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Woods, Bernadette M. "Assessment of staff attitudes to patient safety." View thesis, 2004. http://handle.uws.edu.au:8081/1959.7/46693.
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Thesis (M.N. (Hons))--University of Western Sydney, 2004.A thesis presented to the University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health, in fulfilment of the requirements for the degree of Masters of Nursing (Honours). Includes bibliographical references and appendices.
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Galo, Luntu. "A case study describing factors perceived to be impacting staff satisfaction amongst health care professionals at the East London Hospital complex." Thesis, Rhodes University, 2012. http://hdl.handle.net/10962/d1003905.
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This thesis was born from a concern the researcher had with regard to negative reports in the media emanating from 4 babies that died at Cecilia Makiwane Hospital Peadiatric ICU unit due to power supply failure. The most significant of these negative reports was in 2007 when the Daily Dispatch ran a series of articles regarding what they termed avoidable deaths over the last 14 years. The ease with which staff communicated with the media together with the high absenteeism rate and high turnover was a cause for concern. When the researcher analysed the history of the problem, it immerged from the respondents’ responses that the rationalistion process undertaken by the Eastern Cape Department of Health (ECDoH) was a significant root cause to the problem. The literature review focused on three areas viz.: Organisational Culture, Organisational Change, Foundations of Satisfaction. This focus was used to confine the problem to a manageable project but secondly each of the aspects are interwoven. Routledge (2010) notes that culture is the reflection of the values advocated by a founder or leader by way of his/her day to day actions. This is done by the leader creating a perception or viewpoint that assists the employees to achieve the organisation’s mission, vision and goals. In any organisation change is a constant and it needs to be effectively managed. With government institutions like the East London Hospital Complex (ELHC) directives come from the top and are implemented by an unprepared and untrained leadership and management cadre and clear communication of vision and objective of the desired outcomes never happens. The aim of the research was to: describe the existing Organisational Culture present at ELHC (Perform an organisational diagnosis); describe the impact of change (rationalisation) and to analyze why there was such a high staff turnover. It is clear from the results of the survey conducted that significant dissatisfaction prevailed relating to how the institution was managed. Dissatisfaction amongst the health professionals was general but also specific to the following: leadership and management issues, fairness, remuneration and lack of resources. The recommendations therefore focused on developing management and leadership within the proposal of Dubrin’s model (2001).
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Levites, Marcelo Rozenfeld. "Caracterização do perfil de residentes no enfrentamento das incertezas clínicas relacionadas com o atendimento médico." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-06082015-114436/.
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Objetivo: Caracterizar o perfil de percepções e atitudes de médicos residentes frente às diferentes situações geradoras de incertezas na prática assistencial aos pacientes. Método: Estudo descritivo, comparativo e transversal. Amostra não aleatória de 90 residentes da instituição. O estudo foi conduzido entre abril e julho de 2013. Para a avaliação da percepção do enfrentamento da incerteza no cenário clínico foi realizada usando a escala \"Physician Reaction\'s to Uncertainty\", após realizados uma tradução transcultural para português do Brasil. A \"Physician Reaction\'s to Uncertainty\", contém 15 itens que são respondidos de acordo com a variante de escala de Likert de seis pontos (discorda completamente = 1; concorda plenamente = 6). Avaliamos os residentes de acordo com o gênero; idade, menores de 26 anos e 26 anos ou maiores; residentes de primeiro ano comparados com os segundo e terceiro anos e residentes clínicos comparados com os cirurgiões, ortopedistas e ginecologistas/obstetras. Resultados: As residentes mulheres mais jovens e os com menos tempo de treinamento (residentes do primeiro ano), tiveram uma pior percepção do enfrentamento da incerteza na atuação clínica quando comparados aos homens (p=0,002) aos >= 26 anos (p= 0,001) e com mais tempo de treinamento (p < 0,001). Não houve diferença entre os residentes clínicos comparados com os de ortopedia, cirurgia e ginecologia obstetrícia (p=0,792). Conclusões: Os médicos residentes mais jovens e com menor tempo de prática merecem um uma atenção especial para um melhor enfrentamento da incerteza na atuação clínica. São eles que apresentam as maiores dificuldades com o tema. Atuar junto a professores mais experientes e a inserção da formação humanística e filosófica podem ajudar aos colegas residentes com menos prática na medicinaPurpose: The aim of this study was to develop a characterization profile of the perceptions and attitudes of resident physicians in a general hospital in São Paulo, Brazil addressing the uncertainties related to the care of patients. Methods: Descriptive, comparative and cross-sectional study conducted from April to July 2013 with a convenience sample of 90 medical residents who completed the Physicians´ Reactions to Uncertainty (PRU) scale and provided demographic variables of gender, age and specialty. Results: Comparing the Physician´s Reaction to Uncertainty score, authors identified a significant difference between age, year of residence and gender. Physicians who were female, less than 26 years old and who were in their first year of residency and had greater clinical uncertainty than men (p=0.002), older residents (p= 0,001), those in their second and third year of residency (p < 0,001). There were no significant differences by medical speciality (p=0,792). Conclusion: Practical experience and age are important factors in clinical uncertainty in residence groups. The longer physicians are in practice, the less uncertainty they will experience. Ways to decrease the anxiety of and reluctance to disclose uncertainty to patient can include: 1) Practice together with experience doctors; 2) Clinical epidemiology; 3) knowledge of philosophy and 4) Humanistic teaching
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Chong, Heung-chuen. "Death attitudes and their psychological correlates: n exploratory study of hospice staff." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B29689119.
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Hanson, Bernard. "Le malaise du médecin dans la relation médecin-malade postmoderne." Doctoral thesis, Universite Libre de Bruxelles, 2005. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210989.
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En partant d’une description des nombreux changements de la pratique médicale depuis quelques décennies, la thèse étudie divers aspects constitutifs du malaise du médecin. L’accroissement de la puissance médicale qu’a permis la technoscience est analysée et remise dans un contexte plus large où les technologies de l’information ont une grande place. L’augmentation considérable des connaissances pose un problème de maîtrise de la science médicale. La multiplicité des observations fait qu’il y a discordance de certaines d’entre elles avec les théories médicales largement acceptées. De cette manière, le gain d’efficacité est associé à une perte de la cohérence du discours médical. Le rôle du médecin disparaît derrière la technique, qui semble pouvoir, seule, rendre tous les progrès accessibles. Le médecin devient alors un simple distributeur de services et, à ce titre, développe parfois des offres de pratiques sans fondement, voire dangereuses.Le pouvoir du médecin est évoqué, et se ramène in fine à la fourniture d’un diagnostic et d’une explication de sa maladie au patient. Le rôle des explications particulières que donne le médecin au malade est exploré à la lumière d’une conception narrative et évolutive de la vie humaine. Le rôle du médecin apparaît alors comme d’aider le patient à réécrire a posteriori le fil d’une histoire qui apparaît initialement comme interrompue par la maladie.
Le rôle social de maintien de l’ordre de la pratique médicale est alors évoqué. Ensuite, par une approche descriptive du phénomène religieux, on montre que la médecine du XXIe siècle a les caractéristiques d’un tel phénomène. Entités extrahumaines, mythes, rites, tabous, prétention à bâtir une morale, accompagnement de la vie et de la mort, miracles, promesse de salut, temples, officiants sont identifiés dans la médecine « classique » contemporaine. Seule la fonction de divination de l’avenir d’un homme précis est devenue brumeuse, la technoscience permettant régulièrement du « tout ou rien » là où auparavant un pronostic précis (et souvent défavorable) pouvait être affirmé.
L’hypothèse que la médecine est devenue une religion du XXIe siècle est confrontée à des textes de S. Freud, M. Gauchet et P. Boyer. Non seulement ces textes n’invalident pas l’hypothèse, mais la renforcent même. Il apparaît que le fonctionnement de l’esprit humain favorise l’éclosion de religions et donc la prise de voile de la médecine. La dynamique générale de la démocratisation de la société montre que la médecine est une forme de religion non seulement compatible avec une société démocratique, mais est peut-être une des formes accomplies de celle-ci, où chaque individu écrit lui-même sa propre histoire.
Le danger qu’il y a, pour le patient comme pour le médecin, si ce dernier accepte de jouer un rôle de prêtre, est ensuite développé. Enfin, la remise dans le cadre plus général de l’existence humaine, l’évocation de la dimension de révolte de la médecine, de son essentielle incomplétude, l’acceptation d’une cohérence imparfaite permettent au médecin de retrouver des sources de joie afin de, peut-être, ne tomber ni dans un désinvestissement blasé, ni dans un cynisme blessant.
From a description of the many changes medical practice has undergone for a few decades, the work goes on to study many sides of the modern doctor’s malaise. The gain of power made possible by technoscience is put on a larger stage where information technologies play a major role. The abundance of knowledge makes health literacy more difficult. the great number of observations makes discrepancies with general theories more frequent. The gain in power is associated with a loss of coherence of the medical speech. The doctor’s role vanishes behind technology that seems to be the only access to all medical progresses. Doctors becomes mere service providers and go on to offer unvalidated or even harmful services on the market.
Modern medical power resumes into the explanations and diagnosis given to the patient. The role of medical explanations is explored through an evolutive and narrative vision of human life. The duty of the doctors then appears to allow a new narration of the self that bridges the gap disease introduced into the patient’s life.
The role of medicine in maintaining social order is mentioned. Through a sociological approach of the religious phenomenon, one can see that XXIst century medicine is such a phenomenon. Medicine knows of extrahuman entities, myths, rites, taboos, miracles, temples; priests are present in modern mainstream medicine. Some want to derive objective moral values from medicine, and it brings companionship to man from birth to death. The only departure from old religions was the weakened ability to predict the future of an individual patient: for some diseases for which survival was known to be very poor, the possibilities are now long-term survival with cure, or early death from the treatment.
The hypothesis that medicine is a religion is confronted to texts from Freud S. Gauchet M. and Boyer P. Not only do they not invalidate the hypothesis, but they bring enrichment to it. Brain/mind dynamics is such that the appearance of religions is frequent, and makes the transformation of medicine into a religion easier. Society’s democratisation confronted to religion’s history shows that medicine is the most compatible form of religion within a truly democratic society, where each individual writes his own story.
To become a priest brings some dangers for the patient, but also for the doctor. These dangers are discussed. This discussion is put into the larger context of human life. The revolt dimension of medicine is discussed, as is its never-ending task. Their acceptance, as that of a lack of total logical coherence can open the possibility for the doctor to enjoy his work, without being neither unfeeling nor cynical.
Doctorat en philosophie et lettres, Orientation bioéthique
info:eu-repo/semantics/nonPublished
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Al-Mohaithef, Mohammed. "Food hygiene in hospitals : evaluating food safety knowledge, attitudes and practices of foodservice staff and prerequisite programs in Riyadh's hospitals, Saudi Arabia." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5194/.
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In global terms, Saudi Arabia is a rapidly developing country. As such, its food industries have yet to fully implement the food safety management systems common in the EU. In the hospitals sector, the Ministry of Health intends to implement Hazard Analysis Critical Control Points (HACCP) system to provide safe meals for patients, staff and hospital visitors. The aim of this study was to evaluate the readiness of the Saudi Arabian hospitals to implement HACCP by assessing the pre-requisites programmes in their foodservices departments. An audit form was used in four hospitals in Riyadh. Questionnaires were also used to assess self-reported behaviour, knowledge and attitudes of 300 foodservices staff. Lack of training was known to be a major omission in the pre-requisite programs (PRP’s) of all hospitals. Therefore a bespoke food safety training program was developed and delivered to food handlers in the participating hospitals. An assessment was then made to determine whether this intervention had any effect on their knowledge, attitude to food safety and self-reported behaviour. The results show that, the prerequisite programs were not implemented properly in the participating hospitals. Also, foodservices staff had a poor knowledge with regard to food safety. However, staff knowledge was significantly improved following the training (p. value < 0.05) and their level of knowledge remained stable after six months. Participants’ behaviours and attitudes also improved after the training. This indicates that, training has a positive impact on food handlers knowledge, practices and attitude.
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Shum, Kwok-leung, and 沈國良. "The relationship between management and staff in the Fire Services Department: the case of the ambulancemen." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31965635.
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Hammers, Garfield Compton. "Transformation of service delivery in the Westcoast winelands region's hospitals: challenges and prospects." Thesis, University of the Western Cape, 2003. http://etd.uwc.ac.za/index.php?module=etd&.
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Lui, Yan-yan Liza. "The knowledge and attitudes regarding pain management of the medical nursing staff in Hong Kong /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3639631X.
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Lui, Yan-yan Liza, and 雷欣欣. "The knowledge and attitudes regarding pain management of the medical nursing staff in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011801.
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Benjamin, Valencia. "Experiences of professional nurses with regard to accessing information at the point-of-care via mobile-computing devices at a public hospital." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020193.
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Mobile computing devices are capable of changing how healthcare is delivered in the future, since they aim to merge and integrate all services into one device that is versatile, customisable, and portable. The aim of this study was to explore and describe the experiences of professional nurses with regard to accessing information at the point-of-care of the patient, in order to develop guidelines that could assist other professional nurses with implementing the mobile computing device for accessing information at the point-of-care of patients. To achieve the purpose of the study, a qualitative, explorative, descriptive, and contextual design was used to conduct this research – to gain an understanding of how the professional nurses experienced accessing information at the point-of-care via mobile computing devices. The study was conducted among the professional nurses employed at the public hospital, who were trained and provided with the mobile computing device for accessing information at the point-of-care for more than two years. In-depth interviewing was conducted to obtain the data. Data analysis was done using Tesch‘s method to make sense out of text and data. Four themes were identified, namely, the professional nurses‘ expression of various experiences regarding the training received; the need for support in implementing the mobile computing device; the accessing of information at the point-of-care as beneficial for educational purposes; and the accessing of information at the point-of-care as beneficial to patient care. Two main guidelines were developed. The study concludes with recommendations made with regard to the areas of nursing practice, education and research. Throughout the study, the researcher abided by the ethical considerations. The aspects of trustworthiness implemented in this study, included dependability, credibility, transferability and confirmability (Holloway & Wheeler, 2010:298).
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Choo-Kang, Pik Choi, and 曹碧彩. "The concern about death and the coping strategies of teaching staff ina special school." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B43895384.
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Tsang, Chi-chung, and 曾子充. "Attitudes of medical staff and patient's relatives towards family presence during cardiopulmonary resuscitation in an adult intensivecare unit of Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425825.
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Objectives: To examine the attitudes of family members of the patients and medical staffs towards the policy of family presence during the resuscitation and any difference in attitudes between two groups, and to examine the factors influencing their attitudes.
Methods: Descriptive questionnaire survey to analyze the attitudes, beliefs and concerns of family members of patients and medical staffs in the Intensive Care Unit of a district hospital in Hong Kong. Use chi-square test to compare family members and medical staffs to see any difference in attitudes about family presence during the resuscitation; and use logistic regression analysis to identify factors associated with supportive attitudes towards family presence during the resuscitation in both groups.
Results: Among the respondents of 100 family members and 69 medical staffs, there were findings of significant difference in attitudes towards practicing FPDR, advantages of FPDR and disadvantages of FPDR between family members and medical staffs. Family members were more likely to support FPDR compared with medical staff (82% vs 36.2%, p<0.001). The attitudes towards different advantages and disadvantages were significantly different between family members and medical staffs. There was no difference between two groups in attitudes towards prerequisites for FPDR. Logistic regression analysis showed that family members who agreed beneficial effect of FPDR in relatives’ grieving process would be more likely to be supportive for FPDR (p=0.030, odds ratio (OR)=4.92, 95% confidence interval (CI)= 1.17-20.71) whereas the medical staffs who agreed beneficial effect of FPDR on family members would be more likely to be supportive for FPDR(p=0.003, OR=19.7, 95% CI 2.84-136.9).
Conclusion: The results showed the great discrepancy of attitudes towards FPDR practice, FPDR benefits and FPDR risks between family members and the healthcare providers. Policy change of implementation of FPDR was at the present moment not feasible and practical in Hong Kong because of the resistance from the medical staffs. But the information acquired in the study did indicate a strong support and need for FPDR by the family members. Further investigations and works were required to overcome the obstacles to enhance the development of FPDR program in Hong Kong healthcare setting.published_or_final_version
Public Health
Master
Master of Public Health
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Director, Dana L. "The Impacts of Change in Governance on Faculty and Staff at Higher Education Institutions: A Case Study of OHSU." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1490.
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In the early 1990s, Oregon Health and Science University leadership examined the political and economic landscape and determined it needed a new operational model to survive and thrive. In 1995 OHSU separated from the state higher education system and became a public corporation, with goals of increased efficiency, customer-focus, ability to attract world-class researchers and physicians, and salaries commensurate with an urban academic health center.
This research examines the internal impacts when universities undergo significant change, using OHSU's governance change as a case study. Central is the question: what effect(s) did OHSU's decision to become a unique public corporation have on specific employee groups? This study looks at two groups and their perceptions of the change: faculty, and union-represented staff.
The author interviewed the leadership team who led the transition, reviewed historical and organizational documents and archives, and examined quantitative data such as tuition, state funding, research, and salaries. Interviews were then conducted with longtime and former employees to obtain employee perceptions. Finally, the study compares employee perceptions about process, culture, and job satisfaction, to the goals established by the leadership.
The results of this study reveal that, while there were internal and external challenges, the transition to a public corporation was successful according to the perceptions of most employees when compared to the goals. After the transition, OHSU did become more efficient and more nimble for a time, able to recruit world-class employees and pay competitive salaries. Staff felt empowered and some faculty felt it made OHSU a better institution. However, some faculty felt that OHSU's transition to the public corporation eventually led to increased bureaucracy, as well as to the loss of shared governance, tenure practices, and other cultural norms inherent to academic institutions.
By examining OHSU's transition and the impacts on employee groups, this study provides insight to other universities contemplating this type of change. While each institution is unique, understanding the impacts to these key stakeholders can help universities plan for and implement significant governance change.
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Campbell, Martin. "Cognitive representation of challenging behaviour among staff working with adults with learning disabilities : an evaluation of the impact of an open learning training course." Thesis, University of St Andrews, 2004. http://hdl.handle.net/10023/14333.
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This was an investigation into the relationship between quality of care and staff views of, and responses to, challenging behaviour in adults with learning disabilities. Cognitive representations have been identified as a determinant of therapeutic outcomes in a variety of health care settings. There were two main aims of this study. First, to describe and measure the cognitive representations of challenging behaviour among staff working with adults with learning disabilities and second, to evaluate the effects of training on these views held by staff. Existing literature was reviewed. A Likert type questionnaire, the Challenging Behaviour Representation Questionnaire (CBRQ) was developed to record staff views. The CBRQ draws on two existing measures: the Illness Perception Questionnaire (IPQ) and the Challenging Behaviour Attributions Scale (CHABA). The CBRQ will give a new method of evaluating the staff views most often associated with evidence-based practice, helping behaviours and positive outcomes. Questionnaire items were generated from responses by 300 staff, to assess the applicability of Leventhal's Self Regulatory model in the context of challenging behaviour. The rating scales in the questionnaire were theoretically derived, based on the dimensions of Leventhal's model (identity, cause, consequences, treatment/control, time-line). An 'emotional-reaction' dimension was added, suggested by more recent research. The use of the Leventhal model was supported, with the exception of the 'time line' component. The questionnaire was tested for reliability and validity then administered before and after training to staff in three different groups. Targeted training changed cognitive representation of challenging behaviour overall, as measured by the CBRQ, and this change was statistically significantly in two of the five dimensions for the experimental group. Other results suggest that dimensions of cognitive representation are affected in different and complex ways by training. The statistical and the practical significance of the results are discussed in relation to staff training and therapeutic outcomes for people with learning disabilities. A 'staff-regulatory' model of cognitive representation is proposed linking cognitive representation and challenging behaviour.
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Duffy, Brianne Michelle. "Identification of stressors related to emergency department employment." Honors in the Major Thesis, University of Central Florida, 2003. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/315.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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Kwizera, Alice Stella. "Quality of work and work life: understanding the work ethic of medical professionals in selected hospitals in the Eastern Cape region of South Africa." Thesis, Rhodes University, 2012. http://hdl.handle.net/10962/d1003111.
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This thesis reports a study of work ethic values, beliefs and attitudes held by medical professionals in selected hospitals in the Eastern Cape, South Africa. The study was in response to the public outcry about the declining work ethic and poor service delivery in South Africa’s healthcare sector. Scholarly interest in the work ethic and its role in economic development dates back to Max Weber’s classical work, which was the starting point for my study. The German economic sociologist published his seminal essay on The Protestant Ethic and the Spirit of Capitalism in 1904/1905. Since that time, Weber’s ideas on the Protestant work ethic continue to inform and influence studies of the contemporary work ethic, which is thought to have become secularised. My study was informed by data collected in 2009 through a questionnaire survey and personal interviews. A total of 174 doctors and nurses, working in four urban, periurban and rural hospitals near East London, completed a self-administered questionnaire. The questionnaire replicated the Multi-Dimensional Work Ethic Profile (MWEP) developed by Miller, Woehr and Hudspeth in 2001/2002. The instrument examines seven critical dimensions of the work ethic, namely self-reliance, morality, (foregoing) leisure, hard work, centrality of work in life, not wasting time, and delay of gratification. In addition, I conducted personal interviews in the same four hospitals with 41 hospital managers, doctors, nurses, and patients to discuss their understanding of the work ethic and its practical application. The study found that both doctors’ and nurses’ overall work ethic scores on the MWEP scale were above average. Although there was no significant difference between the overall work ethic scores of the two professions, doctors scored significantly higher than nurses on the ‘hard work’ and ‘self reliance’ dimensions of the work ethic scale. In the qualitative study, the doctors’ work ethic was rated much more highly than the nurses’ by their superiors and patients; and the work ethic of nurses in the urban hospitals was rated much lower than that of their rural colleagues. In contradiction to the idea of the secularization of the contemporary work ethic, religiosity and religious beliefs were influential in the endorsement of work ethic principles. In line with the notion that ‘happy’ workers are more productive, job and life satisfaction were found to be strong correlates of the work ethic of medical professionals.
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Alajaji, Nourah. "How medical students express their attitudes towards their reflective experience in teaching hospitals : a corpus-based approach to the analysis of evaluation in reflective reports." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6474/.
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Reflective practice is deemed as one of the essential learning tools in professional education, particularly in the field of Medicine. Educators have recognised the role of reflective writing in focusing students’ reflective learning (Moon, 2004). Research in this writing genre has highlighted the centrality of successful management of affective meanings to achieve critical reflection (Boud et al., 1985). However, the volume of studies that explored the structure and linguistic features of authorial attitudes is limited, indicating a lack of knowledge. This study investigates the macrostructure of reflective writing and the strategies used by writers to position their stance towards entities and propositions across the sections of the reports. To achieve this aim, a corpus of 47 reflective reports written by four-year medical students at the Birmingham Medical School was compiled and interviews with supervisors were conducted. Drawing on the appraisal theory (Martin and White, 2005) and the parameter-based approach (Bednarek, 2006), a framework of evaluation was developed, featuring the analysis of the targets of the evaluation. The findings demonstrated the role of the situational context in selecting those targets, and the way writers position their stance towards them reflects their awareness of the genre conventions and their professional identity. They also revealed the influence the discourse community in structuring the reports. This thesis concludes with an evaluation of the framework and suggestions for pedagogical implications.
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Mrara, Msibulele Theophilus. "An investigation of turnover and retention factors of health professional staff within the Eastern Cape Department of Health." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1003875.
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Health Professionals are critical in the provision of health services, more especially when it comes to nurses who are next to the patient most of the time. It is critically important for the Eastern Cape Department of Health to ensure that skilled health professionals such as doctors, pharmacists, nurses and the like are retained and the staff turnover regarding this category of staff is appropriately managed. The difficulty to attract and retain health professionals is negatively affecting service delivery in the Eastern Cape department of Health and leaves the department with an unacceptably high vacancy rate. This often put more of a burden on to the health professionals who remain within the organization. Some of them will end up leaving the organization. There is a great shortage of health professionals in South Africa and it becomes easier for the health professionals to get employment elsewhere, particularly in the private sector which appears to have a competitive advantage as compared to the public sector. In this study, both quantitative and qualitative methods were used to gather information through the utilization of a questionnaire and interviews were conducted mainly to confirm the results obtained. The results of the study have assisted to reflect factors that could be influencing the health professionals to leave health facilities of the Eastern Cape Department of Health. The respondents were drawn from the two areas within the Health Department, and these are, Mthatha and Port Elizabeth areas. One hundred (100) questionnaires were issued to the health professionals and sixty three responded. Documents that were received from the department were helpful in determining the turnover rate. The study has revealed that the Eastern Cape Department of Health may succeed in retaining the health professionals if they can be made to feel that their job is important. It appears that health professionals would like to be given enough opportunity to perform their functions and participate in the decision making processes of the department. Some factors may be contributing to the staff turnover and these are, lack of career opportunities to develop, challenges in the workplace, conflict with the management and colleagues. It is always important for the organizations to recognize its employees by giving them space to practice their profession and create a comfortable workplace that could have an impact in influencing the employee to remain within the organization. Employee turnover can be minimized, if employees can be exposed to a healthy workplace environment that will assist if fostering happiness, and in the process, enhance their motivation. It is imperative for the Eastern Cape Department of Health to focus on the training and development of its employees in order to increase the efficiency and competitiveness. As the employees gain the necessary skills to perform their job, productivity may improve. The performance of the employees should be properly managed, and the resultant incentives and rewards must be fairly distributed. This could promote harmony in the workplace and that could help in building relationships among employees. If employees are satisfied, there is an increased chance that they will stay within the organization and it becomes difficult for other competitors to attract them. Employees must be given adequate space to participate in the decision making processes of the organization, and by doing so, their loyalty to the organization could be increased.
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Sanders, Carolyn L. "Clinical antecedents of a medical emergency team response as predictors of ICU transfer /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 100-107). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Rutledge, M. Hannah. "Patient Family and Hospital Staff Information Needs at a Pediatric Hospital: an Analysis of Information Requests Received by the Family Resource Libraries." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc801947/.
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This research explored the information needs of patient families and hospital staff at a pediatric hospital system in Dallas, Texas. Library statistics recorded in four hospital libraries from 2011 - 2013 were used to analyze the information requests from patient families and hospital staff. Crosstabulations revealed the extent to which patient families and hospital staff used the libraries to satisfy their information needs. The data showed that patient families used the libraries very differently than hospital staff. Chi-square tests for independence were performed to identify the relationships between the Classification (Patient Family, Hospital Staff) and two descriptors of information needs (Request Type, Resources Used). There were a total of 1,406 information requests analyzed. The data showed that patient families and hospital staff information requests differed greatly in the number of information requests, the type of information requested, the resources used and the time the library staff spent on the requests. Chi-square analyses revealed relationships statistically significant at the p < .05 level; however, the strength of the relationships varied.
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Ward, Gary Ray. "Training the trainer: A manual for Kaiser Permanente educators who teach employees to use computer systems." CSUSB ScholarWorks, 1991. https://scholarworks.lib.csusb.edu/etd-project/758.
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Mnyembane, Adiel. "The experience of hospital management and employees in transforming the public health system in the Western Cape 1996-2001." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/53117.
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Thesis (MPhil)--Stellenbosch University, 2002.ENGLISH ABSTRACT: One of the main objectives of the new South African government who came into power in 1994 was to improve the daily living conditions of its citizens. To what extent did the government succeed in this objective? This is the basic research question informing the present study. In order to keep it within manageable proportions, the study investigated a very specific area of service delivery, namely the delivery of public health services. This was further narrowed down to the Western Cape and more specifically, to the role of public hospitals in the area. The Western Cape promised to be an interesting case, because although the government of national unity was dominated by the ANC, the Western Cape was ruled by a NNP dominated coalition. On the national level, the Province had to follow national policy guidelines, while on the provincial level it had more freedom to formulate and implement its own policies. The study itself consists of two parts. The first concerns policy formulation, the second policy implementation. As far as policy formulation is concerned, a study was made of basic documents articulating the fundamental values, national priorities and main objectives informing government policy. These included the Freedom Charter, the Constitution, and the Reconstruction and Development Program. It was found that these values and priorities were in general well translated into policy options on both the national and provincial level, especially in the various documents aimed at transforming the national health system. The second part of the study investigates the implementation of the broad policy guidelines in the area of public heath in selected public hospitals in the Western Cape. The main method of investigation was the use of structured interviews with representative employees from all different levels. The findings were therefore of a qualitative rather than a quantitative nature. The focal areas selected were personnel management issues, human resource planning, labour relation issues and human resource development issues. The main findings were that the formulation of policy both from basic values to the level of health care policies and from the national to provincial level in general was quite successful. On the other hand, there were serious shortcomings in the implementation of these policies on various levels. The investigation revealed a mixed and often contradictory picture. Although some hospitals made good progress in some respects, there is still a long way before quality health care will be delivered to all patients. A commitment to equity in the health services of the country implies a commitment to correcting the historical gender, class and racial imbalances in the development of human recourses for health care. Of necessity, a compassionate and caring health service will address the issue of corrective action. There is a real need to provide proper planning of those most disadvantaged by apartheid in managerial skills to fill managerial positions in the health sector. It is therefore is necessary to introduce as a matter of urgency new health management programmes, which will promote efficient and effectiveness management at all levels of health care service delivery. Current health managers need to be reoriented from the predominantly bureaucratic, rule-based approach towards a participative approach. The development of managerial capacity in areas such as participative and change management, leadership development, strategic planning, programme management and evaluation, and policy development and implementation is of crucial importance. The study concludes with a series of specific recommendations with regard to affirmative action, managerial and institutional capacity, human resource planning, and training needs for various sectors.
AFRIKAANSE OPSOMMING: Een van die hoofdoelstellings van die nuwe Suid-Afrikaanse regering wat in 1994 aan bewind gekom het, was om die leefomstandinghede van al die land se inwoners te verbeter. Tot watter mate het die regering geslaag in hierdie doelwit? Dit is die basiese navorsingsvraag onderliggend aan hierdie studie. Ten einde die ondersoek binne hanteerbare grense te hou, is op slegs een aspek van dienslewering gekonsenteer, naamlik die lewering van gesondheidsdienste. Hierdie terrein is verder vernou tot die Wes-Kaap en meer spesifiek tot die rol van openbare hospitale. Die Wes-Kaap was interessant omdat hoewel die regering op nasionale vlak deur die ANC beheer is, die Wes-Kaap basies deur die NNP in die periode van ondersoek geregeer is. Die provinsie was verplig om nasionale beleidsriglyne te volg, maar op provinsiale vlak het dit 'n sekere speelruimte geniet om eie beleid te formuleer en te implementeer. Die studie bestaan uit twee dele. Die eerste het te doen met beleidsformulering, die tweede met beleidsimplementering. Wat beleidsformulering betref, is 'n studie gemaak van die basisdokumente wat die kernwaardes, nasionale prioriteite en hoof doelstellings van die regering bevat. Dit het ingesluit die Vryheidmanifes, die Konstitusie en die Heropbou- en Ontwikkelingsprogram. Daar is bevind dat hierdie waardes en prioriteite in die algemeen suksesvol vertaal is in beleidsopsies op beide die nasionale en provinsiale vlak, veral in die dokumente wat gerig was op die transformasie van die nasionale gesondheidsektor. Die tweede deel van die studie het die implementering van die breë beleidsriglyne in die area van openbare gesondheid in geselekteerde publike hospitale in die Wes-Kaap ondersoek. Die hoof-ondersoekmetode was gestruktureerde onderhoude met verteenwoordigende werknemers van alle vlakke. Die bevindinge was gevolglik meer van 'n kwalitatiewe as kwantitatiewe aard. Die fokusareas waarop geskonsentreer is, was personeelbestuur, menslike hulpbronbeplanning, arbeidsverhoudinge en die ontwikkeling van menslike potensiaal. Die hoofbevindinge was dat die formulering van beleid beide van basiese waardes na gesondheidsbeleid en van die nasionale na provinsiale vlak in die algemeen suksesvol was. Aan die ander kant het ernstige gebreke aan die lig gekom sover dit die implementering van beleid op verskillende vlakke betref. Die resultaat was 'n gemengde en dikwels kontrasterende prentjie. Hoewel sommige hospitale goeie vordering gemaak het in sekere opsigte, laat die lewering van gehalte-diens aan alle pasiënte nog veel te wense oor. Die verbintenis to gelykheid in gesondheidsdienste veronderstel 'n verbintenis tot die regstelling van geslags-, klas- en rasse-ongelykhede in die ontwikkeling van menslike hulpbronne in die gesondheidsektor. Dienslewering gebaseer op sorg en empatie is van deurslaggewende belang in hierdie opsig. Daar is 'n groot behoefte aan behoorlike beplanning vir die verbetering van bestuur- en ander vaardighede van agtergestelde groepe. Die implementering van behoorlike bestuursopleidingsprogramme is van die uiterste belang, wat kan bydra tot effektiewe en goeie dienslewering. Die huidige oorwegend burokratiese en reëlsgebonde bestuurstyl behoort in 'n deelnemende benadering omgeskakel te word. Die ontwikkeling van bestuurskapasiteit in gebiede soos deelnemende veranderingsbestuur, leierskapsontwikkeling, strategiese beplanning, programbestuur en -evaluering en beleidsformulering is van die grootse belang. Die ondersoek sluit af met 'n reeks konkrete aanbevelings met betrekking tot regstellende aksie, verbetering van bestuurskapasiteit, menslike hulpbronontwikkeling en die opleidingsbehoeftes van die verskillende afdelings.
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Gray, Beverley Ann. "The influence of service quality perceptions and customer satisfaction on patients' behavioural intentions in the healthcare industry." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/514.
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Healthcare today has become a competitive industry, not only locally, but on a global level as well. In the South African economy the healthcare sector presently offers healthcare seekers two options to satisfy their healthcare needs – either through private business enterprises in the private sector or public enterprises in the public sector. Likewise, in the healthcare sector's hospital environment, patients can receive treatment from either private or public hospitals. As private business enterprises offering a relatively 'pure', but generally unsought-after service, private hospitals compete aggressively to attract patients. Patients are a hospital's lifeblood and they rightfully expect a high standard of customer service throughout the stay. With today's consumers being better informed, more sophisticated and more demanding than in the past, experts agree that the key to survival in the service industry today, almost without exception, is the quality of the service. The cornerstone of the service industry is without doubt the ability to deliver superior service quality that results in customer satisfaction. And the healthcare industry is no exception. Most consumers will experience a need for healthcare services at some time in their lives, but in South Africa, escalating medical costs in general and private hospitals in particular, have made private healthcare increasingly more expensive for the majority of the country's healthcare seekers. This situation raises the question of customer service in the private hospital industry and how patients' perceive service quality and evaluate customer satisfaction after a hospital stay. There is a growing body of empirical evidence from United States studies to show that service quality and customer (patient) satisfaction positively influence patients' behavioural intentions to reuse the hospital or recommend it to others (word-of-mouth endorsements). However, in South Africa, empirical studies to investigate these relationships have not been adequately addressed. This study was therefore an attempt to address the lack of scientific evidence and debate in the area of patient satisfaction. Against this background, the primary objective of this study was to measure patients' perceptions of service quality and customer satisfaction with a private hospital experience and to estimate the effect that each of these constructs will have on future behavioural intentions. More specifically, the present study was an attempt to assess empirically the most important dimensions of service quality and transaction-specific customer satisfaction dimensions that drive both patient loyalty and ‘overall’ or cumulative satisfaction in the South African private hospital industry. For the purpose of this study, buying intentions was used as a surrogate measure of loyalty as measured by willingness to reuse the hospital and/or willingness to recommend it to others (word-of-mouth endorsements). Initial exploratory research was conducted with the aim of assessing the views of three private hospital stakeholder groups, namely former patients, doctors and management about what the quality of service and customer satisfaction meant to each individual interviewed. A service enterprise that specialises in patient satisfaction surveys in the US provided particularly useful information during this phase of the study. Several case studies of patient satisfaction programmes, mostly at US hospitals, provided additional insights in this area. The study was conducted nationally at private hospitals owned by one of South Africa's three major hospital groups. Five private hospitals in four major centres were selected on a non-probability convenience basis to participate in the study. The hospital group's senior management and the management at each selected hospital gave their full commitment to ensure that the survey was successfully conducted in their hospital wards. Data were collected by means of a quantitative study using a selfadministered, structured questionnaire. Patients had to meet certain qualifying criteria which included being of adult age, in the hospital for an operation and at least one overnight stay. A total of 3 800 questionnaires was distributed to patients on a random basis in selected wards at the five hospitals by senior hospital staff designated for this task. From this distribution, 425 questionnaires were returned of which a final sample of 323 could be statistically analysed. To confirm the internal reliability of the measuring instrument, Cronbach alpha coefficients were calculated for each of the factors identified by the exploratory factor analysis. In order to assess the discriminant validity of the measuring instrument used to measure both service quality and customer satisfaction, the items were subjected to an exploratory factor analysis. The factors that emerged after the exploratory factor analysis were then used as independent variables in the four subsequent multiple regression analyses to assess the study's four hypothesised relationships. The findings revealed that the service quality dimensions that impact positively on both loyalty and cumulative satisfaction are Empathy of nursing staff and Assurance. The customer satisfaction dimensions to impact positively on both loyalty and cumulative satisfaction are Satisfaction with the nursing staff, Satisfaction with meals, and Satisfaction with fees charged.
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Amanambu, Rochelle Aneeta. "An investigation of the intention to leave or stay of health care professionals at St. Andrews Hospital." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1011091.
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Background: The demand for and retention of talent worldwide is aggravated by revolutionary trends that include global competition, demographic changes and technological advances. In South Africa this phenomenon according to Frost (2002) is further challenged by the emigration of skilled people; the relative scarcity of specialist and managerial employees; employment equity and affirmative action procedures. But the development of strategies first requires an understanding of the factors which influence decisions to leave or stay particularly in rural and remote areas. St. Andrews Hospital is a rural district hospital in Ugu District, KZN. Its remoteness from urban areas and the lack of resources contributes towards challenges of attracting and retaining health care professionals to the area. It is the aim of this study to identify the ten most prevalent turnover and retention factors in a rural district hospital with the intention of making recommendations towards strategies to mitigate turnover and improve retention of health care professionals. This study will not only serve the local Human Resource Department but may also be used to inform district and provincial policies as well as departments’ decisions in the design or the review of current retention strategies aimed at reducing turnover. Method: The survey method was used to collect the primary data by distribution of self-administered questionnaires to Health Care Professionals at St. Andrews Hospital. Of the one hundred and fifty questionnaires distributed, one hundred and seven were returned (71% response rate) and formed the basis of the study. Results: Based on the impact scores, the top three turnover factors identified were, the way the organisation is led by top management (0.934); the size of the workload (0.862); and the way problems are dealt with by managers in the organisation (0.817). No statistically significant relationships were found between turnover factors and biographical variable. Availability of quality health services was ranked as the external factor that had the highest influence (78%) on turnover, while geographical location was ranked the lowest. The main reason given by respondents for leaving their previous employment was promotion, followed by distance and personal/family reasons. The top three retention factors identified from the impact scores were the quality of relationships with colleagues (1.698); the amount of support received from managers and colleagues (1.484); and the level of engagement and involvement with the job (1.390). This demonstrates that the salary package often thought to be a first priority factor Mobley, Horner and Hollingsworth (1978); Mobley (1982) and Herzberg (2003) is far less of a determining factor at St. Andrews Hospital than management support, job involvement and person-organisation fit as well as the social relationships formed in the workplace. A positive relationship was found between leadership and job dimension factors at the 1% level of significance. This supports the strong social bond (person-organisation fit) formed in the work environment between management and colleagues that supports retention and increases level of commitment. An important result of the study was that 46% of the respondents were thinking of leaving the town within the year while 29% were considering resigning from St. Andrews Hospital within the year. Conclusion: The results reveal a complex interaction of factors impacting on turnover and retention. The Human Resource Management function has a pivotal role to play in improving its ability to attract and retain professionals through developing comprehensive strategies based on external and internal and environmental factors. The study conveys to the St. Andrews Hospital management that turnover and retention factors are unique to the location and the working environment and differs amongst Health Care Professionals – this should be deliberated on when formulating Hospital Human Resource retention policies.
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Connelly, David. "General medical staff attitudes towards decision making in client care and their own involvement in organisational planning : development of an instrument based on the theory of planned behaviour and a comparison of different professional groups." Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325818.
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Lauria, Ivone Do Carmo. "Contribution à une méthodologie de l'étude des représentations sociales: une approche des relations structurelles et interpersonnelles en milieu hospitalier." Doctoral thesis, Universite Libre de Bruxelles, 1997. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/212102.
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Forsyth, Rowena Public Health & Community Medicine Faculty of Medicine UNSW. "Tricky technology, troubled tribes: a video ethnographic study of the impact of information technology on health care professionals??? practices and relationships." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/30175.
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Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.
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Surtie, Adin Don. "An empirical investigation into the integration of foreign doctors into the public health case system of the Northern Cape in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/95690.
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Thesis (MBA)--Stellenbosch University, 2013.The South African Northern Cape Department of Health has many challenges to overcome in order to provide the province with quality public health care. One of these challenges is the recruitment and retention of foreign doctors in order to maintain and improve on the population’s access to physicians. Due to the lack of locally trained physicians willing to work and settle in the Northern Cape Province, the Department of Health in the province have been employing foreign-trained physicians to fill the gap in providing adequate medical care to its population. This study examined how well foreign doctors have integrated into the Northern Cape public health care system. It further identified, described and explored the factors that might influence the integration of these foreign physicians. This was done in order to make recommendations to improve the existing retention strategies of the Northern Cape Department of Health. This research utilised the mixed-method of research by obtaining secondary qualitative as well as primary quantitative data. The qualitative data were obtained through a literature review. Questionnaires informed by the literature review were utilised in order to obtain the primary quantitative data. The data obtained were subjected to a statistical analysis.The results indicated that the needs of the foreign doctors were generally met and the factors pertaining to work, community and family aspects of integration did not have an overtly negative or positive influence on integration. The results pertaining to rurality were not as prominent as expected. The main factors identified related to relational (professional as well as personal) factors. The researcher concluded that relational factors contributed the most as they had an influence on all the categories of possible factors that might influence integration. This finding stressed that the social phenomena that influence integration should not be overlooked. The implementation of interventions to improve integration and retention should be accompanied by a detailed examination of the factors that affect the recruitment, integration and retention of the workforce in a country/region. This research could be an important step towards achieving this goal for the Northern Cape Department of Health.
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Pellfolk, Tony. "Physical restraint use and falls in institutional care of old people effects of a restraint minimization program /." Doctoral thesis, Umeå : Umeå universitet, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-31952.
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Meyer, Julia. "The knowledge and perceptions of the medical staff about chiropractic at the Kimberly [i.e. Kimberley] Hospital Complex." Thesis, 2009. http://hdl.handle.net/10321/414.
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Dissertation presented to the Faculty of Health Sciences at the Durban University of Technology in partial compliance with the requirements for a Master’s Degree in Technology: Chiropractic, 2009Background: In order to develop a balanced healthcare system, healthcare integration and inter-professional communication is important and allows for optimum healthcare benefits for a patient and improves cost-effectiveness. The chiropractic profession has been trying to improve inter-professional communication with the medical profession. Kimberly Hospital Complex (KHC) is a tertiary provincial hospital situated in the Northern Cape and since 1998, a permanent chiropractic post exists at this hospital, making it the only state hospital in South Africa with a full-time chiropractic clinic and post. Purpose: To determine the knowledge and perceptions of the medical staff about chiropractic at KHC. Method: This study was achieved by means of a questionnaire, which was modified to suit a South African context by means of a focus group. The questionnaire was personally delivered to 975 medical staff members at KHC. A response rate of 30% (n = 292) was achieved and the data was analysed using SPSS version 15 (SPSS Inc., Chicago, III, USA). Results: The mean age of the respondents was 37.3 years and most were female (78.9%, n = 289). Doctors (62.5%, n = 54) and therapists (61.6%, n = 10) had a higher knowledge percentage score than nurses (48%, n = 213) or other healthcare professions (56.8%, n = 15). Doctors (77.8%, n = 42), therapists (100%, n = 10) and other healthcare professions (69.2%, n = 9) were more inclined to think that chiropractic is an alternative healthcare service, while nurses perceived chiropractic as a primary healthcare service (43.3%, n = 91). Many respondents were unaware of the fact that Diagnostics, Emergency Medical Care, Pharmacology and Radiology are included in the chiropractic curriculum and that chiropractic leads to a Master’s degree. Seventy five percent (n = 203) believed that chiropractors are competent in the general medical iv management of patients, but they would still rather refer patients to physiotherapists and orthopaedic surgeons. Despite the poor level of knowledge of chiropractic, 79.2% (n = 224) believed that it is sufficiently different from physiotherapy to warrant two separate professions and few (24%, n = 69) perceived it as unscientific. A large proportion of the respondents (80.3%, n = 228) believe that chiropractic is not well promoted in South Africa and only 20.8% (n = 59) felt that they know enough about the profession to advise a patient. The majority wanted to learn more about the chiropractic profession (95.8%, n = 277), especially pertaining to the scope and the treatment employed by chiropractors. Seventy-nine percent (n = 212) believed that patients benefit from chiropractic at KHC and 95.4% (n = 268) felt that South African hospitals would benefit from chiropractic care. Conclusion: Due to the poor level of knowledge at KHC, an educational drive should be employed to educate the medical staff in order to increase their understanding of chiropractic and to aid chiropractic integration into the state hospital system of South Africa.
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Churchill, Brian E. "Perceptions of community hospital physicians on computerized physician order entry." Thesis, 2004. http://hdl.handle.net/1957/30961.
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Objectives: To identify the perceptions of community hospital physicians on
computerized physician order entry.
Design: Multi-method approach consisting of a mail survey of 659 community
hospital physicians with active admitting privileges at three PeaceHealth, Inc.,
along with follow-up personal interviews with stratified random selection from
completed survey.
Measurements: Perceptions were assessed by means of a mail survey that asked
physicians to rank themselves on a scale that represented the five adopter
categories contained in the Diffusion of Innovation (DOI) change theory, along
with several questions regarding computer use and attitudes toward potential
effects of computers and CPOE on medicine and healthcare. Physicians
representing four of the five adopter categories were interviewed to assess
general perceptions and perceived attributes of innovations, an another construct
within the DOI theory.
Results: The response rate was 41%. Medical specialty, years in practice, and
gender were found not to influence attitudes toward use of computers or, more
specifically CPOE in medicine and healthcare. However, more medical specialists
favor CPOE implementation at PeaceHealth than expected.
Self-ranking on the DOI five adopter categories appears to influence
attitudes toward use of computers in medicine and healthcare with positive
trends in improving quality, rapport, and patient satisfaction mainly in the
Innovator, Early Adopter, and Early Majority categories. A positive trend was
seen in the relationship between CPOE's potential effects on improving patient
care, not interfering with communication, and improving patient satisfaction with
negative relationships with impact on physician workflow and enjoyment of
medical practice. A relationship is seen between the five adopter categories and
favoring CPOE implementation at PeaceHealth.
The perceived attributes of innovations of Ease of Use, Result
Demonstrability, and Visibility were supported by interview responses. Relative
Advantage seemed to be supported by other questions. The concept of
Compatibility was also supported. No steps of the processes of change construct
within the Transtheoretical Model were identified during the interviews.
Conclusions: This study appears to refute the suggestion that there might be a
difference between medical specialists and surgical specialists, age, or gender in their support of computers and specifically CPOE. These data appear to support
the Diffusion of Innovation theory is appropriate to consider in investigating
CPOE and its diffusion among community hospital physicians.
Implementing CPOE according to adopter categories would provide the
option for interested physicians to use CPOE, to use CPOE on certain hospital
units or patients, and to expand its use before making mandatory.
Communication should be targeted toward the adopter categories rather
than mass media and emphasize the perceived attributes of innovation.Graduation date: 2004
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chin, chen wei, and 陳威津. "Knowledge, Attitudes, and Behaviors of Non-Medical Staff towards Pulmonary Tuberculosis in One Hospital." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/6chp53.
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碩士美和科技大學
護理系健康照護碩士班
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Background: Non-hospital staff in hospitals are exposed to biohazard workplace environment. If they are not properly protected, their risk of tuberculosis is far higher than that of others. If they are not taken care of, they may also result in non-medical staff and other patients’ organisms. Sexual hazards, there is little research on this epidemic infectious disease in domestic and other country. It is hoped that this study can provide reference for hospitals to plan in-service infection control education for employees. Purposes: To explore the related issues of the hospital staff to understand the risk of tuberculosis infection. Methods: A cross-sectional descriptive correlation designs were used in this study. The administrative personnel, transfer personnel, dietitians and social workers of one hospital in Kaohsiung are the subject. Questionnaires were used in this research. Results: A total of 152 non-medical staff participated in the study. Non-medical staff were mostly female(98.7%), married(74.3%), with an average age of 51 years or more(30.9%), an average working year of 3-5 years(33.6%), and bachelor & graduate background (50.7%). The correct rate of the knowledge scale was 75% in university group. The non-medical staff's attitude to the pulmonary tuberculosis scale was calculated by using the five-point method, and the average of the ten questions reached 3.47 points which moderate degree positive attitudes were. Pulmonary tuberculosis prevention and treatment behavior scale scored ten questions in five points, with an average score of 4.12 points which high preventive behavior were. Knowledge, attitudes, marriage, and working tenures can be good predictors for behaviors. Knowledge was negative correlated with attitudes( r = -0.800). Knowledge was positive correlated with behaviors( r = 0.916). Attitudes were negative correlated with behaviors( r = -0.724). Conclusions: The behavior and attitudes of non-medical staff in a hospital in the southern part of China for tuberculosis disease are moderate; academic attitudes and tuberculosis attitudes are the main reasons affecting non-health care workers.
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Katamba, Henry Stanley. "Factors affecting voluntary nursing staff turnover in Mengo Hospital." Diss., 2011. http://hdl.handle.net/10500/5590.
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The purpose of this study was to examine the relationship between perceived availability of opportunities for promotion, training, career progression, existing management style and voluntary staff turnover intention among the nurses working in Mengo Hospital. A quantitative, descriptive correlational design was used. Data collection was done using structured questionnaires. Full time staff nurses (N= 235) were surveyed. The findings revealed that all the four variables were significantly and negatively correlated to the intention to leave and predicted 16.8 percent of the variance in intention to leave scores. Management style was the strongest predictor of intent to leave (14.5%). Nurses perceiving their managers as participatory had lower intention to leave. To retain qualified personnel, hospital administrators should focus on participative management style and career development programs that address the needs of the staff and the hospitalPublic Health
M.A. (Public Health)
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Matlala, Mosehle Salome. "Perceptions of midwives on the shortage and retention of staff at a public hospital in Tshwane District, Gauteng Province." Diss., 2017. http://hdl.handle.net/10500/24409.
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Midwifery is the backbone of women and child healthcare. The shortage of staff in maternity units is a crisis faced by many countries worldwide, including South Africa. This study aims to investigate and explore the perceptions of midwives on the shortage and retention of staff in a public institution. An explorative, descriptive generic qualitative design method was followed. Non-probability, purposive sampling technique was used. The study was conducted at one tertiary hospital in the district of Tshwane, Gauteng Province. A total of 11 midwives were interviewed. Thematic coding analysis was followed in analysing data. Midwives are passionate about their job, despite the hurdles related to their day-to-day work environment. They are demoralised by a chronic shortage of staff, and feel overworked. Staff involvement in decision-making processes is a motivational factor for midwives to stay in the profession.Health Studies
M.A. (Public Health)
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Yilma, Nebeyou Aberra. "Comparing adherence patterns to standard precautions and infection control amongst health care providers in public and private hospitals in Botswana." Diss., 2013. http://hdl.handle.net/10500/18196.
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This study aimed to provide evidence on knowledge of attitudes toward standard precautions (SPs) and its practice of Healthcare Workers (HCWs) in government and private hospitals in Botswana. It utilised descriptive cross-sectional methodology. A range of significant findings were revealed. Good practice of SPs was noted more amongst the HCWs in government than in private hospitals. Knowledge of SPs amongst HCWs in government hospital was significantly and positively correlated to good practice of SPs. Registered Nurses (RNs) had better knowledge of SPs than HealthcareAssistants (HCAs).There was no significant difference between RNs and HCAs practice of SPS and attitudes toward the same. No significant difference in the knowledge, attitudes and practice of SPs was noted between General Practitioners (GPs) and RNs. No significant difference in the knowledge, attitudes and practice of SPs was observed between GPs and HCAs. The study findings have implications for the application of SPs in practiceHealth Studies
M.A. (Public Health)
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Tomas, Nestor Petrus Namulo. "Factors contributing to the negative behaviours of nurses in a specific public health care facility in Namibia." Diss., 2017. http://hdl.handle.net/10500/24427.
Full textAbstract:
It is important for nurses to show acceptable behaviour when interacting with the patients. The purpose of this study was to explore and describe the factors that contribute to nurses’ negative behaviour when rendering patient care and to determine the effects of nurses’ behaviour on patient outcomes.
The study used a non-experimental explorative and descriptive quantitative design. Data collection was done using a structured questionnaire. The sample comprised of 64 respondents which consisted of 25 registered nurses and 39 enrolled nurses.
The study found that besides the known contributing factor, that is, the shortage of nurses, further identified contributing factors to nurses’ negative behaviour when rendering patient care are failure to retrain nurses identified with negative behaviours, poor condition of employment and patients’ behaviours and cultural beliefs. These results suggested a need to train more nurses, improve conditions of employment, as well as support and retrain nurses identified with negative behaviours.Health Studies
M.A. (Public Health)
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He, Shu An, and 何叔安. "A study on the medical staff worktime allocation at the Taipei municipal hospitals." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/85003780697988763717.
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Shu-YuanHuang and 黃淑媛. "An Analysis of Corruption Factors:A Case Study of Medical Staff in Public Hospitals." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/tb3zfs.
Full textAbstract:
碩士國立成功大學
政治經濟研究所碩士在職專班
105
This paper is designed to identify the causes of medical corruption, how such causes interact and the differences between the causes of medical corruption and those of general corruption. This study explores the causes of medical corruption from three levels. Specifically, the system level includes formal and informal systems. In the interpersonal level, the relationship between hospitals and manufacturers is analyzed. The Psychological level includes a sense of relative deprivation, civil servants' identity perceptions and moral mechanism. The factors of different levels are proved to produce an impact on medical corruption by the aforesaid research methods. After the results are sorted out and summarized, judicial decisions of medical corruption cases are cited to prove the results. Then academic theories and practical experience are employed to confirm the findings of this paper and corresponding research recommendations are put forward.
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Shuiqing, Jin. "Work satisfaction of medical staff in China-aided hospitals in Africa: a study of China-aided hospitals in Angola." Doctoral thesis, 2019. http://hdl.handle.net/10071/22843.
Full textAbstract:
Degree of satisfaction, this measure, particularly applied to the medical staff, explores
the content of healthcare professionals for doing their job in medical institutions like hospitals
or clinics. But what if the cultural factor is added to this measurement, like the culture
differences between the western and eastern worlds?
This thesis provides an insight to this problem in the remote location of Angola, a
country in Africa, for the Chinese medical staff living there.
At the beginning the research provides a close view of the previous and actual situation
of the relations between the countries of China and Angola in the medical field. From there it
gets straight to the point of evaluating the medical staff working in a Chinese hospital in the
capital of Angola, Luanda.
Qualitative research was the main method used to gather the principal information
needed to make the evaluation of the degree of satisfaction of the Chinese medical staff in the
selected hospital; thus getting the personal experiences from them, sometimes affecting their
jobs, analysing their actual situation plus adding the data-values to this information provided a
solid understanding of the level of satisfaction of them in that hospital.
In the end, the information, conclusions and recommendations included in this thesis
could be used as a tool for the development of solutions to this topic and/or further research
into it, which also can show the contrast between two cultures where healthcare professionals
have to put aside those cultural differences in order to fulfil their duties.O grau de satisfação neste trabalho refere-se especificamente aos profissionais médicos, o presente trabalho dedica-se principalmente a explorar o grau do satisfação dos profissionais médicos que trabalham em instituições médicas, e se haverá diferenças de grau de satisfação quando se envolve os fatores culturais? Este trabalho fornece novos conhecimentos para os profissionais médicos chineses estabelecidos em áreas remotas de Angola, África. Em primeiro lugar, este estudo efetuou uma análise mais aprofundada do historial médico e a conjuntura atual da China e Angola, explicando as relações médicas entre os dois países, através da qual se passou diretamente para a avaliação do grau de satisfação dos profissionais médicos que trabalham num hospital chinês em Luanda, Angola. A investigação qualitativa é a maneira principal para a recolha de dados importantes para a avaliação do grau de satisfação dos profissionais médicos chineses no hospital escolhido, através da qual se adquire as experiências pessoais dos médicos, descobrindo os elementos que afetam o trabalho, analisando as situações reais deles, com o objetivo de acrescentar os dados úteis na avaliação de grau de satisfação, o que fornece um conhecimento real sobre o grau de satisfação dos médicos que trabalham nos hospitais estrangeiros. Em fim, os dados recolhidos, as conclusões e sugestões neste trabalho podiam ser os instrumentos para a elaboração de investigação do grau de satisfação dos profissionais médicos estabelecidos em África e para a pesquisa futura sobre o tema, além disso, também demonstra os choques culturais entre os dois países, ou seja, os profissionais médicos têm que deixar ao lado os choques culturais quando cumprem as suas tarefas.
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Weiß, Vivien. "Die Verordnung von Schlaf- und Beruhigungsmitteln: Ein Mixed-methods-Ansatz zur Exploration einer Drucksituation." Thesis, 2018. http://hdl.handle.net/11858/00-1735-0000-002E-E53F-F.
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Johal, Jagdeep K. "Staff Nurses' Perceptions of Rapid Response Teams in Acute Care Hospitals." Thesis, 2008. http://hdl.handle.net/1974/1503.
Full textAbstract:
The purpose of the present study were to (a) explore the relationship between the frequency of use of Rapid Response Teams (RRTs) by hospital staff nurses and the support received from RRTs; (b) to investigate staff nurses’ perceptions of their individual level, group level and organizational level learning as a result of single or multiple exposures to the RRT; (c) to identify predictors of learning outcomes and (d) to identify overall impressions and advantages and disadvantages of the RRT. A mail survey was used to collect data. The response responses rate was 33%, 131 registered nurses responded to the survey (pre-test = 12, study = 119). The results of Pearson r correlation suggest that a high frequency of access of RRTs was positively related to process support (r = .25, p < .01). Also, perceived content and process support from RRTs was positively related to maintenance and building of staff nurses’ mental models regarding patient deterioration pertaining to self, group and organization. Multiple regression analyses show that sociodemographic and independent variables predict organizational learning outcomes (mental model maintenance and building). Overall impressions of the RRTs were high. A content analysis of nurses’ comments indicated that there were more advantages to having the RRTs than disadvantages. This study suggests that RRTs are influential in changing nurses’ perceptions about managing patient deterioration. Training programs for RRTs should include both content and process support, which may enhance building and maintaining mental models.Thesis (Master, Nursing) -- Queen's University, 2008-09-25 21:27:44.682
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Mbindyo, Patrick Mutinda. "Roles, norms and incentives influencing the performance of clinical officers in Kenyan rural hospitals." Thesis, 2013. http://hdl.handle.net/10539/12288.
Full textAbstract:
This work explored perceptions regarding the roles, norms and incentives influencing the performance of Clinical Officers (COs) in rural district hospitals in Kenya. In order to improve access to health care mainly in rural areas, COs are increasingly being used to perform tasks that were previously the preserve of physicians. The assumption underlying their use is that they are a viable option to doctors. Studies have shown with reference to HIV care and obstetric and gynaecological surgical tasks that COs’ performance is comparable to that of physicians. Other studies also show that the care offered by COs is cost effective when compared with the costs associated with physicians and obstetricians care. However, there is emerging work which shows that COs are not happy in their assigned role in the health system. These studies report CO’s dissatisfaction with the low remuneration, poor career progress and limited career options inherent their jobs as compared with those accorded to physicians. As revealed by a systematic review of mid-level worker literature, addressing these issues is at present difficult due to gaps in our understanding of CO functioning. The existence of these gaps is explained by the limited empirical work on COs in general. The aim of this thesis was to address this issue by exploring issues that affect their routine functioning in a typical rural hospital setting going beyond the fact that they are technically competent.
To investigate these issues, a conceptual framework was adopted that explores the tension between what institutions demand and what individuals within them feel able to do. Qualitative methods comprising of interviews, participant observation, review of official policy and hospital level documents on COs, and review of hospital statistics were used. A comparative approach was adopted that sought to; (1) examine perceptions regarding influences on the performance of COs from a variety of sources (COs, doctors, nurses, supervisors, hospital managers, policy makers and policy documents); (2) compare perceptions of respondents based in three faith-based hospitals with those in three government facilities; and, (3), explore features of different work settings (outpatient department, specialist clinics and vertically supported clinics) within these hospitals that encouraged good CO performance. Preliminary findings were reported back to respondents in the six study hospitals.
Analysis of the data showed three major issues. First, perceptions of CO roles are problematic despite an acknowledgement of the important function performed by COs in the health system. This is revealed by the variety of images regarding their roles that highlights the need for a redefinition of CO roles. An example of this is shown by the inconsistency between their importance as the ‘backbone of the health system’ versus the poor remuneration and career prospects that their position attracts. Second, there were differences in the norms of CO performance that have resulted in variations regarding what is expected of them. While there was much attention paid to norms of performance about technical aspects of work, less attention focussed on non-technical aspects of work. The adoption of a holistic approach to the notion of CO performance is needed that will enable facilities and the system to meet the needs of the CO which should prompt COs to reciprocate by working better. Third was the issue that there were minimal incentives were attached to COs work. In the public sector, there were some incentives but their availability depended on the work settings. For example, while COs in vertical clinics got training their colleagues in the outpatient department had few chances to get training opportunities. Faith-based hospitals did provide performance related bonuses that encouraged health workers to perform better although notably basic salaries in faith-based hospitals were no better than those given in the government sector. However, major incentives such as salary and promotions in the public sector are handled by the central government giving public sector hospital managers little opportunity to utilise such incentive mechanisms. Where hospital managers may have some leeway in implementing actions at the local level to improve performance, for example through improving CO recognition and working conditions, it was observed that public sector managers were generally less engaged in utilising such incentives. Therefore while it is important to consider and address system level factors that influence CO performance such as salaries and promotions, among others, facility managers would also appear to have some scope to improve performance.
In discussing these issues, it is becoming clear that the assumption that COs are altruistic and will continue to work flawlessly in their assigned niche presents a naïve view of COs. This thesis shows that COs are also influenced by self–interest and find ways to overcome or work around any perceived barriers to their growth, some of which may work against the institution. This calls for a re-examination of who COs are, what they do and how they should be managed. Ways of resolving the tension that exists between COs and the health institution exist and can be derived from examining the coping mechanisms that COs have adopted to make their lives better. These coping mechanisms show areas that need attention. Further, there should be greater consideration of the important role that facility managers play in mediating and/or modifying system level influences by creating local environments suitable for better staff performance. Underlying all this is the fact that a long term view of COs is needed. The long term view must go beyond the notion of ‘substitute physician’ as Kenya has made huge investments in this cadre over the last 40 years or more and, with other countries, is likely to continue to rely on such a cadre for much clinical care. This thesis therefore concludes with recommendations that seek to address issues identified with the performance of COs in the Kenyan health system focusing on potential hospital level and system level solutions. Also included is a reflection of the relevance of findings for countries similar to Kenya that are currently using or seek to use COs as a physician substitute.
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Chuang, Chiou-Hwa, and 莊秋華. "A Survey on Hospitals'' Present Status and Attitudes Toward Medical Information Privacy Protection." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/25621759037893033024.
Full textAbstract:
碩士國立臺灣大學
醫療機構管理研究所
95
The purposes of this study were to explore the knowledge, attitude, and related factors of medical information privacy protection which would affect hospital medical information administrators, and to understand the related management rules and methods to effectively implement those rules. This study was a cross sectional survey, using a self-administered structured questionnaires as the research tool. Survey objectives were medical information management officers of all regional or above hospitals. Totally, 276 (55.65%) of 496 questionnaires were received. Important findings are as follow: 1.Most respondents’hospitals had standard guidelines of medical information privacy management for applying, copying, and keeping medical information.However,only 40% of hospitals had tracing control on computer printing, inquiring, and internet transferring. 2.The overall average score was 1.94 (the highest being 3) on knowledge of medical information privacy related regulations and standards. The result indicated respondents have to increase their knowledge on related regulations and standards. Respondents got the highest average score (2.4) on “ the Medical Care Act”article 72 and“the Physician Act”article 23; the lowest score (1.74) on“the Computerized Personal Information Protective Act”article 34 and“Infectious Disease Prevention Act” article 63.In addition, respondents working in medical centers had a higher score than that of regional hospitals.Public hospitals’respondents had higher score than privates’. Respondents of hospitals with more than 1,000 beds had significant higher score than those with 201 to 500 beds, and much higher than those with less 100 beds. Respondents who were high position level on medical information management officers had significantly higher score than those at lower position levels’. And respondents have masters and above degree or have taken related regulations and standards training courses had the highest score on related laws. So if the government wants to launch a trial on medical information privacy protection, it could choose medical centers for demonstration. 3.Regarding establishing related standards of medical information privacy protecting perspective, most respondents agreed with that the central government should set up unified standards. But they had different opinions on whether to set up privacy board and full time officers for management. Respondents of medical centers and regional hospitals had significantly higher degree of agreement on establishing related standards of medical information privacy protection than district hospitals’. Public hospitals’ were significantly higher than private hospitals’. Hospitals with more 1,000 beds were far higher than those with 500 to 1000 beds, 201 to 500 beds, and 101 to 200 beds on this issue. 4.Regarding the opinion on current implemented methods of hospitals, most hospitals pay attention to the implementation of medical information privacy which included transporting process of information, using medical information process of research people, etc. But the majority thought their efforts still not enough, and there is some weakness on current standards or rules that need to be improved. Respondents with master and above degree had more positive opinion than others on current implemented methods. 5.Most respondents thought that (1)The main incentive to implement privacy protection is to improve hospital management quality and increase trust between doctors and patients. (2)Possible benefits are protecting patients’ rights and improving hospital service quality. (3)The key factor of success is the “concern” degree by top management. (4)The main responsible department is medical information management department. (5)The best manpower arrangement is a part time job by existing staffs. (6)The most needed assistance from outside are experienced directing by other hospitals, related data of implementation by other hospitals, and promotion methods used by other hospitals. Furthermore,no matter different background of accreditation level,ownership type, and sizes of the hospitals,the respondents had consistent attitude on implemented methods. However,large hospitals responded that they use part time staffs on manpower arrangement, while regional hospitals’respondents selected the answer that “ they don’t have full-time staff in charge of this matter. 6.There were positive correlation among the score of knowledge in medical information privacy related regulations and standards, attitudes toward the establishment of medical information privacy protecting related standards and the opinion of current implemented methods. As the results of this study, we hope to provide hospital management and health authorities the reference when designing more feasible regulations and standards of medical information privacy protection. This may increase the effectiveness and decrease the obstruction of implementation.
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Chen, Han-Yi, and 陳涵懿. "Structural Equation Model Analysis of Medical Staffs' Leisure Attitude、Degree of Leisure Satisfaction、Work Pressure Relief in Gao Ping District Hospitals." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/5u9852.
Full textAbstract:
博士東方設計大學
文化創意設計研究所
107
This research aims to investigate the status and significant differences of District Hospital medical staffs' leisure attitude、degree of leisure satisfaction、work pressure relief and customer loyalty. The research was conducted by the self-made questionnaire 「Structural Equation Model Analysis of Medical Staffs' Leisure Attitude、Degree of Leisure Satisfaction、Work Pressure Relief and Customer Loyalty in Gao Ping District Hospitals」and deployed purposive sampling method. 320 questionnaires were distributed and 306 (95%) valid questionnaires were returned. Surveyed results were compared through descriptive statistical analysis, t-test, F-test and Scheffe’s method to examine the hypothesis made using the structural equation analysis. Amos 18.0 was used to analyze the hypothesized results and the findings are as of the following: 1.80% of Gao Ping District Hospital’s medical staff participated in leisure activities. 2.Medical staffs have positive and prominent level of participation upon leisure attitude、degree of leisure satisfaction、work pressure relief. 3.Medical staffs have low to medium level impact on Leisure Obstacle. 4.Significant differences were identified upon medical staffs’ leisure attitude due to gender difference, factors such as "leisure cognition", "leisure affective", "leisure behavior" and overall factors were significant, result showed male are higher than female. In the degree of leisure satisfaction, factors such as "physiological aspect" and "psychological aspect" were significant, result showed male are higher than female. Factor such as "relaxation aspect", result showed female are higher than male. Regarding work pressure relief, factor such as "work competently" was significant, result showed male are higher than female. 5.Significant differences were identified for Medical staffs’ leisure attitude due to marital status differences, factors such as "leisure cognition", " leisure affective" and "leisure behavior" were significant, result showed married staff had higher rating than non-married staffs. In the degree of leisure satisfaction, factors such as "physiological aspect", "psychological aspect", "relaxation aspect" and "education aspect" were significant, result showed married staff had higher rating than non-married staffs. As for Work Pressure Relief, factors such as "personal reaction" and "interpersonal relationship" were significant, result showed married staffs had higher rating than non-married staffs. 6.Significant differences were identified for medical staffs’ leisure attitude due to age differences, factors such as "leisure cognition" and "leisure behavior" were significant, result showed those with age 31 years and above are higher than those 30 years and below. In the degree of leisure satisfaction, factors such as "physiological aspect", "psychological aspect "and "relaxation aspect" were significant, result showed those with age 31 years and above are higher than those 30 years and below. In the degree of work pressure relief, factor such as "personal reaction" was significant, result showed those with age 41 years and above are higher than those 40 years and below. Factor such as "work competently ", the result showed those with age 31 years and above are higher than those 30 years and below. 7.Significant differences were identified for medical staffs’ leisure attitude due to job title differences, factor such as "leisure behavior" was significant, result showed medical staff higher than administration staff. Factors such as "leisure cognition" and "leisure affective" were significant, result showed medical staff and nursing staff higher than administration staff. With regards to degree of leisure satisfaction, factor such as "relaxation aspect" was significant, result showed medical staff and nursing staff higher than administration staff. Factor such as "physiological aspect" was significant, result showed medical staff higher than administration staff. In the degree of work pressure relief, factors such as "work attention" and "work competently" were significant, result showed medical staff and nursing staff higher than administration staff. 8.Significant differences were identified for medical staffs’ leisure attitude due to differences in education, factors such as "leisure cognition" and "leisure behavior" were significant, result showed those with educational level of college degree or above are higher than those with senior high school or below. In the degree of leisure satisfaction, factors such as "physiological aspect" and "psychological aspect" were significant, result showed those with educational level of college degree or above are higher than those with senior high school or below. In the degree of work pressure relief, factor such as "personal reaction" was significant, result showed those with educational level of college degree or above are higher than those with senior high school or below. 9.Significant differences were identified for medical staffs’ leisure attitude due to differences in length of service, factors such as "leisure cognition" and "leisure behavior" were significant, result showed those serviced for six years and above are higher than those five years or below. Regarding degree of leisure satisfaction, factors such as "physiological aspect", "psychological aspect" and "relaxation aspect" were significant, result showed those serviced for six years and above are higher than those five years or below. In the degree of work pressure relief, factors such as "personal reaction", "work attention " and "work competently" were significant, result showed those serviced for six years and above are higher than those five years or below. 10.Significant differences were identified for medical staffs’ leisure obstacle due to gender difference, factors such as "personal hindrance", "structural obstacles" and "interpersonal obstacles " were significant, result showed female are higher than male. 11.Significant differences were identified for medical staffs’ leisure obstacle due to marital status differences, factor such as "personal hindrance " was significant, result showed married staff are higher than non-married staff. 12.Significant differences were identified for medical staffs’ leisure obstacle due to age differences, factor such as "personal hindrance" was significant, result showed those with age 50 years and below and 61 years and above are higher than those between 51 years to 60 years old. 13.Significant differences were identified for medical staffs’ leisure obstacle due to job title differences, factors such as "personal hindrance " and "interpersonal obstacles" were significant, result showed medical staff and nursing staff higher than administration staff. 14.Significant differences were identified for medical staffs’ leisure obstacle due to differences in education, factors such as "personal hindrance" and "interpersonal obstacles" were significant, result showed those with educational level of high school degree or below and master’s degree or above are higher than those with college degree. In the factor of "personal hindrance", result showed those with educational level of high school degree or below and master’s degree or above are higher than those with college degree. In the factor of "interpersonal obstacles", result showed those with educational level of college degree or above are higher than those with senior high school. 15.Significant differences were identified for medical staffs’ leisure obstacle due to differences in length of service, factor such as "personal hindrance" was significant, result showed those serviced for fifteen years and below are higher than those sixteen years and above. Factor such as " interpersonal obstacles", result showed those serviced for twenty-five years and below are higher than those twenty-six and above. Overall factor result showed those serviced for fifteen years and below are higher than those sixteen years and above. 16.Leisure attitude have positive and prominent level of impact on degree of leisure satisfaction、work pressure relief, result indicated that work pressure relief have major influence towards. Degree of leisure satisfaction have positive and prominent level of impact on work pressure relief. 17.Influential model of leisure attitude、degree of leisure satisfaction upon work pressure relief is a model of goodness fit and this theoretical model can be supported by data evidences.
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Surr, Claire A., Sarah J. Smith, Jo Crossland, and Jan Robins. "Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study." 2015. http://hdl.handle.net/10454/11017.
Full textAbstract:
YesPeople with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care. This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia. A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4–6 weeks post-baseline), and following Intermediate level training (T3: 3–4 months post-baseline). All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (0.5 day) and Intermediate (3 days), delivered over a 3–4 months period. Staff demographics and previous exposure to dementia training were collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADQ between baseline and after completion of Foundation level training, but not for either of the other measures. Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy. Keywords
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Abrahamsohn, David Alan. "The dissemination of knowledge between medical and non-medical staff in a hospital setting as a means of preventing AIDS infection of hospital workers." Thesis, 2016. http://hdl.handle.net/10539/20904.
Full textAbstract:
Knowing about .AIDS and the manner in which it can be contracted in the
workplace is essentlal for preventing infection. This thesis attempts to explore
whether non-medlcal hospital workers are placed at risk of Infection by virtue
of their ignorance of the virus and further seeks to investigate whether
"expert" knowledge possessed by professional health workers is disseminated
to less-skilled and less-knowledgeable workers. Processes around class and
status involved in social closure are investigated to account for the lack of
communication concerning AIDS amongst hospital workers. Two research
procedures were adopted in this study, namely the intensive interview and
participant observation.
Findings of the thesis indicate that though all hospital workers are at risk of AIDS infection, unskilled workers remain more vulnerable because they lack knowledge and awareness of the virus. Factors of class, status, educational opportunity and professional elitism striate the hospital workforce and result in exclusionary practices, including the non-dissemination of knowledge about AIDS in the hospital work setting
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Ramarope, Johannah. "Factors contributing to staff turnover among professional nurses in selected hospitals of Vhembe District." Diss., 2015. http://hdl.handle.net/11602/223.
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Chen, Yu-Jing, and 陳妤靜. "A Study on the Relationship of Knowledge, Attitude, and Intensions of Medical Staff in One District Teaching Hospital in South Taiwan towards Advance Directives." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/xp859c.
Full textAbstract:
碩士美和科技大學
護理系健康照護碩士班
106
Background: The Hospice Palliative Care Act, legislated and passed in 2000, has explicitly stipulated that people over the age of 20 who have full capacity may sign advance directives for Hospice Palliative Care, DNR (do not resuscitate) form, and health care proxy. Since the act was passed, only a small number have signed advance directives. In addition to insufficient information dissemination and cultural differences, health care workers' willingness to sign advance directives and their attitudes toward the end-of-life care may also affect the promotion of advance directives. Purpose: To explore the correlation among health care workers’ knowledge, attitudes, and behavioral intentions about the Advance Directives. Methods: This study used descriptive correlational design. The subjects were the doctors and nursing staff of a teaching hospital in southern Taiwan. The instruments were developed by researcher herself. A total of 350 questionnaires were distributed and 303 were returned. The response rate was 86.6%. The collected data were analyzed with SPSS version 22.0 software for statistical analysis. Statistical methods included t-test, one-way ANOVA, Pearson product-moment correlation, and multiple linear regression. Results: The health care workers were mostly female (68.65%). Most subjects (35.64%) had worked as health care workers for 1-4 years (inclusive) or less than 1 year. Most subjects (80.86%) held a bachelor’s degree or higher, aged between 21 and 30(30.3%) and married (55.12%). The correct scores are higher in the definition and concept of the Hospice Palliative Care Act which were frequently heard about; in contrast, subjects were less aware of legal provisions such as the withdrawal method and the conditions on which one could sign a letter of intent. The willing of subjects to sign advance care plan were 292 subjects (96.4%). The determining predictors of signing intention of the Hospice Palliative Care Act were “attitude” “professional titles”, “religion”, and “sharing experience of signing DNR”. Conclusion: Although the concept of Hospice Palliative Care Act was accepted by the health care workers, many obstacles could be met in clinical practices, such as ever-changing patient conditions, concerns about the opinions and feelings of family members, etc. Therefore, in the process of promulgating the Hospice Palliative Care Act, it must be confirmed that the subjects are fully aware of the Hospice Palliative Care Act so that the signing intention can be enhanced.
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YIN-HSIEN-CHI and 尹賢琪. "Using the emergency electronic referral system impact on the medical staff- A Case Study in Chiayi area hospitals." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/mpx6hj.
Full textAbstract:
碩士國立中正大學
資訊管理學系暨研究所
103
To improve the quality of emergency and referral medical services, the ministry of health and welfare had formulated “The project of improving the quality of emergency and referral medical services” since 2013. This project requires transferring the referral data by using the urgent patients electronic referral system ”Mars “. There is still no conclusion about the effect of this system, and this research aims to explore it. In this research, we use semi-structured questionnaire to conduct in depth Interview of qualitative research method. The interviewee were doctors, registered nurses and nurse practitioners of nine hospital based at Chiayi and its network who had emergency medical services for at least three years and practical use of Mars, or was responsible for promoting the project. To investigate the effect of medical care personnel using “Mars”, data including whether the system made the emergency and referral medical services smoothly or not and the impact on medical care personnel were collected. The results showed that the rate of registration and reply reach the goal in electronic referral system which is useful for improving the medical quality. The impacts on medical care personnel including unstable system, can not raise the referral service (system information insufficient, could not find bed, increase the work load), affect the morale of personnel. The suggestion based on the results of research is to improve the efficiency of the emergency and referral medical service and decrease the system impact on medical care personnel while referral. Meanwhile, the government should enhance the fire station on knowing the emergency ability of every hospital, teach people the medical grading of hospitals, connect Mars and HIS system, clarify the sub specialist of urgent patients, and help dispatch the bed form the EOC.