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You searched for +publisher:"Dalhousie University" +contributor:("Mary Ellen Gurnham"). Showing records 1 – 3 of 3 total matches.

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Dalhousie University

1. Houk, Shauna Leigh. Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability.

Degree: Master of Nursing, School of Nursing, 2011, Dalhousie University

In the current context of health care, the registered nurses’ perception and enactment of accountability may be constrained by many factors out of their control. The purpose of this research was to examine how registered nurses perceive accountability and translate this to professional practice. A Grounded Theory approach was adopted to explore 11 registered nurses’ understanding and experiences enacting accountability in clinical practice. Data were obtained through semi structured interviews. The theory that emerged provides a detailed portrait of the process of enacting and/or retreating from accountability. The process encompasses 4 stages where the registered nurses: develop personal understanding, then gain professional knowledge, find their way in the complex healthcare system and concludes with becoming professionally confident. The development of the stages exposed a multitude of challenges faced by the registered nurses in fulfilling accountability expectations. Importantly, the registered nurses’ expended significant effort in finding a balance between their individual accountability and the collaborative accountability of the healthcare team and organization which contributed to retreating from accountability. The contextual factors of financial and human resources, institutional culture and healthcare system processes were found to contribute to the registered nurses enacting and/or retreating from accountability. The study findings illustrate the importance of ongoing reflective practice, mentorship and continuing education, all of which have implications for nursing educators and healthcare executives in preparing and supporting registered nurses’ in practice. Further research on the concepts of this theory of accountability is needed to obtain a greater understanding of how the concepts can be operationalized within the context of current healthcare systems. Advisors/Committee Members: Cindy Cruickshank (external-examiner), Dr. Marilyn Macdonald (graduate-coordinator), Dr. Nancy Edgecombe (thesis-reader), Mary Ellen Gurnham (thesis-reader), Dr. Marilyn Macdonald (thesis-supervisor), Received (ethics-approval), Not Applicable (manuscripts), Not Applicable (copyright-release).

Subjects/Keywords: Accountability; professional practice; nursing; ethics; autonomy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Houk, S. L. (2011). Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability. (Masters Thesis). Dalhousie University. Retrieved from http://hdl.handle.net/10222/13365

Chicago Manual of Style (16th Edition):

Houk, Shauna Leigh. “Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability.” 2011. Masters Thesis, Dalhousie University. Accessed August 11, 2020. http://hdl.handle.net/10222/13365.

MLA Handbook (7th Edition):

Houk, Shauna Leigh. “Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability.” 2011. Web. 11 Aug 2020.

Vancouver:

Houk SL. Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability. [Internet] [Masters thesis]. Dalhousie University; 2011. [cited 2020 Aug 11]. Available from: http://hdl.handle.net/10222/13365.

Council of Science Editors:

Houk SL. Enacting and/or Retreating: A Theory of Registered Nurses' Practice of Accountability. [Masters Thesis]. Dalhousie University; 2011. Available from: http://hdl.handle.net/10222/13365


Dalhousie University

2. Hudson, Shawna. The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings.

Degree: Master of Nursing, School of Nursing, 2012, Dalhousie University

Documentation of care plans by Registered Nurses (RN) within acute care is imperative. There is scant research related to the experiences of nurses with written care plans within this context. The purpose of this study was to describe RN’s experiences with care plan practice. Qualitative descriptive methodology informed by a socio-ecological perspective was used to conduct this inquiry. Ten participants were recruited from four medical/surgical settings. Six RNs, two Clinical Educators and two Health Service Managers participated in semi-structured interviews. Two themes with associated sub-themes were derived utilizing thematic analysis: Unwritten Care Planning and Modernizing Care Planning. Study findings concluded that unwritten care planning was the experience described by participants. Factors influencing participant’s experiences of care planning included unclaimed accountability, care delivery processes and context of care. Participants also described strategies to enhance care planning practice. This research can guide practice improvements and builds upon existing care plan research. Advisors/Committee Members: Lorraine Robertson (external-examiner), Dr. Ruth Martin-Misener (graduate-coordinator), Mary Ellen Gurnham (thesis-reader), Dr. Ruth Martin-Misener (thesis-reader), Dr. Marilyn Macdonald (thesis-supervisor), Received (ethics-approval), Not Applicable (manuscripts), Not Applicable (copyright-release).

Subjects/Keywords: RN; RN role; care planning; plan of care; care plan

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Hudson, S. (2012). The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings. (Masters Thesis). Dalhousie University. Retrieved from http://hdl.handle.net/10222/15431

Chicago Manual of Style (16th Edition):

Hudson, Shawna. “The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings.” 2012. Masters Thesis, Dalhousie University. Accessed August 11, 2020. http://hdl.handle.net/10222/15431.

MLA Handbook (7th Edition):

Hudson, Shawna. “The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings.” 2012. Web. 11 Aug 2020.

Vancouver:

Hudson S. The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings. [Internet] [Masters thesis]. Dalhousie University; 2012. [cited 2020 Aug 11]. Available from: http://hdl.handle.net/10222/15431.

Council of Science Editors:

Hudson S. The Experiences of Registered Nurses in Fulfilling Their Role in Patient Care Planning within Acute Care Settings. [Masters Thesis]. Dalhousie University; 2012. Available from: http://hdl.handle.net/10222/15431


Dalhousie University

3. Webb-Anderson, Karen. AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS.

Degree: Master of Nursing, School of Nursing, 2013, Dalhousie University

Recently, there has been increasing recognition of the threat of fatigue on safety. Nursing has been slow to recognize this threat. Workplace napping is a fatigue management strategy that is used in some nursing workplaces, although often hidden. This feminist interpretive phenomenological study explored the lived experience of night shift fatigue and the use of workplace napping among critical care nurses. An understanding of the meaning of night shift fatigue, the concern for safety as embodied by fear, was illuminated by exploring the phenomenological commonalities within the nurses’ historical, social and cultural world. Five main themes were identified within this overarching understanding. There is a need to recognize oppressive constraints, and share the responsibility for managing fatigue among individuals, professions and organizations. In education, practice and research, nurses must be supported through validated evidence-informed strategies to manage what is a normal consequence of shift work, thus leading to enhanced safety for both the patient and nurse. Advisors/Committee Members: n/a (external-examiner), Marilyn Macdonald (graduate-coordinator), Mary Ellen Gurnham, Dr. Deborah Tamlyn (thesis-reader), Dr. Brenda Sabo, Dr. Megan Aston (thesis-supervisor), Received (ethics-approval), Not Applicable (manuscripts), Not Applicable (copyright-release).

Subjects/Keywords: Safety; Napping; Fatigue; Critical care nursing

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Webb-Anderson, K. (2013). AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS. (Masters Thesis). Dalhousie University. Retrieved from http://hdl.handle.net/10222/31392

Chicago Manual of Style (16th Edition):

Webb-Anderson, Karen. “AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS.” 2013. Masters Thesis, Dalhousie University. Accessed August 11, 2020. http://hdl.handle.net/10222/31392.

MLA Handbook (7th Edition):

Webb-Anderson, Karen. “AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS.” 2013. Web. 11 Aug 2020.

Vancouver:

Webb-Anderson K. AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS. [Internet] [Masters thesis]. Dalhousie University; 2013. [cited 2020 Aug 11]. Available from: http://hdl.handle.net/10222/31392.

Council of Science Editors:

Webb-Anderson K. AN EXPLORATION OF CRITICAL CARE NURSES’ EXPERIENCE OF NIGHT SHIFT FATIGUE AND WORKPLACE NAPPING: BRINGING IT OUT FROM UNDER THE COVERS. [Masters Thesis]. Dalhousie University; 2013. Available from: http://hdl.handle.net/10222/31392

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