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Teses / dissertações sobre o tema "Patient self-determination"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 31 de janeiro de 2023

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1

Wagner, Leanna. "A Policy Analysis of the Patient Self-Determination Act of 1990." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10784173.

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<p> This is a policy analysis of the Patient Self-Determination Act of 1990 which aimed to improve access and education of Advance Health Care Directives (ADs). ADs are in the form of durable power of attorneys and living wills that communicate a patient’s decisions concerning life sustaining treatment. The policy has three objectives, first that health care staff are required to educate patients on ADs and to follow such documentation when treating patients. Second, the policy calls for the Federal Department of Health and Human Services (HHS) to educate the United States population on

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Victoria, Lindsey N. "A Feasibility Analysis of a Pilot Study Comparing Prenatal Genetic Service Delivery Outcomes Using the Self-Determination Theory." Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7982.

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Genetic counselors, along with the National Society of Genetic Counselors, desire evidence-based research and data assessing the value of genetic counseling in genetic service delivery. This pilot study was designed to gather data about genetic counseling outcomes as well as analyze the feasibility of a study looking at new genetic outcome measures in the prenatal setting. Implementation of the methods used for data collection were evaluated by analysis of the appropriateness, acceptability, feasibility, fidelity, and adoption of the research protocol at three sites. We found that there is

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3

Johansson, Beatrice, and Oskar Holmdahl. "Patienters upplevelser av psykiatrisk vård : Med fokus på tvångsvård." Thesis, Kristianstad University College, School of Health and Society, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6379.

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<p> </p><p><strong>Bakgrund: </strong>Att vara inskriven enligt lagen om psykiatrisk tvångsvård, LPT, innebär att självbestämmandet tas ifrån en. Eftersom den nya lagen skapades för att skydda patienters integritet undersöker detta arbetet patienternas upplevelser av tvångsvård.<strong> Syfte:</strong> Syftet var att beskriva patienters erfarenheter av tvång med fokus på tvångsvård inom den psykiatriska vårdenheten.<strong> Metod: </strong>En litteraturstudie där sju vetenskapliga artiklar ingick. Systematisk granskning av artiklarna genomfördes.<strong> Resultat: </strong>Resultatet utgörs av

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Olivera, Jacqueline, and Leyton Maureen Loyola. "Äldre personers upplevelser av utskrivningsprocessen från slutenvård till primärvård : en litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8619.

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Bakgrund: Utskrivningsprocessen har förändrats på grund av sjukvårdsreformer med mål att stärka patienters ställning och förkorta vårdtider inom sluten vård. Samtidigt som en åldrande befolkning med ökande multisjukhet och komplexa vårdbehov ställer höga krav på samverkan mellan berörda parter. Äldre patienters upplevelse av utskrivningsprocessen är av intresse för sjuksköterskor i rollen som samordnare av insatser under utskrivningsprocessen. Syfte: Syftet var att belysa äldre personers upplevelser av utskrivningsprocessen från slutenvård till primärvård. Metod: Efter en kvalitetsgranskning g

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Riahi, Löfdahl Fredrika. "” Ibland känner jag mig övergiven därför att personalen har så mycket andra människor att ta hand om”. : - En kvalitativ intervjustudie som presenterar några äldres åsikter om hur relationen till vårdare kan påverka äldre i deras vardag." Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-113671.

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The purpose of this thesis is to examine the relationship between the elderly at a retirement home and their professional caretakers with focus on the perspective of the elderly. Chosen method, a qualitative interview analysis has been conducted to describe how the relationship affects the elderly in their everyday lives. The total amount of interviews were four. The relationship between the elderly and their professional caretakers has rarely been examined in previous research from an elder’s perspective. The results indicate that the elderly often are satisfied with the way the professional

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6

Gibb, Winna. "Informed consent : a liberal perspective." Thesis, Queensland University of Technology, 1998.

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7

Lindberg, Jenny. "Withholding information from patients regarding do-not-resuscitate (DNR) decisions - a moral evaluation." Thesis, Umeå universitet, Institutionen för idé- och samhällsstudier, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-132334.

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Yu, Chen-An. "Motivation and physical activity among rheumatoid arthritis patients : a self-determination theory approach." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/6197/.

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Rheumatoid Arthritis (RA) is a chronic inflammatory disease that can negatively impact people both psychologically and physically. Health benefits of regular physical activity (PA) have been demonstrated for RA patients (Cooney et al., 2011), however people living with RA are more likely to be sedentary (Sokka et al., 2008; Yu et al., 2015). A Self-Determination Theory (SDT) based approach was adopted in this thesis. The validity and reliability of the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2) was tested (Chapter 2) within RA patients via a mixed method approach. In a second

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Urias-Bodnar, Leslie Yaneth. "Effect of Self-Determination, Motivation, and Dispositional Optimism with Physical Therapy in Geriatric Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4108.

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Older people are frequently faced with physical conditions that require treatment. A better understanding of the components of engagement relating to the outcomes of treatment was the focus of the study. The purpose of this quantitative study was to examine whether there was an association between the independent variables of optimism, pessimism, motivation, and self-determination and their impact on the dependent variable of achieving physical activity goals in 86 geriatric patients, ages 65 to 80 receiving physical therapy services. The theoretical framework of self-determination, motivation

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Chang, Ling Patricia. "Development of Motivation to Exercise in Patients with Parkinson's Disease: An Application of Self Determination Theory." Diss., Temple University Libraries, 2012. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/172423.

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Educational Psychology<br>Ph.D.<br>A patient's response to receiving a diagnosis of a chronic progressive disease is critical, as is the approach to the intervention that the patient receives. Parkinson's disease (PD) exemplifies chronic disease with the additional complication of being progressively degenerative and therefore increasingly debilitating. Many of the patients with PD suffer from a decrease in motivation. While physical therapy and individual independent exercise may benefit these patients with PD, the lack of motivation to exercise often presents a significant barrier to this be

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Phares, Pamela Lynn. "PREDICTORS OF READINESS TO INITIATE INSULIN THERAPY IN PATIENTS WITH TYPE 2 DIABETES WHEN ORAL MEDICATIONS FAIL TO CONTROL HYPERGLYCEMIA." UKnowledge, 2011. http://uknowledge.uky.edu/nursing_etds/1.

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Type 2 diabetes (T2DM) has reached epidemic levels worldwide during the past two decades. It affects nearly 26 million adults in the U.S. Advances in both the treatments for T2DM and guidelines for its optimal management are extensive. Despite these advances, barely half of type 2 diabetics achieve recommended glycemic targets. Specific Aims: The specific aims were to: Describe the available research on clinical inertia and interventions that have been implemented to reduce it. Analyze various behavioral theories that explain and predict self-care practices in diabetes in order to develop a

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Sanchez, Dudley, and Lena Sennblad. "Sjuksköterskors syn på självbestämmande för patienter som vårdas under lagen om psykiatrisk tvångsvård." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-203.

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Bakgrund: Vård under lagen om psykiatrisk tvångsvård (LPT) innebär att patienters självbestämmande kan begränsas. Omvårdnad i samband med LPT är av komplex karaktär som bland annat innebär att sjuksköterskan skall respektera patientens självbestämmande och utföra tvångsåtgärder samtidigt. Syfte: Studiens syfte var att undersöka och beskriva sjuksköterskors syn på självbestämmande för patienter som vårdas under lagen om psykiatrisk tvångsvård. Metod: Halvstrukturerade intervjuer med tre sjuksköterskor verksamma inom psykiatrin genomfördes och en manifest innehållsanalys användes för att bearbet

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Payne, Liz. "Continuity of care and its effect on patients' motivation to initiate and maintain cardiac rehabilitation." Thesis, University of Bath, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.667738.

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Background: Despite national guidance and empirical support for its clinical and cost-effectiveness, cardiac rehabilitation (CR) is underused. Only 44% of patients go to CR, with angioplasty (Percutaneous Coronary Intervention; PCI) patients being least likely to attend (31% of 87,000). Aim: To investigate the relationship between ‘continuity of care’ and patients’ motivation towards CR, through the lens of self-determination theory, and develop a model to inform service design to increase CR uptake and adherence. Methods: A mixed methods approach was used. In Study 1, a theoretical model of c

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Almarwani, Abdulaziz Mofdy. "The Relationship Of Perceived Basic Psychological Needs For Health Behaviors And Medication Adherence In Saudi Arabian Patients With Coronary Artery Disease." University of Akron / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=akron1574420777367008.

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Davisson, Erica Ann. "Discharge planning for patients with heart failure: bedside nurses' motivation and decision-making through the lens of self-determination theory." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6561.

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Heart failure (HF) is a diagnosis associated with significant mortality, morbidity, and healthcare costs. One in four patients with HF have an unplanned readmission within 30 days of discharge. Few interventions that seek to decrease readmissions target the discharge planning process during the acute hospitalization or account for the contributions of bedside nurses. Bedside nurses’ decision-making and motivation surrounding discharge planning for frequently readmitted patients with HF has not been described. Therefore, the purpose of this interpretive descriptive study was to understand bedsi

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Martinsdotter, Sofie, and Johanna Tykesson. "Rätten till självbestämmande - En empirisk studie om vårdtagares upplevelser." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26736.

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Syfte: Syftet med studien är att fånga vårdtagares upplevelser av självbestämmande.Bakgrund: Sverige har under de senaste åren dragit ner på platsernainom särskilt boende och istället satsat på hemtjänst och hemsjukvård. Enligtlag ska sjukvården värna om vårdtagarens självbestämmande oavsett var vårdenges. Metod: Semistrukturerade intervjuer genomfördes inom två olika distrikt isödra Sverige. Datamaterialet analyserades med hjälp av kvalitativ innehållanalys.Resultat: I studiens resultat framkom att vårdtagarna upplevde att de haft inflytandeunder den samordande vårdplaneringen och de flesta v

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Kallos, Alexandra, and Marie Kandelberg. "Regelverk inom metadonprogram- hinder eller stöd för patienten? : En kvalitativ uppsats om patienters och vårdpersonals erfarenheter." Thesis, Ersta Sköndal högskola, Institutionen för socialt arbete, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-658.

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Souesme, Guillaume. "Soutien à l'autodétermination, personnalité et conséquences émotionnelles chez les patients hospitalisés en service de soins de suite et réadaptation : apport de la théorie de l'autodétermination." Thesis, Tours, 2018. http://www.theses.fr/2018TOUR2022/document.

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L’hospitalisation représente une étape de vie à laquelle doit faire face une grande majorité des personnes âgées. Cette expérience trop souvent accompagnée d’un déclin physique et psychologique marque pour beaucoup le début de la fin. Basé sur les fondements théoriques de la théorie de l’autodétermination (TAD), ce travail doctoral a deux objectifs. (1) Définir qualitativement le soutien à l’autodétermination dans les services de soins de suite et réadaptation (SSR). (2) Connaître l’impact des orientations de causalité́ des patients sur la perception de soutien ou de contrôle à l’autodétermina

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SHIH, CHAO-JUNG, and 施肇榮. "Patient Self-Determination Act, Taiwan, 2016." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/vpab4y.

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碩士<br>銘傳大學<br>法律學系碩士在職專班<br>104<br>The purpose of this thesis is to explore the ethical and legal issues for the latest "Patient Self-determination Act" of Taiwan on it's draft bill, pre-legislative scrutiny, and after legislation. The first issue concerned during the entire process is the name of the Act in the draft article and it’s legislative purpose. It states " to respect the patient medical autonomy to protect their best interests." This will mislead that it is the recognition the right of patient-led approach to whatever medical treatment, even when patient’s condition is in critical

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SHIH, PO-YI, and 施柏儀. "Patient Self Determination Act-The Research on Autonomy of Patient." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/73z5qw.

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碩士<br>國立雲林科技大學<br>科技法律研究所<br>107<br>With the rapid advancement of medical science and technology, many diseases that were once considered to be terminally ill can be cured nowdays. Even patients with immediate risk of death can maintain their last breath with advanced medical equipment.This kinds of patients are also called “technical life”. The change of relationship between the doctors and patients has promoted the rise of patient autonomy consciousness,also the conflict between human autonomy and the self-determination in human dignity has. Through the process of conflict between medical tr

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Feng, Yen-Lin, and 馮彥霖. "Good Death and Patient Right to Self-Determination." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/47r2n3.

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碩士<br>國立臺灣大學<br>科際整合法律學研究所<br>107<br>Patient’s “Right to Good Death” draws a line balancing between patients'' right to life and right to autonomy. Through the literature analysis related to law and clinical medicine, this thesis explores the development of legal system of patient’s right to good death in Taiwan, and compares it with foreign legal system. Some legislation in the foreign countries permit “active euthanasia”, some allow “physician-assisted suicide”, and some permit “natural death” without limiting the type and progress of the disease. In contrast, only natural death wi

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YANG, SHU-JUNG, and 楊淑蓉. "A Study of Between Conflict Right to Life and Patient Self Determination." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/01666352789653768900.

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碩士<br>嶺東科技大學<br>財經法律研究所<br>104<br>“Hospice Palliative Care Act” experience three times repair method course, dying of “Terminal Illness Patient”, before pre State “Living Will” select “Hospice Palliative Care Act” or“Living Medical Choices”defined“Terminal Illness Patient” has medical refused to right, from “Constitution” right to life, and “Physician Method”, and “Medical Method”, and “Hospice Palliative Care Act” are to humanity dignity for legislation based, discussion its basic right occurred pulled , caused conflict, what is “Patient Self Determination” priority or “Right to Life” priorit

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YANG, JIA-YI, and 楊佳怡. "The Knowledge, Attitude and Willingness toward Advance Care Planning and Patient Self-Determination Act among Patients with Hemodialysis." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/xtzz4a.

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碩士<br>中臺科技大學<br>醫療暨健康產業管理系碩士班<br>107<br>According to the 2017 US Renal Data Registration System (end -stage renal diseases, ESRD) annual report, the incidence and prevalence of ESRD in Taiwan rank first in the world. How to break through the taboos of the traditional culture of the East, to participate in advance care planning and sign advance decision in order to make healthcare decisions for the end of life, and to reduce the psychological burden of the families have become the most important issue today. The purpose of this study was to investigate the related factors and association betwee

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Chen, Liting, and 陳立庭. "A study on factors influencing delay in seeking treatment of colorectal patient: Self-Determination Theory." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/06481013485439524927.

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碩士<br>國立臺北護理健康大學<br>護理研究所<br>100<br>The purpose of this study was to determine the delay diagnosis and delay treatment factors of colorectal patient based on the Self-Determination Theory. Participants were 111 colorectal patients recruited from a cancer center in northern Taiwan. A convenience sample was used to recruited patients. Research questionnaires included Basic Need Satisfaction in General, the Health-Care Climate Questionnaire, the Treatment Motivation Questionnaire, the Hospital Anxiety and Depression Scale, and the Cancer Fear Scale. Statistical analysis included descriptive stati

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Grinberg, Eldad. "Occupational therapy leadership: promoting an autonomy-supportive environment based on self-determination theory, to improve patient outcomes in acute and post-acute stroke rehabilitation." Thesis, 2019. https://hdl.handle.net/2144/38178.

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A major dilemma that is being addressed in the current project is the discrepancies between healthcare system's expectations for a rapid and successful rehabilitation process and patients after having a stroke ability to meet these expectations while striving to adapt to the calamitous event in their life. Emphasizing a more biomedical approach and under implementation of psychosocial approaches, poor acknowledging of patients' basic psychological needs lead to poor motivation, therapeutic disengagement and may lead to a rehabilitation failure. To cope with this gap in the process of st

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Gomes, Diana Filipa Dias. "A atual problemática da morte assistida em Portugal." Master's thesis, 2018. http://hdl.handle.net/10316/85826.

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Dissertação de Mestrado em Direito: Especialidade em Ciências Juridico-Forenses apresentada à Faculdade de Direito<br>A morte assistida é um assunto controverso de enorme delicadeza que tem sido alvo de debate nos últimos tempos, necessitando portanto de um amplo estudo.Com o objetivo de tornar esta discussão mais construtiva, começarei por esclarecer os conceitos que nos permitem perceber melhor a base em que assenta toda esta discussão.É de extrema importância cada um de nós refletir sobre o bem vida e, o valor máximo que tem para cada um, sendo de questionar se será ético deixar um doente t

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LEE, HSIAO-LING, and 李筱苓. "Hormilization between Patient's Self-determination Rightsand Physician's Duties." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/8rf9jr.

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碩士<br>東吳大學<br>法律學系<br>106<br>The topic of interest in this article centers around patients’ right to autonomy and self-determination. This study traces back the evolution of the laws and practice relating to the removal of life support in the context of medical decision-making in the United States, where the concept of patient autonomy originates, in the hope to identify relevant connections and examples for limitations on the forms of life support that can be removed upon request under the new Patient Self-Determination Act in Taiwan. Furthermore, the author combs through cases brought before

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Tseng, Ying-Lan, and 曾媖蘭. "Self-determination and Quality of Life in Patients with Chronic Kidney Disease." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/23654958392884756621.

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碩士<br>國立臺北護理健康大學<br>護理研究所<br>101<br>The purpose of this study was to investigate the relationships of self-determination, emotion, kidney function index, and quality of life of chronic kidney disease patients based on the self-determination theory. Participants were 105 chronic kidney patients recruited from a regional hospital in New Taipei City, Taiwan. This study used a cross-sectional study design. Research questionnaires included demographic and disease-related data, Basic Need Satisfaction in General, the Health-Care Climate Questionnaire, the Treatment Motivation Questionnaire, and the

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Alves, Raquel Ferreira Pedrosa. "Has end-of-life decisions or advance directives become an economic strategy to contain health care cost as much as a way to respect patient´s informed consent and private autonomy rights? : what can we learn from the american advance care model?" Master's thesis, 2018. http://hdl.handle.net/10400.14/27119.

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YANG, YU-LUNG, and 楊玉隆. "The Research of Patients’ Self-determination Rights-with a Special Focus on the Comparison between Taiwan and Japan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/tum8ga.

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博士<br>國立中正大學<br>法律系研究所<br>104<br>The purpose of this thesis was to study the issues on the patients’ self-determination rights from the constitutional point of view, with a special focus on the comparison between Taiwan and Japan. Since there were many conflictions existing in mutual exchanges in social life, the conflictions arising between people were relatively increasing, especially in doctors and patients advocating to self-determination rights, and caused tensions between them. Physicians were always confused in whether patients should or should not under the so called on the best or sui

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Li, Yu-Han, and 李郁涵. "An Exploration on Nasopharyngeal Carcinoma Patients'' Needs from Self-Determination Theory Perspective via LDA Topic Modeling Analysis." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/sudr9h.

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碩士<br>國立臺灣大學<br>商學研究所<br>107<br>There is one person got cancer in every 5 minutes in Taiwan. The patient will suffer from the physiology and psychology during the whole process of carcinoma to rehabilitation or death. In addition, the patients with nasopharyngeal cancer feel anxious because of receiving insufficient information or excessive information. Therefore, it is essential to offer the correct and appropriate amount of information to the nasopharyngeal cancer patients at the right time and in the right way and to help the patients to overcome nasopharyngeal cancer by reducing the anxiet

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Martins, Fernanda Gonçalves Galhego. "O Processo Diagnóstico e a Responsabilidade Penal Médica." Doctoral thesis, 2019. http://hdl.handle.net/10316/88770.

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Tese de Doutoramento em Direito, ramo Ciências Jurídico-Criminais e apresentada à Faculdade de Direito da Universidade de Coimbra<br>A atividade médico-diagnóstica desempenha um papel fundamental para a estruturação dos cuidados médicos. A decisão diagnóstica e a análise conjunta de uma série de elementos capazes de revelar informações sobre o estado físico-psíquico do paciente conferem os alicerces necessários à edificação da assistência, o que se revela sobretudo, no plano dos tratamentos terapêuticos. Nessa fase da assistência, a observação e a análise dos sintomas e sinais presentes

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CHANG, YI-TING, and 張貽婷. "The Criminal Immunity and Empirical Research of the help of Good Death：focus on the Patient’s Self-determination Right Act." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/3hhc25.

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碩士<br>中國文化大學<br>法律學系<br>107<br>In recent years, there are more and more discussions about the survival of patients. Because of the famous writer and former national representative in basketball, they actively expressed their hope for the good death, so it contributes society to knowing of the issue of life and death, and then affecting society’s point of view about life and death. Literally, good death means that if I can eventually leave well, it will be a good result. Moreover, there are many methods of good death and everyone has the right to pursue good death, and also has the right to cho

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Ulpiano, Renato. "Adopting Physician-Rating Websites: Assessing the Influence of Practitioners’ Motivations and System Perceptions." Thesis, 2021. https://vuir.vu.edu.au/43687/.

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Physician-rating websites (PRWs) are internet-based platforms that allow users to read or contribute to reviews of service performance about healthcare practitioners (HCPs). Healthcare consumers use PRWs to rate healthcare services; however, PRWs are not commonly embraced by HCPs, nor by professional associations. Nonetheless, in a competitive environment, HCPs could benefit their practice by attending to what clients publicly communicate about their services to align with the patient centred care (PCC) movement. The systematic literature review (SLR) revealed a paucity of research in the area

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Belaid, Hayet. "Effet d'une intervention infirmière de soutien favorisant l'autodétermination sur la pratique des auto-soins chez des patients atteints d'insuffisance cardiaque." Thèse, 2012. http://hdl.handle.net/1866/8551.

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L’insuffisance cardiaque (IC) est une maladie chronique dont les symptômes sévères peuvent mener à des hospitalisations répétées. Pour gérer ces symptômes, le plan de traitement implique plusieurs auto-soins, par exemple une diète limitée en sel et en liquide, ce qui est parfois difficile à respecter. Le but de la présente étude pilote randomisée à deux groupes (n = 16 / groupe) était d’évaluer la faisabilité, l’acceptabilité et l’efficacité préliminaire d’une intervention infirmière favorisant la pratique des auto-soins des patients atteints d’IC. L’intervention est basée sur la théorie de l’

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Těšinová, Jolana. "Trestněprávní aspekty vztahu lékaře a pacienta." Doctoral thesis, 2015. http://www.nusl.cz/ntk/nusl-352264.

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Medical interventions such as interventions in the physical integrity of the patient are some of the most important interventions in the personal rights of individuals guaranteed by constitutional laws and international conventions. The basis for criminal law investigation of physician's procedure is an issue of professionally correct procedure (procedure called lege artis). The healthcare provision - including the interventions in the physical integrity of the patient - is perceived in Czech law as a law qualified activity undertaken for the purpose approved by the legal order. As a result of

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Kalaitzidis, Evdokia. "professional ethics for professional nursing." 2006. http://arrow.unisa.edu.au:8081/1959.8/30081.

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The thesis proposes and defends a maxim which can serve as a foundation and guideline for professional ethics in nursing, the maxim that nurses should act so far as possible to promote patient's self-determination. The thesis is informed by philosophical ethics and by knowledge of professional nursing practice.

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