Nursing
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Browsing Nursing by Author "Fox, Mary"
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Item Open Access Nurses' Perspectives when Working with Families while Delivering Function-Focused-Care to Older Adults in Acute Care Settings(2017-07-27) Green, Whitney Nicole; Fox, MaryOlder adults are at increased risk for developing functional decline during hospitalization, putting them in danger of negative health outcomes including skin breakdown, impaired mobility and infections. Function-Focused-Care (FFC) is an approach to care designed to help prevent these adverse consequences in this patient population during hospitalization. Families are often present with older adults during their hospitalization but little research has explored nurses perceptions around working with families in FFC. This secondary analysis explored the perceptions of 57 nurses in working with families in delivering FFC to older adults in acute care settings. Two major themes were identified: 1) nurses perceived families as facilitating FFC, and 2) nurses identified families as constraining FFC. In conclusion, nurses viewed families as double-edged swords and described them as creating tension for nurses when caring for older adults. The findings from this study provide insight into the tension nurses experience when providing care for older adults and raises awareness about the importance of nurse-family collaboration in the delivery of FFC to older adults.Item Open Access Relationship Between Role Conflict, Role Ambiguity, and Interprofessional Team Collaboration Among Nurses Caring For Older Adults in the Intensive Care Unit (ICU)(2018-11-21) Ejesi, Ike; Fox, MaryThe purpose of this cross-sectional study was to examine the relationship between role conflict (RC), role ambiguity (RA) and interprofessional team collaboration (ITC) among nurses caring for older adults in intensive care units (ICU). Using random sample (n = 403) selected from the primary study by Fox (2014), Pearsons correlations showed statistically significant relationship between RA, RC, as well as between ITC and highest level of nursing education resource availability, and institutional values. There was no statistical significant relationship between gender and ITC. Using regression analysis and controlling for the extraneous variables, a significant regression equation was found (F(7, 403) = 21.19, p < 0.0); whereas RA had a statistical significantly relationship with ITC, RC and the extraneous variables were not significantly associated with ITC. Results suggest a need to reduce role to improve interprofessional collaboration. Further research is needed to identify other variables related to interprofessional team collaboration.