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Ogunmade, Taiwo Oludare. "The status and quality of secondary science teaching and learning in Lagos State, Nigeria." Connect to thesis, 2005. http://portal.ecu.edu.au/adt-public/adt-ECU2006.0042.html.
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D’Amour, Habagusenga Jean. "Job satisfaction of health professionals in Kigali University Teaching Hospital." Thesis, University of Western Cape, 2012. http://hdl.handle.net/11394/3370.
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Magister Public Health - MPH<br>Job satisfaction is important for the delivery of quality health care and health worker retention. This study aimed to identify the extent of job satisfaction among University Teaching Hospital of Kigali (UTHK) health workers and to describe the variables related to job satisfaction. These included working conditions, remuneration, patient care, development opportunities, supervision, time pressure and staff relations. A cross- sectional survey of UTHK health workers was conducted using a standardized instrument to identify health worker job satisfaction with related key work factors.
A self-administered questionnaire was used to collect data from 274 health workers selected using a proportional stratified random sampling method and which included 21 medical doctors, 159 nurses, 19 midwives, 37 paramedic and 37 administrative staff. Respondents provided written consent to participate in the study. Analysis consisted of both descriptive statistics of overall satisfaction and various satisfactionrelated factors. For determining whether there is a significant relationship between job satisfaction and its independent variables, data were categorized and Chi-square or Fisher Exact test performed. Results showed a moderate overall job satisfaction level with 79.1% of respondents rating their satisfaction between 6 and 8 (mean: 6.7) on a scale of 1-10. A majority of respondents (82.6%) reported being dissatisfied with work income and 85.6% believed that their pay was not comparable to the work done. Over four fifths of the respondents (83.3%) reported feeling overwhelmed by responsibilities at work while a big percentage (96.5%) reported their job to be demanding physically, emotionally as well as mentally. However, respondents reported strong satisfaction (between 80% and 95%) with respect to work meaning, professionalization, training and orientation variables. Factors significantly associated with job satisfaction were adequate
training to fulfill responsibilities (p value<0.001), feeling unvalued by the hospital (p=0.037) and dissatisfaction with supervisor care for patients and employees (p=0.034). In conclusion, improvement of remuneration, working conditions and hospital management in Kigali University Teaching Hospital would be expected to increase the level of job satisfaction of hospital health workforce.
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Daniel, Olusoji. "Perception and patient satisfaction : a case study of olabisi onabanjo university teaching hospital, Nigeria." Thesis, Blekinge Tekniska Högskola, Sektionen för management, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-1130.
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Patients view about health care service delivery is a neglected subject in many developing countries. Patients are viewed as passive beneficiary of health care service without a voice. However, the views and opinions of patient on perception of service quality and satisfaction of health care service can assist management and policy makers in the design, implementation and evaluation of services which in turn assist to better improve and deliver qualitative health care service to the populace. This study was aimed at assessing patient perception of service quality and satisfaction with health services received at Olabisi Onabanjo university teaching hospital, Sagamu, Nigeria. A cross-sectional study was carried out at the outpatient clinics of the hospital during the study period. A total of 349 patients were interviewed using a pretested questionnaire to collect information on several dimensions of perceived quality and patient satisfaction. The data collected was analysed using SPSS statistical software. Factor analysis and multiple regressions were used to develop an 18-item scale having good reliability and validity identify. Four important dimensions of quality and satisfaction including doctor’s behavior and communication, supportive staff behavior, health infrastructure and waiting time were described. A total of 290 (83.1%) patients were satisfied with the overall service received at the hospital. The level of satisfaction was statistically significantly associated with female sex and employment status. Patient who were satisfied with the service significantly had a shorter waiting time than those not satisfied. Also patients who were satisfied with service had a longer consultation time compared with those not satisfied. In conclusion patient perception of quality and satisfaction are associated with the four important dimensions of quality. Long waiting time negatively affected satisfaction. If this is improved upon it will lead to increase patient satisfaction of health care service delivery<br>WHO liaison office No 10 Osborne road ikoyi Lagos, Nigeria +2348036591678; +2347090486687 +23414620493
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Kou, Maybelle Antonia Maria. "Quantitative and qualitative drug utilization studies in a university teaching hospital in Hong Kong." Thesis, [Hong Kong : University of Hong Kong], 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14436711.
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Boston, Patricia Helen. "Caring and culture : the practice of multiculturalism in a Canadian university hospital." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=41544.
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This thesis examines how cultural understandings are generated and transmitted in a Canadian multicultural teaching hospital. It explores how issues of 'culture' are addressed formally and informally in the experiences of patients and practitioners. Using the approach of an institutional ethnography, emphasis is placed upon informal strategies of cultural care as a taken-for-granted practice in clinical life. It illuminates how pressure to learn culturally sensitive care seeps into the fabric of daily clinical life, and how cultural practices are constructed within a complex set of organized social practices.<br>The study concludes that advocacy of multicultural policies, must consider the dominance of existing western health care paradigms. It advocates culturally responsive care as a parallel force that can collaborate with the regimes of formal health practices. It argues that providing effective health care to all segments of Canadian society requires structural changes in health education which need to address existing disjunctures between 'effective ideals' and ideological knowledge, in order that all are ensured optimum health care.
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Taylor, Ogori. "Affordability of medicines for patients with diabetes attending University of Nigeria Teaching Hospital (UNTH),Enugu." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1843_1258105728.
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<p>This study determined the affordability of medicines for diabetic patients attending the diabetic clinic of the University of Nigeria Teaching Hospital (UNTH), Enugu. The Study was a cross-sectional time-delimited, descriptive study of affordability of Medicines for diabetic patients aged ><br>18 years and who pay for medicines out of pocket. A structured questionnaire was used to collect sociodemographic information about patients and the prescription was assessed in terms of conformity with essential medicines list (EML), cost and ability to be completely filled by the patient. Data was analysed using EPI Info software.the results show that medicines prescribed for diabetes are unaffordable to the majority of patients who attend the UNTH diabetic clinic.</p>
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Pereira, Bruno Monteiro Tavares 1977. "Trauma cardíaco penetrante : experiência de 20 anos em um hospital universitário = Penetrating cardiac trauma : 20-y experience from a university teaching hospital." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312673.
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Orientador: Gustavo Pereira Fraga<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas<br>Made available in DSpace on 2018-08-26T03:18:47Z (GMT). No. of bitstreams: 1
Pereira_BrunoMonteiroTavares_D.pdf: 9308561 bytes, checksum: d9bbcf8aaa7de38fba06e5228f9dccd3 (MD5)
Previous issue date: 2014<br>Resumo: Introdução: Trauma penetrante é atualmente a principal causa de trauma cardíaco. O objetivo deste estudo é descrever e comparar as variáveis entre os pacientes com trauma cardíaco penetrante nos últimos 20 anos em um hospital universitário identificando fatores de risco para morbidade e mortalidade. Métodos: Revisão de dados de registro de trauma, seguido por análise estatística descritiva comparando os períodos 1990 a 1999 (grupo 1 , 54 casos) e 2000 a 2009 (grupo 2, 39 casos). Foram registrados dados clínicos no momento da internação hospitalar, o Índice de Gravidade da Lesão (ISS), Escala de Coma de Glasgow (GCS), e o Escore de Trauma Revisado (RTS). Resultados: A incidência de ferimentos cardíacos penetrantes foram constantes dentro do período de estudo. Os dois grupos foram semelhantes quanto à idade, mecanismo de trauma (ferimento por projétil de arma de fogo ou branca) e ISS. Grupo 1 apresentou menor pressão arterial sistólica na admissão (média de 87 contra 109 mmHg), menor GCS (12,9 vs. 14,1), RTS mais baixo (6,4 vs. 7,3), maior incidência de lesões cardíacas graus IV e V (74% vs. 48,7%), e foram menos propensos a sobreviver (0,83 contra 0,93). O principal fator de risco para o óbito foi ferimento por projétil de arma de fogo (13 vezes maior do que por arma branca), pressão arterial sistólica <90 mm Hg , GCS <8 , RTS <7,84 , lesões associadas, lesões grau IV e V e ISS >25. Observou-se uma tendência na redução de mortalidade de 20,3% para 10,3% durante o período de observação. Conclusões: Foram identificados vários fatores associados à mortalidade e morbidade. Na última década, os pacientes foram admitidos em melhor condição fisiológica, talvez refletindo uma melhora no tratamento pré-hospitalar. Observou-se uma tendência para uma menor taxa de mortalidade<br>Abstract: Background: Penetrating traumas, including gunshot and stab wounds, are the major causes of cardiac trauma. Our aim was to describe and compare the variables between patients with penetrating cardiac trauma in the past 20 years in a university hospital, identifying risk factors for morbidity and death. Methods: Review of trauma registry data followed by descriptive statistical analysis comparing the periods 1990 to 1999 (group 1, 54 cases) and 2000 to 2009 (group 2, 39 cases). Clinical data at hospital admission, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), and Revised Trauma Score (RTS) were recorded. Results: The incidences of penetrating cardiac injuries were steady within the period of study in the chosen metropolitan area. The two groups were similar regarding age, mechanism of trauma (gunshot stab), and ISS. Group 1 showed lower systolic blood pressure at admission (mean 87 versus 109 mm Hg), lower GCS (12.9 versus 14.1), lower RTS (6.4 versus 7.3), higher incidence of grade IV and V cardiac lesions (74% versus 48.7%), and were less likely to survive (0.83 versus 0.93). The major risk factor for death was gunshot wound (13 times higher than stab wound), systolic blood pressure <90 mm Hg, GCS <8, RTS <7.84, associated injuries, grade IV and V injury, and ISS >25. We observed a tendency in mortality reduction from 20.3% to 10.3% within the period of observation. Conclusions: Several associated factors for mortality and morbidity were identified. In the last decade, patients were admitted in better physiological condition, perhaps reflecting an improvement on pre-hospital treatment. We observed a trend toward a lower mortality rate<br>Doutorado<br>Fisiopatologia Cirúrgica<br>Doutor em Ciências
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Mutale, Wilbroad. "Assessing palliative care needs in children with HIV and cancer: the case of children attending University teaching hospital in Zambia." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16655.
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Includes bibliographical references<br>Background: WHO has been advocating for provision of palliative care for all who need it according to needs and context. Though significant advances have been achieved in providing palliative care for adults in Sub Saharan Africa, very little progress has been made in providing paediatric palliative care. Coverage of paediatric palliative care services have remained low and there is lack of evidence on child specific palliative care needs and tools for assessing these needs. This study tested applicability of some tools for assessing palliative needs in children in the Zambian context and reports palliative care needs of children and their families attending the University Teaching Hospital (UTH) in Lusaka, Zambia Methodology: This was a mixed study with quantitative and qualitative components. The quantitative component assessed and applied 2 new research tools for assessing palliative care needs in children attending University teaching hospital in Lusaka, Zambia. The tools assessed included the Needs Evaluations questionnaire (NEQ) and the paedsQL4 questionnaire. Cronbach's alpha was used to determine reliability while factor analysis was used to identify relevant factors. Focus group discussions were conducted with selected group of parents/legal guardians of children. In-depth interviews were conducted with key informants. All participants were purposely selected to take part in the study and were informed about the voluntary nature of the study. Results: The NEQ and the paedsQL4 questionnaires were both found to be reliable for assessing palliative care needs for children in the Zambian context (Cronbach's alpha >0.8). Generally there were very high need gaps across all hospital wards with 15/23 items having need gap of >50%. Overall the largest need gap was in the information domain. The HIV ward had least need gap with only 8/23 items having a need gap of > 50%. Results from the paedsQL4 showed that there were significant mean differences across the three categories of patients in all domains of functioning with oncology patients performing worst. In physical functioning domain, the items showed that 6/7 items had significant mean differences (p<0.05).Confirmatory factors analysis showed that 2 items were loading highly on the physical functioning factor. These were running and participating in sports (0.896).In the emotional functioning domain, 2 items loaded highly on factor analysis, feeling sad (0.842 and angry (0.666).In the social functioning domain, highest loading were in 2 items, both related to making friends. In the school domain missing school to go to hospital loaded highly on factor analysis (0.842) followed by difficulty paying attention in class (0.716) Qualitative results supported findings from quantitative data. Several needs were highlighted by the parents/guardians and health workers. The major family needs focused on economic/financial and bereavement support. Most families were referred to the UTH from very far off places without any form of support. In line with quantitative findings, there was high demand for information for families which health workers did not adequately provide. One major barrier identified to provision of palliative care was poor coordination of services with most patients missing out on services which were already available. While social workers were available, poor funding negatively affected this service. There were very few trained health workers in palliative care. Pain management remained poor with many clinicians still not comfortable to prescribe stronger analgesia such as morphine for severe pain. Conclusion: This study applied two quantitative tools for assessing palliative care needs in Children. The results showed that the tools were fairly reliable and applicable in the Zambian context. The findings indicate huge needs gap for child palliative care services in Zambia. The major family needs were economic and bereavement support. There was high demand for information for families which health workers did not adequately provide. Pain control remained sub-optimal especially for children with cancer. One major barrier identified to provision of palliative care was poor coordination of services.
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Isiaka-Lawal, Salamat Ayodele. "An exploration of symptom burden among breast and gynaecological cancer patients accessing care at University of Ilorin teaching hospital, Ilorin, Kwara State, Nigeria." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25065.
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Background: Breast and gynaecological cancers are the leading causes of cancer morbidity and mortality among women in developing countries. Advanced stage diseases with limited availability for treatment imply significant symptom burden; the relief of which poses a challenge for the health care providers. Aim: This study was conducted to measure symptom burden and relief among breast and gynaecological cancer patients accessing care in a tertiary health institution in Nigeria. Objectives : 1)To determine the prevalence of symptoms among breast cancer and gynaecological cancer patients accessing care in UITH, Ilorin; 2) To determine the most distressing symptoms experienced by breast and gynaecological cancer patients accessing care in UITH, Ilorin and 3) To assess symptom relief in the two studied groups. Methods: Both inpatients and outpatients with breast and gynaecologic cancers accessing care during the study period were recruited. All patients completed an interviewer administered MSAS-SF which assesses a 7-day prevalence and distress/frequency of 32 physical/psychological symptoms. Symptom relief was assessed 7 days later. Demographics, cancer stages, treatments received and palliative care referrals were obtained from the case notes. Karnofsky Performance Status Scale was used to assess functional status. Results: Fifty breast and 49 gynaecological cancer patients were studied. Eighty percent of breast cancer and 91.9% of gynaecological cancer patients had advanced cancer. The overall mean number of symptoms was 5.8 ± 4.5 for breast cancer while gynaecological cancers had 8.1 ± 4.6. The top 5 symptoms in breast cancer patients were pain (62%), worrying (44%), feeling sad (42%), weight loss (40%) and difficulty sleeping (38%). Gynaecological cancers had weight loss (67.3%), pain (65.3%), worrying (53.1%), feeling sad (51.0%) and lack of energy (46.9%) as the top 5. The most distressing symptoms were cancer-site specific such as fungating breast masses in breast cancer patients and vaginal bleeding/discharges in gynaecological cancer patients. Both groups similarly had pain and "don't look like myself" as most distressing too. Symptoms reliefs were poor and comparable between the two groups and palliative care referrals were also generally low but worse among breast cancer patients. Gynaecological cancer patients had higher Global Distress Index (GDI= 0.88 Vs 0.48), were more physically distressed (MSAS-PHYS= 0.67 Vs 0.40) and had a poorer KPS (77 ± 17.41 Vs 85 ± 16.91) compared to breast cancer patients. Conclusions: This study shows higher symptom burden in gynaecological cancer patients, a comparably poor symptom relief in both groups and poorer palliative care referrals among breast cancer than the gynaecologic cancer patients. Gynaecological cancer patients had higher symptom prevalence and higher symptom distress scores and lower performance status compared to the breast cancer patients.
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Couto, Natacha. "Nasal carriage of methicillin-resistant coagulase-positive staphylococci among cats and dogs hospitalized in the Veterinary Teaching Hospital of the Faculty of Veterinary Medicine – Technical University of Lisbon, Portugal." Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2010. http://hdl.handle.net/10400.5/2177.
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Dissertação de Mestrado Integrado em Medicina Veterinária<br>Methicillin-resistant coagulase-positive staphylococci (MRCPS) colonization in companion
animals is an emerging and significant problem in public and animal health. During one year,
nasal swabs were obtained from 40 cats and 146 dogs admitted to the Teaching Hospital of
the Faculty of Veterinary Medicine - Technical University of Lisbon. MRCPS colonization
was screened by plating enrichment cultures on a selective medium, Chrom MRSA ID.
Bacterial species and mecA were confirmed by PCR. Clonality of the isolates was assessed by
pulsed-field gel electrophoresis (PFGE). All isolates were subjected to spa and SCCmec
typing. They were also tested by PCR for the lukF/lukS genes encoding Panton-Valentine
leukocidin (PVL) in Staphylococcus aureus and Luk-I and Staphylococcus intermedius
exfoliative toxin (SIET) in Staphylococcus pseudintermedius. Methicillin-resistant S. aureus
(MRSA) was found in two cats (5 %) and one dog (0.6 %). Isolates were spa type t032,
SCCmec IV and shared identical PFGE profiles. These were similar to the EMRSA-15 human
clone. Strains were PVL-negative. Nine dogs carried methicillin-resistant S. pseudintermedius
(MRSP) (6 %), whereas none of the cats was positive. The PFGE type A strain (n=1) showed
identical characteristics as the American MRSP clone strains (CC68-MRSP-V), while PFGE
cluster B grouped European MRSP isolates (CC71-MRSP-III) (n=8). All isolates were SIETnegative.
The 8 European MRSP isolates were positive for the lukF/lukS genes and the
American MRSP isolate was negative for both genes. Strains were multidrug-resistant, which
represents a major challenge for veterinarians in terms of antibiotic therapy.<br>RESUMO - Frequência de colonização por staphylococci coagulase-positivo meticilinaresistente
em cães e gatos internados no hospital escolar da Faculdade de Medicina
Veterinária – Universidade Técnica de Lisboa, Portugal -
A colonização por staphylococci coagulase-positivo meticilina-resistente (MRCPS) é um
problema emergente e de grande importância em termos de saúde animal e pública. Durante
um ano, zaragatoas nasais de 146 cães e 40 de gatos foram obtidas de animais internados no
Hospital Escolar da Faculdade de Medicina Veterinária - Universidade Técnica de Lisboa. A
colonização por MRCPSfoi pesquisada por inoculação de culturas de enriquecimento num
meio selectivo, Chrom MRSA ID. As espécies de MRCPS e a amplificação do gene mecA por
feita por PCR. A clonalidade dos isolados foi confirmada por PFGE. Todos os isolados foram
sujeitos a tipagem spa e SCCmec. Os isolados de S. aureus meticilina-resistente (MRSA) e de
S. pseudintermedius meticilina-resistente (MRSP) foram testados por PCR para a presença
dos genes lukF/lukS que codificam, respectivamente, a leucocidina Panton-Valentine (PVL) e
a leucocidina-I (Luk-I). Os isolados de MRSP foram ainda testados para a presença da toxina
exfoliativa do S. intermedius (SIET). Nesta amostra, 0,6 % (n=1) dos cães testados e 5 %
(n=2) dos gatos apresentaram MRSA. Os isolados de MRSA eram spa tipo t032, SCCmec IV
e partilhavam padrões idênticos de PFGE. As estirpes eram idênticas ao clone humano
EMRSA-15. Os 3 isolados eram PVL negativos. Nove cães apresentaram MRSP (6 %),
enquanto nenhum dos gatos foi positivo. PFGE tipo A mostrou características idênticas ao
clone americano de MRSP (CC68-MRSP-V) e PFGE tipo B agrupou os isolados europeus de
MRSP (CC71-MRSP-III) (n=8). Os isolados de MRSP PFGE tipo B eram Luk-I positivos
mas SIET negativos. Todas as estirpes de MRSP eram multirresistentes a várias classes de
antibióticos, o que representa um desafio para os médicos veterinários em termos de
estratégias de antibioterapia.
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Ugbi, Blessing Afokoghene. "Documented patients' journeys through an Emergency Department as the basis for a discrete event simulation model using data from University of Benin Teaching Hospital (Nigeria) and Manchester Royal Infirmary (United Kingdom)." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/documented-patients-journeys-through-an-emergency-department-as-the-basis-for-a-discrete-event-simulation-model-using-data-from-university-of-benin-teaching-hospital-nigeria-and-manchester-royal-infirmary-united-kingdom(6737df6a-ea4e-479c-9956-113cf0e837df).html.
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This work compares the procedures used in the Emergency Departments in the University of Benin Teaching Hospital (UBTH) in Nigeria and in Manchester Royal Infirmary (MRI) in the UK. It goes on to develop a discrete event model of the latter in Rockwell Arena®.Raw data from UBTH were obtained over a number of visits by interviewing senior administrators, clinicians and nursing staff and by tracking patients over a period of 2 months between 1 July and 29 August, 2011. Information from MRI was supplied through an approved ethical protocol to the National Research Ethics committee (REC Reference 13/NN/0175, IRAS ID 124168, dated March 4, 2013). This embraced patient journeys, locations, investigations and tests for the 98236 patients who attended the ED between April 2012 and March 2013. These (anonymised) data were obtained as spreadsheets from the original Symphony® records, which were then manipulated and analysed using the computer language, R. Anecdotal information on ED operations, patient flow and procedure duration times were also obtained from ED staff. All of this information identified similarities and differences between patient journeys in the two hospitals and were used to generate appropriate process maps. Proposals were made to improve the recoding and maintenance of patients’ records in UBTH. In the case of MRI, each patient’s journey was expressed as a journey-string, which was an ordered list of locations and milestones derived from the time-stamps recorded in the original spreadsheets. A large transition matrix (168 by 168) was generated from the set of journey strings and established the probability of a patient going from one location to any another. This reflects all the decisions which were made at each step of the patient’s journey. The number of destinations from a particular source reflects the options available at a particular instant in time, while the size of each probability reflects the preferred destination. The transition matrix together with the duration and resource requirement of the process associated with the destination is the key to the generation of a process map for each journey through the system. This methodology is original and can be applied generally. This was used as a basis for the journey-path model. In the final MRI model the 4h deadline was not included since the mechanism for its actual implementation was somewhat vague. Instead some isolated models based on patients’ priorities and resource re-allocation were described. From these it was inferred that changing the priority of a patient may not in itself be sufficient to alter the journey profile and in order to do so resources must be re-allocated. The only alternative would appear to be the fast-tracking of patients.
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Heyns, Louis. "Undergraduate teaching and assessment needs in ethics and professionalism on clinical ward rounds involving medical students, Faculty of Health Sciences, Stellenbosch University (SU) : a nonexperimental descriptive study." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17963.
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Thesis (MPhil)--Stellenbosch University, 2011.<br>ENGLISH ABSTRACT: Background: The theoretical / cognitive component of ethics and professionalism teaching to
undergraduate medical students at Stellenbosch University (SU) is well developed, but a concern exists
about the need for teaching and assessment of clinical ethics and professionalism on ward rounds. Some
teaching does take place during clinical rotations in the form of role modelling as part of the hidden
curriculum. Opportunities should be created for explicit teaching of ethics and professionalism beyond
the hidden curriculum. Assessment of the cognitive component of ethical and professionalism occurs,
but assessment of clinical ethics and professionalism during clinical rotations remains a challenge.
Methods: This was a non-experimental study and included three subgroups of undergraduate medical
students in their clinical years as well as a random sample of educators involved in clinical training.
Questionnaires were distributed to the students and educators. This was followed by focus group
interviews among the students.
Results: A majority of the students (88%) had indicated that they had experienced ethical and
professional dilemmas while working in the wards or during ward rounds. The main dilemmas revolved
around inadequate consent processes, lack of confidentiality and privacy, disrespect for patients, poor
communication and students being expected to perform tasks they were not trained for. An average of
64% of students indicated that ethical and professional issues were not discussed during the clinical
rotations in hospitals. Seventy-eight percent of students indicated that they did not feel free to discuss
their own feelings or beliefs on ward rounds. All of the educators felt that there was a need for
increased teaching and assessment of the medical students during their clinical rotations. Conclusions: Deliberate opportunities need to be created for teaching ethics and professionalism on
clinical ward rounds. This could be a shared responsibility between the clinical departments with
continuous input throughout the clinical years of study. Strong institutional support and commitment
are necessary to make the teaching sustainable and successful. Structured opportunities need to be
developed where students can discuss ethical and professional issues in a safe environment. Further
research is needed for the development of an appropriate curriculum and assessment tools.<br>AFRIKAANSE OPSOMMING: Geen opsomming
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Akinde, Elizabeth Nkugbo. "Knowledge of adolescents on abortion in Lagos University Teaching Hospital complex." Diss., 2009. http://hdl.handle.net/10500/3780.
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The study sought to assess the knowledge of adolescents regarding abortion in a selected area in Lagos Nigeria. The researcher used a non-experimental, exploratory, descriptive research design for the study. One hundred adolescents participated in the study.
The study found that many adolescents will not admit to having had an abortion. Moreover, the respondents gave different meanings for abortion, had inadequate knowledge of abortion and sexual and reproductive health. Cultural taboos and religious beliefs have a great impact on adolescents’ sexual behaviour. Most adolescents would not access abortions services because they regard it as killing an innocent baby.
Efforts should be strengthened to make contraceptives and family life education available and accessible to the adolescents.<br>Health Studies<br>Thesis (M.A. (Health Studies))
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Uwimana, Marie Chantal. "Exploring the factors contributing to stress and coping strategies of nurses at University Teaching Hospital of Butare (UTHB) in Rwanda." Thesis, 2011. http://hdl.handle.net/10413/4693.
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Stress among nurses is still perceived as a challenge experienced by the nursing profession. Several studies have shown the negative impact of stress on both nurses and patients. However, little is known about the factors influencing stress among nurses in Rwanda.
Aim: The overall aim of the study was to explore the factors contributing to nurses’ stress and related coping strategies used by nurses in the University Teaching Hospital of Butare (UTHB), Rwanda.
Methods: The researcher used a non-experimental, descriptive study to explore the factors contributing to nurses’ stress and related coping strategies used by nurses in the University Teaching Hospital of Butare, Rwanda. This study was informed by a stress and coping theoretical framework. A questionnaire was used to collect the demographic characteristics of participants, while nurses’ stressors were assessed using the questionnaire of nurse’s stressors previously developed by Bianchi. The ways of coping were evaluated using the ways of coping elaborated by Folkman & Lazarus. A convenient sampling of 85 registered nurses, working at UTHB, participated in this study. Permission to conduct the study was requested and obtained from the University of KwaZulu-Natal Ethics Committee, the Kigali Health Institute -Institutional Review Board and the management of UTHB. The data was analysed using the Statistical Package for Social Sciences (SPSS), version 15, and was summarized using descriptive statistics. The results were presented in tables and graphs.
Results: The findings of the study revealed that registered nurses at UTHB face a variety of stressors such as shortages of staff and materials, facing death and dying, dissatisfaction with the work environment, work overload and time spent on bureaucratic activities. It was shown that consequences of stress vis-à-vis registered nurses could be low quality of care, job dissatisfaction and burnout syndrome. Among the major strategies of coping with stress, registered nurses have indicated problem solving, social support and accepting responsibility. This study indicates that stress can be prevented and managed by using
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nursing strategies such as team work, effective communication improving work conditions and fostering the managerial nursing strategies in working unit.
Conclusion: Drawing from these findings, it can be inferred that nurses’ stressors need to be addressed in order to create a working environment conducive to high quality of care and also to enhance nursing staff morale, satisfaction, motivation and retention.<br>Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2011.
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Corpening, James Louis. "Examination of the interaction of team learning variables within a systems focus on organizational learning and the learning organization a study of a nursing team at a large southeastern teaching hospital /." 2003. http://www.lib.ncsu.edu/theses/available/etd-08262003-101019/unrestricted/etd.pdf.
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Nsibande, Fisiwe Khetsiwe. "Development of recruitment strategies for professional nurses in Mankweng Hospital into a masters studies of nursing at University of Limpopo, South Africa." Thesis, 2019. http://hdl.handle.net/10386/3078.
Full textAbstract:
Thesis (M. A. (Nursing)) -- University of Limpopo, 2019<br>A master’s program in nursing is an essential tool to prepare students to manage and offer health care services to the public professionally and successfully. However, there has been low enrolment of professional nurses into masters studies of nursing in a higher educational institution. Therefore the study aimed to develop recruitment strategies for professional nurses into Master studies of Nursing at a higher educational institution.
METHODS
The qualitative research method was used to develop recruitment strategies of professional nurses in Mankweng Hospital into a Master's Studies at the University of Limpopo. The population were professional nurses with honours equivalent and those with honours degree.Semi-structured interviews were conducted from eighteen professional nurses who were purposely selected to participate in the study. Tech`s coding method of data analysis was used to analyze audio-recorded data. RESULTS
The results indicated that lack of study leaves, shortage of nurses, lack of information about requirements for enrolling into masters, lack of recognition for postgraduates and financial instability contributed to most professional nurses not registering for master's studies.
CONCLUSION
The study concludes that the institution of higher learning should develop recruitment strategies for master's studies in nursing. Findings revealed lack of recruitment strategies, information about the masters degree, and scholarship as well as employer related factors such as lack of study leaves as challenges for recruiting nurses into a masters studies. Such strategies
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include the increase of funding scholarships by the universities that can facilitate the postgraduate uptake and allocation of study leaves for professional nurses by the Department of Health.
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Stasko, Carly. "A Pedagogy of Holistic Media Literacy: Reflections on Culture Jamming as Transformative Learning and Healing." Thesis, 2009. http://hdl.handle.net/1807/18109.
Full textAbstract:
This qualitative study uses narrative inquiry (Connelly & Clandinin, 1988, 1990, 2001) and self-study to investigate ways to further understand and facilitate the integration of holistic philosophies of education with media literacy pedagogies. As founder and director of the Youth Media Literacy Project and a self-titled Imagitator (one who agitates imagination), I have spent over 10 years teaching media literacy in various high schools, universities, and community centres across North America. This study will focus on my own personal practical knowledge (Connelly & Clandinin, 1982) as a culture jammer, educator and cancer survivor to illustrate my original vision of a ‘holistic media literacy pedagogy’. This research reflects on the emergence and impact of holistic media literacy in my personal and professional life and also draws from relevant interdisciplinary literature to challenge and synthesize current insights and theories of media literacy, holistic education and culture jamming.