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1

Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.

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The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explore
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Bernard, Didem M. "The impact of managed care on the hospital industry." Thesis, Boston University, 2001. https://hdl.handle.net/2144/36762.

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Thesis (Ph.D.)--Boston University<br>PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.<br>Managed care health plans have become an important new force in the US health care system, changing the delivery of health care and the nature of competition in the health care industry. Lower health care cos
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Gong, Zhiping. "Developing casemix classification for acute hospital inpatients in Chengdu, China /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050314.195349/index.html.

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Submitted to the School of Public Health, Faculty of Health Sciences. Thesis (Ph.D.) -- La Trobe University, 2004.<br>Includes bibliographical references (leaves 320-329). Also available via the World Wide Web.
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Jeddian, Alireza. "Is critical care service relevant to Iran's hospital care?" Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5486/.

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The numbers of acutely ill patients (AIP) are admitted in general hospital wards increased. The failing to identify, manage and deliver timely and optimal care to AIPs may lead to catastrophic outcomes. A qualitative study aimed to define the current state of AIPs in Iranian hospitals showed the flaws and shortcomings in the current services for identifying and managing AIPs. An evaluation study was designed to explore the potential impact of Critical Care Service (CCS) in an Iranian University Hospital. The study design was a Stepped-Wedge Cluster Randomized Controlled Trial. The study includ
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Basu, Priyam. "WIRELESS COMMUNICATION FOR HOME CARE AND HOSPITAL INTENSIVE CARE." Master's thesis, Temple University Libraries, 2013. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/216512.

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Computer and Information Science<br>M.S.<br>Many emerging and existing medical applications can benefit from having continuous access to the patients vitals. This paper presents the results of a set of experiments conducted in a medical setting to determine the feasibility of using wireless communication in both home care and hospital intensive care environments. The study is also done with the intention of developing a new wireless protocol for use in medical settings. This protocol will later be incorporated into different medical devices operating inside a patient room with a view that sign
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Quinlan, John. "The essence of pastoral care an investigation of patient satisfaction with pastoral care in an acute general and psychiatric hospital /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.

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Kahnamoui, Niknaz. "After outsourcing : working collaboratively to deliver patient care? /." Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2035.

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8

Drager, Katrina A. "Inpatient psychiatric length of stay and readmission rates." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007dragerk.pdf.

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Berwald, Sarah Moch. "The architecture of well-being creating effective design for the care and treatment of the mentally ill /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2008/berwald/BerwaldS1208.pdf.

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10

Dixon, Jennifer. "Hospital admissions for ambulatory care conditions." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397231.

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Wendall, Pamela S. "Clients' spiritual perspective of care." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1191724.

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Spiritual dimensions are an important focus for nursing care and nurses can be catalysts for spiritual care. The purpose of this descriptive comparative analysis is to examine the spiritual care needs as perceived by terminally ill clients, non-terminally ill clients, and well adults. The theoretical framework for this study is Leininger's "Cultural Care Theory" that supports the notion that spiritual care needs to be culturally congruent.Participants were obtained from a 225-bed hospital, hospice, home care, and a wellness program in a midwestern city. Permission was obtained from the hospita
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Bucknall, Christine E. "Contrasts in asthma care." Thesis, University of Edinburgh, 1989. http://hdl.handle.net/1842/23760.

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13

Bechel, Diane Lynn. "The effect of patient-centered care on hospital inpatient cost and quality outcomes the experience in southeast Michigan." Ann Arbor, Mich. : University of Michigan, 1998. http://books.google.com/books?id=bhUvAAAAMAAJ.

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O'Reilly, Glenda. "Families in today's health care system : the experience of families during pediatric admission." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=78189.

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The purpose of this study was to explore the experiences and needs of families during the admission of a child to a paediatric ward in an acute care hospital. Qualitative research methods were used to access the caregivers' and professionals' perceptions of the culture that families experience in a paediatric in-patient setting. For this project, data collection methods included a review of the literature in the area, individual interviews with caregivers, and focus groups with paediatric health care professionals.<br>In the study, both parents and paediatric professionals described a m
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Lemaire, Diana C. "The effect of home care utilization on acute care hospital readmission." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28607.pdf.

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Chana, Navtej. "Quality of care amongst hospital nursing staff." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531831.

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Sinha, Sidhartha. "Quantifying outcomes after hospital care in England." Thesis, St George's, University of London, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.677183.

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There is increasing interest in outcomes assessment in modern surgical research and the applicability of outcomes research to everyday clinical practice. Improving healthcare quality is a current political priority and since outcomes are the most visible and quantifiable end points of clinical care pathways, they are most frequently publicised. Standardised mortality metrics such as the Hospital Standardised Mortality Ratio are of particular interest given their current media spotlight following recent infamous failings in the quality of NHS care. Specialised mortality metrics such as the "fai
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Wahl, Grendi Heidi. "Measuring Patient Experience in Hospital Maternity Care." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-281290.

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This thesis concerns Patient Experience (PX), in hospital maternity care in Sweden. The focus lies in the development of a measure to describe the current state of PX. The thesis uses a semi-sequential mixed-methods study design; exploration of the patient journey, through qualitative methods, informs the adaptation of an existing maternity care experience survey instrument. The resulting survey instrument is tried in a pilot study and renders a composite measure of PX. Part of the analysis is dedicated to understanding the e!ect of information and communication in PX; Exploratory Factor Analy
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Sheppard, Sasha. "A randomised controlled trial comparing hospital at home with in-patient hospital care." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284587.

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Hsieh, Hui-Min. "The Impact of Medicaid Disproportionate Share Hospital Payment on the Provision of Hospital Uncompensated Care and Quality of Care." VCU Scholars Compass, 2010. https://scholarscompass.vcu.edu/etd/2058.

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Medicaid Disproportionate Share Hospital (DSH) payment is one of the major funds supporting health care providers as they treat low-income patients. However, Medicaid DSH payments have been targeted for major budget cuts in many health policy reforms. This study examines the association between the changes in Medicaid DSH payments resulting from the BBA policy changes and hospital outcomes, in terms of hospital provision of uncompensated care and quality of care. Economic theory of non-profit hospital behavior is used as a conceptual framework, and longitudinal data for California short-term,
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Lee, Wing-yee Wendy, and 李穎怡. "Hospital as playground." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31985294.

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22

Omérov, Majda. "Violence in psychiatric inpatient care /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-850-5/.

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23

Glover, Gloria. "Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, and Quality of Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7142.

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The value-based purchase requirement of the Patient Protection and Affordable Care Act puts pressure on hospital leaders to control cost while improving quality of care. The resource dependency theory was the theoretical framework for this correlational study. Archival data from the Centers for Medicare and Medicaid Services collected from 166 acute care urban hospitals for the Fiscal Year 2016. Multiple linear regression analysis was used to determine the relationship between nursing salaries per patient day, cost of uncompensated care as a percentage of net patient revenue, percentage of net
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Busca, Erica. "Nursing care models in primary care and hospital settings: implementation and evaluation." Doctoral thesis, Università del Piemonte Orientale, 2021. http://hdl.handle.net/11579/128002.

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In the last year, the COVID‑19 pandemic has made clear how vulnerabilities in health systems can have profound implications for the health of people. Thus, organizations are taking in place significant changes which are also influencing nursing staff and the nursing care model. This dissertation aims to: 1) explore the effects of primary nursing on patient, -staff,-organizational-related outcomes in hospital settings; 2) identify barriers and facilitators of nursing role implementation in primary care; and 3) assess the effects of the family and community nursing (FCN) practice model on pat
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Smeets, Wim. "Spiritual care in a hospital setting : an empirical-theological exploration /." Leiden [u.a.] : Brill, 2006. http://www.loc.gov/catdir/toc/fy0711/2006047517.html.

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Kula, Nokuseni. "Challenges faced by professional nurses in implementing the six Ministerial priority standards of care in a Health care institution in O R Tambo Region in the Eastern Cape province." Thesis, Walter Sisulu University, 2016. http://hdl.handle.net/11260/699.

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The objective of this research study was to describe and explore challenges faced by professional nurses in implementing six ministerial priority standards of care in selected units of an identified institution in O.R. Tambo region. Nurses are trained and employed to provide nursing care to patients according to scope of practice set by their statutory body (South African Nursing Council). Setting of standards forms part of quality improvement in nursing care and standards need to be monitored and evaluated (Muller 2006:206). In South Africa, the Minister of Health has identified six priority
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Morrow, Karen. "An analysis of stakeholder perceptions of health care reform for strategic planning at an Indiana hospital." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/864900.

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This thesis applied the decision support mechanism, Q-Methodology, to an integrated model of issues management and strategic planning. This approach was applied at Riverview Hospital in Noblesville, Indiana in order to respond to the health care reform issue.The research approach involved the three primary stakeholder groups of the hospital: Board of Directors, physicians and managers. The three groups, representing 56 people, attended a planning retreat and identified Riverview's planning options in the form of 77 statements representing future program or service options. These 77 statements
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Karnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.

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Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow trans
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Beattie, Michelle. "Measuring the patient experience of hospital quality of care." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23410.

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The primary motivation of this PhD by publication has been the apparent disconnect between the metrics of hospital quality of care at national and board level and patients’ experiences. Exploration of the gap led to the realisation of two key points. Firstly, the concept of healthcare quality continually evolves. Secondly, the NHS Scotland Measurement Framework does not include a measure of patient experience at the microsystem level (e.g. hospital ward). This is needed to counterbalance easier to obtain metrics of quality (e.g. waiting times). Resource tends to follow measurement. Papers 1 an
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Gihwala, Raina Tara. "Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21186.

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South African incidence of rape ranks amongst the highest worldwide. No direct policy exists for the emergency care provider management of rape victims in the pre-hospital setting. The pre-hospital exposure to rape cases is unknown as its health information system is not gender-based violence sensitive. In the absence of a clearly defined protocol, indiscretion in the emergency care treatment of rape victims remains undocumented. As a particularly vulnerable group globally, victims of rape are deserving of focused intervention. A qualitative, descriptive approach guided the research in which n
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Boyd, Sheree S. "Hospital Administrators' Strategies for Reducing Delayed Hospital Discharges and Improving Profitability." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10640911.

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<p> Inefficiencies in leadership and limited leadership strategies in hospitals contribute to delayed hospital discharges and an increased financial burden on a hospital. Three administrators from 2 hospitals who are part of a hospital conglomerate in Chicago, Illinois were selected for interview in this qualitative multiple case study to explore how hospital discharge strategies reduce delayed hospital discharges and improve profitability. Contingency was the primary theoretical theory for this study. The purposive sampling consisted of the selections of individual who were knowledgeable and
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Stokes, Zwitter Miriam. "Nursing organizational structures in acute care hospital settings." Case Western Reserve University School of Graduate Studies / OhioLINK, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=case1059758111.

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Chang, Ting-Huan. "Determinants of hospital affiliation with health care networks." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2008r/chang.pdf.

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Gorgon, Edward James. "Improving back pain care in the hospital setting." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29414.

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Redesigning how care is structured and delivered has been identified as a potential solution to enable implementation of best practice care for back pain. Redesigning care requires a deep understanding of local needs and context, and participation of stakeholders in the process to promote relevance, acceptance, and uptake. This thesis includes studies that have contributed toward defining the problem, identifying potential solutions, and proposing a new service to improve care for people with chronic back pain. The aim of the thesis was to complete the design phase of a new service for chro
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Meissner, Melanie R. "Decreasing Hospital Admission Rates in Long-Term Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6925.

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Each year, hospitalizations from long-term care (LTC) settings occur, in part, due to underdeveloped nursing assessment skills, ineffective communication with primary care providers (PCPs), and delayed intervention. Through staff development nursing education, the quality and timeliness of care can be improved. The practice question that guided this doctoral project focused on whether evidence-based research information would assist in decreasing LTC-to-hospital admission rates through improved nursing assessment skills and better communication with PCPs. Using the logic model, the effectivene
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Matshikiza, Wonga. "Barriers to acute stroke care at a tertiary hospital in the Western Cape." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30928.

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Background Stroke guidelines recommend treatment of acute stroke as a medical emergency. In many countries prolonged delays occur before patients with acute stroke receive medical attention. Only a small percentage of patients are assessed in hospital within the time window for reperfusion therapy. There is limited available published data concerning barriers to acute stroke care in South African patients. The aim of this study was to determine the pre-hospital barriers and in-hospital delays to emergency care for patients presenting to Groote Schuur Hospital (GSH) with acute stroke. Meth
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Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.

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Magister Curationis - MCur<br>Background: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purp
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Yao, Wei-yen Rosa. "An evaluation of the reform and quality of pharmacy service in Hospital Authority : a case study at Princess Margaret Hospital /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14035534.

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Dobies, Pamela A. Roffol Herman Robert D. "Organizational design issues of establishing palliative care services in an acute care hospital." Diss., UMK access, 2005.

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Thesis (Ph. D.)--Henry W. Bloch School of Business and Public Administration and Dept. of Sociology. University of Missouri--Kansas City, 2005.<br>"A dissertation in public affairs and administration and sociology." Advisor: Robert D. Herman. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed June 23, 2006. Includes bibliographical references (leaves 194-204 ). Online version of the print edition.
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Lucas, D. Pulane. "Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/2996.

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Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals
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Albsoul, Rania Ali Mohammad. "Investigating missed nursing care in an Australian acute care hospital: An exploratory study." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/132413/2/__qut.edu.au_Documents_StaffHome_staffgroupW%24_wu75_Documents_ePrints_Rania%2520Ali%2520Mohammad_Albsoul_Thesis%5B1%5D.pdf.

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This thesis is a mixed methods study of missed nursing care in an Australian acute care hospital. It explores the concept so as to further understand and to build a detailed theoretical understanding of the phenomenon. The study identified a range of factors influencing missed nursing care including the number of working hours per week, interruptions, and perceived lack of management support. A conceptual and holistic understanding of the phenomenon using Complexity Theory has been constructed. The thesis recommends incorporating nursing reflective practice into healthcare organisations and in
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Cartabuke, Richard Henry. "THE EVOLUTION OF CHARITY CARE OF THE UNIVERSITY HOSPITALS OF CLEVELAND." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1244056325.

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Waters, Leland. "Factors Associated with Access to Palliative Care in a Large Urban Public Teaching Hospital with a Formal Hospital-Based Palliative Care Program." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2746.

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Hospital-based specialist palliative care services are designed to address the needs of critically ill patients by psychosocial and spiritual support, improving symptoms management, and offering discussions on goals of care. Integrating palliative care upstream in the care continuum for patients who eventually die in the hospital will help to address the many individualistic needs of the critically ill patient. The diffusion of specialist hospital-based palliative care services requires an understanding of patterns of utilization by patients. The purpose of this study was to examine the popula
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Luke, Gary Joseph. "An assessment of the service quality expectations and perceptions of the patients of Awali Hospital in the Kingdom of Bahrain." Thesis, Rhodes University, 2008. http://hdl.handle.net/10962/d1003850.

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The quality of service from a hospital is the number one factor that will either turn a customer/patient away or make one for life. More and more hospitals are competing for greater shares in the market and customer-driven quality management is becoming the preferred method for improving their performance. Awali hospital is a private hospital in the Kingdom of Bahrain. It is a small 35-bed hospital that offers private medical services to the public. The hospital was originally built to serve the Bahrain Petroleum Company (Bapco) refinery workers but later opened its doors to the public. With t
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Au, Lai Piu. "A simulation study of dynamic customer flow control in multi-site service system /." View Abstract or Full-Text, 2002. http://library.ust.hk/cgi/db/thesis.pl?IEEM%202002%20AU.

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Thesis (M. Phil.)--Hong Kong University of Science and Technology, 2002.<br>Includes bibliographical references (leaves 106-108). Also available in electronic version. Access restricted to campus users.
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Quosdorf, Ashley. "Connecting with Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38838.

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Background: Adolescents are more likely to be dissatisfied with perinatal care than adults. Adolescents’ perspectives of their perinatal care experiences have been explored; however, there are few studies exploring adolescent-friendly inpatient care from nurses’ perspectives. Purpose: To explore adolescent-friendly care from the perspective of hospital-based adolescent-friendly perinatal nurses. Research Questions: (1) How and why do perinatal nurses in inpatient settings adapt their practice when caring for adolescents? (2) What are the individual nursing behaviours and organizational cha
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Wiggins, Sandra. "Utilization management of acute care services : evaluation of the SWITCH index system." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/28355.

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In recent years, concern about the rising costs of health care has prompted the development of programs aimed at reducing utilization of hospital services and facilities while maintaining an acceptable standard of care. One of the major strategies that has emerged in the effort to accomplish these dual objectives, is utilization management. Although there are a number of different approaches, the primary aim of all utilization management programs is to identify and eliminate unnecessary and inappropriate hospital use. To date, most of the utilization research and program development has taken
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Elo, Jyrki A. I. "The impact of surgical day care on hospital inpatient utilization in a paediatric population." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/27876.

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Day care surgical services have been marketed as a cost saving alternative for inpatient care. There is evidence that the cost per episode of day care surgery is 50-70 percent less than a comparable episode in an inpatient ward. In addition, avoiding hospitalization has particular relevance for paediatrics, because of the undesirable effects of hospital stay on children. However, both cost savings and the quality-based need to decrease hospitalizations of children will be fullfilled only if each patient cared for in a day care surgery unit would otherwise have been an inpatient and the bed vac
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Saifi, Khader M. M. Al. "The impact of information technology on hospital management of Gulf Corporation Council public hospitals." Thesis, University of Hull, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272025.

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Information technology (m has become crucial to the functioning of modern hospitals. It includes a range of human elements, infornlation, equipment, knowledge and systems. It is important to hospitals, as these are complex environments including many systems with diversity of functions, sub-systems, and professionals. The adoption of technology can be explained by four general theories: economic, political, social and globalization theory. Based on these theories five sets of reasons can account for the adoption of IT in a hospital environnlent. They are, practical; to solve existing problems,
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Ygge, Britt Marie. "Parental Involvement in Pediatric Hospital Care-Implications for Clinical Practice and Quality of Care." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4010.

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