<p> The purpose of the hermeneutic phenomenological study was to explore the perceptions and lived-experience of work-life balance of oncology nurses living the Houston Metropolitan area. The two theories used to advance the study were work-family conflict and role stress theory. A single research question guided the study: <i>How do oncology nurses perceive and describe the lived-experience of work-life balance?</i> Twelve oncology nurses were interviewed to identify perceptions of work-life balance, understand from the nurses&rsquo; perspectives of the contribution of oncology work environment to work-life balance, to describe the experience of work-life balance, and to identify personal strategies that help the nurses achieve work-life balance. The study revealed nine major themes: (a) work-life balance is described as managing time between work and home; (b) time management and emotional demand are challenges oncology nurses face in achieving work-life balance; (c) the oncology work-environment creates challenges for nurses achieving work-life balance; (d) work-life imbalance creates negative effects for the nurse, the workplace, and the patient; (e) nurses had considered leaving oncology or the current nursing workplace because of work-life balance issues; (f) successful work-life balance has positive outcomes for employees and the workplace employer; (g) A nurses&rsquo; lifestyle and demographic factors contributes to successful work-life balance; (h) an organization&rsquo;s benefits and resources contribute to successful work-life balance; and (i) self-care is a strategy nurses find useful for obtaining and maintaining work-life balance and self-care is important to psychosocial health. Recommendations include providing more staff recognition opportunities, providing more work-life balance resources, performing work-life balance nursing needs assessment, developing work-life balance programs, developing work-life balance champions, developing nurse caregiver programs, and improving marketing and communication regarding work-life benefits and programs. Education recommendations include educating staff about available work-life balance and self-care programs, increasing the amount of and access to oncology related educational opportunities, incorporating work-life balance and self-care in nursing educational programs, and providing time management learning opportunities designed specifically to address managing critically ill patients and high acuity. Finally, a recommendation for nursing practice is developing strategies that include flexible work schedules and self-scheduling.</p>

<p> The Brownsberg Nature Park (BNP) in Suriname is home to eight monkey species: <i>Saguinus midas, Saimiri sciureus, Cebus apella, Alouatta seniculus. Pithecia pithecia, Cebus olivaceus, Chiropotes satanas (sagulatus), </i>and <i>Ateles paniscus.</i> Several studies have undertaken the task to better study the feeding and behavioral ecology of these species within the park. However, studies on the black spider monkey (<i>Ateles paniscus</i>) have been absent. As part of my thesis, I decided to conduct a baseline feeding and behavioral ecology study of this species during the period May 2008 &ndash; July 2008. In addition, I developed a field method for determining mercury levels (in parts per million = ppm) in fecal and urine samples of wild monkeys. Since the park is under enormous pressure from illegal gold mining activities, I decided to collect baseline data on potential exposure of wild monkeys to mercury in the environment. I also collected samples from monkeys at the zoo in Paramaribo and monkeys born in captivity at Hiram College in Ohio. I collected data on the frequency of feeding, resting, and traveling by black spider monkey subgroups every 10 minutes during all day follows. Feeding ecology data consisted of identifying fruits eaten by these subgroups. For the mercury analysis I used the OSUMEX LTD. home testing kit. Results from the behavioral data show the following frequencies of activities for the entire study period: 32% feeding, 43% resting, and 25% traveling. The feeding data further justifies spider monkeys as ripe fruit frugivores: 76% of food items consisted of ripe fruit, while 22% consisted of leaves, and 2% was comprised of flowers. The mercury testing results from the Brownsberg and zoo populations ranged between 0.025 ppm to 0.1 ppm (toxic level = 0.8 ppm). The Hiram College monkeys all displayed levels at 0.000 ppm. The results from the mercury analyses indicate that 1) wild monkeys in the vicinity of gold mining activities may not be under the same threat as humans, with regards to mercury exposure through food, and 2) that wild monkeys are still relative exposed to mercury in the environment whether it be natural or anthropogenic.</p>

<p> The Unimak Island caribou herd is in the midst of a population decline associated with low birth rates and calf survival. I evaluated the spatial and temporal complexity of caribou landscape use and the availability and nutritional quality of key forage species. First, I examined seasonal landscape use and movement using GPS collar data. Second, I determined seasonal diets to the species-level for spring, summer, and fall using a novel n-alkane and long-chain fatty acid (LCOH) method. Finally, I compared diet quality with needs for maintenance and to the quality of available plant species. Caribou home ranges were largest and movements least in the winter, and movements appeared dependent on plant phenology and weather conditions. Diets were complex and seasonally variable but generally contained higher proportions of forbs than other caribou herds likely due to their higher relative availability as compared to other preferred forages. Finally, animals foraged selectively each season, obtaining a diet that was higher in digestible dry matter and nitrogen than the average of plants available. Nutritional quality appeared to be well above requirements during the three seasons investigated. Overall, I concluded that spring, summer, and fall forage quality and availability do not impose strong constraints on Unimak Island caribou. However, I recommend that diet composition and quality be determined in the winter, the time when forage often limits the productivity of caribou herds.</p>

<p> There is little research addressing caregiver stress while in the hospital setting. This study sought to answer the question, Would utilization of an oncology care partner program during hospitalization increase communication and preparedness for discharge while decreasing caregiver stress? A two phase study was utilized to generate standard of care data and data resulting from the intervention. A quantitative pre and post survey method was used. Qualitative data was included from conversations between the researcher and subjects. Communication and comfort upon discharge improved with the intervention, but there was no significant change in caregiver stress levels. Though this study had a small sample size, there are positive implications for the patient, family caregiver, nurses and hospital. The utilization of such a program has merit and further research is needed to validate the findings.</p>

<p> This study examined the effects of a mindfulness-based coaching intervention on perception and emotional regulation shifts related to workplace stressors (internal and external), quality of worklife, interpersonal relationships, and general sense of well-being of high-level executives (HLE) who indicated a desire to improve these areas of their worklife. </p><p> Participants in this study were six HLEs, responsible for managing the direction and change strategies of the organization or department under their charge, who supervise, manage others, and work in dynamic environments. Participants identified negative stress response and emotional regulation as well as being focused on the past and the future to be a challenge in their daily work lives. </p><p> Kabat-Zinn (2012) posited that mindfulness practice can provide the practitioner with a true embracing of a deeper sense of self and others, which can permeate life and transform the relationship to how one thinks, feels and works. Marlatt and Kristeller (1999) described mindfulness as "bringing one's complete attention to the present experience on a moment to moment basis" (p. 9). </p><p> The study included an 8-week mindfulness coaching intervention, pre and post questionnaires, semi-structured interviews. Mindfulness Based Stress Reduction (MBSR), HeartMath Mindful-Hearth Intelligence workbook, tools, exercises and practice were used within a coaching frame work. </p><p> A multiple case study design was used and a thematic analysis of the coaching intervention was conducted. The analysis detailed themes and patterns in shifts and changes in perception, emotional regulation around stress response, relationships, and general sense of well-being. </p><p> The study elucidated the impact of these interventions on HLEs. Several themes emerged as assets for participants during the intervention, specifically, work stress management, heightened awareness, and acceptance. Suggestion for further research would be to explore the hardiness of the process of acceptance in deepening the impact of the other central themes. An unanticipated result which was explored was the extent to which participants came to understand with kindness and curiosity the negative aspects of nondisclosure within their work culture. </p>

<p> The health care environment is transforming with new demands and expectations to improve patient outcomes including patient satisfaction. Health care organizations expect front line nurse managers to improve patient quality and satisfaction without a clear direction or meaningful understanding of the holistic role, functions, and competencies required to achieve organizational goals. The purpose of the qualitative transcendental phenomenological study was to explore the lived experiences and perceptions of the holistic and changing nature of the projected contemporary nurse manager&rsquo;s roles, skills, practices, and dimensions aligned with the expectations for improving patient satisfaction. The exploration of the lived experiences and perceptions among 21 study participants, and data analysis using the modified van Kaam approach, led to the formulation of eight major themes that explained the nature of the experience with the phenomenon. The eight essential themes that encompass the context of the new contemporary and holistic role of the nurse manager to improve patient satisfaction include the following; (a) new expectations, (b) building a patient caring culture, (c) leader rounding, (d) healthy working environment, (e) staff engagement and empowerment, (f) change agent for continuous quality improvement, (g) impact of organization focus and culture, (h) challenges: sustainability of initiatives; lack of interdepartmental and interdisciplinary teamwork. The new proposed nurse manager role in transformation conceptual model aligns nurse manager contemporary and holistic role with transforming cultures for improved patient outcomes. The study findings are significant to health care organization, leaders, policy makers, and educators, in creating new patient caring and healthy working cultures for improved patient satisfaction. </p>

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 1999. / Source: Dissertation Abstracts International, Volume: 60-06, Section: B, page: 2958. Adviser: Bruce Bongar.

No description available.

<p> After decades of global intervention to conquer diseases, healthcare in many countries is still lacking. Assessments of medical laboratories in developing countries today find poor infrastructure conditions with no standardized processes or quality assurance to guarantee accurate results and enable quality healthcare. Bringing healthcare programs in developing countries up to international standards remains a challenge. </p><p> Currently, there is a scarcity of scientific research related to the determinants of success in implementing quality management systems (QMS). There has been little research dedicated to identifying the critical success factors for medical laboratories striving to improve the accuracy and reliability of their testing services in developing countries. </p><p> In over nine years of research, the author realized there was a need for incorporating Critical Success Factor (CFS) methodology into laboratory modernization efforts. This time frame included CDC sponsored trips to several African countries and collaborating with the Vietnam Administration for Medical Services/Ministry of Health (VAMS), Centers for Disease Control-Vietnam (CDC-vn) and seven universities to build laboratory capacity and initiate laboratory improvements to meet national and international laboratory standards. In 2017, VAMS approved a proposed study to identify CSFs in four laboratories in Vietnam. </p><p> The research question this study sought to answer was "What are the top five critical success factors for successful implementation of QMS into laboratories in Vietnam?" with an outcome of improved accuracy and reliability of testing results. This study utilized both qualitative and quantitative research methods employing principles of descriptive research. A demographic survey, semi-structured interview, content analysis, and benchmarking were utilized to identify the top five CSFs and barriers. Content analysis was employed to review CSF definitions and categorize all 220 listed CSFs into ten comprehensive and mutually exhaustive categories. Two research assistants assisted the researcher place each CSF into one of the ten categories. Rigorous and non-rigorous methods measured interrater reliability with the categorization of CSFs. Cohen Kappa values were > 0.85 indicating excellent reliability and accuracy between the assistants and the researcher. Chi-square values were all > 0.05 (p &lt; 0.05) indicating demographic variables did not statistically impact findings. </p><p> Qualitative responses were gathered through personal interviews, a demographic survey, and benchmarking. Using a stratified convenience sampling, participants represented four levels of stakeholders: laboratory staff, laboratory managers, hospital administrators, and clinicians utilizing laboratory services. </p><p> Data from this study found the top five CSFs were: staff knowledge of QMS, laboratory management leadership knowledge and skills, staff commitment to the QMS change process, mentorship, and hospital administration support. In addition to determining the top five CSFs, the study revealed information about encountered or perceived barriers to successful QMS implementation. The participants in this study identified lack of staff knowledge on QMS, lack of financial support from the hospital administration, ineffective laboratory manager leadership knowledge and skills, lack of laboratory infrastructure, and lack of sufficient resources. </p><p> The study&rsquo;s findings add to the body of knowledge in strengthening medical laboratory services and may serve as a basis for continued research in this area of health care. Local, national, and international partners may use this information to tailor training materials and activities to better meet the needs of participating laboratories across Vietnam.</p><p>

No description available.