Thesis (Ph. D.)--University of Texas at Austin, 2003. / Vita. Includes bibliographical references. Available also from UMI Company.

Thesis (M. Nursing)--Montana State University--Bozeman, 2005. / Typescript. Chairperson, Graduate Committee: M. Jean Shreffler-Grant. Includes bibliographical references (leaves 47-50).

Background: Antibiotic treatment of humans was introduced in 1930. The drug improved the living conditions globally due to the fact that bacterial diseases now could be treated. The development of antibiotic resistant bacteria is undeniable and globalization increases the spread of the resistant bacteria. The main reason for the emergence of resistant bacteria are incorrect and excessive use of antibiotics. Aim: The aim of the study is to investigate registered nurses’ experiences when caring for patients that have been subscribed antibiotic treatment. Method: A qualitative study with a semi-structured interview design based on interviews with eight nurses from one private hospital in The Philippines. The interviews were transcribed and analyzed using a qualitative content analysis. Result: Three themes were identified in the study, “To increase compliance”, “Nurses’ knowledge of antibiotic treatment” and “The nurses’ reflections on antibiotic treatment”. The first theme describes how the nurses provide a safe and open-minded environment for the patients, how to support and encourage the patient during treatment and how to give comprehensible information to the patient. The second theme describes the nurses’ knowledge of the emergence of antibiotic resistance, reasons for antibiotic treatment, the manifestation of antibiotic resistance and also the effects of antibiotic resistance. The third theme describes the nurses’ reflections and thoughts concerning antibiotics as well as how they perceive the population’s knowledge of antibiotics. Discussion: All of the nurses highlighted the poverty in The Philippines as the main reason for poor compliance. A large part of the population cannot afford to consult a doctor which results in people treating themselves without the proper knowledge. A majority of the nurses therefore request health education provided from the government.  A private hospital also strives to please the patient which can result in doctors prescribing a lot of antibiotics to please their patients.

<p>Syftet med studien var att beskriva hur sjuksköterskan upplever sin roll, orsaker till och hantering av konflikter som kan uppstå, i kontakten med anhöriga till patienter på äldreboende. Designen är deskriptiv och bygger på individuellt genomförda intervjuer.</p><p>Som urvalsmetod användes ett bekvämlighetsurval. Urvalsgruppen bestod av nio sjuksköterskor, varav två togs bort i efterhand då de intervjuades samtidigt. Kvar blev sju sjuksköterskor (sex kvinnor, en man), verksamma på var sitt äldreboende i en kommun i södra Norrland.</p><p>För att förebygga och hantera konflikter med anhöriga är det viktigaste i sjuksköterskans roll att ha täta kontakter, stor förståelse, god information och en bra dialog. Genom att skapa trygghet, bl a via en bra första kontakt och att låta anhöriga bidra med sina kunskaper och känna sig delaktiga får sjuksköterskan anhöriga med sig. Konflikter uppstår ofta när resurserna inom vården tryter och orsakar missnöje, samt då anhörigas dåliga samvete gör att de missriktar sina aggressioner. För att lösa en konflikt kan det ibland vara lämpligt att ta in en tredje part. Även om det strider mot anhörigas vilja och kan orsaka konflikt så skall sjuksköterskan alltid göra det som är bäst för patienten, då hennes medicinska kompetens är större.</p> / <p>The purpose of this study was to describe how nurses apprehend their role, causes for and managing of conflicts that are possible, encountering relatives of patients living in nursing homes. The design of the study is descriptive and is based on individual interviews.</p><p>The sample was a convenience sample and nine nurses were participating, out of which two were excluded after collecting data due to being interviewed at the same time. Seven nurses remained (six women, one man), working in separate nursing homes in a municipality in southern Norrland.</p><p>The most important part of the nurses’ role in preventing and handling conflicts with relatives consists of keeping in close touch with great understanding, good information and having a dialogue. Creating comfort, by making a good primary contact and letting the relatives contribute with their knowledge and thus make them feel essential, will get the relatives on the nurses’ side. Conflicts often appear when the health care resources run short and cause dissatisfaction and when the relatives’ bad conscience makes them wrongfully project their anger towards the nurse. To solve the problem, bringing a third part into the conflict can sometimes be a solution. Even though it may contest the will of the relatives and cause a conflict the nurse should always do what’s best for the patient, since her medical ability is greater.</p>

Syftet med studien var att beskriva hur sjuksköterskan upplever sin roll, orsaker till och hantering av konflikter som kan uppstå, i kontakten med anhöriga till patienter på äldreboende. Designen är deskriptiv och bygger på individuellt genomförda intervjuer. Som urvalsmetod användes ett bekvämlighetsurval. Urvalsgruppen bestod av nio sjuksköterskor, varav två togs bort i efterhand då de intervjuades samtidigt. Kvar blev sju sjuksköterskor (sex kvinnor, en man), verksamma på var sitt äldreboende i en kommun i södra Norrland. För att förebygga och hantera konflikter med anhöriga är det viktigaste i sjuksköterskans roll att ha täta kontakter, stor förståelse, god information och en bra dialog. Genom att skapa trygghet, bl a via en bra första kontakt och att låta anhöriga bidra med sina kunskaper och känna sig delaktiga får sjuksköterskan anhöriga med sig. Konflikter uppstår ofta när resurserna inom vården tryter och orsakar missnöje, samt då anhörigas dåliga samvete gör att de missriktar sina aggressioner. För att lösa en konflikt kan det ibland vara lämpligt att ta in en tredje part. Även om det strider mot anhörigas vilja och kan orsaka konflikt så skall sjuksköterskan alltid göra det som är bäst för patienten, då hennes medicinska kompetens är större. / The purpose of this study was to describe how nurses apprehend their role, causes for and managing of conflicts that are possible, encountering relatives of patients living in nursing homes. The design of the study is descriptive and is based on individual interviews. The sample was a convenience sample and nine nurses were participating, out of which two were excluded after collecting data due to being interviewed at the same time. Seven nurses remained (six women, one man), working in separate nursing homes in a municipality in southern Norrland. The most important part of the nurses’ role in preventing and handling conflicts with relatives consists of keeping in close touch with great understanding, good information and having a dialogue. Creating comfort, by making a good primary contact and letting the relatives contribute with their knowledge and thus make them feel essential, will get the relatives on the nurses’ side. Conflicts often appear when the health care resources run short and cause dissatisfaction and when the relatives’ bad conscience makes them wrongfully project their anger towards the nurse. To solve the problem, bringing a third part into the conflict can sometimes be a solution. Even though it may contest the will of the relatives and cause a conflict the nurse should always do what’s best for the patient, since her medical ability is greater.

Background: Exclusively breastfeeding a child during the first six months of life reduces the risk of mortality by 14 times. 42 % of mothers in Indonesia breastfed their infant exclusively in 2012. It is the registered nurses´ responsibility to provide information about consequences of their decision to the patient. Aim: The aim of this study was to investigate how registered nurses describe how they provide patient education about breastfeeding to newly delivered mothers and how registered nurses experience their role as a patient educator. Method: It was an empirical, qualitative study based on a focus group interview with four registered nurses and two midwives. The interview was based on a semi-structural interview design. The focus group interview was transcribed and analyzed using a qualitative content analysis. Result: Three major themes were found in this study, “strategically using different techniques while educating”, ”patient and family centered care” and “the registered nurse as a significant source of knowledge”. The first theme describes how the registered nurses used different techniques to encourage the mothers to breastfeed. The second theme describes the importance to include the entire family in the education and to adjust the education depending on the patient. The third theme describes how the registered nurses saw themselves as significant sources of knowledge and that it was their responsibility to provide evidence-based knowledge. Discussion: All registered nurses and midwives described the importance of evaluating the education. Families had a great influence over the patient in the Indonesian culture, hence, it was crucial to involve them in the education. The registered nurses felt that they were in the right position to give crucial information and education about breastfeeding.

Thesis (Ph.D.)--Indiana University, 2009. / Title from screen (viewed on August 28, 2009). School of Nursing, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Pamela Jeffries, Daniel Pesut, Judith Halstead, Tamilyn Bakas. Includes vita. Includes bibliographical references (leaves 169-179).

Bakgrund: Den psykiska ohälsan ökar i samhället och är i dag den vanligaste orsaken till sjukskrivning och längre sjukfrånvaro i Sverige. Vården av patienter med psykisk ohälsa är tidskrävande och behovet av resurser som denna patientgrupp kräver öppnar upp för nya arbetssätt för sjuksköterskan utöver dennes traditionella yrkesgräns. Syfte: Syftet med litteraturöversikten är att beskriva vilka sjuksköterskeledda omvårdnadsåtgärder som vidtas för patienter med psykisk ohälsa inom den öppna vården. Metod: En litteraturöversikt har genomförts, vilket i detta arbete innebär att åtta vetenskapliga artiklar har analyserats, fyra av dessa var av kvalitativ design, tre av kvantitativ design och en av mixad metod. Resultat: Litteraturöversikten resulterade i två huvudteman och fyra respektive två underteman. I huvudtemat genomförda omvårdnadsåtgärder beskrivs hur sjuksköterskan arbetar med bedömningssamtal, information, utbildning, guidning, kontinuerliga samtal samt psykoterapi. I andra huvudtemat effekter av genomförd omvårdnad beskrivs vilken inverkan sjuksköterskans omvårdnadsåtgärder kan få relaterat till sjuksköterskans engagemang samt på patientens symtom och behandling. Diskussion: De omvårdnadsåtgärder som beskrivs i resultatet diskuteras utifrån sjuksköterskan som en bidragande arbetskraft inom den öppna vården för patienter med psykisk ohälsa. Fynden diskuteras också utifrån omvårdnadsteoretikern Phil Barkers tidvattenmodell samt konsensusbegreppet människa. / Background: Mental illness is increasing in society and is today the leading cause off sick leave and extended sick leave in Sweden. The care of patients with mental illness are time consuming, and the need for resources that this group of patients requires are opening up for new ways for nurses to work, beyond their traditional profession. Aim: The aim of this literature review is to describe the nursing care for patients with mental illness in general outpatient care. Method: The method that was used in this paper is a literature review. Eight scientific articles were reviewed, four were of qualitative design, three of quantitative design and one of mixed method. Results: The literature review resulted in two main themes, divided in four and two sub themes. The main theme, performed nursing care, describes how the nurse is working with assessments, information, education, guidance, continuous talks and psychotherapy. The second main theme, the effects of the implemented nursing care, describes the impact of how nursing care measures may have affected the nurse’s commitment as well as on the patient’s symptoms and treatment. Discussion: The nursing care described in the results are discussed with the view of the nurse as a contributing labor in outpatient care for patients with mental illness. The findings are also discussed from the tidal model of nursing theorist Phil Barker, and the consensus concept of man.

Background: The number of children abused in Sweden has increased in last years. All children have the right to live a safe life and receive a good development during their upbringing. It is important that the child's basic needs are met for the child to have a good development. Being a victim of child abuse can lead to enormous consequences in the future for the child's physical and mental health. Aim: This study aimed to illuminate the nurse's experiences in suspected child maltreatment Method: A literature study based on analysis of qualitative studies according to Friberg´s five step model. Results: The results of the studies showed that responding and helping children who live in child abuse was a difficult task for the nurses to perform. The nurses were aware of their obligation to maintain the child's safety. The nurses described the basis of their experience that they encountered personal and work-related obstacles to be able to identify, remedy and report when children were suspected of being abused. The result is presented under three themes. The first theme highlights how nurses are emotionally affected. The second theme is about experiences about collaboration with other authorities. The third theme describes the nurses' need for professional development. Conclusion: The nurses should be able to give the child the right care to ensure the safety of the child and be able to give advice to the child's family. A prerequisite for providing adequate nursing needs nurses have good health science knowledge. / Antalet barn som far illa i Sverige ökar. Sjuksköterskor har skyldighet att anmäla vid misstanke om barn som far illa. Forskning visar att barn som far illa väljer att inte berätta för en vuxen eller en professionell person om misshandeln. Forskning visar även att sjuksköterskans beteende kan hindra eller stimulera patientens delaktighet samt att vårdkultur kan bidra till ett vårdlidande. Konsekvensen av att leva med utsatthet som barn kan resultera i fysisk och psykisk ohälsa senare i livet. Resultat av denna litteraturstudie baseras på sammanställning av nio kvalitativa studier. Resultatet visar att sjuksköterskornas emotionella påverkan har sin inflytande på arbetet. Sjuksköterskorna förstår sitt ansvar att reagera och hjälpa det utsatta barnet, för att sjuksköterskorna ska kunna utöva sitt ansvar krävs det en fungerande samverkan med andra verksamheter. Sjuksköterskorna upplever frustration över bristande samverkan med andra vårdenheter och myndigheter. Sjuksköterskorna uttrycker även ett behov av mer kunskap och professionell utveckling samt tydliga rutiner för att kunna upptäcka varningstecken och därefter kunna vidta relevanta åtgärder i syfte att barnets säkerhet säkerställas i god tid. Slutsatsen av detta examensarbete är att sjuksköterskorna stöter på hinder under processen att hjälpa barn och deras familj. För att sjuksköterskorna ska kunna tidigt upptäcka och vidta rätta åtgärder vid misstanke om barn som far illa krävs det förutsättningar för sjuksköterskorna att utveckla sin kunskap, en fungerande samverkan med alla berörda, samt rätt stöd för att bearbeta den emotionella påverkan som uppstår.

One out of 2 women and 1 out of 5 men over age 50 will sustain a fragility fracture (FF) in their lifetime. The risk of a 2nd FF increases dramatically after the 1st fracture and can lead to pain, disability, and mortality. Despite the evidence that secondary prevention programs are effective, the local facility did not have a formal mechanism to address this need. The purpose of this project was to design a program for secondary prevention of FFs and to address the need for a program for secondary FF prevention that was sustainable locally. The program was designed for facility patients age 50 or older who sustained a wrist fragility fracture within 6 months. The reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework was used to guide the project and program evaluation. A needs assessment was conducted prior to developing the program and included secondary data from the facility's provider survey. The 'Own the Bone' program, a nationally recognized program, was chosen as the intervention model. The 'Own the Bone' program provided a registry data for performance measures which assisted in the development of the program. The program included a short survey for providers to assess satisfaction with the referral process, and a telephone survey to referred patients who chose not to attend. Patient satisfaction with the program incorporated the Standardized Clinician Group Consumer Assessment of Healthcare Providers and Systems survey. Data collection and analysis plans were provided to the site with recommendations for implementation. This program was the 1st step in closing the local research-practice gap of secondary fragility fracture prevention. The project offers an opportunity to promote positive social change through the prevention of FF in a setting that had not previously addressed the problem.