describe the intensive care nurse's experience of caring for patients during the donation process. Method: The design is a structured literature review with a systematic approach and inductive methodological approach based on qualitative articles. The articles have been reviewed using a reviewed template by Caldwell et al as described by Bettany-Saltikov och McSherry (2016). Data were analyzed according to a thematic analysis method with 9 steps by Burnard (1991) which is adapted and described in Bettany-Saltikov och McSherry (2016). Results: The data analysis resulted in three main themes and six sub-themes. The three main themes are: The complexity of care transition, seeing the person and communal strength and knowledge. Conclusion: The intensive care nurse has a supporting function in relation to relatives. They experienced difficulties in balancing the need for support to relatives and the medical treatment associated with the donation process. The intensive care nurse had difficulty finding meaning during the donation process and there was a correlation between caring for donor patients and later experiencing feelings of fatigue and moral stress. There is a need for support from other professions, increased knowledge, guidelines, and training regarding the donation process.

Bakgrund: Antalet barn som diagnostiseras med neuropsykiatrisk funktionsnedsättning ökar i Sverige. Föräldrar till barn med neuropsykiatrisk funktionsnedsättning har i tidigare studier beskrivit negativa upplevelser associerat till sjukhusinläggningar för sitt barns somatiska besvär. Sjuksköterskor har även uttryckt osäkerhet kring hur de ska bemöta barnen på ett optimalt sätt. Syfte: Att belysa barnsjuksköterskors erfarenheter av att vårda barn med neuropsykiatriska funktionsnedsättningar på barnavdelningar.  Metod: Studien genomfördes som en kvalitativ intervjustudie med induktiv ansats. Nio sjuksköterskor och specialistsjuksköterskor intervjuades. Dataanalysen genomfördes med manifest innehållsanalys enligt Graneheim och Lundman (2004).   Resultat: Intervjuerna genererade kategorin Gynnsamma strategier som underlättar för barnet i vårdmötet med underkategorierna Att skapa en relation till barnet, Att samverka med föräldrarna, Att ge tid till förberedelse och planering samt Att vara flexibel i vårdmötet. Nästa kategori som framkom var Utmaningar i omvårdnaden som påverkar barnet negativt med tillhörande underkategorier Att uppleva osäkerhet och kunskapsbrist, Att uppleva stressade och tidspressade situationer, Att behöva genomföra procedurer mot barnets vilja i större utsträckning samt Att samarbetet mellan läkare och barnsjuksköterskor brister. Slutsatser: Det är av vikt att sjuksköterskan individanpassar vården utifrån barnets behov och förutsättningar. Genom att utgå från Swansons omvårdnadsteori kan sjuksköterskor finna förståelse kring hur god omvårdnad kan uppfyllas. / Background: The number of children diagnosed with a neuropsychiatric disability is increasing in Sweden. In previous studies, parents of children with neuropsychiatric disabilities have described negative experiences associated with hospitalization for their child's somatic illness. Nurses also describe flaws in meeting the children as well as uncertainty in how the nurses can optimize the encounter. Aim:  Was to highlight pediatric nurses experiences of caring for children with neuropsychiatric disabilities in children's wards. Method: The study was conducted as a qualitative interview study with an inductive approach. Nine nurses and specialist nurses were interviewed. Data analysis was carried out with manifest content analysis according to Graneheim and Lundman (2004). Results: Interviews generated the category of Favorable strategies that makes the care meeting easier for the child with the subcategories of Creating a relationship with the child, Collaborating with the parents, Giving time for preparation and planning and Being a flexible benefitted the care meeting. The next category that emerged was Challenges in nursing care that affectet the child negatively with the associated subcategories of Experiencing uncertainty and lack of knowledge, Experiencing stressful and time pressure situations, Having to carry out procedures against the child's will to a greater extent and Lack of cooperation between the doctor and nurse.  Conclusions: It is important that the nurse adjust the care based on the child's needs and conditions. By practicing Swanson's Theory of Caring, nurses can find an understanding of how good nursing care can be fulfilled.

Bakgrund: Barn har rätt till en trygg uppväxt. Att befinna sig i en utsatt miljö som barn kan innebära både fysiska och psykiska konsekvenser i framtiden. Det finns en möjlighet att specialistsjuksköterskan kan upptäcka dessa barn. Syfte: Var att beskriva specialistsjuksköterskans erfarenheter av att möta familjer inom barnhälsovården där barnet misstänks befinna sig i en utsatt miljö.   Metod: En kvalitativ metod med induktiv ansats tillämpades. Individuella semistrukturerade intervjuer genomfördes med specialistsjuksköterskor som arbetat inom barnhälsovården i minst ett år. Kvalitativ manifest innehållsanalys enligt Graneheim och Lundman (2004) användes i analysen. Resultat: Analysen genererade tre huvudkategorier: Betydelsen av kompetens och erfarenhet, Möjligheten att både ge och få stöd samt En känslomässig påfrestning. Erfarenheter beskrevs av att identifiera tecken på barnet, att vara uppmärksam på föräldrarna samt att vara observant i familjens hemmiljö. Det var viktigt att erbjuda stöd till familjen samt att erhålla stöd i sin yrkesroll. Att bli emotionellt berörd i mötet med barnet, att kunna härbärgera olika slags känsloyttringar samt att det fanns en önskan om återkoppling. Slutsats: Det är svårt att identifiera tecken på utsatthet. Stöd till familjen ansågs viktigt i förebyggande syfte, men även stöd till specialistsjuksköterskan för att bidra till att fler orosanmälningar genomförs. / Background: Children have the right to a safe childhood. Being in a vulnerable environment as a child can have both physical and psychological consequences in the future. There is an opportunity for the specialist nurse to recognise these children.  Purpose: The aim was to describe the specialist nurse's experiences of meeting families in child health care where the child is suspected of being in a vulnerable environment.  Method: A qualitative method with an inductive approach was applied. Individual semi-structured interviews were conducted with specialist nurses who had worked in child health care for at least one year. Qualitative manifest content analysis according to Graneheim and Lundman (2004) was used in the analysis.  Results: The analysis generated three main categories: The importance of skills and experience, The ability to both give and receive support, and An emotional strain. Experiences of recognising signs of the child, being attentive to the parents and being observant in the family home environment were described. It was important to offer support to the family and to receive support in their professional role. Being emotionally involved in the meeting with the child, being able to harbour different kinds of emotional expressions and a desire for feedback.  Conclusion: It is difficult to identify signs of vulnerability. Support for the family was seen as important for prevention, but also support for the specialist nurse to help ensure that more concerns are reported.

Introduktion: Smärta kan skapa mycket oro och ångest hos patienten och obehandlad smärta kan leda till fördröjd läkningsprocess och onödigt lidande för patienten. Specialistsjuksköterskor inom den prehospitala verksamheten möter ofta patienter som drabbats av höftfrakturer. Att smärtlindra den drabbade patienten är en central del i omhändertagandet. Som specialistsjuksköterska är det viktigt att ha kunskap om smärtlindringens olika faser och läkemedels indikationer vid höftfrakturer. Vid höftfrakturer kan både procedursmärtlindring och underhållssmärtlindring vara aktuellt. Vid dessa tillfällen är det specialistsjuksköterskans ansvar att känna till läkemedlets indikationer och biverkningar för att undvika komplikationer. Syfte: Beskriva specialistsjuksköterskors erfarenheter av att smärtlindra patienter med misstänkt höftfraktur prehospitalt. Metod: En kvalitativ intervjustudie med semistrukturerade intervjuer. Manifest innehållsanalys tillämpades för att analysera intervjuerna. Resultat: Analysen som genomfördes i flera steg resulterade slutligen blev fyra kategorier – bedömning av patientens smärta, att lyckas eller inte lyckas med smärtlindringen, att omgivningsfaktorer påverkar patientens smärtlindring och att känna sig trygg eller otrygg. Att administrera de smärtstillande läkemedel som finns att tillgå anser informanterna att de kände sig trygga med. En osäkerhet kring biverkningar som till exempel en ofri luftväg och andningsdepression finns bland informanterna. Behandlingsriktlinjer gällande smärtlindring vid höftfraktur behövs förbättras då de anses vara otydliga. Resultatet visade att kontinuerlig utbildning och praktisk träning på arbetsplatsen hade bidragit med ökad kunskap kring behandling och smärtlindring vid höftfrakturer. Slutsats: Specialistsjuksköterskor som arbetar prehospitalt anser att de utmaningar som de ställs inför gällande smärtlindring vid misstänkt höftfraktur är hanterbara. En slutsats utifrån studiens resultat är att det behövs ett förtydligande av riktlinjer vid misstänkt höftfraktur som också kan behöva diskuteras på organisations- och ledningsnivå. Förstahandsvalet av smärtlindring varierar, baserat på patientens situation samt tryggheten hos specialistsjuksköterskorna men i slutändan får patienten likvärdig smärtlindring oavsett val av preparat. Kontinuerlig utbildning och praktisk träning på arbetsplatsen kan bidra med ökad kunskap kring behandling och smärtlindring vid misstänkt höftfraktur.

The aim of the study was to investigate motivation, job satisfaction and attitudes of nurses in the public health services of Botswana. The objective was to discover how nurses felt about a wide range of variables in their work environment and ultimately to distil them into what they conceived as the mainstay motivators, job satisfiers and positive attitudes. The non pariel (unrivalled, unique) role of the government in creating both the hardware and the software of national health services was acknowledged and recognised with a particular reference to the primacy it placed on developing the human resources in the form of nurses, in order to realize the goals of administering the public health services efficiently and effectively. It was noted that nurses were the change agents and the axis in promoting quality standards of healthcare but in partnership with the government, which must be seen to be responsive and proactive in discharging its fiduciary responsibilities, in respect of both the content and the context of nurses’ occupational ambience. For the purposes of constructing a database from which both the government and the nurses can draw, the most salient thematic details of the theories of motivation, job satisfaction and attitudes were studied and examined and were used as a scaffolding for the empirical survey of nurses. Nine hundred questionnaires were distributed to both registered and enrolled nurses with a minimum of two years work experience in the public health sector and 702 of these were returned constituting a return rate of 78%. The findings indicated that a majority of nurses enjoyed job satisfaction in certain areas of their work namely autonomy, participating in decision-making, choice of type of nursing, change of wards or departments or work units, interpersonal relationships amongst nurses themselves and between nurses and their supervisors. Nurses also perceived the hospital as an environment in which they could continually learn and they were moreover satisfied with the nursing job or the work itself. The other end of the spectrum revealed an overwhelming majority of 92.2% of nurses who were dissatisfied with the level of pay and 88.5% who were not happy with the fringe benefits including the provision of accommodation. Working conditions were viewed as generally disliked by 67.3% of the nurses. Low pay, workload, lack of viii recognition for outstanding performance and or delayed promotional chances were singled out as being particularly disliked by 67.2%, 64.9%, 42.6% and 44.4% of the nurses respectively. Interviews held with 31 nurses yielded similar results. The research further showed that the most important motivators to nurses were dominated by competitive salary which was mentioned by 80.9% of the respondents, attractive or sufficient working conditions which were stated by 71.2% of the nurses, opportunity for continuous education which was rated by 63.8% of the nursing candidates, reduced workload which was claimed by 59.3% of the nursing cadres, opportunity for the recognition of outstanding performance and opportunity for promotion which were scored by 54.1% and 53.4% of the nurse respectively. Job satisfiers were also represented by competitive salary which received 76.1% of the nurses’ votes. Risk allowance occupied the second position with 69.1% and competitive working conditions were awarded a third ranking by 68.2% of the nurses. Those nurses who derived job satisfaction from the fact of each nursing shift being manned by an adequate number of nurses accounted for 63.1% of the sample. Competitive fringe benefits attracted 60.1% of the nurses. Opportunity to attend workshops and the need for high morale in nursing team-work were chosen as job satisfiers by 53.7% and 49.6% of the nurses respectively. In the section on recommendations the government was exhorted to invoke corrective or remedial measures in view of the detailed exegesis of the satisfactions and dissatisfactions in the nurses’ work environment and the ensuing problematique (doubtful, questionable) of raising the standards of health care in the public health services. Living up to these sanguine expectations should be the cherished longterm vision of the government if it is to meet and quench the soaring aspirations of its modernizing society for quality health care delivery and the escalating needs of the nurses. / Public Administration / D.P.A.

Approved for public release, distribution is unlimited / This study examines the effects of acquisition reform on Women-Owned Small Businesses (WOSBs) and Small Disadvantaged Businesses (SDBs) who contracted with DOD during the 1990s through 2002 timeframe. Review and analysis of DOD data for fiscal years 1992 through 2002, an analysis of websites and acquisition literature, and interviews with DOD contracting and small business specialists provided the basis for this study. It identifies acquisition reform legislation enacted in the 1990s that has had a direct impact on WOSBs and SDBs and examines the charge that the practice of contract bundling has negatively impacted the ability of small businesses to win DOD contracts. An analysis of contract bundling data from the Small Business Office of Advocacy, Congress and DOD demonstrates that the data is insufficient and inconsistent to prove or disprove that contract bundling is negatively impacting small businesses. However, DOD data for fiscal years 1992 through 2002 indicates that DOD contracting with WOSBs improved consistently, particularly after enactment of the Federal Acquisition Streamlining Act (FASA) of 1994 which mandated that the federal government, inclusive of DOD, award five percent of total yearly procurement dollars to WOSBs. / Civilian, United States Army

L’arthrite est l’une des causes principales de douleur et d’incapacité auprès de la population canadienne. Les gens atteints d’arthrite rhumatoïde (AR) devraient être évalués par un rhumatologue moins de trois mois suivant l’apparition des premiers symptômes et ce afin de débuter un traitement médical approprié qui leur sera bénéfique. La physiothérapie et l’ergothérapie s’avèrent bénéfiques pour les patients atteints d’ostéoarthrite (OA) et d’AR, et aident à réduire l’incapacité. Notre étude a pour but d’évaluer les délais d’attente afin d’obtenir un rendez-vous pour une consultation en rhumatologie et en réadaptation dans le système de santé public québécois, et d’explorer les facteurs associés. Notre étude est de type observationnel et transversal et s’intéresse à la province de Québec. Un comité d’experts a élaboré trois scénarios pour les consultations en rhumatologie : AR présumée, AR possible, et OA présumée ; ainsi que deux scénarios pour les consultations en réadaptation : AR diagnostiquée, OA diagnostiquée. Les délais d’attente ont été mesurés entre le moment de la requête initiale et la date de rendez-vous fixée. L’analyse statistique consiste en une analyse descriptive de même qu’une analyse déductive, à l’aide de régression logistique et de comparaison bivariée. Parmi les 71 bureaux de rhumatologie contactés, et pour tous les scénarios combinés, 34% ont donné un rendez-vous en moins de trois mois, 32% avaient une attente de plus de trois mois et 34% ont refusé de fixer un rendez-vous. La probabilité d’obtenir une évaluation en rhumatologie en moins de trois mois est 13 fois plus grande pour les cas d’AR présumée par rapport aux cas d’OA présumée (OR=13; 95% Cl [1.70;99.38]). Cependant, 59% des cas d’AR présumés n’ont pas obtenu rendez-vous en moins de trois mois. Cent centres offrant des services publics en réadaptation ont été contactés. Pour tous les scénarios combinés, 13% des centres ont donné un rendez-vous en moins de 6 mois, 13% entre 6 et 12 mois, 24% avaient une attente de plus de 12 mois et 22% ont refusé de fixer un rendez-vous. Les autres 28% restant requéraient les détails d’une évaluation relative à l’état fonctionnel du patient avant de donner un rendez-vous. Par rapport aux services de réadaptation, il n’y avait aucune différence entre les délais d’attente pour les cas d’AR ou d’OA. L’AR est priorisée par rapport à l’OA lorsque vient le temps d’obtenir un rendez-vous chez un rhumatologue. Cependant, la majorité des gens atteints d’AR ne reçoivent pas les services de rhumatologie ou de réadaptation, soit physiothérapie ou ergothérapie, dans les délais prescrits. De meilleures méthodes de triage et davantage de ressources sont nécessaires. / Arthritis is a leading cause of pain and disability in Canada. Persons with rheumatoid arthritis (RA) should be seen by a rheumatologist within three months of symptom onset to begin appropriate medical treatment and improve health outcomes. Early physical therapy (PT) and occupational therapy (OT) are beneficial for both osteoarthritis (OA) and RA and may prevent disability. The objectives of the study are to describe wait times from referral by primary care provider to rheumatology and rehabilitation consultation in the public system of Quebec and to explore associated factors. We conducted a cross-sectional study in the province of Quebec, Canada whereby we requested appointments from all rheumatology practices and public rehabilitation departments using case scenarios that were created by a group of experts. Three scenarios were developed for the rheumatology referrals: Presumed RA; Possible RA; and Presumed OA and two scenarios for the rehabilitation referrals: diagnosed RA and diagnosed OA. Wait times were evaluated as the time between the initial request and the appointment date provided. The statistical analysis consisted primarily of descriptive statistics as well as inferential statistics (bivariate comparisons and logistic regression). Seventy-one rheumatology practices were contacted. For all scenarios combined, 34% were given an appointment with a rheumatologist within three months of referral, 32% waited longer than three months and 34% were refused services. The odds of getting an appointment with a rheumatologist within three months was 13 times greater for the Presumed RA scenario versus the Presumed OA scenario (OR=13; 95% Cl[1.70;99.38]). However, 59% of the Presumed RA cases did not receive an appointment within three months. One hundred rehabilitation departments were also contacted. For both scenarios combined, 13% were given an appointment within 6 months, 13% within 6 to 12 months, 24% waited longer than 12 months and 22% were refused services. The remaining 28% were told that they would require an evaluation appointment based on functional assessment prior to being given an appointment. There was no difference with regards to diagnosis, RA versus OA, for the rehabilitation consultation. RA is prioritized over OA when obtaining an appointment to a rheumatologist in Quebec. However, the majority of persons with RA are still not receiving rheumatology or publicly accessible PT or OT intervention in a timely manner. Better methods for triage and increased resource allocation are needed.

The purpose of this study is to investigate the collection development practices of electronic resources at the University of Namibia (UNAM) library and its constituent branches. Collection development is one of the critical activities of any library management process; therefore, the goal of collection development in university libraries is to effectively provide relevant and up-to-date information resources. The main aims of the study were: to explore the collection development procedures and policies for electronic resources at the UNAM library; to investigate the factors that influence the collection development of information resources; to assess the extent which teaching staff and subject librarians are involved in collection development at the UNAM library; to discover the barriers to effective collection development of electronic resources at the UNAM library; and to determine the influence of the UNAM library budget allocation on the collection development of electronic resources. The population of the study comprised of 291 teaching staff from all eight faculties of UNAM. A total of 149 faculty members responded to the survey, which gave a response rate of 51.2%, while a total number of 16 library staff were interviewed. The study employed a quantitative approach, and the qualitative approach was applied on the part of the library staff. For quantitative data collection, the study used a self-administered questionnaire, while for qualitative data, the study used an interview schedule with library staff. The data from the interviews were used to complement the data from the survey. Quantitative data were analysed using SPSS, while the qualitative data were analysed using thematic content analysis. The study revealed that not all faculty members are aware of the guideline, procedure, and policies on the collection development activities. Eighty one percent (81%) of the respondents are aware of the importance of their role in selecting library materials, 72% are aware of acquiring books, and 67% are aware of the budget allocated to their faculty. The majority totaling 94% of the faculty members are not aware of weeding or disposal of library books, followed by 83% who are not aware of collection evaluation, and 81% are not aware of the collection development policy in place at the UNAM library. From the data collected, the study found that a majority (67%) of faculty members are aware of ICTs used in collection development activities. Even though the majority of faculty members are aware of ICTs used in collection development activities, (45%) faculty members are not aware that ICTs can be used in collection development. The major challenge facing the UNAM library is the absence of the collection development policy, which makes it difficult for the teaching staff, students, and library staff to understand all the issues related to the collection development of electronic resources in the library. Another challenge is the inadequacy of funds to cater for the increasing costs of electronic resources in various subject fields. / Information Science / M. A. (Information Science)