Medicine and Health Sciences Commons^™

When Patients Ask To Die: The Role Of Nurses In Medical Assistance In Dying, Laura Sheridan

Electronic Thesis and Dissertation Repository

Canadians are increasingly living with chronic illness heightening the importance of palliative and end of life care. Nurses have significant involvement in end of life care which, in Canada, may now include medical assistance in dying (MAiD). This qualitative study used interpretive description to explore the perspectives of nine palliative care nurses regarding best practices in care related to MAiD. The analysis produced three overarching themes of: (a) Business as usual which reflects participants’ perspective that MAiD is an aspect of existing practices in end of life decision making in palliative care; (b) Nursing role within MAiD discusses the importance …

Nursing Practice During A Mission In Nepal: Ethics And Leadership, Lorena M. Bonilla

Electronic Thesis and Dissertation Repository

The ability of nurses to reflect or critically examine the impact of professional standards of practice, legal guidelines, and ethical frameworks that influence and guide their practice is essential to help patients achieve quality of life and wellness. Regardless of the location and setting where nursing takes place, contextual factors such as the benefits and potential harm resulting from the care provided, availability of resources, the nurse’s scope of practice, and evidence-based practice guidelines, all affect a nurse’s ability to practice in a safe, ethical, competent, caring, and compassionate manner.

Using an exploratory case study to investigate nurses’ (n=9) view …

Undergraduate Nurse Educators’ Perceived Structural Empowerment, Self-Efficacy For Teaching, And Perceptions Of Uncivil Classroom Behaviours In Academic Settings, Molly A. Hunter

Electronic Thesis and Dissertation Repository

Background: This study examined the relationship among structural empowerment in academia, nurse educators’ self-efficacy for teaching, and their perceptions of the types and frequencies of uncivil classroom behaviours.

Methods: 56 participants, registered with the College of Nurses of Ontario (CNO), responded to a mail-out survey package containing four tools corresponding to each study variable. The analysis includes study descriptives, ANOVA analyses, correlations of total and subscales, and mediation analyses of the major study variables.

Results: A moderate level of structural empowerment and a high level of self-efficacy for teaching was found within the study. A significant indirect relationship was seen …

A Systematic Review Of The Antecedents, Mediators And Outcomes Of Authentic Leadership In Healthcare, Bayan Alilyyani

Electronic Thesis and Dissertation Repository

Authentic leadership is a relational leadership style derived from the field of positive organizational behavior and is purported to promote healthy work environments that influence staff performance and positive organizational outcomes. The aim of this thesis was to conduct a systematic review to describe the state of the evidence on the relationship between authentic leadership, staff, and patient outcomes in healthcare. Published English-only research articles that examined the antecedents, mediators and outcomes of authentic leadership practices of leaders/managers in healthcare settings were selected from eleven online bibliographic databases. Quality assessments, data extraction and analysis were completed on all included studies. …

Translating Continuing Professional Development Education To Nursing Practice In Rwanda: Enhancing Maternal And Newborn Health, Yvonne Kasine

Electronic Thesis and Dissertation Repository

Neonatal asphyxia is the leading cause of neonatal deaths in Rwanda. The Helping Babies Breathe (HBB^©) course was initiated by the American Academy of Pediatrics (AAP) in 2010 to help in reducing neonatal mortality in resource limited areas. Little is known about nurses’ experiences of applying the knowledge and skills acquired from HBB^© courses in Rwanda. This study aimed to explore nurses’ experiences of translating continuing professional development education utilizing the HBB^© course to nursing practice in Rwanda. This study was conducted using a qualitative descriptive design. A convenience sample of 10 nurses participated in individual …

Fall Prevention In An Acute Care Hospital: The Challenges Encountered By Patients, Staff And Administrators, Barbara J. Watson

Electronic Thesis and Dissertation Repository

Abstract

Falls are frequent and often serious events that take place in hospitals. Healthcare providers find it challenging to minimize fall risk factors. In fact, just being in a hospital is a risk factor in itself! The aim of this thesis was to investigate the reasons behind patient falls, identify gaps in prevention strategies and suggest additional recommendations to improve patient safety. A mixed method approach was used to interpret the data and uncover the reasons for falls.

The first study was a secondary data analysis where 7,721 patient falls were examined. The data were taken from the hospital’s central …

The Influence Of Transformational Leadership On Nurse-Reported Patient Safety Outcomes, Sheila A. Boamah

Electronic Thesis and Dissertation Repository

Leadership is widely believed to be pivotal to providing high quality patient care and ensuring favourable organizational outcomes. To understand how nursing leadership affects patient outcomes, it is important to explore the mechanisms/ processes through which leaders produce desired patient outcomes. The purpose of this study was to examine how nurse manager use of transformational leadership behaviours creates empowering work environments that foster clinical leadership practices at the bedside, and ultimately, improve nurse and patient safety outcomes.

Bass’s (1985) transformational leadership theory provided the theoretical framework for the research. Transformational leadership behaviour was hypothesized to have positive effects on workplace …