für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Few studies have been conducted that focus on incarcerated women. The purpose of this study was to explore the lived experience of the incarcerated woman as a mother. The incarcerated mother identifies caring, hurting, addiction, hurtful past, and faith as essential themes. The incarcerated mothers experience hurting related to separation from their children. They maintain a sense of caring for their children,which is supported by their faith in God. The incarcerated mother identifies experiencing a hurtful past and reports experiencing current and/or past addictions. A tension exists between caring and addiction,whereby the mothers know they have an addiction that is overshadowing the way they demonstrate caring to their child. This study has generated a new description of the incarcerated mother may assist nurses in best formulating nursing interventions and providing appropriate nursing care. Nurses should use this knowledge, along with the knowledge that what the women experienced may have impacted past behaviors that possibly led to incarceration to help them make appropriate plans for their future. ····· 10361116063
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The purpose of nursing education is to provide academic and clinical experiences in an environment that facilitates student learning and creates an emotional climate, which will facilitate the development of students as people and nurses.The main objective of this study was to determine the prevalence of stress and its relationship between educational environment, coping strategies and academic performance among students Of the 178 students, 41 of the students giving a prevalence of distress between nursing student about 24.3%. . The highest scores domain was students` perception of learning and the lowest was for students` social self- perception. Educational environmental and styles of coping strategies were noted to be linked to evidence of distress. The lower percentage of stress level also may be associated with more positive perception in their educational environment and coping strategies that this population used. Therefore although the overall educational environment score of this college was observed to be one step below excellent`, faculty should intensely study the deficiencies that had been identified in this report and improve the situation. ····· 10361114992
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Caring behaviors in a complex health care environment minimizes depersonalization in health care. Congruence of perceived value of caring behaviors between patients and nurses as health care needs and requirements escalate is imperative in a complex health care environment. The monograph gives an insight that Filipino nurses` and patients` perception of caring behaviors are generally congruent in both levels of complexity of care. ····· 10361114552
····· lezzter Preis 44.10€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nurses who daily witness trauma and death are strangely silent about sharing their distress and are often divisive and unsupportive of each other. Nursing management, seemingly blind to the stresses and grief carried by nurses and unwilling to even recognize these issues. What lies beneath these behaviors and can nurses provide effective care for clients when their own intrinsic needs remained unrecognized These questions are explored in a participative research project with a team of 11 burnout community palliative care nurses. The group process begins with an exploration of the culture of nursing, revealing historical expectations of conformity and altruism still influencing expectations of nurses today. As the nurses` stories unfolded, the depths of caring and accumulated grief emerged. Embedded in the stories however was the realisation that their caring had been limited to their clients and was not extended to themselves or to each other. The resultant journey of healing transformed a burnout team to a vibrant, supportive community. This book will provide a template for nurse managers and educators in fostering a culture of empowerment and support within nursing teams. ····· 10361114413
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The research base regarding the effectiveness of intensive community based services for children with serious emotional and behavioral disturbances is limited. The incremental development of systems of care in Indiana provides an opportunity to compare the outcomes of children served in child and family wraparound teams with the outcomes of a matched sample of children receiving usual public mental health services. Functional assessment data from a state database was examined using logistic regression models. The level of development of local systems of care and wraparound services was used as a fidelity measure. Findings suggest the circumstances in which intensive behavioral health services and supports for youth and families are effective. ····· 10361114213
····· lezzter Preis 49.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray National Rural Health Mission is an ambitious programme of the central government, to provide comprehensive and integrated primary healthcare to the rural poor, women and children, launched throughout the country, in April 2005. The mission attempts to bring changes in the health system by giving leadership to Panchayati Raj Institutions. This monograph examines the functioning of the core components of the mission like JSY, Untied funds, Maintenance grants and VHSC at two PHCs in Karnataka. As an outcome of JSY initiative, institutional deliveries were on the rise. Untied funds given to Sub Centre and PHC though a good initiative, there was confusion about the usage of untied funds at all levels. Maintenance grants are helping the organizations to provide better facilities to patients. Elected members generally were not aware of VHSC and their role under NRHM. Lack of coordination between elected local bodies and the health staff is the main lacunae in the scheme ····· 10361114034
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Bone Marrow Transplantation ( BMT) is the process of replacing diseased or damaged bone marrow with functioning one. This study was aiming to study the effect of counseling on patient s compliance after bone marrow transplantation through assessment of patient s learning needs ,patient s knowledge and compliance with therapeutic regimen .To conduct this study a convenience sample of 60 patients undergo BMT procedure was selected from Nasser Institute .They were divided into two groups the study and control groups .The study group received counseling program .The patient s knowledge ,performance and compliance were evaluated .The results of this study showed significant difference between two groups regarding their knowledge and compliance with therapeutic regimen after counseling program implementation .This study concluded that the patients knowledge and compliance with therapeutic regimen improved after counseling program implementation .This study recommended the presence of centers for counseling BMT patients. ····· 10361113351
····· lezzter Preis 61.20€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Critical illness and the admission of a family member to an intensive care unit is an extremely stressful experience that may result in an emotional turmoil, high level of stress, role conflict, interruption of normal home routines, and potential changes in relationships among patients and family members. This phenomenological study explored the lived intensive care unit experiences of nurses, patients and family members during critical illness in the intensive care unit using a purposive sample of five participants from each category. Content analysis of narratives elucidated that the patient`s experiences as it relates to finding meaning during critical illness is centered on obtaining support from their families and professionalism from the nurse. Adaptation in the intensive care unit, as experienced by nurses, patients and family members integrates family as a unit, physical care, physiological care and psychosocial support resulting in transformation. Future studies should be done to further explore the patient-family-nurse experience during critical illness in the intensive care unit. ····· 10361103082
für 35.91€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray The Nutrition Wing, Ministry of Health Pakistan has fully committed to flour fortification as a valuable approach to anemia prevention and control therefore it has initiated a National Wheat Flour Fortification Project (NWFFP). Preparatory activities leading towards national scale flour fortification are underway. NWFFP aims to introduce the universal fortification of wheat flour by the year 2013. The instant study `Implementation and Analysis of Quantitative and Qualitative Research to Understand Consumer Knowledge, Attitudes and Practices Surrounding Fortified Wheat Flour in Pakistan` assesses the Knowledge Attitude & Practices (KAP) of consumers regarding wheat flour fortification and will form a basis for formulating a Behavior Change Communication (BCC) Strategy. To accomplish the desired objectives, a survey with both quantitative and qualitative components was conducted with a team-based approach to ensure quality of work. Sample selection was carried out by Contech international in a scientific manner using the cluster sampling technique and keeping in view the total population of the area to be surveyed and the population of the cities, towns and villages in the area. ····· 10361102918
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Fetal mortality or commonly known as stillbirth is one of the contemporary crisis of health in the Philippines. Data are not conclusive and most cases are unreported. Numerous studies were done worldwide to explore fetal demise experiences. (Hsu et. al,2002 Trulsson,2004 Ekelin et al, 2008). Moreover, it is assumed that loss is something personally experienced and is culturally defined. This qualitative research aimed to discover the experiences of adolescent mothers on fetal demise and explored on their coping strategies. Filipino adolescent mothers expressed that it was a learning experience. Further, sadness, grief and depression were shared by the participants. Coping strategies were banked on the familial support and peer support, spiritual devotion through prayers and believing that `God has plans`. Addressing the needs of the adolescent mother is of particular significance especially on the onset of loss from admission to the healthcare facility until the client is discharged. There is a need for follow-up care and strengthening of the referral system to support groups including the adolescent mothers` family. ····· 10361102163
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There is an increasing incidence of End-Stage Renal Disease (ESRD) in the Philippines. It has been one of the top ten killer disease in the country, affecting children, adolescent and young adults in their productive years. For persons with ESRD, kidney transplantation has become the chosen and highly effective method of treatment during the past decades. It is considered as established therapeutic technique in the country, successful transplantation restores almost a normal life and offers a full potential for the full return of a healthy productive life. Kidney transplantation is performed with the intention of providing prolongation of a good quality of life. Thus, it is not surprising to find that the quality of life after kidney transplantation have been a concern among health professionals. The focus of quality of life research has widened to include the patient`s physical comfort, psychological health, social and vocational activity, and the impact on the patient s family. In short, medical treatment like kidney transplantation is consciously directed to help a patient experience a comfortable or productive life. ····· 10361102057
für 53.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are different views on the significance of the art of nursing within nursing education today. This has lead to the art` of nursing discourse being marginalised into a position that would see many nurses question not only the presence of an art` but also it`s relevance in today`s practice environment. Available literature asserts there has been a philosophical shift in the ideology driving health care delivery and this shift has created a natural marginalisation of the art of nursing within both the health institutions and nursing education today. This study is a rich and descriptive portrayal of a group of New Zealand Nurse Educators` collective perceptions and presents the idea that the art of nursing is a diverse phenomenon that is influenced, and defined, by the experiences of registered nurses. It will be of interest to all registered nurses, and nursing students who wish to further explore the relevance of the art of nursing in their nursing careers. ····· 10361101873
····· lezzter Preis 49.00€ ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray A unique feature of mental health nurses` work involves exposure to clients` descriptions of and reactions to trauma, and these experiences may indirectly cause distress to the nurse. This phenomenon has been termed `secondary traumatic stress` and is the focus of the study. The aim of the study was to explore STS experienced by nurses working in mental health services in Rwanda. A quantitative research study was conducted at Ndera Psychiatric Hospital, Rwanda using a sample of 50 nurses who provide mental health care to trauma survivors and mentally ill patients. A questionnaire was compiled consisting of the Trauma Attachment Belief Scale (TABS) and several open ended questions pertaining to the respondents current work situation and psychosocial support system. The majority of respondents` scores were situated between T-scores of 60 and 80, which are considered as very high or extremely high risk. With regard to others-safety, 98.0% (n=49) of the respondents scored 80 or above which, again, is extremely high and may indicate a strong disruption in these areas. Key words: Mental health, mental health nurse, Rwanda, STS ····· 10361101528
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray There are many issues that increase the complexity of health care today. Among these issues are (a) the cost of health care, (b) the quality of health care, (c) medical errors and patient injury, and (d) the shortage of nursing staff to care for the patients. There are drivers in place to overhaul the health care system. The drivers demand improvement in quality of care, reduction in medical errors and patient injury, improved patient health care outcomes, and a decrease in medical care expenditures. The key to addressing these issues lies within the transformation of the current hierarchical structure of the acute care unit into a High Performing Organization (HPO). This paper examines an evidence-based practice proposal utilizing Blanchard s HPO model as a means to delineate the factors that impede high level functioning on an acute care unit, remove the barriers that obstruct high performance, and empower the staff in order to become a high performing unit (Blanchard, 2007). Leaders of high performing organizations partner with their employees in order to create an organization that is grounded in becoming high performing. ····· 10361100259
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This original work deals with innovative work within the field of mental health care and is of special interest to nurses and other caregivers who are engaged in recovery-oriented care. It describes in detail the therapeutic value of photography. At the heart of this hermeneutic phenomenological study is the contribution of photography to the process of meaning making that patients go through when reflecting on illness and how to live a life beyond illness. ····· 1036199997
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Zambia has one of the world s most devastating HIV/AIDS epidemics and nurses work hard to spread information about how to prevent the infection. Females are more vulnerable since they often marry early to older men who already have a sexual past and also because they have larger permeability of the mucous membrane compared to men. The nurses play an important role in the prevention work and how it s done. The aim of the study is to explore the nurse s prevention work against HIV among women at the Mpongwe Mission Hospital. A qualitative study with a semistructured design has been used. The result of this study is divided in five different categories. The interviews show that the Nurses in this study at Mpongwe Mission Hospital are working hard to prevent HIV among women. They have come a long way in their prevention work although there is much left to do. The wide spread of knowledge among the nurses and the lack of staff is a big obstacle. Because of the shortage of finances the hospital can`t afford to send nurses for further education or hire enough staff to be able to give the right care and to reach out to the population. ····· 1036199896
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Nowdays,nurse managers need to utilize behaviors of transformational leadership which focus on staff nurses job satisfaction in healthcare environment. This descriptive correctional study was conducted to determine the levels of nurse managers transformational leadership, the levels of staff nurse job satisfaction, and to identify the relationship between transformational leadership and job satisfaction. This study introduce the management at the Second Teaching Hospital of Harbin Medical University in China. This study is important for nursing administrators to provide training program for nurse managers to improve their knowledge and skills of transformational leadership and develop effective strategies to improve the level of staff nurses job satisfaction. By raising the level of staff nurses job satisfaction at their work, the quality of work life may be elevated and the rates of turnover and shortage of nursing personnel may be reduced. ····· 1036199215
für 71.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray This thesis sought to describe the unique interventions of intellectual disability nursing in Irish residential services, through the employment of standardised nursing language. The study specifically set out to identify: 1) the interventional foci of nursing 2) the current contribution of nursing and 3) the usefulness of a terminological approach for describing the unique contribution of nursing. The central finding suggests that interventional caring in is a generic entity which transcends professional boundaries. It posits that intellectual disability nursing has, with the exceptions of physical care and technical health management, no unique interventional complement to add to such caring in residential settings for this population. It is acknowledged that, whilst this study expressly set out to address the empirical component of such such nursing, there may be a unique qualitative aspect which will require further investigation ····· 1036198509
für 55.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Digitalisierung der Pflege ist umstritten. Ist es legitim, ein Handlungsfeld zu technologisieren, das Sorgearbeit mit vulnerablen Menschen in den Mittelpunkt stellt Die Debatte um die Entwicklung, Erprobung und Bewertung von neuen, digitalen Technologien für die Pflege boomt in Deutschland. Nach einer dynamischen Forschungs- und Entwicklungsphase zu digital gestützten Informationssystemen und Assistiven Technologien für die Pflege steht nun eine Auseinandersetzung um die Bedeutung von Autonomen und gegebenenfalls auch Lernenden Systemen für die Pflege und Pflegebildung bevor. Dieser Band versammelt grundlegende und pragmatische Reflexionen zum Thema, um Impulse und Orientierungen für eine systematische Diskussion um Chancen und Herausforderungen des Technikeinsatzes auf der praktischen Versorgungsebene der direkten Pflege, der Ebene der institutionellen Organisation von Versorgungsprozessen sowie einer übergeordneten gesellschaftlichen Ebene zu liefern. The discourse about the development, testing and evaluation of new, digital technologies for nursing is dynamic. Digitally supported information systems and assistive technologies to support nursing have become increasingly established in recent years. Currently, the importance of Robotics and Autonomous Systems as well as Learning Systems for nursing and nursing education is increasingly discussed. The volume presents fundamental and pragmatic reflections on the digitalisation of nursing in order to provide impulses and orientation for a systematic discussion about opportunities and challenges of the use of technology in nursing. The contributions deal with the possibilities and limitations of digitalisation for the practice of nursing, the institutional organisation of care and for the social understanding of care. ····· 1036194839
für 40.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Entwicklung Autonomer Systeme in der Pflege sollte als partizipative, soziotechnische Innovation betrachtet und vorangetrieben werden. Dabei sind die Komplexität von Pflegearrangements sowie die fundamentalen Werthaltungen der Pflege zu berücksichtigen. Dieser Band zieht aus pflegewissenschaftlicher Perspektive eine kritische Bilanz der gegenwärtigen Studienlage zum Einsatz neuer Technologien, insbesondere robotischer Assistenzsysteme im Bereich der pflegerischen Versorgung und der seit drei Jahrzehnten intensiv geführten internationalen Diskussion. Einbezogen werden berufs- und leistungsrechtliche Grundlagen der Pflege sowie bereits im Vorfeld der Techniknutzung zu berücksichtigende pflegeethische Bewertungsaspekte. Autonome Systeme in der Pflege sollten primär auf die Unterstützung der Kernprozesse des pflegerischen Handelns ausgerichtet sein. Die Substitution personeller Unterstützung durch den Einsatz Autonomer Systeme ist zu vermeiden. This volume critically takes stock of the current state of studies on the use of robotic assistance systems in the field of nursing care. It takes a nursing science perspective and incorporates the intensive international discussion that has been going on for three decades while being systematically based on a differentiated understanding of the nursing profession, specific characteristics of different target groups, and a corresponding complexity of interventions. Legal issues pertaining to the nursing profession and to the systematic provision of care are addressed as well as ethical aspects of nursing care assessment. It is recommended - among other things - that the development of autonomous systems in nursing be pursued as a process of participatory, socio-technical innovation that takes into account the complexity of nursing arrangements and the fundamental values of nursing. Autonomous systems in nursing should primarily be oriented towards supporting the core processes of nursing care: defining situations and making decisions. The substitution of personal care through the use of autonomous systems should be avoided. ····· 1036194723
für 65.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Die Autorin greift ein aktuelles, ethisch reflexionswürdiges Thema in der Praxis stationärer Hospizversorgung auf: die dauerhafte tiefe Palliative Sedierung am Lebensende. Im Rahmen des partizipativen Forschungsprozesses wurden wiederkehrende ethische Fragestellungen und Unsicherheiten erfasst, die in den stationären Hospizen im Kontext der Behandlungsoption existieren. Dieser Band expliziert indes nicht nur die ethischen Konfliktpotenziale, sondern bietet der hospizlichen Praxis zugleich ein konkretes, handlungsleitendes Verfahren an, hin zu einer ethisch begründeten Entscheidungsfindung: eine Ethik-Leitlinie. Das Buch verbindet pflegewissenschaftliche Forschung mit praxisbezogener Replik, es verbindet die Sensibilisierung für ethische Reflexion mit ethisch begründeter Entscheidungsfindung.
The author concentrates on a recent, ethical subject, worth of reflection in the practice of stationary hospice care: the continuous Palliative sedation at the end of life. During the participative research process recurrent ethical questions and unclarities were collected existing in stationary hospices concerning the treatment options. This volume not only presents ethical conflict potentials, but also offers a clear practice-oriented method in hospice care that leads to an ethical motivated decision-making: an ethics guide. This book combines not only nursing science and research with practice-oriented replica but also the awareness for ethical reflections with ethical motivated decision-making. ····· 1036194688
für 70.00€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Türkeistämmige Muslime machen den größten Anteil an Migranten innerhalb der Bevölkerung in Deutschland aus. Durch die Alterung dieser Bevölkerungsgruppe gewinnen die Themen chronische Krankheit und deren Bewältigung auch für sie zunehmend an Bedeutung. Ähnlich wie bei einheimischen Familien dringen die Auswirkungen einer chronischen Krankheit auch bei Migrantenfamilien in alle Ebenen und Bereiche des Lebens ein. Doch welche Ressourcen stehen diesen Familien bei der Bewältigung der Krankheit zur Verfügung Wovon hängt der Einsatz dieser Ressourcen ab Die Autorin analysiert die leitende Logik der Ressourcenauswahl bei türkeistämmigen muslimischen Familien und deren Sinn in Bezug auf ihre Familienstruktur.
Muslims of Turkish origin are the largest migrant group in Germany. Due to the ageing of this population, the issues of chronic illness and how to cope with it are becoming more and more important for them. Similar to native families, the effects of chronic illness also penetrate migrant families at all levels and in all areas of life. Which resources do these families have to cope with chronic disease What does the use of these resources depend on The author analyses the guiding logic of resource selection among Muslim families of Turkish origin and their meaning in relation to their family structure. ····· 1036194687
für 61.20€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray Quality nursing care is essential for nurses to provide and patients to receive. Improving quality nursing care is a primary objective of the healthcare system as well as a major responsibility of nurse administrators. The purpose of this study was to explore and compare quality nursing care as perceived by nurses and patients. The findings provide knowledge of nurses and patients perceptions of quality nursing care. The results of differences between nurses and patients perceptions of quality nursing care could be benefit nurses in clinical settings, to be aware of their patients expectations and needs while they provide nursing care, especially care for patients psychological needs.In Chinese hospitals, improvements are needed regarding the current dynamic and rapidly changing needs of nursing profession. ····· 1036192580
für 44.10€ kaufen ···· Rheinberg-Buch.de - Bücher, eBooks, DVD & Blu-ray People with AIDS often suffer from major physical and psychosocial distress due to their experience of serious life-threatening illness. The palliative care needs of AIDS patients at Tikur Anbessa hospital are very high and interrelated. Their palliative care needs are not addressed by the existing health care services due to limited access. Besides the available services are not holistic and they are not integrated with other services. Therefore promoting standard palliative care services for patients and their families is important to alleviate their distress and improve their quality of life. This book focuses on exploring the palliative care needs of AIDS patients from the perspectives of the AIDS patients and health care providers. The book came up with workable recommendations which could be used as an input in designing and implementing appropriate palliative care services in existing heath care system. ····· 1036191339· 1 · ::::: · 6 ·· 7 ·· 8 ·· 9 ·· 10 ·· 11 ·· 12 · ::::: · 15 ·
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