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Dissertations / Theses on the topic 'Tertiary care hospital'

Author: Grafiati

Published: 4 June 2021

Last updated: 26 July 2025

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1

Verhagen, Patricia. "Nosocomial rotavirus gastroenteritis in a Canadian tertiary-care hospital." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97189.

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Rotavirus (RV) is the leading cause of dehydrating gastroenteritis in young children. RV infections occur both in the community and in pediatric hospital-settings. Nosocomial RV gastroenteritis (nRVGE) incidence was assessed in a systematic review. Between 1 in 7 and 30 young children admitted to general pediatric wards will acquire nRVGE. Surveillance studies providing incidence estimates that include all inpatient hospital-wards are scarce.Our surveillance study assessed nRVGE incidence at a Canadian Pediatric Hospital. The incidence rate was 0.5/1000 inpatient-days (95%CI: 0.43-0.57) with n

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2

Matshikiza, Wonga. "Barriers to acute stroke care at a tertiary hospital in the Western Cape." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30928.

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Background Stroke guidelines recommend treatment of acute stroke as a medical emergency. In many countries prolonged delays occur before patients with acute stroke receive medical attention. Only a small percentage of patients are assessed in hospital within the time window for reperfusion therapy. There is limited available published data concerning barriers to acute stroke care in South African patients. The aim of this study was to determine the pre-hospital barriers and in-hospital delays to emergency care for patients presenting to Groote Schuur Hospital (GSH) with acute stroke. Meth

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Reimche, Leanne D. "Potential drug-drug interactions in a Canadian tertiary-care hospital." Thesis, University of Ottawa (Canada), 2008. http://hdl.handle.net/10393/27724.

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Drug-Drug interactions (DDIs) are an important focus of patient safety because they account for a substantial number of adverse drug events and are preventable. Objective. To study DDIs in a Canadian hospital, a retrospective observational study was completed using the Ottawa Hospital Data Warehouse. Study cohort. Admissions to the Ottawa hospital between January 1, 1999 and September 30, 2005. Methods. Potential drug-drug interactions were identified by examining all co-administered medications for combinations of drugs previously reported to have potential interactions. Poisson regression wa

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4

Huggins, Leslie Jane. "Immunization Status of NICU Graduates at a Tertiary Care Children's Hospital." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6333.

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The objectives of this study were to determine the current rates of immunization and identify variables associated with immunizations of NICU graduates who were 60 days of age or older at time of discharge. This is a descriptive pilot study utilizing retrospective paper chart review. The relationships between immunization status and study variables were examined using logistic regression. Of 43 infants discharged at least 60 days of age or older from the NICU, 74.4% were up to date for immunizations in accordance with AAP recommendations. Additional variables were not significant. Immunization

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5

Tanguay, Kimberly Ellen. "Sharing clinical wisdom, orienting new nurses to a tertiary care hospital center." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0018/MQ54250.pdf.

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6

Mbuthini, Linda. "The cost of providing consultative palliative care services in a tertiary hospital setting." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33861.

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Background The Sub-Saharan African region has sparse palliative care established to cater for patients facing life limiting conditions. In South Africa, costing frameworks for palliative care interventions for the public sector do not exist and the cost of running a comprehensive palliative care programme remains unknown. There are few costing studies to inform costs of palliative care models which are necessary for decision makers to base their decisions on. The aim of this study was to determine the costs and cost drivers for hospital based consultative palliative care service (HBPCS) in Sou

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Tassi, Ahmad. "Electronic Learning Management System Integration Impact on Tertiary Care Hospital Learners' Educational Performance." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2694.

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Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer hospital nurses a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting nurse educators in overcoming many of the obstacles in responding to nurses' needs in the clinical areas. This project used a randomized, 2-group posttest-only experimental design to measure the effect of treatment at a targeted hospital. The experimental group received a new instructional a

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Shipalana, M. L. "Turnover of health care professionals at Polokwane and Mankweng Tertiary Hospital in Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2013. http://hdl.handle.net/10386/1322.

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Thesis (LLM (Public Administration)) --University of Limpopo, 2013<br>Turnover of health care professionals is a global challenge and has severely affected developing countries. South Africa as a developing country is not exceptional on the problem of turnover rate of health care professionals. The high vacancy rate became evident in the recent years. The health institutions depend on the health professionals in providing quality health care services. The challenges that are facing the health institutions include lack of a clear understanding by managers of the factors that are cont

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9

Van, Zyl Danie G. "The efficacy of an intervention program aimed at diabetes care physicians regarding quality of diabetes care at a tertiary care hospital." Diss., University of Pretoria, 2003. http://hdl.handle.net/2263/27097.

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El-Atem, Nathan Abraham. "An investigation of ambulatory tertiary hospital resource utilisation by people with liver disease." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/180900/1/Nathan_El-Atem_Thesis.pdf.

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This thesis described the casemix, health resource utilisation and geographic clustering of demand for health services for liver disease using data collected from the Princess Alexandra Hospital, Brisbane. High levels of advanced liver disease were seen, with a high requirement for ancillary services. Younger patients and patients with less severe disease were less likely to attend scheduled appointments. Demand for specialty care was clustered within specific geographic areas. The findings of this program of research highlight some specific issues that need to be addressed, in order to improv

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11

Smith, Charné. "Implementation of a standardised insulin protocol in a tertiary level referral hospital." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/18387.

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In severely ill hospitalised patients with diabetes mellitus (type 1 and type 2) there is an increase in metabolic rate. Insulin requirements are increased and glycaemic control becomes more difficult to achieve. The insulin sliding-scale is a form of „top up‟ therapy used to supplement the patients existing hypoglycaemic medication. In 2002, research at Livingstone Hospital found that 14 different sliding scales were used in 38 patients (Du Plessis, 2002: 79). In 2006 the nurses and doctors working in the general medical wards at Livingstone Hospital indicated that they were willing to use a

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Reddy, Deveshnee. "Acinetobacter baumannii infections in the paediatric intensive care unit of a tertiary hospital in South Africa." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13974.

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Acinetobacter baumannii (A. baumannii) is now increasingly recognised as an important cause of nosocomial infections in paediatric intensive care unit (PICU) patients, particularly in developing countries, where it contributes significantly to morbidity and mortality. Furthermore, it has been documented that emerging antimicrobial resistance patterns complicate antibiotic choice in these patients. At present, more paediatric data is needed regarding these infections. This is a retrospective case-control study that aims to document the demographic data and relevant clinical details of patients

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Lovell, Mariann Engelhard. "Factors associated with inpatient tertiary hospital utilization and home care referral in patients diagnosed with Cancer /." The Ohio State University, 1999. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488191667181637.

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Hanekom, Susan. "The profile of a surgical ICU in a public sector tertiary hospital in South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2004. http://hdl.handle.net/10019.1/16335.

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Thesis (MScFisio)--University of Stellenbosch, 2004.<br>ENGLISH ABSTRACT: Objective: To describe the baseline data of a surgical ICU in South Africa before the implementation of an evidence-based physiotherapy practice protocol. Design: Prospective cohort observational study Setting: Ten-bed closed surgical unit in a university affiliated tertiary hospital. Patients: All adult ICU admissions from 16 June - 30 September 2003. Measurements: The patient’s clinical data including demographic information, admission diagnosis, surgery classification and co-morbidities were recorded on admissio

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Scheepers, Lorna Lorraine. "An exploratory study of the referral pathway of patients discharged from a tertiary hospital to home-based care in the Western Cape." University of the Western Cape, 2012. http://hdl.handle.net/11394/4628.

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Magister Curationis - MCur<br>The purpose of the study will be to explore the discharge referral pathway for patients that have been discharged from hospital to home in the Western Cape Province. A mix of quantitative and qualitative research, using a descriptive design will be undertaken. Quantitatively, following the patient paper trail from Tertiary Hospital to grassroots level. Qualitatively, to identify whether the referral pathway was user friendly. Records of discharged patients from the Tertiary Hospital will be used as the study population. Patient information will be accessed from pa

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Eiu-Seeyok, Busarin. "Quality and safety of inter-hospital transfers care of critically ill patients from rural community hospitals to the Tertiary Regional Hospital in Thailand : a focused ethnographic study." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33222.

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Background: The safety of critically ill patients during inter-hospital transfer is recognised as a globally important issue. However, little evidence exists pertaining to the care provided by transfer nurses throughout the processes of inter-hospital transfer in rural community hospitals where there is a high risk of adverse clinical events occurring during transportation. Aim: The overall aim of the study was to explore transfer nurses' understanding of the delivery of quality of care during the transfer of critically ill patients from rural community hospitals to a tertiary regional hospita

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Wu, Yanlan, and 吴艳兰. "Risk factors for death in pediatric intensive care unit of a tertiary children's hospital in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206970.

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Background: Most of the previous studies about risk factors associated with death in pediatric intensive care unit (PICU) were done in western countries and focused on physiological and laboratorial indexes. Some of them had inconsistent results. There were few studies about the epidemiologic profile of mortality and risk factors associated with death in the PICU in China. Compared with other countries, China has different health care policy, insurance system, population, culture, and socioeconomic situation that may affect disease outcomes differently. Some data showed that Chinese PICUs had

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Duncan, Kristal. "A cost comparison analysis of paediatric intermediate care in a tertiary hospital and an intermediate, step-down facility." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25251.

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Background: According to the National Cancer Registry of South Africa 600-700 new cases of paediatric cancers have been reported every year for the past 25 years. While in the year 2000 HIV/AIDS was responsible for 42 479 deaths in children under five. However support for and research in general for the paediatric intermediate care (encompasses palliative, sub-acute and respite care) needed by these children remains sparse. Costing studies are even rarer, with the few studies conducted in South Africa reporting a broad range of average costs per inpatient day. Methods: A retrospective cost ana

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Mesquita, Rutiene Maria Giffoni Rocha de. "Caracterização do tratamento de feridas complexas em um Hospital Geral." Universidade Federal de Roraima, 2013. http://www.bdtd.ufrr.br/tde_busca/arquivo.php?codArquivo=195.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior<br>Este trabalho teve como objetivo geral caracterizar o tratamento de feridas complexas num hospital geral nos meses de fevereiro e março de 2013.

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Oluchukwu, Obinwakeze Chidimma. "Perceptions and experiences of health professionals regarding conservative management of Osteoarthritis at a tertiary hospital in Nigeria." University of the Western Cape, 2018. http://hdl.handle.net/11394/6729.

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Magister Artium - MA<br>Osteoarthritis (OA) is the major cause of pain and disability in the elderly, as well as people younger than the age of 45. Research reported the importance of conservative management of OA in the early stages, as it has proved to be effective in slowing down the progression of the disease, as well as reducing the secondary effects of decreased functional ability and disability. Early referral could assist with effective pain management, decrease in disease progression and increase in functional ability and quality of life. Therefore, the overall aim of the study w

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Kidanto, Hussein L. "Improving quality of perinatal care through clinical audit a study from a tertiary hospital in Dar es Salaam, Tanzania /." Doctoral thesis, Umeå : Epidemiology & Global Health, Umeå university, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-27638.

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Kidd, Heather M. "The development, implementation and evaluation of a shared care model of nursing in a tertiary hospital using participatory action research and practice development." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/2411.

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For the last decade there has been a growing body of international evidence demonstrating the adverse effects on patient care caused by the continued international shortage of registered nurses (RN). One solution being explored in hospitals in Australia is to change their staffing mix by recruiting more graduate RNs, enrolled nurses (EN) and introducing unregulated workers (nursing assistants) as a strategy to increase the nursing workforce. To assist with managing the varied skill mix, hospitals have investigated team nursing as an alternative to the established RN dependent patient allocatio

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Maughan, Samantha Jane. "Outcomes of paediatric art patients down-referred from a tertiary and a regional hospital to primary care facilities in Buffalo City Municipality, Eastern Cape." University of the Western Cape, 2020. http://hdl.handle.net/11394/8054.

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Master of Public Health - MPH<br>Background: According to the Joint United Nations Programme on HIV/AIDS (UNAIDS) 340 000 children between 0-14years of age are living with HIV in South Africa as of 2019. Decentralization of HIV services was included in South Africa’s paediatric guidelines since 2010 in a bid to improve access to care. The current study sought to address the paucity of Eastern Cape (EC) data on the outcomes of down-referred paediatric antiretroviral therapy (ART) patients. These outcomes included retention in care (RIC) and virological suppression after 12 months Methodology: T

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Lee, Lik Hang. "Antipsychotic prescribing patterns on admission to and discharge from a tertiary care program for treatment-resistant psychosis at Riverview Hospital." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62479.

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The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.<br>Medicine, Faculty of<br>Anesthesiology, Pharmacology and Therapeutics, Department of<br>Graduate

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Kingwell, Emma Lee. "Do midwives possess the knowledge, skills and confidence to care for acutely ill women within the tertiary maternity hospital setting?" Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/1851.

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This study assessed midwives knowledge, skills and attitudes to maternity high-dependency care both before and after attendance at a hospital-based maternity high-dependency course. A mixed methodology design involved pre and post course knowledge testing, assessment of confidence and focus group interviews. Pearsons’s chi-square analysis indicated a statistically significant improvement in midwifery knowledge (p = < 0.001), skills (p = 0.005), and confidence (p = < 0.004) 12 months after course completion. Thematic analysis of the focus group interview transcripts revealed three core theme

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Moldovan, Ioana Doina. "Network Analysis of Methicillin-Resistant Staphylococcus aureus Spread in a Large Tertiary Care Facility." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35700.

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Methicillin-resistant Staphylococcus aureus (MRSA) is an antibiotic-resistant bacterium of epidemiologic importance in Canadian healthcare facilities. The contact between MRSA colonized or infected patients with other patients, healthcare workers (HCWs) and/or the healthcare environment can result in MRSA transmission and healthcare-associated MRSA (HA-MRSA) infections in hospitals. These HA-MRSA infections are linked with increased length of hospital stay, economic burden, morbidity and mortality. Although infection prevention and control programs initiated in 2009 in Canada and other develop

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Dapaah, Gloria Fremah. "The prevalence of HPV-positive Oropharyngeal squamous cell carcinoma at one of the largest tertiary care centers in Sub-Saharan Africa Tygerberg Hospital." University of the Western Cape, 2004. http://hdl.handle.net/11394/8145.

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Magister Chirurgiae Dentium (MChD)<br>CONTEXT Limited data on the prevalence of HPV-positive oropharyngeal squamous cell carcinoma (OPSCC) in Sub-Saharan Africa exist. The aim of the current study was to determine the prevalence of HPV-positive OPSCC at one of the largest tertiary care centers in the region (Tygerberg Hospital, Cape Town, South Africa). METHODS Sequential surgical samples of 266 cases of OPSCC diagnosed over a 10-year period (2007-2017) were selected for evaluation and relevant patient characteristics were documented. p16 immunohistochemistry (IHC) was performed as a screening

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Shafi, Mohammed. "Relationship between Patient of Safety Culture and Hand Hygiene among inpatient nurses: a retrospective study from a tertiary care hospital in the Middle East." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1571298284402806.

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Mwondela, Malala. "An exploration of the strengths and weaknesses of the referral and counter-referral system for maternal and neonatal health services between primary level health facilities and a tertiary hospital in Lusaka, Zambia." University of the Western Cape, 2017. http://hdl.handle.net/11394/5476.

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Master of Public Health - MPH<br>Introduction: Despite the progress that Zambia has made in reducing its maternal mortality ratio from 649 to 398 per 100,000 live births between 1996 and 2013/14, the country did not meet the Millennium Development Goal 5a target, of reducing the maternal mortality ratio by 75% (i.e. to a ratio of 162 per 100,000 live births) by the end of 2015. Thus, as is the case with many other countries, considerable challenges still remain in relation to reducing maternal mortality in Zambia. According to Zambia's Roadmap for Accelerating Reduction of Maternal, Newborn a

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GARCÍA, PICHARDO YANIN. "BENEFICIOS DE LA ESCARECTOMIA TEMPRANA Y TARDÍA EN PACIENTES GRAN QUEMADOS." Tesis de maestría, UAEM, 2021. http://hdl.handle.net/20.500.11799/112777.

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TESIS MAESTRÍA<br>INTRODUCTION: The scarectomy is the removal of non-functional tissue eschar for the epithelialization of the lesion, the intervention is considered early before 5 days after the burn. The purposes of the present investigation were to determine the importance of the scarectomy before it caused more complications, in a tertiary care hospital. MATERIAL AND METHODS: The study design was quantitative, epidemiological, retrospective, observational and descriptive, the sample was selected at convenience and included 30 clinical records of patients with a diagnosis of third degree b

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Correa, Alini. "Avaliação da passagem de acesso venoso central nos pacientes em sala de emergência de um Hospital Terciário." Universidade Estadual Paulista (UNESP), 2017. http://hdl.handle.net/11449/153079.

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Submitted by ALINI CORRÊA null (alinicorrea@yahoo.com.br) on 2018-03-18T22:49:51Z No. of bitstreams: 1 Dissertação de Mestrado Final 02 fev 2018 Final - Aline.pdf: 2102740 bytes, checksum: 20c05cd86371335809d233c979ef6968 (MD5)<br>Approved for entry into archive by Luciana Pizzani null (luciana@btu.unesp.br) on 2018-03-19T14:26:56Z (GMT) No. of bitstreams: 1 correa_a_me_bot.pdf: 2102740 bytes, checksum: 20c05cd86371335809d233c979ef6968 (MD5)<br>Made available in DSpace on 2018-03-19T14:26:56Z (GMT). No. of bitstreams: 1 correa_a_me_bot.pdf: 2102740 bytes, checksum: 20c05cd86371335809d233c979ef

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Khan, Rabia. "Perspectives on disclosure of HIV status to others among 12-19 year old HIV-infected adolescents attending an HIV care clinic at a tertiary hospital in Harare, Zimbabwe : a qualitative study." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16698.

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Includes bibliographical references<br>Introduction: The worldwide commitment to increasing services and access to antiretroviral therapy have resulted in a decline in HIV related mortality. As a result, the focus of HIV care is shifting towards improving the psychological health and quality of life. HIV infected adolescents are a group with unique psychosocial challenges. Given that HIV self disclosure has been recognized as an important challenge affecting their physical as well psychological health it warrants further exploration. Methods: A qualitative study was conducted during September

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Barakat, Soraia Fatima Coelho. ""Caracterização da demanda do Serviço de Emergências Clínicas de um hospital terciário do município de São Paulo"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5159/tde-07112005-174138/.

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A superlotação de serviços de emergência é problema sério e de grande relevância do sistema de saúde, não sendo restrito ao nosso meio. Os estudos que enfocam esse tema vêm tomando proporções na literatura internacional. O que se vem vivenciando há mais de uma década são prontos socorros lotados devido a um deslocamento da população em direção a estes serviços, configurando-os como prestadores de atenção primária de assistência à saúde e, não de fato, destinados ao atendimento de emergências. O principal objetivo do estudo foi recompor a trajetória do usuário do serviço de saúde até a chegada

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Maia, Leila Senna. "O processo de consolidação da Política Nacional de Saúde Bucal: a atenção terciária como desafio da segunda década da política de saúde bucal do SUS." Universidade do Estado do Rio de Janeiro, 2014. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=7064.

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Esta tese tem por objeto descrever e analisar o processo de desenvolvimento da Política Nacional de Saúde Bucal (PNSB) no terceiro nível de atenção. Para entender esse desenvolvimento, foram realizados três macroprocessos de pesquisa. O primeiro grupo de pesquisas procurou mapear a distribuição espacial dos hospitais com disponibilidade de leitos/SUS nos país e saber, dentre estes, quantos contam com serviços de atenção à saúde bucal cadastrados no Sistema de Cadastro Nacional de Estabelecimentos de Saúde (SCNES). O segundo grupo de pesquisas se ocupou em levantar junto ao DATASUS, através das

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Ellitt, Glena R. "CONTINUITY OF INTEGRATED PATIENT CARE: A patient centred study of medication management." Thesis, The University of Sydney, 2012. http://hdl.handle.net/2123/8780.

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This research is about enhancing the continuity of patient care. It focuses on medication management at the time of patient discharge from a cardiology unit in an Australian acute care hospital. That is, during the time of the patients’ transition from tertiary to primary care. The philosophical concept underpinning the research is centred on continuity of patient care which is defined, and then described, in the context of each chapter study undertaken. The main aim of the overall research was to conduct an original, empirical research project to identify, characterise, and investigate

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Irving, Athene. "Factors contributing to falls in a tertiary acute care setting in Cape Town, South Africa: a descriptive study." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32677.

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Introduction. Patient falls occur frequently in the acute hospital setting and are one of the most common adverse events experienced by hospitalised patients. In-hospital falls have negative outcomes for patients, causing injuries in up to half of those who fall. Falls in hospital create additional costs for health services due to increased length of stay (LOS), and greater health resource use. In contrast to much research focused on in-hospital falls worldwide, little is known about the rate, contributing factors and outcomes of inpatient falls in the state sector in South African hospitals.

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Luphai, Mbulaheni Rhona. "The role of advanced midwives regarding maternity care in tertiary hospitals in Gauteng." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/63047.

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The researcher explored the role of advanced midwives allocated in maternity care in tertiary hospitals in Gauteng. Advanced midwives form part of the multidisciplinary team in Gauteng tertiary hospitals in accordance with the staffing norms as prescribed by the Maternity Guidelines of South Africa for advanced practice nurses. Advanced practice nursing (APN) strengthens nursing and advanced practices to assist and fill in where there is a shortage of physicians in rural and densely populated areas. The scope of practice in tertiary hospitals for advanced practice nurses is not explicit

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Naidoo, Reené. "Epidemiology of Staphylococcus aureus bacteraemia at a tertiary children's hospital in Cape Town, South Africa." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3064.

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Kallon, Idriss Ibrahim. "Influences on the continuity of care for patients with Mycobacterium tuberculosis referred from tertiary and district hospitals." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29411.

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South Africa is one of the countries with the highest burden of Mycobacterium tuberculosis (TB) in the world. The fact that adult patients diagnosed with TB frequently do not attend their primary healthcare clinics after discharge from hospital for continued treatment remains a challenge for public health in South Africa. This qualitative study employed semi-structured interviews, focus group discussions and observations explored the experiences of patients, their families, healthcare workers and policy makers, with continuity of TB care following diagnosis in hospital. The key research questi

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Overett, Wendy. "A profile of the speech therapy and audiology clientele at a tertiary hospital in the Western Cape." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/26333.

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It became evident in the light of proposed changes in the healthcare system in South Africa that there was little descriptive client data with regard to Speech Therapy and Audiology Services in South Africa to support proactive service planning. This study therefore aimed to describe trends in the demographic, diagnostic, and attendance variables of first-time clients who had attended the Speech Therapy and Audiology out-patient department (OPD) at a tertiary hospital in the Western Cape over a five-year period (1999-2003). A longitudinal, retrolective, descriptive survey was conducted. Record

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Parbhoo, Anita Naginlal. "An exploration of clinicians’ experiences of the opportunities and challenges of being a hybrid manager at a hospital in the Western Cape." University of Western Cape, 2020. http://hdl.handle.net/11394/8059.

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Magister Public Health - MPH<br>Health systems require effective leadership and management in order to provide quality services especially in resource constrained low- and middle-income countries (LMICs). As in higher income countries (HICs), clinicians in LMICs often transition from a purely clinical to a hybrid role, which includes managerial responsibilities, without any management training. There are both challenges and opportunities in the hybrid manager role. This study explores clinicians’ experiences of the opportunities and challenges of being a hybrid manager in a tertiary academic h

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Asif, Akila. "Maternal satisfaction and recommendation of perinatal health facility : A cross sectional study measuring perceptions of mothers experiences of maternity care at tertiary care hospitals in Nepal." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385122.

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Background: To achieve better health outcomes it is important to identify those aspects of health care delivery system that determines patient satisfaction. The health care planners must therefore be cognizant of the opinions and expectations of those who utilize health care facilities to achieve better health outcomes. This also applies to maternal satisfaction. The study aimed to measure mothers satisfaction with maternity care and its association with various socio-demographic characteristics. Method: The study presented here is a quantitative cross-sectional study that utilizes secondary d

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Wiles, Jodi Isaacs. "Descriptive study evaluating the use of the Road to Health card by doctors in a tertiary paediatric hospital setting." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20295.

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Background: The South African Road to Health Card (RTHC) is a parent-held personal child health record used by health professionals and parents to monitor the health and development of a child. Low possession and retention of the RTHC by parents, as well as inadequate use of RTHC by health professionals, have lessened its efficacy and purpose. Objectives: This study aimed to describe the level of possession of the RTHC by a sample of caregivers of patients admitted to Red Cross War Memorial Children's Hospital (RCWMCH), and to determine the extent and accuracy of doctors' transfer of clinical

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Oosthuizen, Nicolene. "A profile of a paediatric population with feeding and swallowing difficulties at a tertiary hospital in the Western Cape." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/2931.

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Includes abstract.<br>Includes bibliographical resources.<br>Feeding and/or swallowing difficulties (FSD) have been associated with some of the leading causes of infant and child mortality in South Africa. Preventable conditions such as lower respiratory tract infections (LRTI) and under-nutrition may be caused by FSD. FSD are frequently reported in paediatric populations and may occur with various medical co-morbidities. The nature of FSD is however under described and information specific to developing countries is scarce. Furthermore, limited information regarding the service delivery requi

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Murray, Daphne. "The impact of divorce on work performance of professional nurses in the tertiary hospitals of the Buffalo City municipality." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/424.

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Divorce is a phenomenon that affects the emotional, physical and social wellbeing of the divorcees and those close to them. The situation becomes complicated if the affected person has a responsibility of providing caring and nurturing services to the sick, either as a manager or as a practitioner. The extent of how the impact of divorce affects the performance of professional nurses in their roles as carers and as managers was unknown. The nature and quality of services that they render to their patients, their coping strategies and the support systems were unknown. The purpose of the study w

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Schuster, Delia. "Compliance with surgical antibiotic prophylaxis guidelines: a prospective descriptive study at a tertiary level hospital in Cape Town, South Africa." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32965.

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Background: The aim of surgical antibiotic prophylaxis (SAP) is to prevent surgical site infection (SSI) by administering an appropriate antimicrobial agent perioperatively. However, SAP may be associated with adverse effects and incurs added costs. The primary objective of this prospective study is to establish whether clinicians are adhering to existing perioperative antibiotic prophylaxis guidelines in terms of indication, dosage and timing of SAP. Secondary objectives are to determine the proportion of patients receiving inappropriate antibiotics; and to evaluate correct practice concernin

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Du, Plessis Anneki. "Guidelines for psychiatric nurses to assist in the care of female patients with bipolar disorder during their admission and stay in a tertiary level psychiatric facility in the Eastern Cape, South Africa." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1021160.

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Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative appro

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Berwers, Juan. "The diagnostic yield of computerised tomography in human immunodeficiency virus (HIV) positive psychiatric patients at a tertiary hospital in the Western Cape." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27453.

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Background. HIV infection increases the risk for mental illness. Neuroimaging is an important part of the diagnostic workup in HIV+ psychiatric patients; CT is the primary neuroimaging modality available in resource limited settings. Despite advances in neuroimaging no clear guidelines exist for the use of CT in psychiatric settings. Objective. To determine the diagnostic yield of CT brain (CTB) scans in HIV+ psychiatric patients and to describe these abnormalities as well as demographic and clinical variables associated with abnormal CT scans. Methods. A retrospective study was conducted at t

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Gingi, Pelisa. "Factors associated with the psychological response of nurses’ victims of inpatients violence in a psychiatric facility for adults with intellectual disability in cape town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4024.

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Background and Research Problem: It is well-known that nurses around the world are exposed to various forms of violence at their workplaces. In psychiatric facilities, many of these incidents are perpetrated by patients against nurses. There is a perception that the current legislation and regulations in the country do not adequately protect psychiatric nurses (health care workers in general) against workplace violence. The preliminary literature suggested that most quantitative studies on workplace violence in psychiatric facilities have concentrated on secondary and tertiary psychiatric hosp

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Henderson, Terri. "Pediatric consultation-liaison psychiatry : a description of the consultation-liaison service offered by a tertiary level children's hospital in Cape Town, South Africa." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2798.

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