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1
Fallon, Marie M. "Quantitative Study of the Appointment Process of Local Board of Health Members in Ohio and the Relationship to Board Effectiveness". Bowling Green State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1245267197.
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Walls, J., Patricia M. Vanhook y L. Odom. "School-Based Health: A University and Board of Education Partnership". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7439.
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Magers, Megan. "A Mixed-Methods Approach to Examining the Memphis Crisis Intervention Team (CIT) Model: An exploratory study of program effectiveness and institutionalization processes". Doctoral diss., University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5811.
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The present study utilized a mixed-methods strategy to examine the effectiveness, diffusion, and institutionalization of the Memphis Crisis Intervention Team (CIT) model. To evaluate the effectiveness of the training component of the CIT model, a panel research design was employed in which a sample of 179 law enforcement officers and 100 correctional officers in nine Florida counties were surveyed on the first day of training (pretest), the last day of training (posttest), and one month following their completion of CIT training (follow-up). These surveys measured the extent to which CIT training achieved several officer-level objectives, including increased knowledge of mental illness and the mental health referral process, improved self-efficacy when responding to mental health crises, and enhanced perceptions of verbal de-escalation skills, mental health services in the community, and the mental health referral process. The results of these surveys revealed officers experienced a statistically significant increase on every measure of training effectiveness between the pretest and posttest data collection points. However, a significant decline was found among the 117 officers that responded to the follow-up survey on the measures associated with self-efficacy and perceptions of verbal de-escalation, which points to a measurable decay in the effectiveness of the training in the intermediate timeframe with regard to these two measures. To examine the extent to which the diffusion of the CIT model resembles a social movement in the field of criminal justice and to explore the impact of CIT institutionalization on the organizational structure of criminal justice agencies, an online survey was distributed to 33 representatives of law enforcement and correctional agencies known to participate in the CIT program in the nine Florida counties in which officers were surveyed. The results of this survey indicate interagency communication and external pressure from mental health providers and advocates largely contribute to the decision of criminal justice agencies to adopt the CIT model. In addition, the findings of this survey suggest criminal justice agencies modify their organizational structure in a number of different ways to internalize and institutionalize the CIT model. By coupling a training program evaluation with an assessment of diffusion and institutionalization, this study makes a unique contribution to organizational and evidence-based literature.Ph.D.
Doctorate
Dean's Office, Health and Public Affairs
Health and Public Affairs
Public Affairs; Criminal Justice
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Casey, Lynda. "Perceptions of Community Health Board members regarding community empowerment and participation". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ36347.pdf.
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Seow, Jireh Hooi Inn. "Understanding leadership and management development in a health board of NHS Scotland". Thesis, Robert Gordon University, 2012. http://hdl.handle.net/10059/899.
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This doctoral thesis, entitled Understanding Leadership and Management Development in a Health Board of NHS Scotland, is completely written by Jireh Hooi Inn Seow for submission to meet the partial requirements of the Doctor of Philosophy. This doctoral research is in the field of leadership and management development. It explores and seeks to understand healthcare leadership and management development in a region (officially called a Health Board) of NHS Scotland. It employs a qualitative methodology, anchored within a broad approach of interpretivism, and the fieldwork data collection methods of interviewing and participant observation to inform the objective of this study, which is to investigate the prominent behavioural attributes, values, attitudes, traits, ways of thinking and feelings, or actions exhibited by the research subjects who are emergent Scottish healthcare leaders and managers. This research involves two stages of data collection where the second round of interviews takes place slightly more than a year after the first round. After reviewing the literature on seven popular leadership and management development practices or programme, and after the analyses of qualitative empirical data from the fieldwork, this research provides the discovery of how the healthcare professionals are developed as well as an understanding of a mechanism underlying their leadership and management development. The application of meme theory, the main theoretical lens of this research, reveals the workings of a memetic mechanism behind leadership and management development. Thus, this main contribution of this research is the addressing of the relative shortage of research publication on leadership and management development, particularly on the mechanisms underlying leadership and management development, by showing how healthcare professionals are developed into leaders and managers via the spread, replication, transmission, and acquisition of memes; this study then offers suggestions of how leadership and management development programme could be designed in light of such a memetic leadership and management development. The main contribution of this research also includes the discovery of leadership and management development memes which are then categorised into four memeplexes labelled as the Altruism Memeplex, the Motivation Memeplex, the Motivating Memeplex, and the People-developing Memeplex. In addition, a minor contribution of this study is a novel interview data collection method in the research design that incorporates 360-degree feedback.
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Aliyu, Attahir Murtala. "On-board health monitoring of power modules in inverters driving induction motors". Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/40123/.
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This thesis presents an on-board methodology for monitoring the health of power (converter) modules in drive systems. The ability to keep regular track of the actual degradation level of the modules enables the adoption of preventive maintenance, reducing or even eliminating altogether the appearance of failures during operation, significantly improving the availability of the power devices. The novelty of this work is twofold: the complete system that is used to achieve degradation monitoring; combining the heating technique (to obtain thermal transient) and the measurement without additional power components such as IGBT, MOSFETS, which affects the reliability, power density and complexity. The only additional component is an analog measurement circuit, which can be integrated into the gate drive board. The test routine is carried out during non-operational periods and idle times. Trains are used as a case study, where checks for degradation are made when the train is not in use, such as at the end of the day, after daily operation or at the start before daily operation and other non-operational periods. It is important to keep the train at standstill while tests are carried out. Hence a methodology to heat the devices with current from the input supply while keeping the motor load at a stand-still is presented. Experimental results obtained from this show that it is possible to implement an on-board health monitoring system in converters which measures the degradation on power modules. The work uses the concepts of vector control heating and structure function to check for degradation. It puts forward a system that is used on-board to measure the cooling curve and derive the structure function during idle times for maintenance purposes. The structure function is good tool for tracking the magnitude and location of degradation in power modules. Vector control gives the advantage of controlling the motor with field current and torque current (similar concept to DC motors).
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Riesco, Refoyo Javier. "Development of battery models for on-board health estimation in hybrid vehicles". Thesis, KTH, Materialvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-211680.
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Following the positive reception of electric and hybrid transport solutions in the market, manufacturers keep developing their vehicles further, while facing previously undertaken challenges. Knowing the way lithium-ion batteries behave is still one of the key factors for hybrid electric vehicles (HEVs) development, especially for the requirements of the battery management system during their operation. Hence, this project focuses on the necessity of robust yet reasonably simple and cost-effective models of the battery for estimating the health status during the operation of the vehicles. With this aim, the procedure and models to calculate the state-of-health (SOH) indicators, internal resistance and capacity, are proposed and the results discussed. Two machine-learning based models are presented, a support vector machine (SVM) and a neural network (NN), together with one equivalent circuit model (ECM). The data used for training and validating the models comes from testing the batteries in the laboratory with standard performance tests and real driving cycles along the battery lifespan. However, data sets measured in actual heavy-duty vehicles during their operation for three years is also analysed and compared. With respect to this matter, a study of the battery materials, behaviour and operation attributes is carried out, highlighting the main aspects and issues that affect the development of the models. The inputs for the models are signals that can be measured on-board in the vehicles, as current, voltage or temperature, and other derived from them as the state-of-charge (SOC) calculated by the internal battery management unit. Time-series of the variables are used for simulation purposes. The management of signals and implementation of the models is done in the environment of Matlab-Simulink, using some of its in-built functions and other specifically developed. The models are evaluated and compared by means of the normalized root mean squared error (NRMSE) of the voltage output profile compared to that of the tested batteries, but also the error of the internal resistance calculations calculated from the voltage profile for the three models, and the internal parameters in case of the ECM. While despite the difficulties faced with the data, the models can eventually perform accurate estimations of the resistance, the results of the capacity estimations are omitted in the document due to the lack of useful information derived. Nevertheless, the calculation procedure and other considerations to take into account regarding the capacity estimation and data sets are undertaken. Finally, the conclusions about the data used, battery materials and methods evaluated are drawn, laying down recommendations as to design the performance tests following the conditions of the driving cycles, and indicating the higher general performance of the SVM respect the other two methods, while asserting the usefulness of the ECM. Moreover, the battery with NMC material composition is observed to be easier to predict by the models than LFP, also showing different evolution of its internal resistance.
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Nehrt, Jennifer Lynn. "Promoting Positivity: Securing Memphis's Image in Times of Crisis". Thesis, Virginia Tech, 2017. http://hdl.handle.net/10919/78287.
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Situating the 1878 yellow fever epidemic in Memphis's long history shows how concern over Memphis's national reputation influenced how city leaders dealt with crisis. Throughout its history, Memphis government officials and business leaders promoted Memphis as a good city to do business, free from disease and racial strife. Despite their best efforts, they could not deny explosive incidents of racially-based violence or disease outbreaks. Instead, they tried to mitigate negative repercussions on the local economy during times of crisis. When the 1878 yellow fever epidemic struck, the Citizen's Relief Committee, the impromptu government formed by business leaders after outbreak, promoted Memphis as a functioning white city that was operating the best it could under terrible circumstances so the city could resume normal economic activity once the fever passed. This became the dominant narrative, repeated by newspapers across the country in 1878 and historians today.
This narrative is problematic because it ignores black Memphians, who composed of 80% of the city's population after outbreak. Instead of recognizing black Memphians participation in relief activities, they promoted stories in the media about lazy or riotous African Americans to justify denying sufficient aid to the black community. Catholics had better luck earning the gratitude of Memphis's leaders. They worked with the white government and charities as nurses and fundraisers, and earned a glowing reputation in national newspapers. The inclusion of African Americans and Catholics in this thesis tells a more complete story and challenges white Memphians' carefully cultivated narrative.Master of Arts
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Scott, Raymond John. "Toward self empowered community teams within Inuvik Regional Health and Social Services Board". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0007/MQ41818.pdf.
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Guzman, Jill. "Comparison of the Wii Balance Board and the BESS Tool Measuring Postural Stability in Collegiate Athletes". Thesis, The William Paterson University of New Jersey, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3613089.
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Proper evaluation of postural stability is an integral part of the comprehensive management of concussed athletes. Clinicians are in need of a cost-effective and objective tool to assist them in their assessments performed in a variety of health care settings. This non-experimental design compared the Wii Balance Board (WBB), a recreational gaming system, to the Balance Error Scoring System (BESS), a tool developed for sports medicine clinicians for the assessment of postural stability in concussed athletes. The WBB has been proven to be used in various settings for rehabilitation but has not yet been used for the assessment of postural stability (Butler et al., 2010). This study hypothesized whether the WBB, when compared to the BESS, is an objective tool that can be used as an acceptable measurement of postural stability in college athletes. Ninety-one male collegiate football players participated in the study and were measured for postural stability both with the WBB and the BESS tool. Findings revealed that there was a direct and positive correlation between these two instruments. The WBB when compared to the BESS is found to valid tool in assessing postural stability. These results lay the foundation for future research on the WBB and its' usefulness in measuring postural stability. The portable and cost effective WBB potentially could be used in various settings to aid in the concussion management of athletes. It is imperative that nursing becomes more actively involved in the research, prevention and education of concussions. Nursing plays an integral role in the management of concussions and future research on concussions should be conducted by nurse scholars.
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Davis, Sharon H. "Outcomes of the Implementation of the Mental Health Recovery Measure in the DeKalb Community Service Board Population". Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/91.
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The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used in this study. The current study followed the implementation of the recovery model in the DeKalb Community Service Board (DeKalb CSB). DeKalb CSB has 12 locations that serve 10,000 patients with mental illness, substance abuse, and developmental disabilities each year. Only patients with primary diagnoses of mental health or substance abuse disorders were considered for this study. Implementation of the MHRM began in December 2008 and included all DeKalb CSB patients, however only new DeKalb CSB patients were considered for this study. During 13 months of data collection 960 clients completed 2 assessments and 196 completed 3 assessments. A new consumer is defined as someone who has just completed the intake process and has no record of previous service at DeKalb CSB. The current study examined trends in MHRM data in the DeKalb CSB population; and offered recommendations for future implementation.
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Nagashima, Takeshi. "Arthur Newsholme and English public health administration 1888-1919". Thesis, University of Sussex, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366211.
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England came to have a nation-wide administrative system for public health in the 1870s. It consisted of the local councils which were designated as sanitary authorities and the Local Government Board (LGB) as the central department. This thesis explores how public health reform was pursued under this administrative system, by tracing the career of Arthur Newsholme (1857-1943), who served as Medical Officer of Health (MOH) for Brighton, 1888-1908, and as Medical Officer to the LGB, 1908-19. The main aim of the thesis is to examine the activities in which Newsholme was involved and his views, in order to consider the development of public health activities, or state medicine, in relation to the traditional notions of government and society in England, that underlay the administrative system such as 'minimal government', , local self-government' or 'voluntarism'. The first half of the thesis deals with public health reform in Brighton during Newsholme's years of office as local MOH. Particular attention is paid to how the scope of public health administration was decided through interactions between the MOH and the local council as a representative body of the community, and to how voluntary efforts were involved in its extension. The second half deals with Newsholme's administrative ideas and activities in the process of, and after, becoming the country's leading health official. By the time of his assumption of office at the LGB, Newsholme envisaged a comprehensive state medical service as the ultimate medical ideal. The thesis examines how he tried to pursue this ideal by means of reconciling it with traditional ideas of government. Special attention is paid to Newsholme's difference from his fellow reformers such as the Webbs and George Newman, particularly in respect of their recognition of the framework of centralllocal relations that underlay the administrative system, and concerning how reforms should or could be proceeded with by means of central bureaucratic initiatives.
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Erickson, Merideth McCallick. "Executive Director Experiences with Consumer Operated Service Provider Governing Board Members". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3441.
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Consumer Operated Service Providers (COSPs) are programs that are directed and administratively controlled by mental health consumers for their peers. As such, many mental health consumers have been placed in the position of serving on a COSP and often with unclear descriptions and no training. As a result, there is often a disconnect between the will of the board and the vision of the executive director, leading to tension and the possibility of failed mission. Using servant leadership as the guide, the goal of this case study was to explore the experiences of executive directors who operate Consumer Operated Service Providers (COSPs) in Texas that specialize in mental health recovery support services to better understand how they work with mental health consumers serving as their governing board members. Data were collected through semi-structured interviews with 7 executive directors of COSPs in Texas. Interview data were inductively coded, then subjected to a thematic analysis procedure. Findings revealed that the concept of servant leadership is commonly used to empower board members and create healthy working relationships between boards and executive directors, particularly around the area of motivating board members to engage with the organization. It was also revealed that the existence of COSPs, in conjunction with traditional governing boards, provides a good balance and perspective relative to strategic planning activities and fundraising. Positive social change implications include recommendations to executives of COSPs to more adequately mobilize and train consumer board members in order to achieve organizational goals that often include consumer focused care and treatment for a wide range of mental health issues.
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Pethebridge, Andrew Psychiatry Faculty of Medicine UNSW. "Rehabilitation of the impaired doctor by the New South Wales Medical Board". Awarded by:University of New South Wales. School of Psychiatry, 2005. http://handle.unsw.edu.au/1959.4/22038.
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The New South Wales Medical Board established a Health Programme for the assessment and rehabilitation of doctors whose clinical performance was impaired by alcohol or psychoactive substance use, mental or physical illness. This programme was developed to be individualized to the needs of each registrant. The present study has three aims: 1. To describe those doctors who participated in the Board???s Health Programme. 2. To chart the duration of involvement of these doctors through the programme. 3. To examine the outcomes associated with this programme. The study is based on the prospective cohort of all 181 impaired doctors who participated in the Health Programme between July 1st 1993 and April 30th 2001. Information on each registrant was collected at the time of the initial assessment and at each review conducted as part of the programme. Additional qualitative data was also collected and supplemented by a file audit conducted in August and September 2001. One hundred and eighty-one doctors were prospectively monitored as part of this study. The largest source of impairment was psychiatric illness (45.3%), 77% of the doctors were male. The average age of the cohort was 41.6 (sd 11.1) years. Impaired doctors were more likely to be working in emergency medicine or psychiatry and be based in a rural area. Of those who had finished their involvement in the programme, successful graduates participated for a mean of 38.2 (sd 22.3) months. In general outcomes of involvement were positive, 64 of 113 (56.6%) of doctors successfully graduated from the programme. One hundred and ten of 168 (65.5%) improved during the period of their involvement and 111 of 126 (88.1%) were working in medicine. Five, 2.8% of the participants died during the period of this study. Measures of registrant insight and support tended to increase during the period of involvement with the Health Programme. Future studies will need to establish evidence for the most appropriate interventions with impaired doctors. This process would be strengthened by the collection of standardized data across intervention programmes, supplemented with functional assessments and the collection of qualitative data.
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Chang, Kathryn J. "The Influence of Ownership on Hospital Board Governance and Strategic Cost Management". University of Toledo / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1382895790.
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Garrett, Stephen. "Unruly conversations with a health council, giving voice a place at the board table". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59442.pdf.
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Mangan, Brian Gerard. "The implementation and evaluation of a quality assessment and quality improvement system in mental health services within a health board". Thesis, Queen's University Belfast, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301742.
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Jones, Caron. "Molecular epidemiology of extended-spectrum β-lactamase (ESBL) carrying Enterobacteriaceae at ABM University Health Board". Thesis, Swansea University, 2012. https://cronfa.swan.ac.uk/Record/cronfa42241.
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Extended-spectrum beta-lactamases (ESBL) mediate resistance to 3rd generation cephalosporins and aztreonam in Enterobacteriaceae and pose major clinical problems. Screened Enterobacteriaceae were collected from PHW Microbiology ABM Swansea laboratory and were demonstrated phenotypically to be ESBL- producers by BSAC methods. Isolates were identified using the BD Phoenix Automated system and Bruker Daltonics MALDI Biotyper. 138 isolates were genetically defined as ESBL-producers (103 Escherichia coli, 32 Klebsiella spp., 2 Enterobacter cloacae and 1 Citrobacter freundii) and 4 isolates (2 E. coli, 1 Enterobacter cloacae and 1 Morganella morganii) were genetically confirmed as AmpC-producers. PCR analysis revealed that the most prevalent ESBLs were CTX-M (n=133), predominantly Group 1 (n=128), of which 51% (66/128) contained the I526-CTX- M-15 link region, which is characteristic for epidemic E. coli strain A. PFGE confirmed that these isolates had a clonal relatedness to epidemic E. coli strain A. Allele-specific PCR revealed that all E. coli positive for I526-CTX-M-15 belonged to clone 025b-ST131 (found internationally), which has a high virulence potential and encompasses diverse PFGE patterns. With the molecular epidemiology established; the sensitivity and performance of phenotypic screening and confirmatory assays were analysed so that optimal strategies to handle difficult-to-identify ESBL resistance traits could be determined. In this study, the sensitivity of ESBL screening increased to 100% when ceftazidime was used alongside cefpodoxime. Isolates harbouring ESBL genes are often difficult to treat, as options are greatly limited. Susceptibility to various well-established antibiotics, along with temocillin and tigecycline, were investigated. Temocillin and tigecycline were effective against 98% and 89% of all isolates tested. The carbapenems were the most active antibiotics with 100% of isolates susceptible to imipenem and meropenem and 99% susceptible to ertapenem. Biofilm production in E. coli was also investigated. The pgaABCD gene locus was detected in all ESBL and AmpC-producing E. coli isolates (n=105); however, only 38% of these produced a phenotypic biofilm.
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Técher, Lucine. "Developing smoking cessation services in primary care : a case study of one Scottish Health Board". Thesis, University of Edinburgh, 2005. http://hdl.handle.net/1842/29394.
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This research found that smoking cessation experienced difficulties commonly associated with the implementation of health promotion practice within the primary care setting. The research has also shown that it is crucial to account for perceptions around the suitability and capacity of the settings within which health promotion strategies are implemented, and the ethical/theoretical frameworks informing the interventions offered by service providers. Many of the difficulties experienced in developing services were attributed to a perceived lack of funding, and priority assigned to smoking cessation nationally. However, there has been an increased political priority and financial commitment to the NHS smoking cessation strategy since the fieldwork was carried out, the potential implications of which are discussed in the thesis. The research provides the first in-depth analysis of smoking cessation service development in Scotland. In doing so, it has highlighted some of the key issues associated with the development and delivery of sustainable smoking cessation services, particularly within the primary care setting. It lends support to many of the recent policy initiatives and recommendations that have witnessed an increased financial commitment to the development of the NHS smoking cessation strategy, and potentially improved co-ordination/management and monitoring of Scottish services. Additionally, it recommends that future smoking cessation strategies should account for the setting in which they are to be implemented, the ethical/theoretical frameworks informing service provision within these settings, and where smoking cessation is perceived to sit within ‘core’ work duties. Future research should investigate the impact of increased funding, and the potentially more efficient monitoring and co-ordination of services on smoking cessation service development in Scotland.
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Sanders, Danna Lane. "An Evaluation of the Utilization and Outcomes of a Georgia County Board of Health Innovative Worksite Wellness Policy". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/64.
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Introduction: Adult obesity is a significant public health problem, increasing chronic disease and resulting in health and economic implications. The worksite environment provides a setting for comprehensive Worksite Health Promotion programs that can benefit employees and employers. However, the literature identifies barriers to implementation of WHP programs and achievement of positive outcomes. The purpose of this study was to determine if a DeKalb County Board of Health Employee Wellness Policy that provides work breaks during the workday for employees to engage in wellness activities has resulted in actual use of the break and employee perceived benefits. The study also examined barriers to use of the wellness break. Methods: In collaboration with the DeKalb County Board of Health, a cross-sectional study of 187 employees across eight locations was conducted. The survey instrument included both quantitative and qualitative questions and was administered electronically or in person via group administration. Results: Of survey respondents, 74% knew about the Employee Wellness Policy, 57% understood policy guidelines, and 41% had ever used wellness breaks. Respondents most often reported using wellness breaks for physical activity, most often for walking/jogging. A majority of employees using wellness breaks reported positive outcomes including: increased physical activity (64.4%), weight loss (65.2%), increased productivity (79.5%), improved work relationships (86%), increased work morale (64.4%), and increased overall positive outlook (69.9%). Barriers to utilization included: lack of time, lack of knowledge, lack of encouragement from management, and clinical setting. Management employees were significantly more likely to know about the policy and understand policy guidelines compared to non-management employees. Clinical employees were significantly less likely to ever use wellness breaks and less likely to feel their manager supports the policy. Conclusion: Sampled employees participating in wellness breaks perceive health and work-related benefits; however barriers have prevented some employees from utilizing the breaks. Quantitative and qualitative data may inform wellness policy changes for improved utilization and outcomes. Findings related to self-reported employee outcomes provide some support for a discretionary paid work break policy in the workplace.
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Stuart, Annie. "Parasites lost? The Rockefeller Foundation and the expansion of health services in the colonial South Pacific, 1916-1939". Thesis, University of Canterbury. History, 2002. http://hdl.handle.net/10092/1023.
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A mix of economic interests, humanitarianism, and political concerns over future regional security and stability drove twentieth century attempts to counter indigenous morbidity and depopulation in the Pacific. However, chronic under-resourcing impeded colonial health developments. An opportunity for change came in 1913, when the International Health Board of the Rockefeller Foundation negotiated with the British Colonial Office for joint programmes to control hookworm disease in Britain's tropical dependencies. After surveying the health situation and potential for work in the Pacific region in 1916, a short-lived campaign followed in Fiji (1917-1918). The American philanthropy then focused on Australia, where co-operative hookworm programmes advanced the objectives of the Foundation and increased Federal involvement in public health while and also served the interests of "White Australia". Under Dr. Sylvester Lambert, work in the Island Pacific resumed in 1920, to promote the health and economic viability ofindigenous labour in the Australian territories of Papua and New Guinea. Plantation interests supported survey and treatment work in the British Solomon Island Protectorate, and in 1922 the Fiji campaign re-opened. Lambert expanded the International Health Board's involvement from initial hookworm survey and treatment programmes in the British and New Zealand dependencies in the South Pacific, into other aspects of public health and medical services: water supplies and latrines; a bacteriological laboratory in Suva; hospital expansion; and medical education. Integrating local initiatives, Lambert advocated a Unified Pacific Medical Service, in which key elements were centralisation., rationalisation and affordability. The most radical aspect of his plan was the development of a Central Medical School for the Pacific territories, to provide targeted professional training for indigenous medical practitioners who had a crucial (although still subservient) role in economic service delivery and the diffusion of biomedical understanding among local communities. Also controversial - and Jess successful - were attempts to improve the career opportunities and standard of European Medical Officers, by creating a single medical service for the British Pacific dependencies. Attempts to achieve these goals influenced the shape and outcome of health and medical services which developed in the different island communities by 1939, when Lambert's retirement signalled an end to active Rockefeller Foundation involvement. This thesis examrnes the ways in which colonial administrations, medical staff, the Rockefeller Foundation, labour and mission interests, and Pacific Islanders interacted in the introduction of the dramatically new medical concepts and practices of western science (and specifically tropical medicine) and their effect on indigenous populations.
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Domingue, Jean-Laurent. "Exploring the Production of “Dangerous Persons” in Forensic Psychiatry: A Critical Ethnography of the Ontario Review Board (ORB)". Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42688.
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Forensic psychiatric nursing is a specialty at the junction of two well-researched intersecting systems with two different mandates: criminal justice (public protection) and health care (public good). Nurses’ involvement at one of the systems’ points of juncture, review board (RB) hearings, has largely been left unexplored. At RB hearings, a panel of legal and health care professionals determines if persons unfit to stand trial (UST) or not criminally responsible on account of mental disorder (NCRMD) represent significant threats to the safety of the public, and orders conditions aimed at keeping the community safe. The aim of this research project was to explore how psychiatric and public safety discourses construct the identity of persons UST or NCRMD during RB hearings, and nurses’ contribution to such identity construction. Critical ethnography methodology was employed, mobilizing three data sources: interviews with forensic psychiatric nurses, observations of RB hearings, and RB documentary artifacts. A poststructuralist lens was used to discern how RB culture produces truths about persons UST or NCRMD that sustain the hegemony of public safety and psychiatric discourses. The main finding was that the forensic psychiatric structure leverages therapeutic nursing interventions and documentation as evidence of deviancy, so that persons UST or NCRMD can be objectified and produced as dangerous, prior to socially rehabilitating them. Discursive structures sustaining the forensic psychiatric system inscribe nursing care within a disciplinary scheme, rendering it coercive and punitive. Thus, a care-and-custody dichotomy is insufficient to explain the complex processes at play in forensic psychiatry. These findings have implications for research, practice, and education in forensic psychiatric nursing, nursing ethics, and other nursing specialties on the medico-legal borderland.
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Veronesi, Gianluca. "Organisational governance in the national health service : The role and functions of the board of directors". Thesis, University of Leeds, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.535657.
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Goldie, Duncan Andrew Scott. "Changing organisational archetypes in the NHS in Scotland : a case study of 3 Scottish health board areas". Thesis, University of the West of Scotland, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414267.
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Harkness, Marilyn Gale. "Lessons learned in developing a conflict management model for implementing regional health board policy in small rural communities". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ54555.pdf.
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Lawrence, Janika Mary Natasha. "Making time to communicate: a case of internal change communication within a District Health Board in New Zealand". Thesis, University of Canterbury. Management, 2011. http://hdl.handle.net/10092/5935.
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Communication is fundamental to the ongoing function of an organisation. Its study is important in order for communication managers to refine internal communication processes and achieve employee engagement, particularly with change communication. To gain a comprehensive understanding of the way communication is experienced in an organisation, it is necessary to examine it from the communicators' perspectives. An interpretive research approach seeks to understand phenomena from subjects‟ perspectives and so provided an ideal research framework for this study.
This thesis reports on a study of the sense frontline staff within a large public health organisation made of the change communication related to the introduction of the change initiative Making Time for Caring (MT4C) and presents the conceptual model of sensemaking about change communication that emerged from this study. In so doing, it provides a rich picture of participants‟ sensemaking behaviour and a conceptual framework that could assist communication managers refine their internal communication management practices during change in similar organisations.
Participants were selected from two primary hospitals within the chosen District Health Board. Both had implemented MT4C and the subsequent Fast Track Rollout (FTR) change initiatives that aimed to improve ward efficiency so staff had increased time to spend with patients. Using an interpretive approach, participants‟ accounts of their engagement with the associated change communication were gathered through three data collection phases, and analysed in order to develop a model that accounted for their engagement with the communication related to these two change initiatives.
The media utilised in the change communication campaigns and the perceived relevancy of this communication to the work being undertaken were found to be primary considerations participants took into account when judging whether to engage with the change process.. Additionally, a culture of time poverty and unique workplace network divisions were found to modify the process of engaging with internal communication. The emergent model that
captures these findings thus integrates considerations of media, relevance, organisational culture and social relations. In so doing, it provides a unique contribution to the change management and organisational communication literatures that could be used as a framework for further study.
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McErlain, Mary Siobhan. "Measuring children's health status and associated influences : a study investigating the health of 6 to 7 year old children in the Eastern Health and Social Services Board area of Northern Ireland". Thesis, University of Bristol, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.520172.
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Thompson, Mary E. 1958. "Career Paths of Board-Certified Clinical Specialists in Geriatric Physical Therapy with Implications for Higher Education". Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc278513/.
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Geriatric board-certified specialists (GCSs) address health care needs of the growing geriatric population. The study's purposes were to: examine career paths of GCSs, identify influencing factors, and explore implications for higher education. Twelve of 14 original 1992 GCSs participated. Data included document collection and interviews. Using a qualitative methodology, commonalities were sought among individuals and HyperRESEARCH software was used for data management. The participants were adventurous, valued education, and were enthusiastic about physical therapy (PT), geriatrics, and specialization. Their career path began with choosing PT as a career, professional education, and their first job. One GCS moved directly into geriatrics. Others went to different settings before geriatrics. As participants recognized they "fit" in geriatrics, they pursued postprofessional education to increase knowledge before choosing board certification. In choosing PT, volunteer experience and personal research were common influences. In choosing to work with elders, influences throughout life gradually built a social context supporting the decision. GCSs chose specialist certification to assist in professionalization of geriatric PT, because they were highly skilled, for career advancement, and for self professionalization. Specialist certification had few financial consequences. Participants gained friends and professional networks. They experienced improved patient care, increased educational opportunities, and/or increased professional service. GCSs' vision was for a better society and health care system. This vision included successful aging - that it is possible and would benefit society. To bring about global change, GCSs perceived they had to influence older individuals, legislators, PT students, peers, and other professionals. Implications for higher education are as follows. Professional schools should not base admission on expressed intentions to work with elders. Curricula and clinical experiences should be such that a nonageist generalist is produced. Higher education's role postprofessionally can be through continuing education, formal degrees, and geriatric residency programs. Gerontology programs also could meet educational needs. Higher education can play an important role in the professionalization of individuals and ultimately the profession itself.
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Corrigan, Anne Marian. "A critical analysis of the extent and impact of user involvement in health and social care for adults within the Southern Health and Social Services Board". Thesis, University of Ulster, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540749.
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Balfour, Abby Kealani. "Insights and Blind Spots: A Qualitative Analysis of Risk in Psychiatric Security Review Board Hearings". PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/630.
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The prevalence and consequences of the insanity plea, titled "guilty except for insanity" in the State of Oregon, are fraught with misconceptions. The use of the plea requires a complex set of interactions between the mental health and criminal justice systems, and comes with severe costs for people who use it. Most of the research on the psychological aspects of the insanity plea emphasizes empirical validity in the form of risk assessment instruments and/or the biomedical model with its focus on disease and illness. This thesis analyzes from community psychology and critical theory perspectives the decision process of hearings held by the Psychiatric Security Review Board. The critical analysis draws specifically on Michel Foucault's (1977) theory of knowledge and power to address three questions: 1. Are there identifiable prototypical narratives of risk that are constructed around evidence admitted to a hearing? 2a. Are these risk narratives deployed differently in public PSRB hearing as opposed to an individual interview? 2b. Do the District Attorney, Defense Attorney, and clinician deploy risk narratives differently? 3. As professionals that create, administer, and interpret risk assessment instruments, how do clinicians use these risk narratives to support or refute the arguments of each side? Transcripts and audio recordings of hearings were thematically content analyzed and compared to address these questions. One overarching theme and four subsidiary themes emerged from the data that describe how risk is indirectly discussed in the formal procedures of the hearings and in individual interviews. The overarching theme is Insight and the four subsidiary themes are Elopement, Compliance, Drug-use, and Treatment. Compared across settings, the hearings were highly structured whereas the individual interviews allowed for a more complex analysis and explication of positions. In the context of the PSRB hearings, the testimony of the clinician was of primary importance in determination of insight and the source of information on the patient along the subsidiary themes.
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Boone, G. E. "Identifying the Behavior, Attitudes, and Knowledge of Tobacco Use Among Students Enrolled in Orientation Courses in Six Community Colleges in the Tennessee Board of Regents System". Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etd/2883.
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The purpose of this study was to examine the behavior, attitudes, and knowledge regarding tobacco use of students enrolled in orientation courses in Tennessee community colleges. The six community colleges selected for the study were members of the Tennessee Board of Regents system that offered mandatory orientation courses. Data were collected by use of the College Tobacco Behavior, Attitude, and Knowledge Survey . A response rate of (72.5%) from 700 students was analyzed. Three research questions guided the study and 17 null hypotheses were formulated and tested at the.05 alpha level of significance. Data were analyzed by using t -tests, crosstabs, analysis of variance, Chi-square, and Pearson's r correlation coefficients. Results of the study revealed that, of those students who ever smoked regularly, differences in age and ethnicity were found and no differences were found between males and females. There was no difference between males and females and when they first started smoking cigarettes regularly; however, differences were found among students of varying ethnicities. There was no relationship between students' age and how many days they smoked; however, differences were found between males and females and ethnicities. There was no relationship regarding students' age and no difference between males and females and how many days they used smokeless tobacco. There were differences between smokers' and nonsmokers' attitudes pertaining to a smokefree campus, a designated smoking area indoors, and that a tobacco awareness program would be beneficial to college students. There was no relationship between knowledge score and age, and no difference between males and females, and smokers and nonsmokers regarding their knowledge score. However, differences in knowledge scores were found among students of different ethnicities.
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Riley, Sarah E. "Expressions of Concern and Social Support about Reproductive Care for Young Women on an Online Message Board". UKnowledge, 2013. http://uknowledge.uky.edu/comm_etds/19.
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The experience of a pelvic exam or Pap smear is something that, while necessary to maintain reproductive health, can be fraught with difficulty for women. Ouj, Igberase, Exe, and Ejikeme (2011) note that “[m]ost women feel a level of discomfort or pain and for some it is embarrassing, dehumanizing, degrading and associated with fear, anxiety and apprehension” (p. 637). However, little recent research has focused on the specific communication surrounding reproductive care for young women. The Internet is a common place for young people to seek health information, understand their own health risks, and seek social support from others. The current study utilizes information gleaned from the archives of an internet message board and sexual education website to examine the way that young women communicate about reproductive health care, risk, and social support with experts and peers in the online community. Results indicate that young women request, seek, and receive several different types of social support in the online community. Further, themes illuminate the complex nature of women’s concerns about potential risk and reproductive care.
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Cunningham, Brian Stewart. "Treatment outcomes of the augmented board and care system for the mentally ill: Focus on post-placement and diagnosis". CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1807.
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Kelly, Liam S. "A study of quality of life for people with severe and mental illness in a Health Board in Northern Ireland". Thesis, University of Ulster, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310112.
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Tankersley, Mark A. "Why pharmacists choose to seek or not seek board certification in pharmacy practice: a comparison of motivation and motivating factors /". View the abstract Download the full-text PDF version, 2008. http://etd.utmem.edu/ABSTRACTS/2008-003-Tankersley-Index.html.
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Thesis (Ph.D. )--University of Tennessee Health Science Center, 2008Title from title page screen (viewed on June 19, 2008). Research advisor: Peter Chyka, Pharm. D. Document formatted into pages (xiii, 193 p. : ill.). Vita. Abstract. Includes bibliographical references (p. 142-148).
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Brevoort, Kristen N. "Effect of Slant Boards in Combination with Handwriting Practice". Diss., NSUWorks, 2017. https://nsuworks.nova.edu/hpd_ot_student_dissertations/58.
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Handwriting difficulties affect 10% to 30% of children in elementary school often hindering their successful participation in a number of occupations, including academic participation. Occupational therapists provide treatments for handwriting difficulties; however, many of these interventions have limited to no evidence to support their effectiveness. One of these interventions is the use of a slant board, a treatment strategy often combined with handwriting practice. Clinicians commonly combine the use of slant boards and handwriting practice to facilitate the development of handwriting skills in young children. However, the effectiveness of this combination of interventions in improving the quality of handwriting remains unclear. The aim of this study was to investigate the difference in the change of letter formation scores in children who have practiced handwriting on slant boards compared with those who have practiced on a horizontal surface. A randomized block design was employed. Children entering the second through third grades who participated in a 19-day summer enrichment program were recruited via mailed recruitment letters and/or email. Twenty-one children were enrolled. Children were blocked by classroom and randomly assigned to a group that practiced handwriting on a slant board or a group that practiced on a horizontal surface. Children completed a total of 15 group sessions lasting 15 minutes each. These sessions occurred 3 to 5 days a week over the course of 4 weeks. During these sessions, they practiced writing letters and words utilizing the Handwriting Without Tears curriculum. There was no significant difference in average group change in letter formation performance as determined by independent samples t test. Children with below average handwriting at baseline made statistically significant changes in their handwriting, regardless of writing surface, when compared with their peers that was identified by secondary analyses.
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RABENHORST, ARTHUR E. "Differences in Outcomes after Spinal Cord Stimulator Device Placement in the Ohio Board of Workers' Compensation". University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1211464948.
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Smith, Ryan Atkinson 1976. "A comparative assessment of deliberative claims: The Health Services Commission, the Oregon Watershed Enhancement Board, and New Community Meeting I and II". Thesis, University of Oregon, 2009. http://hdl.handle.net/1794/10593.
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xiv, 310 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.Considerable interest has emerged recently within U.S. policy scholarship toward deliberative democracy and its potential viability as a form of alternative democratic governance in resolving persistent policy dilemmas. Despite these claims, the deliberative scholarship is an empirically understudied field. Instead, deliberative theory is usually normatively articulated as an alternative and preferable form of governance. Secondly and to a lesser extent, deliberative scholars assert that deliberative governance can work and does exist. In these cases, often extensive deliberative claims are made but not carefully tested according to explicitly identified deliberative criteria and measures. This dissertation contributes to the systematic testing of deliberative theory that has only recently begun. Theoretically, this dissertation fits within the gulf between ideal and non-ideal deliberative scholarship. This dissertation draws from multiple sources, such as interviews, direct observation, meeting minutes, and secondary sources, to systematically evaluate and then comparatively assesses the evidence in four untested exemplar deliberative cases that took place within seemingly intractable policy issues. These cases are Oregon health care reform (OHCR) surrounding the Health Services Commission (HSC), watershed restoration and management in Oregon surrounding the Oregon Watershed Enhancement Board (OWEB), and the New Community Meetings in Lane County and the greater Eugene-Springfield metro area surrounding the issues of "gay rights" and sustainable development (NCMI/II). These cases exhibit significant variation along explanatory and outcomes variables. Overall, the findings in this dissertation suggest that at times ideal deliberative scholars establish criteria and measures that are impractical or even unnecessary for robust deliberation. The evidence in these cases suggests that non-ideal deliberative standards appear capable of yielding deliberative outcomes that are perceived by participant stakeholders in adequate terms.
Committee in charge: Gerald Berk, Chairperson, Political Science; Ronald Mitchell, Member, Political Science; Priscilla Southwell, Member, Political Science; Richard Margerum, Outside Member, Planning Public Policy & Mgmt
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Mateo, Rowena. "The efficacy of the augmented board and care (ABC) system in reducing rehospitalization of identified "high end user" residents of San Bernardino County". CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1210.
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Robertson, Ruth A. "Living with a diagnosis of cancer in Canada's Western Arctic, a project examining the experiences of cancer patients at Stanton Regional Health Board Medical Clinics". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59476.pdf.
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Fishler, Kristen B. S. "“It’s the Wild, Wild West Out There” Experiences of a Multidisciplinary Genomic Breast Cancer Tumor Board Implementing Tumor Sequencing in Clinical Care". University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1525169475571341.
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Heine, Richard. "Role of on-board sensors in remaining life prognostic algorithm development for selected assemblies as input to a health and usage monitoring system for military ground vehicles". College Park, Md.: University of Maryland, 2008. http://hdl.handle.net/1903/7868.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2008.Thesis research directed by: Dept. of Mechanical Engineering. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Raju, Sushiela Diane. "Examining ICD-10 coding for family violence within a New Zealand District Health Board a dissertation submitted to Auckland University of Technology in partial fulfillment of the requirements for the degree of Master of Health Science (MHSc), 2008". Abstract. Full dissertation, 2008.
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Dissertation (MHSc--Health Science) -- AUT University, 2008.Includes bibliographical references. Also held in print (viii, 88 leaves ; 30 cm.) in North Shore Campus Theses Collection (T 362.9292 RAJ)
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O’Brien, Colleen. "DARK EMBRACE: ORESTES COMPLEX, CATATHYMIC CRISIS AND METHOD OF MURDER. A STUDY OF MATRICIDE IN A FORENSIC PSYCHIATRIC SAMPLE". Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2197.
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A study was conducted to investigate and identify differences inherent in two subtypes of psychosis driven or mentally disordered homicide: matricide versus any other biological intrafamilial homicide or attempted homicide. Matricide was further investigated through the exploration of offence specific details, as well as demographic and diagnostic characteristics of persons who had committed (or attempted) homicide against the mother and were subsequently found not criminally responsible and detained by the Ontario Review Board between 1992 and 2012. Matricidal accused were more often diagnosed with childhood disorders and paranoid schizophrenia. As adults, they failed to mature sexually and socially, and continued to live at home, dependent on the mothers that were the ultimate victims of their violence. Attachment theory is offered as a proposed explanation for the matricidal impulse.
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Ramberg, Mathilda y Paulina Arnesson. "Samband mellan fysisk aktivitet och hälsorelaterad livskvalitet hos personer med endometrios". Thesis, Uppsala universitet, Åsenlöf: Fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-432352.
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Bakgrund: Endometrios definieras som närvaro av livmoderslemhinnans vävnad utanför livmodern och är en inflammatorisk, östrogen-relaterad sjukdom som drabbar personer i fertil ålder. En individens fysiska och mentala hälsa påverkas negativt till följd av endometrios-relaterad smärta. Alla personer rekommenderas att vara fysisk aktiva eftersom det ger hälsofördelar. Syfte: Syftet var att undersöka fysisk aktivitet, fysisk träning och vardagsmotion, och upplevd hälsorelaterad livskvalitet hos personer med endometrios, samt att undersöka om det fanns ett samband mellan fysisk aktivitet och upplevd hälsorelaterad livskvalitet. Metod: Studien var en kvantitativ icke-experimentell tvärsnittsstudie med deskriptiv design. Konstaterad endometiosdiagos, minst 15 års ålder samt medlem i någon av de större Facebookgrupperna kring endometrios i Sverige var inklusionskriterier för studien. Fysisk aktivitet studerades med hjälp av socialstyrelsens indikatorfrågor. Fysisk aktivitet räknades om till index 3-19, höga värden visar hög fysisk aktivitet. Hälsorelaterad livskvalitet mättes med EHP-30. Index på EHP-30 räknades om till 0-100, där låga värden indikerar god livskvalitet. Korrelation studerades med hjälp av Spearmans rangkorrelationstest. Resultat: Av 261 deltagare var resultatet för medianen för fysisk aktivitet 10, vilket är under 150 minuter fysisk aktivitet/vecka. Avseende hälsorelaterad livskvalitet var median 55,8, vilket påvisade en påverkad hälsorelaterad livskvalitet. Det fanns ett svagt samband mellan fysisk aktivitet och hälsorelaterad livskvalitet (r=-0,3 och p <0,001). Slutsats: Det var ett svagt samband mellan fysisk aktivitet och hälsorelaterad livskvalitet hos personer med endometrios.Background: Endometriosis is defined as uterine lining tissue outside the uterus and is an inflammatory, estrogen-related disease that affects people of fertile age. An individual's physical and mental health is negatively affected by endometriosis-related pain. All people should be physically active because of the health- benefits. Objective: The purpose was to examine physical activity, physical exercise and everyday exercise, and perceived health-related quality of life in people with endometriosis, also to investigate the correlation between physical activity and health-related quality of life. Methods: The study was a quantitative non-experimental cross-sectional study with descriptive design. Endometriosis diagnosis, a minimum of 15 years and a member of one of the large Facebookgroups about endometriosis in Sweden were the inclusion criteria. Physical activity was studied using the National Board of Health and Welfare's physical activity questions. The index was converted to 3-19, high scores show high physical activity. Health-related quality of life was measured with EHP-30. The index was converted to 0-100, low scores indicate good quality of life. Correlation was studied with Spearman's rank correlation test. Results: Of 261 participants, the median result for physical activity was 10, less than 150 minutes/week of physical activity. In Health-related quality of life the median results were 55,8, an affected health related quality of life. There was a weak correlation between physical activity and health related quality of life (r = -0.3 and p <0.001). Conclusion: There was a weak correlation between physical activity and health related quality of life.
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Perlkvist, Lisa y Rebecka Bamford. "Patientnämnden : avslutade ärenden relaterade till vårdskador inom slutenvården". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-270310.
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Bakgrund: Vårdskador är ett vanligt förekommande problem inom slutenvården. En vårdskada är en skada som hade kunnat undvikas. I Sverige drabbas årligen ungefär var tionde patient av en vårdskada vilket medför stora merkostnader både på individ- och samhällsnivå. I varje landsting finns en Patientnämnd vars syfte bland annat är att ta emot patienter och anhörigas synpunkter och klagomål på vården samt förmedla dessa vidare till berörd verksamhet. Syfte: studien granskade vilka vårdskador som anmäldes till Patientnämnden under hösten 2014 i ett landsting i Mellansverige samt vilka åtgärder som vidtogs från vårdgivarens sida efter kontakt från Patientnämnden. Metod: En empirisk studie med kvantitativ design, data erhölls från avslutade ärenden hos Patientnämnden. Resultat: 34,2 % av anmälda ärenden rörde vårdskador. Vanligast var att ärendet gällde en kvinna (69 %) och att patienten själv anmälde till Patientnämnden (71 %). Försenad och/eller felaktig behandling och/eller diagnos var de vanligaste anmälda vårdskadorna i denna studie. I 47,4 % fall vidtogs åtgärder från vårdgivarens sida. Slutsats: I 41 av 75 ärenden kontaktades inte berörd verksamhet för yttrande. Detta då Patientnämnden ej kunde gå vidare med ärendet eftersom skriftliga synpunkter uteblev från anmälande part. Anledningen till detta kan vara värd att studera vidare. Kanske behöver Patientnämnden utveckla ett alternativt anmälningssystem för att underlätta processen för att inte tappa denna grupp som kan behöva mer stöd för att fullfölja sin anmälan. Då även dessa synpunkter är viktiga för fortsatt arbete med kvalitetssäkring och en öka patientsäkerheten inom slutenvården.Background: Adverse events are a common problem in inpatient care. An adverse event is an injury that could have been avoided. In Sweden every tenth patient are affected every year of injuries form health care which results in big costs both at an individual and a society level. Every county has a Patient Advisory Board whose purpose is to receive patients and relatives' opinions and complaints of the health care and to communicate these to the concerned care unit. Objective: The study examined reported adverse events to the Patient Advisory Board in the fall of 2014 in a county in central Sweden and the measures that were taken from the caregiver's side after being contacted by the Patient Advisory Board. Method: An empirical study using quantitative design, data were obtained from closed cases of this board. Results: 34.2 % of the studied cases concerned nursing injuries. Most commonly the case involved a woman (69 %), and in 71 % of reviewed cases the patients themselves contacted the Patient Advisory Board. Delayed and/or improper treatment and/or diagnosis were the most commonly reported adverse events in this study. In 34 cases, measures were taken from a health care provider. Conclusion: In 41 of the 75 cases the caregiver was not contacted because the Patients Advisory Board could not proceed since written comments regarding the case was not obtained from notifying party. In the future further studies may be needed to find strategies for helping those who have trouble reporting discontent in healthcare.
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Foschi, Davide. "Sviluppo di una piattaforma software per applicazioni di monitoraggio di parametri vitali basate su tecnologie wearable e mobile". Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2015. http://amslaurea.unibo.it/9244/.
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L'obiettivo della tesi è quello di sviluppare una piattaforma software a supporto della programmazione di applicazioni mobile per la rilevazione di parametri vitali.
Questo caso di studio offre una ampia discussione su wearable computing, healthcare e prototipazione del wearable.
La tesi va a descrivere tutte le fasi di analisi, modellazione e progettazione del sistema, evidenziando problematiche e soluzioni adottate.
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Cehaja, Lundqvist Carina. "Rollen som verksamhetscontroller i statliga myndigheter". Thesis, Linnéuniversitetet, Institutionen för organisation och entreprenörskap (OE), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-59678.
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I problemdiskussionen lyfts att litteraturen och forskningen utgår från att en controller är en ekonom som arbetar med ekonomistyrning. Enligt min erfarenhet stämmer inte detta för verksamhetscontrollers i statliga myndigheter. Syftet med uppsatsen är att öka kunskapen om rollen som verksamhetscontroller i statliga myndigheter. Forskningsfrågorna är vilka krav ställer myndigheterna vid rekrytering av verksamhetscontrollers och hur beskriver de arbetsuppgifterna? Vad innehåller tertialuppföljningarna? Metoden har varit att genom en diskursanalys studera innehållet i tertialuppföljning på Socialstyrelsen, Statens institutionsstyrelse och Tullverket. Dessutom har myndigheternas rekryteringsannonser som avser verksamhetscontroller analyserats. Slutsatsen är att arbetsuppgifterna för verksamhetcontrollers på myndighetsnivå är likartade och det ingår inte ekonomiska arbetsuppgifter. De förefaller dock ha olika mandat. Arbetsuppgifterna på avdelnings-/ kompetenscenternivå skiljer sig mellan och inom myndigheterna och inte heller dessa verksamhetscontrollers har ekonomiska arbetsuppgifter. Kraven som ställs på utbildning och erfarenhet har stor spännvidd och ibland har man krav på att den sökande ska ha ekonomisk bakgrund. Min slutsats är att rollen som verksamhetscontroller på avdelnings-/ kompetenscenternivå är under utveckling och att rollen på myndighetsnivå är tydligare.In literature and research the definition of a controller is an economist working with financial control. According to my knowledge this is not correct for controllers focused on operations management in government agencies The purpose of this thesis is to increase the knowledge of the role as a controller focused on operations management in state agencies. The questions to be answered are what demands does government agencies have when they recruit operations management controllers and how do they describe the assignments? What is included in the four month follow ups? The method has been by discourse analysis study the content in the four month follow ups at the National Board of Health and Welfare, the National Board of Institutional Care and the Swedish Customs. In the thesis the agencies recruitment ads for controllers focused on operations management is also analyzed. The conclusion is that the assignments for controllers focused on operational management on the agency-wide level is similar between the agencies and few financial assignments are included. The assignments for the lower levels differ within and between the agencies and financial assignment are not included. The controllers at the agency-wide level seem to have different mandates between the agencies. The agencies demands for education and experience varies widely and some of the ads have demands for a background in finances. My conclusion is that the controller at the department level is under development and the role at the agency-wide level is more distinct.
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Férriz, Adriana Freire Pereira. "A participação em instituições descentralizadas na cidade de João Pessoa: o orçamento democrático e o conselho de saúde". Universidade Federal da Paraíba, 2012. http://tede.biblioteca.ufpb.br:8080/handle/tede/7291.
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Previous issue date: 2012-04-20Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
The thesis examines the participation of the population of the communities involved in decentralized institutions of the municipal management of Joao Pessoa, which were implemented in the Federal Constitution of 1988, having as main focus, the Democratic budget and the Board of Health started from is assumed that in the last three decades, Brazilian society has been experiencing significant changes regarding the management of public resources marked by the implementation of a new form of government conduct that seeks a transition from a centralized to a more decentralized model, marked for greater direct participation of the population and decision making. In this sense, the main objectives of this study were: to analyze the distributional impact of citizen participation in these decentralized institutions, develop a typology of each institution decentralized participatory (history, composition, legislation, implementation capacity and effectiveness) and the profiles of participants from each institution participatory. To this end, the stage of data collection, desk research was prioritized by understanding that the documents may reveal the potential of these institutions. Thus, two types of documents were reviewed: those produced on the city of Joao Pessoa and produced by the Democratic budget and the City Council Health Treatment of the documents was made possible through the assessment undertaken from the definition of six analytical categories: degree of institutionalization, institutional form and nature, participation, representation, deliberation and distributional impact. The research provided sufficient evidence to affirm that there is a relationship, sometimes revealing similarities, sometimes differences between the Democratic budget and the Board of Health, revealed through the patterns of discussion, the form of organization, visibility and range of each institution, the methodology adopted, the legislation that guides and nature of each. However, the relationship between the two institutions did not consolidate until there is, between them, an articulation of public policies permanent, despite parity discuss themes and objectives. Therefore, it is believed that people's participation in the Democratic budget and the Board of Health is likely to modify the relationship between society and government, with a strong tendency for the growth of civic consciousness, which is expressed also in a very early. In the same vein, you can not even see, so strong, very significant changes in the conditions of life due to the direct care of the demands posed by participation in the OD and CMS, although the process is recognized as important by the directors of both institutions.
A tese analisa a participação da população das comunidades interessadas nas instituições descentralizadas de gestão do orçamento municipal de João Pessoa, as quais foram implementadas a partir da Constituição Federal de 1988, tendo, como focos principais, o Orçamento Democrático e o Conselho de Saúde. Partiu-se do pressuposto de que, nas três últimas décadas, a sociedade brasileira vem experimentando significativas mudanças no tocante à gestão de recursos públicos marcada pela implantação de uma nova forma de condução governamental que procura uma transição de uma maneira centralizada para um modelo mais descentralizado, marcado por uma maior participação direta da população quanto à tomada de decisões. Nesse sentido, os objetivos principais do trabalho foram: analisar o impacto distributivo da participação cidadã nas referidas instituições descentralizadas; elaborar uma tipologia de cada instituição participativa descentralizada (história, composição, legislação, capacidade de execução e efetividade); bem como traçar o perfil dos participantes de cada instituição participativa. Para tanto, na fase de coleta dos dados, foi priorizada a pesquisa documental por entender-se que os documentos podem revelar o potencial das instituições estudadas. Assim sendo, dois tipos de documentos foram analisados: os produzidos sobre o município de João Pessoa e os produzidos pelo Orçamento Democrático e pelo Conselho Municipal de Saúde. O tratamento dos documentos foi possibilitado através da apreciação empreendida a partir da definição de seis eixos analíticos: grau de institucionalização; formato institucional e natureza; participação; representação; deliberação e impacto distributivo. A pesquisa forneceu elementos suficientes para afirmar que há uma relação, ora revelando similitudes, ora diferenças, entre o Orçamento Democrático e o Conselho de Saúde, revelada através das pautas de discussão, da forma de organização, da visibilidade e amplitude de cada instituição, da metodologia adotada, da legislação que as orienta e da natureza de cada uma. No entanto, a relação entre as duas instituições não se consolidará enquanto não houver, entre ambas, uma articulação de políticas públicas permanentes, apesar de discutirem temas e objetivos paritários. Portanto, acredita-se que a participação da população no Orçamento Democrático e no Conselho de Saúde poderá vir a modificar as relações entre a sociedade e o governo, com forte tendência para o crescimento da consciência cívica, que se expressa, ainda, de forma muito incipiente. Na mesma direção, não é possível ainda perceber, de forma mais forte, mudanças muito significativas nas condições de vida da população em razão do atendimento direto das reivindicações postas pela participação no OD e no CMS, embora o processo seja reconhecido como importante por parte dos conselheiros de ambas as instituições.
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Oliveira, Tarcio de Almeida. "Participação do Conselho e das Conferências de Saúde no ciclo da Política Estadual de Saúde Mental (Bahia, 2001-2013)". Instituto de Saúde Coletiva-ISC, 2015. http://repositorio.ufba.br/ri/handle/ri/17914.
Texto completoResumen
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Trata-se de um estudo de caso que objetivou analisar a participação do Conselho Estadual de Saúde da Bahia (CES-BA), das III e IV Conferências Estaduais de Saúde Mental (CESM) e da Secretaria Estadual da Saúde do Estado da Bahia (SESAB) no processo de formulação e implementação da Política Estadual de Saúde Mental, entre 2001 e 2013. Para isso foi elaborado um modelo teórico, fundamentado na Teoria de Kingdon, que sugere uma sequência de três fluxos para a ascensão de uma questão ou problema à agenda governamental. O plano metodológico foi desenvolvido por meio da análise de conteúdo dos documentos (atas das reuniões do Conselho, propostas das Conferências e pelas ações implementadas pela SESAB); e das entrevistas com informantes-chaves (três conselheiros e quatro profissionais da Área Técnica de Saúde Mental da SESAB). Os resultados demonstram que as duas Conferências apresentaram propostas consonantes com a Reforma Psiquiátrica Brasileira e com a luta antimanicomial, no entanto, o Conselho não elaborou estratégias capazes de contribuir efetivamente para a consolidação dessas propostas. Desse modo, a SESAB conduziu o processo de formulação e implementação dessa Política sem a participação do CES-BA, priorizando a implantação de CAPS embora tenha mantido hospitais psiquiátricos em funcionamento. Conclui-se que o CES-BA não foi capaz de elaborar estratégias para a formulação da Política de Saúde Mental, muito menos interviu como instância de gestão no ciclo desta Política no âmbito do SUS estadual.