Theses and Dissertationshttp://hdl.handle.net/10147/6319232024-03-28T15:31:21Z2024-03-28T15:31:21ZMeasuring Psychological Safety in Perioperative Teams: Remembering Aristotle. The Mediating effect of Leader Inclusiveness: A Cross-Sectional StudyConnaughton, Maryhttp://hdl.handle.net/10147/6351752023-04-05T02:09:28Z2018-08-31T00:00:00ZMeasuring Psychological Safety in Perioperative Teams: Remembering Aristotle. The Mediating effect of Leader Inclusiveness: A Cross-Sectional Study
Connaughton, Mary
This study examines the impact of psychological safety on the effectiveness of perioperative teams and the mediating effect of Surgeon and Anesthetists Inclusiveness as leaders within the operating theatre. Previous studies have demonstrated that psychological safety is central to effective team functioning and teamwork (Triplett & Loh 2018) and research in organisational psychology has shown psychological safety as a means to understanding teamwork, team learning and learning within an organisation (Edmundson & Lei 2014). However, there is limited research on its use in healthcare teams and in the perioperative arena and the underlying factors which can effect or foster psychological safety in cross-disciplinary teams. The main aims and objective of this thesis is to highlight literature on team effectiveness and make the connection between organisational psychology and healthcare teams, and enable researchers to use these concepts in a practical way in healthcare in operating theatre. This could enable teams to cope with a healthcare system which is growing in complexity by developing a culture of self-awareness, and an awareness of others, where all team members are not afraid to speak up and everyone is a stakeholder within the team (Salas et al 2005 & Edmundson 1999).
2018-08-31T00:00:00ZDo the use of Early Warning Scores and Systems that assist staff recognise patient deterioration have any effect on key outcomes in adult (non-pregnant) patients in the acute healthcare setting? A systematic review.Evans, Oliviahttp://hdl.handle.net/10147/6348572023-01-14T02:51:59Z2022-01-01T00:00:00ZDo the use of Early Warning Scores and Systems that assist staff recognise patient deterioration have any effect on key outcomes in adult (non-pregnant) patients in the acute healthcare setting? A systematic review.
Evans, Olivia
This systematic review aimed to examine international research and update previous reviews in the context of whether the use of early warning scores (and its modified forms) and early warning systems that detect patient deterioration had any influence or effect on patient outcomes such as in-hospital mortality, unplanned intensive care admission, length of hospital stay, cardiac arrests and any other serious adverse events on general hospital wards and Emergency Departments in the acute hospital setting.
2022-01-01T00:00:00ZHow does the delegation of tasks by Registered Nurses to Health Care Assistants occur in residential care for older people? Interpretive Multiple Embedded Case StudyMulligan, Deirdrehttp://hdl.handle.net/10147/6346032022-11-23T01:48:18Z2022-06-01T00:00:00ZHow does the delegation of tasks by Registered Nurses to Health Care Assistants occur in residential care for older people? Interpretive Multiple Embedded Case Study
Mulligan, Deirdre
There is a need to develop safe and effective nursing teams within residential care for older people (RCOP) with an appropriate and sustainable skill mix to meet the increasing demands of the ageing population. This requires that registered nurses (RNs) and healthcare assistants (HCAs) work collaboratively to their full scope of practice. In RCOP, where there are often less RNs than HCAs, delegation of tasks emerges as a critical issue. The aim of this study was to explore how delegation of tasks by RNs to HCAs occurred in RCOP settings in Ireland. An interpretive, multiple case study research design was applied. Two cases were selected for in-depth study. The sub-units of analysis were the perspectives and experiences of the staff, the staff profiles and allocation model, documents relating to delegation, and the process of delegation in the real world of practice. The data sources were: focus-group interviews, individual interviews, direct observations during predicted periods of delegation, and documentary review. The framework for within-case and cross-case analysis was the interactive data analytical approach of Miles et al. (2020). The theoretical lens of organisational role theory, applying the Kahn et al. (1964) role episode model (REM), was used to understand, interpret and explain the findings.
Three themes were developed in relation to how the delegation of tasks by RNs to HCAs occurred in RCOP: Creating the conditions, How it happens, and Knowing what I should do. The facilitators and barriers for effective RN delegation were identified.
The role of the RN in RCOP is changing, and this has affected the context and process of effective delegation. With increasing demands for care of older people and increasing shortages of RNs in RCOP services the shifting of nursing tasks to HCAs has occurred. The findings of this study can guide the development of more effective RN delegation, contribute to improving RN and HCA role clarity, and ultimately support safe and quality care of vulnerable older people.
2022-06-01T00:00:00ZMidwives' experiences of facilitating normal physiological birth in an obstetric-led unit: a feminist perspectiveKeating, Annettehttp://hdl.handle.net/10147/6344372022-10-21T02:52:42Z2007-01-01T00:00:00ZMidwives' experiences of facilitating normal physiological birth in an obstetric-led unit: a feminist perspective
Keating, Annette
The aim of this thesis is to explore midwives' experiences of facilitating normal birth in an obstetric-led unit.
2007-01-01T00:00:00ZAn Examination of Nurses’ Knowledge of Ostomy Care in the Acute Care Setting: a thesis submitted in part fulfillment of the requirements for the degree of MSc. Nursing University of LimerickDunne, Aislinghttp://hdl.handle.net/10147/6306352021-10-20T01:50:38Z2021-10-01T00:00:00ZAn Examination of Nurses’ Knowledge of Ostomy Care in the Acute Care Setting: a thesis submitted in part fulfillment of the requirements for the degree of MSc. Nursing University of Limerick
Dunne, Aisling
Abstract:
Aim: To examine nurses’ knowledge of ostomy care in the acute care setting.
Design: An integrated literature review.
Method: A systematic search of databases which included Cinahl, Medline (pubmed), Scopus, Psycinfo and Cochrane from September 2019 up to January 2020. Hand searching of identified literature was also undertaken. PRISMA guidelines were used to report the search, research articles included in the review were appraised for quality using Crowe Critical Appraisal Tool and data analysis was performed using Braun and Clarke (2006) framework for thematic analysis.
Results: Findings from 10 studies were extracted, synthesised and analysed thematically. Three themes emerged Knowledge Deficit in relation to Ostomy Care, Confidence in providing ostomy care and roles and responsibilities in relation to ostomy care.
Conclusion: Such knowledge needs to be delivered to nurses via a mechanism that is accessible and where its effectiveness can be audited. In addition to specialised training and education, nurses need support in their delivery of ostomy care, particularly where their exposure to stoma care is limited. Supports should include access to evidence-based policies and protocols on stoma care and referral to specialist services eg a CNS in stoma care.
2021-10-01T00:00:00ZDeprivation of Liberty relating to Detention in Irish Residential Care Centres for the Older Person: A Legal and Ethical AnalysisHorsman Hogan, Florencehttp://hdl.handle.net/10147/6302642021-09-02T02:35:21Z2019-07-23T00:00:00ZDeprivation of Liberty relating to Detention in Irish Residential Care Centres for the Older Person: A Legal and Ethical Analysis
Horsman Hogan, Florence
This researcher works as a healthcare professional in a residential care centre for older
people. Ireland’s healthcare providers are currently in a very challenging legal and
ethical hiatus, with regard to care for a person lacking capacity who either does not
wish to enter or wishes to leave their residential care service.
The current proposed legislation presents both legal and ethical issues that this writer
feels warrant exploration. It is imperative that we in Irish Healthcare begin the
narrative on deprivation of liberty, both to ensure that the human rights of those we
care for are respected and vindicated, and to avoid costly litigation to an already
fiscally burdened healthcare service.
This writer has chosen to use the desk based literature review methodology, as while
literature research is focused on acquiring theoretical knowledge about a concept or
topic, desk based research is used to gather facts and existing research data that help
to answer the research question.
2019-07-23T00:00:00ZThe Experiences of Mothers of the Marketing of First Infant Foods: A Systematic ReviewClinton, Christinehttp://hdl.handle.net/10147/6270302020-01-15T02:15:53Z2019-10-01T00:00:00ZThe Experiences of Mothers of the Marketing of First Infant Foods: A Systematic Review
Clinton, Christine
Increasing obesity rates worldwide are placing a heightened burden on individuals and society with excessive consumption of foods high in saturated fat, salt and sugar, in turn escalating diet-related non-communicable diseases. Infancy is a significant time in terms of obesity prevention with the first year of life a period of rapid growth and development. The introduction and establishment of complementary foods and healthy nutrition habits during infancy, are crucial in influencing lifelong health and well-being. For mothers, infant first food introduction accompanies a myriad of social and cultural influences, choices and expectations, including the sociocultural messages embedded throughout social media. In addressing this phenomenon mothers need the guidance, support and expertise of healthcare professionals, stakeholders and the collective community. Using systematic review methodology, the aim of this review was to discover mothers’ experiences of the marketing of first infant foods and how this influenced their choice of first foods for their infants. The electronic databases: - CINAHL, MEDLINE, Embase and PsycINFO were searched between October and December 2018, with the final search completed on 14 December 2018. Studies that met the inclusion criteria that explored mothers’ experiences of the marketing of first infant foods only were eligible for inclusion in this review. Studies included in the review were formally appraised for their methodological quality, independently by two reviewers, using the EPPI-Centre assessment tool. Data were extracted independently by two reviewers onto pre-designed extraction forms. Following application of the search and selection strategy, seventeen full-text papers were retrieved and reviewed for inclusion in the review. Fourteen of these were subsequently excluded, resulting in three included studies. Three themes emerged from thematic analysis including; cultural and social influences and expectations, wider environmental influences and pressures and conflicting information on infant first foods and maternal confusion. Recommendations based on the findings of this review indicate the need for further research to explore the multi-faceted factors that collectively influence mothers’ choices of infant first foods. For healthcare professionals, building supportive relationships with mothers’, where practice and education work in tandem with clear national guidelines, increasing awareness of the powerful mass media and food packaging content, and tighter legislation of the regulations of the International Code of Marketing of Breastmilk Substitutes.
2019-10-01T00:00:00ZDual Diagnosis with the homeless population in the Midlands of Ireland.Hyland, Nualahttp://hdl.handle.net/10147/6268462019-10-02T07:42:51Z2019-09-04T00:00:00ZDual Diagnosis with the homeless population in the Midlands of Ireland.
Hyland, Nuala
The aim of this study which will include a literature review is to explore how prevalent Dual Diagnosis is with the homeless residing in the hostels in the Midlands of Ireland and the treatment response with the homeless population.
(European Monitoring Centre for Drugs and Drug Addiction, 2004) refers to ‘comorbidity/ dual diagnosis as the temporal coexistence of two or more psychiatric disorders as defined by the International Classification of Diseases, one of which is problematic substance use’.
It has been recognised that there is a lack of co-ordinated care for those who fall under this diagnosis. Kranzler & Rounsaville (2004) found that ‘Drug/Alcohol users with other psychiatric comorbid disorders have more emergency admissions, higher prevalence of suicide, medical conditions (e.g. HIV and HCV infection) and social problems than those who have only substance use disorders or other psychiatric diagnoses’.
So, the author wants to look at the relevance of dual diagnosis prevalence and treatment response by homeless people.
The motivation for carrying out this research arises from my work as a Nurse with this cohort of people. Having come across many individuals who reside in hostels and who have a dual diagnosis the author would like to explore how common it is and the level of treatment response to it by way of this research.
This study is timely as the HSE recently set up a National Clinical Programme for assessing and managing patients who have co-morbid mental illness and substance misuse issues. This clinical programme began in 2017 and its aim is to provide a comprehensive model of care for responding to this serious clinical issue. It so far is at the stage of a working group. (HSE, National Social Inclusion Office, 2017).
Dual Diagnosis with the homeless population in the Midlands of Ireland. 8
This research study will examine what are the reasons for treatment and non-treatment of Dual Diagnosis with the homeless population. Focus will be on the 60 homeless hostel beds in the Midlands of Ireland which incorporates five hostels. They include two Midlands Simon hostels, two St Vincent De Paul hostels and one Teach Failte charitable hostel. The four Midland local authority councils refer homeless people to these five hostels.
2019-09-04T00:00:00ZIntroducing a Collaborative Enuresis Service for Children – a Public Health Nursing Quality Improvement InitiativeFlaherty, Mariahttp://hdl.handle.net/10147/6267822019-08-30T11:51:59Z2019-05-21T00:00:00ZIntroducing a Collaborative Enuresis Service for Children – a Public Health Nursing Quality Improvement Initiative
Flaherty, Maria
This Organisational Development (OD) project centres on the introduction of a community nurse-led enuresis (bedwetting) service for children, establishing it as a coordinated child health service deemed essential in the Clinical Guideline on the Management of Monosymptomatic Enuresis in Ireland (HSE, 2016). The evidence clearly identifies that enuresis is detrimentally affecting children and some are carrying these effects into adulthood. The aim of this project is to provide enuresis services to children in the target Community Healthcare Organisation (CHO) using the methodology of the Heath Service Executive (HSE) 2018 Peoples Needs Defining Change Model to guide the process.
An educational programme was provided to Public Health Nurses (PHN’s) and clinic-leads and a six-month pilot of drop-in clinics were established where eligible children received intensive enuresis intervention. The pilot was evaluated and quantitative and qualitative data was collated. Pre and post training questionnaires were utilised to determine the value of the educational programme. An audit of service user satisfaction surveys and a clinical evaluation of charts were completed to determine if the objectives of the project were achieved. A critical review of the relevant literature informed the design and implementation of the project, highlighted a gap in empirical research on enuresis in an Irish context to date, and helped set the project’s outcomes in context.
The findings indicated that nurses’ knowledge increased post the educational programme, service users were satisfied with the service they received and children’s enuresis symptoms improved following the intervention of the clinic.
The development of strong collaborative relationships with key stakeholders resulted in all the members of the steering group becoming leaders and taking ownership of the advancement of the service. This collective leadership is now at the core of the service and will guide its sustainability into the future.
2019-05-21T00:00:00ZA Qualitative Descriptive Study Investigating Nurses' Experiences With Drug Round Tabards in Community Hospitals.Cabanero, Judiehttp://hdl.handle.net/10147/6239952019-08-30T11:52:54Z2017-01-01T00:00:00ZA Qualitative Descriptive Study Investigating Nurses' Experiences With Drug Round Tabards in Community Hospitals.
Cabanero, Judie
Nurses are duty-bound to protect their clients in all aspects of their care. In the subject of patient safety, Medication Error (ME) remains a major issue nurses are facing today, while interruptions and distractions have been mentioned to be contributors to ME. In 2014, the use of red tabard during medication round was first introduced and singly used as a measure to counter interruptions in selected community hospitals here in the North-West of Ireland. A mandate has emerged for an investigation of the drug round tabard as a single countermeasure to interruptions and distractions to establish its effectiveness among other strategies. An in-depth exploration of nurses' experiences with the drug round tabard was also necessary because of the vital role nurses play in medication management and safety. Moreover, due to ME's startling statistics, here in Ireland and worldwide and because of the growing older population, the value of investigating medication safety measures for this group of clients is fundamental.
2017-01-01T00:00:00Z