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Ballard, Paul H. "Team building practices employed by senior pastors to build healthy ministry teams." Online full text .pdf document, available to Fuller patrons only, 2004. http://www.tren.com.
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Griffiths, L. J. "Doing team work : talk between professionals in community mental health teams." Thesis, Swansea University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.637172.
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This is a study of two community mental health teams based in Wales. The research was carried out during 1992. It focuses on the regular meetings of the two teams and analysis of transcripts of tape recordings of the meetings. The research may be seen as: (i) a case study in policy implementation and some of the features of multi-disciplinary teamwork which affect the translation of policy into action; (ii) an examination of the nature of teamwork at the interface of health and social services; (iii) a micro-sociological analysis of the production and display of occupational identities in a welfare bureaucracy. Non-participant observation of team meetings and analysis of the transcripts were supplemented by interviews with team members and other significant actors in the delivery of the community mental health services. The division of labour within the teams and the inter-professional relationships between team members were as key organisational events which provide an arena where re-constituting, or resisting, professional dominance in a changed service environment takes place. The study shows how basic decisions about the format of meetings can produce both intended and unintended consequences for the nature of the work teams do, including patient selection and categorisation.
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Torrente, Barberà Pedro. "Engaged work teams in healthy companies: drivers, processes, and outcomes of team work engagement." Doctoral thesis, Universitat Jaume I, 2014. http://hdl.handle.net/10803/396685.
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This PhD thesis analyses work engagement in the context of work teams taking a collective, psychosocial perspective. Throughout this thesis, the following topics will be addressed: 1) the state-of-the-art in the topic of team work engagement, 2) the measurement of team work engagement, 3) the association of team work engagement with other relevant individual-level constructs and how it fits in traditional research models in the field of Positive Occupational Health Psychology, 4) the antecedents and consequences of team work engagement at the team level of analysis, 5) the antecedents of team work engagement at the organizational level of analysis and the development of a multilevel model of work engagement that contributes to a broader understanding of the construct, and 6) discussion of the knowledge achieved throughout this PhD thesis.Aquesta tesi doctoral explora i analitza la vinculació psicològica amb el treball dins d'equips de treball (o team work engagement, en anglès). Pren, per tant, una perspectiva col·lectiva cap al fenomen que havia mancat fins ara. Al llarg de la tesi, fonamentada dins el camp de la Psicologia Ocupacional Positiva, s'adreça: 1) la literatura científica coneguda fins al moment, 2) la mesura del team work engagement, 3) la relació amb constructes de caire individual i el seu encaix amb models tradicionals d’investigació en Psicologia de la Salut Ocupacional Positiva, 4) els antecedents i conseqüències a nivell d’equip de treball, 5) els precursors de nivell superior, és a dir, de nivell organitzacional així com la creació d’un model multinivell que permeta comprendre el fenomen de manera global, i 6) les conclusions derivades d’aquesta tesi doctoral.
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Seshadri, Sridhar B. "How Many Hands Does a Team Have? Developing Ambidextrous Teams in Academic Medical Centers." Case Western Reserve University Doctor of Management / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=casedm1568731826883498.
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Manteiga, Raquel 1963. "Toxic and mutagenic potentials of herbal teas." Thesis, The University of Arizona, 1991. http://hdl.handle.net/10150/292011.
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Three commercially available herbal tea preparations (Weightless, Female Toner, and PMS) and one single ingredient herbal preparation, Chaparral (Larrea tridentata), were sequentially extracted with solvents of decreasing polarity (water, methanol and chloroform) and the crude extracts obtained screened for toxic/mutagenic potentials using the brine shrimp (Artemia sp.), mouse acute toxicity, Salmonella/microsomal mutagenicity, and chicken embryo bioassays. The crude aqueous extract from Weightless Tea was very toxic to brine shrimp larvae and had a cathartic action in mice at the highest concentration tested. While Weightless tea crude water extract was not mutagenic to Salmonella typhimurium TA100 at the concentrations tested, three chromatographic isolates obtained from a silica Gel 60 column were mutagenic to the test organism. Two of these isolates were detoxified after inclusion of a microsomal activation system. The teratogenic potentials of these isolates are unknown as the results obtained from the chicken embryo bioassay were not conclusive.
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Liyanage, Lakshika Sajeevanie. "Social Work in community mental health teams : an ethnographic study with two community mental health teams." Thesis, Durham University, 2012. http://etheses.dur.ac.uk/3512/.
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Within the Community Mental Health Teams (CMHTs) in UK, Approved Mental Health Practitioners (AMHPs) and Mental Health Social Workers (MHSWs) from Local Authority Social Services Department (LASSD) work alongside other mental health professionals from health service backgrounds, promoting a multi-disciplinary model of working. However little is known about the impact of this model on these professionals. This research endeavoured to understand mental health social work interventions in multidisciplinary CMHTs in respect of: 1.The practice of general mental health social work 2.The impact of 2007 MHA on social work practice. 3.Mental Health Act assessments (statutory role) 4.Contributions to interdisciplinary mental health teams 5.Barriers and difficulties in integrated working An ethnographic approach in two CMHTs was employed in drawing upon secondary data, observations and interviews with AMHPs, MHSWs, other mental health professionals and service users, facilitating a rich understanding of the social work role from different perspectives. Bronfenbrenner’s (1977) ‘Ecology of Human Development Theory’ provided the conceptual and theoretical framework for the study, by identifying the different systems social work professionals interact in their practice. The findings reveal tensions in the microsystem (CMHT) on role definition, losing professional identity, difficulties in care coordination and stigma and status of social work professionals. Tensions in the exosystem include: poor collaboration between LASSD and the Mental Health Trust, fragmented relationships between AMHPs/MHSWs and LASSD, difficulties in working in specialist teams and the medical dominance in CMHTs. Findings on the macrosystem reveal impact of policies and legislation on social work professionals’ roles. I intend that these results will contribute significantly to the development and profile of MHSWs and AMHPs, as a professional group, and in turn will improve and develop the quality of social work support within mental health services. This subsequently will improve outcomes for service users, carers and communities.
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Ghag, Jeetender Kaur. "Psychological consultancy in mental health teams." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/19448/.
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Literature Review: Psychological consultation is a common activity in mental health services, but evidence concerning its theoretical grounding, processes, and outcomes are relatively rare. Fifteen mixed method consultation studies were included in the review. Studies were assessed for methodological quality, and found to range from limited to strong. Cognitive behavioural consultation was the main approach used and consultation was most frequently delivered via formulation meetings. Psychological consultation appears to particularly improve staff understanding about clients and consultants should remain visible and accessible to teams. Practical and methodological developments are suggested to the consultation evidence base. Research Report: This empirical study aimed to measure the effectiveness of cognitive analytic consultancy (CAC) offered within a community team and then to explore the possible mechanisms of change. An A-B with follow-up small N case series (N=5) design was used that utilised a mixed methodology employing outcome measures and semi-structured interviews. There were significant improvements in client fragmentation, staff competence and emotional exhaustion, and alliance from a client perspective. Potential mechanism of change included the therapists approach, using the sequential diagrammatic reformulation, and acknowledging that difficult processes helped recovery. Further head-to-head trials comparing CAC to other consultation frameworks appears warranted.
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Hyde, Paula. "Organisational dynamics of mental health teams." Thesis, University of Manchester, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.488405.
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This study explored the extent to which contextual differences affected the organisational dynamics of mental health teams. Organisational dynamics in mental health teams were explored by studying teams with similar primary tasks who worked in differing contexts. A psychodynamic methodology for exploring organisational dynamics was used to explain the operation of mental health teams in terms of psychodynamic theory. Five case studies were conducted in mental health services that were differentiated by their proximity to patients and to the organisation. They were also differentiated by specific differences in patients' level of illness, experience of staff and the facilities provided to do the work. This enabled organisational. dynamics to be related to structural elements of mental health service design. The design of mental health services, for people with severe mental illnesses, has grown to reflect other parts of the health service in terms of service structures whilst the behaviours of staff reflects the psychological difficulties their patients face. Patients experience disturbed intrapsychic boundaries that entail splitting off and projecting of aspects of their ego to the extent that internal processes are experienced as external. Staff split off madness or failure and locate it in the patient so that both groups are caught in a hostile stand off. Organisational defences were enacted in different ways in different parts of the service. The ward offered a high action environment where newly trained staff could feel effective through the administration of medication that was forced if necessary. Staff retreated to the office and their experience was compared to being in a city under siege. The specialist department offered staff more control over their exposure to patients to the extent that very few patients were seen and service ideals went unchallenged. The hostel faced staff with the boredom that results from working with people whose condition goes unchanged over long periods of time. In this environment staff took over daily rituals in place of the residents. The community mental health team were responsible for the wellbeing of their patients although they saw them only for brief periods. They ventured out into unpredictable environments to administer their care. The final case involved a primary care team and this case was used in the consideration of potential effectiveness of new mental health service designs. It was concluded that, without consideration of the impact of changes to service structures on the unconscious processes of the staff, seemingly rational structural changes could have unintended negative consequences on organisational dynamics and therefore on the treatment that patients receive.
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Piek, Hannelise. "Effect of Rooibos preparation on the total polyphenol content and antioxidant capacity of herbal tea and its consumer characteristics." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2476.
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Thesis (MTech (Consumer Science: Food and Nutrition))--Cape Peninsula University of Technology, 2016.Background: The different types and forms of rooibos and the ways in which it is prepared and flavoured for consumption influences its total polyphenol content and total antioxidant capacity (TAC) and hence depends on its consumer practices. Design: Phase 1 of the study entailed the selection and preparation of different rooibos types and forms; rooibos brewed for different times; and with different household and commercially added flavourings to determine the total polyphenol content, TAC, flavonol and flavanol content; and subsequent identification of the optimal cup of rooibos based on the first two biochemical parameters. For Phase 2 a questionnaire was used to obtain information on the profile of the adult rooibos herbal tea consumer, as well as of those consuming the optimal cup of rooibos. Results: The following prepared rooibos samples delivered the higher biochemical parameter content: green / unfermented (type representative); green / unfermented leaves and powdered extract (form representatives); that brewed for 10 minutes or longer; and those with added honey. The optimal cup of rooibos was identified as the one brewed for 10 minutes or longer. The older respondents and those with a lower level of education consumed a higher daily amount of rooibos (p < 0.05) and those who brewed rooibos in a teapot consumed the optimal cup (p < 0.05). However, very few respondents consumed the advised number of cups per day (< 1%) and the identified optimal cup (15.9%). Conclusions: Rooibos consumers in this study did not consume it in sufficient amounts and did not brew it for long enough to fully gain from its attributed health benefits.
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Canda, Bartolomeu David. "Modulation of oxidative stress by rooibos (aspalathus linearis) herbal tea, chinese green (camellia sinensis) tea and commercial tea supplements using a rodent model." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/1506.
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Thesis submitted in fulfillment of the requirements for the degree
Master of Technology: Biomedical Technology
In the Faculty of Health and Wellness Sciences
At the Cape Peninsula University of Technology, 2012Human and experimental animal studies have shown that biomarkers of oxidative damage are elevated in subjects with certain diseases or risk factors. Consequently, it is hypothesized that oxidative stress plays an important role in the pathogenesis of these diseases and that dietary intake of, or supplementation with antioxidants may be protective or be useful therapeutic targets. This study was designed to investigate the modulatory effect of Camellia sinensis (Chinese green tea), Aspalathus linearis (rooibos herbal tea) and the two commercial supplements on the antioxidant status of the liver and kidney of tert-butyl hydroperoxide (t-BHP)-induced oxidative stress male Wistar rats. Rooibos and green tea are beverages well-known for their antioxidant content. Based on the specific beverage consumed, sixty male Wistar rats were randomly assigned into six groups, i.e. fermented rooibos (FRT), unfermented rooibos (URT), Chinese green tea (CGT), rooibos supplement (RTS), Chinese green tea supplement (GTS) and control (CTL). The animals had free access to the respective beverages and standard diet for 10 weeks, while oxidative stress was induced during the last 2 weeks via intraperitoneal injection of 30 μM of t-BHP per 100 g body weight. Among all the beverage and/or supplement preparations, the commercial rooibos supplement had the highest total polyphenol content and antioxidant activity while fermented rooibos, as previously shown, had a lower antioxidant content and potency when compared to its unfermented counterpart. The ability of these beverages and/or supplements to modulate the antioxidant status in tissues was organ specific and varied according to the assessment method. When considering the liver, the intake of unfermented rooibos, Chinese green tea and the commercial rooibos supplement significantly (P<0.05) restored the t-BHP-induced reduction and increased the antioxidant status with regards to oxygen radical absorbance capacity and trolox equivalent antioxidant capacity (TEAC) levels. All the beverages and/or supplements also significantly (P<0.05) enhanced the renal antioxidant capacity as assessed by the TEAC assay. In what may be an indication of decreased oxidative stress, all the beverages were associated with a general decline in activities of the antioxidant enzymes which reached significant levels in renal superoxidase dismutase activity. Generally, the beverages did not impact significantly on lipid peroxidation (LPO) although there were differing trends in the two LPO markers assessed. While thiobarbituric acid reactive substances levels showed a declining trend in both tissues, the conjugated dienes were generally elevated. In conclusion, this study confirms Camellia sinensis and Aspalathus linearis as well as their two supplements as good sources of dietary antioxidants and results demonstrated that rooibos and green tea improved the liver and kidney antioxidant capacity of oxidative stress-induced rats. Their impact on antioxidant status in rats was shown to vary between organs and according to the method of assessment. Hence multi-method, multi-organ assessment may be a more informative approach in in vivo antioxidant studies.
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Blee, Tinemakomboreroashe A. P. "Community mental health team members' perceptions of team formulation in practice." Thesis, University of Lincoln, 2015. http://eprints.lincoln.ac.uk/22338/.
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Objectives: Team formulation is expected to support multidisciplinary team members to work effectively with their clients, meet their clients’ needs and broaden their psychological knowledge. There remains a lack of research evidence regarding the perceptions of team formulation among Community Mental Health Team (CMHT) members. This study addressed the following research questions; (1) what are considered helpful or unhelpful aspects of team formulation? (2) what are the processes or mechanisms that lead to unhelpful or helpful aspects of team formulation? (3) what is the impact of team formulation on professionals’ clinical practice? and (4) what are the factors that may influence these outcomes? Design: An inductive qualitative design was used, utilising a contextualist, critical-realist paradigm. Methods: 12 CMHT members who attended team formulation were recruited from three sites within the British National Health Service. In each site, an individual interview with a clinical psychologist and a focus group with three professionals were conducted. An inductive thematic analysis was used. RESULTS Attendees across the three teams reported that although team formulation was optional, a low priority and outside of their usual way of working, this was engaged by those who perceived a value in it. Participants reported that this process required a safe environment which would not threaten attendees’ job securities; and identified factors that enable this. Although attendees predominately reported helpful aspects of engaging in team formulation, these could also be perceived as unhelpful (apart from validation). The helpful aspects of team formulation involved other professionals’ contributions. Attendees reported that team formulation impacted on their clinical practice by (1) Page 3 of 273 providing alternative ways of working with clients and meeting their clients’ needs and (2) justifying discontinuation of clinical work. Across all teams, participants reported that ideas derived from team formulation, integrated into care plans (CPs) were integral and that these CPs were valued outcomes/products of team formulation. Participants reported that CPs were helpful in justifying attendees’ engagement in team formulation, prioritising ideas and making these achievable, and providing a rationale for professionals to flexibly test ideas. Participants did not report unhelpful aspects of CPs as products of team formulation. There were conflicting perceptions across the teams regarding the factors that influenced the use of CPs e.g., psychologists expected CPs to be used but also reported that this was not required as attendees adopted alternative perspectives. Conclusions: This study found that attendees reported that other professionals’ contributions enabled them to work effectively with their clients and meet their clients’ needs. Attendees did not outline broadening their psychological knowledge as suggested by the professional document published by the Division of Clinical Psychology (2011). This study’s findings suggests that each CMHT may benefit from discussing (1) clear expectations of team formulation, as this process can be perceived as different for attendees, (2) what aspects enable team formulation to be safe and ascertain how this could be achieved, (3) the unhelpful aspects of engaging in team formulation and ways of managing these, and (4) agreeing on their expectations of the outcomes or use of the products of team formulation i.e., are professionals expected to use CPs, adopt alternative perspectives, or both. If CPs are expected to be utilised then CMHTs may require support from their managers.
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Hudson, Paul E. "Defining the role of a genetic counselor within comprehensive care teams: perspectives of the provider team and patients." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523712470448464.
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Martins, Ãlissan Karine Lima. "Culture circles in mental health: perspectives of family health strategy teams." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4293.
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CoordenaÃÃo de AperfeiÃoamento de NÃvel SuperiorA EstratÃgia SaÃde da FamÃlia (ESF) aparece no cenÃrio da saÃde mental como espaÃo estratÃgico para o acolhimento das pessoas em sofrimento mental pela possibilidade de articulaÃÃo de formas de integraÃÃo entre usuÃrio, famÃlia, redes de suporte social da comunidade e serviÃos de saÃde. A realidade, no entanto, ainda demonstra pouca aproximaÃÃo das aÃÃes em saÃde mental na AtenÃÃo BÃsica pelos profissionais, exigindo estratÃgias que visualizem a situaÃÃo e encaminhem propostas de atuaÃÃo. Tais recursos apresentam-se como tecnologias leves de cuidado que viabilizam o âempoderamentoâ dos sujeitos, sendo os cÃrculos de cultura um desses exemplos. Esta pesquisa objetivou possibilitar espaÃo de cÃrculo de cultura quanto à abordagem em saÃde mental sob a perspectiva da equipe da ESF. Pesquisa-aÃÃo desenvolvida junto a 22 profissionais de duas equipes da ESF do MunicÃpio de Juazeiro do Norte â CE - Brasil, utilizando como referencial metodolÃgico os cÃrculos de cultura, propostos por Paulo Freire. A produÃÃo dos dados se deu, inicialmente, por meio de visitas de campo, contando como instrumentos um roteiro de entrevista semi-estruturada e a observaÃÃo nÃo sistemÃtica com registro em diÃrio de campo. Em seguida, foram realizados seis cÃrculos de cultura, nos quais foram abordaram aspectos da integralidade do cuidado em saÃde, do histÃrico da loucura, as novas abordagens em saÃde mental, desde a Reforma PsiquiÃtrica, a interface da saÃde com a doenÃa mental e a integraÃÃo entre saÃde mental e ESF. A anÃlise foi realizada pela triangulaÃÃo dos dados sob o referencial teÃrico da atual PolÃtica Nacional de SaÃde Mental e da Reforma PsiquiÃtrica. Nos encontros com os profissionais, as concepÃÃes sobre a saÃde mental centralizaram-se no adoecimento, determinando aÃÃes fragmentadas e relacionadas ao encaminhamento e prescriÃÃo medicamentosa. Nos momentos subsequentes, os participantes visualizam as relaÃÃes entre a saÃde e a doenÃa mental, entre os fatores sociais, culturais e biolÃgicos imbricados no sofrimento mental, vislumbrando aspectos intersetoriais que trouxessem repercussÃes para a prÃtica. Com isso, os participantes conjecturaram formas de intervir pelo adequado acolhimento da demanda, o reconhecimento das problemÃticas e a organizaÃÃo dos recursos presentes para atuar no sentido da promoÃÃo da saÃde mental, prevenÃÃo de agravos e assistÃncia dos casos de sofrimento mental da comunidade. Os cÃrculos de cultura em saÃde mental permitiram a aproximaÃÃo dos participantes com elementos desconhecidos no campo da saÃde mental, seguida da problematizaÃÃo das demandas locais e reflexÃo quanto Ãs possibilidades de atuaÃÃo com os recursos da comunidade e do serviÃo. Assim, foi possibilitado o âempoderamentoâ dos indivÃduos, por meio da sensibilizaÃÃo diante Ãs questÃes em saÃde mental, fortalecendo os vÃnculos entre a equipe e os conhecimentos para acolher situaÃÃes de saÃde mental como campo de assistÃncia na AtenÃÃo BÃsica.
A EstratÃgia SaÃde da FamÃlia (ESF) aparece no cenÃrio da saÃde mental como espaÃo estratÃgico para o acolhimento das pessoas em sofrimento mental pela possibilidade de articulaÃÃo de formas de integraÃÃo entre usuÃrio, famÃlia, redes de suporte social da comunidade e serviÃos de saÃde. A realidade, no entanto, ainda demonstra pouca aproximaÃÃo das aÃÃes em saÃde mental na AtenÃÃo BÃsica pelos profissionais, exigindo estratÃgias que visualizem a situaÃÃo e encaminhem propostas de atuaÃÃo. Tais recursos apresentam-se como tecnologias leves de cuidado que viabilizam o âempoderamentoâ dos sujeitos, sendo os cÃrculos de cultura um desses exemplos. Esta pesquisa objetivou possibilitar espaÃo de cÃrculo de cultura quanto à abordagem em saÃde mental sob a perspectiva da equipe da ESF. Pesquisa-aÃÃo desenvolvida junto a 22 profissionais de duas equipes da ESF do MunicÃpio de Juazeiro do Norte â CE - Brasil, utilizando como referencial metodolÃgico os cÃrculos de cultura, propostos por Paulo Freire. A produÃÃo dos dados se deu, inicialmente, por meio de visitas de campo, contando como instrumentos um roteiro de entrevista semi-estruturada e a observaÃÃo nÃo sistemÃtica com registro em diÃrio de campo. Em seguida, foram realizados seis cÃrculos de cultura, nos quais foram abordaram aspectos da integralidade do cuidado em saÃde, do histÃrico da loucura, as novas abordagens em saÃde mental, desde a Reforma PsiquiÃtrica, a interface da saÃde com a doenÃa mental e a integraÃÃo entre saÃde mental e ESF. A anÃlise foi realizada pela triangulaÃÃo dos dados sob o referencial teÃrico da atual PolÃtica Nacional de SaÃde Mental e da Reforma PsiquiÃtrica. Nos encontros com os profissionais, as concepÃÃes sobre a saÃde mental centralizaram-se no adoecimento, determinando aÃÃes fragmentadas e relacionadas ao encaminhamento e prescriÃÃo medicamentosa. Nos momentos subsequentes, os participantes visualizam as relaÃÃes entre a saÃde e a doenÃa mental, entre os fatores sociais, culturais e biolÃgicos imbricados no sofrimento mental, vislumbrando aspectos intersetoriais que trouxessem repercussÃes para a prÃtica. Com isso, os participantes conjecturaram formas de intervir pelo adequado acolhimento da demanda, o reconhecimento das problemÃticas e a organizaÃÃo dos recursos presentes para atuar no sentido da promoÃÃo da saÃde mental, prevenÃÃo de agravos e assistÃncia dos casos de sofrimento mental da comunidade. Os cÃrculos de cultura em saÃde mental permitiram a aproximaÃÃo dos participantes com elementos desconhecidos no campo da saÃde mental, seguida da problematizaÃÃo das demandas locais e reflexÃo quanto Ãs possibilidades de atuaÃÃo com os recursos da comunidade e do serviÃo. Assim, foi possibilitado o âempoderamentoâ dos indivÃduos, por meio da sensibilizaÃÃo diante Ãs questÃes em saÃde mental, fortalecendo os vÃnculos entre a equipe e os conhecimentos para acolher situaÃÃes de saÃde mental como campo de assistÃncia na AtenÃÃo BÃsica.
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Rhodes, Eva Ann Bourgeois. "The Effects of Employee Health Promotion Practices of Texas Public School Districts on Costs for Absenteeism, Health Care Premiums, Health Care Claims, and Workers' Compensation Claims." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc279060/.
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Liu, Haixia. "Understanding tear breakup." [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3331277.
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Thesis (Ph.D.)--Indiana University, School of Optometry, 2008.Title from PDF t.p. (viewed on Jul 27, 2009). Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 6715. Adviser: Carolyn G. Begley.
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Kelly, David M. "Redefining the Role of Team Performance in the Team Identification-Social Psychological Health Model." Xavier University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1510831454915257.
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Godfrey, Marjorie M. "Improvement Capability at the Front Lines of Healthcare : Helping through Leading and Coaching." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-21751.
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SUMMARY This thesis addresses improvement capability at the front lines of healthcare with a focus on interprofessional health care improvement teams who provide care and improve care. The overall aim is to explore high performing clinical microsystems and evaluate interventions to cultivate health care improvement capabilities of frontline interprofessional teams. Methods Descriptive and evaluative study designs were employed in the five studies which comprise this thesis. A total of 495 interprofessional health care providers from a variety of health care contexts in the United States (Study I, II, III & IV) and Sweden (Study V) participated in the studies. The mixed methods research included qualitative observation, interviews, focus groups and surveys analyzed with qualitative manifest content analysis. The quantitative data were analyzed with statistics appropriate for non-parametric data. Findings Study I and II describe how leaders who understand health care improvement can create conditions for interprofessional teams to provide care and simultaneously improve care. Study III evaluates adapted clinical microsystem processes and tools successfully adapted in two different hospitals. Frontline staff reported that they needed help to balance providing care and improving care. Study IV and V explored and tested team coaching to help interprofessional teams to increase their improvement capabilities within improvement collaboratives. The participants perceived team coaching mostly positively and identified supportive coaching actions. In Study V an intervention with “The Team Coaching Model” was tested in Sweden and showed increased acquisition of improvement knowledge in the intervention teams compared to teams who did not receive the coaching model. Conclusions The thesis findings show leaders can help cultivate health care improvement capability by designing structures, processes and outcomes of their organizational systems to support health care improvement activities, setting clear improvement expectations of all staff, developing the knowledge of every staff member in the microsystem to know their operational processes and systems to promote action learning in their daily work, and providing help with team coaching using a Team Coaching Model.
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Aviña, Aldo. "A Spatially Explicit Environmental Health Surveillance Framework for Tick-Borne Diseases." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc30432/.
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In this paper, I will show how applying a spatially explicit context to an existing environmental health surveillance framework is vital for more complete surveillance of disease, and for disease prevention and intervention strategies. As a case study to test the viability of a spatial approach to this existing framework, the risk of human exposure to Lyme disease will be estimated. This spatially explicit framework divides the surveillance process into three components: hazard surveillance, exposure surveillance, and outcome surveillance. The components will be used both collectively and individually, to assess exposure risk to infected ticks. By utilizing all surveillance components, I will identify different areas of risk which would not have been identified otherwise. Hazard surveillance uses maximum entropy modeling and geographically weighted regression analysis to create spatial models that predict the geographic distribution of ticks in Texas. Exposure surveillance uses GIS methods to estimate the risk of human exposures to infected ticks, resulting in a map that predicts the likelihood of human-tick interactions across Texas, using LandScan 2008TM population data. Lastly, outcome surveillance uses kernel density estimation-based methods to describe and analyze the spatial patterns of tick-borne diseases, which results in a continuous map that reflects disease rates based on population location. Data for this study was obtained from the Texas Department of Health Services and the University of North Texas Health Science Center. The data includes disease data on Lyme disease from 2004-2008, and the tick distribution estimates are based on field collections across Texas from 2004-2008.
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Severance, Jennifer Jurado. "A Survey of Collaborative Efforts Between Public Health and Aging Services Networks in Community Health Centers in Texas." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc10984/.
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Federally qualified health centers (FQHCs) that harness the reinforcing nature of collaborative efforts with aging services can better prepare for the future of older adult populations. The purpose of this research was to identify collaborative efforts between FQHCs and aging services and distinguish perceptions and knowledge regarding older adult populations. Executive directors, medical directors and social service directors (N=44) at 31 FQHCs across the state of Texas completed surveys measuring structural, procedural and environmental components of the health center setting. The 2007 Uniform Data System and 2000 US Census provided additional data on health centers use and services. Descriptive statistics analyzed independent variables of health center characteristics. Bivariate analysis determined significance of association between independent variables and levels of collaboration with aging services. Results found that all health centers collaborated with at least one aging service, with more informal than formal partnerships. Respondents indicated major barriers to providing services to older adults, including inadequate transportation, inadequate insurance, and limited funding. Respondents also indicated overloaded staff as a major barrier to collaborating with aging services. Aging topics for staff development and perceptions about older adults were also identified. Health center tenure (p=0.005, lambda=1.000), professional tenure (p=0.011, lambda=1.000), leadership in aging services (p=0.002, lambda=1.000), recent gerontological training (p=0.002, lambda=0.500), formal gerontological training p=0.002, lambda=1.000), strategic planning (p=0.002, lambda=1.000), and having older adults on governing boards (p=0.002, lambda= 1.000) were significantly associated with informal collaboration with aging services. Health center tenure (p=0.006, lambda=0.500), leadership in aging services (p=0.004, lambda=0.500), recent training (p=0.010, lambda=0.500), formal training (p=0.005, lambda=0.500), the designation of health center staff older adult services (p=0.025, lambda=0.250), strategic planning (p=0.011, Iambda=0.500), and older adults on governing board (p=0.009, lambda=0.500) were significantly associated with formal collaboration with aging services. In conclusion, FQHCs' efforts at partnering with aging services should include an investment in key staff and board development, the designation of staff to older adult programs, and strategic planning.
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Mitchell, Carolyn Ruth. "Community forensic mental health teams : a Northern Ireland perspective." Thesis, University of Roehampton, 2015. https://pure.roehampton.ac.uk/portal/en/studentthesis/community-forensic-mental-health-teams-a-northern-ireland-perspective(df8a8d53-0384-46cf-a1c9-aad17dbfc4d4).html.
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This is a study investigating, from the perspective of service users, the most effective treatment interventions for mentally-disordered offenders overseen by a community forensic mental health service (CFMHTs) in Northern Ireland. This study researches what works best with mentally-disordered offenders in the context of three psychological models in the field of offender rehabilitation, namely: McGuire’s (1995) ‘What Works’, Ward’s (2001) ‘Good Lives’, and Andrews and Bonta’s (1994) ‘Risk, Need, and Responsivity’ model. This study is unique in that the views of service users, that is, the patient, and the family of the patient, as well as professionals, were sought. Service user views were obtained through undertaking three separate studies involving qualitative and quantitative assessment. Study one involved focus groups with results evaluated by thematic analysis; study two involved administrating questionnaires developed from the focus groups to evaluate specific themes, whilst study three followed up specific issues with semi-structured interviews, the data again analysed by thematic analysis. In study one, service users identified ten key themes as important in the treatment and management of mentally-disordered offenders within the community. Study two explored the significance of the themes for the three service user groups. There were a number of significant differences between groups identified in study two in the areas of risk management and public perception and awareness. The differences are reflective of elements of the ‘Good Lives’ model, such as the importance of the therapeutic relationship. Study three undertook a more in-depth analysis of the questionnaire results, and endorsed the findings from studies one and two. Throughout the three studies the ten themes reinforced the importance of the ‘what works’ literature from the perspective of service users. The one theory, however, which services users appeared to endorse most strongly, is Tony Ward’s ‘Good Lives’ model and this is important for the future work of CFMHTs. The value placed by patients and families on the therapeutic relationship is one of the most significant findings to emerge from this research study and is reflective of the academic literature. The findings of each study have been discussed in relation to existing research in what works with mentally-disordered offenders. Recommendations for improvement in the treatment of this group are identified. The more important of these include: involving the patient’s family in their treatment and risk management; ensuring that a ‘step-down’ approach is adopted when patients move from security to community living; working to reduce stigma and Northern Irish cultural issues that adversely impact a patient’s rehabilitation, and the importance of a positive therapeutic relationship between professional, patient, and families. The research was limited by sample size and difficulty securing questionnaire responses from some professionals on time. Future research could increase the sample size by expanding numbers at a local level to other forensic teams in Northern Ireland. Furthermore, exploring re-offending data from the sample on a longitudinal basis would be informative. Overall, this study highlights the centrality of service users in determining what works best in the treatment and risk management of mentally-disordered offenders.
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Onyett, Stephen Ronald. "An exploratory study of English community mental health teams." Thesis, University of Liverpool, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366247.
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Heel, David. "Fostering team learning within a National Health Service trust." Thesis, Birmingham City University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367470.
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DePuccio, Matthew J. "Examining How Primary Care Team Structures are Used and Their Effect on Cross-Disciplinary Relationships: A Qualitative Study." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6071.
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Team-based primary care is an innovative care delivery model that has the potential to improve access to comprehensive, coordinated, and high-quality patient care. It is understood that in order for primary care teams to work effectively, health care providers must work across disciplinary boundaries and develop strong relationships that enable them to coordinate their roles and expertise. This research investigated how health care providers make use of different team structures (i.e., tools) to manage their interdependent work, enabling them to deliver team-based primary care. This research also examined how team structures influence the intra-team relationships important for coordinating care. By exploring the different ways primary care teams enact team structures, this research identifies ways primary care teams use team structures differently to address the needs of patients and coordinate team-based care.
In-person interviews were conducted at 7 primary care clinics participating in a population health management program in a southeastern city in the United States. Research participants from various health care disciplines (e.g., medicine, nursing, social work) were asked to describe their experiences delivering team-based primary care. Interviews were recorded, transcribed, and analyzed. Data were analyzed using a constant comparative approach in order to investigate how different team structures were used to address the needs of patients and the challenges of delivering team-based primary care.
The data suggested that primary care teams enact structures in different ways. In some teams, huddles were used to anticipate the specific needs of patients and coordinating care, referrals occurred via warm handoffs with co-located providers, and protocols were used to facilitate collaborative problem-solving. In other clinics, huddles were focused on clinic operations, referrals were performed using traditional methods (e.g., phone calls), and protocols were used to guide task delegation. Participants in some clinics described how team huddles were used to leverage high-quality relationships by fostering respectful interactions between team members. More research is needed to determine whether the use of patient-focused huddles, warm handoffs, and protocols that initiate problem-solving is associated with better patient outcomes, particularly for patient populations with complex medical and non-medical needs.
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Gracia, Grau Esther. "Effective & Healthy Teams: The Positive Performance Process Model in Service Organisations." Doctoral thesis, Universitat Jaume I, 2010. http://hdl.handle.net/10803/10531.
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Esta tesis doctoral se sitúa dentro de la perspectiva de la Psicología Positiva cuyo objetivo es alcanzar el estado óptimo de las personas, grupos y organizaciones. Particularmente se centra en el contexto organizacional y del trabajo. Durante estos últimos años, el estudio de la Salud Ocupacional ha aumentado y mejorado exponencialmente. Sin embargo, a pesar del uso creciente de estructuras grupales en las organizaciones, estas aproximaciones teóricas se centran principalmente en estudiar la relación individual de la salud ocupacional y su efectividad en el trabajo. El objetivo de este trabajo es estudiar el desarrollo de equipos saludables y eficaces a lo largo del tiempo en organizaciones de servicios. Para ello, se intenta profundizar en el conocimiento de cómo la efectividad en el servicio puede ser explicado por el desempeño grupal, el cual es desarrollado a través unas condiciones organizacionales positivas (estructurales y ambientales) y mejorado por los estados emergentes positivos (afectivo-motivacionales y cognitivo-competentes) producidos durante la interacción grupal. A su vez, se trata de mostrar como la efectividad grupal puede explicar estados emergentes positivos futuros. Este objetivo se desarrolla por medio de cuatro estudios que se incluyen en la tesis, los cuales presentan sus propios objetivos y, consecuentemente, implicaciones teóricas, metodológicas y prácticas que se complementan. El primer estudio explica las consecuencias positivas que los equipos orientados al servicio pueden producir en sus clientes. El segundo estudio se centra en estudiar el poder de determinados recursos organizacionales y grupales de los empleados para alcanzar la efectividad en el servicio percibida por los clientes. El tercer trabajo amplia los resultados del segundo estudio sobre la importancia de los recursos grupales para alcanzar dicha efectividad. Finalmente, el estudio cuarto es un estudio longitudinal que muestra que los facilitadores como recursos ejercen una influencia directa en la efectividad percibida por los clientes, los cuales producen una influencia reversa positiva sobre los estados emergentes de los empleados.
Junto a estos capítulos, se proporciona una serie de implicaciones teóricas, metodológicas y prácticas haciendo especial hincapié en la importancia de tener en cuenta el contexto en la investigación, debido a su influencia en todos los aspectos a estudiar, en la necesidad de ampliar el estudio de los equipos debido a que es una estructura laboral muy utilizada y en la importancia de estudiar la salud ocupacional de estos equipos de forma positiva, de tal manera que se desarrollen nuevas formas de trabajo que no solo mejoren el rendimiento de los equipos sino que a largo plazo sean capaces de mantener e incluso mejorar los estados emergentes positivos.
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Claydon, Leica Sarah. "Electrostimulation (TENS) in healthy humans: effects of different frequencies, intensities and stimulation." Thesis, Keele University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486018.
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Aim: To investigate the efficacy of transcutaneous electrical nerve stimulation (TENS) parameter combinations (defined in terms ofintensity, frequency and stimulation site) on experimental pain models in healthy humans. Methods: A systematic review ofthe literature was conducted. This served to inform th~ design ofthe primary studies, which investigated the simultaneous applications of TENS at two sites using different parameter combinations. Randomized, doubleblind, parallel-group, placebo-controlled trials were employed using repeated measurements ofpressure pain threshold. The sample size was defined so as to provide 80% statistical power, at a two-tailed 5% significance level, to detect a large effect (~ 0.08), comparing each parameter combination to both aplacebo group and a control group. Results: Systematic review evidence did not support the use ofcommonly applied TENS applications, such as 'Conventional TENS' and 'Acupuncture-like TENS'. Results ofthe primary studies results revealed, that the concurrent application (TENS at two sites) of such modes (Segmental 'Conventional TENS' and extrasegmental 'Acupuncture-likeTENS') does not achieve maximal hypoalgesia. In concurrent TENS applications, high-intensity TENS is required for maximal andprolonged bypoalgesic responses, along with different frequencies at ea.ch site. Furthermore, continuous stimulation is recommended, the alternating frequency pattern (3 seconds 4H.z13 seco,nds 110Hz) did not achieve optimal effects. Conclusions: Ineffective responses to TENS may be explained in part by inadequate TENS parameter applications. The results ofthese investigations further contribute to the evidence base concerning the hypoalgesic efficacy of this modality.
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Hermary, Martin Ted. "An analysis of the "team" concept in the health care literature /." Thesis, McGill University, 1991. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61091.
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This thesis provides an account of the discussions of the "team" concept in health care literature since the early 1920s. It is argued that by adopting a historical, social constructionist stance, this thesis makes an original contribution to the literature. The research consisted of an inductive analysis of the "team" literature aiming to typify the ways in which the "team" concept has been constructed and historical, national or professional differences which have occurred. Historically, claims about "teamwork" in health care have occurred in four phases: (1) a statement of basic issues and themes; (2) the emergence of ideas of flexibility and adaptability; (3) a period of optimism; and (4) the co-existence of positive, sceptical, and critical claims. The professional and national differences in claims-making activities are also discussed. The least challenged claims about, and recent re-evaluations of, the "team" concept are also discussed. (Abstract shortened by UMI.)
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Kemp, Linzi J. "Organisational team : modern and postmodern perspectives of primary health care." Thesis, Manchester Metropolitan University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271244.
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Amini, Reza. "Health-related Quality of Life and Social Engagement in Assisted Living Facilities." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804930/.
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This research project aims to clarify the factors that impact successful aging in Assisted Living facilities (ALFs) in Denton County, Texas. We hypothesize that social disengagement decreases physical and mental components of quality of life. This exploratory research project employed standardized questionnaires to assess residents in the following domains; HRQOL, social engagement status, level of cognition, depression, and the level of functioning. This study collected data from 75 participants living in five ALFs. The average of Physical Component Scale (PCS) and Mental Component Scale (MCS) was 35.33, and 53.62 respectively. None of the participants had five or more social contacts out of facilities, and two-third of them had two or less social contacts. On average, those participants who were more socially engaged had higher score of MCS compared with disengaged counterparts. The level of physical function significantly affects social engagement, when people with more disabilities are more likely to be socially disengaged. Social engagement and depression significantly impact MCS, when depression is a mediating factor between social engagement and mental component of quality of life. Considering the expansion in aging population in the United States within the next three decades, the demand for high quality long-term care will skyrocket consequently. This study reveals that external social engagement can sustain HRQOL of residents in assisted living facilities.
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Lee, Kyuboem. "A manual for developing a healthy multiethnic leadership team for urban church planting." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p036-0368.
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Smeltzer, Krista. "Implementation of an elementary school-based action team for active and healthy living." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=112516.
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The purpose of this study was to describe and evaluate the process of implementing an elementary school-based action team dedicated to increasing physical activity and healthy living opportunities for students. To facilitate this intervention, Epstein and colleagues' (2002) partnership framework, coupled with action research principles, was used to create partnerships between the school, home, and community. The results suggest that an action team based on Epstein and colleagues' guidelines may be suitable for creating opportunities for healthy and active living in an elementary school setting. In particular, families, students, teachers, and administration believed that the action team initiatives added to the school environment, school spirit, and value of the family as an essential component in the school. Likewise, the action team members felt that the health and wellness committee they represented was a valued component in the school culture that could be further developed and improved on in future years.
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Mukiapini, Shapi. "Baseline measures of Primary Health Care Team functioning and overall Primary Health Care performance at Du Noon Community Health Centre." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/24504.
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Background: The importance of effective team work for improving quality of care has been demonstrated consistently in research. We conducted a baseline measure of team effectiveness and a baseline measure of primary health care performance. Aim: To improve Primary health care team effectiveness and ultimately the quality and user experience of primary care at Du Noon Community Health Centre. (CHC) Setting: Du Noon CHC in the southern/western substructure of the Cape Town Metro district services. Methods: A cross sectional study using a combination of Nominal Group Technique (NGT) method and a questionnaire survey to assess PHC team effectiveness and to obtain baseline measure for Primary Health Care (PHC) organization and performance. Results: Data from 20 providers from the primary health care team, showed that the PHC team members perceived their team as a well functioning team (70% agreement on the 7 items of the PHC team assessment tool, incorporated in the ZA PCAT. The NGT method reveals that communication and leadership are the main challenges to effective team functioning, The NGT also provides ideas on how to deal with these challenges. Data from 110 users and 12 providers using the ZA PCAT: 18.2% of users rated first contact-access as acceptable to good; 47,3% rated ongoing care as acceptable to good. The remaining subdomains of the ZA PCAT were rated as acceptable to good by at least 65% of the users. 33% of the providers (doctors and clinical nurse practitioners) rated first contact-access as acceptable to good; 25% rated ongoing care as acceptable to good, the remaining subdomains of the ZA PCAT were rated as acceptable to good by at least 50% of providers. First contact-access received the lowest acceptable to good score (18.2%) and comprehensiveness (service available) received the highest score (88.2%) from the users. For the providers the lowest acceptable to good score was for ongoing care (25%) and the highest acceptable to good score was for primary health care team (100%). The total primary scores are good (above 60%) for both users and providers but moderately higher for the providers. Conclusions: How teams perceive their effectiveness can motivate them to generate ideas for improvement. There were discrepancies between ZA PCAT (PHC team functioning) results and the NGT method results. The ZA PCAT (8 pre-existing domains) baseline results show a contrast between providers' and users' perceptions of the PHC system at Du Noon consistent with the finding of the Western Cape ZA PCAT study. We encourage Du Noon CHC to use these results to improve the user experience of primary health care services there.
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MacNaughton, Kate. "The Dynamics of Role Construction in Interprofessional Primary Health Care Teams." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23544.
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This qualitative study explores how roles are constructed within interprofessional health care teams. It focuses on elucidating the different types of role boundaries, the influences on role construction and the implications for professionals and patients. A comparative case study was conducted with two interprofessional primary health care teams. The data collection included a total of 26 interviews (13 with each team) and non-participant observations of team meetings (2-3 meetings at each site). Thematic analysis was used to analyze the data and a model was developed to represent the emergent findings. The role boundaries are organized around interprofessional interactions (autonomous-collaborative boundaries) and the distribution of tasks (interchangeable-differentiated boundaries). Salient influences are categorized as structural, interpersonal and individual dynamics. The implications of role construction include professional satisfaction and more favourable wait times for patients. The elements in this conceptual model may be transferable to other interprofessional primary health care teams. It may benefit these teams by raising awareness of the potential impact of various within-team influences on role construction.
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Anderson, George. "Crisis resolution and community mental health : an ethnography of two teams." Thesis, Durham University, 2006. http://etheses.dur.ac.uk/2786/.
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"Crisis Resolution" teams are a growing element of community mental health services in the England. The Department of Health intended to have 335 services established by the end of 2004 and had in fact achieved a total of 343 by mid 2005. This study focuses on two such crisis teams operating in the north east of England and aims to describe important features of their routine work. Using a fusion of observation and discourse analysis (the latter based on audio recordings made during team meetings and interviews with team members), areas such as multidisciplinary team working, expertise, user involvement and the understanding of mental health crisis itself are subjected to scrutiny, discussion and analysis. The study was funded as an ESRC CASE studentship. A variety of professional expertise comes into play in the formation of any multidisciplinary community mental health team. How these disciplines interact when delivering crisis resolution is a key focus of the study in hand. Both teams are made up of the same professional disciplines; medicine, nursing, and social work. In addition, support workers are present in both teams. This research examines the interaction of these disciplines and roles, the possibility and actuality of conflict between them and the various ways in which individuals work together to create a team. While Department of Health guidelines deliver a referral criteria with a definition of the constituents of a mental health crisis, this definition is general and cannot describe the numerous interpersonal processes involved in accepting a referral. Hence, the nature of mental health crisis itself is debatable. The study examines a variety of ways in which "crisis" is constructed and understood. Also, the practice of crisis resolution does not simply involve the work of mental health professionals; it also involves the input of the mental health service users themselves. "User involvement" is a phrase that commonly appears in contemporary Health Service literature. This study seeks to describe what this phrase actually means in the day to day delivery of the service.
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Azevedo, João Rolando Brás. "Geographic information systems applied to patient distribution for Family Health Teams." Master's thesis, Faculdade de Medicina da Universidade do Porto, 2011. http://hdl.handle.net/10216/62217.
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Brinkley, Andrew J. "Promoting individual, organisational and group health through workplace team sport participation." Thesis, Loughborough University, 2017. https://dspace.lboro.ac.uk/2134/32138.
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Working age adults are at a high risk of inactivity, a modifiable behaviour associated with non-communicable illnesses, premature mortality, and diminished organisational health. Limited evidence has investigated the promotion of workplace team sport. This research utilised mixed methods to investigate the efficacy and feasibility of providing workplace team sport. Study one synthesised the evidence examining the efficacy of workplace team sport. Study two used interviews to understand the facilitators and obstacles influencing participation. In study three, a 12-week team sport intervention programme for the workplace, was implemented, using a quasi-experimental design, and evaluated for its impact on individual (e.g., fitness), social-group (e.g., relationships) and organisational (e.g., productivity) outcomes. The intervention was underpinned by self-determination theory. A RE-AIM process-evaluation (Study four) was conducted to assess delivery and impact. Workplace team sport participation is influenced by intrapersonal, interpersonal, organisational, environmental and societal factors. A participatory approach and needs-supportive environment may alleviate these challenges. Findings indicate participation in workplace team sport has benefits for individual, social group and organisational health. VO2 Max (+4.5 5.80 ml/kg/min), PA duration (+154.74 minutes) and communication (+3%) significantly improved over 12-weeks in the intervention group. Qualitative evidence indicates workplace team sport has benefits for employees and the organisation (e.g., behaviour change, wellbeing, relationships and productivity). Efficacy and implementation of the programme were highly successful. The adoption and maintenance of the programme were moderately successful. The reach of the programme was less successful. In conclusion, team sport is a mode of workplace PA, with a high degree of efficacy, and should be considered by employers and external stakeholders promoting health within the workplace. Future research should continue to examine the promotion of workplace team sport over the long-term.
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Azevedo, João Rolando Brás. "Geographic information systems applied to patient distribution for Family Health Teams." Dissertação, Faculdade de Medicina da Universidade do Porto, 2011. http://hdl.handle.net/10216/62217.
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Mickan, Sharon. "Understanding effective teams in healthcare environments /." St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16088.pdf.
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Satterstrom, Patricia. "How Micro-Processes Change Social Hierarchies in Teams." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:32744408.
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Social hierarchies can prevent teams from hearing and using all of their members’ contributions. They are also ubiquitous and difficult to change, reinforced by conscious and unconscious factors as well as social-structural systems. Social hierarchies in teams, however, can and do change. This dissertation diverges from recent research focused on the stability of social hierarchies to argue that social hierarchies in teams can become more dynamic over time; it also explores why and how this shift comes about and how it impacts team member relationships and interaction patterns. In chapter 2, “Toward a more dynamic conceptualization of social hierarchy in teams,” I theorize about the antecedents and processes that allow teams to shift their social hierarchy, focusing on the importance of socialized schemas, identity, emotions, and behaviors. Chapters 3 and 4 draw from a 31-month ethnographic investigation into these processes in three multidisciplinary “change teams” in primary health care clinics. These teams were specifically charged with moving their organization toward a more dynamic social hierarchy to remain competitive in their industry. I studied how team members did this within their own team. In chapter 3, “Microwedges: Moving teams from rigid to dynamic social hierarchy,” I identify and theorize about the process through which an extra-role behavior, over time, helps to create cognitive changes in team members, prompting them to change their task strategies, role responsibilities, and communication patterns to promote dynamic social hierarchy in the team. Chapter 4, “The changing nature of social hierarchy and voice” follows a change team on a weekly basis over 22 months to document a shift to dynamic social hierarchy and to theorize about the relationship between social hierarchy and voice and silence via “opening” and “closing” behaviors and the team conversation structure. My dissertation extends and generates theory about social hierarchy and voice. It introduces the concepts of dynamic social hierarchy and the microwedge process to further our understanding of how teams and their members change over time. It also has practical implications for how team members can engage with the social hierarchy in which they are embedded, alter their teams’ processes, and help their organizations rethink entrenched assumptions about the capabilities and preferences of their members.
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Baker, Diane. "Does team patient care mean better patient outcomes?" Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10161771.
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Traditional patient care in the U.S. has been fragmented and redundant, resulting in high healthcare costs and poor patient outcomes. New team patient care models are being attempted to improve outcomes and lower the cost of care. Models of integrated and coordinated care, including the Patient-Centered Medical Home model, have demonstrated some improvements, especially for chronically ill patients. Membership in a Health Maintenance Organization (HMO) and presence of a diabetes diagnosis is tested and results for the chronically ill are discussed.
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Cecil-Riddle, Kimberly. "Nurses' Knowledge and Perceptions of Rapid Response Teams in a Psychiatric Facility." Thesis, Walden University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3633624.
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Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. A quantitative descriptive design was implemented with a convenience sample of nurses using a 4-part questionnaire. Of the 64 surveys distributed on 5 wards, 59 were completed for a response rate of 92%. Descriptive statistics were used to analyze nurse responses to demographic data and background data. A Chi-square statistic was calculated to investigate the relationship between RN and LPN responses to the Likert Agreement Scale; no significant difference in responses was found. Open-ended questions allowed nurses to comment on their role and position during a code. The comments were sorted into categories of reoccurring themes. Results suggested that nurses need to understand signs of behavioral escalation and strategies to deescalate a potentially volatile patient. Nurses commented that knowledge during a code, reasons for calling a code, and good communication skills are essential in code situations. Findings from this project can benefit nurses who work psychiatric emergencies by underscoring the need to development of psychiatric rapid response teams and to update current standards of inpatient care.
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Csekitz, Jill Diane. "Monitoring Watershed Health in the Upper Trinity River Basin, North Central Texas." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc935823/.
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This study conducts watershed analysis using biological and geo-spatial techniques. Incorporating landscape features with biological attributes has been shown to be an effective method of monitoring environmental quality within watersheds. In situ biomonitoring using the Asiatic Clam, Corbicula fluminea, habitat suitability, and water quality data were evaluated for their potential to describe ecological conditions in agricultural and urban areas within the Upper Trinity River watershed. These data were analyzed with GIS to identify effects of land use on ecological conditions. C. fluminea downstream of point source effluents was effective detecting in-stream toxicity. Ambient toxicity appears to have improved in the Trinity, although urban influences limit aspects of aquatic life. No association between habitat quality and land use was identified.
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Young-Murphy, Lesley. "A social and cultural exploration of health visiting and nursery nurse teams." Thesis, University of Newcastle Upon Tyne, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430343.
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Atkins, Shana, Robert M. Tolliver, Karen Schetzina, and Jodi Polaha. "Using Champion Teams to Achieve Behavioral Health Integration in a Pediatric Clinic." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6548.
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Laiquzzaman, Mohammad. "Inter-relations between eyeblinking, tear film and corneal health in older people." Thesis, Glasgow Caledonian University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322281.
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von, Michaelis Carol. "Health Care Team Members' Perceptions of Changes to an Electronic Documentation System." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2701.
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Policy makers view electronic medical records as a way of increasing efficiency in the U.S. health care system. However, hospital administrators may not have the clinical background to choose a documentation system that helps the health care team safely increase efficiency. The purpose of this case study was to examine health care team members' attitudes and perceptions of quality of care and efficiency amid a documentation system change. The theory of change was the theoretical foundation for the study. The 6 research questions were designed to elicit information about what the health care team experienced when a documentation system changed and how the change affected health care workers' stress level, chance of medical errors, ability to deliver quality care, and attitudes about hospital efficiency. Semi-structured interviews were conducted with the 15 members of a health care team who volunteered from the group and met the inclusion criteria for the study (i.e., employed during the documentation system change). The participants represented all aspects of the health care team to create a bounded case. The interview responses were hand coded to find common themes among the participants. Most participants revealed that the implementation of the new system increased their efficiency and the quality of care they offered to patients. Participants felt that the training and implementation of the system was inadequate and not specific enough for their group. By providing health care administrators with more information about the health care teams' perceptions during a change in documentation systems, they may be able to improve implementation of a new system, creating more sustainable change with less negative impact.
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Quigley, Timothy. "The Hostage/Crisis Negotiation Team Member's Perception of the Mental Health Professional." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5253.
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Hostage/crisis negotiation has been described as a complex verbal dance between the negotiator and the subject. While one of law enforcement's most effective tools and most significant developments in law enforcement and police psychology over the past several decades, the acceptance of mental health professionals (MHP) on a hostage/crisis negotiation team is ambiguous. This study examined how mental health professionals working with hostage/crisis negotiation teams are perceived, if there is positive small group socialization within teams, whether the outcome of incidents is affected by designation of the MHP as a team member versus a consultant, and whether prior law enforcement experience influences team members' perception of the MHP. A comparative research design was utilized and data were collected from 362 hostage/crisis negotiators using the Hostage/Crisis Negotiation and Mental Health Professional Questionnaire. Independent sample t tests indicated that MHPs designated as team members scored higher on the Small-Group Socialization and Perception scales than those designated as consultants. Results indicated that MHPs with law enforcement experience were perceived more positively than those without. The type of MHP designation showed no significant effect on incident outcome. This study's outcome may produce positive social change in that the results will enhance and promote ideas and cohesion that involves the unity of the MHP and their law enforcement team members in a field that focuses in on preservation of human life in the worst possible conditions, with positive implications for the team, hostages, victims, communities, and even the individual in crisis.
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Morriss, L. "Accomplishing social work identity in interprofessional mental health teams following the implementation of the Mental Health Act 2007." Thesis, University of Salford, 2014. http://usir.salford.ac.uk/30876/.
Full textAbstract:
The main objective of the thesis was to explore how social work Approved Mental Health Professionals accomplished social work identity when seconded to Mental Health Trusts. The project has examined the identity work that the social workers engaged in as they located themselves within interprofessional interagency community mental health teams. Insights from ethnomethodology and conversation analysis have been used to examine the interview data. Following Wieder (1974), the findings chapters are presented in two parts. In the first part, the focus is on the interviews as a resource and thus there is a more traditional reporting of what the social workers talked about in the interviews. Throughout the interviews, the social workers were concerned to delineate what was ‘real’ social work. Real social work was depicted as involving autonomous work in the community with mental health service users; this is the ‘authentic realm of social work’ (Pithouse 1998 p.21). Social work identity was portrayed as intrinsic to the self with congruence between personal and professional identity and values. However, the social workers struggled to define social work. Instead of having a clearly defined role, social work was depicted as intangible; as being without clear margins and boundaries, filling in the gaps left by other professions. Notions of ‘dirty work’ (Hughes 1948) and the implications of being seconded to a Health Trust are also discussed. The analytic focus shifts in the second part to the interview as a topic, specifically to how social work identity was accomplished within the interview as interaction. Matters such as being a member, the part played by the use of humour in the interviews, and the interaction as a research interview are explored. Finally, there is an examination of how social work identity was accomplished through the telling of atrocity stories.
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Tetteh, Dinah A. "Stories of Teal: Women's Experiences of Ovarian Cancer." Bowling Green State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1463061941.
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Cunningham, Gerard. "Community mental health teams in Northern Ireland : how are they organised?; are service users satisfied?" Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252426.
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Tesařová, Markéta. "KPMG - Podnik podporující zdraví." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-193636.
Full textAbstract:
Man sacrifices his health in order to make money. Then he sacrifices money to recuperate his health. (Dalajláma) The wealth of business depends on the health of workers. (Dr Maria Neira, Director, Department of Public Health and Environment, World Health Organization) The aim of the thesis on the topic "KPMG -- a healthy workplace" is to analyze the current state of KPMG as the Company supporting health. The thesis suggest changes to be improved in the future - and a long-term strategic plan. Using the method of analysis of the state were discussed several factors that affect the health of employees in the workplace. The author of the thesis advanced in the analysis through the "Quality Criteria for Healthy Workplace," which were created by the National Health Institute for the title of Health Promoting Enterprise. In conclusion of the thesis the author proposes a health promotion plan (Health Plan) and submits the possible path KPMG might take if it seeks to establish a clear Health Plan which could become a fixed part of the enterprise's business goals and values.