Browsing by Author "Trahan, Roy"
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Item Coping Strategies of Neurology Nurses who Experience Verbal and Physical Abuse from Patients and FamiliesTrahan, Roy; Bishop, Sheryl; Martin, Darlene; Davila, Yolanda; Watson Campbell, Rebeka; Ramirez, EldaThe purpose of the study was to assess the incidence, intensity, and impact of verbal and physical abuse experienced by neurology nurses from patients and families, identify current coping strategies of neurology nurses, and explore the relationships between selected demographic characteristics, high and low abuse from patients and families and coping strategies. A descriptive, exploratory research design utilizing an anonymous online survey was used for this study. The sample consisted of registered nurses living in the United States currently employed full or part-time in direct care roles with neurology patients. A total of 112 participants were recruited from three sources: 1) a contact population of 5000 neurology nurses via email using purposive sampling design techniques through an online database service specializing in healthcare marketing and research, 2) three metropolitan hospitals with full IRB reviews and 2) invitations submitted to nursing directors at local and regional hospitals. Data was analyzed using descriptive statistics, tests of differences (analyses of covariance), and correlation (Pearson’s and Spearman’s rho and partial correlations). A statistical significance of ∂ < .05 was the standard used for this research. Results indicated the presence of verbal and physical abuse against neurology nurses, identified coping strategies utilized, predictors of PTSD symptomatology, differences in genders on types of violence and the effects of verbal and physical abuse on coping strategy utilization. The findings of the study enriches the current literature by confirming the occurrence of verbal and physical abuse against neurology nurses, as well as contributing new data on intensity, impact and coping strategies of neurology nursing as it relates to verbal and physical abuse by patients and families.Item "No One Died Today:" A Naturalistic Inquiry into the Perceptions and Experiences of School Nurses Dealing with Adolescents who Self-HarmBell, Shonta; Phillips, Carolyn A; Davila, Yolanda; O'Keefe, Mary; Trahan, Roy; Rath, LindaThere is an increased incidence of self harm among middle and high school age adolescents. The school nurse (SN) is in a position to recognize this behavior (Cooke & James, 2009), but little is known about the school nurse’s perceptions and experiences related to adolescents who engage in self harming behaviors. There is a paucity of literature addressing the roles and responsibilities of the school nurse in general as well as school nurses’ responsibilities and responses to children who self-harm. The study utilized Naturalistic Inquiry (Erlandson et al., 1993; Lincoln & Guba, 1985) to explore the perceptions and experiences of school nurses who deal with middle- and high-school-age students who self harm. Fourteen school nurses were interviewed face-to-face utilizing web-based video or telephone conferencing. Study findings revealed that the responses of SNs who deal with adolescents who self harm (ASH) are multifaceted. They must triage, treat, and support the adolescent at the time of the event and in the future; they must develop creative strategies for case finding and monitoring. They must deal with their own affective responses and they must educate and support the parents to accept what is going on with the ASH and help them find appropriate treatment. The SN also must educate and support school faculty and staff as well as the community about the problem of ASH. Although the SNs found themselves frustrated and overwhelmed, their commitment to the people in their care helped to sustain them.