Medicine and Health Sciences Commons^™

Mothers Experiencing Homelessness: Social Exclusion, Resistance, And Health, Sarah Benbow

Electronic Thesis and Dissertation Repository

Background and Purpose: Mothers experiencing homelessness in Canada are faced with unique challenges in achieving health. The purpose of this two-phase study was to critically examine the socio-political context, health needs, exclusionary and inclusionary forces, and strategies of resistance demonstrated by mothers experiencing homelessness.

Methodology: This study falls under the critical paradigm informed by the theoretical perspective of intersectionality. Methodologies employed included critical narrative and critical discourse analysis. Data were collected at various homeless shelters and programs that provide services for women and mothers who are homeless in Southern Ontario. A purposive sample of women experiencing homelessness, and service …

Youth Homelessness: The Impact Of Supportive Relationships On Recovery, Sara Gasior

Electronic Thesis and Dissertation Repository

Abstract

AIM: To test a model based on Peplau’s theory of Interpersonal Relations, which examines the influence of a network of service providers, perceptions of social supports and perceptions of family relations on a homeless youth’s perceptions of recovery.

BACKGROUND: Homeless youth comprise an extremely disenfranchised group and have been recognized as one of the fastest growing sub-groups within the homeless population. Homeless youth face impaired access to health and social services. They are often left unsupported and lack social and familial support or relationships with service providers. Homeless youth left unsupported frequently sink into a cycle of homelessness that …

Exploring The Career Pathways, Professional Integration And Lived Experiences Of Regulated Nurses In Ontario, Canada, Godfred O. Boateng

Electronic Thesis and Dissertation Repository

In the context of an enduring shortage of nurses, this study explores the career pathways and experiences of immigrant and Canadian-born nurses in two Ontario cities utilizing a qualitative research design consisting of 70 in-depth interviews. Differences in career entry and experiences of workplace conflict across immigration status and race are explored.

First, I explore successful immigrants’ pathways into the nursing profession and their social and economic integration into the Canadian economy in light of the traditional assimilation and segmented assimilation theories. The study reveals distinct career pathways taken by foreign-born nurses and Canadian born nurses. While Canadian-born nurses have …

The Relationship Between Inter-Professional Collaboration, Job Satisfaction, And Patient Safety Climate For Nurses In A Tertiary-Level Acute Care Hospital, Noha Mohammedali Hamlan

Electronic Thesis and Dissertation Repository

ABSTRACT

The purpose of this secondary data analysis study was to examine nurses’ perceptions about inter-professional collaboration (IPC), job satisfaction and patient safety climate and the possible relationship between them in a large tertiary care hospital in Ontario, Canada. The data used for this study came from a large quasi-experimental study to evaluate the impact of introducing a new model of IPC. D’Amour’s Inter-professional Collaboration, Hackman & Oldham’s Global Job Satisfaction, and Sexton’s Patient Safety Climate were the main instruments used in this study. Study results showed that nurses reported moderate levels of IPC (M= 3.56, SD= .65) as measured …

Job Strain, Coping Strategies, And Work Performance Among Oncology Nurses Working In Saudi Oncology Care Settings, Dhuha Youssef Wazqar

Electronic Thesis and Dissertation Repository

A review of literature has revealed that although a great deal of research has been conducted internationally about job strain, coping strategies, and work performance in nurses, very little of this research has included nurses in the Kingdom of Saudi Arabia (KSA), and oncology nurses in general. The purpose of this predictive correlational study was to investigate the relationship between job strain, coping strategies, and work performance among nurses working in Saudi oncology care settings. A hypothesized study model was developed and tested based on Karasek’s Demand–Control Model and Lazarus and Folkman’s Transactional Model of Stress and Coping.

A total …

Moral Distress: A Study Of Personal And Organizational Factors, Kathleen Ledoux

Electronic Thesis and Dissertation Repository

Nursing is a practice grounded in ethics. Every nursing act is measured against requisite moral standards to do no harm, to promote justice, to be accountable, and to provide safe and competent care. However, as nurses attempt to act, there may be obstacles to pursuing the course of care as agreed to with the patient: inadequate staffing, cost-containment strategies, and policy constraints. In attempting to reconcile ideals of practice with what may be an opposing reality, nurses may experience moral distress.

The purpose of this study was to examine how structural empowerment, psychological empowerment, interprofessional collaboration, compassion, and the perception …

An Investigation Of Health Literacy, Acculturation, Diabetes Knowledge, And Social Supports Among Latinos With Diabetes In Southern Ontario, Ivonne Aguilar

Electronic Thesis and Dissertation Repository

The prevalence of diabetes is high among Latino people. This study investigated the relationships between health literacy, acculturation, social support, and diabetes-related knowledge among Latino adults with Type 2 diabetes and informal caregivers with a family history of Type 2 diabetes. A non-experimental, cross-sectional design was used to examine these relationships among 73 adult Latino participants living in Southern Ontario. Based on Nutbeam’s conceptualization of health literacy, associations existed between health literacy, acculturation and knowledge of diabetes among Latino participants, yet the concept of social support showed no direct relationship to health literacy. This research has explored the factors that …

Organizational Support And Job Satisfaction Of Frontline Clinical Managers: The Mediating Role Of Work Engagement, Alexandra Peterson

Electronic Thesis and Dissertation Repository

Effective frontline clinical managers (FLM’s) strongly influence the safe and optimal delivery of healthcare. However, the motivational potential of FLMs working with limited job resources can be hindered, affecting healthcare unit staff morale and adversely impacting organizational performance and patient outcomes. Since managers act as role models for employees, it is crucial for organizations to understand the positive influence of job resources on motivation in order to foster positive FLM working conditions and promote their effectiveness. The purpose of this study was to test propositions drawn from the Job Demands Resources Model, specifically the motivational pathway, to examine the relationships …

The Influence Of Nurse Manager Transformational Leadership On Nurse And Patient Outcomes: Mediating Effects Of Supportive Practice Environments, Organizational Citizenship Behaviours, Patient Safety Culture And Nurse Job Satisfaction, Elizabeth A. Higgins

Electronic Thesis and Dissertation Repository

The Canadian Adverse Events Study (Baker, et al., 2004) revealed that the rate of adverse events in Canadian hospitals is 7.5% and almost 37% of these are preventable. Given these statistics, it is essential that healthcare organizations develop strategies and engage in leadership practices, which will address the complexity of healthcare processes and ensure that care is provided in a consistent, reliable manner in order to achieve the desired outcomes (Frankel, Gandhi & Bates, 2003). It is equally vital that leaders create supportive practice environments that promote a non-punitive culture of learning, continuous improvement, inter professional collaboration, and professional autonomy, …

An Exploration Of The Enactment Of Acculturation In Research Utilization Within A Nursing Undergraduate Curriculum-In-Action, Craig M. Duncan

Electronic Thesis and Dissertation Repository

Background: Professional acculturation is the process by which the values, attitudes, and norms of a professional culture are internalized. The internalization of professional culture leads to both conscious and unconscious acceptance of tenets that guide subsequent organization of knowledge and professional action. Professional nursing competencies establish and outline many of the values, attitudes, and norms that need to be accultured in undergraduate curriculum. Research utilization, both an identified competency and a key professional value, attitude, and norm, is the application of research findings in all individual and organizational elements of nursing practice. As an integral element of safe, effective, and …

Understanding Nurses' Knowledge Work, Heidi M. Siu

Electronic Thesis and Dissertation Repository

Hospitals are increasingly investing in technologies and electronic knowledge management systems to improve patient care outcomes. Yet, effective implementation of these initiatives has been difficult with questionable return on investment outcomes (Ontario Hospital Association [OHA], 2007, 2008). Paton (2009) argues that understanding how employees put their knowledge into action at work is essential to successful knowledge management for organizations. Thus, strategies that target nurses’ knowledge work may be more effective for hospitals; particularly in times of mounting fiscal deficits and demands for health services.

This study examined the behaviors, influences, and outcomes of nurses’ knowledge work. The hypothesized model was …

Developing Capacity To Care For A Client At Risk For Delirium And For The Acutely Delirious Client, Sherida G. Ingram

Electronic Thesis and Dissertation Repository

ABSTRACT

The purpose of this mixed methods study was: (a) to assess nurses’ knowledge and self-efficacy of caring for clients experiencing delirium and those at risk of developing delirium in a hospital setting prior to and immediately after taking part in a clinical education session, and (b) to explore nurses’ experiences of applying knowledge from the education session to the practice setting. Objectives of the education session included reviewing risks, signs, symptoms, standardized screening tools, and management strategies for clients at risk for or experiencing delirium in a hospital setting.

For the quantitative methods portion of the study, participants completed …

Women's Long-Term Life Experience After Pregnancy Termination For Fetal Abnormality: Interpretive Phenomenological Study, Heba A. Hassan

Electronic Thesis and Dissertation Repository

Advances in prenatal screening and its availability for every woman have resulted in increasing the number of identified fetal abnormalities. The discovery of fetal abnormalities in the second trimester of pregnancy can force pregnant women into the dilemma of deciding the fate of their wanted pregnancies. A woman's decision to terminate her pregnancy for a fetal abnormality in the second trimester is a very difficult and complicated decision.

An interpretive phenomenological approach was used to gain an in-depth understanding of the long-term experiences of women who terminated their pregnancy for fetal abnormalities and reveal the meanings embedded in their experiences. …

Continuous Professional Development In Rwanda: The Experience Of Midwives Who Participated In The Advanced Life Support In Obstetrics (Also) Educational Program, Pauline Uwajeneza

Electronic Thesis and Dissertation Repository

High maternal and newborn mortality rates remain a global health issue. Every day approximately 800 women die from complications related to pregnancy. Ninety-nine percent of maternal deaths occur in low and middle income countries. In 2013, 62% of maternal deaths took place in Sub-Saharan Africa. The Advanced Life Support in Obstetrics Educational Program (ALSO) is an internationally recognized continuous professional development course aimed at increasing the knowledge, skills, competence and confidence of health professionals to manage obstetric emergencies. The purpose of this qualitative descriptive study was to explore midwives’ experiences of translating the knowledge and skills acquired from participating in …

Nursing Students' Understanding And Enactment Of Resilience: A Grounded Theory Study, Andrew T. Reyes

Electronic Thesis and Dissertation Repository

The purpose of this study was to explore nursing students’ understanding and enactment of resilience. Stress is considered to be a major factor affecting the health, well-being, and academic performance of nursing students. Resilience has been extensively researched as a process that allows individuals to successfully adapt to adversity and develop positive outcomes as a result. However, relatively little is known about the resilience of nursing students. A constructivist grounded theory study design was used. In-depth individual interviews were conducted with 38 nursing students enrolled in a four-year, integrated baccalaureate nursing degree program at a university in Ontario, Canada. Face-to-face …

Mothers' Lived Experience Of Parenting An Infant/Young Child With Special Needs In A Rural Context, Lauren M. Elford

Electronic Thesis and Dissertation Repository

Parenting an infant with special needs requires performing extra care giving duties and mothers living in rural communities face additional challenges obtaining health and social support services. A hermeneutic phenomenological approach was used to explore the lived experience of parenting young children with special needs from rural mothers’ perspectives. Semi-structured interviews were conducted with a sample of 7 mothers. Findings revealed an overarching theme entitled Getting Through It and 6 subthemes: Experiencing the Unexpected; Overcoming the Challenges to Mothering; Unconditional Commitment to Child; The Lived Human Relation as Powerful; Being a Care Co-ordinator; and Being Transformed. Mothers of infants …