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|a RT82.8.S47 2011_SeraWilliam |2 BU-Local |
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|a The feasibility of the cruise ship nurse practitioner role : an ethnographic study |h [electronic resource]. |
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|a Miami, Fla. : |b Barry University, |c 2011. |
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|a xii, 75 leaves ; |c 28 cm. |
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|a Barry University Dissertations -- College of Nursing and Health Sciences. |
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|a Thesis (D.N.P.)--Barry University, 2011. |
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|a Includes bibliographical references (leaves 57-65). |
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|a Copyright William Sera. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder. |
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|a Background: Cruise ships employ physicians and nurses from various countries for their on-board medical facilities. On-board cruise ship medical facilities may represent an ideal practice setting for family practice nurse practitioners (FNP) and acute care nurse practitioners (ACNP), who are educated in treating acute and chronic health conditions. To date, only one cruise line has attempted to implement nurse practitioners (NP) on board, and this attempt failed. Purpose: The purpose of this research project was to explore the feasibility of the NP role in the cruise ship health care delivery system. This project also explored any potential factors that may impede or facilitate implementation of the NP role into cruise ship health care. Theoretical Framework: The research was conducted using a qualitative ethnographic approach to become more experienced with the cruise ship health care delivery system. Methods: The project was a qualitative, ethnographic study design and used field observation methods for data collection. A purposive sampling strategy design was used to select the cruise ship’s medical facilities from one cruise ship company headquartered in Miami, Florida. Participants were selected cruise ship medical facility personnel, patients, and crew. A qualitative coding and analysis of the field observation logs was completed to determine the feasibility of the cruise ship NP role. Results: The findings identified a combination of three major themes of facilitators and barriers for NP practice on board cruise ships. The three themes are Lack of NP Role and Function Understanding (by ship RNs/ MDs), Shortage of Qualified MDs‘(to staff ships), and NP Acceptance (ship MDs/RNs/ Guests). Several recommendations for implementation of the cruise ship NP role are made with use from the data and discussions held with key stakeholders. NPs can be a feasible health care provider in the cruise ship health care system when the appropriate groundwork is provided, which includes education of the ship’s medical staff. Conclusions: A significant impact of this study will be the introduction of NPs into a new health care setting previously reserved for RNs and MDs. This project may begin the introduction of NPs into the global cruise ship health care delivery system and make this a viable employment option for NP practice. Globally, cruise ship crew and passengers may benefit from the unique care provided by NPs. Cruise ship management responsible for setting cruise ship health policy may implement new policies incorporating the use of NPs as health care providers on ships. |
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|a Electronic reproduction. |c Barry University, |d 2020. |f (Barry University Digital Collections) |n Mode of access: World Wide Web. |n System requirements: Internet connectivity; Web browser software. |
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|a Barry University Archives and Special Collections. |
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|a Barry University Digital Collections. |
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|a Theses and Dissertations. |
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|a BUDC |c Theses and Dissertations |
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|u http://sobekcmsrv.barrynet.barry.edu/AA00001925/00001 |y Click here for full text |
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|a https:/budc.barry.edu/content/AA/00/00/19/25/00001/RT82_8_S47 2011_SeraWilliamthm.jpg |
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|a Theses and Dissertations |
