Dissertations / Theses on the topic 'Hospitable'
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Bowes, Neil Simon. "Towards an ethics of voice as hospitable space." Thesis, University of Central Lancashire, 2007. http://clok.uclan.ac.uk/21790/.
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This thesis is a reflection upon two instances of practice- as-research, emerging through the performativities of responses to two invitations: to sing and record a note with me in unison, and to spend a Sunday with Me in a place of your choosing, documented through audio-visual recordings. As the thesis progresses, I will describe a movement from performance and recording in experimental voice practices to a conception of voice and the recording as spatial practices. In the last chapters I will describe a movement away from voice as a disciplinary practice, toward a conception of listening described in our movements through place (which redescribes movement as place). Through these progressions, this research examines possible correlations between performance practices and the ethical philosophy of Emmanuel Levinas (1905-1996) and other relevant philosophical disciplines, such as Hans-Georg Gadamer (1900-2002) and Richard Rorty's (1931-2007) hermeneutics. Levinas' ethics were founded upon a distinction between the structure of the face-to-face, or ethical relationship, and the structure of intentional knowledge described in Husserlian phenomenology. This thesis argues that in response to Levinasian ethics, the criticality at work in performance might be rephrased in terms of welcome and hospitality to others. The methods developed here concern an ethos of renewable propositions, through which 'knowledges' become open to question, unstable, provisional, contingent. The research enacts a process of returning and beginning-again, first formalised by writer and philosopher Maurice Blanchot, as a disserninative and exegetical strategy. The first invitation, One Note, used the medium of sound installation, voice and recording, to develop a method of performance documentation based upon context-specific face-to-face encounters. Whilst Levinasian ethics conceives discourse - or more specifically, spoken conversation - as an ephemeral, episternically unstable encounter, One Note developed compositional sensibilities to enact renewals of questioning intended to destabilize fixed outcomes. The second invitation Sunday with Me, de-formalised 'voice' as a disciplinary practice, and examined how guiding and being guided through might constitute a form of (or response to) Levinas' ethical faceto- face encounter, reconsidering performance research as field of infinite encounter with others, conceived in terms of singular articulations of welcome.
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Gonzalez, Christopher Thomas. "Hospitable Imaginations: Contemporary Latino/a Literature and the Pursuit of a Readership." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1343808330.
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Iglesias, Marisa Carmen. "Hospitable Climates: Representations of the West Indies in Eighteenth-Century British Literature." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6516.
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British expansion to the West Indies in the eighteenth-century resulted in vast economic growth for the British Empire and a rise in literature set in the region. Examining the literature allows for an in-depth exploration of how the Caribbean has become associated as a place of relaxation and escape though its early history of colonialism is fraught with violence. My study builds on the understanding of the Caribbean region in the eighteenth-century and utilizes hospitality theory to articulate the role that cultural exchange and physical setting play in the texts and in the formation of national identity, both in the West Indies and in England.
Using hospitality theory to explore how power shifts between the guest/host/witness, I explore the influence of literature on eighteenth-century perceptions of this region through an examination of the patterns that develop through prose fiction, drama, and poetry. Section one includes Aphra Behn’s Oroonoko (1696), Daniel Defoe’s Robinson Crusoe (1719) and William Pittis’ The Jamaica Lady (1720). I argue that Behn’s work establishes narrative patterns that uncover what eighteenth-century travelers imagined in the West Indies—the host welcomes the outsider, the land serves as witness, and the arrival of the guest initiates a realignment of the British subjectivity—and show how these patterns reappear in the later works of Defoe and Pittis. In the section two, I show that the theatre creates a shift in these categories as a direct result of space, performance, and shared experience through my readings of Thomas Southerne’s Oroonoko (1696), Richard Cumberland’s The West Indian (1771), and John Gay’s Polly (1728). The final section focuses on the poetry of James Grainger, Nathaniel Weekes, and Francis Williams, revealing the tropes that emerged and demonstrating how the Caribbean land is visualized as a welcoming space. I argue that these genres work together to generate images of the tropics in the eighteenth-century British mindset and provide a foundation for the way we have come to imagine this region today.
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Nielsen, S. R. "Metastasis-associated macrophages orchestrate the formation of a hospitable metastatic niche in pancreatic cancer." Thesis, University of Liverpool, 2017. http://livrepository.liverpool.ac.uk/3007527/.
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Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers with an overall 5-year survival rate < 5%, a rate that has not improved for a long time. The dismal prognosis for PDAC is part due to late detection, often at advanced stages of the disease where patients have developed distant metastases, but also due to chemotherapeutical resistance. Patients eligible for surgical resection of the pancreatic tumour has the best prognosis, but even when resection is successful, patients often relapse with distant metastases within 2 years after surgery. Macrophages promote tumourigenesis and enhance metastasis in many cancer types; however, the role of macrophages in PDAC metastasis is poorly understood. Using an experimental mouse model of liver metastasis, we find that PDAC liver metastasis critically depends on the early recruitment of granulin-secreting metastasis-associated macrophages (MAMs) to the liver that promote metastatic colonisation. Mechanistically, we demonstrate that granulin secretion by MAMs activates resident hepatic stellate cells (HSTCs) into myofibroblasts that secrete extracellular matrix components, including periostin, resulting in a fibrotic microenvironment that sustains metastatic tumour growth. Disruption of MAM recruitment in PI(3)Kγ-deficient mice, chemical depletion of MAMs from established lesions or genetic ablation of granulin reduces HSTC activation and liver metastasis. Adjuvant CTX is standard for patients after surgical resection to eliminate any residual cancer cells, and it improves survival for patients after resection. We find that 45% of mice with metastatic lesions respond to gemcitabine treatment with a reduction in metastatic burden. The metastatic lesions in these mice are characterised by a reduction in αSMA+ myofibroblasts. HSTCs do not seem to promote cancer cell survival in the presence of chemotherapy, but rather constitutes a protective niche that promotes relapse by promoting the growth of pancreatic cancer cells after gemcitabine treatment.
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Meghnani, Varsha. "Reclaiming the Place of Translation in English Composition and Technical Communication: Toward Hospitable Writing." Diss., North Dakota State University, 2016. http://hdl.handle.net/10365/25664.
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Verzella, Massimo. "Reclaiming the Place of Translation in English Composition and Technical Communication: Toward Hospitable Writing." Diss., North Dakota State University, 2016. https://hdl.handle.net/10365/27997.
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The defining characteristic of a pedagogy informed by philosophical cosmopolitanism is
a focus on the dialogic imagination: the coexistence of rival ways of life in the individual
experience which incites us to interrogate common sense assumptions on culture, language, and
identity, and combine contradictory certainties in an effort to think in terms of inclusive
oppositions while rejecting the logic of exclusive oppositions.
One of the goals of the Trans-Atlantic and Pacific Project (TAPP), an educational
network of bilateral writing-translation projects that establishes links between students in
different countries, is to invite students to mediate between languages, cultures, and rhetorical
traditions with the goal of transcending differences and find common ground. Students who
participate to TAPP understand what is at stake when they write for a global audience by
cultivating an attitude of openness that invites hospitable communication practices.
The goal of the explorative study illustrated in the second part of the dissertation is to
identify regularities of translation strategies in the genre of technical instructions. The dataset
consists of a corpus of 40 texts compiled by pairing up 20 instructions written in English by
students majoring in different areas of engineering in an American university and their
translations into Italian (19,046 words), completed by students majoring in English in an Italian
university.
The research questions are: With reference to the translation strategies explicitation,
implicitation, generalization, and particularization, what evidence is there of uniformity of
practice in the translation of instructions from English into Italian? What are the most typical
causes of zero shifts? Why do translators resort to rhetorical shifts? Results show that nonprofessional
translators tend to resort more to implicitation than explicitation, and more to particularization than generalization. Due to the limited size of the corpus, it was impossible to
identify typical causes for zero shifts, but further studies should focus on how writers can
facilitate translation by using the topic/comment structure. Finally, translators resort to rhetorical
shifts for reasons that have to do with cultural appropriateness in the target locale. The most
common type of rhetorical shifts are context-related shifts in emphasis.
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Allen, Laura L. "Hospitable Literacies: The Writing and Rhetorical Practices of Black Family Reunions Online and Offline." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1588612065779209.
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Minor, Katarzyna Barbara. "Hospitable or hostile? : the impact of daily deals in the hotel sector of the hospitality industry." Thesis, Cardiff Metropolitan University, 2017. http://hdl.handle.net/10369/9570.
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Daily deal promotions have been widely adopted by the hospitality industry and although academic interest is growing there is still a lack of hospitality based academic research of this phenomenon. The current literature suggests that there are three stakeholders of daily deal promotions: the website, the merchants and the customers. However, from a hospitality perspective, provision and receipt of services heavily relies on the employee as the influencing factor of customers’ perceptions of service quality and satisfaction. Despite this, only a very small number of studies noted the importance of the employees within the delivery of daily deal promotions. In those studies the employees were never the focus and the findings were based upon the managers’ impressions of the impacts the promotions had on their employees, rather than the employees’ views themselves. Therefore, the purpose of this study is to provide an in-depth, holistic multi-stakeholder view of the impact of daily deal promotions upon manager, customer and employee stakeholder groups. Based on a qualitative method design and constructionist worldview, the study adopted a hermeneutic spiral approach where with each turn of the spiral new construction of knowledge emerged, leading to a construction of a holistic perspective. With this in mind the data collection was split into three phases, each dealing with one stakeholder group, where the findings from previous phase were built upon the following phase of the study. Purposeful, typical case, criterion, snowballing and convenience sampling techniques were used for the purpose of this study, resulting in a total of 34 semi structured interviews, across three stakeholder groups. All data were thematically analysed. The study revealed that daily deals are an effective marketing tool, which if planned and executed correctly can expose small and medium hotels to wider audiences of customers, increasing customer numbers in the off-season, generating profit and providing word of mouth advertising. The results also suggest that there are six ways of defining a successful promotion and that success of the promotion is not always synonymous with profit. The third contribution of this study identified employees as vital stakeholders of daily deal promotions, with staff across front office, housekeeping as well as food and beverage departments being affected by the promotions. The study revealed thirteen pressure points which can result in staff being unable or unwilling to provide high quality service. The study identified that daily deal customers treat the discount received as a trade-off against some failures of service expected; however some service issues could not be excused, such as hygiene factors. From the industry perspective this is the first study that identified hotel staff as vital stakeholders of daily deal promotions. It contributed to both practical and theoretical knowledge by developing a five stage daily deal management model, which would enable daily deal promotions to be better understood and therefore designed, implemented and reviewed. The study also considered a number of recommendations, limitations and future research opportunities.
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Svenstrup, Grant Anne. "Engaging with Diversity in Hospitable Spaces : A Study on Lived Experiences of Community Theatrewith Refugees and Asylum Seekers in Leeds." Thesis, Malmö universitet, Institutionen för konst, kultur och kommunikation (K3), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-45699.
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An emphasis in political debates and much print media in the United Kingdom (UK) on perceived issues with ethnic, religious, and cultural diversity has contributed to a narrative of worry and fear. Despite such hostile discourse, people find ways of living together with diversity every day. The encounters which I am concerned with in the following degree project are taking place through community theatre with Mafwa Theatre in Leeds where women from asylum seeker, refugee, and wider communities are socialising and cooperating over fun and simple drama activities. The purpose of this thesis is to better understand the different participants’ lived experiences of the theatre space, how they view their role in the group, and how they perceive diversity in the group. The research questions are explored with qualitative research methods of individual interviews with Mafwa members, the facilitators, and a volunteer, participant observation during the weekly drama sessions, and document analysis of printed, online, and audio materials. With this degree project, I aim to contribute to the discussion about everyday multiculturalism and living with diversity in the UK. The theoretical framework consists of the concept of hospitality which helps me explore how hospitable spaces are shaped and negotiated by different contributors, and conviviality which embraces the complexity of social relations without romanticising them and can help us reach a better understanding of how to live together without a fear for each other’s differences. The findings show that the different participants view the drama group as a hospitable community of acceptance and respect within a hostile environment for asylum seekers and refugees at the national level. The space offers a well-needed opportunity for the women to have fun, develop their creative skills, and escape day-to-day concerns. Moreover, the study shows that besides being proud co-producers of artistic practice, all participants are also active co-creators of shaping the hospitable space and a ‘convivial culture’. Finally, despite misunderstandings and disagreements in the group, the participants express having bonded over similarities and learned from differences rather than describing diversity as something to fear.
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Pantoja, Peschard Maria Jose. "The screen as a hospitable border : analysing the ethics, aesthetics and politics of documentary films about migration and border-crossing experiences." Thesis, Goldsmiths College (University of London), 2014. http://research.gold.ac.uk/10724/.
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My project aims to sketch out a theoretical framework to think about documentary films about migration and border-crossings in terms of their political potential. Thus, this work seeks to address the question of whether and how it is possible for these documentaries to give rise to political and ethical relationships that are not directly sanctioned by the nation-state and its sovereign power. In order to do this, I first draw on Jacques Derrida’s proposal of an ethics and politics of hospitality as an alternative conceptualization of political relations that, instead of being determined by membership to a nation-state and geo-political borders, are based on relations of responsibility and solidarity amongst individuals regardless of their citizenship status. Secondly, I argue that Ariella Azoulay’s triadic model of photography exemplifies Derrida’s notion of the ethics and politics of hospitality. For Azoulay, photography can give rise to political relations between the photographed, the photographer and the spectators. Since these relationships are not mediated by the nation-state and are based on partnership, solidarity and equality, I claim that they are relationships of hospitality that are able to disrupt the hierarchies of the social order. Thirdly, I argue that Azoulay’s triadic model can be transposed to the form of documentary, but that this transposition needs to acknowledge the fact that photography and documentary are two different visual media. Finally, I expand my analysis of this transposition by examining three contemporary documentaries about migration and drawing on the work of Jacques Rancière, Hito Steyerl and Trinh T. Minh-Ha. I discuss how the political and ethical bonds between filmmaker, filmed subject and spectators are shaped by the form and stylistic features of each of these documentaries. I conclude that documentaries are like borders, interstitial spaces, where the question of politics converges with questions of ethics and aesthetics.
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Chang, Cathy Yen-Lin. "Towards a more hospitable learning environment : a design exploration of public, private, and the zones in-between for an elementary school in Boston." Thesis, Massachusetts Institute of Technology, 1994. http://hdl.handle.net/1721.1/65038.
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Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1994.Includes bibliographical references (p. 68-69).
This thesis is the design exploration of an elementary school in the urban setting of South End, Boston. The intention is to arrive at a socially oriented learning environment by addressing the multiple use of space from the collective, to small group, to individual, both inside and outside the classroom. There should be "capacity" built into these zones to allow for a multitude of activities to take place, thereby fostering social interaction among children and adults. A delicate balance between the public, the private, and the transitions in-between can help accomplish flexible use of space. This balance should occur at the classroom level, the hallway level, and the school level. The thesis focuses on this issue in a design exploration for the elementary school, where children first encounter learning as an institution. The assumption is that a rich experience between the public, private, and the zones in-between, for both the students and the teachers, will result ultimately in a more healthy and joyful environment conducive towards learning.
by Cathy Yen-Lin Chang.
M.Arch.
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Silva, Helena. "Espaços hospitaleiros: um desejo, um conceito, uma estratégia." Niterói, 2016. https://app.uff.br/riuff/handle/1/1704.
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Sensações de acolhimento ou hostilidade são percebidas pelos usuários dos espaços, uma vez que estes também podem carregar em si o atributo da hospitalidade. Diagnosticar o que provoca tais sentimentos pode auxiliar na proposição de soluções para adequar os ambientes, de forma a que possam minimizar impactos causados pela vida contemporânea, caracterizada pela aglomeração de pessoas nas cidades, pela homogeneização de hábitos e costumes e pelo esvaziamento das identidades pessoais e locais. Promover o bem-estar da pessoa que utiliza determinado espaço envolve o planejamento de toda a atividade que ali ocorre, como o estudo das rotinas, a especificação e o dimensionamento de materiais e equipamentos e a disseminação de boas práticas de higiene e conservação, além de cuidados com o meio ambiente, de forma a proporcionar maior qualidade de vida. Para avaliar essas funções e sua forma de ocorrência, este estudo investiga detalhadamente o processo de qualificação de espaços sob a ótica da hospitalidade, sejam eles residenciais, comerciais ou sociais. Desenvolve um exercício de aplicação dos conceitos estudados por meio do desenho da estratégia de posicionamento empresarial, orientando diretrizes para o desenvolvimento e a implantação das atividades de uma empresa do setor – a ESPAÇO.
Users of space perceive feelings of welcome or hostility since they can also carry with themselves the attribute of hospitality. To diagnose what causes such feelings may help in proposing solutions to adapt the environment so that they can minimize impacts on contemporary life, characterized by overcrowding in the cities, homogenization of habits and customs and emptying of personal and local identities. To promote the welfare of the person who uses certain space involves planning of every activity that takes place there, such as the study of routines, the specification and design of materials and equipment and the dissemination of good hygiene and maintenance practices, besides environment stewardship, in order to provide higher quality of life. To evaluate these functions and its form of occurrence, this study investigates in detail the process of qualification of spaces from the perspective of hospitality, whether they residential, commercial or social. It is also an exercise in applying concepts learned through the design of corporate positioning strategy, giving guidelines for the development and implantation of the activities of a company in the industry - the SPACE.
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Gong, Zhiping. "Developing casemix classification for acute hospital inpatients in Chengdu, China /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050314.195349/index.html.
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Submitted to the School of Public Health, Faculty of Health Sciences. Thesis (Ph.D.) -- La Trobe University, 2004.Includes bibliographical references (leaves 320-329). Also available via the World Wide Web.
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Fernández, Mérida María Dolores. "Los hospitales malagueños en los siglos XV - XIX : historia y arquitectura /." Málaga : Servicio de Publ., Dip. Provincial de Málaga, 2004. http://www.gbv.de/dms/sub-hamburg/489074103.pdf.
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Drager, Katrina A. "Inpatient psychiatric length of stay and readmission rates." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007dragerk.pdf.
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Choi, Ka-wing Janet. "Prioritization of planned maintenance works in public hospitals in Hong Kong." Click to view the E-thesis via HKU Scholars Hub, 2006. http://lookup.lib.hku.hk/lookup/bib/B37937637.
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Khaskina, Yelena. "Using simulation to reduce length of stay in a hospital emergency department." Full text available online (restricted access), 1996. http://images.lib.monash.edu.au/ts/theses/Khaskina.pdf.
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Volchansky, Nadezhda V. "Identifying sleep-disruptive noise factors in healthcare environments." Greensboro, N.C. : University of North Carolina at Greensboro, 2007. http://libres.uncg.edu/edocs/etd/1504Volchansky/umi-uncg-1504.pdf.
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Thesis (M.S.)--University of North Carolina at Greensboro, 2007.Title from PDF t.p. (viewed Feb. 28, 2008). Directed by Kenneth Gruber; submitted to the School of Human Environmental Sciences. Includes bibliographical references (p. 67-70).
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Pelloski, Brian Matthew. "New Riverview Hospital providing a "low cost" hospital for Detroit /." PDF viewer required Home page for entire collection, 2008. http://archives.udmercy.edu:8080/dspace/handle/10429/9.
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Foley, Angela M. "The decline in rural hospitals the effect of investor-owned hospitals /." Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1545.
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Thesis (M.A.)--West Virginia University, 2000.Title from document title page. Document formatted into pages; contains v, 48 p. : ill. (some col.) Includes abstract. Includes bibliographical references (p. 37-39).
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Choy, Khai-meng. "A retrospective review of complaints received by the hospital authority a tool for enabling system change? /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31970990.
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Li, Po-ling. "Castle Peak Hospital redevelopment." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25956383.
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Berwald, Sarah Moch. "The architecture of well-being creating effective design for the care and treatment of the mentally ill /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2008/berwald/BerwaldS1208.pdf.
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Helminski, Laura A. "[Hospital]ityHospitable Hospitals: The Place of Healing." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396524136.
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Chaturvedi, Surabhi. "Environmental technologies and reshaping of healthcare architecture." Connect to thesis, 2009. http://repository.unimelb.edu.au/10187/5768.
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This research investigates adoption and integration of a range of building environmental systems in healthcare facilities in India. Based on detailed case studies of eight selected healthcare facilities developed at different times in India, this research traces the evolution of hospital designs in a specific geographic context through the lens of adoption of building environmental systems over the internal shell and external skins of healthcare buildings in India. By documenting and analyzing changes in building designs over time, the research develops a comparative understanding of trends of adoption of environmental technologies and their impacts on building form and performance.
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Jacks, Kim. "Weston State Hospital." Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5651.
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Thesis (M.A.)--West Virginia University, 2008.Title from document title page. Document formatted into pages; contains iii, 165 p. : ill. (some col.), col. map. Includes abstract. Includes bibliographical references (p. 160-165).
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Bernard, Didem M. "The impact of managed care on the hospital industry." Thesis, Boston University, 2001. https://hdl.handle.net/2144/36762.
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Thesis (Ph.D.)--Boston UniversityPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Managed care health plans have become an important new force in the US health care system, changing the delivery of health care and the nature of competition in the health care industry. Lower health care costs of managed care emollees have led many to see 'managed care' as the solution to rising health care expenditures. Therefore, it is important to understand the impact of managed care on the health care industry. This dissertation focuses on the impact of 'managed care' on the acute care hospital industry and physicians who work in inpatient settings, using data on hospitals in Massachusetts between 1992 and 1998. In the first essay, I investigate the impact of managed care penetration on the prices and costs of hospitals. Managed care plans provide coverage for health care through a predetermined group of providers selected by the plan. Their ability to direct demand potentially gives them power to extract lower prices from providers. However, the impact of managed care penetration on prices for the overall patient population depends on whether hospitals raise prices to non-managed care insurers. Using instrumental variables estimation, I find evidence that managed care penetration leads to significant reductions in hospital prices and costs for the overall patient population. Managed care involves methods of financing and delivering health care services that manage, or intervene, in care decisions made by patients and physicians in order to reduce costs. The second essay empirically investigates whether managed care plans are able to reduce the resource use of physicians in inpatient settings. Using instrumental variables estimation, I find evidence that managed care involvement reduces physicians' resource use not only for managed care patients but for nonmanaged care patients as well.
2031-01-01
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Swofford, Mark. "RURAL HOSPITAL SYSTEM AFFILIATIONS AND THEIR EFFECTS ON HOSPITAL ECONOMIC PERFORMANCE, 2004-2008." VCU Scholars Compass, 2011. https://scholarscompass.vcu.edu/etd/2512.
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The formation of multi-hospital systems represents one of the largest structural changes in the hospital industry. As of 2008, system affiliated hospitals outnumbered stand alone hospitals 2511 to 2167 and the percentage of system affiliated rural hospitals has increased dramatically from 24.8% in 1983 to 42.2% in 2008 (based on AHA data for non-federal acute care general hospitals). The effects of system membership on hospital performance have been of great interest to health care researchers, but the majority of research on multi-hospital systems has either focused exclusively on urban facilities or pooled urban and rural facilities in the same sample, and thus failed to allow for potential differences in membership effects between urban and rural hospitals. The result is that the effect of system membership on rural hospital performance has remained largely unexplored, creating a gap in the body of health services research. The objectives of this study are both theoretical and empirical. Theoretically, this study is intended to be a deliberate empirical application of contingency theory, which is the one major organizational theory that seeks to explain variations in organizational performance as its fundamental purpose. Empirically, this study seeks to explore the relationship between rural hospital system membership and rural hospital performance, taking into account the environment of the rural hospital and the structure of the multi-hospital system to which it belongs. The study sample consists of 1010 non-federal, short-term, acute care general rural hospitals with consistent system membership and critical access hospital (CAH) status from 2004 to 2008. Hospital economic performance is represented by the dependent variables of hospital total margin and a productive efficiency score calculated using Data Envelopment Analysis (DEA). Four contingent pairs containing measures for environmental munificence, system membership, the presence of local system partners, the presence of hierarchical system partners, and CAH status, were used to measure a hospital’s fit between environment and structure. Regression analysis was used to determine the relationship between hospital performance and the fit between a hospital’s environment and its organizational/system structure. Results of the analysis indicate that hospitals with a better fit have significantly higher total margins, but results for productive efficiency were largely insignificant.
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Radant, Kimberly Lynn Belec. "PATIENT-STAFF PERCEPTIONS OF A REAL AND IDEAL WARD TREATMENT ENVIRONMENT." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275271.
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Rastogi, Nandita P. "Alternative solutions to 1960's single corridor ward design in hospitals : a case study based on nurses's perspectives /." Thesis, This resource online, 1991. http://scholar.lib.vt.edu/theses/available/etd-03172010-020601/.
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Gopalakrishna, Pradeep. "An Empirical Study on the Use of Promotion in Hospitals." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc331425/.
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The role of marketing and marketing communication in hospitals has grown in the last decade. The need for hospitals to make careful decisions about their marketing communication efforts is mandated, given the changes taking place in the hospital industry. The purpose of this dissertation was to conduct empirical research to determine whether for-profit and non-profit hospitals perceive and utilize promotion as a marketing strategy element. The two steps taken included: identifying important factors considered by hospital administrators and marketing staff in the development of communication messages designed for patients, hospital staff and medical staff; and testing the factors developed and studying the attitudes of hospital personnel toward promotion using a national sample of hospitals. In phase 1, focus group interviews were conducted in a surrogate for-profit hospital and a surrogate non-profit hospital. In phase 2, an original mail questionnaire was used to collect data from a sample of 80 hospitals. A total of 38 hospitals participated, providing 114 usable responses. Test statistics included content analysis, Chi-Square, Pearson correlation coefficient and Analysis of Variance. The results of the focus group study indicated the practice of marketing in hospitals is in its early growth stages and marketing is viewed as nothing more than advertising and public relations. The results of the mail survey indicated that respondents in small for-profit hospitals with 20 to 30 years of experience as professionals, with key decision making authority, are favorably disposed to marketing and marketing communication. It was also found that respondents in large non-profit hospitals are very positive towards marketing. In contrast, respondents in medium and large for-profit hospitals, who are not directly involved in decision making, tend to be less positive towards marketing. The study serves as a basis for future research which may involve, (1) a larger sample frame, (2) hospitals in inner-city and rural areas, (3) investigation of the association between hospital ownership and hospital efficiency, and (4) development of a profile of respondents by title held, in hospitals.
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Woods-Duvendack, Tammy Hines Edward R. "Customer satisfaction an integral component of hospital strategy /." Normal, Ill. : Illinois State University, 2003. http://wwwlib.umi.com/cr/ilstu/fullcit?p3115183.
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Thesis (Ph. D.)--Illinois State University, 2003.Title from title page screen, viewed Oct. 15, 2004. Dissertation Committee: Edward R. Hines (chair), Kenneth H. Strand, Ross A. Hodel, Zeng Lin. Includes bibliographical references (leaves 92-99) and abstract. Also available in print.
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Aiken, Alexander. "Hospital-acquired infections in two district hospitals in Kenya." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.590555.
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Waddington, Keir. "Finance, philanthropy and the hospital : metropolitan hospitals, 1850-1898." Thesis, University College London (University of London), 1995. http://discovery.ucl.ac.uk/10053583/.
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Hospitals throughout the nineteenth century remained the one of the main channels for the Victorians’ voluntary zeal, but from the 1850s onwards tensions emerged as charity became ill-suited to meeting all the hospitals’ financial needs. An historiographical survey shows that metropolitan hospitals have been seen as an institution funded and administered through philanthropy, but these views are insufficient. By looking at seven hospitals in London between 1850 and 1898 a different view is suggested. Hospital governors were adept at manipulating philanthropic interests through their innovative fundraising tactics, playing on a wide range of motivations for benevolent action. Administrators used feelings from guilt to gratitude to promote support, suggesting that philanthropy and contributions cannot be constrained by any simple approach. Using the hospitals’ financial records, charitable contributions are placed in the overall context of funding in an institution that drew its income from a wide variety of sources. Over time these sources of funding changed their relative relation to one another in a process of financial diversification. Expenditure, expansion, the financial demands of different hospitals, local charitable resources, competition for funds, and popular perceptions of individual institutions all created pressures on finances that made diversification desirable. Financial diversification, however, took place in a context where the hospitals’ voluntary ethic was not affected. Hospitals experienced administrative expansions as they adopted more medical functions, but management remained on voluntary lines and administrators continued to be drawn from London’s wealthy business and social elite. Within this changing managerial structure doctors competed for authority and asserted their influence through a series of internal conflicts which often stressed the importance of medical science. A comparative investigation of the Whitechapel Union shows that a similar process of change occurred. Financial and administrative diversification was therefore more the consequence of institutional healthcare rather than a development limited to the voluntary hospitals.
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Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.
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Doctor of Philosophy (PhD)This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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Karnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.
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Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow transplant and hematology/oncology patients, one can create a healing environment more conducive to a rapid recovery.Department of Architecture
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Morrow, Karen. "An analysis of stakeholder perceptions of health care reform for strategic planning at an Indiana hospital." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/864900.
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This thesis applied the decision support mechanism, Q-Methodology, to an integrated model of issues management and strategic planning. This approach was applied at Riverview Hospital in Noblesville, Indiana in order to respond to the health care reform issue.The research approach involved the three primary stakeholder groups of the hospital: Board of Directors, physicians and managers. The three groups, representing 56 people, attended a planning retreat and identified Riverview's planning options in the form of 77 statements representing future program or service options. These 77 statements were then ranked using Q-methodology.The findings of the study included a QMETHOD computer and researcher analysis of the statements from the perspective of the total group and also the three factors.The final result was a list of statements that comprised Riverview's response to the reform issue in the form of corporate goals and objectives. The conclusions of the study show that:--The integrated approach did provide focus to the strategic planning process. The final list of objectives were all related to the health reform proposal.--Q-Methodology was an appropriate decision support mechanism. It not only provided the final list of corporate objectives but clearly identified potential support and resistance.--A viable set of corporate objectives was developed to respond to the health reform proposal.--All of the stakeholder groups unanimously approved the final list of statements (objectives) in a formal voting process.Department of Journalism
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Patterson, Andrew Philip Hamilton. "Hong Kong hospitals : the geographical implications of a hospital philosophy." Thesis, Queen Mary, University of London, 1990. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1611.
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The pressures exerted on hospital facilities in Hong Kong from an ageing population with increasing expectations, are compounded by a continued growth in population. Hospitals have clearly failed to deal with rising demand and, as a consequence, are commonly perceived to be in a state of crisis. In this respect, most comment has centred on the overall quantity of provision and quality, as assessed largely in terms of technical care and hotel conditions. This thesis highlights the additional issue of the spatial inequality of provision in a rapidly changing urban scene. In extending discussion to the "appropriateness" of new hospital provision, the thesis examines the relationship that hospitals have with their client populations. This involves not only their geographical location, but also their interaction with other health care providers in the urban space and, most importantly, the roles which hospitals have been assigned. The thesis explores the link between the function of a hospital and the principles on which the hospital system is based, arguing that the system is not merely a product of a particular politico-economic setting, but also of a history of influences, not least of which has been the need to mediate between the diverse cultures and traditions of Hong Kong. Guiding principles concerning the role and functioning of hospitals can be collectively described as a "hospital philosophy". Because it has arisen out of diverse influences, such a guiding philosophy may be susceptible to change, even though basic economic and political relations remain essentially unaltered. Since a hospital philosophy can affect location decisions and the way in which the hospital interacts over space, any change in philosophy may have spatial implications. The thesis assesses the extent to which the philosophy can be successfully altered from within the system by paying particular attention to the relationship between one hospital, which has proclaimed an alternative approach, and the area which that hospital serves. Also examined are the Government's own plans for changing the operation of hospital services for the 1990s and their spatial implications, assessing to what extent this reflects a significant change in outlook towards hospital care.
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Bowersox, Nicholas W. "Treatment Attrition and Relapse Readmission in Psychiatric Inpatients: Predictors of Treatment Engagement and Psychiatric Relapse." [Milwaukee, Wis.] : e-Publications@Marquette, 2009. http://epublications.marquette.edu/dissertations_mu/18.
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O'Reilly, Glenda. "Families in today's health care system : the experience of families during pediatric admission." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=78189.
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The purpose of this study was to explore the experiences and needs of families during the admission of a child to a paediatric ward in an acute care hospital. Qualitative research methods were used to access the caregivers' and professionals' perceptions of the culture that families experience in a paediatric in-patient setting. For this project, data collection methods included a review of the literature in the area, individual interviews with caregivers, and focus groups with paediatric health care professionals.In the study, both parents and paediatric professionals described a multitude of experiences and needs of families during a child's admission to a paediatric ward in an acute care setting. Understanding the experiences and needs of families is important for professionals. The information collected in this study provides some insight into the culture that families experience when their child is admitted to a paediatric ward in an acute care hospital.
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Belcher, John R. "Describing the process of homelessness among former state hospital patients." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1342716599.
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Khadndekar, Shashank. "Heuristic scheduling of low acuity patients at the emergency department." Online access via UMI:, 2007.
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Karakurt, Aysin Sevgi. "Critical Analysis And Evaluation Of Hospital Main Entrances According To Design And Performance Criteria In The Case Of Turkey." Master's thesis, METU, 2003. http://etd.lib.metu.edu.tr/upload/1078435/index.pdf.
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The entrance space of a hospital has formed an effective period of hospital life since it has reflected the scope and the image of the entire facility. Therefore it has directly influenced by the new formation of healthcare facilities on preserving and growing role of the community health instead of threatening the illnesses. Since entrance space is apart from the other spaces in the facility that has shaped by the restrictive nature of the medical technology, the space most efficiently implement these new objectives more than any space of the entire facility. However, entrance spaces of hospitals in Turkey are still bothered with many insufficiencies and displayed a problematic panorama. Therefore, this thesis has obtained the problems of main entrance space, and
has analyzed it with a consistent form of criteria to gather new solution proposals. In order to serve for this purpose, the present Turkish health care environment has explored and entrance space has been analyzed around new emerging concepts that reflect the changing ideals of the community. To present the problems and solution proposals about this specific place sufficiently, they are also evaluated through design and performance criteria. The essence of coping with the stress created by the environment with healing potential is emphasized. As a result, this thesis is expected to influence further researches, new hospital main entrance space designs as well as the renovation of older ones.
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Espinoza, Sanhueza Eduardo Alfredo. "Diseño de modelo de asignación de bloques quirúrgicos y programación de quirófano en el Hospital del Trabajador." Tesis, Universidad de Chile, 2017. http://repositorio.uchile.cl/handle/2250/148028.
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Ingeniero Civil IndustrialLa Asociación Chilena de Seguridad o ACHS es una mutualidad nacional, privada sin fines de lucro y administradora del seguro social contra riesgos de accidentes del trabajo y enfermedades profesionales, dentro de sus funciones se encuentra la entrega de prestaciones médicas, económicas y preventivas. Las prestaciones médicas son realizadas por el Hospital Del Trabajador, el cual, dentro de sus funciones, debe administrar sus pabellones quirúrgicos y asignar las especialidades médicas que atienden en él. Existen dos tipos de pacientes que son atendidos por el Hospital: pacientes Ley, quienes se atienden por cobertura del seguro social y pacientes de ventas de servicios complementarios (VSC), quienes se atienden en el Hospital de manera particular. En este trabajo, se utiliza un modelo de programación entera para optimizar el proceso de asignación de bloques quirúrgicos de cada especialidad y tipo de paciente, a cada pabellón, día de la semana y hora del día. Para esto, se realizarán modificaciones al proceso actual; Por un lado, se crean tramos de duración de la intervención para cada tipo de especialidad, se agrega un nuevo tipo de paciente: Paciente PAD de FONASA y se crea un bloque mixto con aquellas especialidades que comparten características con el fin de definir de mejor manera cada especialidad. El modelo consta de 3 archivos: Un Generador de inputs para modelo de programación en el cual el usuario puede llenar ingresando parámetros relevantes para que el modelo se desarrolle. Un modelo de programación, un código ejecutado en GAMS que recibe los inputs del punto anterior y está dividido en dos etapas, metodología planteada por los autores Daskalaki y Birbas (2005): Al utilizar el modelo planteado, se minimizan las atenciones realizadas fuera del horario asignado, implicando una optimización económica y del personal, al permitir realizar la tarea de asignación de manera eficiente y en un tiempo menor al actual. Finalmente, este modelo tiene la particularidad de contar con distintos tipos de pacientes, por lo que su replicación en alguna otra institución de salud, debe considerar esta variable para su uso.
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MELO, ALEXANDRE CUNHA LOBO DE. "HOSPITAL MANAGEMENT: THE CASE OF PRIVATE HOSPITALS IN RIO DE JANEIRO." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2007. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=11057@1.
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Este trabalho tem por objetivo identificar quais são os
fatores críticos de
sucesso na gestão de um hospital e propor um modelo de
gestão baseado nas
melhores práticas de mercado. Partiu-se da proposição que
muitos destes fatores
estariam relacionados aos desafios enfrentados atualmente
pelos hospitais, às
estratégias adotadas, à forma de implementação dessas
estratégias e às tecnologias
de gestão empregadas. Assim sendo, foi feita uma revisão
da literatura sobre estes
temas e foram elaboradas perguntas de pesquisa sobre este
fundo teórico. Em
campo, foram pesquisados cinco hospitais particulares
situados na região
metropolitana do Rio de Janeiro. Todos eles têm as
cirurgias como uma de suas
principais atividades, a despeito de, também, realizarem
outros tipos de
atendimento. Assim, esses hospitais têm o médico como um
de seus principais
clientes na medida em que utilizam a estrutura hospitalar
para realizarem seus
procedimentos cirúrgicos. Os resultados revelam um mercado
hospitalar cheio de
espaços, com gestão predominantemente amadora e familiar e
com estratégias
informais. Na conclusão, é proposto um modelo de gestão
hospitalar que pode
ajudar os hospitais a se prepararem para a
profissionalização do mercado que está
por vir.This study`s objective is to identify the success critical factors in hospital management and to propose a management model based on the best practices in the market. It was presumed that many of these factors would be related to the challenges faced by the hospital in the market, to the strategies adopted, to the way these strategies are implemented and to the management technologies used. So, a literature review was made and the field questions were created focusing on these topics. In the field, five Rio de Janeiro metropolitan area private hospitals were studied. All of them have the surgeries as one of their main activities, despite of doing many other procedures. So, the doctors are one of their main clients, as far as they need the hospital structure to make their surgeries come to true. The results reveal a spacefull market, a lack of professional management as well as informal strategies. In the end, a hospital management model is proposed. This model may help the hospitals to make themselves ready to the market professionalization that must come soon.
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Hooge, Nancy Lee. "Readiness of Wyoming hospitals in moving towards baby friendly hospital initiatives." Laramie, Wyo. : University of Wyoming, 2009. http://proquest.umi.com/pqdweb?did=1962984601&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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El-Sharo, Moh'd Ragheb A. "Predicting hospital admissions from emergency department using artificial neural networks and time series analysis." Diss., Online access via UMI:, 2009.
Find full textAbstract:
Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009.Includes bibliographical references.
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Geel, Annelize. "A community link project for Weskoppies Hospital psychiatric hospital." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-11302005-103859.
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Hawkes, Elizabeth Lawrence. "An exploratory study of the relationships among hospital sub-cultures, job involvement, upward striving, organizational commitment, and job satisfaction." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27936.
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The purpose of this exploratory study was to investigate whether there is any relationship between the strength of the culture in a hospital work group and the job involvement, upward striving, organizational commitment and job satisfaction of the employees within that work group. The conceptual framework for this study is the symbolic frame of reference for understanding organizational behaviour. The concept is described by Bolman and Deal (1984).
Two hospitals participated in the study, which provided two data sets. Subjects were employees of certain departments within each of the hospitals. Each subject completed a four-part questionnaire. The first part collected demographic data, part two contained questions on job involvement, upward striving, and organizational commitment, part three focussed on job satisfaction, and part four was the culture strength scale. The culture strength scales were developed separately at each hospital and, therefore, contained items which were relevant to a specific facility.
There were two major findings from the study. First, there is a positive relationship between job satisfaction and culture strength. Results at both hospitals were consistent in this regard. No relationships were found between job involvement, upward striving, and/or organizational commitment with culture strength. The second finding was that at the larger hospital there was a significant difference in culture strength scores among some work units, while at the smaller hospital this was not the case. This finding supports the idea that size of an organization is a factor in the predisposition to subculture
formation.Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Tarzi, Sarah. "Methicillin resistant staphylococcus aureus (MRSA) : psychological impact of hospitalisation and MRSA isolation in an older adult population, and a critique of research methods used to study psychological issues in this population." n.p, 1999. http://ethos.bl.uk/.
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