Diss. (sammanfattning) Stockholm : Karol. inst., 2001. / Härtill 5 uppsatser.

M.Sc.(Nursing), Faculty of Health Sciences, University of the Witwatersrand, 2012 / The purpose of this study was to describe family members’ opinions regarding the quality of care and decision-making in the adult intensive care units. A quantitative descriptive research design was utilized to meet the study objectives. Structured interviews were conducted using the FS-ICU (24) questionnaire with participants (family members, n=100) drawn from three intensive care units. Descriptive and comparative statistics were used to analyse the data. Satisfaction with care was rated by family members’ as higher than their satisfaction with decision-making. Overall 91.0% (n=91) of family members’ were mostly satisfied with the care provided. Of the 24 items the management of patient symptoms was the most highly rated items. The least satisfied item related to the waiting room, which was rated as 93.0% (n=93) dissatisfactory. Frequency of communication, completeness of information, feeling excluded and unsupported during decision-making and the rigid visiting hours were areas identified for improvement in the ICU. These findings suggest that deficiencies exist in meeting family’ needs. Based on the research findings, it can be concluded that results of this study have supported the existing evidence in literature from previous studies on family satisfaction with care and decision-making in the ICU. Recommendations for nursing practice, education, research and institution are proposed.

A research report submitted in partial fulfillment of the degree of MSc (Med) in Bioethics and Health Law, Steve Biko for Bioethics, University of Witwatersrand, May 2015 / In response to an increasing number of litigations relating to nursing care errors, negligence or acts and omissions that arise mostly due to unprofessional or unethical behaviour by nurse practitioners, compounded by the growing awareness of patient’s rights, nurse practitioners as such need an intervention by the regulatory body, the South African Nursing Council (SANC). The argument presented in this report is regarding the obligatory role of SANC to uphold professional and ethical practice for nurses in terms of the curriculum, the scope of practice, the code of ethics, continuing professional development and by offering an appropriate workplace ethical climate. The basis of the argument is philosophical perspectives, legislation and moral theories related to ethical practice. The moral theories applied to this study are deontology, utilitarianism, virtue ethics and Ubuntu as an African moral theory, whereas legislation relates to rules and regulations related to nursing practice. The overall significance of the study is to enhance nursing care with specific focus on upholding ethical principles from the SANC position, that will positively impact on the improvement of health care by nurses with reference to the Nursing Act No. 33 of 2005, The Bill of Rights (Constitution of South Africa), The Universal Declaration of Human Rights, the Patient’s Rights Charter, the International Council of Nurses (ICN) , the South African Nursing Council Code of ethics and the National Health Act 61 of 2003.

M.Sc. (Nursing), Faculty of Health Sciences, University of the Witwatersrand, 2009 / The purpose of this study is to undertake an interpretive, descriptive meta synthesis of available literature of primary qualitative research findings on patient satisfaction with nursing care of adult patients in hospitals across the world. The study addresses the question about the experiences and expectations of adult patients regarding nursing care. It is argued that patient satisfaction provides a meaningful focus for improving quality of care, planning and evaluation of health care services. The data collected in this study were from the identified articles from a range of databases including Science direct, PubMed, CINAHL and EBSCO host. The findings reveal that 13 studies met the inclusion criteria. Four of these were undertaken in the Sweden, two in the USA, two in the UK, and one each from China, Iceland, Ireland, Greece and Western Australia. The population study sampled was 341 adult patients in the included primary research reports. The total population comprises of 132 males and 166 females. In the literature 49 themes were derived which were synthesised to four new themes namely: Caring, quality of care, communication and information, professional technical skills and competence, organizational and environmental factors. Therefore, this study focuses on these five themes that contribute to patient satisfaction. In conclusion, this study points out that despite the dissatisfaction with nursing care, some satisfaction were experienced and that these should be used for those considering whether or not to use patient satisfaction views and opinions in the care.

by Lo Po Hung, Gordon. / Thesis submitted in: December 1998. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves 94-107). / Abstract and questionnaire also in Chinese. / ACKNOWLEDGMENTS / ABSTRACT (ENGLISH & CHINESE VERSION) --- p.ii / LIST OF TABLES --- p.vi / CHAPTER / Chapter 1. --- INTRODUCTION --- p.1 / Chapter 2. --- LITERATURE REVIEW --- p.3 / Nursing Assessment --- p.3 / Purpose of Nursing Assessment --- p.4 / The Importance of Nursing Assessment --- p.5 / The Influence of the Concepts of Health and Holism on Comprehensive Nursing Assessment --- p.7 / Philosophical Perspectives on Nursing Assessment --- p.8 / The Incorporation of Nursing Theories or Models into Nursing Assessment --- p.10 / Implementation of Comprehensive Nursing Assessment --- p.12 / Areas Included in the Comprehensive Nursing Assessment --- p.13 / Biophysical Assessment --- p.14 / Psychological Assessment --- p.16 / Sociocultural Assessment --- p.19 / Spiritual Assessment --- p.21 / Summary --- p.24 / Chapter 3. --- METHOD --- p.25 / Design --- p.26 / Sampling --- p.28 / Data Collection Methods --- p.32 / Data Collection Procedure --- p.37 / Pilot study --- p.39 / Reliability --- p.41 / Ethical Considerations --- p.43 / Data Analysis --- p.44 / Chapter 4. --- RESULTS --- p.47 / Sample Characteristics --- p.47 / Mean Scores for Comprehensive Assessment --- p.50 / Items with Higher and Lower Scores in the Questionnaires and the Checklists of Nursing Records --- p.53 / Items with Higher and Lower Means in Each Category in Comprehensive Assessment Questionnaire --- p.57 / Differences in the Total and Category Assessment Mean Scores --- p.59 / Factors Affecting the Implementation Comprehensive Nursing Assessment --- p.64 / Suggested Interventions to Enable Nurses to Perform Comprehensive Nursing Assessment --- p.67 / Chapter 5. --- DISCUSSION AND CONCLUSION --- p.71 / The Performance of Comprehensive Nursing Assessment --- p.71 / The Focus of the Assessment within Each Component of Nursing Assessment --- p.74 / Factors Affecting the Implementation of Comprehensive Nursing Assessment --- p.81 / Limitations --- p.87 / Implications for Practice --- p.89 / Recommendations for Future Research --- p.91 / Conclusion --- p.92 / REFERENCES --- p.94

Thesis (M.S.)--University of Michigan, 1982. / "A research report submitted in partial fulfillment of the requirements for the degree ..."

Thesis (M.S.)--University of Michigan, 1982. / "A research report submitted in partial fulfillment of the requirements for the degree ..."--T.p.

Thesis (M.S.)--University of Wisconsin--Madison, 1983. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 113-120).

The study aimed to develop, monitor and explore the process and outcomes of guided reflection and its impact on enabling practitioners to achieve desirable and effective caring practice. A secondary focus of the study was to monitor and explore the process and outcomes of guided reflection as a form of critical action research which may generate theoretical insights regarding its use in clinical supervisory practices. The process referred to as 'guided reflection' was developed and used to guide this study. Guided reflection represents a form of social action research which was framed within an ontology and process of critical and reflexive phenomenology of experience between practitioners and their supervisors over a period of four years. Whilst each guided reflection relationship was written as a critical narrative to illuminate the reflexive development of effective practice, these narratives became a secondary level of analysis to construct meta-narratives of the nature of effective work and dynamics of guided reflection. Various frameworks were developed and tested within a reflexive process that was appropriately informed and juxtaposed with extant theory to adequately interpret and present the process and ou.tc omes of the study. The method and process of guided reflection generated two major empirical and theoretical insights. • 'The 'Being available' framework to know effective caring practice, presented as one major exemplar of 'Pru'. • Meta-reflection of methods and process of guided reflection. Three frameworks in particular are significant: . • 'Being available' as a parallel framework for effective supervision practice. This parallel framework supports the coherence between developmental and research processes. • The Model for Structured Reflection as an heuristic device for knowing reflection. • 'Framing perspectives' as a series of integrated lenses to focus on discrete layers of learning within reflection. The insights gained through the study have considerable significance for informing and guiding the future development of reflective practice within nursing curriculum, clinical supervision within practice, and the future development of nursing knowledge. The development of nursing knowledge is of particular significance in understanding the meaning and nuances of holistic nursing as a lived reality and have significantly contributed to the reflexive development of the Burford NDU Model: Caring in Practice. The study has become a springboard for research to gain further insight into the factors that facilitate or constrain the efficacy of guided reflection in enabling practitioners to know and realise desirable practice within everyday practice.

à importante conhecer o conceito de famÃlia, alÃm da estrutura familiar, suas funÃÃes, papÃis e como seus membros organizam-se e interagem entre si para aumentar nossa percepÃÃo. Objetivamos desenvolver tecnologia de cuidado de enfermagem em grupo à famÃlia. Pesquisa qualitativa, por meio do referencial metodolÃgico de Loomis (1979), usamos a abordagem grupal adotada à famÃlia e crianÃas/adolescentes transplantados cardÃacos, em hospital terciÃrio de referÃncia em Fortaleza-CE, Brasil. O processo grupal foi dividido em trÃs fases: planejamento (objetivos), intervenÃÃo (estrutura e processo) e avaliaÃÃo (resultados), sendo grupo apoio/aprendizagem contemplando os fatores terapÃuticos. O referencial teÃrico foi conduzido pelos pressupostos do Modelo Calgary de AvaliaÃÃo da FamÃlia (MCAF), utilizando como avaliaÃÃo o genograma. Participaram 15 famÃlias, incluÃdo o familiar e a crianÃa e/ou adolescente que havia realizado transplante cardÃaco infantil. Por meio dos critÃrios de inclusÃo e exclusÃo, permaneceram 16 participantes, 8 crianÃas e/ou adolescentes e seus respectivos (8) familiares para pesquisa. A coleta de dados foi desenvolvida de janeiro a outubro de 2012. Os dados utilizados para anÃlise foram: entrevista com a famÃlia, relatÃrio descritivo das sessÃes grupais, com gravaÃÃo de voz e registro de fotos. Quanto aos resultados observamos cada sessÃo de grupo como principais fatores terapÃuticos, coesÃo, catarse, oferecimento de informaÃÃo, altruÃsmo, universalidade e instilaÃÃo de esperanÃa.Analisamos a avaliaÃÃo do grupo e coordenador ao verificar as fases na perspectiva da teoria que constituem os fatores curativos em um grupo de cuidado de saÃde que foram identificados em cada sessÃo, sendo o grupo avaliado como eficaz. Para a enfermeira realizar a prÃtica de grupo no em unidades hospitalares, à preciso disponibilizar planejamento de tempo e das distribuiÃÃo da assistÃncia dedicada, pois muitas vezes à focalizada no atendimento individual o que faz com que torne-a, sobrecarregada no serviÃo. Quanto as conclusÃes desta pesquisa evidenciamos destaque e relevÃncia para a prÃtica desenvolvida pela enfermeira, mostrando que a tecnologia do cuidado de enfermagem com grupo familiar, se torna de fundamental importÃncia e que mostra de modo visÃvel a assistÃncia com criatividade, vÃnculo das relaÃÃes interpessoais e a reduÃÃo do tempo de atendimento a clientela especÃfica. E nestas condiÃÃes a enfermeira torna-se coordenadora de grupo de apoio, trazendo assim suporte e aprendizagem para uma parte da populaÃÃo que nÃo à acolhida ainda por profissionais da saÃde. A partir desta experiÃncia exitosa, sugerimos que nos hospitais pediÃtricos possam realizar prÃtica com grupos e assim estimulando aos profissionais enfermeiros a novas pesquisas sobre tecnologia do cuidado de enfermagem em grupo ao familiar e à crianÃa, pois assim o enfermeiro estarà cada vez mais preparado para este familiar, terà a prÃtica profissional embasada cientificamente, de modo a facultar resultados satisfatÃrios para a instituiÃÃo, famÃlia e sociedade. / The familial relationship frequently are very hard to be understood, then to increase our perception it is important to know the concept and family structure, roles and how the members organize themselves and interact with each other. We aim to develop strategy for nursing care in the family group. In a qualitative approach, through the methodological framework of Loomis (1979). The group approach adopted to the family and child / adolescent cardiac transplant in a tertiary hospital in Fortaleza. The group process is divided by three phases: planning (goals), intervention (structure and process) and evaluation (results), as the main objective of the group were support / learning. The theoretical framework was driven using as the genogram assessment, by model of Calgary Family Assessment (MCAF). The volunteers selected to the study were 15 relatives of children / adolescents who underwent heart transplantation. However through the inclusion and exclusion criteria, remained eight relatives to folow up. The data collection was performed from June to September (2012). The data used for analysis were: descriptive report of the session (audio and photos recorded) and speeches of the volunteers in interview, using the construction of the genogram. At each session, we identified the main therapeutic factors as: cohesion, catharsis, offering information, altruism, universality and instillation of hope that integrate the resolution process for their specific goals. The aims were achieved since we developed the strategy of the nursing care to the family group, using the reference group stages (group development), focusing on the proposed objective: support and learning. Furthermore the group and coordinator evaluation was assessed as being effective, since we could verify the phases from the perspective of the theory that constitute the curative factors in a group of health care that were identified in each session. To accomplish this nursing group practice in the hospital service, takes time and dedication to provide the nurse, that very often overwhelmed in service. We suggest that pediatric hospitals encourage their nurses to perform further research on nursing care in the family group and the child, as well as the nurse will be prepared and scientifically based practice, in order to provide satisfactory results to the institution.