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Articles 571 - 600 of 638
Full-Text Articles in Nursing
Labour And Birth Information Needs Of First Time Mothers In Malawi And Satisfaction With Information Received, Address M. Malata
Labour And Birth Information Needs Of First Time Mothers In Malawi And Satisfaction With Information Received, Address M. Malata
Theses: Doctorates and Masters
Giving labour and birth information to first time mothers is one of the challenges facing the midwives in Malawi. There are many underlying health and soeioeconomic problems facing the people of Malawi particularly mothers in the child bearing age because of inadequate human and material resources in the health sector. This thesis presents findings of a study carried out in Malawi to explore labour and birth information given to first time mothers at hospitals and in the communities. Maternal satisfaction with the information received was determined. In addition labour and birth information needs of first time mothers in Malawi were …
The Effect Of A Prenatal Teaching Intervention On Postpartum Nipple Pain And Trauma, Elizabeth P. Duffy
The Effect Of A Prenatal Teaching Intervention On Postpartum Nipple Pain And Trauma, Elizabeth P. Duffy
Theses: Doctorates and Masters
The purpose of this experimental study was to investigate whether a prenatal teaching intervention on position and attachment of the baby on the breast had any effect on postpartum nipple pain and trauma, and breastfeeding rates at six weeks. Many mothers who Initiate breastfeeding, discontinue because they experience nipple pain and trauma. Correct position and attachment of the baby on the breast for feeding Is paramount in preventing these problems. Using Orem's supportive-educative nursing system, i was hypothesised that the teaching Intervention would result in significantly less nipple pain and trauma, and would Increase breastfeeding rates at six weeks. The …
A Phenomenological Study Of The Homebirth Experience : The Couples Perspective, Susanjane Morison
A Phenomenological Study Of The Homebirth Experience : The Couples Perspective, Susanjane Morison
Theses: Doctorates and Masters
The purpose of this qualitative study was to describe the experience of parents who have had a homebirth in the past two years in Perth. Studies conducted to date have predominantly used quantitative research methods, investigating the safety of homebirth and comparing home to hospital birth without exploring a couples experiences. A phenomenological approach was used as it seeks to understand human experience in context. The research design consisted of a field study, in which ten parent couples were interviewed and three homebirth videos observed. Data analysis was conducted according to the procedure outlined by Colaizzi (cited in Knaack, 1984, …
The Development Of Community Mental Health Nursing Services In Western Australia : A History (1950-1995) And Population Profile, Phillip M. Maude
The Development Of Community Mental Health Nursing Services In Western Australia : A History (1950-1995) And Population Profile, Phillip M. Maude
Theses: Doctorates and Masters
This descriptive• study discusses the development of community mental health (CMH) in Western Australia (WA) and describes the current practising population of CMH nurses. The study explores literature pertaining to the emergence of the CMH movement and the deinstitutionalisation of the mentally ill. A conceptual framework was developed by adapting Lewin's change theory. CMH nurses practising in WA (n= 130), were invited to participate in the study and were asked to complete a survey questionnaire. This resulted in a 66% response rate (n = 86). Quantitative data was analysed using the Statistical Package for the Social Sciences (SPSS). Open ended …
A Reflective Analysis Of Burn Wound Care: The Australian Burns Nurse' Perspective, Jaynie E. Sands
A Reflective Analysis Of Burn Wound Care: The Australian Burns Nurse' Perspective, Jaynie E. Sands
Theses: Doctorates and Masters
The purpose of this historiographical nursing study was to explore Australian Burn Wound Care from a nursing perspective, at two periods of time. It was the intention of the author to explore practices at the inception of specialised burns units, from the 1950's, presenting an historical perspective, and at the present time, May 1995. Eleven burns units across Australia participated in the study. There were 22 participants in the research sample. Each burns unit identified the first Charge Nurse (n =11) and the current Clinical Nurse Specialist (n =11), to be involved in the data collection process. The conceptual framework …
The Lived Experiences Of People Living With Hiv Infection, Nongluck Suwisith
The Lived Experiences Of People Living With Hiv Infection, Nongluck Suwisith
Theses: Doctorates and Masters
This phenomenological study was undertaken to describe the meaning of living with HIV infection. Descriptive phenomenology was utilised to investigate the lived experiences of persons who had human immunodeficiency virus infection (HIV/ AIDS), describe common elements, themes or patterns of lived experiences of persons with HIV / AIDS, and analyse the meaning of lived experiences of persons with HIV/ AIDS. Twelve Australians, experiencing HIV infection and participating in the community support groups in Perth, volunteered as participants. Two participated in the pilot study. The other ten participants were interviewed individually for the main study. Intensive open-end questions pertaining to the …
Codependent Concerns Among Nurses, Virgina S. Besomo
Codependent Concerns Among Nurses, Virgina S. Besomo
Theses: Doctorates and Masters
Codependency is a complex dysfunctional behaviour pattern characterised by a dependence upon external reference points for ways of being. An abundance of nursing literature claims that codependency is (a) a problem among nurses, (b) related to the demands of the profession, and that (c) codependent nurses eventually suffer disillusionment and burnout. The purpose of this descriptive study was to examine the severity of codependent concerns among Western Australian registered nurses in order to direct a response to these claims. A random sample of 1000 West Australian registered nurses were mailed surveys with an option for them to respond anonymously by …
An Evaluation Of The Usefulness Of A Self-Appraisal & Goal Setting Instrument For Community Health Nurses, Helen K. Pannowitz
An Evaluation Of The Usefulness Of A Self-Appraisal & Goal Setting Instrument For Community Health Nurses, Helen K. Pannowitz
Theses: Doctorates and Masters
This descriptive exploratory study evaluated the usefulness of an adapted self-appraisal and goal setting performance instrument. The instrument is developmental in its purpose and is currently used by community health nurses at the Armadale Kelmscott Health Service of the Health Department of Western Australia. The study was conducted in two parts; the first part used a questionnaire to examine the perceptions of a group of community health nurses who use the instrument. The second part of the study which used a structured survey sought to determine how well the instrument's self-appraisal behaviours approximate with the Standards of the Australian Council …
Management Skills Of Middle-Level Nurse Managers In Malawi, Maureen L. Chirwa
Management Skills Of Middle-Level Nurse Managers In Malawi, Maureen L. Chirwa
Theses: Doctorates and Masters
Much has been written about the problems facing nurse managers in different countries including Malawi, yet the literature is sparse in relation to information about their perception of required management skills. There is enough evidence that nurse managers face many problems. These problems stem from different sources including organizational, economic, social or political changes. All changes within and outside the health care system affect nursing and its management. Nurse managers require relevant management skills to make valuable decisions and promote quality care, and enable them to motivate staff. Further, management skills will enable nurse managers to actively participate in policy …
Factors That Influence Low Utilisation Of Natural Family Planning Methods Among Child Bearing Women (Aged 15-49 Years) In Mongu Urban District Zambia, Cecilia S. Lubinda
Factors That Influence Low Utilisation Of Natural Family Planning Methods Among Child Bearing Women (Aged 15-49 Years) In Mongu Urban District Zambia, Cecilia S. Lubinda
Theses: Doctorates and Masters
The purpose of this study was to explore and analyse factors that influence the low utilisation of natural family planning methods. A theoretical framework adapted from Betty Neuman's Systems Model was used to guide the study. Using Betty Neuman's Systems Model the person or client's behaviour influenced by the continuous interaction with the environment. The factors investigated were the women's personal characteristics, age, occupation, marital status and education, cultural influences which included the relationship between the husband and wife and the religious belief of the women. The last factor investigated was the influence of the info1111ation practices and family planning …
Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur
Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur
Theses : Honours
Hepatitis B is a major, largely undiagnosed disease in the community and nurses working in doctors' surgeries (practice nurses) undertake many clinical tasks which may expose them to the Hepatitis B virus. Using the Health Belief Model as the theoretical framework, the purpose of this correlational-descriptive study was to determine what actions are taken, by practice nurses in Western Australia to protect themselves against Hepatitis B, and to what extent their health beliefs contribute to those actions. A response rate of 59% (118) was obtained from an anonymous, confidential questionnaire sent to a random sample of 200 practice nurses in …
Influence Of The Label Intellectual Disability On Trainee Disability Service Providers' Impressions, Dianne Rosemary Mckillop
Influence Of The Label Intellectual Disability On Trainee Disability Service Providers' Impressions, Dianne Rosemary Mckillop
Theses : Honours
Labels can be identifiers of deviance from social norms and values as well as cognitive heuristics. Labelling theory proposes that deviancy labels create a perception of a stereotypical master status (Becker, 1963), which biases perceivers' impressions. The master status principle of labelling theory is analogous to the schema-based models of impression formation proposed by social psychology. The opposing view is that individual characteristics influence social perception to a greater extent than labels. The present study investigated the master status prediction of labelling theory using a social psychological framework. Empirical and theoretical evidence suggests that the perceptions of the people who …
Postdischarge Surveillance Of Surgical Wound Infection By Telephone Interview, Robyn Taverner
Postdischarge Surveillance Of Surgical Wound Infection By Telephone Interview, Robyn Taverner
Theses : Honours
Many postoperative wound infections are not being detected by traditional methods of surveillance of hospital acquired infections, due to decreasing length of hospital stay Unless some form of postdischarge surveillance is undertaken, rates of hospital acquired infections will he underestimated. While Infection Control Practitioners are aware of this problem, implementation of postdischarge surveillance is hampered by lack of research into suitable cost-effective methods. This study describes the implementation and feasibility of postdischarge surveillance by telephone interview and compares rates of infection in a private hospital before and after discharge. During a five month period a systematic sample of 300 clients …
An Examination Of Selected Factors Associated With Nurses' Behaviour And Intentions Related To Patient Teaching, Ian R. Mullins
An Examination Of Selected Factors Associated With Nurses' Behaviour And Intentions Related To Patient Teaching, Ian R. Mullins
Theses: Doctorates and Masters
Patient teaching is integral in the provision of an effective health care service. Registered nurses in all settings, have a professional responsibility to contribute towards their clients’ health promotion and maintenance by providing those clients with the health education they require. This study investigated the patient teaching intentions and behaviours of 181 registered nurses employed in acute medical and surgical settings at three metropolitan hospitals in Perth Western Australia. Within the framework of Ajzen and Fishbein’s (1980) theory of reasoned action, the study examined the relationships between registered nurses’ intentions to teach patients, their patient teaching behaviours and selected factors …
Factors Influencing Western Australian Clinical Registered Nurses In Discharge Planning, S. R. Suiter
Factors Influencing Western Australian Clinical Registered Nurses In Discharge Planning, S. R. Suiter
Theses: Doctorates and Masters
A descriptive quantitative study was conducted to determine what factors nurses considered when discharge planning, and how these factors compared with factors identified in the literature as being effective in planning for discharge. This study was undertaken because with the intended Prospective Payment System (PPS) of funding to hospitals, it is essential that Western Australian Clinical Registered Nurses are able to prepare patients for discharge effectively to prevent the financial burden of cost outliers and re-admissions. Anderson and Steinberg ( 1984) in their studies of factors that influence the cost of hospital care for the elderly, found that the results …
Attitudes Of Nurses To Palliative Care In Nursing Homes In The Perth Metropolitan Region, Lynne Cohen
Attitudes Of Nurses To Palliative Care In Nursing Homes In The Perth Metropolitan Region, Lynne Cohen
Theses: Doctorates and Masters
Zanna and Rempel (1988) have proposed that attitudes are a summary evaluation of an attitude object based on three classes of information, namely: cognitive information, affective information and behavioural information. This model has mainly been tested in the social groups and social policies area investigating two classes of information: cognitive and affective, and therefore there is a need for research to test the validity of this model in other areas. The present study applies the model to the area of palliative care in nursing homes. 76 directors of nursing, 76 clinical nurse specialists, and 76 nursing assistants working in nursing …
Triage In Health Department Of Western Australia Accident And Emergency Departments, Geraldine M. Riordan
Triage In Health Department Of Western Australia Accident And Emergency Departments, Geraldine M. Riordan
Theses: Doctorates and Masters
A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The …
The Lived Experience Of Nurses Caring For The Dying, David M. Byrne
The Lived Experience Of Nurses Caring For The Dying, David M. Byrne
Theses: Doctorates and Masters
The study reported in this thesis describes and analyses the lived experience of caring for the dying amongst nine (9) nurses in a hospice setting. The research was established within the context of published literature on the subject of caring for the dying from nursing. A qualitative, phenomenological approach was chosen as the most appropriate for this study, in order to describe and interpret the understanding and shared meanings nurses have in the care of the dying. The major mode of data collection in this study was by in depth interview of nine (9) nurses, which was supplemented by the …
Perceptions Of Discharge Planning Needs : A Study Of Discharge Planning In The Mental Health Setting, Michael P. Finn
Perceptions Of Discharge Planning Needs : A Study Of Discharge Planning In The Mental Health Setting, Michael P. Finn
Theses: Doctorates and Masters
Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved …
Reasons Why Patients Attend An Emergency Department, Emily J. Carmona
Reasons Why Patients Attend An Emergency Department, Emily J. Carmona
Theses : Honours
The traditional role of emergency departments (ED) is to provide emergency and lifesaving treatment to accident victims (Catchlove, 1974). These departments provide a unique service to the Australian community, as medical treatment is available without medical referral or appointment. However, attendance patterns suggest that a high proportion of members of the public seek treatment for non-urgent conditions at these departments (Bain & Johnson, 1971; Starr, 1973). The purpose of this study is to update existing information about attendance patterns by describing the current use of one teaching hospital emergency department. A descriptive study design using a quantitative approach was used …
Nurses' Attitudes Toward Computerisation, John Crofts
Nurses' Attitudes Toward Computerisation, John Crofts
Theses : Honours
Currently bedside nurses working in Perth public hospitals have little exposure to electronic information systems (EIS's). Over the next two years an EIS will be implemented into the 15 Perth public hospitals by the Health Department of W. A. Acceptance of any EIS by staff determines whether such systems will be used. Therefore in order to gain maximum benefit from an EIS, it has been strongly suggested that hospitals examine the attitudes of their nurses toward computerisation. 130 nurses at a Perth teaching hospital responded to a questionnaire, incorporating a tool designed by Strange and Brodt (1985), reported to be …
Questioning Strategies: Their Use By Clinical Teachers, Sue Sellappah
Questioning Strategies: Their Use By Clinical Teachers, Sue Sellappah
Theses: Doctorates and Masters
This study examined clinical teachers' use of questioning and the variations in their use of questioning as a teaching strategy. By using questioning and other appropriate teaching strategies, clinical teachers can facilitate the development of critical thinking, decision making, and problem solving in students. Effective use of questioning strategies involves asking low level and high level questions to facilitate recall of classroom knowledge and promote application of the knowledge to solve patient problems in varying clinical situations. Using a comparative descriptive design, this study used a convenience sample of 26 clinical teachers from one University School of Nursing to examine …
The Self Reported Patterns Of Alcohol Consumption By Registered Nurses In Western Australia, K. Waters
The Self Reported Patterns Of Alcohol Consumption By Registered Nurses In Western Australia, K. Waters
Theses : Honours
The study of self reported patterns of alcohol consumption by Registered nurses in Western Australia is the first Australian study that attempts to quantify the amount of alcohol consumed by nurses. This study also examines the type of alcohol related problem that nurses most frequently experience, and investigates the relationships between problematic alcohol consumption and the demographic categories of age, gender, area of nursing practice and geographical location of residence. The conceptual framework that guides the study incorporates a model developed by Thorley, and considers factors related to the intrinsic properties of alcohol, the environment and the individual which contribute …
The Effect Of Facilitating Increased Involvement In Nursing Home Caregiving On Former Caregivers' Satisfaction With The Care Arrangement, Christine Toye
The Effect Of Facilitating Increased Involvement In Nursing Home Caregiving On Former Caregivers' Satisfaction With The Care Arrangement, Christine Toye
Theses : Honours
This study examined the effect of a programme that facilitated fanner caregivers' increased involvement with nursing home care giving on their satisfaction with the care provided for their relatives. It was guided by Ray's Adaptation Model of Nursing (Ray, 1984, 1989). The hypotheses stated that the programme would help former caregivers to adapt to the institutionalisation of their loved ones, as manifested by their increased satisfaction with aspects of the care arrangement (overall care, nursing care, relationships, and the environment). The convenience sample consisted of 31 former care givers of long term residents admitted to a metropolitan nursing home 1 …
The Experience Of Transferring To Adult Health Care For Adolescents With Cystic Fibrosis, Maree T. Russell
The Experience Of Transferring To Adult Health Care For Adolescents With Cystic Fibrosis, Maree T. Russell
Theses: Doctorates and Masters
As a result of improved treatment and management, adolescents with cystic fibrosis (CF) now have a longer life expectancy. Consequently, more adolescents will be transferred from paediatric to adult health care. Currently, transfer to adult health care takes place on an adhoc basis. Little research however, is available on adolescents with CF and the transfer process to adult health care. This transfer may be viewed as a significant life event for these adolescents and their families. A descriptive approach was used in this study to investigate the experience of transferring to adult health care for adolescents with CF. Seven adolescents …
A Comparison Of Two Bathing Methods : Effects On The Haemodynamic And Subjective Responses Of Low Risk Patients Within 48 Hours Post Myocardial Infarction, Heather M. Kidd
Theses: Doctorates and Masters
The purpose of this within subject experimental study was to determine what effect showering by nurses, as compared to bed bathing patients, has on the haemodynamic and subjective responses of low risk patients within 48 hours of having a myocardial infarction. The sample consisted of 50 patients, 8 female and 42 male, with a mean age of 61 years (SD = 10). Twenty-five were randomly assigned to a bed bath, then a shower over 2 consecutive days and the other 25 to the reverse order. The haemodynamic responses consisted of heart rate, rate pressure product (RPP), blood pressure, cardiac rhythm, …
St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse
St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse
Theses : Honours
For any profession to develop, grow and plan for the future, it is imperative that all members know from whence they have come. Nurses', however, do not generally consider this to be an important aspect to their professional development, and hence have focused more on empirical or experimental research. Whilst much literature has been written on nursing history, it has focused primarily on its founding women and its inception from the mid nineteenth century when a more structured training evolved. This study, therefore, goes beyond this period of time and examines a man who played an equally important role in …
Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin
Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin
Theses : Honours
For the past 40 years midwives and neonatal nurses have been applying antistaphylococcal cream to newborns, to reduce the risk of Staphylocccus aureus (Staph. aureus) infections. The purpose of this study was to determine whether there was any· difference in the incidence of clinical signs of infection in newborns, untreated or treated with a topical application of the currently used antistaphylococcal cream chlorhexidine 1%. The experimental design compared two groups of randomly assigned newborns, using an observation chart based on indicators of infection. Observations were recorded twice ~ day for four days. Any specific or nonspecific signs of infection …
The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose
The Effect Of A Semester Unit Of Study On Ethical Issues In Nursing On A Group Of Practising Registered Nurses, E. C. Ambrose
Theses : Honours
This study explored the effect an educational unit on ethical issues in nursing had on the ethical reasoning of practising registered nurses. The educational unit was conducted at a university school of nursing as part of a baccalaureate degree programme for already registered and practising nurses. A quasi-experimental posttest design utilising stratified random samples compared subjects from one group who had undertaken the unit (n=53) with subjects from another group who had not (n=61). Ethical reasoning was measured using Grisham's Nursing Dilemma Test and a researcher designed demographic data sheet provided information on additional variables for analysis.The group which had …
A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby
A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby
Theses : Honours
The transition of the newborn to extrauterine life, especially the preterm infant, necessitates adaptation to environmental changes in temperature (Levene, Tudehope & Thearle, 1987). The need for a method of measuring an infant's temperature rapidly and with minimal disturbance is critical and accurate temperature measurement in a preterm infant is a vitally important nursing procedure. However, the literature is inconclusive regarding the optimum placement time required to achieve an accurate temperature measurement and few studies bad been conducted to ascertain the reliability and usefulness of tympanic thermometers in preterm infants. The study of 81 hospitalised preterm infants, compared axillary mercury, …