Theses and Dissertations at Montana State University (MSU)
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Item Nurses' perception and assumption of responsibility for teaching minor surgical patients(Montana State University - Bozeman, College of Professional Schools, 1971) Dowell, Mary SusanItem The effect of a self-evaluation tool on the nurse's motivation to improve her patient care(Montana State University - Bozeman, College of Professional Schools, 1970) Olson, Roberta JohnsonItem An exploratory study of the effectiveness of patient-centered nursing care on the difficult behavior of hospitalized patients(Montana State University - Bozeman, College of Professional Schools, 1969) Fenski, Mary LouiseItem A survey of the use of nursing histories in Montana hospitals(Montana State University - Bozeman, College of Professional Schools, 1971) McClun, Helen Constance McCallisterItem A comparative study of attitudes towards dying patients(Montana State University - Bozeman, College of Professional Schools, 1971) Lukens, Loretta Mary MassmanItem A clinical study to test a nursing care approach designed to promote sleep(Montana State University - Bozeman, College of Professional Schools, 1971) Koehler, Vonna Lee WebbItem The isolated student : identification of the isolate and an assessment of this isolation in relation to the amount of time employed in patient interaction(Montana State University - Bozeman, College of Professional Schools, 1968) Kiolet, Margaret EllenItem Improvement of sexual assault nurse examiner services at a community hospital(Montana State University - Bozeman, College of Nursing, 2016) Osterloth, Katharine Amelia Louise; Chairperson, Graduate Committee: Elizabeth S. KinionSexual violence affects a large portion of the population, and impacts survivor's short-term and long-term mental and physical health. Negative healthcare experiences following an assault may increase the person's trauma. The purpose of the Sexual Assault Nurse Examiner (SANE) is to assure that patients reporting sexual assault receive timely, competent and compassionate care by a trained individual. SANE programs can be difficult to fund and retention of Nurse Examiners is difficult. At a community hospital in a rural state, a SANE performed a microsystem assessment. Using servant leadership, the SANE advocated to improve services to patients reporting sexual assault and gained support from administration and the community.Item Psychiatric mental health nurses' perspectives on professional boundaries(Montana State University - Bozeman, College of Nursing, 2015) Becker, Robin Catherine; Chairperson, Graduate Committee: M. Jean Shreffler-GrantThe therapeutic nurse-patient relationship is essential to psychiatric mental health nursing practice. Psychiatric mental health nurses must develop and maintain a positive therapeutic relationship with patients while upholding professional boundaries. The definition of professional boundaries is elusive and leaves much room for interpretation. Lack of a clear definition can impair nurses' knowledge and understanding of professional boundaries, which can lead to potential boundary violations. Currently literature does not represent the subjective definitions individual psychiatric mental health nurses have regarding professional boundaries. The purpose of this study was to explore the definitions of professional boundaries from the perspectives of psychiatric mental health nurses. All participants had a current registered nursing license, were currently employed at the sample hospital, and provided informed consent for participation. To address this purpose, answers to the following research questions were sought: 1) How do psychiatric mental health nurses define professional boundaries, 2) How does the psychiatric mental health nurse's definition of professional boundaries affect her or his practice, and 3) What challenges do psychiatric mental health nurses face in maintaining professional boundaries. To answer the research questions, a sample of seven psychiatric mental health nurses who practice at a hospital in Montana were interviewed using qualitative open-ended questions. Based on the participants response four themes relating to definitions of professional boundaries were identified. The themes were: (a) distinct to mental health, (b) changes throughout career, (c) relates to patient age, and (d) impact on practice. The results suggest the need for additional research on professional boundaries in a variety of psychiatric and non-psychiatric settings. The results of this study also offer many implications for future practice including regular staff training, thorough educational foundation, administrative attention to boundary violations and adequate self-care. The outcomes of this study can be used to guide psychiatric mental health nurses, nurse administrators, and healthcare organizations in promoting the therapeutic relationship while maintaining professional boundaries.Item How do nurses in critical care units assist patients and families to decrease fear and anxiety(Montana State University - Bozeman, College of Nursing, 1975) Scheer, Michael Anne