Dissertations / Theses on the topic 'Art in health settings'
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Morales, Monica R. "Defining Community-Based Art Therapy: How Art Therapy in School Settings is Facilitating Community-Based Art Therapy." Digital Commons at Loyola Marymount University and Loyola Law School, 2018. https://digitalcommons.lmu.edu/etd/497.
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This research explores the overlap between community-based art therapy and school-based art therapy through the surveyed experiences of art therapists working in school settings, and informed by community-based art therapy components and characteristics identified in A Model for Art Therapists in Community Practice by Dylan Ottemiller and Yasmine Awais. A literature review focused on five components and characteristics identified within the community-based art therapy literature, and informed the review of school-based art therapy literature based on the community-based art therapy themes. A qualitative survey approach was utilized through the distribution and data analysis of an electronic survey and findings were enriched by the researcher’s participation in the development and implementation of a brief community-based art therapy program providing an art therapy experience to families receiving services at a domestic violence intervention center. Analysis of the data revealed three major themes and specific areas where school-based practice is facilitating community-based art therapy (CBAT) components and characteristics. The findings discuss which CBAT components and characteristics are and are not being facilitated within school-based practice, and in conclusion the research offers ways school-based art therapy programs may offer opportunities for community-based practice.
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Woodhams, Elizabeth Jean Deshon Smith. "The Ethics of Art - An Exploration of the Role and Significance of Art/Artists in Health Care Settings." Queensland University of Technology, 1995. http://eprints.qut.edu.au/15883/.
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The presence of art and artists in health care settings raise many questions of an ethical nature. The presence of art in such milieux challenges the manner in which notions of art, persons, health, healing, community, ethics and aesthetics are presently conceptualized. This thesis will argue that art ought properly be considered an essential human need - integral to the health, flourishing and well-being of all persons - particularly those who are sick and suffering. An ethical care of sick persons would demand that both artistic practice and health care practice be revisioned in the light of this different understanding.
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MacLean, Fiona. "Framing occupational therapists' knowledge and beliefs of alcohol misuse in physical health care settings." Thesis, Queen Margaret University, 2016. https://eresearch.qmu.ac.uk/handle/20.500.12289/7401.
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Background: Research exploring occupational therapists’ knowledge, beliefs and practice associated with alcohol misuse in physical health care settings is scarce, despite the recognition that professionals are likely to work with people who misuse alcohol irrespective of practice context. Furthermore, the relationship between pre-registration occupational therapy education and practice in the area of alcohol misuse is currently poorly understood. Aims: This critical appraisal aims to (a) frame the knowledge gaps and existing knowledge of occupational therapists related to alcohol misuse in physical health care settings, through the findings of five prima facie case papers and; (b) align this framed knowledge to wider professional literature in order to extend professional understanding of the relationship between education and practice, associated with alcohol misuse in physical health care settings. Methodology: A gap analysis approach was selected and modified to provide a way of critically introspecting and occupationally classifying the gaps in, and existing knowledge of, student occupational therapists, practitioners and educators linked to physical health care settings and alcohol misuse, as reported in the five papers. The introspective data linked to gaps and existing knowledge was unified and general inductive qualitative analysis undertaken. One practitioner working in physical assessment for older people in an acute hospital, and one occupational therapy educator provided stakeholder feedback of the tentative themes generated, further refining the analysis of data. Findings: Two themes emerged from the analysis of data; delimiters of professional education and conceptual contradictions. These indicate there is a need to educate ‘educators’ concerning the value of teaching alcohol-related policy as part of educational programmes, and in raising the visibility of alcohol as a topic. Therapists valued the Person Environment Occupation Model (PEO Model), however the essence of ‘transaction’ fundamental to this model, lacks fidelity in practice. Practitioners appear to separate out the entities of person and environment, placing greater emphasis on the observable aspects of the environment rather than the person, to support timely discharge. Thus, current practice in physical health care supports a process of occupational evaporation connected to alcohol misuse. Conclusion: These findings help to inform the future direction of educational and practice developments connected to patients’ alcohol misuse in physical health care settings, and in so doing, advance and re-emphasise the importance of the centrality of occupation to service delivery.
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Garcia, Melissa. "Qualitative Assessments used in Art Therapy Programs with Cancer Patients in a Medical Settings." Digital Commons at Loyola Marymount University and Loyola Law School, 2019. https://digitalcommons.lmu.edu/etd/766.
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This document reviews qualitative assessments used to explore the impact on art therapy interventions with patients in cancer treatment. The study explored the use of qualitative assessment in evaluating patient perspective on receiving art therapy adjunctly with cancer treatment. In addition, the research aimed to determine if art therapy interventions are perceived as effective in helping cancer patients reduce stress, cope, improve quality of life, express emotions, and reduce cancer-related symptoms during and after cancer treatment through qualitative assessment. Approximately 300 cancer patient experiences were reviewed through surveying qualitative studies that explored the effects of art making in cancer treatment through qualitative assessment such as interviews, questionnaires, observations, and open-ended questions. This archival research used a thematic approach to identify emergent themes in format, administration techniques, and impact in qualitative assessments to learn about the patient art therapy experience. The emergent themes were discovered while surveying information regarding types of formats and administration procedures used in qualitative cancer research. These findings suggest that qualitative assessments used in art therapy programs are a useful tool to determine how art interventions may help address patient's psychosocial needs, provide coping skills, and relieve cancer–related symptoms.
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Sutton, Kathleen Rose Creagh, and res cand@acu edu au. "A Study of the Mater Children’s Hospital Tile Project." Australian Catholic University. School of Arts and Sciences, 2005. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp105.11092006.
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This thesis examined the relationship between children’s visual art and hospital contexts. It specifically focused on children’s art in the Tile Project within the Mater Children’s Hospital, Brisbane, Queensland, Australia. This ethnographic study consisted of interviews with the creators of the Tile Project as well as interviews and a survey with parents, staff, and children within the Mater Children’s Hospital. The interviews were informed by a review of literature in the areas of art in health settings. The study made observations of the community interacting with the tiles and collected images of the tiles used in the hospital and employed the framework of Bourdieu’s (1993) fields of cultural production and Abbs’s (1987) aesthetic field and dimensions, as well as the aesthetic dimensions of Beardsley (1982), Eisner (1985), and Csikszentmihalyi (1990). The study investigated the aesthetic characteristics of the tiles and their health outcomes in relation to the hospital community. This study is significant because the Mater Children’s Hospital Tile Project was a project that reflected art in healthcare settings involving Community Arts, art in design, and art in public buildings. The research identified the unique nature of the Tile Project which saw the hospital as a children’s space with artworks for children by children. The study reflected on the value of the tiles in having a healing and distracting quality for parents and children alike and that engagement with the tiles through touch, imagination, and playful games improved the atmosphere of the hospital.
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Weber, Linda R. (Linda Roberta). "Organizational Identity, Health Identity, and Motivation: a Symbolic Interactionist Approach to the Understanding of Heath Behaviors in Work Settings." Thesis, University of North Texas, 1989. https://digital.library.unt.edu/ark:/67531/metadc331293/.
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Identity is an important determinant of behavior. This paper proposed an identity model as one way of understanding those factors related to the perceived probability or willingness of a worker to participate in health promotion programming at the worksite. Part of a larger study on employee wellness, this study took place in the municipal complex of a small city in the southeastern United States. A stratified cross sectional sample of 150 employees was selected utilizing a systematic random sampling methodology. Structured interviews were conducted with 129 participants resulting in a response rate of 92% after adjusting for those people no longer employed by the city. In order to test the identity model developed by this author, descriptive analysis, simple multiple regression analysis and path analysis were utilized. The dependent variable, perceived willingness to participate in health promotion programming, was examined in relationship to commitment to one's health identity, commitment to one's organizational identity, tendency to comply with health initiatives, and the forms of supervisory power utilized to enact employee compliance. The descriptive analysis revealed that subjective health status is moderately and positively associated with commitment to one's health identity, that individuals can be strongly committed to a negative/destructive health identity, and that both the family and physician play important roles as health advice givers. The path analysis revealed that commitment to one's organizational identity, commitment to one's health identity, and tendency to comply with health initiatives are significantly and positively associated with willingness to participate in health promotion programming, accounting for 25% of the variance in the dependent variable. In contrast, the forms of supervisory power were not shown to be related to the dependent variable. In conclusion, the identity model appears to be a useful tool for the understanding of health attitudes and behaviors within a work setting.
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Amasay, Tal 1968. "Unconstrained humeral elevation exposure in occupational settings." Thesis, University of Oregon, 2008. http://hdl.handle.net/1794/8520.
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xvi, 128 p. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.There were two primary goals of this work. The first goal was to investigate humeral and scapular kinematics in a simulated workplace environment. The second goal was to validate a triaxial accelerometer (Virtual Corset) for the collection of humeral elevation exposure data in an occupational setting. To achieve the first goal, healthy subjects were asked to perform constrained and functional humeral elevation motions. Differences were observed in scapular kinematics. In addition, the variability between constrained arm elevation and functional overhead tasks was found to be similar. Therefore, to compare scapular kinematics in an occupational group (dental hygienists) a functional work related task was determined to be more appropriate. The dental hygienists performed teeth instrumentation on simulated patients' with both big and average chest girth in a simulated work environment. Dental hygienist's humeral elevation and scapular upward rotation angles were found to be higher while working on the big chest girth manikin. These differences may increase dental hygienists susceptibility for musculoskeletal disorders. To achieve the second goal, an in-vitro comparison of angles measured with the Virtual Corset and an inclinometer was conducted under static conditions. Under dynamic conditions the Virtual Corset was compared to a potentiometer, in a pendulum setting. It was found that the Virtual Corset can accurately reconstruct elevation angles under static conditions, root mean square error less than 1[white square]. Under dynamic conditions, the error size was related to the angular velocity and acceleration, and the radius of rotation. To further investigate the Virtual Corset's ability to measure exposure parameters in-vivo the Virtual Corset was compare to a magnetic tracking device. To do so dental hygienists performed flossing tasks in a simulated work station. It was found that the Virtual Corset can be used to reconstruct elevation angles, with an acceptable angle error, and to identify exposure parameters in occupational settings similar to the one simulated in the present study. This dissertation includes unpublished co-authored material.
Adviser: Andrew R. Karduna
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Nedlund, Ann-Charlotte. "Designing for Legitimacy : Policy Work and the Art of Juggling When Setting Limits in Health Care." Doctoral thesis, Linköpings universitet, Utvärdering och hälsoekonomi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-77366.
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Limit-setting in publicly funded healthcare is unavoidable, and increasingly important in the governance and management of the demand for health services. The work of limit-setting takes place in the organising of the provision of health services, where various health workers (professionals, administrators, unit managers, politicians) collectively exercise their skills. Limit-setting often creates tensions which impose the quest for legitimacy; it involves norms and values which are related to the interests of the health workers, and moreover to society at large. In that sense, limit-setting is related to internal processes of legitimacy within the healthcare organisation, i.e. internal legitimacy, and external processes of legitimacy where citizens are legitimating the activities in the healthcare organisation, i.e. external legitimacy. The purpose of this thesis was to discover, and increase the understanding of the dilemma associated with sustaining, generating and designing internal legitimacy, when working with a policy of limit-setting in healthcare, in relation to the provision of Assistive Technologies (AT). It has explored what health workers do when they are working with a policy, and in particular how they work out what they should be doing. Finally the role of mediating institutions in supporting and designing internal legitimacy, was explored in the thesis. Following a case-study design and a qualitative approach, where fifty-seven semi-structured open-ended interviews were conducted, data allowed the exploration of internal legitimacy in a context of complex interaction and construction of policy work in two Swedish county councils. This research produced a number of key findings; in an environment of finite resources health workers encountered situations that were characterised by conflicting pressures, and handled these by way of interaction, sense making, presenting arguments, negotiating and seeking support for an appropriate course of action and practices. The policy work with limit-setting can therefore be regarded as a dynamic interactive process, which incorporates several actors in different situations and locations, together negotiating and institutionalising the policy. Various policy sites, which had the role of mediating institutions, were identified, and were important in the interactive processes of forming a shared collective meaning in order to reach an appropriate act. Hence, designing legitimacy has to acknowledge the interactive policy work, and its contextual character, taking place at the different levels of a healthcare system.
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Rastle, Margaret. "Individual Art Therapy Counseling with At-Risk Children in a School Setting." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210687329.
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Peña, Lauren E. "The Role of the Art Therapist: A Multi-Faceted Approach." Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/292.
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This research explores the role of the art therapist in a nonclinical setting. The research dissects the experiences of nine art therapists who participated in an artist residency that was informed by art therapy but was not clinically based. The spectrum of literature reviewed focused on the professional identity of art therapists and therapists as well as social action art therapy and working with Native American cultures. A qualitative approach was utilized through the conduction of a focus group along with four individual interviews, which were both enhanced by a parallel art making process. Analysis of the data resulted in four significant themes: illuminating strengths and activating existing resources, containment, chaos, and finding hope amidst inadequacy. The findings were triangulated with the art therapy literature reviewed on the identity of the art therapist as well as leading art therapists’ visions for the field’s future. The research accentuates the complexity and significance of art therapists participating culturally informed, with underserved communities and redefining their role in order to carry out that purpose. In sum, the research offers insight into how art therapists can creatively and with great sensitivity, “meet clients where they are at”.
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Kelly, Janet, and janet kelly@flinders edu au. "Moving Forward Together in Aboriginal Womens Health: A Participatory Action Research Exploring Knowledge Sharing, Working Together and Addressing Issues Collaboratively in Urban Primary Health Care Settings." Flinders University. School of Nursing & Midwifery, 2009. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20090324.084222.
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This collaborative qualitative research explored ways of improving Aboriginal womens health and well-being in an urban Adelaide primary health care setting. This involved respectful knowledge sharing, working effectively together and addressing issues related to colonisation, discrimination and exclusion. It was identified that while Aboriginal and non-Aboriginal professionals are committed to Closing the Gap in health disparities, many have questioned how best to do so within the current health system. Therefore, this research focused on filling gaps in knowledge about the spaces where Aboriginal community women, and Aboriginal and non Aboriginal health professionals can work collaboratively regardful and regardless of health system polices, programs and practices.
A strong commitment to local community preferences and national Aboriginal health research ethics enabled Aboriginal community women and Aboriginal and non-Aboriginal heath professional co-researchers to be actively and meaningfully involved with me in both the research processes and outcomes. A modified Participatory Action Research (PAR), with repeated cycles of Look and Listen, Think and Discuss and Take Action emerged as an effective model of collaborative practice, suitable for health care and research.
Four unique yet interconnected areas of collaboration developed, each highlighting particular aspects of culturally safe knowledge sharing and collaboration in health care. The first involved working with Aboriginal community women, acknowledging and addressing their most health and well-being priorities related to high levels of stress in their lives. Collaborative action involved creating a womens friendship group, seeking and accessing a range of services, and co-presenting our findings at conferences
The second Collaboration Area offers insights into the practicalities and difficulties experienced by staff as they tried to provide health services for Aboriginal women in a newly developing Aboriginal health organisation. The third Collaboration Area focused on the challenges and benefits of collaboration between sectors, in particular a local high school and the Aboriginal health service. We explored effective ways to work across sectors and engage young Aboriginal women in health programs. The ongoing impact of discrimination, exclusion and colonisation for this next generation of Aboriginal women was highlighted. The fourth Collaboration Area involved wider collaboration and road testing our collaborative methodology in a broader environment. A diverse group of co-researchers came together to plan, implement and evaluate a de-colonising national action research action learning conference embedded in Aboriginal preferred ways of knowing and doing.
Findings are discussed under the three central themes of knowledge sharing, working together and addressing health care access and colonisation and key recommendations for the future are proposed. This research has reinforced the need identified in Aboriginal health documents for policy, program and practice commitment to holistic and collaborative approaches such as comprehensive primary health care and participatory action research. While the National Apology and Close the Gap campaign have provided opportunities for change, these need to be followed by tangible action at all levels of health care.
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Levenberg, Jill. "A Qualitative Analysis of Quantitative Assessments in Art Therapy Research with Patients with Cancer in a Medical Setting." Digital Commons at Loyola Marymount University and Loyola Law School, 2019. https://digitalcommons.lmu.edu/etd/768.
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This paper uses a qualitative approach to explore quantitative assessment tools and their use in art therapy research with patients with cancer. An archival method was used to gather articles on cancer research which were compiled from peer-reviewed journal articles available online. The author used a systematic analysis to select articles that met the specific research criteria of working with cancer patients in a medical setting, included the implementation of art therapy, and the administration of a pre- and post-test. Twenty-two quantitative assessments fit these criteria. Further exploration was conducted on the five most common assessment tools. These five assessments were further analyzed for emergent themes and characteristics. These common traits were that all of the assessments were self-report questionnaires, four out of five were Likert scales, the assessments were chosen for their accessibility, and many of the research studies were not accessible to a diverse population. It was concluded that these quantitative assessment tools are helpful in art therapy as they contribute towards creating quantifiable results in the research. It may be useful to implement these assessment tools in further art therapy research with cancer patients in order for art therapy to be more frequently employed in medical settings.
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Nieves, Christina Impoco. "Expressive Arts Intervention for the Adult Cancer Survivor in the Community Support Group Setting." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1573897771394791.
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Kummerow, Daniel Richard. "Private settings /." Online version of thesis, 1991. http://hdl.handle.net/1850/11743.
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Portelli, P. "Health psychology in applied settings." Thesis, City, University of London, 2015. http://openaccess.city.ac.uk/15342/.
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Pain is an inevitable human experience. Despite its crucial role for survival, pain becomes problematic when it is enduring and when it impairs the individual’s quality of life. Living with pain on a day-to-day basis can be exhausting, especially when nothing seems to relieve the pain. The way chronic pain sufferers perceive their situation will determine the kind of coping strategies used. The main research thesis within this portfolio aimed to explore differences in pain coping mechanisms amongst the Maltese population. The emergent theory resulted from a grounded theory methodology and was entitled The Journey to Coping. Results reveal that Maltese chronic pain sufferers often rely on a number of self-taught/sought techniques to cope with pain. The journey to coping is not an easy one, with some participants engaging in relentless struggles to eliminate pain. The inability to achieve control often leads to a sense of disconnectedness from the external world, with death perceived as the only solution. On the other hand, accepting pain was linked to increased adaptation and psychological well-being. The main research also aimed to investigate service users’ attitudes towards psychological treatments, with particular reference to online interventions for pain management. Overall, results reveal that escalating pain; the inability to find pain relief; positive expectancies, and a number of facilitating factors play a role in the formation of positive attitudes and increase the likelihood of service uptake. On the other hand, a number of impeding factors and negative expectancies revolving around perceptions of weakness and equating pain with the physical body not only resulted in a number of negative attitudes but hindered help-seeking behaviour. Moreover, although chronic pain sufferers are quite accepting of online interventions, the presence of the human element seems to be an indispensable asset to service uptake as reflected in the theory entitled Wanting the Real Thing.
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Harrigan, Mary Elizabeth. "The art of self-discovery: Integrative opportunities for alternative settings." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2682.
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This study examines the literature on identifying alternative methods of coming to a deeper understanding of one's physical, mental, and spiritual self. It provides information on one particular alternative program, and presents lesson ideas and options that demonstrate how an art-based emphasis in elective coursework can allow for the next step in each student's journey of personal growth and development.
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Marlow, Gregory. "Week 03, Video 09: Render Settings." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/digital-animation-videos-oer/32.
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Bakan, Daniel Lowell. "Folk music, songwriting, art therapy and education in non-school settings." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0015/MQ45481.pdf.
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Brown, Malgorzata. "Therapeutic relationships in acute inpatient mental health settings." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12508/.
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This work considers the nature of therapeutic relationships between nursing staff and patients on acute mental health inpatient wards. Section A is a literature review, exploring the psychological theories behind the care delivered by nurses through the medium of therapeutic relationships in inpatient settings and providing a meta-synthesis of studies investigating the nature of therapeutic relationships between nursing staff and patients from the perspectives of nurses. Section B presents a phenomenological study in which nursing staff completed in-depth interviews providing descriptions of their therapeutic relationships with patients. The results suggest a great variance in the nursing staff ability to get to know and understand patients and their needs from a psychological perspective. The knowledge gained about patients through the medium of relationships did not seem to be shared by the staff team and did not seem to be integrated into a coherent treatment plan.
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Payne, Hannah Austin. "Deliberate self-harm in mental health inpatient settings." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/2992/.
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Deliberate self-harm is a significant phenomenon amongst people in the general community, and is particularly prevalent amongst patients being treated in mental health inpatient settings. Views that staff hold towards patients who self-harm could have an impact upon the care and interventions that are delivered. The focus of this thesis was deliberate self-harm within inpatient mental health settings. The literature review presented in Chapter I provides an overview of previous reviews of studies that have evaluated psychological interventions for deliberate self-harm. All recent relevant evaluative studies of psychological interventions predominantly aimed at reducing deliberate self-harm, or treating self-harm as part of the symptomatology of Borderline Personality Disorder, arnongst inpatient enviromnents are then critically reviewed. The results of this are discussed along with clinical implications for practitioners working in mental health inpatient settings and recommendations for future research. The focus moves to staff attributions towards deliberate self-hann in inpatient settings in Chapter 2. This chapter presents empirical findings, reporting on adaptations of attributional and knowledge measures, and analyses of responses to these measures provided by qualified and unqualified nursing staff participants working in an inpatient setting. Questions regarding training needs were also posed, and participants were given the opportunity to comment on working with people who self-harm. Chapter 3 presents a reflective paper, incorporating references from literature, poetry and music, providing reflections on producing the first two chapters of the thesis, and on the overall experience of completing research for the clinical psychology doctorate course.
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Holt, Maxine Lily. "Understanding health across different settings : a nursing journey." Thesis, Manchester Metropolitan University, 2015. http://e-space.mmu.ac.uk/593705/.
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Introduction and Background: This thesis presents ten published papers linked by the need to come to a better understanding of health across different settings and contexts. Central to the concept of health is the principle that settings play a pivotal role in shaping positive health outcomes for people and populations. The introduction of the concept of a settings approach to better health is usually attributed to the World Health Organisation (WHO), since its first mention in the Ottawa Charter (1986). I have used the concept of a settings approach (WHO 1986) to understanding health in order to draw the papers in this thesis together. Helping Nurses Understand Health to Promote Health in Practice. The idea that nurses are well placed to contribute to positive health in practice settings is well versed within the literature and it is in this context that the first published papers (1-5) and two book chapters are presented. As the publications in this thesis around nursing and its role in promoting health took shape, public health policy drivers from Government and from nursing’s professional body continued to emerge (e.g. DoH 1999, 2000, 2004, 2006, 2010, HEE 2015, NMC 2010, RCN, 2012). The papers in this section of the thesis demonstrate the challenge for nurse educators, in particular responding to an ever-changing NHS and the demands and expectations from those we nurse. Health in University Settings My work within the UK Healthy Universities Network led to external work for Papers 6 and 7. These focus on student health in universities, and the wider needs of students in such settings. It presents universities as settings for health, which can support students (and staff) using a whole systems approach. This section of the thesis provides the reader with glimpses of how health and, what creates health, is intrinsically linked across different settings and, how nurses can use settings such as universities to explore health and what creates health. Health in Work Place Settings Health and wellbeing in the workplace is a concept that is understood as a fundamental business case for a productive, happy, and healthy workforce. The workplace is also a setting by which knowledge and skills about health can be disseminated to assist people, in improving their health and wellbeing. The final paper in this thesis (paper 8), explores the main health and wellbeing needs of a sample of Small and Medium sized Enterprises (SMEs) across Greater Manchester. This work resulted in some unanticipated findings in terms of what creates health for people in SMEs, in particular that of quick fix public health interventions. It provides the reader with, an alternative lens in which to view health and health needs in the workplace. Summary The papers within this thesis and the contribution of the work that enabled their development, is intrinsically linked by the ideology of settings as places where people experience health and, what creates health for them in those settings. Being a nurse is at the heart of this thesis, it is where it begins, and this is where the thesis returns to at the end. Within this thesis, I have explored health in different settings through a research lens. From this, I am able to propose that by taking a settings approach to understanding health through the undergraduate nursing curriculum, alongside the use of non-traditional settings (e.g. universities and workplaces) for student nursing placements, nurses may then truly understand health and what creates health, for those they work with and care for. The papers, and subsequent work that has resulted from them, have enabled me to be at the cutting edge of nurse education. I have represented these within the thesis as a timeline linked to how these changes influenced my work and, my contribution to nurse education, workplace health, and health within universities.
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Shelmerdine, Krystel Dawn. "The development of a 'CORE' for health settings." Thesis, University of Leeds, 2013. http://etheses.whiterose.ac.uk/5251/.
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At present there is no outcome measure suitable for use across different health conditions seen within Clinical Health Psychology (CHP) settings which satisfactorily capture the main aspects relevant to service user outcomes. Several types of measure have previously been developed according to different assumptions about what and how best to measure outcomes. Measures may broadly be divided into symptom-focussed, theory-driven or pragmatically approached. Considering these in the context of psychological theories and the Recovery Approach suggests that superordinate concepts, such as distress; psychological mechanisms; satisfaction with functioning; the therapeutic alliance; and concepts such as hope, supportive relationships, empowerment and finding meaning, are relevant to CHP outcomes. The aim of this study was to begin to develop a global outcome measure for use in CHP. Consensus was sought regarding the most relevant concepts to measure by conducting a literature review and clinician interviews. Concepts were formed into items using a set of principles to ensure they were accessible and relevant to a broad range of service users. This item pool was refined, both conceptually and linguistically, using clinician feedback over three iterations of an online Delphi survey. Qualitative data was analysed thematically. Elicited themes were compared to those concepts thought to be relevant to CHP outcomes immediately before the Delphi study, in order to provide a quality control check on their relevance. Some consensus was reached by the end of the Delphi study, which provides partial support for the hypothesis that rather than each condition having its own unique psychological profile, concepts are shared across conditions. The lack of complete agreement may have been due to differences in service users’ presentations, differences in concepts identified by clinician participants, or different interpretations of the language used to convey concepts. Whilst item construction may have been biased by subjective judgement, the Delphi methodology likely mitigated the effect of this on the final item pool. Recommendations are offered for how this pilot outcome measure may be developed into a final version.
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Fredriksson, Ingela. "Leisure-time youth-center as health-promotion settings." Licentiate thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-51612.
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Leisure time is an important part of young people’s lives. Despite this, leisure-time settings have hitherto had only a minor role in setting-based health-promotion initiatives. Improving adolescents’ quality of leisuretime activities can reduce social differences in health, thus youth-centers can be appropriate settings for promoting health. However, young people with immigrant backgrounds participate less in organized leisure-time activities. The overall aim of this study is to explore young people’s leisure time as their health-promotion setting in two NGO-run youth-centers in multicultural, socially deprived suburbs in Sweden. This study took a practice-based approach using a mixture of methods in close collaboration with the youth-centers. Data collection was done through surveys with young people (n = 207) and interviews with young people and leaders (n = 16). Study I, about who participates in youthcenter activities, used an explanatory mixed method. Study II, about the youth-centers’ strategies, used an explorative qualitative method with an inductive content analysis. This study shows that youth-centers have great potential to be a healthpromotion setting if their strategies include some important factors, both in theory and in daily practice. To be a health-promotion setting, a youthcenter needs to be open and inclusive for its target group, foster supportive relationships, emphasize youth empowerment, and integrate family, school, and community in its strategies. Local knowledge about young people's backgrounds, needs, interests, and motivations to attend youth-center activities – as well as good contact with young people's families – is important because it can increase participation in leisure-time activities for young people in multicultural and socio- economically disadvantaged neighborhoods and can thus help to reduce social inequalities in health.
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O'Daniel, Linda D. "Referral and Treatment Settings for Pregnant Women." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3191.
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Drug and alcohol addiction in pregnant women is a significant public health issue. The purpose of this study was to assess drug and alcohol addiction in pregnant women and the setting in which they sought service or treatment to determine whether U.S. census regions and race data could predict the type of addiction service or treatment that pregnant addicts chose. The theories of self-efficacy, cognitive behavioral therapy, and rational emotive behavioral therapy were used as the theoretical framework for this study. The research questions were used to examine whether there was a relationship between the source of addiction treatment referral and the type of addiction service or treatment setting for pregnant addicts that reside in the United States at the time of their initial admission for treatment. This quantitative study used archival data from the 2012 Treatment Episode Dataset – Admission from the Substance Abuse and Mental Health Services Administration. Data analysis included the Chi square (χ2) test of independence and a multinomial regression. There was a significant relationship (p < .001) between the source of treatment program referral and type of service/treatment setting for pregnant women who were diagnosed with only an alcohol addiction and both an alcohol and illicit drug addiction. U.S. census region and race did predict the type of addiction service/treatment setting for pregnant addicts diagnosed with an alcohol addiction, as well as those diagnosed with a drug addiction, at the time of treatment admission. Results from this study can be used to address an under researched area of addiction treatment and could aid in changing the behaviors of pregnant addicts, thereby potentially promoting positive social change.
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Matthews, Paul. "Service user-professional interaction in health and care settings." Thesis, University of Warwick, 2014. http://wrap.warwick.ac.uk/65052/.
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This thesis is comprised of three chapters written as articles for publication. The theme linking the chapters is the focus on interaction between service users and professionals working in health and care settings. Chapter one reviews discursive research on health and care professional interaction with people with a learning disability. The focus is on how professionals talk with and about people with a learning disability. Citations are explored which describe professional talk in research interviews, interactions with people with a learning disability in everyday settings, questionnaire-based interviews, therapeutic interactions and meetings. Certain practices have been found to work well in particular contexts and some not so well. There is potential to use practices across contexts, however there is no guarantee that a particular practice will perform the same action in a different interactional setting. Future research in the area could look at the effects of trying to increase the use of some of the more successful practices through staff training. Chapter two details an empirical study on how questions are used by participants in care programme approach (CPA) review meetings in the NHS. Questions were found to be asked by the professionals at the meeting in a manner that followed the format of a semi-structured interview. Six question types are described in the paper that perform a range of actions; switching topic, prompting the service user, avoiding overt disagreement, bringing the meeting back on topic, offering the service user the opportunity to ask questions and ensuring a particular structure is followed. The analysis suggests that government guidance on CPA regarding service user participation is not being realised in the way that the process is conducted on an interactional level. Chapter three contains a reflective piece about my experiences conducting discursive research in an NHS setting. It describes the challenges faced in doing research using this methodology and makes suggestions on how some of these potential issues might be tackled.
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Akuamoah-Boateng, Agyenim. "Competence of Behavioral Health Clinicians in Integrated Care Settings." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5443.
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Collaborative efforts between medical and behavioral health professionals is required to simultaneously treat individuals with medical and mental health disorders. However, there is lack of focus on the competencies and trainings needed by behavioral health clinicians (BHCs) transitioning to integrated primary care (IPC) settings. The purpose of this qualitative interpretive phenomenological study was to describe the lived experiences of BHCs who have transitioned from specialty outpatient behavioral healthcare settings to IPC settings. Semi-structured interview questions were used to collect data. Using interpretive phenomenological data analysis approach, themes and the shared meanings and experiences of 8 licensed BHCs were explored. Seven participants had graduate degrees and 1 participant had post-graduate degree. All participants had at least a year of experience working in IPC settings, worked full-time in North Carolina, and had over a year of experience in traditional behavioral healthcare settings. Results indicated that participants shared experiences in 5 themes: (a) clinical experience, (b) effective communication, (c) collaboration with primary care providers(PCPs), (d) continued education and trainings, and (e) care coordination. The outcome of this research will inform institutions, administrators, and credentialing boards to consider implementation of defined competencies for BHCs in community health centers that operate on IPC principles to ensure collaborative efforts between BHCs and PCPs in order to help provide effective holistic and affordable health care in a systems-based approach.
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Gore, Maria. "LGBT affirming environments in hospice care settings." Honors in the Major Thesis, University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/848.
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The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of LGBT affirming environments in hospice care settings. Utilizing a formal PICO questioning method, a search strategy was devised and studies were identified based on established criteria. The results suggest that there is a paucity of data in relation to the implementation of LGBT affirming environments in hospice care settings. In an effort to assist in identifying existing interventions that have not been studied this project also includes a recommended survey tool to measure the active efforts of hospice organizations to implement LGBT affirming environments.B.S.W.
Bachelors
Health and Public Affairs
Social Work
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Amenyah, Augustine M. "Asthma Prevalence: Focus on Prevention Management in Community Settings." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/203.
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Asthma prevalence continues to increase across the United States of America, affecting more than 43.1 million people and projected to affect over 50 million people by 2025. Asthma prevalence differs by demographic characteristics, such as race, ethnicity, socio-economic status, education, age and gender. Poor quality of life is common among people who suffer from asthma, in addition to school and work absenteeism. In 2008, children 5-17 years old with at least one reported asthma attack missed 10.5 million school days in the past year (CDC, 2010). Healthcare use for asthma is high and disparities remain in asthma healthcare use and reimbursement. In community settings, reimbursement for asthma education and prevention has been problematic due to current reimbursement mechanisms (Bodenheimer et al. (2003); Halterman (2010); CDC (2011) and Laster et al. 2010) that do not go far enough in assisting low-income communities manage their asthma medically nor have uniform standards for billable services associated with asthma management provided by both healthcare professionals and public health workers. A change in reimbursement policy is advocated and the evidence for the effectiveness of community health workers in asthma management is examined.
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Pallmar, Sara. "Dimensions Relevant forMaintenance Performance inTechnical Healthcare Settings." Thesis, KTH, Hälsoinformatik och logistik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-282913.
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Abstract Access to qualitative, affordable, and appropriate medical equipment is essential to advance universal health coverage, address health emergencies, and promote healthier populations. In order to keep the equipment safe and ready to use maintenance is needed. The maintenance strategies for equipment in healthcare are often based mainly on reliability characteristics, but the equipment is not only dependent on software and hardware. The user using the equipment has a significant impact, and on top of that lies the various variables around the equipment and the growing complexity of the healthcare sector. Human interactions with medical equipment are nowadays a relatively explored subject, but the impact this has on the maintenance performance is still an uncharted area. This study answers the question “What dimensions are relevant for maintenance performance in a technical healthcare setting?” In order to answer the question, three main steps were taken: 1) Conduct a structured literature study based on previous research of maintenance strategies, organizational behaviour and healthcare settings; 2) Gather a case collection in collaboration with specialists at a medical technology company; and 3) Assess the dimensions found in the literature study by evaluating them with aspect to the cases in the case collection.To reach the final result – a list of relevant dimensions – some partial results were needed; conclusions, dimensions, list of situations, and a final case collection. The methodology was developed to deliver dimensions and cases which would be used in the evaluation. To receive the dimensions, a structured literature study was done, this resulted in conclusions which the sought dimensions were extracted from. To obtain the cases, interviews at a medical technology company were done, this resulted in a list of situations. From these situations the final cases were selected. The evaluation was then done by assigning each dimension a score between zero and five according to the relevance it showed in the different cases. Finally, a list of relevant dimensions was uncovered. The final results exposed not only the dimensions relevant for maintenance performance in technical healthcare settings but also how relevant each dimension was in relation to each other. The degree of relevance could also be seen with aspect to each individual case. In total 17 dimensions were evaluated thought six cases. The top five dimensions with the highest score turned out to be 1) “Leadership within the service organization”, 2) “Infrastructure supporting collaboration”, 3) “Openness to discuss performance weaknesses”, 4) “High level of communication”, and 5) “Information flow”. These results can be used to obtain a better understanding of maintenance performance within the healthcare sector, to improve the accessibility of equipment, decrease costs within healthcare, and in the end ensure better provision of healthcare services. Keywords: maintenance performance, technical healthcare settings, medical equipment, evaluation
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Mayers, Patricia Margaret. "Nurses’ experiences of guideline implementation in primary health care settings." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/1437.
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Thesis (DPhil (Psychology))—University of Stellenbosch, 2010.ENGLISH ABSTRACT: This dissertation examines how nurses in primary health care in South Africa make use of guidelines. Primary level health care is reliant primarily on nurses, who are under-resourced and often overwhelmed by the complex needs of their clients in the context of the TB and HIV/AIDS epidemic. Despite various continuing education strategies to promote current and evidence-based practice, there are many barriers to providing optimal care. Clinical practice guidelines using best evidence are an important tool for updating health professionals in current practice, particularly at primary care level, where busy practitioners often do not have time or sufficient access to the best evidence. Despite this, we know little of the practitioners’ experiences of guideline use. This study describes experiences of nurses in implementing clinical practice guidelines in the delivery of health care in selected primary level contexts in the Free State Province. The primary research question for this study was “What are the experiences of nurses in using guidelines in primary health care facilities?” A qualitative research approach, drawing on a psychoanalytic framework, was adopted. Three linked studies were conducted, utilising secondary data analysis of transcripts collected during the PALSA (Practical approach to Lung Health in South Africa) RCT study (sub-study 1), document description and review of guidelines used in primary care settings (sub-study 2), observation of nurses in practice and during patient consultations, and focus group discussions with nurses in primary health care facilities (sub-study 3). After the introduction of new format guidelines with onsite training and access to good support and updates, nurses reported feeling more confident, as the guidelines were explicit and gave them clear direction as to when a patient would need referral to the medical practitioner. When the guidelines were followed, and the patient responded positively to an intervention, this gave nurses a sense of credibility and validated their role as primary level health care providers. Guidelines available in the primary care clinics covered a wide variety of clinical conditions, were inconsistent, often outdated and even contradictory. A detailed comparison of two selected guidelines, the South African TB control guidelines and the PALSA PLUS guidelines, both in everyday use in the Free State province, shows that the preferences expressed by the nurses in sub-study 1 are evident in the layout, colour, and user-friendliness of the PALSA PLUS guideline. Nurses in the Free State province do use guidelines, but not consistently. Nurses make clinical judgments and decisions based on experience, alternative knowledges and intuitive responses, in consultation with colleagues and through the use of guidelines. Very few guidelines were used regularly, and each nurse had her preferences for a limited number of guidelines which she found useful. There is a clear need for integrated approaches to the information needs and support of nurses and nurse practitioners at primary care level. Guidelines play a role in promoting learning, changing professional practice and strengthening health care delivery by nurse practitioners at primary level. They can also be thought of as a strategy the health care system uses to defend against the possibility of its health professionals not meeting its expectations of providing quality care. Guidelines may contain anxiety and improve the quality of care, or compromise practice through the imposition of controls. The use of guidelines in primary care settings facilitates decision making, may contain practitioner anxiety and improve the quality of care, yet guidelines pose challenges to creative discernment of the patient’s symptoms in relation to his/her personal circumstances and may impact on the personalised holistic care approach which characterises the essence of nursing. Today’s primary care nurse and nurse practitioner needs to be a competent clinician, compassionate carer, and confident co-ordinator – the overlapping roles of caring, diagnosing and treating and managing. The challenge for the nurse in primary care is to combine her traditional caring and co-ordination role into a role which encompasses curing, caring and co-ordination, a new, yet critically important identity for the 21st century nurse.
AFRIKAANSE OPSOMMING: Die proefskrif ondersoek hoe verpleegsters in primêre gesondheidsorg in Suid-Afrika van riglyne gebruik maak. Primêre vlak gesondheidsorg steun hoofsaaklik op verpleegsters, alhoewel hulle verswelg word deur die komplekse behoeftes van hul kliënte in die konteks van die TB en HIV/AIDS epidemie. Ten spyte van verskeie volgehoue onderrigstrategieë om die huidige en bewese basiese te bevorder, is daar verskeie struikelblokke om optimale versorging te voorsien. Kliniese praktyk riglyne voorsien die beste bewyse en is 'n belangrike hulpmiddel om praktiserende professionele gesondheidswerkers, veral op die vlak van primêre gesondheidsorg, op hoogte van sake te hou. Besige programme en onvoldoende toegang tot hierdie riglyne weerhou dikwels die gesondheidswerkers van bestaande inligting. Dit is egter onbekend wat gesondheidswerkers se ondervinding en gebruik van riglyne is. Die studie beskryf versorgers se ervaring van die implementering van kliniese praktyk riglyne vir gesondheidsorg in primêre vlak kontekste in die Vrystaatprovinsie. 'n Kwalitatiewe navorsingsbenadering wat steun op 'n psigoanalitiese raamwerk, is gebruik. Drie verbandhoudende studies is gedoen wat sekondêre data analise transkripsies gebruik het wat verkry is gedurende die PALSA (Practical Approach to Lung Health in South Africa): RCT (Willekeurig Gekontroleerde Toets) studie (sub-studie 1), beskrywing van dokumentasie en oorsig van riglyne wat in primêre vlak ontwikkeling gebruik is (sub-studie 2), en observasie van verpleegsters in die praktyk en gedurende konsultasies met pasiënte, en fokusgroep besprekings met verpleegsters in primêre vlak gesondheidsorg fasiliteite (sub-studie 3). Na die bekendstelling van 'n nuwe formaat riglyne vir indiensopleiding en toegang tot goeie ondersteuning, het die verpleegsters meer selfversekerd gevoel omdat die riglyne duideliker was en aan hulle 'n beter aanduiding gegee het wanneer 'n pasiënt verwysing na 'n mediese praktisyn benodig het. Wanneer die riglyne gevolg is en die pasiënt positief op behandeling gereageer het, het dit aan hulle 'n gevoel van agting en deug vir hulle rol in primêre vlak gesondheidsorg gegee het. Beskikbare riglyne in primêre sorg klinieke dek 'n wye verskeidenheid kliniese kondisies, is onsamehangend, dikwels verouderd en selfs soms weersprekend. 'n Gedetailleerde vergelyking is tussen twee geselekteerde riglyne gedoen: die Suid-Afrikaanse TB kontrole riglyne en die PALSA PLUS riglyne. Beide word daagliks in die Vrystaatprovinsie gebruik. Die verpleegsters in sub-studie 1 het a.g.v. die uitleg, kleur en gebruikersvriendelikheid die PALSA PLUS riglyne verkies. Verpleegsters in die Vrystaat gebruik wel riglyne maar nie op 'n gereelde grondslag nie. Hulle maak eerder kliniese keuses en besluite gebaseer op ondervinding, alternatiewe kennis en intuïtiewe gevoel, in konsultasie met kollegas en na bestudering van die riglyne. Baie min riglyne is gereeld gebruik, en elke verpleegster het haar voorkeure vir 'n beperkte aantal riglyne wat sy bruikbaar vind. Daar is 'n duidelike behoefte aan 'n geïntegreerde benadering tot die informasiebehoeftes en ondersteuning aan verpleegsters en praktisyns op primêre sorg vlak. Riglyne speel 'n belangrike rol in die bevordering van onderrig, verandering van professionele praktyke en die versterking van gesondheidsorg wat deur verpleegsters in primêre vlak gesondheidsorg gelewer kan word. Dit kan ook gesien word as 'n strategie wat die gesondheidsorgsisteem kan gebruik om te verseker dat gesondheidswerkers kwaliteit diens lewer. Riglyne kan moontlik angstigheid beperk en verhoogde versorgingskwaliteit bring, of dit kan gesondheidsorg benadeel deur die afdwing van kontrolemaatreëls. Die gebruik van riglyne in primêre sorg fasiliteer besluitneming, en mag dalk angstigheid by die praktisyn beperk, wat dan die kwaliteit van versorging kan verhoog. Riglyne bied uitdagings aan die kreatiewe oordeelsvermoë om die pasiënt se simptome te sien binne die konteks van sy/haar omstandighede en mag 'n impak hê op persoonlike holistiese versorging wat die aard en kern van verpleging is. Die huidige primêre sorg verplegingspraktisyn moet 'n bekwame klinikus, ontfermende versorger en betroubare koördineerder wees – met oorvleuelende rolle van versorging, diagnosering en behandeling, en bestuur. Die uitdaging vir die verpleegster in primêre sorg is om die tradisionele versorging en koördinering te kombineer tot 'n omvattende rol van genesing, versorging en koördinasie; 'n nuwe, maar krities-belangrike identiteit vir die 21ste-eeuse versorger.
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Bower, Frankie. "Caring for patients with dementia in acute physical health settings." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/39746.
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There are approximately 800,000 people in the UK with a diagnosis of dementia (Alzheimer’s Society, 2007). The ageing population is leading to increased pressures on dementia care facilities and acute hospital settings. As a result the care of patients with dementia is often suboptimal and staff tend to experience high levels of distress. Review of the literature examined the quantitative evidence base regarding the predictors of distress in staff working in 24 hour dementia care facilities. A narrative synthesis of 12 articles was carried out and identified three areas of predictors, these reflected intrapersonal, interpersonal and environmental predictors of distress. It was found that little attention was paid to environmental predictors of distress, most studies explored individual and relational factors, environmental predictors were often found to be linked to distress when research questions were broad and often investigating predictors of distress generally. Distress as a concept is ill defined, leading to many theories being applied and many tools being used, making synthesis of the results difficult. The findings are discussed in line with the existing evidence base on distress research. The research consisted of interviews with 21 acute care staff to explore how they experienced caring for those with dementia in acute medical units (AMU). Thematic analysis (TA) was used to develop four main themes and twelve subthemes, allowing for identification of the main concerns for staff caring for patients with dementia in their general practice. Findings inform changes that AMU could make to allow for staff to care for patients with dementia in a more effective way. The critical appraisal offers a reflective description of the experience of completing the research and its limitations.
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StAmand, Ingrid. "U.S. Public Health Service Nurse Officers Working in Disaster Settings." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6377.
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The National Response Plan (NRP) was developed to provide support during national disasters. The U.S. Public Health Service (USPHS) Corps is 1 of the 7 uniform services and contributes to the mission of the (NRP). The USPHS Commissioned Corps (CC) Officers may be deployed for national disasters at any time and they must be ready to deploy. The purpose of this phenomenological qualitative study was to explore the lived experiences of USPHS CC Nurse Officers who have deployed in response to disasters in the United States. This study addressed the gap in literature related to the deployment perception of USPHS Nurse Officers and may lead to an increase in deployment readiness. The lifeworld theory was used to guide the study that addressed the question of how nurse officers of the USPHS CC described their clinical nursing experience while deployed. Selection criteria used to recruit the 10 participants included USPHS Nurse Officers in non-clinical billets that have deployed in support of hurricane responses in 2017. In-depth interviews were conducted, and data were organized and analyzed using NVivo analysis software. The themes that emerged from the data included characteristics of nurse officers, clinical preparedness, training needs, challenges, and lessons learned. USPHS Nurse Officers perceived other nurse officers as resourceful, skillful educators, felt comfortable and prepared during the deployment, recommended additional training to benefit future Corps deployments, and identified physical and emotional challenges they experienced. These findings may assist in promoting positive social change within nursing practice of the USPHS Nurse Officers as it may enhance and improve readiness training, and USPHS policies for deployment readiness.
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Morelen, Diana. "Relational Health Assessment and Interventions in Integrated Community-based Settings." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7710.
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Donkin, Rosemary. "The role of the health educator in facilitating process improvement in health-care settings." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0019/MQ53612.pdf.
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Latter, Susan Marianne. "Health education and health promotion : perceptions and practice of nurses in acute care settings." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/health-education-and-health-promotion--perceptions-and-practice-of-nurses-in-acute-care-settings(ad41c917-a4f4-4db4-9e02-2f20555f91b5).html.
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The aim of this study was to examine nurses' perceptions and practice of health education and health promotion in the acute care setting. Ward sisters (n=132) working on acute wards in nine District Health Authorities were interviewed using a semi-stuctured schedule. Data were collected on perceptions of health education and health promotion, nurses' role in these activities, and factors influencing nurses' health education and promotion practice on the ward. Data were analyzed using a combination of qualitative and quantitative methods. In the second phase of the study, three wards were selected as case studies of nurses' practice. Data collection methods employed to describe nurses' practice included: non-participant observation, audio-recording of nurse-patient interactions, self-administered questionnaires and reflective field notes. A largely qualitative approach was taken to the analysis of these data. The findings from the interviews indicated that the ward sisters had limited understandings of the meaning of health education and health promotion and nurses' roles in these activities. Findings from the case study wards as a whole suggested that nurses' health education and promotion practice was generally extremely limited, although there were some differences between wards in the extent of this evolution. A number of factors may help explain these findings. These include: nurses' knowledge and skills in health education and health promotion, the philosophy, organization and management of care adopted, and the extent to which these offer opportunities for empowerment in nursing. It is suggested that nurses' perceptions and practice can be conceptualized with reference to a continuum of health promoting nursing practice, and that only limited progress has been made towards nurses' full potential. It is argued that if nurses are to develop their health promoting practice, a philosophical shift in nursing is necessary. Together with the acquisition of appropriate knowledge and skills, this may empower nurses to realise their potential.
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Fugler, Stephen Paul. "Pre-compositional mathematical planning in mass settings by Nicholas Ludford and Robert Fayrfax." Thesis, University of Exeter, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.253069.
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Kriel, Benjamin. "Preparation for school art: young children's meaning making practices in out-of-school settings." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/13718.
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This thesis examines children’s meaning making with art related media in the home of a set of siblings, a brother and sister, of 8 and 6 years old respectively. It is argued that children’s meaning making with art related media is a self-sustaining, multimodal and dialogic site where family narratives, identity and childhood aims and intentions converge. It is argued that when art oriented adults, who seek to promote their child’s artistic growth, are sensitive to the dynamics of child meaning making, especially those that relate to play, they can achieve a more fruitful, aligned and relevant extension of these activities toward early art related goals. In order to make this argument material is presented from a lengthy session of play dough modelling involving the two children and their father, which includes dialogue surrounding this activity, and observations gleaned from video footage and written field notes. This thesis looks at how children’s meaning making in out-of-school settings, has elements of a distinct semiotic domain; not one where ‘art’ or art related media are the focus of the domain, but rather one where play and its affordances for certain kinds of child agency lead and shape the flow of meaning making. It is found that where the end product and pictorial qualities is not the focus of meaning making, and instead other communicative modes are given expression, such as imaginative and collaborative play, children’s interest is sustained as shared cultural resources are more easily integrated into the events.
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Joslin, Kelly L. "Art Appreciation in Face-to-Face and Online Settings: An Analysis of Course Effectiveness." University of Dayton / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1478709584805326.
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Vigeland, Anne. "Exhibiting Performing Subjects : Curating Outsourced Performance Labour in Museum Settings." Thesis, Stockholms universitet, Institutionen för kultur och estetik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-180926.
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The thesis examines challenges museum curators face when outsourced performers – whose role it is to embody the work of other artists – are included in exhibition projects. The research questions are: What are the practical, juridical and ethical challenges that come with situating outsourced performance labour in the museum setting? What does the inclusion of live performance in exhibition projects mean for the role of the museum curator? Two exhibition cases in Stockholm are studied in the thesis: Marina Abramović – The Cleaner (2017) at Moderna Museet and Dora García, I Always Tell the Truth at Bonniers Konsthall (2018–19). The material consists of digital surveys that were sent out to employed performers from each exhibition case as well as interviews that were conducted with both performers and curatorial staff. The material was examined using theories on affective labour and the theoretical notion of de-skilling and re-skilling of acquired competences. The thesis shows that the practical challenges include the architectural conditions of museum buildings, insufficient prior knowledge on what working with performers entail, short project timespans and limited exhibition budgets. The juridical challenges include a lack of union recommendations for performance in museums and the difficulty of situating reperformances of historical works that in its form and duration may go against national labour regulations. The ethical challenges include commodification of performers’ subjectivity through instances of affective labour and mechanisms of objectification. In turn, both the outsourced performer and the museum curator turned performance curator inhabits a precarious working situation. The role of the performance curator is highly administrational and organisationally tedious in its positioning between curatorship, performing arts production and human resource management. Additionally, it entails a prodigious amount of affective labour in the reproductive mode – of emotional investments, conflict resolution and social liaison.
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Christiansen, Nichola. "The mental health and lived experiences of women in secure settings." Thesis, University of Warwick, 2010. http://wrap.warwick.ac.uk/36731/.
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Chapter 1 comprises a review of the literature on the mental health of women prisoners. Historically, research of this kind has tended to focus on male prisoners. In recent years Government initiatives have promoted prison healthcare to be brought in line with the National Health Service. Through a review of the literature this chapter discusses the mental health of women prisoners, with an emphasis on women in the United Kingdom. Treatment needs and marginalised groups in women’s prisons receive a specific focus and recommendations for future research are considered. Chapter 2 is an empirical study, focussed on The Lived Experiences of Women in the National High Secure Healthcare Service for Women, NHSHSW. Following recent changes in the secure hospital system in the UK, the NHSHSW is now the only high secure hospital for women. The women patients in the NHSHSW are admitted from court, prison or hospital if they are assessed to require high secure conditions by virtue of their perceived dangerousness. Research shows that little is known about the experiences of women in this setting. Using an Interpretative Phenomenological Analysis approach, an idiographic methodology; the experiences of eight women in the NHSHSW are explored. The themes identified are discussed in detail and considered in light of the existing research. Recommendations for further research are discussed. Chapter 3 reflects on the research process. It considers the anxieties of a first time qualitative researcher, a woman researching the experiences of women patients in a, secure setting. Reflections on the research process and the impact on the researcher are considered.
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Alan, Rana. "Stigma of addiction and mental health in dental settings : patients' experiences." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/47053.
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Objectives: The objective of this study was to explore the nature of stigma experienced by dental patients who have substance use and mental health issues.
Methods: Semi-structured interviews were conducted with a purposefully selected group of 13 English-speaking participants (7 males) who struggled with a variety of substance use and/or mental disorders, and lived in one of two treatment centres. An interview guide containing open-ended questions was used to discuss their experiences with dental professionals, and their perceptions of stigmatization. All interviews were audio-recorded, transcribed verbatim and analyzed using a qualitative thematic analysis.
Results: Analysis of about 300 pages of interview transcripts demonstrated that participants perceived stigma in dental settings when they were viewed as “junkie” or “crazy”, were negatively stereotyped, and finally were rejected as patients or received negative attitude and substandard care from dentists who were misusing their position of power. Lack of or poor understanding and education about issues of addiction and mental health were pointed out as the origin of stigma. Positive experiences with dental professionals were characterized by empathy, reassurance and communication, which were empowering for patients.
Conclusion: Individuals with substance dependence and mental health issues felt stigmatized by some dental professionals who they felt had labelled, stereotyped, and discriminated against them; making them feel disempowered. Findings of the study highlighted the need to better prepare current and future dentists to address the oral care of patients with substance dependence and mental illness in their clinical practice.
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Kirkham, Rosie. "Exploring the experiences of staff working in forensic mental health settings." Thesis, Lancaster University, 2017. http://eprints.lancs.ac.uk/89009/.
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Forensic mental health (FMH) is described as a complex and challenging specialism to work in. The experiences of staff working within FMH settings have important influences on the quality of care provided to patients. This thesis explored the experiences of both multidisciplinary staff and clinical psychologists. A meta-synthesis of international qualitative studies was conducted to explore the experiences of staff working in FMH settings. Sixteen papers were synthesised, revealing five themes: 1) The impact of safety; 2) Psychological and emotional impacts; 3) Trying to maintain control; 4) The double-edged sword of support; and 5) A special insight into humanity. The findings point to the importance of understanding how staff manage the impacts of working in FMH settings in order to develop effective support systems. Eight clinical psychologists were individually interviewed to explore their lived experiences of compassion satisfaction when working in UK forensic mental health settings. Five themes were identified using interpretative phenomenological analysis: 1) The magnitude of trust; 2) Adjusting expectations; 3) Being both lock and key; 4) Needing time and resources; and 5) Variety and complexity. The results highlighted important distinctions in how compassion satisfaction can be experienced by clinical psychologists in this specialty, and what may influence these experiences. A critical appraisal of the process of carrying out the research was conducted. Issues regarding ethical approval, recruitment, and methodology were discussed, in addition to the impact of the study on the researcher.
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Arotimi, Margaret. "Prevention and Management of Aggression and Violence in Mental Health Settings." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6877.
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Aggression and violence in healthcare settings can lead to severe psychological, physical, and economic consequences for the victims, institutions, and society in general. Empirical evidence indicated that patient-initiated physical and verbal aggression is a longstanding problem affecting nurses working in psychiatric hospital settings. At the project site, approximately 88% of the staff members reported having been assaulted by mental health patients in the admission units at some point in the provision of care between 2015 and 2017. The purpose of this project was to develop an educational program for nurses at the site to use as preventive strategies in managing aggression rather than relying solely on seclusion, medication, and restraints. The theoretical framework that guided the development of evidence-based practice was program theory and theory of change analysis. The practice-focused question examined the extent to which a revamped educational program would improve the knowledge of the nursing staff at the project site. The education was presented using an electronic format and completed by 91 staff members. The paired t test showed a difference of 102.34 points from pretest to posttest with a p value of .000. Results of the Wilcoxon Signed Ranks Test (z=-8.288, p=.000) were also significant. Positive social change might occur in psychiatric hospital settings by empowering and increasing the knowledge of the nursing staff to create a safe working environment and improve the care provided to the patients.
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Geiger, Susan Louise. "Nonattendance Rates and Barriers to Health Care in Outpatient Clinic Settings." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/222.
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Lower socioeconomic status, ethnicity, and race are associated with reduced health care use in the United States. Patients who continually miss their appointments suffer significant negative results, including a disruption in continuity of care, complications with their chronic illnesses, and an increase in hospital readmissions. The health belief model was used as the theoretical support for this project that investigated the underlying causes of no-shows at an urban hospital-based outpatient clinic in the United States. It used a quantitative, descriptive design and examined a minority, underserved, and underinsured population that was receiving care at the research site and had a fairly consistent 30% no-show rate. Data was collected by anonymous survey from 151 patients and 22 health care providers and analyzed via means, t tests, and an ANOVA. Female patients were significantly more likely than male patients to approve of the current scheduling system at the site, in which patients simply call the clinic for an appointment (p = 0.040). White (non-Hispanic) patients in general had a statistically lower interest in receiving appointment reminders via text compared to the rest of the population (p=0.024). Patients who were 29 years old and younger were significantly less likely than patients who were 30 years old and over to indicate that they did not show up to appointments due to a lack of insurance (p '? 0.001). This project promoted positive social change by increasing patient, staff, and stakeholder awareness of the reasons patients miss their appointments. The findings of this project can be used to improve appointment scheduling, reduce patient wait times, increase patient satisfaction, and increase cost savings to the clinic.
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Weigelt, Jennifer. "Supervisory Working Alliance and Job Satisfaction in Community Mental Health Settings." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1526.
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Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this study was to evaluate the relationship between the theoretical construct of the supervisory working alliance and job satisfaction. This multiple regression study included 250 workers who were providing direct services to persons with severe mental illness or severe emotional and behavioral disorders. Results yielded a significant relationship between the supervisees' perception of the supervisory working alliance, as measured by the Supervisory Working Alliance Inventory, and job satisfaction, as measured by the Job Satisfaction Survey. Specifically, participants who rated the supervisory working alliance higher were also more likely to report higher levels of job satisfaction. The implications for social change include knowledge useful for educators, trainers, supervisors, and supervisees seeking to promote positive outcomes of workers and clients in community mental health settings. Low job satisfaction leads to generally poorer client outcomes. The ability to understand the supervisory working alliance's influence on job satisfaction is beneficial to advancing the treatment for persons with chronic mental illness.
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Duvall, Marva. "Identifying Essential Clinical Supervisor Leadership Competencies from Selective Behavioral Health Settings." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563873239241276.
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Neech, Sophie. "User involvement in adult mental health settings : user motivations and benefits." Thesis, Staffordshire University, 2015. http://eprints.staffs.ac.uk/2248/.
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User involvement within healthcare settings has been increasingly prevalent in recent years, where individuals accessing services contribute to their development and delivery. This thesis describes the process of exploring user involvement in adult mental health settings. A review of the literature highlighted that despite government calls for additional emphasis on user involvement to improve services, a number of barriers stop meaningful involvement from being enacted. To avoid tokenism in user involvement practices, power differentials need addressing, and users need to see tangible change as a result of their involvement activities. There has been limited research into users’ motivations for taking on an involvement role within an organisation, yet this is key to understanding criteria for successful involvement. To explore the role of user representatives, including motivations and personal gains, a study informed by action research was developed in collaboration with users of mental health services. Semi-structured interviews with thirteen user representatives were analysed using constructivist grounded theory techniques. The resultant themes highlighted initial motivating factors for user representatives including wanting to give back to services, and making a difference for future users. Experiences of involvement depended on wellness and whether user representatives felt valued. The theme of transition captured shifts in identity, yet staff ultimately governed user involvement activities. Clinical implications are discussed in light of findings, with particular emphasis on the clinical psychology profession. However, development of infrastructure and teams to address specific areas of service development should include staff, user representatives, and users from all levels of an organisation. Further research is suggested to examine the links between user involvement and wellbeing, and dynamics between staff and user representatives to address power relations.
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Stokes, Zwitter Miriam. "Nursing organizational structures in acute care hospital settings." Case Western Reserve University School of Graduate Studies / OhioLINK, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=case1059758111.
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Davidson, Angela R. "Computerized physician order entry| An outlook on successful implementation among ambulatory care settings." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527367.
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The purpose of this study is to investigate the relationship and pattern of Computerized Physician Order Entry (CPOE) implementation among various ambulatory care settings. With the increasing focus on cost reduction and improved efficiency of the healthcare industry, successful CPOE implementation would benefit many providers. The research entails an analysis of practice setting characteristics that may provide insight to the future of CPOE full adoption. Through secondary data analysis on the responses collected from the Electronic Medical Records Supplemental Survey (within the 2009 National Ambulatory Medical Care Survey), four hypotheses are tested in this study: (a) use of CPOE will be greater in primary practices as opposed to specialists, (b) use of CPOE will be greater amongst group practices and less in solo practices, (c) private practice setting types will have greater implementation patterns of CPOE compared to other setting types, and (d) practices with greater private insurance reimbursements will have greater CPOE utilization. All four hypotheses were tested using a chi-square analysis in order to better examine the relationship between utilization patterns of CPOE and medical care practice characteristics. Although results showed that there are significant associations between CPOE use and practice specialty, type, setting, and type of major payer, there is still a strong lack of adoption in the ambulatory care setting as a whole. The study provides some insight into what types of practices may have lucrative qualities in the future, however the data is reflective of a time when many changes are expected to effect the industry. Not every medical practice has adopted or successfully implemented the first stages of CPOE, however the benefits and the future of healthcare show that many practices will soon be on their way in order to stay profitable.
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Larivière, Nadine. "Adjustment to community residential settings among severely and chronically mentally ill older adults." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31253.
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Little is known about the impact of deinstitutionalization on severely and chronically mentally ill older adults. The primary purpose of this study was to describe the adjustment process of 33 adults, aged 65 years and over, with severe and chronic psychiatric disorders, who were transferred from a psychiatric hospital to community housing facilities between 1995 and 1998. Data was collected at five periods in times, twice prior to discharge and three times following relocation. Global functioning, social behaviors, functioning in activities of daily living, cognitive status, perceived quality of life, housing conditions and rehospitalizations rates were assessed. Results showed that participants remained stable over time in general functioning, regardless of baseline functioning. Only five subjects were readmitted for short hospitalizations. Eighty-nine percent preferred to live in the community. Relocating these participants to a smaller supervised community facility did not lead to significant deterioration in their functioning and improved their quality of life.