Medicine and Health Sciences Commons^™

Chronic Kidney Disease Patients' Experiences In The Decision Making Process: The Relationship Between Personal Characteristics And Decisional Self-Efficacy On Decisional Conflict And The Dialysis Decision In Patients Who Participated In Shared Decision Making, Lincy Jojan

Theses & Dissertations

Patients with End Stage Renal Disease (ESRD) experience a complex and stressful decision making when comes to dialysis modality selection. There are pros and cons to both hemodialysis (HD) and peritoneal dialysis (PD). Patients are often uncertain as to which one is the best modality for them. This decisional conflict increases the likelihood of making a decision that is not based on the patient’s values or preferences and may result in undesirable post-decisional consequences. Purpose The purpose of this study was to explore Chronic Kidney Diseases (CKD) patients' experiences regarding their decision making process in selecting a dialysis modality. The …

Mixed Method- How Do Medical-Surgical Nurses Provide Compassionate Care To Patients In The Face Of Adversity?, Diane D. Kret

Theses & Dissertations

Compassion is a quality that is the very essence of nursing. Nurses, as professionals, seek to alleviate suffering. It is through providing compassionate, connected care that nurses can relieve their patients’ suffering. In the midst of adversity such as taking care of ill and dying patients, especially in the Covid-19 pandemic, nurses have been challenged with providing compassionate care despite the increased toll that this may have on them. There is evidence that exposure to these events can cause compassion fatigue and burnout. When these signs of compassion fatigue or compassion burnout are not addressed, nurses have decreased job satisfaction …

Relationships Of Secondary Traumatic Stress And Self-Efficacy Among Obstetric Nurses Caring For Patients And Families With Perinatal Loss, Jennifer Baierlein

Theses & Dissertations

Background

The labor and delivery unit is a place where new life begins, and families are made. Perinatal loss is a traumatic event for families and those that provide care to expectant families. In providing care to patients and families experiencing perinatal loss, nurses are at risk for secondary traumatic stress, which could be harmful to their physical and emotional state leading to compassion fatigue and burnout. Perinatal loss represents a stressful and emotionally demanding event for healthcare professionals, as they must deal with the additional burden of managing their own emotions while caring for the patients. Self-efficacy is a …

The Lived Experience Of Older Adults With Visual Impairments And Their Integration Into Social And Recreational Activities In The Long-Term Care Setting: A Phenomenological Study, Julie Ann Conboy Russo

Theses & Dissertations

The prevalence of vision loss in the elderly is high. Visual impairment in long-term care (LTC) settings may be a barrier to fully interacting in therapeutic recreational and social activities. Living with visual barriers may hamper safety (i.e., fear of falling and navigating in unfamiliar settings); cognitive ability; and participation in activities leading to isolation, depression, and loss of self-esteem. Decreased stimulation may affect one’s overall happiness and quality of life. A qualitative phenomenological design was followed to capture the lived experience of older adults with visual impairments living in LTC settings and their integration into social and recreational activities …

Descriptive, Comparative, And Correlational Study Related To End-Of-Life Care Prior To The Covid-19 Pandemic Outbreak (Time 1) And 12 Months Following Lockdown (Time2), Elizabeth Infante

Theses & Dissertations

Background

Palliative care has grown in its acceptance nationally and formed the base of a growing number of programs to provide care in a way that recognizes the importance of supporting people with chronic, debilitating, and life-limiting illnesses by focusing on “care” rather than “cure.” This special care warrants an understanding by all nurses and requires education across specialties and disciplines. Despite the increase of palliative care services in hospitals and other settings, long-term care and home care agencies continue to struggle with the education of staff and delivery of care to clients that incorporate the central tenets of what …

Urinary Incontinence In The Pre-Menopausal Woman And Impact On Quality Of Life, Jacqueline Skene Kirk

Theses & Dissertations

Background

Urinary incontinence (UI) is a medical condition that plagues millions of women worldwide, negatively affecting their quality of life. UI is the involuntary release of urine or what women refer to as having “accidents.” Women suffering from UI often feel embarrassed and become socially isolated. The majority of studies in the literature focus on UI in postmenopausal women. However, very few studies explore the lived experience of living with UI as a premenopausal woman, who are at a time in their lives when they are involved in their careers, having intimate relationships with their partners, and are raising their …