Faculty of Management and Development Studies

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Browsing Faculty of Management and Development Studies by Subject "Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Theory of science regarding care and nursing"
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    An Assessment of Nurse-Patient Communication in a Tertiary Hospital in the Kingdom of Bahrain
    ( 2018) Rodriguez, Smitha Shalet
    Title: An Assessment of the Nurse-Patient Communication in a Tertiary Hospital in the Kingdom of Bahrain Introduction: An integral part of nursing care is effective communication. It improves the relationship between the nurse and the patient, and it results in better treatment and improved quality of care (Tay, Ang, & Hegney, 2012). Every aspect of communication is influenced by the differences in culture. Cultural competence gives an opportunity for the healthcare professionals to know the different cultural beliefs related to health and to incorporate awareness into diagnosis and treatment planning. Data Collection: The descriptive correlational study was conducted in medical and surgical in-patient units of King Hamad University Hospital, Kingdom of Bahrain in 2018. The questionnaire consists of two parts: a demographic profile and the Self-Administered Communication Survey. The factors affecting nurse patient communication were categorized into Common barriers, Nurse-related barriers, Patient-related barriers and Environmental barriers. A total of 78 nurses and 75 patients took part in the study. Results: The main barriers to the nurse-patient communication from the nurses’ point of view were cultural differences between nurse and patient, differences between the language of the nurse and the patient, nurses’ lack of time and opportunity to communicate well with the patients, patients’ negative attitude towards the nurse, presence of patient’s companion, and presence of a very sick patient in the department. The main barriers to nurse-patient communication from the patient’s perspective were age difference between nurse and patient, interference of the patient’s companions, busy environment of the unit, and inappropriate environmental conditions (lack of proper ventilation, fluctuating temperature, inadequate lighting, unpleasant odor, etc.). Conclusion: Analysis of the factors influencing the communication is the basic step in resolving communications issues between nurses and patients. A good solution to be communication problems cannot be established without taking into consideration both the patients’ and nurses’ views of communication. Understanding and accepting the Islamic values and beliefs are essential in communicating and delivering care for Muslim patients. Development of broader knowledge of Arabic culture is important for all health care professionals who deliver care in the Middle Eastern on Arabic region. Recommendations: The study recommends development of effective nurse-patient communication protocols and policies in the hospital and establishment of Arabic language and communication skills training for nurses.
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    An Ode to Unheralded Heroism: The Volunteer Nurses’ Experiences in the Aftermath of Typhoon Haiyan
    ( 2016) Ballecer, Jasper Joseph C.
    Disaster events are extraordinary healthcare practice settings. Healthcare provision in these scenarios require extensive competencies and adaptability from healthcare workers. Involvement in these efforts have increased, as supranational initiatives in disaster response has caused the influx of volunteer disaster healthcare workers. The purpose of this study was to explore the experiences of volunteer disaster nurses in the aftermath of typhoon Haiyan using Colaizzi's (1978) Model to gain an understanding on the experience. Nine volunteer nurses who served immediately after the typhoon hit the central Philippines in late 2013. with each representing specific fields of specialty within nursing practice, were selected purposively as participants. The study's findings yielded five themes: Motivation, Realities of the Volunteer Disaster Nurse Experience, Coping while Caring, Leaving a Mark, and A Journey towards Self-discovery. Motivation was the source of the decision to help. It was also the driving force for volunteers to go through the obstacles and cope effectively. Once this has been successfully achieved, the nurses gained learnings and reflections both as human beings and as health professionals which in turn, renewed their altruism. These findings can be used by healthcare workers. educators, and health policy-makers on the practical side to promote the well-being of disaster healthcare workers by being more cognizant to their problems, challenges, and motivations. The study's findings can also be a jumping point for more in-depth inquiries and/or investigations in other disaster settings.
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    Anxiety, Depression and Coping Strategies Among Adult Post Myocardial Infarction Patients
    ( 2014) Tamon, Ma. Siony B.
    This study was conducted to determine the level of anxiety and depression in patients with cardiovascular problems. This study was conducted (1) to determine the level of anxiety and depression in patients with myocardial infarction (2) to determine relationship of anxiety on age, sex, gender, civil status, educational attainment and perceived social support (3) to determine relationship of depression on age, gender, civil status, educational attainment and perceived social support and (4) to determine the coping strategies information seeking or problem seeking among cardiac patients. This study utilized a descriptive correlational design. This was conducted at the Out Patient Department (OPD) of Philippine General Hospital over a 12 week or 3 month period. There was a total of 121 respondents (M= 51.02, SD= 8.52) for this study. Majority is from age groups of middle to late adult (35.5, 34.7). Both males and females have the same proportion (49.6, 50.4) and married predominated (80, 60.1) in this study. Less than a half (57, 47.1) were high school graduates. The perceived social support has a mean of 66.55 (SD= 3.43). The findings of this study showed that there is no significant relationship between anxiety on the following variables: age (r= - -0.10, p>.05 and perceived social support (MSS) (r= o.16, p>.05), civil status (x2=2.44,p>.05), educational attainment ((x2=1.65,p>.05) and perceived social support (r= 0.16, p>.05). Patients commonly incorporate venting of feelings and denial as their coping strategies. Adult post myocardial infarction patients had high level of anxiety which corresponded to previous literatures but the depression level was low among patients.
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    Nurse-Managed Supportive Cancer Care and Psychosocial Adaptation Among Patients with Breast Cancer
    ( 2011) San Juan-Gaspar, Charity Leene
    This study sought to develop a nurse-managed supportive cancer care intervention focusing on the informational, psycho-emotional and social support needs of patients with breast cancer and determined its effects on their psychosocial adaptation. This study employed a quasi-experimental study and utilized a pre-test post-test design to examine the effects of the nurse-managed interventions. The study was conducted in a small support group facility based in Davao City. Philippines. The sample was comprised of filly (SO) patients purposively recruited. The researcher utilized a survey questionnaire to gather information about the demographic profile, disease-related characteristics and psychosocial adaptation of these patients. The measurement of psychosocial adaptation was based on the standard tool Psychosocial Adjustment to Illness Scale - Self Report (PATS-SR), a structured and validated survey questionnaire to measure the study participants' level of psychosocial adaptation. Results indicated that there were psychosocial adaptation differences (p>0.05) among breast cancer patients before and after the nurse-managed interventions. Chief differences were noted on the following six domains: health care orientation, vocational environment, domestic environment. extended family relationships, social environment and psychological distress. However, results indicated that there was no psychosocial adaptation difference in the domain of sexual relationships. Comparison between Study and control group after nurse-managed difference (p>0.05) on the level of psychosocial adaptation between two groups on the following psychosocial domains: health care orientation. vocation environment, domestic environment and psychological distress. On the other hand, no significant differences were obtained for three domains. sexual relationship, extended family relationship and social environment. There was no existing significant difference fP,0.051 among patients between study group and control group when analyzed by their age, civil status, income, educational attainment, disease phase and type of treatment. Therefore, it was found that both the study and control groups were statistically comparable. During the counselling sessions, a dominant theme emerged from the verbal accounts of the participants which was resentment. This was generally negative and critical attitudes to oneself, to family and to their faith. Lastly, during the group support sessions, coping functioning and understanding among patients and their families apparently was not obtained. Thus, family dynamics and support relationships should be incorporated to enhance coping in these areas. Moreover, the researcher of this study, has found that the participants when reporting accounts of their cancer experience during the counselling and group support sessions, were less more concealing and were more direct into answering questions. The researcher understood that the resentment stemmed from how cancer evolved as a disease process. Although etiology and duration of illness is a long term process, the diagnosis and the impact of the illness to them was sudden and unexpected. Recommendations were made after the relevant findings of this study.
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    Nurses’ and Patients’ Perceptions on Nurses Caring Behaviors in Long-Term Care Facilities in Qatar
    ( 2019) Pulpulaan, Riza Rosarito M.
    Caring has been acknowledged as the essence of nursing (Nelson & Watson, 2011); however, it is being feared to lose its worth from the effects of advancing technology and increasing attention to more concrete healthcare issues such as workload and patient acuity (Adams, 2016). Long-term care facilities (LTCFs), which are being expanded in Qatar, are common places for highly dependent people in need of care for over an extended period of time. As care demands in LTCFs are foreseen to constantly escalate over the years, it is only timely that caring behaviors, which directly impact the patients’ conditions, are carefully understood among nurses working in a setting wherein patients may be passively involved in their care and caring for long-staying patients in a consistent and holistic manner may be challenged. This study was conducted to determine the nurse caring behavior perceptions of nurses and patients in long-term care facilities in Qatar, specifically (1) to determine the nurses’ and patients’ perceptions on nurse caring behaviors, (2) to determine if there is a significant difference between nurses’ and patients’ perceptions on nurse caring behaviors, (3) to determine if there is a significant relationship between nurses’ perceptions on caring behaviors and socio-demographic variables of age, gender, nationality, education, primary license origin, years of work as a nurse, and years of experience in long term care, and (4) to determine if there is a significant relationship between patients’ perceptions on nurse caring behaviors and socio-demographic variables of age, gender, marital status, nationality, primary diagnosis, education, and length of stay in the long-term care facility. This study employed a cross-sectional descriptive design in two of the long-term care facility sites operated by Rumailah Hospital in Doha, Qatar over a span of eight months. There were 80 nurses and 21 patients who completed questionnaires on demographic survey and Caring Behaviors Inventory (CBI)-24 (Nurse and Patient version). Descriptive and inferential statistics of socio-demographic profile and caring behavior perceptions of nurses and patients were analyzed for differences and correlations. All P values <0.05 were considered as statistically significant. Nurses reported higher mean scores of perceived caring behaviors in all CBI-24 items of each subscale and in the total scale than patients did. Knowledge and skill was highest for nurses, whereas assurance of human presence was highest for patients. Mean scores for positive connectedness was, however, lowest for both nurses and patients. Significant differences were found between nurses’ and patients’ perceptions on total CBI (U=561.000, p=.019) and on the subscales of knowledge and skill (U=422.000, p=.000) and respectful deference to others (U=587.500, p=.033). A significant relationship also existed between patients’ perception on CBI knowledge-skill and educational attainment (X2=16.500, p=.036). No caring behavior items were found to be treated as equally important by nurses and patients in this study. Discrepancies in the order of importance of nurse caring behaviors suggest inconsistencies in caring perceptions and reciprocity of care.
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    Occupational Stress and Job Satisfaction Among Intensive Care Unit Nurses in a Tertiary Hospital in Riyadh, Saudi Arabia
    ( 2019) Panopio, Reynaldo H. Jr.
    Occupational well-being of intensive care unit nurses is an indispensable element in carrying out their roles and function in any healthcare institution. Thus, identifying their level of stress and job satisfaction is essential in addressing this phenomenon. The study aimed to determine the relationship between occupational stress and job satisfaction specific to intensive care unit staff nurses of Prince Mohammed binAbdulaziz Hospital (PMAH)- Riyadh. This study utilized theExpanded Nurses Stress Scale and Minnesota Job Satisfaction Questionnaire. A descriptive, correlational design was used in this study. Intensive care nursing practice is stressful as it poses multiple demands from patients, recipients of care, patients’ families and professional groups working and dedicated to each patient. The support from nursing administrator on staff nurses’ roles and responsibilities provide job satisfaction. Study findings will serve as a baseline data that will guide nursing leaders on where to give focus and what strategies needed to improve the wellbeing of staff nurses and create an evidenced based staff retention plan. Addressing the well- being of staff nurses is not a one-time project it needs to be continuously monitored and evaluated periodically.