A model to facilitate a quest for emotional maturity of psychiatric nurses through capacity development in promoting their mental health
- Authors: Sekhukhune, Dorothy
- Date: 2008-11-14T14:21:50Z
- Subjects: Psychiatric nurses' mental health , Nurse and patient
- Type: Thesis
- Identifier: uj:14706 , http://hdl.handle.net/10210/1698
- Description: D.Cur. , Lifecare, like any other corporate business, in the current environment, has to change all the time. Companies need new customers, innovative products, expanded market and cutting edge technologies. The Company has the potential to shape the behaviour, reinforce common beliefs, and encourage members to apply their efforts to accomplish important Company objectives of providing care for chronic mentally ill patients. The psychiatric nurses are therefore an essential requirement for the success of the Company in a competitive environment. On the other side, psychiatric nurses face the difficult task of confronting the challenges involved in the nature of care required among chronic psychiatric patients. Whilst striving for quality patient care, they find themselves faced with some breakdowns within the environment in which they are interacting, resulting in their resorting to negative media publicity. This type of publicity can lead to damaging the Company’s reputation and can retard the Company’s growth strategy, which the psychiatric nurses might not seem to understand. There was also high staff turnover which hampered quality patient care. This could also affect the Company in terms of what affects the competitiveness of the quality care which the Company aims to deliver. The researcher believes that for clinical care to take place, psychiatric nurses need to be in sound mental health and understand the dynamics within the Company in order to deal with it in an effective way. The following research questions posed were addressed in this research: • What are the psychiatric nurses’ experiences whilst being employed by the Company? • In what way can the formulation of the model be of assistance in the promotion of the psychiatric nurses’ mental health as an integral part of health? The research objectives were: • To explore and describe the experiences of the psychiatric nurses whilst employed by Lifecare.• To use the results to generate the concepts for the model that would serve as a framework for the psychiatric nursing specialist to facilitate the implementation of guidelines that would assist the psychiatric nurses to be in a sound mental state. • To describe the guidelines that would serve as a framework for operationalising the model in nursing education, psychiatric nursing practice and nursing research. Methods to ensure trustworthiness were ensured throughout this research. Ethical consideration as outlined in the Position Statements published by the Democratic Nursing Association of South Africa (1998: 2-21), was adopted. The researcher utilized the assumptions of the Theory for Health Promotion in Nursing in this research. This theory focuses on the whole person, that is, the mind, body and spirit as well as on the parameters of nursing and the beliefs about the person, health, illness and nursing. The emphasis in this theory is on mental health promotion of the psychiatric nurses within the Company. This research consisted of three stages as follows: In stage one a qualitative design was used to explore and describe the psychiatric nurses’ inner world experiences of the Company’s culture. Indepth semi-structured interviews were utilized to obtain data from these psychiatric nurses. These interviews were conducted by an independent interviewer, and were audio-taped. These were transcribed and were analysed by the researcher. Tesch (1990) in Cresswell (1994: 154) outlined eight steps, which are referred to as decontextualisation and contextualisation, which were adopted in analyzing the results. A description of the results was given. This was followed by literature control which highlighted the similarities to and contributions to this research. Themes that emerged highlighted the experiences that the psychiatric nurses had of the Company culture which affected their mental health. In stage two the research design and theory generation was employed to formulate a model which could be used in nursing education, nursing research and nursing practice. The model formulated was based on the resultsobtained on the inner world experiences of psychiatric nurses. A combination of stages of theory generation by Chinn and Kramer (1991:79-104) and Dickoff, James and Wiedenbach (1968: 431-434) were employed by the researcher to identify the central concepts that guided the identification of the main theme. A tentative model was formulated and was submitted to the independent experts for consultations and clarification. The model was named and presented in its final form to the independent experts. In stage three the researcher formulated the guidelines for operationalising the implementation of the model in clinical practice, nursing education and recommendations were made for further research.
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- Authors: Sekhukhune, Dorothy
- Date: 2008-11-14T14:21:50Z
- Subjects: Psychiatric nurses' mental health , Nurse and patient
- Type: Thesis
- Identifier: uj:14706 , http://hdl.handle.net/10210/1698
- Description: D.Cur. , Lifecare, like any other corporate business, in the current environment, has to change all the time. Companies need new customers, innovative products, expanded market and cutting edge technologies. The Company has the potential to shape the behaviour, reinforce common beliefs, and encourage members to apply their efforts to accomplish important Company objectives of providing care for chronic mentally ill patients. The psychiatric nurses are therefore an essential requirement for the success of the Company in a competitive environment. On the other side, psychiatric nurses face the difficult task of confronting the challenges involved in the nature of care required among chronic psychiatric patients. Whilst striving for quality patient care, they find themselves faced with some breakdowns within the environment in which they are interacting, resulting in their resorting to negative media publicity. This type of publicity can lead to damaging the Company’s reputation and can retard the Company’s growth strategy, which the psychiatric nurses might not seem to understand. There was also high staff turnover which hampered quality patient care. This could also affect the Company in terms of what affects the competitiveness of the quality care which the Company aims to deliver. The researcher believes that for clinical care to take place, psychiatric nurses need to be in sound mental health and understand the dynamics within the Company in order to deal with it in an effective way. The following research questions posed were addressed in this research: • What are the psychiatric nurses’ experiences whilst being employed by the Company? • In what way can the formulation of the model be of assistance in the promotion of the psychiatric nurses’ mental health as an integral part of health? The research objectives were: • To explore and describe the experiences of the psychiatric nurses whilst employed by Lifecare.• To use the results to generate the concepts for the model that would serve as a framework for the psychiatric nursing specialist to facilitate the implementation of guidelines that would assist the psychiatric nurses to be in a sound mental state. • To describe the guidelines that would serve as a framework for operationalising the model in nursing education, psychiatric nursing practice and nursing research. Methods to ensure trustworthiness were ensured throughout this research. Ethical consideration as outlined in the Position Statements published by the Democratic Nursing Association of South Africa (1998: 2-21), was adopted. The researcher utilized the assumptions of the Theory for Health Promotion in Nursing in this research. This theory focuses on the whole person, that is, the mind, body and spirit as well as on the parameters of nursing and the beliefs about the person, health, illness and nursing. The emphasis in this theory is on mental health promotion of the psychiatric nurses within the Company. This research consisted of three stages as follows: In stage one a qualitative design was used to explore and describe the psychiatric nurses’ inner world experiences of the Company’s culture. Indepth semi-structured interviews were utilized to obtain data from these psychiatric nurses. These interviews were conducted by an independent interviewer, and were audio-taped. These were transcribed and were analysed by the researcher. Tesch (1990) in Cresswell (1994: 154) outlined eight steps, which are referred to as decontextualisation and contextualisation, which were adopted in analyzing the results. A description of the results was given. This was followed by literature control which highlighted the similarities to and contributions to this research. Themes that emerged highlighted the experiences that the psychiatric nurses had of the Company culture which affected their mental health. In stage two the research design and theory generation was employed to formulate a model which could be used in nursing education, nursing research and nursing practice. The model formulated was based on the resultsobtained on the inner world experiences of psychiatric nurses. A combination of stages of theory generation by Chinn and Kramer (1991:79-104) and Dickoff, James and Wiedenbach (1968: 431-434) were employed by the researcher to identify the central concepts that guided the identification of the main theme. A tentative model was formulated and was submitted to the independent experts for consultations and clarification. The model was named and presented in its final form to the independent experts. In stage three the researcher formulated the guidelines for operationalising the implementation of the model in clinical practice, nursing education and recommendations were made for further research.
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The perceptions of student nurses regarding caring of the clinical instructor: a private nursing education institution in South Africa study
- Authors: Meyer, Gerda-Marié
- Date: 2016
- Subjects: Nurse educators - Attitudes , Nursing students - Attitudes , Nurse and patient , Caring
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91021 , uj:20053
- Description: Abstract: Caring is developed in student nurses by learning to care in a caring environment, emulating caring behaviours, and having caring relationships with the health team and facilitators of learning. International concerns about uncaring nursing have resulted in the clinical environment in which student nurses are supposed to learn to care, to not be conducive to cultivating caring nurses. Clinical instructors have close contact with student nurses during clinical placement and are positioned ideally to care for students, so that they, in turn, can learn to care for patients. The purpose of this study was to investigate and examine the perceptions of student nurses of clinical instructor caring at a private nursing education institution in South Africa. A descriptive, comparative, cross-sectional and correlational quantitative research design was used to describe the perceptions of student nurses of clinical instructor caring at the institution, and to determine and examine the relationships between the perceptions and the years of formal nursing education successfully completed, frequency of clinical instructor contact and age of the student nurses. The total accessible population size was N = 347, comprising N = 148 junior student nurses and N = 199 senior student nurses. Convenience sampling was used. The acceptance rate was n = 122 (82%) and n = 168 (85%) for the junior- and senior student nurses respectively. A structured self-administered questionnaire was used to collect the data, including the Nursing Student Perceptions of Instructor Caring (NSPIC) instrument. Descriptive statistics analysis, hypothesis testing, and reliability testing was conducted. The findings revealed that respondents had a positive perception of their clinical instructors’ caring. Statistical relationships could not be found between the years of formal nursing education successfully completed, the frequency of contact with a clinical instructor, the ages of the respondents and their perceptions of clinical instructor caring. Reliability testing revealed that the NSPIC was reliable if one item each from two of the subscales were removed. The findings of this study contribute towards the knowledge of student perceptions of clinical instructor caring, specifically from a South African private nursing education perspective, and could contribute towards further research on this important nursing education theme. Furthermore, the findings could be used in theory development, in support of a theory, and in designing a model of clinical instructor caring in the future. , M.Cur.
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- Authors: Meyer, Gerda-Marié
- Date: 2016
- Subjects: Nurse educators - Attitudes , Nursing students - Attitudes , Nurse and patient , Caring
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91021 , uj:20053
- Description: Abstract: Caring is developed in student nurses by learning to care in a caring environment, emulating caring behaviours, and having caring relationships with the health team and facilitators of learning. International concerns about uncaring nursing have resulted in the clinical environment in which student nurses are supposed to learn to care, to not be conducive to cultivating caring nurses. Clinical instructors have close contact with student nurses during clinical placement and are positioned ideally to care for students, so that they, in turn, can learn to care for patients. The purpose of this study was to investigate and examine the perceptions of student nurses of clinical instructor caring at a private nursing education institution in South Africa. A descriptive, comparative, cross-sectional and correlational quantitative research design was used to describe the perceptions of student nurses of clinical instructor caring at the institution, and to determine and examine the relationships between the perceptions and the years of formal nursing education successfully completed, frequency of clinical instructor contact and age of the student nurses. The total accessible population size was N = 347, comprising N = 148 junior student nurses and N = 199 senior student nurses. Convenience sampling was used. The acceptance rate was n = 122 (82%) and n = 168 (85%) for the junior- and senior student nurses respectively. A structured self-administered questionnaire was used to collect the data, including the Nursing Student Perceptions of Instructor Caring (NSPIC) instrument. Descriptive statistics analysis, hypothesis testing, and reliability testing was conducted. The findings revealed that respondents had a positive perception of their clinical instructors’ caring. Statistical relationships could not be found between the years of formal nursing education successfully completed, the frequency of contact with a clinical instructor, the ages of the respondents and their perceptions of clinical instructor caring. Reliability testing revealed that the NSPIC was reliable if one item each from two of the subscales were removed. The findings of this study contribute towards the knowledge of student perceptions of clinical instructor caring, specifically from a South African private nursing education perspective, and could contribute towards further research on this important nursing education theme. Furthermore, the findings could be used in theory development, in support of a theory, and in designing a model of clinical instructor caring in the future. , M.Cur.
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The experience of psychiatric nurses of aggression by individuals with borderline personality disorder
- Authors: Khumalo, Hleziphi Litha
- Date: 2015
- Subjects: Psychiatric nurses - Job stress , Aggressiveness , Borderline personality disorder - Patients , Nurse and patient
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58219 , uj:16431
- Description: Abstract: Psychiatric nurses experience aggression by individuals with Borderline Personality Disorder (BPD). Little research has been done about the experience of psychiatric nurses of aggression by individuals with Borderline Personality Disorder in psychiatric institutions. The purpose of this study is to explore and describe the experience of aggression of psychiatric nurses by individuals with Borderline Personality Disorder and to formulate guidelines for psychiatric nurses to facilitate their mental health. The research design for this study was qualitative, exploratory, descriptive and contextual. The research took place in two phases. Phase one focused on the exploration and description of the experiences of aggression by psychiatric nurses of individuals with Borderline Personality Disorder. A purposive sample of psychiatric nurses working in a psychotherapy unit was included in the study. In-depth phenomenological interviews were conducted until data saturation was reached. Along with the in-depth phenomenological interviews, observational and field notes were also used as means of data collection. The data was analysed by means of open coding, using Tesch’s method of data analysis. And the results were re-contextualised into literature. An independent coder helped the researcher to analyse the data. Four themes were identified from the data:.. , M.Cur.
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- Authors: Khumalo, Hleziphi Litha
- Date: 2015
- Subjects: Psychiatric nurses - Job stress , Aggressiveness , Borderline personality disorder - Patients , Nurse and patient
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58219 , uj:16431
- Description: Abstract: Psychiatric nurses experience aggression by individuals with Borderline Personality Disorder (BPD). Little research has been done about the experience of psychiatric nurses of aggression by individuals with Borderline Personality Disorder in psychiatric institutions. The purpose of this study is to explore and describe the experience of aggression of psychiatric nurses by individuals with Borderline Personality Disorder and to formulate guidelines for psychiatric nurses to facilitate their mental health. The research design for this study was qualitative, exploratory, descriptive and contextual. The research took place in two phases. Phase one focused on the exploration and description of the experiences of aggression by psychiatric nurses of individuals with Borderline Personality Disorder. A purposive sample of psychiatric nurses working in a psychotherapy unit was included in the study. In-depth phenomenological interviews were conducted until data saturation was reached. Along with the in-depth phenomenological interviews, observational and field notes were also used as means of data collection. The data was analysed by means of open coding, using Tesch’s method of data analysis. And the results were re-contextualised into literature. An independent coder helped the researcher to analyse the data. Four themes were identified from the data:.. , M.Cur.
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A model to facilitate effective management of aggression experienced by psychiatric nurses working in a psychiatric institution
- Authors: Bimenyimana, Emmanuel
- Date: 2015
- Subjects: Psychiatric nursing - Job stress , Aggressiveness , Nurse and patient
- Language: English
- Type: Doctoral (Thesis)
- Identifier: http://hdl.handle.net/10210/91045 , uj:20056
- Description: Abstract: The researcher was working in a public psychiatric hospital when he noticed that aggression that psychiatric nurses experienced from the patients was spilling out of control. Psychiatric nurses were trying everything they could to manage this aggression but, with no positive results. He was moved by compassion and wanted to assist them as the ineffective management of aggression was leading to negative behaviours such as absenteeism, abusing drugs (mostly alcohol) and the development of an “I don’t care attitude”. The overall purpose of the research study was to develop, describe, implement, and evaluate a model that could be used as a framework of reference to facilitate the effective management of aggression as an integral part of the mental health of psychiatric nurses experiencing aggression in a psychiatric institution. A qualitative, exploratory, descriptive, contextual, and theory generative research design was utilised to accomplish the purpose of the research study. The model development comprised four steps. Step one consisted of concept analysis that comprised identification, definition and classification of the central, essential and related concepts in the model. During concept analysis, the facilitation of the effective management of aggression was identified as the central concept for the model. Step two consisted of the description of the relationship between the concepts of the model. During step three, the model to facilitate the effective management of aggression experienced by psychiatric nurses working in a psychiatric institution was described. The model structure and process were discussed. The structure of the model was described based on its purpose, assumptions and the context. The central concept was defined, and the relationship statements were described. The process of the model was described in three phases: the relationship phase, the working phase and the termination phase. The evaluation of the model by an academic panel of experts in model development, and the description of the implementation of the model as well as the guidelines for implementation of the model were all achieved... , D.Cur. (Psychiatric Nursing Science)
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- Authors: Bimenyimana, Emmanuel
- Date: 2015
- Subjects: Psychiatric nursing - Job stress , Aggressiveness , Nurse and patient
- Language: English
- Type: Doctoral (Thesis)
- Identifier: http://hdl.handle.net/10210/91045 , uj:20056
- Description: Abstract: The researcher was working in a public psychiatric hospital when he noticed that aggression that psychiatric nurses experienced from the patients was spilling out of control. Psychiatric nurses were trying everything they could to manage this aggression but, with no positive results. He was moved by compassion and wanted to assist them as the ineffective management of aggression was leading to negative behaviours such as absenteeism, abusing drugs (mostly alcohol) and the development of an “I don’t care attitude”. The overall purpose of the research study was to develop, describe, implement, and evaluate a model that could be used as a framework of reference to facilitate the effective management of aggression as an integral part of the mental health of psychiatric nurses experiencing aggression in a psychiatric institution. A qualitative, exploratory, descriptive, contextual, and theory generative research design was utilised to accomplish the purpose of the research study. The model development comprised four steps. Step one consisted of concept analysis that comprised identification, definition and classification of the central, essential and related concepts in the model. During concept analysis, the facilitation of the effective management of aggression was identified as the central concept for the model. Step two consisted of the description of the relationship between the concepts of the model. During step three, the model to facilitate the effective management of aggression experienced by psychiatric nurses working in a psychiatric institution was described. The model structure and process were discussed. The structure of the model was described based on its purpose, assumptions and the context. The central concept was defined, and the relationship statements were described. The process of the model was described in three phases: the relationship phase, the working phase and the termination phase. The evaluation of the model by an academic panel of experts in model development, and the description of the implementation of the model as well as the guidelines for implementation of the model were all achieved... , D.Cur. (Psychiatric Nursing Science)
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