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Chanza, Alfred Witness Dzanja. "An assessment of the motivational value of rewards among health professionals in Malawi's Ministry of Health." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1020330.
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The assessment of the motivational value of rewards in the world of work is interesting but difficult to understand. Variations in research reports and inadequate comprehension of the efficiency and motivational value of rewards have brought about confusions, controversies and contradictions among authors, researchers, consultants and practitioners in the field of Industrial and Organisational Psychology (Mangham, 2007; Muula, 2006; Muula & Maseko, 2005; Palmer, 2006; World Bank, 2004). As a consequence, organisations are applying theories and models of motivation selectively depending on their beliefs, ideological framework of values and assumptions (Dzimbiri, 2009). The study was therefore carried out as a positive contribution to the existing knowledge and debate on the motivational value of rewards for health professionals in the public health sectors of the developing countries. Through a systematic sampling method, 571 health professionals were sampled for the study. Data were collected through the use of a self-administered questionnaire which was composed based on the data collected from desk research/literature review, focus group discussions and interviews. The findings of the study revealed that the Malawi‟s Ministry of Health (MoH) is failing to attract, motivate and retain health professionals; there is perception of inequity of the rewards among the health professionals; health professionals develop coping strategies to supplement their monthly financial rewards; health professionals engage in corrupt practices to supplement their monthly financial rewards; and there is erosion of industrial democracy in the Malawi‟s Public Health Sector. While the statistical testing of the hypothesized model proved a lack of fit between the variables, the statistical testing of the re-specified model suggests that there is a positive relationship between financial rewards and reward-related problems being faced by health professionals in the Malawi‟s MoH. Through the Structural Equation Modeling (SEM) exercise, an inverse (negative) relationship between financial and non-financial rewards was deduced, and scientifically and graphically demonstrated. Both the re-specified and graphical models symbolize a pragmatic departure from the theoretical model whose authors (Franco, Bennett, Kanfer & Stubblebine, 2004) are largely inclined to the use of non-financial rewards and suggest that financial rewards should be used with caution. These findings also reject the Herzberg‟s two factor theory (Herzberg, 1960) which claims that financial rewards (salaries) are not a motivator. The major recommendations of the study are that the Franco et al.‟s (2004) model should be adopted and adapted in the Malawi‟s MoH with the view that the value of both financial and non-financial rewards (as motivators) varies from individual to individual due to individual differences and prevailing factors/forces in both the work environment and wider society in which the MoH operates; a hybrid reward system combining the strengths of time-based, performance-based and competence-based reward systems should be developed and implemented; the results of scientifically testing the re-specified model and the inverse (causal) relationship established between financial and non-financial rewards (as demonstrated in a graphic model) should be re-tested with other samples in the public health sectors of the developing countries; and the motivational value of non-financial rewards should be scientifically established and compared with the motivational value of financial rewards used independent of each other in business organisations to make an objective conclusion on the rewards-motivation debate.
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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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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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Hendricks, Janine Jolene. "Job satisfaction levels of health care professionals in a public hospital." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/11058.
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Health care professionals play a pivotal role in contributing towards the sustainability of a healthy economy and the standard of quality health care. It is therefore important that organisations understand what influences the job satisfaction levels of health care professionals as it could have an impact on their motivational levels and ultimately the quality of health care that is provided. The aim of this study was to assess the levels of job satisfaction amongst health care professionals in a public hospital in the Eastern Cape. Research for this study included a literature review to define what job satisfaction is and to establish a theoretical foundation to identify the factors that influence job satisfaction. Various motivational theories were explored after which Herzberg’s two-factor theory was identified to serve as a theoretical basis for investigating the job content and organisational factors that influence job satisfaction. Selected demographic factors that could possibly influence levels of job satisfaction were also identified. An empirical study, consisting of a survey with a questionnaire as measuring instrument, was conducted amongst 146 health care professionals at a public hospital in the Eastern Cape. The purpose of the questionnaire was to determine the extent to which job content factors and organisational factors that were associated with job satisfaction were present in the jobs of health care professionals in state hospitals. In addition, the purpose was also to determine whether selected demographic variables had an influence on the responses provided to the factors that were associated with job satisfaction and the job satisfaction levels of the target group. The major findings of the study indicated that all job content and organisational factors had an influence on the job satisfaction levels of health care professionals in a public hospital. Three factors namely Achievement, Responsibility and Work itself were identified to have a significant positive influence on the job satisfaction levels. Relationships between the demographic variables and the job content and organisational factors were identified. Work itself, Responsibility and Achievement were the top three factors whilst leadership/supervision, Human Resource systems and policies and Remuneration and benefits were the bottom three factors in terms of presence in the organisation and influence on the job satisfaction levels of health care professionals. Safety aspects, work environment standards, availability of resources, remuneration and benefits were amongst the major concerns highlighted. The job content factors were identified to be overall more present than the organisational factors. Recommendations were suggested to address the areas of concern that were highlighted in this study in order to ensure high levels of job satisfaction amongst the health care professionals.
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Feagan, Lori Margaret. "Family presence during cardiopulmonary resuscitation the impact of education on provider attitudes /." Pullman, Wash. : Washington State University, 2008. http://www.dissertations.wsu.edu/Thesis/Fall2008/L_Feagan_011409.pdf.
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Guo, Nan. "Knowledge, attitudes, practice (KAP) and organizational support on delivering smoking cessation services on Guangzhou health care professionals." Click to view the E-thesis via HKUTO, 2007. http://sunzi.lib.hku.hk/HKUTO/record/B39558186.
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Bröms, Margareta. "Attitudes among Swedish medical personnel towarduniversal varicella vaccination and other new vaccines for children." Thesis, Nordic School of Public Health NHV, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3639.
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Background: Thea ttitudes, knowledge, and experience of health personnel regarding vaccines and preventable diseases contribute importantlyto the success of vaccination programs. Aim: This study aimed to valuate the opinions of healthpersonnel involved in the care of children on the introduction of various new and older vaccines to the Swedish childhood vaccination. We particularly examined the knowledge of varicella diseaseas chickenpox and shingles and attitudes toward the varicellavaccine. Method: We created and administered aquestionnaire on vaccineprioritization forseveral vaccines, including hepatitis A and B,BCG(BacilleCalmette-Guérin) vaccine to preventtuberculosis, pneumococcal, meningococcal, HPV (human papilloma virus), rotavirus, influenza,respiratory syncytial virus,andTBE(tick bornencephalitis virus),and also explored health personnel’s knowledge about the VZV (varicella zoster virus) vaccine and its diseases. In 2006, the study targeted 600 nurses and physicians in Gothenburg, Sweden, whereas the current study in 2012 followed up with 160 school healthcare personnel. Results: The 2006 questionnaire generated 191/600 responses (32%), compared withthe 2012 follow-up questionnaire, which generated 40/160 (25%) responses from school health care personnel. Medical personnel ranked vaccination against hepatitis B highestin both studies. However, our data showed an important shift in attitude regarding HPV and rotavirus vaccination, which ranked lowestin 2006 but higher priority in 2012. Respondents also gave high priority to BCG. In 2006,only 34 of 138 respondents (25%) knew that a varicella vaccine was available, and universal varicella vaccination was generally ranked lower compared with other various vaccines. Additionally, pediatricians and personnel from infectious diseases department in the hospital having direct experience with these verity of varicella and zoster diseases were more likely to support universal varicella vaccination. Interestingly, in 2012 only one third of school healthcarepersonnel favored universal varicella vaccination.The health professionals xpressed a general demand for information and in-depth nowledge about the newer vaccines. Conclusion: If Swedish authorities decide to implement universal varicella vaccine into the current successful vaccination program for children, relevant healthcare personnel will require further education about VZV vaccineand diseaseISBN 978-91-982282-6-7
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Scott, Edward Sherman. "Digital research cycles how attitudes toward content, culture and technology affect web development /." Orlando, Fla. : University of Central Florida, 2009. http://purl.fcla.edu/fcla/etd/CFE0002637.
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Brookbank, Kathleen. "HIV : impact on community health nursing personnel." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834518.
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July, Emma. "Awareness, attitudes and referral practices of health care providers to psychological services in Botswana." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1166.
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The provision of psychological services is vital considering the complex nature of psychosocial issues facing people today. Nevertheless, the provision and utilization of psychological services has not been given due recognition in most African countries, including Botswana. Botswana is one of the countries faced by the challenges of the HIV/AIDS pandemic and other mental health problems, as well as poverty and unemployment. To date statistics on the magnitude of the HIV/AIDS epidemic in Botswana, published annually by the National AIDS Coordinating Agency (NACA) reflect an increased rate of mental illness and psychosocial problems. Considering the complex nature of issues that impact negatively on people in Botswana, there is a need for awareness and the provision of psychological services in the primary health care system. There is little research on the place of psychology and psychological services in Botswana. The availability of such information is crucial for the planning of effective community-based psychological services. The present study employed a quantitative research method to explore and describe awareness and attitudes towards psychological services and referral practices in relation to psychological problems, of health care providers in Botswana. The participants in the study were chosen, based on a non-probability, purposive sampling method. The sample consisted of ninety-six persons and constituted medical doctors, nurses, psychiatrists, psychiatric nurses and clinical social workers from governmental and non-governmental institutions from Gaborone and Francistown in Botswana. Data were analyzed by means of descriptive statistics in order to identify the mean, ranges and standard deviations. Frequency counts and percentages of the participants’ responses were computed. The results of the study revealed an awareness of available psychological services, positive attitudes towards psychology and psychological services and a reasonable percentage of referrals to psychological services. The results also revealed that available psychological services were limited and not easily accessible to patients. There was also an indication of a shortage of trained professionals to offer psychological services in health care centres, which resulted in psychological problems being referred to social workers.
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Abdul, Rouf P. V. "Exploring patient and health professional use, views and attitudes towards complementary and alternative medicines during pregnancy." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=228640.
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The aim of this doctoral research was to explore CAM use in pregnancy from the perspectives of pregnant women and health professionals. The research was conducted in four phases: a systematic review of the published literature from 2008-2012; cross sectional surveys of two cohorts of women during the first and last trimester; and a cross sectional survey of health professionals (midwives, obstetricians, anaesthetists) at Aberdeen Maternity Hospital. The systematic review reported a significant proportion of women used CAM during pregnancy with prevalence rates ranging from 5.8% to 74.2%. The study of health professionals identified that more than 30% of respondents have prescribed, referred or advised the use of CAM to pregnant women. The main associated factor for CAM use was, 'personal use of CAM', with an odds ratio of 8.26 (95% CI 3.09–22.05; P < 0.001). Two thirds of women (63%) reported using CAM, excluding vitamins and minerals, during early pregnancy. The independent predictors of CAM use identified were: use by family and friends (OR 4.1, 95% CI 2.3–7.3, p < 0.001); ethnicity (non-white British) (OR 3.4, 95% CI 1.8–6.8, p < 0.001); and use prior to pregnancy (OR 2.4, 95% CI 1.2–4.8, p = 0.014). Two thirds of women (61.4%) reported using CAM, excluding vitamins and minerals, during the third trimester. The independent associated factors for CAM medicine use identified were: CAM use before pregnancy (odds ratio [OR] 4.36, 95% confidence interval [CI] 2.39–7.95, P<0.001); a university education (OR 2.41, 95% CI 1.46–4.0, P<0.001), and CAM use by family or friends (OR 2.36, 95% CI 1.61–3.47,P<0.001). The lack of an evidence based approach together with the reliance on the advice of family and friends is of concern given the lack of robust data of efficacy and safety. To date, four peer reviewed papers from this doctoral research have been published.
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Kwan, Hoi-yee. "An international survey on the use of influenza vaccine and attitudes of clinical researches about a possible outbreak of influenza." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40687442.
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Guo, Nan, and 郭楠. "Knowledge, attitudes, practice (KAP) and organizational support on delivering smoking cessation services on Guangzhou health careprofessionals." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39558186.
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Kwan, Hoi-yee, and 關凱怡. "An international survey on the use of influenza vaccine and attitudes of clinical researches about a possible outbreak of influenza." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40687442.
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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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Boyd-Flanagan, Sandra L. "A comparative study: Health care providers and student attitudes towards persons with HIV seropositivity or the definitive diagnosis of AIDS." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/430.
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Motswaledi, Mmabotsha. "Cultural issues in the treatment of hospitalised, malnourished children : an exploratory-descriptive study of the attitudes of health professionals and mothers in a rural hospital setting." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/17314.
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Bibliography: p. 100-105.Culture plays a significant role in the treatment of certain illnesses and in the maintenance of good health in communities. In hospitals, professionals are constantly faced with medication non-compliance and other defaulting behaviour by health consumers or patients due to lack of their sensitivity towards cultural issues. It is true that most Africans are faced with a dilemma of choosing between Western treatment approaches and their own traditional healing. Therefore some may need still to adopt both Western and African approaches. The study examines the attitudes of both the professionals and mothers with malnourished children towards the cultural values linked to the treatment modalities. An exploratory- descriptive method is used as a focus for the study. Because of the illiteracy of the mothers, an interview schedule was used to collect data and get impressions about certain issues. A questionnaire was used to collect data from the professionals; which included nurses, an occupational therapist, a physiotherapist, and people working for the Kwashiorkor Centre. Both the literature review and other studies showed that there is a difference in attitudes regarding cultural issues in the treatment of malnourished children between the health consumers and the health professionals. Findings of this study revealed negative attitude towards mothers who used traditional medicine before coming to hospital. Mothers felt that they were reprimanded regarding their cultural value systems. This study includes recommendations that health professionals need to be sensitive to the cultural belief system of the health consumers for better compliance and service delivery. It is recommended that health care providers be aware of their value systems and above all respect those of the consumers. To facilitate better participation in health education programmes it is important that these programmes are culturally sensitive.
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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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Farrell, Kathy, and University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.
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The concept of health promotion is an alternative and emerging orientation. Here the belief is that all people have strengths and are capable of determining their own needs, finding their own answers, and solving their own problems. Most health care professional have been educated in the medical model of health. In this model,
the health care professional, especially the physician, plays an active part as an expert on disease; the patient or client has essentially a passive role, and the disease rather than the person is the focus. The role of health care professionals in health promotion is an important one and will continue to expand with the new focus of the province of Alberta's health system. The focus of that system, and other health systems in Canada and abroad, is increasingly upon health promotion rather than disease treatment. The purpose of this study was to determine the perceptions of a variety of health care professionals working in the community and in the hospital setting relating to health promotion. The study takes a non-experimental approach utilizing a descriptive design. All professional staff including registered nurses, occupational therapists, recreational therapists, physiotherapists, respiratory therapists, social workers, dental workers, nutritionists, speech-language pathologists, and physicians working in Palliser Health Authority were asked to participate in the survey. Two hundred and thirteen staff responded to a questionnaire desgined to reflect their perceptions on the importance of health promotion, determinants of health, principles of health promotion, and skills and knowledge of health promotion. Staff were also asked to identify health promotion activities occuring at their work site, possible barriers to health promotion, and what was needed regarding training and support. Some of the major findings include: 1) Staff perceive health promotion to be an important part of their job. However staff working in the community perceive health promotion to be more important than those working in the hospital. Physicians were the least positive about questions pertaining to the importance of health promotion. 2) Staff perceive that the purpose of health promotion is to strengthen peoples' control over their health, but responses also indicate uncertainty concerning how control is to be defined and effected. 3) When asked to identify health promotion activities at their work site, the majority of staff pointed to the provision of information to individuals and groups. Community development was listed by very few staff. 4) When staff were asked to identify barriers to health promotion they identified the following in the order: lack of resources, old attitudes about health and health promotion, lack of support from the organization and doctors, lack of knowledge/education, and lack of communication between health care workers.v, 101 leaves : ill. ; 28 cm.
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Iwu, Chukwuma Gervase. "A model of employee satisfaction amongst health-related professionals in South Africa : the case of Western Cape." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2617.
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Thesis (DTech (Human Resource Management))--Cape Peninsula University of Technology, 2012.This study's main aim was to develop a model of employee satisfaction for health-related professions in South Africa. Health-related professions refer to a variety of practitioners who work in the healthcare sector mostly in support capacity to the clinical or medical practitioner. They include laboratory technologists, pharmacists, radiographers, emergency medical services (paramedics), nurses, and optometrists. These practitioners comprise a diverse group who deliver high quality care to patients across a wide range of care pathways and in a variety of settings. This band of professionals was chosen as the focus of the study because most studies, which relate to health workers' satisfaction and motivation in South Africa, have concentrated on medical doctors and nurses without a commensurate interest in other health-related professionals. The study is a multi-faceted one, and incorporates both qualitative and quantitative approaches. The study is also exploratory because no model of this kind exists amongst health-related professions of South Africa. Permission to access selected institutions for the study was granted before the researcher approached the population for the study. The researcher decided not to use a sample, but to include all members of this population in the participating institutions in order to get as many participants as possible. From a total population of 987, only 117 usable questionnaires were returned. Data that was collected was coded for Statistical Program for Social Science (SPSS) suitability. SPSS was utilized to generate the frequency and descriptive statistics. The data collection instrument was the Plus Delta Organizational Climate Questionnaire, which was modified on the basis of a preliminary study. The data instrument achieved a coefficient alpha (Cronbach) of 0.8, which extended its reliability. With the use of factor analysis, this study was able to identify seven (7) factors which influence employee satisfaction within the health-related professions in South Africa. These factors include Role Clarification and Job Design, Equitable Performance Management, Integrated Leadership and Knowledge Sharing and Self-efficacy, while the other factors include Family-friendly Work Environments, Leader Credibility and Innovation, and Excellent Customer Relations and Technology. These factors make up the model of employee satisfaction for health-related professions considered in this research. While the researcher suggests that further studies should be conducted in order to establish the validity of the model, the researcher also makes a call for a data collection instrument to be distilled from the model. However, this study will undoubtedly add to the sparse literature on health-related practitioners. This position is assumed because most literature on health professions' job satisfaction/dissatisfaction favours doctors and nurses. The study will also assist in understanding some of the reasons for the often reported sense of job insecurity among practitioners in South Africa. The study has produced a model, which health-related professions can utilise to manage themselves better. It is hoped that the model will serve health-related professions with better gains, such as reduction in health-related professional attrition, elimination of low levels of trust between management and staff and reduction in high incidences of absenteeism, which constituted research problems of this study.
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Sieben, Ingolf. "A conflict of perception : medical aspects of German First World War literature : the presentation of the medical professions and of medical conditions in contemporary and Weimar prose relating to the First World War." Thesis, University of Stirling, 1995. http://hdl.handle.net/1893/2189.
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There is a divergence of views in German First World War literature concerning the presentation of medical aspects and nursing experiences. Although all accounts of the war claim implicitly to present the truth about a section of, or even the whole of, the war, be they diaries, letters or war fiction, variations arise due to the individual attitude, perspective and intention of each author. This thesis examines a range of different types of fictional and non-fictional war literature: diaries, letters, reports, narratives and novels written by or about participants during or after the war, taking due account of the precise relationship to the experience, the intent of the writers and the context of their accounts. Some of these are based on personal experience and provide an imnediate impression of the war. Some use personal experience, but not specific historical details, to look at the war in retrospect, conditioned by the (additional) medical knowledge of the late 1920s. Others blend fictional and historical characters and events. Although the standpoint of the individual ordinary soldier and sailor, or officer, predominates in writings of this kind, writings both by and about women and other non-combatants involved in the war have been included. German material is compared with American, British and French accounts wherever possible and practicable. A preliminary section (chapters 2+3) provides the reader with a detailed and necessary historical overview of the organization of the German lieeressanialtswesen. between 1914 and 1918, followed by an examination of the discrepancy between the historical experience and perception of the Lazarett in the German literary context. The second part of the work (chapters 4-6) examines descriptions and perceptions of specific medical aspects of the war from the point of view of those immediately involved in the Yermuncletenliirgarge: surgeons and medical practitioners, paramedical orderlies and stretcher-bearers as well as nurses. The largest part (chapters 7-12) examines the medical effects of the war as perceived in different literary and non-literary contexts, ranging from straightforward wounds, shell-shock and other psychological phenomena, to the effects of poison gas and chemical warfare, venereal diseases, self-inflicted wounds and the medical implications of trench warfare, followed by an analysis of the motif of 'war as disease'.
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Moore, Bridgit R. "Assessing Allied Health and Nursing Post-Secondary Career and Technical Education Teacher Attitudes and Beliefs About Reading." Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4757/.
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This study examined allied health and nursing career and technical education (CTE) teacher beliefs and attitudes about reading. Since beliefs and attitudes influence the way teachers teach, it is important to understand what those beliefs and attitudes are, especially in relationship to reading in subject matter classrooms. One hundred twelve individuals responded to a written survey concerning their attitudes and beliefs about reading. A four-factor solution was achieved with a principal components factor analysis. A significant number of variables were associated with the factor labeled Reading Apathy, which appears to be indicative of the condition known as aliteracy among faculty who participated in the study. Professional development activities grounded in novice-to-expert theory are suggested as a way of overcoming the phenomenon. Recommendations for future research involve a more detailed study to further characterize the condition of aliteracy and its impact on student learning.
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Read, Gary Frank Hoyland. "A qualitative study aimed at describing & interpreting the changing symbolic meanings of HIV/AIDS which encountering HIV-positive patients introduces into the personal & professional identities of selected health care professionals." Thesis, Rhodes University, 1993. http://hdl.handle.net/10962/d1002550.
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This study aimed at describing and interpreting the changing symbolic meanings of the Acquired Immunodefiency Syndrome (AIDS) which encountering a Human Immunodefiency Virus (HIV)-positive patient introduced into the personal and professional identities of six health care professionals in a subregion of the Eastern Cape. With the exponential increase of HIV/AIDS in South Africa, medical practitioners have become increasingly exposed to HIV infected patients. This study has considered the psychological structures developed by practitioners in an attempt to control and understand their situation in the context of HIV/AIDS. In order to describe these psychological structures the existential phenomenological approaches of L. Binswanger (in Needleman, 1963), A. Giorgi (1975) and F.J.Wertz (1985) were employed. Through these procedures, the structure of the experience of encountering an HIV infected patient was elucidated. This comprised the first goal of this study. The second goal focused on interpreting these descriptions by way of the symbolic meanings and definitions implicit in the structure of this experience. For this latter purpose the approach of symbo1ic interactionism was used, in particu1ar the understandings outlined by H. Blumer (1969). This theory was seen as appropriate in that the encounter between the practitioner and patient was primarily located in interpersonal parameters. The findings were discussed in terms of the two dominant metaphorical frameworks used by the subjects to comprehend the disease - namely the perspectives of society and the biomedical model. These two frameworks were critically evaluated in the context of HIV/AIDS, the needs of HIV infected individuals as well as the needs of the general practitioner. The process of the encounter was found to be very significant for practitioners in terms of their conceptualisations of HIV/AIDS. Old understandings were reinterpreted within the interpersonal context and replaced with more appropriate symbolic metaphors upon which to base practise. This study has revealed these new understandings were limited and constrained with regard to understanding and treating HIV/AIDS in that the subjects were still influenced by the metaphors of the biomedical model. These constraints were examined in the light of both personal and professional meanings and identities. This study concluded by making suggestions for modification of the medical practitioner's role in the context of HIV/AIDS.
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Choi, Kin-shing Franklen. "'Old people' in the talk of helping professionals in Hong Kong." HKBU Institutional Repository, 1998. http://repository.hkbu.edu.hk/etd_ra/159.
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Webb, Janet Marie. "Information about primary care physicians considered most useful by managed health care consumers." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1370.
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Fornstedt, Cecilia. "Medical Technology and eHealth for Prevention against LifestyleRelated Diseases : A survey of attitudes among health center personnel and patients prescribed with physical activity on prescription (PAP)." Thesis, KTH, Människa och Kommunikation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-210310.
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With an aging population that suffers from comorbidity, healthcare is facing grand challenges. In order to meet the demand, digitalization is thought to be an opportunity. Digitalization of curative care, such as diagnostics and treatment, have been initiated and is today used and appreciated. Preventative care, on the other hand, has not been included in the digital adaptions to the same extent and there are few scientific studies within the area. Nonetheless, a further proactive care that meets patients and healthcare personnel are of interest to several actors. The Swedish Government has a vision that Sweden, in 2025, will be world leading within eHealth. For that to be possible, digital preventative care have to support and complete the preventative work that is performed today. The present study has investigated the attitude towards Connected Medical Devices for Prevention (CMDfP) within the primary care. By a mixed-methodology including questionnaires, the opinions of 24 health center personnel and 17 patients prescribed with Physical Activity on Prescription (PAP) were collected and analyzed. The results show that health center personnel are willing to prescribe connected eHealth devices for prevention and patients are willing to use the devices prescribed. Additionally, among the respondents there is a belief that CMDfP could facilitate in order to increase the adherence to PAP without any major impact on the personnel's workload. By digitalizing preventative care, it is possible that people will be able to live healthier and therefore not require care to the same extent as today. Reasons to the possible results are that digital tools within curative care have been shown to generate positive outcomes to chronically ill patients that utilize home care. Additionally, studies of preventative care have generated positive outcomes to the health of the population in several countries. It is therefore likely that the combination, digital preventative care, would be rapidly relished. These thoughts align with the positive results on attitudes of this study. Before CMDfP could be prescribed to patients, pilot studies have to be performed and new work routines including reimbursement models, have to be established within healthcare. These are all areas of future work within medical engineering.Med en åldrande population som lider av samsjuklighet, står hälso- och sjukvården inför stora utmaningar. För att möta behovet är digitalisering en möjlighet. Digitalisering av åtgärdande vård, så som diagnostik och behandling, har redan påbörjats och är idag uppskattat. Preventiv vård har, å andra sidan, inte varit inkluderad i den digitala utvecklingen och därav saknas det vetenskapliga studier inom området. Dock är en mer proaktiv vård av stort intresse för flera aktörer. Sveriges regering har en vision att Sverige, år 2025, ska vara världsledande inom eHälsa. För att detta ska vara möjligt måste digital preventiv vård möta och komplettera det preventiva arbete som bedrivs idag. Denna studie har undersökt attityderna till Uppkopplade Medicinsktekniska Hjälpmedel för Prevention (UMHfP) bland primärvården. Genom en metod som inkluderat enkätundersökningar, inhämtades och analyserades attityden av 24 personer från personalen på vårdcentraler och 17 patienter med Fysisk Aktivitet på Recept (FaR). Resultaten visade att primärvårdspersonal är villiga att förskriva UMHfP och att patienter vill använda de hjälpmedlen som förskrivs. Dessutom har respondenterna tro att UMHfP kan underlätta att förbättra följsamheten till FaR utan att påverka personalens arbetsbörda nämnvärt. Genom att digitalisera den preventiva vården är det troligt att befolkningen kommer få ett hälsosammare leverne och därför inte behöva vård i samma utsträckning som idag. En anledning till detta är att digitala hjälpmedel för åtgärdande vård har visat sig vara positivt för kroniskt sjuka patienter som hemsjukvårdas. Dessutom har studier inom preventiv vård indikerat flera positiva konsekvenser för invånares hälsa världen över. Det är därför troligt att digitala hjälpmedel i kombination med preventivt arbete snabbt kommer bli uppskattat. Dessa spekulationer sammanfaller väl med det positiva resultatet från denna studie. Innan UMHfP kan förskrivas till patienter måste pilotstudier genomföras och nya arbetssätt inklusive betalningsmodeller måste införas i hälso- och sjukvården. Detta är kommande arbeten inom medicinsk teknik.
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Contos-McCord, Meredith L. "Health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1221310.
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The problem of this study was to determine health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care. Data were collected from Indiana health care professionals using a mailed questionnaire. The results found that 71.7% of respondents do not provide foodborne illness and food safety education during prenatal care, however, 80.6% would like to. Most of the respondents indicated that they do not have the time (71.4%), resources (57 1%), or knowledge (25.7%) to provide this information to patients. Many of the respondents indicated that they have not received information on foodborne illness during pregnancy and are unaware of the recommendations to provide this information during prenatal care. The opinion questions found that most agree that foodborne illness can be serious in pregnancy and would like to learn more about the risks of foodborne illness to pregnant women and the fetus.Department of Physiology and Health Science
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Svensson, Ylva, and Matilda Pråme. "HBTQ-personers upplevelser av vårdmötet." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25653.
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Bakgrund: HBTQ-personer som grupp lider i större utsträckning av psykisk ohälsa i relation till övriga befolkningen. Dessutom förekommer hög alkoholkonsumtion, rökning och fetma mer frekvent bland HBTQ-personer. Tidigare forskning visar även att dessa personer i vissa fall mottager sämre vård på grund av sin HBTQ-identitet. Detta kan ta sig uttryck genom bland annat verbal trakassering och nekande av vård. Detta strider mot sjuksköterskans kärnkompetenser som inkluderar att erbjuda alla lika vård samt aktivt arbeta med att förbättra vården så att den är säker och trygg för alla.Syfte: syftet med denna studie var att belysa vad HBTQ-personer har för upplevelser av vårdmötet.Metod: Metoden som valdes var en litteraturstudie baserad på tio vetenskapliga artiklar med kvalitativ ansats.Resultat: Resultatet visade att HBTQ-personer ofta upplever det ansträngande att komma ut till sjukvårdspersonal. Brist på kunskap, exkluderande kommunikation samt normativa antaganden om sexuell läggning och kön var faktorer som genererade negativa upplevelser. Positiva upplevelser förekom när sjukvårdspersonal och sjukvårdsmiljöer upplevdes öppna och accepterande samt när sjukvårdspersonalen upplevdes ha relevant kunskap. Negativa upplevelser kunde leda till sämre vård i form av uteblivna medicinska undersökningar eller att HBTQ-personer valde att inte söka vård.Konklusion: Att HBTQ-personer har goda upplevelser av vården är viktigt för deras allmänna hälsa. Negativa upplevelser grundar sig i hetero- och cisnormativa bemötande medan positiva möten kännetecknas av öppenhet, acceptans, respekt och professionalitet. För att optimera upplevelser och kvaliteten av vården för HBTQ-personer bör sjukvårdspersonal ges möjlighet till att utveckla sin kunskap.Nyckelord: attityder, erfarenheter, HBTQ-personer, sjukvård, sjukvårdspersonal, upplevelserBackground: As a group, LGBTQ persons tend to suffer from some physical and emotional health issues to a greater extent than the general population. In addition, research has shown that they may receive inferior health care in the form of verbal harassment or denial of care, because of their LGBTQ identity. This is contrary to nurses´ core competencies, which include offering equal care to all patients as well as promoting a non-discriminatory health care environment.Aim: The aim of this study was to illustrate how LGBTQ persons´ experience health care situations and events.Method: A literature review based on ten qualitative studiesResults: The results showed that LGBTQ persons often struggle with “coming out” to health care personnel. Lack of knowledge of LGBTQ issues, discriminatory communication and hetero- and cis-normative assumptions about sexuality and gender identity were prominent factors that generated negative experiences. Negative health care experiences sometimes lead to inferior health care in terms of missed medical examinations, or the choice to not seek health care.Conclusion: It is important for their overall health that LGBTQ persons have positive health care experiences. Negative experiences are due to hetero- and cis-normativity while positive experiences are characterized by openness, acceptance, respect and professionalism. To optimize the experiences and the quality of health care for LGBTQ persons, heath care personnel should be given the opportunity to develop their knowledge and understanding of LGBTQ issues.Key words: attitudes, experiences, LGBTQ persons, healthcare personnel, healthcare
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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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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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Law, Lik-hang Darick, and 羅力恒. "Attitudes toward rape and sexual assault: a comparative analysis of professional groups in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B29705113.
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Hyde, Emily. "Perception of healthcare professionals and use of formal-informal resources by families with son with chronic mental/physical illness." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/1020157.
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The purpose of this secondary analysis of Malone's (1993) study was to identify formal and informal resources used by families with an adult son with chronic mental or physical illness. It also explored the identified perceptions of health care providers by the families in this study. This study was guided by the Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 1993).The sample population was patients who were receiving outpatient care from Valley Mental Health Center and University Hospital Neurology Clinic in Salt Lake City, Utah, and families which met certain criteria. The data of 42 respondents of the original 68 in Malone's (1993) study were perused for trends and themes about the use of formal and informal resources and perceptions of health care professionals using the process of secondary analysis.Findings revealed that the outpatients and families used six formal resources and seven informal resources. Family resources accounted for 44 percent of the total utilization of informal resources by the respondents. Hospital/clinics accounted for 24.3 percent of the total formal resources used by the respondents. Findings also revealed that perceptions of health care professionals by the respondents was negative.With the increase of chronic illnesses, the recommendations and implications for nursing identify that patient education in the future will undoubtedly be the most vital and crucial component to an individual's success/failure to adjust to the chronic illness. With the additional knowledge base, prevention of unnecessary anxiety related to the chronic illness would promote a more positive environment for the patient. In addition, both the patient and family could make that smooth transition into the adaptation phase and function effectively with the chronic mental or physical illness.School of Nursing
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Stilp, Curt Carlton. "Rural Interprofessional Health Care Education: a Study of Student Perspectives." PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/3624.
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As the cost for health care delivery increases, so does the demand for access to care. However, individuals in a rural community often do not have access to the care they need. Shortages of rural health care professionals are an ever-increasing problem. The Affordable Care Act of 2010 sought to increase health care access by focusing on team-based care delivery. Thus, the need to educate health care students in the fundamentals of team-based practice has led to an increased emphasis on Interprofessional Education (IPE). While past research focused on urban IPE, a literature gap exists for the effects of a rural team-based educational experience on practice location decisions. This study examined how rural IPE influenced health profession students' perspectives of what it means to be a member of a rural health care team and explored what factors go into making decisions of where to live and provide care. Motivational Theory provided the framework for a mixed methods approach with data from student reflective journaling and a post-experience Q sort. Analysis yielded important understandings about the impact of rural IPE. Accordingly, having a rural IPE experience provided positive motivation for returning after graduation. Further, the time spent in rural IPE generated understandings of what it means to live and provide care to a rural community. One important new discovery gained is the clinical setting is not where most IPE took place. As a result, social interactions with fellow students and community members achieved the goals of rural IPE. Despite these influential findings, noted barriers to genuine rural IPE persisted. In the end, students, educators, and rural health care professionals need to be aware of the multiple factors that guide decisions of where to live and provide care.
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Chakare, Rejoice Sesedzai. "Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79966.
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Thesis (MPhil)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Health statistics on adolescents in Namibia indaicate high incidences of teenage unwanted pregnancies, unsafe abortions, baby dumping, maternal ill health, early marriages and STIs including HIV. These are indicators of underutilisation of adolescent friendly health services (AFHS) by adolescents as education on these problems are covered in it. Although Government has made some strides to esure implementation starts, there is a recognisable lack of its adoption by health workers. The aim of this study was to establish the reasons for the slow adoption of AFHS practices by health workers at Katutura Health Centre. A quantitative non-experimental cross-sectional descriprive research approach was used in this study. Evidence using both primary data collected in the field through self-administered semi-structured questionnaires (with both open and closed questions) and secondary data collected in the literature review was employed . A census of the entire population of health workers was prefered over sampling. A total of 56 health workers accepted to participate in the study and the questionnaire, 46 of which returned it within a stipulated three weeks data collection period. Descriptive statistics was utilised together with frequencies, mean and basic collection. Eighty two percent of the sample participated in the study of which 67% respondents were female and 33% were male. The majority of the respondents (78.3%) had tertiary education. The results indicated: AFHS were not known to the majority of health workers; there is slow adoption of AFHS; and the programme introduction could have been done better. Factors significantly associated with adoption of AFHS are knowledge of such services, sex, level of education, job position, work experience and effective implementation of the programme. A probability value of p<0.05 was adopted. The programme is well appreciated despite concerns of lack of training and proper implementation. Key recommendations were on staff recruitment, retention and training of health workers; creation of space for implementing AFHS and marketing the programme. The system is in place, what is left is to tighten some loose ends and programme is up and running.
AFRIKAANSE OPSOMMING: Gesondheid statistieke oor die jeug in Namibië verwys na hoë voorkoms van ongewenste tiener swangerskappe en onveilige aborsies, weg gooi van babas, swak moederlike gesondheid, vroeë huwelike en seksueel oordraagbare siektes, insluitend MIV. Dit is aanwysers van die onderbenutting van jeug vriendelike gesondheidsdienste (AFHS) deur die jeug, as die onderwys op hierdie probleme gedek word. Hoewel die regering 'n paar implementerings begin het, is daar 'n beduidende gebrek van aanneming deur gesondheidswerkers. Die doel van hierdie studie was om die redes vas te stel vir die stadige aanvaarding van AFHS praktyke deur gesondheidswerkers by Katutura Gesondheids Sentrum. 'n Kwantitatiewe, nie-eksperimentele navorsingsbenadering is gebruik in hierdie studie. Bewyse uit beide primêre data wat ingesamel is in die veld deur middel van self-geadministreerde semi-gestruktureerde vraelyste (met beide oop en geslote vrae) en sekondêre data wat ingesamel is in die literatuuroorsig was gebruik. 'n Sensus van die hele bevolking van gesondheidswerkers is verkies in plaas van steekproefneming. 'n Totaal van 56 gesondheidswerkers het aanvaar om deel te neem aan die studie en die vraelys, waarvan 46 teruggedien is binne die vasgestelde tydperk van drie weke se data-invorderingstermyn. Beskrywende statistiek is gebruik saam met frekwensies, gemiddelde en basiese versameling. Tagtig en twee persent van die steekproef het deelgeneem aan die studie, waarvan 67% respondente vroulik en 33% manlik was. Die meerderheid van die respondente (78,3%) het tersiêre opleiding. Die resultate het aangedui: AFHS is nie bekend aan die meeste van gesondheidswerkers nie, en daar is stadige aanneming van AFHS; en die program inleiding kon beter gedoen gewees het. Faktore wat beduidend verband hou met die aanneming van AFHS is kennis van sodanige dienste, geslag, vlak van onderwys, werk posisie, werkervaring en doeltreffende implementering van die program. 'n Waarskynlikheid waarde van p <0,05 is aangeneem. Die program is goed waardeer ten spyte van kommer aan 'n gebrek van opleiding en behoorlike implementering. Belangrikste aanbevelings was op die personeel werwing, behoud en die opleiding van gesondheidswerkers; skepping van ruimte vir die implementering van AFHS en bemarking van die program. Die stelsel is in plek, wat oorbly om gedoen te word, is om 'n paar los punte te versterk en die program is aan die gang.
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Zitianellis, Marina Sophia. "An exploration of health professional's perceptions of the role of clinical psychologists." Thesis, Rhodes University, 2005. http://hdl.handle.net/10962/d1002601.
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The South African government has initiated the transformation of health services in the country towards primary health care (PHC) in order to provide comprehensive care to individuals and families. The move to PHC involves an increased need for collaboration between health professionals. It is proposed that for effective team-work to take place, an understanding of the roles and functions of team members is imperative in providing quality mental health care. This study explored health professionals’ perceptions of the role and function of clinical psychologists working as part of a health care team in a community context. Three focus groups and three individual interviews were conducted with social workers, nurses and doctors. The data was then processed and analysed using a grounded theory method. The research highlighted the importance of knowledge, and how this affects referrals, perceptions, inter-professional relations and the perceived usefulness of clinical psychology and clinical psychologists. What is of significance is the potential power that the health professionals have as gatekeepers between the general public and clinical psychologists.
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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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Chiwandire, Desire. "Conscientious objection and South African medical practitioners' constructions of termination of pregnancy and emergency contraception." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017863.
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Aim: The 1996 Choice on Termination of Pregnancy Act decriminalized abortion in South Africa and the South African Medicines Control Council in 2000 approved the dispensing of emergency contraceptive methods by pharmacists to women without a doctor's prescription. This legislation has been hailed as among the most progressive in the world with respect to women's reproductive justice. However the realisation of these rights in practice has not always met expectations in part due to medical practitioners' ethical objections to termination of pregnancy and the provision of related services. The aim of this study was to interpret the varying ways in which medical practitioners frame termination of pregnancy and emergency contraceptive services, their own professional identities and that of their patients/clients. Methods: Sample of 58 doctors and 59 pharmacists drawn from all nine provinces of South Africa. Data collected using an anonymous confidential internet-based self-administered questionnaire. Participants were randomly recruited from online listings of South African doctors and pharmacists practicing in both private and public sectors. Data were analysed using theoretically derived qualitative content analysis. Results: Participants drew on eight frames to justify their willingness or unwillingness to provide termination-of-pregnancy related services: the foetal life frame, the women's rights frame, the balancing frame, the social justice frame, the do no harm frame, the legal and professional obligation frame, the consequences frame and the moral absolutist frame. Conclusion: Health professionals' willingness or unwillingness to provide termination of pregnancy related services is highly dependent on how they frame or understand termination of pregnancy, and how they understand their own professional identities and those of their patients/clients.
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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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Njolomole, Stephen Emilio. "Determinants of HIV related stigma and discrimination among healthcare professionals at a health facility in Malawi." Diss., 2016. http://hdl.handle.net/10500/21184.
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Certain individual and institutional factors such as knowledge about stigma and discrimination, fear of infection, social judgement, legal and policy environment act as actionable drivers and facilitators of HIV-related stigma and discrimination. These factors may hinder the utilisation and quality of care provided to people living with HIV.
Purpose: The purpose of the study was to establish the actionable drivers and facilitators that determine the different forms of HIV-related stigma and discrimination among healthcare professionals at a district hospital in Malawi.
Methods: The study used a descriptive correlational study. Data was collected through self-administered questionnaire. Data were analysed using SPPS and STATA 12. Fisher's Exact Test was used to conclude the association and binary logistic regression was used to model the degree of the statistical relationships.
Results: The results showed statistically significant relationship between knowledge of stigma and discrimination, social judgement and awareness of workplace policy and HIV-related stigma and discrimination.
Recommendations: Interventions aimed at increasing knowledge about HIV-related stigma, reducing social judgement, reinforcing HIV-related workplace policies are needed to reduce HIV-related stigma and discrimination in healthcare settings.Health Studies
M. Ph. (Health Studies)
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Kumwembe, Mussa. "The experiences of patients undergoing special radiographic examinations at Kamuzu Central Hospital." Thesis, 2014. http://hdl.handle.net/10210/11036.
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M.Tech. (Radiography)Satisfied patients are recognized as an important outcome measure for evaluating the quality of medical care provided in a hospital setting. A satisfied patient is more likely to comply with instructions given and cooperate with medical staff during procedures such as special radiographic examinations in the radiography department. In Malawi, studies on patient satisfaction have mostly been confined to doctor – patient interaction and other aspects of the health care service. Very little research has been conducted to explore the experiences of patients undergoing special radiographic examinations. The purpose of this study was to explore the experiences of patients undergoing special radiographic examinations at Kamuzu Central Hospital. A qualitative, contextual, explorative, descriptive approach was used to collect data from patients undergoing special radiographic examinations at Kamuzu Central Hospital in Malawi. Focus group interviews were employed to collect data from the study participants. A total number of 15 patients took part in the study. A content analysis approach was used to analyze the views of the participants. The themes that emerged from the focus group data were: Concerns about delays from reception to receiving radiography results (Radiographs and report); Patients’ experiences with regards to the quality of patient care they received and Concerns about the hospital environment and resources in the radiography department. Guidelines have been proposed to address the themes identified.
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Lee, Dwaine Erik. "Taking the pulse of a sick doctor: A case study of HIV/AIDS -related knowledge, attitudes, and practices of education personnel in Malawi, Africa." 2007. https://scholarworks.umass.edu/dissertations/AAI3289282.
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This study seeks to understand the effects of HIV/AIDS on the education sector in Malawi, Africa and to assess its capacity to be an effective safeguard against the spread of HIV/AIDS. The study fills in gaps in the literature by analyzing the perspectives of educators at six levels of the hierarchy—from schools to the Ministry of Education—and assessing their professional, as opposed to personal, HIV/AIDS-related knowledge, attitudes, and practices (KAP). This study benefits international education and health specialists in the preparation and implementation of HIV/AIDS strategies. The study utilizes a sequential, mixed-methods design in which qualitative data were obtained from 31 participants through interviews and focus group discussions and quantitative data were obtained from 207 respondents through a survey. The data were collected from representatives of the six levels of the hierarchy: teachers, head teachers, zonal advisors, district managers, division officers, and Ministry personnel. Teachers and head teachers represented 32 primary and secondary schools divided between one rural and one urban district in the southern region of Malawi. Descriptive statistics and cross tabulations were used to analyze the data. The study shows that Malawi's education system is weak, with HIV/AIDS greatly affecting supply, quality, and psycho-social well being. To a lesser degree, demand and management are affected. The effects are strongly felt at all levels of the hierarchy. It was found that the sector is weakened through sickness and death, difficulty of replacing deceased teachers, the enormous financial burden of paying for educators' funerals and lengthy sick leave, and depression. Education personnel—especially those at the school level—are knowledgeable, have positive attitudes about their capabilities, and demonstrate a strong desire to provide teaching and counseling services to their students. Although HIV/AIDS has severely weakened the education sector, the self-reported high levels of confidence amongst Malawi's educators could enable them to take positive steps to change their own behavior and to influence behavior change in others, thus allowing them to play the role of "doctor" to help cure the rest of society of the ills of HIV/AIDS.
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Naicker, Sashni. "A survey of medical specialists' perceptions and interactions with homoeopathy." Thesis, 2008. http://hdl.handle.net/10321/375.
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Thesis (M.Tech.: Homoeopathy)--Durban University of Technology, 2008. xvii, 87 leavesHomoeopathy is a scientific, reliable and natural system of medicinal therapy, which has been in existence for over 200 years. Recent years have shown a profound shift in health and medicine, increasing numbers of the public are opting for complementary and alternative(CAM) therapies. In South Africa the situation for CAM and homoeopathy in particular looks more favorable. The government, in the form of the department of health, has drawn up specific guidelines for the regulation of homoeopathy and other CAM therapies. Much closer liaison should exist between the Allied health professions council of South Africa (AHPCSA) and the Health professions council of S.A (HPCSA) with the aim of uniting strengths to the advantage of the South African public to achieve an integrated, holistic care (Prinsloo, 2005). OBJECTIVE The purpose of this study is to provide demographic data on the perceptions and interactions of Medical specialists in the greater Durban area toward homoeopathy. Their general knowledge of homoeopathy and their views and communication with homoeopathy have been assessed. iv METHODOLOGY A survey method in the form of a questionnaire was employed to investigate the perceptions and interaction of Medical specialists towards homoeopathy. The sample of Medical specialists was drawn from the medical pages of the Durban Telephone Directory. The data was analyzed by means of descriptive statistics using frequency tables and bar charts. The Pearson’s Chi-square Test was used on selected data. RESULTS One hundred and fifty completed questionnaires were returned for analysis out of the 344 sent out. This gives a response rate of 43.60%. CONCLUSION From this study one can conclude that Medical specialists know very little about homoeopathy, and it can be assumed that this lack of knowledge is a possible reason for the poor communication that currently exists between these practitioners and homoeopaths
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Sexton, John Bryan. "A matter of life or death social psychological and organizational factors related to patient outcomes in the intensive care unit /." 2002. http://wwwlib.umi.com/cr/utexas/fullcit?p3085063.
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Withy, Kelley. "Factors influential in recruitment to health careers in Micronesian students." Thesis, 2005. http://hdl.handle.net/10125/20429.
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Cloete, Kirsten Leigh. "A study to determine the international federations' perception and utilization of chiropractors and other sports medical personnel." Thesis, 2008. http://hdl.handle.net/10321/441.
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Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic at Durban University of Technology, 2008.Objectives: To investigate the International Sports Federations’ (IFS) perception and utilization of chiropractors and other sports medical personnel, and to compare results between the executive committees and medical commissions within federations. Methods: A specially designed, quantitative questionnaire was used to collect data from the 65 federations belonging to the General Assembly of International Federations of Sport (GAIFS). The questionnaire distribution took place via e-mail, with the secretary of each federation being requested to forward a copy of the questionnaire to a member of the federation’s executive committee and medical commission respectively. Follow-up telephone calls were also made to further encourage a response from participants. After an 8-week period, returned questionnaires were collected and data was analyzed. Results: From the results obtained (30% response rate), it would seem that perceptions vary greatly. This is most evident when one compares the perceptions of the medical commission members to those of the executive committee members. The medical commission on a whole, appears to favour the more traditional medical professions, while the executive committee seems to be more holistic in their approach to treatment options. In terms of current utilization, chiropractors are currently represented on 16% of medical teams, although chiropractors are able, within their scope of practice, to provide 70% of the federations’ most requested techniques / modalities for competitions. There appears to be little / no criteria governing the selection of medical personnel, however most of the federations agreed that a chiropractor with a post-graduate diploma in sports injuries, would be seen in a more favourable light for selection. Conclusions: The perceptions and utilization of chiropractors and other sports medical personnel varies greatly between federations, which may be due to a number of factors related to the formulation of perception itself. In addition, there appears to be a discrepancy between the opinions of the executive committees and medical commission of the participating federations.
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Butt, Charlton Kenneth. "An investigation into the knowledge and perception of rugby coaches in the greater Durban area with regards to chiropractic and other sports medical personnel." Thesis, 2008. http://hdl.handle.net/10321/425.
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Dissertation submitted in partial compliance with the requirements for a Masters Degree in Technology, in the Department of Chiropractic at the Durban University of Technology, 2008Introduction: One of the most important responsibilities of a rugby coach towards players is that of injury prevention and advice. Often these responsibilities fall solely on the coach, but sometimes he has the benefit of sports medical personnel at his service. Therefore in order for the coach to best service this sport and industry, his/her knowledge and perception of Chiropractic and other sports medical personnel is critical. Objective: To establish an understanding of Durban rugby coaches’ perceptions and knowledge of Chiropractic to formulate initiatives aimed at bridging gaps and building co-operation between coaches and various medical personnel that they have at their disposal. Methods: A survey was distributed to 149 rugby coaches within 23 high schools and 67 rugby coaches within 24 rugby clubs, resulting in a total of 219 rugby coaches in the greater Durban area received a questionnaire for completion and return. Results: Of the 85 coaches that participated (38.8% response rate), the majority were White (95%), male (99%), with a mean age of 37.36 years and coached at the amateur level (65.1%). School coaches dominated the participants with 67.1% with 61 (71.8%) having obtained a rugby coaching qualification and 26 (30.6%) having another professional sport, fitness or medical qualification besides that of rugby coaching. Most (94.9%) participants referred players to a health professional for examination and / or treatment. This included Physiotherapists, 80% of the time, GPs 70.6% of the time and Chiropractors, 60% of the time. Twenty-nine (34.1%) had a Chiropractor on their medical management team and 28 (96.6%) said it was a positive experience. Of those who did not have a Chiropractor on the team, 82.4% said they would consider it in the future. Over half (65.5%) had personally been treated by a Chiropractor. The 3 most frequent conditions associated with Chiropractic included: Disc herniation (42.6%), low back pain (36.1%) and whiplash (32.8%). Notwithstanding this outcome, the level of knowledge was low with the mean knowledge score (an aggregate knowledge score derived statistically from all questions relating to the knowledge of Chiropractic) of the group was 55.8% (SD 21.9%), even though the range varied from 0 to 96%. Although the coaches’ knowledge of Chiropractic was low, most participants (76.2%) had a favourable view of the Chiropractic profession. Furthermore the coaches perception of Chiropractic related significantly to their knowledge (p = 0.037). In addition the higher their knowledge scores the more positive their view. Conclusion: This study established what knowledge base is available that could promote rugby coaches greater understanding of the Chiropractic profession and related medical personnel. There was a positive association between increased knowledge and a better perception of Chiropractic, suggesting that if knowledge were improved, then perception and attitude towards Chiropractic and related medical personnel would further improve. This increased awareness may improve knowledge, understanding, communication and utilization with the Chiropractic profession and related medical personnel and ultimately these professions within rugby may gain a greater level of acceptance.
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Wu, Wen-shu, and 吳文淑. "A Study of the Relationship of Death Attitudes and Meaning of Life to the Medical care personnel of Taiwan." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/21329596197464731512.
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碩士南華大學
生死學研究所
98
This research is aimed at exploring the attitudes of Taiwan''s medical personnel toward death and their sense of the meaning of life which is closely related to the perspectives of life & death. I have conducted this research on the basis of questionnaire survey, involving valid samples 1,475 copies (78.5%). To this study, I have applied descriptive statistics, t-verification, single-factor variables analysis, Scheffe''s After-comparison approach, Pearson''s relation & Type relation methods to analyze the data and have reached the following conclusions, which are as follows: I. The attitudes of Taiwan''s medical personnel toward death Their attitudes can be divided into four categories: (1) progressively approaching / accepting death (taking up the highest percentage) (2) evading the acceptance of death (the second highest) (3) fear of death (the third) (4) evading death (the fourth) This sequence of the percentage order in their attitudes toward death suggests that the medical personnel can, roughly speaking, accept death as a natural course of life. The following are the detailed depictions of this research: 1.Male doctors tend to "evade death" (the fourth category) more than female medical personnel in their attitude toward death. 2.Medical personnel aged from 20 to 40 have a higher percentage in "fear of death"(the third category) than those aged from 41 to 50. 3.In "progressively approaching / accepting death", different religion believers have different attitudes or level of accepting death: Christians are higher than Buddhists and folk religionites or Taoists, as well as non-religionites. 4.Married medical personnel have a higher percentage than the unmarried ones in their attitude toward "evading death". 5.The medical personnel with different service seniority have different attitudes toward "fear of death" and "evading death"; those with 5-year to 9-year seniority have a higher percentage or level than those with 10-year plus seniority. 6.The medical personnel with experiences of taking care of the terminally ill patients show a lower percentage or level of "fear of death" and "evading death". 7.The time-distance of witnessing the patient''s death makes a big difference among the medical personnel in their attitudes toward death in the above four categories. II. The sense of the meaning of life among Taiwan''s medical personnel The spiritual level is ranked as the highest; the subsequent level orders are: religion, society, ethics (/ morality), passion for life, philosophy and psychology. The following are the detailed depictions of this research: 1.The male doctors feel a higher level of life meaning than females. 2.The medical personnel of the only son/daughter in the family feel a higher level of life meaning than the oldest, the middle, or the youngest son / daughter. 3.The medical personnel without the experience of witnessing the deaths of their relatives feel a higher level of life meaning than those otherwise. 4.The medical personnel who have engaged in the education of life & death courses feel a higher level of life meaning than those otherwise. 5.The medical personnel who serve in the hospices feel a remarkably higher level of life meaning than those serving in dialysis centers / units, surgery rooms, as well as nursing homes. 6.The medical personnel with or without the experiences of taking care of the terminally ill patients make no big difference in their attitudes toward death. III. Stereotype-relation Results The attitude toward death is closely related to the sense of the meaning of life among Taiwan''s medical personnel.The survey is concluded in the following three points: 1.medical personnel with a positive attitude toward death feel or have a higher level of life meaning. 2.The medical personnel with a negative attitude toward death feel a spiritual need to enhance or heighten their sense of life meaning. 3.The medical personnel with a tendency toward the thought of evading death need badly a high support from social workers or the counseling from the psychiatrist or psychologist. In conclusion, according to the above survey and research, I put forth some specific suggestions as reference and assistance for those who will undertake the study related to the similar theme.
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Chou, Yi-Tzu, and 周易資. "The Knowledge, Attitudes, and Self Efficacy of Medical Personnel in Respiratory Care WardsTowards Advance Directives and the Relative Factors." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/39999208432255811357.
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碩士亞洲大學
健康產業管理學系長期照護組碩士在職專班
104
Purpose: The aim of the study was to describe the knowledge, attitudes and self-efficacy of healthcare workers working in respiratory care wards regarding advance directives (ADs). It sought to identify factors surrounding health care workers working in respiratory care wards implementation of ADs and their educational needs. Research method: A survey using a self-developed questionnaire was carried out in hospitals with respiratory care wards at Taichung City. After a total of 340 copies distributed and 316 valid questionnaires were acquired (effective recovery rate of 96.9%). SPSS22.0 was used to analysis the data. The main statistical methods included Descriptive Analysis, Independent Sample t-Test, One-way ANOVA Analysis, Pearson’s Correlation Analysis, and Multiple Regression. Findings: The findings were that healthcare workers reflected a lack of knowledge and confidence concerning laws and general information about ADs. Healthcare workers had very low rates of ADs completion (15.3%), but 74.7% subjects were intent to sign it. Significant correlation was found between knowledge and attitudes, but not between knowledge and self-efficacy. Conclusion: Implementation of ADs is now widely promoted by policy makers. Healthcare workers working in respiratory care wards are centrally involved with patients with palliative care needs who may wish to set on record their views about future care. This study reveals some important areas for practice and educational development to enhance healthcare workers use and understanding of ADs.
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Goodenough, Toni Jennifer. "Witnessed resuscitation exploring the attitudes and practices of the emergency staff working in the level one emergency departments in the province of Kwa-Zulu Natal." Thesis, 2001. http://hdl.handle.net/10413/4604.
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Aim: The aim of this study was to explore the attitudes and practices of the emergency staff
working in the level one emergency departments in the province of KwaZulu-Natal, with
regard to witnessed resuscitation.
Methodology: A qualitative approach was used to explore the attitudes and practices of
the staff. Two semi - structured interviews were conducted with each participant, an initial
and a verifying interview, with each interview lasting between 15 - 30 minutes long. The
researcher applied the principle oftheoretical saturation and a total ofsix participants from two
of the four level one emergency departments were included in this study. One provincial and
one private emergency department were chosen. All of the interviews were taped and
transcribed prior to manual analysis, in which categories and themes were identified from the
data.
Findings: The emergency staff disliked the idea of witnessed resuscitation. They believed
it to be a harmful experience for the witnesses, a threat to the resuscitation process, threatening
for the emergency staff, and impossible to implement in their emergency departments that are
already short of staff and space. Although these were their dominant feelings, there were
subtle references made during the interviews that revealed that there were some aspects of
witnessed resuscitation that they liked once they had considered the practice.
There were no written policies to dictate how the relatives were handled, but all the staff
agreed that the relatives were asked to wait outside-of the resuscitation area, they were kept
informed and then brought in when the patient was stable or had died. A number of
recommendations are suggested for education, practice and further research in an attempt to
introduce witnessed resuscitation as an option in KwaZulu-Natal's emergency departments.Thesis (M.Cur.)-University of Natal, Durban, 2001.
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Teixeira, Carolina Dulce Songo. "A study on health care workers' knowledge, attitudes and experiences of DOTS in the Windhoek District of the Khomas Region (Namibia)." Diss., 2018. http://hdl.handle.net/10500/25072.
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The purpose of this study is to explore and describe the knowledge, attitudes and experiences of health care workers who care for patients receiving treatment under DOTS strategy at public health facilities in the Windhoek District of the Khomas Region. A qualitative explorative, descriptive and contextual research design was used in this study. A purposive sampling was used to select participants who met the inclusion criteria for the study. The inclusion criteria was to be a health care worker who at the time of the study was working with patients who are on DOT for at least 6 months. A semi-structured interview guide was used to collect data. The study was conducted in the Windhoek district of the Khomas region, with a sample of 14 health care workers. Data was analysed by means of content analysis, a process of organizing and integrating narrative, qualitative data according to emerging themes and concepts. The three themes, which emerged from data analysis, were the knowledge of health care workers regarding the implementation of DOTS, the attitudes of health care workers towards patients on DOT which may affect the success of their treatments, and the experiences of health care workers when attending to patients on DOTS. The findings from the study may be used to engage stakeholders to address the shortcomings that exist in the implementation of the DOTS strategy in the district.Health Studies
M.A. (Nursing Science)