Dissertations / Theses on the topic 'Health services and systems not elsewhere classified'
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Kane, Ros. "Providing sexual health services in England : meeting the needs of young people." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. http://eprints.lincoln.ac.uk/11992/.
Full textQuynh, L. "Evaluation of E-Health." Thesis, Honours thesis, University of Tasmania, 2007. https://eprints.utas.edu.au/1414/1/evaluation-ehealth.pdf.
Full textDavy, Carol. "Primary health care: knowledge development and application in Papua New Guinea." 2009. http://arrow.unisa.edu.au/vital/access/manager/Repository/unisa:38312.
Full text(9809054), Raghavendra Kankanady. "Information economics: The disconnect between information communication technology and strategic intent." Thesis, 2020. https://figshare.com/articles/thesis/Information_economics_The_disconnect_between_information_communication_technology_and_strategic_intent/13416416.
Full text(12873187), Mee Yong Ho. "The study of Queensland nurses' attitude and behaviour towards computerisation in the workplace." Thesis, 2004. https://figshare.com/articles/thesis/The_study_of_Queensland_nurses_attitude_and_behaviour_towards_computerisation_in_the_workplace/20069591.
Full textThe purpose of this thesis is to analyse the attitude, intention and behaviour of Queensland nurses towards computerisation in their workplace using quantitative and qualitative survey methods. It also identifies possible mediators and moderators of this relationship using the Theory of Reasoned Action in a path model. Other moderating variables such as age group, previous computing experience, computing ability, computer usage, educational levels and gender were used in this study.
The Theory of Reasoned Action is used by Fishbein and Ajzen to predict volitional behaviour and to assist in understanding psychological determinants. One thousand questionnaires were distributed to registered nurses in Queensland and 330 (33%) valid responses were received. A qualitative telephone survey (n = 40) was also employed to validate the quantitative survey. The results of this study found that positive attitudes were found to influence the intention of nurses to use computers in the workplace.
Although normative beliefs and motivation to comply were found to have a direct influence on subjective norm, subjective norm was not found to be significantly associated with one's intention to perform the behaviour. However, a positive outcome evaluation and behavioural beliefs were found to be directly associated with one's behaviour which were mediated through positive attitudes. It was also demonstrated that all positive intentions produced positive behaviour (action of using computers at work).
The study demonstrated the positive effect of prior computing experiences before starting nursing and the effect of high computer usage frequency on one's intention. An inverse effect was demonstrated between nurses who had good experiences with computer and their intention to use computer. In addition, the study found that older, less educated female nurses demonstrated a higher intention to use computers in the workplace. The qualitative study also supported the quantitative study. The qualitative study provided the researcher with reasoning as to why nurses behave a certain way towards computerisation in the workplace. It was used as a reasoning tool to confirm some of the respondents' actions.
This research has its own limitations. It was conducted in late 1999 and computerisation has since then penetrated Australian hospitals to a greater extent than ever before. In addition, the survey tool could also be tested for its construct and criterion related validity. This would improve the sensitivity of the survey tool. Notwithstanding that, the results from this study would significantly benefit management in the identification of groups of nurses who are likely to resist the computerisation process in the workplace.
(9815639), Lydia Mainey. ""Doing the wrong thing for the right reason" Australian nurses' and midwives' experience of providing abortion care to people victimised by gender-based violence." Thesis, 2022. https://figshare.com/articles/thesis/_Doing_the_wrong_thing_for_the_right_reason_Australian_nurses_and_midwives_experience_of_providing_abortion_care_to_people_victimised_by_gender-based_violence/22273498.
Full text(8799200), Jessica L. Ma. "Hemodynamic and Geometric Changes of the Female Reproductive System in Health and Disease." Thesis, 2020.
Find full textPreterm birth is the leading cause of newborn mortality, with 15 million babies born premature worldwide every year. Children that do survive early delivery are more likely to develop cognitive abnormalities, motor deficits, heart disease, cerebral palsy, and more. While little is known about the pathophysiology of preterm birth, several pregnancy-related complications are related to preterm birth, namely cervical insufficiency and preeclampsia. In the former, premature cervical remodeling and softening can result in the shortening of the cervix, increasing a woman’s risk of preterm birth; this condition is called cervical insufficiency (CI), which is the inability of the cervix to remain closed as a result of weakened tissues. CI is currently measured by a one-dimensional sonographic cervical length, where < 25 mm indicates shortening. Preeclampsia is a disorder that can be explained through the Page kidney phenomenon: compression of the left renal vein (LRV) causes renal venous outflow obstruction, leading to elevated intrarenal pressure and hypertension. The supine pressor test (SPT) is a diagnostic tool for preeclampsia where a positive test is defined by an increase of 20 mmHg in diastolic blood pressure (BP) when shifting from the left lateral recumbent to the supine position. Due to the intense risk of morbidity and mortality for both the mother and the fetus, the need to monitor BP changes is critical. Currently, there is an unmet clinical need to characterize the hemodynamic and geometric properties of the female reproductive organs throughout gestation. Utilizing ultrasound imaging can increase our knowledge about the 3D anatomy and systemic changes during pregnancy, unravel risk factors, establish preventative methods, and standardize treatment plans. In this thesis research, we developed a murine model to 1) examine the pathophysiology of renal vein stenosis, and 2) investigate the effects of stenosis on various cervical dimensions. Renal vein stenosis was found to greatly impact blood flow velocities, as well as cervical width (p<0.05). LRV and cervical area and height also trend towards significance, and there is negative damage to the left kidney and placentae within the stenosed cohort. We also conducted a human study that showed reduced change in postural BP in patients with higher body mass index (BMI). Systolic and diastolic BP in the supine position was significantly greater than in the lateral position for all BMIs with a baseline increase in BP of approximately 9-14 mmHg. These findings suggest that therapeutic positioning and close monitoring of BP could mitigate the risk of developing related disorders in pregnancy.
(6623699), Juan Carlos Orozco. "Analysis of Energy Efficiency in Truck-Drone “Last Mile” Delivery Systems." Thesis, 2019.
Find full textTruck-drone delivery systems have the potential to improve how the logistics industry approaches the “last mile problem”. For the purposes of this study, the “last mile” refers to the portion of the journey between the last transportation hub and the individual customer that will consume the product. Drones can deliver packages directly, without the need for an underlying transportation network but are limited by their range and payload capacity. Studies have developed multiple truck-drone configurations, each with different approaches to leverage the benefits and mitigate the limitations of drones. Existing research has also established the drone’s reduction to package delivery time over the traditional truck only model. Two key model factors that have not been considered in previous research are the distribution of package demand, and the distribution of package weight. This study analyzes the drone’s impact to the energy efficiency of a package delivery system, which has taken a backseat to minimizing delivery time. Demand distribution dictates the travel distances required for package delivery, as well as the proportion of delivery locations that are in range for drone delivery. Package weight determines the energy consumption of a delivery and further restricts the proportion of drone eligible packages. The major contributions of this study are the development of a truck-drone tandem mathematical model which minimizes energy consumption, the construction of a population-based package demand distribution, a realistic package weight distribution, and a genetic algorithm used to solve the mathematical model developed for problems that are too computationally expensive to be solved optimally using an exact method. Results show that drones can only have a significant impact to energy efficiency in package delivery systems if implemented under the right conditions. Using truck-drone tandem systems in areas with lower package demand density affords the drone the potential for larger energy savings as larger portions of the truck distance can be replaced. Further, the lower density translates to greater differences between the road-restricted driving distance and the flying distance between delivery points. Finally, energy savings are highly dependent on the underlying package weight distribution of the system. A heavier average package weight increases the energy consumption of the system, but more importantly the portion of packages above the drone’s payload capacity severely limit the savings afforded by the incorporation of drones.
(9183161), Sariya Udayachalerm. "Opioid Prescribing and Health Outcomes in Opioid Naive Patients in Indiana: Analysis of A Statewide Health Information Exchange Database." Thesis, 2020.
Find full textWidespread use of prescription opioids has been a major public health concern since 1999. Many consequences are associated with the problem, such as opioid misuse, abuse, and drug overdose deaths. Opioids are not the only medications involved with drug overdose deaths. Due to stricter control of prescription opioids, those who misused opioids are associated with initiation of another illicit drug abuse. This results in increased drug overdose death involving heroin and semisynthetic/synthetic opioids. Another risk factor for increased overdose death is concurrent use of opioids with other central nervous system (CNS) depressants and some anticonvulsants. Concurrent use of opioids and benzodiazepine, z-drugs (zolpidem and zaleplon), gabapentin, and/or pregabalin is associated with increased risk of respiratory depression and drug overdose death. To combat problematic opioid use, many mitigation strategies were introduced. However, opioid-related problems remain.
Collins, MB. "Competency to practice in pharmacy - development and evaluation of a self-assessment tool." Thesis, 2007. https://eprints.utas.edu.au/5001/1/Competency_in_pharmacy_practice_thesis_Sept_2007.pdf.
Full textBereznicki, LRE. "Improving the quality use of anticoagulants." Thesis, 2007. https://eprints.utas.edu.au/5448/.
Full text(8071232), Patrick Raymond Glass. "THE EFFECTS OF COMPUTER SIMULATION ON REDUCING THE INCIDENCE OF MEDICAL ERRORS ASSOCIATED WITH MASS DISTRIBUTION OF CHEMOPROPHYLAXIS AS A RESULT OF A BIOTERRORISM EVENT." Thesis, 2019.
Find full text(9790934), Cally Jennings. "Internet delivered physical activity interventions for primary and secondary prevention: Increasing website usage and improving behaviour change outcomes." Thesis, 2011. https://figshare.com/articles/thesis/Internet_delivered_physical_activity_interventions_for_primary_and_secondary_prevention_Increasing_website_usage_and_improving_behaviour_change_outcomes/13459277.
Full text(9777044), Meghan Ambrens. "The evaluation of technology-delivered fall prevention programmes for community-dwelling older people." Thesis, 2021. https://figshare.com/articles/thesis/The_evaluation_of_technology-delivered_fall_prevention_programmes_for_community-dwelling_older_people/20063669.
Full text(9779018), Annie Banbury. "Digital futures: Ehealth, health literacy and chronic disease self-management skills for older people." Thesis, 2018. https://figshare.com/articles/thesis/Digital_futures_Ehealth_health_literacy_and_chronic_disease_self-management_skills_for_older_people/13446056.
Full text(9824183), Anthea Oorloff. "Caring for a child with food allergies: The experience of parents living in regional Queensland in managing their child’s condition." Thesis, 2021. https://figshare.com/articles/thesis/Caring_for_a_child_with_food_allergies_The_experience_of_parents_living_in_regional_Queensland_in_managing_their_child_s_condition/19743559.
Full text(9777767), Tess Armstrong. "The influence of analytical thinking on altering gambling beliefs and behaviours." Thesis, 2021. https://figshare.com/articles/thesis/The_influence_of_analytical_thinking_on_altering_gambling_beliefs_and_behaviours/16836538.
Full text(9761237), Lukas T. Ingersoll. "EXAMINING THE EFFECTS OF AN ON-CAMPUS CULTURAL TRAINING COURSE COMBINED WITH FACULTY-LED, SHORT-TERM STUDY ABROAD EXPERIENCES ON UNDERGRADUATE STUDENTS’ CULTURAL INTELLIGENCE." Thesis, 2020.
Find full text(3436478), Brigid Lynch. "Implementing skin cancer screening clinics in a rural community: A case study of diffusion theory." Thesis, 2001. https://figshare.com/articles/thesis/Implementing_skin_cancer_screening_clinics_in_a_rural_community_A_case_study_of_diffusion_theory/20022704.
Full textSkin cancer screening clinics were introduced into a number of towns throughout Queensland as part of the Melanoma Screening Trial (MST), a study investigating the efficacy of screening for melanoma. The MST requires 60% of these towns' populations aged over 30 years to be screened for
melanoma within a three year intervention phase. The aim of this case study is to assess the relationship between Rogers' (1995) diffusion of innovations and the health promotion strategies implemented to encourage attendance at skin cancer screening clinics.
Data were obtained from a number of sources, including administrative files, progress reports, interviews and focus groups and were positioned within a comparative theory/practice matrix. Pattern matching logic was used to
assess the relationship between the health promotion strategies and the theoretical construct of diffusion of innovations.
All components of diffusion of innovations (Rogers, 1995) were addressed by the health promotion strategies encouraging attendance at the skin cancer screening clinics. The delivery of the skin cancer screening clinics was in accordance with principles identified by past diffusion research. The skin cancer screening clinics conformed to most predictors of diffusion success and were delivered within a "real" environment, as suggested by past community -based interventions. A number of changes to existing health promotion strategies and the addition of some new strategies have been suggested to improve the rate of diffusion of skin cancer screening clinics in
the future.
(10695907), Wo Jae Lee. "AI-DRIVEN PREDICTIVE WELLNESS OF MECHANICAL SYSTEMS: ASSESSMENT OF TECHNICAL, ENVIRONMENTAL, AND ECONOMIC PERFORMANCE." Thesis, 2021.
Find full textOne way to reduce the lifecycle cost and environmental impact of a product in a circular economy is to extend its lifespan by either creating longer-lasting products or managing the product properly during its use stage. Life extension of a product is envisioned to help better utilize raw materials efficiently and slow the rate of resource depletion. In the case of manufacturing equipment (e.g., an electric motor on a machine tool), securing reliable service life as well as the life extension are important for consistent production and operational excellence in a factory. However, manufacturing equipment is often utilized without a planned maintenance approach. Such a strategy frequently results in unplanned downtime, owing to unexpected failures. Scheduled maintenance replaces components frequently to avoid unexpected equipment stoppages, but increases the time associated with machine non-operation and maintenance cost.
Recently, the emergence of Industry 4.0 and smart systems is leading to increasing attention to predictive maintenance (PdM) strategies that can decrease the cost of downtime and increase the availability (utilization rate) of manufacturing equipment. PdM also has the potential to foster sustainable practices in manufacturing by maximizing the useful lives of components. In addition, advances in sensor technology (e.g., lower fabrication cost) enable greater use of sensors in a factory, which in turn is producing greater and more diverse sets of data. Widespread use of wireless sensor networks (WSNs) and plug-and-play interfaces for the data collection on product/equipment states are allowing predictive maintenance on a much greater scale. Through advances in computing, big data analysis is faster/improved and has allowed maintenance to transition from run-to-failure to statistical inference-based or machine learning prediction methods.
Moreover, maintenance practice in a factory is evolving from equipment “health management” to equipment “wellness” by establishing an integrated and collaborative manufacturing system that responds in real-time to changing conditions in a factory. The equipment wellness is an active process of becoming aware of the health condition and of making choices that achieve the full potential of the equipment. In order to enable this, a large amount of machine condition data obtained from sensors needs to be analyzed to diagnose the current health condition and predict future behavior (e.g., remaining useful life). If a fault is detected during this diagnosis, a root cause of a fault must be identified to extend equipment life and prevent problem reoccurrence.
However, it is challenging to build a model capturing a relationship between multi-sensor signals and mechanical failures, considering the dynamic manufacturing environment and the complex mechanical system in equipment. Another key challenge is to obtain usable machine condition data to validate a method.
A goal of the proposed work is to develop a systematic tool for maintenance in manufacturing plants using emerging technologies (e.g., AI, Smart Sensor, and IoT). The proposed method will facilitate decision-making that supports equipment maintenance by rapidly detecting a worn component and estimating remaining useful life. In order to diagnose and prognose a health condition of equipment, several data-driven models that describe the relationships between proxy measures (i.e., sensor signals) and machine health conditions are developed and validated through the experiment for several different manufacturing-oriented cases (e.g., cutting tool, gear, and bearing). To enhance the robustness and the prediction capability of the data-driven models, signal processing is conducted to preprocess the raw signals using domain knowledge. Through this process, useful features from the large dataset are extracted and selected, thus increasing computational efficiency in model training. To make a decision using the processed signals, a customized deep learning architecture for each case is designed to effectively and efficiently learn the relationship between the processed signals and the model’s outputs (e.g., health indicators). Ultimately, the method developed through this research helps to avoid catastrophic mechanical failures, products with unacceptable quality, defective products in the manufacturing process as well as to extend equipment service life.
To summarize, in this dissertation, the assessment of technical, environmental and economic performance of the AI-driven method for the wellness of mechanical systems is conducted. The proposed methods are applied to (1) quantify the level of tool wear in a machining process, (2) detect different faults from a power transmission mini-motor testbed (CNN), (3) detect a fault in a motor operated under various rotation speeds, and (4) to predict the time to failure of rotating machinery. Also, the effectiveness of maintenance in the use stage is examined from an environmental and economic perspective using a power efficiency loss as a metric for decision making between repair and replacement.
(9797171), Bronwyn Fredericks. "Us speaking about women's health: Aboriginal women's perceptions and experiences of health, well-being, identity, body and health services." Thesis, 2003. https://figshare.com/articles/thesis/Us_speaking_about_women_s_health_Aboriginal_women_s_perceptions_and_experiences_of_health_well-being_identity_body_and_health_services/13464563.
Full textSkull, John. "Quality assurance for pig carcasses: a study of bacterial contamination at domestic abattoirs in South Australia." 2004. http://arrow.unisa.edu.au:8081/1959.8/28284.
Full textPhD Doctorate
(9784946), Lisa Caffery. "Rural health equity: A case study." Thesis, 2021. https://figshare.com/articles/thesis/Rural_health_equity_A_case_study/19105205.
Full text(9813164), Marie Le Lagadec. "Identification and management of patient deterioration—Comparing the afferent limb of early warning systems." Thesis, 2021. https://figshare.com/articles/thesis/Identification_and_management_of_patient_deterioration_Comparing_the_afferent_limb_of_early_warning_systems/16915642.
Full text(11200116), Ashleigh N. Shields. "LEARN TO LISTEN: ASSESSING THE EFFICACY OF AN EATING DISORDER COMMUNICATION INTERVENTION AMONG ADOLESCENTS." Thesis, 2021.
Find full textListening (Janusik, 2002; Miller, 2018; Wolvin & Coakley, 1996) and eating disorders (EDs; National Centre for Eating Disorders (NCFED), 2018) are often not taught within schools, especially among adolescents. To address this, a school-based brief motivational interviewing (MI) intervention on listening when talking about EDs was created, implemented, and evaluated among adolescents (n = 260) from two middle schools within the Midwestern part of the United States. Specifically, School 1 (n = 100), and School 2 (n = 160) and three teachers (i.e., Teacher 1, Teacher 2, Teacher 3) allowed the researcher to present and collect data. In other words, three total teachers between the two schools, and one teacher, Teacher 1 (n = 100), was from School 1, and the other two teachers, Teacher 2 (n = 120) and Teacher 3 (n = 40) were from School 2. Participants were randomly placed into either the 1) the EDs listening intervention (education-plus) with an MI component (n = 6 classes) or 2) an education-plus Q&A intervention (n = 7 classes). All the participants were involved in the guest lecture and the pre-test and post-test survey, but data was only saved and analyzed from participants that had guardians/parents who consented (n = 75). The methodology for this dissertation project was a 2 (pre/post, unmatched) X 2 (condition) subject’s design. This dissertation project had two independent variables: (1) experimental condition (e.g., education plus MI and education plus Q&A), and (2) time (e.g., pre and post). This dissertation project had five dependent variables: (1) knowledge of listening, (2) knowledge of EDs, (3) listening self-efficacy, (4) knowledge of OARS, and (5) knowledge of the righting reflex. This dissertation project also had the random factor of schools (e.g., School 1 (A) and School 2 (B), and the fixed factor of gender identity (e.g., male and female). The results revealed a promise of efficacy and increased knowledge regarding EDs and aspects of listening, specifically through MI (e.g., OARS). Other areas of knowledge improved but not significantly. In other words, there were no significant differences in knowledge gains between MI and Q&A, but MI compared to Q&A showed a more extensive influence on self-efficacy. The main limitation of this study was the limited guardian/parental consent, resulting in a small sample size.
(13108691), Gary Musselwhite. "Duplicated and anomalous data in mandatory reporting by small Victorian public hospitals." Thesis, 1998. https://figshare.com/articles/thesis/Duplicated_and_anomalous_data_in_mandatory_reporting_by_small_Victorian_public_hospitals/20327673.
Full textVictorian Public Hospitals have operated under a burden of several different financial reporting requirements for several years. The research sought to examine the duplication of mandatory financial reporting requirements applicable to an atypical small Non -Metropolitan Victorian Public Hospital.
Previously published research as undertaken by Arthur Anderson, 1995, commissioned by OHS provided a basis of this research. The Anderson research was broad and encompassed the reporting requirements as applicable to both the largest and smallest Victorian public Hospitals. The research sought opinion of a qualitative nature, but did not examine the duplication of requirements from a
quantitative perspective.
The research is based on a case study of a single hospital and the three major financial reporting requirements, as applicable to this hospital. These reporting requirements were compared not only for duplication of mandatory reporting requirements, but also any anomalous reporting requirements were investigated.The initial benefit of the research being that with identified duplication of data, scope may exist for a reduction in either the content or number of reporting requirements.
(10104379), Courtney Lynn Mallory. "The impact of auditory distractors on visual search performance in individuals with autism spectrum disorder." Thesis, 2021.
Find full text(8771162), Jaziel L. Ramos-Ortiz, and Andrea L. DeMaria (8281602). "Paving the way for male hormonal contraception: A consumer behavior approach." Thesis, 2020.
Find full textBackground: Male contraceptive options are limited to condoms or vasectomy and have lacked significant developments for about a century, suggesting the value of exploring male hormonal contraceptives (MHC). In October 2018, a transdermal gel method entered Phase 2 clinical trials, indicating MHC may soon be available. However, eventual uptake of potentially contentious innovations, like MHC, requires informed marketing and promotional strategy. Consumer behavior research methodologies can aid in determining consumer perspectives, providing a framework for effective marketing to encourage MHC adoption upon market introduction.
Methods: Phases 1 & 2. Focus groups (n=29) and individual, in-depth interviews (n=20) among college-aged men and women aged 18-26 years were conducted using a semi-structured approach. Techniques from expanded grounded theory were used, allowing for a constant comparative approach to data contextualization and theme identification. Ads were created based on focus group results and tested in the interviews. Content analysis served as the data analysis strategy, allowing for a constant comparative approach to data contextualization and theme identification. Phase 3. College-aged men and women (n=1,997) aged 18-26 years participated in a web-based survey. Multiple linear regression was used to examine significant predictors of attitudes toward, interest in, and intention to use or encourage use of MHC. A conjoint analysis procedure was also used to assess the relative importance of attributes on ad effectiveness and preference.
Results: Phase 1. Three primary themes emerged from focus group discussions: 1) openness to MHC; 2) resistance to MHC; and 3) MHC gel innovation characteristics. Men and women were generally interested in the idea of an MHC method. Hesitance about MHC surrounded the social acceptance of a novel contraceptive product, resistance to changing current contraceptive routines, and fear of health consequences. Participants shared insights about promotional strategies which fell within the diffusion of innovations (DOI) characteristics of relative advantage, complexity, compatibility, and observability. Phase 2. In-depth interviews offered insight into perceptions of message development for MHC. Four themes emerged: 1) humor, 2) information, 3) relatability, and 4) credibility. Message testing in interviews yielded an understanding of elements participants responded most strongly to, including: 1) ad sentiment, 2) trustworthiness, and 3) visual appeal. Phase 3. Regression analyses revealed being sexually active (p=0.001) and having prior knowledge of potential MHC methods (p=0.031) aligned with positive MHC attitudes, interest, and intention. Conservative political views (p=0.002) and being satisfied with current male birth control offerings (p=0.000) were associated with negative MHC attitudes. Conjoint analysis identified informational messages as most important (56.62%). Informational (p=0.000) and aspirational messages (p=0.003) paired with relatable characters were the most highly preferred ads.
Conclusions: Findings revealed college-aged men and women express a general interest in the idea of MHC, with hesitance stemming from social acceptance of a novel contraceptive product, resistance to changing current contraceptive routines, and fear of potential side effects and long-term health consequences. Promotional strategy for MHC, or similar novel health products, must focus on stratifying consumers based on their readiness to accept a potential innovation and use tactics like aspirational marketing, social norms marketing, and informational marketing to confirm benefits and address concerns. Qualitative formative research also illuminated salient concepts for MHC advertising. Message testing revealed informational ads with elements of credibility may be most useful for promoting MHC, along with ad concepts audiences feel they can relate to or trust, and practical messaging or imagery meant to increase agency in use. The quantitative survey further supported these findings among a broader, university audience, indicating informational messages or aspirational messages paired with trustworthy, relatable characters are the most effective ad attributes to incorporate into marketing strategy when promoting a novel contraceptive product, like MHC.
(13108475), Elizabeth M. McDonald. "The life experience of the nurse preceptor: A hermeneutic phenomenological study." Thesis, 1999. https://figshare.com/articles/thesis/The_life_experience_of_the_nurse_preceptor_A_hermeneutic_phenomenological_study/20327337.
Full textThe aim of this qualitative research project is to develop insight into and an interpretation of, the lived experiences of preceptors in clinical preceptorship programs for undergraduate nursing students. A framework based on hermeneutic phenomenology has been selected as the methodology to facilitate this research process. In depth interview technique is used for data generation from four selected preceptors from the same health care agency. Information shared by these preceptors is analysed within the hermeneutic framework. Evolving theme generation is documented and discussed with a view to enhanced insight into the phenomenon. Nurse educators, nurse managers, preceptors and students may use findings from this study to stimulate satisfying preceptorship experiences in an environment of collaborative nursing education. Other benefits relate to enhanced preceptor, preparation professional leadership programs that will engender positive professional attitudes and improved abilities of preceptors.
Woods, Martin. "Parental resistance : mobile and transitory discourses : a discursive analysis of parental resistance towards medical treatment for a seriously ill child : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Palmerston North, New Zealand." 2007. http://hdl.handle.net/10179/1585.
Full text(11197254), William Thomas Felix. "Suicide Deaths: Do Socioecological Factors Differ by Rurality." Thesis, 2021.
Find full textObjectives The study will assess patterns of known individual, interpersonal, and community-level circumstances leading to suicide to understand how these factors can co-occur. These patterns will help focus on prevention strategies.
Methods Data was collected from the Iowa Violent Death Reporting System, Census data from the American Community Survey, and 2010 rural-urban commuting area codes from the Economic Research Service. The study consisted of three steps. The first step latent class analysis was conducted on data from suicide deaths from Iowa in 2016-2018 to create classes of patterns of circumstances leading to suicide. The second step maximum probability assignment was used to assign the sample of 1,276 to the created latent classes. Finally, in the third step bivariate regressions were ran to understand the relationship between the created latent classes and the rurality variable (nonmetropolitan vs metropolitan).
Results Five latent classes of distinct patterns of suicide factors emerged. Class 1 is physical health problems living in areas that are average on all community-level variables. This class 1 is seen to happen with higher odds in nonmetropolitan areas. Class 2 is interpersonal problems in areas where living alone is high. This class 2 happened with higher odds in nonmetropolitan areas. Class 3 is mental health problems or depressed mood with no legal problems in areas that had lower educational attainment. This class 3 did not indicate greater odds based on rurality. Class 4 is history of mental health treatment in well-off areas. This class 4 was seen to happen with higher odds in metropolitan areas. Class 5 is substance abuse problems in poorer areas. This class 5 did not indicate greater odds based on rurality. All the classes shared a common theme of experiencing mental health issues or being in a depressed mood.
Conclusions Suicide is a complex concern that could be classified into several classes that have distinct patterns of suicide factors. These classes and patterns help with identifying what services and interventions are needed in certain communities. Overall, providing support in regards to mental health as well as intervening in childhood to support positive development may provide substantial mitigation to the odds of committing suicide. In investigating these patterns, future prevention and intervention effort can take into consideration these patterns to tailor to the individual and the environments where they live.