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Developing nursing practice to meet the needs of persons admitted to acute care with Chronic Obstructive Pulmonary Disease (COPD) : an action research study


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Courtney-Pratt, Helen May 2010 , 'Developing nursing practice to meet the needs of persons admitted to acute care with Chronic Obstructive Pulmonary Disease (COPD) : an action research study', PhD thesis, University of Tasmania.

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Acute care nurses represent a large component of the healthcare workforce and are in a prime
position to effect better care provision to persons with chronic disease in an acute setting. Many
authors highlight the role of nurses in the delivery of care to persons with Chronic Obstructive
Pulmonary Disease (COPD) and subsequently urge them to take a proactive role in COPD
disease management. In recent times there has been a rise in community or primary health care
innovation in care for persons with COPD, and a subsequent improvement of understanding of
nursing roles in that area. Nurses in acute care have attracted scant attention in the COPD
literature and their role remains characterized by descriptions of task focused support for
persons who experience acute exacerbations of the disease.
There is a paucity of research which articulates the current situation of nursing care provision
for people admitted to hospitals with COPD and how improvements in such care might occur.
Specifically, there is a lack of research which includes those acute care nurses-in investigation
and improvement of their own practice as it relates to care of persons with COPD.
This study addresses the concern of understanding and improving COPD care within hospitals
from the perspective of acute care nurses. Nurses from an acute care setting came together to
collaboratively work in an action research group, at first to enhance their understandings of the
issues that impacted on care provision and then to work toward improving the care received by
people with COPD nursed on their ward.
The findings suggest that utilizing and action research framework approach is effective in
engaging acute care nurses in understanding and improving their practice. However they also
highlight the difficulties of undertaking collaborative research in a complex, changing acute care
environment and the need to ensure support for such activities from a management perspective.
The study adds to what is known of COPD care provision by contributing to understandings of
acute care experiences and provision from the perspective of nurses caring for this group of
patients. In addition the study demonstrates that is it possible for acute care nurses to be
empowered to change practice and to improve care to persons with COPD.

Item Type: Thesis - PhD
Authors/Creators:Courtney-Pratt, Helen May
Keywords: Lungs, Intensive care nursing, Critical care medicine, Nursing
Copyright Holders: The Author
Additional Information:

Available for use in the Library and copying in accordance with the Copyright Act 1968, as amended. Thesis (PhD)--University of Tasmania, 2010. Includes bibliographical references

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