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Dissertations / Theses on the topic 'Medical Readiness'
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Heath, Hayden Lee. "Assessing Program-Readiness for Dental/Medical Tolerance." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1505149/.
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Many clients with developmental and/or intellectual disabilities (ID/DD) do not tolerate routine medical or dental procedures and may require intrusive interventions, including restraint of various types (i.e. chemical, mechanical, physical, etc.) during appointments. Graduated exposure, or stimulus fading, along with reinforcement for compliance, have been shown to increase cooperation and tolerance in some clients; however, many do not respond to these types of interventions. Nine participants diagnosed with ID/DD recieved compliance/tolerance training for routine medical or dental procedures. Results of these interventions were evaluated in the context of several potential indices of readiness, such as medical diagnoses, level of disability, and presence of challenging behavior, among others. Several of the variables appeared to be correlated with program responsiveness; however, a larger sample will be necessary to draw definitive conclusions. Client characteristics and past assessments (anecdotals, preference assessments, terminal probes, and survey data) were evaluated. The analytical framework developed for this analysis may be useful to future researchers and clinicians as a model for assessing readiness for tolerance training programs.
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Yamauchi, Kazunobu, Satoshi Mizuno, and Zhixing Xu. "Disaster-readiness of Medical Facilities in Aichi Prefecture." 名古屋大学医学部, 1996. http://hdl.handle.net/2237/6181.
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Sultanic, Indira SULTANIC. "Medical Interpreter Training and Interpreter Readiness for the Hospital Environment." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent153250300759496.
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Folligah, Jean-Pierre K. "Determining Perceived Barriers Affecting Physicians' Readiness to Disclose Major Medical Errors." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10811358.
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Medical errors have been detrimental in the field of medicine. They have impacted both patients and doctors. While physicians recognized that error disclosure was an ethical and professional obligation, most remained silent when mistakes happened for different reasons. Guided by the theory of planned behavior and Kant's deontological theory, the purpose of this quantitative study was to investigate the perceived barriers affecting physicians' willingness to report major medical errors. An association was tested between the independent variables physician fear of disclosure of errors, organizational culture toward patient safety, physician apology, professional ethics and transparency, physician education, and the dependent variable physician willingness to disclose major medical errors. Using a cross-sectional method, 122 doctors out of 483 surveyed, completed the online and paper-based survey. Multiple linear regression and descriptive statistics models were used to analyze and summarize the data. The results showed there was a statistically significant relationship between the independent variables organizational culture toward patient safety, physician apology, professional ethics and transparency, and physician education and the dependent variable physician willingness to disclose major medical errors. There was no relationship between the independent variable fear of disclosure of errors and the dependent variable. The findings added to the knowledge base regarding barriers to physicians' medical errors disclosure. The results and recommendations could provide positive social change by helping hospitals raising doctors' awareness regarding major medical errors disclosure.
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Dyer, George Lewis. "An analysis of peacetime medical workload and staffing : should medical readiness be viewed through a peacetime lens?" Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2003. http://library.nps.navy.mil/uhtbin/hyperion-image/03Mar%5FDyer.pdf.
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Frisby, Anthony J. "Self-directed learning readiness in medical students at the Ohio State University /." The Ohio State University, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487688507502934.
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Capano, Anthony M. "The effects of the Department of Defense's Prime Vendor Program on Navy medical readiness." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1994. http://handle.dtic.mil/100.2/ADA293735.
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Whitecar, Michael. "The use of intelligent real time technologies to implement, monitor and forecast medical readiness." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2001. http://handle.dtic.mil/100.2/ADA392861.
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Thesis (M.S. in Information Technology Management) Naval Postgraduate School, June 2001.Thesis advisors, John Osmundson, Gary Porter. Includes bibliographical references (p. 285-287). Also available online.
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Sword, Lisa A. "A readiness assesment (sic) preparation for implementation of computerized physician order entry /." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005swordl.pdf.
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Wibåge, Anna, and Sara Södersten. "Healthcare students perception of their readiness for interprofessional learning." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-351450.
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Introduction: Interprofessional Learning (IPL) is an approach that teaches students from different disciplines to share their professional knowledge in order to gain a more complex understanding of the situation at hand. According to WHO, interprofessional learning strengthens communication and the collaborative practice which in turn improves health outcomes for patients. Insufficient interprofessional communication due to inexperience with interprofessional teamwork can affect patients’ safety. Aim: To compare differences in nursing- and medical students readiness for interprofessional learning in Vietnam and if they believe that IPL could affect the quality of communication with patients. Method: A quantitative study was conducted, with a descriptive approach where the population consisted of nursing- and medical students at University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam. The data was collected through a structured questionnaire called Readiness for Interprofessional Learning Scale (RIPLS). Mann Whitney U-test was used for statistical analyzes. Results: A statistical significant difference, between the two professions, was found in four out of nineteen questions. Therefore we could not see a difference in readiness between the two professions. Regarding the students’ perception on IPL and communication, we could not see a statistical difference, the two groups had similar views on the topic. Conclusion: We could only find a few questions that reflected an actual difference (p < 0.05) in opinion between the two professions.
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Weatherford, Lenora B. P. "A qualitative examination of the administrative process of fleet enlisted personnel in various medical categories." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2003. http://library.nps.navy.mil/uhtbin/hyperion-image/03Mar%5FWeatherford.pdf.
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Thesis (M.S. in Management)--Naval Postgraduate School, March 2003.Thesis advisor(s): Stephen L. Mehay, William D. Hatch II. Includes bibliographical references (p. 115-118). Also available online.
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Ntlokonkulu, Zukiswa Brenda. "The effectiveness of medium-fidelity simulation on the clinical readiness of student midwives." Thesis, University of Fort Hare, 2017. http://hdl.handle.net/10353/4503.
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Simulation affords the student a safe and supportive environment in which to practise skills repeatedly without causing any harm to a real patient. The Department of Nursing Sciences at the University of Fort Hare has a laboratory that offers lowto medium-fidelity simulation in the form of task trainers and mannequins. These task trainers and mannequins are used in general nursing, and in community and midwifery nursing sciences, for the demonstration of skills, the practising of skills by students and for formative assessments. In midwifery, task trainers are used for vaginal examinations, abdominal palpation breech and vaginal deliveries and the management of post-partum haemorrhage (PPH). Given that in a real-life clinical environment limited opportunities exist for students to practise during an obstetrical emergency, medium-fidelity simulation (MFS) in midwifery ideally positions the student in a practical environment without risking the patient’s safety. Despite the availability of MFS at UFH, its benefit on the clinical readiness of student midwives is not known. The present study was designed to assess the effectiveness of MFS in enhancing the clinical readiness of student midwives at the University of Fort Hare. The main research objective of the study was to explore, describe and analyse the effect of medium-fidelity simulation on student midwives’ confidence, critical thinking ability, communication, satisfaction and team work in an obstetrical clinical emergency environment. This was a qualitative, interpretive, phenomenological analysis designed to explore the student midwives’ lived experiences regarding the effectiveness of mediumfidelity simulation and the effect of these experiences on clinical readiness. The target population was fourth-year Bachelor of nursing student midwives at the University of Fort Hare. Purposive sampling was used to select five student midwives who were team leaders during the management of PPH using MFS. Ethical approval was granted by the University of Fort Hare Ethics Committee. Informed consent was obtained from the participants prior to data collection. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. Data was collected through individual face-to-face interviews and a semi-structured interview guide. All fourth-year student midwives had viewed an on-line video entitled Essential Steps in Management of Obstetrical Emergency(ESMOE) Postpartum Haemorrhage, in which the procedure was demonstrated. The video, sent via Backboard, was presented in such a way that student midwives had the opportunity to watch it repeatedly in order to thoroughly comprehend the demonstrated skill. A semi-structured interview guide was used for data collection. Interviews were conducted in the simulation laboratory. A Samsung smartphone was used to record interviews and a notepad was used to make notes of gestures, such as smiles or other facial expressions. Data was analysed using thematic content analysis applicable to interpretative phenomenological analysis (IPA) studies using the six steps: reading and re-reading; initial noting taking; developing emergent themes; searching for connections across the emergent themes; moving to the next case and lastly, looking for patterns across cases. The major findings indicated that the participants had differing views regarding the concept of clinical readiness; some held that clinical readiness meant being ready or prepared to handle any eventuality in the course of work, others opined that it was a state of being conversant with the policies and procedures in the clinical ward. Participants believed that clinical readiness was parallel to being competent and that midwives should always be ready to anticipate complications that might arise with the patient, endeavouring to analyse and interpret such conditions clinically. Participants expressed the need to see the simulation skill demonstrated repeatedly for thorough understanding of the technique, so that they could work independently in an obstetrical emergency situation. During simulation, participants were confident in delegating duties to team members, affirming that in order to ensure that tasks were carried out, team leaders should receive regular updates from team members.
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Moynihan, Melissa Mary. "Assessing adolescents with special health care needs : readiness to transition from paediatric to adult medical care." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/43753.
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Successful transition to adult care is critical for adolescents with special health care needs (SHCN), but there are no well-validated measures to assess transition readiness. This study evaluated the Transition Readiness Assessment Questionnaire (TRAQ) with a younger population and validated the updated Am I ON TRAC for Adult Care questionnaire.
During routine clinic appointments 200 youth, ages 12-19 years, from four outpatient clinics at BC Children’s Hospital, Vancouver participated in the study. The instruments included a demographics information page, the TRAQ, the ON TRAC questionnaire, and two Psychosocial Maturity Inventory (PMI) subscales. Psychometric properties of the PMI, TRAQ and ON TRAC knowledge items were evaluated using principal components analysis (PCA)
with parallel analysis and scree plots. ON TRAC behaviour items were summed as an index to measure consistent patterns of behaviour; theorized cut-off scores for behaviour items were set at minimally accepted frequency of behaviours required for successful transition to adult care. Relationships between participant age, psychosocial maturity and ON TRAC scores were
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Youth were from the diabetes (36%), cardiology (27%), gastroenterology (27%), and neurology (10%) clinics, and 57.5% were male. The PCA of the TRAQ yielded a markedly different factor structure from the original validation study and consequently could not be compared with the ON TRAC for convergent validity. The PCA of ON TRAC knowledge items identified a 14-item unidimensional scale with a Cronbach’s α=.84. ON TRAC knowledge and behaviour scores increased with age, with a stronger relationship for knowledge (r=.43, p<.01), while psychosocial maturity correlated with both ON TRAC scores, with a stronger association to behaviour (r=.39, p<.01). Psychosocial maturity and age had a weak but significant correlation (r=.16, p<.05) suggesting age is a loose proxy for maturity. Only 27% of 17-year-olds, but 62% 18-year-olds scored above the behaviour cut-off for transition readiness.
The ON TRAC questionnaire is a psychometrically sound measure with strong internal consistency, and has potential to be used as a readiness assessment tool in clinical practice. Results of the TRAQ psychometric evaluation raise questions about whether it is a suitable measure to evaluate transition readiness among younger adolescents.
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Coleman, Alfred. "Developing an e-health framework through electronic healthcare readiness assessment." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1519.
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The major socio-economic development challenges facing most African countries include economic diversification, poverty, unemployment, diseases and the unsustainable use of natural resources. The challenge of quality healthcare provisioning is compounded by the HIV/AIDS pandemic in Sub Saharan Africa. However, there is a great potential in using electronic healthcare (e-health) as one of the supportive systems within the healthcare sector to address these pressing challenges facing healthcare systems in developing countries, including solving inequalities in healthcare delivery between rural and urban hospitals/clinics. The purpose of this study was to compile a Provincial E-health Framework (PEHF) based on the feedback from electronic healthcare readiness assessments conducted in selected rural and urban hospitals/clinics in the North West Province in South Africa. The e-healthcare readiness assessment was conducted in the light of effective use of ICT in patient healthcare record system, consultation among healthcare professionals, prescription of medication, referral of patients and training of healthcare professionals in ICT usage. The study was divided into two phases which were phases 1 and 2 and a qualitative design supported by a case study approach was used. Data were collected using different techniques to enhance triangulation of data. The techniques included group interviews, qualitative questionnaires, photographs, document analysis and expert opinions. The outcome of the assessment led to the compilation of the PEHF which was based on Service Oriented Architecture (SOA). SOA was chosen to integrate the hospitals/clinics‟ ICT infrastructure yet allowing each hospital/clinic the autonomy to control its own ICT environment. To assist hospitals/clinics integrate their ICT resources, this research study proposed an Infrastructure Network Architecture which clustered hospitals/clinics to share common ICT infrastructure instead of duplicating these resources. Furthermore, processes of the e-health services (e-patient health IV record system, e-consultation system, e-prescription system, e-referral system and e-training system) were provided to assist in the implementation of the PEHF. Finally, a set of guidelines were provided by the research study to aid the implementation of the PEHF.
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Balliette, Corinne. "The Use of and Readiness for Speech-Language Telepractice in Medical Settings of Rural Areas of Nevada." TopSCHOLAR®, 2016. http://digitalcommons.wku.edu/theses/1571.
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This study was developed to investigate the readiness or willingness of providers, speech language therapists (SLPs), and patients to participate in telepractice for speech-language therapy services in rural areas of Nevada. Nevada has not ranked high in healthcare for several years and was noted to have low SLP to patient ratios, especially in rural areas of Nevada. A thorough literature review identified international and national studies that have shown resistance to telepractice expressed by patients and providers, but it has also shown an increase in interest post telepractice therapy. Nevada does not have current research on readiness to participate in telepractice medical settings of rural areas of Nevada, therefore a survey was developed to ask providers and patients for their opinions about participating in telepractice. Providers were selected using an online directory search, and patient participants were chosen at the discretion of the providers. A unique survey was presented to each type of participant (provider or patient) in order to compare opinions and readiness of each participant type. Specific questions related to voice and swallowing disorders were addressed. A large sample size was not obtained, but the researcher was able to make some associations to readiness to participate in telepractice and possible factors that may or may not have affected a participant’s opinion. Age of participants, type of internet used, availability of webcam, and area of the state did not appear to have an association with the readiness to participate in telepractice. A positive response rate to engaging in telepractice of 40% was noted across patients and providers. Though the participant sample size was small, there is still some indication that telepractice could be used to address the needs of patients who need speech-language therapy services in rural areas of Nevada.
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Agunga, Paul Wekesa. "County Health Leadership and Readiness for Noncommunicable Disease Services." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5298.
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Premature mortality resulting from the growing global burden of noncommunicable diseases (NCDs) is a contemporary development challenge. Low-income and lower-middle-income countries are disproportionately affected, with the poorest in society considered the most vulnerable. A paucity of literature exists on how leadership practices at the implementation level relate to ensuring readiness for NCD services. The purpose of this study was to investigate whether any relationship exists between leadership practices at the county level and readiness for NCD services in Kenya. Path-goal and adaptive leadership theories were used to guide this quantitative correlational study, using secondary data from a 2013 Service Availability and Readiness Assessment survey. Correlation and multiple linear regression tests were used to determine the strength and direction of any relationship between the independent variable of leadership practices (annual work planning, therapeutic committees, and supportive supervision), and the dependent variable of NCD readiness (county readiness score). The results indicated a statistically significant relationship between therapeutic committee (p = .002) and supportive supervision practices (p = .023) and NCD readiness. Leadership practices also had a statistically significant predictive relationship with NCD readiness (p = .009). This study may be significant to county health leaders in relation to their efforts to ensure proximal access to quality NCD services in Kenya. The results of this study may help to promote the development of capacity-building programs targeting health leadership and prioritization of actions to ensure access to NCD prevention and treatment services at the county level in Kenya.
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Hooge, Nancy Lee. "Readiness of Wyoming hospitals in moving towards baby friendly hospital initiatives." Laramie, Wyo. : University of Wyoming, 2009. http://proquest.umi.com/pqdweb?did=1962984601&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Jackson, Dustin Alan. "The Relationship Between Psychological Capital and Readiness for Organizational Change among Behavioral Health Professionals." Thesis, Grand Canyon University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=13420537.
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With many organizations facing the challenge of helping their employees prepare for change, it is important to identify the psychological constructs of employees that positively relate to their readiness for organizational change. The purpose of this quantitative, correlational study was to assess the relationships between psychological capital and its four dimensions (self-efficacy, hope, optimism, and resilience) and readiness for organizational change among behavioral health professionals in one behavioral health organization in the southwestern United States. The theoretical foundation of the study was provided by the psychological capital theory and the readiness for organizational change theory. The researcher collected primary data via online survey from a convenience sample of 101 behavioral health professionals using the CPC-12 and Readiness for Organizational Change Measure (ROCM) instruments. The results of the nonparametric Kendall’s tau-b correlation analysis identified statistically significant positive low to medium level correlations of readiness for organizational change with self-efficacy (τb = .217, p = .003), hope (τb = .355, p < .001), and resilience (τb = .236, p = .001). Additional analysis showed a significant correlation between the compound construct of psychological capital and readiness for organizational change (τb = .271, p < .001). The findings of this study are important to behavioral health and organizational change leadership interested in increasing employee readiness for organizational change through interventions aimed at enhancing employee’s psychological capital and providing for their psychological well-being.
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McEntyre, Wanda L. J. "Self-efficacy expectations, outcome expectations and the prediction of medication usage, pain level and work readiness /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487260531958244.
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Coronel, Gabriela V. "Long-Term Sustainment of Rapid Improvement Events: A Case Study in “Room Readiness”." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/382.
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Shifting payment models from fee for service (FFS) to pay for performance (P4P) have fundamentally changed the environment of healthcare administration in the United States (Center for Medicaid and Medicare Services (CMS), 2011). Due to this shift, there has been an increase in demand for tracking and improving quality measures to ensure not only patient safety, but optimization of utilization. Constraints on resources and capacity, coupled with increasing safety measures has developed a new study of patient flow (Miró, Sánchez, Espinosa, et al., 2003). Decreasing patient room turnover times has the potential to maximize utilization while ensuring patient safety and quality (Dyrda, 2012). LEAN and A3 Methodology were applied to create a process improvement initiative at a 500-bed regional medical center (RMC). Using a Rapid Improvement Event (RIE), efforts were made to identify gaps and improve processes to address issues which prevented patients from being in the right place, for the appropriate amount of time, and patient rooms cleaned in a timely manner. These gaps prevented adequate patient flow in the RMC. After tracking the implemented improvements for a year, the RMC ceased following the newly designed process. This study examines the original RIE, factors that changed since the event, and additional process improvements made two years post-RIE.
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Zelleroth, Ylva. "Progression of psychological readiness to return to sport and the influence of covid-19 on rehabilitation after anterior cruciate ligament reconstruction." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-91062.
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Introduction: A successful return to sport (RTS) after anterior cruciate ligament reconstruction (ACL-R) demands optimal physical and psychological rehabilitation. Aim: Study the change in psychological readiness to RTS between three- and six-months post ACL-R, to associate psychological readiness to patient-reported knee function and identify factors associated to greater psychological readiness to RTS. The secondary aim was to examine how the Covid-19 pandemic has affected the patients’ rehabilitation. Methods: Prospective cohort study including patients with primary ACL-R recruited from the Swedish Knee Ligament register, age 16-40 and physically active on Tegner>3. Demographics including pre-injury sport participation, psychological readiness reported with the Anterior Cruciate Ligament-Return to Sport After Injury (ACL-RSI) scale, knee function reported with the subjective International Knee Documentation Committee (IKDC) and the impact on rehabilitation by Covid-19 were analyzed at three- and six-months post-surgery. ACL-RSI scores were compared, correlated to IKDC and univariate analysis was used to determine the association between factors and the psychological readiness to RTS. Results: 141 patients were analyzed (56 men, 85 women; median age 24 years), all were recreational or competitive athletes (median Tegner level 8). The psychological readiness progressed through rehabilitation, was correlated to subjective IKDC. No differences could be detected between ACL-RSI scores and included factors at six months post ACL-R. Covid-19 had an impact on 36% (40/112) of the patients’ rehabilitation. Conclusions: Psychological readiness improved after ACL-R and was significantly associated to self-reported knee function at six months post ACL-R. Covid-19 restrictions affected rehabilitation for one in every three participants.
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Andersson, Åsa, and Anna Josephson. "Threats about epidemics in the 21:th century. A questionnaire concerning preparedness and affectedness among nurses." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27036.
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Syftet med föreliggande studie var att få fördjupad insikt i och att beskriva hur sjuksköterskor påverkas av, och förbereder sig inför, ett abstrakt hot såsom en förutspådd epidemi. Studien är empirisk med en enkätundersökning av kvalitativ karaktär. Inspiration till tolkning av data är hämtad från fenomenografin och resultatet belyses genom anknytning till KASAM. Studiens deltagare var 39 sjuksköterskor verksamma på en Akutklinik och en Infektionsklinik. Resultatet visade att sjuksköterskorna påverkas av hot om epidemier bland annat genom en rädsla att själva smittas. De flesta uttryckte ett behov av ökade förberedelser. Två kategorier framkom Emotionell strategi och Praktisk strategi.The aim for the present study was to reach a deeper understanding and to describe how nurses are affected and prepare themselves before facing an abstract threat as a predicted epidemic. The study is empirical with a questionnaire of qualitative nature. Inspiration for analyzing data is taken from phenomenology, and the result are illustrated through KASAM. The participants were 39 nurses, employed at an Acute ward and an Infection ward. The results showed that nurses were affected, for example with fear, by threats concerning an epidemic. The majority expressed the need for more preparations. Two categories appeared; Emotional strategy and Practical Strategy.
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Lohmann, Kacey, and Kacey Lohmann. "Proposed Addition of Acute Care Nurse Practitioners in Observation Units: Identifying the Stage of Change of Staff Cohorts at Banner Desert Medical Center." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624485.
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Because of the expense associated with hospital admissions, the use of observation status has grown. One of the most consistently measured outcomes in observation is the patient length of stay (LOS). Research supports the positive impact that nurse practitioners (NP) have on LOS when added to other service lines that could be applied to observation. Banner Desert Medical Center (BDMC) is currently attempting to decrease their observation LOS. Adding acute care nurse practitioners (ACNP) to the care delivery model is a potential intervention. The purpose of this project was to develop an executive summary to inform staff of current evidence that supports the addition of ACNPs to observation. Then, via a survey, the project aimed to determine the level of staff support by identifying the Transtheoretical Model of Change (TTM) Stage of Change and to recommend appropriate stage-matched interventions for staff based on TTM processes of change.
The 10 Likert scale survey questions were adapted from two validated TTM surveys. The final question asked for the pros and cons of the intervention to determine the Decisional Balance (DB). The registered nurse (RN) cohort demonstrated consistently strong support for the proposed intervention with an average mean response of 6.57 on affirmative questions and a correspondingly low average mean of 2.2 on negative questions. When compared to the RN cohort, the physician cohort had lower mean responses with an average of 4.29 on every affirmative, a higher average mean response of 3.85 on the negatively worded questions. The DB for RNs was 19 pros to two cons. The DB for physicians was eight cons to three pros. These finding reflect that nurses are in the Preparation Stage of Change and are ready to move forward with adding ACNPs. An appropriate stage-matched intervention for registered nurses would be the development of change teams. In contrast, the physician cohort is in the Precontemplation stage and is not ready to proceed with adding ACNPs. Appropriate stage-matched interventions for physicians would include facilitating consciousness-raising activities such as an open forum to communicating information about the proposed change and to explore concerns and questions regarding the intervention.
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Miller, Juve Amy Katrina. "Reflective Practice and Readiness for Self-directed Learning in Anesthesiology Residents Training in the United States." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/235.
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The science and technology of medicine is evolving and changing at a fast pace. With these rapid advances, it is paramount that physicians maintain a level of medical knowledge that is current and relevant to their practice in order to address the challenges of patient care and safety. One way physicians can maintain a level of medical knowledge that is current and relevant to their practice is through self-directed, lifelong learning, however little is known about how to develop these traits during clinical training. Schön (1983, 1987) theorized that one way learners can become self-directed, lifelong learners is through reflective practice. This study utilized an experimental design and employed quantitative methods to investigate the effects of a reflective practice exercise, based on Gibbs' (1988) model of reflection, on readiness for self-directed learning as measured by Guglielmino's (1977) Self-Directed Learning Readiness Scale/Learning Preference Assessment (SDLRS/LPA). A total of 51 anesthesiology residents training in three residency programs in the United States participated in this study. A follow-up survey was administered to all study participants to determine if participation in the reflective exercises affected future engagement in or attitudes about reflective practice. While the data analysis showed that participation in reflective practice did not affect readiness for self-directed learning in these study participants, this study has implications for medical education. Responses to the follow-up survey indicated that participants plan to engage in reflective practice in the future and that participating in reflective practice would have an impact on patient care. Chapter 5 includes ways to integrate the findings of this study into medical education and outlines next steps for future research utilizing both evidence from the literature and the qualitative responses from this study.
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Cox, Cynthia A. "Standardized training to improve readiness of the Medical Reserve Corps : a Department of Health and Human Services program under the direction of the Office of the Surgeon General." Thesis, Monterey, California. Naval Postgraduate School, 2006. http://hdl.handle.net/10945/2358.
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CHDS State/LocalThe Medical Reserve Corps (MRC) was formed to provide a cadre of trained medical volunteers to support and strengthen the public health infrastructure and improve its' emergency preparedness level. Training policies and standards are left to the discretion of the local MRC coordinator so the program maintains its flexibility to meet community needs. Training varies from unit to unit, and there are no protocols in place to measure or evaluate the effectiveness of that training. According to recent studies and surveys, disaster operations are an unfamiliar role for most MRC volunteers and the public health workforce in general. Evidence also suggests that few medical and public health workers receive this important preparedness training. In 2005, MRC working group members developed a list of core competency recommendations to provide training guidance, but specific educational content to satisfy those competencies were not defined. This thesis offers specific training content guidelines and strategies for achieving competency. The MRC must be able to integrate into the disaster environment while working safely, effectively and efficiently. Standards will set the mark for success, enabling the MRC to respond in a coordinated manner and at a consistently higher level to any public health emergency.
Captain, Texas State Guard-Medical Rangers
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Tingling, Janet. "Hospital Executive Succession Planning Strategies." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4948.
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Approximately 50% of New York City hospitals lack succession planning as baby boomers transition out of the workforce into retirement. The potential loss of knowledge capital could affect leadership development and corporate stability. Guided by the transformational leadership theory, the purpose of this single site case study was to explore successful strategies executive-level leaders used to facilitate succession planning within their hospital. Three hospital executive-level leaders from a single site location participated in a semistructured face-to-face interview and provided data that assisted the analysis. Four themes emerged from the data analysis through a word cloud format that showed the most commonly used words and phrases from participants' responses to interview questions and review of company succession planning documents. The themes were organizational strategies used to promote executive-level succession planning, encouraging peer-mentorship, knowledge sharing strategies, and talent management. The findings revealed that the participants' organization lacked formal succession planning strategies, but policies were in place that promoted in-house training and development to prepare the next generation of executive-level leaders. The findings of this study can contribute to positive social change by providing a work-related environment that embraces knowledge sharing and leadership development to increase leadership performance, income, and productivity, to ensure a better quality of life for employees and to improve the healthcare of patients and the community served.
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Monestime, Judith. "ICD-10-CM Implementation Strategies: An Application of the Technology Acceptance Model." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1909.
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The United States is one of the last countries to transition to the 10th edition of the International Classification of Diseases (ICD-10) coding system. The move from the 35-year-old system, ICD-9, to ICD-10, represents a milestone in the transformation of the 21st century healthcare industry. All covered healthcare entities were mandated to use the ICD-10 system on October 1, 2015, to justify medical necessity, an essential component in determining whether a service is payable or not. Despite the promising outcomes of this shift, more than 70% of healthcare organizations identified concerns related to education efforts, including lack of best practices for the ICD-10 transition. Lack of preparation for the implementation of ICD-10 undermines the clinical, technological, operational, and financial processes of healthcare organizations. This study was an exploration of implementation strategies used to overcome barriers to transition to ICD-10. A single case study was conducted, grounded by the conceptual framework of the technology acceptance model, to learn about ways to mitigate the barriers of this new coding system. Data were gathered from the review of documents, observations, and semistructured interviews with 9 participants of a public healthcare organization in Florida. Data were coded to identify themes. Key themes that emerged from the study included (a) in-depth ICD-10 training, (b) the prevalence of ICD-10 cheat sheets, (c) lack of system readiness, and (d) perception of usefulness of job performance. The results of the study may contribute to social change by identifying successful implementation strategies to mitigate operational disruptions that will allow providers to capture more detailed health information about the severity of patients' conditions.
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Mårtensson, Moa, and Diellza Durmishi. "Kunskap om en dold barnmisshandel : En kvantitativ studie om socialsekreterares kunskap,beredskap och handlingsutrymme vid barnmisshandel genom sjukvårdsinsatser." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-105080.
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This essay will address the topic of child abuse through healthcare interventions, ormore precisely medical child abuse - which is also called Münchausen syndrome byproxy. A social problem that is quite unusual, and therefore creates complexity. Witha quantitative method, the essay is based on a web-based survey, which social workerson the Swedish social services at the children- and family units in Småland haveresponded to. The questions in the survey processes the social workers' knowledgeand preparedness which will be analyzed by their discretionary space and reasoning.These themes are also linked to Lipsky’s theory of street-level bureaucracy which isused to analyze the empirical data of the study. The results from the essay are analyzedand tested through the statistics program SPSS. The results and analysis show forinstance that the longer the social workers have been working at their units and insocial work in general, the more knowledge they considered themselves to have. Theyalso possessed a higher readiness the longer they worked at the unit. They are morerecon with the term “Münchausen by proxy” than “Medical child abuse”. Regarding guidelines and legislation, they feel uncertain, which we connect to the knowledge-gaps that comes with the social problem. Medical child abuse in the Swedish social services is quite unexplored and with this essay we want to contribute to a betterresearch, to help the children who are victims of medical child abuse.
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Kazantzidis, Georgios. "Melancholy in Hellenistic and Latin poetry : medical readings in Menander, Apollonius Rhodius, Lucretius and Horace." Thesis, University of Oxford, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.560519.
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In the first chapter of this thesis, starting from modern scholarship on melancholy, I attempt to combat the widely-held belief that this disease is identified exclusively with madness in antiquity. In order to do this, I locate the origins of this misreading in Cicero and attempt to restore the more inclusive attitude towards melancholy manifested in ps-Aristotle's treatise on melancholic genius, given that this text defines melancholy as consisting in both madness and depression. Chapter 11 argues that Menander is the first poet who shares this double understanding of melancholy; unlike Aristophanes who conceives of melancholy exclusively as a manic condition, the New Comedian describes it also as a depressive one. I therefore analyse the ways in which the word and the notion of melancholic depression are used in his comedies, according to the ps.-Aristotelian paradigm. In Chapter Ill, I suggest thatJason in Apollonius Rhodius' Argonautica is a character that exhibits all the textbook symptoms of melancholic depression and that Apollonius describes him as such through an intertextual play with ps-Aristotle's reading of the Homeric Bellerophon as a depressive melancholic. Moving to Latin poetry, Chapter IV examines the end of De Rerum Natura III and argues that Lucretius' description of restlessness and discontent with life becomes a key-passage which later Latin writers (Horace, Persius and Seneca) identify through their medical readings as a description of melancholic depression. The thesis concludes with a chapter on the second book of Horacc's Epistles in which I argue that Horace engages with the tradition of the melancholic genius by creating an authorial persona who grounds his claims to genius on his alleged suffering from both melancholic madness and depression.
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Abramoff, Benjamin A. "Measuring Attitudes Toward Interprofessional Education and Views of Health Professionals in Pre-Licensure Students Taking an Interdisciplinary Health Education Course." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1367415484.
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Alves, Rosa de Belem das Neves [UNESP]. "Caracterização morfológica, química e conservação in vitro de Pfaffia glomerata(Sprengel)Pedersen." Universidade Estadual Paulista (UNESP), 2008. http://hdl.handle.net/11449/103214.
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O presente estudo teve como objetivos coletar germoplasma de Pfaffia glomerata (Spreng.) Pedersen, caracterizar genótipos provenientes de oito populações naturais, utilizando descritores morfológicos e um marcador químico e estabelecer um banco de germoplasma in vitro. Foram realizadas duas expedições de coleta, a primeira, à região localizada às margens do rio Santo Inácio e rio Tamanduá, Itatinga, SP e a segunda, ao Pantanal Sul Mato-grossense às margens do rio Paraguai, Corumbá, e às margens do rio Miranda, MS. Foram coletados 218 indivíduos em oito populações naturais que ainda não haviam sido amostradas e incorporação desses materiais ao banco de germoplasma in vitro da Unaerp, Ribeirão Preto, SP. Para a caracterização morfológica e química foi conduzido um experimento de campo com oito populações, em delineamento com blocos casualizados. As características avaliadas foram: altura da planta, comprimento do entrenó, diâmetro do caule, número de caules, tipo de caule, comprimento da raiz principal, número de raízes secundárias, diâmetro da raiz principal, matéria fresca e seca do caule, matéria fresca e seca das raízes, índice de colheita, a produtividade, cor caule, cor do pecíolo, pilosidade, cor da raiz, formato do limbo foliar, forma do ápice e da base do limbo foliar, relação comprimento/largura do limbo foliar, ocorrência de nematóides formadores de galhas e o teor de β-ecdisona. Foi registrada também a presença de insetos nas inflorescências. Os resultados foram submetidos à análise de variância, ao teste de separação de médias de Scott Knott a 5% de probabilidade. Visando definir o meio de cultura ideal para o estabelecimento do banco de germoplasma in vitro para a espécie foram avaliados seis tratamentos: 1) MS + 2% de sacarose + 4% de sorbitol; 2) MS/2 + 2% de sacarose + 4% de sorbitol; 3) MS + 2% de sacarose + 4% de sorbitol...
The aim in the present study was to collect germplasm of Pfaffia glomerata(Spreng.) Pedresen, characterize genotypes from eight natural populations utilizing morphological descriptors and a chemical marker and to establish a germplasm bank. The collecting expeditions were first to the region of the Santo Inacio and Tamandua riverbanks, Itatinga, SP and secondly to the Pantanal Sul region of the State of Mato Grosso, at the Paraguai and Miranda riverbanks. Two hundred and eighteen individuals were collected from eight natural populations not previously sampled and incorporated to the in vitro germplasm bank of the University of Ribeirao Preto (Unaerp), Ribeirao Preto Sao Paulo. For the morphological and chemical characterization the field experiment was conducted with eight populations and delineated in randomized blocks. The characteristics evaluated were: plant height, inter-nodule length, stem diameter, number of stems, type of stem, main root length, number of secondary roots, diameter of the main root, fresh and dry stem matter, fresh and dry root matter, stem color, petiole color, hairiness, root color, shape of the foliar limbus, shape of the apical part and base of the foliar limbus, length/width ratio of the foliar limbus, occurrence of gall forming nematodes, level of β-ecdysone and harvest index. Productivity and insect presence in the inflorescences was also verified. The results were submitted to analysis of variance and to the Scott Knott test of mean separations, with 5% probability. To define the best culture medium for the establishment of an in vitro germplasm bank six treatments were evaluated: 1) MS + 2% sacarose + 4% sorbitol; 2) MS/2 + 2% sacarose + 4% sorbitol; 3) MS + 2% sacarose + 4% sorbitol + 2mg.L-1 calcium pantothenate; 4) MS/2 + 2% sacarose + 4% sorbitol + 2mg.L-1 calcium pantothenate; 5) MS + 2% sacarose + 3% manitol + 2mg.L-1 calcium pantothenate; 6) ...(Complete abstract click electronic access below)
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Alves, Rosa de Belem das Neves 1958. "Caracterização morfológica, química e conservação in vitro de Pfaffia glomerata(Sprengel)Pedersen/." Botucatu : [s.n.], 2008. http://hdl.handle.net/11449/103214.
Full textAbstract:
Orientador: Ana Maria Soares PereiraBanca: Giuseppina Pace Pereira Lima
Banca : Roberto Fontes Vieira
Banca: Márcia Ortiz Mayo Marques
Banca: Roberto Fontes Vieira
Banca: Zuzelei de Castro França
Resumo: O presente estudo teve como objetivos coletar germoplasma de Pfaffia glomerata (Spreng.) Pedersen, caracterizar genótipos provenientes de oito populações naturais, utilizando descritores morfológicos e um marcador químico e estabelecer um banco de germoplasma in vitro. Foram realizadas duas expedições de coleta, a primeira, à região localizada às margens do rio Santo Inácio e rio Tamanduá, Itatinga, SP e a segunda, ao Pantanal Sul Mato-grossense às margens do rio Paraguai, Corumbá, e às margens do rio Miranda, MS. Foram coletados 218 indivíduos em oito populações naturais que ainda não haviam sido amostradas e incorporação desses materiais ao banco de germoplasma in vitro da Unaerp, Ribeirão Preto, SP. Para a caracterização morfológica e química foi conduzido um experimento de campo com oito populações, em delineamento com blocos casualizados. As características avaliadas foram: altura da planta, comprimento do entrenó, diâmetro do caule, número de caules, tipo de caule, comprimento da raiz principal, número de raízes secundárias, diâmetro da raiz principal, matéria fresca e seca do caule, matéria fresca e seca das raízes, índice de colheita, a produtividade, cor caule, cor do pecíolo, pilosidade, cor da raiz, formato do limbo foliar, forma do ápice e da base do limbo foliar, relação comprimento/largura do limbo foliar, ocorrência de nematóides formadores de galhas e o teor de β-ecdisona. Foi registrada também a presença de insetos nas inflorescências. Os resultados foram submetidos à análise de variância, ao teste de separação de médias de Scott Knott a 5% de probabilidade. Visando definir o meio de cultura ideal para o estabelecimento do banco de germoplasma in vitro para a espécie foram avaliados seis tratamentos: 1) MS + 2% de sacarose + 4% de sorbitol; 2) MS/2 + 2% de sacarose + 4% de sorbitol; 3) MS + 2% de sacarose + 4% de sorbitol...(Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The aim in the present study was to collect germplasm of Pfaffia glomerata(Spreng.) Pedresen, characterize genotypes from eight natural populations utilizing morphological descriptors and a chemical marker and to establish a germplasm bank. The collecting expeditions were first to the region of the Santo Inacio and Tamandua riverbanks, Itatinga, SP and secondly to the Pantanal Sul region of the State of Mato Grosso, at the Paraguai and Miranda riverbanks. Two hundred and eighteen individuals were collected from eight natural populations not previously sampled and incorporated to the in vitro germplasm bank of the University of Ribeirao Preto (Unaerp), Ribeirao Preto Sao Paulo. For the morphological and chemical characterization the field experiment was conducted with eight populations and delineated in randomized blocks. The characteristics evaluated were: plant height, inter-nodule length, stem diameter, number of stems, type of stem, main root length, number of secondary roots, diameter of the main root, fresh and dry stem matter, fresh and dry root matter, stem color, petiole color, hairiness, root color, shape of the foliar limbus, shape of the apical part and base of the foliar limbus, length/width ratio of the foliar limbus, occurrence of gall forming nematodes, level of β-ecdysone and harvest index. Productivity and insect presence in the inflorescences was also verified. The results were submitted to analysis of variance and to the Scott Knott test of mean separations, with 5% probability. To define the best culture medium for the establishment of an in vitro germplasm bank six treatments were evaluated: 1) MS + 2% sacarose + 4% sorbitol; 2) MS/2 + 2% sacarose + 4% sorbitol; 3) MS + 2% sacarose + 4% sorbitol + 2mg.L-1 calcium pantothenate; 4) MS/2 + 2% sacarose + 4% sorbitol + 2mg.L-1 calcium pantothenate; 5) MS + 2% sacarose + 3% manitol + 2mg.L-1 calcium pantothenate; 6) ...(Complete abstract click electronic access below)
Doutor
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Wandji, Tchami Ornella. "Analyse contrastive des verbes dans des corpus médicaux et création d’une ressource verbale de simplification de textes." Thesis, Lille 3, 2018. http://www.theses.fr/2018LIL3H015/document.
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Grâce à l’évolution de la technologie à travers le Web, la documentation relative à la santé est de plus en plus abondante et accessible à tous, plus particulièrement aux patients, qui ont ainsi accès à une panoplie d’informations sanitaires. Malheureusement, la grande disponibilité de l’information médicale ne garantit pas sa bonne compréhension par le public visé, en l’occurrence les non-experts. Notre projet de thèse a pour objectif la création d’une ressource de simplification de textes médicaux, à partir d’une analyse syntaxico-sémantique des verbes dans quatre corpus médicaux en français qui se distinguent de par le degré d’expertise de leurs auteurs et celui des publics cibles. La ressource conçue contient 230 patrons syntaxicosémantiques des verbes (appelés pss), alignés avec leurs équivalents non spécialisés. La méthode semi-automatique d’analyse des verbes appliquée pour atteindre notre objectif est basée sur quatre tâches fondamentales : l’annotation syntaxique des corpus, réalisée grâce à l’analyseur syntaxique Cordial (Laurent, Dominique et al, 2009) ; l’annotation sémantique des arguments des verbes, à partir des catégories sémantiques de la version française de la terminologie médicale Snomed Internationale (Côté, 1996) ; l’acquisition des patrons syntactico-sémantiqueset l’analyse contrastive du fonctionnement des verbes dans les différents corpus. Les patrons syntaxico-sémantiques des verbes acquis au terme de ce processus subissent une évaluation (par trois équipes d’experts en médecine) qui débouche sur la sélection des candidats constituant la nomenclature de la ressource de simplification. Les pss sont ensuite alignés avec leurs correspondants non spécialisés, cet alignement débouche sur le création de la ressource de simplification, qui représente le résultat principal de notre travail de thèse. Une évaluation du rendement du contenu de la ressource a été effectuée avec deux groupes d’évaluateurs : des linguistes et des non-linguistes. Les résultats montrent que la simplification des pss permet de faciliter la compréhension du sens du verbe en emploi spécialisé, surtout lorsque un certains paramètres sont réunisWith the evolution of Web technology, healthcare documentation is becoming increasinglyabundant and accessible to all, especially to patients, who have access to a large amount ofhealth information. Unfortunately, the ease of access to medical information does not guaranteeits correct understanding by the intended audience, in this case non-experts. Our PhD work aimsat creating a resource for the simplification of medical texts, based on a syntactico-semanticanalysis of verbs in four French medical corpora, that are distinguished according to the levelof expertise of their authors and that of the target audiences. The resource created in thepresent thesis contains 230 syntactico-semantic patterns of verbs (called pss), aligned withtheir non-specialized equivalents. The semi-automatic method applied, for the analysis of verbs,in order to achieve our goal is based on four fundamental tasks : the syntactic annotation of thecorpora, carried out thanks to the Cordial parser (Laurent et al., 2009) ; the semantic annotationof verb arguments, based on semantic categories of the French version of a medical terminologyknown as Snomed International (Côté, 1996) ; the acquisition of syntactico-semantic patternsof verbs and the contrastive analysis of the verbs behaviors in the different corpora. Thepss, acquired at the end of this process, undergo an evaluation (by three teams of medicalexperts) which leads to the selection of candidates constituting the nomenclature of our textsimplification resource. These pss are then aligned with their non-specialized equivalents, thisalignment leads to the creation of the simplification resource, which is the main result of ourPhD study. The content of the resource was evaluated by two groups of people : linguists andnon-linguists. The results show that the simplification of pss makes it easier for non-expertsto understand the meaning of verbs used in a specialized way, especially when a certain set ofparameters is collected
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Kgasi, Mmamolefe Rosina. "Assessment of e-health readiness in rural South Africa." 2014. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001392.
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M. Tech. Business Information SystemsThe purpose of the study was to develop a framework that could be used to assess e-health readiness for rural South Africa. Data for the study was collected from Moses Kotane Municipality in the North West Province of South Africa. One state hospital and ten clinics were used for data collection. From related literature, six constructs of; core readiness, structural readiness, engagement readiness, societal readiness, performance and effort expectance were used as pillars for e-health readiness assessment. The attributes that were identified in the literature were validated by healthcare administrators at the regional office of the Northwest province.
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Hsu, Che-ming, and 許哲銘. "A study on the relationship of self-directed learning readiness and work adjustment of hospital medical professionals." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/05381496207880726467.
Full textAbstract:
碩士國立中正大學
成人及繼續教育所
96
The purpose of this study was to investigate the correlation between self-directed learning readiness and work adjustment of hospital medical professionals (e.g. doctors, dentists, nurses, pharmacists, physical therapists, etc). There are mainly six items for investigation in this research. We wanted to know if firstly, different population (in medicine); secondary, different medical professionals; third, different types of hospitals; and fourth, different size of clinical settings would have significant difference in their self-directed learning readiness and work efficiency. Meanwhile, we would like to study the correlation between self-directed learning readiness score and work efficiency. And lastly, we hope the result of this study may provide useful information to hospitals for future staff recruits and training. To achieve these aims, a questionnaire entitled “The self-directed learning readiness and work efficiency scale for medical professionals” was designed based on existing literatures. The participants and hospitals were selected at random. Among the five-hundred questionnaires sent, 474 persons responded. Finally, 441 valid questionnaires were obtained, after eliminating 33 invalid responses. The valid response rate was 88.2%。 SPSS was applied for statistical analysis. The results showed that: 1. About the self-directed learning readiness of the medical professionals, the married, male population aged 36 to 45, with graduate school (or higher) degree and 16 to 20 years of working experience showed the highest score. 2. Among the medical professionals in hospitals, doctors (physicians) revealed best self-directed learning readiness。 3. Better self-directed learning readiness detected among medical professionals in regional hospital settings. 4. The work efficiency of doctors was obviously superior to other medical professionals in the hospital. 5. The self-directed learning readiness and work efficiency of medical professionals was positively correlated.。 6. About self-directed learning readiness, “effective learning” was mostly related to work efficiency than “active learning” for medical professionals. Finally, according to our findings, we have the following suggestions: I. To the health administration office 1) Establishing continuing education (CE) systems for the para-medicals , and encouraging their participation in CE courses. 2) Establishing learning achievement certification systems for medical professionals. 2. To the hospitals 1) Providing CE courses and learning requirements for the paramedicals, and improving contents of the CE courses 2) The human resource department should recruit those new staff with higher self-directed learning readiness 3. To the medical professionals 1) Assuring self-directed learning readiness, holding life-long learning concepts 2) Applying and taking account of your CE learning to daily work
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Chen, Yun-Chen, and 陳韻珍. "Medical Professionals’ Perspectives on School Readiness for Young Children with Special Needs Prior Entering General Education Classrooms." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/48210102599350841571.
Full textAbstract:
碩士國立臺東大學
幼兒教育學系碩士班
102
This study aims to investigate medical professionals’ perspectives on school readiness for young children with special needs prior entering general education classrooms. The instrument used was self-developed, and included six domains, such as perceptual and motor, self-care, cognitive development, language expression and communication,social relation, and reading and writing readiness. The semi-structured interview was also utilized to strengthen this study. The total of 105 questionnaires was received,yielding a 100% response rate. Data were analyzed using descriptive statistics, one-way ANOVA, and two-way ANOVA. The results were found as follows: 1. The frequency distributions of medical professionals’ perspectives on six domains of school readiness mainly fall on the section between “moderate” and “veryimportant.” (1) In the domain of self-care, the top 3 highest scores in the items were “be able to separate parents and independently stay in class without crying,” “be able to keep one safe,” and “be able to use restroom on one’s own.” The one which was relatively earned the lower score was “be able to do basic chores.” (2) In the domain of cognitive development, the top 3 highest scores in the items were “be able to identify one self’s class and seat,” “be able to recognize numeral systems within ten,” and “be able to obtain space concept.” The one which was relatively earned the lower score was “be able to distinguish natural science phenomena.” (3) In the domain of language expression and communication, the top 3 highest scores in the items were “be able to respond when teachers call,” “be able to express oneself needs, feelings, and inquires by using action, language, or assistive technology,” and “be able to understand one to two steps of teachers’ commands and fully implemented.” The one which was relatively earned the lower score was “be able to clearly describe what have happened and introduce interesting parts of school life.” (4) In the domain of perceptual and motor, the top 3 highest scores in the items were“be able to maintain body in different postures and positions,” “be able to maintain physical compatibility,” “be able to move to different classrooms on one’s own,” and “be able to flexibly use thumb and index fingers” . The one which was relatively earned the lower score was “be able to use simple exercise fitness equipment.” (5) In the domain of social relation, the top 3 highest scores in the items were “be able to obey group regulations,” “be able to concentrate in a period of time,” and“be able not to let others touch one’s body.” The one which was relatively earned the lower score was “be willing to help and show concerns for others.” (6) In the domain of reading and writing readiness, the top 3 highest scores in the items were “be able to obtain fundamental learning abilities,” “be able to accurately do pronunciation modeling,” and “be able to comprehend the easy part of stories.” The one which was relatively earned the lower score was “be able to write in columns without crossing lines.” 2. With regard to the effects of personal backgrounds, there was no significant difference between different fields of medical professionals and their perspectives on school readiness for young children with special needs. There was also no significant difference between medical professionals’ backgrounds (e.g., age, seniority, and education) and such perspectives. 3. In terms of the effects of professional development trainings, there was only one significant difference between the therapists who have joined workshop or conference regarding health improvement and their perspectives on the domain of social relation. However, there was no significant difference between different training experiences (e.g., total numbers of professional trainings and training efficacy) and their perspectives on school readiness.
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BARNA, Alexander. "Traumatologická pripravenosť zdravotníckej záchrannej služby v Českej republike a v Slovenskej republike." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-395606.
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BARNA, Alexander: Trauma readiness of emergency medical services in the Czech Republic and Slovak Republic [Diploma thesis]. University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences. Lecturer: Mgr. Zuzana Freitinger-Skalická, Ph.D. The main topic of this work was the introduction of the issue of trauma readiness of the emergency medical service in the Czech Republic and the Slovak Republic, the issue of emergency events with mass casualty incidents and the mapping of the knowledge and orientation of paramedical personnel in the emergency medical services. The diploma thesis is divided into two major parts - theory and research. The theoretical part introduces legislative norms, regulations and expert recommended procedures, based on which providers of emergency health services ensure their activity and crisis readiness, especially through crisis readiness workplaces. The chosen issue in the research part was the knowledge of the members of the emergency medical services groups solved by the quantitative method - a survey carried out by means of an anonymous non-standardized questionnaire, was prepared individually for the Czech Republic and for the Slovak Republic. From the results of the questionnaire survey it can be deduced that the knowledge of the members of the emergency medical service groups is sufficient, but there is still a need to incorporate the expertise and knowledge of the trauma readiness issues. Above all, finding deficiencies in knowledge, which are used to carry out rescue and liquidation work in dealing with emergency events, is particularly problematic.
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Shih, Tsung-Ying, and 石琮瑛. "A study on the effect of caregiver and nurse's perception of patient's discharge readiness on post discharge medical resource consumption." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/ejh5je.
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碩士國立陽明大學
臨床暨社區護理研究所
106
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Gustafsson, Jesper. "Rebound jump test to measure neuromuscular fatigue : -an attempt to understand training readiness and minimize injury incidence in youth team sports." Thesis, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-80706.
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Background: A high injury-incidence in the world of youth team sports requires athletes, teams and healthcare to invest big amounts of money and time. There is a need to find implementable time- and cost-effective strategies that can highlight youth athletes at increased risk of sustaining injuries, to inform the physiotherapist’s/coach’s training plan for training load adjustments. Aim: The primary aim of this report is to investigate whether the rebound jump test (RJ) can be used to detect neuromuscular fatigue, to try minimize the risk of sustaining injuries in youth team sports. The secondary aim is to investigate how the reactive strength index (RSI) in the RJ correlate with the drop jump test (DJ), to try establish concurrent validity of the RJ. Method: In total, 46 male youth soccer players (17,1 ± 1,2 years old) were recruited. RJ were performed in a non-fatigued state and in a fatigued state after a hard football session, whilst the DJ was performed in a non-fatigued state only. Results: RSI-RJ was strongly correlated with the RSI-DJ (r=0,83, r²= 0,69, p<0,01) and there was a significant -12 % difference between RSI-fresh and RJ-fatigue in the RJ (p<0,01). Conclusion: RJ is a valid test to measure neuromuscular fatigue and could inform the physiotherapist/coach about each athletes’ readiness to train on a weekly basis.
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SHIUE, SHIANG-WEN, and 薛翔文. "Exploring the Relationship of Alcohol Use, Readiness to Change and Health Locus of Control among Digestive Disease Patients in a Medical Center." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/35820288106943432963.
Full textAbstract:
碩士長庚科技大學
健康照護研究所
105
Abstract Background: Drinking is considered as one of the major causal agent of digestion system disease; however, patients usually have no idea that drinking would lead to such a problem. Therefore, they have not paid visit to the related departments for medical consultation. Furthermore, these patients did not reduce or quit drinking even though they have had such disease; as a result, their disease would have turned more serious after a long period of time, and most of all would repeatedly be hospitalized as of such disease and related complications. As such, if we can understand the elements of influence with drinking among these patients, it can be quite meaningful with regard to the appreciation of prevention against the morbidity and mortality rate resulted from over-drinking. Objectives: This study would first appreciate the demographic variables, severity of drinking, health control, and ready-change motivation of drinking as it works to understand their motivation and willingness of change so as to help them to recover. It is hoped that the study results can be used as foundation for clinicians and academic institutes as they help enhance the health of patients with their digestion system disease. Methodology: This study has employed cross-sectional study, taking patients with digestion system disease as its subjects of study from a northern medical center. With purposive sampling, it has collected cases from OPD and the ward, and adopted structural questionnaire, with a total of 200 copies released. As a result, 200 copies are retrieved (100%), and its content includes social demographic characteristic information table, the drinking internal-external locus of control scale (DRIE), stage of change readiness and treatment eagerness scale (SOCRATES), and the severity of alcohol dependence data questionnaire (SADD). In addition, the study has made use of t-test of independent samples, single factor analysis of variance, Pearson product-moment correlation analysis, and chi-square test to investigate individual attribute and health control, motivation of change, and the correlation and difference of frequency and severity of drinking. Then, hierarchical multiple regression statistical test is employed to appreciate the social demographic variables, health control, and interpretation with regard to the change of motivation for severity of drinking. Results: This study has found that those cases that rely severely on alcohol tend to be individuals with external-control characteristic, being younger of age, with educational background of senior high and senior vocational or college education, and they usually deny their drinking problem would end up problems to their daily life, or consider such drinking behavior would result in problems. Besides, these cases have lower motivation with regard to ready to make change and take action, admit their drinking problem, and integral preparation to make change; in addition, their mentality score of hesitation and dilemma for drinking behavior is rather high. Such indications show that these cases are severely reliant on alcohol and would not admit that they have drinking problem, and take no action to resolve such problem. As viewed, they are hesitant with their mindset to their drinking behavior. As for those cases with lower reliance on alcohol tend to be with internal-control characteristics, and do admit that they have drinking problem. Thus, they have higher motivation to take action, and would be more active and positive to take proper measure or cure. Most of all, they have lower degree of hesitation and dilemma with regard to the mindset of drinking problem. Conclusions and suggestions: When patients with digestion system disease are admitted to hospital, they are carefully evaluated of their demographic information and drinking history (including year/s of drinking, amount of drinking, alcohol concentration of alcohol beverage, and frequency of drinking). Then, they are given hygiene instruction on digestion system disease, told about high-risk factor of drinking as a disease, and explained about the mechanism of disease, the use of drinking severity, health control scale, ready-to-change motivation scale for drinking to carry out test. After the test, assistance of medical consultation or referral is provided based on their individuality and willingness of cases. Keywords: drinking, digestion system disease, health control, motivation of change
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Sherburne, Barbara Holmes. "Discharge readiness and post-discharge problems among elderly and non-elderly medical clients a report submitted ... for the degree of Master of Science ... /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68795348.html.
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Mizra, Nikita. "The frequency of medical emergencies in a sample of dental practices in South Africa and state of readiness of practitioners to manage the episode." Thesis, 2014.
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Averhart, Victoria G. "Patients' and nurses' perceptions of factors related to discharge readiness a report submitted in partial fulfillment of the requirements ... Master of Science (Medical-Surgical Nursing) ... /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/68797216.html.
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CMOREJ, Patrik Christian. "Znalosti nelékařských zdravotnických pracovníků Zdravotnické záchranné služby Ústeckého kraje v oblasti krizové připravenosti." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-154718.
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In the diploma work, we familiarised the reader with the basic theoretical starting points concerning emergency medical services and preparedness for emergencies. First of all, in this part, we elaborated a basic overview of the organisational structure of the emergency medical services of the Ústecký kraj region, and of its subdivisions. Next, we outlined the educational system of the paramedical staff of the emergency medical services of the Ústecký kraj region, focused on the area of crisis management. The crisis management competence of paramedical staff involved in emergency medical services was the subject of a separate sub-chapter. We linked these chapters with the issue of the formation of the department of disaster medicine. Here, we defined the tasks and aims of disaster medicine. To create a better understanding of the issue, a part of the chapter consists of the basic terminology used in disaster medicine. The main aim of the diploma work is the analysis of the knowledge of the paramedical staff of the emergency medical services of the Ústecký kraj region in terms of preparedness for emergencies. The sub-objectives of the thesis are the analysis of the knowledge of the medical rescue workers of the emergency medical services of the Ústecký kraj region in terms of preparedness for emergencies, and the analysis of general nurses' knowledge of, and qualifications in, the specialist anaesthesiological-resuscitative care of the emergency medical services of the Ústecký kraj region in terms of preparedness for emergencies. The methodology of the work lay in the quantitative analysis of statistical data that we gathered from questionnaires that were filled in by randomly selected respondents among the paramedical staff of the emergency medical services of the Ústecký kraj region. We prepared the content of the questionnaire in the context of the issues studied. The respondents chose from a number of pre-defined answers to a total of 20 questions. The data obtained underwent statistical analysis with the use of statistical research methods, scaling, measurement in descriptive statistics, elementary statistical processing, non-parametric testing, estimation theory, and parametric testing. From the results of the practical part of the diploma work, it is evident that the knowledge of the medical rescue workers of the emergency medical services in terms of the preparedness for emergencies of the Ústecký kraj region is close to the normal frequency distribution N (mi and sigma). Also the general nurses' knowledge of, and qualification in, the specialist anaesthesiological-resuscitative care of the emergency medical services of the Ústecký kraj region, in terms of preparedness for emergencies, is close to the normal frequency distribution N (mi and sigma).
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Touré, Mariama. "Étude de l’état de préparation organisationnelle à la Cyber santé en réadaptation." Thèse, 2010. http://hdl.handle.net/1866/5111.
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Introduction : La cyber santé (CS) a le potentiel d’améliorer l'efficience et l'efficacité des services de santé. Malgré cela, son adoption demeure problématique et jusqu’à 70 % des projets d’implantation échouent. Objectifs : Cette étude vise à évaluer l’état de préparation d’une organisation par rapport à la CS et à identifier les facteurs personnels qui influencent cet état. Méthode : Une étude transversale a été réalisée auprès de 137 cliniciens, 28 gestionnaires et 47 membres du personnel non clinique d’un centre de réadaptation à Montréal. Les participants ont répondu à un questionnaire auto administré sur l’état de préparation organisationnelle vis-à-vis la CS qui comprend trois sous échelles (Individu, Organisation et Technologie) avec chacune un score sur 100. Des données ont aussi été colligées sur le profil des utilisateurs, leur utilisation des technologies et leur style de réponse à la nouvelle information. Résultats : Les participants se perçoivent prêts à adopter la CS dans leur travail ( = 73.8, SD = 8.5) et perçoivent aussi favorablement les technologies disponibles ( = 73.8, SD = 7.2). Toutefois, le personnel perçoit le centre comme étant modérément prête ( = 66.6, SD = 9.8). La charge de travail perçue et la fonction au sein de l'organisation ont été identifiées comme ayant une influence sur l'état de préparation à la CS. Discussion : Ces résultats appuient la pertinence d’aborder l’état de préparation organisationnelle comme un concept multidimensionnel. À partir des résultats obtenus, des stratégies d'implantation adaptées ont pu être identifiées.Background: E-health presents a potential for delivering care more efficiently and effectively. Despite this, the adoption of e-health by professionals remains problematic, and as many as 70% of attempts to introduce e-health fail. Purpose: The purpose of this study was to assess organizational readiness for e-health among the staff of a rehabilitation centre and to identify which elements in the user profile have an impact on readiness. Methods: A cross-sectional study was conducted with 137 clinicians, 28 managers and 47 non-clinical staff in a rehabilitation centre in Montreal. All participants completed a self-administered questionnaire assessing organizational readiness for e-health. The measure contains three subscales (Individual, Organizational and Technological) with each subscale providing a score on 100. Data were also collected on the users’ profile, use of technologies and typical response to new information. Results: Generally, participants considered themselves ready to adopt e-health in their work ( = 73,8%, SD = 8,5) and they also had a favourable opinion of the technologies in place ( = 73,8%, SD = 7,2). They however perceived the centre as being only moderately ready ( = 66,6%, SD = 9,8) for e-health changes. Perceived workload and position/duties in the organization were found to have an impact on readiness for e-health. Conclusions: These results underscore the importance of addressing organizational readiness for change as a multidimensional concept. Based on these results, implementation strategies tailored to the specific profile of a rehabilitation organization were identified.