Dissertations / Theses on the topic 'Clinical practica'
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Beattie, Heather, and res cand@acu edu au. "The Theory Practice Interface: A case study of experienced nurses' perception of their role as clinical teachers." Australian Catholic University. School of Educational Leadership, 2001. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp3.14072005.
Full textMesas, Idáñez Ángeles. "Guía de práctica clínica para el control del dolor postoperatorio y evaluación de la analgesia postoperatoria." Doctoral thesis, Universitat Autònoma de Barcelona, 2015. http://hdl.handle.net/10803/322797.
Full textIntroduction: Postoperative pain is a frequent problem in hospitals. Many Clinical Practice Guidelines for Postoperative Pain(CPGPP) control have been developed with the aim of helping health professionals, and improving the postoperative pain treatment. Few studies have evaluated the effect of this CPGPP in clinical practice. Objectives: The main objective is to evaluate the prevalence and the intensity of the postoperative pain, before and after the implementation of the CPGPP. The secondary objectives have been the evaluation of the pain registries, the analgesic schedule, and the grade of satisfaction of the patients after the analgesic treatment in both periods. Material and Methods: The observational study with before and after design, which included two transversal studies, was carried out in a third level hospital in two separate periods. The first period took place in 2006, before the implementation of the CPGPP, and the second period in 2011 after its elaboration and diffusion. Information of demographic and clinical variables from patients, and pharmacological variables were collected from the clinical histories. Furthermore, data over the pain intensity and the degree of satisfaction of patients was collected through a personal interview. A comparison between the two periods was stablished. Results: The study included 306 patients in the first period, and 317 in the second period. There were no significative statistical differences with respect to the demographical and clinical variables of patients in both periods. The prevalence of the pain was smaller in the second period (77%) than in the first period (92%)(p<0,05). The most frequent pain referred to by the patients in the last 24h was moderate or intense pain in 53% of patients in the first period, and was reduced to 33% of patients in the second(p<0,05). In the second period analgesics prescription were adjusted to the recommendations of the CPGPP in 50% of patients. In the second period an increase in the prescription of Paracetamol, AINE and morphine was observed, so were patient controlled analgesia in comparison with the first period, the schedules “as-need” decreased. No increase in the adjustment to the recommendations related to the analgesic dosage was observed in the second period. In both periods the patients expressed a high degree of satisfaction with the pain relief after the received treatment. A variability in the prevalence and intensity in the pain, and the degree of satisfaction of patients in different sections of the hospital were observed. Conclusions: After the elaboration and diffusion of the CPGPP, a decrease in the prevalence of pain and a reduction in patients pain intensity was observed. Nevertheless, there is still room for improvement in the following of the CPGPP recommendations, and the decrease of postoperative pain. There is need for constant information, formation and evaluation of pain analgesics in order to obtain the adequate postoperative pain treatment through time.
Alnajjar, Munther Saleh Numan A. "Combating antibiotic resistance in clinical practice : optimising antibiotic and infection control practices." Thesis, Queen's University Belfast, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.695214.
Full textStroud, Michael Alan. "PHYSICAL THERAPISTS' CLINICAL PRACTICES REGARDING INTRINSIC AND EXTRINSIC FALL RISK FACTORS AND THEIR ATTITUDES TOWARD THE USE OF EVIDENCE-BASED PRACTICE." OpenSIUC, 2014. https://opensiuc.lib.siu.edu/dissertations/853.
Full textTaylor, Michael Dennis. "Prostate cancer clinical practice guidelines clinical and economic outcomes /." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010098.
Full textTypescript. Title from title page of source document. Document formatted into pages; contains 99 pages. Includes Vita. Includes bibliographical references.
Roche, Ayesha. "Considering ethnic diversity in clinical supervision and clinical practice." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18011/.
Full textAkin, Faith W. "Best Practice: Clinical Vestibular Assessment." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/2441.
Full textConocimiento, Dirección de Gestión del. "Nutrition in Clinical Practice (NCP)." Wiley, 2004. http://hdl.handle.net/10757/655367.
Full textHall, Katherine C., and Kendra Todt. "Evaluating Research for Clinical Practice." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8289.
Full textWittchen, Hans-Ulrich, and Gavin Andrews. "Clinical practice, measurement and information technology." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-102971.
Full textMidhagen, Gunnar. "Adult Coeliac Disease in Clinical Practice." Doctoral thesis, Linköping : Univ, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7373.
Full textEveritt, Sally. "Clinical decision making in veterinary practice." Thesis, University of Nottingham, 2011. http://eprints.nottingham.ac.uk/12051/.
Full textBastami, Salumeh. "Practical and clinical use of opioids." Doctoral thesis, Linköpings universitet, Avdelningen för läkemedelsforskning, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-96795.
Full textThe series name in the title page is incorret. The correct title should be Linköping University Medical Dissertations.
ME, Chokwe, and SCD Wright. "Caring during clinical practice: Midwives’ perspective." Adelaide Tambo School of Nursing Science, Tshwane University of Technology, 2013. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001969.
Full textRibeiro, Patrícia Graziela Cunha. "Clinical practice of e research nurse." Master's thesis, Universidade de Aveiro, 2016. http://hdl.handle.net/10773/16507.
Full textThis paper proposes to present the main activities of a Research Nurse, its role in clinical research, and in the development and introduction of new drugs on the market. The Master in Pharmaceutical Medicine brought together knowledge and development of new technical and personal skills extremely valuable in daily activity as research nurse. During my professional activity as a research nurse, were detected many gaps in academic and professional training of nurses, with regard to this specific area. I intend to present a personal view, describing the main activities developed and how the knowledge acquired in this Master influenced my work performance. The main objective of this work is to provide a reference or guide to other nurses who want to enter into the area of clinical research.
O presente trabalho propõe apresentar as principais atividades de um Enfermeiro de investigação, o seu papel em investigação clínica, no desenvolvimento e na introdução de novos medicamentos no mercado. O Mestrado em Biomedicina Farmacêutica permitiu reunir conhecimentos e desenvolver novas competências técnicas e pessoais de extremo valor na atividade diária, como enfermeira de investigação. No decorrer da minha atividade profissional como Enfermeira de investigação, foram detetadas muitas lacunas na formação académica e profissional dos enfermeiros, no que diz respeito a esta área específica. Pretendo apresentar uma visão pessoal, descrevendo as principais atividades desenvolvidas e como os conhecimentos adquiridos neste Mestrado influenciaram o meu desempenho profissional. O principal objetivo deste trabalho é constituir uma referência ou guia para outros enfermeiros que queiram enveredar pela área da investigação clínica.
Viner, Bradley. "Introducing clinical audit into veterinary practice." Thesis, Middlesex University, 2006. http://eprints.mdx.ac.uk/8115/.
Full textBenson, Johnett. "Evaluation of a Clinical Practicum Evaluation Tool to Address the Education to Practice Gap in Nursing." Kent State University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=kent1368114147.
Full textKREKEL, CHRISTINE ELIZABETH. "THE EFFECT OF CLINICAL PRACTICE LOCATION ON PHYSICIAN REFERRAL PRACTICES AND ATTITUDES FOR HEREDITARY BREAST CANCER." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1025639885.
Full textClarke, Amanda. "Two professional issues in clinical psychology : reflective practice and clinical effectiveness." Thesis, University of Warwick, 2010. http://wrap.warwick.ac.uk/36732/.
Full textMunchel, Brittani Fiore. "Exploratory Study of Counseling Professionals' Attitudes Toward Distance Clinical Supervision." Thesis, University of South Florida, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739527.
Full textMany forms of distance clinical supervision (DCS) have been used in the last decade, but a sparse amount of research addressing (DCS) in counselor education exists to date. The author used random and snowball sampling to survey American Counseling Association members, with a analytic sample total of 96 participants. In the sample, 54.2% of participants were licensed counseling professionals and 39.6% were student or post-masters level interns. The average participant age was 43, ranging from 23 to 74 years. Participants had a mean of 8.1 years of experience. A total of 37.5% of participants had used DCS at some point for supervision sessions. Overall, participants have a positive attitude toward DCS, agreeing most that DCS is a valid form of supervision and that they are interested in learning about DCS. Overall, participants are being minimally exposed to DCS (x¯ = 1.61). A moderate, negative relationship (r = -.39, p < .001) exists between individuals whom have used DCS and attitudes toward DCS (Cohen, Cohen, West, & Aiken, 2003, p. 52). Also, a weak, negative relationship (r = -.23, p < .05) was found between individuals who have used DCS and their level of exposure to DCS. There is a limited amount of literature related to DCS and counseling professionals are being minimally exposed to distance clinical supervision. Despite limited exposure and literature, professionals are still using DCS to conduct supervision sessions. Therefore, it would seem important to increase research focused on DCS and develop relevant practices in order for DCS to be an effective form of supervision.
Freemantle, Jane. "The impact of clinical practice guidelines for preterm labor on clinical care /." Title page, table of contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmf855.pdf.
Full textRosser, Daniel Ashley. "Improving the measurement of visual acuity in clinical practice and clinical research." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1446798/.
Full textGomis, Pastor Mar. "Improvement in clinical practice using mHealth technology." Doctoral thesis, Universitat Autònoma de Barcelona, 2020. http://hdl.handle.net/10803/670541.
Full textLa multimorbilidad y complejidad terapéutica pueden comprometer los resultados en salud en poblaciones crónicas de elevada complejidad. Bajas cifras de adherencia terapéutica podrían estar relacionadas con dicha complejidad, y resultan ser una causa directa de pérdida del injerto y muerte tras un trasplante cardíaco. Las creencias negativas del paciente versus su pauta terapéutica pueden estar a su vez afectando a la experiencia del paciente y a la adherencia a las recomendaciones. Muy poco se sabe sobre la magnitud real en nuestro entorno de este problema, cuáles son los instrumentos para medirlo, así como cuáles son las estrategias más eficientes para reducir su impacto. En base a la problemática, se implementaron 4 fases abreviadas como el estudio mHeart (The mHeart Study). Los objetivos de cada una de las fases dieron lugar a esta tesis doctoral dividida en 4 sub-estudios consecutivos. La primera de las fases fue dirigida a medir cuantitativamente la complejidad terapéutica mediante un índice ampliamente validado en patología crónica y descrito en la literatura, así como la medida de la carga de morbilidad que soportan las personas trasplantadas cardíacas en estadio crónico (>1.5 años desde el trasplante). El nivel de complejidad mediante el total pMRCI-S obtuvo una media de 42 (SD 11), muy superior al nivel publicado para otras patologías crónicas. Los tratamientos para las comorbilidades se asociaron con una elevada complejidad terapéutica [OR=3.1 (2.8;3.4), P-valor<.001]. El objetivo de la segunda fase fue implementar un innovador modelo con el objetivo de mejorar la práctica clínica de los pacientes trasplantados cardíacos ambulatorios. Este nuevo modelo dibuja una innovadora ruta asistencial, diseñada con un carácter holístico y basada en teorías para promover el cambio conductual. El estudio describe cuáles fueron los factores facilitadores para implementarlo y evalúa las principales barreras, beneficios y predisposición de los usuarios de la tecnología. La combinación de diferentes habilidades de los farmacéuticos clínicos involucrados, fueron esenciales. El software mHeart se desarrolló como soporte a esta práctica, consistiendo en una aplicación para el móvil y una página web. El 98% de los pacientes entrevistados estaban dispuestos a usar mHeart. El tercer estudio fue un estudio piloto para validar la estrategia mHeart (the mHeart strategy). Diseñada como una intervención clínica multinivel llevada a cabo por una farmacéutica clínica en el seno de un equipo interdisciplinar con el soporte de la salud digital y mediante el empleo de técnicas del cambio conductual. La estrategia mHeart mejoró significativamente las cifras de adherencia terapéutica entre un 16% y 26% [P-valor<.05]. Los cuestionarios electrónicos fueron igual de efectivos que la versión en papel en identificar al paciente no-adherente [Phi>0.7, P-valor<.001], y sobrellevaron las principales limitaciones del método tradicional presencial. En base a los resultados obtenidos, se llevó a cabo un ensayo clínico aleatorizado que incluyó a 180 pacientes. La estrategia mHeart obtuvo un impacto positivo en los resultados de salud preestablecidos. La cifra de pacientes adherentes al tratamiento inmunosupresor mejoró un 65% en el grupo intervención según el cuestionario SMAQ [OR=2.3 (0.3;19.7), P-valor=.000]. Además, se obtuvo una mejora en la experiencia del paciente con su pauta terapéutica [P-valor<.05] y una reducción de la necesidad de seguimiento presencial [OR=3.4 (1.7;6.9), P-valor=.001]. El programa asistencial mHeart es una alternativa viable para proporcionar un seguimiento individualizado y anticipado a largo plazo de los pacientes trasplantados cardíacos desde su domicilio. Las implicaciones futuras de la presente tesis son un prometedor punto de partida para el establecimiento de una innovadora vía para proveer asistencia de calidad a poblaciones de elevada complejidad en nuestro entorno con el soporte de la salud digital.
Multimorbidity and therapeutic complexity are undermining health outcomes in chronic populations such as the outpatient heart transplant (HTx) recipients. Medication nonadherence may be a consequence of this complexity and is a direct cause of graft loss and death after HTx. Nevertheless, even these are recognized problems, little is known about how best to quantify this complexity or the strategies that could reduce its burden. Based on this background, four sequential phases were implemented and abbreviated as The mHeart Study. This thesis is the result of the specific goals of these phases, presented as consecutive studies. All of them were conducted in the outpatient setting of the Heart Transplant Unit of a tertiary university hospital. The first phase aimed to quantitatively measure therapeutic complexity by using a validated quantitative index in chronic-stage HTx recipients. Therapeutic complexity observed was the highest compared with those previously published in chronic diseases and was mainly influenced by a higher count of drugs to treat comorbidities. Based on the results obtained in the first study, strategies were urgently needed to reduce post-HTx complexity. Therefore, the second phase aimed to develop the mHeart software and to implement an eHealth behavioral-based intervention model to provide healthcare to complex populations in the outpatient setting. The study the model implemented, outlines the facilitators and barriers, and the willingness to use the model reported by potential users. The tool was seek to improve medication safety and efficacy, to enhance patient-providers interactions and to provide comprehensive clinical care. Clinical pharmacists’ skills on patient engagement, motivational interviewing and managerial experience were essential to lead the implementation. The patients confirmed that 98% of them were willing to use the mHeart system. The third study came to validate the main clinical aim of the mHeart tool, which is to improve medication nonadherence in HTx recipients. With this aim in mind, the mHeart strategy designed consisted of an intensive follow-up program based on multilevel individually-tailored digital interventions aiming to change behavior by a pharmacist using the mHeart technology in an interdisciplinary environment. The mHeart electronic patient-reported outcome measures (ePROMs) met the existing quality standards, and the exploratory clinical intervention established showed a promising improvement of 30% in medication adherence rates. These results supported the mHeart mobile application widespread use in larger research and usual clinical practice. Based on above-mentioned stages, this thesis work went further including a randomized clinical trial. An alarming 36% of the recipients were non-adherent to immunosuppressive treatment at baseline according to the SMAQ test, and 41% of patients were unaware of the consequences of forgetting to take their antirejection medicines. Therefore, the main objective of this long-term study was to improve recipients’ adherence to immunosuppressive medication, their experience of therapeutic regimens, and to optimize in-clinic healthcare delivery. The intervention consisted of a long-term mHeart strategy versus a traditional in-clinic follow-up by a multidisciplinary team. The mHeart strategy positively impacted on the health outcomes preestablished. At the end of the study, medication adherence rates were statistically significantly improved in the intervention group (85%) versus the control group (46%). Furthermore, the strategy had a positive impact on patients’ experience of therapeutic regimens and showed statistically significant reductions in the number of patients needing to travel to the clinic for follow-up appointments. The implications of the thesis will be a promising starting point for an emerging way of providing further assistance to the most complex populations based on eHealth.
Smith, Luisa J. "Evidence-based medicine in equine clinical practice." Thesis, University of Glasgow, 2006. http://theses.gla.ac.uk/5004/.
Full textHughes, Siobhan Victoria. "Developing clinical practice : personal therapy and supervision." Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:3477.
Full textMcNeill, Sheelagh C. "Acupuncture : clinical practice and effectiveness in physiotherapy." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288826.
Full textWittchen, Hans-Ulrich, and Gavin Andrews. "Clinical practice, measurement and information technology: Editorial." Cambridge University Press, 1995. https://tud.qucosa.de/id/qucosa%3A26398.
Full textMenon, Muralee. "Addressing unwarranted variation in clinical cancer practice." Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:6ca56f0c-ad72-40b9-8eea-e5829c185a1f.
Full textGeorge, Mercy. "Patient Navigation Program in Oncolgy Clinical Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5193.
Full textBrown, Oliver Sabrina Renea. "Clinical Resource Practice Scenarios to Mitigate Bullying." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7859.
Full textBlackwelder, Reid B. "Review of Complementary Medicine and Clinical Practice." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6912.
Full textLanman, Sarah Ann. "Counselor Educators: Clinical Practice and Professional Identity." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1313686817.
Full textMaart, Ronel. "Aligning the clinical assessment practices with the assessment practices." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17888.
Full textENGLISH ABSTRACT: Removable Prosthetic Dentistry (PRO400) is a fourth year module of the undergraduate dentistry programme which consists of a large clinical component. After reviewing relevant literature and conducting module evaluations, clinical tests were introduced and implemented in 2008 as an additional clinical assessment method. The intention of introducing the clinical tests was an attempt to ensure that students were assessed fairly, that their theoretical knowledge and the ability to apply it clinically were properly assessed, and to provide feedback on their clinical performance. The purpose of this concurrent mixed methods study was to compare the relationship between the students‟ performance in the clinical tests and daily clinical grades with their theoretical performance in the PRO400 module. The second part of the study explored the academic staff s‟ perceptions of the clinical test as clinical assessment tool in the PRO400 module. The case study design enabled the researcher to explore the question at hand in considerable depth. The mixed methods approach was useful to capture the best of both the qualitative and quantitative approaches. For the quantitative data-collection, record reviews of the results of fourth-year dental students‟ who completed the PRO400 module at the end of 2007 were used, and included 110 students. For the qualitative component three full-time lecturers within the Prosthetic department were interviewed. The clinical test marks and clinical session marks of all the students (n=109) in PRO400 were compared to their theory mark of that year. The tests marks were entered into a spreadsheet in Microsoft Excel and the data analysis was done with the assistance of a statistician. The analytical abstraction method was used to assist with the qualitative data analysis; first the basic level of analysis was done in the narrative form, followed by second higher level of data analysis. The basic and higher levels of analysis were discussed under the following themes: clinical tests, student performances, alignment of theory and clinical assessment and personal influence on supervisors‟ assessment practices and attitude. Role-taking and the supervisors‟ perceptions and concerns regarding the students were explored as emergent themes. The quantitative findings were displayed using tables and graphs. Forty five students. clinical marks were 10% higher than their theory mark, while only 8 students. theory marks were 10% higher than their clinical test mark. There appeared to be hardly any relationship between the students. clinical daily grade assessment marks and their theory marks. The average theory mark was 47%, the average clinical test marks were 55% and the average daily clinical grade was 63%. Integration of the data obtained from the different data collection methods was done at the level of data interpretation. The clinical test as an assessment tool is well accepted by the supervisors and they agreed that it is more reliable and accurate than the clinical daily grade assessment method. The quantitative findings relate well to other reported studies that concluded that the daily grade was poorly correlated with the competency exams (a similar phenomenon in the clinical test of the PRO400 module). From the findings of this study it appeared that there is a better correlation of the clinical test mark and the theory mark, than clinical daily mark and the theory mark. This finding related well with the lecturers. views that the clinical tests were more reliable as a clinical assessment tool than the daily clinical mark.
AFRIKAANSE OPSOMMING: "Removable Prosthetic Dentistry (PRO400)" is 'n vierdejaar-module in die voorgraadse tandheelkundeprogram wat 'n groot kliniese komponent bevat. Na 'n oorsig gedoen is van die relevante literatuur, en nadat die module-evaluering afgehandel is, is kliniese toetse in 2008 ingevoer en geimplementeer as 'n bykomende metode van kliniese assessering. Die kliniese toetse is ingestel in 'n poging om te verseker dat studente se teoretiese kennis en hul vermoe om dit klinies toe te pas op . regverdige wyse geassesseer word en om terugvoer te kan gee oor die studente se kliniese prestasie. Die doel van hierdie studie, waarin gelyktydige gemengde metodes gebruik is, was om die verband tussen die studente se prestasie in die kliniese toetse, asook hul daaglikse kliniese punte en hul teoretiese prestasie in die PRO400-module vas te stel. Die tweede deel van die studie het ondersoek ingestel na die akademiese personeel se persepsies van die kliniese toets as 'n instrument vir kliniese assessering in die PRO400-module. 'n Dwarssnit-gevallestudie-ontwerp is gebruik en 'n gemengdemetode-benadering was nuttig om sowel kwalitatiewe as kwantitatiewe data in te samel. Vir die kwantitatiewe data-insamelingverslae is die uitslae van 109 vierdejaar-tandeheelkundestudente in die PRO400-module aan die einde van 2007 gebruik. Vir die kwalitatiewe data-insameling is onderhoude gevoer met drie voltydse dosente in die Prostetiese Tandheelkunde-departement. Die kliniese toetspunte en die kliniese sessiepunte van al die studente (n=109) in die PRO400-module is met hul teoriepunte van daardie jaar vergelyk. Die toetspunte is op 'n sigblad in Microsoft Excel ingevoer en die data-analise is met die hulp van 'n statistikus gedoen. Die analitiese abstraksiemetode is vir die analise van die kwalitatiewe data gebruik. Die basiese vlak van data-analise in die narratiewe vorm is eerste gedoen. Dit is gevolg deur 'n tweede, hoervlak-data-analise. Die basiese en hoer vlakke van analise is onder die volgende temas bespreek: kliniese toetse, studenteprestasie, ooreenstemming van teorie en kliniese assessering, en persoonlike invloed op studieleiers se assesseringspraktyke en houding. Rol-aanneming en die studieleiers se persepsies, asook kwessies rakende die studente is as ontluikende temas ondersoek. Die resultate van hierdie studie het aangetoon dat die kliniese punte van 45 studente 10% hoër was as hul teoriepunte, en dat slegs agt studente se teoriepunte 10% hoër as hul kliniese toetspunte was. Dit het geblyk dat daar feitlik geen verband was tussen die studente se kliniese daaglikse assesseringspunte en hul teoriepunte nie. Die gemiddelde teoriepunt was 47%, die gemiddelde kliniese toetspunt was 55% en die gemiddelde daaglikse kliniese punt was 63%. Al die studieleiers het die kliniese toets as assesseringsinstrument goed aanvaar en hulle het saamgestem dat dit meer betroubaar en akkuraat is as die daaglikse kliniese assesseringsmetode. Die kwantitatiewe bevindings hou goed verband met dié van soortgelyke studies waarin daar bevind is dat die daaglikse prestasie swak gekorreleer het met die bevoegdheidseksamen (ʼn soortgelyke beginsel as die kliniese toets van die Pro400). Dit het ook uit die bevindings van hierdie navorsing geblyk dat daar ʼn beter korrelasie is tussen die kliniese toetspunt en die teoriepunt as tussen die daaglikse kliniese punt en die teoriepunt. Hierdie bevinding het ʼn duidelike verband getoon met die dosente se siening dat die kliniese toetse as ʼn kliniese assesseringsinstrument meer betroubaar is as die daaglikse kliniese punt in die PRO400-module in die Tandheelkunde-program.
Breeman, Arend. "Invasive treatment of coronary artery disease: lessons from clinical trials and clinical practice." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 2006. http://irs.ub.rug.nl/ppn/29422422X.
Full textVarma, Rajesh. "An investigation of basic science and clinical research methodologies to benefit clinical practice." Thesis, University of Birmingham, 2009. http://etheses.bham.ac.uk//id/eprint/306/.
Full textNupdal, Jason Bentley. "Implementing Clinical Practice Guidelines in Family Practice: Caring for Children with ADHD." Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27368.
Full textAjjawi, Rola. "Learning to communicate clinical reasoning in physiotherapy practice." University of Sydney, 2006. http://hdl.handle.net/2123/1556.
Full textEffective clinical reasoning and its communication are essential to health professional practice, especially in the current health care climate. Increasing litigation leading to legal requirements for comprehensive, relevant and appropriate information exchange between health professionals and patients (including their caregivers) and the drive for active consumer involvement are two key factors that underline the importance of clear communication and collaborative decision making. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, health sector managers, policy-makers and colleagues. An important aspect of this accountability is the ability to clearly articulate and justify management decisions. Considerable research across the health disciplines has investigated the nature of clinical reasoning and its relationship with knowledge and expertise. However, physiotherapy research literature to date has not specifically addressed the interaction between communication and clinical reasoning in practice, neither has it explored modes and patterns of learning that facilitate the acquisition of this complex skill. The purpose of this research was to contribute to the profession’s knowledge base a greater understanding of how experienced physiotherapists having learned to reason, then learn to communicate their clinical reasoning with patients and with novice physiotherapists. Informed by the interpretive paradigm, a hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys were diverse, although certain factors and episodes of learning were common or similar. Participation with colleagues, peers and students, where the participants felt supported and guided in their learning, was a powerful way to learn to reason and to communicate reasoning. Experiential learning strategies, such as guidance, observation, discussion and feedback were found to be effective in enhancing learning of clinical reasoning and its communication. The cultural and environmental context created and supported by the practice community (which includes health professionals, patients and caregivers) was found to influence the participants’ learning of clinical reasoning and its communication. Participants reported various incidents that raised their awareness of their reasoning and communication abilities, such as teaching students on clinical placements, and informal discussions with peers about patients; these were linked with periods of steep learning of both abilities. Findings from this research present learning to reason and to communicate reasoning as journeys of professional socialisation that evolve through higher education and in the workplace. A key finding that supports this view is that clinical reasoning and its communication are embedded in the context of professional practice and therefore are best learned in this context of becoming, and developing as, a member of the profession. Communication of clinical reasoning was found to be both an inherent part of reasoning and an essential and complementary skill necessary for sound reasoning, that was embedded in the contextual demands of the task and situation. In this way clinical reasoning and its communication are intertwined and should be learned concurrently. The learning and teaching of clinical reasoning and its communication should be synergistic and integrated; contextual, meaningful and reflexive.
Lijfering, Willem Marten. "Thrombophilia issue or non-issue in clinical practice? /." [S.l. : [Groningen : s.n.] ; University of Groningen] [Host], 2008. http://irs.ub.rug.nl/ppn/.
Full textWigg, Rowan Sarah. "Enhancing reflective practice among clinical psychologists and trainees." Thesis, University of Warwick, 2009. http://wrap.warwick.ac.uk/3264/.
Full textBradbury-Jones, Caroline. "The Empowerment of Nursing Students in Clinical Practice." Thesis, Bangor University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.506491.
Full textToms, Gill. "Applications of family-centred care in clinical practice." Thesis, Bangor University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540738.
Full textJudge, Joseph Gerard. "Clinical practice of risk assessment of sexual violence." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/7775.
Full textChapman, Lynn. "Evidence-based practice : a trainee clinical psychologist perspective." Thesis, University of Lincoln, 2010. http://eprints.lincoln.ac.uk/17554/.
Full textShea, Robyn Lisa. "Dried blood spot analysis in routine clinical practice." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7472/.
Full textGeist, Kamile. "Sources of Knowledge in Music Therapy Clinical Practice." Ohio University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1478173980933032.
Full textBell, Janet Deanne. "Articulating the nature of clinical nurse specialist practice." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1018623.
Full textHo, Mei-Yao. "Promoting research-based nursing practice in clinical settings." Thesis, Ulster University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.400863.
Full textJackson, Rebecca L. "Contextualized Risk Assessment in Clinical Practice: Utility of Actuarial, Clinical, and Structured Clinical Approaches to Predictions of Violence." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4603/.
Full textDecker, Bonnie Rae. "The Participation of Occupational Therapy Faculty in Clinical Practice." Doctoral diss., University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/3814.
Full textEd.D.
Department of Educational Research, Technology and Leadership
Education
Educational Leadership
Gurbutt, Russell. "Demonstrating nurses' clinical decision-making." Thesis, University of Central Lancashire, 2005. http://clok.uclan.ac.uk/21842/.
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