Nursing Commons^™

การทำงานในวิชาชีพพยาบาลของพยาบาลรุ่นอายุแซดที่ลาออกไปประกอบอาชีพอื่น: การวิจัยเชิงคุณภาพแบบเล่าเรื่อง, อุมาพร จันทมาตย์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยเชิงคุณภาพครั้งนี้มีวัตถุประสงค์เพื่อบรรยายประสบการณ์การทำงานของพยาบาลรุ่นอายุแซดที่ลาออกไปประกอบอาชีพอื่น โดยใช้ระเบียบวิธีวิจัยเชิงคุณภาพแบบเล่าเรื่อง ผู้ให้ข้อมูลคือพยาบาลรุ่นอายุแซดจำนวน 17 คน มีอายุระหว่าง 23-29 ปี ซึ่งเคยปฏิบัติงานในโรงพยาบาลทั้งภาครัฐและเอกชน วิเคราะห์ข้อมูลด้วยวิธี Thematic analysis ผลการวิจัยพบประสบการณ์ 5 ระยะ ดังต่อไปนี้ ระยะที่ 1 : การเริ่มต้นเข้าสู่วิชาชีพพยาบาล ประกอบด้วย 1) เหตุผลในการเลือกเรียนพยาบาล และ 2) มุมมองหลังสำเร็จการศึกษา ระยะที่ 2 : การเข้าสู่การทำงานเป็นพยาบาลวิชาชีพ ประกอบด้วย 1) การการเผชิญโลกการทำงานจริงครั้งแรก 2) การรับบทบาทพยาบาลเต็มตัว และ ความจริงของภาระงานพยาบาล ระยะที่ 3 : ความท้าทายเมื่อทำงานในโลกของความเป็นจริง ประกอบด้วย 1) ความซับซ้อนของงานพยาบาล 2) ความคาดหวังจากหัวหน้างานและเพื่อนร่วมงาน 3) ความไม่ยุติธรรมในระบบบริหาร 4) ความเหนื่อยล้าและภาระทางอารมณ์ 5) เวรผลัดที่ไม่มิตรกับชีวิตส่วนตัว 5) การไม่ถูกยอมรับจากทีม และ 6) การเรียนรู้งานเพื่อการอยู่รอดในวิชาชีพ ระยะที่ 4 : การตัดสินใจลาออกจากงานพยาบาล ประกอบด้วย 1) แรงผลักดันให้ตัดสินใจลาออก และ 2) แรงดึงดูดจากอาชีพอื่น ระยะที่ 5 : มุมมองต่อวิชาชีพพยาบาลและการทำงานอาชีพอื่น ประกอบด้วย 1) ภาพอนาคตในงานพยาบาล และ 2) การพิจารณากลับเข้าสู่วิชาชีพพยาบาล การศึกษานี้ทำให้เกิดความเข้าใจถึงบริบทที่นำไปสู่การลาออกจากวิชาชีพของพยาบาลรุ่นอายุแซด ผลการวิจัยสามารถใช้เป็นข้อมูลสำหรับผู้บริหารทางการพยาบาลกำหนดนโยบายและพัฒนากลยุทธ์การบริหารทรัพยากรบุคคลที่มีประสิทธิภาพ เพื่อบริหารองค์กรที่บุคลากรขาดแคลนในปัจจุบันและธำรงรักษาพยาบาลไว้ในวิชาชีพต่อไป

An Exploration Of The Clinical Senior Nursing Student Preceptor Relationship, Kimberly Nicole Dunker

Dissertations

Problem

The use of clinical preceptors for training is well documented in the literature as an effective strategy for helping students, new graduates, and RNs orient to their roles in healthcare facilities. The need to ensure that the preceptor is adequately trained and then matched to a preceptee for a successful relationship is a challenge. The healthcare facility does its best to identify a preceptor and ensure adequate training is completed and there is a willingness to facilitate the experience. The academic institution is required to ensure that preceptors are chosen based on criteria outlined by the board of nursing …

Nursing Education For End-Of-Life Oncology Pain Management, Anilyse Deisher, Savannah Phongsouvanh, Beau Glenn, Kaitlyn Woods

SPARK Symposium Presentations

The project addresses the lack of confidence and education among nurses in end-of-life care and pain management for cancer patients, specifically regarding ethical concerns related to hastening death. Nurses currently experience knowledge deficits in pain management and symptom control, which contributes to suboptimal care, ethical challenges, and inconsistent use of tools like RDOS and CPOT. The goal is to improve nursing confidence and their ability to efficiently manage pain and provide ethical treatment. By implementing the ELNEC training program, nurses will gain the skills necessary to assess and respond to symptoms of active death, ensuring proper care that reduces suffering. …

Traditional And Non-Traditional Behavioral Tests Demonstrate The Attenuation Of Cognitive Deficits By Therapeutic Hypothermia In A Rat Model Of Neonatal Hypoxic-Ischemic Encephalopathy, Angela Saadat, Cortney Kaszowski, Haree Pallera, Frank Lattanzio, Richard A. Britten, Asna Sulaiman, Stephanie Newman, Alireza Hosseini, Tushar Shah

Department of Pediatrics Faculty Publications

Introduction: Neonatal hypoxic-ischemic encephalopathy (HIE) is neurological disease caused by the deprivation of oxygen and blood flow to the brain during the developmentally-critical perinatal period. Therapeutic hypothermia (TH) is the standard of care treatment for HIE, though cognitive deficits can persistent throughout life despite treatment. The nature of these deficits, and the impacts of TH and sex are not well understood, and this presents a key barrier in the development of novel therapeutics.

Methods: The goal of this study was to enhance the characterization and measurement of cognitive outcomes with tasks that measure spontaneous behaviors in a rodent models of …

“Knowledge And Attitude Towards Ect Among The Caregivers Of Patients In A Tertiary Mental Health Care Setting”., Kajusree Borah, Arunjyoti Baruah Dr, Sandeep Kollipara

Manipal Journal of Nursing and Health Sciences

Background: Caregivers play an important role in shaping patients’ experiences with ECT. Despite evidence that ECT is an effective and safe treatment, certain factors, such as social stigma, inadequate knowledge, doubt about efficacy, and safety, have limited its use. With adequate knowledge, information, and understanding caregiver, as well as the patient, will develop a positive attitude towards it simultaneously. Aim: To assess the correlation of knowledge and attitude towards ECT among the caregivers of patients in a tertiary mental health care setting. Methodology: This study employed a descriptive correlational research design, conducted within a tertiary mental health care setting. …

The Psychological Impact Of Denied Blood Transfusions By Jehovah's Witness Parents In Pediatric Patients, Jaelyn Capablanca Braganza

Nursing | Student Research Posters

Jehovah's Witnesses believe that it is against God's will to receive blood from someone else, or to tamper with their own blood, influencing them to deny blood transfusions for themselves and for their children. Since minors are legally not allowed to make healthcare decisions on their own until they reach 18 years of age, this decision made by the parents to deny transfusions on the pediatric patient's behalf may create significant emotional and psychological challenges, potentially influencing family dynamics, mental health, and overall well-being. Understanding these effects, especially for the pediatric patient, is crucial for healthcare providers, social workers, and …

Improving Adherence In Adolescent Kidney Transplant Recipients, Kaylen Munoz

Nursing | Student Research Posters

Background: Adolescent and young adult (AYA) kidney transplant recipients face unique challenges in maintaining long-term graft function and overall health. Nonadherence to immunosuppressive therapy and difficulties transitioning from pediatric to adult care contribute to the increased risk of graft failure in this population. Despite proposed tools identifying adherence barriers, there is a lack of implementation and targeted interventions addressing the barriers AYA transplant recipients face. Purpose: This study aims to evaluate the effectiveness of a structured transition program that utilizes an adherence barrier tool and adherence-promoting interventions in improving health outcomes for adolescent and young adult (AYA) kidney transplant recipients. …

The Potential Of Bioactive Foods In Chemotherapy-Induced Gastrointestinal Distress, Haizhu Patterson

Nursing | Student Research Posters

Background: Cancer continues to have a profoundly detrimental impact on global health, and chemotherapy is widely accepted and utilized as one of the most effective cancer treatments. Unfortunately, the downside of chemotherapy is its significant adverse effects, which often manifest as gastrointestinal (GI) distress, leading the patient to discontinue treatment. Recent research has increasingly focused on bioactive foods as a means to mitigate chemotherapy-induced GI distress. By identifying which bioactive foods can alleviate these distresses, nurses can offer valuable recommendations to cancer patients to help them reduce chemotherapy's adverse effects, enhancing their quality of life (QoL) and improving treatment adherence. …

Awareness Of The Physiological Changes Occurring In Older Adults Can Reduce Dehydration And Electrolyte Imbalances, Lisa Isley

Nursing | Student Research Posters

Background: Individuals over 65 years are at an increased risk of dehydration. The physiological changes that occur with age and medication consumption can cause fluid and electrolyte imbalances that can physically and mentally impair individuals over 65 years old. Objective: By providing education to individuals 65 years and older regarding the significance of drinking water and consuming electrolytes daily, older adults can reduce their dehydration symptoms and improve their quality of life. Method: The proposed research is a quasi-experimental study geared towards individuals 65 years and older. The quasi-experimental study will include two pre-surveys and then two post-surveys. The survey …

Developing A Culturally Sensitive Nursing Framework For Muslim Patients Practicing Ramadan: Focusing On Fasting Benefits And Islamic Dietary Recommendations, Amreen Mahmood Munshi

Nursing | Student Research Posters

Background: Muslims practice Ramadan, a month-long period of fasting from dawn to dusk, yet many healthcare providers lack knowledge of its principles and practices. Hospitals lack formal education on caring for fasting Muslim patients, leading to a knowledge deficit in cultural competence and sensitivity of Islamic practices. Purpose: This paper proposes a research design for a nurse education program on Ramadan fasting to promote cultural competence and sensitivity in nursing care. The proposed research aims to educate nurses on Islamic practices, particularly Ramadan, to bridge the cultural competency gap. The literature review also explores the health benefits of …

Preparing For Loss: The Impact Of Hospital-Based Parental Death Preparation On Sibling Relationships, Elyssa Thea Cajilig

Nursing | Student Research Posters

No abstract provided.

The Impact Of Parental Mental Health On Infants In The Neonatal Intensive Care Unit, Andee L. Plaskett

Nursing | Student Research Posters

The neonatal intensive care unit (NICU) provides critical and life saving care for infants born with medical complications that may need specialized care. The NICU environment can be an overwhelming and stressful place for both parents and infants. Parental mental health challenges, such as stress, anxiety, and depression, can significantly impact infants in the NICU by hindering parent infant interaction and connection. Parental mental distress is often linked to an increase in anxiety for the infant, as well as higher rates of medical complications and a higher likelihood of longer hospital stays for the infant. Parental stress can have a …

Culturally Sensitive Nursing Care And Its Impact On Abuse Disclosure Among Immigrant-Origin Populations​, Jaspal Uppal

Nursing | Student Research Posters

Background: Immigrant-origin patients often face many systemic barriers when accessing healthcare. Factors such as language barriers, fear of deportation, limited trust in healthcare providers, and lack of culturally sensitive care make it hard for patients to disclose abuse. These challenges contribute to poor health amongst vulnerable populations which highlights the importance of using culturally sensitive and trauma-informed care. Objective: This research aims to test whether culturally adapted, trauma-informed nursing care improves disclosure of abuse and access to support services. The objective is to strengthen safety and trust between healthcare providers and patients through culturally sensitive care. Method: A quantitative quasi-experimental …

The Impact Of Diabetes Education & Post Discharge Interventions For African American Adults At Risk For & After Myocardial Infarction, Trinity L. Billingsley

Nursing | Student Research Posters

Cardiovascular disease or CVD refers to a multitude of conditions that affect both the heart and blood vessels. Being the leading cause of death in the United States, heart disease claims 919,032 lives; the risk of death becomes more likely when accompanied with comorbidities like diabetes (CDC, 2024). While heart disease is a leading cause of death across all populations, it accounts for a larger proportion of deaths in African American, or AA, adults at 22.6% compared to White adults at 18.0% and Hispanic adults at 11.9%, highlighting persistent racial disparities in cardiovascular outcomes (CDC, 2024). Diabetes as a comorbidity …

Exploring Dominican University Nursing Student’S Perceptions Of Economic Barriers To Accessing Essential Women’S Health Products, Annabelle E. Burke

Nursing | Student Research Posters

Access to essential feminine hygiene products, including menstrual supplies and hygiene items, is a growing economic and public health issue. Rising product prices and reliance on costly disposable products contribute to financial strain for many women. Period poverty is the lack of access to menstrual products, education, and hygiene facilities due to financial constraints, and it negatively affects women’s physical and mental health, particularly among students and low-income populations. Research shows that limited access to menstrual products affects dignity, sanitation, and emotional well-being and is compounded by social stigma and cultural silence surrounding menstruation (Brinkley & Niebuhr, 2023). Findings from …

The Effectiveness Of Botulinum Toxin Injections In The Management Of Chronic Neck And Shoulder Myofascial Pain: A Nursing Perspective, Jia Zhou

Nursing | Student Research Posters

No abstract provided.

The Psychosocial Effects Of Chemotherapy On The Adolescent Population: Implementing Community Building Programs, Kareena Jakhu, Princess Kyra R. Anicete

Nursing | Student Research Posters

Background: During the adolescent stage (13-18), individuals go through role confusion and seek much of their validation from their fellow peers. Forming a strong sense of community is crucial in this stage of development as it helps with creating a foundation for who they want to become. Chemotherapy strips this aspect of socialization due to its ability to suppress the immune system. When socialization is taken away, adolescents face loneliness, which greatly impacts their development. Purpose: The purpose of this research is to look into the adolescent population undergoing chemotherapy and help them aid the lack of socialization caused by …

The Role Of Sexual Assault Nurse Examiners: Addressing The Shortage And Its Implications For Healthcare, Isabel Mary Mccarthy

Nursing | Student Research Posters

The increasing prevalence of sexual assault cases has highlighted the crucial need for trained healthcare professionals who can effectively provide sensitive care for survivors. Sexual Assault Nurse Examiners (SANE) are registered nurses specifically trained to perform forensic examinations and provide medical and emotional support to sexual assault victims. However, many nursing programs lack formal education on SANE practices, which can hinder students' preparedness to address such cases in their future careers. This study aims to evaluate the effectiveness of a specialized Sexual Assault Nurse Examiner (SANE) training module integrated into an undergraduate nursing curriculum at Dominican University of California. By …

Educating Nurses On Culturally Competent Intimate Partner Violence Care, Nicole Lee

Nursing | Student Research Posters

No abstract provided.

Treatment Safety In Pediatric Atopic Dermatitis, Malia Ecalnir

Nursing | Student Research Posters

No abstract provided.