Dissertations / Theses on the topic 'Normativa CAR'
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Bronchini, Giovanni. "Progettazione preliminare di un impianto cogenerativo ad alto rendimento per un'industria tessile." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/22618/.
Full textIannacone, Grazia. "Impianto cogenerativo per l'efficientamento energetico in un contesto industriale." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2017.
Find full textLongi, Gianni. "Fattibilità tecnico-economica di soluzioni cogenerative a servizio di una cartiera." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/22512/.
Full textRichards, Samuel. "Can Adam Smith Answer the Normative Question?" Digital Archive @ GSU, 2013. http://digitalarchive.gsu.edu/philosophy_theses/131.
Full textRoberts, Jennifer H. "Winnicott’s “Capacity to Be Alone” in Normative and Non-Normative Adolescent Development." Antioch University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1319053358.
Full textSchaff, Kory. "Work, freedom, and community : Hegel's normative economics /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC IP addresses, 2005. http://wwwlib.umi.com/cr/ucsd/fullcit?p3191768.
Full textFrew, Katherine Elizabeth. "Routine sedation : towards a normative understanding of sedation in palliative care." Thesis, University of Newcastle upon Tyne, 2013. http://hdl.handle.net/10443/2158.
Full textBalder, Sara Rose. "Language, heterosexism, and identity: Normative Chilean discursive practices." Diss., Connect to online resource, 2005. http://wwwlib.umi.com/cr/colorado/fullcit?p1425769.
Full textKillian, Timothy S. "Normative obligations to provide assistance to older persons /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3012985.
Full textJohansson, Monica. "I moderskapets skugga : berättelser om normativa ideal och alternativa praktiker." Doctoral thesis, Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-33228.
Full textMitchell, Patricia Anne. "A normative framework for environmental policy, stewardship and the ethic of care." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0001/MQ43316.pdf.
Full textFerreira, Clive J. "Churches as providers of HIV/AIDS care : a normative and empirical study." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71797.
Full textENGLISH ABSTRACT: There is, as yet, no cure for HIV/AIDS, a disease that has affected South African society profoundly. While antiretrovirals (ARVs) are now available and have stemmed the tide of AIDS deaths, medicines alone cannot be seen as a long-term solution. Treatment costs, finite resources, limited health-care capacity, morbidity and the unpleasant side-effects of ARVs, make treatment an untenable solution. The Christian church in South Africa continues to retain a powerful position; it has a significant affiliation; it is present in most geographic areas and inspires trust and confidence. Furthermore, in my view, the church, by its very nature and calling, is mandated not only to demonstrate and provide care, but also to inspire care-giving. In the light of HIV/AIDS, what does care mean? Can it only mean rendering care that is welfarist in nature? Or does the church have the mandate to look beyond immediate suffering, to examine and address those issues that lie at the core of suffering? Research has demonstrated that issues such as poverty, injustice, stigma, discrimination, gender inequality and patriarchy fuel the pandemic. Ultimately, it is the “othering” of people; the failure not to recognise God in another person and our common humanity, that lie at the heart of the problem. These then, I suggest, are the very reasons why the church must address these areas. But that is not all: if HIV/AIDS care is to be rendered in a developmental way, then there must be a thorough understanding of the disease: how is the virus transmitted, how can it be prevented and treated? It is also important to understand that there is not a single global epidemic but many local epidemics; the determinants and risk-factors of these need to be recognised, as must the cultural, economic, political and social contexts that fuel the spread of the disease. The changing nature of society, the effects of globalisation, the evolving nature of care owing to biomedical advances and even the “privatisation” of sex all need to be comprehended. Furthermore, any meaningful rendering of care requires the churches to examine why they should be giving it and the values that underpin such care-giving. I make the case that the churches are required to do nothing less than drive social change in situations of suffering, injustice and abuse. An examination of the history of HIV/AIDS in South Africa illustrates that the churches have often failed to meet up to this calling. An empirical study was conducted as to how the churches render care at a more micro, grassroots level, using a framework propounded by David Korten, who suggests that authentic development must be people-centred, rather than growthcentred. Essentially, development must seek to increase personal and institutional capacities, guided by principles of justice, sustainability and inclusiveness. In these respects, I argue, it accords very strongly with the Christian message. Korten suggests that there are four orientations (or generations) of rendering help but it is only the fourth generation that is truly developmental. Through the use of case study methodology, I sought to examine the manner in which the churches render care, in a region of the Western Cape, outside Cape Town, known as the Helderberg Basin. The area is representative of many peri-urban areas in the Cape: it is predominantly Christian, with a mix of different denominations and racial and socio-economic groupings. It allowed for an assessment of care initiatives afforded by mainline, charismatic and African Independent Churches and in particular, sought to answer the question of whether churches engage with HIV/AIDS in a way that Korten would identify as developmental. From the research, it is clear that the church is hampered by its inability to talk of sex and sexuality; its knowledge of the issues surrounding HIV/AIDS is limited; it has not done a sufficient amount to conscientise its followers; the church has yet to learn to utilise its networks; it lacks technical know-how and is unwilling to engage in the political sphere. Social change is only possible if the church embraces a new vision of how to create a better world. Additionally, I recommend that the church looks to the emerging church movement to achieve radical transformation.
AFRIKAANSE OPSOMMING: MIV/VIGS is ‘n siekte wat Suid-Afrika onmeetbaar beїnvloed en waarvoor daar tot op hede geen genesing is nie. Antiretrovirale middels (ARVs) is weliswaar beskikbaar en het die gety van VIGS sterftes gestuit maar medisyne kan nie alleen as die langtermyn oplossing gesien word nie. Behandelingskoste, beperkte hulpbronne en vermoë om gesondheidsorg te lewer, morbiditeit en die negatiewe newe-effekte van ARVs bring mee dat slegs mediese behandeling ‘n onhoudbare oplossing is. Die Christelike kerk in Suid-Afrika behou steeds ‘n magsposisie; dit het ‘n beduidende lidmaatskap asook ‘n teenwoordigheid in meeste dele van die land en boesem vertroue en sekerheid in. Dié kerk is na my mening gemandateer deur haar besondere aard en roeping om nie alleen sorg te bewys en te voorsien nie maar ook om versorging aan te moedig. Maar wat beteken sorg, gegewe die aard van MIV/VIGS? Kan dit slegs die lewering van welsyngerigte sorg beteken? Of sou die kerk die mandaat hê om verder as onmiddellike lyding te kyk en ondersoekend die kwessies wat aan die wortel van lyding lê, aan te spreek? Navorsing het aangetoon dat kwessies soos armoede, onreg, stigma, diskriminasie, geslagsongelykheid en patriargie die epidemie aanvuur. Uiteindelik is dit die objektivering (“othering”) van mense - dit is die onvermoë om God nie in ‘n ander persoon en ons gemeenskaplike mensheid te herken nie - wat die hart van die probleem is. Ek betoog dat hierdie die redes is waarom die kerk hierdie kwessies moet aanspreek. Om ondersoek in te stel of en tot watter mate die kerk sorg verskaf in verband met MIV/VIGS het ek die raamwerk van David Korten gebruik. Dié raamwerk stel voor dat outentieke ontwikkeling mensgesentreerd eerder as groeigesentreed sal wees. Ontwikkeling moet essensieel streef na ‘n toename van persoonlike en institusionele vermoë, gerig deur beginsels van geregtigheid, volhoubaarheid en inklusiwiteit. Ek toon aan dat hierdie beginsels baie sterk ooreenkom met die Christelike boodskap. Korten stel vier hulplewerende oriëntasies (ook genoem generasies) voor maar dit is eintlik slegs die vierde generasie van hulp wat werklik ontwikkelingsgerig is. Maar dit is nie al nie. Indien MIV/VIGS versorging ontwikkelingsgerig gaan wees, moet dit gegrond wees op ‘n diepgaande verstaan en kennis van die siekte soos onder andere, hoe die virus versprei word en hoe die siekte voorkóm en behandel kan word? Dit is ook belangrik om te verstaan dat daar nie slegs ‘n enkele globale epidemie is nie maar verskeie lokale epidemies. Die veroorsakende en risiko faktore van hierdie epidemies moet daarom geїdentifiseer word en so ook die kulturele, ekonomiese, politieke en sosiale konteks wat die verspreiding van hierdie siekte aanhelp. Die veranderende aard van gemeenskappe, die effek van globalisering, die ontwikkelende aard van gesondheidsorg vanweë die vooruitgang in die mediese wetenskap en die “privatisering” van seks moet alles in ag geneem word. Betekenisvolle versorging vereis dat kerke ondersoek instel na waarom die versorging aangebied word en die waardes onderliggend daaraan. Ek stel die saak dat daar van kerke verwag word om sosiale verandering te stuur waar mense swaarkry, onregverdig behandel en misbruik word. ‘n Ondersoek na die geskiedenis van MIV/VIGS in Suid-Afrika illustreer dat kerke dikwels misluk het om aan hierdie roeping gehoor te gee. In opvolging van die bostaande argumente het ek navorsing uitgevoer oor hoe kerke sorg op ‘n mikro of voetsool-vlak aanbied. Hiervoor het ek die genoemde mensgesentreerde ontwikkelingsraamwerk van David Korten gebruik. ‘n Gevalstudie benadering is gevolg in die Helderbergkom wat geleë is in ‘n streek van Wes- Kaapland buite Kaapstad. Hierdie gebied is verteenwoordigend van baie buitestedelike gebiede van die Kaap: dit is oorwegend Christelik en sluit ‘n verskeidenheid van denominasies, rasse en sosio-ekonomiese groeperings in. Die gebied maak ‘n oorsig moontlik van die sorg-inisiatiewe van hoofstroom, charismatiese en Afrika onafhanklike Kerke, en in die besonder van ‘n identifikasie daarvan of kerke betrokke by MIV/VIGS dit doen op ‘n wyse wat Korten sou tipeer as ontwikkelingsgerig. Uit hierdie navorsing het dit duidelik geword dat die kerk gekniehalter word deur ‘n onvermoë om oor seks en seksualiteit te praat; die kerk se kennis beperk is wanneer dit kom by kwessies wat handel oor MIV/VIGS; dit nie genoeg doen om lidmate bewus te maak van VIGS kwessies nie; dit nog veel te leer het oor hoe om netwerke aan te wend; dit tegniese kennis kort en onwillig is om met sake van politieke belang om te gaan. Sosiale verandering is alleen moontlik indien die kerk ‘n nuwe visie voorhou oor hoe om ‘n beter wêreld te skep. Ek beveel ten slotte aan dat die kerk let op die ontluikende kerkbeweging om radikale transformasie te verwesenlik.
Wailoo, Allan. "The economics of health care rationing : an examination of alternative normative claims." Thesis, Open University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270088.
Full textMitchell, Patricia Anne Carleton University Dissertation Law. "A Normative framework for environmental policy; stewardship and the ethic of care." Ottawa, 1999.
Find full textHornback, Robert Borrone. "After carnival : normative comedy and the everyday in Shakespeare's England /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.
Full textZamzow, Jennifer. "Moral Decision Making: How the Normative and Empirical can Inform our Prescriptive Accounts." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/293469.
Full textShannon, Sarah Elizabeth. "Caring for the critically-ill patient receiving life-sustaining therapy : combining descriptive and normative research in ethics /." Thesis, Connect to this title online; UW restricted, 1992. http://hdl.handle.net/1773/7329.
Full textClausen, Andrea. "How can conceptual content be social and normative, and, at the same time, be objective? /." Frankfurt : Piscataway, NJ : Ontos ; Distributed in North and South America by Transaction Books, 2004. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=013014473&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Full textFormighieri, Mariana de Siqueira Bastos. "Afetividade e funções executivas em idosos: estudo normativo com Wisconsin Card Sorting Test e Pfister." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-15112007-234211/.
Full textBASTOS-FORMIGHIERI, M. S. Affectivity and executive functions in elderly: estudo normativo com Wisconsin Card Sorting Test e Pfister. 2007. 143 f. Dissertação (Mestrado). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, 2007. The development of psychological assessment has been greatly stimulated in Brazil in view of practical requirements and of the current guidelines of the Federal Council of Psychology, with a search for appropriate technical parameters for the Brazilian population. In parallel, the significant increase in the number of elderly individuals in the world and also in Brazil has justified scientific investments aiming at the investigation of the psychological characteristics of aging, often based on the resources of psychological assessment as a strategy of informative access. Within this reality, the objective of the present study was to develop normative standards regarding the performance of elderly persons in the Pfister Color Pyramid Test and in the Wisconsin Card Sorting Test (WCST), also in order to determine the characteristics of affectivity and of executive functions during old age. The study was conducted on 100 volunteers of both sexes aged 60 to 75 years, in good general condition and free of severe physical and psychic impairment. The subjects were first submitted to medical screening and to an initial interview about their life history. The psychological instruments were applied individually according to their respective technical standards and in the following sequence: interview, Pfister Test and WCST, following the ethical principles related to these processes of psychological evaluation. The results were structured in such a way as to characterize the performance patterns (norms) of the elderly subjects evaluated and to determine cognitive and affective aspects of the aging process by means of currently used techniques of psychological evaluation. The possible influence of the sex variable on the results of the psychological techniques applied was also determined and the data were compared to the norms for adults in the case of the Pfister Test and to the norms for North American elderly subjects in the case of the WCST, which are available thus far for these techniques, that are not specific for the Brazilian elderly population. Data were analyzed statistically by parametric and non-parametric tests, as appropriate, with the level of significance set at < 0.05. Finally a possible relationship between the technical indicators of the Pfister test and the results of the WCST for this elderly population was studied, especially regarding the following variables of the Pfister Test: modes of execution and placement, formal aspect, frequency, and chromatic syndrome. The results were interpreted in the light of the assumptions proposed by the scientific literature in the area, with an attempt to contemplate the peculiarities of the Brazilian sociocultural context in order to understand the psychic dynamics of affective experience and of executive functioning in old age. We may conclude that the affective dynamics of the elderly persons evaluated is preserved and that their pattern of executive functioning has specific characteristics, characterizing peculiarities of the performance of these idnividuals in the psychological techniques used, justifying the elaboration of their current normative standards.
Torres, Bernal Anibal. "Critical relational model a normative and meta-theoretical analysis of family therapy theories /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2005. http://wwwlib.umi.com/cr/syr/main.
Full textHo, Emilie. "Can We Really Claim ‘Full Responsibility’? The Problem With Normative Luck Egalitarianism in a Luck-Pervasive World." Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/scripps_theses/824.
Full textNewman-Valentine, Douglas David-John. "Transexual woman on the journey of sexual re-alignment in a hetero-normative healthcare system in the Western Cape." Doctoral thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16659.
Full textThe purpose of this study was to understand the life-world of transsexual women in relation to their awareness of their unique health needs as a direct result of sexual realignment treatment, and their health-seeking behaviours, practices and experiences of responses in negotiating health care for their transgender-related health needs in the healthcare system. The overarching question asked in this research was: What are the lived experiences, and meaning of these experiences, for transsexual women during the sexual-realignment process when negotiating health care for their transgender-related healthcare needs in the healthcare system? Participants in this study were selected through purposive and snowball sampling. In-depth interviews were conducted with ten participants selected from urban, peri-urban, and rural areas of the Western Cape. Theoretical saturation was reached with the tenth participant, and further selection of participants was ceased. The data was viewed through a trans-inclusive feminist lens with a concurrent collection and analysis process as guided by the steps of analysis of Interpretative Phenomenological Analysis (IPA), as developed by Smith (2010). IPA is a modern qualitative approach to research inquiry which harnesses the strengths of phenomenology, hermeneutics, and ideography. The analysed data were illustrated in a master theme graphic which contained one superordinate theme, two subordinate themes and various categories. The superordinate theme of this study was named "Towards organic Womanhood", while the two subordinate themes were coined "Embracing Womanhood", and "Facing the Giant in order to Become". The subordinate theme Embracing Womanhood gives insight into aspects of transsexual women's journey of moving towards a state of organic womanhood, whereas the subordinate theme Facing the Giant in order to Become maps out powers in the healthcare system which prevent transsexual women from having a smooth transition journey. This study illustrates that transsexual women have a need to align their bodies with their gender identities, but even though South Africa has legislation which protects the health and rights of transsexual women, transsexual women find it challenging to make the transition. Health practitioners are ill-equipped to manage transsexual women, the care which they receive in the government-funded healthcare system is of a poor standard, and they are4subjected to extremely long waiting periods to have access to surgical sexual realignment services. Recommendations are made for the healthcare system, policy makers and educational institutions in order to stimulate the South African healthcare system to become inclusive and affirming to the needs of transsexual women. Furthermore, recommendations for researchers are made to stimulate the debate around transsexual health care in the scientific literature.
Nowak, Sarah M. "That boy ain't right : how disruptive male characters in sitcom satires can reinforce normative gender and sexuality for the dominant audience." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1468.
Full textBachelors
Arts and Humanities
Humanities
Gonzalez, Raul. "The Paced Auditory Serial Addition Test (PASAT) as a measure of working memory : modified scoring guidelines, normative data, and validation /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2004. http://wwwlib.umi.com/cr/ucsd/fullcit?p3130416.
Full textMolepo, Edward R. "The effectiveness of the referral system in primary health care in the West Rand region : a normative-ethical study with special emphasis on traditional healers." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51964.
Full textENGLISH ABSTRACT: The aim of this research is to identify the various levels of health care units, their relationships and the problems hindering an effective referral system. To achieve this goal, use is made of a case study of the West Rand area in Gauteng. The standpoint is that, to achieve Primary Health for all South Africans referral systems within health care units and levels must be reciprocal. It is argued that for Primary Health Care to be successful, it must satisfy the goal of affordability appropriateness and accessibility. Results from the research revealed that four health care levels, namely traditional healers, health NGOs, Clinics, and Hospitals. Though there is some degree of referral in the study area, it was observed that referrals in the study area were not reciprocal. Amongst the major problems identified as hindering an effective referral system in the study area, include lack of cooperation between health institutions, poor health infrastructure and communication network as well as lack of other health paraphernalia. The research also found that government policy towards some of the health institutions (Traditional healers) contributes to the inefficiency of proper referrals in the study area.
AFRIKAANSE OPSOMMING: Die oogmerk van hierdie ondersoek is om die verskillende vlakke van gesondheidsorgeenhede, hulonderlinge verbande en die probleme wat doeltreffende verwysings in die wiele ry, te identifiseer. Dit word gedoen aan die hand van 'n gevallestudie van die Wes-Randarea in Gauteng. Die uitgangspunt is dat doeltreffende Primêre Gesondheid vir alle Suid- Afrikaners afhang van resiprokale verwysingsisteme tussen gesondheidsorgeenhede en -vlakke. Suksesvolle Primêre Gesondheidsorg vereis bekostigbaarheid, toepaslikheid en toeganklikheid. Die ondersoek het vier gesondheidsorgvlakke aan die lig gebring: tradisionele genesers, gesondheids-nie-regerings-organisasies, klinieke en hospitale. Hoewel daar 'n mate van onderfinge verwysing in die studie-area bestaan, was dit nie wederkerig nie. Onder die vernaamste struikelblokke vir 'n doeltreffende verwysingsisteem tel swak samewerking tussen gesondheidsinstellings, gebrekkige gesondheidsinfrastruktuur en kommunikasienetwerk, en 'n skaarste aan ander gesondheidsmiddelle. Die ondersoek het ook bevind dat regeringsbeleid aangaande sommige van die gesondheidsinstellings (tradisionele genesers) bydra tot die ondoeltreffendheid van verwysings in die studie-area.
Cupples, William Sam. "An investigation of the behavioral, normative, and control beliefs of college students who do not intend to possess a credit card: a reasoned action approach." Diss., Kansas State University, 2016. http://hdl.handle.net/2097/34482.
Full textDepartment of Human Ecology-Personal Financial Planning
Kristy L. Pederson-Archuleta
The purpose of this dissertation was to examine the factors associated with students’ intentions to not possess and use a credit card. This dissertation focused on exploring a sample of undergraduate college students who do not possess a credit card. There is little known research on this group of students. The dissertation was directed by the following over-arching research question: The goal of this study was to explore college students’ beliefs about not possessing a credit card using the Theory of Reasoned Action (TRA). The research questions for this dissertation were: (a) How is personality (i.e., individual background factor) of undergraduate college students associated with their behavioral, normative, and control beliefs to not possess a credit card, (b) How are education level, age, gender, income level, religiosity, marital status, and ethnicity (i.e., social background factors) of undergraduate college students associated with their behavioral, normative, and control beliefs to not possess a credit card, and (c) How is financial knowledge (i.e., information background factor) of undergraduate college students associated with their behavioral, normative, and control beliefs to not possess a credit card. This study collected primary data. A pilot study was conducted to set the stage for the data collection of the current study. The data analysis methodology for this study consisted of the following four methods: (a) Factor Analysis, (b) Correlation Analysis, (c) MANOVA, and (d) Discriminant Function Analysis. Factor analysis identified questions were used to develop scales to measure the dependent variables. Strong reliability estimates were obtained, ranging from .84 to .94. The MANOVA test identified seven hypotheses with statistically significant results < .05. Control beliefs were significantly associated with personality. The five personality types, extraversion, agreeableness, conscientiousness, neuroticism, and openness, were all found to be significantly associated with either behavioral beliefs, control beliefs, or injunctive normative beliefs. Extraversion, agreeableness, conscientiousness, and neuroticism were all found to be associated with control beliefs. While agreeableness was also associated with injunctive normative beliefs, openness was found to be associated with behavioral beliefs. Financial knowledge was found to be associated with control beliefs. Discriminant function analysis was performed as a confirmatory test of the results from the MANOVA test, and supported the results of the MANOVA for six of the hypotheses.
Moreau, Delphine. "Contraindre pour soigner ? : les tensions normatives et institutionnelles de I'intervention psychiatrique après l'asile." Paris, EHESS, 2015. http://www.theses.fr/2015EHES0152.
Full textThis research explores the use of coercion by psychiatry, which has been deeply evolving since asylum: care is today mainly free and ambulatory, durations of stay have been strongly reduced. This issue is approached through two dimensions: first coercive practices themselves, put in perspective among the interventions of trie professionals, second, the institutional, legal, architectural, spatial dispositifs [apparatus, assemblage], which crystallize a certain arbitration among normative tensions between care/cure, security and freedom. The use of coercion has always been at the core of the charges of arbitrary, abuse, violence, carried against psychiatry, sometimes by the professionals themselves. It is nevertheless advocated in the name of the protection of the people coerced themselves. The inquiry follows how different practices are unequally exposed to the critics and the variation of the forms of their regulations. In order to do so, this research is based on (1) an analysis of the legal and regulatory apparatuses framing the practices of constraint and their binds to the spatial organization of psychiatric care from 1838 to 2013, (2) an ethnographic investigation in various psychiatric care units mainly within a « psychiatric sector » (hospitalization unit, 6 months, crisis centre, 3 months), supplemented by other observations (hospitalization and emergency units, 2 months), and (3) interviews with professionals of the units (n=61)
Ostheimer, Silva Elena, and Verena Unger. "Nudge Me if You Can : Social Nudging to Reduce Water Consumption in Private Households on the Island of Gotland, Sweden." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-447694.
Full textGodfroid, Tiphaine. "Le patient acteur dans la prise en charge du cancer : attentes normatives et travail du malade." Thesis, Université Grenoble Alpes (ComUE), 2017. http://www.theses.fr/2017GREAH014/document.
Full textThe patient actor in the management of cancer : normative expectations and patient workIn the context of a humanisation of care that enhances the figure of the individual as an actor in his or her health, this thesis questions the positioning of patients affected by cancer and their caregivers and close relatives in the care and experience of this pathology from the point of view of their "becoming actor". It highlights the disease management work done by the affected individuals, notably by analyzing how they deal with the uncertain dimensions of the experience of cancer. It also shows how the ethical considerations of the "right to information", the patient "associated with decisions" or even "at the heart of care" and the fight against cancer policy centered on "health education" contribute to bring to the foreground normative expectations that weigh on the sick. Through four stages of the disease - the discovery and announcement of cancer, the treatment period, the experience of remission and end-of-life trajectories - it more specifically examines the differences between the expected and prescribed roles and the roles effectively endorsed, the strategies of cooperation, negotiation or resistance between the actors and the elements that underpin the decision-making of the patients and their commitment to the actions they take to face cancer on a daily basis. The underlying questioning thus focuses on the actions and strategies undertaken by the actors affected in an attempt to control a trajectory of illness marked by uncertainty and how the latter integrate - or not the expectations of " the individual actor of his health and his disease "
Jonasson, Lise-Lotte. "A comprehensive picture of ethical values in caring encounters, based on experiences of those involved : Analysis of concepts developed from empirical studies." Doctoral thesis, Linköpings universitet, Omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-67878.
Full textMoraes, Paulo Navarro de 1980. "Avaliação de desempenho como estratégia de gestão do trabalho na Atenção Básica à Saúde : reflexões sobre o discurso normativo do PMAQ-AB e do PAPD de Campinas-SP." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312512.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A grande crise global do capitalismo, iniciada nos anos 1970, teve repercussões importantes, tanto na reorganização dos processos produtivos quanto na reorganização dos Estados Nacionais, sob a égide ideológica neoliberal. No tocante aos processos produtivos, tiveram lugar variados processos de reengenharia da gestão do trabalho que são conjuntamente denominados por Lima (1996) como Novas Políticas de Recursos Humanos (NPRH). Este processo teve lugar no Brasil nos anos 1990, sendo reconhecido nesta pesquisa como Contra-Reforma do Estado brasileiro. Partindo da premissa de que um dos efeitos deste avanço neoliberal consiste da progressiva incorporação dos conceitos e diretrizes das Novas Políticas de Recursos Humanos no âmbito do serviço público, materializada na implantação de programas que introduzem arranjos e dispositivos da lógica empresarial na gestão do trabalho dos servidores públicos, realizou-se uma pesquisa qualitativa de tipo documental com o objetivo de compreender a utilização da Avaliação do Desempenho do Trabalhador como estratégia gerencial na Atenção Básica à Saúde. Recortou-se, como corpus empírico, a adoção de dois programas governamentais: em nível nacional, o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica, e em nível municipal, o Programa de Avaliação Periódica do Desempenho dos servidores públicos municipais de Campinas. Utilizou-se metodologia inspirada na Análise de Conteúdo (BARDIN, 2011), procedendo-se um estudo descritivo seguido de uma análise por categorização. Os documentos oficiais foram analisados destacandos-se três grupos de categorias de análise, relacionados a (1) os parâmetros; (2) o modo de condução; e (3) o sistema de recompensas. Com diferentes nuances, concluímos que ambos os Programas possuem, em seus discursos normativos, elementos de aproximação com as NPRH, sendo a utilização da Avaliação do Desempenho do Trabalhador como instrumento gerencial semelhante ao uso que é feito no setor privado. Tal utilização pode ser considerada como uma forma de privatização da gestão do trabalho dos servidores públicos, o que consideramos um indicativo de avanço da hegemonia neoliberal no Estado e na sociedade brasileira
Abstract: The great global crisis of capitalism, started in the 1970s, had important repercussions, both in the reorganization of production processes and in National States, under the neoliberal ideological aegis. Concerning to the production processes, several reengineering processes of the work management took place, that are jointly referred by Lima (1996) as New Policies of Human Resources (NPRH). This process took place in Brazil in the 1990s, being recognized on this research as the Counter-Reformation of the Brazilian State. Assuming that one of the effects of this neoliberal progress is the gradual incorporation of the concepts and guidelines of the New Policies of Human Resources within the public service, substantiated on the implementation of programs that introduce arrangements and devices from business logic on managing the work of civil servants, a documentary type of qualitative research was carried out, in order to understand the use of the Employee Performance Appraisal as a management strategy in Primary Health Care. It was stressed, as empirical corpus, the adoption of two governmental programs: on the national level, the National Program of Improvement of the Primary Care¿s Access and Quality (PMAQ-AB), and on the municipal level, the Program of Periodic Performance Evaluation of municipal servants of Campinas. A methodology inspired on the Content Analysis (BARDIN, 2011) was used, carrying out a descriptive study followed by an analysis by categorization. Official documents were analyzed with emphasis on three groups of analysis¿ categories, related to (1) the parameters; (2) the driving mode, and; (3) the reward system. With different nuances, we conclude that both Programs have, in their normative discourses, elements of approach with the NPRH, being the use of Employee Performance Appraisal as management instrument similar to the use that is made on the private sector. Such use can be considered as a privatization way of the work management of the public servants, what we consider an advancement indicative of neoliberal hegemony in the State and Brazilian society
Mestrado
Política, Planejamento e Gestão em Saúde
Mestre em Saude Coletiva
Samuelsson, Lars. "The moral status of nature : reasons to care for the natural world." Doctoral thesis, Umeå : Institutionen för idé- och samhällsstudier, Umeå universitet, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1612.
Full textBernheim, Emmanuelle. "Les décisions d'hospitalisation et de soins psychiatriques sans le consentement des patients dans des contextes clinique et judiciaire : une étude du pluralisme normatif appliqué." Thèse, École normale supérieure de Cachan - ENS Cachan, 2011. http://hdl.handle.net/1866/5198.
Full textHow do those working in the intersection between law and psychiatry make decisions to confine or treat patients against their will? Do they simply apply the legal provisions that are supposed to regulate such actions, or do they refer to other forms of normativity? More globally, how do such stakeholders adopt norms and how is the choice of norms related to individuals’ roles in the social fabric? These are, very briefly, the issues explored in this thesis. This thesis has two distinct, but complementary, objectives. The first is theoretical, and concerns the sociological understanding of the phenomenon of normative pluralism as it operates in the social fabric and more specifically of individuals’ roles in normative dynamics. The second objective is to place normative pluralism and human rights into perspective in the special context of psychiatry. For this, we have chosen to study legal, clinical and social approaches to confining patients and to psychiatric care. This brings to light various latent normative tensions, which proves useful when drawing up theories about normative relations. We begin by doing an epistemological analysis of the legal and sociological paradigms of social regulation and internormativity. In this section, we explore different conceptions of law and normativity and, by extension, the shaping of human and social relations. Our first conclusion from this analysis is that the different forms of normativity interweave in complex, changing ways and that no clear hierarchy always emerges. Our second conclusion is that individuals influence the application of norms, whether they are legal or not. The plurality of norms and of the meanings that they convey naturally confronts individuals with choices among different standards. In order to gain a better understanding of individuals’ real roles in normative dynamics, since individuals have a certain degree of freedom, we have taken a subjectivist, constructivist point of view. From this perspective, interpretations of norms and the meanings they convey are related to individuals’ conceptions of the meaning of their actions and roles in interpersonal and social relations. It is from this perspective that we propose the applied normative pluralism model, which is inspired largely by the sociological approaches we have studied and more specifically by the concept of “living law.” Using this model, we conceptualize normative pluralism as a set of norms flowing from various sources that may be in substantial contradiction and have different weights. Indeed, describing psychiatric discourse as a behavioural norm of normality is a perfect example of the cleavage between different perspectives on social ties, especially with respect to psychiatric patients. In the proposed model, each norm is twinned with cognitive or axiological rationality, depending on the nature of the relationship to the Other. Our hypothesis is that the actor’s degree of freedom correlates with the rigidity of the legal framework: the more specific the law is, the less the individual will have recourse to other forms of normativity. In order to verify our hypothesis, we have used two distinct situations that are regulated by law in different ways but that have similar ethical and legal stakes: non-consensual hospitalization and psychiatric care, in other words, confinement to an institution and court authorization of care (Québec Civil Code, articles 30 and 16). Our empirical research on judges and psychiatrists has been designed to map the complex relationships between those studied (the meanings they give to their actions, their conceptions of their roles in the social fabric) and norms. The findings show that two types of norms are in fact complementary: normative and factual propositions. The former are associated with the role that the individual thinks he or she has, while the latter are used in practical implementation of that role. Similarly, the weight of a discourse on normality demonstrates the survival of a paternalist moral perspective with its roots in psychiatry. This is difficult to reconcile with an approach based on human rights. Finally, we conclude that the choice between different types of norms is influenced by the conception that each individual has of the society in which he or she lives, and more specifically of his or her role in that society. Our empirical research raises questions about what is underlying the real nature of legal and psychiatric intervention with respect to confining patients to institutions and authorizing care, and about the pragmatic and ontological foundations of law in these areas.
Thèse de doctorat réalisée en cotutelle avec l'Institut du social et du politique de l'École Normale supérieure de Cachan.
Fraisse, Wolfgang. "La responsabilité sociale des entreprises : une forme de régulation des relations de travail ?" Thesis, Lyon, 2016. http://www.theses.fr/2016LYSE2078.
Full textThe corporate social responsibility (CSR) of major companies, defined as the voluntary integration of social and environmental concerns in both business itself and in the relationships with stakeholders, has become the site of a series of acts and standards of diverse nature and effects. Encouraged to develop social initiatives, firms have experimented with several initiatives to promote the image of social responsibility. However, with any endeavour, these are likely to demand legal assessment, especially as the subjects to which they relate are subject to state regulation. Voluntary acts of CSR can, by their recommandatory, proclamatory or declaratory formulation, refer to hard law and thus constitute an educational or informational basis of the rule of law, offering a framework for monitoring fair and rational conduct. Other standards can also prescribe behaviours and act as a form of control. Moreover, the intensification of the normative force of those voluntary measures involves legal implications, both binding and inspiring CSR development. The national framework helps to shape the initiatives in this area. This legal mesh makes the CSR a space of varying regulation, including self-regulation as a result of unilateral will in light of legal obligations. In this new dynamic, one must not overshadow the legal freedom granted by the law, which, over judgment and analysis facilitates the conception of CSR as a standard of conduct, generating regulation forms and responsibilities within the employment report
Polaha, Jodi, William T. III Dalton, and Blake M. Lancaster. "Parental Report of Medication Acceptance Among Youth: Implications for Every Day Practice." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6746.
Full textRiddle, Bethany. "Normative practices and normative identities a critical feminist investigation of preganacy ultrasound /." 2005. http://cdm256101.cdmhost.com/cdm-p256101coll31/document.php?CISOROOT=/p256101coll31&CISOPTR=76096.
Full textChen, liju, and 陳立儒. "Moral Normative Factors of V. Held''s Ethics of Care." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/61263929174051267391.
Full text國立中正大學
哲學所
96
In this thesis, I would like to discuss the ethics of care in view of Virginia Held. Held claims that we should not see the ethics of care as a naturalized ethic. Care is not reducible to the behavior that has evolved and that can be adequately captured in empirical descriptions, and that is the key phrase in my thesis. I try to find out some normative factors of Held’s ethics of care. Held thinks that although to be caring is no doubt a virtue, the ethics of care is not simply a kind of virtue ethics. The ethics of care concerns itself especially with caring relations. Caring relations have primary value. Starting with a normative perspective, Held points out that the foundations of the ethics care are trust and partialities. Follow Held’s ideas, I further argue that love is constructive factor of caring relations. , Marilyn Friedman calls attention to when partiality is or is not morally valuable. She thinks the quality of a particular relationship is important in determining the moral worth of any partiality which is necessary for sustaining that relationship. When relationships cause harm or are based on such wrongful relations, we should not be partial toward them. Held agrees to Friedman’s idea.
Pfeiferová, Jitka. "Normativní aspekty neformální péče o seniory." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-332849.
Full textWestra, Laura. "Ecoviolence and the law : (supranational normative foundations of ecocrime) /." 2005. http://wwwlib.umi.com/cr/yorku/fullcit?pNQ99260.
Full textFeng, Janice Mingjia. "How can I deny this body is mine: performativity, embodiment, and normative violence." Thesis, 2016. http://hdl.handle.net/1828/7259.
Full textGraduate
janicefe@uvic.ca
Hui-Chi, Chiang, and 江慧琪. "Factors Associated with the Long-Term Care Needs in the Community-Dwelling Disabled –Normative Perspective." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/32985098445792964204.
Full text國立台北護理學院
長期照護研究所
96
It is an important issue for medical professionals to provide a high-quality long-term care service to satisfy disabled people and their family members. The purpose of this study were, firstly, to understand the general needs for long-term care service among community-dwelling disabled, and, secondly, to explore the predicting factors of the long-term care needs for providing a further assessment and service. This study was a cross-sectional correlation design. The subjects were selected from a long-term care service center in Taipei city, from January to June, in 2006. In total, 513 subjects were recruited in this study. Statistical software SPSS12.0 was used to analyze data. The results demonstrated: 1.The five most important needs of long-term care service among the community-dwelling disabled were home-care physical therapy; assistant instrument and house environment improvement; home care; home-care nutrition therapy; and home-care nursing. 2. There was a high consistency between normative needs and felt needs among the community-dwelling disabled. The lowest consistency service item was home-care doctor out-clinic-service. 2. The significant predicting factors for different kind of long-term care needs were: (1) The self-perceived health status by caregivers was a major predicting factor of the need for home-care doctor out-clinic-service (2) The four predicting factors of the need for home-care nursing were: whether or not the family members had ever used long-term care service, the number of the chronic disease among subjects, the activity of daily living, and the time period which caregivers have involved. (3) The predicting factors of the need for home-care physical therapy included: educational attainment among subjects, the activity of daily living and the instrumental activity of daily living, time period which caregivers have involved, the working time, and whether or not the family members had foreign care assistants to help daily caring work. (4) The age of subjects, gender, educational attainment, and cognitive function were four significant factors in predicting the need for home-care occupational therapy service. (5) The four major predicting factors of the need for home-care nutrition therapy were: whether or not the family members had ever used long-term care service, the relationship between caregivers and subjects, whether or not the family members had care assistants to help daily caring work, and family support. (6) The self-perceived health status by caregivers and whether or not the family members had care assistants to help daily caring work were two significant predicting factors of the need for home care service. (7) Whether or not the family members had care assistants to help daily caring work was the only one factor in predicting the need for respite care service. (8) The two predicting factors of the need for health center service were the age of the caregivers, and family support. (9) The number of the chronic disease among subjects, the activity of daily living, and family support were three major predicting factors of the need for assistant instrument and house environment improvement. In order to establish an objective and reliable assessment mechanism, this study suggests that firstly, to provide a training course to enhance assessment ability for all the case managers (care managers) and another professional members; secondly, to operate an appropriate regulation for managing the qualification of case managers (care managers).
Lengana, Thabo. "Managed health care and the professional autonomy of medical doctors in South Africa: a normative assessment." Thesis, 2017. http://hdl.handle.net/10539/23141.
Full textSpiraling health care costs have posed a threat to access to health care for scheme members, as more has to be done with even less. Managed care programmes were introduced to control the health care costs by reducing medical doctors autonomy. My aim was to ascertain the extent to which the managed care processes impede medical doctors’ autonomy. Principled conditions were identified where the limitation of doctors’ autonomy as a result of managed care could be morally justified which include where implementation would result in a just distribution of resources and a limitation of medically futile treatment. However principled conditions where these managed care tools would not ethically be justified included where they would result in adverse patient outcomes, where they result in a loss of medical doctors morale or where they result in reduced trust in the patient doctor relationship.
MT2017
Mathibe-Neke, Johanna Mmabojalwa. "The role of the South African Nursing Council in promoting ethical practice in the nursing profession: a normative analysis." Thesis, 2015. http://hdl.handle.net/10539/18498.
Full textIn response to an increasing number of litigations relating to nursing care errors, negligence or acts and omissions that arise mostly due to unprofessional or unethical behaviour by nurse practitioners, compounded by the growing awareness of patient’s rights, nurse practitioners as such need an intervention by the regulatory body, the South African Nursing Council (SANC). The argument presented in this report is regarding the obligatory role of SANC to uphold professional and ethical practice for nurses in terms of the curriculum, the scope of practice, the code of ethics, continuing professional development and by offering an appropriate workplace ethical climate. The basis of the argument is philosophical perspectives, legislation and moral theories related to ethical practice. The moral theories applied to this study are deontology, utilitarianism, virtue ethics and Ubuntu as an African moral theory, whereas legislation relates to rules and regulations related to nursing practice. The overall significance of the study is to enhance nursing care with specific focus on upholding ethical principles from the SANC position, that will positively impact on the improvement of health care by nurses with reference to the Nursing Act No. 33 of 2005, The Bill of Rights (Constitution of South Africa), The Universal Declaration of Human Rights, the Patient’s Rights Charter, the International Council of Nurses (ICN) , the South African Nursing Council Code of ethics and the National Health Act 61 of 2003.
DeCamp, Matthew Wayne. "Global Health A Normative Analysis of Intellectual Property Rights and Global Distributive Justice." Diss., 2007. http://hdl.handle.net/10161/193.
Full textCaballero, Francisco E. "L'évaluation des tests génétiques : considérations normatives et contextuelles." Thèse, 2012. http://hdl.handle.net/1866/9851.
Full textThe objective of this paper is to outline the genetic tests evaluation methods. The paper also examines the growing use of genetic services provided by international laboratories. The first article provides a review of the evaluation models specific to genetic testing and an analysis of their location on the translational pathway. The article outlines the origins of these models, their attributes and distinctive features and specifies the target audience to which they are intended. The comparative analysis of evaluation models highlights their strengths and limitations. The evaluative criteria of each model are located along the translational pathway to highlight the types of evaluations required at each stage of the genetic tests leading to their use. The second article focuses on the effective use of genetic testing in a pediatric university hospital centre. More specifically, the article provides a comprehensive overview of all molecular genetic tests done outside of Québec by the CHU Sainte-Justine in 2009 due to the increase of available tests internationally compared to those offered in-house. The objective is to describe the state of the current situation and identify potential targets for process improvement and development of local testing. The evaluation of genetic tests is approached from two perspectives: normative considerations related to the evaluation of genetic tests as recommended by the various evaluation models as well as a practical point of view in a university hospital.
Simons, Michael A. G. "On the inside looking in how first semester, college preparation students engage and negotiate the normative practices of an Ontario community college /." 2001. http://wwwlib.umi.com/cr/yorku/fullcit?pMQ67766.
Full textTypescript. Includes bibliographical references (leaves 125-126). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ67766.
Zolot, Amy. "The interpersonal processes of care and social support in heterosexual mid-life couples an investigation of symbolic meanings, and interpretations of normative marital interactions /." 1999. http://catalog.hathitrust.org/api/volumes/oclc/45220279.html.
Full textTsai, Yueh-Shin, and 蔡岳信. "A Research of the Relationship among Service Innovation, Normative Evaluations, Perceived Quality of Service to Customer Satisfaction-A case study of Long Term Care of Veterans Home Curing Model, Taiwan." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/hrq5u7.
Full text中國科技大學
企業管理系碩士在職專班
105
Aging population and low fertility have changed the population structure in Taiwan. The government has fully promoted the policy of long-term care for facing the aging society coming. At the same time, the quality of institutional care services under the policy of long-term is related to the release of family labor force to the workplace productivity. It is obviously significant impact on the long-term development in our country. In different types of care services, the Veterans elderly whom need the long-term care resources most are rapidly increasing. The quality of care services of Veteran elderly provided by the Veteran home are related to social harmony, economic development and overall national defense. This study aims to explore the relationship among service innovation, normative evaluation, service quality, and customer satisfaction in the Veteran Home curing model in Taiwan. The collection of sample data was from the paper questionnaire. The research targets were Veterans who living in the north, middle and south of Veteran Home. Based on the statistical analysis of 532 effective questionnaires, the research results show as: 1. The service innovation has a positive and significant impact effect on Service quality. 2. The service innovation has a positive and significant impact on Normative evaluation. 3. The service innovation has a positive and significant impact effect on Customer satisfaction. 4. The quality of service has a positive and significant impact effect on Customer satisfaction. 5. The normative evaluation has a positive and significant impact on service quality. Other related results were screened by analysis: 1. The Veterans Home can provide pleasant considerate service. 2. The Veterans Home can display enthusiastic assistance and provide reliable and trustworthy service. 3. The Veterans living in Veterans Home are biased in the rational behavior mode. According to the above results, the following suggestions are proposed: 1. Response to the external competition, the Veteran home should keep service innovation with the differentiation strategies to meet the needs of the individual. 2. To introduce connect the social useful resources, stabilize the emotions of the caregivers, and postpone the aging. Let the Veteran home can reduce the cost of care and improve the quality of service. 3. To establish a new mode of integrated service innovation with the resources sharing thinking, as a reference to the policy of long-term and the strategy of industry development competition.