Dissertations / Theses on the topic 'Died in emergencies'

Aquesta tesi és una investigació qualitativa, que busca descriure i identificar les vivències i percepcions dels professionals d’infermeria respecte a les cures que ofereixen a les famílies que viuen una situació de mort a un servei d’urgències, així com les vivències, percepcions i sentiments d’aquestes famílies respecte a l’atenció rebuda durant aquest procés assistencial. Es segueixen els procediments de la Teoria Fonamentada, en què les preguntes d’investigació: com cuiden les infermeres que treballen en un servei d’urgències d’un hospital d’aguts les famílies, específicament les que estan passant per una situació relacionada amb un procés de mort? Se senten preparades emocionalment per cuidar aquestes famílies en un espai curt de temps? s’abordaran des de l’anàlisi de la veu dels professionals. Per altra banda, es donarà resposta a les preguntes d’investigació: què necessiten aquestes famílies que estan experimentant situacions de mort en el servei d’urgències? Se senten cuidades pels professionals que les atenen? des de l’anàlisi de les paraules expressades per les pròpies famílies. Els eixos emergents: el poder de la informació/comunicació, l’enjudiciament del professional en les dimensions del cuidatge, la humanització de la mort a urgències i l’acompanyament emocional en el procés del dol; recullen els significats, les actituds i els valors de les informants quan viuen aquestes situacions de pèrdua. Les seves vivències, són úniques, individuals, que condueixen a reflexions personals i/o professionals, amb una necessitat comú que és: voler millorar el benestar de salut de les infermeres i de les famílies. L’aplicació del model teòric de K. Swanson donarà significat a la realitat viscuda per les infermeres en aquestes situacions, i permetrà millorar les cures de la pràctica clínica, així com les competències bàsiques d’infermeria, enriquint l’aspecte humanístic de la professió. L’aplicació d’aquest model donarà sentit a l’atenció a la família, essent molt útil per a ella i també per a la gestió emocional i el benestar de la pròpia infermera.<br>Esta tesis es una investigación cualitativa, que busca describir e identificar las vivencias y percepciones de los profesionales de enfermería respecto a los cuidados que ofrecen a las familias que viven una situación de muerte en un servicio de urgencias, así como las vivencias, percepciones y sentimientos de estas familias respecto a la atención recibida durante este proceso asistencial. Se siguen los procedimientos de la Teoría Fundamentada, en la que las preguntas de investigación: ¿Cómo cuidan las enfermeras que trabajan en un servicio de urgencias de un hospital de agudos a las familias, específicamente a las que están pasando por una situación relacionada con un proceso de muerte? ¿Se sienten preparadas emocionalmente para cuidar a estas familias? se abordarán desde el análisis de la voz de los profesionales. Por otra parte, se dará respuesta a las preguntas de investigación: ¿Qué necesitan estas familias que están experimentando situaciones de muerte en un servicio de urgencias? ¿Se sienten cuidadas por los profesionales que las atienden?, desde el análisis de las palabras expresadas por las propias familias. Los ejes emergentes: el poder de la información/comunicación, el “enjuiciamiento” del profesional en las dimensiones del cuidado, la humanización de la muerte en urgencias y el acompañamiento emocional en el proceso del duelo; recogen los significados, las actitudes y los valores de las informantes cuando viven estas situaciones de pérdida. Sus vivencias, son únicas, individuales, que conducen a reflexiones personales y / o profesionales, con una necesidad común que es: querer mejorar el bienestar de salud de las enfermeras y de las familias. La aplicación del modelo teórico de K. Swanson dará significado a la realidad vivida por las enfermeras en estas situaciones, y permitirá mejorar los cuidados de la práctica clínica, así como las competencias básicas de enfermería, enriqueciendo el aspecto humanístico de la profesión. La aplicación de este modelo dará sentido a la atención a la familia, siendo muy útil para ella y también para la gestión emocional y el bienestar de la propia enfermera.<br>The thesis is a qualitative research which describes and identifies the nursing professionals’ experiences and perceptions about the cures offered to the families who live a dying situation in the emergency department, as well as the families’ experiences, perceptions and feelings about the received support during the treatment process. It follows the Grounded Theory procedures, within the research questions: “how do nurses that work in Emergencies department, take care of the families, specifically these ones who are experiencing a similar situation of dying process?”; “Do they feel emotionally prepared to take care of the families in a short-term?”, will be answered by the professionals’ voice. In the other hand, the research questions: “what do the families need in a dying situation in the Emergencies department?; Do they feel enough supported by the professionals who are with them?” will be answered by the families’ words. The emergent axles: the communication/information powers, the professional prosecution for the dimensions of the care, the humanization of the death in the Emergencies department and the emotional support in the mourning process, contain the informants’ meanings, behaviours and values, when they live a dying situation. Their vital experiences are unique, individuals, and cause personal and/or professional reflections, which show a common necessity: to improve the well health of nurses and families. The application of the K. Swanson’s theorist model gives meaning to the realty lived by nurses in these situations, and lets them improve the cures of the clinics practice, as well as the nursery basics competencies, enriching the humanistic component of the profession. The application gives sense to the families’ attention, which is very useful for them, for the emotional management and also for the nurse well-being.

CHDS State/Local<br>Each year the United States suffers approximately 3,000 fire-related deaths and approximately 4,700 work-related deaths. Hundreds of additional fatalities occur annually due to severe weather, as well as manmade and natural disasters. The specific research question addressed by these sobering statistics is Can the general public be taught to save themselves during emergencies and disasters To that end, the research answered the following questions 1. What research has been previously performed to examine civilian survivability 2. What are the cognitive functions that allow or prohibit people in making correct life-saving decisions 3. Are there patterns to the way that people process information and perceive danger 4. What are the critical elements that allow some people to survive and others to perish 5. What can be done to increase the chances that civilians will make the correct choice of action during emergencies and disasters Through descriptive research, the purpose was to examine and reveal the importance of human behavior and to produce recommendations that may help reduce fatalities. The literature review found an abundance of material available to address the topic. As heuristics (science of trial and error), utility theory (methodical evaluation of alternative choices), human reactions, such as fear, intuition, emotion, and past experience, and group versus individual dynamics each impact the decision-making process, the research concluded that the general public can be taught how to perform and react appropriately during emergencies. The recommendations included legislating mandatory training on emergency action plans in the workplace, enhance the efforts of emergency responders in public education, and develop public/private partnerships to provide realistic information and scenario-based drills that the public can comprehend and participate in.

Thesis (Ph. D.)--University of California, Riverside, 2009.<br>Includes abstract. Includes bibliographical references (leaves 425-447). Issued in print and online. Available via ProQuest Digital Dissertations.

Thesis (Ph. D.)--University of Oregon, 2007.<br>Typescript. Includes vita and abstract. Includes bibliographical references (leaves 331-346). Also available for download via the World Wide Web; free to University of Oregon users.

The role of midwife has been an integral part of the culture of childbirth in Queensland throughout its history, but it is a role that has been modified and reshaped over time. This thesis explores the factors that underpinned a crucial aspect of that modification and reshaping. Specifically, the thesis examines the factors that contributed to the statutory regulation of midwives that began in 1912 and argues that it was that event that etched the development of midwifery practice for the remainder of the twentieth century. In 1859, when Queensland seceded from New South Wales, childbirth was very much a private event that took place predominantly in the home attended by a woman who acted as midwife. In the fifty-threeyears that followed, childbirth became a medical event that was the subject of scrutiny by the medical profession and the state. The thesis argues that, the year 1912 marks the point at which the practice of midwifery by midwives in Queensland began a transition from lay practice in the home to qualified status in the hospital. In 1912, through the combined efforts of the medical profession, senior nurses and the state, midwives in Queensland were brought under the jurisdiction of the Nurses' Registration Board as "midwifery nurses". The Nurses' Registration Board was established as part of the Health Act Amendment Act of 1911. The inclusion of midwives within a regulatory authority for nurses represented the beginning of the end of midwifery practice as a discrete occupational role and marked its redefinition as a nursing specialty. It was a redefinition that suited the three major stakeholders. The medical profession perceived lay midwives to be a disjointed and uncoordinated body of women whose practice contributed to needless loss of life in childbirth. Further, lay midwives inhibited the generalist medical practitioners' access to family practice. Trained nurses looked upon midwifery as an extension of nursing and one which offered them an area in which they might specialise in order to enhance their occupational status and career prospects. The state was keen to improve birth rates and to reduce infant mortality. It was prepared to accept that the regulation of midwives under the auspices of nursing was a reasonable and proper strategy and one that might assist it to meet its objectives. It was these separate, but complementary, agendas that prompted the medical profession and the state to debate the culture of childbirth, to examine the role of midwives within it, and to support the amalgamation of nursing and midwifery practice. This thesis argues that the medical profession was the most active and persistent protagonist in the moves to limit the scope of midwives and to claim midwifery practice as a medical specialty. Through a campaign to defame midwives and to reduce their credibility as birth attendants, the medical profession enlisted the help of senior nurses and the state in order to redefine midwifery practice as a nursing role and to cultivate the notion of the midwife as a subordinate to the medical practitioner. While this thesis contests the intervention of the medical profession in the reproductive lives of women and the occupational territory of midwives, it concedes that there was a need to initiate change. Drawing on evidence submitted at Inquests into deaths associated with childbirth, the thesis illuminates a childbirth culture that was characterised by anguish and suffering and it depicts the lay midwife as a further peril to an already hazardous event that helps to explain medical intervention in childbirth and, in part, to excuse it. The strategies developed by the medical profession and the state to bring about the occupational transition of midwives from lay to qualified were based upon a conceptual unity between the work of midwives and nurses. That conceptualisation was reinforced by a practical training schedule that deployed midwives within the institution of the lying-in hospital in order to receive the formal instruction that underpinned their entitlement to inclusion on the Register of Midwifery Nurses held by the Nurses' Registration Board. The structure that was put in place in Queensland in 1912 to control and monitor the practice of midwives was consistent with the policies of other Australian states at that time. It was an arrangement that gained acceptance and strength over time so that by the end of the twentieth century, throughout Australia, the practice of midwifery by midwives was, generally, consequent upon prior qualification as a Registered Nurse. In Queensland, in the opening years of the twenty-first century, the role of midwife remains tied to that of the nurse but the balance of power has shifted from the medical profession to the nursing profession. At this time, with the exception of a small number of midwives who have acquired their qualification in midwifery from an overseas country that recognises midwifery practice as a discipline independent of nursing, the vast majority of midwives practising in Queensland do so on the basis of their registration as a nurse. Methodology This thesis explores the factors that influenced the decision to regulate midwifery practice in Queensland in 1912 and the means by which that regulation was achieved. The historical approach underpins this research. The historical approach is an inductive process that is an appropriate method to employ for several reasons. First, it assists in identifying the origins of midwifery as a social role performed by women. Second, it presents a systematic way of analysing the evidence concerning the development of the midwifery role and the status of the midwife in society. Third, it highlights the political, social and economic influences which have impacted on midwifery in the past and which have had a bearing on subsequent midwifery practice in Queensland. Fourth, the historical approach exposes important chronological elements pertaining to the research question. Finally, it assists the exposure of themes in the sources that demonstrate the behaviour of key individuals and governing authorities and their connection to the transition of midwifery from lay to qualified. Consequently, through analysing the sources and collating the emerging evidence, a cogent account of interpretations of midwifery history in Queensland may be constructed. Data collection and analysis The data collection began with secondary source material in the formative stages of the research and this provided direction for the primary sources that were later accessed. The primary source material that is employed includes testimonies submitted at Inquests into maternal and neonatal deaths; parliamentary records; legislation, government gazettes, and medical journals. The data has been analysed through an inductive process and its presentation has combined exploration and narration to produce an accurate and plausible account. The story that unfolds is complex and confusing. Its primary focus lies in ascertaining why and how midwifery practice was regulated in Queensland. The thesis therefore explores the factors that influenced the decision to regulate midwifery practice in Queensland in 1912 and the means by which that regulation was achieved. Limitations of the study The limitations of the study relate to the documentary evidence and to the cultural group that form the basis of the study. It is acknowledged that historical accounts rely upon the integrity of the historian to select and interpret the data in a fair and plausible manner. In the case of this thesis, one of its limitations is that midwives did not speak for themselves but were, instead, spoken for by medical practitioners and parliamentarians. As a consequence, the coronial and magisterial testimonies that are employed constitute a limitation in that while they reveal the ways in which lay midwifery occurred, they relate only to those childbirth events that resulted in death. Thus, they may be said to represent the minority of cases involving the lay midwife rather than to offer a broader and perhaps more balanced picture. A second limitation is that the accounts are recorded by an official such as a member of the police or of the Coroner's Office and are sanctioned by the witness with a signature or, more often, a cross. It is therefore possible that the recorder has guided these accounts and that they are not the spontaneous evidence of the witness. Those witnesses and the culture they represent are drawn predominantly from non- Indigenous working class. Thus, a third limitation is that the principal ethnic group featured in this thesis has been women of European descent who were born in Queensland or other parts of Australia. This focus has originated from the data itself and has not been contrived. However, it does impose a restriction to the scope of the study.

Although evolution is a very important concept in contemporary biology, it does not help to answer the question to the origin of the human consciousness. If all reductionist theories are ruled out because it tries to reduce consciousness to an objective aspect of the natural world and ignore the storytellers’ (consciousness) subjective side, panpsychism seems to be a favourable candidate for an alternative theory. The so called Copenhagen-interpretation furthermore brought an end to determinism and classical objectivity and pointed out that our reality is partly created by the observer. The work of Alfred North Whitehead establish the basis on which Christian de Quincey build his theory and attempt to build a bridge between the objective physical and the subjective psyche. Panpsychism provide a post-modern solution to the problem of identifying the origin of consciousness by presenting a relationship between psyche and physis as two temporal ordained poles of the same experiencing individual entity. The interaction between psyche and matter become a relationship between events or “moments of experience” where, through the natural process of the flow of time, subjects (psyches) become objects (physical matter). Time, as the lost link in the recurring body/mind problem is the radical solution for the explanation gap between physical systems and conscious systems. The reductionist solution demand an ontological leap (the emergence of an entity with an interior, subjective viewpoint from completely objective entities); and this is not the case with panpsychism (where primordial experience are already subjective and the emergence of consciousness or conscious experience are not an ontological objective to subjective leap). Mind and body is separated on a numerical level but not on an ontological level. Mind and body is of the same sort, type or reality – the inevitable creation and decline of experience. Psyche is therefore the unifying process of all the total hierarchy of events. Panpsychism however has many deficiencies and these deficiencies are also critically analysed.<br>MPhil, North-West University, Potchefstroom Campus, 2014

碩士<br>東吳大學<br>德國文化學系<br>102<br>The emergence and development of Pirate Party in Germany Abstract It has been only eight years since the emergence of Pirate Party Germany in 2006. This study analyzes the reasons behind the struggle of Pirate Party Germany to grow steadily during the 8 years since its formation from three different facets: its voters, organization and program. We also point out the predicaments Pirate Party Germany will encounter in the future during its development. This Study can be summarized in two dimensions: the Foundation and Development. The Pirate supports transparency and participation in government, also try to reform the copyright and patent law. The Pirate is strongly associated with cyberculture, which leads to the impacts on the structure of its organization, the communication model between party members and voters, the decision-making processes inside the party and the policies of the party. In conclusion, the developmental predicaments of Pirate Party Germany are largely ascribed to the internal disputes over grassroots orientation or representative system, the disloyalty of its supporters and the unprofessional political policies. Keynote: Pirate Party Germany, cyberculture, grassroots,

In Suid-Afrika word kinders dikwels opgeneem in die Intensiewesorgeenheid na 'n traumatiese gebeurtenis. Die Kerk het die opdrag om vir hierdie kinders te sorg en wel in die vorm van pastoraat. In die praktyk ontvang kinders egter nie altyd die sorg waarop hulle geregtig is nie. Een van die faktore waarom dit nie altyd gebeur nie, is omdat daar gebruik gemaak word van 'n intervensie metode wat steun op verbale kommuniekasievaardighede. Die ses stappe van intervensienavorsing is gebruik om 'n pastorale praktykmodel in die vorm van 'n kursus te ontwikkel. Die aanvanklike praktykmodel is in gevallestudies getoets en later verfyn. Die klem van hierdie praktykmodel is die gebruik van spel as modus van intervensie vanuit 'n Gestalt benadering. Die kursus sal pastors en geestelike werkers in staat stel om effektief vir kinders te sorg. Die hoofkonsepte van die navorsing vorm die vertrekpunte van die kursus saam met praktiese oefeninge in spelterapietegnieke.<br>Many children in South-Africa are admitted in the Intensive Care Unit after a traumatic event. The Church is called to care for these children in the form of pastoral care. In practise children are often neglected and do not receive the care that they are entiteld to. One of the main reasons is because pastors and religious workers use an intervention method that depends mainly on the verbal skills of the child. The six steps of intervention research was used to develop a pastoral model in the form of course. The innitial intervention model was tested in case studies and refined. The focus of this model is to use play as a mode of intervention from a Gestalt approach. The course will enable pastors and religious workers to care for children more effectively. The main concepts of the research forms the basis of this model with practical excercises.<br>Social Work<br>D. Diac. (Spelterapie)

In dieser Forschungsarbeit wurde die Auswirkung von christlicher Freizeitarbeit auf die Glaubensgenese von Jugendlichen erforscht. Die Umsetzung erfolgte mithilfe einer empirisch-theologischen Untersuchung am Beispiel eines SOLAs. Es wurden qualitative Interviews mit Jugendlichen durchgefuhrt, die uber die SOLA-Arbeit eine Glaubensgenese erlebt haben. Die erhobenen Daten wurden mit der Grounded-Theory-Methodik nach Breuer (2009) ausgewertet und mit den Theorien zur Glaubensgenese von Engel (1989), Grom (1992) und Zulehner (2008) in Beziehung gesetzt. Die Ergebnisse wurden auf die einzelnen Elemente angewendet, die bei der Gestaltung einer Freizeit zur Verfugung stehen. Damit ist eine Hilfestellung entstanden, die Veranstaltern von Freizeiten eine Orientierung geben kann, auf welche Elemente einer Freizeit besonders zu achten ist, wenn eine Glaubensgenese erwunscht ist.<br>This research paper analyzes the impact Christian recreational activities have on the emergence of young people’s faith. Using the example of SOLA, the analysis is based on empiric-theological research. Young people, whose faith has emerged through SOLA were interviewed qualitatively. The data retrieved was analyzed using the grounded theory method by Breuer (2009) and put into relation to the theories of Engel (1989), Grom (1992) and Zulehner (2008) about how faith emerges. Furthermore, these results were applied to the individual elements available through the organization of camps. The outcomes the author has established are of assistance to all parties involved in the organization of christian recreational activities, who want to improve their programs toward impacting the emergence of faith in their participants.<br>Christian Spirituality, Church History and Missiology<br>M. Th. (Missiology)