http://hdl.handle.net/10147/22294 Search the Channel search http://www.lenus.ie/hse/simple-search http://hdl.handle.net/10147/190071 Title: Nurses perception about older persons experiencing social isolation in residential care setting [thesis]/ by Iyabo Olaniyan<br/><br/>Authors: Olaniyan, Iyabo<br/><br/>Description: The nurse’s experiences of social isolation among their residents at the study site were explored through a descriptive qualitative research approach. A search of literature conducted indicated a dearth of published work on this topic, especially in Irish context. A focus group meeting attended by four of the nurses produced information that was further explored during the subsequence six semi-structured interviews which were audio-taped and later transcribed verbatim. Colazizzi (1978) framework of data analysis was used to arrive at the three main findings of the study which are;Social isolation; a deterrent to quality of life among the older personsSocial intervention; a cost effective non-pharmacological therapyEducational needs of the nurses working with the older personsThe study findings confirm the existence of social isolation at the study site. The possible causes, clinical features as well as interventions were highlighted. Nurses have significant role in the identification, management and prevention of social isolation. Yes, nurses have constraints in their performance of social intervention programmes. The need for retraining of the nurses will enhance performance of a nursing role capable of facilitating healthy ageing process. Tue, 14 Jun 2011 22:58:59 GMT http://hdl.handle.net/10147/146795 Title: Development and validation of a clinical tool to measure nurses' knowledge of postoperative nausea and vomiting [thesis]/ by Michelle McNamara<br/><br/>Authors: McNamara, Michelle A<br/><br/>Description: This research study describes the process of developing and testing a clinical tool to assess Perioperative Nurses' knowledge of postoperative nausea and vomiting (PONV). It provides preliminary evidence for the reliability and validity of a new clinical tool. Fri, 29 Jul 2011 22:58:59 GMT http://hdl.handle.net/10147/146582 Title: 'Keeping connected in care' the social networks of young people who have experience of long-term foster care / [PhD Thesis] by Conor McMahon<br/><br/>Authors: McMahon, Conor<br/><br/>Description: The present study investigates the social network experience of a group of young people who have experience of long-term foster care. The study area is the North West area of the HSE-West and the study group is composed of two groups of young people: a group who are currently in care and a group who have left the3care system. The research focussed on the following issues: the composition of the young people’s social networks, the significance and importance of the individuals and groups within the social network to the young people, and the connection between foster care and the social network experience of the study group. The central focus is to examine the impact of Foster Care on the social network experience of the young people. The study utilised both qualitative and quantitative methods in it’s approach and can be described as qualitative dominant mixed methods research, with the use of a qualitative semi-structured interview being supported by two standardised measures.Findings from the study included: the smaller network size for the Left Care group; the greater significance of birth family to the left Care group; the greater importance of formal supports to the Left Care group; current involvement in organised groups and activities being more significant for the In-Care group; low numbers of people from the study group’s local community (who were not part of either their birth or foster family and peer network) identified; and, the significance of foster parents, friends and birth siblings in terms of support to the young people. Findings indicated that Foster Care impacts on the young people’s social network experience in the following ways: losing contact with extended family; a greater challenge in making and sustaining friendships; an impact on education; and, an inability to maintain contact with groups and activities that are of significance.Recommendations are made in relation to Policy and Practice, including the raising of awareness of the importance of a social network approach in working with young people with care experience. Thu, 29 Oct 2009 22:58:59 GMT http://hdl.handle.net/10147/136159 Title: A study of the pastoral care needs of the ICU/ED staff in a general hospital from the pastoral care department / [thesis]<br/><br/>Authors: Gilcreest, Martin<br/><br/>Description: In a world that is in tremendous transition where the need to re-evaluate where we are socially, economically and personally is an ever present challenge, the concept of spirituality to our overall well-being and health is been focused on in a way we may never have expected. Pastoral care has a role now more than it ever had before. However if you ask some one what is pastoral care they will pause to think. There is no definitive answer to this question. Some say it is spiritual accompaniment while other says it is just simply being present with people on a life journey.The economic reality for this generation has impacted on the pastoral care teams as the posts in hospitals are not filled due to the fiscal policy in the respective Health Boards. This means the service is not as effective as it should be. The fact is that chaplains are needed more now than ever, especially by the staff who often work in difficult circumstances. This study as to the needs of the ICU/ED staff from the Pastoral Care team reflects the importance of this service in the hospitals that they are present in. Staff in these two departments work in a high stress atmosphere and need support from within to help them cope with this stress. We can see that the needs are great and the greater need to be heard is vital. The Pastoral Care team play a significant role in giving this support and my research and the results of the audit of staff in these two departments validate this. The motivation behind this work is to demonstrate that pastoral care should be treated as an equal partner in a multidisciplinary approach to patient care in hospital. The conclusions reached I believe reinforces this motivation. Thu, 29 Jul 2010 22:58:59 GMT http://hdl.handle.net/10147/127944 Title: Emergency nurses experiences of family witnessed resuscitation in an Irish general hospital setting: a qualitative study [thesis by Wayne Thompson]<br/><br/>Authors: Thompson, Wayne<br/><br/>Description: The purpose of this study was to explore emergency nurses experiences of family witnessed resuscitation.A qualitative method was utilised in the study. A Husserlian phenomenological approach was chosen as its reductionist approach of ‘bracketing’ was congruent with the study’s purpose.Seven nurses with a minimum of six months clinical experience working in the emergency setting provided their experiences of family witnessed resuscitation during a semi-structured face to face interview.Themes and subthemes were gathered from the analysis of these interviews with the aid of the Colaizzi framework.Four themes emerged: (I) barriers to family witnessed resuscitation (II) facilitators to family witnessed resuscitation (III) experiences of family witnessed resuscitation (IV) judging situations and feelings concerning guidelines and policies.Findings show that nurses believe from their experiences of family witnessed resuscitation that space constraints, inappropriate staff levels, relatives becoming emotional and distracting the resuscitation team act as barriers to the practice. Regardless of these barriers the majority of nurses believe that family presence facilitates the grieving process, aids decision making and gives family comfort in knowing and seeing that all is being done for their loved ones.It was also found from the study that nurses experiences showed that the practice of family witnessed resuscitation helped staff strengthen relationships and empathise with patient and family. Certain situations were also found as to when family presence was most suitable, they being the patients age, the suddenness of the event, and the condition of the patient as well as the relatives medical knowledge.The majority of participants were in support of policy development as they believed it would serve as some direction when practicing family presence. From their experiences they believed it would facilitate greater understanding of the practice amongst health care professionals.Qualitative findings revealed that personal, organisational and social factors influence nurses towards the practice of family witnessed resuscitation. Nursing staff are committed to changing their practice which can be seen in the findings of this study and previously published studies which indicate the need for development of written policies and guidelines on the practice to meet the needs of patients, families, and staff by providing consistent, safe, and caring practices for all involved in the resuscitation process.Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended and it must be noted that the opinions and experiences of health care professionals should be considered when developing these guidelines. Sun, 15 Jun 2008 22:58:59 GMT http://hdl.handle.net/10147/121586 Title: What role can a training needs analysis play in organisational change? / [Thesis]<br/><br/>Authors: Reed, Jackie<br/><br/>Description: This research set out to examine how the process for developing a training needs analysis tool could influence organisational change. In addition consideration was given to how the training needs analysis process can help get people on board with organisational change and be a change intervention in itself. The organisation that is the subject of this research is a large, complex health system which is in transition from a traditional bureaucratic, hierarchy with a command and control management style to a more participative, people centred approach. The organisation is operating in an environment of almost constant change with major national restructuring of the health services expected imminently. A processual, organisation development, action research based approach to the development of a training needs analysis process was taken in the study so that the changes desired in the organisation could be modelled in the first instance and secondly, in order to learn and understand more about what works and does not in order to continuously develop and progress the change agenda. In order to do this a parallel structure was established through which to progress the process which was tracked in an action research process. In addition, a series of interviews were conducted with top and senior management in order to ascertain their views about the process, its necessity, roles in relation to it, its potential benefits and how to introduce the process across the organisation. The research is reported in the format of an action research approach case study. The term learning and development needs analysis was adopted during the course of the study rather than training needs analysis. This was part of a strategy to broaden the focus of training and development in the organisation beyond the traditional training course. Tue, 29 Oct 2002 22:58:59 GMT http://hdl.handle.net/10147/118136 Title: Are pregnant women receiving support for smoking dependence when attending routine antenatal appointments? [thesis]<br/><br/>Authors: Cully, Geraldine<br/><br/>Description: The relationship between smoking during pregnancy and adverse pregnancy outcomes, for example, low birthweight, prematurity, ectopic pregnancy, spontaneous abortion, placenta praevia, placental abruption and perinatal death has been well reported in the literature for many years.Smoking remains one of the few potentially preventable factors associated with these adverse effects and while a higher proportion of women stop during pregnancy than at other times in their lives, many women find it hard to stop, or to reduce smoking during pregnancy.There is evidence that intervention provided by health care professionals can lead to reductions in the number of women who continue to smoke throughout pregnancy. The 5 A’s (ask, advise, assess, assist and arrange) are currently considered best practice for treatment of tobacco use and dependence. These interventions need to be done at each antenatal appointment in order to maximise their effect. Fri, 29 Aug 2008 22:58:59 GMT http://hdl.handle.net/10147/116211 Title: Continuing professional development (CPD): quantifying the views of occupational therapist managers in an Irish context [thesis]<br/><br/>Authors: Penny, Linda<br/><br/>Description: The Irish healthcare sector has seen radical new reforms being initiated in recent years. The opening of three new schools and impending State Registration will place unheralded attention on the provision of, and engagement in, CPD. The purpose of this study was to quantify the views of Occupational Therapist Managers in Ireland on CPD. CPD must be fostered and developed within all fields of Occupational Therapy, regardless of speciality and location. It needs to be intrinsically motivated, and therapists should not rely on fulfilling statutory requirements as the sole reason to engage in CPD. Adequate resources such as funding, time, mentoring and increased staffing will go a long way towards the effective implementation of CPD activities. CPD activities should demonstrate value for money, address competency, improve service provision and complement organisational strategic goals. Fri, 29 Oct 2004 22:58:59 GMT http://hdl.handle.net/10147/100311 Title: A person centred approach to care of older people: the perceptions of people in the North Wexford Area / [thesis] by Anne Coakley<br/><br/>Authors: Coakley, Anne<br/><br/>Description: The need for a more efficient co-ordination of care and service provision for older people is a constant theme in the reports and recommendations, both by government and voluntary agencies. This represents a crucial challenge to the development of appropriate health and social care planning for the growing numbers of older people, as a proportion of the population. Given the finite financial resources available, this population must be enabled to share in the responsibilities for priority setting of services and decision-making, leading to more efficient utilisation of resources.The North Wexford Area was selected for this study, which includes the town of Gorey and its environs, as the number of individuals, aged 65 years or over, in this selected area increased by 18% between 1996 and 2002. This study explores the perceptions of people 70 years or over regarding their knowledge of and individual requirements of the service both now and in the future. It also sought to establish if the services provided by the health sector are people centred to meet the needs of older people. A qualitative research approach was adopted for this study, as it focuses on the individual’s perspective of living the experience. It explores what people are doing and feeling, which could not be achieved through a quantitative research approach. A non-probability convenience sample was chosen comprised of 12 participants from the local retirement groups in the area. Data was obtained through semi-structured interviews.The themes that emerged from the data analysis were then grouped into four significant categories, namely:Access to health and social services.Unmet needs of the services.The importance of being active and independent.Attitudes and how person centred the service is.These are discussed under the following:Older peoples knowledge of what health and social services are available to them.Perceived service requirements with increasing age.Preferences of older people regarding care.The findings of the study suggest that:The needs of older people, as articulated by the informants, are not specific to the health services alone, but incorporate social services and the environment in which they live.Older people are not generally aware of the services available to them.3The participants in this study have varied lifestyles, which highlight the fact that it is important not to stereotype all older people.The needs identified by participants were not all adequately met.Older people are generally active and want to remain so, for as long as possible.Helping them to achieve this involves listening to their viewpoints about what affects their health, the social supports they require for physical and psychological well-being, and the creation of support structures as deemed appropriate.The active retirement groups are a source untapped by the Health Service for information dissemination and health promoting initiatives, to enhance active ageing.There is a need for the SEHB to plan services to meet the needs of its ageing population in the area under study. This could be done by listening to their views and adequately assessing their needs, in order to maintain them in active retirement in their own homes, if they so desire. Sun, 29 Aug 2004 22:58:59 GMT http://hdl.handle.net/10147/96954 Title: Evaluation of a cognitive behavioural group intervention for the treatment of complicated grief [thesis] / by Angela Pugh, B. Soc. Sc. CQSW, Dip. Psychotherapy (Gestalt)<br/><br/>Authors: Pugh, Angela<br/><br/>Description: This thesis will provide an overview of the principal theoretical approaches to the understanding of grief. It will review empirical applications of theory to treatment, and strategies recommended in the cognitive treatment of grief.It will highlight those areas identified as influential in successful adaptation to bereavement, and will present a cognitive formulation of complicated grief which has been developed in the light of findings from this review.The Methodology Section will outline selection procedure, study design, instruments and procedures used in the study. A description of treatment modules will be contained in the appendix section.Finally, results of a controlled psychotherapeutic intervention will be presented, and key findings emerging from the study will be discussed in the light of the literature review and the research questions posed. Limitations of the study, and suggestions for future research will be discussed, as well as implications for clinical practice. Sun, 28 Sep 2003 22:58:59 GMT