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- Title
- Bullying from Staff Nurses : The Experience of Senior Undergraduate Nursing Students during Clinical Placements
- Contributor
- Rachel M Froese (author), Landa Terblanche (thesis supervisor), Sheryl Reimer-Kirkham (second reader), Maggie Theron (third reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- The phenomenon of bullying within nursing is not new, and unfortunately nursing students are often victims. The purpose of this qualitative study was to explore the perspectives of nursing students who have been bullied by staff nurses during a clinical experience. Participants from two western Canadian universities were recruited through convenience and snowball sampling using a series of emails and by a social media poster. Data collection involved one on one semi structured interviews with six senior undergraduate nursing students. Three main themes were identified: the student experience of bullying; the intervening influence of nursing educators; and the outcome of (in)security. Recommendations included education provided to students, clinical sites and clinical instructors; clinical setting guidelines for clinical instructors; policy implementation for reporting bullying and creating clinical groups; greater communication by institutional nursing leaders with staff and clinical instructors; and further research.
- Publication Year
- 2020
- Title
- Experiences of women in early labour sent home following hospital assessment
- Contributor
- Marilyn Morson (author), Landa Terblanche (thesis supervisor), Maggie Theron (second reader), Sheryl Reimer-Kirkham (second reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- Labour and birth is a life event common to many women yet the physical process, in addition to psychological, social, and spiritual experiences, is unique to each woman. A woman under the care of a physician will come to a hospital when she believes she is in labour. If she is in active labour, the woman is admitted to hospital. If in early labour, the woman is often sent to walk within the hospital prior to reassessment as walking can contribute to progress in labour, or she is sent home. There is limited information about the phenomenon when a woman in early labour is sent home until she is admitted in active labour. Combining the elements of early labour and known possible psychosocial outcomes of birth, this qualitative study explored the experiences of women sent home in early labour within the context of one hospital site in Canada, having 4000 births annually. In-depth interviews with 10 postpartum women within 48 hours of birth yielded the data that were analyzed through a qualitative approach using interpretive description defined by Thorne, Reimer-Kirkham and MacDonald-Emes (1997), and using methods of analysis as outlined by Giorgi (2012). Themes resulting from this analysis were: Conflict between knowledge of labour symptoms and women’s initial responses; background influences and current pregnancy concerns; impact of the unspoken; experiences of pain and coping; and influence of others. Through literature integration it was concluded that all women experience an overwhelming anxiety that may empower/disempower their self-efficacy, confidence, communication with self/others and their coping. Suggestions for practice include a culture of open access to the assessment area and a focus on communication with women in early labour to better understand their individual needs and provide support to decrease anxiety and fear, increase confidence and foster empowerment.
- Publication Year
- 2013
- Title
- Responsive, Cue-Based Breastfeeding: Exploring Public Health Nurses' Perceptions
- Contributor
- Taylor-Marie C. Sonnenberg (author), Landa Terblanche (thesis supervisor), Deborah A. Gibson (second reader), Suzanne Campbell (third reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- Supporting responsive, cue-based breastfeeding (RCBBF) (i.e., baby-led) is considered best practice for promoting maternal-infant attachment and reducing an infants’ obesity risk. RCBBF recognizes the reciprocal relationship between the maternal-infant dyad. Public health nurses (PHNs) are exposed to mixed messaging and we do not know how they enact RCBBF in practice. This study used interpretive description to explore PHNs’ perceptions of RCBBF. Semi-structured interviews were conducted online. One overarching theme, bound by trust, and three sub-themes were identified: disrupted trust (informational disruption and maternal mistrust), building trust (education and responsiveness to maternal needs), and maintaining trust (varying degrees of trust). Participants’ perceptions of RCBBF were filtered through a lens of trust that could be limited or enhanced. When disrupted, trust was limited, when built, it was enhanced, and when threatened, it was maintained. These findings are significant in beginning to understand the clinical application of RCBBF, but more research is needed.
- Publication Year
- 2022
- Title
- What characteristics are keeping nurses flourishing in difficult environments: An appreciative inquiry study
- Contributor
- Laura Del Rio Torres (author), Landa Terblanche (thesis supervisor), Sheryl Reimer-Kirkham (second reader), Faith Richardson (third reader), Trinity Western University SGS (Degree granting institution)
- Discipline/Stream
- Nursing
- Abstract
- Many studies document the adversities facing nurses today. However, little research examines resiliency among nurses and their ability to flourish amidst these adversities. Using a qualitative method, this thesis aimed to address this gap by examining life-giving factors that allow nurses to be resilient and flourish in unhealthy environments. Using appreciative inquiry methodology, nine nurses working in British Columbia were interviewed. These interviews focused on their positive perspectives and experiences to identify life-giving factors influencing resiliency. Six themes were identified in the development of resiliency: personal life; a sense of purpose/calling; intrinsic characteristics; education and career opportunity; workplace culture, and reflection and self awareness. Resiliency can exist even if all six themes are not present; however, in order to flourish all six themes must be in a healthy state. This thesis provides practical wisdom that can be applied to all areas of nursing in order to promote resiliency and flourishing.
- Publication Year
- 2019