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1
Farrell, Kathy, and University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.
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The concept of health promotion is an alternative and emerging orientation. Here the belief is that all people have strengths and are capable of determining their own needs, finding their own answers, and solving their own problems. Most health care professional have been educated in the medical model of health. In this model,
the health care professional, especially the physician, plays an active part as an expert on disease; the patient or client has essentially a passive role, and the disease rather than the person is the focus. The role of health care professionals in health promotion is an important one and will continue to expand with the new focus of the province of Alberta's health system. The focus of that system, and other health systems in Canada and abroad, is increasingly upon health promotion rather than disease treatment. The purpose of this study was to determine the perceptions of a variety of health care professionals working in the community and in the hospital setting relating to health promotion. The study takes a non-experimental approach utilizing a descriptive design. All professional staff including registered nurses, occupational therapists, recreational therapists, physiotherapists, respiratory therapists, social workers, dental workers, nutritionists, speech-language pathologists, and physicians working in Palliser Health Authority were asked to participate in the survey. Two hundred and thirteen staff responded to a questionnaire desgined to reflect their perceptions on the importance of health promotion, determinants of health, principles of health promotion, and skills and knowledge of health promotion. Staff were also asked to identify health promotion activities occuring at their work site, possible barriers to health promotion, and what was needed regarding training and support. Some of the major findings include: 1) Staff perceive health promotion to be an important part of their job. However staff working in the community perceive health promotion to be more important than those working in the hospital. Physicians were the least positive about questions pertaining to the importance of health promotion. 2) Staff perceive that the purpose of health promotion is to strengthen peoples' control over their health, but responses also indicate uncertainty concerning how control is to be defined and effected. 3) When asked to identify health promotion activities at their work site, the majority of staff pointed to the provision of information to individuals and groups. Community development was listed by very few staff. 4) When staff were asked to identify barriers to health promotion they identified the following in the order: lack of resources, old attitudes about health and health promotion, lack of support from the organization and doctors, lack of knowledge/education, and lack of communication between health care workers.v, 101 leaves : ill. ; 28 cm.
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Blanton, Sandra. "Justice in Health Care Access Measuring Attitudes of Health Care Professionals." TopSCHOLAR®, 2000. http://digitalcommons.wku.edu/theses/714.
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To measure attitudes toward justice in access to health care services in managed care plans in a convenience sample of medical professionals at Clark Memorial Hospital in Jeffersonville, Indiana. Methods. A sixteen item, self-administered instrument based on Morreim's four concepts of justice in health care access was administered to 147 health care professionals, representing physicians, allied health, and hospital administration. SPSS was used to analyze the results. Results. The attitudes of the respondents were negative toward managed care. They did not feel that managed care had been a positive development in the United States or that managed care had improved access to preventive care or improved primary care. On the survey instrument, respondents scored highest on the scale measuring fairness to individual patients. Conclusion. In a convenience sample of health care professionals at Clark Memorial Hospital in Jeffersonville, Indiana, equity in distributing access to health care among individual patient needs was found to more closely meet their expectations of justice in health care access. There were no differences found across occupational groups in their responses to the two scales. There were differences in attitudes toward managed care among occupational groups.
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Cornock, Marc. "Regulation and control of health care professionals." Thesis, Cardiff University, 2008. http://orca.cf.ac.uk/54775/.
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This thesis is concerned with the regulation and control of health care professionals. In particular it examines the current regulation to which health care professionals are subject. The hypothesis put forward by this thesis is that the regulation of health care professionals is not fit for purpose. Fit for purpose being defined as satisfying the need for public protection and patient safety, its primary aim, but also enabling to the health care professional by allowing them autonomy to undertake their practice. In examining its hypothesis, the thesis provides an analysis of the nature of a health care professional as well as determining the context within which health care professionals undertake their professional practice. The regulation of health care professionals is analysed through a framework of five elements of regulation that are considered necessary for regulation to achieve its primary aim. These five elements are: protection of titles and registration education for initial registration clinical competence standards for performance and, fitness to practise. Consideration is given to proposals for reform of the regulation of health care professionals, that are yet to be introduced. The thesis finds that some of the elements of regulation are individually fit for purpose but that the current regulation of health care professionals is not fit for purpose as a whole. Recommendations are put forward to improve the effectiveness of regulation. The scope of this thesis is limited to that of health care within England.
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Humbert, Kirsten. "Ministers as informal mental health care professionals." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121432.
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Although not typically considered formal mental health care professionals, clergy are regularly contacted as a resource by people with mental illness. Little is known about the clergy's role in this capacity. The aim of this research is to explore the experiences and perspectives of Canadian ministers of the United Church in response to mental health issues using simple qualitative description. Three female and nine male urban ministers of the United Church of Canada were recruited to participate in semi-structured interviews. Interviews were audio recorded, transcribed, and analyzed by hand for relevant themes. Themes within the following three main topics emerged: how ministers served people with mental illness, ministers' experiences working alongside formal mental health care professionals, and remaining challenges and facilitators. Ministers reported providing various support services for people with mental illness. While ministers reported little direct collaboration, they reported regularly referring people with suspected mental illness to formal mental health care professionals. Finally, ministers cited an innate trustworthiness in their profession and their community as facilitators, while remaining challenges included limitations in terms of financial resources, time, trust between themselves and formal mental health care professionals, and trust between ministers and their colleagues. The findings of this research indicate that collaborative relationships should be encouraged between formal mental health care professionals and ministers of the United Church to better serve people with mental illness.N'étant généralement pas considérés comme des professionnels de la santé mentale, les membres du clergé sont régulièrement sollicités comme personnes ressources par des personnes atteintes de maladie mentale. On en connaît peu sur le rôle du clergé dans le domaine de la santé mentale. Le but de cette recherche est d'explorer les expériences et points de vue de pasteurs de l'Église Unie du Canada en réponse aux problèmes de la santé mentale à l'aide de la description qualitative simple. Trois femmes et neuf hommes pasteurs urbains de l'Église Unie du Canada ont été recrutés pour participer à des entrevues semi-structurées. Les entrevues ont été enregistrées, transcrites et analysées. Trois grands thèmes ont émergé : la façon dont les pasteurs mettent leurs services au profit des personnes atteintes de maladie mentale, l'expérience des pasteurs à travailler conjointement avec les professionnels des soins de santé mentale, et les défis restants et les mesures facilitant la prise en charge de ces personnes. Les pasteurs ont déclaré fournir divers services de soutien aux personnes atteintes de maladie mentale. Bien que les pasteurs aient signalé peu de collaboration directe des professionnels des soins de la santé mentale, ils ont déclaré leur diriger régulièrement des personnes soupçonnées d'être atteintes d'une maladie mentale. Finalement, les pasteurs ont déclaré avoir une confiance innée en leur profession et en leur communauté comme intervenants facilitateurs, bien que de nombreux défis se posent au niveau des ressources financières, du temps, de la confiance entre pasteurs et professionnels des soins de la santé mentale, ainsi que de la confiance entre les pasteurs et leurs collègues. Les résultats de cette recherche indiquent que les relations de collaboration entre les professionnels des soins de la santé mentale et les pasteurs de l'Église Unie devraient être encouragées pour mieux servir les personnes atteintes de maladie mentale.
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Ironmonger, E. "Mindfulness self-help for health care professionals." Thesis, Canterbury Christ Church University, 2018. http://create.canterbury.ac.uk/17884/.
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Stress and anxiety are among the most significant reasons for staff sickness absence in the NHS. The provision of psychological support for healthcare staff may have the potential to improve staff job satisfaction and reduce staff stress and burnout. Mindfulness-based interventions (MBIs) are one type of psychological approach that has gained particular research interest in recent years. MBIs may have the potential to reduce stress and improve staff wellbeing. A fully powered randomised control, followed on from a pilot study, aimed to look at the effects of the effectiveness of a mindfulness-based self-help intervention for healthcare staff and the factors that may mediate any effects found. A total of 133 participants were recruited for the study. The results showed that participants in the intervention arm of the study reported a decrease in stress, anxiety and depression and an increase in wellbeing compared to controls. Further to this it was found that mindfulness is a mediator for self-compassion which increased wellbeing.
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Gamiet, Shamila. "Health professionals' perceptions of rehabilitation care workers." Thesis, University of the Western Cape, 2015. http://hdl.handle.net/11394/5246.
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Magister Scientiae (Physiotherapy) - MSc(Physio)People with disabilities (PWD) often come from disadvantaged communities and struggle to access health and rehabilitation, education and employment. This leads to poorer health outcomes, lower education achievements, and higher rate of unemployment in comparison to people without disabilities. Therefore there is a need to empower PWD to remove all barriers which prevent them from participating in all aspects of their communities. In South Africa, 5% of the population is disabled and in a worldwide review conducted on access to rehabilitation services, it was reported that South Africa provided 21% to 40% of the disabled population with rehabilitation services. In 2012 the Department of Health (DOH) trained a new cadre of community health worker (CHW) in the field of rehabilitation in order to improve PWDs‘ access to health services. As a result, health professionals in the Western Cape became concerned about the role of this new cadre of rehabilitation care worker in PHC and CBS. The aim of this study was therefore to explore health professionals‘ perceptions of the newly trained rehabilitation care workers (RCWs). Q methodology was selected as an appropriate research design to meet the objectives of this study as it can be used to analyse opinions, perceptions and attitudes. The study population consisted of all the health professionals who engaged with the RCWs in the clinical workplace during their clinical practice module. A convenient sample of sixteen health professionals participated in this study. Ethics approval was obtained to conduct this study and all participants gave written consent to participate in this study. The researcher gathered all the viewpoints of the health professionals regarding the new rehabilitation care workers (RCWs) by conducting focus group discussions and document analysis. Statements were then drawn up based on the health professionals' viewpoints. The participants then ranked these statements from strongly agree to strongly disagree on a Q data score grid, in a process called Q sorting. The completed Q data score grids, called Q sorts, were then entered into PQMethod software programme for statistical and factor analysis. From the results of this Q analysis, two factors emerged which were analysed and interpreted. A factor is representative of participants with similar opinions. The participants loading onto Factor one and Factor two shared similar opinions of the RCWs. The results indicated that the participants were of the opinion that RCWs‘ role would be to strengthen primary health care (PHC) and community-based rehabilitation (CBR) and promote the participation of PWD in society. The results suggested that the RCWs were capable of improving the quality of life of PWD by empowering PWD to become actively involved in all aspects of community life. The participants felt that the RCWs would be included in the health system by working at intermediate care centres (facility-based) and in the community (home-based). However, the participants agreed that the RCWs must work under the direct supervision of qualified health professionals. Participants loading onto Factor one and Factor two further agreed that RCWs worked well in the structured environment of intermediate care health facilities. They felt that it would be beneficial for RCWs to be employed at these health facilities as the RCWs reduced the workload of the health professionals. From the results, it was also found that health professionals were of the opinion that the RCWs displayed positive attitudes and good professional behaviour in the clinical environment. Health professionals however identified gaps in the knowledge of the RCWs and a lack of skills to perform certain tasks. However, health professionals agreed that the RCWs' skills will develop and improve with time and exposure. This study showed that health professionals had positive perceptions of the RCWs and this could indicate that RCWs will be well accepted by health professionals as part of the PHC team. This could lead to the effective utilisation of RCWs in community-based rehabilitation. Recommendations can be made to the developers and implementers of the RCW training curriculum to make adjustments to the curriculum so as to address the lack of knowledge and skills in certain aspects of health and disability. It can further be recommended that South Africa's National DOH capitalise on these positive perceptions and train more RCWs to extend rehabilitation and health services to more underserved communities. This will assist the South African Government in ensuring that more PWD receive rehabilitation and become included in all aspects of their communities as is envisaged in the 2020/2030 health plan.
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Beynon, Teresa Anne. "Developing education in palliative care for primary health care professionals." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408772.
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Eisenbrandt, Lydia L., and Jill D. Stinson. "The Need for Mental Health Professionals Within Primary Health Care." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7900.
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Mental health concerns are presented in primary care settings regularly, yet a majority of these issues go undetected or are misdiagnosed by primary care physicians (PCPs). This may be due to a lack of mental health training for PCPs during their medical education. Over time, medical school curricula have evolved to include mental health training in order to bridge this gap in the healthcare system and to more readily identify patients in need of mental health services. The current study investigated AMA-accredited medical school curricula from universities across the US and US territories (N = 170) who train physicians in primary care, family medicine, or other generalist tracks. Data on mental health training were collected from the public websites of each school. Results showed that most universities indicated at least some type of required mental health training (85.3%), which were either didactic or experiential in nature. Although this result appears encouraging, further examination reveals that this training was most often limited to only one 4-week psychology-related course and a 6-week psychiatry rotation. Overall, many universities indicated at least one required course (N = 95), and most universities reported a required psychiatry rotation (N = 135). Moreover, only 12.9% of the sample reported having at least both didactic and experiential training required. The implications of this are varied. First, PCPs often have only a short amount of time with their patients, reducing their ability to fully assess both medical and mental health. A lack of exposure to mental health needs may lead to missed opportunities for intervention and improvement in patient health. Second, it is important for mental health professionals to work closely with PCPs in primary healthcare settings in order to improve rates for detection and treatment of mental health problems. In addition to improved patient outcomes, having mental health professionals integrate within primary healthcare can serve to decrease the stigma associated with seeking mental health treatment, as well as reduce long-term healthcare costs. This can also increase access to care for those individuals who are unable to see a mental healthcare provider, especially in rural areas. Finally, overall health may improve in relation to better mental healthcare, since medical and mental health have been consistently shown to significantly influence one another.
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Poole, Gail Frances. "Talking about tubes : attitudes of health care professionals." Thesis, [S.l.] : [s.n.], 1998. http://www.nlc-bnc.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.
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Regan, Anna. "Psychoanalytic perspectives on burnout in health care professionals." Thesis, University of Birmingham, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423514.
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Poole, Gail Frances. "Talking about tubes, attitudes of health care professionals." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.
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Rudolph, Mytzi Maryanne. "Spanish for Health Care Professionals: Language and Culture." PDXScholar, 1996. https://pdxscholar.library.pdx.edu/open_access_etds/5294.
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The purpose of this investigation is to examine formal and informal resources available for teaching Spanish to health care professionals mainly in the Portland, Oregon area. Seventeen different Spanish-for-health-care-professionals texts are commented on by the author, some of which are the texts used in medical Spanish language classes. The majority of the texts contain little if any instruction on cultural aspects which affect the Latino patient population's health care behaviors and decision making. With the recent growth in the Latino population there is a greater demand for health care services by Spanish-speaking persons of the Latino community. The author discusses at length current information about the health status of this population, factors affecting access to health care, and language barrier. There is a lack of bicultural and bilingual health care professionals to provide needed health care services to Latinos. One factor is that the percentage of Latino medical and allied health providers is a small fraction of the percentage of Spanish-speaking patients in the U.S. Therefore, Spanish language instruction must be provided to medical personnel who do not have the cultural and language background to provide culturally relevant and efficient health care to Latinos. This language training must incorporate instruction on cultural issues that affect Latino patients' health care. At present very few Spanish-forhealth- care-providers texts and courses have this type of focus. Exemplary clinical programs specializing in the medical treatment of the Latino population, both inside and outside of the Portland Oregon area, are noted to highlight that effective and culturally relevant medical treatment is possible with adequate training of personnel. Outstanding courses integrating the instruction of both the Spanish language and culture are discussed. Often these courses are not offered as permanent parts of the curriculum. The author gives examples of some of the cultural issues that need to be addressed in language instruction, and makes suggestions for adapting this focus into Medical Spanish instruction.
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Akinsuli, Olusegun. "Nigerian Cancer Survivors' Perceptions of Care Received From Health Care Professionals." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2631.
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Cancer patients worldwide receive care from multidisciplinary teams, and patients
sometimes have little or no knowledge about the different treatment options available, making communication with their care providers an important influence in how they perceive their care. Patient satisfaction with care is an important factor in determining survivorship. The increasing prevalence of cancer worldwide has become a huge public health issue. The World Health Organization has warned that the potential gains from combatting infectious diseases in Nigeria might be lost because of the increasing prevalence of cancer. The purpose of this grounded theory study was to obtain the perceptions of 30 cancer survivors in Nigeria about their care in federally funded hospitals to improve cancer care in the country. Through a constructivist grounded theory (CGT) approach, data from 30 in-depth interviews with the cancer survivors were analyzed. Data analysis included open coding, selective coding, theoretical coding, and memo writing. Three themes emerged from the data analysis: positive perception of care (P), service improvement (S), and good care experience (G), all of which were cyclically related to form the PSG substantive theory, which indicates that better health care to cancer patients will improve preventative and curative cancer care services in Nigeria. This theory was validated by relating it to 3 theories in the literature as recommended in CGT research. The implication for positive social change is that the results might provide information that can help health care professionals to improve how they communicate with, relate to, and care for cancer patients and their families in Nigeria and other countries.
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Polaha, Jodi, and J. Hodgeson. "INTRA-Disciplinary Care: Can Mental Health Professionals Work Together in Primary Care?" Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6767.
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Excerpt: Last fall, I sat through an uncomfortable board meeting. I was charged to work with a Clinical Social Worker, Licensed Practicing Counselor, a Counseling Psychologist, and a Licensed Nurse Practitioner to develop an integrated care training program as part of a rural workforce development project.
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Nicholson-McCall, Sharron Theresa. "Employee Commitment Among Direct Care Professionals in an Intermediate Health Care Facility." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7243.
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Lack of employee commitment affects the overall practice in healthcare organizations and can cause a disruption in the lives of people with intellectual disabilities who are receiving care. Researchers have demonstrated that increasing employee commitment and decreasing employee turnover are related to employee commitment in healthcare organizations. The purpose of this single case study was to explore strategies that leaders of an intermediate care facility for individuals with intellectual disabilities in the northwestern United States used to enhance employee commitment. Meyer and Herchovitch's model of employee commitment was the conceptual framework for this study. Data were collecting from semistructured interviews with 2 home managers and 1 area supervisor of a healthcare facility with experience in employee commitment. Data were transcribed, analyzed, and coded for themes and subthemes; data validity was established using member checking of the findings for accuracy and credibility. Three main themes emerged from the data analysis: organizations' healthcare insurance, bonuses, and teamwork. Healthcare leaders might implement the findings of this study to increase and develop employee commitment, improve profitability and sustainability, improve patient care, and improve safety to bring about a positive and effective social change to benefit patients, families, and communities.
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Murphy, Rebecca Cowell. "Advocating for advance directives guidelines for health care professionals /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2009/murphy/MurphyR0509.pdf.
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An advance directive, such as a Living Will or Durable Power of Attorney for Health Care, allows a person to give their instructions about future medical care if he or she is unable to participate in decisions due to serious illness or incapacity. Despite the fact the Patient Self Determination Act requires health care facilities to provide patients with information about advance directives on admission, and the public and health care professionals support the use of advance directives, few people actually complete these documents. This project was developed in support of a local community hospital's commitment to promote the creation and use of advance directives. Part one of the project involved working with the hospital's Advance Directive Committee to update and revise the Advance Directive Policy and Procedure to meet Joint Commission Standards. Part two of the project was the creation of an Advance Directive Education Module for health care professionals designed to be used as part of the employees' annual education review. The new policy created a solid framework for health care professionals to follow when working with patients and their health care goals. The computer-based Advance Directive Education Module reviewed general information about advance directives, informed health care professionals of the new Advance Directive Policy and Procedure, and gave facility-specific actions to take when working with patients and their advance directives.
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Rimkuvienė, Jūratė. "Attitudes towards infection control among dental health care professionals." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110630_133927-98023.
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The oral flora is one of the most ecologically diverse microbial populiations known to man. It has been proved that any dental intervention: dental preparation, professional oral hygiene, extraction of teeth, regular prophylactic examination of patient‘s mouth is related with a possible spread of infection. Therefore, one of the most important tasks for the dental care professionals is to prevent the spread of infection and create safe environment for a patient, the dentist himself and other dental staff
The aim of the present study is to identify and evaluate the attitudes of Lithuanian dental health care professionals towards infection control and carried out infection control procedures, and to determine vaccination frequency against hepatitis B among dental health care professionals.
The study highlighteningt the dental health care professionals‘ attitude towards infection control and infection control procedures as well as incompliance of infection control procedures with the valid normative documentation was conducted at the Institute of Odontology, Faculty of Medicine, Vilnius University in 2008-2010. All 2,235 Lithuanian dentists, registered in the Lithuanian Dental Chamber Registry in 2008 and carrying general practice dentist‘s license, all 1,814 dental assistants and all 370 dental hygienists registered in 2010 (according to the database of the Lithuanian Dental Chamber Registry) were invited to take part in the investigation. The participants of the study survey... [to full text]Burna yra viena labiausiai infekuotų žmogaus organizmo sričių. Įrodyta, kad bet kuri odontologinė intervencija – dantų preparavimas, profesionali burnos higiena, dantų šalinimas, įprastinė profilaktinė paciento burnos apžiūra – yra susijusi su galimu infekcijų plitimu. Todėl vienas iš svarbiausių odontologine praktika besiverčiančių asmenų uždavinių yra užkirsti kelią infekcijų plitimui ir sudaryti saugią aplinką pacientui, gydytojui odontologui ir kitam personalui. Darbo tikslas – nustatyti ir įvertinti Lietuvos odontologinės sveikatos priežiūros specialistų požiūrį į infekcijų kontrolę ir atliekamas infekcijų kontrolės procedūras, išsiaiškinti vakcinacijos nuo hepatito B apimtį tarp Lietuvos odontologinės sveikatos priežiūros specialistų. Odontologinės sveikatos priežiūros specialistų požiūrio į infekcijų kontrolę, atliekamas infekcijų kontrolės procedūras, infekcijų kontrolės procedūrų neatitikimus galiojantiems norminiams dokumentams tyrimas atliktas 2008 – 2010 metais Vilniaus universiteto Medicinos fakulteto Odontologijos institute. Tyrime buvo pakviesti dalyvauti visi 2235 Lietuvos gydytojai odontologai, 2008 metais registruoti Lietuvos odontologų rūmuose ir turintys bendros praktikos gydytojo odontologo licenciją ir visi 1814 gydytojų odontologų padėjėjai bei visi 370 burnos higienistai, registruoti 2010 metais (pagal Lietuvos odontologų rūmų duomenų bazę). Tyrimo dalyviams buvo išsiųsti anoniminiai klausimynai. Odontologinės sveikatos priežiūros specialistų požiūris... [toliau žr. visą tekstą]
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Robertson, Steve. "Lay men's and health professionals' beliefs about masculinity and preventative health care." Thesis, Lancaster University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414954.
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Almansour, Issa Mohammad Ali. "Transitioning towards end-of-life care in Jordanian critical care units : health care professionals' perspectives." Thesis, University of Nottingham, 2015. http://eprints.nottingham.ac.uk/29464/.
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This study explored the experiences of Jordanian critical care staff about the transition to, and provision of, end of life care. It examined the difficulties they encountered, and how they sought to care for and communicate with the families of patients who were approaching the end of life. The study took place in two University hospitals in different cities. A mixed methods design in two phases was adopted. The first phase employed the “National Survey of Critical Care Nurses' Perceptions of End-of-Life Care” (adapted with permission) to elicit the views of critical care staff (N=104) about the obstacles and facilitators to providing end of life care for critically ill patients and their families. In the second phase, qualitative interviews were conducted with staff (15 nurses; 10 junior doctors; 5 head nurses). The key overarching finding from the study is that staff experience moral distress when working with critically ill patients whom they perceive to be dying. There were three main dimensions to the experience of moral distress: First, nurses experience moral distress when they are aware when the patients are likely to die, know that continuing life sustaining treatment is futile and yet are expected to continue to provide treatment as normal to the patients. Aggressive modalities of treatments are usually pursued for most terminally ill patients, with both nurses and doctors perceiving there to be no planned, clear or distinct transition from curative focused care to end of life care. Second, with regard to their relationship with patients’ families, the staff found themselves to be in a problematic and paradoxical situation. One the one hand, they expected patients’ families to take the lead in the care decision making process and perceived that the power in decision-making should lie with patients’ relatives; but on the other hand, they also perceived that it is difficult and sometimes impossible to disclose bad news openly to families meaning that families are not fully informed in a way that would enable them to take the lead in the care decision making process. Third, staff have an appreciation of the principles of end of life decision making as a team activity and as a collaborative venture, but they are not able to put these principles into practice for many reasons, ranging from difficulties in their relationships with each other to health care system factors. This study sheds light on two central ethical problems in end of life decision-making in Jordan: the problem of disclosure of terminal prognosis at the end of life and limited involvement of nurses and junior doctors in the process of end of life communication and decision making. The study recommendations focus on developing practice in and disseminating understanding of ethically sound end of life decision-making.
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Methley, Abigail. "Health care services for multiple sclerosis : the experiences of people with multiple sclerosis and health care professionals." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/health-care-services-for-multiple-sclerosis-the-experiences-of-people-with-multiple-sclerosis-and-health-care-professionals(b7a19f55-bcec-4f74-a9f9-2c32bec332f4).html.
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Background: Multiple Sclerosis (MS) is a chronic degenerative condition. It presents with highly varied physical and psychological symptoms and an unpredictable prognosis, causing difficulties for both professionals and patients. A high prevalence of comorbid psychological symptoms are reported in MS research, yet these may be underreported and underdiagnosed clinically in people with MS. Previous research has taken a dualistic approach, focussing on physical and psychological symptoms separately, resulting in a lack of knowledge on how MS is managed holistically. The aim of this research was to explore the experiences of both people with MS and professionals in the management of physical and psychological symptoms throughout the care pathway for people with MS.Methods: A qualitative approach was used. A systematic review was conducted to investigate existing qualitative literature exploring United Kingdom (UK) health care experiences of people with MS. A qualitative study using semi-structured interviews to explore the experiences of receiving or providing care for people with MS (n =24), general practitioners (n = 13), practice nurses (n = 13) and MS specialist nurses (n = 9). People with MS were purposively sampled from primary care and community settings in North West England. Primary care professionals were purposively sampled from across the North West. Specialist Nurses were purposively sampled from four NHS Foundation Trusts across the North of England. Transcripts formed the data and these were analysed using constant comparison analysis. Once themes had been derived from the data, this data was then interrogated using the concepts of candidacy and recursivity as a theoretical framework (Dixon Woods et al., 2006; Rogers, Hassell & Nicolaas, 1999).Results: Five studies meeting the review criteria were identified from the systematic review. The findings showed that previous UK research had focussed on the beginning (diagnosis) and the end (palliative care) of the care pathway for MS, resulting in a paucity of information regarding experiences of care between these points, for both people with MS and professionals. The subsequent qualitative study addressed this and identified central themes for people with MS: experiences of MS, managing self-care, access to services, interactions with health care professionals and continuity of care. For professionals the central themes identified were: the role of primary care for MS, patient-centred care for MS, access for MS care and management of people with MS. Conclusion: This study provides a unique contribution to the literature on the health care experiences of both people with MS and health care professionals responsible for their care. It has addressed the gaps in knowledge regarding the ongoing health care experiences of people with MS and the holistic management of psychological and physical symptoms. This study showed that candidacy is an appropriate theoretical framework to explain help-seeking and access to health care for MS: use of health services is based on both patient and professionals' interpretation of symptoms, perceptions of services and previous experiences. To improve identification of candidacy there is a need for greater education for patients and professionals on symptoms of MS and information on availability of local services.
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Louw, Brenda. "Cultural Competence and Ethical Decision Making for Health Care Professionals." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1984.
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Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two concepts is illustrated within the broader contexts of higher education, research and clinical practice. Health care professionals who incorporate cultural competence and ethical decision making will be empowered to provide the best services to their clients/ patients in multicultural contexts to ensure optimum outcomes.
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Catley, Christina Anne. "Engaging Health Care Professionals in Personalized Medicine: A Pilot Study Comparing Two Professional Engagement Approaches." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32054.
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Given the emerging importance of personalized medicine (PM) in primary care, now should be the ideal time for engaging with health care professionals (HCPs), both physicians and nurses, about integrating PM into practice. The question then becomes: what is the most effective way to engage with HCPs about emerging technologies that are not in routine clinical use and which are unfamiliar to many?
The overall aim of this pilot study was to develop and compare two professional engagement (PE) approaches for engaging with HCPs about PM to inform their development and design of a future formal evaluation. The first PE intervention was a structured in-person focus group and the second was an online version, also incorporating an educational component, but without group interaction. The pilot study showed that while participants evaluated both interventions positively, the in-person workshop consistently scored higher; however, recruitment challenges were a major obstacle for this approach.
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Mpengesi, Luvokazi. "Experiences of health care professionals at Mdantsane sub-district primary health care clinics regarding the unavailability of medicines." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/19619.
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Medicine unavailability, also known as stock-outs is a global problem. South Africa is not exempt from this problem which impacts negatively on the way in which healthcare services are rendered, more especially in the public sector. Communities are complaining about the unavailability of medicines at public health facilities particularly in primary health care clinics. In an effort to address this problem, the Minister of Health has declared medicine availability as one of the six priorities of the Department of Health. The aim of this study was to explore and describe the experiences and perceptions of healthcare professionals practicing at primary healthcare clinics in a peri-urban area of the Eastern Cape regarding the unavailability of medicines. Understanding the experiences and perceptions was expected to assist in addressing the problem at hand and help management in developing ways to address the problem and support the employees. Semi-structured interviews were conducted with healthcare professionals working at primary health care clinics in and around Mdantsane Township in the Eastern Cape. The main findings of the study can be divided into the following topics: perceived causes of medicine stock-outs, the implications of stock shortages, actions taken in the case of stock-outs and the role to play by in mitigating the impact of stock shortages. The limitations of the study include the research sample which was not truly representative of all healthcare professionals working at Mdantsane sub-district primary healthcare clinics. The study recommends various strategies that management should follow to assist in addressing medicine shortages. The researcher recommends further research to describe the experiences of healthcare professional regarding medicine unavailability.
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Terner, Annika. "Predefined Headings in a Multi-professional Electronic Health Record : Professionals’ Application, Aspects of Health and Health Care and Correspondence to Legal Requirements." Licentiate thesis, Uppsala universitet, Forskning om funktionshinder och habilitering, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-246853.
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The overall aim of this thesis was to investigate predefined headings in a Swedish county council multi-professional EHR system in terms of their shared application, what aspects of health and health care they reflected, and their correspondence to legal requirements. An analysis of 3 596 predefined headings, applied to 20 398 104 occasions by eight professional groups, was conducted. Less than 2% of the predefined headings were applied by all eight professional groups, whereas 60% were not shared at all between the professional groups. A classification of the predefined headings revealed that 13% were “Specialist terms”, which were the least ambiguous predefined headings, 46% were “Terms for specific purposes”, which are less ambiguous than the “Common words” (28%), which were the most ambiguous predefined headings according to the sociolinguistic method employed. The remaining predefined headings (13%) were sorted into “Unclassified headings”. A qualitative content analysis of the predefined headings yielded 23 subcategories grouped into five categories: Description of the patient, Health care process, Resources employed, Administrative documentation, and Development and research. A comparison of the 23 subcategories to the Patient Data Act showed, first, that 15 of 23 subcategories corresponded to four legal requirements, second, that there were legal requirements with a focus on patient rights that were not being met, and third, that there were eight subcategories of predefined headings that could not be attributed to the legal provisions of the Patient Data Act. In conclusion, the proportion of shared predefined headings in the EHRs was limited. The predefined headings in the multi-professional EHRs did not constitute a joint language for specific purposes. A meaningful structure comprising categories and subcategories of different aspects of health and health care as reflected in the applied predefined headings was identified. The structure reflected a wide range of health and health care. No subcategory corresponded to the three legal requirements concerning patient rights. Future research should include professionals’ and patients’ understanding of predefined headings, the correspondence of documented notes to predefined headings and how the documentation in the EHR has had an impact on patient safety.
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Jarva, Erika. "Health care professionals' attitudes and acceptance towards and experiences of digital health (eHealth) services." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39883.
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The Nordic countries share common interests to digitize services in the health care sector from which their eHealth strategies are a proof of. Sweden has specifically put effort on the global scheme by setting a goal of being the best in eHealth by 2025. As one of the main goals of the strategies is increasing patient empowerment, perspective of the health care professionals in this digital shift has yet remained less noticed and the concrete effects on them is still scarcely studied. This study focuses on providing the aspect of the health care professionals and how they have perceived and experienced the digital tools and eHealth services affecting their work and what attitudes they themselves have as users. This study utilized the mixed method approach and was done in collaboration with the Digga Halland project which aims towards enhancing health care workers’ digital competences and conditions to utilize eHealth. Previously collected baseline survey data from health care professionals in different municipalities in the Halland region was analysed and five health care professionals were recruited for in-depth, phenomenological interviews. The results of this research indicate that the use of digital tools and services is common among health care professionals at work and outside work and the workers consider their digital competence rather good. However, the interview respondents presented varying attitudes towards digital services and eHealth depending on whether the services were evaluated from a professional role or outside work role when the professionals used the services themselves. Also, the current professional position guided whether the digital shift and eHealth were experienced more positively or negatively.
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Hendricks, Janine Jolene. "Job satisfaction levels of health care professionals in a public hospital." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/11058.
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Health care professionals play a pivotal role in contributing towards the sustainability of a healthy economy and the standard of quality health care. It is therefore important that organisations understand what influences the job satisfaction levels of health care professionals as it could have an impact on their motivational levels and ultimately the quality of health care that is provided. The aim of this study was to assess the levels of job satisfaction amongst health care professionals in a public hospital in the Eastern Cape. Research for this study included a literature review to define what job satisfaction is and to establish a theoretical foundation to identify the factors that influence job satisfaction. Various motivational theories were explored after which Herzberg’s two-factor theory was identified to serve as a theoretical basis for investigating the job content and organisational factors that influence job satisfaction. Selected demographic factors that could possibly influence levels of job satisfaction were also identified. An empirical study, consisting of a survey with a questionnaire as measuring instrument, was conducted amongst 146 health care professionals at a public hospital in the Eastern Cape. The purpose of the questionnaire was to determine the extent to which job content factors and organisational factors that were associated with job satisfaction were present in the jobs of health care professionals in state hospitals. In addition, the purpose was also to determine whether selected demographic variables had an influence on the responses provided to the factors that were associated with job satisfaction and the job satisfaction levels of the target group. The major findings of the study indicated that all job content and organisational factors had an influence on the job satisfaction levels of health care professionals in a public hospital. Three factors namely Achievement, Responsibility and Work itself were identified to have a significant positive influence on the job satisfaction levels. Relationships between the demographic variables and the job content and organisational factors were identified. Work itself, Responsibility and Achievement were the top three factors whilst leadership/supervision, Human Resource systems and policies and Remuneration and benefits were the bottom three factors in terms of presence in the organisation and influence on the job satisfaction levels of health care professionals. Safety aspects, work environment standards, availability of resources, remuneration and benefits were amongst the major concerns highlighted. The job content factors were identified to be overall more present than the organisational factors. Recommendations were suggested to address the areas of concern that were highlighted in this study in order to ensure high levels of job satisfaction amongst the health care professionals.
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Adeyeye, Adebisi. "Health care professionals' perceptions of the use of electronic medical records." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10011612.
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ABSTRACT Electronic medical record (EMR) use has improved significantly in health care organizations. However, many barriers and factors influence the success of EMR implementation and adoption. The purpose of the descriptive qualitative single-case study was to explore health care professionals? perceptions of the use of EMRs at a hospital division of a major medical center. The study findings highlighted the challenges in transitioning from paper records to EMR despite the many benefits and potential improvement in health care. A description of the 16 health care professionals? perceptions of EMR use emerged by adopting the unified theory of acceptance and use of technology (UTAUT) model and NVivo 10 computer software to aid with the analysis of semi-structured, recorded, and transcribed interviews. Themes emerging from the analysis were in five categories: (a) Experience of health care professionals with a subtheme of workflow, (b) Challenges in transition from paper to EMR, (c) Barriers to EMR acceptance, with a subtheme of privacy, confidentiality, and security, (d) Leadership support, and (d) Success of EMR. The findings of the case study may inform health care industry decision makers of additional social and behavioral factors needed for successful EMR strategic planning, implementation, and maintenance.
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Mc, Elhinney Helena. "Protecting an unborn baby : Health and Social Care professionals' decision making." Thesis, Ulster University, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.739374.
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Aim and objectives: The aim of this study was to explore the decision making processes by Health and Social Care professionals where there was a child protection concern in pregnancy. The objectives were to identify and prioritise the risk factors identified by professionals, to explore their experiences of undertaking these types of decisions and to measure the impact of the identified risk factors on decision making. Method: An exploratory sequential mixed methods study was undertaken and data collection was undertaken in three phases. Phase one, included a systematic narrative review of the literature to identify child protection risk factors in pregnancy and a total of ten papers were chosen for synthesis. The identified risk factors informed the development of the focus group schedule in phase two. Four focus groups with fourteen midwives and sixteen children’s services social workers were undertaken in the South Eastern Health and Social Care Trust in Northern Ireland. The information gleaned from the focus groups informed the development of an online factorial survey, which was undertaken in phase three of the study. In total 118 participants, 67 midwives and 51 social workers completed the survey and results were analysed using multiple regression and Analysis of Variance. Results: The findings showed that multi-professional communication, evidence gathering, information sharing and professionals experience was important in the process of undertaking assessments around safeguarding an unborn baby. It was strongly stated by professionals that there was an inconsistency with regards to information recorded on written files compared with those on electronic systems and insufficient resources impacted upon assessment. The factorial survey identified that the risk factors; drug use, alcohol use, age, antenatal care, mental wellbeing, domestic violence and childhood experiences were most influential in regards to the perceived risk of harm to an unborn baby and the need for a referral to children’s services. Previous experience and regulation, guidance and policy were the most influential professional and agency factors influencing decision making. There were no significant differences between midwives or social workers with regards to their decision making. Conclusion: Ineffective access to electronic or written information was identified as a major issue resulting in lack of continuity with record keeping. A lack of resources, heavy caseloads and lack of perinatal mental health training also impacted on decision making. Recommendations include: the need for a region wide centrally administered electronic information system accessed by all Health and Social Care professionals, region wide documentation regarding appropriate procedures for midwives and social workers, the development of a joint protocol between maternity and children’s services, perinatal mental health training and to address staff shortage and lack of resources.
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Cal, Anthony Cal. "Strategies Among Health Care Business Professionals to Increase Productivity and Revenue." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2642.
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Health care business professionals have been slow to implement electronic medical records (EMRs), although this is a federal requirement tied to reimbursement from Medicare and Medicaid. Guided by the conceptual framework of the technology acceptance model (TAM), the purpose of this single-case study was to explore EMR strategies that health care business professionals use to increase productivity and revenue. The target population was comprised of health care business professionals with EMR strategies in Orange County, New York. Methodological triangulation included analysis of semistructured interviews with 7 health care business professionals and review of organizational documents consisting of emails, meeting minutes, and a handbook. The recruitment strategy used was random sampling and snowball sampling. Analysis included compiling data, coding the data by disassembling into categories, and reassembling the data into emergent themes. The findings of the study included 5 themes or strategies focused on EMR implementation, leaders' efforts to support and sustain the EMR, helping users accept the EMR, communication and efficiency for increasing productivity and revenue, and helping users improve health care safety. Health care business organizations can benefit by knowing where to focus their resources, maximizing return on investment. The findings could effect social change by enumerating strategies that businesses can use to improve performance, and productivity for health care business professionals and improve quality, care coordination, and management of population health and safety of health care for patients.
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Mgwili, Victoria Nokwanele. "Experiences of the disabled women attending the state-provided reproductive health care services regarding the quality of care rendered by health care professionals in the Eastern Cape." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/11374.
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The purpose of this study was to explore and describe the experiences of disabled women, attending the state-provided reproduction health services, regarding the quality of care rendered by health professionals in the Eastern Cape. The study was conducted on disabled women at Flagstaff and Lusikisiki self-help group project sites.
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Wong, Lai-cheung, and 黃麗彰. "A study of hospice care: [factors affecting] communication between the health care professionals and thepatients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31977182.
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James, Sharon Yvonne. "An exploratory descriptive study of Clinical stress and Burnout among Critical Care Health Care professionals." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1995. http://digitalcommons.auctr.edu/dissertations/3897.
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The purpose of this study was to examine the impact of clinical stress and burnout on health care professionals on critical care units.
Thirty individuals who were employed at a local public hospital participated in the study. Participants completed a 25 item questionnaire on clinical stress and a 20 item questionnaire on burnout. A bivariate analysis was computed using Pearson's(r) correlation. The study found that there is a significant relationship between clinical stress and burnout.
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Shephard, Allyson Lee. "Parental presence during paediatric trauma resuscitation: Health care professionals' attitudes and beliefs." Thesis, University of Ottawa (Canada), 2004. http://hdl.handle.net/10393/26773.
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A qualitative study, using interpretive description, was conducted at a tertiary paediatric hospital. Its purpose was to determine attitudes and beliefs of nurses and physicians about parental presence during paediatric trauma resuscitations in the Emergency Department.
Parental presence was believed to have both benefits and problems for patients, parents and the trauma team. Registered nurses and physicians expressed largely similar attitudes and beliefs related to parental presence. These depended heavily on context. Most participants believed presence was appropriate with stable children and when death was imminent. In between these two ends of the continuum, participants had greater variability in their attitudes and beliefs.
Findings provide insight into how health care professionals believe they can deliver the highest quality technical care for the patient while meeting the psychosocial needs of all involved. Relevance of the findings to family centred-care is discussed. Implications for nursing practice, education and research are identified.
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Hertler, Chelsea M. "Communication issues between healthcare professionals and English speaking elderly patients." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586860.
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Communication is an essential aspect of health care that influences compliance and health outcome. Unfortunately, effective communication between patients and their healthcare providers is not easily obtained, especially for the older population.
This study is a secondary data analysis seeking to look at the communication between the healthcare provider and their elderly patients and determine what potential difficulties exist. It was predicted that older participants are more likely to have a hard time understanding their physician and are less likely to feel carefully listened to their health care provider than younger participants. The hypotheses were tested using data collected from the CHIS 2011-2012 Questionnaire.
The statistical tests did not find an association between old age and the patient's ability to understand their physician, as initially hypothesized. However, the analysis found a significant relationship between age and the participant's likeliness to feel carefully listened by their physician or medical provider.
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Adler, David, and Kevin Francis. "A Case-Based Survey Concerning the Judicious Use of Antibiotics of Individuals: Results among subjects with no prior health care experience compared to health care professionals." The University of Arizona, 2005. http://hdl.handle.net/10150/624696.
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Class of 2005 AbstractObjectives: To perform a cross-sectional survey of health care professionals and lay people on the appropriate use of antimicrobial drugs using a case-based approach. Methods: This study used a case-based survey as a tool to assess for proper antibacterial use. The survey included nine case-based scenarios involving common infectious diseases seen in the outpatient setting. Survey participants needed to assess the problem and determine if antibacterial therapy was appropriate now, not appropriate, or if the patient should be observed for 2-3 days before acting. Demographic information was also requested from the participants. Results: Thirty-one lay people and 35 professionals (pediatricians or family practice physicians) returned a completed survey. The mean (sd) cumulative scores for these two groups were 13.4 (4.45) and 21.3 (3.40), respectively. The range of scores for the lay persons was 5 to 23 and the range for the professionals was 15 to 27. The mean score for physicians was significantly greater than the mean score for lay persons. Implications: The survey results indicated that the professionals had a better understanding of the appropriate use of antibiotics versus the lay people.
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Boyce, Rosalie A. "The organisation of allied health professionals in Australian general hospitals." Thesis, Queensland University of Technology, 1996. https://eprints.qut.edu.au/107083/1/T%28BS%29%20134%20The%20organisation%20of%20allied%20health%20professionals%20in%20Australian%20general%20hospitals.pdf.
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This research is a case study in the sociology of professions. It reports on the Australian allied health professions, a group that has rarely been the subject
of sustained research. The central purpose of the research is to examine the impact of local workplace organisation in Australian general hospitals in the public sector on the position of the allied health professions and their
autonomy. Further, the research seeks to unbundle the competing claims about the utility of alternative organisational approaches and to examine how the allied health professions negotiate inter-professional relationships as a consequence of particular organisational approaches. The research draws on Eliot Freidson's professional dominance theory (medical dominance theory) as the underpinning theoretical framework. Medical dominance theory portrays the allied health professions as inevitably subject to medical dominance and subordination, a proposition which is critically appraised through a contemporary analysis of local workplace arrangements.
To address these issues three models of allied health profession organisation were identified; the classical medical model, division of allied health model and
the unit dispersement model. The research method involved a comparative case study approach and included fifty-three interviews, document analysis, observation strategies and key informants over a two year period. Data collection was guided by seventeen themes of inquiry which were identified
from a multiple methods approach as likely to be important in a comparative analysis of the organisation of the allied health professions.
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McLaine, Catherine Clare. "Diabetes and oral health complications: Australian diabetes health care professionals' knowledge and scope of practice." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/2373.
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The research investigated Australian diabetes health professionals’ (DHPs’) knowledge and their intervention, health promotion, and care management of oral health issues which impact upon the person with diabetes. Results identified the need for enhanced provision of diabetes-specific oral health education, clinical resource tools, and the delivery of oral health services. The findings were discussed within the context of the current health system policies and their impact upon DHPs’ management of diabetes related oral health complications.
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Chromik, Jessica Verfasser], and Mark [Akademischer Betreuer] [Ebers. "Changing Professionals: Professionals’ Role in the Institutional Dynamics of German Health Care / Jessica Chromik. Gutachter: Mark Ebers." Köln : Universitäts- und Stadtbibliothek Köln, 2015. http://d-nb.info/107460489X/34.
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Chromik, Jessica [Verfasser], and Mark [Akademischer Betreuer] Ebers. "Changing Professionals: Professionals’ Role in the Institutional Dynamics of German Health Care / Jessica Chromik. Gutachter: Mark Ebers." Köln : Universitäts- und Stadtbibliothek Köln, 2015. http://d-nb.info/107460489X/34.
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Tanner, Carolyn A. "Perception of palliative care practice of health care professionals in a mental institution : a descriptive study." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29703.
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The purpose of this descriptive study is to investigate the perception of practice of health care professionals at a mental institution, as it pertains to their work with dying patients, and also to identify areas of change. The conceptual framework is constructed of six factors important to palliative care that have been identified from the literature. These are personal death anxiety, organizational structure of the hospital system, role expectations of professionals, teamwork, education and training for care of the dying, and conveyance and exchange of diagnostic information. The sample surveyed by a written questionnaire included physicians, psychiatrists, health care workers, social workers and pastoral care workers from the Geriatric Division of Riverview Hospital, Port Coquitlam. The findings indicate that age, sex, marital status and length of working experience at Riverview Hospital had no significant association with personal death anxiety. Informal education such as workshops and in-services had a significant correlation with personal death anxiety, as did perception of being competent and/or confident about working with the dying. The study also raised concerns that not all was being done for the dying patients and their families at this institution. Suggestions such as education and training, support mechanisms, and less stereotyping of professional roles were
offered to improve this situation. As well, findings indicated that there was a need for palliative care service either in the form of a team or separate unit, or simply the practicing of the palliative care philosophy.Arts, Faculty of
Social Work, School of
Graduate
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Contos-McCord, Meredith L. "Health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1221310.
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The problem of this study was to determine health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care. Data were collected from Indiana health care professionals using a mailed questionnaire. The results found that 71.7% of respondents do not provide foodborne illness and food safety education during prenatal care, however, 80.6% would like to. Most of the respondents indicated that they do not have the time (71.4%), resources (57 1%), or knowledge (25.7%) to provide this information to patients. Many of the respondents indicated that they have not received information on foodborne illness during pregnancy and are unaware of the recommendations to provide this information during prenatal care. The opinion questions found that most agree that foodborne illness can be serious in pregnancy and would like to learn more about the risks of foodborne illness to pregnant women and the fetus.Department of Physiology and Health Science
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Stevens, Anna-Marie. "An exploration of early palliative care in adult patients with cystic fibrosis and health care professionals." Thesis, University of Surrey, 2015. http://epubs.surrey.ac.uk/808785/.
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Background: Cystic Fibrosis (CF) is one of the United Kingdom’s most common life limiting genetic disorders. Improvement in treatment modalities over the last 20 years has resulted in this group of patients living longer. The acceptability of accessing early palliative care for patients with CF and staff perceptions of a palliative care referral for this group is relatively unexplored. Integrated care has been used as a theoretical model to underpin this study. Aim: To explore the experience and perceptions of patients with CF and staff regarding palliative care and the acceptability of this as a service early in the patient’s disease trajectory. Method: A Mixed Methods Study informed this research. This three phase study included a Focus Group (phase 1) with 8 experts from both CF and palliative care, a national survey (phase 2) with 46 experts from CF and palliative care teams, and 17 interviews (phase 3) with patients with CF and health care professionals who care for patients with CF. Results: The term “palliative care” remains a barrier for some professionals in considering a referral to palliative care. Patients interviewed did not have such a problem with the term. Patients are supportive of palliative care being introduced earlier in the disease trajectory. Currently there is evidence to suggest that over 50% of teams do not have an integrated service between CF and palliative care. Discussion: This innovative study has identified a lack of clarity relating to when a patient with CF should be referred to palliative care services. Uncontrolled symptoms and transplant have been highlighted as potential triggers for referral to palliative care services. Patients have recognised that transplant may be too late for a referral and would like to be made aware of palliative care services earlier in the disease pathway. A model of integrated care has been generated from the findings of the study. Conclusion This study has explored early palliative care in adults with CF and considered the perceptions and experiences of patients and health care professionals. This three phase study has determined the views of patients for the first time regarding early palliative care. Together with national data in phase two and in depth interviews in phase three, an integrated model between CF and palliative care is proposed that illustrates the views of the patients and health care professionals, offering considerations for organisations in the development of integrated services. Key words: Cystic Fibrosis, Palliative Care, Integrated Care, patient and health care professional perceptions and experiences.
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Wong, Lai-cheung. "A study of hospice care : [factors affecting] communication between the health care professionals and the patients /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13409475.
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De, Klerk Era. "The incidence of burnout in health care professionals working in Pretoria oncology centres." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/10379.
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Includes bibliographical references.Burnout is a syndrome of emotional exhaustion, depersonalisation and reduced personal accomplishment that may occur amongst individuals who work primarily with people. Nurses and doctors working in oncology must care for many critically ill and dying patients. Pretoria is a city with a high concentration of oncology institutions. The aim of this research is to evaluate the incidence of burnout amongst health care professionals in Pretoria oncology centres, to assess whether certain variables have an influence on the levels of burnout and to compare the situation in Pretoria to the rest of the world. A questionnaire was distributed to all health care professionals working in oncology centres in Pretoria. The questionnaire consisted of an informed consent, demographic data and the Maslach Burnout Inventory. The participants included doctors, nursing staff, radiographers and social workers in both state and private health care institutes, involving radiotherapy, chemotherapy and palliative care units. 240 questionnaires were distributed and 156 were returned. Results show that 24.65% - 32 .87% of participants experienced a high degree of burnout, which is average compared to the rest of the world. Burnout in cancer care workers has been reported to be 22.1 - 53.3% in the rest of the world. Young, single participants appeared to experience a greater incidence of burnout, which is consistent with the literature. The incidence of burnout amongst healthcare professionals, in Pretoria oncology centres appear to be average when compared to the rest of the world. However, language problems, cultural differences and other limitations of the burnout scale may have played a role and warrants further research.
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Noble-Jones, Rhian Wyn. "Modelling the development of an online learning resource by health care professionals." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7389/.
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The aim of this study was to model the process of development for an Online Learning Resource (OLR) by Health Care Professionals (HCPs) to meet lymphoedema-related educational needs, within an asset-based management context. Previous research has shown that HCPs have unmet educational needs in relation to lymphoedema but details on their specific nature or context were lacking. Against this background, the study was conducted in two distinct but complementary phases. In Phase 1, a national survey was conducted of HCPs predominantly in community, oncology and palliative care services, followed by focus group discussions with a sample of respondents. In Phase 2, lymphoedema specialists (LSs) used an action research approach to design and implement an OLR to meet the needs identified in Phase 1. Study findings were analysed using descriptive statistics (Phase 1), and framework, thematic and dialectic analysis to explore their potential to inform future service development and education theory. Unmet educational need was found to be specific to health care setting and professional group. These resulted in HCPs feeling poorly-equipped to diagnose and manage lymphoedema. Of concern, when identified, lymphoedema was sometimes buried for fear of overwhelming stretched services. An OLR was identified as a means of addressing the unmet educational needs. This was successfully developed and implemented with minimal additional resources. The process model created has the potential to inform contemporary leadership theory in asset-based management contexts. This doctoral research makes a timely contribution to leadership theory since the resource constraints underpinning much of the contribution has salience to current public services. The process model created has the potential to inform contemporary leadership theory in asset-based management contexts. Further study of a leadership style which incorporates cognisance of Cognitive Load Theory and Self-Determination Theory is suggested. In addition, the detailed reporting of process and how this facilitated learning for participants contributes to workplace education theory.
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Lewis, Sharna. "Attitudes of mainstream health care professionals towards people with a learning disability." Thesis, University of Birmingham, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487224.
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Ibis thesis is submitted in part fulfilment ofthe requirements for the degree of Clin.Psy.D. at the School ofPsychology , University ofBirmingham. It comprises both the research and clinical work carried out over the course oftraining. Throughout the thesis all identifying information has been changed to ensure confidentiality of clients and participants. Volume 1 comprises the research component ofthe thesis. The first paper is a review ofthe literature ofthe attitudes ofmainstream health professionals towards adults with a learning disability and the factors that affect these attitudes. Ibis paper has been prepared for submission to Clinical Psychology Review. The second paper is an investigation of nursing staff attitudes and emotions towards patients with learning disabilities in a general hospital setting. Ibis paper has been prepared for submission to the Journal ofApplied Research in Intellectual Disabilities. Appendices follow the second paper that provides additional details ofthe research process and an executive summary ofthe findings ofthe empirical paper. Volume two ofthe thesis consists offive clinical practice reports, which were submitted as examples ofclinical work and clinically related research over the course of training. These reports include a systemic and behavioural formulation ofa sixyear- old girl presenting with behavioural difficulties, a case study ofa 44-year-old woman referred to a community mental health team who presented with symptoms of anxiety, a small scale service related project, a single case experimental design research report and an abstract from an oral presentation.
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Gladstone, Jacob. "Are Martial Arts an Effective Self-Care Practice for Mental Health Professionals?" Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1525695951584473.
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Shakespeare, Margaret Kate. "Exploring psychological distress in renal services : health care professionals and patient experiences." Thesis, Bangor University, 2016. https://research.bangor.ac.uk/portal/en/theses/exploring-psychological-distress-in-renal-services-health-care-professionals-and-patient-experiences(70469928-3d83-4414-ac40-fd9c96e00377).html.
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This thesis explores psychological distress in health care professionals (HCP) and patients in renal settings across three chapters. Chapter one systematically reviewed the quantitative literature on burnout and job satisfaction in renal HCPs. The chapter pays particular attention to features of the environment which contribute to burnout and dissatisfaction. This paper found moderate to severe levels of burnout in renal HCPs, with multiple environmental contributors, including high workload and poor organisational and leadership support and perceived professional progression. The second Chapter qualitatively explored the lived experiences of patients who received the ‘Moncrief-Popovich Technique’ in preparation for transition to peritoneal dialysis (PD). This cross-sectional study utilised Interpretative Phenomenological Analysis (IPA), with semi-structured interviews. Four participants of equal gender split were recruited. Analysis revealed four interrelated super-ordinate themes capturing the participants’ experience of transition to PD; End of part of your life, Control the direction, not the outcome, Protection of the self and Moving onto the next step. Each super-ordinate theme carried sub themes which elaborated participants’ experience of fragmentation, identity fragility, adaptive coping and relationship forming related to decision making and perceived control. Participants used the embedded period as a time for maintaining normality and feelings of safety and containment; however, distress was present, as was expected when exploring transition. The third chapter explored implications for theory and clinical practice which emerged from the previous chapters. This chapter highlighted the importance of a dual approach to addressing distress in HCPs in order to adequately support patients’ distress. Organisational interventions based on psychological theory and national policy are recommended, including a psychologically informed implementation model. Personal reflections of the research process and outcomes are also considered.
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Percival, Gary. "Ethical Beliefs and Practices: Do Psychologists Differ from Other Health-Care Professionals." DigitalCommons@USU, 1991. https://digitalcommons.usu.edu/etd/6041.
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Ethical codes and principles, and laws govern the behavior of health-care professionals. Yet, the impact that ethical codes and laws have on the actual moral behaviors of health-care professionals is relatively unknown. A survey on the ethical beliefs and practices of health-care professionals was sent to the United States membership of the Association for Applied Psychophysiology and Biofeedback. AAPB's heterogeneous membership offers a unique opportunity to compare the ethical beliefs and behaviors of professionals across various health-care professions, educational levels, licensure and certification statuses, age, years in practice, and gender. The survey examined the respondents' ethical beliefs and practices in the domains of confidentiality, dual relationships, and professional practice.
Five hundred thirty-six surveys were returned completed. The results of the survey indicate that all respondents have substantially the same reported ethical beliefs and practices across the three domains. There were no statistically significant differences between the reported ethical beliefs or practices when compared across disciplines, educational levels, licensure or certification statuses, age, or years in practice. Statistically significant gender differences were found.
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Cox, Julia R. "Training Future Mental Health Professionals in an Evidence-Informed System of Care." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5964.
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High quality mental health services do not reach the youth who need them, leading to efforts to implement effective treatments more broadly. One focus of these efforts concerns training the mental health workforce, of which master’s-level social workers represent a large proportion. However, the curricula of master’s in social work (MSW) programs do not often emphasize evidence-based approaches. One possible solution is Managing and Adapting Practice (MAP; PracticeWise, LLC), a system that allows clinicians to (1) identify clinically indicated evidence-based programs by searching a growing evidence-base of randomized controlled trials (RCTs) and (2) build individualized evidence-informed treatment plans by focusing on common practice elements. MAP may also address the concerns about manual-based programs (e.g., inflexibility). Although some MSW programs have integrated MAP, the benefits of MAP training within MSW education have not yet been evaluated. This project evaluated multiple mechanisms of training in a semester-long MSW-focused MAP course relative to curriculum-as-usual control at a large public university.
Participants were advanced MSW students (mean age = 27, SD = 5.8; 92.3% women; 59% white) either enrolled in the MAP course (n = 17) or enrolled in curriculum-as-usual (n = 22). The MAP course was co-taught by an expert MAP trainer and a MAP-trained social worker. Pre- and post-semester, participants completed a battery that included: (1) role-plays with standardized patients that were videotaped and coded using the Therapy Observational Coding System of Child Psychotherapy – Revised Strategies scale; (2) a written task that was subsequently coded to assess participants’ clinical decision-making skills during different phases of a standardized case; and (3) attitudinal factors that may be predictive of future MAP usage, such as attitudes toward evidence-based practice and the acceptability and feasibility of MAP. Results indicate significant uptake of cognitive and behavioral therapeutic strategies in the MAP condition. Overall, participants endorsed positive attitudes toward evidence-based practice broadly and MAP specifically. Findings may be used to inform the development of more effective evidence-informed curriculum for master’s-level clinical programs and future workforce training initiatives. Methodological considerations may inform advances in instrumentation to measure multidimensional training outcomes