First Advisor

Patricia Cullen

Second Advisor

Pamella Stoeckel


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights

Document Type

Thesis - Open Access

Number of Pages

39 pages


Nurses of rural Mackinac Island, Michigan face challenges when providing nursing care for Jamaican seasonal workers. The Mackinac Island Medical Center offers emergency health care services to residents and seasonal workers of Mackinac Island, Michigan. However, the Island is limited in resources and nursing staff. There is little knowledge and research into exploring the perceptions and experiences of nurses caring for this unique culture of Jamaican seasonal workers. A project was developed to explore perceptions of local nurses that may lead to improved nursing care and policy change within the Mackinac Island Medical Center. A survey was created through SurveyMonkey to include open-ended questions about nurses caring for Jamaican seasonal workers at the Mackinac Island Medical Center. Data gathered from the survey was analyzed using constant comparative analysis. The analysis of data gathered from

SurveyMonkey resulted in three major themes. The three major themes include the following: Living conditions of Jamaican seasonal workers, Nursing challenges caring for Jamaican seasonal workers, and Improvements needed for nursing care of Jamaican seasonal workers. Eight sub-themes emerged from the major themes as the following: 1) Visa work status. 2) Medical chronic conditions. 3) Sub-standard housing of workers. 4) Workers lack of insurance and ability to pay. 5) Impact of cultural beliefs on nursing care. 6) Workers communication barriers. 7) Financial assistance needed. 8) Health education interventions needed.

Date of Award

Fall 2020

Location (Creation)

Denver, Colorado

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