DOCSLIB.ORG

Differences in Nurses' Perceptions of Safety Culture, Nurse­

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Differences in Nurses' Perceptions of Safety Culture, Nurse­ DIFFERENCES IN NURSES’ PERCEPTIONS OF SAFETY CULTURE, NURSE- PHYSICIAN COLLABORATION, AND LEVEL OF JOB SATISFACTION RELATED TO THE TYPE OF OBSTETRICAL PHYSICIAN SERVICE DELIVERY MODEL UTILIZED by Olga Abiri A Dissertation Submitted to the Faculty of The Christine E. Lynn College of Nursing In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Florida Atlantic University Boca Raton, FL December 2017 Copyright by Olga Abiri 2017 ii DIFFERENCES IN NURSES' PERCEPTIONS OF SAFETY CULTURE, NURSE­ PHYSICIAN COLLABORATION, AND LEVEL OF JOB SATISFACTION RELATED TO THE TYPE OF OBSTETRICAL PHYSICIAN SERVICE DELIVERY MODEL UTILIZED by Olga Abiri This dissertation was prepared under the direction of the candidate's dissertation advisor, Dr. Rose Sherman, the Christine E. Lynn College of Nursing, and has been approved by the members of her supervisory committee. It was submitted to the faculty of the the Christine E. Lynn College of Nursing and was accepted in partial fulfillment of the requirements forthe degree of Doctor of Philosophy. SUPERVISORY COMMITTEE: t �· JO. �� Rose 0. Sherman, Ed. D. Dissertation Advisor �Ph.D. �_:s-1-m_e______...__.,/a.____�_,. _ dn,,J,.·,.1 ) 0 IJ. /J,, 1 ChristineL. Williams, D.N.Sc., R.N., Mari� ' h.D.� � P.M.H.C.N.S.- B.C. � Ph.D. ProgramDirector, Christine E. LynnCollege of Nursing "'-----=--· a�Al S • 1Wh't eman, Ph..D g;;�Marlaine Smith, Ph.D. Dean, Christine E. Lynn College ofNursi Deborah L. Floyd, Ed.D. Date Dean, Graduate College lll ACKNOWLEDGMENTS This dissertation would not be possible without the support of my dissertation committee, family, and friends. It is impossible to express in words my gratitude for the time and expertise that were provided by my committee members. I would like to acknowledge my chairperson, Dr. Sherman, for her constant encouragement and expert guidance throughout this journey. I would also like to acknowledge Dr. Longo for helping me shape my thoughts and elevate them to the level of scholarship. I am grateful for the opportunity to be mentored by Dr. Ray, whose work provided the caring-theory lens for my study. I also offer my appreciation to Dr. Whiteman for serving as an expert committee member. This accomplishment would also not have happened without the support of my parents, who instilled in me the value of education and scholarship and were present along the way. I am grateful to my husband Sagi and my daughters May, Natalie, and Arielle for understanding and accepting all the times I could not be with them. Last but not least, thanks to my dear friend Colleen Virgins for proofreading my papers, listening, and not letting me give up. iv ABSTRACT Author: Olga Abiri Title: Differences in Nurses’ Perceptions of Safety Culture, Nurse- Physician Collaboration, and Level of Job Satisfaction Related to the Type of Obstetrical Physician Service Delivery Model Utilized Institution: Florida Atlantic University Dissertation Advisor: Dr. Rose O. Sherman Degree: Doctor of Philosophy Year: 2017 Creating a safety culture is the focus in the current healthcare environment. An in- house, around-the-clock laborist service delivery model has been associated with positive outcomes, but little is known about the laborist structure’s contribution to the labor-and- delivery working environment. The purpose of this descriptive correlational study was to explore the effects of physician service delivery model on safety culture, nurse-physician collaboration, and nurses’ job satisfaction. An additional purpose was to examine associations between nurses’ perceptions of safety culture, nurse-physician collaboration, and job satisfaction. Ray’s (1981, 1989) Theory of Bureaucratic Caring and Homan’s (1974) Social Exchange Theory guided this study. A survey consisting of demographic questions, the Collaborative Practice Scale (Weiss & Davis, 1985), the Hospital Survey on Patient Safety Culture (Agency for Healthcare Research and Quality, 2015; HSOPSC), and the McCloskey and Mueller Satisfaction Scale (McCloskey & Mueller, 1990) was distributed to registered nurses (RNs) nationwide. The results indicated that v nurses in facilities using the around-the-clock model had higher perceptions of nurse- physician collaboration, but not of safety culture or job satisfaction in relation to the physician service-delivery model. Significant moderate-to-strong correlations between nurses’ perceptions of patient safety and job satisfaction, and a weak correlation between bedside nurses’ perceptions of nurse-physician collaboration and job satisfaction were demonstrated. Additional significant correlations were found between the instrument subscales. Control/responsibility in the MMSS scale was positively associated with both management support for patient safety, supervisors’ and managers’ expectations and actions promoting patient safety, and overall perceptions of safety in the HSOPSC scale. Praise and recognition in the MMSS scale were positively associated with supervisor/manager expectations and actions promoting patient safety in the HSOPSC scale. Further appraisal is needed to understand the mechanism by which the laborist model affects patient care and work environment. Recommendations for future research include replicating the study with a larger sample sizes in specific groups based on the role and scheduled shift, conducting the study in a single system or location to mitigate the effects of other variables; and exploring physicians’ perspectives on the variables being studied. vi DIFFERENCES IN NURSES’ PERCEPTIONS OF SAFETY CULTURE, NURSE- PHYSICIAN COLLABORATION, AND LEVEL OF JOB SATISFACTION RELATED TO THE TYPE OF OBSTETRICAL PHYSICIAN SERVICE DELIVERY MODEL UTILIZED List of Tables .................................................................................................................... xii CHAPTER 1: INTRODUCTION ........................................................................................1 Phenomenon of Interest ...............................................................................................1 Problem Statement .......................................................................................................3 Background .............................................................................................................5 Physician-Care Delivery Structure in Labor and Delivery .................................5 Safety Culture......................................................................................................6 Nurse-Physician-Collaboration ...........................................................................8 Nurses’ Job Satisfaction ......................................................................................9 Purpose ...........................................................................................................10 Significance ...........................................................................................................11 Link to Caring Science ..............................................................................................12 Research Questions ...................................................................................................13 Research Question 1 ..........................................................................................13 Working Hypothesis 1 ...............................................................................13 Research Question 2 ..........................................................................................13 Working Hypothesis 2 ...............................................................................13 vii Research Question 3 ..........................................................................................14 Working Hypothesis 3 ...............................................................................14 Research Question 4 ..........................................................................................14 Working Hypothesis 4 ...............................................................................14 Research Question 5 ..........................................................................................14 Working Hypothesis 5 ...............................................................................14 Research Question 6 ..........................................................................................15 Working Hypothesis 6 ...............................................................................15 Theoretical Framework .............................................................................................15 The Theory of Bureaucratic Caring ..................................................................15 The Theory of Social Exchange ........................................................................19 Theoretical Propositions....................................................................................20 Interrelationship Between Theories and Study Variables .................................22 Definitions ...........................................................................................................22 Chapter Summary ......................................................................................................23 CHAPTER 2: LITERATURE REVIEW ...........................................................................25 Theoretical Frameworks ............................................................................................25 Literature on the Theory of Bureaucratic Caring
Load more

Recommended publications
  • 2.2016 SOGH Newsletter Exerpt
    NEWSLETTER February 2016 Edition SOGH is dedicated to enhancing the safety and quality of OB/GYN Hospital Medicine by promoting excellence through education, coordination of hospital teams, and collaboration with healthcare delivery systems. Newsletter articles and content © Society of OB/GYN Hospitalists www.societyofobgynhospitalists.org 11200 Broadway, Suite 2743 Pearland, TX 77584 E-mail: [email protected] Twitter & Instagram: @SOGHofficial SOGH Newsletter 2.2016 Practice Matters by REBECCA DUNSMOOR- SU, MD MSCE FACOG January 28, 2016 After many years in a traditional university based academic practice I transitioned to a full time obstetric hospitalist practice in 2012. I am employed by Obstetrix Medical Group as part of a larger organization that includes perinatologists, obstetric hospitalists, and advanced registered nurse practitioners. Our hospital, Swedish Medical Center (SMC), First Hill Campus, in Seattle, WA does over 7000 deliveries a year. A large proportion of these patients are cared for by community based family practitioners. Seattle is a large urban center with extensive tertiary medical services. It serves as a referral center for a large 5 state region (including Washington, Alaska, Wyoming, Idaho and Montana). In these outlying rural areas, a high proportion of the obstetric care is provided by family medicine physicians. Seattle also has a very active Certified Nurse Midwife community who provide obstetric care in free standing birthing centers and attend home births. SMC is a community teaching hospital with medical students, family practice residents, a rotating ob-gyn resident, and family practice fellows. Interestingly, SMC offers a one year family medicine fellowship program to interested family medicine physicians in cesarean delivery and more intensive obstetrics.
    [Show full text]
  • ACI's 12Th National Forum on Residential Mortgage
    ACI’s 13th Annual Forum on Obstetric Malpractice Claims June 25-26, 2014 Minimizing Exposure to Obstetric Malpractice Litigation: Implementing Preventative Measures, Reducing Risk and Managing Adverse Outcomes John F. Rodis, MD Chair, Department of Obstetrics & Gynecology Medical Director, Women & Infants Health Services Executive Vice President/Chief Operating Officer St. Francis Hospital & Medical Center Professor of Obstetrics & Gynecology University of Connecticut School of Medicine Tweeting about this conference? #Obstetric Goals/Objectives . To identify and prevent the most common adverse pregnancy outcomes leading to long term harm and litigation. To learn how to mitigate the risks when obstetric emergencies occur through patient safety/risk reduction initiatives, including team training and drills. To learn what to do when, despite your best efforts, adverse events occur. #Obstetric Medical Error: Frame of Reference Source: Philadelphia Inquirer, 2008 #Obstetric The Facts . Obstetricians saw a four-fold increase in malpractice premiums from 1975-2000. Most ob/gyns pay annual premiums of over $80K. Premiums exceeding $100,000 are common. Obstetricians rank first among all specialties for the number of claims reported. Ob/Gyn has the highest percentage of claims closed with payment…35.3% Willis. Healthtrek: Healthcare Practice. September 2008 #Obstetric The Facts (continued) . 75% of ACOG members have been sued at least once1 . 65% of practitioners have made one or more changes to their practice out of fear of litigation2 . Ob/Gyns have an average of 2.6 claims filed against them during their careers (61% are obstetrics related)2 1 Tuhus, Melinda. Women’s News. www.womensenews.org 2 www.acog.org ACOG survey conducted in 2006 #Obstetric 6 Worse States for Med Malpractice .
    [Show full text]
  • Medical Staff
    medical staff March 2015 NEWSLETTER volume 53, issue 3 From the President Inside this issue: “The single biggest problem in communication is the illusion that it has taken place.” From the President 1, 3 - George Bernard Shaw Summary of the Minutes 1-2 Outpatient Blood Transfusion 3 We are living in a new time of technologic advancement and Service is Moving change, commonly coined The Information Age. The dawn of the Information Age, also known as the Computer Age, New Board Members 4 Digital Age, or New Media Age is considered the period in human history where From the Health 5-6 our economy became based not on heavy industry or the making of things, but Science Library instead on the storage, retrieval, and sharing of data over an ever expanding global base. The premise that underlies this paradigm shift is that this inter- From Physician Informatics 6-7 connectivity and rapid access to information helps create a knowledge-based technology that has a world-wide sphere of influence on creating greater efficiency Celebrating Milestones 7 on production in both the service and manufacturing sectors. As our capacity to Save the Date 7 become interconnected continually increases, we find ourselves now communi- cating and executing data bits and information through ever more sophisticated From the Clinical 8 technological means. Yet, despite all this new found capability. I have noted that Documentation Specialists no one refers to this time as the “Communication Age.” Cerner Upgrade Training 8 Humans have a distinct need for communication. Indeed, humans in isolation Physicians Inspiring Donors: 9 don’t tend to fare well physically or mentally.
    [Show full text]
  • HIMSS Davies Enterprise Application
    HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai‘i Pacific Health Organization’s Address: 55 Merchant Street, 27th Floor, Honolulu, Hawai‘i 96813 Submitter’s Name: Melinda Ashton, M.D. Submitter’s Title: Vice President, Patient Safety and Quality Services Submitter’s E-mail: [email protected] Menu Item: Clinical Care Surveillance Executive Summary Hawai‘i Pacific Health’s electronic health record has been instrumental in the implementation of a Clinical Care Surveillance Program for the obstetrical population at Kapi‘olani Medical Center for Women & Children, an obstetric and pediatric specialty hospital performing approximately 6,000 deliveries per year. In 2009, as part of the Institute for Healthcare Improvement’s Perinatal Collaborative, a multidisciplinary team was formed to focus on improved care for patients receiving oxytocin during labor, and care related to post-partum hemorrhage. This case study demonstrates the practical application of Health Information Technology (IT) to assist clinical teams in making improvements to patient care. Significant improvements were achieved. Background Knowledge: Hawai‘i Pacific Health is an integrated healthcare system with four hospitals and 49 outpatient centers. One of the four hospitals is Kapi‘olani Medical Center for Women & Children (KMCWC), an obstetric and pediatric specialty hospital performing approximately 6,000 deliveries per year. The John A. Burns School of Medicine Department of Obstetrics & Gynecology (OB/GYN), based at KMCWC with an accredited residency program, provides the obstetric hospitalist program and offers significant leadership for improvement efforts. In 2009, as part of the Institute for Healthcare Improvement’s (IHI) Perinatal Collaborative, a multidisciplinary team was formed to focus on improvements that positively impact patient safety.
    [Show full text]
  • Management of Labor and Delivery
    Management of Labor and Delivery Editor AARON B. CAUGHEY OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA www.obgyn.theclinics.com Consulting Editor WILLIAM F. RAYBURN December 2017 • Volume 44 • Number 4 ELSEVIER 1600 John F. Kennedy Boulevard Suite 1800 Philadelphia, Pennsylvania, 19103-2899 http://www.theclinics.com OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA Volume 44, Number 4 December 2017 ISSN 0889-8545, ISBN-13: 978-0-323-55286-8 Editor: Kerry Holland Developmental Editor: Kristen Helm ª 2017 Elsevier Inc. All rights reserved. This periodical and the individual contributions contained in it are protected under copyright by Elsevier, and the follow- ing terms and conditions apply to their use: Photocopying Single photocopies of single articles may be made for personal use as allowed by national copyright laws. Permission of the Publisher and payment of a fee is required for all other photocopying, including multiple or systematic copying, copying for advertising or promotional purposes, resale, and all forms of document delivery. Special rates are available for educational institutions that wish to make photocopies for non-profit educational classroom use. For information on how to seek permission visit www.elsevier.com/permissions or call: (+44) 1865 843830 (UK)/(+1) 215 239 3804 (USA). Derivative Works Subscribers may reproduce tables of contents or prepare lists of articles including abstracts for internal circulation within their institutions. Permission of the Publisher is required for resale or distribution outside the institution. Permission of the Publisher is required for all other derivative works, including compilations and translations (please consult www.elsevier.com/permissions). Electronic Storage or Usage Permission of the Publisher is required to store or use electronically any material contained in this periodical, including any article or part of an article (please consult www.elsevier.com/permissions).
    [Show full text]
  • Innova/On in Obstetric Care
    QUICK DESIGN GUIDE Innovaon in Obstetric Care: Findings from Four Literature Reviews on Alternave Models of QUICK TIPS (--THIS SECTION DOES NOT PRINT--) (--THIS SECTION DOES NOT PRINT--) Obstetric Care Provision and Strategies for Recruitment in Underserved Areas This PowerPoint template requires basic PowerPoint This PowerPoint 2007 template produces a 36x56 inch Zoë Julian (B.S.) 1,4, Yoon-Jin Kim (B.S.)1, Ramona Rai (B.A.)4, Julia Shinnick (B.A.)1, Bridget Spelke (B.S.)1, Adrienne Zertuche (M.D., MPH)2, (version 2007 or newer) skills. Below is a list of professional poster. You can use it to create your 1,4 3 3 Roger Rochat (M.D.) , Pat Cota (R.N.) , Andrew Do (M.D., MPH) commonly asked questions specific to this template. research poster and save valuable time placing titles, 1 2 3 If you are using an older version of PowerPoint some subtitles, text, and graphics. Emory University School of Medicine, Atlanta, GA; Emory Department of Gynecology and Obstetrics, Atlanta, GA; Georgia Obstetrical and Gynecological Society, Suwanee, GA; 4 Rollins School of Public Health, Emory University, Atlanta, GA template features may not work properly. We provide a series of online tutorials that will guide Incen2ve-Based Physician Recruitment Programs Medical Educa2on and OB/GYN Maldistribu2on Perinatal Regionaliza2on and Evidenced-Based Models of Alterna2ve Prenatal you through the poster design process and answer your Template FAQs by Zoë Julian Health District Programs in Georgia by Mona Rai poster production questions. by Julia Shinnick Care (PNC)
    [Show full text]
  • A Survey of Access to Trial of Labor in California Hospitals in 2012 Mary K Barger1*, Jennifer Templeton Dunn2, Sage Bearman3, Megan Delain4 and Elena Gates5
    Barger et al. BMC Pregnancy and Childbirth 2013, 13:83 http://www.biomedcentral.com/1471-2393/13/83 RESEARCH ARTICLE Open Access A survey of access to trial of labor in California hospitals in 2012 Mary K Barger1*, Jennifer Templeton Dunn2, Sage Bearman3, Megan DeLain4 and Elena Gates5 Abstract Background: In 2010, the NIH and ACOG recommended increasing women’s access to trial of labor after cesarean (TOLAC). This study explored access to TOLAC in California, change in access since 2007 and 2010, and characteristics of TOLAC and non-TOLAC hospitals. Methods: Between November 2011 and June 2012, charge nurses at all civilian California birth hospitals were surveyed about hospitals’ TOLAC availability and requirements for providers. VBAC rates were obtained from the California Office of Statewide Health Planning and Development (OSHPD). Distance between hospitals was calculated using OSHPD geocoding. Results: All 243 birth hospitals that were contacted participated. In 2010, among the 56% TOLAC hospitals, the median VBAC rate among TOLAC hospitals was 10.8% (range 0-37.3%). The most cited reason for low VBAC rates was physician unwillingness to perform them, especially due to the requirement to be continually present during labor. TOLAC hospitals were more likely to be larger hospitals in urban communities with obstetrical residency training. However, there were six (11.3%) residency programs in non-TOLAC hospitals and 5 (13.5%) rural hospitals offering TOLAC. The majority of TOLAC hospitals had 24/7 anesthesia coverage and required the obstetrician to be continually present if a TOLAC patient was admitted; 17 (12.2%) allowed personnel to be 15-30 minutes away.
    [Show full text]
  • Maternal and Child Health Equity Virtual Summit Speaker Biographies
    MATERNAL AND CHILD HEALTH EQUITY VIRTUAL SUMMIT SPEAKER BIOGRAPHIES Allison S. Bryant, MD, MPH is an Associate Professor of Obstetrics, Gynecology and Reproductive Sciences at Harvard Medical School. She received degrees in biology, public health and medicine from Harvard University, where she also completed training in Obstetrics and Gynecology and fellowships in Maternal/Fetal Medicine and the Commonwealth Fund/Harvard University Fellowship in Minority Health Policy. She was a member of the faculty at the University of California, San Francisco from 2005 to 2010 and served on the advisory board of California’s Black Infant Health Program and the San Francisco Department of Health Women’s Health Advisory Board. She returned to Massachusetts General Hospital in 2010 where she is now the Vice Chair for Quality, Equity and Safety in the Department of Obstetrics and Gynecology a role she has designed to underscore the critical role of equity in care quality for all patients served by the department and the hospital more broadly. She currently serves as a member of several regional and national women’s health and equity improvement efforts such as the Massachusetts Department of Public Health’s Maternal Mortality Review Committee, which she chairs, ACOG’s Committee on Obstetric Practice, the Society of Maternal Fetal Medicine’s Disparities and Workforce Diversity Task Force and the CDC-MMRIA Bias Working Group. She was recently elected to the Board of Directors of the Society for Maternal Fetal Medicine. Dr. Bryant was the lead author on the revision of ACOG’s Committee Opinion on Racial and Ethnic Disparities in Obstetrics and Gynecology, and was a co-author on the Alliance for Innovation in Maternal Health’s Reducing Peripartum Disparities Safety Bundle.
    [Show full text]
  • An Award-Winning Hospital Elevates the Quality and Safety of Its
    Case Study St. David’s North Austin Medical Center An Award-Winning Hospital Elevates the Quality and Safety of Its Women’s Healthcare Line Written and contributed by Brian Monks, MD Challenge: Sustainably Improving Safety and Quality of Women’s Healthcare St. David’s North Austin Medical Center was faced with the task of elevating the quality and safety of women’s healthcare in a financially viable and sustainable way while addressing common obstacles in women’s healthcare, such as increased costs, a shortage of OB/GYNs, and a rise in uninsured and unassigned patients. Solution: Implementing an On-Site Hospitalist Program Background: NAMC addressed the challenge by partnering with St. David’s North Austin Medical Center Ob Hospitalist Group (OBHG), the largest dedicated provider St. David’s North Austin Medical Center of OB/GYN hospitalists and the original architect of the Obstetric Emergency Department (OBED), to implement an (NAMC), has been named one of the Top 100 on-site hospitalist program. OBHG’s highly skilled, Board Hospitals in the nation seven times, most Certified OB/GYNs now staff a dedicated OBED 24 hours a day, recently in 2016, by Truven Health Analytics. The 363-bed, multi-specialty, acute care 365 days a year. The hospitalists help both patients and private facility is dedicated to the highest level of OB/GYNs by providing an unprecedented level of care that not women’s health services. Resources include only improves safety and outcomes but greatly reduces the maternity and newborn care with Level I, II, hospital’s risk for negative claims or legal action.
    [Show full text]
  • How an Orthopedic Hospitalist Program Can Provide Value to Your Hospital
    White Paper How an Orthopedic Hospitalist Program Can Provide Value to Your Hospital By now you are likely familiar with the term "hospitalist"—a physician that is dedicated to a hospital- based practice. Chances are you even have a hospitalist program at your facility. While the concept itself is not new, this model has only relatively recently expanded into the specialty of orthopedics— with numerous benefits realized by all constituents. The Birth of the Orthopedic Hospitalist Providing call coverage for a hospital emergency department has long been considered a part of the fabric of the specialty physician’s life. In the last few decades, however, this aspect of the orthopedist’s job has come under fire. For a variety of reasons, busy local orthopedists often no longer have the time, desire, or expertise to provide quality, timely emergent care for their hospital’s emergency department. Hospital leaders have responded to this lack of coverage in a variety of ways, including adding stipends, using locum tenens, designing formal agreements for call coverage with community physicians, and even employing physicians. One of the more recent solutions to this challenge has been gaining traction over the last 15 years—the orthopedic hospitalist. First coming into prominence in the early 2000s, the orthopedic hospitalist model arose in a similar manner to the traditional internal medicine hospitalist. The increasing complexity of inpatient medicine in the mid-1990s led to a small group of internists becoming inpatient medicine specialists. The term “hospitalist” was first coined in 1996 by Drs. Lee Goldman and Robert Wachter, and since then, the hospitalist model for internal medicine has grown rapidly.
    [Show full text]
  • Ii Table of Contents Page PART I
    Table of Contents Page PART I - PROJECT IDENTIFICATION AND GENERAL INFORMATION .................................... 1 PART II - PROJECT BUDGET ................................................................................................... 14 PART III - CONSISTENCY WITH GENERAL REVIEW CRITERIA AT COMAR 10.24.01.08G(3) .......................................................................................................................... 16 10.24.01.08G(3)(a). The State Health Plan .................................................................... 16 COMAR 10.20.10 - Acute Hospital Services ................................................................... 16 .04 Standards ................................................................................................ 16 A. General Standards ....................................................................... 16 (1) Information Regarding Charges ....................................... 17 (2) Charity Care Policy .......................................................... 17 (3) Quality of Care ................................................................. 19 B. Project Review Standards ............................................................ 21 (1) Geographic Accessibility .................................................. 21 (2) Identification of Bed Need and Addition of Beds ................................................................................. 23 (3) Minimum Average Daily Census for Establishment of a Pediatric Unit ..................................... 25
    [Show full text]
  • Understanding the Experience of Interprofessional Team Members After Participating in Comprehensive Obstetric Hemorrhage Training
    The Texas Medical Center Library DigitalCommons@TMC UT SON Dissertations (Open Access) School of Nursing Summer 8-2017 Understanding the Experience of Interprofessional Team Members after Participating in Comprehensive Obstetric Hemorrhage Training Frances Kelly Follow this and additional works at: https://digitalcommons.library.tmc.edu/uthson_etd Part of the Nursing Commons Recommended Citation Kelly, Frances, "Understanding the Experience of Interprofessional Team Members after Participating in Comprehensive Obstetric Hemorrhage Training" (2017). UT SON Dissertations (Open Access). 22. https://digitalcommons.library.tmc.edu/uthson_etd/22 This is brought to you for free and open access by the School of Nursing at DigitalCommons@TMC. It has been accepted for inclusion in UT SON Dissertations (Open Access) by an authorized administrator of DigitalCommons@TMC. For more information, please contact [email protected]. EXPERIENCE OF INTERPROFESSIONAL TEAM MEMBERS AFTER PARTICIPATING IN A COMPREHENSIVE OBSTETRIC HEMORRHAGE TRAINING PROGRAM __________________________________________________________________ A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN NURSING THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON SCHOOL OF NURSING BY FRANCES C. KELLY, MSN, RNC-OB, CPHQ, CPPS ___________________________________________________ AUGUST, 2017 Acknowledgements First and foremost I wish to acknowledge the boundless blessings that God has bestowed upon me during my entire doctoral program. He has never left me during this or any other circumstance. Without my gracious and merciful God, I would not have been able to complete this program. And to Him, I will be eternally grateful. Next, I wish to express my deep gratitude to my family and friends. I could not have finished without the steadfast support and encouragement from my husband, Jeff Kelly; and our children Ben and Eden Kelly; Katy and Tyson Young; and Wynn, Clay, Joseph, and Luke Kelly.
    [Show full text]