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Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn
Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn
Dissertations
This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …
Organized Nursing In The Silver State: A History Of The Nevada Nurses' Association, Ellen Suzanne Fries Dnsc, Mn, Rnc
Organized Nursing In The Silver State: A History Of The Nevada Nurses' Association, Ellen Suzanne Fries Dnsc, Mn, Rnc
Dissertations
Membership in a professional organization traditionally has been considered one of the characteristics of a person avowed to practice a profession. The purpose of this study was to conduct an historical analysis of the Nevada Nurses' Association (NNA) to determine the influence of national, state, and local societal issues on the evolution of the organization. Data was collected from the Nevada Historical Society in Reno, the NNA state office, the Special Collections at the University of Nevada, Las Vegas, and the Nursing Archives at Boston University. Articles in professional and lay literature also provided information. Organization theory and congruence with …
Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn
Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn
Dissertations
An increasing number of registered nurses and other health care providers are entering upper division academic nursing programs to obtain the baccalaureate nursing degree. A path analytic model was developed to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students, and the influence of professional support in the subsequent transition to the professional role. Group differences between Registered Nurses (RNs) and military corpsmen were also investigated for the variables of importance. A sample of 206 RNs and 37 U.S. Navy corpsmen (from a current population of 96) …
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Dissertations
This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …
Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn
Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn
Dissertations
Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Dissertations
Within a stress-coping-adaptation framework, a path analytic model was hypothesized to explain the interrelationships among the variables of gender, age, duration of illness, steroid dosage, social support, perceived health status limitations, and coping skills, and their subsequent effect on body image appraisal in the population of subjects undergoing treatment for a malignant brain tumor. The many potential changes in physical appearance and functional abilities, including the loss of hair, the onset of Cushing's syndrome and varied physical disabilities, may cause devastating alterations in body image, requiring tremendous coping skills for adaptation in these individuals. One hundred and ten subjects were …
The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc
The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc
Dissertations
The purpose of this phenomenological study was to identify the moral dilemmas experienced by nurse practitioners in their clinical practice and to describe the essential features of moral reasoning utilized by the nurse practitioners to resolve the moral dilemma. The participants in the study were ten female volunteers who were currently employed as NPs in a variety of settings. Unstructured interviews were conducted with the participants and the qualitative data was analyzed using a nine step process. Five essential features of moral reasoning emerged through the process of data analysis: values, elements in the contextual framework for moral reasoning, influencing …
Political Participation Of Registered Nurses: A Correlational Study, Ophelia B. Mcdaniels Edd
Political Participation Of Registered Nurses: A Correlational Study, Ophelia B. Mcdaniels Edd
Dissertations
This study analyzes and provides a base line description of the political participation of nurses practicing in hospitals. The study explores the relationships between political participation and the variables: self-esteem, personal control, political efficacy and critical thinking. The theoretical framework for designing the questionnaire was based on the Political Participation Model (Verba and Nie, 1972) and the Political Process Participation Questionnaire (Archer, 1983). Design of the Political Efficacy Scale was based on the Subjective Political Competence Scale (Almond and Verba, 1963) and the Political Efficacy Scale (Campbell, Gurin and Miller, 1954). Self-esteem was measured by the Self-Esteem Inventory (Coopersmith, 1967). …
Nurses' Attitudes To The Nursing Process, Glenda M. Prideaux
Nurses' Attitudes To The Nursing Process, Glenda M. Prideaux
Theses : Honours
The nursing process was 'introduced in Australia in the mid 1970s, as a teaching tool, however, with the advent of tertiary based education in the late 1970s, it was used as a problem solving approach to the practice of nursing. Acceptance of the nursing process has required changes' in attitudes and practice. The objectives of the study were firstly, to describe nurses' attitudes to the nursing process, and. secondly, to relate these attitudes to education and experience. The purpose of this study was to describe nurses' attitudes to the nursing process because they are reported to influence the standards or …
New Graduates' Self-Perceived Preparedness To Begin Practice As Registered Nurses, Vicci Lodge
New Graduates' Self-Perceived Preparedness To Begin Practice As Registered Nurses, Vicci Lodge
Theses : Honours
The purpose of this study was to investigate new nurse graduates' perceptions of their preparedness to begin practice as registered nurses. The investigation included determining whether their perceptions changed over time and in which areas they perceived they were best and least prepared. A longitudinal descriptive survey design was used for this study. Two self-administered questionnaires were used to gather data from all the students (79) who graduated with the Diploma of Health Science from Edith Cowan University at the end of Semester 1 for 1991. Of these, 34 new nurse graduates completed and returned both questionnaires. Both quantitative and …
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
Dissertations
The purpose of this study was to describe and explain the impact of work stress, sex role organization, and organizational tenure on self-esteem and work satisfaction, and ultimately, on the organizational commitment of registered nurses. An eclectic framework was utilized which incorporated organizational and personal variables. The correlational design resulted in a temporally ordered causal recursive model with linkages supported by a literature review. Past research has demonstrated less organizationally committed nurses more prone to leave their positions, and high turnover is detrimental to patient care as well as costly to the health care system. The sample consisted of 143 …