Nursing
Permanent URI for this collection
Browse
Recent Submissions
Item Open Access Secondary Traumatic Stress & Emergency Department Registered Nurses in Ontario: A Cross-Sectional Study(2024-03-16) Fallis, Kelsey Louise; Mallette, ClaireThis thesis explores the prevalence of secondary traumatic stress (STS) among nurses working in Ontario emergency departments. Nurses can develop STS via exposure to traumatic events, such as death, injury, or critical illness (Badger, 2001). Emergency department (ED) nurses are especially susceptible to STS due to frequent exposure to traumatic events (Ratrout & Hamdan-Mansour, 2017). This study aimed to (a) determine the prevalence of STS amongst registered nurses (RNs) working in Ontario emergency departments; and (b) to determine factors influencing STS development. Results showed 91.6% of ED nurses in this study experienced STS. Resilience and COVID-19 fear were both significantly associated with STS development in simple linear regression, though only resilience was a significant factor in multiple linear regression. This study provides insight regarding the prevalence of STS among Ontario ED nurses, which was previously unknown. Additionally, this study identified resilience as a significant protective factor against STS development.Item Open Access “The only reason why it happened is simply because we’re Black women!”: The Black perinatal healthcare experience in Canada.(2022-12-14) Afranie-Frimpong, Berlinda; Rodney, RuthAbstract Background: Black Canadian mothers are more likely to experience an adverse health outcome compared to any other race. Yet, the Black maternal healthcare experience is not adequately documented within a Canadian context. This research study interpreted and analyzed the maternal healthcare experiences of Black women living in the Greater Toronto Area. Methods: Focus groups and interviews were conducted utilizing Zoom, with eight Black Canadian mothers. Findings: The mothers agreed that healthcare organizations provided insufficient perinatal provisions, discussed feeling neglected by healthcare providers, the relationship between culture and care, preconceived healthcare biases, expressed their appreciation for supportive healthcare providers, and the stereotype of the ‘strong’ Black woman. Implications: To provide culturally competent care to Black women, healthcare providers must acknowledge their unconscious biases, health services must be made more public to Black mothers, and the Canadian health policies must be modified to improve the Black Canadian morbidity and mortality rates.Item Open Access Exploratory Study of Documented Psychosocial Nursing Interventions within the Palliative Care Setting(2017-07-27) Fowler, Sarah Kathleen; Lum, Lillie L. Q.Further research is needed to better understand issues related to the provision of psychosocial care at end-of-life (EOL). Nursing documentation provides an effective strategy for assessing quality of care. The objective was to assess the quality of documentation processes for EOL care and to identify the degree to which a process-based approach was utilized. A case study qualitative design was applied through a retrospective chart review of the Powerchart documentation database. The process-based framework set out in the Nursing Role Effectiveness Model (NREM) and a modified version of the Quality of Documentation of Nursing Diagnoses, Interventions and Outcomes (Q-DIO) instrument were utilized to guide data collection and analysis. The majority of nursing documentation was of poor quality and statistically significant differences were noted between Q-DIO subsections. This study showed that nurses working in a palliative care setting vary in their ability to complete accurate high quality documentation of psychosocial care.