Dissertationen zum Thema „Critical care medicine – Case studies“
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Grajales, III Francisco Jose. „Social media : a comprehensive knowledge synthesis and case studies of applications in medicine and health(care)“. Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42806.
Der volle Inhalt der QuelleMitchell, Cecilia F. „Health Safety-Net Crisis: A Case Study of News Discourse“. Digital Archive @ GSU, 2013. http://scholarworks.gsu.edu/communication_theses/101.
Der volle Inhalt der QuelleNorton, Matthew J. „The impact and consequences of inspection on residential care for older people : a critical analysis of four case studies of Commission for Social Care Inspection (CSCI) inspection“. Thesis, University of York, 2009. http://etheses.whiterose.ac.uk/842/.
Der volle Inhalt der QuelleBuser, Stacey. „A CASE STUDY ON CRITICAL THINKING SKILLS AND PROBLEM-BASED LEARNING IN ATHLETIC TRAINING EDUCATION“. University of Akron / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=akron1491588873882199.
Der volle Inhalt der QuelleRobinson, Catherine Douglass. „A Multi Case Analysis of Critical Success Factors in Vietnam Laboratories Implementing Quality Management Systems to Earn International Accreditation“. Thesis, Central Michigan University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10840693.
Der volle Inhalt der QuelleAfter decades of global intervention to conquer diseases, healthcare in many countries is still lacking. Assessments of medical laboratories in developing countries today find poor infrastructure conditions with no standardized processes or quality assurance to guarantee accurate results and enable quality healthcare. Bringing healthcare programs in developing countries up to international standards remains a challenge.
Currently, there is a scarcity of scientific research related to the determinants of success in implementing quality management systems (QMS). There has been little research dedicated to identifying the critical success factors for medical laboratories striving to improve the accuracy and reliability of their testing services in developing countries.
In over nine years of research, the author realized there was a need for incorporating Critical Success Factor (CFS) methodology into laboratory modernization efforts. This time frame included CDC sponsored trips to several African countries and collaborating with the Vietnam Administration for Medical Services/Ministry of Health (VAMS), Centers for Disease Control-Vietnam (CDC-vn) and seven universities to build laboratory capacity and initiate laboratory improvements to meet national and international laboratory standards. In 2017, VAMS approved a proposed study to identify CSFs in four laboratories in Vietnam.
The research question this study sought to answer was "What are the top five critical success factors for successful implementation of QMS into laboratories in Vietnam?" with an outcome of improved accuracy and reliability of testing results. This study utilized both qualitative and quantitative research methods employing principles of descriptive research. A demographic survey, semi-structured interview, content analysis, and benchmarking were utilized to identify the top five CSFs and barriers. Content analysis was employed to review CSF definitions and categorize all 220 listed CSFs into ten comprehensive and mutually exhaustive categories. Two research assistants assisted the researcher place each CSF into one of the ten categories. Rigorous and non-rigorous methods measured interrater reliability with the categorization of CSFs. Cohen Kappa values were > 0.85 indicating excellent reliability and accuracy between the assistants and the researcher. Chi-square values were all > 0.05 (p < 0.05) indicating demographic variables did not statistically impact findings.
Qualitative responses were gathered through personal interviews, a demographic survey, and benchmarking. Using a stratified convenience sampling, participants represented four levels of stakeholders: laboratory staff, laboratory managers, hospital administrators, and clinicians utilizing laboratory services.
Data from this study found the top five CSFs were: staff knowledge of QMS, laboratory management leadership knowledge and skills, staff commitment to the QMS change process, mentorship, and hospital administration support. In addition to determining the top five CSFs, the study revealed information about encountered or perceived barriers to successful QMS implementation. The participants in this study identified lack of staff knowledge on QMS, lack of financial support from the hospital administration, ineffective laboratory manager leadership knowledge and skills, lack of laboratory infrastructure, and lack of sufficient resources.
The study’s findings add to the body of knowledge in strengthening medical laboratory services and may serve as a basis for continued research in this area of health care. Local, national, and international partners may use this information to tailor training materials and activities to better meet the needs of participating laboratories across Vietnam.
Hasselgren, Mikael. „Epidemiological Aspects of Asthma in Primary Care : Special Reference to Prevalence, Clinical Detection and Validation“. Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6144.
Der volle Inhalt der QuelleO'Carroll, Veronica. „Practice mentors' attitudes and perspectives of interprofessional working, and interprofessional practice learning for students : a mixed-methods case study“. Thesis, University of St Andrews, 2017. http://hdl.handle.net/10023/10482.
Der volle Inhalt der QuelleSandberg, Johanna. „Institutionally Shaped Response to the Introduction of National Guidelines : Case Studies in the Swedish Regional Health Policy Arena“. Licentiate thesis, Linköpings universitet, Avdelningen för hälso- och sjukvårdsanalys, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-152648.
Der volle Inhalt der QuelleAustin, Stacy Theodora. „International and Domestic Student Health-Information Seeking and Satisfaction“. PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/804.
Der volle Inhalt der QuelleOtt, Kenneth Brad. „The Closure of New Orleans' Charity Hospital After Hurricane Katrina: A Case of Disaster Capitalism“. ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1472.
Der volle Inhalt der QuelleTreadway, Mona. „Young Adults in Transition: Factors that Support and Hinder Growth and Change“. Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1486639727837041.
Der volle Inhalt der QuelleMatlakala, Mokgadi Christina. „Strategies to overcome the challenges in the management of larger critical care units“. Thesis, 2012. http://hdl.handle.net/10500/15417.
Der volle Inhalt der QuelleThe purpose of this study was to develop strategies to overcome the challenges in the management of large intensive care units (ICUs). Qualitative, research was conducted to explore and describe the challenges and needs experienced by the ICU managers and critical care nurses in the management of large ICUs. Data was collected through interviews. The study was conducted in two phases, that is, Phases I and II which involved compilation of evidence in preparation for development of the strategies and development of the strategies respectively. Two groups of critical care nurses participated in the steps of data collection in Phase I of the study. The unit managers participated in Phase I step 1 which was individual interviews and the critical care nurses not in the management role participated in Phase I, step 2 which was focus group interviews. Data was analysed using the descriptive analysis method of Tesch (1990). The study has highlighted the challenges and needs in the management of large ICUs, through seven themes that emerged from the findings. Ten strategies were developed to overcome the challenges and address the identified needs. The strategies have been presented as a contribution to literature.
Health Studies
D. Litt. et Phil. (Health Studies)
„The basis for reconsidering the dosing of commonly used antibiotics in critically ill patients: pharmacokinetic studies“. Thesis, 2005. http://library.cuhk.edu.hk/record=b6074245.
Der volle Inhalt der QuelleAn important study showed that some septic patients with "normal" serum creatinines can have very high creatinine clearances. It follows that drugs which are renally excreted will have high clearances and illustrates why many of the above patients had low serum levels of antibiotic, a reason why some ICU patients require different dosing to ward patients.
Due to the required fluid loading and inotropic use in septic patients, creatinine clearances and drug clearances are often raised. This results in low serum concentrations at the end of a standard dosing interval.
My beta-lactam antibiotic work has repeatedly demonstrated low serum levels at the end of the standard dosing interval. In view of beta-lactam time-dependent kill characteristics we designed a continuous infusion protocol which we validated in a follow-up paper.
The inflammatory response of infections involves endothelial damage and capillary permeability. With associated fluid shifts of severe sepsis and treatment thereof, the volume of distribution (Vd) of antibiotics that distribute into the extracellular space (aminoglycosides, glycopeptides) is high. Peak serum levels for these antibiotics are therefore lower than those found in non-critically ill and in normal volunteers. It is noteworthy that this change in Vd is not apparent with drugs that have good tissue penetration (e.g. ciprofloxacin).
This thesis is a compilation of 11 of my prospectively designed studies plus extracts from 5 published reviews, focusing on pharmacokinetic (PK) aspects of antibiotics in ICU patients, all published in internationally peer-reviewed journals.
Two large PK studies on ciprofloxacin (a drug that has excellent tissue penetration) designed to address possible PK differences over time, could not demonstrate this difference in adults nor in two groups of paediatric patients where differences in body water are significant.
Two papers investigated the pharmacokinetics of amicakin in adult and paediatric patients documenting the benefit of extended interval dosing.
We automatically assume that antibiotic prescribing data, collated from healthy volunteers and not so ill patients, can be transcribed into the Intensive Care Unit. This is not so.
Jeffrey Lipman.
"April 2005."
Source: Dissertation Abstracts International, Volume: 68-03, Section: B, page: 1548.
Thesis (M.D.)--Chinese University of Hong Kong, 2005.
Includes bibliographical references (p. 235-254).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
School code: 1307.
McKeown, Shari I. „Playing with dolls : use of simulation technology in the Thompson Rivers University respiratory therapy program“. 2011. http://hdl.handle.net/10170/446.
Der volle Inhalt der QuelleSinqotho, Thembeka Maureen. „Case based learning in the undergraduate nursing programme at a University of Technology : a case study“. Thesis, 2015. http://hdl.handle.net/10321/1408.
Der volle Inhalt der QuelleBackground The current health care system in South Africa and its diverse settings of health care delivery system require a nurse who can make decisions, think critically, solve problems and work effectively in a team. Traditional nursing education teaching strategies have over the years relied on didactic and often passive approaches to learning. In pursuit of quality, academics and students must be continually engaged in a process of finding opportunities for improving the teaching and learning process. Purpose of the study The purpose of this study was to evaluate the structure and the process in case based learning at the University of Technology. Methodology This study is qualitative in nature, governed by an interpretive paradigm. This is a case study, which enabled the researcher to merge student interview data with records in order to gain insight into the activities and details of case based learning as practised at the University of Technology under study. Most importantly, the case study method was deemed appropriate for the current study, since case-based learning as a pedagogical approach (and a case) cannot be abstracted from its context for the purposes of study. Case based learning is evaluated in its context namely, the undergraduate nursing programme, using the Donabedian framework of structure, process and product. Results The study recorded that students were positive towards case based learning though some identified dynamics of working in groups as demerits of case based learning. The structures that are in place in the programme and the CBL processes are adequate and support CBL. There are however areas that need attention such as the qualification of the programme coordinator, the size of the class-rooms and the service of the computer laboratory. Conclusion The study found that apart from a few minor discrepancies, case based learning is sufficiently implemented, and experienced as invaluable by students, at the University of Technology under study.
Bjering, Heidi. „A framework for temporal abstractive multidimensional data mining“. Thesis, 2008. http://handle.uws.edu.au:8081/1959.7/487616.
Der volle Inhalt der QuelleIyawa, Gloria Ejehiohen. „Improving health delivery in rural communities through the use of mobile phones : a case study in Windhoek“. Diss., 2013. http://hdl.handle.net/10500/13763.
Der volle Inhalt der QuelleComputing
M. Sc. (Computing)
Mateus, Pedro Manuel Torres Rio Dias. „Barreiras e facilitadores à implementação de um modelo de gestão de cuidados em Saúde Mental“. Doctoral thesis, 2013. http://hdl.handle.net/10362/13195.
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