Search results
Search Results
Displaying (1 - 4 of 4)
- Title
- Lessons from the red nose : what nurses can learn from therapeutic clowns
- Contributor
- Sandra Graham (author), Sonya Grypma (thesis supervisor), Landa Terblanche (second reader), Joan Boyce (third reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- In this qualitative study, seven participants from two volunteer therapeutic clown troupes were interviewed about their experiences in order to discover how clowns and clowning techniques can inform nursing practice, specifically in the art of relationship. Clowning emerged as a complex art, combining the visual elements of the costume, make-up and props with ubiquitous humour, laced with sensitivity and compassion. Participants described having a vocation for clowning, with intrinsic motivation and passion. They articulated how their clown costumes and personas provided emotional shielding, giving them protection from – while also allowing entrance into – emotionally difficult situations. They also used judicious humour, intuiting when, where and how best to use humour in myriad patient situations in a way that brought relief to patients and families. Insights from clowning can help nurses to expand their relational art: In patient settings, when used judiciously, there may be no place where humour is off limits.
- Publication Year
- 2015
- Title
- Patient Volunteers' Perspectives on Fostering Patient-Centred Care Through Interprofessional Education
- 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)
- Discipline/Stream
- Nursing
- 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.
- Publication Year
- 2019
- Title
- Promoting functional status of older adults in the emergency department : exploring nurses’ perceptions of care
- Contributor
- Mary Ostrowski (author), Faith Richardson (thesis supervisor), Landa Terblanche (second reader), Corina Vogt (third reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- Older adults presenting to the Emergency Department (ED) are at risk for functional decline. Registered Nurses (RNs) in the ED are challenged to optimize the functional status of older adults in a dynamic practice environment with conflicting priorities and system demands. This interpretive descriptive qualitative study used elements of action research and visual methods to explore ED nurses’ perceptions of care on promoting the functional status of older adults in the ED. Eleven purposefully selected ED RNs completed a questionnaire and participated in up to three focus groups. Study results suggest that improving the ED nurses’ ability to promote the functional status of older adults in the ED can improve the wellbeing of older adults and ease nurses’ moral distress. From a cost and quality of life perspective, the vulnerability of older adults toward functional decline and the vulnerability of ED nurses toward moral distress must be recognized and addressed.
- Publication Year
- 2015
- Title
- Relational dimensions of perinatal bereavement : an actionproject investigation of joint grieving in bereaved parents
- Contributor
- Scott Gallagher (author), Derrick Klaassen (thesis supervisor), Landa Terblanche (second reader), José Domene (external examiner), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Counselling Psychology
- Abstract
- This study explored the relational dimensions of perinatal grieving. Three perinatally bereaved couples each participated in one interview, as well as a follow-up member check interview. The research question for this study was, “how do bereaved parents grieve jointly following perinatal loss?” Data were collected using the qualitative action-project method, and participants were asked how they grieved together for their deceased baby. Joint grieving processes were identified at couples’ initial interviews, and then, following preliminary analyses, were presented back to the couples during the member check interviews for confirmation and alteration. The data analysis followed the protocols set forth in the action-project and instrumental case study methods, combining all data collected from both sets of interviews. Within-case analyses revealed intentional frameworks for each of the couples joint grieving projects, including: (1) Marveling at God’s presence in the midst of loss and the endurance of grace, respect, and togetherness in marriage, (2) Finding each other in the midst of grieving differences to celebrate and honour the sanctity of life, and (3) Coming back into life to find joy and new responsibilities while continuing to mark and honour the existence of the deceased. Joint grieving involved several commonalities between the couples, including re-learning the uniqueness of one another through grieving, interspersing grief within ongoing faith careers, using the safety of the relationship to express painful thoughts and feelings, oscillations between hope and pain, and the ongoing nature of grieving rituals as joint actions. The findings of this study support the application of broader theoretical models of bereavement to the unique context of perinatal loss, as well as emerging constructivist models of perinatal bereavement. The findings also demonstrate the relevance of relational dimensions of grieving for future empirical and clinical developments in the area of perinatal bereavement.
- Publication Year
- 2013