School of Nursing

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https://hdl.handle.net/2440/84545
This collection contains Honours, Masters and Ph.D by coursework theses from University of Adelaide postgraduate students within the School of Nursing. The material has been approved as making a significant contribution to knowledge.

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Browsing School of Nursing by Advisors "Perry, Josephine"

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    A difficult path to walk: Critical Care Nurses’ lived experience of crucial conversations: perspectives from one Australian team
    (2017) Besic, Nihada; Perry, Josephine; Millington, Sindy; School of Nursing
    This practice inquiry reports the lived experience of Crucial Conversations by a small group of critical care nurses in a South Australian quaternary hospital’s critical care unit. Crucial Conversations are high stakes, highly emotional dialogues, where opinions and understanding greatly differ. Executed well, these discourses result in increased collaboration, meaningful solutions to challenging issues and improved team performance. Literature reveals other systems in place for quality improvements in unit performance that include TeamSTEPPS and Safety Learning System (SLS) reporting, however, the unique conflict resolution strategies with reflective events has not been adequately covered. Crucial Conversations are one form of a structured resolution process, which addresses this gap. Research regarding the lived experience of Crucial Conversations is an important piece missing from the literature. Using van Manen’s hermeneutic phenomenological methods, ‘Too hot to handle’, ‘Anticipatory responding’ and ‘Moving from who is right to what is right’ emerged as themes of the critical care nurses’ lived experience of Crucial Conversations. The inquiry findings give complementary views to previous research, add to the body of knowledge related to Crucial Conversations and bring attention to the importance of improving professional relationships on all levels. The study findings lend themselves to a process of implementing Crucial Conversations into the critical care setting. The value of this research lies in the implementation of multidisciplinary strategies for effective ongoing working relationships.
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    ItemOpen Access
    Factors for perioperative nurse retention: an inquiry into the lived experience of perioperative nurses.
    (2013) Mewett, Sharon Ann; Perry, Josephine; Kitson, Alison Lydia; School of Nursing
    Background: Current literature concludes that a global nursing shortage has a profound impact on the workplace, consumers of healthcare, on recruitment, professional development, job satisfaction and retention. In Australia, as in worldwide, the specialty of perioperative nursing has been identified as one of the key areas suffering these issues. Objective: The purpose of this study was to investigate nurse recruitment, retention and job satisfaction within the specialty of perioperative nursing. Method: A total of 8 registered nurses (RN’s) currently practicing in the perioperative field, located at an outer metropolitan healthcare facility, participated in the study. The design that was used for the study was an interpretive hermeneutic phenomenological method that was informed by van Manen (1990). Instruments with auditable reliability and validity were used for data collection. The sample’s characteristics reported in this thesis, were similar to the demographic characteristics described in recent Australian Institute of Health and Welfare reports and were of sufficient scale and scope to provide a reliable and thorough picture of the phenomena of recruitment, job satisfaction and retention among perioperative nurses. Results: Through taped interviews and subsequent analysis to detect patterns and themes, the study findings demonstrated that South Australian perioperative nurses are experiencing moderate to high levels of dissatisfaction in the workplace. Furthermore, many of the participants’ additional comments locate the major source of their dissatisfaction as organisational and professional issues. Findings also indicated an intention to remain working in nursing and in particular the perioperative specialty, only in regards to the proximity of work to home and general convenience. Conclusions: The results of this study provide an interpretive description of, and some personal perspectives of SA perioperative nurses’ current job satisfaction and their intention to leave the specialty. These findings have ramifications for management in the development of strategies aimed at improving the job satisfaction, and ultimately the retention of nurses within the specialty of perioperative nursing.