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Articles 1 - 30 of 58
Full-Text Articles in Medicine and Health Sciences
Violence Towards Remote Area Nurses: A Delphi Study To Develop A Risk Management Approach, Kylie M. Mccullough
Violence Towards Remote Area Nurses: A Delphi Study To Develop A Risk Management Approach, Kylie M. Mccullough
Theses : Honours
Incidents of occupational violence against nurses are unacceptably high. Remote Area
Nurses in Australia frequently encounter violence in the work place and have limited
resources to deal with the problem. Adopting a risk management approach, and
utilising the Delphi method, a panel of expert Remote Area Nurses (n=10) from
geographically diverse communities, identified and prioritised hazards that increase the
risk of violence and made suggestions for controlling those hazards.
Priority hazards included; building maintenance and design, attending call-outs away
from the clinic, staff inexperience and lack of knowledge about the community, as well
as intoxicated clients, communication difficulties and a …
Culturally And Linguistically Diverse Carers' Perceptions Of The Cultural Appropriateness Of Carer Support Services: An Exploratory Study, Andrea Creado
Theses : Honours
Research on service utilisation by primary family carers has highlighted that carers from culturally and linguistically diverse (CALD) backgrounds face specific barriers in accessing services, such as lack of culturally appropriate services, communication issues, prejudice, feelings of failure and misunderstanding of mental illness. However, little is known about how to best overcome these factors from the carers' perspective. The aim of this study was to investigate the perceptions CALD carers had of the cultural appropriateness of carers' support services available in Perth. Ten primary family carers from CALD backgrounds participated in a semi-structured interview to explore their perceptions of existing …
The Decision Making Process Involved When Changing Career: A Qualitative Study Of Registered Nurses Who Have Left The Profession, Katherine S. Gallager
The Decision Making Process Involved When Changing Career: A Qualitative Study Of Registered Nurses Who Have Left The Profession, Katherine S. Gallager
Theses : Honours
Career choice is an important decision an individual has to make during their lifetime. Personal, environmental and organisational factors all assist this decision process as individuals strive for a work-life balance within careers that meet their needs and realise their potential. This research study investigated which factors contributed to the decision process of Registered Nurses (RNs) who have left the profession for a career change. There is currently a global shortage of RNs, which is of major concern to healthcare policy makers in most countries, including Australia. This qualitative study examined the narrative interviews often females over the age of25 …
The Leadership Characteristics Registered Nurses Perceive As Important In Their Clinical Nurses, Linda May Aitken
The Leadership Characteristics Registered Nurses Perceive As Important In Their Clinical Nurses, Linda May Aitken
Theses : Honours
Limited research exists about the leadership attributes registered nurses (RNs) want from their clinical nurses (CNs). This study explored the leadership attributes Western Australian RNs considered important in CNs and determine if there were differences in the choice of preferred CN attributes according to RNs years of experience; types of nursing education; level of seniority and nursing specialty. A modified version of the Emerging Workforce's Preference Survey was distributed to 403 RNs with a 30% response rate. The respondents ranked their top three preferences from 4 clusters of traits. S.P.S.S. 15.0 was used to summarise demographic data and then analyse …
Understanding Personal Carers' Experiences Of Caring For Older People In Pain, Kristi Holloway
Understanding Personal Carers' Experiences Of Caring For Older People In Pain, Kristi Holloway
Theses : Honours
Pain is a complex phenomenon that can be challenging for staff working in residential aged care facilities (RACFs) (Fisher et al., 2002; Twycross, 2002). A high prevalence of pain reported by older individuals has been reported and suggests that further study in this area is warranted (Higgins, Madjar & Walton, 2004). Research suggests that a significant barrier to effective pain management in the elderly is the provision of primary care by care staff who have little or no education about pain, pain assessment or pain management (Allcock, McGarry & Elkan, 2002). Studies have identified personal carers as being in a …
A Descriptive Survey Of Undergraduate Nursing Students' Perceptions Of Desirable Leadership Qualities Of Nurse Preceptors, Melanie Zilembo
A Descriptive Survey Of Undergraduate Nursing Students' Perceptions Of Desirable Leadership Qualities Of Nurse Preceptors, Melanie Zilembo
Theses : Honours
Leadership in the nursing profession has gained much attention over the previous decade. However, there is a paucity of literature examining the context of leadership within the clinical preceptor/undergraduate nursing student relationship and the relevance of this to the clinical learning environment. Globally, the nursing profession is experiencing a climbing attrition rate, an accelerating ageing workforce and a trend toward part-time employment. Practical experience is based upon a preceptored model of supervision creating a potential for inconsistencies for student supervision and assessment within this mode of education. The purpose of this study was to explore, from the perspective of the …
Academic - Practice Bridges: Implications For Lecturers When The Complexities Of Change Meets The Higher Education And Nurse Education Systems, Adrianne Jones
Academic - Practice Bridges: Implications For Lecturers When The Complexities Of Change Meets The Higher Education And Nurse Education Systems, Adrianne Jones
Theses : Honours
Government, industry, enterprises and the community expect the Vocational and Educational Training (VET) system to provide up-to-date educational programs that provide pathways from school-based learning to the higher education facilities such as universities and to employment opportunities. Reforms in the VET sector over the past ten years have had a significant impact on the work of staff employed in the area. Educators now operate in more competitive markets and face increased demands for higher quality and more relevant training programs from clients. Understanding and keeping up with the changes and working in new and more flexible ways have been major …
Why Undergraduate Nurses Choose Not To Pursue Mental Health Nursing As A Career In Western Australia : A Descriptive Study, Therese Howell
Why Undergraduate Nurses Choose Not To Pursue Mental Health Nursing As A Career In Western Australia : A Descriptive Study, Therese Howell
Theses : Honours
Not only are fewer undergraduate nursing students opting to pursue a career in mental health nursing (Arnswald, 1987; Clinton & Hazelton, 2000; Happell, 1998; Lam, McMaster & Troup, 1993), but nursing students continue to rank mental health nursing as their lowest preference of career choice. Instead, nursing undergraduates appear to be opting for positions within the surgical or critical care specialties (Durkin, 2002; Happell, 1999; Happell1999; Happell, 2001). The aim of this descriptive study was to investigate and identify the potential reasons why undergraduate nursing students do not take up mental health nursing as a career. This descriptive study implemented …
A Comparison Of Nurses' Clinical Judgement And The Short Form-Mini Nutritional Assessment Tool In Assessing The Nutritional Status Of Older Patients In An Acute Clinical Setting, Roger Shreeve
Theses : Honours
Decreased nutritional status of older hospitalised patients has been identified as a significant problem. The prevalence of malnutrition in older people has been reported to be between 17% and 65% in acute hospital settings. This has led to the recognition of a need for a valid instrument to adequately assess nutritional status. Tools developed to date still require much time and expertise to implement, limiting their use within the practical setting. Nurses are in an ideal position to conduct nutritional assessments. They possess clinical knowledge which can be utilised to provide individualised and timely assessment. To. date, the literature does …
Enrolled Nurses' Attitudes, Subjective Norms, Intentions And Behaviour Related To Independent Medication Administration, Donna Sayers
Enrolled Nurses' Attitudes, Subjective Norms, Intentions And Behaviour Related To Independent Medication Administration, Donna Sayers
Theses : Honours
The purpose of this quantitative descriptive research study was to investigate Enrolled Nurses' attitudes, intentions and behaviour in relation to independent medication administration (IMA). This research was necessary as a significant number of Enrolled Nurses (ENs) are now able to administer medications up to Schedule Four level, without supervision when they have completed a medication administration programme (MAP). This change in the scope of practice for the EN will eventually be introduced nationally as recommended by the National Review of Nursing Education (2002). Anecdotal reports suggest that IMA is causing concern for the EN but little or no research has …
Nurses' Decision Making Processes Regarding Indwelling Catheter Insertion And Removal, Helen Hull
Nurses' Decision Making Processes Regarding Indwelling Catheter Insertion And Removal, Helen Hull
Theses : Honours
Urinary catheterisation remains a common procedure conducted by nurses often as a result of autonomous decision making. This research aimed to identify and describe the lived experience of nurses' decision making processes regarding the insertion and removal of urinary catheters. The research was believed to be important as there is a myriad of literature on what is best practice but very little on what is actually taking place in nursing practice. A qualitative phenomenological study design was chosen, where nurse participants were interviewed using open-ended questions. Descriptive phenomenology was the chosen method which follows in Heidegerr's tradition that allowed nurses …
Palliative Care Nurses' Perceptions Of Their Management Of The Psychosocial And Spiritual Pain Experienced By Their Clients In The Home Hospice Setting, Laurence Vogler
Palliative Care Nurses' Perceptions Of Their Management Of The Psychosocial And Spiritual Pain Experienced By Their Clients In The Home Hospice Setting, Laurence Vogler
Theses : Honours
Pain, in palliative care clients, consists of more than just a physical manifestation of their condition. Pain can be experienced on a psychological or emotional level, a psychosocial level or even at a spiritual level. It is widely accepted that nurses in the palliative care setting manage well the physical issues that their clients have, but perceptions can vary on their management of the "non - physical" pain experienced by their clients. This study provided an opportunity for palliative care nurses to describe their perceptions of their management of the psychosocial and spiritual pain experienced by their clients in the …
Nurses' Perceptions Of The Pharmacological Management Of Acute Pain Experienced By Patients Hospitalised In The General Ward Setting, Susan Slatyer
Nurses' Perceptions Of The Pharmacological Management Of Acute Pain Experienced By Patients Hospitalised In The General Ward Setting, Susan Slatyer
Theses : Honours
This study explored and described the experiences and perceptions of nurses managing acute pain in a Western Australian public hospital. The focus was nurses practising in the general ward setting and using current prescribing guidelines. The aim of this research was to explore nurses' attitudes, beliefs and knowledge about pain and pain pharmacology and how this practice setting influences efficient pain management. Qualitative methodology was selected for its ability to explore complex issues in order to build nursing knowledge and guide nursing practice. This study used a descriptive, exploratory design based on a phenomenological approach. The sample comprised ten Registered …
What Is The Impact Of Tram Flap Breast Reconstruction On Self-Esteem And Perceived Body Image For Women With Breast Cancer?, Olivia Hill
Theses : Honours
Breast cancer is the most common of all cancers in women (26%) in Australia (Australian Institute Health Welfare AIHW, 1996; National Breast Cancer Centre NBCC, 1999). It is estimated that the lifetime incidence of one in eleven women in Australia will be diagnosed with breast cancer by the age of seventy-four (National Health and Medical Research Council NHMRC, 2000). Surgical resection continues to be the mainstay of treatment for early breast cancer, with approximately 50% of women diagnosed with breast cancer undergoing mastectomy (NBCC, 1999). Both the diagnosis of breast cancer and subsequent mastectomy raises a number of psychosocial issues …
Home Hospice Cancer Care: Family Members' Expectations, Perceptions And Satisfaction With Care, Kristina Medigovich
Home Hospice Cancer Care: Family Members' Expectations, Perceptions And Satisfaction With Care, Kristina Medigovich
Theses : Honours
Increasingly, there is greater expectation by the public, as health consumers, that they will receive care from health professionals which meets their expectations and does not leave them dissatisfied. The stress experienced by families caring for a family member with advanced cancer may be complicated when they are dissatisfied with care received from health care professionals. To further promote family satisfaction it is important therefore for health professionals to understand the theoretical underpinning of family satisfaction with care. One theoretical explanation of family member satisfaction with advanced cancer care in the palliative care setting, Porter's Discrepancy Theory, was investigated in …
The Ms. Stereotype : Could It Be A Health Risk?, Phillip Van Der Klift
The Ms. Stereotype : Could It Be A Health Risk?, Phillip Van Der Klift
Theses : Honours
Two studies extend previous findings of stereotyping (a) within the nursing context (Ganong, 1993; Ganong & Coleman, 1992, Ganong et al., 1988), and (b) in relation to female title of address (Dion, 1987; Dion & Cota, 1991; Dion & Schuller, 1991; Heilder, 1975). Against the theoretical background of person perception theory and its influence upon the therapeutic nurse client relationship, study 1 investigates the extent to which nurses' stereotype a vignetted female client on the basis of title of address. Fifty registered nurses from two hospitals rated their impressions and subsequent expectations of a vignetted client on the First Impressions …
Influence Of The Label Intellectual Disability On Trainee Disability Service Providers' Impressions, Dianne Rosemary Mckillop
Influence Of The Label Intellectual Disability On Trainee Disability Service Providers' Impressions, Dianne Rosemary Mckillop
Theses : Honours
Labels can be identifiers of deviance from social norms and values as well as cognitive heuristics. Labelling theory proposes that deviancy labels create a perception of a stereotypical master status (Becker, 1963), which biases perceivers' impressions. The master status principle of labelling theory is analogous to the schema-based models of impression formation proposed by social psychology. The opposing view is that individual characteristics influence social perception to a greater extent than labels. The present study investigated the master status prediction of labelling theory using a social psychological framework. Empirical and theoretical evidence suggests that the perceptions of the people who …
Postdischarge Surveillance Of Surgical Wound Infection By Telephone Interview, Robyn Taverner
Postdischarge Surveillance Of Surgical Wound Infection By Telephone Interview, Robyn Taverner
Theses : Honours
Many postoperative wound infections are not being detected by traditional methods of surveillance of hospital acquired infections, due to decreasing length of hospital stay Unless some form of postdischarge surveillance is undertaken, rates of hospital acquired infections will he underestimated. While Infection Control Practitioners are aware of this problem, implementation of postdischarge surveillance is hampered by lack of research into suitable cost-effective methods. This study describes the implementation and feasibility of postdischarge surveillance by telephone interview and compares rates of infection in a private hospital before and after discharge. During a five month period a systematic sample of 300 clients …
Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur
Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur
Theses : Honours
Hepatitis B is a major, largely undiagnosed disease in the community and nurses working in doctors' surgeries (practice nurses) undertake many clinical tasks which may expose them to the Hepatitis B virus. Using the Health Belief Model as the theoretical framework, the purpose of this correlational-descriptive study was to determine what actions are taken, by practice nurses in Western Australia to protect themselves against Hepatitis B, and to what extent their health beliefs contribute to those actions. A response rate of 59% (118) was obtained from an anonymous, confidential questionnaire sent to a random sample of 200 practice nurses in …
Reasons Why Patients Attend An Emergency Department, Emily J. Carmona
Reasons Why Patients Attend An Emergency Department, Emily J. Carmona
Theses : Honours
The traditional role of emergency departments (ED) is to provide emergency and lifesaving treatment to accident victims (Catchlove, 1974). These departments provide a unique service to the Australian community, as medical treatment is available without medical referral or appointment. However, attendance patterns suggest that a high proportion of members of the public seek treatment for non-urgent conditions at these departments (Bain & Johnson, 1971; Starr, 1973). The purpose of this study is to update existing information about attendance patterns by describing the current use of one teaching hospital emergency department. A descriptive study design using a quantitative approach was used …
Nurses' Attitudes Toward Computerisation, John Crofts
Nurses' Attitudes Toward Computerisation, John Crofts
Theses : Honours
Currently bedside nurses working in Perth public hospitals have little exposure to electronic information systems (EIS's). Over the next two years an EIS will be implemented into the 15 Perth public hospitals by the Health Department of W. A. Acceptance of any EIS by staff determines whether such systems will be used. Therefore in order to gain maximum benefit from an EIS, it has been strongly suggested that hospitals examine the attitudes of their nurses toward computerisation. 130 nurses at a Perth teaching hospital responded to a questionnaire, incorporating a tool designed by Strange and Brodt (1985), reported to be …
The Effect Of Facilitating Increased Involvement In Nursing Home Caregiving On Former Caregivers' Satisfaction With The Care Arrangement, Christine Toye
The Effect Of Facilitating Increased Involvement In Nursing Home Caregiving On Former Caregivers' Satisfaction With The Care Arrangement, Christine Toye
Theses : Honours
This study examined the effect of a programme that facilitated fanner caregivers' increased involvement with nursing home care giving on their satisfaction with the care provided for their relatives. It was guided by Ray's Adaptation Model of Nursing (Ray, 1984, 1989). The hypotheses stated that the programme would help former caregivers to adapt to the institutionalisation of their loved ones, as manifested by their increased satisfaction with aspects of the care arrangement (overall care, nursing care, relationships, and the environment). The convenience sample consisted of 31 former care givers of long term residents admitted to a metropolitan nursing home 1 …
The Self Reported Patterns Of Alcohol Consumption By Registered Nurses In Western Australia, K. Waters
The Self Reported Patterns Of Alcohol Consumption By Registered Nurses In Western Australia, K. Waters
Theses : Honours
The study of self reported patterns of alcohol consumption by Registered nurses in Western Australia is the first Australian study that attempts to quantify the amount of alcohol consumed by nurses. This study also examines the type of alcohol related problem that nurses most frequently experience, and investigates the relationships between problematic alcohol consumption and the demographic categories of age, gender, area of nursing practice and geographical location of residence. The conceptual framework that guides the study incorporates a model developed by Thorley, and considers factors related to the intrinsic properties of alcohol, the environment and the individual which contribute …
Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin
Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin
Theses : Honours
For the past 40 years midwives and neonatal nurses have been applying antistaphylococcal cream to newborns, to reduce the risk of Staphylocccus aureus (Staph. aureus) infections. The purpose of this study was to determine whether there was any· difference in the incidence of clinical signs of infection in newborns, untreated or treated with a topical application of the currently used antistaphylococcal cream chlorhexidine 1%. The experimental design compared two groups of randomly assigned newborns, using an observation chart based on indicators of infection. Observations were recorded twice ~ day for four days. Any specific or nonspecific signs of infection …
A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby
A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby
Theses : Honours
The transition of the newborn to extrauterine life, especially the preterm infant, necessitates adaptation to environmental changes in temperature (Levene, Tudehope & Thearle, 1987). The need for a method of measuring an infant's temperature rapidly and with minimal disturbance is critical and accurate temperature measurement in a preterm infant is a vitally important nursing procedure. However, the literature is inconclusive regarding the optimum placement time required to achieve an accurate temperature measurement and few studies bad been conducted to ascertain the reliability and usefulness of tympanic thermometers in preterm infants. The study of 81 hospitalised preterm infants, compared axillary mercury, …
Urinary Bladder Assessment Skills Used By Hospital Nurses Before A Decision Is Made To Institute Intermittent Catheterization, Marion L. Burke
Urinary Bladder Assessment Skills Used By Hospital Nurses Before A Decision Is Made To Institute Intermittent Catheterization, Marion L. Burke
Theses : Honours
Intermittent Catheterization is an invasive technique in which a hollow tube (catheter) is inserted into the bladder to drain urine at regular intervals when a patient does not void. Catheterization is a technique frequently performed by nurses. The skills of assessment by nurses of a patient's urinary bladder prior to instituting intermittent catherization (IC) have been neglected in the field of nursing research. The purpose of this descriptive-correlational study is to identify bladder assessment skills (BAS) among hospital nurses prior to instituting intermittent catheterization. The study asks the questions: To what extent do nurses utilize BAS, and what is the …
St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse
St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse
Theses : Honours
For any profession to develop, grow and plan for the future, it is imperative that all members know from whence they have come. Nurses', however, do not generally consider this to be an important aspect to their professional development, and hence have focused more on empirical or experimental research. Whilst much literature has been written on nursing history, it has focused primarily on its founding women and its inception from the mid nineteenth century when a more structured training evolved. This study, therefore, goes beyond this period of time and examines a man who played an equally important role in …
The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose
The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose
Theses : Honours
This study explored the effect an educational unit on ethical issues in nursing had on the ethical reasoning of practising registered nurses. The educational unit was conducted at a university school of nursing as part of a baccalaureate degree programme for already registered and practising nurses. A quasi-experimental posttest design utilising stratified random samples compared subjects from one group who had undertaken the unit (n=53) with subjects from another group who had not (n=61). Ethical reasoning was measured using Grisham's Nursing Dilemma Test and a researcher designed demographic data sheet provided information on additional variables for analysis.The group which had …
Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence
Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence
Theses : Honours
Pain is a subjective phenomenon and is, in varying degrees, an inherent part of the childbirth experience. However, most Western societies view suffering as unacceptable and as such, regard analgesia as a necessity. Many women do not anticipate the intensity of pain experienced in childbirth and are, therefore, not ready to manage this amount of pain when it occurs. This prospective study compared the expected and experienced labour pain of 99 primiparous women, aged 17-40 years. The relationship between expected and experienced pain and acceptance of pregnancy; identification with the motherhood role; relationship with mother; relationship with husband/partner; preparation for …
Needs Of Terminally Ill Cancer Patients In An In-Patient Hospice Unit, Marylynn C. Oldham
Needs Of Terminally Ill Cancer Patients In An In-Patient Hospice Unit, Marylynn C. Oldham
Theses : Honours
In Western Australia, in-patient hospice/palliative care units are caring for increasing numbers of terminally ill cancer patients. Hospice philosophy is based on the belief that the terminally ill patient in individual needs are of paramount importance. The needs of advanced cancer patients have been researched in the home, for patients continuing or having completed curative treatment, and for patients receiving palliative care. However, there is a lack of literature about the needs of terminally ill cancer patients in in-patient hospices. Using a descriptive approach, this study investigated the needs of six terminally ill cancer patients in a 26 bed in-patient …