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Nursing

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Full-Text Articles in Medicine and Health Sciences

Collaborative Self-Management And Chronic Obstructive Pulmonary Disease: Integrating Patient Needs Into An Educational Program For Nurses, Loretta G. Mccormick Rn (Ec) Jun 2019

Collaborative Self-Management And Chronic Obstructive Pulmonary Disease: Integrating Patient Needs Into An Educational Program For Nurses, Loretta G. Mccormick Rn (Ec)

Electronic Thesis and Dissertation Repository

Background: Chronic obstructive pulmonary disease (COPD) affects over 2.5 million individuals Canada wide and is the leading cause of hospitalization in Canada among chronic diseases with an 18% hospital readmission rate. The high cost of emergency room visits, hospitalizations, and readmissions for COPD tells a story of need; the need for education of patients. Collaborative self-management (CSM) is a process whereby the individual patient and nurse work together to improve health. The integration of CSM in COPD care has shown evidence for reduced exacerbations, hospitalizations and readmissions. Little is known about the level of knowledge and self-efficacy of hospital-based nurses …


Health Information System Implementation In A Complex Acute Care Environment: A Sociotechnical Analysis, Maximillian D. Besworth Aug 2016

Health Information System Implementation In A Complex Acute Care Environment: A Sociotechnical Analysis, Maximillian D. Besworth

Electronic Thesis and Dissertation Repository

With the increase of information systems in health care, there is a growing need to better understand factors that contribute to the implementation and use of such technology. This secondary analysis explored the implementation of a health information system in a large acute care hospital from the perspective of hospital leadership and the health information system developers. The purpose of this study was to: (a) explore a group of interprofessional leaders’ perceptions of social and technical factors which impacted an HIS implementation within an acute care hospital organization; and, (b) uncover how the various social and technical forces contributed to, …


Hospital-Based Nurse Practitioner Practice: An Exploration Of Interprofessional Teams., Christina J. Hurlock-Chorostecki Mar 2013

Hospital-Based Nurse Practitioner Practice: An Exploration Of Interprofessional Teams., Christina J. Hurlock-Chorostecki

Electronic Thesis and Dissertation Repository

Nurse practitioner (NP) roles within hospital teams are evolving worldwide. However, understanding of their practice within the context of interprofessional (IP) teamwork remains limited. This two-phase study undertaken within Ontario, Canada provides a new multi-perspective understanding of the value of NP practice within IP hospital teams. Constructivist grounded theory, a modification of the classic methodology, guided an interpretive approach based in exploration of process and meaning construction, privilege and power exposure, and juxtaposition with extant theory. A conceptual rendering of NP practice was determined through supplemental analysis of 30 team member focus groups. This new perspective emerged as three practice …