Dissertations / Theses on the topic 'Healthcare relationships'
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Ramjaun, Tauheed R. "Exploring charity brand relationships in a healthcare context." Thesis, Bournemouth University, 2014. http://eprints.bournemouth.ac.uk/22036/.
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The brand relationship paradigm (Heding et al. 2009) has been applied extensively in the commercial consumer-brand context (Breazale and Fournier 2012) but there has been scant attention to the study of corporate brand relationships (Abratt and Kleyn 2010) and more specifically in the charity domain where there has been a growing interest in charity branding during recent years. Therefore, this study consisted of exploring brand relationships within a particular charity context in the UK whereby the host organisation was a national healthcare charity providing different types of services to people living with arthritis. The conceptual framework guiding this study was drawn from both corporate branding and brand relationship theory with a view to apply new approaches to the study of the charity brand. Due to the exploratory nature of this investigation, an inductive research methodology was adopted where data collection involved qualitative interviews with twenty-two participants including three extensive biographical interviews. Findings suggest the importance for charities to better understand the salient aspects of their corporate brand that effect brand-beneficiary relationships. Six aspects have been identified from the perspectives of beneficiaries and were labelled as follows: brand clarity, brand personality, brand communication, brand presence, brand experience, and brand ethics. Morever, brand relationship were investigated from an interpersonal relationship metaphor perspective (Hinde 1997, Fournier 1998, Saledin 2012) resulting in the identification of four brand relationship roles (Mentor, Befriender, Entertainer, Enabler) and one desired brand relationship role (Medical Expert) from the perspectives of beneficiaries. This study therefore contributes to academic knowledge by providing new insights and perspectives on brand relationships between a healthcare charity brand and its beneficiaries. In addition, practical managerial recommendations are suggested to assist the host charity in its branding efforts.
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De, Jong Jurriaan L. "Supply Chain Relationships and Refurbishing in the Healthcare Supply Chain." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1366197687.
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Arrese, Sara, and Liao Wang. "Trust development in International Healthcare Services: Elekta in Spain." Thesis, Högskolan i Gävle, Avdelningen för ekonomi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17692.
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Title: Trust development: a marketing strategy in the Internationalization of Healthcare Services.The case of Elekta in Spain Level: Master Thesis in Business Administration Author: Sara Arrese and Wang Liao Supervisor: Maria Fregidou-Malama Examiner: Akmal Hyder Date: 2014-10-02 Aim: The aim of this research is to examine how trust developing affects International Healthcare Services marketing while settling down into a new country. Our study is applied to Elekta in Spain. Method: In order to carry out this research, qualitative data is used, a single case study is applied, questionnaires and semi-structured interviews were carried out to collect the needed primary data. Result and Conclusions: In the case of Elekta Spain, the trust development between suppliers and customer took place during the entire relationship. In addition, the trust level at company level and individual level were found to be the most significant leaving aside the country level as there were different opinions between customers (which did not find it a deciding factor) and Elekta. Hence, for the marketing strategy, standardization and adaptations can improve trust development. Suggestions for future research: Generalization cannot be made after this research as a single case study in one country has been the subject for investigation. Consequently, future research of other service industries and countries could expand this study. Contribution of the thesis: This thesis offers a new theoretical framework of trust development in the Spanish Healthcare Industry. This framework not only can be adapted to further study of other countries, but also can be adapted to further study of other service industries.
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Closs, Jack. "Democratic approaches to mental healthcare in which therapeutic relationships can flourish." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/18759/.
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An alternative approach to mental healthcare for severe mental illness called ‘open dialogue’ (OD) is currently being trialled in the NHS. My research used a qualitative approach to develop understanding about the experiences of five families who had been using OD in the NHS. Each family was interviewed as a group and critical narrative analysis was used to analyse each family’s experience. This resulted in a series of idiographic narratives, which were then considered from the theoretical perspectives of empowerment and objectification. The findings are then explored from the perspectives of humanistic psychology and compassion. Possible applications of the research for the practice of OD are considered for professionals and users. Applications for the practice of counselling psychology are also considered, and ideas for future research are suggested.
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Klingenstein, Joanna. "Mobilizing Motifs: An Installation Articulating and Visualizing Relationships between the U.S. Healthcare System, the Chronically Ill Patient, and the Healthcare Chaplain." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1620742386332207.
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Holland-Burman, Alexander, Richard Widerståhl, and Lisa Axelberg. "Understanding the internationalization process of Swedish SMEs operating in international healthcare markets." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-202629.
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The widespread and rapid internationalization of small to medium-sized enterprises (SMEs) in the healthcare sector is outpacing our efforts to understand the motives behind this phenomenon and the processes that propel it. This paper investigates the internationalization processes of Swedish SMEs that operate in the international healthcare markets. Based on interviews from five SMEs, the study seeks to understand why these SMEs internationalize, and how and in what way this internationalization process unfolds. By developing a conceptual model based on previous literature for SME internationalization, knowledge and networks, and the regulatory environment in which the SMEs operate, the findings are analyzed in the context of the healthcare industry. The research concludes that product approval regulations have a small influence on the internationalization process; instead establishing relationships with local key opinion leaders to create awareness and legitimacy was essential to successfully enter a new foreign market. A further key finding identified was that each market is characterized by different national praxis and contrasting views on patient treatment methods, which was recognized as a challenge among the case firms.
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Pooley, Hannah. "A contribution to the understanding of healthcare relationships in long term health conditions." Thesis, University of Warwick, 2013. http://wrap.warwick.ac.uk/58607/.
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Chronic illnesses are the leading cause of death worldwide and are also expected to be the leading cause of disability by 2020 (World Health Organization [WHO], 2003). They are changing the experience of healthcare for both patients and healthcare professionals. In particular, they are changing the roles of patients and doctors, with patients expected to be more involved in their disease management and doctors shifting their focus away from curing pathology to regulating and palliating symptoms (May, 2005). Chapter one presents a systematic review of the role of patients' relationship styles on healthcare outcomes in diabetes. Outcomes of the review highlight the impact of attachment styles that are characterised by having a 'negative model of other' on health outcomes. Despite methodological limitations, the review finds evidence to support the use of attachment theory for understanding healthcare outcomes in the diabetes population and describes the clinical utility of using attachment theory in the development of interventions with this patient group. Chapter two examines the experiences of healthcare professionals in chronic illness in an empirical study investigating the lived experiences of the long term doctor-patient relationship in male Consultant Nephrologists. The experiences of seven Consultant Nephrologists were explored using a phenomenological approach. Findings revealed three superordinate themes: 'Defining my professional identity', 'Relating to the patient' and 'Coping with the job'. Clinical implications of the findings and recommendations for future research are discussed. Chapter three continues the theme of healthcare relationships in a reflective paper based on a journal kept by the author throughout the research process. This paper considers the challenges of conducting psychological research in medical settings, in particular, the researcher’s own initial reservations about these challenges and how the researcher feels now the study is complete. Such reflections may be beneficial for psychologists conducting future research in this area.
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Conley, Paul A. "The myth of "the bottom line" in war, home, food, healthcare, and relationships." Thesis, Pacifica Graduate Institute, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3681276.
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Human beings have engaged in trade, conducted war, created shelter, obtained food, practiced healing, and lived in community throughout the millennia. Historically, religion served as the overarching container used to create meaning within these human activities. In contemporary culture, the myth of "the bottom line" which is the Market economy has become the overarching container for a culture continually seeking to monetize human activity and create meaning through narratives of profitability.
Archetypal psychology employs polytheistic metaphors to describe the multiple autonomous forces or archetypes that exist within the human imagination. The work of archetypal psychologists and depth psychology authors including James Hillman, Ginette Paris, Michael Vannoy Adams, Karl Kerényi, Charles Boer, and Thomas Moore form the foundation for an archetypal analysis of the myth of "the bottom line." James Hillman calls for attention to the narratives of business and names the myth of "the bottom line," in Kinds of Power , "The drama of business, its struggles, challenges, victories and defeats, form the fundamental myth of our civilization, the story that explains the underlying bottom line of the ceremonies of our behavior" (1).
This dissertation is an exploration of the way the myth of "the bottom line" and the Market economy affect human experience of the archetype of War in the form of outsourcing of military functions; the archetype of Home in relationship to the commercial entity of a house and the recent market bubble; the archetype of Food in the form of agribusiness, patented seed stock, and processed food; the archetype of Healing in the form of industrialized health care; the archetype of Relationships within social media and technology. This analysis is achieved through an archetypal interpretation of authors who critique the forces of the Market on each of the respective archetypes. In addition, there is archetypal analysis of the voices of the businesses involved in these territories by "reading through" their annual reports and web sites.
Keywords: archetypal psychology, Hillman, Hermes, market, war, home, food, health care industry, social media, technology.
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Jarman, Karen. "Relationships of emotional intelligence of healthcare leaders and measures of employee satisfaction and turnover." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/KJarman2008.pdf.
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Ansari, Pour N. "Human genetic variation, relationships of peoples of sub-Saharan Africa and implications for healthcare." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1310136/.
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Sub-Saharan Africa is thought to have the most genetic variation of any continent and to be the place of origin of anatomically modern human. Nevertheless it is the subject of relatively few studies of human genetic variation. This thesis contributes to redressing this imbalance. Sex-specific genetic systems (non-recombining portion of the Y chromosome (NRY) and mitochondrial DNA (mtDNA)) along with functional nuclear loci were characterised in multiple sub-Saharan African populations with large sample sizes to infer relationships of peoples and identify implications for healthcare. This thesis contains four projects which addressed questions in genetic anthropology, human evolution and pharmacogenetics utilising human genetic variation. In chapter 2, NRY analysis shows that a hypothesised paternal Yombe (Congo) ancestry of Palenque (Colombia), based on linguistic and historical evidence, is consistent with genetic data. Chapter 3, based on NRY data, demonstrates that a) multiple waves of migration occurred southwards during the expansion of Bantu-speaking peoples (EBSP), b) the eastern route displayed more recent migrations than the western route and c) the absence of substantial east to west NRY gene flow in sub-Saharan Africa over the past millennium. Chapter 4 suggests an eastern route out of Africa for the CASP12 truncated variant is more likely than a western route. (The stop-codon mutation was also dated to around 120,000 YBP). Chapter 5 demonstrates that a potentially functional CYP1A2 variant which has not been reported outside Africa is present at considerable frequencies in sub-Saharan African population groups and that exons associated with active sites in CYP1A genes are well conserved.
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Webster, Joshua. "Caregivers of Individuals with Rubinstein-Taybi Syndrome: Perspectives, Experiences and Relationships with Healthcare Professionals." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1592136452814679.
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Possnert, Oliver, and Adam Schön. "A case study research of asymmetrical relationshipsbetween service providers and emerging companieswithin the healthcare industry." Thesis, Uppsala universitet, Institutionen för biologisk grundutbildning, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-353334.
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This master thesis report aims to highlight the importance ofinterorganizational relationships between experienced serviceproviders and emerging biopharmaceutical (EBP) companies within theSwedish healthcare industry. A shift in innovation strategiesregarding new pharmaceutical- and medical device products hasprompted a paradigm shift within a complex industry wherecollaborations between organisations has become increasinglycrucial. With a better understanding of how these companiesoperates, increased collaboration efforts could result in a fasterand more precise product development with new products reaching themarket improving the health for people around the world. In order toallow experienced service providers to enhance services towards EBPcompanies, a fundamental understanding of how decision makers withinthese EBP companies prefer to conduct relationships is needed. Wehave examined relationship preferences of EBP companies byconducting a qualitative case study through 14 interviews withdecision makers combined with a quantitative conjoint analysis.Eight factors was identified as important for when EBP companiesdecide to engage with a service provider: cost behavior,professional competence, adaptability, communication, personalrelationship, stability, EBP insight and size. The factorsadaptability, personal relationship, cost and size were used in theconjoint analysis to determine their relative importance which showthat adaptability and cost behavior was of the largest importance.With descriptions of each factor, we have provided a meaningfulguide to action of how to address these factors as a serviceprovider. The relationships is largely investigated as relationshipsbetween contract research organizations (as service providers) andEBP companies, but we have created a framework applicable forservice providers within the healthcare industry in general.
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Hyde, Emily. "Perception of healthcare professionals and use of formal-informal resources by families with son with chronic mental/physical illness." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/1020157.
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The purpose of this secondary analysis of Malone's (1993) study was to identify formal and informal resources used by families with an adult son with chronic mental or physical illness. It also explored the identified perceptions of health care providers by the families in this study. This study was guided by the Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 1993).The sample population was patients who were receiving outpatient care from Valley Mental Health Center and University Hospital Neurology Clinic in Salt Lake City, Utah, and families which met certain criteria. The data of 42 respondents of the original 68 in Malone's (1993) study were perused for trends and themes about the use of formal and informal resources and perceptions of health care professionals using the process of secondary analysis.Findings revealed that the outpatients and families used six formal resources and seven informal resources. Family resources accounted for 44 percent of the total utilization of informal resources by the respondents. Hospital/clinics accounted for 24.3 percent of the total formal resources used by the respondents. Findings also revealed that perceptions of health care professionals by the respondents was negative.With the increase of chronic illnesses, the recommendations and implications for nursing identify that patient education in the future will undoubtedly be the most vital and crucial component to an individual's success/failure to adjust to the chronic illness. With the additional knowledge base, prevention of unnecessary anxiety related to the chronic illness would promote a more positive environment for the patient. In addition, both the patient and family could make that smooth transition into the adaptation phase and function effectively with the chronic mental or physical illness.School of Nursing
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Petricone-Westwood, Danielle. "Caregiving for Patients Diagnosed with Ovarian Cancer: An Examination of Distress and Relationships with Healthcare Providers Using Attachment Theory." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/41449.
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This thesis focuses on describing and investigating the experiences of caregivers of individuals with ovarian cancer. Caregivers are an essential part of cancer care, and yet they are not formally recognized as such. The special focus on these caregivers stems from the recognition that ovarian cancer is unique from more commonly studied diseases, with a poor prognosis and frequent recurrences. This thesis sought to study this understudied population. The thesis begins with a scoping review of existing literature that specifically investigated this population. From this study, it was confirmed that few studies had focused on this population, however the mapped literature suggested that these caregivers experienced significant compromises to their quality of life. Some preliminary studies identified a theme that the caregiving experience was influenced by the relationships with healthcare providers.
This theme informed the second study of the thesis, that was a cross-sectional, correlational study that sought to recruit partner-caregivers of patients with ovarian cancer, a sample mostly of male-caregivers. This study sought to explore multiple facets of the caregiving experience as part of cancer care using the Cancer Caregiving Tasks, Consequences and Needs Questionnaire, measuring caregiver distress using the Hospital Anxiety and Depression Scale, and collecting sociodemographic and proxy-reports of the patient’s medical information. A total of 82 partner-caregivers were recruited for the study, and our sample were mostly men, White, affluent and highly educated. Most of their partners were diagnosed with stage III or IV disease, and were treated with both surgery and chemotherapy. This study’s analysis found that caregiving workload, lacking information from healthcare providers, problems with the quality of information and communication with healthcare providers, lacking time for social relations due to caregiving, and needing more help from healthcare providers correlated with distress outcomes.
The third investigation sought to further explore these relationships by measuring attachment insecurity, as assessed by a short, modified version of Experiences in Close Relationships Scale. Using the same sample data, hierarchical regression analyses were used to test whether general attachment avoidance or attachment anxiety moderated the relationship between the caregiving experiences and distress outcomes. These analyses revealed that attachment anxiety contributed to a portion of the variance in distress, however the experiences with the healthcare team explained a large portion of the variance of distress. Attachment anxiety was found to play a minor role moderating the relationship between needing more help from healthcare providers and anxiety, and attachment avoidance contributed a very small, moderating role between lack of time for social relations and distress. Together, these studies have demonstrated that caregivers of patients with ovarian cancer are understudied, however they experience significant levels of depression and anxiety. Their distress is highly affected by their reported experiences as part of the cancer care team, regardless of their predisposition to distress through attachment insecurity.
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Pérez, María Teresa. "Interprofessional Conflict: A Preventive Health Approach to Ineffective Communication in Nurse-Physician Relationships." Thesis, Boston College, 2010. http://hdl.handle.net/2345/3249.
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Thesis advisor: Judith A. VesseyThis undergraduate thesis explores the underlying problem of interprofessional conflict and the resulting poor communication between physicians and nurses. It establishes the importance of understanding and addressing this subject within the health care community on a basis of reported negative outcomes, including compromised patient safety and quality of care. It also proposes a preventive health model as the most effective approach to describing the problem. An exploration of the antecedents to this interprofessional conflict identifies gender identity as having a significant role in setting the stage for the kind of relationships between nurses and physicians that harbor tension. Gender roles are discussed in the context of the developing professional identities of both physicians and nurses. The discussion further identifies how these social and professional distinctions result in the imposition of hierarchical arrangements that give way to oppressive relationships. The analysis proposes a need for dialogue –a form of primary prevention- regarding the oppressive internalized sexism that appears to have resulted from this hierarchical evolution
Thesis (BS) — Boston College, 2010
Submitted to: Boston College. Connell School of Nursing
Discipline: College Honors Program
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Roppelt, Claudia, and Trallero Carlos Alejandro Royo. "Trust and Relationship Building during an International Market Expansion : The case of Elekta." Thesis, Högskolan i Gävle, Avdelningen för ekonomi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24778.
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Aim: The aim of this study is to investigate how relationships are built in a cross-cultural setting and to identify which interpersonal factors need to be taken into account to guarantee the successful creation of relationships. Methodology: The method of this study follows a qualitative approach through the gathering of empirical data. The case of the healthcare equipment company Elekta is selected for data collection from employees of the Brazilian and Swedish office. Interviews have been conducted face-to-face and through videoconference tools. The selection of interviewees is based on the role of the individual within the company and the involvement in the market expansion from Sweden to Brazil. Secondary data from scientific articles and academic journals is compared and analyzed with primary data. Findings: The establishment of relationships during an international market expansion is bounded to the cultural differences present between two parties. Among these differences language, communication, trust and local business practices play a role in the relationship building process. The use of local employees can reduce risks of an unknown market and give access to business networks. Relationships are essential for Brazilians and personal connections are more important than institutional relationships. Cultural differences should, however, not be completely adapted to the local market, since a mix of Brazilian and Swedish business practices has been shown to be advantageous. This is due to high reputation of the Swedish country of origin of Elekta and the favored Swedish business practices. Therefore, foreignness and cultural differences do not necessarily imply negative effects on relationship building, but can have a positive outcome on the development of trust. Contribution: The study contributes to relational theories by providing new theoretical insight in the phenomenon of relationship building in a cross-cultural environment. It contributes to current academic studies, focusing on strategies to successfully conduct market expansions and establish physical presence in a foreign county. Furthermore, it gives new insight in relationship building practices in the healthcare sector. The study emphasizes the positive effect of culture in an international environment, which has been neglected in previous studies. Limitations: Since cultural aspects play a large role in this study, findings are specific to the Latin American continent. Responses obtained during the interviews were a product of questions aimed to the specific geographical area, in regards to the healthcare sector. Therefore, including additional countries in a same sector study may result in dissimilar results. Suggestions for further research: This research involves Brazil and Sweden as a cultural framework. Therefore, perception of the reputation of country origin and perception of cultural business practices may differ between other geographic locations. Further research should investigate on the differences of relationship building in other nations. This could give insight in positive and negative aspects perceived per country of another culture.
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Van, Unen Marc. "The relevance of interdependence between headquarter and subsidiary organisations for product launch outcomes : an in-depth analysis of the launch of Xarelto® in the Bayer Healthcare organisation." Thesis, University of Bradford, 2012. http://hdl.handle.net/10454/5475.
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Modern management literature highlights the importance of headquarter and country organisations working together in an interdependent fashion to improve their performance. However, empirical support for this link is scarce; moreover, the theoretical framework on the factors that may affect these relationships and the prerequisites for fostering them is limited. Current literature highlights the importance of high levels of interdependency between HQs and subsidiaries for the performance of the subsidiary, but a direct relationship has not been established. In this research, the link between headquarter-subsidiary interdependence and subsidiary-level performance is empirically probed and explored, using a longitudinal, multi-method approach that combines quantitative and qualitative data. Responses to surveys from 53 marketing and business managers are used to describe the interdependence levels, which are then combined with actual launch outcomes data for Xarelto® in their respective countries. Based on the survey results, a direct link between headquarter and subsidiary interdependence and the launch success of Xarleto® could not be established and subsidiary interdependence and uptake levels were used to select 10 countries for further explorative interviews. The results of these highlighted that, through fully collaborative and supportive headquarter subsidiary relationships, improved knowledge transfer, avoidance of duplication and leveraging of materials and expertise, product launch outcomes in the subsidiary could be enhanced. Moderators to these relationships and factors to maintain these relationships will be presented and this research and a link to network theory and social capital will be made. This research provides several practical recommendations that can be taken into consideration when planning future launches to enhance product uptake in subsidiary markets.
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Gilson, Nicole Louise. "Examining the Effects of Mindfulness on the Relationships between Citizenship Pressure, Job Stress, and Turnover Intentions within Healthcare: A Moderated Mediation Model." OpenSIUC, 2017. https://opensiuc.lib.siu.edu/dissertations/1440.
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Due to its negative relation with turnover and the associated costs, job stress is a growing concern within the healthcare industry. By surveying 461 employees of a large Midwestern healthcare system, the present study evaluated perceptions of citizenship pressure (perceived pressure to engage in extra-role job duties) and examined its relationship with job stress and turnover intentions. The sample consisted of direct and indirect patient care providers and was predominately White, females who worked full-time. Hierarchical multiple regression analyses indicated that job stress partially mediates the direct relationship between citizenship pressure and turnover intentions. Specifically, healthcare workers experience job stress and desire leaving positions that make them feel that simply fulfilling their formally prescribed job duties is not enough to be seen as a good employee. Drawing from the theoretical model of psychological resilience, the current study also examined whether employees’ level of trait mindfulness (tendency to focus on experiences without judgment) moderates the identified mediation. Findings from a first- and second-stage moderated mediation analysis suggested that trait mindfulness does not buffer the negative outcomes (i.e., job stress, turnover intentions) associated with citizenship pressure within the healthcare industry. Despite the non-significant results related to mindfulness, significant negative relationships were found between trait mindfulness and each key construct (i.e., citizenship pressure, job stress, turnover intentions). Such findings demonstrate the potential relevance of trait mindfulness in promoting employee resilience within the workplace. Results also contribute to the citizenship pressure literature and highlight the need for additional research, especially within the healthcare industry.
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Sole, Louise. "Impact of changes in the professional identity of doctors on their relationships with organisational management in the South African Private healthcare sector." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/52323.
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This study seeks to establish whether the doctor in the private healthcare sector sees their professional identity as being under threat and how this impacts the interrelationships within the organisation in which they work. Healthcare in South Africa is a dynamic, growing industry, in which the private sector accounts for 52% of the total spend, yet there is a disjoint in the relationship between hospital management and the doctor. To combat the trends of increasing costs, competition, customer expectations of quality care and a changing healthcare environment, the doctor and hospital need to improve this relationship.
The research involves an exploratory study in the form of twelve doctor semi-structured interviews within the private health sector. A purposive sampling strategy is used to identify doctors who are typical of the identified population so as to gain representative perspectives.
This study concludes that a professional identity threat to doctors currently exists. Insight is provided into those characteristics that doctors see as forming their identity and the sources of perceived threats to that identity. Engagement practices that can be considered by the organisational management are proposed with a view to mitigating and managing such changes to the doctor s professional identity.Mini-disseration (MBA)--University of Pretoria, 2015.
nk2016
Gordon Institute of Business Science (GIBS)
MBA
Unrestricted
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Faris, Gillian. "The effect of organisational practices and relationships on the implementation of a clinical practice guideline: A case study of a primary healthcare facility in Cape Town." Thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/22633.
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Martin, Mark Anthony. "Servant Leadership Characteristics and Empathic Care: Developing a Culture of Empathy in the Healthcare Setting." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1572254537330104.
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Birgersson, Stéphanie, and Sarah Widberg. "Att vara patient med HIV: erfarenheter av möten med sjukvårdspersonal : En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-43510.
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Bakgrund: Humant Immunbrist Virus (HIV) är en infektionssjukdom som angriper kroppens immunförsvar vilket leder till att det stegvis försämras och slutligen helt avtar. Historiskt sett har patienter med HIV blivit diskriminerade i samhället och orättvist behandlade. Joyce Travelbee’s omvårdnadsteori tar avstånd från en generaliserande människosyn och förespråkar att se individens unika egenskaper, och sjukvårdspersonal ska enligt lag möta patienter med lika värde och lika vård oavsätt diagnos. Syftet är att beskriva erfarenheter som vuxna patienter med HIV har av möten med sjukvårdspersonal. Metod: En systematisk litteraturstudie. Arbetet utfördes genom en systematisk sökning efter vetenskapliga artiklar i tre databaser där elva artiklar sedan kvalitetsbedömdes och analyserades. Resultat: Patienter med HIV hade övervägande positiva erfarenheter av mötet med sjukvårdspersonal, men negativa erfarenheter av till exempel obekväma blickar, överdrivna säkerhetsåtgärder, anklagelser och respektlöshet förekom i olika vårdsammanhang. Slutsats: Patienter med HIV ska aldrig behöva erfara diskriminerande möten med sjukvårdspersonal på grund av sin diagnos. Uppmärksammande av erfarenheter av möten med sjukvårdspersonal hos patienter med HIV kan öka medvetenheten angående stereotypa negativa beteenden och därmed förbättra deras vård och erfarenheter av mötet. Nyckelord: Patienter med HIV, sjukvårdspersonal, möten, mellanmänskliga relationer, erfarenheter. Keywords: Patients with HIV, healthcare personnell, interactions, human-to-human relationships, experience.
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Amado, Elaine. "Educação interprofissional e prática colaborativa em terapia intensiva: perspectiva dos profissionais da saúde." Universidade Federal de Alagoas, 2016. http://www.repositorio.ufal.br/handle/riufal/1439.
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Before the assumptions of SUS (THE Brazilian Unified Health System), the hospital must apply integrality as an organizing axis to the health practice as well as stimulate values among professionals that support its greater concept, requiring a closer relationship between team workers and interprofessional colaboration. This academic work contains a cientific article, as a result of field research for the master’s degree program and also a technical product regarding the subject. The study, from which the article had been born, has as its main aim to investigate the availability and readiness towards Interprofessional Education and colaborative practice in Intesive Therapy. It has been a transversal research, with both quantitative and qualitative approaches and it took place at the ICU (Intensive Care Unit) of a public hospital for emergencies. Forty-three professionals amongst doctors, nurses, psychologists, nutritionists and physiotherapists had taken part in the research, those from the muiltiprofessinal team at the intensive care unit for adults. During data collection, LIKERT questionnaires have been adopted, The Readiness for Interprofessional Learning Scale (RIPLS), also two theme open-ended questions have been analyzed. The RIPLS, validated by PEDUZZI & NORMAN 2012 is composed by 26 assertive disposed in three dimensions: Team work and Collaboration; Professional identity and Patient care, respectively. In order to perform quantitative data analysis, there has been used descriptive statistics and co-relations. The qualitative data has been submitted to theme analysis. On the subjects profile within the research, it has bee made clear that most were female, average age 36,7 year-old and 12 years graduated. The responses to RIPLS have shown readiness from the team towards Interprofessional work and collaborative practice in two dimensions: Team work and Collaboration and Patient care. However, a worrying situation has been shown regarding Professional identity. There have also been disagreements between qualitative and quantitative data on the following dimension: Team work and Collaboration. The study apprehended the relevance of Interprofessional education in the intensive care practice, aiming at better professional conditions to deal with health care, once it potentiates the development of the referred skills, better Interprofessional communication, leading to attention to the subject through the integrality perspective. Although the same team ignores the importance of such education during the formation of the team work itself, showing some attachment to Professional Identity. From these results were developed three technical products: 1) Reflective feedback through a meeting the coordinators of professional categories and managers of the sectors education and development of people, human resource and study center; 2) Technical Report 3) Scientific publications. The products were designed to promote reflection on the results of research carried out, contribute to the development of educational and enhancement to collaborative and interprofessional practice. The results presentation has qualified the up mentioned research, enabling self-criticism and also providing with and efficient dialogic and healthy atmosphere. Besides, it has allowed reaching the purpose of the professional Master’s degree, showing an opportunity to self-criticism that transforms the educational praxis.Diante das premissas do Sistema Único de Saúde, o hospital deve instituir a integralidade como um eixo organizador das práticas de saúde e estimular nos profissionais valores que sustentem seu conceito ampliado, que requer um estreito relacionamento entre os membros da equipe e a colaboração interprofissional. Este trabalho acadêmico de conclusão de curso consta de um artigo científico, oriundo de uma pesquisa desenvolvida no campo de trabalho da mestranda, e de três produtos técnicos voltados para o tema. O estudo que gerou o artigo científico teve como objetivo conhecer a disponibilidade e prontidão dos profissionais de saúde para a educação Interprofissional e para prática colaborativa em terapia intensiva. Trata-se de uma pesquisa de caráter transversal, com abordagens quantitativa e qualitativa, realizada na Unidade de Terapia Intensiva de um Hospital Público de Urgência e Emergência. Participaram da pesquisa 43 profissionais, dentre estes, médicos, enfermeiros, fisioterapeutas, psicólogos e nutricionistas integrantes das equipes multiprofissionais da unidade de terapia intensiva adulto. No processo de produção de dados, utilizaram-se o questionário, tipo Likert, The Readiness for Interprofessional Learning Scale (RIPLS), e a análise temática de duas perguntas abertas. O RIPLS, validado por Peduzzi e Norman (2012), composto por 26 assertivas dispostas em três dimensões: Trabalho em Equipe e Colaboração, Identidade profissional e Cuidado Centrado no Paciente. Para a análise dos dados quantitativos utilizaram-se estatística descritiva e correlações. Os dados qualitativos foram submetidos à análise temática. No perfil dos sujeitos da pesquisa evidenciouse que a maioria era do sexo feminino, idade média de 36,7 anos e tempo médio de formados de 12 anos. As respostas ao RIPLS mostraram uma prontidão da equipe ao trabalho interprofissional e prática colaborativa em duas dimensões: trabalho em equipe e colaboração e atenção centrada no paciente; e uma situação preocupante para a dimensão identidade profissional. Observaram-se também discordâncias no diálogo entre os dados quanti e qualitativos na dimensão Trabalham em Equipe e Colaboração, e concordância para identidade profissional. O estudo apreendeu a relevância da educação interprofissional na prática da unidade de terapia intensiva, visando a um melhor preparo dos profissionais para o cuidado em saúde, uma vez que potencializa o desenvolvimento de competências referentes a práticas colaborativas, à comunicação interprofissional e ao cuidado com o sujeito na perspectiva da integralidade. Porém, a mesma equipe desconhece a importância dessa educação na formação do grupo para o trabalho em equipe, apresentando aprisionamento à identidade profissional. A partir destes resultados foram desenvolvidos três produtos técnicos: 1) Feedback Reflexivo através de uma reunião os coordenadores das categorias profissionais e gestores dos setores educação e desenvolvimentos de pessoas, recursos humanos e centro de estudos; 2) Relatório Técnico e 3) Publicações Científicas. Os produtos tiveram o intuito de promover uma reflexão sobre os resultados da pesquisa realizada, contribuíssem com o desenvolvimento de ações educativas e de aprimoramento para prática colaborativa e interprofissional. O momento para apresentação dos resultados foi uma iniciativa que qualificou a pesquisa realizada, possibilitando a autocrítica e favorecendo para um ambiente de diálogo eficiente e saudável. Além disso, permitiu atingir os propósitos do Mestrado Profissional, demonstrando uma oportunidade de avaliação crítica e transformadora nos espaços de prática educativa.
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Lima, Neta Maria Irene Ferreira. "Configurações familiares de idosos que vivem com HIV/Aids." Pontifícia Universidade Católica de São Paulo, 2017. https://tede2.pucsp.br/handle/handle/19855.
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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
Talking about family today means encountering several historically and socially changed issues regarding this institution. These changes, which are both structural and functional, have taken place over its existence, which dates from thousands of years ago. In relation to family, there must be taken into consideration the experiences lived and the affectional bonds formed by an individual within the familial relationship. In this aspect, familial relationships may be constructive or destructive or, in some families, both constructive and destructive. These family patterns must be taken into consideration when discussing and studying families. We observe that all changes in families are influenced by social, legal and work-related events, in addition to health and illness factors. Slightly over three decades ago, society learned of a new disease which is sexually transmissible through the human immunodeficiency virus (HIV). This disease is the cause of changes, not only to the lives of persons living with HIV, but also to the lives of their relatives as they learn of the lived experiences of a seropositive family member. Since an HIV diagnosis is associated with strong prejudice and, in many cases, reveals a person’s sexual practices and/or betrayal by a spouse or partner, few people disclose their HIV seropositive status to their families. Among those who do, there are criteria for telling one family member and not telling another one. Therefore, studies show that an HIV diagnosis causes changes in family functioning and in the relationships between family members. At times, these relationships become so deteriorated that what is considered as family, family experiences and family patterns changes in a different manner for each family member. With the increase in the number of elderly seropositive persons and considering that they are the oldest representatives and the depositaries of family traditions, the objective of our study was to unveil the family structures of elderly people living with HIV. We worked with both extended and nuclear families. The study was carried out at the Outpatient Clinic for Infection-Contagious and Parasitic Diseases of the Federal University of Sao Paulo, state of Sao Paulo. Participants were 37 elderly people (24 men and 13 women) aged between 60 and 82 years, in addition to 19 family members aged between 17 and 79 years. All participants signed the Free and Informed Consent Form, and individually provided responses, which were audio-recorded, to questions about familial relationships, sexuality, the influence of HIV on familial relationships, and secrecy. Finally, family-of-origin and currentfamily genograms were built. Results show that the family structures of elderly people living with HIV are the constructive ones, with behaviors of care, shelter and union, whereas destructive family structures are those of isolation, prejudice and discrimination. In most cases, gender is represented by unequal gender practices, where the hegemonic roles are those of caregivers for women and providers for men. For most participants, HIV plays a secondary role in familial relationships, since other family issues prove to be of greater importance than living with the virus, and the condition does not interfere with familial relationships. For those families where HIV is a determining factor, this causes family members to live under constant alert and limits familial relationships. Secrecy is protective when it safeguards familial relationships and shields family members against prejudice. It is destructive when it causes suffering to those family members who know, and when it limits their behaviors. Our conclusion is that for both groups, i.e. families and participants without family members, family structures involve constructive patterns with care, shelter and union, where HIV plays a secondary role in familial relationships and secrecy has a protective function. In turn, also for both groups, destructive family patterns are formed with isolation, prejudice and discrimination, where HIV is a determining factor and secrecy plays a destructive role
Falar de família atualmente é se deparar com várias questões modificadas histórica e socialmente com relação a esta instituição. Tais modificações, tanto estruturais quanto funcionais, ocorreram ao longo de sua existência, há milhares de anos. Com relação à família, devem-se levar em consideração as vivências e vínculos protagonizados pelo indivíduo nesta relação. Neste aspecto, pode haver relações de construtividade, de destrutividade ou ainda famílias que possuem ambas as características. São padrões familiares que devem ser levados em consideração ao se falar de família e ao estudá-la. Notamos que todas as mudanças na família sofrem influência de acontecimentos sociais, jurídicos, profissionais, bem como de saúde e doença. Há pouco mais de três décadas, a sociedade tomou conhecimento de uma nova doença sexualmente transmissível por meio do vírus da imunodeficiência humana (HIV). Esta é causadora de alterações não apenas na vida de quem vive com HIV, mas também na de familiares que tomam conhecimento da vivência de um familiar soropositivo. Sendo uma doença que carrega grandes preconceitos e por seu diagnóstico, em muitos casos, revelar a traição de um dos membros do casal e/ou práticas sexuais, são poucas as pessoas que falam para a família sobre sua soropositividade do HIV. Dentre as que falam, há critérios para contar a um familiar e não contar a outro; desta forma, estudos mostram que este diagnóstico provoca uma mudança no funcionamento familiar, bem como na relação existente entre seus membros. E estas relações por vezes ficam tão desqualificadas que o que se assume como família, vivência e padrões familiares se modificam de forma diferenciada para cada um. Com o aumento do número de idosos soropositivos, e sendo estes os representantes mais antigos da família, depositários das tradições familiares, objetivamos desvendar as formas constitutivas de família de pessoas idosas vivendo com HIV. Trabalhamos tanto com a família extensa quanto com a família nuclear. Este trabalho foi realizado no Ambulatório de Moléstias Infectocontagiosas e Parasitárias da Universidade Federal de São Paulo/SP. Participaram 37 idosos, sendo 24 homens e 13 mulheres, com idades entre 60 e 82 anos, e 19 familiares, na faixa etária de 17 a 79 anos. Todos assinaram o Termo de Consentimento Livre e Esclarecido e, de forma individual e gravada, responderam a questões sobre relações familiares, sexualidade, HIV nas relações familiares e segredo. Por fim, foi feito o genograma da família de origem e da atual. Os resultados mostram que as formas constitutivas de família para a vida com HIV são as construtivas com comportamentos de cuidado, acolhimento e união, enquanto as formas destrutivas de família são as isoladas, preconceituosas e discriminatórias. Para a maioria, a sexualidade é representada por práticas sexuais de desigualdade em que os papéis hegemônicos são de cuidadora para a mulher e de provedor para o homem. O HIV nas relações familiares torna-se coadjuvante para a maioria, pois os demais problemas familiares mostram-se maiores que a vida com o vírus, e este não interfere nas relações familiares. Já para as famílias em que o HIV é determinante, assim se configura por viver em alerta constante e por limitar as relações familiares. O segredo se torna protetor quando preserva as relações familiares e protege do preconceito. E é destruidor quando gera sofrimento aos familiares que sabem, e quando limita seus comportamentos. Concluímos que as formas constitutivas de família para ambos os grupos, famílias e participantes sem familiares, foram os padrões de construtividade com cuidado, acolhimento e união, tendo o HIV nas relações familiares como coadjuvante e o segredo como protetivo. Enquanto os padrões familiares de destrutividade, também para ambos os grupos, se configuram com isolamento, preconceito e discriminação, tendo o HIV nas relações familiares como determinante e o segredo como destruidor
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Pereira, Paula dos Santos. "Mulheres em situação de violência: percepções sobre a perpetuação da violência em suas vidas." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/7059.
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Violence in women’s lives can start in their childhood and perpetuate in adulthood. This indicates that such experiences tend to be transmitted intergenerationally, compromising family structure. This research aimed to understand intergenerational violent behavior in the lives of female victims of violence and to identify their perceptions about the performance of healthcare professionals in the context of their care. A qualitative strategic social research was carried out in the Psychology Service of the Program for Prevention of Violence and Health Promotion, of the Epidemiological Surveillance Control of the Municipal Health Department of Aparecida de Goiânia, GO. Data were collected using a recorded semi-structured interview with ten adult women who are or were in situation of violence and analyzed after transcription using content analysis based on themes. As a result of this process, four categories emerged: “family context of childhood”, “intergenerational violent behavior”, “future expectations”, and “the context of the net of attention to violence against women”. The results showed that violence has been present in these women’s lives since their childhood, that they identify the influence of this phenomenon on their affective relationships and on their children’s lives, which compromises their future lives, and that healthcare services were not perceived as places to support victims, showing the need for changes in the conduction of these cases. It was possible to conclude that violence against women has short-, medium-, and long-term consequences and that this behavior may be transmitted to future generations through a learning process. The performance of healthcare professionals was perceived as deficient, and therefore it is not a reference of support for the victims. Based on the results of this study, we suggest interventions in the victims’ families, broader diffusion of information and qualification on the theme to healthcare professionals and inclusion of the theme violence in college syllabi.
A violência na vida da mulher pode se iniciar desde a sua infância, perpetuando-se em sua vida adulta. Isso denota que tais experiências tendem a ser transmitidas intergeracionalmente, comprometendo todo o cenário familiar. Esta pesquisa teve como objetivos compreender a intergeracionalidade do comportamento violento na vida de mulheres vítimas de violência e identificar suas percepções sobre a atuação do profissional de saúde no contexto de seu atendimento. Foi realizada uma pesquisa social estratégica de abordagem qualitativa, tendo como campo de estudo o Serviço de Psicologia do Programa de Prevenção às Violências e Promoção da Saúde, da Vigilância Epidemiológica da Secretaria Municipal de Saúde de Aparecida de Goiânia, GO. Participaram da pesquisa dez mulheres adultas que estiveram ou estão em situação de violência. Os dados foram coletados por meio de entrevista semiestruturada gravada e, após a transcrição, analisados por meio de análise de conteúdo modalidade temática. A partir disso, emergiram quatro categorias: “o contexto familiar da infância”, “a intergeracionalidade do comportamento violento”, “as expectativas futuras” e “o contexto da rede de atenção à violência contra a mulher”. Os resultados mostraram que a violência está presente na vida dessas mulheres desde a sua infância, que elas identificam a influência deste fenômeno em suas relações afetivas e na vida de seus filhos, comprometendo também suas vidas futuras, e que os serviços de saúde não foram percebidos como locais de apoio às vítimas, mostrando a necessidade de mudanças nas condutas diante destes casos. Conclui-se que a violência contra a mulher gera consequências a curto, médio e longo prazos e que se trata de comportamento que pode ser transmitido para as demais gerações por meio do processo de aprendizagem. Já a atuação dos profissionais da saúde foi percebida como deficitária, não sendo uma referência de apoio às vítimas. Com base nos resultados desta pesquisa, sugerem-se intervenções nas famílias das vítimas, maior divulgação de informações e capacitações sobre o tema para os profissionais da rede e inserção da temática violência em grades curriculares.
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Echeverri, Ana Lucia Hincapie. "Relationship between Perceived Healthcare Quality and Patient Safety." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/283602.
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The objectives of this study were to examine the association between patient perceived healthcare quality and self-reported medical, medication, and laboratory errors using cross-sectional and cross-national questionnaire data from eleven countries. In this research, quality of care was measured by a multi-faceted construct, which adopted the patient's perspectives. Five separated quality of care scales were assessed: Access to Care, Continuity of care, Communication of Care, Care Coordination, and Provider's Respect for Patients' Preferences. The findings from this investigation support a number of other published studies suggesting that Coordination of Care is an important predictor of perceived patient safety. After adjusting for potentially important confounding variables, an increase in peoples' perceptions of Coordination of Care decreased the likelihood of self-reporting medical errors (OR =0.605, 95% CI: 0.569 to 0.653), medication errors (OR =0.754, 95% CI: 0.691 to 0.830), and laboratory errors (OR =0.615, 95% CI: 0.555 to 0.681). Finally, results showed that the healthcare system type governing care processes modifies the effect of Coordination of Care on self-reported medication errors.
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Nieuwkamp, Garry Anthony Aloysius, and res cand@acu edu au. "The Theory of Informed Consent in Medicine: problems and prospects for improvement." Australian Catholic University. School of Philosophy, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp166.22072008.
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Practice and law around informed consent in healthcare have undergone a revolution for the better over recent decades. However the way we obtain informed consent remains problematic and is imbued with irreducible but not ineliminable uncertainty. The reasons for this uncertainty are varied. The uncertainty is partly due to the conceptual opacity of important core concepts. The complexity of communication in clinical encounters is another. The role of autonomy, and the changing nature of the clinician patient relationship, have also contributed to this uncertainty remaining. This thesis is not a panacea for these difficulties. However there have been two quite profound revolutions in healthcare over the last decade or so, namely, the introduction of evidence-based medicine into clinical decision making, and the institutionalization of clinical governance and the application of quality improvement philosophy. I have examined ways in which these two “movements” can help in reducing some of the uncertainty in the practice of informed consent.
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Eendebak, Robert. "The potential relationships between hormone biomarkers and functional and health outcomes of ageing." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/the-potential-relationships-between-hormone-biomarkers-and-functional-and-health-outcomes-of-ageing(e28321cc-703c-44df-99b4-fb0d76f7f429).html.
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Although the female menopause has been extensively characterized as a well-defined symptomatic state of oestrogen deficiency, which responds relatively well to oestrogen replacement therapy, the symptomatic state of androgen deficiency in men is poorly defined and uncertainty exists whether it responds to testosterone replacement. It has been proposed that hypothalamic-pituitary-testicular (HPT)-axis function (responsible for the production of androgens) and regulation could be viewed as a âbarometerâ of health status in older men and that potential alterations in HPT-axis function and regulation reflect subclinical and clinical deficits in function and health, which may result in an aged phenotype of human health and disease in older men. The HPT-axis constitutes a well-defined, tractable, clinically-relevant, biological system, which may permit insight into the mechanisms underlying the expression of ageing-related phenotypes of human health and disease. By using a different lens â such as the genetic background; the compensatory responses within the HPT-axis; the syndromes of androgen deficiency; the ethnic background of an individual or the life course trajectory of function and health from conception into older age â to magnify potential dysregulation in the HPT-axis will it be possible to visualize and understand the phenotypic expression of human male ageing as a gradient of functional and health outcomes. This will allow for a better understanding of the physiological mechanics underlying symptomatic expression of dysregulation in the HPT-axis.
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Assis, Wanda Rogéria Campos Lima. "Ressignificando a prática e a teoria: uma experiência de complementação no Programa Saúde da Família." Pontifícia Universidade Católica de São Paulo, 2012. https://tede2.pucsp.br/handle/handle/15106.
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Previous issue date: 2012-03-12This study was conducted in Delfim Moreira (MG) in the area of healthcare, done in an exploratory and descriptive manner, addressed in the form of qualitative research through a vision of social constructionism. The main objective of this study was to analyze the contribution of Program: Re-defining Family Origins of the Healthcare Professional (PRORFOPS) in the theoretical aggregation and the redefinition of professional healthcare practices belonging to the multidisciplinary team from Basic Health Unit (UBS). A total of 15 professionals participated in this project with an emphasis on the intergenerational aspects of family interactions and affective communication. Its specific objectives were: to gain an understanding of families in their interconnected systems, the intergenerational relationships, the affective communication; the process of individualism expanding one s perception of "self" in a relational construct, the potential of the group and their own strengthening; the relevance of themes discussed in the view of these professionals. The following instruments were used: Life Stories, Genograms, Memory Booklets and Questionnaires. The data was analyzed using qualitative tools for Content Analysis, indicating an integration of individual speech within the interconnected systems, and a shift of this same speech towards a relational understanding of self, sensitizing the participants to co-responsibility in familial and social relations
Esse estudo foi realizado em Delfim Moreira (MG), na área de saúde e trata-se de uma pesquisa de campo, de caráter exploratório-descritiva, abordada sob a forma de pesquisa qualitativa dentro de uma visão do Construcionismo Social. O objetivo maior desse estudo foi analisar a contribuição do Programa de Ressignificação da Família de Origem do Profissional de Saúde (PRORFOPS) na complementação teórica e ressignificação da prática de profissionais da saúde pertencentes à equipe multidisciplinar da Unidade Básica de Saúde (UBS). Participaram desse projeto 15 profissionais dando-se ênfase aos aspectos intergeracionais das interações familiares e comunicação afetiva. Seus objetivos específicos foram: a compreensão das famílias atendidas enquanto sistemas interconectados, a Intergeracionalidade, a comunicação afetiva; o processo de individuação ampliando a percepção do si mesmo em construção relacional, as potencialidades do grupo de trabalho e seu fortalecimento; a pertinência dos temas trabalhados, segundo a visão desses profissionais. Utilizou-se dos seguintes instrumentos: Histórias de Vida, Genograma, Livreto de Memórias e Questionários. Os dados obtidos foram analisados com ferramentas qualitativas de Análise de Conteúdo. Essa análise apontou para uma integração do discurso individual com o dos sistemas interligados, e um deslocamento deste mesmo discurso para uma compreensão do eu relacional, sensibilizando o participante para a co-responsabilidade relacional, familiar, social
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Udomsilp, Phuwadol, Ladislav Stolarik, Suriya Sangsub, and Phuwadol Udomsilp. "A feedback perspective of healthcare demand/supply relationship and behavior." Monterey, California. Naval Postgraduate School, 2003. http://hdl.handle.net/10945/9852.
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Approved for public release; distribution is unlimited.MBA Professional Report
Approved for public release; distribution is unlimited.
The United States has experienced a dramatic growth both in technical capabilities and in its allocation of resources to the healthcare sector. Because of the aging population, the U.S. fears that demand for healthcare will outstrip available resources suggesting the need for adding more healthcare capacity. However, recent studies have found that more care may not necessarily mean better health. These studies demonstrate that more hospitals in an area lead to more days spent in hospitals with no discernible improvements in health. Interestingly, supply tends to drive demand; more doctors and hospitals lead to more demand for services. This appears to be an unintended consequence or policy resistance to public policy. One contributor to this “vicious circle” is hospitals competing for specialist affiliations, which in turn, compete for patients by offering specialized services. Apart from care, retailing hospitals tend to duplicate services and aggressively expand capacity when their competitors do. The objective of this MBA Project is to further explore the relationship between demand and supply of healthcare in the United States using the System Dynamics feedback loop perspective. Furthermore it discusses how the System Dynamics and Systems Thinking fields of study facilitate understanding the behavior of complex problem structures.
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Stolarik, Ladislav Udomslip Phuwadol Sangsub Suriya. "A feedback perspective of healthcare demand/supply relationship and behavior /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2003. http://library.nps.navy.mil/uhtbin/hyperion-image/03Jun%5FStolarik.pdf.
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Thesis (M.B.A.)--Naval Postgraduate School, June 2003."MBA professional report"--Cover. Advisor(s): Tarek Abdel-Hamid and Bill Gates. Includes bibliographical references (p. 61-64). Also available online.
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Davis, Kayla. "On Experiencing Illness in the Western Biomedical World: A Push for more Comprehensive Healthcare in America." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/honors/460.
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The purpose of this thesis is to identify common themes presented in several illness narratives with specific attention paid to the relationship between patients and their physicians and patients and their families. Only illness narratives written in America and Western Europe were used for this thesis so the topic could be narrowed to the experience within the western biomedical field. While most research on illness narratives focuses on defining illness and illustrating the importance of introspective work, this thesis identifies patterns in a way that can shape the future treatment of chronically ill patients. This thesis also allows me to creatively explore a personal illness narrative, reinforcing these themes and contributing to the discussion of what physicians and families can do to make the illness experience more bearable for the patient.
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McDonald, Carmen. "The Relationship between Senior Healthcare Executives' Emotional Intelligence and Employee Satisfaction." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1701.
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The healthcare industry evolved on March 23, 2010, when the Affordable Care Act
(ACA) was signed into law. The general problem prompting the need for this study was
that healthcare workers are affected by patient and family anxiety, evolving evidencebased
practices and treatments, and regulatory complexities. Outdated managerial skills
with leaders lacking emotional intelligence may produce employee dissatisfaction, and
satisfied workers may influence the quality of care and patient satisfaction. The purpose
of this study was to examine the relationship between senior healthcare leaders' EI and
employee satisfaction. EI theory was the conceptual foundation for this research. This
quantitative study used a survey to collect EI scores from 25 senior healthcare executives
using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and employee
satisfaction scores from the Press Ganey Employee Voice Solution Survey collected by
their organizations. Data were analysed using Pearson correlations, independent sample
t tests, and ANOVAs to test the variables of EI and employee satisfaction. Assumptions
of the t test and ANOVA were met to ensure the sample size was sufficient. The results
of the Pearson correlation indicated that employee satisfaction percentile and score were
not related to EI within the sample. No differences were found in EI by age, gender,
years of experience, or educational level. The changes in healthcare require focusing on
social change as it relates to service behaviors by all individuals who have any impact on
the patient-care experience.
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Sow, Mouhamadou Thile. "Relationship Between Organizational Commitment and Turnover Intentions Among Healthcare Internal Auditors." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1352.
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Insufficient auditing staff has become a challenge facing internal auditing in the healthcare industry. Auditors' turnover rates range from 13.4% to 46.6% in the United States based on the type of organization. The purpose of this correlational study was to examine the relationship between affective commitment, continuance commitment, normative commitment, and turnover intention among auditors. Self-determination theory of motivation was the theoretical framework for examining the employee turnover problem. A random sample of 92 internal auditors was administered the TCM Employee Commitment Survey and Turnover Intention Scales. The model as a whole was able to significantly predict turnover intentions, F(3, 88) = 15.365, p < .000. The effect size, indicated that the model accounted for approximately 36% of the variance in turnover intentions. Affective commitment (beta = -.519, p = .000) was the only measure of commitment that made a significant contribution to the model. The implications for positive social change included the potential to help business leaders decide on the types of organizational commitment they should catalyze to potentially reduce turnover rates. Healthcare leaders can use the information to reduce the turnover of auditors, increase the quality of audit in healthcare, and improve the quality and reduce the cost of healthcare for society.
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Medabesh, Ali Mohemmed M. "Customer comfort as a marketing construct in healthcare." University of Western Australia. Dept. of Information Management and Marketing, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0068.
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Customer comfort is an important factor in developing and maintaining relationships between customers and service providers. For example, it plays essential roles in selecting service provider. In spite of its importance, the concept of comfort has not been fully explained in the service marketing literature. Although, comfort has been discussed as a fundamental element in healthcare, its role in developing and maintaining customer relationships has not been fully explored in the boarder marketing literature. The present study focuses on the concept of comfort (physical and psychological) as a crucial factor in marketing health care services, particularly in Saudi private hospitals This thesis examines a number of the antecedents and consequences of physical and psychological aspects of comfort in the marketing arena. Antecedents investigated included: functional and technical dimensions of service quality, the environmental and social aspects of hospital life and service costs (monetary and non-monetary). Patients satisfaction was the consequence of customer comfort explored in this thesis. When the relationships between the physical and psychological aspects of comfort and their antecedents were examined, it was concluded that a number of these constructs were shown to have positive effects in the concept of comfort in Saudi private hospitals. For example, the construct of functional service quality appears to have a positive effect in the perception of psychological comfort. The construct of technical service quality, such as staff behaviours, also tends to have a positive effect in the perception of psychological comfort. The social and environmental aspects of hospital life stood out as the only construct that has a positive effect in the perception of physical comfort. While the monetary and non-monetary costs of the service were VII found to have no effect in the perceptions of both physical and psychological comfort. In testing the consequence of the physical and psychological aspects of comfort, it was found that psychological comfort tends to have a positive effect in satisfaction. Finally, the findings showed that the technical dimension of service quality appears to have significant effects in the perceptions of both psychological comfort and satisfaction. This implies that the technical dimension of service quality tends to promote psychological comfort and satisfaction for Saudi patients. The perception of physical and psychological comfort in Saudi private hospitals is also influenced by the roles of the Islamic religion which is based on the holy Quran and Sunnah of Profit Mohammed (peace be upon Him). In addition to the basic dimensions of comfort, these roles can be used to shape the perceptions of the concept of comfort. It may be useful for Saudi private hospitals to direct their efforts towards promoting patients comfort and satisfaction by providing healthcare quality experience that focuses on the functional and technical dimensions of healthcare services, the environmental and social aspects of hospitals and the costs of their services. Data has been collected using an established questionnaire to examine the relationship between comfort, service quality, hospital life and costs.
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Arushanyan, Elena. "Relationship Between the U.S. Air Force Physical Fitness Assessment And Healthcare Utilization." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4957.
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Escalating health care costs in the military health system are not sustainable long term. Regular physical activity has been shown to improve health and reduce health care costs. Military members serving in the United States Air Force (USAF) are encouraged to maintain physical fitness year-round and undergo mandatory physical fitness assessments (PFAs) annually. The purpose of this quantitative correlational study was to determine the nature of the relationship between the timing of the PFA and health care utilization (HU) by active duty service members assigned to the United Kingdom's USAF military treatment facility. Donabedian's framework and the logic process model were used to design the study. Archived fitness and health care utilization data were obtained on 361 military members. Findings indicated a strong, positive correlation between the timing of the PFA and HU, which was strongest during the PFA month. Monthly HU 6 months prior to PFA was compared using a 1-way repeated measures ANOVA. Findings indicated a significant difference between T-1 (PFA month), T-2 (1 month prior to PFA), and T-5 (5 months prior to PFA). Paired-samples t tests demonstrated a statistically significant increase in HU from T-5 to T-2. Although findings are not generalizable, they signal a need for further study to evaluate HU variability between populations, to identify at-risk groups, and to inform health and fitness policies that affect the readiness and retention of military members. The DNP project may promote interdisciplinary collaboration between health care providers and senior military leadership, innovation in health care delivery, and evidence-based and cost-conscious policies.
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Simon, Lisa. "The Relationship between Knowledge Management Tools and Interprofessional Healthcare Team Decision Making." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1939.
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Rising costs and continued risks in patient care indicate that knowledge management (KM) tools have not been fully recognized in healthcare. A case study was conducted to determine how KM tools might support the decision-making process of interprofessional teams. The study was predominately qualitative with a quantitative supplemental component. A questionnaire was used to collect data; this questionnaire contained open-ended questions along with Baggs' Collaboration and Satisfaction about Care Decisions and Anderson & West's Team Climate Inventory instruments. Responses to open-ended questions were reviewed, categorized, and coded as part of the qualitative analysis. Descriptive statistics were completed from Likert scale responses. Participants were selected from existing interprofessional transitional care teams in clinics at a VA hospital; a total of 29 participants volunteered. The framework of decision making and KM was the basis for the study. The research concentrated on interprofessional teams' environment characteristics of trust, collaboration, and sharing. The intended goal of the study was to understand how satisfaction in the delivery of collaborative care decisions and the team climate might influence the success of using or implementing KM tools. Key findings included the importance of communication to support teams' knowledge sharing and collaboration; findings also revealed how the satisfaction in the patient care decision-making process may influence a team's climate for innovation, collaboration, and sharing. These insights may inform the development and implementation of healthcare KM tools. Through the use of KM tools to support clinical decision making, opportunities become available to improve patient care and reduce costs, which lead to a positive social change in minimizing the disparity in the healthcare delivery system.
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Arushanyan, Elena E. "Relationship Between the U.S. Air Force Physical Fitness Assessment and Healthcare Utilization." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10749499.
Full textAbstract:
Escalating health care costs in the military health system are not sustainable long term. Regular physical activity has been shown to improve health and reduce health care costs. Military members serving in the United States Air Force (USAF) are encouraged to maintain physical fitness year-round and undergo mandatory physical fitness assessments (PFAs) annually. The purpose of this quantitative correlational study was to determine the nature of the relationship between the timing of the PFA and health care utilization (HU) by active duty service members assigned to the United Kingdom's USAF military treatment facility. Donabedian's framework and the logic process model were used to design the study. Archived fitness and health care utilization data were obtained on 361 military members. Findings indicated a strong, positive correlation between the timing of the PFA and HU, which was strongest during the PFA month. Monthly HU 6 months prior to PFA was compared using a 1-way repeated measures ANOVA. Findings indicated a significant difference between T-1 (PFA month), T-2 (1 month prior to PFA), and T-5 (5 months prior to PFA). Paired-samples t tests demonstrated a statistically significant increase in HU from T-5 to T-2. Although findings are not generalizable, they signal a need for further study to evaluate HU variability between populations, to identify at-risk groups, and to inform health and fitness policies that affect the readiness and retention of military members. The DNP project may promote interdisciplinary collaboration between health care providers and senior military leadership, innovation in health care delivery, and evidence-based and cost-conscious policies.
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Gill, Elaine Elizabeth. "Why don't we ask people what they need? : teaching and learning communication in healthcare." Thesis, Queen Mary, University of London, 2003. http://qmro.qmul.ac.uk/xmlui/handle/123456789/28571.
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There are numerous empirically described problems of communication in healthcare. The doctor/patient relationship is fundamental to many such problems. The changing nature of healthcare and the doctor/patient relationship is explored in this thesis. An increasing evidence base demonstrates that patient outcomes in healthcarea re directly relatedt o clinical communication. However, more fundamental than patient outcomes is the very nature of personhood and the effects illness has on individual autonomy. A theory of human need provides the foundation for discussion. Autonomy in healthcare is discussed in these terms and is argued as a basic human need. Moreover, human communication is argued as a basic human need using the same theoretic approach. It therefore follows logically that health professionals have the same duties and responsibilities to meet basic human communication needs on the same terms as those for autonomy. The relationship between autonomy and communication is shown to be a reflexive one. A theory of democratic communication is drawn on to describe the type of communication that will meet autonomy and communication needs. This is set in the context of healthcare. Consent in healthcare is used to show how far we have come in meeting communication and autonomy needs. Given the arguments o far it is reasonable to expect medical education to respond to the changing and recognised needs of the users of healthcare. The role of effective communication in medical education programmes is explored. Finally, a strategic approach to organising and delivering a communication curriculum is proffered which tries to meet both the philosophically and democratically argued basic needs. The resulting communication curriculum combines theoretic foundations with a pragmatic approach to the problems of clinical practice. If the approaches in this thesis are followed then communication can no longer be perceived as something doctors do after they have completed other medical tasks. Effective doctors have to be effective communicators in order to meet patients' needs.
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Schneider, Heather B. "The Relationship of Compensation Plans to the Moral Cognizance of the Healthcare Executive." NSUWorks, 2012. http://nsuworks.nova.edu/hsbe_etd/103.
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The primary purpose of this research was to review the relationship between moral cognizance, as defined by the Defining Issues Test, and the compensation plan of a healthcare executive when factors such as licensure, career stage, gender, age, and ethics training were present. The study was conducted on 142 healthcare executives from both a publically traded for-profit hospital corporation and a multi-physician private practice. Analysis of Variance (ANOVA) tests were utilized to test the hypotheses of these moderating variables. The outcome of this study indicates that there is no difference in the relationship of moral cognizance and compensation plan of a healthcare executive when the factors of license, career stage, gender, age, or ethics training are involved. However, the analyses did find some interesting interactions of statistical significance between moral cognizance, as determined by P-score, and the individual factors of license and gender when compensation was not included.
While the results of the study were inconclusive, the study extends Kohlberg's research on cognitive moral development using Rest's Defining Issues Test to healthcare executives. It also contributes to the existing body of literature by introducing the variable of compensation plan to the moral cognizance equation. Future research in the healthcare field in relation to moral cognizance and financial performance will become a necessity as the focus on healthcare as a business continues to grow and society insists the highest values from its providers.
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Urick, Benjamin Y. "Assessing the relationship between pharmacy quality and healthcare cost for a commercially insured population." Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2289.
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Background: In response to high cost and inadequate quality, the healthcare system is in the midst of a transition from paying for volume to paying for value. Billions of dollars could be saved through more effective medication use, and evidence supports the role of the community pharmacist in lowering healthcare cost and improving healthcare quality through medication optimization. Despite this, value-based payment models for community pharmacies are rare, and those that do exist have not been critically evaluated and implementation in a commercially insured population is rare.
Objective: The first objective was to design and test a conceptual model of pharmacy value. The second objective was to evaluate variation in the value community pharmacies provide a commercial insurer by assessing the relationship between attributed patients’ healthcare quality and cost.
Methods: This study used prescription and medical claims data for 2012 and 2013 from a large commercial insurer in Iowa and South Dakota. Patients were attributed to the pharmacy filling the majority of their prescriptions. Pharmacies’ weekly prescription volume and Sunday prescription filling behavior were used as structural measures of healthcare quality. Percent of days covered (PDC) metrics for beta-blockers, statins, renin-angiotensin system antagonists and non-insulin diabetes agents were used as process metrics. Pharmacies were excluded if the denominator for any PDC metric was less than 15. Outcome metrics consisted of a non-trauma, non-cancer, unplanned hospitalization rate and a non-trauma ED visit rate. Cost impact was categorized into pharmaceutical, medical, and total cost of care. High quality pharmacies with typical or low associated costs or low cost pharmacies with typical to high quality were identified as high value and vice versa for low value. All metrics were risk-adjusted using mixed effect models with a random pharmacy intercept. The ratio between observed and expected quality scores was used for quality scoring. Quality outliers were identified by comparing the 95% CI around pharmacies’ risk-adjusted scores to the all-pharmacy risk-adjusted score mean. A t-test was used to assess variation in pharmacy value.
Results: There were 171 pharmacies and 74,581 patients eligible for scoring on all quality metrics. Mixed effects models observed a small but significant impact of pharmacy on process and outcome healthcare quality. No relationship between structures and processes, processes and outcomes was detected. Ten pharmacies were scored as high quality and nine as low quality. Similar numbers were identified for cost outliers, and significant variation in value was detected.
Implications/conclusions: Results support the hypothesis that high and low value pharmacies exist. A well-designed value-based payment model could be used to create incentives for pharmacists to enhance care for commercially insured patients, but validation is needed to ensure that incentives are aligned appropriately.
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Dallas, Theodora. "A mixed method multidimensional approach to exploring patient satisfaction with healthcare in Greece and UK." Thesis, University of Bedfordshire, 2011. http://hdl.handle.net/10547/252376.
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Previous research has examined patients’ level of satisfaction with the care, in an attempt to develop health care services that match patients’ expectations and needs. Nevertheless, there is still considerable debate among researchers over conceptual and methodological issues. This research programme investigated factors that contribute to patient satisfaction with health care in two fairly different European health care systems (the UK’s NHS and Greece’s ESY). A further aim was to develop a scale to assess patient satisfaction and health care evaluations within these two cultural contexts. In order to achieve those aims, a sequential exploratory strategy incorporating, qualitative and quantitative designs was used to explore patient health care evaluations, patient satisfaction, expectations, health care experiences, interpersonal qualities of the doctor-patient relationship and health care contextual factors at both micro and macro level. Three studies were conducted: Studies 1a and 1b examined levels of patient satisfaction with health care delivery in Greece and the UK respectively. More similarities than differences were found between the two samples, but aspects of health system evaluation differed. The data obtained from this study informed the development of the Patient Expectation and Satisfaction Scale (PESS). The psychometric properties of the preliminary version of the scale were subsequently tested in non clinical populations in Greece and the UK (Studies 2a and 2b). The pilot testing of the PESS was based on a proposed theoretical framework suggesting that patients’ expectations depend on the nature of past experiences and current expectations. The variable that influences some of the differences between the two countries is health culture in terms of contextual health care differences. Although findings revealed similarities between the two cultures, differences were found relating to dissatisfaction, health care evaluations, expectations and the quality of the doctor-patient relationship. A revised version of the PESS, based on these findings, was administered to hospital outpatient populations in both countries (Study 3). The Patient Satisfaction and Expectation Model that emerged from this analysis incorporated three levels of patient satisfaction: at the micro level, the macro level and the interpersonal level. The importance of patients’ understanding of professional competence and its salience as a predictor of the effectiveness of the doctor-patient relationship was highlighted. The quality of the doctor-patient relationship emerged as an important determinant of patient satisfaction and adherence. The overall findings of this research programme suggest that patient satisfaction is multidimensional; despite contextual differences between the two health care systems, a universal concept exists that includes health care expectations, health care experiences, interpersonal qualities and aspects relating to operational and organisational structures at both micro and macro level.
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Wood, Anne Akins. "School Nursing and Asthma the relationship between evidence-based practice, best practice and individualized healthcare plans /." Lynchburg, Va. : Liberty University, 2009. http://digitalcommons.liberty.edu.
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Zhai, Xiaoyu. "Understanding the role of the central-local relationship in China, and its impact on healthcare policy." Thesis, University of York, 2016. http://etheses.whiterose.ac.uk/17901/.
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China is a huge country with a big territory and an even bigger population. The issue of how to deal with local government is one that has long vexed the central government of every Chinese epoch. Since the establishment of the People’s Republic of China, China has experienced rounds of decentralization and centralization. The central-local relationship has experienced many changes as well. Thus, there is fierce debate over whether China is still a unitary country or whether it has transformed into a federalist nation. The central aim of this thesis is to provide an examination of the nature of the central-local relationship in Chinese governance, and to provide an understanding of how this central-local relationship affects healthcare social policies in China. Research was conducted cumulatively in three steps. First, it drew a lesson from the variety of literature on arrangement of central-local relations and policy process to build a theoretical context and foundation for this research. Secondly, the research examined whether the central-local relationship in China could be categorized as a federalist system or a unitary system, or whether neither label was suitable. This examination led to an understanding of “de facto federalism”, which provides an institutional description of the central-local relationship in Chinese governance. The examination was also conducted with reference to Paul Pierson’s three characteristics of federalism, namely: reservation of specific powers to constituent units; expression of interests to the centre; and the extent of commitment to fiscal equalization across the states. Thirdly, this research conducted a fieldwork study which included a document study and semi-structured interviews in three different Chinese provinces to examine and explore the nature of central-local relation in China and its impact on healthcare policy. It was observed that the de facto federalism partly captures the nature of central-local relationship from perspectives such as the extent of local autonomy and the reciprocity mechanism within central-local interactions. However, the central-local relationship in China does have many unique features. It is profoundly influenced by the culture of unity, which seems to be the boundary of any reform in China. Meanwhile, China has a long history of non-institutionalized central-local power distribution, which is the result of a “dynamic” central-local relationship. The central government takes more initiatives to change the power distribution within such a dynamic central-local relationship. Indeed, de facto federalism has been constrained by these features. The rise of the “project mechanism” could be regarded as a sign of this dynamic relation and the central government seems to take more and more initiative when dealing with local governments.
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Pavelka, Sarah. "The Relationship Between Hospital Leadership Activities and Clinical Quality Outcomes in Iowa." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2996.
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The Centers for Medicare and Medicaid Services have been working with hospital networks across the United States to improve health care through education and training on clinical best practices and leadership frameworks. Some organizations have failed to reach the high-quality standards of care expected and have adverse patient care outcomes. The purpose of the study was to determine the relationship between leadership actions, funding type, and clinical care outcomes in participating Partners for Patients hospital programs in Iowa. The secondary variable data were provided from a Partnership for Patients contractor, through the Centers for Medicare and Medicaid Services Organizational Assessment Tool. Multiple linear regression analyses were used to determine the relationship between the leadership actions, funding type, and the clinical quality outcomes of catheter-associated urinary tract infections, central line associated bloodstream infections, falls with injury, and venous thromboembolism. The findings demonstrated no statistically significant relationships between leadership actions, such as completing a leadership checklist, incident dashboard, and board involvement in decision making, and the specified clinical care outcomes. There was a statistically significant relationship between leadership actions of completing a root cause analysis for incidents, federal funding type, and the clinical quality outcomes of falls with injury and venous thromboembolism. The results of this study will be shared with Partnership for Patients program leadership to positively impact patient care. The results may be useful as organizations continue to implement best practices to reduce medical errors, save cost, and increase patient safety.
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Bryan-Couch, Francesca A. "Evaluating VA Nurse Acceptance of Virtual Healthcare Technology During the Coronavirus Outbreak." Otterbein University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1619529997857295.
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Auxier, William R. "The relationship of servant leadership attributes to sales performance of salespersons in the healthcare industry in 2011." Thesis, Andrews University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3563464.
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Problem: Servant leadership scholars have claimed that servant-led business organizations are more financially viable, but these claims are based on anecdotal evidence. This quantitative study examines the relationship of servant leadership to revenue generation in business organizations by analyzing the predictability of servant leadership attributes on sales performance. This was accomplished by studying salespersons in the healthcare industry.
Method: One hundred ninety-four study participants completed questionnaires providing quantitative measurements of the seven factors of servant leadership: (a) developing and empowering others, (b) humility, (c) authentic leadership, (d) open participatory leadership, (e) inspiring leadership, (f) visionary leadership, and (g) courageous leadership, utilizing the Servant Leadership Profile—Revised (SLPR). Sales performance was measured by sales ranking within each respective salesperson's company, and broken down into three categories; (a) Top 20%, (b) 21%–40% and (c) 41% and below.
Results: Discriminant function analysis generated two discriminant functions that were significant. The first discriminant function was labeled Voice and had the strongest relationship with the following factors of servant leadership: developing and empowering others, authentic leadership, and visionary leadership. The first discriminant function was a good predictor of sales performance. The second discriminant function was labeled Human Resource Management and had the strongest relationship with the following factors of servant leadership: open participatory leadership, courageous leadership, and inspiring leadership. The second discriminant function predicted membership in the 21%–40% sales-ranking group, mediocre sales performance. One factor of servant leadership, humility, was eliminated as a predictor of sales performance.
Conclusions: Developing and empowering others, authentic leadership, and visionary leadership are good predictors of sales performance. Open participatory leadership, courageous leadership, and inspiring leadership predict mediocre sales performance. Humility was eliminated as a predictor of sales performance. Business leaders with high mean scores for developing and empowering others, authentic leadership, and visionary leadership are likely to have a positive impact on the financial viability of a business organization.
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Marivate, Dennis. "Cost containment strategies and their relationship to quality of care within the South African private healthcare industry." Diss., University of Pretoria, 2010. http://hdl.handle.net/2263/24693.
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The purpose of this research was to understand cost containment strategies used by private hospitals under managed care plans and their relationship to quality of care within the South African environment. The data was collected using a questionnaire consisting of closed questions requesting respondents to rate statements about costs and quality of care, as well as open questions for additional information about costs and quality of care. The study found that managed care has the ability to control costs and that hospitals monitor LOS and prescribe generic medication in order to control costs. The study also found that cost control strategies have a negative impact on quality of care and that hospitals place more emphasis on cost control than quality of care. In addition, large hospitals that enjoy high occupancy rates experienced an increase in patient complaints since the introduction of managed care, compared to small and medium hospitals. The study found that managed care has had a better than average impact on controlling costs and a better than average impact in quality reduction, however the correlation between cost control and quality reduction was negative. Finally, the study found that technology has an impact on rising healthcare costs and that any constraints placed on rising costs associated with technology will have a negative impact on quality of care. CopyrightDissertation (MBA)--University of Pretoria, 2010.
Gordon Institute of Business Science (GIBS)
unrestricted
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Tingstedt, Sandra, and Alexander Esberg. "The International <IR> Framework’s impact on the social and relationship disclosures in the healthcare industry." Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Företagsekonomi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30062.
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Abstract Background and Problem: The altering business world and the growing requests from stakeholders have resulted in the establishment of new reports. These are among others Sustainability reports and Integrated Reporting. On the contrary, traditional financial reports do not consider the significance of intangible assets in modern entities. The social and relationship capital has further shown to be important for firms, especially healthcare companies and pharmaceuticals, but is not as developed as other capitals within the <IR> framework and therefore not always included in annual reports. However too few disclosures within this area could lead to high liabilities. The IIRC launched the <IR> framework year 2013 as a solution, as it gives a more comprehensive view of the reporting entity. Within this framework there are six capitals: manufactured, human, financial, natural, intellectual and social and relationship. Purpose: The purpose of this thesis is to find out how the International <IR> Framework has influenced the reporting of the social and relationship disclosures within the healthcare industry, to compare the reporting of the six medical firms chosen and to examine how the social concerns have been developed over time. Delimitations: This study is conducted over a period of three years, from year 2012 to year 2014. It only examines healthcare companies which use the International <IR> framework and it has solely focus on the social and relationship capital. All other capitals within the <IR> framework are excluded from the study. Method: This study has a qualitative research strategy and is based on information collected from published documents in form of annual reports. The annual reports from year 2010, 2011 and 2012 are used to find social and relationship disclosures and a disclosure scoreboard is used to find similarities, differences and patterns. Empirical Results and Conclusion: It has been found that the aggregated social and relationship disclosures have been reduced over time. The year followed by the release of the <IR> framework was seen to have the least disclosures and therefore conclusion was drawn that the <IR> framework had a negative influence on the social and relationship disclosures. There were also differences among the companies studied both in extent and content. The former could be linked to factors such as size and nationality and the latter could be linked to reputation preservation and legitimacy interests.
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Falkenstrom, Mary Kate. "Exploratory Study of Nurse-Patient Encounters in Home Healthcare: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/45.
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The purpose of this study was to explore nurse-patient encounters from the perspective of the Home Healthcare Registered Nurse. A qualitative descriptive design was used to collect data from a purposive sample of 20 home healthcare registered nurses from Connecticut, Massachusetts, and Rhode Island currently or previously employed as a home healthcare nurse. Four themes and one interconnecting theme emerged from the data: Objective Language; Navigating the Unknown; Mitigating Risk; Looking for Reciprocality in the Encounter; and the interconnecting theme of Acknowledging Not All Nurse-Patient Encounters Go Well. One goal of the study was to propose an empirically informed definition of what constituted a difficult encounter. An important early finding was that the terms difficult patient and difficult encounter were not generally used by study participants. HHC RNs voiced a preference for objective and nonjudgmental language to communicate outcomes of nurse-patient encounters. Three types of HHC RN-patient interactions emerged from the data, with constructive encounters the norm and non-constructive or destructive encounters less frequent. A constructive encounter is when two or more human beings, the nurse on the one side, and the patient, caregiver, or both on the other, interact to achieve a mutually agreed upon outcome. A nonconstructive encounter is when one or more human beings obstruct efforts to achieve at least one positive outcome. A destructive encounter is when one or more human beings direct anger at or physically aggress toward another human being. Strategies to promote reciprocality are routinely employed during HHC RN-patient encounters, but HHC RNs who miss cues that a strategy is ineffective or failed may be at risk in the home. Study data lend support to key concepts, assumptions, and propositions of Travelbee’s (1971) Human-to-Human Relationship Model. Study results provide a foundation for further research to increase the understanding, recognition, and development of empirically derived responses to non-constructive or destructive encounters such that HHC RNs are safe and best able to meet patients’ healthcare needs.