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Dissertations / Theses on the topic 'Professional improvement of doctors'

Author: Grafiati

Published: 3 June 2025

Last updated: 1 August 2025

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1

Seneca, Martha E. "Improving Anesthesia Professional Adherence to Hand Hygiene." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/502.

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Performance of hand hygiene is among the most effective means of preventing healthcare associated infections (HAI) among patients. Deaths resulting from HAIs are one of the top ten leading causes of death in the United States. Any improvement in the frequency of hand hygiene among healthcare professionals may have a direct impact on patient mortality and associated costs. While anesthesia professionals have been found to have low rates of hand hygiene adherence, few targeted studies seeking to improve hand hygiene adherence among this group exist. Studies conducted to improve hand hygiene amon

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2

Gill, Deborah. "Becoming doctors : the formation of professional identity in newly qualified doctors." Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/10020735/.

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This enquiry concerns the professional identities of newly qualified doctors, exploring how early years practitioners form their sense of self-as-doctor and the structural, educational, social and personal influences on this formation. With identity formation and professional development framed as situated, socio-cultural and developed within and through practice as an iterative process of becoming, this qualitative study, conducted in the interpretivist tradition, uses life-history interviews and brief periods of observation with recently qualified doctors. It reveals that new doctors begin t

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3

Lim, Chee Kiat (David). "Prescribing practices of Australian dispensing doctors." Thesis, Curtin University, 2010. http://hdl.handle.net/20.500.11937/176.

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Background: In response to health workforce shortages policymakers have considered expanding the roles that a health professional may perform. A more traditional combination of health professional roles is that of a dispensing doctor (DD) who routinely prescribes and dispenses pharmaceuticals. A systematic review conducted on mainly overseas DDs’ practices found that DDs tended to prescribe more items per patients, less often generically, and showed poorer adherence to best practice. Convenience for patients was cited by both patients and DDs as the main reason for dispensing. In Australia, ru

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4

Perry, Shirley J. "Ethical decision making by nurses and doctors: Communication, professional and contextual influences." Thesis, Perry, Shirley J. (2001) Ethical decision making by nurses and doctors: Communication, professional and contextual influences. PhD thesis, Murdoch University, 2001. https://researchrepository.murdoch.edu.au/id/eprint/50479/.

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There are many decisions made in health that have an ethical dimension, and there is a growing realisation of this by health care professionals and by society. Understanding the factors that influence the processes employed in reaching an ethical decision is likely to be crucial in providing effective patient care. This study explores the communication patterns between health professionals when engaged in ethical decision making, and examines the way in which ethical decision making in health care practice is influenced by three factors- communication processes, professional background (as exh

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BURLON, FABIO. "Energy Efficiency Improvement in Professional Ovens." Doctoral thesis, Università degli Studi di Trieste, 2018. http://hdl.handle.net/11368/2920073.

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Tackling the climate change by reducing energy consumption is among the biggest, most urgent challenges society is facing and requires a continuous efficiency improvement of thermal systems.With the aim of reducing energy consumption and improving energy efficiency of professional appliances, this thesis is the results of the investment Electrolux Professional Spa has made. The industrial research started with an analysis of the state of the art of the energy standards applied to a professional oven. It continues, identifying a new methodology for the energy efficiency evaluation of a combined

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6

Sur, Alexandra L. "Gay and professional earnings differentials of doctors and lawyers based on sexual orientation /." Diss., Connect to the thesis, 2008. http://hdl.handle.net/10066/1455.

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7

Lake, Jonathan. "Teaching doctors : the relationship between physicians' clinical and educational practice." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/8002.

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This thesis explores the relationship between physicians’ clinical and educational roles in the context of UK General Practice (GP) education by investigating the experiences of seven GP trainers through an ethnographic approach employing Activity Theory (AT). The Introduction considers the philosophy and structures of GP education and outlines the author’s professional biography to provide context. The Literature Review focusses on the development of medical education as a discrete field and identity formation in medical educators, concluding that: specialist medical educators are a relativel

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Blue, Ian A. "The professional working relationship of rural nurses and doctors : four South Australian case studies." Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb6582.pdf.

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9

Rigby, Louise. "Optimising professional development opportunities for Directors of Training fostering workplace learning of professionalism and professional identity formation in early-career doctors." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29586.

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The medical education community has heard and extensively commented on the call for the explicit teaching of professionalism with the goal of forming professional identity. The social learning theory of situated learning in communities of practice has been posited as a guiding theoretical framework to ensure graduate doctors "think, act and feel like a physician". However, there is a paucity of evidence in postgraduate medical education showing how a community of practice can be authentically leveraged for effective workplace learning. Furthermore, there is a lack of empirical research focused

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10

Dahlin, Marie. "Future doctors : mental distress during medical education: cross-sectional and longitudinal studies /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-147-0/.

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Bruner, Carl. "School improvement planning and the development of professional community /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/7801.

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12

Barron, Elise. "Barriers associated with doctors' referral to dietitians in Gauteng, South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2006. http://hdl.handle.net/10019/496.

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13

Fitzgerald, Anneke, University of Western Sydney, College of Law and Business, and School of Management. "Doctors and nurses working together : a mixed method study into the construction and changing of professional identities." THESIS_CLAB_MAN_Fitzgerald_A.xml, 2002. http://handle.uws.edu.au:8081/1959.7/789.

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This research investigates the relevance of professional subcultures in a climate of change at a large hospital in South-Western Sydney and addresses the question : 'How do changes associated with health reform impact upon cultural interdependence between professional identities?'. As a corollary, cultural interdependence between professional identities may have profound consequences for health reform and for hospital management. By exploring the two main ideas, Professional Sub-group culture and change, this research draws from existing theory in areas such as organisational culture and cultu

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Radford, Mark Thomas. "Power dynamics and professional expertise in the communication between specialist nurses and doctors in acute hospital settings." Thesis, Birmingham City University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.573691.

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Aim. The aim of this PhD thesis is to report the sociological position, power dynamics and expertise in the communication between specialist nurses and doctors within NHS acute hospitals. Background. Nursing and healthcare have continually evolved, with new nursing roles interfacing professionally at a more advanced level with doctors. Historically the relationship and interactions have been characterised as the ‘Doctor-Nurse’ game which has been reviewed from many sociological perspectives. However, little has been added to understand the basis of these transactions that take place in the cli

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Fitzgerald, Anneke. "Doctors and nurses working together : a mixed method study into the construction and changing of professional identities." Thesis, View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/789.

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This research investigates the relevance of professional subcultures in a climate of change at a large hospital in South-Western Sydney and addresses the question : 'How do changes associated with health reform impact upon cultural interdependence between professional identities?'. As a corollary, cultural interdependence between professional identities may have profound consequences for health reform and for hospital management. By exploring the two main ideas, Professional Sub-group culture and change, this research draws from existing theory in areas such as organisational culture and cultu

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Fitzgerald, Anneke. "Doctors and nurses working together : a mixed method study into the construction and changing of professional identities /." View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031020.092051/index.html.

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Thesis (Ph.D.) -- University of Western Sydney, 2002.<br>A thesis presented to the University of Western Sydney in partial fulfilment of the requirements for the degree of Doctor of Philosophy, November, 2002. Bibliography : p 261-271.

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17

Flowers, Kelly N. "Professional Learning Communities and School Improvement: Implications for District Leadership." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157636/.

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The purpose of this research was to understand the role of district leadership better in the implementation and development of professional learning communities. This investigation was a mixed-methods analysis of the perceptions of a school district's support in the implementation of professional learning communities (PLCs) at the school level. Additionally, in this study, I examined how the PLC framework supports systemic school improvement, using Hord's definition of the five dimensions of a professional learning community. A PLC literature review informed the study. A school district of

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18

Bond, Jennifer. "Quality improvement in professional local government services : a longitudinal study." Thesis, Aston University, 2001. http://publications.aston.ac.uk/10751/.

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This sustained longitudinal study, carried out in a single local authority, investigates the implementation of a Total Quality Management (TQM) philosophy in professional local government services. At the start of this research, a large majority of what was written about TQM was polemical and based on limited empirical evidence. This thesis seeks to provide a significant and important piece of work, making a considerable contribution to the current state of knowledge in this area. Teams from four professional services within a single local authority participated in this research, providing the

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姚泽麟 and Zelin Yao. "Practicing clinical medicine in a post-socialist state : an empirical study on professional autonomy of Chinese urban doctors." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hdl.handle.net/10722/193019.

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The relationship between the state and its professions has long been overlooked in the sociology of professions. Based on empirical data collected by in-depth interviews and through participant observation in Beijing, this thesis analyzed the dynamic relationship between Chinese urban medical professionals and the post-socialist state of the People’s Republic of China. The study reveals that the post-socialist state continues to wield large influence in the social, economic and technical areas of this profession and retain tight controls despite being in an era of market transition. This cont

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Jonson, Maja, and Prajwal Modani. "Diagnosing Doctors and AI : What the introduction of AI can tell us about the professional role of physicians." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-448747.

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Artificial Intelligence (AI) is being implemented in various industries and shows promise within healthcare. AI has potential to perform tasks that a professional would traditionally do, and it thus looks to be a disruptive technology. Professional workers, like physicians, are likely to resist such implementations to protect the high status of their profession. As professional workers and healthcare hold significant roles in society, we found that research on how they are affected by AI is needed. This study takes place in the beginning of the introduction in Swedish hospitals. To gain insigh

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Mtshali, Ntombizodwa Altar. "Perceptions of professional nurses about the implementation of the quality improvement programme." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/76175.

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Nurses’ perceptions of a quality improvement programme in South Africa: Successes and challenges in the public sector<br>Dissertation (MCur (Nursing Management))--University of Pretoria, 2020.<br>Nil<br>Nursing Science<br>MCur (Nursing Management)<br>Unrestricted

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Judd, Lindsey Elizabeth. "School-based Professional Learning Communities: Collaboration, Conversation and Innovation for Literacy Improvement." Thesis, Griffith University, 2017. http://hdl.handle.net/10072/368185.

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This study examined the processes by which Julian State School, located in South-East Queensland, attempted to establish and develop a Professional Learning Community (PLC) to guide its efforts in improving student achievement in literacy. Utilising a case study methodology, a large qualitative data set was gathered and analysed to understand how the school’s personnel engaged with each other in PLC and school improvement activities. A total of twenty-seven participants were involved in the study; 21 classroom teachers, two members of the leadership team and four university personnel. Data sou

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Hedgpeth, Pamela S. "Professional development practices for developing principal instructional leadership /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9988668.

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Jagsi, Reshma. "A comparative analysis of the political and professional regulation of junior doctors' work hours in the United States and United Kingdom." Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.395690.

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Coulson, Shirley Ann. "Practitioner experience of a developing professional learning community." Thesis, Australian Catholic University, 2008. https://acuresearchbank.acu.edu.au/download/661b94771513c0ece27a051316742e2ccc4d7c574d92610e0485947e16dcb91e/2671332/64833_downloaded_stream_58.pdf.

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Australian policy contexts are promoting school transformation through teacher learning and the development of schools as professional learning communities. However, Australian practitioners have very limited contextualised research to guide their efforts in response to these policies. The researcher's involvement in a school revitalisation process provided the impetus for this research study that investigates the practitioner experience of a developing professional learning community at RI College (pseudonym for a large independent girls' school in Brisbane). This study endeavours to gain a m

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Sole, Louise. "Impact of changes in the professional identity of doctors on their relationships with organisational management in the South African Private healthcare sector." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/52323.

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This study seeks to establish whether the doctor in the private healthcare sector sees their professional identity as being under threat and how this impacts the interrelationships within the organisation in which they work. Healthcare in South Africa is a dynamic, growing industry, in which the private sector accounts for 52% of the total spend, yet there is a disjoint in the relationship between hospital management and the doctor. To combat the trends of increasing costs, competition, customer expectations of quality care and a changing healthcare environment, the doctor and hospital need to

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Jaroscak, Jeffrey. "Examining the Impact of Professional Learning Communities on School Performance." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5632.

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Implementing the principles of a professional learning community (PLC) in public schools has become a popular strategy for meeting school quality and accountability expectations. Whether PLC implementation results in improved school ratings represents a gap in the literature. Three out of the 4 elementary schools in the participating school district experienced a significant drop in state ratings. The purpose of this quantitative study was to explore the relationship between the perceived depth of implementaiton of PLCs and a school's performance in terms of state ratingsGuided by the theory o

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Turnwald-Fether, Martha S. "Exploring the Relationship between Professional Development and Improvement on Second-Grade Oral Reading Fluency." Connect to full text in OhioLINK ETD Center, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1240410067.

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Dissertation (Ed.D.)--University of Toledo, 2009.<br>Typescript. "Submitted as partial fulfillment of the requirements for The Doctor of Education Degree in Education Leadership and Supervision." Bibliography: leaves 106-121.

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Hawken, Susan Jane. "An evaluation of the professional development component of the overseas doctors training programme a dissertation [thesis] submitted to Auckland University of Technology in partial fulfilment of the degree of Master of Health Science, 2003." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/HawkenS.pdf.

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Taylor, Christine. "A study of primary headteachers' perceptions of their continuing professional development needs in one LEA." Thesis, University of Bristol, 2001. http://hdl.handle.net/1983/f70796c9-735e-434d-9b47-7b44efb94a85.

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Маркевич, Віталій Едуардович, Виталий Эдуардович Маркевич, Vitalii Eduardovych Markevych та ін. "Досвід курсів тематичного удосконалення з актуальних питань педіатрії". Thesis, Видавництво СумДУ, 2009. http://essuir.sumdu.edu.ua/handle/123456789/5434.

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Ponto, Jamie. "The role of the physiotherapist in the neonatal intensive care unit: perceptions from neonatal healthcare professionals." University of the Western Cape, 2020. http://hdl.handle.net/11394/7570.

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Magister Scientiae (Physiotherapy) - MSc(Physio)<br>Background: The role of the physiotherapist in the neonatal intensive care unit is unclear. How other neonatal healthcare professionals and physiotherapists themselves perceive their role in the management of neonates, their practice patterns and services, their role in the neonatal intensive care multidisciplinary team, their use of evidence-based practice and awareness of the profession in this setting has not been well explored. This information is lacking in the South African healthcare context as well. Therefore, the aim of the study was

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Ramahi, Hanan. "Teachers leading school improvement and education reconstruction in Palestine." Thesis, University of Cambridge, 2018. https://www.repository.cam.ac.uk/handle/1810/277681.

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This dissertation presents an intervention-based study that aimed to enable teachers to improve teaching and learning in one school in Ramallah, Palestine. The non-positional approach to teacher leadership was adopted as a means to mobilise all teachers in the drive towards bottom-up, participatory school change processes that increase teacher self-efficacy and collaboration, build professional capacity and social capital, and promote sustainability. The Teachers Leading the Way programme provided a contextually tailored strategy, and set of instruments and tools that through reflective exerci

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Sams, Roderick Donnel. "Lessons from a rural Georgia school on developing successful professional learning communities." Click here to access dissertation, 2007. http://www.georgiasouthern.edu/etd/archive/fall2007/roderick_d_sams/Sams_Roderick_D_200708_edd.pdf.

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Thesis (Ed.D.)--Georgia Southern University, 2007.<br>"A dissertation submitted to the Graduate Faculty of Georgia Southern University in partial fulfillment of the requirements for the degree Doctor of Education." In Education Administration, under the direction of Meta Harris. ETD. Electronic version approved: December 2007. Includes bibliographical references (p. 110-118) and appendices.

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Govender, Thiloshnee. "Negotiating professional learning relationships in the cross-cultural school improvement context of Abu Dhabi, UAE." Thesis, Curtin University, 2019. http://hdl.handle.net/20.500.11937/80626.

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This study uses hermeneutic phenomenology to explore the uniquely-lived experiences of Western education advisors who lead teachers’ professional learning through mentoring in the cross-cultural school improvement context of Abu Dhabi, UAE. It specifically examines those dynamics that support or hinder the efficacy of education advisors, revealing the complexities of working in cross-cultural mentoring relationships. The findings, represented in a framework of cross-cultural mentoring interactions, indicate powerful connections between the elements of person, culture and context.

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Evans, Linda Anne. "Professional learning from the inside - teachers as agents of school improvement: a principal's case study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82028/4/Linda_Evans_Thesis.pdf.

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This study considered the relationship between professional learning, teacher agency and school improvement. Specifically, it explored the principal's role in supporting teacher agency in their professional learning. It found that, with appropriate pressure and support from principals, school improvement for the betterment of student learning is attainable through teacher professional learning that is based 'within' a school. Particularly, it ascertained that schools need to give greater attention to the allocation of time for teacher professional learning, specifically: time before, during an

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Palmatier, Randy Laverne. "The nature of professional development in a high-performing urban elementary school /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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Hill, Shannon D. "Leadership and sustainable change: The relationship between leadership practices of principals and reculturing schools as professional learning communities." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc9846/.

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This study examined the relationships between leadership practices of principals and strength of schools as sustainable professional learning communities. Strength of schools as professional learning communities was measured using the Professional Learning Communities Assessment; leadership practices were measured using the Leadership Practices Inventory both Self and Observer protocols. Findings indicated that neither principal's self-perceptions of their leadership practices nor teachers' assessments of their principals' leadership practices were related to strength of schools as professiona

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Brown, Jeremy Michael. "From student to professional: a case study of the teaching and learning environment during a formative transitional period in the career of new doctors." Thesis, Lancaster University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.493268.

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This case study explores the support of pre-registration house officers (PRHOs) through the crucial transition from student to doctor, enhancing understanding of other transition phases in a doctor's career and to the nature of transition generally in professional development. The views of Mersey Deanery PRHOs and their Educational Supervisors were gathered using both quantitative and qualitative methods between August 2000 and 2001.

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Mpofu, Charles. "Immigrant medical practitioners' experience of seeking New Zealand registration a participatory study : a thesis submitted to Auckland University of Technology in partial fulfilment of the requirements of the degree of Master of Health Science, 2007." Click here to access this resource online, 2007. http://hdl.handle.net/10292/404.

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This qualitative modified participatory study underpinned by social critical theory explored the experiences of immigrant medical practitioners seeking registration in New Zealand. The occupational science notions of occupation, occupational deprivation and occupational apartheid were used to understand the experiences of the participants. The objective of the study was to understand the experiences of the participants and facilitate their self-empowerment through facilitated dialogue, affording them opportunities for collective action. Data was obtained through in-depth interviews and focus g

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Novak, Renata P. "Investigating the Effectiveness of Professional Learning Communities in South Florida Public Schools." Thesis, NSUWorks, 2017. https://nsuworks.nova.edu/fse_etd/121.

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This applied dissertation was designed to verify the effectiveness of professional learning communities (PLC), as it relates to the participation of administrators and teachers. Prior studies have emphasized the importance of continuing learning experiences for school administrators while working. Chiptin (2013) pointed out the importance of a learning network for principals, in which principals would support each other and share knowledge as well as having a forum to discuss common problems. The writer used a quantitative questionnaire copyrighted by Southwest Educational Development Laborato

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Lindvall, Jannika. "Supporting instructional improvement at scale : The role of teacher professional development programs and mathematics curriculum materials." Licentiate thesis, Mälardalens högskola, Utbildningsvetenskap och Matematik, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-31441.

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We are currently witnessing an increase of international interest in mathematics education, fueled partly by the growing concerns of students’ declining results, but also by changed perceptions of what mathematics students should master. In response, many initiatives have appeared in order to move away from traditional to more inquiry based approaches to teaching. Though several small-scale studies have contributed much to our understanding on how to support teachers in this work, there is still a lack of research conducted on a larger scale. Therefore, the aim of this thesis is to add to our

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ALYAMANI, HANADI. "Targeted Areas of School Improvement in Saudi Arabia." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1481327990973813.

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DiGaudio, Lisa M. "Implications of the School Improvement Engine for Teacher Retention and School Organizational Health." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3292.

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Teachers working in urban schools in the United States are among those most at-risk for leaving the profession due to poor working conditions and lack of collegial relationships with school leaders and peers, among other factors. Use of professional development tools, such as the School Improvement Engine (SIE), may improve teacher retention and school organizational health; however, little research exists on the use of the SIE in charter schools. The purpose of this case study was to investigate New York City (NYC) school data on teacher retention and student achievement, how NYC charter scho

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Brown, Andrew Scott. "Differences in attitudes towards risk in the use of medical devices by doctors and nurses in an acute care setting : organisational, professional and personal dimensions." Thesis, Swansea University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678287.

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Smit, Nicolaas Andrias Johannes. "School-Initiated Type-2 Activities in Continuous Professional Teacher Development." Diss., University of Pretoria, 2002. http://hdl.handle.net/2263/78496.

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Professional development is more than marking an attendance register at a workshop. Professional development is a reflective process of continuous self-development that should inform the very essence of any learning context. This dissertation builds on how teachers experience school-initiated type-2 teacher professional development in secondary public schools and how their experiences may contribute to the work in the field of teacher professional development and assessment. Although a number of studies have examined teachers’ comprehension of the Continuous Professional Development framework

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Rose, Jeff W. "Professional learning communities, teacher collaboration and the impact on teaching and learning /." Connect to dissertation online, 2008.

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Molina-Walters, Debi. "Through the eyes of a teacher: Teacher change in response to professional development." Scholarly Commons, 2004. https://scholarlycommons.pacific.edu/uop_etds/2459.

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The purpose of this study was to explore the connection between a teacher's perceptions and attitudes of change and the impact of those perceptions and attitudes on the implementation of professional development strategies and techniques. This research also explored which factors motivate a teacher to change. A final consideration of this research is the issue of how the results of change are analyzed. The design of this study was a qualitative format with a phenomenological approach. The sample population consisted of twelve teachers from four states. The teacher sample was drawn from distric

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Gale, Keith. "An evaluation of performance improvement within public sector construction framework agreements." Thesis, Anglia Ruskin University, 2013. http://arro.anglia.ac.uk/295463/.

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Context of this research: The construction industry has a history of client dissatisfaction in the UK. In response, framework agreements have been developed to create relationships between suppliers and clients in order to improve project performance. This research aims to assess whether use of framework agreements can result in significant improvement for performance outcomes without a significant increase in costs when compared with traditional discrete methods, and if so, develop a procurement performance model for realisation and continuous improvement in performance. Research methodology:

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Gale, Keith. "An evaluation of performance improvement within public sector construction framework agreements." Thesis, Anglia Ruskin University, 2013. https://arro.anglia.ac.uk/id/eprint/295463/1/PhD%20Final%20Thesis%20April%202013.pdf.

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Context of this research: The construction industry has a history of client dissatisfaction in the UK. In response, framework agreements have been developed to create relationships between suppliers and clients in order to improve project performance. This research aims to assess whether use of framework agreements can result in significant improvement for performance outcomes without a significant increase in costs when compared with traditional discrete methods, and if so, develop a procurement performance model for realisation and continuous improvement in performance. Research methodolog

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