Dissertations / Theses on the topic 'Hospitals (Victoria)'
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1
Mangano, Maria. "Frontier methods for comparing public hospital efficiency." Thesis, Curtin University, 2004. http://hdl.handle.net/20.500.11937/2109.
Full textAbstract:
This research examines the impact, if any, of the introduction of casemix funding on public hospitals in Victoria. The results reported here show that in Victoria, during the period under observation, rural hospitals showed a significantly greater preponderance, relative to metropolitan hospitals, to either amalgamate or close down. Since 1 July 1993 public hospitals in Victoria have been compared for efficiency in the delivery of their services. The casemix funding arrangements were installed, among other reasons, to improve efficiency in the delivery of hospital services. Duckett, 1999, p 107 states that under casemix funding 'The hospital therefore becomes more clearly accountable for variation in the efficiency of the services it provides'. Also, 'Generally, case-mix funding is seen as being able to yield efficiency improvements more rapidly than negotiated funding'. Hospital comparisons provide State bodies with information on how to allocate funding between hospitals by means of annual capped budgets. Budgets are capped because funding is restricted to a given number of patients that can be treated in any given year. Thus, casemix funding relies heavily on cost comparisons between hospitals, and the way that hospital output is measured relies on the use of diagnosis related groups (DRGs).
2
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.
3
Mangano, Maria. "Frontier methods for comparing public hospital efficiency." Curtin University of Technology, School of Economics and Finance, 2004. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=17497.
Full textAbstract:
This research examines the impact, if any, of the introduction of casemix funding on public hospitals in Victoria. The results reported here show that in Victoria, during the period under observation, rural hospitals showed a significantly greater preponderance, relative to metropolitan hospitals, to either amalgamate or close down. Since 1 July 1993 public hospitals in Victoria have been compared for efficiency in the delivery of their services. The casemix funding arrangements were installed, among other reasons, to improve efficiency in the delivery of hospital services. Duckett, 1999, p 107 states that under casemix funding 'The hospital therefore becomes more clearly accountable for variation in the efficiency of the services it provides'. Also, 'Generally, case-mix funding is seen as being able to yield efficiency improvements more rapidly than negotiated funding'. Hospital comparisons provide State bodies with information on how to allocate funding between hospitals by means of annual capped budgets. Budgets are capped because funding is restricted to a given number of patients that can be treated in any given year. Thus, casemix funding relies heavily on cost comparisons between hospitals, and the way that hospital output is measured relies on the use of diagnosis related groups (DRGs).
4
Griffiths, Debra. "Agreeing on a way forward: management of patient refusal of treatment decisions in Victorian hospitals." Thesis, full-text, 2008. https://vuir.vu.edu.au/2036/.
Full textAbstract:
The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised.
The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which
participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand
Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that
patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into
treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes.
The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and
their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of
the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes.
The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are
categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and
Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family
members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious
illness refuse medical treatment.
5
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/.
Full textAbstract:
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.
6
Baderoen, Tougeda. "Die geskiedenis van die Stellenbosch Hospitaal (1942-2001)." Thesis, Stellenbosch : University of Stellenbosch, 2003. http://hdl.handle.net/10019.1/1935.
Full textAbstract:
Die Queen Victoria Gedenkhospitaal van Stellenbosch, wat sedert 1904 die
Stellenbosse gemeenskap bedien het, het as gevolg van 'n groeien~e
inwonergetal geleidelik 'n gebrek aan ruimte ondervind. Daarom is daar
gedurende die 1930's pogings aangewend vir die oprigting van 'n groter
hospitaal. Hierdie pogings is uiteindelik met sukses bekroon en in 1944 het
die Stellenbosch Hospitaal sy deure geopen.
Spoedig na die opening van die hospitaal is verskeie probleme, soos
byvoorbeeld 'n tekort aan beddens en 'n behoefte aan meer moderne
mediese toerusting, ondervind. Die Hospitaalraad het deur voortdurende
verto~ tot die Kaapse Provinsiale Administrasie en met die finansi~le steun
van die Stellenbosse gemeenskap daarin geslaag om belangrike moderne
algemene en mediese toerusting aan te koop.
Die Stellenbosch Hospitaal, in samewerking met die Cloetesville
Gemeenskaps Gesondheidsentrum, wat onder die beheer van die hospitaal
staan, se belangrikste doelwit was, en is, om die beste moontlike diens aan
die gemeenskap te lewer. Daarom het die Hospitaalraad met verloop van tyd
'n omvattende gemeenskaps gesondheidsprogram ontwikkel.
Sedert die dae van die Queen Victoria Gedenkhospitaal het die Stellenbosse
gemeenskap 'n aktiewe rol in die lewering van noodsaaklike hospitaaldienste
gespee!. As gevolg van die betrokkenheid en die finansi~le bydraes van die
gemeenskap kon die Hospitaalraad noodsaaklike uitbreidings, soos 'n
kraamsaal en 'n verpleegsterstehuis finansier. Omdat die gemeenskap besef
het dat dit nie net die staat se verantwoordelikheid was om
gesondheidsdienste te lewer nie, is die Aksie Stellenbosch Hospitaal, die
gemeenskapsarm van die hospitaal, in 1988 gestig. Hierdie Aksie
Stellenbosch Hospitaal speel dus in 'n tydperk waar staatsfondse beperk is, 'n
belangrike rol om die Stellenbosch Hospitaal doeltreffend te laat funksioneer
en om steeds hoe standaarde met betrekking tot gesondheidsorg te
handhaaf.
7
Wilson, Sally Guta Miriam 1954. "Evaluation of hospital pharmacy services in Victoria, Australia : a six year comparative study of customer service." Monash University, Dept. of Pharmacy Practice, 2003. http://arrow.monash.edu.au/hdl/1959.1/5689.
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8
Phillips, Brenda Mary. "The origins of the Royal Victoria Hospital at Netley, 1856-1864." Thesis, University of Southampton, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.496073.
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9
Gould, Glenice. "A history of the Royal National Throat, Nose and Ear Hospital 1874-1982." Thesis, Open University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336982.
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10
O'Meara, Peter Francis Public Health & Community Medicine Faculty of Medicine UNSW. "Models of ambulance service delivery for rural Victoria." Awarded by:University of New South Wales. Public Health and Community Medicine, 2002. http://handle.unsw.edu.au/1959.4/18771.
Full textAbstract:
The primary aim of the research project was to develop conceptual models of rural ambulance service delivery based on different worldviews or philosophical positions, and then to compare and contrast these new and emerging models with existing organisational policy and practice. Four research aims were explored: community expectations of pre-hospital care, the existing organization of rural ambulance services, the measurement of ambulance service performance, and the comparative suitability of different pre-hospital models of service delivery. A unique feature was the use of soft systems methodology to develop the models of service delivery. It is one of the major non-traditional systems approaches to organisational research and lends itself to problem solving in the real world. The classic literature-hypothesis-experiment-results-conclusion model of research was not followed. Instead, policy and political analysis techniques were used as counter-points to the systems approach. The program of research employed a triangulation technique to adduce evidence from various sources in order to analyse ambulance services in rural Victoria. In particular, information from questionnaires, a focus group, interviews and performance data from the ambulance services themselves were used. These formed a rich dataset that provided new insight into rural ambulance services. Five service delivery models based on different worldviews were developed, each with its own characteristics, transformation processes and performance criteria. The models developed are titled: competitive; sufficing; community; expert; and practitioner. These conceptual models are presented as metaphors and in the form of holons and rich pictures, and then transformed into patient pathways for operational implementation. All five conceptual models meet the criteria for systemic desirability and were assessed for their political and cultural feasibility in a range of different rural communities. They provide a solid foundation for future discourse, debate and discussion about possible changes to the way pre-hospital services are delivered in rural Victoria.
11
Mangano, Maria. "Frontier methods for comparing public hospital efficiency : the effect of casemix funding in Victoria /." Full text available, 2006. http://adt.curtin.edu.au/theses/available/adt-WCU20071218.144013.
Full text
12
Griffiths, Debra. "Agreeing on a way forward management of patient refusal of treatment decisions in Victorian hospitals /." full-text, 2008. http://eprints.vu.edu.au/2036/1/griffiths_debra_thesis.pdf.
Full textAbstract:
The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised. The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes. The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes. The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious illness refuse medical treatment.
13
Villanueva, Ávila Erica Beatriz. "Implementación del sistema de gestión médica, en el Hospital General Guadalupe Victoria Texcoco, Estado de México." Tesis de Licenciatura, Universidad Autónoma del Estado de México, 2015. http://hdl.handle.net/20.500.11799/99136.
Full textAbstract:
La presente tesina plantea la Implementación del Sistema de Gestión Médica
(SGM)1 en el Hospital General Texcoco (HGT) “Guadalupe Victoria” ISEM2; esta se
rige a través de un proceso administrativo, y de lo importante que es tener en cuenta
que un Sistema de Gestión Médica necesita justificar su implementación desde el
punto de vista Cambio Organizacional / Beneficios, y Sociedad; partiendo de la
concepción del valor que se le otorgue a la información dentro del Hospital.
En cuanto al proceso Administrativo, un conjunto de fases, etapas y conocimientos
indispensables a fin de aplicar un método con las principales técnicas de esta
disciplina empleadas correctamente. Y necesarias para llevar a cabo una meta, en
este caso la implementación del sistema de gestión médica lo cual implica una
planeación, organización, integración, dirección, y control del uso de los
recursos y las actividades de trabajo con el propósito de lograr los objetivos.
14
Lunde, Martin Jacob. "Approach to medical missions : Dr. Neil Macvicar and the Victoria Hospital, Lovedale, South Africa, circa 1900-1950." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/5809.
Full textAbstract:
This thesis examines the thought, work, and impact of the Scottish medical missionary, Dr Neil Macvicar, as well other personnel connected to the Victoria Hospital at the Lovedale mission in the Eastern Cape. Of special concern for study in medical history, missiology, and relief development studies, this work centres on Macvicar’s modern Western conceptions of Christianity, biomedicine, civilisation, African cosmological understandings, and traditional methods of healing, within the last years of the Cape Colony and the early history of the Union of South Africa. Macvicar was heavily influenced by the scientific advances and thought of his day, which in turn shaped his perceptions and attitudes not only to African worldviews but to his form and expression of Western Christianity and mission work. His efforts to eradicate and replace ‘superstitious’ thought and ‘inadequate’ methods of treatment focussed especially on the training of an African elite, including the first certified black nurses and largely unsuccessful attempts to initiate a scheme for black doctors. In addition, he promoted public health education endeavours; was heavily involved with patient care and treatment; enabled the inception of the South African Health Society; contributed countless articles, pamphlets, reviews, and books – both scholarly and popular; and was a central figure in the formation of the South African Native College (later to become Fort Hare University). As well as Macvicar, this thesis draws upon and exposes the impact of more marginalised medical personnel, such as Jane Waterston, one of the first female physicians in the modern British scheme, and Govan Koboka, a South African medical dispenser. Their work at Lovedale, among others like them in the late 19th century, was the primary approach to Western biomedical treatment offered by the mission, though largely unacknowledged in wider historical studies. This work also reveals how the hospital operated not simply as a place for healing, or indeed of dying, but as a ‘sacred’ or religious space in addition to its role as an educational centre for patients, and place for the training of other missionaries. Finally, elements of hospital-based biomedical practices, such as surgery, are examined and the Influenza Pandemic of 1918-1919 is looked at as a case study of mission community response to catastrophic disease.
15
Pérez, Paiva Regina Luz, and Pinedo Cynthia Paola Vela. "Propuesta de implementación de la metodología 5'S para mejorar la calidad de atención en el área de admisión del centro de salud "Manuel Sánchez Villegas" La Victoria, 2014-2015." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2016. http://tesis.usat.edu.pe/handle/usat/903.
Full textAbstract:
La presente investigación tuvo como objetivo proponer la implementación de la metodología de las 5s en el área de admisión del centro de salud Manuel Sánchez Villegas ubicado en La Victoria, en la ciudad de Chiclayo, mediante la investigación descriptiva, aplicando una encuesta al personal encargado del área de admisión y realizando un diagnóstico para identificar las características de esta área en cada dimensión de la metodología 5s, se evidencio como principal problema la ineficiente gestión y administración de las historias clínicas, así como también la inadecuada distribución de los espacios, , inadecuada ubicación de los materiales de uso frecuente, gran cantidad de materiales innecesarios acumulados en las diferentes lugares y deficiente limpieza en el área y en el centro de salud en general. De tal forma, se decidió proponer la metodología de las 5S, así como un manual de gestión de historias clínicas, un manual de procedimientos de limpieza y desinfección de ambientes en el establecimiento de salud como medio de solución a los problemas mencionados y con el objetivo de mejorar la calidad de atención en el área de admisión del Centro de Salud Manuel Sánchez Villegas, así como, plantear la clasificación de los materiales necesarios e innecesarios del área; formular una manual del orden y gestión de las historias clínicas; desarrollar un manual que especifique la forma adecuada de limpieza en los espacios de trabajo y alrededores; sugerir auditorias para verificar el cumplimiento de los procesos anteriores de la metodología y finalmente, presentar un formato de evaluación para comprobar los resultados de la aplicación de la metodología 5`S. Por lo que se pretende desarrollar capacitaciones de gestión y administración de historias clínicas para el comité de historias clínicas dentro de los establecimientos de salud. Por último, se debe llevar a cabo la supervisión de orden y limpieza en las áreas de trabajo, desarrollando, los equipos de auditoría cinco eses (5’s); así como proponer políticas que reafirmen el hábito de la limpieza y como consecuencia mejore la calidad de atención.Tesis
16
Teran, Vasquez Joselyn Xiomara. "Adaptación a los nuevos hábitos alimentarios del adulto mayor diabético con la participación familiar. Policlínico La Victoria Essalud, 2020." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2021. http://hdl.handle.net/20.500.12423/3504.
Full textAbstract:
La adaptación a nuevos hábitos alimentarios en el adulto mayor diabético, constituye un pilar fundamental en el ámbito de enfermería, ya que cuando el paciente es diagnosticado con diabetes debe cambiar su estilo de vida, en particular, su alimentación. Este proceso se torna dificultoso, ya que el adulto mayor tiene hábitos alimentarios propios que ha adquirido durante su vida, es por ello, que resulta importante el apoyo de su familia. Ante ello, se planteó como objetivos: Describir, comprender y analizar la adaptación a nuevos hábitos alimentarios con la participación familiar, Policlínico La Victoria EsSalud, 2020. Se utilizó la metodología cualitativa descriptiva; la muestra fue no probabilística y el tamaño se determinó por la técnica de saturación y redundancia, siendo los sujetos de estudio 10 adultos mayores que acuden al Programa del adulto mayor en el Policlínico La Victoria; los datos fueron recolectados a través de la entrevista semiestructurada, y procesados mediante el análisis de contenido. Se consideró los principios éticos y criterios de rigor científico. Los resultados son tres categorías: a) Nuevos hábitos alimentarios: Incremento de verduras/frutas y disminución de carbohidratos/grasas, b) Apoyo familiar para la adaptación a nuevos hábitos alimentarios, c) Desafíos que afronta el adulto mayor para cambiar hábitos alimentarios. En este estudio, se destaca la concientización de los adultos mayores y familiares en relación a la alimentación saludable, puesto que, estos pacientes llevan controles periódicos mensuales con el personal de salud, quienes brindan la información adecuada e incluyen en muchos casos a los familiares acompañantes.
17
Martínez, Corona Astrid Yazmin, and Mejía Jesús Arturo Isassi. "Proporción de Violencia en mujeres adultas con Sobrepeso y Obesidad que asisten al Servicio de Nutrición en el Hospital Municipal Guadalupe Victoria, Villa Victoria, Estado de México durante enero-marzo de 2013." Tesis de Licenciatura, Medicina-Quimica, 2014. http://hdl.handle.net/20.500.11799/14949.
Full textAbstract:
Antecedentes: Actualmente la violencia en mujeres y la obesidad son problemas
de salud pública, que conllevan a deterioros físicos y psicológicos que impactan el
ámbito personal, familiar y laboral de las mujeres. Por lo anterior, se debe
identificar la presencia de violencia dentro del tratamiento integral del sobrepeso y
la obesidad.
Objetivo: Identificar la proporción de violencia en mujeres adultas con sobrepeso
y obesidad de acuerdo al índice de masa corporal con la presencia de violencia en
mujeres adultas que asisten al servicio de nutrición en el Hospital Municipal
Guadalupe Victoria, Villa Victoria, Estado de México durante enero a marzo de
2013.+
Material y método: Se realizó un estudio retrospectivo, transversal, observacional
y descriptivo en mujeres adultas con obesidad y sobrepeso que acudieron a
consulta de nutrición en el periodo de febrero a marzo de 2013 y presentaron
algún tipo de violencia través de la herramienta de detección de violencia del
Instituto de Salud del Estado de México, se recolectó la información se procesó y
analizó para la obtención de proporciones y gráficas .
Resultados: Se incluyeron en el proyecto de investigación un total de 163 mujeres
de las cuales 8 de cada 10 presentaron violencia psicológica, 5 de cada 10
violencia física, 5 de cada 100 violencia sexual y 4 de cada 100 no presentaron
ningún tipo de violencia.
Conclusiones: El alcance de la violencia en contra de mujeres con sobrepeso y
obesidad y las consecuencias que se derivan de que estas experiencias crean en
las víctimas consecuencias en su salud social, psicológica y física; son pocos los
estudios al respecto de la violencia en mujeres adultas.
Sugerencias: Se sugiere reforzar las acciones preventivas contra la violencia a
las mujeres, tratar de manera temprana la obesidad y el sobrepeso para evitar no
solo problemas de salud sino también consecuencias sociales.
18
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.
Full textAbstract:
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.
19
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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Stone, M. S. "The Victorian army : health, hospitals and social conditions as encountered by British troops during the South African War, 1899-1902." Thesis, University of London, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320071.
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Kuhn, Lisa. "Contemporary issues in triage and inhospital assessment and management of women’s acute coronary syndrome in Victorian public hospitals: A retrospective study." Thesis, Australian Catholic University, 2013. https://acuresearchbank.acu.edu.au/download/ab9486594a9132e2a5d16b22e90b675a13660f2462ee599f324b19ee2e136cb4/8303182/KUHN2013.pdf.
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Coronary heart disease (CHD) is the world’s leading killer of men and women. Mortality rates have improved over recent decades, however reductions in women’s deaths have failed to keep pace with men’s. Heart attack (acute myocardial infarction, AMI) fits within a continuum of CHD known as acute coronary syndrome (ACS). Under-assessment and undertreatment of women’s AMI compared to men’s have been blamed for some of the disparity. Death and disability due to AMI is preventable with timely access to reperfusion therapy, making it one of the most critical conditions managed in the emergency department (ED) and inhospital systems. There is a paucity of literature available specific to women’s ED and inhospital care of ACS and AMI, particularly in Australia, however international research reveals women sometimes fail to receive equitable access to evidence based care compared to their male counterparts, potentially compromising health outcomes. The overall aims of this research were to examine and describe ED triage score allocation and treatment onset patterns in relation to patient sex and other demographic factors, in addition to inhospital access to reperfusion treatment and mortality for women with ACS and AMI in Victorian public hospitals.
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Herrera, Meza Laura Patricia, and Carreón Cinthia del Carmen Ireta. "Análisis del proceso de implementación del sistema de gestión médica en el Hospital General Texcoco Guadalupe victoria Bicentenario, desde una perspectiva administrativa." Tesis de Licenciatura, Universidad Autónoma del Estado de México, 2015. http://hdl.handle.net/20.500.11799/99143.
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Actualmente el uso de la tecnología es parte del día a día de todas las personas, sociedades, y por ende de todas las organizaciones, pues juega un papel importante en la realización de variadas actividades. Las presiones en un entorno tan cambiante como es el actual, exigen que las tareas sean realizadas con la mayor exactitud y eficiencia posible, en este contexto resulta necesario para las empresas diseñar las estrategias que les permitan dar respuesta a tales demandas. Entre dichas estrategias se encuentra el desarrollo o la adquisición de tecnología que facilite y haga más eficiente la realización de las tareas y cumplir con sus objetivos.
El Instituto de Salud del Estado de México (ISEM) es un ejemplo de lo que las empresas vienen haciendo desde hace algunos años, en cuanto a implementar estrategias que les permitan ser más eficientes. Esta institución se ha dado cuenta de que los procesos administrativos que utiliza para la atención de los pacientes son hasta cierto punto ineficientes, y que es necesario que los modernice en beneficio del público usuario.
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Ordoñez, Huaripata Melissa, and Erba Edgardo Javier Vasquez. "Factores que influyen en el nivel de servicio en la atención a los pacientes por el personal administrativo del Hospital de la Solidaridad de La Victoria." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2017. http://hdl.handle.net/10757/622922.
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Objetivo: Analizar el nivel de servicio óptimo y los estándares de calidad de atención del personal administrativo hacia los pacientes del Hospital de la Solidaridad de La Victoria.
Metodología: La investigación es de tipo cualitativo. En esta, se utilizó la teoría fundamentada, debido a que se parte de datos recopilados y analizados por medio de un proceso de investigación (entrevistas a profundidad). Asimismo, no se partió de una teoría preconcebida; por el contrario, se permite que la teoría emerja a partir de los datos. En precisión, se realizaron 17 entrevistas a profundidad, las cuales fueron semiestructuradas. Ello permitió que los entrevistadores profundicen sobre el tema. Conclusión principal: Según lo respondido en la entrevista por los pacientes que acuden al SISOL de La Victoria, se obtuvo que estos se encuentran satisfechos, debido a la rápida atención y al buen trato que reciben durante el proceso de atención por parte del personal administrativo. Con ello, se valida la hipótesis según la cual existe una relación directa entre el nivel de satisfacción y el proceso de atención del personal administrativo.Objective: To analyze the level of optimal service and standards of quality of care of the administrative staff toward the patients of the Hospital de la Solidaridad de La Victoria. Methodology: The research is the type qualitative. In this, we used the grounded theory, because it is part of data collected and analyzed by means of a research process (in- depth interviews). Also, it did not start from a preconceived theory; on the contrary, it allows the theory to emerge from the data. In accuracy, there were conducted 17 in- depth interviews, which were semi-structured interviews. This allowed the interviewers to deepen on the subject. Main Conclusion: As responded in the interview by the patients who come to the SISOL de la Victoria, it was found that they are satisfied, due to the quick attention and the good treatment they receive during the process of care on the part of the administrative staff. It validates the hypothesis according to which there is a direct relationship between the level of satisfaction and the process of attention of the administrative staff.
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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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Pascucci, Lucilaine. "Formação de estratégias em sistemas complexos : um estudo comparativo de organizaões hospitalares sob a perspectiva prática / Lucilaine Maria Pascucci ; orientador, Victor Meyer Jr." reponame:Biblioteca Digital de Teses e Dissertações da PUC_PR, 2011. http://www.biblioteca.pucpr.br/tede/tde_busca/arquivo.php?codArquivo=1965.
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Tese (doutorado) - Pontifícia Universidade Católica do Paraná, Curitiba, 2011Bibliografia: f.311-327
Organizações sociais como hospitais são complexas, surpreendentes, ambíguas e paradoxais. Dois aspectos críticos da abordagem estratégica, nestas organizações, têm sido a formação de estratégias e a complexidade organizacional, onde a dicotomia entre inte
Social organizations as hospitals are complex, surprising and paradoxical. Two critical aspects of strategic approach at these organizations have been strategy formation and organizational complexity in which dichotomy between intention and action has bee
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Castillo, Atau Anabel Katerine. "Sindrome De Burnout y desempeño laboral del enfermo en el Hospital Nacional Victor Larco Herrera Diciembre-2012." Bachelor's thesis, Universidad Ricardo Palma, 2013. http://cybertesis.urp.edu.pe/handle/urp/332.
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Introducción: La Red Mundial de Salud Ocupacional de la OMS, describe al Síndrome de Burnout como un desgaste laboral progresivo que comienza con niveles excesivos y prolongados de estrés laboral, generando sobrecarga en el trabajador de salud evidenciado por la irritabilidad, cansancio y tensión. El personal de enfermería se ha caracterizado por desarrollar y fortalecer actitudes y valores que involucran al ser, es por ello que en los servicios de Psiquiatría por la naturaleza de la especialidad, debe enfrentar situaciones alarmantes de manera satisfactoria, ayudando a los pacientes en el afrontamiento eficazmente de los problemas que afecten su salud mental. Objetivo: Determinar el nivel del Síndrome de Burnout y el Desempeño Laboral en el Enfermero del Hospital Nacional Víctor Larco Herrera- Diciembre
2013. Material y Método: Enfoque cuantitativo de diseño descriptivo, a una población de 138 enfermeros (as); se utilizó el instrumento MBI para la recolección de datos de la primera variable y un segundo instrumento para la segunda variable el cual pasó por validez y confiabilidad. Se utilizó la estadística descriptiva (Alfa de Cronbach). La actual investigación fue evaluada por un comité de ética en investigación. Resultados: Se determinó la existencia del Síndrome de Burnout en niveles moderados en un 71%, asimismo sus tres dimensiones resultaron también tener niveles moderados:
61.6% en Agotamiento Emocional, 57.2% en Despersonalización y 97.1% en Falta de Realización Personal; con respectos a la segunda variable el 52.2% tienen Desempeño Laboral inadecuado, y en sus dimensiones resultó que el
75.4% tiene Relaciones Interpersonales adecuadas, 52.9% tienen Experiencia o Habilidad Practica inadecuada y el 60.1% tienen Satisfacción Laboral inadecuada. Conclusiones: La mayoría de las enfermeras del Hospital Nacional Víctor Larco Herrera presentan una forma moderada de estrés, y desempeño laboral inadecuado.
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Hinton, Susan E., and Susan Mayson@BusEco monash edu au. "Organisational contestation over the discursive construction of equal employment opportunities for women in three Victorian public authorities." Swinburne University of Technology, 1999. http://adt.lib.swin.edu.au./public/adt-VSWT20051102.140031.
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The central arguments in this thesis rest on two premises. Firstly language and context are intimately bound up in the social construction of workplace gender inequalities. Secondly, organisational understandings and management of women�s access to employment opportunities and rewards in modern bureaucratic organisations are constituted through discourses or systems of organisational knowledges, practices and rules of organising.
This study uses the concept of discourse to account for the productive and powerful role of knowledge and language practices in constituting the organisational contexts and meanings through which people make sense of and experience complex organisations.
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Luciano, Tejada María Elena, and Galindo Larisa Desireé Mata. "Seguimiento de la primera capacitación del sistema de gestión médica (expediente clínico electrónico) del año 2014 en el Hospital General Guadalupe Victoria Bicentenario Texcoco, Estado de México." Tesis de Licenciatura, Universidad Autónoma del Estado de México, 2018. http://hdl.handle.net/20.500.11799/99255.
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Este documento tiene como fin dar seguimiento a la capacitación del Expediente Clínico Electrónico que se llevó a cabo el 20 de Septiembre del 2014 en el Hospital General Guadalupe Victoria Bicentenario Texcoco (ISEM) e identificar cuáles son los beneficios de capacitar al personal y como estos pueden influir directa o indirectamente en la productividad como elemento básico que posibilita incrementar el valor técnico y humano, que permite realizar actividades con calidad y eficiencia. Así como también observar que la persona capacitada realiza en un 90% mejor su trabajo teniendo en cuenta que la capacitación es fundamental para adquirir, reforzar, actualizar o incrementar los conocimientos destrezas y actitudes necesarias para el desarrollo personal y profesional de una plantilla laboral, para así obtener personal calificado que trabaje con oportunidad en el servicio y brinde un trato amable al público.
La capacitación no debe verse como un gasto sino como una inversión ya que esta trae beneficios para la empresa como al personal mediante la implementación, en este caso es por eso que surge un Expediente Clínico Electrónico puesto que es una solución para la informatización total de los hospitales, haciendo posible la documentación, integración y revisión de toda la información relativa a operaciones hospitalarias, con un registro de los documentos de la clínica en tiempo real. Incluyendo aplicaciones específicas para cada ambiente clínico (Consulta Externa, Urgencias, Hospitalización y Quirófano).
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Wang, Tzu-ya (Lisa). "Action research : improving my music therapy practice with hospitalised adolescents through building relationships and meeting their developmental needs : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Music Therapy." New Zealand School of Music, 2008. http://hdl.handle.net/10179/1115.
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This study examines the researcher's music therapy intervention with hospitalised adolescents within a paediatric hospital The hospital is located in a New Zealand city serving a broad multicultural population of mainly Pakeha, Maori and Pacific Island people. There is a large body of literature showing that experiences of hospitalisation are often unpleasant and that the challenges adolescents encounter during hospitalisation can also be detrimental to their development. The researcher employed an action research model of cycles of planning, action and reflection to explore the potential for practice improvement in meeting the needs of hospitalised adolescents. In addition, young people's feedback on the sessions and input from supervisors also contributed to the researcher's planning. Personal goals in clinical practice and specific planning for the needs of individual participants were the starting points of each cycle. Subsequently, each cycle had a learning analysis to relate planning to action and to collect the knowledge for the next cycle or future practice. The researcher found that through scrutiny of her clinical work she was able to improve her professional practice. The findings also showed that relationship-building through music therapy was able to support the developmental needs of hospitalised adolescents.
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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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León, Saavedra Franco Guillermo. "Factores asociados a mayores niveles de carga familiar en cuidadores principales de pacientes con esquizofrenia en actual atención ambulatoria del hospital Victor Larco Herrera. Marzo - Julio 2012." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2013. https://hdl.handle.net/20.500.12672/463.
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El desarrollo de los tratamientos comunitarios de las enfermedades mentales crónicas y graves tras la sobrepoblación de los hospitales psiquiátricos ha supuesto una carga para los familiares, cuidadores de los pacientes.
Objetivo: determinar cuáles son los factores asociados a mayores niveles de carga familiar en cuidadores principales de pacientes con quizofrenia.
Material y Método: se estudió 50 cuidadores de pacientes con diagnóstico de esquizofrenia según CIE-10, en actual atención ambulatoria. Se aplicó, a los cuidadores, una ficha sociodemográfica y la entrevista de carga familiar objetiva y subjetiva (ECFOS-II) validada. Los pacientes fueron evaluados con la Positive and Negative Syndrome Scale (PANSS), la WHO/Disability Assessment Schedule (OMS/DAS) y la Global Assessment Functioning (GAF). Se analizó la asociación entre las dimensiones de la carga familiar del cuidador y las características del paciente, los síntomas de la enfermedad y la discapacidad asociada a la misma.
Resultados: la carga familiar del cuidador se asocia con mayor gasto económico en el cuidado del paciente, reingresos en el último año, la intensidad de síntomas propios de la enfermedad y el grado de discapacidad derivada de la misma.Conclusiones: el ECFOS-II es de utilidad clínica y de investigación para la evaluación de carga familiar. Los resultados de este estudio así como los de otros similares de la literatura internacional muestran especial relevancia, tanto para el desarrollo de los programas específicos de tratamiento psiquiátrico como en el desarrollo de las políticas sociales específicas, a nivel de Atención Primaria, para este tipo de patología.Tesis
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Graciela, Coronel, and Anahí Blanco. "Salud laboral." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2011. http://bdigital.uncu.edu.ar/9813.
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La Enfermería está orientada a ayudar a los individuos, familias y grupos a determinar y conseguir su potencial físico, mental y social, y a realizarlo dentro del contexto desafiante del medio en que viven y trabajan; para esto requiere enfermeras que desarrollen y realicen funciones que se relacionen con el fomento y mantenimiento de la salud, así como la prevención de la enfermedad. El objetivo de la enfermería está enfocado, esencialmente, al beneficio del paciente, por lo cual su trabajo debe estar centrado en él. La enfermera vela por el adecuado funcionamiento institucional para que la tarea de cuidar personas se realice con la mejor calidad posible; su deber administrativo es la gestión del cuidado al usuario; sin embargo, le asignan labores que sobrepasan sus funciones. El presente estudio tiene como objetivo conocer las posibles causas que llevan a desvirtuación de las funciones propias del personal de enfermería del hospital Victorino Tagarelli de Eugenio Bustos, departamento de San Carlos y determinar si estas pueden poner en riesgo la salud psicofísica de los enfermeros, en Mendoza 2011.Fil: Coronel. Graciela. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Blanco, Anahí. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
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Pellegry, Florence. "Cultures sexuelles et rapports sociaux de sexe à la fin de l'ère victorienne : le cas des classes laborieuses à partir des archives du London Foundling Hospital." Paris 7, 2013. http://www.theses.fr/2013PA070062.
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Dans ce travail, nous nous intéressons aux moeurs sexuelles des classes laborieuses à la fin de l'ère victorienne (1875-1901). Notre recherche s'appuie principalement sur des courriers intimes et des témoignages retrouvés dans les dossiers d'adoption des archives du London Foundling Hospital, institut charitable qui accueille les enfants illégitimes depuis la fin du dix-huitième siècle. Grâce à ces sources primaires, nous nous proposons de ressusciter le passé, de retrouver des instants clés de la vie de jeunes couples d'amoureux de Londres et de sa région, pour la plupart des travailleurs peu ou moyennement qualifiés qui se rencontrent dans le tumulte de la plus grande ville jamais vue au monde. Nous chercherons donc à faire un tableau plus fidèle des relations amoureuses et sexuelles de ces jeunes couples britanniques. Ce travail s'articule autour de trois axes. Dans un premier temps, nous dresserons le portrait des populations à l'étude, pour ensuite évaluer la fiabilité des sources et se rappeler le contexte historique et idéologique du dernier quart du dix-neuvième siècle. Nous nous intéresserons ensuite à l'interprétation des correspondances intimes et à ce que le discours masculin dévoile des moeurs amoureuses des couples. Nous considèrerons les codes de morale qui régissent les relations amoureuses et nous conclurons enfin cette étude par une approche plus théorique des sources grâce à laquelle on s'intéressera au rapport entre les sexes et aux idéaux amoureux des couplesThis work examines the sexual mores of the working classes at the end of the Victorian era (1875-1901). The research is based on the study of private correspondences and testimonies found in the archives of the London Foundling Hospital, a charitable institute welcoming illegitimate children since the end of the eighteenth century. Thanks to these primary sources, we will bring to life certain elements of the past and rediscover key moments in the lives of young couples in London and its suburbs most of whom were working or lower middle class skilled workers who met in the busy streets of London. We will endeavour to paint a faithful portrait of the loving and sexual relations of these young British couples. This study is structured around three principal parts: firstly, we will construct a portrait of the population under study, evaluate the reliability of the sources available and focus on the historical and ideological context of the last quarter of the nineteenth century. Secondly, we will interpret the private correspondences and examine what the male discourse tells us about the sexual mores of the couples under study. We will also look into the moral codes regulating love affairs during the period. We will bring this study to a close with a more theoretical approach to the sources enabling us to draw certain conclusions concerning the relationship between the sexes and the romantic ideal of the couples
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Cassón, Luis, and Marcela Rivero. "Conocimientos que posee el personal de enfermería en los cuidados de úlceras por presión." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2013. http://bdigital.uncu.edu.ar/10194.
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Las úlceras por presión (UPP) constituyen uno de los problemas más frecuentes en la práctica diaria de enfermería, siendo un gran reto y una gran responsabilidad tanto en prevención como en tratamiento. Estas aparecen a través de distintos factores, como por ejemplo el estado nutricional del paciente, el tiempo que este hospitalizado y principalmente con los cuidados que se deben se deben tener en cuenta (higiene, movimiento, etc.), prevenir es sin duda la mejor opción para evitar estos problemas. El éxito de la prevención está en función del conocimiento, las habilidades y las actitudes de las mismas, y, por tanto, se debe accionar para reducir la incidencia de estas lesiones. Las úlceras por presión son un proceso que aparece en la mayoría de los pacientes de edad adulta con movilidad reducida. La mayoría de las ulceras por presión pueden prevenirse, un 95% pueden evitarse; por lo que es importante disponer de estrategias de educación y prevención. En cuanto a la prevención de estas úlceras que debe realizar la enfermera, se encuentran variados protocolos para la actuación del personal, donde incluyen actividades a realizar como cuidados propios de enfermería. Este trabajo de investigación tiene como objetivo determinar qué conocimientos tiene el personal de enfermería, del hospital Dr. Victorino Tagarelli del departamento de San Carlos, sobre los cuidados en úlceras por presión, durante el año 2013.Fil: Cassón, Luis. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Rivero, Marcela. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
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Jaswal, Harpreet Kaur. "Seismic preparedness of hospitals in Victoria, British Columbia, Canada." Thesis, 2012. http://hdl.handle.net/1828/3997.
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This research explored the extent to which two hospitals in the City of Victoria are prepared for a future earthquake event. The goal is to examine the level of emergency preparedness of two tertiary care hospitals in Victoria for dealing with the potential damage caused by an earthquake in the region. The research objectives are aimed at highlighting current strengths regarding health sector emergency preparedness, reducing the vulnerability of the health sector by identifying key areas of improvement, and ultimately, increasing the capacity of the health sector to respond to the damages sustained by earthquakes. A small-scale mixed-methods approach was taken to assess hospital preparedness. A structured survey was administered to 26 key informants who were selected specifically based on their prior knowledge, experience and current roles and responsibilities pertaining to Disaster and Emergency Management in the province. A concerted effort was made to include a sample of participants from each of five target populations at the Provincial, Health Authority, and Local Health Authority levels. Data analysis included quantitative and qualitative techniques to generate simple statistics and thematic coding of the interview transcripts to identify main themes and patterns. Both quantitative and qualitative insights were used to provide a clearer picture of hospital preparedness and to foster credibility and dependability of key results. The findings and results confirm that there are excellent levels of engagement and integration between the Local Government, BC Ambulance Service and Fire Departments. There is room for improvement in regards to engaging and integrating NGOs with Hospital planning. Robust plans and protocols were found to be in place for Communication Systems, Emergency Operations Centres and Public Information and Media Relations. Hospital level respondents reported having less Emergency Management education and Training and had participated in fewer disaster exercises compared to Provincial and Local Emergency Managers. Although 76% of respondents had participated in a disaster exercise, only 5 % had responded to an earthquake. Only 23% of respondents had activated their planning in response to an earthquake. The results emphasize the immediate need for increased engagement and integration of earthquake response planning between health system stakeholders, communities and all levels of government. At the hospital level, increased attention needs to be directed to the following operational areas: Mass Casualty Planning, Resource Stockpiling, Department Level Contingency Plans, Evacuation and Relocation Protocols and Procedures, Volunteer Coordination Protocols, and Internal and External Traffic flow. Lastly, the results highlight the need for increased disaster education and training for front line acute care employees, hospital administrators and management staff. In addition to training and education, multi-jurisdictional and multi-agency exercises should be undertaken to engage all key community stakeholders and to promote a more integrated and optimal response in the event of an earthquake.Graduate
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Funnell, Rita. "Opinions of registered nurses about quality of working life in Victoria’s public hospitals." Thesis, 2010. https://vuir.vu.edu.au/16010/.
Full textAbstract:
High quality of working life is vital for maintaining an adequate workforce, and given the current global nursing workforce shortage, the quality of nurses’ working lives is of particular importance. The literature suggests that ensuring working conditions are attractive enough to retain nurses in the workforce is the most cost-effective and sustainable strategy for addressing the nursing shortage.
Drawing upon the Theory of Work Adjustment as a theoretical framework, this cross-sectional, mixed-method study sought to explore the opinions about quality of working life held by nurses working in public hospitals in Victoria. Differences in opinion about key aspects of working life between nurses who planned to continue a career in nursing and those who planned to make a career change were also sought. Data were collected using a Likert-style survey and semi-structured interviews and were analysed by means of the SPSS computer program and qualitative content analysis.
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(13108691), Gary Musselwhite. "Duplicated and anomalous data in mandatory reporting by small Victorian public hospitals." Thesis, 1998. https://figshare.com/articles/thesis/Duplicated_and_anomalous_data_in_mandatory_reporting_by_small_Victorian_public_hospitals/20327673.
Full textAbstract:
Victorian Public Hospitals have operated under a burden of several different financial reporting requirements for several years. The research sought to examine the duplication of mandatory financial reporting requirements applicable to an atypical small Non -Metropolitan Victorian Public Hospital.
Previously published research as undertaken by Arthur Anderson, 1995, commissioned by OHS provided a basis of this research. The Anderson research was broad and encompassed the reporting requirements as applicable to both the largest and smallest Victorian public Hospitals. The research sought opinion of a qualitative nature, but did not examine the duplication of requirements from a
quantitative perspective.
The research is based on a case study of a single hospital and the three major financial reporting requirements, as applicable to this hospital. These reporting requirements were compared not only for duplication of mandatory reporting requirements, but also any anomalous reporting requirements were investigated.The initial benefit of the research being that with identified duplication of data, scope may exist for a reduction in either the content or number of reporting requirements.
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Daffern, Michael. "A functional analysis of psychiatric inpatient aggression." 2004. http://arrow.unisa.edu.au:8081/1959.8/24968.
Full textAbstract:
Aggression occurs frequently on many psychiatric wards; its assessment and management are crucial components of inpatient care. Consequences to inpatient aggression are profound, impacting on staff and patients, ward milieu and regime, and mental health services in general. Despite considerable research, which has primarily focussed on the assessment of demographic and clinical characteristics of aggressive patients, the nature of the relationship between mental illness, inpatient treatment and aggression remains unclear. Inconsistent risk assessment practices, management strategies and treatment plans, often derived from idiosyncratic beliefs about the causes of aggression, follow. Approaches to the assessment of inpatient aggression have been categorised as structural, which emphasise form, or functional, which emphasise purpose. Studies of inpatient aggression have primarily utilized a structural approach. These studies have resulted in the identification of demographic, clinical and situational characteristics of high-risk patients and environments. Resource allocation and actuarial assessments of risk have been assisted by this research. Conversely, functional assessment approaches seek to clarify the factors responsible for the development, expression and maintenance of inpatient aggression by examining predisposing characteristics, in addition to the proximal antecedents and consequences of aggressive behaviours. While functional analysis has demonstrated efficacy in assessing and prescribing interventions for other problem behaviours, and has been regarded a legitimate assessment approach for anger management problems, psychiatric inpatient aggression has been relatively neglected by functional analysis. Against this background, four studies focussing on the assessment of predisposing characteristics, precipitants and consequences, and purposes of aggressive behaviour, were undertaken to assist in the development of a functional analysis of psychiatric inpatient aggression. All four studies were conducted within the Thomas Embling Hospital (TEH), a secure forensic psychiatric hospital in Melbourne, Australia. The first of three initial studies involved a retrospective review of Incident Forms relating to aggressive behaviours that occurred within the first year of the hospital?s operation. The second involved a comparison of prospective assessment of aggressive behaviours with retrospective review of Incident Forms. The third involved a review of Incident Forms across two forensic psychiatric hospitals, the Rosanna Forensic Psychiatric Centre, and the TEH, to allow for the study of environmental contributors to aggression. The fourth, and main study, focussed on the assessment of patients and aggressive incidents, using a framework emphasising purpose, which was assessed using a classification system designed and validated as part of this study. Demographic and clinical information in addition to social behaviour, history of aggression and substance use were collected on the 204 patients admitted to the hospital during 2002. One hundred and ten of these patients completed an additional assessment of psychotic symptoms in addition to a battery of psychological tests measuring anger expression and control, assertiveness, and impulsivity. During 2002, the year under review, there were 502 incidents of verbal aggression, physical aggression, and property damage recorded. Staff members who observed these incidents were interviewed, and files were reviewed to record the severity, type, direction and purpose of aggression. Following 71 aggressive behaviours patients also participated in the assessment of purpose. Results from this, and the three initial studies, reinforced the contribution to aggression of a number of individual characteristics, including a recent history of substance use, an entrenched history of aggression, a recent history of antisocial behaviour, and symptoms of psychosis, including thought disturbance, auditory hallucinations and conceptual disorganisation. Somewhat surprisingly, a number of other characteristics shown through previous research to have a relationship with aggression, including anger arousal and control, impulsivity, and assertiveness did not show a relationship with aggression. Further, and perhaps a consequence of the peculiar characteristics of some patients admitted to the TEH, older patients and females were more likely to be repeatedly aggressive, yet neither age nor gender differentiated aggressive from non-aggressive inpatients. In this study acts of inpatient aggression were usually precipitated by discernible events, or motivated by rational purposes. Rarely was aggression the consequence of a spontaneous manifestation of underlying psychopathology occurring in isolation from environmental precipitants. A number of proximal environmental factors, most particularly staff-patient interactions associated with treatment or maintenance of ward regime, that were considered provocative or that threatened status, were evident in incidents of aggression perpetrated against staff. The perception of provocation and the need to enhance status were common precipitants of aggression between patients. There was little evidence to suggest that aggression was used instrumentally to obtain tangible items, to reduce social isolation, or to observe the suffering of others in the absence of provocation. Results of these four studies have implications for the prediction and prevention of inpatient aggression, and for the treatment of aggressive inpatients. These are discussed, as are the limitations of this research and suggestions for further research.thesis (BPsychology(Hons))--University of South Australia, 2004.
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Faruq, Quazi Omar. "Management of training to prevent occupational violence: a case study of the Work Health and Safety Management System (WHSMS) in a hospital in Victoria." Thesis, 2018. https://vuir.vu.edu.au/37836/.
Full textAbstract:
Healthcare is a complex arena of multi-skilled interaction. In recent years, it has grown extensively out of the simple act of treating the sick by a noble healer to taking measures of preventing illness not only of the clients but also of the community. It is no more a deal between two persons: the sick and the healer (like a doctor). Community healthcare is regulated by several agencies including legislative agencies (like government, international health organisations), professional bodies, industrial regulators, consumer advocates and commercial entities (such as insurance companies and pharmaceuticals). Healthcare service providers or professionals are not the sole regulators rather their actions need to balance the legal obligations to the client (such as client satisfaction), to staff (such as workplace safety) and to business (to maintain competitive advantage in the industry).
Current healthcare service provision is challenged by many factors including diversification of the task, diversity of workforce characteristics due to globalisation and increased service demand by knowledgeable customers searching proactive healthcare and not just curative care. To overcome these challenges along with maintaining quality service, organisations need skilled staff. This, however, is threatened by occupational hazards like occupational violence against staff (OVAS) which is well documented globally and across Australia.
The impact of OVAS is not limited only to disruption of service but also to the quality of service and shortage of human resources in some cases. Regulatory agencies like the Department of Health, Comcare, Safe Work Australia and Worksafe Victoria (VAGO, 2013) are providing guidelines on OVAS management.
Most healthcare providers are considering some actions, but not with any universal consensus. According to the hierarchy of control in Work Health and Safety Management System (WHSMS) a hazard could best be controlled by eliminating it, but if not then training of staff is an option. Training will always be needed whether or not other measures of hazard and risk control are implemented. This encourages research to develop effective training in terms of trainers’ perspective (in delivery), learners’ perspective (of appreciating the sessions) and management’ perspective (of the outcome of hazard control).
Literature shows that the workforce training in hospitals to control OVAS lacks consistency and uniformity across Australian hospitals. ‘Management of Violence and Aggression International Training’ (MSVT) is one training programme run by the BN123 Health, Victoria, since 1990.
With that background the main aim of this qualitative case study research project was to “identify the effectiveness of the existing training programme (MSVT) in prevention of occupational violence against staff (OVAS) “. Occupational violence is a part of work health and safety issue. So, the research intended to enquire: ‘Is the existing MSVT in prevention of OVAS achieving its purpose, particularly in the current WHSMS setting of the hospital?’
The literature review assisted in identifying the causes of OVAS, types, prevalence and the factors associated with it. It also helped to analyse the published incidents. Among different training evaluation methods, the Kirkpatrick’s model was found most suitable to evaluate MSVT. Analysis attempted to correlate the outcome of the training against existing objectives. Limited access to information meant that I could not perform in-depth analyses, but the findings of this study are expected to guide future research on the effectiveness of MSVT at BN123 Health with more integration to the WHSMS and other safety programmes
This research used a qualitative case study with Actor-Network Theory (ANT) to fulfil the goal. The limited access to health facilities both due to obstacle in sensitive data collection and accessing busy participants of different sections of the hospital in a limited time frame.
This study explored actors related to OVAS and suggested adoption of an innovative approach to improve workplace safety through the formation of new networks. It did this by looking through the lens of Actor-Network Theory (ANT). The present vision of the government in digitalising the health sector in Australia is a prime opportunity to re-align the network in the WHSMS of the hospital for better impact of training on the OVAS situation.
Limited guidance from top management was an issue. MSVT was under the control of the Psychiatric Department at its inception but was then moved under Human Resources (HR), which seems to have reduced its importance and resource management ability. Hospitals are dominated by clinical priorities rather than HR issues.
Being a part of the general training programme administered by HR has limited the ability of MSVT as it struggled to receive funding to recruit enough full-time trainers to undertake research on OVAS incidents, promote the programme across the whole organisation, publish materials to create awareness to all staff and develop resources to help retain the knowledge of the participants in the post-training period.
Limited flow of information on OVAS was another issue. Even though BN123 Health invests in innovation like RSKSOFT, for reporting it did not purchase all the modules of that programme to improve the flow of information to the trainers of MSVT.
BN123 Health demonstrated a proactive attitude in managing OVAS by procuring and trademarking MSVT but is lacking continuity of efforts in it, maybe due to its commitment to clinical aspects of the service. This could be verified by further research.
The research identified scope for innovation. Firstly, the training programme could be strengthened by incorporating recent updates on organisational objectives and legislative changes and standardisation with industry practices. It could also be strengthened by incorporation of an improved audio-visual component, distance learning facilities for beginners and refreshers, updating resources including books and journals, inter-organisation exchange programmes and inclusion of regular research results in booklets and handouts. Targeted delivery would also assist, with constant vigilance on incidents and inclusion of vulnerable groups in training.
Another worthwhile innovation would be to change the focus from staff only programmes to involve customer or client interest. This could include arranging training for clients and carers as they are a party in the conflict. Management training would be useful to prepare resources for the population of the catchment area, bringing together all healthcare providers (including GPs) who refer clients to the hospital. Updating real-time information collection, storage and analysis by professionals as well as information access to trainers would also be a worthwhile innovation.
With the availability of mobile technology, BN123 Health has scope to improve its ability to get real-time information from the incident spot and to develop better management to control events. This could also provide arrangements for easy data entry by general staff.
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Hartley, Peter Ross. "Paramedic practice and the cultural and religious needs of pre‐hospital patients in Victoria." Thesis, 2012. https://vuir.vu.edu.au/21301/.
Full textAbstract:
Religion and culture can impact profoundly on healthcare practices and health
outcomes. The Australian community is rich and diverse in differing cultures and
religions, and at times of medical emergency the paramedic increasingly will be required
to respond to healthcare needs of this diverse community. This study is designed to
investigate current paramedic practices as they relate to an awareness of the cultural
and religious needs of community groups as a holistic approach. It also incorporates the
voices of these community groups from their experiences with emergency paramedics
during pre‐hospital health care for those living in Melbourne, Australia.
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Sarr, Aminatta, and 沙米娜. "Diabetes Self-Management: Perspectives of Gambian Patients Attending the Medical Clinic, Royal Victoria Teaching Hospital (RVTH), 2009." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/46946843978388126642.
Full textAbstract:
碩士國立陽明大學
公共衛生研究所
98
Abstract Background: Managing a chronic disease demands a life-long engagement of the patient who should be encouraged and supported to take up that role. People living with diabetes need guidance in learning how to self-manage their condition and in taking responsibility for their daily diabetes care Objectives: To assess diabetic patients’ self-management behaviors and its associated factors in a country experiencing rapid emergence of the new epidemic and to also assess treatment adherence among diabetic patients. Design: A cross-sectional survey. Setting: The Medical Clinic, Royal Victoria Teaching Hospital. Participants: A sample of 350 participants was recruited, and 349 completed the study. Inclusion criteria :( 1)All Patients with diabetes 1 or 2 according to their medical records(2) Patients were 18- 85 years.(3)Patients were attending RVTH and should have at least 2 visits in the study clinic in the past 6 months. Exclusion criteria: (1) Patients more than 86 years (2)Gestational diabetic patients (3)Patient that were too sick(especially those with elevated Fasting blood sugar) Methods Sampling: A systematic sampling was done to select subjects from patients attending the clinic, during waiting time. Data Collection: A face-to-face interview surveys were conducted using structured questionnaire consisting both closed and opened ended questions. Ethical issues: Informed consent was obtained from each participants and approval for the study was obtained from Ethics and Research Committee of RVTH. Results: 70% of participants were female, majority of the participants were age 35-64years(69%), had no formal education (75%), had a fasting. blood sugar greater than 7.1mmol(80%) on the day of the survey and a BMI greater than 24.9(67%). CONCLUSION: Results from this study highlight the challenges of diabetes self-Management in resource-poor setting. Improving diabetes care will required a national diabetes programs capable of handing current patients and newly diagnose patients especially those living in poverty who lack access to basic diagnostic and treatment suppliers. Also this programs can also address literacy which may be particular beneficial for patients with low knowledge of diabetes.
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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.
Full textAbstract:
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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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.
Full textAbstract:
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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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.
Full text
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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.
Full textAbstract:
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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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.
Full textAbstract:
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)