Master of Science in Nursing (MS)
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Item The Impact of a Videotaped Educational Tool on Medical Directive Choices(Nursing Department, The University of Tampa, 1999-07-29) Bonnie A., RiceAgreement on the appropriateness of the use of medical technology should be the standard for healthcare providers and consumers. An inventory and dialogue regarding end-of-life decisions between providers and consumers prior to the onset of illness avoids the potential for confusion and prevents compromised care. This quantitative experimental study collected data regarding the impact of a videotaped teaching tool describing commonly used critical care interventions on a medical directive. The term medical directive describes an advance directive document with specific interventional preferences linked with potential patient outcomes. The educational packets were divided into experimental and control. The control packet contained a trifold with the medical directive, a letter of introduction, a demographic data questionnaire, a teaching brochure, and informed consent. The experimental packet also contained the educational videotape in addition to the other documents. 811 packets were distributed in the Tampa Bay/St. Petersburg area. 175 medical directives were returned (93 experimental & 72 control). The hypothesis tested was that the number of negative responses will be higher in the experimental group when predicted outcomes are poorer. The null hypothesis stated that the percentages of yes and no answers would be equal between the control and experimental groups. The overall differences in the percentages of affirmative answers in recovery scenario #1 and #2 (no disability and minor disability) revealed no statistical significance (p=0.738 & p=0.408 respectively). There were statistically significant differences (both p=<0.001) between the control and experimental groups in recovery scenarios #3 and #4 (mod. disability and severe disability). This places the differences in responses in direct relationship to the potential outcomes. The most desired intervention in both control and experimental groups was antibiotics, and the least desired was endotracheal intubation. CPR was also consistently listed as more desirable in the control group than the experimental group. These data suggest additional education regarding critical care interventions may result in more informed decision-making.Item Role Strain and Job Satisfaction in Registered Nurses(Nursing Department, The University of Tampa, 1996-06-27) Schmidt, Lee Alan; Patricia Schultz, RN, EdDThis study investigated role strain as an extra-work correlate of job satisfaction in the registered nurse population. Prior investigations of job satisfaction in registered nurses have limited the focus of inquiry to factors within the work environment or the context of the job itself This study moved beyond these environmental and contextual factors and examined the relationship between the strain produced by occupation of multiple roles and global job satisfaction. For this inquiry, role strain was conceptualized as a subjective response of tension or frustration which occurred when role demands conflicted. Global job satisfaction was defined as an overall evaluation of the job itself, processed through individual norms, values, and expectations. Ninety eight randomly selected registered nurses participated in the study. Respondents completed a mailed survey which assessed role strain, global job satisfaction, the number and type of roles occupied, the percentage of time spent in these roles, and their perceived satisfaction with performance in roles. Demographic information related to this study and the population of registered nurses in general was also collected. Findings noted significant, inverse relationships between role strain and global job satisfaction and between role strain and self-reported satisfaction with performance in roles. A significant relationship between role strain and the number of roles occupied was also demonstrated. The relationship between role strain and the total percentage of time spent in roles was not significant. These .findings provide some support for the position that job satisfaction is not limited to the contextual elements of the work environment or work itself Rather, job satisfaction may be affected by factors outside the organizational structure. This information should be useful to administrators as they plan programs directed at enhancing the job satisfaction of registered nurses.