Relevant bibliographies by topics / Hospital care Victoria

Academic literature on the topic 'Hospital care Victoria'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Hospital care Victoria"

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Ansari, Zahid, Norman Carson, Adrian Serraglio, Toni Barbetti, and Flavia Cicuttini. "The Victorian Ambulatory Care Sensitive Conditions Study: reducing demand on hospital services in Victoria." Australian Health Review 25, no. 2 (2002): 71. http://dx.doi.org/10.1071/ah020071.

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Ambulatory Care Sensitive Conditions (ACSCs) are those for which hospitalisation is thought to be avoidable ifpreventive care and early disease management are applied, usually in the ambulatory setting. The Victorian ACSCs study offers a new set of indicators describing differentials and inequalities in access to the primary healthcare systemin Victoria. The study used the Victorian Admitted Episodes Dataset (1999-2000) for analysing hospital admissions for diabetes complications, asthma, vaccine preventable influenza and pneumococcal pneumonia. The analyses were performed at the level of Primary Care Partnerships (PCPs). There were 12 100 admissions for diabetes complicationsin Victoria. There was a 12-fold variation in admission rates for diabetes complications across PCPs, with 13 PCPs having significantly higher rates than the Victorian average, accounting for just over half of all admissions (6114) and39 per cent total bed days. Similar variations in admission rates across PCPs were observed for asthma, influenza and pneumococcal pneumonia. This analysis, with its acknowledged limitations, has shown the potential for using theseindicators as a planning tool for identifying opportunities for targeted public health and health services interventions in reducing demand on hospital services in Victoria.
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Penney, Randy. "Hemodialysis Unit at Renfrew Victoria Hospital." Healthcare Management Forum 8, no. 2 (July 1995): 5–10. http://dx.doi.org/10.1016/s0840-4704(10)60902-7.

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In June 1994, the Renfrew Victoria Hospital was selected as the first-ever recipient of the Health Care Quality Team Award in the “Small and Rural Provider” category. This award, offered by the Canadian College of Health Service Executives and 3M Health Care, was established to recognize health care organizations that have sustained measurable improvements in their network of services, and have done so through the use of a team. Renfrew Victoria Hospital's entry focused on the establishment of a hemodialysis unit for the residents of Renfrew County. This article summarizes the parameters of this award, as presented in our submission.
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Sharwood, Penny, and Bernadette O'Connell. "Assessing the relationship between inpatient and outpatient activity:a clinical specialty analysis." Australian Health Review 23, no. 3 (2000): 137. http://dx.doi.org/10.1071/ah000137a.

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General and specialist services in public acute hospital outpatient departments play a key role in the health care systemand represent a vital interface between inpatient and community care. Typically outpatient services involve millionsof patient visits within a very short time frame and in Victoria alone between 8-10 million outpatient occasions ofservice are provided each year. Drawing on the first full year of data from the Victorian Ambulatory ClassificationSystem (VACS) this paper examines the patterns underlying the distribution of inpatient separations and outpatientencounters at 16 major Victorian public hospitals and assesses the relationship between inpatient and outpatientactivity at the clinical specialty level.
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Mercier, Eric, Peter A. Cameron, Karen Smith, and Ben Beck. "Prehospital trauma death review in the State of Victoria, Australia: a study protocol." BMJ Open 8, no. 7 (July 2018): e022070. http://dx.doi.org/10.1136/bmjopen-2018-022070.

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IntroductionRegionalised trauma systems have been shown to improve outcomes for trauma patients. However, the evaluation of these trauma systems has been oriented towards in-hospital care. Therefore, the epidemiology and care delivered to the injured patients who died in the prehospital setting remain poorly studied. This study aims to provide an overview of a methodological approach to reviewing trauma deaths in order to assess the preventability, identify areas for improvements in the system of care provided to these patients and evaluate the potential for novel interventions to improve outcomes for seriously injured trauma patients.Methods and analysisThe planned study is a retrospective review of prehospital and early in-hospital (<24 hours) deaths following traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria between 2008 and 2014. Eligible patients will be identified from the Victorian Ambulance Cardiac Arrest Registry and linked with the National Coronial Information System. For patients who were transported to hospital, data will be linked the Victoria State Trauma Registry. The project will be undertaken in four phases: (1) survivability assessment; (2) preventability assessment; (3) identification of potential areas for improvement; and (4) identification of potentially useful novel technologies. Survivability assessment will be based on predetermined anatomical injuries considered unsurvivable. For patients with potentially survivable injuries, multidisciplinary expert panel reviews will be conducted to assess the preventability as well as the identification of potential areas for improvement and the utility of novel technologies.Ethics and disseminationThe present study was approved by the Victorian Department of Justice and Regulation HREC (CF/16/272) and the Monash University HREC (CF16/532 – 2016000259). Results of the study will be published in peer-reviewed journals and reports provided to Ambulance Victoria, the Victorian State Trauma Committee and the Victorian State Government Department of Health and Human Services.
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Pugh, Janet, and Malu Campolo. "Mornington Peninsula Hospital Intensive Care Unit, Victoria, Australia." Australian Critical Care 8, no. 4 (December 1995): 8–9. http://dx.doi.org/10.1016/s1036-7314(95)70291-0.

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Rezaei-Darzi, Ehsan, Janneke Berecki-Gisolf, and Dasamal Tharanga Fernando. "How representative is the Victorian Emergency Minimum Dataset (VEMD) for population-based injury surveillance in Victoria? A retrospective observational study of administrative healthcare data." BMJ Open 12, no. 12 (December 2022): e063115. http://dx.doi.org/10.1136/bmjopen-2022-063115.

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ObjectiveThe Victorian Emergency Minimum Dataset (VEMD) is a key data resource for injury surveillance. The VEMD collects emergency department data from 39 public hospitals across Victoria; however, rural emergency care services are not well captured. The aim of this study is to determine the representativeness of the VEMD for injury surveillance.DesignA retrospective observational study of administrative healthcare data.Setting and participantsInjury admissions in 2014/2015–2018/2019 were extracted from the Victorian Admitted Episodes Dataset (VAED) which captures all Victorian hospital admissions; only cases that arrived through a hospital’s emergency department (ED) were included. Each admission was categorised as taking place in a VEMD-contributing versus a non-VEMD hospital.ResultsThere were 535 477 incident injury admissions in the study period, of which 517 207 (96.6%) were admitted to a VEMD contributing hospital. Male gender (OR 1.13 (95% CI 1.10 to 1.17)) and young age (age 0–14 vs 45–54 years, OR 4.68 (95% CI 3.52 to 6.21)) were associated with VEMD participating (vs non-VEMD-participating) hospitals. Residing in regional/rural areas was negatively associated with VEMD participating (vs non-VEMD participating) hospitals (OR=0.11 (95% CI 0.10 to 0.11)). Intentional injury (assault and self-harm) was also associated with VEMD participation.ConclusionsVEMD representativeness is largely consistent across the whole of Victoria, but varies vastly by region, with substantial under-representation of some areas of Victoria. By comparison, for injury surveillance, regional rates are more reliable when based on the VAED. For local ED-presentation rates, the bias analysis results can be used to create weights, as a temporary solution until rural emergency services injury data is systematically collected and included in state-wide injury surveillance databases.
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Bagot, Kathleen L., Christopher F. Bladin, Michelle Vu, Joosup Kim, Peter J. Hand, Bruce Campbell, Alison Walker, Geoffrey A. Donnan, Helen M. Dewey, and Dominique A. Cadilhac. "Exploring the benefits of a stroke telemedicine programme: An organisational and societal perspective." Journal of Telemedicine and Telecare 22, no. 8 (October 30, 2016): 489–94. http://dx.doi.org/10.1177/1357633x16673695.

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We undertook a qualitative analysis to identify the broader benefits of a state-wide acute stroke telemedicine service beyond the patient-clinician consultation. Since 2010, the Victorian Stroke Telemedicine (VST) programme has provided a clinical service for regional hospitals in Victoria, Australia. The benefits of the Victorian Stroke Telemedicine programme were identified through document analysis of governance activities, including communications logs and reports from hospital co-ordinators of the programme. Discussions with the Victorian Stroke Telemedicine management were undertaken and field notes were also reviewed. Several benefits of telemedicine were identified within and across participating hospitals, as well as for the state government and community. For hospitals, standardisation of clinical processes was reported, including improved stroke care co-ordination. Capacity building occurred through professional development and educational workshops. Enhanced networking, and resource sharing across hospitals was achieved between hospitals and organisations. Governments leveraged the Victorian Stroke Telemedicine programme infrastructure to provide immediate access to new treatments for acute stroke care in regional areas. Standardised data collection allowed routine quality of care monitoring. Community awareness of stroke symptoms occurred with media reports on the novel technology and improved patient outcomes. The value of telemedicine services extends beyond those involved in the clinical consultation to healthcare funders and the community.
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Clapperton, Angela, Jeremy Dwyer, Ciara Millar, Penny Tolhurst, and Janneke Berecki-Gisolf. "Sociodemographic characteristics associated with hospital contact in the year prior to suicide: A data linkage cohort study in Victoria, Australia." PLOS ONE 16, no. 6 (June 3, 2021): e0252682. http://dx.doi.org/10.1371/journal.pone.0252682.

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Aims The aims of this study were to examine the prevalence of hospital contact in the year prior to suicide in Victoria, Australia, and to compare characteristics among those who did and did not have contact in the year prior to suicide. Methods The study was a data linkage cohort study of 4348 Victorians who died by suicide over the period 2011–2017. Data from the Victorian Suicide Register (VSR) was linked with hospital separations and Emergency Department (ED) presentations datasets by the Centre for Victorian Data Linkages (CVDL). The main outcomes were: (1) hospital contact for any reason, (2) hospital contact for mental-health-related reasons, and (3) hospital contact for intentional self-harm. Unadjusted and adjusted odds ratios were calculated as the measures of association. Results In the year prior to suicide, half of the decedents (50.0%) had hospital contact for any reason (n = 2172), 28.6% had mental-health-related hospital contact (n = 1244) and 9.9% had hospital contact for intentional self-harm (n = 432). In the year prior to suicide, when compared with males aged 25–49 years (the reference group):males aged 75+ years and females of all ages were significantly more likely to have hospital contact for any reasonfemales aged 10–24 years and 25–49 years were significantly more likely to have mental-health-related hospital contactfemales aged 10–24 years and 25–49 years had 3.5 times and 2.4 times the odds of having hospital contact for intentional self-harm. Conclusions The comparatively high proportion of female decedents with mental-health related hospital contact in the year prior to suicide suggests improving the quality of care for those seeking help is an essential prevention initiative; this could be explored through programs such as the assertive outreach trials currently being implemented in Victoria and elsewhere in Australia. However, the sizeable proportion of males who do not have contact in the year prior to suicide was a consistent finding and represents a challenge for suicide prevention. Programs to identify males at risk in the community and engage them in the health care system are essential. In addition, promising universal and selective interventions to reduce suicide in the cohort who do not have hospital contact, include restricting access to lethal means and other public health interventions are also needed.
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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.

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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.
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Farrell, Maureen. "Health care leadership in an age of change." Australian Health Review 26, no. 1 (2003): 153. http://dx.doi.org/10.1071/ah030153.

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This study examined the leadership practices of a sample of network and hospital administrators in metropolitan Victoria, Australia. It was undertaken in the mid-1990s when the State Liberal-National (Coalition) Government in Victoria established Melbourne's metropolitan health care networks. I argue that leadership,and the process of leading, contributes significantly to the success of the hospital in a time of turmoil and change.The sample was taken from the seven health care networks and consisted of 15 network and hospital administrators. Bolman and Deal's frames of leadership - structural, human resource, political and symbolic - were used as a framework to categorize the leadership practices of the administrators. The findings suggest a preference for the structural frame - an anticipated result, since the hospital environment is more conducive to a style of leadership that emphasizes rationality and objectivity. The human resource frame was the second preferred frame,followed by the political and symbolic. These findings suggest that network and hospital administrators focus more on intellectual than spiritual development, and perhaps this tendency needs to be addressed when educating present and future hospital leaders.
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Dissertations / Theses on the topic "Hospital care Victoria"

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Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.

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The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explored organisational structures, decision-making processes and management systems of the Project and included an examination of the difficulties and conflicts that ensued. The broader context of health care reform was also considered. The study found that an effective change management strategy requires clarity around the definition of primary task in health care delivery, particularly when the task is complex and the environment uncertain. This requires a management and support structure able to accommodate the tensions that exists between providing care and managing cost, in a changing and complex system. The case study indicated that where tensions were not managed the functions of providing care and managing costs became disconnected, undermining the integrity of the task and impacting on the effective facilitation of the change process and hence, the capacity of stakeholders to embrace the model of co-ordinated care. Moreover, the micro dynamics of the project team seemed to parallel the macro dynamics of the broader system where economic and health care provision imperatives clash. Through its close analysis of change dynamics, the study provides suggestions for the improved engagement of stakeholders in health care change.
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Sonuga, Babatunde. "Profile and anticoagulation outcomes of patients on warfarin therapy in an urban hospital in Cape Town: a review of records of patients attending Victoria Hospital, Cape Town, South Africa." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21380.

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Background: Warfarin is the most frequently used oral anticoagulant worldwide and it is the oral anticoagulant of choice in South Africa for reducing thrombosis - related morbidity and mortality. However, the safety and efficacy of warfarin therapy depends mainly on careful monitoring and maintenance of the international normalized ratio (INR) within an optimal therapeutic range. In the ACTIVE - W trial conducted across nine countries, South Africa had the poorest anticoagulation control with warfarin. This study showed that 86% of patients on warfarin therapy in the country have their mean time in therapeutic range below target. This was an indication of a very poor warfarin control in South Africa .The trial reported centre - specific differences within each country. It was however silent on these differences in South Africa. Aim: The aim of this study was to describe the profiles and the anticoagulation outcomes of patients on warfarin therapy in a major warfarin clinic in Western Cape Province of South Africa. Setting: Victoria Hospital - a district hospital in Cape Town, South Africa, which serves around one million people. Methods: A cross sectional review of clinical records of patients on warfarin therapy who attended the INR clinic from 01 January 2014 to 30 June 2014 was done. Data analysis was done with Stata to generate appropriate descriptive data and groups were compared using non - parametric tests. Results: Age range for male patients was between 29 - 85 years with median age of 62 years, while that of female patients was between 17 - 92 years with a median age of 66 years. Atrial fibrillation (AF) was the commonest indication for warfarin use in this study and hypertension was the commonest co-morbidity amongst these patients. Only 48.5% (66 patients) achieved target therapeutic range as of 01 July 2014, while 51.5% (70/136) of the patients were out of range. Patients who were non - alcohol users (88.9%) had better therapeutic control than those who consumed alcohol (9.6%). There was a significant association between alcohol consumption and poor anticoagulation outcomes (p value <0.022). Unlike alcohol use, there was no statistical relationship between smoking habit and target therapeutic range (P value = 0.198). The study also showed that anticoagulation outcomes were better among the older age groups, male patients and in those with atrial fibrillation. The prevalence of thrombotic events while on warfarin treatment was 2.2%, while prevalence of haemorrhagic events was 14%. Most of the patients with bleeding events were on concurrent use of warfarin and other medications with potential drug interactions. Conclusion: In this study, patients who achieved target therapeutic control were less than the acceptable 60%. Bleeding complications were more common among patients on concurrent use of warfarin with other medications such as NSAIDS and simvastatin. Therefore, it is of utmost importance for health professionals to take note of drug - drug or drug - disease interactions among patients on warfarin and to monitor INR levels more frequently in patients who have to unavoidably be on concurrent use of medications with possible major interactions with warfarin. Keywords: Oral anticoagulant, anticoagulation outcomes, therapeutic control, percentage INR within target therapeutic range (%ITTR).
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Mathebeni-, Bokwe Pyrene. "Management of medical records for healthcare service delivery at the Victoria Public Hospital in the Eastern Cape Province :South Africa." Thesis, University of Fort Hare, 2015. http://hdl.handle.net/10353/6517.

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The study sought to investigate the management of medical records for healthcare service at the Victoria Public Hospital in the Eastern Cape Province. The objectives of the study were to describe the present records management practices in Victoria Hospital; find out the existing infrastructure for the management of patient medical records at the Victoria Hospital; determine the compliance of patient medical records management in Victoria Hospital with relevant national legislative and regulatory framework; find out the security of patient medical records at the Victoria Hospital. Quantitative and qualitative approaches were employed. The sample was drawn from the service providers and from the healthcare service users. Questionnaires, interviews and observation were used to collect data. The findings showed that Victoria Hospital uses manual records management system in the creation, maintenance and usage of records. In the findings, there were challenges related to misfiling and missing patient folders which sometimes lead to the creation of new patient folders. Also, the study discovered that the time spent in the retrieval of patient folders could negatively affect the timely delivery of healthcare services. The study recommended the adoption of electronic records management system as most public healthcare institutions in the country are rapidly shifting to electronic records management system. The use of electronic records management system is believed to be efficiently and effectively promoting easy accessibility, retrieval of patient medical records and allows easy communication amongst the healthcare service institutions and healthcare practitioners.
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Dumisani, Mathumbu. "Perceived organisational support (POS), Job engagement (JE) and their effect on organisational citizenship behaviour (OCB) among nurses at the Victoria Hospital, Alice, Nkonkobe Municipality." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1007032.

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Wendel (1994, p. 91) defined perceived organizational support (POS) as “organization support in terms of all things that relate to assistance and relationships amongst working peers and colleagues, which involve the feeling of need between superiors and subordinates . Rothbard (2001, p. 656) in defining job engagement (JE) listed two components which he thought were critical for its effectiveness on organizational functioning: (i) attention and (ii) absorption, with the former referring to “cognitive ability and the amount of time one spends thinking about the role”, while the latter “means being engrossed in a role and means the intensity of one’s focus on a role”. Organizational citizenship behavior (OCB) was first introduced by Organ in the 1980s and he defined the concept of organizational citizenship behavior “as discretionary behaviors by individuals (employees) that do not form part of formal requirements of a job, but are necessary and promote effective functioning of the organization (Organ, 1988)”. The objective of study was to explore the relationship between perceived organizational support and job engagement and their effect organizational citizenship behavior. Other relationships that were tested were first, the direct relationship between POS JE. Secondly, the combined effect of POS and JE on OCB. The study was conducted amongst nurses at Victoria hospital, in Alice within the Nkonkobe district municipality. The results showed a significant relationship between JE and OCB, whilst the relationship between POS and OCB was not accepted. The results for the other two hypotheses that were tested; (i) relationship between POS and JE, (ii) combined effect of POS and JE on OCB also showed that they were not accepted. The consistency scores for these variables were of international level (n=106). The Pearson correlation coefficients were used for hypothesis testing.
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Matsila, Thomas Sipho. "Assessing the skills development challenges facing the Department of Health in the Eastern Cape and its impact on the delivery of quality services: a case of Victoria Hospital in Amathole District." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1015242.

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Post- Apartheid South Africa has seen the emergence of an unskilled workforce, which has resulted in many challenges in service delivery especially in the public sector. To ensure that the problem of shortage of skills is addressed the government came up with policy strategies that were aimed at ensuring that the workers are equipped with the right skills within the work and in different institutions. The government came up with different policy frameworks that supported skills development of the South African Workforce. The current study of challenges facing Skills Development at Victoria Hospital has shown that the health sector in South Africa is stills fraught with shortage of skilled manpower although there are policy provisions that promote and encourage training and development of the employees. The findings from the study have indicated that at Victoria Hospital there is an ageing workforce and that the employees are not knowledgeable of skills development programmes that are taking place. The findings of the study also indicated that perceived organizational support, demographic factors, political and legislative policy frameworks are important factors to consider in ensuring the success of skills development or training programmes within the health system in South Africa. The broad aim of the study was to investigate challenges facing Skills Development within Department of Health at Victoria Hospital in the Eastern Cape Province. The study was quantitative in nature and data was collected through survey based Likert questionnaires. Deductive logic was utilized in this study based on the premises of the Social Exchange Theory and the Equity theory.
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Touray, Musa, and Musa Touray. "the use of mobile electronic assessment form for Tuberculosis care and control at Royal Victoria teaching Hospital Banjul the Gambia." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/30878727082885025453.

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碩士
臺北醫學大學
醫學資訊研究所
101
Background: Healthcare delivery with mobile technology is one of the key strategy and component in tackling chronic non-communicable diseases (CNDs) like tuberculosis. It is well-stated for the need of latest and reliable technology tools for assessment of these CNDs embodiments like Tuberculosis (TB). Primary measure of battling and early detection to control the spread of TB is vital, its associate and complications in Royal Victoria Teaching Hospital (RVTH) is assessed in this research study. In this study, a revise technology acceptance model is examined to determine healthcare system delivery to public in acceptance by healthcare professionals in RVTH. Method: A descriptive study using questionnaires and mobile device used by the nurses to electronically record TB suspected patients and their perception about the MEAFTC implementation in their work. Result: A total number of 64 participants, first age group between 24 ~ 29, which a total number of 11 male of (25.6%) and female 32 (74.4%) . A higher number of age group 30 ~ 34, showing a higher number of 17 female with an impact factor of 81.0% to declare the high age group of professionalism in training. This statistical analysis has a major impact in The Gambia at RVTH for younger age female nurses than male nurses. Conclusion: This research provides an insight study of Mobile-phone-based electronic health record system in The Gambia for TB patient assessment. Therefore, mobile base electronic assessment is of paramount importance and it will help facilitate the easy uploading of data to hospital’s patient database in real-time over the phone network or where mobile network connectivity may be unreliable, and completed electronic forms can be stored on the phone and then bulk upload when connectivity is available. Keywords: OpenMRS, SANA ,chronic non-communicable diseases, electronic health records, MEAFTC, mobile technology, tuberculosis.
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Colley, Alasan, and Alasan Colley. "Comparison of Patients’ and Health Care Providers’ Perceptions of the Quality of Diabetes Care for Patients with Type 2 Diabetes at the Royal Victoria Teaching Hospital." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/70902326662510782549.

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Harrington, Marisa. "Examination of healthcare workers’ response to rotating shift work during the COVID-19 pandemic in Greater Victoria care sites." Thesis, 2021. http://hdl.handle.net/1828/13257.

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Nurses are already exposed to plenty of stressors while at work, one of which being the unavoidable nature of rotating shift work scheduling which can have profound physiological effects carrying heightened long-term health risks. Working on the frontlines of the COVID-19 pandemic has introduced new stressors while further exacerbating the effects of pre-existing ones in this already understudied group of essential workers. The purpose of this research was to examine physiological markers of stress and health in nurses during the COVID-19 pandemic. Nine subjects (mean age 32.11 ± 7.25 years) from two hospitals in the Greater Victoria region collected data over an eight-day shift roster consisting of two 12-hour day shifts, two 12-hour night shifts, and four days off in two separate collection periods; remote data collection was used to adhere to COVID-19 safety guidelines. Salimetrics ELISA kits were used to conduct analyses for salivary cortisol, melatonin, and interleukin-6 (IL-6) content. Frequency domain heart rate variability (HRV) was collected with a Polar H10 Chest Strap and Polar Ignite Activity Tracker. A salivary sample and 5-minute HRV recording were obtained upon waking or shortly thereafter on each day; a second saliva sample was obtained after work for the four working days. The Expanded Nursing Stress Scale (ENSS) was completed at the end of the last night shift in each period. There were no significant differences between IL-6 concentrations across the eight days within each period; the same was observed for cortisol. Additionally, no difference was apparent between the morning and evening salivary cortisol concentrations, thus demonstrating a blunting of the diurnal release pattern. Evening salivary cortisol concentrations remained elevated near the level of morning samples and were consistently above reference values for the population age group. Morning salivary melatonin concentrations significantly differed by day (F(5, 25) = 6.626, p < 0.001) but not period; melatonin concentrations were lowest following night shifts, showing a suppression in release due to participants being exposed to light at night with shift work. No statistically significant differences were apparent between any frequency domain HRV parameters in either Period 1 or Period 2. Perceived occupational stress was heightened in comparison to previously published pre-pandemic research using the ENSS. The results of this research reveal alterations to the circadian nature of cortisol and melatonin alongside elevated perceived occupational stress; these physiological and psychological effects can compound the risk for adverse health outcomes. While it is difficult to discern the root cause of these responses, it nevertheless reveals insight into the effects of nurses working during the COVID-19 pandemic and raises concern for potentially related disease risk.
Graduate
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Mugisha, Emmanuel. "Delivery and utilisation of voluntary HIV counselling and testing services among fishing communities in Uganda." Thesis, 2008. http://hdl.handle.net/10500/2954.

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The study explored, described and explained the current models of voluntary counselling and testing services delivery and analysed the extent to which a given VCT model had influenced uptake of VCT services in the fishing communities along the shores of Lake Victoria, in Wakiso District, with an aim of designing optimal VCT service delivery strategies. The study was therefore exploratory, descriptive and explanatory, and collected both qualitative and quantitative data in a three-phased approach. Phase I involved the Kasenyi fishing community respondents, while phases II and III involved VCT managers and VCT counsellors at the Entebbe and Kisubi Hospitals. The findings indicated that VCT services are generally available onsite at health facilities, and in the field through mobile VCT outreach or home-based VCT services provided at clients’ homes. Both client-initiated and health provider-initiated VCT services are available and services are integrated with other health services. Despite the availability of VCT, only about half of the respondents in phase I had accessed VCT services although almost all indicated a willingness to undergo HIV testing in the near future. The main challenges to service delivery and utilisation included limited funding and staffing as well as limited awareness in target communities. The strategies drawn are based on the need to increase availability, accessibility, acceptability and utilisation of VCT services.
Health Studies
D. Litt. et Phil. (Health Studies)
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Austen, Tyrone. "A homelessness report card for Victoria, British Columbia: establishing the process and baseline measures to enable annual homelessness reporting." Thesis, 2010. http://hdl.handle.net/1828/2940.

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Systems-level homelessness report cards are an intricate part of managing and resolving homelessness within a community. Homelessness report cards can be used to both educate communities around the complexities of homelessness and capture pertinent data required to formulate evidence-based strategies towards ending (rather than managing) homelessness. The process of developing and implementing homelessness report cards can be fraught with challenges relating to: limited resources; fragmented information; and political roadblocks. To help reduce the potential of these roadblocks, a system-level Homelessness Outcome Reporting Normative framework (the “HORN Framework”) was developed. The HORN Framework is based on a literature review and synthesis of the best-practice, systems-level homelessness report card development and implementation methods. The framework was then tested in a case study with the Greater Victoria Coalition to End Homelessness (GVCEH), through the creation of their 2010 Greater Victoria Homelessness Report Card. The framework and case study results are presented in this thesis.
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Books on the topic "Hospital care Victoria"

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Caring and compassion: A history of the Sisters of St. Ann in health care in British Columbia. Madeira Park, B.C: Harbour Pub., 2011.

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Mitton, Lavinia. The Victorian hospital. 2nd ed. Oxford, U.K: Shire Publications, 2008.

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Mitton, Lavinia. The Victorian hospital. 2nd ed. Oxford, U.K: Shire Publications, 2008.

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Life in the Victorian hospital. Stroud, Gloucestershire: History Press, 2009.

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1961-, Howard Robert, ed. Presumed curable: An illustrated casebook of Victorian psychiatric patients in Bethlem Hospital. Philadelphia, Pa: Wrightson Biomedical Pub., 2003.

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Hospital and asylum architecture in England, 1840-1914: Building for health care. London: Mansell, 1991.

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Rutherford, Sarah. The Victorian asylum. Botley: Shire, 2008.

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The Victorian asylum. Botley: Shire, 2008.

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Coleborne, Catharine. Reading 'madness': Gender and difference in the colonial asylum in Victoria, Australia, 1848-1880s. Perth, W. A: Network Books, 2007.

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Wellcome Institute of the History of Medicine., ed. Small and special: The development of hospitals for children in Victorian Britain. London: Wellcome Institute for the History of Medicine, 1996.

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Book chapters on the topic "Hospital care Victoria"

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Wickramasinghe, Nilmini, and Steve L. Goldberg. "Accountable Care and Evidence-Based Decision Making." In Handbook of Research on Healthcare Administration and Management, 567–76. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0920-2.ch034.

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In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.
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"An example of a current shared-care scheme for direct optometry referral and post-operative follow-up used by The Queen Victoria Hospital, East Grinstead, and Sussex Eye Hospital, Brighton (May 2006)." In Cataract, 215–18. Elsevier, 2008. http://dx.doi.org/10.1016/b978-0-08-044977-7.50016-1.

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Compton, Michael T., and Beth Broussard. "Finding Specialized Programs for Early Psychosis." In The First Episode of Psychosis. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195372496.003.0024.

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Most of the time, people of all different ages and with all sorts of mental illnesses go to the same place to see a doctor, get medicines, or participate in counseling. That is, they go to mental health clinics or the office of a mental health professional that provides treatments for a number of different illnesses. Most young people who have psychosis get their medical care and treatment in a hospital, clinic, or doctor’s office. In these places, the doctors and other mental health professionals may have taken special classes about how to help young people with psychosis, but that may not be their only focus. They may see people with other illnesses too. However, in some places around the world, there are special clinics that are for people in the early stages of psychosis. These types of specialized programs have been developed recently, since the 1990s. These programs have a number of different types of mental health professionals, including psychiatrists, psychologists, nurses, social workers, counselors, and others. In some programs, mental health professionals and doctors in training may rotate through the clinic spending several months at a time training in the clinic. Some programs, like the Early Psychosis Prevention and Intervention Centre (EPPIC) in Melbourne, Victoria, Australia, operate within the framework of a youth health service. Such youth services treat all sorts of mental health issues in young people. Other programs are located primarily in adult mental health facilities. Such programs may offer classes or group meetings just for people who recently developed psychosis and other classes or group meetings especially for the families of these young people. Typically, these programs provide someone with 2–3 years of treatment. They usually do a full evaluation of the patient every few months and keep track of how he or she is doing. If the patient needs more care afterwards, they help him or her find another program for longer-term care. In this chapter, we list some of these clinics located in various parts of the world and describe what these specialized early psychosis programs provide.
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Townsend, Mardie, Claire Henderson-Wilson, Haywantee Ramkissoon, and Rona Weerasuriya. "Therapeutic landscapes, restorative environments, place attachment, and well-being." In Oxford Textbook of Nature and Public Health, edited by Matilda van den Bosch and William Bird, 57–62. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198725916.003.0036.

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Evidence of declining well-being and increasing rates of depression and other mental illnesses has been linked with modern humans’ separation from nature. Landscapes become therapeutic when physical and built environments, social conditions, and human perceptions combine. Highlighting the contextual factors underpinning this separation from nature, this chapter outlines three Australian case studies to illustrate the links between therapeutic landscapes, restorative environments, place attachment, and well-being. Case study 1, a quantitative study of 452 park users near Melbourne, Victoria, focuses on place attachment and explored the links between pro-environmental behaviour and psychological well-being. Case study 2, a small pilot mixed-methods study in a rural area of Victoria, explores the restorative potential of hands-on nature-based activities for people suffering depression, anxiety, and social isolation. Case study 3, a qualitative study of users’ experiences of accessing hospital gardens in Melbourne, highlights improved emotional states and social connections.
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"Care, Nurturance and Morality: The Role of Visitors and the Victorian London Children’s Hospital." In Permeable Walls, 81–110. Brill | Rodopi, 2009. http://dx.doi.org/10.1163/9789042026322_008.

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Jacob, W. M. "Women and Religion in Victorian London." In Religious Vitality in Victorian London, 196–225. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780192897404.003.0009.

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New opportunities emerged in churches for women as volunteer district visitors, Sunday school teachers, and for poor women to be trained and employed as Bible and parish women, Bible-nurses, and elementary school teachers which broadened the sphere of women’s activities beyond their homes to their parishes. Some women also formed religious communities, initially relieving poverty, provide nursing care and education for poor children. Growing awareness of wider social issues, particularly in relation to poverty, led some middle- and upper-class women, motivated by faith, to begin to develop activities in a wider sphere, including improving conditions in workhouses and hospitals, and establishing ‘settlements’ and pioneering systematic ‘social work’ methods. Some women also began to undertake public ministries, notably in the Salvation Army, but also leading informal congregations. Women were also generous contributors to religious-based projects. Building on these experiences, religiously motivated women stood for election to public office as London School Board members, guardians of the poor and London County Councillors. Succeeding chapters show that women also played a significant part in faith-motivated philanthropic and educational initiatives.
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Murdoch, Claire. "Change and Continuity in Psychiatry: One Woman’s Reflections." In Women's Voices in Psychiatry, 219–28. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198785484.003.0023.

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This chapter offers a recollection of training and working as a nurse in Friern Barnet Hospital during the 1980s. As the era of the Victorian asylum drew to a close, the possibility of new and improved approaches to mental health provision loomed. Murdoch offers a personal account of working within and challenging the status quo. She describes prevailing policy and practice and a sense of the struggle to usher in the new while respecting and learning from the old. She offers insights into the contradictory permissiveness of the day, and the tolerance and celebration of eccentric and endearing aspects of life in the asylum. Murdoch conveys how much has changed and points to constant features in the search for effective, humane treatments over the three decades. Stigma, funding, freedom, responsibility, and structures to support care in the community all remain constants.
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Arnold-Forster, Agnes. "Incurability and the Clinic." In The Cancer Problem, 44–64. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198866145.003.0003.

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This chapter shows how the hospitalization of cancer gave the care of the disease new legitimacy, tied it closely to the investigative and charitable projects of the metropolitan medical elite, and provided cancer with a presence in London’s built environment. It was in this early nineteenth-century moment that the disease moved out of the confines of the sickbed and entered the culture, politics, and social world of the early Victorian metropolis. The chapter reveals how, because of their new, concentrated, and hospital-based study of the disease, the capital’s medical elite defined cancer as an incurable malady and as a problem that they, as a collective, needed to overcome. It argues that the hospitalization of the disease codified cancer and transformed characteristics—such as incurability—that had long been observed by practitioners into essential, identifying features.
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Davis, Philip, and Josie Billington. "‘A bolt is shot back somewhere in the breast’ (Matthew Arnold, ‘The Buried Life’): A Methodology for Literary Reading in the Twenty-First Century." In The Edinburgh History of Reading, 283–305. Edinburgh University Press, 2020. http://dx.doi.org/10.3366/edinburgh/9781474446112.003.0015.

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Drawing on research by scholars based in the ‘Centre for Research into Reading, Literature and Society’ at the University of Liverpool, this chapter analyses the psychological and neurological effects of reading Victorian literature on people who would not normally be involved in reading literature at all. These new readers include people in drug and rehabilitation centres, prisons, hospitals, drop-in medical centres, dementia care homes, facilities for looked-after children, schools, and libraries. The chapter combines qualitative and quantitative research methods, and provides rare empirical insights into some of the private processes of reading. In so doing, it indicates that ‘old’ literature can cross boundaries, both appealing to and even helping to create ‘new’ readers, for whom the experience can be life changing.
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Coleborne, Catharine. "Disability and Madness in Colonial Asylum Records in Australia and New Zealand." In The Oxford Handbook of Disability History, 281–92. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780190234959.013.0017.

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Abstract Case records examined here are those of inmates in two public institutions for the insane in colonial Victoria, Australia, and in Auckland, New Zealand, between 1870 and 1910. In the international field of mental health studies and histories of psychiatry, intellectual disability has been the subject of detailed historical inquiry and forms part of the critical discussion about how institutions for the “insane” housed a range of inmates in the nineteenth century. Yet the archival records of mental hospitals have rarely been examined in any sustained way for their detail about the physically disabled or those whose records denote bodily difference. References to the physical manifestations of various forms of intellectual or emotional disability, as well as to bodily difference and “deformity,” were part of the culture of the colonial institution, which sought to categorize, label, and ascribe identities to institutional inmates.
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Conference papers on the topic "Hospital care Victoria"

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Delorenzo, A., St T. Clair, E. Andrew, S. Bernard, and K. Smith. "33 Characteristics of patients undergoing pre-hospital rapid sequence intubation by intensive care flight paramedics in victoria, australia." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.33.

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Brown, Jolene, Laurie Fortunato, Charlotte Woollaston, Kalyani Snell, Hilary Tedd, and Alice Fitzpatrick. "70 A review of end of life care of patients on high flow nasal cannula at the royal victoria infirmary, newcastle upon Tyne." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.88.

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Jesmont, Ceit. "326 Dr golding bird’s ‘report of cases of diseases of children, treated at Guy’s Hospital in 1843–44’: an example of specific children’s inpatient care in Victorian England prior to the establishment of dedicated hospitals." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.427.

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Duke, Graeme J., Tshepo Rasekaba, Anna L. Barker, Marnie Graco, Anastasia Hutchinson, and John Santamaria. "Real-Time Monitoring Of Patient Safety In Victorian Public Hospitals: Implementation Of The VAED And The COPE Model To Monitor Intensive Care Services." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a1480.

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