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Articles 541 - 570 of 638
Full-Text Articles in Nursing
Meeting The Challenge : The Female Carers' Perspective Of Managing Dyspnoea, Kim A. Skett
Meeting The Challenge : The Female Carers' Perspective Of Managing Dyspnoea, Kim A. Skett
Theses: Doctorates and Masters
The aim of this descriptive, explorative study was to describe the lived experience of informal carers providing care within the home, to a family member who has lung cancer and the symptom of dyspnoea. Many studies have highlighted the stressors associated with care provision, but no studies have focused on the experience associated with caring for a family member who is dyspnoeic. Ten carers were interviewed regarding their experiences of providing care to the family member during the palliative phase of the illness and while the family member was experiencing the symptom of dyspnoea. Analysis of the initial data highlighted …
What Is The Impact Of Tram Flap Breast Reconstruction On Self-Esteem And Perceived Body Image For Women With Breast Cancer?, Olivia Hill
Theses : Honours
Breast cancer is the most common of all cancers in women (26%) in Australia (Australian Institute Health Welfare AIHW, 1996; National Breast Cancer Centre NBCC, 1999). It is estimated that the lifetime incidence of one in eleven women in Australia will be diagnosed with breast cancer by the age of seventy-four (National Health and Medical Research Council NHMRC, 2000). Surgical resection continues to be the mainstay of treatment for early breast cancer, with approximately 50% of women diagnosed with breast cancer undergoing mastectomy (NBCC, 1999). Both the diagnosis of breast cancer and subsequent mastectomy raises a number of psychosocial issues …
Exploring The Clinical Nurse Educator's Ability To Foster Student Reflection, Jessie M. Johnson
Exploring The Clinical Nurse Educator's Ability To Foster Student Reflection, Jessie M. Johnson
Theses: Doctorates and Masters
The purpose of this study is to understand how Clinical Nurse Educators use reflective practices with students. While the value of reflective practice has been vigorously discussed in both nursing and educational literature, studies to support its benefits remain strangely elusive. The appeal of reflective practice has arisen out of a sustained conviction that life experience offers a legitimate and rich form of knowledge. If captured, it may narrow the gap between the non practical nature of theories and the complexities of everyday practice problems. The research question for this study is: "How do Clinical Nurse Educators foster student reflection?" …
The Development And Evaluation Of A Childbirth Education Program For Malawian Women, Address M. Malata
The Development And Evaluation Of A Childbirth Education Program For Malawian Women, Address M. Malata
Theses: Doctorates and Masters
Childbirth education provided to women is an Integral aspect of the childbirth experience. In Malawi, midwives face a major challenge because one of their major roles is to provide childbirth information to women. However, there are no existing Childbirth Education Programs to facilitate this process. The purpose of this study was, therefore, threefold. First, it explored childbirth Information needs of Malawian mothers from the perspectives of both mothers and midwives, as well as strategies that would be appropriate to disseminate this childbirth information to Malawian women. Second, it developed a Childbirth Educational Program (CEP) to meet the specific needs of …
Providing Education And Support For Rural Palliative Care Nurses In Western Australia: An Intervention Study, Ruth Mcconigley
Providing Education And Support For Rural Palliative Care Nurses In Western Australia: An Intervention Study, Ruth Mcconigley
Theses: Doctorates and Masters
Rural palliative care nurses (RPCNs) in Western Australia (WA) are a small population, who have embraced the specialist palliative care role since the first palliative care service in rural WA began in 1990. However, there are some challenges involved with being a specialist nurse in a generalist health care setting. fu particular, there is a suggestion in the literature that RPCNs may be professionally isolated, may be prone to burnout, and may therefore experience decreased job satisfaction and may consider leaving the palliative care field.
The Evolution And Experience Of Stomal Therapy Nurses In Australia 1959-2000, Keryln Carville
The Evolution And Experience Of Stomal Therapy Nurses In Australia 1959-2000, Keryln Carville
Theses: Doctorates and Masters
In Australia, stomal therapy nurses are registered nurses who have undertaken an educational programme in the care, counselling and rehabilitation of persons-who have, or who could potentially have, a wound, an ostomy (that is an artificial opening into a body cavity) or incontinence of bodily waste. The genesis of stomal therapy nurses in Australia as a specialty group within the broader nursing profession was in 1971, when 11 founding members established an association for registered nurses with an interest in the care of patients with stomas. However, the serendipitous event that pre-empted the formation of this special interest group, can …
Covert Violence In Nursing, Susette Bakker
Covert Violence In Nursing, Susette Bakker
Theses: Doctorates and Masters
There is no official avenue in nursing for the reporting of incidences of covert violence to staff and so they remain unrecorded and often stressful. This study sought to collect data from currently employed nurses concerning covert violence in their workplace, and to collate the information to obtain a valid assessment of this hidden problem. A qualitative methodology was used to report on the experiences of nurses in relation to covert violence directed at them by their peers, other health professionals, patients and patients' families. The participants were all registered nurses employed by a suburban health service. Each was given …
A Phenomenological Study Of Partners Of People With Parkinson's Disease Who Demonstrate Communication Changes, Elsie Janet Doherty
A Phenomenological Study Of Partners Of People With Parkinson's Disease Who Demonstrate Communication Changes, Elsie Janet Doherty
Theses: Doctorates and Masters
Parkinson's disease is a common progressive neurological illness for which there is no known cure. While the cardinal signs are tremor, bradykinesia or slowness of movement, muscle rigidity and postural instability (Jahanshahi & Marsden, 1998, p.3) the patient may face an extended number of years experiencing all, or any combination of, the many other manifestations of the disease process. These manifestations include changes to various aspects of communication including loss of voice volume, diminished body language and loss of facial expression. All of these affect both verbal and non verbal communication. Given the progressive nature of Parkinson's disease the patient …
Fall Risk Assessment : A Prospective Investigation Of Nurses' Clinical Judgement And Risk Assessment Tools In Predicting Patient Falls In An Acute Care Setting, Helen Myers
Theses: Doctorates and Masters
Falls are a significant problem in acute care, hospital settings, and can have serious consequences, especially for older patients. Fall prevention has therefore been recognised as an important area for research and intervention. In order to target interventions and use resources effectively, a major strategy of many fall prevention programmes has been the development and/or use of risk assessment tools to identify patients who are at high risk of falling. Although many tools have been developed, few have been rigorously tested, and there is currently no evidence to support the clinical utility of fall risk assessment tools. There is a …
A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge
A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge
Theses: Doctorates and Masters
The purpose of this study was to present issues and the paradoxes surrounding advanced nurse specialisation (ANS) and education, This study was conducted in two parts. Part A examined the prospective experiences of 13 registered nurses (RNs) who were advancing in an area of special is III ion: they were working in a specialist area of practice and studying in II course specific 10 their specialisation. Two rounds of interviews were completed over six-month intervals. Part B examined the data gathered from a focus group interview and follow-up feedback from 10 nurse executives as stakeholders. The intersubjective data from this …
Bottle-Feeding Mothers' Experiences Of Coping In A Pro-Breastfeeding Context : The Case For A Caring-Options-Responsive Model Of Midwifery Services, Elizabeth P. Duffy
Bottle-Feeding Mothers' Experiences Of Coping In A Pro-Breastfeeding Context : The Case For A Caring-Options-Responsive Model Of Midwifery Services, Elizabeth P. Duffy
Theses: Doctorates and Masters
The original contribution of this qualitative study is that it sketches the front-line of the contested domain of infant feeding choices by exploring the under-researched experiences and perceptions of mothers who actively choose to bottle-feed their babies. Twelve bottle-feeding mothers in Western Australia participated in open-ended, in-depth interviews. The interview findings were further explored using participant observations of relevant hospital practices and critical, hermeneutic re-readings of midwifery's professional and policy documents. The thesis argues that bottle-feeding is marginalised by the midwifery profession that currently defines its practices in accordance with policies such as the Baby Friendly Hospital Initiative. Bottle-feeding mothers …
Paediatric Intensive Care Nursing Behaviours To Reduce Parental Stress, Fenella Gill
Paediatric Intensive Care Nursing Behaviours To Reduce Parental Stress, Fenella Gill
Theses: Doctorates and Masters
A child's admission to a paediatric intensive care unit (PICU) is stressful for the family. Parental presence and involvement with their child in hospital have been recognised as important in reducing their stress. Several studies have identified parental needs in the PICU. Nurses have reported that they felt inadequately prepared to meet those needs. Although principles to guide nursing strategies have been identified, contextual behaviours of PICU nurses to reduce parental stress have not A qualitative study, using an ethnographic approach, was designed to describe contextual behaviours of experienced PICU nurses. Participants self identified their level of clinical practice to …
Nursing Students' And Clinical Teachers' Perceptions Of Effective Teacher Characteristics, Shirley Chow
Nursing Students' And Clinical Teachers' Perceptions Of Effective Teacher Characteristics, Shirley Chow
Theses: Doctorates and Masters
Instructional and organisational strategies can improve students' transfer of knowledge and skill to the workplace. Constraints on transfer include: 1. a shortage of teachers who can build transfer inlo programmes; and 2. time span (interval) between teaching of the task and transfer of learning. Fifteen nursing students and five clinical teachers from a university in Western Australia participated in the initial qualitative component of the study. These students and teachers were asked to list effective clinical teachers' behaviours which were then compared with beaviours listed in the Rauen's Clinical Instructor Characteristics Rating Scale (1974). Using a modified Rauen's Scale, 200 …
A Report On Nurses' Response To Occupational Injuries And Exposures To Hazards In A Californian Community Hospital, Sandra Kilminster-Binder
A Report On Nurses' Response To Occupational Injuries And Exposures To Hazards In A Californian Community Hospital, Sandra Kilminster-Binder
Theses: Doctorates and Masters
This study set out to determine the reasons for underreporting of occupational injuries and exposures in the American health care environment. A cross sectional survey was used to report the responses and opinions of nurses who failed to report all occupational injuries and exposures, and the type of injuries that are least likely to be reported. The participants were a random sample of Registered Nurses employed in a California Health Care Center, who responded to a simple self-reporting questionnaire. The study revealed that the majority of occupational injuries, accidents and exposures by this group in the previous twelve month period …
Influence Of Public Image Of Nurses On Nursing Practice, Miyuki Takase
Influence Of Public Image Of Nurses On Nursing Practice, Miyuki Takase
Theses: Doctorates and Masters
Many researchers believe that nurses live in a dual structure, encompassing both the social and nursing worlds. They contend that these two worlds have contrasting views toward nurses. This is, while nurses are guided to establish professional status, society still expects them to remain in a dependent role. This conflict is assumed to have a negative impact on nurses’ psychological and functional states (Kalisch & Kalisch, 1983 & 1987). However, this assumption has not yet been explored sufficiently. The aim of this descriptive correlational study was therefore to investigate the relationships among the public image of nurses, nurses’ self concept, …
Perceived Social Support Of Family Members Of Aged Care Facility Residents And Its Relationship With Family Members Well-Being And Their Support Of Relatives In Residential Care, Christine Toye
Theses: Doctorates and Masters
When elderly people are cared for In Aged Care Facilities (ACFs) it is known that their family members frequently suffer negative effects. These effects may be alleviated by social support and, because they feel better, family members may then offer more support to residents. In this study, the researcher tested a model with a sample of 213 family members of ACF residents. Predictive relationships were hypothesised among incentives for family members to support residents, stress related factors, the perceived formal and Informal support of family members, their psychological wellbeing, and the support they offered to residents. The researcher also developed …
A Revision Of The World Health Organisation Psychiatric Disability Assessment Schedule, Daniel Rock
A Revision Of The World Health Organisation Psychiatric Disability Assessment Schedule, Daniel Rock
Theses: Doctorates and Masters
The burden schizophrenia places on the individual, on the family and on society in general is determined more by the associated disability rather than the manifest symptoms. Therefore, measurement of disability provides a baseline for evaluating change and directing treatment. This research has two main aims. The primary purpose of this study was to develop and validate a contemporary revision of the World Health Organisation-Psychiatric Disability Assessment Schedule (1988). Data used was based on data from the WHO Collaborative Study on Determinants of Outcome of Severe Mental Disorders (Sartorius et al., 1986). The second aim of this study was to …
Factors That Malawian Adolescents From Co-Educational Secondary Schools Of Lilongwe And Mchinji Identity As Affecting Their Ability To Discuss Sexual Issues, Susan K. Geloo
Theses: Doctorates and Masters
The purpose of this study was to explore the factors Malawian adolescents from co-educational secondary schools identified as affecting their ability to discuss sexual issues. A sample of 149 adolescent students from the coeducational secondary schools of Lilongwe and Mchinji districts was surveyed. Their ages ranged from 14-18 years of age. The schools and participants were chosen using cluster-sampling and data were obtained via a questionnaire. The questionnaire comprised of demographic variables, sources of sexual information, participant's sexual life, the sexual issues participants consider important and their ability to communicate sexual issues comfortably with different community members. Data were analysed …
A Phenomenological Study Of Clinical Decision Making By Flight Nurse Specialists In Emergency Situations, Dale M. Pugh
A Phenomenological Study Of Clinical Decision Making By Flight Nurse Specialists In Emergency Situations, Dale M. Pugh
Theses: Doctorates and Masters
Clinical decision making is an integral, multifaceted phenomenon fundamental to nursing practice. The domain of flight nursing practice is unique in terms of knowledge, structure, clinical presentations and environment. The uniqueness and diversity of patient scenarios and the advanced practice level of the flight nurse role blend to provide a potential rollercoaster flight mission. At the time this research was conducted nursing standards to guide clinical decision making were being developed. Medically orientated clinical guidelines were in place, but they were designed to highlight a specific, well defined clinical scenario or skill. It has been argued that guidelines for nursing …
Reporting Misconduct : A Descriptive Study Of Whistleblowing In Nursing, Sally Mcdonald
Reporting Misconduct : A Descriptive Study Of Whistleblowing In Nursing, Sally Mcdonald
Theses: Doctorates and Masters
This research examined the effects of whistleblowing and non-whistleblowing on nurses in Western Australia. A descriptive survey design was used to explore the physical, emotional and professional effects experienced by nurses who blew the whistle and nurses who did not blow the whistle on misconduct. This study also examined the effective and ineffective coping behaviours reported by participants. A questionnaire was developed based on Lazarus and Folkman's Stress/Coping model and mailed to 500 nurses in Western Australia. Of these, 100 returned the completed questionnaire, indicating a response rate of 20%. Ninety-five respondents wereincluded in the study; 70 were self-identified as …
The Effect Of Nursing Interventions On Thermoregulation And Neuromotor Function In Very Low Birthweight Infants, Leanne Monterosso
The Effect Of Nursing Interventions On Thermoregulation And Neuromotor Function In Very Low Birthweight Infants, Leanne Monterosso
Theses: Doctorates and Masters
The prone position is used routinely in neonatal intensive care units worldwide in the nursing of preterm infants because of reported beneficial psychological effects This position can, however, lead to development of flattened posture very low birthweight (VLBW) infants and contributes to both short and longer term implications for functional motor development of upper and lower extremities. To date limited research has been undertaken to investigate methods of reducing flattened posture and its related negative outcomes temperature instability is also a problem for VLBW infants and no nappy exists that meets postural size and thermoregulation requirements. The purpose of this …
Women's Perceptions Of Successful Breastfeeding During The Early Stages Of Being A Mother, Shelagh Lawrence
Women's Perceptions Of Successful Breastfeeding During The Early Stages Of Being A Mother, Shelagh Lawrence
Theses: Doctorates and Masters
The purpose of this qualitative study, guided by Rubin's Model was to describe women's perceptions of successful breastfeeding during the early stages of being a mother. The transition to motherhood marks a time of great developmental change in a woman's life. Infant feeding is an important aspect of this adaptation to the maternal role. The physiological benefits of breastfeeding for mother and baby are well documented, but there is limited research on the psychological advantages of breastfeeding for the mother. This Masters research was a discrete part of a larger research project entitled the Perth Metropolitan Breastfeeding Study. This project …
Rural Palliative Care Nursing: A Modified Grounded Theory Study, Ruth Mcconigley
Rural Palliative Care Nursing: A Modified Grounded Theory Study, Ruth Mcconigley
Theses: Doctorates and Masters
This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling …
Early Discharge Planning : Primiparous Women's Perceptions Of Their Readiness For Going Home, Graeme N. Boardley
Early Discharge Planning : Primiparous Women's Perceptions Of Their Readiness For Going Home, Graeme N. Boardley
Theses: Doctorates and Masters
Early discharge for women after childbirth was introduced in Australia approximately ten years ago. Early discharge involves going home from hospital within three days of giving birth. Since its introduction, early discharge has been the subject of much debate. Previous research has argued the cost effectiveness and safety of early discharge, but little has been done to examine this phenomenon from the human aspect. An exploratory study of first time mothers, in an early discharge programme was undertaken to address how these women felt in relation to their readiness for going home. A purposive sample of twenty Caucasian, English speaking …
Women's Perceptions Of Birth Centre Care: A Qualitative Approach, Karen Coyle
Women's Perceptions Of Birth Centre Care: A Qualitative Approach, Karen Coyle
Theses: Doctorates and Masters
The purpose of this exploratory study was to describe women's perceptions of the care they received in a birth centre, compared to their previous experiences in a hospital. Australian statistics indicate that five percent of childbearing women now choose to receive care in a birth centre setting. Clinical outcomes of birth centre care are now well documented, but there is limited empirical data about women's experiences of this model of care. Seventeen women, who had recently given birth in a birth centre, and had previously experienced care in a hospital setting, were interviewed about their care experiences. Using content analysis, …
Predicting The Severity Of Radiation Skin Reactions In Women With Breast Cancer, Davina Porock
Predicting The Severity Of Radiation Skin Reactions In Women With Breast Cancer, Davina Porock
Theses: Doctorates and Masters
Skin reactions are unavoidable side effects of radiotherapy for breast cancer that may limit the amount of treatment a patient is able to receive. As well, the discomfort associated with the treatment may negatively affect the patient's quality of life and their willingness to complete a course of treatment that typically extends over seven weeks. Prior literature suggests that variations in patients' tissue reactions to radiation may be related to Individual patient characteristics. Before health care providers can intervene to prevent or minimise skin reactions, a clinical model that helps predict which patients will experience more skin reactions is needed. …
Lymphoedema Following Surgery For Breast Cancer, Jacqueline Lord
Lymphoedema Following Surgery For Breast Cancer, Jacqueline Lord
Theses: Doctorates and Masters
Lymphoedema of the ipsilateral upper limb is one of the most significant long term complications of the surgical treatment of breast cancer and may be described as a life sentence of bodily disfigurement. The resultant cosmetic disfigurement, physical discomfort and reduced physical mobility combined with the psychological sequelae, far exceeds the original expectations of the breast surgery patient (Tobin, Lacey, Meyer, and Mortimer, 1993). It is estimated that one hundred thousand women in Australia have developed lymphoedema (or will develop it before they die) as a result of mastectomy and radiotherapy alone (Casley-Smith, 1992). In breast cancer patients, lymphoedema can …
Home Hospice Cancer Care: Family Members' Expectations, Perceptions And Satisfaction With Care, Kristina Medigovich
Home Hospice Cancer Care: Family Members' Expectations, Perceptions And Satisfaction With Care, Kristina Medigovich
Theses : Honours
Increasingly, there is greater expectation by the public, as health consumers, that they will receive care from health professionals which meets their expectations and does not leave them dissatisfied. The stress experienced by families caring for a family member with advanced cancer may be complicated when they are dissatisfied with care received from health care professionals. To further promote family satisfaction it is important therefore for health professionals to understand the theoretical underpinning of family satisfaction with care. One theoretical explanation of family member satisfaction with advanced cancer care in the palliative care setting, Porter's Discrepancy Theory, was investigated in …
The Ms. Stereotype : Could It Be A Health Risk?, Phillip Van Der Klift
The Ms. Stereotype : Could It Be A Health Risk?, Phillip Van Der Klift
Theses : Honours
Two studies extend previous findings of stereotyping (a) within the nursing context (Ganong, 1993; Ganong & Coleman, 1992, Ganong et al., 1988), and (b) in relation to female title of address (Dion, 1987; Dion & Cota, 1991; Dion & Schuller, 1991; Heilder, 1975). Against the theoretical background of person perception theory and its influence upon the therapeutic nurse client relationship, study 1 investigates the extent to which nurses' stereotype a vignetted female client on the basis of title of address. Fifty registered nurses from two hospitals rated their impressions and subsequent expectations of a vignetted client on the First Impressions …
The Lived Experiences Of Single Teenage Mothers In Botswana : A Phenomenological Study, Tshepiso D. Mojapelo
The Lived Experiences Of Single Teenage Mothers In Botswana : A Phenomenological Study, Tshepiso D. Mojapelo
Theses: Doctorates and Masters
This study was designed to explore-the lived-experiences of single teenage mothers in Botswana, as perceived by them. The participants were teenage mothers who had to leave school due.to pregnancy. They had either completed year one in secondary school or were in year two. Their ages ranged between 16 and 19 years. The ages of their babies range from five to 10 months, with the exception of one child who was three years old. All teenage mothers came from low socio-economic backgrounds with families whose parents were either not working, or were working in the lowest paying jobs as cleaners or …