Dissertations / Theses on the topic 'Degree Discipline: Health Research'
To see the other types of publications on this topic, follow the link: Degree Discipline: Health Research.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Degree Discipline: Health Research.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Bedard, Angela C. "Career Research Goals of Genetic Counselors in Training." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1092839314.
Full text
2
Jamalamadaka, Taruna. "Research portfolio submitted in part fulfilment of the requirements for the degree of Doctorate in Clinical Psychology." Thesis, University of Bath, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.760946.
Full text
3
Hudson, Maui. "He matatika Māori Maori and ethical review in health research : a thesis submitted in partial fulfilment of the degree of Masters of Health Science, Auckland University of Technology, 2004." Full thesis. Abstract, 2004.
Find full text
4
Gillies, Annemarie. "Kia taupunga te ngākau Māori : anchoring Māori health workforce potential : a thesis presented for the degree of Doctor of Philosophy, Māori Studies, Massey University, Palmerston North, New Zealand." Massey University, 2006. http://hdl.handle.net/10179/994.
Full textAbstract:
In New Zealand Māori are under-represented in the workforce across multiple sectors. This thesis explores this incongruity with regard to Māori health. A Māori perspective and philosophical foundation formed the basis of the methodological approach, utilising a case study research design to inform the study. This provided the opportunity to explore Māori health workforce development initiatives and their potential to contribute to improvements and gains in Māori health. It was important that this work take into account social and economic factors and their impact on health, as well as the varying political climates of market oriented reform and a fiscal policy focus, because it has not only challenged Māori health development but also provided opportunities for increased Māori involvement and participation in health and New Zealand society. Therefore the thesis, while focused on health takes cognisance of and, coincides with the capacity and capability building efforts that have been a feature of overall Māori development, progress and advancement. In the context of this thesis Māori health workers are seen as leaders within their whānau, hapū, iwi, and Māori communities. Consequently a potential workforce that is strong and powerful can lead to anticipated gains in Māori health alongside other Māori movements for advancement. The potential cannot be under-estimated. This thesis argues that there are critical success factors, specific determinants, influencing Māori health workforce potential, and that these success factors have wider application. Therefore, as this thesis suggests Māori workforce development, especially in relationship to the health workforce, is dependent on effective Māori leadership, the application of Māori values to workplace practices, levels of resourcing that are compatible with training and development, critical mass, and targeted policies and programmes.
5
Edwards, William John Werahiko. "Taupaenui : Maori positive ageing : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Public Health at Massey University, Palmerston North, New Zealand." Massey University, 2010. http://hdl.handle.net/10179/1331.
Full textAbstract:
The global phenomenon of population ageing has major ramifications for societies and governments around the world. In New Zealand, efforts to address the impacts of population ageing have centred on the Government’s Positive Ageing Strategy. This is a thesis about positive ageing as viewed through Maori eyes. It has been informed by the memories and aspirations of older Maori who have lived through challenging times but have emerged with qualities that enable them to enjoy older age and to contribute to their own whanau, Te Ao Maori (the Maori world) and Te Ao Whanui (wider society). The thesis is philosophically located at the interface between Western science and matauranga Maori, an Indigenous inquiry paradigm. It is argued that Western science and matauranga Maori are relevant to research in the contemporary context, and reflect the realities of older Maori who live in both Te Ao Maori and Te Ao Whanui. The study used research techniques that draw on Western science (literature review), matauranga Maori (review of 42 Maori proverbs) and both inquiry paradigms simultaneously (qualitative study with 20 older Maori people). The research found that Maori positive ageing can be characterised by a two dimensional concept that incorporates a process dimension and an outcome dimension. The process dimension is consistent with a lifecourse perspective and therefore recognises that ageing is a life-long process where circumstances encountered during life may impact cumulatively and manifest in old age. The outcome dimension can be described in terms of complementary ‘universal’ and Maori specific outcome domains. The universal outcome domains are encapsulated in the New Zealand Positive Ageing Strategy and more recently are expressed in the Positive Ageing Indicators 2007 Report. The Maori-specific outcome domains identified in this Study are: kaitiakitanga – stewardship; whanaungatanga – connectedness; taketuku – transmission; takoha – contribution; takatu – adaptability; and, tino rangatiratanga – selfdetermination. The overarching outcome domain is taupaenui – realised potential.
6
Wilson, Denise. "Ngā kairaranga oranga = The weavers of health and wellbeing : a grounded theory study : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University, New Zealand." Massey University, 2004. http://hdl.handle.net/10179/992.
Full textAbstract:
Ngā Kairaranga Oranga – The Weavers of Health and Wellbeing is a theory about the health and wellbeing of Māori women. Health data about Māori women indicate that their health status is less than that of the non-Māori population despite the right to experience equality in health outcomes. Māori women’s health and wellbeing influences the nature of their health outcomes, varies across their lifetime. ‘What is happening for Māori women, their health and interactions with ‘mainstream’ health services?’ is the question that guided the research with Māori women. A grounded theory informed by a Māori centred approach was developed that utilised Mason Durie’s Māori-centred concepts of mana Māori (control), whakapiki tangata (enablement) and whakatuia (integration), and integrated Glaserian grounded theory to guide the collection and analysis of the data. Twenty-three women who identified as Māori within the Te Arawa rohe, and who were between the ages of 18 and 80 years were formally interviewed as either a group, pairs or individuals, with a further 15 informally interviewed during the process of theoretical sampling. Semi-structured interviews and field notes were used to collect the data, and the processes of constant comparative analysis, theoretical sampling and saturation were used to generate a middle-range substantive Māori centred grounded theory. Three core categories were identified relating to the health and wellbeing of Māori women: (a) Mana Māori, which describes what is important for their health and wellbeing; (b) The Way It Is, which outlines the resigned acceptance they have of their reality and life circumstances, and the barriers and challenges that are encountered; and (c) Engaging with Health Services, which describes what they require from ‘mainstream’ health services to improve the access and use of these services. The basic social psychological process of ‘weaving health and wellbeing’ integrates these core categories. The interpretations Māori women have of health and wellbeing, and health-related actions are explained by the theory generated. This substantive grounded theory provides a model to guide the education and practice of health care providers working within ‘mainstream’ health services.
7
Clendon, Jillian Margaret. "Motherhood and the 'Plunket Book' : a social history : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University, Auckland, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/826.
Full textAbstract:
The Well Child/Tamariki Ora Health Book (the Plunket book) is a small booklet given to New Zealand mothers on the birth of a child. It has been used by nurses as a tool to record growth and development from birth to five years since the 1920s. Although use of the book decreases over time, it is frequently kept within the family and handed on from mother to child. Utilising an oral history approach, this study has traced the development of the Plunket book over time and explored the experiences of a group of 34 women and one man who have reflected on their ownership of, or involvement with, Plunket books. The study found that the Plunket book remains an effective clinical tool for mothers and nurses. Mothers have used the book as a tool to link past with present, to maintain kinship ties across generations, to deal with change intergenerationally, and in a manner that contributes to their self-identity as woman and mother. Although mothers were able to use the book to affirm their own knowledge and that of their mothers, a medically dominated discourse persists in the book. The book has also played a role in facilitating the interaction between mother and nurse, providing an opportunity to explore the relationship in detail. The study found that the most successful relationships at any time were those that bordered the division between a professional relationship and a personal one: it was not the information that nurses offered but the interaction and resulting care they provided that was important to the mothers in the study. The study recommends that nurses and other health professionals continue to use the Plunket book as a clinical tool mindful of the fact that the book remains in use beyond the health professional’s immediate involvement with the mother and child, playing an important role in the context of the New Zealand family across generations. Future versions of the book should contain written reference to the strengths and abilities the mother holds as she cares for her child, reaffirming her role and identity as mother not only when her children are younger but as they grow and become parents themselves.
8
Claas, Bianca Muriel. "Self-reported oral health and access to dental care among pregnant women in Wellington : a thesis presented in fulfilment of the requirements for the degree of Master of Public Health at Massey University, Wellington, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1205.
Full textAbstract:
Pregnancy can have important effects on oral health and pregnant women are a population group requiring special attention with regard to their oral health and their babies? health. International research shows that oral health care for pregnant women has been inadequate, especially in relation to education and health promotion and there is some evidence of disparities by SES and ethnicity. Improving oral health is one of the health priorities in the New Zealand Health Strategy (Ministry of Health, 2000) and the Ministry of Health (Ministry of Health, 2006a) has recently identified a need for more information on the oral health and behaviour of pre-natal women. The aims of this study were to gain an understanding of pregnant women?s oral health care practices, access to oral health care information and use of dental care services and to identify any difference by ethnicity and socio-economic position. A self-reported questionnaire was completed by 405 pregnant women (55% response rate) who attended antenatal classes in the Wellington region. The questionnaire was broadly divided into four parts: (1) care of the teeth when the woman was not pregnant; (2) care of the teeth and diet during the pregnancy; (3) sources of oral health information during pregnancy and; (4) demographic information . Data were analysed by age, ethnicity, education and income and odds ratios (OR) and 95% confidence intervals (95%CI) were calculated using logistic regression. The majority of women in this survey were pakeha (80.2%), compared to 19.7% „Others? (8.8% Maori, 1.9% Pacific, 8.6% other). Most of the subjects were aged 31-35 years (34.5%), of high SES (household income and education level). Half of the women reported having regular visits to the dentist previous pregnancy while a significant percentage of women saw a dentist basically when they had problems. The usual dental hygiene habits were maintained during pregnancy. However, during pregnancy more than 60% of women reported bleeding gums. Just 32% of women went to see the dentist during pregnancy and less than half had access to oral health information related to pregnancy. „Others? (OR 0.38, 95% CI 0.15-0.91) and low income (OR 0.27, 95% CI 0.10-0.76) groups were significantly less likely to report access to oral health information compared to pakeha and high income groups (respectively). Women who went to see the dentist during pregnancy were more likely to receive information on dental health. However, low income women were more likely to report the need to see a dentist (OR 2.55, CI 1.08-5.99). Information on dental health and access to oral care should be prioritised to low income women, Maori, Pacific and other ethnic groups. Little attention has previously been given to oral health for pregnant women in New Zealand and there is a need to increase awareness of the importance of this area amongst health practitioners particularly Lead Maternity Carers and Plunket and tamariki ora nurses.
9
McLaren, Stuart Joseph. "Noise in early childhood education centres: the effects on the children and their teachers : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy at Massey University, Wellington, New Zealand." Massey University, 2008. http://hdl.handle.net/10179/977.
Full textAbstract:
Although the effects of noise on children’s learning in school classrooms is well documented, there is very little on the effects of noise on preschool children. There are strict legal requirements for the daily noise exposure an adult worker can received in the workplace but nothing to control the noise children can receive in school and early education. There is also little or no data on how sound affects a child, compared to an adult. The early years of life are critical for the development of speech, hearing and auditory processes, as well as being the most vulnerable time for middle ear infections. This work sets out to determine the typical noise levels in early childhood centres and the effects on a range of children and their teachers. Reverberation times in most centres were found to well exceed the 0.6 seconds prescribed by the Australasian standard for schools and learning spaces. Very high levels of noise were recorded in a number of centres with a significant number of children and staff members, exceeding the maximum daily sound exposure of 100% permitted for workers in industry. A range of special needs children were identified as being particularly at-risk to noise, with the most adverse outcomes reported for those experiencing sensory integration disorder. Yet, even though high levels of noise were recorded, the majority of respondents in a survey of teachers rated the lack of sufficient space for the number of children present as the main issue, and inclement weather as the greatest environmental condition contributing to noise (by confining children indoors, especially over long periods of time). Hearing tests on the children were not permitted under the strict human ethics criteria to which this study had to conform, but simple hearing tests on a small group of teachers, revealed that hearing loss could be a serious occupational health issue. The legal issues of noise control and management in early childhood education have been addressed in this thesis, current legal frameworks reviewed, and recommendations presented for future consideration.
10
Hartshorn, Nikki. "The impact of participating in an activity programme (10,000 steps @ work lite programme) on dietary change : a thesis presented in partial fulfillment of the requirements for the degree of Master of Science in Nutritional Science at Massey University, Palmerston North, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/908.
Full textAbstract:
High levels of diet related chronic disease in New Zealand has lead to the development of health promotion programmes. The work place is an important venue to implement health promotion programmes to encourage staff to make healthy lifestyle choices. The aim of this research is to examine if a physical activity programme may be a ‘gateway’ to other positive behavioral changes such as healthy eating and/or cutting down smoking. This research introduces a health promotion programme to employees at a call centre. The intervention involved 3 groups: the health promotion group (HPG), which received both the physical activity programme (10,000 steps @ work ‘lite’ programme) plus nutritional information; the nutritional group (NG), which received only the nutritional information and the control group (CG), which did not take part in the intervention. The impact of the nutritional seminars with or without the exercise programme was measured by the participants’ reported fruit, vegetable, snack consumption and transtheoretical stages of change for exercise, fruit and vegetable intake, healthy snacking and smoking. A questionnaire was used to collect data retrospectively. The health promotion group (HPG) made positive changes in all behaviours unlike the nutritional group (NG) and the control group (CG). This provides some support for the hypothesis that physical exercise may act as a ‘gateway’ to other positive behavioural changes.
11
Wenn, Janice. "Kaupapa hauora Māori : ngā whakaaro whakahirahira o ngā kaumātua : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Māori Studies at Te Pumanawa Hauora Research Centre for Māori Health and Development, Massey University, Wellington, Aotearoa/New Zealand." Massey University, 2006. http://hdl.handle.net/10179/995.
Full textAbstract:
There is a requirement for all services within the New Zealand health system to be accredited with an established quality organisation and to demonstrate an ability to provide a measurable quality service to consumers. For Māori these requirements must make sense in Māori terms. This thesis is based on the view that, for Māori, the concept of health is more effectively expressed as hauora - optimal health and wellbeing for Māori. This thesis makes five contributions to Māori health and Māori health research. First, it identifies a responsive approach to engaging kaumātua effectively in the process of qualitative research. Second, it identifies a fundamental underlying conceptual framework – kaupapa hauora Māori as a means of understanding hauora – expressed in terms derived from kaumātua in Taranaki and Kahungunu. Third, it adapts this conceptual framework into an analytical research framework and then applies it to allow kaupapa hauora Māori (described in terms of worldview, values and ethics) to be identified from a range of data. Fourth, it critically analyses popular models of Māori health – Te Whare Tapa Whā, Te Wheke and Ngā Pou Mana. Finally, it proposes and details post-doctoral research that will translate kaupapa hauora Māori into a quality services framework/tool. “Kaupapa Hauora Māori” is a conceptual framework articulated by kaumātua, and has its origins in te ao Māori, from which the aronga or worldview is developed. The aronga is composed of the kaupapa or values and tikanga or ethics that provide kaumātua with the values base of hauora. These components have been identified by kaumātua and not only inform the concept of KHM but also inform the analytical research framework that is applied to the data. The values have been identified as a core set of values comprising whakapapa, wairua, whenua, whānau, tikanga te reo Māori, tinana, and hinengaro, and the associated tikanga is expressed as behaviour or ethics. These, together, influence the perception and understanding individuals have of their world and of hauora.
12
WANG, YI-LONG, and 王怡礱. "Research on Health Self-discipline Behavior of Elderly." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/66qk65.
Full textAbstract:
碩士大葉大學
運動健康管理學系
107
Currently, the population of over 65 years old is 13.3% in Taiwan. The average life expectancy of 65 years old is 19.98 years. It’s mean that the elderly need more and more health maintenance for life expectancy. Therefore, the study made the beneficial strategies for elderly health promotion focus on relationship between quality of Life and Self-discipline behavior. This study sample is the big community which has over 900 families in New Taipei City. The study through 247 questionnaires and were collected 216 valid questionnaires from 65+ years in the case community. There were three conclusions in the study. (1) The significant factors affecting the quality of life of the elderly include age, living status, and education, number of income sources, disposable amount, and number of diseases. (2) The willingness to promote health is positively correlated with the performance of self- regulation. (3) The health promotion willingness and health Self-discipline behaviors are not the moderation variables of life quality. The study showed that the Self-discipline behavior needs to be early in order to have a meaningful impact on the quality of life
13
Weston, Richard Clarke. "The legislative politics of appropriations for biomedical research a dissertation submitted in partial fulfillment ... for the degree of Doctor of Public Health (Health Policy) ... /." 1994. http://books.google.com/books?id=XkpBAAAAMAAJ.
Full text
14
Smith, Laureen Hoffman. "Community resource use by rural women with arthritis a research report submitted ... for the degree of Master of Science ... /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68795353.html.
Full text
15
Shafii, Jaleh. "Gender-specific themes in school-age children's definition of health, percieved health status, health beliefs, and health behaviors a research report submitted ... for the degree of Master of Science ... /." 1990. http://catalog.hathitrust.org/api/volumes/oclc/68795342.html.
Full text
16
Madgeskind, Sharon Mary. "Motivation for change in the discipline of children : a thesis presented in partial fulfilment of the requirements for the degree of Master of Social Work, Massey University, Auckland, New Zealand." 2009. http://hdl.handle.net/10179/1333.
Full textAbstract:
Since becoming the first English speaking country to legislate against the physical discipline of children in 2007, there has been much debate in New Zealand for and against the parental practice of smacking. For some it has meant a welcome amendment to legislation that protects the human rights of children, for others it raises fears that parents can be criminalised for smacking their children and that the rights of parents to discipline their child, as they see fit, are being eroded. Working for an organisation that fully supports the Amendment to Section 59 of the Crimes Act, 1961 and that promotes the human rights of children; the motivating factors that encourage a parent to stop the practice of physically disciplining their child became of interest to the researcher for this thesis. Ten participants, who had used physical discipline and who had made a decision to stop the practice, were recruited to take part in a qualitative study. The data collected was analysed through a thematic analysis process using five motivational contexts found in previous research on the topic. The five contexts were experiential, relational, biographical, regulatory and ideological (Davis, 1999). The findings of the research for this thesis concur with the previous research and add further information about the motivating factors. The findings also identify the strategies that parents have found useful to achieve success in their endeavour to change their disciplinary practice. Furthermore the importance of and the distinction between the human rights of the child and parental rights have been highlighted.
17
Kise, Kathy Marie. "Feasibility of conducting research on sensitive topics with young adolescents a report submitted in partial fulfillment ... for the degree of Master of Science, Parent-Child Nursing, Women's Health ... /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/68797689.html.
Full text
18
Billings, Sandra A. "Using focus groups in the revision of contraception questionairres [sic] research report submitted in [partial] fulfillment ... for the Master of Science Degree in Nursing /." 1998. http://catalog.hathitrust.org/api/volumes/oclc/68901181.html.
Full text
19
Ray, Todd. "Development of an instrument to assess critical pathway implementation in health care organizations a research project submitted in partial fulfillment ... for the degree of Master of Science, Nursing Administration ... /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/68797219.html.
Full text
20
Spears, Cynthia. "Validating the usefulness of lifestyle hypertension cognitive maps in ambulatory individuals with hypertension a research project submitted in partial fulfillment ... for the degree of Master of Science (Medical-Surgical Nursing) ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68798747.html.
Full text
21
Valdez-Lowe, Claudia. "Diabetes self-management a review of the literature : a report submitted in partial fulfillment ... for the degree of Master of Science (Medical-Surgical Nursing) ... /." 2000. http://books.google.com/books?id=wEJtAAAAMAAJ.
Full text
22
Chang, Shu-Chen. "Life satisfation in Chinese elederly a research report submittted in partial fulfillment ... for the degree of Master of Science (Community Health Nursing) ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68798743.html.
Full text
23
Gerstner, Carol A. "Usefulness of tailored messages to shape cognitive representations in outpatients with hypertension a research project submitted in partial fulfillment ... for the degree of Master of Science, Medical-Surgical Nursing ... /." 1997. http://catalog.hathitrust.org/api/volumes/oclc/68800405.html.
Full text
24
Iorio, Susan. "Styles of expressing anger and workers' perception of noise a research project submitted in partial fulfillment ... for the degree of Master of Science (Community Health Nursing/Occupational Health Nursing) ... /." 1995. http://catalog.hathitrust.org/api/volumes/oclc/68798789.html.
Full text
25
Ellison-Loschmann, Elisabeth. "Asthma in Māori : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Epidemiology at Massey University, Wellington, New Zealand." 2004. http://hdl.handle.net/10179/1723.
Full textAbstract:
The research presented in this thesis arose out of work done by the Māori Asthma Review (Pomare et al, 1991). The Māori Asthma Review was undertaken because of concern regarding the excessive number of deaths and hospitalisations from asthma among Māori people, even though evidence at that time, was that asthma prevalence was similar between Māori and non-Māori children. One of the key findings from the review was that there were a combination of barriers for Māori when accessing asthma services, which were almost certainly reflected in more severe asthma and higher hospital admission rates. This thesis has involved conducting three pieces of new research: (i) a series of reviews and analyses of descriptive data on asthma prevalence, hospitalisations and mortality in Māori and non-Māori; (ii) analyses of the ethnicity data from the International Study of Asthma and Allergies in Childhood (ISAAC) Phase III Wellington survey; and (iii) a follow-up study of Māori adolescents with asthma examining factors affecting asthma severity, access to health care and asthma quality of life in this adolescent population. The mortality analyses showed that Māori were disproportionately affected by the asthma epidemics during the 1960s and 1970s and that while the asthma mortality rates have declined now, they remain higher in Māori than in non-Māori. Asthma hospitalisation rates continue to be higher in Māori compared to non-Māori across all age groups. Hospital admission rates are generally higher in rural areas for Māori whereas those for non-Māori are higher in urban areas. Analyses of the ISAAC Phase III data show that Māori children are experiencing both greater asthma symptom prevalence and increased asthma severity compared with non-Māori children and that this is not explained by risk factors such as smoking. In the follow-up study of Māori adolescents, baseline asthma severity and frequency of wheeze were important determinants of subsequent morbidity. Having an asthma action plan, a peak flow meter and having routine visits to the general practitioner were all associated with small improvements in asthma quality of life during the one year follow-up. The only significant predictor of access problems during the one year follow-up was having had access problems at baseline. Cost was the most significant barrier to accessing care for these families. Asthma continues to be a significant health problem for Māori. The research conducted for this thesis supports and extends previous research indicating that asthma is more severe in Māori, because of problems of access to health care. It also indicates that differences in asthma prevalence between Māori and non-Māori are now being seen in children as well as adults, and that management and treatment issues underlie the emerging increase in asthma prevalence among Māori. Attention to access issues across mainstream health structures along with support for Māori provider organisations should continue. Additonally, active approaches to monitor differential treatment and barriers to effective interventions are needed.
26
Barbacane, Jeannette L. "A unit analysis of work excitement research report submitted in partial fulfillment ... for the degree of Master of Science, Psychiatric-Mental Health Nursing ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68797676.html.
Full text
27
Chamusri, Somsaowanuch. "What underpins success in a health promoting school in Northeastern Thailand? : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University." 2008. http://hdl.handle.net/10179/817.
Full textAbstract:
A Health Promoting School (HPS) approach is now widely accepted internationally, with a focus on children’s health, the school curriculum, and whole school environment. In Thailand, the health and well-being of children is a fundamental value. HPS programmes have been implemented in schools as a strategy to focus on young people’s health. A number of barriers to successful HPS have been identified. While there is international evidence to show the steps and the key factors in creating successful HPS, little is known about successful HPS in the Thai context, in particular, in Northeastern Thailand which has been classified the poorest region. Ethnographic methods were used to examine what understanding of the meaning of HPS is necessary for a successful school, and how all those involved acted from the adoption of the HPS programmes by the local school until it achieved HPS status. A rural school which was successful in a HPS programme was selected, in Mahasarakham province, Northeastern Thailand. The data were obtained through participant observation, ethnographic interviews, and ethnographic records, and data analysis took place simultaneously with data collection. In this study, Lofland’s strategy for the analysis of the structure of human interaction was used. A variety of techniques for improving and documenting the credibility of the study such as prolonged engagement, persistent observation, and triangulation were used. This research revealed that the informants’ views reflected diverse understandings of the meaning of HPS. Those views were based on their experiences of HPS which differed according to the degree of participation, different levels of knowledge about HPS, and in the roles they played in the implementation of HPS in the school. Thai culture and school ethos influenced the success of HPS. Community participation was also crucial in supporting the school’s achievement. Key factors that underpinned success are identified. Implications of the findings for the HPS programme, health professionals, the school and community are discussed.
28
McClerking, Carolyn A. "Development and evaluation of tailored messages for shaping cognitive representation of dietary patterns to lower blood pressure a research project submitted ... in partial fulfillment ... for the degree of Master of Science in Medical-Surgical Nursing /." 1999. http://catalog.hathitrust.org/api/volumes/oclc/68901185.html.
Full text
29
Voskuil, Vicki R. "The relationship between health motivation, health behavior, and health status in youths with insulin dependent diabetes mellitus a research report submitted in partial fulfillment ... for the degree of Master of Science (Nursing of Children) ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68798732.html.
Full text
30
Lee, Jeong Ai. "A comparison of occupational health nurses' roles and educational level by size of worksite a research report submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing/Occupational Health Nursing ... /." 1992. http://catalog.hathitrust.org/api/volumes/oclc/68797221.html.
Full text
31
Malur, Malini. "Experiencing natural environments, experiencing health : a health psychology perspective : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Health Psychology, Massey University, Albany, New Zealand." 2010. http://hdl.handle.net/10179/1655.
Full textAbstract:
This aim of this study was to explore the importance of natural surroundings to human health from a health psychology perspective. The increase in built environments have replaced green spaces in the urban areas and the effects of this has been explored by several disciplines ranging from environmental psychology, leisure studies, urban planning, public health to name a few. Findings from these studies have shown that natural environments do play a significant role in human health. However, it was deemed that exploring the influence of nature on human health from a health psychology viewpoint would provide a different dimension to this established link between nature and humans to press for preserving and providing more green spaces in the cities. Urban green areas offer several benefits such as space for exercise, leisure, psychological space for rejuvenating, healing and social connections that are all crucial for our wellbeing. This study explores the many ways natural settings contribute to health and well-being from a health psychology angle. A qualitative design was employed using a phenomenological approach to understand the everyday experience of being in nature/natural environments. Cornwall Park/One Tree Hill in Auckland was chosen as the site for this study. Nine women and men between the ages of 30 and 70 were chosen from this site to take part in the study. Methods of data collection were mainly in-depth interviews and photo-discussion. The data was analysed using a phenomenological approach based on the guidelines developed by Moustakas (1994) and van Manen (1990). The findings revealed that natural surroundings influenced people positively in many ways that contributed to their physical, mental and spiritual well-being. Natural environments satisfied a wide-range of needs, such as providing a place/space to exercise, to be alone and reflect, connect with nature, recreate, heal and socialise to name a few, in green, quiet, pollution-free, aesthetically pleasing settings. The essence of the phenomenon that is estimated to have been captured in the study is, “human experience in nature from the point of view of health psychology, or human experience of wellness, being in nature”.
32
Scuffham, Andrew Mark. "Musculoskeletal discomfort in veterinarians : a thesis presented in partial fulfilment of the requirements for the degree of Master of Ergonomics at Massey University, Palmerston North, New Zealand." 2009. http://hdl.handle.net/10179/1274.
Full textAbstract:
Content removed due to copyright restrictions: Appendix 6: Paper presented at the 15th New Zealand Ergonomics Society Conference: Ergonomics for the Ageing Population, Martinborough. Scuffham, A., Stevenson, M., Legg, S. & Firth, E. Prevalence of musculoskeletal discomfort in New Zealand small animal veterinarians. In: 15th New Zealand Ergonomics Society Conference: Ergonomics for the Ageing Population. Eds R. G. Adank & L. Gardner Wood. Martinborough, New Zealand Ergonomics Society. 27-28 May, 2009, [CD-ROM]. Appendix 7: Paper presented at the Society of Diary Cattle Veterinarians of the New Zealand Veterinary Association 26th annual conference, Rotorua. Scuffham, A., Firth, E., Stevenson, M., & Legg, S. Musculoskeletal discomfort in New Zealand large animal veterinarians. In: Proceedings of the Society of Dairy Cattle Veterinarians of the New Zealand Veterinary Association 26th annual conference. Ed. T. Parkinson. VetLearn, Palmerston North. 24-27 June 2009, pg 201-204. Appendix 8: Paper presented at the New Zealand Equine Veterinary Association Annual Conference, Taupo. Scuffham, A., Firth, E., Stevenson, M. & Legg, S. Musculoskeletal discomfort in New Zealand equine veterinarians. In: Proceedings of the New Zealand Equine Veterinary Association of the NZVA Annual Conference. Ed. M Leyland. VetLearn, Palmerston North. 24-27 June 2009, pg 163. Appendix 9: Paper presented at the 17th International Ergonomics Association World Congress on Ergonomics, Beijing. Musculoskeletal discomfort in New Zealand (non-clinical) veterinarians. Scuffham, A., Legg, S., Stevenson, M. & Firth, E. (9-14 August, 2009). [CD-ROM]This thesis comprises three chapters about musculoskeletal discomfort (MSD) in veterinarians. Two of these chapters have been submitted to peer reviewed journals and one is in preparation for submission. The first chapter describes the prevalence and risk factors associated with MSD in New Zealand veterinarians. The second chapter is a paper on the tasks considered by veterinarians to cause MSD. The third chapter is a review of published literature on musculoskeletal problems (MSP) in veterinarians. The first chapter in this thesis describes a cross-sectional study of 867 New Zealand veterinarians. We used a modified Nordic musculoskeletal questionnaire to enquire about the presence or absence of MSD, whether this affected normal activities and if MSD necessitated absenteeism from work. Additional questions enquired about work activities, psychosocial factors and workload. The overall period prevalence of MSD was 96%. Normal activities were affected in 67% and 18% of participants reported that they had been absent from work due to MSD. Factors associated with the presence of MSD requiring time off work for clinical veterinarians included 10 year increases in age (odds ratio (OR) 1.26, 95% CI 1.05 - 1.52), work involving awkward grip and hand movements 100% of time (OR 12.91, 95% CI 3.46 – 84.21) and those who were dissatisfied with the level and difficulty of their work (OR 2.72, 95% CI 1.11 - 6.56). In the second chapter in this thesis, veterinarians were asked to indicate tasks that they considered ‘most likely to lead to musculoskeletal aches and pains’ and ‘why these tasks were likely to be the most risky’. They were also asked to suggest ‘any solutions that they applied or knew of’ to reduce musculoskeletal aches and pains. They identified the following tasks: lifting, surgery, rectal palpations and animal handling. Their reasons were primarily related to physical risk factors. Few identified psychosocial risk factors. The most common suggested solutions involved training and selection strategies rather than redesign of tasks, activities or facilities. These findings are consistent with a participatory ergonomics approach for reducing the risk of MSD, which aims to enhance personal well-being and improved system performance. The third chapter in this thesis - a review of the literature - focuses on the prevalence and nature (discomfort, pain, injury and disorders) of MSP amongst veterinarians. Veterinarians are exposed to a range of physical and psychosocial occupational hazards that have been well documented and associated with MSP. The range of reported prevalence estimates in this review was 50% to 96%. This range may reflect real differences among the veterinary populations studied, or more likely be due to differences in MSP definitions, study methodologies, and response rates. The magnitude of the reported prevalence justifies further research to triangulate data and determine other factors associated with MSD. Most of the studies in the review focused on physical risk factors. The lack of studies into psychosocial risk factors for MSP needs to be addressed.
33
D'Souza, Wendyl Jude. "Epidemiology of epilepsy in Tasmania : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Epidemiology at Massey University, Wellington, New Zealand." 2008. http://hdl.handle.net/10179/1393.
Full textAbstract:
Background Better understanding of the demographic distribution of epilepsy and the prevalence of 'more specific forms of epilepsy' in community-based settings would improve our understanding of this disorder at the population level . Although we now have good estimates of epilepsy prevalence for most countries, we still lack knowledge on its demographic distribution by age, ethnicity, region, and socioeconomic status. In addition, no studies to date have reported the prevalence of epilepsy syndromes using patient interview outside a hospital setting. This thesis provides the first community-based estimates of the prevalence of the most common clinical group of epilepsies presumed to have a genetic basis - The Idiopathic Generalised Epilepsies (IGE) - by patient and witness interview. Methods This thesis has involved conducting five pieces of new research: (i) a series of reviews and analyses of descriptive data on epilepsy prevalence, particularly focusing on the critical methodological issues of ascertainment, diagnosis and classification of epilepsy for epidemiological purposes; (ii) the validation of a modified diagnostic epilepsy questionnaire adapted for administration in population studies; (iii) recruitment of a community-based cohort - The Tasmanian Epilepsy Register (TER) - through the Australian national prescription database; (iv) estimation of the overall prevalence and distribution of self-reported treated epilepsy in Tasmania by imputation methods; (v) estimation of the prevalence and distribution of IGE in Tasmania by telephone interviewing. Results My modified diagnostic questionnaire, administered by telephone interviewing and interpreted with standardized guidelines, demonstrated excellent agreement with an epilepsy specialist's clinical assessment in diagnosing the presence of epilepsy (K = 0.94), seizure-onset types (K = 0.84), simple or complex partial seizures (K=0. 87), any generalized non-convulsive seizure (K=0.82), and IGE (K = 0.82). A lthough stil l substantial, agreement was not as close for secondarily general ized seizures (K = 0.74), and generalized tonic-clonic seizures (K = 0.79). 7541 patients treated with antiepileptic drugs (AEDs) in the preceding year in Tasman ia were eligible for recruitment through the Australian national prescription database. After three mail contacts, 54.0% responded, with 43.6% who indicated treatment for epilepsy representing 86.0% of total possible epilepsy cases by imputation (n=2063) in Tasmania. 1180 agreed to participate in the TER, 90.0% of participants received their AEDs either exclusively from their general practitioner (70.9%) or in combination with a medical specialist (19.1%) in the preceding twelve months. The adjusted treated epilepsy prevalence was 4.36 per 1000 (95% CI 4.34, 4.39); this was: lower in women (prevalence ratio 0.92 (95% CI 0.84, 1.00); greater with increasing age (p< 0.001 ); similar in the three main geographical regions; and similar by categories of socioeconomic status based on postcode of residence. Following enrolment, 959/1083 (88.6%) eligible TER participants completed the diagnostic telephone interviewing, with partial epilepsy classified in two thirds, and generalised epilepsy in slightly more than one-fifth. IGE was observed in 20.3%, with tonic-clonic seizures (17.03%) and the absence epilepsies combined (11.01 %) being the most common IGE seizure types and syndromes respectively. The estimated prevalence of IGE was 0.89 per 1000; is highest between the ages of 20-39 years and in females, but was similar between Tasmanian regions and socio-economic groups. IGE prevalence beyond childhood related to refractory childhood or adolescent disease rather than olderonset cases, and was characterised by the presence of myoclonic and tonic-clonic seizures. Generalised seizures, but not IGE, were less prevalent in southern Tasmania. Conclusions Utilising the design approach described in this thesis may provide an alternative to neurological assessment, and when coupled with case ascertainment through prescription data, can provide a valid estimate of the prevalence of 'more specific forms of epilepsy' in countries with high access to health services. The observed pattern of high elderly epilepsy prevalence, is similar to patterns in recent studies in other developed countries, and has important implications for future planning of health services in these countries. IGE represents a considerable proportion of community-treated disease with important aetiological and prognostic determinants occurring at the seizure rather than syndrome level of classification.
34
Pocknall, Helen. "Hide and seek : parents' perspectives on children's access to health care : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand." 2009. http://hdl.handle.net/10179/1282.
Full textAbstract:
Children are often referred to as the 'hidden' generation, a powerless group who in infancy and childhood depend on their parents and families/whanau to ensure they receive everything in life required to enable them to grow into healthy young people and adults. Some are more disadvantaged than others due to the socioeconomic circumstances they grow up in. This can have lasting effects on their health in childhood with associated impacts later in life. In New Zealand the populations of children most disadvantaged are those from Maori, Pacific and other low income families/whanau. The disparities that exist between children from these populations and other groups whilst lessening, is still significant. The purpose of this study was to explore with Maori, Pacific and low income parents and caregivers why they choose to 'seek' health services for their children, or not as the case may be. Patterns of use are established early in life therefore it is important to understand children's health care use. The literature suggests that children's access to health care is influenced by predisposing factors such as their socioeconomic status, ethnicity, the availability of services, choice of providers, availability of school–based health services, outreach services, relationships between the community and health service providers and having a regular source of primary health care. A qualitative exploratory design was the methodology chosen for this research. A modified 'community as partner' model (Anderson, 2008) formed the conceptual framework for the research. Sixteen Maori, Pacific and Pakeha parents and caregivers participated in three focus groups to discuss their perceptions of children's access to health care. Thematic analysis was used to identify codes, categories, themes and sub themes from the data. The New Zealand Child Health Strategy (Ministry of Health, 1998) was used as a model to inform the discussion. The main themes were: reality of life, visibility, knowing you, knowing me and kids come first. The findings suggest that relationships with primary health care providers, the cost of health care for children over five years, awareness of services and a need to prioritise children's needs, enable or prevent children's access to health care. Decisions made regarding further service provision for children will be enhanced by health providers and practitioners having a clearer understanding of the enablers and barriers to access and the factors that influence parental choice of services.
35
Mongkhonsiri, Pitsini. "The mindful self : sense of self and health-promoting lifestyle behaviours among Thai college women : a thesis presented in fulfillment of the requirements for the degree of Doctor of Philosophy in Nursing at Massey University, New Zealand." 2007. http://hdl.handle.net/10179/1456.
Full textAbstract:
Wellness educators have faced a great challenge to develop strategies to move people toward the adoption of positive lifestyle behaviours. This research explores concepts of self and the impact of Thai culture on the motivation of young college women to engage in health-promoting lifestyle behaviours (HPLBs) in the context of northeastern Thailand. A sequential mixed methods design enables an exploration of the relationships among sense of coherence, identity status, and HPLBs in the first phase, and an inductive analysis of the impact of Thai cultural context in the second phase. In study A, three instruments: the Health-Promoting Lifestyle Behaviors Profile II (HPLP II), the Extended Version of the Objective Measure of Ego Identity Status (EOM-EIS), and the Orientation to Life Questionnaire (SOC-29), were used with 350 senior college women. Sense of Coherence was significantly correlated with achieving a sense of identity, lessening diffusion identity and engaging in health-promoting behaviours. Although a considerable proportion of the variance (26.7 %) for engaging in HPLBs was accounted for by SOC, identity achievement, and identity moratorium, the magnitude of the unexplained variance was considerable. This led to inductive exploration of other variables influencing HPLBs in Study B. By data-driven thematic analysis, the Model of the Mindful Self emerged from in-depth interviews with 25 college women. The model describes three main themes: (a) the cultural background and the surrounding ongoing influences which impact on the development of Thai women's sense of self and their health-related behaviours, (b) the sense of self and identity formation in the Thai context, and (c) the health-related behaviours that stem from the sense of self. Sense of self and its behaviours are socially constructed within the specific culture in which individuals are embedded. The social phenomena and research outcomes are interpreted under the lens of social constructionism. The knowledge generated by this study provides guidance for teaching about health promotion in Thai undergraduate nursing programmes and also provides a basis for initiating health-promoting programmes based on the individual's sense of self for female adolescents in Thailand.
36
Rentschler, Lois J. Lange. "Common themes in health beliefs and health behaviors among children, and between children and their parents a research report submitted in partial fulfillment ... for the degree of Master of Science (Parent-Child Nursing) ... /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68796360.html.
Full text
37
Morris, Judith A. "Factors influencing the injury experience of temporary workers in a manufacturing setting a research project submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing/Occupational Health Nursing ... /." 1995. http://catalog.hathitrust.org/api/volumes/oclc/68798792.html.
Full text
38
Boonphadh, Piyaporn. "The perceived effects of work on health of rubber farmers in southern Thailand : a dissertation presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Palmerston North, New Zealand." 2008. http://hdl.handle.net/10179/766.
Full textAbstract:
This study was conducted in a rubber farming community in Southern Thailand with rubber farmers and their first-line public healthcare providers as the study informants. The study aims were to first, explore perceived effects of work exposures in rubber farming on rubber farmers’ health, second, identify decisions made in response to the effects of work exposures on health, and third, determine influencing factors on the construction of the perception and the process of decision making. Data were obtained using ethnographic research methods, underpinned by an interpretative paradigm. Unstructured interviews and participant observation were employed as the principal means of data collection. Together with the primary methods of data collection, note taking (fieldnotes, fieldwork personal journal, and photographs) and reviewing/analysing existing documents were employed. While data were being collected, initial data analysis was carried out to make sense of information gained and direct further steps of the data collection. After terminating the data collection, ethnographic data analysis suggested by Spradley (1979, 1980) was used to determine themes to meet the aims of the study. The study findings reveal that individual rubber farmers and healthcare providers construct perceptions of effects of rubber farming on rubber farmers’ health and decisions on the actions taken to manage the rubber farmers’ work-related health problems based on their own accounts of compounding factors. Among factors identified, discrepancies between health policy and its practice, coupled with the existence of a hierarchy of power-superior-inferior relationships among individual levels of health authority-emerge as the most powerful factors, inducing the emergence of other factors. Recommendations made as a result of this study draw attention mainly to the minimisation of the discrepancies between health policies and their implications, and the establishment of partnership status among authorised health agencies and between health agencies and rubber farmers in order to improve the quality of occupational safety and health services provided to the rubber farmers.
39
Foliaki, Sunia. "Epidemiology of asthma in selected Pacific countries : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Epidemiology at Massey University, Wellington, New Zealand." 2007. http://hdl.handle.net/10179/1565.
Full textAbstract:
In this thesis, I describe a series of studies of the prevalence, causes, and management of asthma in the Pacific. The core study of the thesis is Phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). The ISAAC study is the largest worldwide epidemiological study on asthma prevalence and was established partly in response to the increases in asthma prevalence in most parts of the world over the last two to three decades. The ISAAC Phase I study found large variations in asthma prevalence globally, but no Pacific countries were involved. Thus, the situation in the Pacific was relatively unknown due to lack of standardised studies on prevalence and time trends. The burden and impact of other non-communicable diseases such as cardiovascular and other metabolic disorder on the other hand have been the target of various studies in the Pacific for the past few decades The ISAAC Phase III study was therefore conducted in eight Pacific countries to address the above issues, as well as to enhance Pacific participation and contribution to international research on the causes and control of asthma. The collaboration also served the purpose of encouraging and strengthening health research capacity in the Pacific. The ISAAC Phase III study was followed by an asthma self-management intervention trial conducted in Tonga by the ISAAC Tonga study team. Methods The work presented in this thesis involved: (i) the conduct of the ISAAC Phase III study in the six Pacific islands of Tokelau, Samoa, Fiji Islands, Tonga, Niue and the Cook Islands, as well as the incorporation into the analysis of data that had already been collected in French Polynesia and New Caledonia; (ii) analysis of the data from an environmental asthma risk factor questionnaire which was included in the ISAAC survey in three countries (Samoa, Fiji and Tokelau); (iii) the conduct of the Tonga Asthma Self-management Study which was intended to assess whether the introduction of asthma education, including asthma self-management plans, would reduce morbidity from asthma. Results A total of 20,876 13-14 year olds, in the eight countries involved, participated in the ISAAC Phase III survey, with an overall response rate of 92%. The survey showed that there was considerable variation in the prevalence of asthma symptoms between the eight countries, ranging from 5.8% for current wheeze in Samoa to 16.2% in Tonga. Tokelau reported the highest prevalence (19.7%) for current wheeze, but the number of participants was relatively small. The prevalences of asthma symptoms among Pacific children in the Pacific were lower than those reported for Pacific, Māori and European children living in New Zealand from a previous study (ISAAC Phase I) conducted ten years earlier using the same methodology. The prevalence of 'asthma ever' in Pacific children living in the Pacific was also lower than that found among Pacific, Māaori and European children in New Zealand. The ISAAC Phase III environmental questionnaire data was collected in Samoa, Fiji and Tokelau. The analyses indicated that the major factors associated with current wheeze (across the three countries) were paracetamol use in the previous year (odds ratio (OR) = 1.36, 95% CI 1 15-1.61), the use of open fires for cooking (OR = 1.34,95% CI 1.13-1.58), lack of physical activity as indicated by television viewing more than 3 hours per day (OR = 1.24,95% CI 1.04-1.47), regular meat consumption (OR = 1.30,95% CI 1.09-1.54) and regular cereal consumption (OR = 1.29,95% CI 1.07-1.54). However, these risk factors were not particular strong, and did not account for a large proportion of asthma cases (i.e. they had relatively low population attributable risks). The asthma self-management plan intervention study resulted in significant improvements in asthma morbidity and the management of asthma among individuals and the service provision. The success of the introduction of the self-management plan, in the context of an asthma clinic, was reflected by improvement in measures of asthma morbidity, such as peak expiratory flow rates and nights woken with asthma or coughing. There was also a reduction in the requirement for acute medical treatment, indicated by a decrease in emergency department hospital visits for asthma and hospital admissions. The programme was so successful that the intervention study evolved into a full regular asthma clinic for the main island of Tonga. It is now intended that the asthma self-management programme will be extended throughout the rest of Tonga, through the primary health care system. Conclusions The ISAAC Phase IIII survey has shown that, although there is a significant level of morbidity, asthma prevalence in Pacific countries is lower than those among Pacific people in New Zealand. Together with the large variations in prevalence between the six Pacific countries that participated, this further lends support for the role of environmental risk factors in asthma. The availability of data on eight countries using a standardised methodology also provides useful information on the burden of asthma in the Pacific that is comparable to other countries regionally and internationally as well as forming a basis for ascertaining trends in the future. The crucial role of asthma self-management plans in asthma management is supported by the findings of the Tonga study, and its implementation is essential in the resource-scarce Pacific health setting. The collaborative nature of ISAAC in the Pacific has further raised awareness of the need for capacity building and creating networks and environments that enhance health research in areas other than asthma. The study has also nurtured an environment and network that encourages and strengthens the establishment of health research as one of the vital tools for achieving better health.
40
Marcich, Heather A. "Effects of bilateral hippocampal damage on wayfinding ability in rats a research report submitted in partial fulfillment ... for the degree Master of Science, Community Health Nursing ... /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/68797691.html.
Full text
41
Ndhlovu, Florence. "Job strain and cardiovascular disease among blue collar workers a research project submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68798788.html.
Full text
42
Chen, Tung-Yun, and 陳彤昀. "The Research of Lesbian and Gay Male Stressor, Stress Coping Strategy and Mental Health Status Survey－Case in the High and Low Degree of Homosexual Identity." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/13011527324821058339.
Full textAbstract:
碩士中國文化大學
心理輔導學系
102
The purpose of this study is to investigate lesbian and gay stressor, stress coping strategy and mental health status case in the high and low degree of homosexual identity. The subjects of this study are gay and lesbian living in Taiwan. The research method is Internet questionnaire investigation. The total returned questionnaires were 414. The data was analyzed by descriptive statistics, Chi-square test, T test, multiple regression. The research tools are “homosexual mental health status questionnaire” developed by this study, “Symptom Check List-90-Revised (SCL-90-R), and “The Gay Identity Questionnaire (GIQ). The major findings of this research were as follow: 1.Regardless of gender differences, for percentage of people on stressors ” I'm afraid the family does not accept my gay identity”, “Students spread ridicule, belittle gay jokes in school”, “There are no friends to share things of mind”, “Coming out may lose existing work”, “Lack of support or discuss couple relationship object”and “Introduction object or marriage”, group of low homosexual identity significantly higher than the group of high homosexual identity. 2.For percentage of people on stressors “Teacher's attitude is not clear in support of homosexuality”and “Not actively promote the concept of homosexuality in schools”,group of high gay identity significantly higher than the group of low gay identity; for percentage of people on stressors “I would worry about my family does not accept my lover”and “People pay attention to my lover's intimacy with the action”, group of low lesbian identity significantly higher than the group of high lesbian identity. 3.Regardless of gender differences, for percentage of people on stress coping methods “correct others’ misconceptions about homosexuality”,”coming out” and “Initiative for homosexual speech”, group of high homosexual identity significantly higher than the group of low homosexual identity; for percentage of people on stress coping methods “avoid similar homosexual behavior”, “disguised as heterosexual”, “repressed feelings by same-sex attraction”and “avoid talking about the topic of marriage”, group of low homosexual identity significantly higher than the group of high homosexual identity. 4.The score of “obsessive-compulsive”, ”interpersonal-sensitivity”, ”depression”, ”anxiety”, “paranoid” and “psychoticism”, group of low gay identity significantly higher than the group of high gay identity; the scores of “obsessive compulsive”, group of low lesbian identity significantly higher than the group of high lesbian identity. 5.“Mental health self-assessment”,”the stressor of social attitudes”,“the stress coping of use drug” and “the stress coping of use behavior to vent their emotions” could reflect the scores of SCL-90-R.
43
Scane, Patricia. "The effects of phsyical, sexual, and emotional abuse on pregnancy loss of control a research report submitted in partial fulfillment ... for the degree of Masters of Science (Nurse-Midwifery) ... /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/68798734.html.
Full text
44
Panapa, Shahana. "The health status of Māori nursing students : a cross-sectional survey : a thesis in partial fulfilment of the requirements for the degree of Masters of Philosophy in Nursing at Massey University, Albany, New Zealand." 2009. http://hdl.handle.net/10179/1353.
Full textAbstract:
In New Zealand Maori are less likely to engage in tertiary level education and less likely to complete a tertiary level qualification than non Maori. These issues of recruitment and retention are reflected in other areas for Maori such as health, where Maori have worse levels of health Maori are more likely to have lower socioeconomic status. The initial findings of recent research indicate that Maori nursing students find it a struggle to remain on the Bachelor of Health Science in nursing degree programme. This study is designed to explore further what might be occurring for Maori nursing students by obtaining a snapshot of their health. Aim: To describe the health status of Maori nursing students. Participants: 75 nursing students undertaking nursing degree programmes in New Zealand, who identified as Maori. Method: A cross-sectional survey was undertaken with Maori nursing students completing nursing degrees from thirteen of sixteen tertiary institutions in New Zealand. Instrument: A questionnaire comprising demographic data, SF-36, and two cultural questions was used for students to self assess their health status. Participants were also invited to write relevant comments on the survey. Findings: Descriptive statistical data revealed participants with a stronger cultural identity as Maori were more likely to have their cultural needs met whilst studying compared to participants with a weaker Maori cultural identity. Participants in a relationship had more income than those who were not in a relationship. Participants’ overall health was worse than one year prior and their physical health was better than their mental health. More specifically, for physical health, general health, tiredness and lack of vitality were most affected, while roles and relationships were most affected for mental health. Implications: Institutions providing cultural support and kaupapa Maori programmes may assist in improving the recruitment and retention of Maori in nursing programmes. These results revealed a snapshot picture of the health 3 status of Maori nursing students and identified issues around their health status which is consistent with the literature.
45
Cheer, Jennifer Ann. "The meaning of social inclusion to people with enduring mental health problems : a thesis presented in partial fulfilment of the requirement for the degree of Master of Arts in Nursing at Massey University, Auckland, New Zealand." 2009. http://hdl.handle.net/10179/1239.
Full textAbstract:
The purpose of this qualitative research project has been to explore what social inclusion means to people with an enduring mental health problem. A review of the general literature on social inclusion revealed that little research has been conducted in relation to mental health, particularly in New Zealand. Even fewer studies have investigated the meanings that people with severe and enduring mental health problems place on their experiences. A life story narrative approach was employed in order to explore the experience of social inclusion and enduring mental health problems. Data were collected by way of unstructured, individual interviews with five users of mental health services living in supported housing in a small rural New Zealand town. Thematic analysis was carried out on the narratives, identifying six major themes. The findings indicated that, for this group of service users, social inclusion means having someone to love, something to do and somewhere to live. They want relationships with family and friends, to engage in recreational or leisure activities, to be employed, to have financial security, and to have safe and comfortable housing. The major barriers to achieving these are stigma and discrimination. New Zealand’s mental health services have adopted a recovery approach to mental health. Whereas social inclusion has a broad political and social focus that places responsibility for reducing social exclusion on society, recovery focuses on individuals’ personal journeys towards mental health and well-being. Despite international recognition of the value of social inclusion, New Zealand’s mental health services have not yet embraced it, although policy advisory organisations such as the Mental Health Commission state its aims as desirable for services. However, the concept of recovery sits within the framework of social inclusion and is an integral part of it. Mental health nurses need to understand what social inclusion means to people who experience it, so that they are able to empower them to make a positive contribution to their community, as citizens, friends, family members, employees and neighbours.
46
Tupai-Firestone, Ridvan. "Obstructive sleep apnoea syndrome among taxi drivers : consequences and barriers to accessing health services : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Public Health at Massey University, Sleep/Wake Research Centre, Wellington Campus, New Zealand." 2006. http://hdl.handle.net/10179/1581.
Full textAbstract:
Irregular pagination - jumps from p. 168 to p. 170.Untreated Obstructive Sleep Apnoea Syndrome (OSAS) increases the risk of motor vehicle accidents and morbidity. Its prevalence among taxi drivers is unknown. The goals of this thesis were to: (1) estimate the prevalence of OSAS symptoms and risk factors among taxi drivers; and (2) identify the barriers to accessing health care services for the diagnosis and treatment of OSAS. Between June and July 2004 questionnaires were mailed to 651 taxi drivers from two Wellington taxi companies (response rate 41.3%, n=241). Excessive daytime sleepiness (ESS>10) was reported by 18% of drivers. The estimated proportion with a pre-test risk of OSA (RDI≥ 15/hour) was 15%, according to a questionnaire-based screening tool. Pacific drivers were more likely to report OSAS symptoms than people of "other" (non-Māori) ethnicities. Logistic regression analyses identified the following independent risk factors for OSAS symptoms: increasing neck size, age groups: 46-53 years and 61-76 years, and self-reported snoring 'always'. Three focus groups were conducted in November 2004. Thematic analyses identified the following barriers to accessing health care: (1) sleepiness was not a perceived health problem; (2) personal demands; (3) industry demands; and (4) driver avoidance and dissatisfaction with general practitioner's services. Detailed examination of these themes indicated that drivers were deterred from seeking care by limited knowledge and awareness of OSAS, confusion about responsibility for health and safety, medical costs, and the risk of finding out about other health conditions. General practitioners reportedly failed to screen for OSAS symptoms and demonstrated little knowledge about sleep health. These barriers are a major cause for concern, and they are used to support the belief that earning a living is more important than personal health and safety. The key finding is that improving drivers' knowledge is unlikely to change their behaviour, without concurrent measures to address systemic issues in the taxi industry and in the health care system.
47
Wu, Tsu-Yin. "Growth of Chinese infants in the first year of life a research report submitted in partial fulfillment ... for the degree of Master of Science (Community Health Nursing) ... /." 1995. http://catalog.hathitrust.org/api/volumes/oclc/68798786.html.
Full text
48
Armstrong, Sherry. "Oral contraceptive side effects relation to misuse and discontinuation : a research report submitted in partial fulfillment ... for the degree of Master of Science in Community Health Nursing ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68799619.html.
Full text
49
Marshall, Nathaniel Stuart. "Positive airway pressure for obstructive sleep apnoea : systematic evaluation versus clinical and technological drift : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Public Health at Massey University, Wellington Campus, New Zealand." 2005. http://hdl.handle.net/10179/1668.
Full textAbstract:
Content removed due to copyright restrictions: Marshall, N. S., Neill, A. M., Campbell, A. J., & Sheppard, D. S. (2005). Randomised controlled crossover trial of humidified continuous positive airway pressure in mild obstructive sleep apnoea. Thorax, 60(5), 427-432. Marshall, N. S., Gander, P. H., & Neill, A. M. (2003). Obstructive sleep apnoea and risk of motor vehicle accident: A perspective. New Zealand Medical Journal, 116(1176)The practice of sleep medicine is expanding and evolving rapidly, often ahead of the evidence base to support clinical practice. Obstructive Sleep Disordered Breathing (SDB) is a condition characterised by repetitive airway collapse causing harmful intermittent blood oxygen desaturations and fragmented sleep. When combined with daytime sleepiness it is known as Obstructive Sleep Apnoea Syndrome (OSAS). Continuous Positive Airway Pressure (CPAP) eliminates SDB by pneumatically splinting open the airway with positive air pressure applied through the nose and/or mouth. CPAP effectively reduces daytime sleepiness in patients with severe OSAS. However, doubt remains as to the effectiveness of CPAP in the majority of patients with mild-moderate OSAS. The effects of CPAP were compared to a placebo CPAP during a three week crossover Randomised Controlled Trial (RCT) that included 31 mild-moderate OSAS patients. CPAP effectively eliminated SDB (when worn) and moderately improved subjective sleepiness. But. it did not improve objective wakefulness, mood, psychomotor function, or quality of life. Patients who were extremely sleepy at baseline tended to gain the most placebo adjusted benefit from treatment. A systematic review and meta-analysis aimed to gather and objectively combine all relevant RCT studies to find our whether CPAP reduced sleepiness in patients with mild-moderate OSAS. Seven trials were combined and showed that both subjective sleepiness and objective wakefulness were slightly improved by CPAP therapy. Objective sleepiness was not improved by CPAP. It is not clear from these two studies that treating mild-moderate OSAS with CPAP is an effective use of resources. CPAP effectiveness might be limited by sub-optimal compliance. C-Flex aims to improve compliance by modulating pressure during exhalation. C-Flex was compared to CPAP during a pilot RCT that included 19 patients with severe OSAS. C-Flex was associated with a non-significant increase in compliance of 1.7 hours/night compared to CPAP. However, this increase in compliance was not associated with better daytime patient outcomes. Further experiments are proposed as a result of our pilot RCT. This thesis helps expand evidence-based sleep medicine. Practitioners need to be vigilant, ensuring that treatments are effective in the patients groups in which they are being used (clinical drift), and that new treatments are not adopted without superiority over existing treatments (technological drift).
50
Moore, M. Junerose. "An examination of the reproductive health histories for menstrual cycle function of psychiatric patients in a long-term mental health care facility a research report submitted in partial fulfillment ... for the degree of Master of Science, Psychiatric-Mental Health Nursing ... /." 1991. http://catalog.hathitrust.org/api/volumes/oclc/68797684.html.
Full text