Thesis (M. Sc.) (Hons.)--University of Western Sydney, Hawkesbury, 1994. / Includes bibliographical references (p. 279-289).

Thesis (MCur(Advanced Community Nursing)--Faculty of Health Sciences)-University of Pretoria, 2008. / Summary in English. Includes bibliographical references. Mode of access: World Wide Web.

Thesis (MCur.(Advanced Community Nursing)--Faculty of Health Sciences)-University of Pretoria, 2008. / Summary in English. Includes bibliographical references.

Thesis (Ph.D.) -- University of Rhode Island, 2009. / Typescript. Includes bibliographical references (leaves 150-165).

Thesis (M.N. (Hons))--University of Western Sydney, 2004. / A thesis presented to the University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health, in fulfilment of the requirements for the degree of Masters of Nursing (Honours). Includes bibliographical references and appendices.

Tuberculosis is one of the major health tragedies facing South Africa. It is estimated that nearly two-thirds of the population of the country are infected with the tuberculosis bacterium and 160 000 South Africans from all walks of life become ill with tuberculosis every year (Department of Health, 1997: 4). An innovative approach is needed to fight the problem of tuberculosis. In view of the important role played by primary health care nurses with regard to the care of patients with tuberculosis, the overall aim of the study is to contribute to an improvement of tuberculosis patient care, inter alia, by attending to the problems pertaining to the provision of tuberculosis patient care at the government clinics in the Qwa-Qwa district of the Free State. The study attempts to describe the difficulties that primary health care nurses at the government clinics in Qwa-Qwa experience in the provision of tuberculosis patient care, and how their attitudes towards patients affect their service. The nurses need to be informed about how their attitudes influence their service. The perceptions of primary health care nurses in this matter are ascertained to assess their personal experience in their routine care of tuberculosis patients. The results of this research study indicate the following obstacles for primary health care nurses to render effective tuberculosis patient care at the government clinics in Qwa-Qwa: · Lack of knowledge, training and skills amongst some of the nurses in the treatment of tuberculosis, · Poor access to tuberculosis information, which include the procedures that protect nurses from tuberculosis infection; · Poor management system for nurses in tuberculosis patient care; · Lack of key health resources related to tuberculosis treatment; · Fear of the consequences of contracting tuberculosis by some of the nurses, and; · Negative attitudes of some nurses towards tuberculosis patients as well as towards their work. / Dissertation (MA (Sociology))--University of Pretoria, 2005. / Sociology / unrestricted

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / The purpose of this descriptive study was to describe critical care nurses knowledge and experience regarding the acutely confused elderly. A questionnaire, developed by the investigator, was mailed to two hundred nurses who were members of the American Association of Critical Care Nurses (AACN). The questionnaire consisted of three parts; a case study and questions assessing the respondents' knowledge of acute confusion, questions about the respondents' past personal experiences with the elderly, and a section on demographics. The response rate was 45%. The essential findings were: 1) the mean score on the knowledge items was 60% correct 2) ICU nurses had limited personal experiences with confused elderly people 3) neither level of education nor years of nursing experience affected how well the respondents did on the knowledge items 4) ICU nurses tended to attribute the cause of acute confusion in an elderly patient to ICU psychosis. Further research needs to be done on the etiology and characteristics of acute confusion and on nursing actions and interventions concerning the acutely confused elderly patient. The concept of ICU psychosis needs to be further explored. / 2999-01-01

This phenomenological study describes the lived experience of ten registered nurses who provided a standard of nursing care that they perceived to be impeded because of their negative reactions to their patient's condition. Purposeful sampling was used to recruit participants via an advertisement in a local nursing organisation's newsletter. In-depth interviews generated data about the nurses' personal and professional experiences. Data analysis incorporated the qualitative methods of Huserrlian (descriptive) phenomenology and Colaizzi's method of data analysis. Findings revealed that during some stage of the nurses' careers they had reacted negatively to a patient's condition. These negative reactions included frustration, annoyance, nurses fearing for their own safety, revulsion, sadness and feelings of guilt that impeded care had been provided. These reactions translated into behaviours that were associated with providing nursing care to the patient that the nurses themselves perceived to be of impeded quality. Behaviours included not being there or spending less time with the patient, not communicating well and having less rapport with the patient, not meeting the patient's psychological and social needs and not meeting the patient's spiritual needs. The nurses found their awareness that this had occurred disturbing and they devised strategies to cope personally and also to ensure that a better quality of care was provided in subsequent situations. Strategies included discussions with colleagues, arranging for colleagues to provide care for the patient, mental preparation, and using individual coping strategies. / There was a pattern of contextual factors impeding the provision of good care. These factors included an existing poor rapport with the patient, a bad experience with a patient with similar characteristics, time pressures and a lack of autonomy, chronic work stress, low staffing levels, a lack of clinical experience, negative reactions to the patient's condition by other staff members, a lack of visits by the patient's significant others and disagreement with the patient's medical treatment.

Intensivvårdssjuksköterskor uttrycker upplevelser av moralisk stress i det dagliga arbetet och detta kan leda till utbrändhet eller behov av att byta yrke då de inte lyckas bemästra sin situation. Studiens syfte var att kartlägga moralisk stress hos intensivvårdssjuksköterskor med hjälp av Moral Distress Scale(MDS). Studien utfördes med en deskreptiv metod av tvärsnittsdesign där 45 sjusköterskor med intensivvårdsutbildning i västsverige tillfrågades att vid ett tillfälle besvara en enkät med en validerad svensköversatt MDS. Resultatet påvisade att det finns signifikant höga nivåer av moralisk stress hos intensivvårdssjuksköterskor yngre än 45 år(p=0,044) och även i gruppen med kandidat/-magisterexamen(p=0,003). De högsta nivåerna av moralisk stress kunde uppmätas när intensivvårdssjuksköterskorna ställdes inför situationer där de upplevde att ingen var beredd att fatta beslut om att avsluta livsuppehållande behandling. Bristande kompetens, "onödiga" behandlingar och resursbrist medförde också hög moralisk stress. För att motverka moralisk stress behövs enligt studier; debriefing, etiska vårdkonferenser och stöd från arbetsledningen. Denna studie kan bidra till att åskådliggöra moralisk stress och intesnifiera diskussionen samt skapa ett gemesnamt språk kring moralisk atress bland intensivvårdssjuksköterskor.

Thesis (M.S.)--University of Michigan, 1977.