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1
Rader, Martha Cardwell. "Collaborative research : experiences of allied health professionals /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487323583620668.
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Boyce, Rosalie A. "The organisation of allied health professionals in Australian general hospitals." Thesis, Queensland University of Technology, 1996. https://eprints.qut.edu.au/107083/1/T%28BS%29%20134%20The%20organisation%20of%20allied%20health%20professionals%20in%20Australian%20general%20hospitals.pdf.
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This research is a case study in the sociology of professions. It reports on the Australian allied health professions, a group that has rarely been the subject
of sustained research. The central purpose of the research is to examine the impact of local workplace organisation in Australian general hospitals in the public sector on the position of the allied health professions and their
autonomy. Further, the research seeks to unbundle the competing claims about the utility of alternative organisational approaches and to examine how the allied health professions negotiate inter-professional relationships as a consequence of particular organisational approaches. The research draws on Eliot Freidson's professional dominance theory (medical dominance theory) as the underpinning theoretical framework. Medical dominance theory portrays the allied health professions as inevitably subject to medical dominance and subordination, a proposition which is critically appraised through a contemporary analysis of local workplace arrangements.
To address these issues three models of allied health profession organisation were identified; the classical medical model, division of allied health model and
the unit dispersement model. The research method involved a comparative case study approach and included fifty-three interviews, document analysis, observation strategies and key informants over a two year period. Data collection was guided by seventeen themes of inquiry which were identified
from a multiple methods approach as likely to be important in a comparative analysis of the organisation of the allied health professions.
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Lukies, Rhonda. "Examination of prevalence rates of psychopathology and coping styles in a community sample of emergency service job candidates /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19313.pdf.
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Lau, Man-kwong. "A study of the training strategy of the Auxiliary Medical Service." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B251395f63.
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Ho, Kam-tim. "An analysis of the motivation of volunteer members in the auxiliary medical service in Hong Kong." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B43895141.
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Wells, Bridget. "Implementation of computerised clinical decision support (CCDS) in a prehospital setting : processes of adoption and impact on paramedic role and practice." Thesis, Swansea University, 2013. https://cronfa.swan.ac.uk/Record/cronfa43112.
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Aim: To examine the adoption of CCDS by paramedics, including the impact of CCDS on paramedic role and practice. Methods: Systematic review of CCDS in emergency care followed by a cluster-randomised controlled trial (C-RCT) of CCDS with a qualitative component involving 42 paramedics at two study sites. Results: 19/20 studies identified for inclusion in the systematic review were from the Emergency Department setting, with no studies from prehospital care. The focus of the studies was on process of care (19/20) rather than patient outcomes (5/20). Positive impacts were reported in 15/19 (79%) process of care studies. Only two patient outcome studies were able to report findings (one positive, one negative). Results relating to CCDS implementation were reported as an ad hoc response to problems encountered. In this C-RCT paramedics used CCDS with 12% of eligible patients (site one: 2%; site two: 24%). Intervention paramedics were twice as likely to refer patients to a falls service as those in the control group (usual care) (relative risk = 2.0; 95% Cl 1.1 to 3.7) although conveyance rates were unaltered (relative risk = 1.1; 95% Cl 0.8 to 1.5) and episode of care was unchanged (-5.7 minutes; 95% Cl -38.5 to 27.2). When CCDS was used patient referral to falls services was three times as likely (relative risk = 3.1; 95% Cl 1.4 to 6.9), and non-conveyance was twice as likely (risk = 2.1; 95% Cl 1.1 to 3.9) and overall episode of care fell by 114 minutes (95% Cl from 77.2 to 150.3). Reasons given for not using CCDS included technical problems, lack of integration, it was not sophisticated enough to influence decision making. Paramedics adapted when and how they used CCDS to suit context and patient condition. Conclusion: There is little existing evidence in relation to CCDS use in the emergency care setting, and the prehospital emergency care setting in particular. Studies of CCDS undertaken in emergency departments have shown benefit, particularly in relation to process of care. The C-RCT found that CCDS use by paramedics was low, particularly at site one, but use was associated with higher rates of patient referral and non-conveyance, and shorter episodes of care. There were encouraging signs that CCDS can support a new decision making role for paramedics. The study provides useful lessons for policy makers, practitioners and researchers about the potential benefits of CCDS and the challenges to adoption of new technology in emergency prehospital care.
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劉文廣 and Man-kwong Lau. "A study of the training strategy of the Auxiliary Medical Service." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B43894847.
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Mack, Carolyn Denise. "Recruiting Strategies for Increasing the Number of Emergency Medical Technician Personnel." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7164.
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Demand for the emergency medical technician (EMT) is 2 times greater than that of all other occupations. Sustainability of ambulance services (AS) personnel is dependent upon the recruitment of EMTs into the industry. The purpose of this multiple case study was the exploration of the recruiting strategies that AS administrators used to increase the number of EMTs. Herzberg's 2-factor theory of motivation was the conceptual framework for this study. The data collection instrument included semistructured interviews with 6 AS company executives in southeastern New Mexico and southwestern Texas. Secondary data and document from each state's emergency medical services personnel and websites related to EMTs were reviewed. Data were analyzed using thematic analysis alignment between the recruiting strategies and the conceptual framework. Two key themes emerged: AS administrators have minimal data-driven recruitment tracking mechanisms and recruiting strategies for EMTs must align with the motivational aspects of growth, advancement, recognition, and responsibility in the AS business to entice people into the industry. The implications of this study for social change include the potential for AS executives to identify recruiting strategies they might use to increase the recruitment of EMTs to meet patient and community needs for medical transport while reducing the demand for EMTs nationwide.
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Slade, Catherine Putnam. "Does patient-centered care affect racial disparities in health?" Diss., Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/22569.
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Thesis (Ph. D.)--Public Policy, Georgia Institute of Technology, 2008.Committee Chair: Robert J. Eger III, Ph.D.; Committee Member: Christopher M. Weible, Ph.D.; Committee Member: Gregory B. Lewis, Ph.D.; Committee Member: Monica M. Gaughan, Ph.D.; Committee Member: Valerie A. Hepburn, Ph.D.
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Liddle, Keir. "The impact of leadership on the delivery of high quality patient centred care in allied health professional practice." Thesis, University of Stirling, 2018. http://hdl.handle.net/1893/28081.
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The Healthcare Quality Strategy for NHS Scotland, relates its overall vision of healthcare quality to six dimensions of care as: Safe, Efficient, Effective, Equitable, Timely and Patient Centred. Patient Centred Care also underpins many subsequent policies such as the management of Long Term Conditions (Scottish Government, 2008) and the Chief Medical Officers Realistic Medicine report (Barlow, et al., 2015) Leadership styles and associated policies and procedures are often assumed to inhibit or encourage the delivery of quality Patient Centred Care and the NHS invests millions of pounds per year in Leadership training. At a clinical team and management level there are behaviours and initiatives that can arguably have positive and negative impacts on the ability of individual practitioners to provide quality Patient Centred Care. However there have been no attempts to empirically test the association between (good) Leadership and quality Patient Centred Care. Without any evidence of such a relationship, NHS investment of substantial resources may be misguided. Additionally, much of the focus of research in both Leadership and Patient Centred Care has focused on medical practitioners and nurses. There is little research that focuses on the impact of allied health professionals' (a term describing 12 differing health care professional groups representing over 130,000 clinicians throughout the United Kingdom) practice on the quality of person centred care and how this is affected by Leadership structures and styles. This study aimed to explore whether there is a direct or indirect link between (transformational) Leadership and achieving the delivery of high quality Patient Centred Care (PCC) in allied health professional (AHP) practice. Aim The aim of this thesis was to explore whether it was possible to empirically demonstrate a relationship between Leadership (good or bad) and Patient Centred Care, and to do this in relation to Allied Health Professional practice. Research questions I. Is there a relationship between Transformational Leadership and Patient Centred Care in AHP practice? II. How do AHP’s conceptualise Leadership and its impact on their ability to deliver PCC? III. Do local contexts influence the ability of leaders to support Patient Centred Care? Study one Study one was designed to answer research question one: exploring the relationship between transformational Leadership and Patient Centred Care using survey design. Two groups of Allied Health Professionals were selected to take part in the study: Podiatrists and Dieticians. Clinical team leaders from across 12 Podiatry teams and 12 Dietetic teams completed a survey composed of measures of transformational Leadership and self-monitoring. Clinicians from these teams were also be asked to complete questionnaires on their perception of their clinical leaders’ transformational Leadership skills. This allowed comparison of self-assessed Leadership and team assessed Leadership. Clinicians were also asked to collect patient experience measures from 30 of their patients. Study Two Study Two was designed to answer research questions 2 and 3: how do AHPs conceptualise Leadership and how do they view the link between Leadership and their ability to deliver Patient Centred Care; and how might local context impact on professional Leadership and therefore its potential to enable or inhibit Patient Centred Care. In depth interviews were conducted with clinicians and clinical team leaders to explore the barriers and facilitators to effective Leadership, teamwork and the provision of quality care. Interviews were conducted with 21 Podiatrists and 12 Dieticians and analysed using a framework analysis approach. Results I. Is there a relationship between Patient Centred Care and transformational Leadership in AHP practice? The theory that there is a link between transformational Leadership and Patient Centred Care was confirmed. A significant relationship was discovered for the dietetics group linking Transformational Leadership with patient centred quality of care measures. There was also a relationship in the podiatry group that was suggestive of a relationship. II. How do AHP’s conceptualise Leadership and its impact on their ability to deliver PCC? AHP’s in both groups had broadly similar conceptualisations of Leadership and both groups played down the role of Leadership in the delivery of Patient Centred Care. A far more salient factor in achieving the delivery of high quality Patient Centred Care for the AHP’s interviewed was professional autonomy. III. Do local contexts influence the ability of leaders to support Patient Centred Care? A number of contextual issues related to both Patient Centred Care and Leadership were identified from the qualitative analysis. These were centred on systemic factors, relating to management and bureaucracy, and individual factors, such as relationships within teams. In Podiatry a major shift in the context of care was ongoing during the study, namely a greater emphasis on encouraging patients to self-care. This affected the relationships between patients and Podiatrists, and Podiatrists and managers, in a way that Podiatrists felt it negatively impacted on their ability to provide quality Patient Centred Care. Conclusion A weak relationship was observed between Transformational Leadership styles and the delivery of Patient Centred Care in two Allied Health Professional groups. Professional autonomy was identified as being more likely to facilitate delivery of person centred care. Organisational issues and intervening policy directives can impact on the delivery of Patient Centred Care, regardless of Leadership. Recommendations Further work exploring the link between Leadership and Patient Centred Care is required. The concept of professional autonomy should be fostered within Leadership programs to enhance delivery of Patient Centred Care. The impact of individual policies, such as moves towards more self-care, on quality criteria need to be more fully considered. Whilst such policies may make care more efficient, there may be negative consequences for other quality care criteria, such as Patient Centred Care.
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Sergakis, Georgianna G. "Pre-professional allied health students' knowledge, attitudes, beliefs about aging and intentions to work with older adults." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1164820005.
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Moore, Bridgit R. "Assessing Allied Health and Nursing Post-Secondary Career and Technical Education Teacher Attitudes and Beliefs About Reading." Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4757/.
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This study examined allied health and nursing career and technical education (CTE) teacher beliefs and attitudes about reading. Since beliefs and attitudes influence the way teachers teach, it is important to understand what those beliefs and attitudes are, especially in relationship to reading in subject matter classrooms. One hundred twelve individuals responded to a written survey concerning their attitudes and beliefs about reading. A four-factor solution was achieved with a principal components factor analysis. A significant number of variables were associated with the factor labeled Reading Apathy, which appears to be indicative of the condition known as aliteracy among faculty who participated in the study. Professional development activities grounded in novice-to-expert theory are suggested as a way of overcoming the phenomenon. Recommendations for future research involve a more detailed study to further characterize the condition of aliteracy and its impact on student learning.
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Lineros, Jose Victor. "An Investigation of Paramedical Vocational Interest and Choice for Men of Color in Texas Community Colleges." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157579/.
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Although the recent annual growth rate in the US paramedic field has been 4%, Latino and African American men have been significantly underrepresented in the field compared to their proportion in the US population at large. This problem threatens both the quality and quantity of available emergency health care. The purpose of this study was to describe how men of color (MOC) in community college paramedical programs experienced their awareness, interest, and proactive choice of paramedicine as a course of study. Using a qualitative phenomenological approach and social cognitive career theory as a theoretical framework, I interviewed 23 MOC enrolled during one semester across three community college paramedical programs in the southwestern US: 9 Latino and 14 African American, aged 18-29 with mean age 22 years. The focus of the interviews was the participants' lived experiences at various career points, as well as the enablers and disablers they had encountered. I identified three primary themes for possible use in enhancing recruitment of MOC to the paramedic field: strategic use of new digital media, promotion of the vocation's quasi-familial characteristics, and augmentation of neighborhood-based outreach. Identified areas for further research included recruitment dynamics of female paramedics, MOC persistence issues, and MOC job satisfaction assessments.
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Matsuda, Sandra J. "Information-seeking activity of rural health practitioners /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9946278.
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Boerema, Christina Fenna D. "The therapeutic relationship : a phenomenological study of occupational therapists' experience /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09EDM/09edmb672.pdf.
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Ho, Kam-tim, and 何錦添. "An analysis of the motivation of volunteer members in the auxiliary medical service in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B43895141.
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Boyce, Rosalie A. "Resource acquisition and resistance to change at National Hospital for Mothers and Babies : a case study into the implications of medical dominance." Thesis, Queensland University of Technology, 1989. https://eprints.qut.edu.au/36382/1/36382_Boyce_1989.pdf.
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This research project is an expost case study
analysis of the failed attempt of a small allied
health professional department (dietitians) in a
large public hospital to achieve a substantial
increase in resources. The research utilizes a
qualitative case study approach in which the
researcher was an active and leading participant in
the case events. The case study research methodology
is critically reviewed and justified in terms of its
applicability, objectivity and limitations.
The case study investigates a five year (1983 - 1988)
period at the National Hospital for Mothers and
Babies (NHMB) . A detailed description of the case
setting, the planning and change processes used by
the dietitians, and the response of NHMB management
are presented. This material provides the empirical
data for analysis. An interdisciplinary approach from theoretical paradigms such as sociology, economics and
organisational psychology are utilized in order to
provide a complementary analysis. The NHMB case study is a single case with embedded units of analysis. The units selected for examination are presented in the form of an analysis of critical issues influencing the outcome of the resource acquisition process. From an analytical
perspective the research concentrates on the
implications of substantial resource acquisition
goals in an emerging profession (dietitians) under
the direct control of a dominant profession
(medicine) in the hospital setting. A set of complementary hypotheses are developed and
assessed in terms of their ability to adequately
explain the case events from a theoretical
perspective. The first hypothesis proposes that
theories of medical dominance are able to explain
case events on an organisational scale. The
remaining hypotheses are located at the microanalytical
level. The second hypothesis postulates that the actions of the dietitians to commence an aggressive campaign for
additional resources can be explained as an adaptive
behaviour in an environment of conflicting
expectations. The third hypothesis contends that the dietitian's failure to achieve the desired resource objectives is able to be explained by assessing the levels of power able to be exercised by the dietitians relative to other actors in the case. The review of relevant literature and subsequent analysis of significant issues impacting on the outcome of the resource acquisition objectives suggests support for the hypotheses.
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Gillies, Annemarie. "Kia taupunga te ngākau Māori : anchoring Māori health workforce potential : a thesis presented for the degree of Doctor of Philosophy, Māori Studies, Massey University, Palmerston North, New Zealand." Massey University, 2006. http://hdl.handle.net/10179/994.
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In New Zealand Māori are under-represented in the workforce across multiple sectors. This thesis explores this incongruity with regard to Māori health. A Māori perspective and philosophical foundation formed the basis of the methodological approach, utilising a case study research design to inform the study. This provided the opportunity to explore Māori health workforce development initiatives and their potential to contribute to improvements and gains in Māori health. It was important that this work take into account social and economic factors and their impact on health, as well as the varying political climates of market oriented reform and a fiscal policy focus, because it has not only challenged Māori health development but also provided opportunities for increased Māori involvement and participation in health and New Zealand society. Therefore the thesis, while focused on health takes cognisance of and, coincides with the capacity and capability building efforts that have been a feature of overall Māori development, progress and advancement. In the context of this thesis Māori health workers are seen as leaders within their whānau, hapū, iwi, and Māori communities. Consequently a potential workforce that is strong and powerful can lead to anticipated gains in Māori health alongside other Māori movements for advancement. The potential cannot be under-estimated. This thesis argues that there are critical success factors, specific determinants, influencing Māori health workforce potential, and that these success factors have wider application. Therefore, as this thesis suggests Māori workforce development, especially in relationship to the health workforce, is dependent on effective Māori leadership, the application of Māori values to workplace practices, levels of resourcing that are compatible with training and development, critical mass, and targeted policies and programmes.
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Carvalho, Andreia Filipa Jesus. "Ajudantes de acção directa : percepções sobre formação profissional e impacto da formação na prestação de cuidados a idosos dependentes internados." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2012. http://hdl.handle.net/10362/7742.
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RESUMO: A transferência de indivíduos dependentes é uma das tarefas mais realizadas
pelos ajudantes de acção directa (AAD) na prestação de cuidados a idosos, sendo
crucial haver formação nesta área. No entanto, os programas de formação em
transferências raramente são avaliados em termos de desempenho na realização
deste tipo de tarefas. Objectivo: Este estudo teve como objectivos analisar o impacto da formação de AAD no desempenho da transferência de idosos internados na
Residência São João de Ávila (RSJA) e identificar as percepções dos AAD
relativamente à importância da formação profissional, formação em transferências e
dificuldade sentida na sua realização. Métodos: Realizou-se um estudo com duas
etapas: na primeira procedeu-se a um estudo descritivo exploratório (através de um
questionário auto-administrado a 25 AAD); na segunda realizou-se um estudo quase
experimental de observação com duas fases, entre as quais decorreu uma “Formação
em Princípios e Conceitos Básicos em Reabilitação Física” (observação directa de 18 AAD durante a realização da transferência “deitado-sentado-cadeira” de idosos,
através de uma grelha de observação). Resultados: O desempenho dos AAD na
transferência melhorou após a formação. Os ajudantes manifestaram ter uma percepção positiva sobre a importância da formação profissional e da formação em transferências. Aproximadamente dois terços dos AAD revelaram não sentir dificuldades na realização de transferências. Conclusões: A formação teve um impacto positivo no desempenho dos AAD na transferência de idosos. Concluiu-se que há uma sensibilização generalizada por parte dos AAD para a importância da formação na sua profissão e, especificamente, para a formação em transferências. ---------------ABSTRACT: The transfers of dependent patients by healthcare assistants are tasks commonly used in elderly care. Therefore, it is crucial that healthcare assistants are trained to perform these tasks. However, training programs are rarely evaluated in terms of performance of these tasks. Aim: The aims of this study were 1) to determine the impact of healthcare assistant training in the transfers of the Residência São João de Ávila (RSJA) elderly patients; and 2) to analyze healthcare assistant’s perceptions about their education, their specialized training on the transfer technique, and their difficulty in performing transfers. Methods: The study was divided in two parts: an exploratory and descriptive study (self-report questionnaire applied to 25 healthcare assistants); and a quasi-experimental observation study, which involved a “training session on basic concepts and principles of physical rehabilitation” (direct observation
of 18 healthcare assistants during the “bed-sitting-chair” transfer, using an observation table). Results: Healthcare assistant performance of the “bed-sitting-chair” transfer improved after training. The healthcare assistants showed positive perceptions about their education and specialized training on the transfer technique. Approximately two thirds of the assistants felt no difficulties in performing transfer tasks. Conclusions:
The training had a positive influence in healthcare assistant performance. The
healthcare assistants were aware of the importance of training in their profession and more specifically in transfer tasks.
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Bowman, Anita. "Utilization of support staff by athletic trainers at NCAA institutions." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941381.
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There are many choices of specialists to be utilized in a sport medicine support staff. The effectiveness of any athletic training program depends on the organization and utilization of these specialists. The purpose of this investigation was to review current practices of accessibility, utilization, and compensation of sports medicine support staff at NCAA Division I, II, and III institutions. A random sample of 225 NCAA institutions equally stratified by level (Division I, II, 111) was obtained from the National Association of Collegiate Directors of Athletics (NACDA) directory. A questionnaire was sent to 75 head athletic trainers in each of three NCAA divisions levels. Of the 225 questionnaires mailed, 178 were returned representing a 79% response rate.The accessibility and utilization of support staff was equally distributed with respect to gender and sports at all division levels. When examining the support staff, Division I had consistently higher accessibility and utilization rates than Division II and Ill. This study may assist athletic trainers to evaluate or update their program by reviewing current practices of accessibility utilization, and compensation of support staff.School of Physical Education
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Lassell, Marie Barlow. "Audiological in-service regarding hearing impairment and its impact on communication in the geriatric population." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4069.
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At least two studies have been found conducted in the area of audiological in-services and their impact on the people to whom they were presented. In 1981, Dancer and Keiser studied the effects of empathy training on geriatric-care nurses and in 1985, Dampier, Dancer, and Keiser studied changing attitudes of college students toward older persons with hearing loss. Both of the studies investigated the effect of in-service training on empathy, rather than using the traditional academicallyoriented in-service program approach. Both studies found statistical results indicating a significant positive change in the subjects' feelings toward hearing impaired geriatrics. Additionally, Dancer et al. (1981) found a positive significant change in the subjects' perceptions of hearing impaired elderly persons.
This study investigated the effect of an in-service training program on nursing home personnel. The in-service that was developed included both empathy training and factual information. It was hypothesized that both elements are important and the inclusion of both could result in a greater change in people's attitude. The empathy portion of this in-service included a taped interview with a hearing impaired older person, a tape dramatizing interactions between hearing impaired and normal hearing individuals, simulated high frequency hearing loss, an "unfair listening test" and suggestions for interacting with hearing impaired people. The factual information included anatomy and physiology of the ear, types of hearing loss, common characteristics of hearing loss among older people, and the impact of hearing loss on speech understanding.
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Slade, Catherine Putnam. "Does Patient-Centered Care affect Racial Disparities in Health?" Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/pmap_diss/24.
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This thesis presents a challenge to policy initiatives that presume that patient-centered care will reduce racial disparities in health. Data from the Medical Expenditure Panel Survey were used to test patient assessment of provider behavior defined as patient-centered care according to the National Health Disparities Report of the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Results indicated patient-centered care improves self-rated health status, but blacks still report worse health status than whites experiencing comparable patient-centered care. Further, black-white differences in patient-centered care had no affect on health status. Rival theories of black-white differences in health, including social class and health literacy, provided better explanations of disparities than assessment of provider behaviors. These findings suggest that policies designed to financially incentivize patient-centered care practices by providers should be considered with caution. While patient-centered care is better quality care, financial incentives could have a negative effect on minority health if providers are deterred from practices that serve disproportionate numbers of poor and less literate patients and their families. Measurement of the concept of patient-centered care in future health disparities research was also discussed.
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Jeevanandam, Lohsnah. "Burnout, coping, self-efficacy, attitudes towards people with disabilities, and negative psychological variables in service providers working with people with intellectual disability : a cross-national compariosn across Australia and Singapore /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19642.pdf.
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Efifie, Uchechukwu E. "Assessing the awareness of and adherence to the Universal Safety Precautions (USP) among Health Care Workers (HCWs) in Kogi State Specialist Hospital (KSSH), Lokoja, Kogi State, Nigeria." University of the Western Cape, 2016. http://hdl.handle.net/11394/5488.
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Magister Public Health - MPHIntroduction: The Universal Safety Precautions (USP) are a set of principles including practices and protocols, which is meant to reduce or prevent occupational exposures to blood borne pathogens among health care workers (HCWs), during the course of their duties in health care settings. Globally and in Nigeria, significant number of HCWs are currently being exposed to blood and other body fluids while working in the hospital setting (Amoran, 2013; Samuel et al., 2008; Akinboro et al., 2012; Ajibola et al., 1994; Okechukwu et al., 2012). These exposures contribute annually to about 16,000 HCV infections and 66,000 HBV infections among HCWs worldwide (Prüss-Üstün et al., 2003) and about 1000 cases of HIV per annum in Nigeria since the first recorded case in 1984 (Okechukwu et al., 2012; Patricia et al., 2007). The objectives of the study were to describe the awareness of the USP among HCWs in Kogi State Specialist Hospital (KSSH), Lokoja and to describe the adherence to the USP among HCWs at KSSH. Methods: A descriptive cross-sectional study was conducted among HCWs working in departments where contacts with patients' blood and other body fluids are possible in KSSH. An anonymous self-administered questionnaire was used for data collection. Analysis of the data collected was with Software Package for Social Sciences (SPSS) V23.0.0 for Mac. Results: Of the 125 participants that returned their questionnaires, 37.6% were nurses, 17.6% were doctors and the remainder were laboratory staff, dentists and hospital attendants. Sixty four percent (64%) of them were females, 49.6% had tertiary education while their average age was 38.5 years. Awareness of and adherence to the USP were observed to be 5.6% and 2.4% respectively. Statistically, complete awareness of the USP was not significantly associated with complete adherence to the USP. More so, 3% and 2.2% of the participants with the number of years in services within the ranges of 5-9 years and 1-4 years respectively had complete adherence to the USP. Statistically significant association was only noted between participants' age and complete adherence to the USP. Post-exposure prophylaxis (PEP) and use of personal protective equipment (PPE) were the two USP principles with the lowest levels of awareness and adherence, with 46% and 47.6% on awareness respectively and, 43.8% and 44.6% on adherence respectively. Conclusion: The levels of awareness of and adherence to the USP among the HCWs in KSSH were observed to be very low. There is an urgent need for capacity building of the HCWs on the USP in the form of trainings, and in the long term, there is need to conduct a study to assess possible reasons for the observed outcome.
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Samson, Akiev. "Digital human modeling for ergonomic assessment of patient lifting by paramedics." Diss., Online access via UMI:, 2009.
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Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009.Includes bibliographical references.
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Faleiro, Fernanda Rosiak Gonzaga. "Educação a distância na formação dos técnicos de nível médio em saúde: percepção dos diretores das escolas técnicas do SUS no Brasil." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/5285.
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In Brazil, Unified Health System’s Technical Schools (UHSTS) are reference to the qualification and training of allied health personnel in the health system. With the extensive development of information and communication technologies, distance education (DE) is presented as an alternative to train workers face to face method of teaching. This study aimed to analyze the perceptions of directors of UHSTS on the DE in training of allied health personnel for the UHS in 2013. An exploratory-descriptive study with quantitative and qualitative approach was carried out using an electronic questionnaire to collect data. The response rate was 80,5%. The results showed that the majority of respondents were female (72.4%); aged over 50 years (55.2%) and postgraduate (93,1%). The majority (86.2%) has participated in distance learning courses; 42% of the courses were specialization. With respect to courses/activities in distance education in UHSTS, they were developed in only 31% of schools; most were technical courses (42.2%), followed by training/improvement (26.3%) and specialization courses of higher level (21%); 89.4% were conducted in partnership with other institutions and among technicians, none was financed by the Ministry of Health (MOH). The positive points of DE in the training of allied health personnel in health highlighted by the directors surveyed in subcategories of analysis were: accessibility to courses; reduction absence from workplace; flexible schedules for the study; post-technical courses and theoretical subject. The difficulties identified in subcategories were: lack of technological infrastructure in the municipal districts; students' difficulties in accessing technological resources; unsuitability to all kinds of people; distance physics tutor/student; technical courses in health; financing installations and acquisition of equipment; training of qualified technical staff. It can be concluded that despite the distance education be regarded as an option to the decentralization of the courses of UHSTS, the perception of the directors on this modality qualification and training for allied health personnel was permeated with more hindering aspects than favorable points. The challenges mentioned could be better addressed through a distance education’s politics of MOH which embraced these workers.
As Escolas Técnicas do Sistema Único de Saúde (ETSUS) são referência no Brasil para a qualificação e formação de técnicos de nível médio em saúde para o SUS. Com o amplo desenvolvimento das tecnologias de informação e comunicação, a educação a distância (EaD) apresenta-se como alternativa para a capacitação de trabalhadores face à metodologia presencial de ensino. Este trabalho teve como objetivo analisar a percepção dos diretores das ETSUS sobre a EaD na formação dos técnicos de nível médio em saúde no ano de 2013. Foi realizado um estudo exploratório-descritivo com abordagem quanti-qualitativa, utilizando um questionário eletrônico para a coleta de dados. A taxa de resposta alcançada foi de 80,5%. Os resultados mostraram que a maioria dos pesquisados era do sexo feminino (72,4%), na faixa etária acima de 50 anos (55,2%) e com pós-graduação (93,1%). A maioria (86,2%) já havia participado de cursos a distância, sendo 67,6% como aluno e 42,2% dos cursos feitos foram de especialização. Apenas 31% das Escolas realizavam cursos a distância, sendo que 42,2% eram cursos de nível técnico, 26,3% de capacitação/aperfeiçoamento e 21% de especialização de nível superior; 89,4% foram realizados em parcerias com outras instituições e, dentre os técnicos, nenhum era financiado pelo Ministério da Saúde (MS). Os pontos favoráveis da EaD na formação dos técnicos de nível médio em saúde destacados pelos diretores pesquisados em subcategorias de análise foram: acessibilidade aos cursos; redução da ausência no local de trabalho; flexibilidade de horários para o estudo; cursos pós-técnicos e conteúdos teóricos. Já as dificuldades apontadas em subcategorias foram: falta de infraestrutura tecnológica nos municípios; dificuldades dos alunos em acessar recursos tecnológicos; não adequação a todo tipo de público; distância física tutor/aluno; cursos técnicos em saúde; financiamento das instalações e aquisição de equipamentos; formação de equipe técnica capacitada. Pode-se concluir que apesar de a EaD ser vista como uma opção à descentralização dos cursos nas ETSUS, a percepção dos diretores sobre esta modalidade na formação dos técnicos de nível médio em saúde para o SUS foi permeada de mais aspectos dificultadores do que de pontos favoráveis. Os desafios apontados poderiam ser melhor enfrentados por meio de uma política do MS na área de educação a distância que contemplasse esse público.
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Alves, Anna Carolina de Lira. "Intervenção pedagógica: estímulo à aprendizagem em Curso de Especialização em Instrumentação Cirúrgica." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/108/108131/tde-12092018-154540/.
Full textAbstract:
Trata-se de um estudo exploratório, do tipo intervenção pedagógica, cujo objetivo foi o de reformular o plano de ensino de uma das disciplinas que compõem um Curso de Especialização em Instrumentação Cirúrgica, incorporando mudanças nos processos de ensino-aprendizagem. O referencial teórico para a intervenção propriamente dita se pautou em autores que estimulam um processo de ensino-aprendizagem que instigue a participação dos estudantes, com o uso de metodologias ativas. Com o apoio da instituição, foram incorporadas estratégias pedagógicas diversificadas ao longo das 12 aulas da disciplina, para os 22 estudantes matriculados no primeiro semestre de 2018. Quanto ao método de avaliação da intervenção, ao final da disciplina os estudantes refletiram e escreveram sobre a própria evolução ao longo do percurso, de que forma as estratégias interferiram nesse processo e quais as estratégias mais marcantes. Recordaram os temas e detalhes apresentados no decorrer da mesma, fato que pode inferir que o uso de diferentes estratégias contribuiu para a fixação e construção de conhecimento. As aulas mais marcantes foram as que os aproximaram dos cenários de prática. Quando se auto-avaliaram nesse processo, se perceberam como corresponsáveis pelo ensino-aprendizagem, elemento fundamental nas metodologias ativas. Corpo docente e coordenação sentiram-se instigados com a intervenção pedagógica e pretendem investir mais no desenvolvimento de estratégias que qualifiquem cada vez mais o curso, para o desenvolvimento de um perfil profissional único, para o exigente mercado de trabalho atual.It is an exploratory study, of the type pedagogical intervention, whose objective was to reformulate the teaching plan of one of the disciplines that make up a Specialization Course in Surgical Instrumentation, incorporating changes in the teaching-learning processes. The theoretical reference for the intervention itself was based on authors who stimulate a teaching-learning process that instigates student participation, using active methodologies. With the support of the institution, diverse pedagogical strategies were incorporated throughout the 12 classes of the discipline, for the 22 students enrolled in the first semester of 2018. As for the method of evaluation of the intervention, at the end of the course the students reflected and wrote about the own along the way, how the strategies interfered in this process and which strategies were the most striking. They recalled the themes and details presented during the course, which may infer that the use of different strategies contributed to the fixation and construction of knowledge. The most remarkable classes were those that brought them closer to the practice scenarios. When they self-evaluated in this process, they perceived themselves as co-responsible for teaching-learning, a fundamental element in active methodologies. Teaching staff and coordination have felt instigated by the pedagogical intervention and intend to invest more in the development of strategies that increasingly qualify the course, for the development of a unique professional profile, for the current demanding job market.
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Marques, Juan Pablo Domingues. "Satisfação no trabalho de trabalhadores com formação superior que atuam como técnicos de enfermagem." Universidade Federal de Santa Maria, 2017. http://repositorio.ufsm.br/handle/1/11944.
Full textAbstract:
Work has the role of inserting men in social environment, being able of maximizing their
motivation, creativity and satisfaction and, on the other hand, it can be the causer of disorders,
mood swings, physical mismatches and frustration. Satisfaction at work can be realized as one
of the main factors related to the work productivity and quality. Thus, this research had as its
general objective to understand the satisfaction at work of workers with higher education,
which act as nurse technicians in intensive care units. The research was qualitative, of the
kind descriptive-exploratory. The scenario were the intensive care units of a university
hospital located in a city in the countryside of Rio Grande do Sul state, Brazil. The
participants were the nurse technicians workers approved in the public examination Regime
Jurídico Único (RJU), linked to this institution. The data were produced, in the period of
March and May 2016, through a socio-occupational data survey questionnaire and individual
semi structured interviews, being analyzed by the thematic analysis of content, and discussed
together with the Psychodynamics of Work’s theoretical framework. The research met the
Health National Committee’s nº 466/12 resolution, with Presentation Certificate to Ethics
Appreciation under the number 52247316.3.0000.5346. Through the data analysis, three
categories emerged. The first named “satisfaction and dissatisfaction aspects related to the
nurse technician profession” showed the responsible factors of providing satisfaction and
dissatisfaction at work of these workers. The second category “satisfaction at work aspects
related to higher education” showed that several nurse technicians workers already have the
permanent desire of having a higher education degree, even before of acquiring their technical
formation degree, however, because of life needs, this desire is left to a second plan. Another
finding showed that because they had a career plan that offered financial benefits, many of
these workers look for a higher education degree as a way of getting a better remuneration for
their work. It was also observed that many of them understand the scientific knowledge
acquisition as an opportunity of professional growth both in their secondary and higher
education careers. The last category “changes triggered after the entry of the nurse technician
workers in higher education” showed that higher education provided an expansion,
knowledge enhancement and the formation of a harshest point of view in relation to the work.
It was also highlighted the sensation of these workers of having their work underutilized in
the secondary education, besides the frustration of not being allowed of developing the
activities learned in the higher education. This research could contribute with the study
population stimulating reflections on their labor activity, which can have impact in the
worker’s life, allowing future actions with emphasis in their satisfaction and psychic suffering
decrease.O trabalho tem papel de inserção do homem no meio social, podendo potencializar sua motivação, criatividade e satisfação. Por outro lado, pode ser causador de distúrbios, alterações de humor, desajustes físicos e frustrações. A satisfação no trabalho pode ser percebida como um dos principais fatores relacionados à produtividade e à qualidade do trabalho. Assim, esta pesquisa tem como objetivo geral compreender a satisfação no trabalho de técnicos de enfermagem em unidades de terapia intensiva, com formação superior. A pesquisa foi qualitativa, do tipo descritivo-exploratória. Os cenários foram as Unidades de Terapias Intensivas de um hospital universitário localizado em um município do interior do estado do Rio Grande do Sul, no Brasil. Os participantes foram os trabalhadores técnicos de enfermagem concursados pelo Regime Jurídico Único (RJU), vinculados a esta instituição. Os dados foram coletados, no período de março a maio de 2016, por meio de um questionário para levantamento dos dados sociolaborais e entrevistas semiestruturadas individuais, sendo analisados pela análise temática de conteúdo e discutidos junto ao referencial teórico da Psicodinâmica do Trabalho. A pesquisa atendeu à resolução nº466/12 do Conselho Nacional de Saúde, com Certificado de Apresentação para Apreciação Ética sob o número 52247316.3.0000.5346. A partir da análise dos dados, emergiram três categorias. A primeira, denominada “aspectos de satisfação e de insatisfação relacionados ao técnico de enfermagem”, mostrou os fatores responsáveis por conferir satisfação e insatisfação no trabalho desses trabalhadores. A segunda categoria “aspectos da satisfação no trabalho relacionados com a formação superior” mostrou que muitos dos trabalhadores técnicos de enfermagem já possuem o desejo premente em ter uma formação superior, até mesmo antes de possuir sua formação de nível técnico, porém por necessidades da vida, essa vontade é relegada ao um segundo plano. Os dados também mostram que, por possuírem um plano de carreira que oferece vantagens financeiras, muitos desses trabalhadores buscam o curso superior como forma de alcançar uma melhor remuneração em seus salários. Também foi constatado que muitos percebem a aquisição do conhecimento científico como uma oportunidade de ascensão profissional tanto em suas carreiras de nível médio quanto superior. A última categoria “mudanças desencadeadas após o ingresso dos trabalhadores técnicos de enfermagem no ensino superior” identificou que a formação superior oportunizou um aprofundamento do conhecimento e a formação de um ponto de vista mais crítico em relaçao ao trabalho. Também foi evidenciada a sensação desses trabalhadores de terem seu trabalho subutilizado no nível médio, além da frustração por não poderem desenvolver as atividades que aprenderam no curso superior. Essa pesquisa pôde contribuir com a população do estudo estimulando reflexões sobre sua atividade laboral, o que pode repercutir na vida do trabalhador, possibilitando ações futuras com enfoque na satisfação e redução de seu sofrimento psíquico.
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SCHUCKMAN, CHRISTY M. "The Use of Personal Digital Assistants Across Four Medical Center Colleges at the University of Cincinnati." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1141091676.
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Thomas, Neil. "The effects of eye movements on postural control in young and older adults." Thesis, University of Cumbria, 2018. http://insight.cumbria.ac.uk/id/eprint/3755/.
Full textAbstract:
Eye movements are used day-to-day to acquire visual information. Vision is also used for postural control. There are growing indications eye movements can affect postural control. However, this has not been investigated in older adults, which is surprising given the high incidence of falls in older populations. The present thesis aims to address this. The first experimental chapter explores the effects of eye movements on balance during standing in young and older adults. The findings show decreased stability during smooth pursuits, whereas saccades maintained stability to that when fixating a static target. The older adults matched the younger groups performance throughout. The second experimental chapter explores the effects of smooth pursuits and saccades on balance during locomotion in young and older adults. Smooth pursuits were shown to decrease stability, whilst saccades maintained stability compared to fixating a static target. The effects of the eye movements were similar in the older adults. However, the elders exhibited lower baseline stability. The third experimental chapter explores the effects of tracking a real-world stimulus (another person known as `pedestrian') on balance control during locomotion. The pedestrian could be standing still or walking. Fixating the stationary and the walking pedestrian decreased stability similarly when compared to free gaze when the pedestrian was not present. To determine whether these results were transferable to natural gaze rather than instructed gaze, the fourth experimental chapter explores free gaze patterns in a similar real-world environment. Both the young and older adults typically fixated the pedestrian when he was standing still and walking, but began to ignore him once he had walked away from their direction heading. Therefore, experiment 3 behaviour was transferable to natural gaze patterns. The older adults also adopted a more cautious approach by fixating regions on the ground initially, and for longer, before looking to their direction heading.
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CHU, JUNG-CHIEN, and 朱蓉倩. "The Relationships among Personal Perfectionism, Innovation Behavior and Procrastination -Case of Allied Health Professional Personnel." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8m8m2d.
Full textAbstract:
碩士國立高雄科技大學
人力資源發展系
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Organizational efficiency is a key element to a company's vigorous development. Its core factor is to promote greater employee's innovative behavior and avoid procrastination, especially in the rapidly changing medical industry. According to research, the behavior of a person is considerably influenced by his personality traits. Consequently, this study attempts to explore the relationship among different types of perfectionism traits, innovative behaviors and procrastination in medical personnel. However, under organizational climate where each other competes for performance, the employees’ performance be stimulated by the feelings of being compared with others, and their innovative behavior and procrastination will change? Therefore, this study also wants to explore whether competitive climate has a moderating effect between different types of perfectionism, innovation behaviors and procrastination behaviors is investigated. Through distributing questionnaires to medical personnel in hospital, a total 470 copies were received. Through analyzing, the findings indicated that medical personnel who are more inclined to "High standard" perfectionism or "order" perfectionism, have greater innovative behavior and less procrastination. In addition, "High standard" perfectionism and "order" perfectionism are predictors of innovative behavior; "High standard" perfectionism, "order" perfectionism and "Discrepancy" perfectionism are predictors of procrastination. Finally, this study find the moderating effect only exists in the relationship between "order" perfectionism and innovative behavior.
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Phillips, Leigh Alison. "Construct validation of the doctor expertise scale in a primary care setting." 2008. http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.17544.
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Campeau, Anthony Gerrard. "A space-control theory of paramedic scene-management /." 2007. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=510551&T=F.
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McNeil-Delaney, Oona D. "Empowering others and empowering ourselves : a case study of community health workers in a mental health project." Thesis, 2005. http://hdl.handle.net/1957/28362.
Full textAbstract:
The Surgeon General of the United States in 2003 documented the
existence of striking disparities for minorities and immigrants in mental health
services and the underlying knowledge base. This thesis expands the
knowledge base by examining the personal experiences and perspectives of
community health workers (CHWs) employed in a mental health project. CHW
interventions have been shown to increase access and reduce barriers to
health care services. CHWs come from similar cultural and ethnic
backgrounds as recipients of services and share similar life experiences. As
cultural mediators between ethnic communities and a primary health care
system, CHWs are able to provide valuable insight into immigrant mental
health disparities.
Through case study analysis, this thesis explores the personal
experiences of CHWs employed by a grant-funded mental health project.
Utilizing ethnographic research methods to better understand the CHW
intervention, this thesis focuses on CHW motivations, their challenges and the
impact of work on their personal lives. Results suggest that CHWs
experienced many positive changes in their own lives as a result of their work. CHWs are better able to address their own physical and mental health needs.
By increasing access to community and clinic services, CHWs help to improve
the mental and physical health status of clients. Results suggest that the
cultural competency of clinic staff, service providers and clients improved.
CHWs help to strengthen community bonding or social capital by expanding
social networks and empowering individuals to create change in their own
lives.Graduation date: 2006
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Bowman, Julia. "The effect of a multifaceted educational intervention on allied health clinicians' outcome measurement behaviours." Thesis, 2009. http://handle.uws.edu.au:8081/1959.7/458518.
Full textAbstract:
Outcome measurement is a necessary part of clinical practice. Using standardised measures, health professionals need to show that their interventions improve health outcomes (Laver-Fawcett, 2007). However, research shows that most allied health professionals are not using outcome measures. One explanation is that outcome measurement requires new knowledge, skills and attitudes, and considerable changes in behaviour. These changes can be difficult for many health professionals to achieve (Cusick and McCluskey, 2000; McCluskey, 2003; McCluskey and Lovarini, 2005). This thesis examines the nature of change and theories of change associated with improved outcome measurement. Potential barriers to change are identified and discussed. A new instrument for measuring readiness to change is described, and its psychometric properties evaluated. A multifaceted educational intervention which targets known barriers to outcome measurement is described. The intervention is then evaluated empirically for effectiveness, using a randomised controlled trial design. The thesis aims to add to the body of knowledge about implementing outcome measures in practice.
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Lawrence, Heather A. "A national study of burnout in radiotherapists registered with the Health Professions Council of South Africa." Thesis, 2009. http://hdl.handle.net/10210/2613.
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Khan, Nasim Banu. "Perceptions of and attitudes to the compulsory community service programme for therapists in KwaZulu-Natal, 2005." Thesis, 2009. http://hdl.handle.net/10413/904.
Full textAbstract:
Compulsory community service programmes have been initiated in many countries to recruit
health care professionals to provide services in rural and under-served areas. However, the
success or failure of the Community Service Programme depends largely on the attitudes of
the professionals, their understanding of the programme's objectives, their preparedness for
working in these areas and their ability to adapt to a new and challenging experience.
Aim
The aim ofthis study was to assess therapist's perceptions and attitudes about the compulsory
Community Service Programme in KwaZulu-Natal in 2005 and to assess whether these
changed during the year.
Methods
An observational cross sectional study with a descriptive and analytic component was
conducted on commencement and after completion of community service. The therapists
completed a self-administered questionnaire before and after their community service.
Results
A total of 126 (89% of 142) therapists responded to the initial questionnaire, 59 (42%)
completed the exit questionnaire of which 47 (33%) completed both the questionnaire at
commencement and completion of community service. Despite the poor response rate,
similarities in perceptions and attitudes were noted with other studies conducted nationally
and internationally. At onset 50% indicated that they would work in the public sector in the
future and this proportion declined to 35% by exit. Even fewer (24%) said they would work
in a rural area in the future. Only 16% reported that they would stay on at the same institution
the year after community service. There was also no significant association between
therapists collecting a rural allowance and expressing an interest to work in a rural area in the
future (p=0.78) or staying at the same institution in the years after community service
(p=0.32). However, therapists working in urban areas were more likely to say they would
work in a rural area in the future (p=0.018). The comparisons between the occupational
catergories showed that for support and supervision, the Speech Therapy and Audiology
Forum was considered significantly (p=O.OOI) supportive compared to the Physiotherapy
Forum.
There was no significant difference within the occupational catergories in their perceptions of
support, mentoring and supervision, attitude, psychological coping, personal and professional
gains, safety issues and the amount of community outreach conducted. All groups were
similarly resource constrained. Language was a barrier for 50% of all community service
therapists and impeded their professional functioning.
Discussion
Despite the challenges experienced by community service therapists the majority felt that
they had made a difference in the community in which they have been placed. The obligation
to work in rural and under-served areas was personally and professionally rewarding.
Particular concerns centred on support, supervision, training, resources and language barriers
in providing better service delivery.
Recommendations
To achieve its objectives in relation to compulsory community service, which is to ensure an
improved provision of health services to all citizens ofthe country, the Department ofHealth
should consider multiple strategies including financial incentives such as rural allowances
and non-financial incentives to retain health care personnel in rural and under-served areas. A
long-term strategy that addresses human resources in a comprehensive manner needs to be
developed to improve staffing and quality health services in these areas.Thesis (MMed.)-University of KwaZulu-Natal, Durban, 2009.
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Scott, Justin Adrian. "South African paramedics lived experience of critical incidents : an interpretative phenomenological analysis." Thesis, 2013. http://hdl.handle.net/10210/8641.
Full textAbstract:
M.A. (Clinical Psychology)South African paramedics are thought to be exposed to a high number of critical incidents as compared to paramedics elsewhere (Ward, Lombard & Gwebushe, 2006). Therefore, South African paramedics are at particular risk of suffering from negative effects associated from the exposure to critical incidents. This study aimed to gain an in-depth understanding of the meaning which paramedics attach to the experience of “critical incidents” (Mitchell, 1983). This information may be beneficial for those working in Emergency Medical Services in South Africa to further understandings of paramedics’ experience of work related trauma. Five paramedics, sourced from both public and private ambulance service, between the ages of 27 and 36 years old, who have had between 8 to 12 years of working experience were interviewed regarding their lived experiences of critical incidents. The semi-structured interviews were transcribed and analysed based on the Interpretative Phenomenological Analysis (IPA) framework suggested by Smith and Osborn (2008). The analysis of each of the participant’s transcripts provided four master themes, some of which are supported by superordinate themes. The master themes are: 1) Experiencing the trauma of critical incidents, 2) Experiencing in the “World” of EMS, 3) Intrinsic factors and active attempts of coping with stress, and 4)Personal consequence of being a paramedic. For most of the participants, their narratives highlighted that the organisational variables were considered to be more important than the nature of the critical incidents they experienced. Critical incidents were deemed traumatic as there was a disparity between the participant’s expectations of what was expected and what they were confronted with in “reality”. In addition, the participants described forming an emotional bond with their patients or the patient’s family, which added to their distress. The participants’ narratives emphasised the importance of the role of the EMS organisation in influencing their experiences. Despite employing a number of coping strategies to mediate the effects of organisational as well as critical incident stress, the participants reported experiencing longterm negative psychological symptoms that have impacted on their personal and familial lives. These findings support the growing body of knowledge that demonstrates that organisational variables play an important role in either mediating or exacerbating posttrauma outcomes.
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Else, James Rodney. "Discriminant validation of the three dimensions of burnout." Thesis, 1990. http://hdl.handle.net/10539/22710.
Full textAbstract:
A dissertation submitted to the Faculty of Arts, University of the Witwatersrand, in partial fulfilment
of the requirements of the degree of Masters of Arts,
Johannesburg, 1990.The prevailing understanding of burnout is firmly entrenched in, and has been fundamentally influenced by, the three component definition of the burnout concept proposed by Maslach and Jackson (1981), as evidenced in its almost exclusive application in the burnout research and theoretical developments (Maslach & Jackson, 1986; Shirorn, 1989). Although the construct validity of the three factor burnout structure is well established, no research could be found which has investigated the discriminant validny of this construct. Thus the aim of tha present study was to determine how emotional exhaustion, depersonalisation, and low feelings of personal accomplishment may relate differentially to conceptually related variables. [Abbreviated Abstract. Open document to view full version]
MT2017
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Rudge, Lisa Anne. "Social workers helping to put out the fire how do combination fire department employees work through occupational stress? : a project based upon an independent investigation /." 2009. http://hdl.handle.net/10090/9931.
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Naidoo, Magashri. "A survey to determine the knowledge and perceptions of biokineticists with respect to the chiropractic profession." Thesis, 2008. http://hdl.handle.net/10321/442.
Full textAbstract:
Dissertation submitted to the Faculty of Health Sciences at The Durban University of Technology in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, 2008.Objective: To determine the current knowledge and perceptions of biokineticists with respect to the chiropractic profession in South Africa. Design: A descriptive design was utilized in a qualitative questionnaire in order to evaluate, in a structured manner, the knowledge and perceptions of biokineticists with respect to Chiropractic. Subjects: The total population size used in the study was 657 (response rate n=78; 11.87%). Outcome Measures: These were based on a questionnaire which addressed biokineticists knowledge of Chiropractic, interaction with Chiropractic, Chiropractic terminology and scope of Chiropractic practice. Results: Of the 657 questionnaires that were mailed, only 78 questionnaires were returned and this gave a response rate of 11.87%. The most frequent view or attitude towards chiropractic was that it had a valuable role in the health care system (64%). About 50% of the respondents believed chiropractors to be greatly competent in examination and diagnosis whilst 40% felt that chiropractors were moderately competent in examination and diagnosis. Nevertheless, the rate of communication between biokineticists and chiropractors was found to be quite high, in this study. All together, 67% of biokineticists had communicated with chiropractors. Of those that had communicated, the communication was rated as positive (94.4%). Of those who had referred patients to chiropractors, 41.8% had received treatment feedback reports and of those who had received reports, 68.8% said they were concise and valuable. Conclusion: The results of this study show that the mean knowledge score was 60%. Thus the overall knowledge of chiropractic was high. The only factor that significantly affected respondents’ knowledge was their self reported knowledge of chiropractic. In congruence with this, the most common attitude towards chiropractic was that it had a valuable role to play in the health care system (64%).
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Scott-Hoy, Karen M. "Eye of the other within artistic autoethnographic evocations of the experience of cross-cultural health work in Vanuatu." 2000. http://arrow.unisa.edu.au:8081/1959.8/25018.
Full textAbstract:
This thesis endeavours to explore, describe and portray the author's attempt to work with the people of Vanuatu, a small island nation in the South Pacific, establishing a preventative eye care project. The goal of this study is to offer a contribution to the understanding of cross-cultural health work in Vanuatu.thesis (PhD)--University of South Australia, [2000]
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Bhengu, Lindiwe Rejoice. "Graduate ancillary health care workers' perceptions of the ancillary health care learnership programme in eThekwini District." Thesis, 2014. http://hdl.handle.net/10413/11068.
Full textAbstract:
Aim
The aim of this study was to describe ancillary health care workers’ perceptions of the
Ancillary Health Care Learnership programme, and their current employment status within
the health care sector.
Methods
A non-experimental cross sectional survey was used that incorporated complementary mixed
method data collection (Balnaves & Caputi, 2001; Polit & Beck, 2010). Quantitative data
collected during the first phase, a telephonic interview assisted self-report questionnaire was
used to inform semi structured focus group interviews that took place during the second
phase to obtain richer descriptions and explore response and results of the phase 1 cross
sectional survey (Bell, 2005). A Convenience sample of ninety two (n=92) was achieved for
the telephonic interview assisted self- report questionnaire, and was substantially lower that
the number of potential participants (N=200). Purposive sampling was used to obtain fifteen
(N=15) potential key informant participants, a final sample of nine (n=9) achieved for the
focus group interviews.
Results
The research revealed that majority (69%) of participants had their expectations of the course
met. Subjects such as agriculture and business plan were perceived as not valuable and
participants recommended that these be removed from the course. Computer course
information was seen as and needed addition in order to bridge the skills gap and improve the
opportunities for employment.Despite particpants perceptions of the course being met,
expectations regarding emplyment were not. Employment rates were low, specifically within
the health care sector.
Conclusion and Recommendations
The Ancillary Health Care Programme has not assisted the graduates in gaining employment.
The review of the Ancillary Health Care Programme and some of the unit standards is one of
the recommended options that can be done to improve the employment opportunities.Theses (M.N.)-University of KwaZulu-Natal, Durban, 2014.
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Cockrell, Krista R. "Exploration of rural paramedics' capacity for utilising a salutogenic approach to healthcare delivery : a mixed methods study." Thesis, 2017. http://hdl.handle.net/1959.7/uws:49930.
Full textAbstract:
The evolving profession of Paramedicine has been recognised as a potential solution to disparities in healthcare access in rural communities. With many rural paramedics highlighting primary healthcare as fundamental to their roles, it must be questioned whether key aspects of primary care are being overlooked due to limited paramedic training in this area. The researcher proposes that paramedics can utilise existing assessment skills and unique access to patients in home environments combined with the introduction of an assessment tool to measure sense of coherence, resources, and social determinants of health, to build patient resiliency. An extensive literature review and survey exploring current paramedics’ perceptions regarding knowledge of their community’s health status, the impact of social determinants of health, and their roles as frontline primary care providers, aimed to establish the feasibility of utilising paramedics in a salutogenic approach to healthcare delivery. Results found that despite some negativity, most participants recognise a need to break traditional pathogenic approaches and stressed the importance of their unique ability to address gaps in primary healthcare through their access to patients in their living environments. While solutions to rural healthcare disparities are multifaceted, this study set the platform for further studies at utilising paramedics within their normal scope.
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Mungomba, Bernard. "Core competencies of radiographers working in rural areas of South Africa." Thesis, 2016. http://hdl.handle.net/10500/21166.
Full textAbstract:
Text in EnglishThe contribution of general diagnostic imaging in the diagnosis and clinical management of patients in rural hospitals of South Africa is enormous. To provide high quality diagnostic imaging services for specific contexts requires radiographers who have up-to-date skills and expertise. Thus, rural radiographers require, over and above traditional radiographic expertise, additional competencies which are unique to rural practice. To date, however, little is known about additional core competencies and skills needed by radiographers working in rural areas. Previous studies have focused more attention primarily on other rural health professionals such as doctors and nurses. The aim of this mixed methods study was to investigate and identify additional core competencies required by radiographers working in rural district hospitals of KZN in order to propose a CPD strategy aimed at rural radiographers. An exploratory sequential design was utilised. There were seven participants in the qualitative phase of the study. In the quantitative phase a convenient sample of 109 respondents was surveyed using a structured questionnaire. Three major themes and seven categories emerged from Phase I of the study. These themes and categories were then used to develop a data collection instrument for Phase II of the study. Collectively, the findings of this mixed methods research revealed that there were a number of additional core competencies such as, but not limited to, teamwork, ability to do basic obstetric ultrasound scans, leadership, management, attitude and behaviours, and reporting on plain x-ray films, all of which are required by rural radiographers. Supporting evidence from the study indicated that the majority of these competencies were either partially or not at all covered in the audited curriculum. The study further revealed that the audited curriculum and the scope of radiography in its current form appear to focus attention on minimum competencies that do not promote the expansion and extension of the role of radiographers in rural areas. The study results also revealed a number of challenges faced by rural radiographers.
Health Studies
D. Litt. et Phil. (Health Studies)
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FORMICONI, Cristina. "LÈD: Il Lavoro È un Diritto. Nuove soluzioni all’auto-orientamento al lavoro e per il recruiting online delle persone con disabilità." Doctoral thesis, 2018. http://hdl.handle.net/11393/251119.
Full textAbstract:
INTRODUZIONE: Il presente progetto di ricerca nasce all’interno di un Dottorato Eureka, sviluppato grazie al contributo della Regione Marche, dell’Università di Macerata e dell’azienda Jobmetoo by Jobdisabili srl, agenzia per il lavoro esclusivamente focalizzata sui lavoratori con disabilità o appartenenti alle categorie protette. Se trovare lavoro è già difficile per molti, per chi ha una disabilità diventa un percorso pieno di ostacoli. Nonostante, infatti, la legge 68/99 abbia una visione tra le più avanzate in Europa, l’Italia è stata ripresa dalla Corte Europea per non rispettare i propri doveri relativamente al collocamento mirato delle persone con disabilità. Tra chi ha una disabilità, la disoccupazione è fra il 50% e il 70% in Europa, con punte dell’80% in Italia. L’attuale strategia europea sulla disabilità 2010-2020 pone come obiettivi fondamentali la lotta alla discriminazione, le pari opportunità e l’inclusione attiva. Per la realizzazione di tali obiettivi assume un’importanza centrale l’orientamento permanente: esso si esercita in forme e modalità diverse a seconda dei bisogni, dei contesti e delle situazioni. La centralità di tutti gli interventi orientativi è il riconoscimento della capacità di autodeterminazione dell’essere umano, che va supportato nel trovare la massima possibilità di manifestarsi e realizzarsi. Ciò vale ancora di più per le persone con disabilità, in quanto risultano fondamentali tutte quelle azioni che consentono loro di raggiungere una consapevolezza delle proprie capacità/abilità accanto al riconoscimento delle caratteristiche della propria disabilità. L’orientamento assume così un valore permanente nella vita di ogni persona, garantendone lo sviluppo e il sostegno nei processi di scelta e di decisione con l’obiettivo di promuovere l’occupazione attiva, la crescita economica e l’inclusione sociale. Oggi giorno il frame work di riferimento concettuale nel campo della disabilità è l’International Classification of Functioning, Disability and Health (ICF), il quale ha portato a un vero e proprio rovesciamento del termine disabilità dal negativo al positivo: non si parla più di impedimenti, disabilità, handicap, ma di funzioni, strutture e attività. In quest’ottica, la disabilità non appare più come mera conseguenza delle condizioni fisiche dell’individuo, ma scaturisce dalla relazione fra l’individuo e le condizioni del mondo esterno. In termini di progetto di vita la sfida della persona con disabilità è quella di poter essere messa nelle condizioni di sperimentarsi come attore della propria esistenza, con il diritto di poter decidere e, quindi, di agire di conseguenza in funzione del proprio benessere e della qualità della propria vita, un una logica di autodeterminazione.
OBIETTIVO: Sulla base del background e delle teorie di riferimento analizzate e delle necessità aziendali è stata elaborata la seguente domanda di ricerca: è possibile aumentare la consapevolezza negli/nelle studenti/esse e laureati/e con disabilità che si approcciano al mondo del lavoro, rispetto alle proprie abilità, competenze, risorse, oltre che alle limitazioni imposte dalla propria disabilità? L’obiettivo è quello di sostenere i processi di auto-riflessione sulla propria identità e di valorizzare il ruolo attivo della persona stessa nella sua autodeterminazione, con la finalità ultima di aumentare e migliorare il match tra le persone con disabilità e le imprese. L’auto-riflessione permetterà di facilitare il successivo contatto dialogico con esperti di orientamento e costituirà una competenza che il soggetto porterà comunque come valore aggiunto nel mondo del lavoro.
METODI E ATTIVITÀ: Il paradigma teorico-metodologico adottato è un approccio costruttivista: peculiarità di questo metodo è che ciascuna componente della ricerca può essere riconsiderata o modificata nel corso della sua conduzione o come conseguenza di cambiamenti introdotti in qualche altra componente e pertanto il processo è caratterizzato da circolarità; la metodologia e gli strumenti non sono dunque assoggettati alla ricerca ma sono al servizio degli obiettivi di questa.
Il primo passo del progetto di ricerca è stato quello di ricostruzione dello stato dell’arte, raccogliendo dati, attraverso la ricerca bibliografica e sitografica su: l’orientamento, la normativa vigente in tema di disabilità, i dati di occupazione/disoccupazione delle persone con disabilità e gli strumenti di accompagnamento al lavoro. A fronte di dati mancanti sul territorio italiano relativi alla carriera e ai fabbisogni lavorativi degli/delle studenti/esse e laureati/e con disabilità, nella prima fase del progetto di ricerca è stata avviata una raccolta dati su scala nazionale, relativa al monitoraggio di carriera degli studenti/laureati con disabilità e all’individuazione dei bisogni connessi al mondo del lavoro. Per la raccolta dati è stato sviluppato un questionario ed è stata richiesta la collaborazione a tutte le Università italiane.
Sulla base dei dati ricavati dal questionario, della letteratura e delle indagini esistenti sulle professioni, nella fase successiva della ricerca si è proceduto alla strutturazione di un percorso di auto-orientamento, volto ad aumentare la consapevolezza nelle persone con disabilità delle proprie abilità e risorse, accanto a quella dei propri limiti. In particolare, il punto di partenza per la costruzione del percorso è stata l’Indagine Istat- Isfol sulle professioni (2012) e la teoria delle Intelligenze Multiple di H. Gardner (1983). Si è arrivati così alla strutturazione del percorso di auto-orientamento, composto da una serie di questionari attraverso i quali il candidato è chiamato ad auto-valutare le proprie conoscenze, le competenze, le condizioni di lavoro che gli richiedono più o meno sforzo e le intelligenze che lo caratterizzano, aggiungendo a questi anche una parte più narrativa dove il soggetto è invitato a raccontare i propri punti di forza, debolezza e le proprie aspirazioni in ambito professionale.
Per sperimentare il percorso di auto-orientamento creato, nell’ultima fase della ricerca è stato predisposto uno studio pilota per la raccolta di alcuni primi dati qualitativi con target differenti, studenti/esse universitari/e e insegnanti di scuola superiore impegnati nel tema del sostegno e dell’orientamento, e utilizzando diversi strumenti (autopresentazioni, test multidimensionale autostima, focus group).
CONCLUSIONI: I dati ottenuti dallo studio pilota, seppur non generalizzabili, in quanto provenienti da un campione esiguo, hanno evidenziato come il percorso di auto-orientamento attivi una riflessione sulla visione di sé nei diversi contesti e un cambiamento, in positivo o in negativo, nell’autostima e nella valutazione di sé in diverse aree, ad esempio nell’area delle relazioni interpersonali, del vissuto corporeo, dell’emotività ecc. Tali dati ci hanno permesso soprattutto di evidenziare punti di forza e debolezza del percorso creato e di apportare modifiche per una maggiore comprensione e adattabilità del prodotto stesso. Il valore del percorso orientativo è connesso al ruolo attivo di auto-valutatore giocato dal candidato con disabilità, affiancando a questa prima fase di autovalutazione un successivo confronto dialogico con un esperto, tale da permettere un ancoraggio alla realtà esterna, al contesto in cui il soggetto si trova a vivere. In questo senso, l’orientamento assume il valore di un processo continuo e articolato, che ha come scopo principale quello di sostenere la consapevolezza di sé e delle proprie potenzialità, agendo all’interno dell’area dello sviluppo prossimale della persona verso la realizzazione della propria identità personale, sociale e professionale.