BSc (Hons) Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/7259
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Item What were the experiences of Health and Social Care workers who cared for residents in care homes during the initial outbreak of coronavirus disease 2019 (COVID-19)?(2021)Aim: The aim of this research proposal is to gain an understanding into the experiences of Health and Social Care (HSC) workers who cared for residents in a care home during the initial outbreak of Coronavirus disease 2019 (COVID-19). Background: The World Health Organisation (WHO) declared the novel COVID-19 disease a worldwide pandemic on the 11th of March 2020. Healthcare workers who were working on the frontline may have a higher prevalence of physical and psychological distress from caring for patients with COVID-19 (Nie et al, 2020). The literature review showed that more evidence is needed to observe how these changes have affected staff in both clinical and social care settings, and how healthcare managers can support staff to cope better now and in the future. Design: Working within the qualitative paradigm, this proposal uses descriptive phenomenology to understand the experiences of Health and Social Care workers (HSCW) during the COVID-19 pandemic. Method: Using a person-centred approach, semi-structured interviews will be carried out for up to 20 HSCW, who have experience of caring for COVID-19 residents. With the participants consent, the interviews will be recorded and analysed using Colaizzi’s (1978) seven-step approach to descriptive phenomenology. The study will include a range of professionals ranging from care home managers, nurses, healthcare support workers and volunteers.Item What are final year undergraduate nursing students’ experiences of HIV/AIDS within their university curriculum and how does this influence their practice when caring for patients living with HIV or AIDS in Scotland?(2021)Aim: This research proposal aims to explore final year undergraduate nursing students’ experiences of HIV/AIDS within their university curriculum and how this influences their practice when caring for patients living with HIV or AIDS in Scotland? Background: Since the start of the HIV/AIDS epidemic, nurses have been at the forefront of caring for those infected with the virus. Studies have discovered that negative attitudes towards people living with HIV/AIDS still exists among student nurses across the globe. The literature review aimed at finding out what student nurses’ perspectives towards HIV/AIDS were within a global context. From this, it was found that the lack of education and cultural influence on HIV/AIDS had an impact on their attitudes and willingness to care, resulting in poor quality care to be given. Method: A qualitative, interpretive phenomenological research study focusing on 12 final year undergraduate nursing students enrolled in a BSc (Hons/MSc) Nursing program at a Scottish university. Data will be collected through 1:1 semi-structured interviews, which will be recorded and transcribed with participants’ consent. An Interpretive Phenomenology Analysis (IPA) will then be performed to analyse the interview data. Relevance to practice: University nursing faculties, as well as NHS Scotland, need to be aware of the impact that HIV/AIDS education has on professional’s care to practice. People living with HIV/AIDS must be treated equally and by professionals who are knowledgeable about the condition in order for person-centred care to be provided.Item “What are nurses’ experiences and perceptions of caring for patients with drug dependency in surgical-medical wards? A Phenomenological study of Scottish nurses”(2021)Aim: This research aims to gain insight, and a deeper understanding into the experiences and perceptions of nurses caring for patients with drug dependency in surgical-medical wards in Scotland Background: Illicit drug use remains a global problem. With the rise in its prevalence, the strain on hospitals becomes apparent with the rise in presenting to hospital with complicated health conditions as a consequence of their drug use. Research has shown that nurses’ struggle to manage the complex nature of their health conditions due to an array of negative attitudes, lack of knowledge, competence, and self-esteem, being a contributing factor to the provision of suboptimal care to this patient population. Evidence highlighted this contribute to a nurse-patient relationship fuelled by distrust and dis-engagement which contributes to worsened patient outcomes. Establishing a strong relationship bound by mutual trust and respect is fundamental for persons with drug dependency to thrive in their recovery and seek medical assistance. Methods: Working within the realms of the qualitative paradigm, an interpretive phenological approach will be adopted. Ten participants working in medical-surgical wards will be recruited to partake in one to-one semi-structured interviews which will be carried out over the course of a 12-week period in an Acute Hospital in Edinburgh. Participants will be consented for the interviews to be recorded to strengthen accuracy in findings. Interviews will consist of open-ended questions, and prompts will be employed throughout to empower openness in collecting rich, in-depth information about the participants experiences in maintaining a phenomenological approach and gaining new understandings. Relevance to Practice: It is hoped that bringing these findings forward within clinical practice will work towards increased organisational support, education, and self-efficiency for nurses’ in the provision of care to persons with addictions. From bringing awareness of nurses’ true experiences, will reflect change in increasing nurses’ wellbeing whilst caring for this patient population, alongside establishing positive person-centred outcomes.Item Do palliative care nurses experience an emotional impact from the utilization of continuous deep sedation on terminally ill patients?(2021)Background: Continuous sedation is a therapy used in end-of-life care, to manage refractory symptoms that a patient may experience in the last days or hours of their life. Palliative sedation is intended to relieve the burden of intolerable suffering from patients who are dying. It provides this relieve by bringing a state of unconsciousness to the patient. Nurses play an important role in the utilization of palliative sedation, however, little is known about their experiences of being involved with this practice. Aim: The aim of this research proposal is to explore if palliative care nurses experience an emotional impact from the utilization of continuous deep sedation on terminally ill patients in the United Kingdom. Design: An interpretative phenomenological analysis approach has been used for this study. Method: Semi-structured interviews with 10 palliative care nurses who have provided continuous deep sedation to a patient in the past, who work at the chosen location for the study, an NHS Hospice in Edinburgh, United Kingdom. Interviews will be recorded, and transcribed giving participants consent. To analyze collected data, an interpretative phenomenological analysis approach will be used. Relevance to nursing theory and practice: The emotional well-being of healthcare professionals is extremely important for them as a person and for their ability to care for patients. This study may provide insight into if or how palliative sedation may impact the emotional health of nurses who are involved in this practice. Depending on the findings, strategies and measures may be developed in this area of care, to support nurse's emotional health, therefore impacting and improving person-centred care practice.Item “What are nurses’ experiences, knowledge, views, values, and beliefs on self-administration of insulin in hospital?”(2021)Abstract Aim: The aim of this study is to explore nurses experience, knowledge, views, values, and beliefs of the self-administration of insulin in a general medical ward. Background: The United Kingdom has the highest rate of Type One Diabetes (T1) with approximately 400,000 people currently living with the condition. Individuals who have a long-term condition such as diabetes become experts in managing their condition and in the aim to provide true person-centred care to these individuals their knowledge and skills should be valued and used. The literature review aimed to identify relevant literature in relation to individual’s management of diabetes in their daily life, healthcare staff knowledge and management of type one diabetes and current practice of insulin administration for inpatients. Design: Qualitative exploratory descriptive study. Method: The study will be carried out in a small teaching hospital located in Scotland within NHS Lothian. The study will consist of semi-structured interviews on a one-to-one basis with 15 registered nurses who have experience of caring for patients who have insulin dependent diabetes. With the consent of the nurse the interview will be voice recorded and later transcribed using a thematic approach. Conclusion and Implications for practice: Patient safety is paramount when administering insulin and caring for individuals who have insulin dependent diabetes. There needs to be more research done into nursing knowledge and understanding of this topic. Further development and implementation of training and guidelines should be given to healthcare staff to improve patient safety. Tools and guidelines should be made readily available to guide and support nurses and healthcare staff to adopt a person-centred approach to diabetes care and management through shared decision making.Item What are the experiences and factors influencing nurses who deliver care to women undergoing medical abortion in a Scottish gynaecological ward?(2021)Background Abortion has been a worldwide controversial topic for some time. As abortion procedures demand more of nurses, it is important to understand whether nurses are prepared to address the emotions, conflict, psychological affect and the accompanying issues of loss and death, both within themselves and women (Yang et al. 2015). It is also essential to research nurses’ attitudes towards abortion in order to determine if these attitudes might facilitate or restrict women’s access to abortion services (Mokgethi et al. 2006). Through a literature review, the findings suggest many factors influencing the care given to women undergoing abortion, and the psychological support that is needed for these nurses to function well within this role. Aims The research question that aims to add to this existing body of research is; ‘What are the experiences and factors influencing nurses who deliver care to women undergoing medical abortion in a gynaecological ward?’. The aims of this study are: (1) To explore the experiences and factors influencing nurses delivering care to women undergoing abortion in a gynaecological ward, (2) To gain insight into participants views of the psychological support they receive and if this can be improved, (3) To make recommendations to managers to assist with workforce development. This is an interpretive phenomenological study. Data collection This study will take place in a gynaecological ward over three months, to better understand the experiences of eight nurses using semi-structured interviews. Data analysis Stages will be followed to analyse data through interpretive phenomenological analysis. Interpretations, similarities and differences will be recorded from the responses. Findings will then be looked against the Person-centred Framework, to help make any suggestions for how woman-centred care and psychological support for nurses can be enhanced. Conclusion This woman-centred research will provide an awareness of the current culture that may be influencing how care is being delivered to women undergoing abortion, further providing relevant insights and ideas to improve the delivered care. Furthermore, nurses can form a balance between their own sense of values and their professional capabilities, relating to the prerequisites section of the Person centred Framework, leading to an improved standard of woman-centred care (McCormack and McCance 2016).Item What are Persons’ with Post-stroke Aphasia Experiences of Communicating with Nursing Staff?(2021)Background: People with post-stroke aphasia struggle with comprehension and expression of both spoken and written text. Poor communication often results in poor health outcomes which stresses the importance of effective communication between nursing staff and people with aphasia. People with aphasia are often excluded from research due to their communication difficulties resulting in this population being under-represented in research. Aim: The aim of this study is to gain an insight into the experiences of people with aphasia when communicating with nursing staff in hospital. Methods: Using an interpretive phenomenological approach, seven semi-structured interviews will be carried out to understand the unique experiences of people with aphasia. Careful consideration has been taken to facilitate a comfortable environment for participants with aphasia including aphasia-friendly written documents, an interview plan detailing the communicating needs of each individual and the use of creative communication aids throughout interviews. Implications for nursing practice: The findings of this study hope to influence nurses’ attitudes and promote a more person-centred approach when caring for people with aphasia. This study hopes to contribute to an area in which there is little nursing research and help build a better understanding of the needs of people with aphasia.Item Exploring families’ experiences of reduced face-to-face interaction during the COVID-19 pandemic in hospice settings(2021)LITERATURE REVIEW: A narrative literature review was conducted to identify current knowledge of the impact of COVID-19 on the communication between staff and families surrounding palliative care. Themes generated included the reduction in face-to-face interactions, the increased use of telehealth and the additional pressures of a pandemic. The most resonate theme and notable impact of COVID-19 on communication between staff and families, was caused by reduced face-to-face interactions. Literature included, largely concerned the experiences and opinion of healthcare professionals with the experiences of patients and families reported as proxy. Therefore, a gap in knowledge regarding the experiences of families was identified. AIMS: The proposed research aims to explore families’ experiences of reduced face-to-face interactions occurring during the COVID-19 pandemic in a palliative context and in hospice settings. PROPOSAL: The proposed research will utilise an interpretivist paradigm and adhere to a personcentred practice framework to provide underpinning ontological and epistemological assumptions. Interpretive phenomenological analysis (IPA) will be used to explore participants’ lived experiences and inform decision making regarding methodology, methods and analysis. The rigour of IPA in the context of this proposal shall also be investigated. DISCUSSION: The nature of the proposed research context of palliative care and family experience may generate sensitive ethical considerations which will be discussed and deliberated. Possible practical and methodological limitations will be also examined. It is reasoned that this proposal may provide participating families, the opportunity to express their thoughts and feelings and that findings may be used to inform future research and prospective improvement of palliative care practice.Item “Exploring post resuscitation debriefing practices in acute hospital settings”.(2021)Background Current resuscitation guidelines outline the importance of engagement in post resuscitation debriefings to promote learning and practice improvement (Resuscitation Council UK 2015; European Resuscitation Council 2020). However, it is recognised that often formal debriefings do not occur following resuscitation events in the UK (Resuscitation Council UK 2020). This study aims to further explore post resuscitation debriefing practices in acute hospital settings. Literature review The literature review focussed on “Exploring the influence of debriefing on healthcare professionals’ non-technical skills and team performance in resuscitation management”. Overall, it identified that effective post resuscitation debriefing can improve non-technical skills and team performance, however barriers are identified which influence the effectiveness of this process. Further, a gap in the evidence is evident as limited research evidence is available which explores nursing specific experiences of post resuscitation debriefings. Research Proposal The research proposal aims to address this gap by exploring “Nurses’ experiences of post resuscitation debriefings in acute settings”. The overarching aim of this study is to gain an understanding of nurses’ experiences of cardiopulmonary resuscitations, specifically, post resuscitation debriefings in acute areas. Methods This study will utilise a descriptive phenomenological approach. Ten individual audio recorded semi-structured interviews will be conducted with participants gathered through purposive sampling who meet eligibility criteria. Interviews and field notes will be analysed using a rigorous seven step descriptive phenomenological method (Colaizzi 1978). Conclusion This study will recognise and present the lived experiences and voices of nursing staff involved in resuscitation management. Findings from this study could be used to enhance post resuscitation debriefing practices, with the potential to improve performances in future resuscitation events thus maximising patient outcomes.Item Exploring the views and experiences of nursing care from the perspective of persons with obesity. A proposal for a research study influenced by phenomenology.(2021)Objective: The aim of this research study is to gain insight into the experience of nursing care from the perspective of persons with obesity. The affective elements and influential impact of nurses’ attitudes are considered.of high-quality person-centred care. Further implications for nursing research and educationare discussed throughout the study. Background: In Scotland, over 65 percent of the population are deemed overweight or obese (Scottish Government 2020). Considering this figure and health conditions associated with obesity such as type two diabetes mellitus and cardiovascular disease, people with obesity are frequently admitted as patients to healthcare settings. As nurses, it is important to be prepared to provide high-quality holistic care to all patients and recognise ones’ own biases and preconceptions surrounding obesity. Both empirical and anecdotal evidence have shown the implications faced by patients with obesity on account of nurses’ attitudes and behaviours (Alberga et al. 2016). Nursing professionals are expected to meet high standards of care set out by the Nursing and Midwifery Council (2018). However, the lack of education, training and support related to obesity has seen a downfall effect in the provision of care towards patients with obesity. This critical review will explore the attitudes, behaviours and perceptions of both nursing staff and patients with obesity to enable a more comprehensive understanding of this phenomenon. Literature review findings: Three reoccurring themes emerged from the analysis of the review: (1) Impact of obesity stigma on healthcare connections (2) Weight bias attitudes among nurses (3) Lack of support for students and practicing nurses. These themes were analysed in the review discussing the effect they had on the experience of nursing care from the patients’ perspective. These findings informed the development of the proposed research design Design: An interpretive phenomenological study will be utilised to explore the experience of nursing care from the perspective of persons with obesity. Methods: Semi-structured interviews will be conducted with 12 participants who are being cared for in an acute secondary setting in a major hospital in Edinburgh. Gaining consent from the participants, interviews will be audio-recorded and transcribed verbatim. Data analysis will be undertaken using the interpretive phenomenological analysis stages. Potential implications for practice: It is hoped this study will gain a better understanding for the challenges faced by nurses when caring for patients with obesity. It may lead to research i indicating further delivery of support and education, allowing professionals to acknowledge preconceptions and biases which hinder the provision of high-quality person-centred care. Further implications for nursing research and education are discussed throughout the study.