TWU Thesis Collection

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Nurse Manager Perspectives about Internationally Educated Nurses (IENs) and Hiring Practices in Long-Term Care
Title:
Contributor:
Katrina M Haynes (author), Barbara Astle (thesis supervisor), Margery Hawkins (second reader), Sheryl Reimer-Kirkham (third reader), Trinity Western University SGS (Degree granting institution)
Abstract:
Internationally Educated Nurses (IENs) are an integral part of Canada’s workforce. In a qualitative study, seven Nurse Managers from long-term care facilities in British Columbia were interviewed about their perceptions and experiences with IENs, and how these influenced their hiring practices. Three themes emerged: Acknowledging the Complexities, Finding the “Right Fit”, and Navigating Differences. Conclusions were that Nurse Managers: 1) Compared IENs to newly graduated nurses, 2) Generally preferred hiring Canadian educated nurses over IENs, 3) Perceived IENs as being ready to practice, but failed to acknowledge their nursing education and experience, 4) Perceived IENs as a homogenous group, 5) Preferred hiring IENs with positive attitudes, clear communication skills, and Canadian nursing experience, 6) Were unware of current licensing guidelines, 7) Used no established hiring guidelines, and 8) Possessed a positive ‘gut feeling” about new hires. Recommendations for nursing education, management, and research are made based on these conclusions.
Discipline/Stream:
Publication Year:
2017
Nurses Perceptions of Supervisory Leadership for Patient Safety: A Narrative Synthesis
Title:
Contributor:
Kathleen E.A. Samoil (author), Faith Richardson (second reader), Sheryl Reimer-Kirkham (second reader), Kris Gustavson (third reader), Trinity Western University SGS (Degree granting institution), Richard Sawatzky (thesis supervisor)
Abstract:
This thesis addressed whether trends could be found in studies that used questionnaires to ascertain nurses’ perceptions of supervisory leadership for safety in the context of patient safety culture. Thirty-five studies were analyzed. They used the Hospital Survey on Patient Safety Culture, Safety Attitudes Questionnaire, Safety Climate Survey, Survey on Safety in Nursing Homes, RN4CAST. One study used qualitative interviews. The result was that patient safety culture assessments should be interpreted relative to the context in which they are conducted. Results are not generalizable and trends among the studies could not be identified. Participants’ culture, workplace culture and geographic location were found to be important influences. It was also found to be important to reassess at intervals and examine the results in the context of the workplace at the time of each assessment. There is benefit to combining qualitative and quantitative methods to assess patient safety culture.
Discipline/Stream:
Publication Year:
2017
Nurses’ perception of workaround use
Title:
Contributor:
Casandra E. Jordan (author), Richard Sawatzky (thesis supervisor), Darlaine Jantzen (second reader), Lynn Musto (external examiner), Trinity Western University SGS (Degree granting institution)
Abstract:
Workarounds are prevalent within the healthcare community, particularly in frontline nursing care. It has only been recent that the study of workarounds and their impact has emerged within healthcare literature. This interpretive description study was designed to investigate how nurses perceive workarounds, what they think about before, during and after the process, and what patient, environmental, and personal factors they consider during a workaround. Seven participants, including both Registered Nurses and Licenced Practical Nurses participated in interviews. Five themes were identified through qualitative analysis of the interviews highlighting emotional, mental and the professional impact of workarounds for nurses and their patients. The Implications to nursing practice include the value of nurses in creating frontline procedures, the responsibility of nurses to provide, the potential of current workarounds to produce practice based evidence and the need for nurses to be aware of the emotional and mental health risks of workaround use.
Discipline/Stream:
Publication Year:
2015
On moral objectivity : can there be objective moral evaluation without invoking the existence of “queer” ontological properties?
Title:
Contributor:
Esther J. Devries (author), Phillip Wiebe (thesis supervisor), Robert Doede (second reader), Myron Penner (third reader), Trinity Western University SGS (Degree granting institution)
Abstract:
J.L Mackie, defender of the moral-error-theory, argues that to claim the existence of objective moral facts implies moral properties with inbuilt "to-be-pursuedness" - they would have to be intrinsically motivational. Since we do not know of the existence of any such properties, he argues that moral facts are "queer" things. I examine the positions of moral realists and anti-realists pointing out that it seems that one must either assert the existence of "queer" moral properties, or reject the truth functionality of categorical imperatives. After exploring the thought of Hilary Putnam and Emmanuel Levinas, I suggest an alternative explanation of the human moral experience that is free of "queer" moral properties. In this way, I believe to offer a more adequate explanation of human morality that defeats the false dilemma created by Mackie.
Discipline/Stream:
Publication Year:
2014
Parenting Coordination: Helping and Hindering Factors in the Resolution of Conflict in the Child's Best Interest.
Title:
Contributor:
Marianne C. Cottingham (author), Marvin J. McDonald (thesis supervisor), Bart Begalka (second reader), Jeff Chang (external examiner), Trinity Western University SGS (Degree granting institution)
Abstract:
The purpose of this qualitative study was to explore the factors in parenting coordination that helped or hindered the successful resolution of family conflict in the child’s best interests. The role of the parenting coordinator (PC) is a hybrid role that combines psychology, conflict resolution, and arbitration to help parents who remain in high conflict following separation and divorce. Using the enhanced critical incident technique (ECIT), eight PCs from the British Columbia Parenting Coordinator Roster Society (BCPCRS) were interviewed. The results covered a wide range of aspects of parenting coordination including PCs process for resolving conflict, and the context and dynamics in which PCs conduct their work. This is the first study on parenting coordination in British Columbia; the findings contribute to a greater understanding of the role for both professionals and the public.
Discipline/Stream:
Publication Year:
2018
Patient Volunteers' Perspectives on Fostering Patient-Centred Care Through Interprofessional Education
Title:
Contributor:
Tracy R. Barra-Navratil (author), Sheryl Reimer-Kirkham (thesis supervisor), Landa Terblanche (second reader), Trinity Western University SGS (Degree granting institution), Betty Jean Tucker (third reader)
Abstract:
This qualitative study explores Patient Voices Network (PVN) volunteers’ perspectives on patient-centred care (PCC) through their involvement in Fraser Health’s Acute Care Orientation (ACO), an Interprofessional Education (IPE) setting. Four objectives were addressed including their meaning of PCC and what has shaped this meaning, what motivates the PVN volunteers to participate and share their experiences in ACO, how they view their role in IPE in ACO, and their recommendations regarding PCC and IPE. The participants’ illness experiences shaped their roles as both patient and patient volunteer and were the catalyst that propelled them to volunteer in the health care system. Factors that led to or hindered the patient voice were identified by participants and included health care provider behaviours, partnership, information sharing, communication, and system influences that promote patient-centred cultures. Characteristics of the participants contributed to both the role of the patient and the patient volunteer and their illness experiences.
Discipline/Stream:
Publication Year:
2019
Pedagogical practice in mainstream university literature courses with generation 1.5 and international ESL participants
Title:
Contributor:
Nathan Kielstra (author), William Acton (thesis supervisor), Brian Teaman (second reader), Trinity Western University SGS (Degree granting institution), James Stalker (external examiner)
Abstract:
The following mixed-methods study explored the pedagogical practices of mainstream instructors in literature classes with NNS participants at a university in British Columbia. The inclusion of NNS students in these courses presents challenges due to various educational differences as compared with NS peers. This often necessitates changes in the teaching practices of instructors who might have little experience or training in the instruction of NNS students. Participants included three instructors, 33 NS students and 17 NNS students. Results indicated that each instructor employed different types of instruction in their class, including practices implemented specifically for their NNS learners which appeared dependent on experience or the number of NNS participants. Learner perception of these practices varied, with international ESL, Generation 1.5, and NS students all exhibiting preferences unique to their groups. This suggests that university instructors are active in making pedagogical adjustments in classrooms inclusive of students with diverse language abilities.
Discipline/Stream:
Publication Year:
2011
Peer influence and non-suicidal self-injury in adolescence : exploring the role of co-rumination
Title:
Contributor:
Sarah Lloyd (author), Joan Kimball (thesis supervisor), Derrick Klaassen (thesis supervisor), Jennifer Muehlenkamp (external examiner), Trinity Western University SGS (Degree granting institution)
Abstract:
The main purpose of this study was to investigate the relationship between co-rumination and non-suicidal self-injury (NSSI) in a community sample of adolescents. Analysis of the data from 92 adolescent self-injurers, 51 female and 41 male, indicated that there was a significant, positive correlation of small effect size between adolescents’ level of co-rumination and their frequency of self-injury in the past year. When genders were examined separately, this positive correlation of small effect size remained significant solely for male participants. Contrary to expectations, co-rumination failed to moderate the relationship between depression and NSSI frequency, and stressful life events failed to moderate the relationship between co-rumination and NSSI frequency. Results from further post-hoc analyses and related research on peer socialization suggest possible reasons for these results and future research avenues. The strengths, contributions, and clinical implications of this study are also discussed.
Discipline/Stream:
Publication Year:
2014
The Perspectives of Canadian Nurse Entrepreneurs and Related Policy Implications: An Interpretive Description Study
Title:
Contributor:
Brenda L. Smith (author), Sheryl Reimer-Kirkham (thesis supervisor), Sarah Stahlke Wall (second reader), Lynn Musto (third reader), Trinity Western University SGS (Degree granting institution)
Abstract:
Nursing entrepreneurship presents as a viable and innovative approach for nursing practice while contributing to health system transformation. And yet, in countries such as Canada where universal health care funding has most nurses working as employees for state-funded health service providers, few nurses are self-employed. This qualitative study acquired the perspectives of eleven practicing Canadian nurse entrepreneurs from across Canada, and six Canadian nurse leaders with respect to current nursing practice, contexts, and issues that serve to inform and guide the development of national and provincial/territorial policies that support nursing entrepreneurship. Three categorical themes were identified: Going alone versus going along; Resistance outside of convention; and, Nursing entrepreneurship: Outcomes and opportunities. The overall findings highlight a resistance-resilience dialectic for nurse entrepreneurs, the outcome of which sees them advancing nursing practice and health system reform. Meso and macro level policy recommendations that aim to support nursing enterprise within Canada are discussed.
Discipline/Stream:
Publication Year:
2017
The post-expectant period : how expectations and embodiment shape the postpartum period for first-time Canadian fathers
Title:
Contributor:
Susan L. Pater (author), Sheryl Reimer-Kirkham (thesis supervisor), Reina Van Lagen (second reader), Wendy Hall (third reader), Trinity Western University SGS (Degree granting institution)
Abstract:
In this qualitative study, ten first-time Canadian fathers were interviewed from six cities in two provinces about their perceptions and experiences during the postpartum period. All study participants recently had their first child born to them. The continued bearing of expectations into the period following the birth of their child affirmed the overarching theme of the postpartum period as the post-expectant period. The three categorical themes related expectations about fatherhood to the infant, gendered norms, and healthcare services. The findings highlight the potential impact of healthcare and government policies to support fathers during their transition into fatherhood. It is of the essence that nurses' understanding of paternal experiences throughout the transition to fatherhood be expanded to provide appropriate services and to better meet the needs of fathers and, in turn, their families.
Discipline/Stream:
Publication Year:
2015
Potential sectarian variants in Psalm 119 of 11Q5 : a further investigation in response to Eugene Ulrich’s “The absence of sectarian variants in the Dead Sea Scrolls”
Title:
Contributor:
Jeffrey Spence (author), Martin Abegg (thesis supervisor), Peter Flint (second reader), Trinity Western University SGS (Degree granting institution)
Abstract:
This essay examines the portions of 11Q5 (Great Psalms Scroll) that correspond to Psalm 119 and compares them as variants from MT (as representative of Proto-MT, discussed within) with the intention to test Eugene Ulrich's absolute statement that there are no "sectarian variants" in the biblical Dead Sea Scrolls. It employs a comprehensive survey of the variants in its search for theologically motivated variation, which it then tests against theological themes as found in 1QS and more general theological themes of broader Second Temple Judaism. As a secondary endeavor, it more clearly defines Ulrich's apparent understanding of what the term "sectarian variant" signifies and seeks to draw attention to the practice of assuming against sectarian variation until proven otherwise; it argues for a more balanced approach of "no designation without scholarly evidence." The essay includes extensive charts of the variants, divided into "variant types" for ease of reference.
Discipline/Stream:
Publication Year:
2013
Predicting the length of stay in older adults undergoing transapical transcatheter aortic valve implantation
Title:
Contributor:
Sharon Rong Wang (author), Richard Sawatzky (thesis supervisor), Sandra Lauck (thesis supervisor), Jennifer Gibson (third reader), Trinity Western University SGS (Degree granting institution)
Abstract:
The predictors of the length of hospital stay (LOS) in older adults undergoing the transapical transcatheter aortic valve implantation (TA TAVI) remained under-explored. The objective of this study was to identify patient’s individual characteristics, TA TAVI procedural details, and relevant post-procedure factors that were predictive of LOS after TA TAVI. A retrospective review of 128 consecutive medical charts was conducted, and 62 potential predictor variables were analyzed by utilizing various statistical analyses. This study identified five individual characteristics, procedural details, and post-procedure factors that were statistically significantly associated with the LOS following TA TAVI. Its findings may alert nurses to heed the implications of these predictors in TA TAVI patients and initiate nursing interventions to reduce the risk of prolonged LOS related complications. Future studies are recommended to confirm these findings and the effects of other potential predictors.
Discipline/Stream:
Publication Year:
2015

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