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Full-Text Articles in Medicine and Health Sciences
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Dissertations
The purpose of this study was to identify a substantive theory to explain and predict interpersonal conflict as it is experienced by nursing faculty. Gaining an understanding of this process may assist faculty and administrators of nursing education programs in dealing with interpersonal conflict in more constructive and helpful ways. It may also provide the basis for further development of formal theory and the potential for theory testing. The grounded theory method described by Glaser and Strauss (1967) and Glaser (1978) guided data collection and analysis. The sample was comprised of 18 full-time nursing faculty members from the field site …
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Dissertations
Ethnographic methods were used to examine the nurse-patient interaction for the purpose of developing descriptive and explanatory theory of patient satisfaction based on patients' perceptions regarding their nurses' interpersonal skills. A private acute care hospital was the setting for 40 patients and 12 nurses who were study participants. Four processes provided the framework for the themes that emerged: "translating," "getting to know you," "establishing trust," and "going the extra mile." I labeled the action of nurses informing, explaining, instructing, and teaching patients the translation process. Informing and explaining were described by both patients and nurses as very important to the …
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
Dissertations
The purpose of this phenomenological study was to describe clients' lived experiences of advocacy associated with the nurse-client relationship. The sample consisted of ten non-hospitalized adults, 19 to 72 years of age, who had a hospitalization or ambulatory relationship with a registered nurse within the previous six months. Data were gathered via interviews initiated with the same open-ended question. Georgi's five step method was used for data analysis. Four essential characteristics of advocacy associated with the nurse-client relationship were identified. Described by clients as nurse attributes, behaviors, and actions, they were labelled: Competent Knower, Competent Doer, Humanizer, and Communicator. Clients …
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
Dissertations
The focus of this phenomenological inquiry was the question: What is the meaning (essential structure) of the experience of being cared for as lived by female nurses? The purpose of this study was to explore and describe the experience of being cared for. Phenomenologic methodology was used for this study. Data analysis was patterned after the guidelines set out by Colaizzi, and Miles and Huberman. Fifteen female nurses described their experiences of being cared for during two interviews with the researcher. Through analysis of the first audio-taped interview metathemes describing the phenomena and a unity of meaning emerged. During the …
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Dissertations
Using a stress-coping theoretical framework, this path analytic study examined the effects of hardiness, self-esteem, social support, and stress on coping, service utilization, and well-being of elderly women. Fifty-five rural and fifty-five urban females living in the community comprised the sample whose mean age was 75 years. The overall level of well-being of these women was high. Hardiness was associated with greater social support and well-being. Self-esteem was related to lower stress. Hardiness and self-esteem were also associated with decreased use of emotion-focused coping. Stress had a positive relationship with service utilization and a negative relationship with well-being. Problem-focused coping …
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
Dissertations
Little is known or written about one of nursing's most enduring and productive leaders, Julia Catherine Stimson. The purpose of this investigation was to examine the life and character of Miss Stimson and to identify the many, diverse contributions which she made to the profession of nursing and to humanity. Additionally through an analysis of her leadership qualities, a profile of an effective nursing leader evolved. The historical method was used in this investigation. Data was collected for the study from the National Archives, the Center of Military History, the New York Hospital/Cornell Medical Center Archives, the New York Historical …
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
Dissertations
The behaviors, beliefs and values that characterize everyday practice of first-line nurse managers role were analyzed. Ethnographic field research techniques were used including nine months of observation and in-depth interviews with practicing nurse managers. After reviewing historical events that shaped the role of the nurse manager, the role was then placed within the economic, social and health care context of the 1970's and 80's. Research and anecdotal descriptions of the manager role of the past twenty years were also explored. Research was conducted in two voluntary acute care, multi-service hospitals. One manager was observed intensively for two months to develop …
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Dissertations
The purpose of this research was to conceptualize, construct and establish psychometric properties of an instrument to examine unmeasured dimensions of autonomy in practice through a process of retroduction and triangulation. In the context of ongoing rapid change and increasing competition in the health care delivery arena there is valid reason for nursing and other health professions to be concerned with their autonomous practice status. However, research and instrumentation activities have been hindered by the abstract nature of autonomy with only limited theoretical dimensions empirically measured. There is need to develop new, original, useful, and generalizable tools with a wide …
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
Dissertations
The purpose of this study was to examine the effects of collaborative behavior, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. The path analytic model of anticipated turnover was temporally ordered with all exogenous variables proposed to directly affect job satisfaction and anticipated turnover and indirectly affect anticipated turnover through job satisfaction. Subjects (N = 188) were female Registered Nurses from six hospitals in Southern California. The majority of the respondents were clinical nurses who worked full time on the day shift, although a significant percentage of the sample also worked part-time or perdiem and …
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Dissertations
The purpose of this study was to describe and explain the impact of demographic variables (age, educational level, time since diagnosis) and subsequent psychosocial variables (perceived stress, ways of coping, professional support, and social support) on adherence and, ultimately, on health status (blood pressure, psychological symptoms, and subjective health) in patients with essential hypertension whose health care was managed by a nurse. Because nurses manage the therapeutic regimens of these patients, it is necessary to identify those factors that influence adherence and thus the health of hypertensive individuals. The transactional framework of stress, appraisal, and coping of Lazarus and Folkman …
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Dissertations
Mentoring is viewed as a viable developmental process for nurses that promotes professional maturation, career satisfaction, and strong, competent leaders. Personal and organizational variables related to mentoring, such as mentoring potential, professional success, immediate organizational climate, general organizational climate, and experience as a mentee, have been described in the theoretical and research literature. A conceptual model for this investigation was developed which related these variables to the mentors' perceptions of the strength of their strongest mentoring relationship. The purpose of this study was to establish the strength of the relationships delineated in the model. The model was tested on 125 …
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
Dissertations
The purpose of this study was to explore the phenomenon of comforting possessions in order to develop descriptive theory based on the perceptions, beliefs, values, symbolic meanings, and feelings of young children regarding comforting possessions. Using ethnographic methods, children with comforting possessions were observed extensively in a preschool setting (n = 10). Two of these children were later interviewed with a parent present. In addition, 17 other children were interviewed in the home or preschool setting with a parent present for a total study sample of 27 children. Several major patterns were supported by the data derived from these two …
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Dissertations
The purpose of this study was to examine the interrelationships of the person-environment variables of age, sex, length of illness, pain, social support, and physical function as they affected psychological adaptation in dying. An adaptation paradigm of constructs from nursing, illness, and dying provided the theoretical framework which was used to formulate and test a causal model. This study, in addition, had a qualitative component that identified, from the participants' spontaneous responses, reactions to and perceptions of the dying process. A sample of 97 adults was recruited from two metropolitan home hospice programs, with testing occurring in the home. Regression …
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Dissertations
Using a stress-coping theoretical framework, this path analytic study revealed personal influences and outcomes of caring by nurses from a patient's perspective. Rating the amount of humanistic caring from a specific nurse who had the greatest effect on them during their current hospital admission, this sample of 120 adult, hospitalized, medically-treated patients, between 25 to 65 years of age indicated that a moderate amount of caring tended to be beneficial. The personal factors which influenced these ratings included the desire to be kept informed, age, and pain perceptions. Younger patients, individuals who desired more cognitive control over health care, and …