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A grounded theory of directors' of nursing perceptions on caring: Post-Francis paradoxes
This study explores the perceptions of Directors of Nursing from NHS acute Trusts in England, on caring practices. The aspiration of the NHS is to deliver good care to patients and their families. The NHS constitution ...
The effect of nurses' use of a focused protocol to decrease distractions during medication administration
Medication administration errors (MAE) are often the result of system problems that lead to patient injury, increased hospital costs and nurses being blamed for the incident. Contributing factors include distractions, lack ...
The relationship between patients' perceived quality of life, expectations of nursing care, and level of satisfaction with nursing care
The objective of this research was to identify the relationship between preadmission patient characteristics and patient satisfaction with nursing care. The two characteristics studied were perceived quality of life and ...
Statistical modeling approaches and user-centered design for nursing decision support tools predicting in-hospital cardiopulmonary arrest
This doctoral research explored strategies for the design and statistical development of probability-based nursing decision support tools within the clinical context of in-hospital cardiopulmonary arrest (IHCPA). IHCPA ...
Nurse perception of technology integration
With the increase in technological advancements integrated into hospitals, physician offices, and nursing programs, there is concern regarding the imposition on the clinical foundation of nursing as a human improvement ...
An evidence-based evaluation tool to assist healthcare providers in their assessment of effective mHealth applications for the management of chronic health conditions
Mobile health (mHealth) apps are considered a viable option to improve chronic disease management. Healthcare providers are now recommending mHealth apps for patient use to assist in managing chronic diseases. However, ...
Effectiveness of an educational intervention at an academic medical center to reduce stigma of accelerated pre-licensure nursing students toward patients living with HIV
Introduction: Some health care providers may be reluctant to care for patients with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS). The inclusion of educational opportunities for students ...
The effect of an unfolding case study on critical thinking, knowledge acquisition, and handoff communication in baccalaureate nursing students
Miscommunication during handoffs at time of transition for the older adult patient often results in hospital readmissions, penalties and nursing malpractice. Handoff communication (HOC) is a necessary and critical factor ...
The Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument
Care transitions for individuals with disabling conditions, such as stroke, are often ineffective and inefficient, resulting in unmet patient and caregiver needs, increased safety risks, readmissions, and increased healthcare costs. An assessment instrument designed to evaluate caregiver’s preparation to assume the caregiving role is needed to facilitate the development of tailored care plans and interventions to mitigate the risks of poorly prepared caregivers, and associated health effects on caregiver and stroke survivor. The purpose of this dissertation was to develop and then evaluate selected psychometric properties of the proposed Preparedness Assessment for the Transition Home after Stroke (PATH-s), a 25-item self-administered instrument to assess the commitment and capacity of caregivers based on the Improving Stroke Caregiver Readiness Model. We utilized a sequential, multi-method approach, which included item generation from qualitative data, review of items by expert clinicians, and cognitive interviews of caregivers of stroke survivors. This was followed by a cross-sectional study of 183 caregiver-stroke survivor dyads during IRF admission to identify the factor structure, and to evaluate the internal consistency reliability, construct validity, and criterion-related validity of the PATH-s. Data were collected using a self-administered questionnaire to describe participant characteristics, the PATH-s, Preparedness for Caregiving Scale (PCS), PHQ-9, Perceived Stress Scale, and Global Health Survey (GHS). Factor analysis revealed 8 factors aligned with the Improving Stroke Caregiver Readiness Model, upon which the PATH-s was developed. The PATH-s demonstrated excellent internal consistency (Cronbach’s α = 0.90). Criterion related validity of the PATH-s with the PCS was demonstrated (R = 0.79; p ...
The patient's perception of overheard staff laughter
The purpose of this study was to explore hospitalized patients' perceptions concerning overheard staff laughter within the hospital. The research question was: What is the hospitalized patient's perception of overheard ...