Dissertations / Theses on the topic 'Medical staff'
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Olsson, Joel, and Junior Asante. "Using Node-Red to Connect Patient, Staff and Medical Equipment." Thesis, Linköpings universitet, Institutionen för systemteknik, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-129781.
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The emergency departments in Region Östergötland use pen and paper to a large extent when recording emergency care procedures and measurements. During treatment the patient should be the main focus. Because of this, recording of measurements done could be delayed or in worst case forgotten during stressful situations. The proposal of this project is the development of a prototype that tries to make the administrative work a passive procedure rather than an active one. The system developed uses a Raspberry Pi, along with Node-Red, which connects predefined patient data and medical records, with the clinical staff tending the patient. All these connections are initiated by mainly using RFID technology. The conclusion made with the developed system is that it should unload the staff with the recording of data and that it helps make a data logging a more passive work than today’s used methods. Along with a process that is easier to operate, the time spent on administrative work could be reduced with the proposed system.
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Daly, Zuleika. "Women's experiences of communication with medical staff during complicated pregnancy." Thesis, Middlesex University, 2015. http://eprints.mdx.ac.uk/21266/.
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This study explored the ways in which women experienced non-facilitative communication with medical staff during a complicated pregnancy. Complicated pregnancy has been associated with a higher risk of mental health difficulties. The research was carried out in Ireland and focused on women’s relationships with medical hospital staff during this time as they are ideally placed to offer relational support, and potentially prevent longer term problems. In-depth interviews were conducted with six women. The qualitative methodology of interpretive phenomenological analysis was used to understand their experiences. Four superordinate themes emerged. These were ‘Information difficulties' ‘Disempowerment', ‘Empathic failure’ and ‘Relational impacts’. Crucial information was withheld, private details were discussed in public spaces and key aspects of women’s experiences were omitted from their hospital notes. Participants spoke of feeling disempowered and manipulated by staff. All participants referred repeatedly to feeling that the majority of staff failed to demonstrate empathy. Women felt isolated and unseen, with staff focused on tasks rather than holistic treatment and their infant’s needs but not those of the women. Finally, women described how their relationships with themselves, partners, and crucially, their infants had been impacted. Participants’ accounts may represent a gap in the care of women who experience the trauma of serious pregnancy complications. Findings suggest a role for counselling psychologists in providing training and consultation for medical staff in order that they might develop the capacity to offer improved support to women and infants during this time when they are more susceptible to mental health difficulties.
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Dinwiddie, Jo R. "The relationship between hardiness and burnout in medical- surgical staff nurses." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845962.
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The purpose of the study was to examine the relationship between hardiness and burnout in medicalsurgical staff nurses at a midwestern hospital. The conceptual framework used in the study was hardiness, developed by Kobasa (1979).The population selected for the study was medicalsurgical staff nurses at a midwestern hospital. The convenience sample consisted of responding staff nurses (n=41). Subject confidentiality was maintained by indicating respondents by number instead of name.The research design for the study was a descriptive correlational design. The research question was analyzed using the Pearson Moment Correlation Co-efficient. Findings of the study indicated a negative, significant correlation between Emotional Exhaustion Burnout subscale and hardiness (p=.001). A positive significant correlation was supported-between the Personal Accomplishment Burnout subscale and hardiness (p=.000). The Depersonalization Burnout Subscale and the overall Burnout Score did not support significant correlations in sample subjects studied.Conclusions from the study were that nurses need opportunities for increasing personal development and decreasing exhaustion. The depersonalization of the environment did not seem to be a factor related to hardiness, and remains to be examined. The study was significant because it was determined that certain subscalBall State UniversityMuncie, IN 47306School of Nursing
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McGarry, Sarah. "Pediatric medical traumatic stress : the impact on children, parents and staff." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/605.
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Burns are one of the most painful and traumatising injuries an individual can sustain and constitute a serious global health threat to children. Despite the magnitude of this public health problem, little research has examined the psychological burden of these injuries. This study used a mixed-methods approach to investigate the effect of paediatric medical trauma on children who have sustained a burn, their parents and the healthcare professionals caring for these patients. The paediatric medical traumatic stress model provided a theoretical framework for this study.
Firstly, this study aimed to gain an understanding of the lived experience of children who sustain a burn. Using phenomenology as a methodology, the first paper in this thesis provided an in-depth understanding of children’s perceptions, thoughts and feelings about the lived experience of sustaining a burn. The findings identified two phases of trauma that are central to the burn experience. The paper found that children experience ongoing trauma in addition to the initial trauma of sustaining the burn, resulting in a cumulative trauma experience. Six themes were identified in the data describing the child’s experience: ongoing recurrent trauma; return to normal activities; behavioural changes; scarring-the permanent reminder; family functioning and adaptation. The methodology of this research provided a voice for the child’s perspective of the burn experience and the findings can be used to inform clinical care at all stages of the burn journey.
The second paper, a cross-sectional study, aimed to investigate the impact of exposure to paediatric trauma on parents of children with a burn and to identify risk factors and relationships between psychological distress and resilience. The results indicated that parents experienced significantly more symptoms of post-traumatic stress disorder than a comparative population. Factors including having a daughter, witnessing the event, feeling helpless or having past traumatic experiences significantly influenced symptoms of psychological distress and resilience. Findings from this study highlight that health professionals should screen parents to identify those at greatest risk and provide effective evidence-based interventions aimed at improving resilience and reducing stress, as part of standard, routine care.
The aim of the third paper was to gain an understanding of the lived experience of parents of a child with a burn injury. Using a phenomenological, qualitative methodology allowed aspects of the parents’ experience not collected in standardised outcome measures to be identified, enabling triangulation with the quantitative results found in the second study. The findings demonstrated that the experience of parents reflected a journey that was represented by three phases: the event, the inpatient phase and the return to the community. Within the three phases, themes of external stressors, emotional and behavioural responses and coping strategies were identified. These findings can be used for the development of protocols to underpin a comprehensive information and social support management plan for families. This would complement the surgical and medical treatment plan, providing direction for comprehensive service delivery.
Children, parents and health professionals are interconnected in a professional relationship. The aim of the fourth paper was to investigate the effect of exposure to paediatric medical trauma on multidisciplinary teams and the relationships between psychological distress, resilience and coping skills. Health professionals experienced significantly more symptoms of psychological distress and less resilience than comparative groups. Non-productive coping was associated with adverse psychological outcomes and younger health professionals were more vulnerable to psychological distress than those aged 25 years and above. Findings from this study may assist in developing organisational systems to facilitate optimal mental health and coping strategies in health professionals, with the aim of the maintenance of a healthy workforce.
Overall findings from this research provide evidence for health professionals to optimise a holistic clinical service at all stages of the burn journey. These findings provide previously unknown knowledge about the impact of paediatric medical trauma on children, parents and health professionals within a paediatric hospital.
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Woods, Bernadette M. "Assessment of staff attitudes to patient safety." View thesis, 2004. http://handle.uws.edu.au:8081/1959.7/46693.
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Thesis (M.N. (Hons))--University of Western Sydney, 2004.A thesis presented to the University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health, in fulfilment of the requirements for the degree of Masters of Nursing (Honours). Includes bibliographical references and appendices.
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Prinsloo, Tarbi. "Stigmatization of condom use amongst educated medical staff : a practical theological approach." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96910.
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Thesis (MTh)--Stellenbosch University, 2015.ENGLISH ABSTRACT: The aim of this thesis is to identity whether condoms are being stigmatized, and to investigate the current perceptions, attitudes and beliefs about condom use in relation to the HIV and AIDS epidemic. Through the use of Richard Osmer’s model for research in Practical Theology, the study starts off with a Descriptive-Empirical task to investigate what is going on regarding the impact of society’s perceptions on condom use. The second part of the study commences the Interpretive task investigating why the perceptions about condoms exist, exploring the impact and dynamics of stigmatization; looking at sex, sexuality, sin and taboos relative to stigmatization. The Normative task explores what ought to be the perceptions of condom use by using Louw’s (2008) theory, an integrative Christian spiritual approach to Sexual Ethics, to explore the sacred space of sexuality, evaluating human sexuality and the human body, also looking at marriage and sexuality. Lastly, the Pragmatic task looks at the possible ways that we might respond to stigmatization, recommending certain practical conclusions within a pastoral counselling view to move towards de-stigmatization. These approaches include discussion on relevant HIV education and awareness programmes, pastoral care and counselling methods and programmes for people living with HIV and AIDS, and a pastoral approach with a Jesus as model for pastoral counselling. These collectively and conclusively explain the paradigm shift of letting the theology of the resurrection state a theological critique on stigmatization. In conclusion, the thesis argues that people do hold stigmatized perceptions about condoms and HIV and AIDS and these perceptions are grounded in attitudes and beliefs that are products of cultural and religious societal processes. The study proved that educational interventions need to be adapted to be more contextually relevant in order to be effective as a practical approach to stigmatization, as the study proved that having medical, educational knowledge about HIV and AIDS and prevention interventions do not necessarily result in saver sexual practice. Ultimately, pastoral approaches should be implemented in the hope to offer a movement towards destigmatization, not only of condoms, but HIV and AIDS and people living with HIV and AIDS. Thus, the proposal for a pastoral spiritual approach in process of destigmatization based upon a theological model. In this regard, the theological model is based on the notion of the theologia resurrectionis.
AFRIKAANSE OPSOMMING: Die doel van hierdie tesis is om te identifiseer of kondome gestigmatiseer word en om die huidige persepsies, houdings en oortuigings oor die gebruik van kondome, met betrekking tot die MIV- en VIGS-epidemie, te ondersoek. Deur die gebruik van Richard Osmer se model vir navorsing in Praktiese Teologie, begin die studie begin met 'n beskrywende-empiriese taak om te ondersoek wat die impak van die gemeenskap se persepsies is oor die gebruik van kondome. Die tweede deel van die studie, die interpretatiewe taak, ondersoek waarom die persepsies oor kondome bestaan. Dit ondersoek ook die impak en dinamika van stigmatisering deur te kyk na seks, seksualiteit, sonde en die taboes relatief tot stigmatisering. Die normatiewe taak ondersoek wat die persepsies van kondom gebruik behoort te wees deur Louw se (2008) se teorie, 'n geïntegreerde Christelike geestelike benadering tot seksuele etiek, te raadpleeg. Daardeur kyk die studie na die sakrale ruimte van seksualiteit en evalueer menslike seksualiteit en die menslike liggaam asook die huwelik en sexualiteit daarvolgens. Laastens in die pragmatiese taak kyk die study na die moontlike maniere waarop ons kan reageer op stigmatisering. Die pragmatiese taak beveel sekere praktiese gevolgtrekkings binne 'n pastorale beradings oogpunt aan, as ‘n moontlike kopskuif na ‘de’-stigmatisering. Hierdie benaderings sluit in; bespreking van relevante MIV opvoeding en bewusmaking programme, pastorale sorg en berading metodes en programme vir mense wat lewe met MIV en VIGS en ook 'n pastorale benadering met Jesus as model vir pastorale berading. Gesamentlik verduidelik hierdie moontlike benaderings die paradigmaskuif na die opstandingsteologie en 'n teologiese kritiek op stigmatisering.
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Wallace, Cristian Louise. "Turnover intentions of wilderness therapy staff." Thesis, University of Iowa, 2011. https://ir.uiowa.edu/etd/1274.
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Involuntary turnover among field staff at wilderness therapy programs can result in therapeutic and financial difficulties for the program. This study sought to examine what factors field staff attribute their intent to turnover to. The factors of organizational commitment, burnout, age, and length of days spent in the field were examined to identify if factors identified as predictors of turnover in previous literature were also true for field staff employed by wilderness therapy programs. Three programs agreed to participate by forwarding emails to their field staff containing a link to the survey, and were also emailed a program director survey that asked some basic demographic questions about their program. The field staff survey was comprised of the Maslach Burnout Inventory - General Survey, The TCM Employee Commitment Survey, the intent to leave scale, as well as general demographic questions. A total of 13 field staff participated in the study, and as a result the use of multiple regression models was not possible due to the sample size. Six simple linear regressions were conducted to test the predictive hypotheses, and findings suggest that none of the six factors predicted turnover intentions among field staff. Pearson's correlations were conducted to examine the relationship between factors, and suggested that age is negatively related to intent to turnover and that burnout was identified as a stronger contributing factor of intent to turnover than organizational commitment, and the sub factor of continuance commitment. Findings suggested that wilderness therapy programs may want to consider the costs and advantages associated with a workers age when hiring new staff, and to consider using burnout measurement tools to identify burnout in staff so they may employ preventative measures to reduce the number of voluntary turnover among field staff. Future researcher may want to explore additional predictors of turnover intentions not examined in previous literature to continue developing knowledge about programs and those who are employed by wilderness therapy programs.
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Woods, Bernadette M. "Assessment of staff attitudes to patient safety." Thesis, View thesis, 2004. http://handle.uws.edu.au:8081/1959.7/46693.
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Safe, high-quality health care requires an open, transparent, and just culture where people are willing and have the opportunity to discuss errors and system problems and to do something about them. There is paucity of research in relation to safety issues in health care. Objective: To identify the components of a safe culture and measure staff’s attitudes to those components in an area health service. Method: A mixed mode method comprising qualitative and quantitative measures was used. A 60-item survey comprising a likert response scale and measuring safety attitudes and values was administrated to 3,200 staff in an Area Health Service (AHS) in Western Sydney. Focus groups were conducted with various professional groups to provide greater depth to salient issues identified in the survey. Results: The response rate was 26%. Teamwork, communication, leadership, and performance shaping factors were identified as components of a safe working health service and that staff were committed to safety. The results show that there is a positive safety and teamwork culture. However, the results about organisational culture were not positive. Results also showed that there is a high level of stress factors that influence safety in the organisation. There were a number of attitudes and patterns that warranted improvement and further investigation. However several areas of discontent among staff in terms of leadership and communication were acknowledged. In regard to attitudes suggesting invulnerability to the effects of stress and fatigue, the majority of respondents acknowledged this belief. These findings are more favourable than those earlier studies using the Operating Room Management Attitudes Questionnaire (ORMAQ), although these were conducted in other countries and the respondents were surgeons, anaesthetists, and Intensive Care Unit staff. A number of factors have emerged both from the questionnaire survey and the follow up focus groups that should be considered. The awareness of the need to encourage teamwork, communication, leadership prevailed.
Conclusion: Health care organisations can benefit from the valuable information and an understanding of staff’s attitudes to patient safety. It confirms the findings of other studies that attitudes to leadership, teamwork and performance shaping factors such as fatigue and stress have an impact on an organisation’s capacity to develop a culture of safety. Health care organisations need to acquire this kind of information, and build on it if they are considering developing and implementing patient safety programs.
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Allen, Josephine. "Resilience in critical care : elucidating the experiences of medical staff : a qualitative study." Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/104373/.
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This thesis has been written in the format of three distinct yet connecting papers. Papers 1 and 2 have been written for submission to the Journal of the Intensive Care Society whose author guidelines can be seen in Appendix 1. Paper 1 presents a systematic review and appraisal of the qualitative literature regarding critical care medical staff experiences of distress and resilience. Nine studies met the inclusion criteria and were subjected to a metasynthesis of the qualitative data adopting a metaethnographic approach. Through interpretation of the concepts within the primary papers, a wider explanatory theory was developed describing an internal conflict within critical care staff between emotional attachment and self-protective disconnection. Implications of this theory were discussed. Paper 2 presents a qualitative exploration of critical care consultants', frequently known as 'intensivists', experience of working in the potentially emotionally demanding and challenging environment of critical care. The aim of this empirical research was to elucidate resilience within the experience of intensivists. Semi-structured interviews were conducted with eleven intensivists working in critical care units across Wales. The data from transcribed interviews was analysed employing a constructivist grounded theory methodology. A theoretical conceptualisation of the relationship between resilience and vulnerability within intensivists was developed, offered and discussed with consideration to current research. Implications of this theory in relation to the potential to encourage resilience and wellbeing within the intensivist population were discussed. Paper 3 offers a critical reflection upon the entirety of the research process and as such will not be submitted for publication. This paper presents the researcher's reflections on engaging with the process of conducting qualitative research in addition to further evaluation of the review and empirical study. Implications of the research are expanded upon in relation to clinical practice and the wider organisational culture within the NHS.
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Bentley, Tabitha Anne. "Performance Improvement Data and Staff Responsibility." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3485.
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Improving the role the nurse plays in health care delivery should be embodied in the performance improvement initiatives to successfully improve the quality of care that is delivered. The purpose of this evidence-based practice project was to collect performance improvement data and present it to staff who, in turn, used the information to improve practice and influence patient safety outcomes. The practice-focused question addressed what would occur if a tool that allowed frequent data trending was used to measure effectiveness of care and thereby influence key outcome measures. Duffy's quality caring model provided a framework for the study to support the need for the development of a dashboard for staff and to ensure that staff were informed as they developed interventions to improve patient outcomes. Publicly available data published by the Centers for Medicare/ Medicaid (CMS) for the Quality Star Report were explored to inform the project. Workgroups, comprised of volunteers from leadership and staff providing care at the bedside, were formed to implement practice changes based on the dashboard reports. By bringing the data to the attention of nurses within the organization, improvements were made in the overall score for safety of care from below national average (25th percentile of the reported 3,647 hospitals across the nation) to the same as national average (47th percentile) as reported by CMS. Through staff involvement, social change occurred as strategies were hardwired to improve categories of the Quality Star Report and ultimately patient care. The project showed that quality improvement tools can assist in empowering staff to understand the data needed to implement process improvement strategies.
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Hameed, Imran Boonyong Keiwkarnka. "Human relations among nurses at Pakistan Institute of Medical Sciences, Islamabad /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd363/4637984.pdf.
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O’Malley, Tuomi Melissa. "The Identification of Staff Nurses as Organizational Champions: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/33.
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The characteristics of nurses acting as organizational champions, as well as the ways that clinical leaders systematically harness the energy of these champions in support of innovation, were explored in this qualitative descriptive study. The specific aims were guided by prior empirical evidence and identified research needs. Semi-structured interviews were conducted with 14 formal nursing leaders (e.g. managers, educators, administration) in an academic medical center. This study, including the interview guide, was informed by Kouzes and Posner’s (2007) Five Practices of Exemplary Leadership. Two models were developed to describe the data. Overall, participants echoed prior empirical findings identifying a need for organizational champions’ support of innovation and explained how some nurses seem to have “innate” characteristics that make them champions. Participants identified the champion as the “go to” person who can see the bigger picture and who seems to “own their own practice”. They described the importance of being truly present on the unit in order to harness the energy of these champions. Once champions are identified, leaders match the champions’ talents to the innovation planned, secure buy in from the champions, and actively work to support champions and get a culture of innovation “in the drinking water.” This work enhances the leader’s experience and makes him/her feel inspired and engaged. The two models developed based on the participants’ description of their experience working with staff nurses acting as organizational champions provide a framework for clinical leaders to identify and engage organizational champions in their clinical areas in support of innovation.
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Lui, Yan-yan Liza. "The knowledge and attitudes regarding pain management of the medical nursing staff in Hong Kong /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3639631X.
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Lui, Yan-yan Liza, and 雷欣欣. "The knowledge and attitudes regarding pain management of the medical nursing staff in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011801.
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Bechtold, Karina Celeste. "Primary Care Provider Knowledge and Interest in Medical Interpretation Training for Bilingual Spanish-Speaking Staff." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/612825.
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The population of Hispanic limited-English proficient (LEP) people in the U.S. is growing at a staggering rate. Soon a quarter of the population will be Hispanic, with many of them being LEP. High-quality patient-provider communication is vital to cost-effective healthcare that could improve patient health outcomes. There are not enough Spanish-speaking healthcare providers to serve this growing population. Diversifying the profession is one answer, but will take many years. Professional interpreter services have been proven to be helpful in reducing this language discordance, but they are grossly underused due to barriers such as availability, cost, and quality. These barriers disproportionally affect smaller health clinics, so they instead often rely on the use of bilingual staff members and a patient's bilingual family members for interpretation. This practice diminishes the confidentiality of the visit and can lead to interpretation errors that can negatively impact health outcomes and increase healthcare cost. The possibility of applying formal medical interpreter training (MIT) to qualified bilingual staff members could be a solution to make high-quality interpretation services more readily available to the smaller healthcare clinic. An electronic survey was sent out to Nurse Practitioners through the Coalition of Arizona Nurses in Advance Practice listserv that explored their current interpretation use and their general knowledge and interest in applying MIT to their practice. Of the 29 surveyed, 24% of them spoke Spanish and only 7% "always" used interpretation services to provide care to LEP patients. Bilingual staff members and patients' bilingual family members were often the preferred and most utilized method of interpretation, which seemingly was connected to its ready availability. Although almost all of the providers believed that MIT would improve the interpretive skills of their bilingual staff members, only 62% thought the training would be applicable to their practice, with only 38% believing time and cost would be worth the benefit. Further research is needed to help determine if the cost of MIT implementation actually results in improved interpretation skills and if this benefits the practice and the LEP patient.
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Kadkhodamohammadi, Abdolrahim. "3D detection and pose estimation of medical staff in operating rooms using RGB-D images." Thesis, Strasbourg, 2016. http://www.theses.fr/2016STRAD047/document.
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Dans cette thèse, nous traitons des problèmes de la détection des personnes et de l'estimation de leurs poses dans la Salle Opératoire (SO), deux éléments clés pour le développement d'applications d'assistance chirurgicale. Nous percevons la salle grâce à des caméras RGB-D qui fournissent des informations visuelles complémentaires sur la scène. Ces informations permettent de développer des méthodes mieux adaptées aux difficultés propres aux SO, comme l'encombrement, les surfaces sans texture et les occlusions. Nous présentons des nouvelles approches qui tirent profit des informations temporelles, de profondeur et des vues multiples afin de construire des modèles robustes pour la détection des personnes et de leurs poses. Une évaluation est effectuée sur plusieurs jeux de données complexes enregistrés dans des salles opératoires avec une ou plusieurs caméras. Les résultats obtenus sont très prometteurs et montrent que nos approches surpassent les méthodes de l'état de l'art sur ces données cliniquesIn this thesis, we address the two problems of person detection and pose estimation in Operating Rooms (ORs), which are key ingredients in the development of surgical assistance applications. We perceive the OR using compact RGB-D cameras that can be conveniently integrated in the room. These sensors provide complementary information about the scene, which enables us to develop methods that can cope with numerous challenges present in the OR, e.g. clutter, textureless surfaces and occlusions. We present novel part-based approaches that take advantage of depth, multi-view and temporal information to construct robust human detection and pose estimation models. Evaluation is performed on new single- and multi-view datasets recorded in operating rooms. We demonstrate very promising results and show that our approaches outperform state-of-the-art methods on this challenging data acquired during real surgeries
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Dow, Briony. "An evaluation of rehabilitation in the home : client, carer and staff perspectives." Thesis, The Author [Mt.Helen, Vic.] :, 1999. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/57080.
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Wachal, Joan Marie. "A study to develop customer service training for the reception staff at Advanced Healthcare." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005wachalj.pdf.
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Shum, Kwok-leung, and 沈國良. "The relationship between management and staff in the Fire Services Department: the case of the ambulancemen." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31965635.
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Hamada, E. A., and T. M. Selim. "Module for the psychological assessment of the mental and emotional state of the medical staff during the COVID-19 pandemic." Thesis, Boston, USA, 2020. http://openarchive.nure.ua/handle/document/11837.
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In this paper, we developed a program module for the automated testing mental and emotional state of medical health workers for verifying whether allostatic overload develops (exhaustion may ensue after some time) and whether psychiatric disorders, especially posttraumatic stress disorder, might occur with the COVID-19 progression. Psychological assessment was based on an online survey and on self-report tool
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Woodward, Nakia J., Rachel R. Walden, and Rick L. Wallace. "Determining the Mosaic of Information Usage Habits of Faculty and Staff." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/8707.
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Objectives: The purpose of this study is to determine the actual information usage habits of faculty and staff at **** versus librarians perceptions and opinions.
Methods: A prevalidated pilot tested survey will be conducted of the faculty and staff of the ***** College of Medicine and ****College of Pharmacy. The survey will examine what are the most useful resources, specifically databases and journals, for their research and work. The results of the survey will be compared to the library's current collection and the research results will help serve as a basis for future collection development decisions. Library staff will also be surveyed to allow for a comparison between library staff perceptions and actual utility of the collection.
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Loew, Justin Thomas. "Educating Medical-Surgical/Staff Nurses to Improve Nursing Knowledge of Patient Education, Focusing on Health Literacy." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1904.
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A primary problem faced by a majority of medical-surgical nurses is a lack of knowledge and skills necessary to improve health literacy among patients. This inadequacy among medical-surgical nurses is often linked to insufficient training on how to identify and interact with patients with lower health literacy. Improvement of patient health literacy can be realized through proper training, education, and a better application of communication strategies. The aim of this project was to improve current medical-surgical nurses' practice guidelines via the use of educational programs. The project developed pilot protocols and policies in order to improve its practical applications. The project was achieved in 6 steps: (a) assembling an interdisciplinary team, (b) reviewing literature and evidence, (c) developing policy and practice guidelines, (d) content validation, (e) creating an implementation and (f) evaluation plan. The team delivered the new policy and guidelines and observed the medical surgical nurses. During the month-long review, nurses who applied guidelines that they had been equipped with were deemed competent. Conversely, nurses who did not show competency were given on-the-spot education and were observed to make sure that they learned the necessary guidelines and practices. These instances were recorded and collected for review. The interdisciplinary team's positive evaluation of the project indicated a potential positive social impact for the 59% of elderly population in need of this specialized care as well as the estimated 36% of American adults who have limited health literacy. Equipping medical-surgical nurses with strategies for effective communication and health literacy when working with either population could help to minimize the readmission rates of patients, and overall number of Emergency Room visitations due to low health literacy.
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Shum, Kwok-leung. "The relationship between management and staff in the Fire Services Department : the case of the ambulancemen /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B18596824.
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Lytvyniuk, N. Ya. "Estimation of the frequency of the spread of risk factors for cardiovascular diseases among the medical staff." Thesis, БДМУ, 2020. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18307.
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ogbonna, ifeoma Dr, and Muktar Dr Aliyu. "Assessing the Knowledge of Tuberculosis (TB) among Healthcare Workers and Ancillary Staff in an Underserved Medical Institution." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/10.
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Healthcare and ancillary workers in hospital settings are at an increased risk of Tuberculosis (TB) due to the nature of their job and exposure to persons with TB. Knowledge of healthcare workers (HCWs), (physicians, residents, nurses, midlevels etc.) who provide direct care and ancillary staff (technicians, aides, administrators, etc.) who provide indirect care in medical institutions play an important role in the diagnosis, treatment, control, and prevention of TB. Research has shown a variation in knowledge based on TB prevalence, facility type, available resources, provider training and clinical experience, education level of staff, etc. The purpose of this study is to assess the knowledge of TB among HCWs and ancillary staff in an underserved medical institution who provide care to low-income populations in the United States. This is a cross sectional observational study. A validated questionnaire that assesses TB knowledge will be used. Participants from a historically black college in Tennessee will be recruited in the study. Participants will include HCWs such as attending physicians and residents from all residency programs as well as nurses, midlevels, etc. within the institution. We will also recruit ancillary staff in the same departments. The survey will be distributed between Jan. 2018-Feb. 2018, and will contain 10 questions. Information on demographics, work history (age, sex, education, job category, duration of employment, training level) and TB knowledge (general information on TB) will be captured. The survey will be distributed via email through RedCap, a secure web application for creating and managing online surveys. Emails of participants will be obtained through the institution’s employee and student directory. A minimum of 200 participants will be surveyed, to obtain a power of 80% and CI of 95%. Survey will be entered into the REDCap electronic research database and entered data from participants will be checked for completeness and accuracy. Knowledge will be assessed as: poor (75%-85% correct); and outstanding (>85% correct). We will compare differences in TB knowledge of HCWs and ancillary staff and between practicing physicians and physicians in training. Data analysis will be performed using R software. The expected results are that healthcare workers have higher knowledge level than ancillary workers and that practicing physicians have higher knowledge level than physicians in training due to years of clinical experience and education. As TB continues to be one of the leading causes of death worldwide, it is important that HCWs exhibit a good level of knowledge. The findings from this study will generate data to guide TB education efforts for providers and healthcare facility ancillary staff. Results will help to clarify misconceptions about TB transmission and enhance the quality of care for patients with TB and reduce the risk of nosocomial transmission of TB.
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Theriaque, Tina June. "Educational Training of Staff Nurses for Evidence-Based Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5275.
Full textAbstract:
Translating research into practice takes 10 to 20 years or more. Evidence-based practice (EBP) integration remains at 10% to 20%, despite recommendations requiring EBP-guided decisions. Up to 30% decreases in health care system spending, improved quality outcomes, and increased staff satisfaction result from EBP integration. Nurse leaders, who rate quality and safety as the highest priority but EBP as the lowest, are accountable for EBP enculturation; a desire to support bedside registered nurses in EBP exists, yet this EBP use knowledge gap supersedes this goal. The purpose of this project was to provide an EBP education program introducing the use of evidence to guide nursing practice. The project question addressed whether an education program for staff nurses on introduction to EBP would increase nursing staff perception of the value of EBP and their interest in implementing EBP. Knowles's theory of adult learning and the nursing process guided this project. The 36 participants completed the16-question EBP Beliefs Scale before and after the education program on introduction to EBP. Results from the paired samples t tests showed there was a significant difference in each response on the survey, indicating an increased understanding of the fundamental value of EBP, as well as the participant's individual ability to implement EBP within clinical practice. The limited findings contribute to the existing body of knowledge, while positive social change implications include resolving public health and safety issues, reversing fiscal irresponsibility, and overcoming resistance to change, which is at the heart of implementing and enculturating EBP.
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Choo-Kang, Pik Choi. "The concern about death and the coping strategies of teaching staff in a special school." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B43895384.
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Celaya, Melisa P., and Melisa P. Celaya. "Evaluation of a Medically Supervised, Multidisciplinary Obesity Management Program on Community Hospital Staff." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626746.
Full textAbstract:
Obesity is presently one of the leading preventable causes of mortality and is an increasing issue that affects the workplace. This pilot study investigates the effects of a multidisciplinary obesity management program on employees within a community hospital setting. The purpose of this study is to assess the outcome factors of the intervention and to detect an association between the participants’ biological factors, psychological status, eating behaviors, and lifestyle components to that of their current body weight status.
Methods.
An evaluation of a tailored obesity management program was conducted in a corporate setting with employees of a large community hospital. The evaluation sought to determine if this program could be efficiently and effectively implemented in this corporate setting. This program also allowed an exploration of those sociological, biological, and behavioral factors that were associated with weight loss. An employee health outcomes assessment visit was used to identify, recruit and enroll overweight employees into a quasi-experimental study designed to evaluate potential impacts of a tailored weight management program. The 6-month intervention included medical assessments, nutritional coaching, activity counseling, and behavioral therapy. The following specific aims were proposed for this dissertation research: Specific Aim 1 sought to evaluate the effectiveness of the multidisciplinary weight loss program to change a series of modifiable health risk factors, body composition, clinical indicators, and biological markers from baseline to 6 months for overweight participants. Specific Aim 2 evaluated factors associated with achieving weight loss and patterns of attrition from the program. Weight and lifestyle factors included onset of obesity, family history, weight loss history, weight loss goals, self-perceptions, physical activity factors, and eating habits/patterns. Within Specific Aim 3, we determined if body composition measurements [body mass index (BMI), weight, basal metabolic rate, fat mass, percent fat, fat free mass, and total body water] correlated with standing or supine measurements of waist, hip, or thigh circumferences. We also investigated if there was a significant difference between recording measurements made in both positions. This aim sought to determine if both sets of position measurements needed to be included for subsequent weight management studies.
Results.
Forty-six (46) employees, with a mean age of 48.6 +/- 10.9 years and predominately female (91.3%), consented to participate in the pilot intervention, with 26 participants completing the 6 months (response = 50.9%). Statistically significant changes from baseline were seen at 6 months in the 44 participants that continued in the study after enrollment. In the intent to treat analysis, the participants, regardless of completion status, had a clinically significant (p<.0001) mean percent weight loss of 4.1% and a total weight loss of 9.3 pounds, with a corresponding 5.6% mean weight loss in those participants that completed the program. When analyzing predictors of attrition from the program, models indicated significant associations between overall program attrition and an increase in baseline systolic blood pressure (p=0.02), along with decreased compliance with eating three meals per day (p=0.04). Primary attrition (dropout < 3 months) was statistically associated with an increase in baseline systolic blood pressure (p=0.02) and decreased compliance with eating three meals per day (p=0.01). Secondary attrition (dropout between 3-6 months) was associated with decreased compliance with eating three meals per day (p=0.05) and an increase in weight loss expectations during the intervention (p=0.05). The mean absolute difference between the two techniques (standing vs. supine) was 4.14 inches for waist, hip, and thigh measurements combined. An increase in body mass index was associated with a greater magnitude of discrepancy in the measurement between the two techniques for waist circumference (p=0.02).
Conclusions.
The changes seen following this multidisciplinary intervention were clinically significant and advantageous for the participants. These substantial results suggest that the use of multidisciplinary weight management programs merits further investigation in larger, randomized, controlled trials.
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Rostami, Arian. "Marital satisfaction in relation to social support, coping, and quality of life in medical staff in Tehran, Iran." Doctoral thesis, Umeå universitet, Institutionen för socialt arbete, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-79478.
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Marital satisfaction is one of the main characteristics of a healthy family, and is known as an important predictor of overall quality of life. Stress is unavoidable in everyday life and it can affect marital relationships. Furthermore, employed married individuals encounter more stressors than do unmarried ones, especially when their jobs are demanding and stressful, such as working as medical professionals in hospitals. Applying effective coping strategies and receiving social support, especially from emotionally close persons, are protective factors which can help individuals deal with stress and buffer the negative effects of life stress on marital and life satisfaction. In the present cross-sectional investigation, marital satisfaction was studied in relation to socio-demographic variables, social support, ways of coping, and quality of life in medical staff in Tehran. Data were collected from 653 medical staff who worked in 12 hospitals affiliated with Tehran Medical University using socio-demographic questions, the ENRICH marital satisfaction questionnaire, the SF-36 questionnaire, the Social Support questionnaire, and the Ways of Coping questionnaire. The results indicated that marital satisfaction, quality of life and spousal support were significantly higher in men than women. Spousal support was significantly associated with marital satisfaction especially in women. Multiple regression analyses indicated that marital satisfaction, social support, and job satisfaction combined with socio-demographic variables explain between 12% and 28% of the variance in quality of life domains. Analysing the data with special focus on females revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping. Hierarchical regression analyses showed that job satisfaction, social support, and ways of coping explained between 24% and 38% of the variance in seven of the nine subscales of marital satisfaction. Therefore, focusing on the study findings could be helpful in promoting marital satisfaction and quality of life in married medical staff.
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Shuriquie, Mona. "The legitimate role of the medical-surgical staff nurse in Jordan : the views of patients, doctors and nurses." Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433226.
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Tsai, Wen-Chen, and 蔡玟純. "Patient Safety Concerns among Emergency Medical Staff and Patients." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/uaq8s6.
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碩士元培科學技術學院
經營管理研究所
95
This study explores perceptions and attitudes towards patient safety among medical staff and patients in emergency departments. Analysis results indicate that medical staff and patients significantly differ in perceptions and attitudes. Results of this study provide a valuable reference for governmental authorities and hospital managers in formulating policies aimed at clarifying perceptions and attitudes regarding patient safety among medical staff and patients in emergency departments.
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Tsai, Chia-Che, and 蔡嘉哲. "Applying Meta-heuristics to Solve Medical Staff Scheduling Problems." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/73k6tu.
Full textAbstract:
碩士中原大學
工業與系統工程研究所
103
Medical staff scheduling is a critical issue in hospital management. The demand of people for medical increases especially in recent years and each medical staff only can take care the limited number of patients. Based on the above reasons, it causes the medical work environment under intense. Therefore, how to arrange a medical staff schedule with equity in order to satisfy government regulations and hospital scheduling regulations becomes an important issue for hospital management. Firstly, the methodology of this thesis applies the analytic hierarchy process (AHP) to determine the weight of preferences of the medical staff. In addition, the ratio of patients in each department and shift is used to calculate the loading of the medical staff. Furthermore, this research constructs an integer linear programming for medical staff and solves the problem by developing the meta-heuristic algorithm. This thesis not only develops three types of the two-stage modified bat algorithm, but also makes the manager of the hospital convenient to access the scheduling system by designing the greater graphical user interface (GUI). In the first stage, an initial schedule satisfying all hard constraints is generated. In the second stage, an approximate optimal solution is obtained by using the modified bat algorithm. Then, this proposed algorithm computes the loading of all medical staff and adjusts the equial loading for each medical staff. The results of this thesis are validatied to solve the medical staff scheduling problem efficiently as well as make each medical staff’s shift equitable. Further, this thesis performs the sensitivity analysis by adjusting the number of medical staffs. Last but not least, this thesis offers a good GUI schedule, which has a friendly interface and is convenient to use for hospital’s manager, and provides an example of the decisions of determining the number of medical staffs for hospital’s manager.
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Sohaba, Nkosinathi. "Exploring pull and push factors influencing human resources in two South African Health facilities." Thesis, 2013. http://hdl.handle.net/10539/12651.
Full textAbstract:
Study Title: Exploring Pull and Push Influencing Human Resources at two South African Health Facilities
Introduction
The magnitude of the health worker shortage in developing countries such as South Africa cannot be overstated and requires an urgent, sustained and coordinated response. In South Africa, the government has introduced many initiatives, such as the rural allowance, to attract more health practitioners in rural areas. However, human resource shortages remain a challenge and therefore looking at ways to better utilize the capacity of human resources could play a significant role in addressing this problem, and could contribute to establishing a well-functioning public health system.
Objectives
This study was aimed at exploring and describing factors that affect human resource capacity in two district hospitals in the Eastern Cape Province: one rural, one urban, and makes appropriate recommendations to health authorities so as to better utilize and retain human resource capacity within the facilities.
Methods
This is a qualitative study, using explorative and descriptive research strategies. The study was conducted in two district hospitals, one urban (hospital B) and one in a rural area (hospital A), both in the Eastern Cape Province. A total of thirty six in-depth interviews were conducted with allied health professionals and administrative staff – eighteen from each site - to explore their perceptions around “pull and push factors” in their work. Additionally, four interviews were conducted with district team members and key policy documents were reviewed.
Results
The availability of equipment, and quality of infrastructure, as well as relationships between staff differed between the two facilities and were cited as reasons affecting staff intentions to stay or leave. Loosely labelled as “working conditions”, these were perceived to be ‘better’ in the urban-hospital B than rural-hospital A, where staff morale was lower. Geographical differences, including surrounding infrastructure and the availability of services such as schools and recreational facilities, also affected staff decisions and intentions to stay or leave (more pronounced in the rural-hospital A). Opportunities for professional development were also perceived to contribute towards the retention of professional health workers.
Conclusion
Interviewees emphasized wanting more opportunities for professional development and improving their working and living conditions, as well as improving relationships between the hospitals and district structures. It is important to manage any incentivisation-process (financial and non-financial), including rural allowances and professional staff development, with more caution to ensure that they address the intended goals and do not result in unwanted consequences or tensions. Recommendations
Improving conditions in rural areas is indeed a necessary step. Despite the introduction of rural allowances, for health professionals working in rural areas, rural public health facilities still experience a significant shortage of healthcare professional. Further research is needed to pilot and scale-up existing models aimed at promoting staff retention in these public health facilities.
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Chen, Syue-Liang, and 陳學亮. "Patient safety culture of medical staff in a medical center in Taipei City,2015 ~ 2018." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/3n9uy8.
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YANG, YA-JU, and 楊雅茹. "Releasing Emotional Stress of Medical Staff with Inspirational Coloring Book." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/48726w.
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碩士南華大學
視覺與媒體藝術學系
105
The purpose of this study is to investigate whether it is possible to provide an alternative soothing & healing way for medical practitioners with coloring book. In the experimental study, the subjects are practicing medical personnel of one regional teaching hospital in Chia-Yi city. The total number of samples was 60, including 30 as the control group and 30 for the experimental group. The experiment was carried out in three parts: scale, drawing and interview. The scale content, which is adapted from the Chinese version of the Job Content Questionnaire (C-JCQ) and leisure adjustment and leisure benefit questionnaire, explore the degree of work stress perception and the assessment of perception and opinion about coloring to relieve stress. In the intervention study of coloring, we use the adult coloring book of the "secret garden" as the adjustment tool to ease pressure. The interviews focus on feedback and suggestions after participation in coloring. Using IBM SPSS Statistics software, we perform t test variance analysis and other quantitative analysis techniques to verify the relationship between each variable. The results are as follows: 1, In the experimental group, there is a significant difference between the pretest and posttest in coloring relief assessment scale. 2, Male participants in the experimental group express physical and psychological satisfaction after coloring, thought without a statistical difference. 3, The participants in experimental group indicate that they feel relaxed in the coloring process and reach a inspirational state after coloring, and 66.7% of the participants are willing to try "coloring" approach to adjust their emotions. The results of the study show that the degree of work stress perception of medical personnel is moderate or above. Through the process of coloring, it is helpful for medical personnel to temporarily transfer the original concern in a short time in the face of work pressure, and get emotional adjustment or ventilation.
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Hsu, Hsiu-Lu, and 徐秀露. "Emergency counter staff satisfaction survey - North Area Medical Center Case." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/66101956343533043023.
Full textAbstract:
碩士銘傳大學
公共事務學系碩士在職專班
103
There is an increasing need of emergency visits due to aging population. In this situation, the distance with the patients is expected to reduce by improving service satisfaction of counter staff and thus to fill the environment with harmonious atmosphere. By interviewing and discussing with the staff who work in the emergency room, here came out with some suggestion. Besides, it is found that the public have lack of understanding of triage process. It is expected to increase the transparency of emergency process in order to release the uneasy and anxiety of the patients and hoped to promote and educate the public with triage process by state apparatus to decrease unnecessary medical disputes and violence. At the same time, Fundamental Nursing is anticipated to bring into Junior High School/Senior High School/Vocational High School’s course by public authority. For people who have completed 12-year Compulsory Education will have basic healthcare ability for themselves and also their families, and simultaneously to improve satisfaction of the counter.
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Lee, Chenghan, and 李承翰. "HEALTHCARE INFORMATION TECHNOLOGY SERVICE QUALITY: FROM A MEDICAL STAFF PERSPECTIVE." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/95318137344184949995.
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碩士國立中正大學
醫療資訊管理研究所
101
This study presents the construction of information technology service quality in healthcare industries in Taiwan. Due to the fast growth of information technology, the healthcare service industry relies more and more on information technology. To maintain the quality of service and the upgrade of healthcare information technology (HIT), HIT providers needed to effectively provide service quality in information technology. HIT have created the potential to transform healthcare delivery by making it more accessible, affordable and effective across the healthcare industries. A number of previous studies have suggested that HIT providers should focus on the research and development of healthcare information. However, there are few studies addressing the construction of HIT service quality researches. This study using literature review based on the properties of healthcare information industry to establish HIT service quality model. In conceptualizing a service quality model for healthcare information technology services, we propose that users perceive quality at three dimensions. First, “System Quality”, such as, Reliability, Ease of Use, Integration. Second, “Interaction Quality”, such as, Responsiveness, Assurance, Attitude and Expertise. Third, “Outcome Quality”, such as, Functional Benefits, Emotional Benefits and Privacy. The aim of this paper is to develop and validate HIT Service Quality model. The conceptual model of the study identifies that there are three primary quality dimensions and ten sub-dimensions which play an important role in exploring users’ perceptions of HIT Service Quality model in medical industries.
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Yeh, Tai-Tai, and 葉媞媞. "Knowledge and Attitude of Medical Professional Staff toward Medical Incident Reporting System and Their Associated Factors." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/19802681550826135176.
Full textAbstract:
碩士國立臺灣大學
醫療機構管理研究所
93
This research aims to examine the knowledge and attitude of medical professionals toward medical incident reporting system and their associated factors. All the medical professionals of a medical center located in northern Taiwan were issued a structured questionnaire. The research collected 899 valid questionnaires, and the response rate is 29.7%. Significant results are as follow: Medical professionals hold positive attitude toward in-house reporting system. Among the respondents, 85.9% were aware of in-house reporting system, especially nursing staff with over ten years of working experience. In addition, reporting rate became higher as damage level rose. With regard to factors influencing medical professionals’ knowledge toward in-house reporting system, those who “were in the departments other than internal or surgery”,” dealt with incident this year”, and “agreed with the description of the safety of their working units” have positive association. As for the attitude toward reporting system, respondents who “had master or PhD degree”, “were in the departments other than internal or surgery” were less willing to report. Moreover, respondents who “dealt with incident this year”, and “agreed with the description of the safety of their working units” were more willing to report to the national reporting system. According to these results, this study provides following suggestions: First, health authority can strengthen the knowledge of medical professionals toward reporting system. The National reporting system should be executed by the third party and the government should set up an efficient monitoring system. Besides, legislative yuan can enact bills to protect the confidentiality of person who file reports. Second, hospital management department should provide appropriate reporting environment to medical professionals, and encourage them to give opinions to incidents. Third, future researcher may modify the sequence of conditional questions; combine in-depth interview to understand the relation between safety culture and the knowledge and attitude of medical professionals.
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Yen, Hsiu-Fei, and 顏秀妃. "Study on The Acceptability of Diabetes Education Film by Medical Staff." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/59234106156976784177.
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碩士輔仁大學
非營利組織管理碩士學位學程在職專班
104
As the ongoing shift towards an aging society and change of lifestyle, chronic diseases are becoming the dominant form in the morphology of disease, and the age of patients is also getting younger. Diabetes, well-known as a chronic disease, is associated with the complicated metabolic system. In order to reduce the risks of diabetic complications, more precise monitoring of the blood sugar is able to delay the onset of diabetes and save the expenditure on healthcare resource, insurance and budget. The raging trend of reforms in healthcare showing that the role of “patients” is gradually shifted to "customers". Although medical services have a non-profit-oriented nature, but the emphasis on operating performance and the rise of consumer awareness in present society is still inevitable. This leads us to reveal the patient-centered model of service by adapting the concepts in marketing management.The communication techniques of the medical staff are essential to respond different needs and expectations of patients and their families.Furthermore, it is a critical issue to improve to the quality of medical service in order to minimize the expectation gap between that of patients’ and medical staff’s, and thus enhance patient’s health and safety. This research was completed by adapting qualitative study and in-depth interviews to the medical staff who use the diabetes educational videos as a tool for their service to diabetes patients. The recorded information was then reviewed according to the 4Ps of social marketing developed by Kotler as the research structure, andthe investigation on the needs and seeking behavior of multimedia materials for medical staff was there fore carried out. The results suggest that the use of videos for educational purpose indeed assisted the the medical staff to communicate better with their patients. This allowed them to provide more complete programs that suitable for individual patients;the patients,on the other hand, were able to be involved inthe decision-making process during the delivery of messages. Since the medical staff must provide the correct information to patients, the reliability and authority of video-making units will affect medical staff’s decision to accept the video or not. Celebrities’ appearance in the videos would increases the level of positive faith and attention to the patients, as well as to balance the information asymmetry between doctors and patients, and there for the medical staff were more willing to use videos as an assessment tool. “A workman must sharpen his tools if he is to do his job well.” Choosing the appropriate tool for health education assisted the medical staff to effectively assess patients’ needs is the first and most important step in health education.
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WU, SU-SHING, and 吳素幸. "To Explore The Impact Of Medical Violence On Nursing Staff Stress." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/uw9v2h.
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碩士國立雲林科技大學
工業工程與管理系
107
"Medical Violence" is the focus of attention and professional issues in the world. The first-line nursing staff is more worried about the occurrence of medical violence in addition to the health care and life safety of patients. The nursing staff who suffer from violence not only have negative emotions, but also influence. Care quality and safety. This study explores the impact of nursing staff on medical violence and stress. A qualified nursing staff working in a regional teaching hospital for more than three months (inclusive) is the target of the case, adopting a cross-sectional research design, and recruiting and anonymous questionnaires. 200 questionnaires were distributed, and the recovery rate was 98%. Statistical analysis was performed using SPSS software. The results of the study showed that the nursing staff felt that the degree of violence in the workplace was only 3.03 points. In the past year, the number of victims of medical workplace violence was as high as 41.3%. The main source of violence was patients and their families. The type of violence was verbal violence. Accounted for 90.1%, the rest accounted for 22.2% of physical violence; 61.7% of nursing staff were worried about workplace violence, with negative emotions of depression and depression, and up to 51% of those who did not report to the supervisor after suffering violence, 95 % did not accept counseling and leave. Based on the above research results, nursing staff are still exposed to violence and threats in the workplace. If medical personnel are exposed to medical violence, in addition to physical and mental trauma, it will also affect the quality of care and the idea of leaving the company. Therefore, medical violence will not be tolerated. From the perspective of workplace culture and organizational background, the nursing staff is provided with a “zero violence” friendly workplace.
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Hung, Yi-Lu, and 洪逸茹. "Applying healthcare matrix to evaluate the core competency and medical quality of medical staff in a medical center of central Taiwan." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/33881613832175813962.
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碩士中國醫藥大學
醫務管理學研究所碩士班
98
Background and Objectives Developing the core competency of health care professionals has been a major trend in the recent medical education programs. The Healthcare Matrix is an innovative tool widely adopted worldwide in advancing the core competency of health care professionals and conducting medical quality training. The present research discussed the current status of the Healthcare Matrix applications within a domestic hospital, analyzed the matrix with quantitative and qualitative data, and sought to examine the performance differences of the core competency and medical quality among clinical team members. Methods 60 samples of Healthcare Matrix from monthly case conferences in a central medical center were collected. Quantitative analyses including Kruska-Wallis Test and Wilcoxon Rank-Sum Test were utilized to investigate the differences of the core competency and medical quality among care-givers, patients, treatment outcome, and residents. Framed from “Nine Goals of Medical Quality and Patient Safety in Year 2010-2011” released by Taiwan Joint Commission on Hospital Accreditation, a qualitative method of document review was also conducted. Results In regard to medical quality, medical departments showed significant differences in Timely and case reporters presented signicant differences in Efficient. The severity of overall medical quality problem was related to medical department, male, mortality, and emergency. Qualitative results indicated that professional capability, clinical care, patient communication, health care system and policy, and medical humanity were most common issues in the cases. Conclusions Based on the self-review results, Timely is the top priority for improvement in Pediatrics. Residents assessed Efficient as the key area for improvement. Future training for medical department or resident may emphasize on timeliness of clinical care and efficiency of medical resources use. There are two findings from the qualitative results. Firstly, professional capability, including knowledge, skills, and mastery of devices, is the top priority in the improvement of patient treatment. Secondly, quality of clinical care reflectes the core competency of health professional. In consideration of different clinical tasks across health professionals, future evaluations of core competency should be stratified by specialty and tenure.
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Chen, Hui Jing, and 陳惠靜. "A Study of Medical Staff′s Recommendation toward Medical Seeking Behavior for Citizens - An Example of Medical Center in Changhua County." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/98584369935799522915.
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碩士僑光科技大學
全球運籌管理研究所
99
In recent years, it changes very fast in medical environments. The health care industry must provide more integrity, appropriateness and sustainability of health care services, the health care industry is moving to expand the scale of services provided and strategic alliances with other industries. This study focuses on large-scale services of the medical industry. In order to serve existing and new customers, the hospital staff needs to expand and the relevant staff is internal customers of the health care service. Since the past medical industry was smaller, the needs of the internal customers required little consideration. This study aims to understand offered medical services according to the medical staff’s comparison of services, the quality of the services provided, and the recommendations of the medical staff to external customers, and recommended changes by the medical staff. The Andersen behavioral model and the PZB service model are used to standardize the results of the study. The results found that cases of hospital medical staff in different health care services utilization had various significant differences. In respect to service quality, expectations of service quality in services exceeded the services score points. The resulting gap in scores between the medical staff’s expectations versus their resulting opinion in service quality was negative. There are service gaps. This means that services provided by the hospital can’t reach medical staff’s expectations. This study showed a high degree of homogeneity in medical staff’s opinions and recommendations. Recommendations appear low due to high numbers of outpatients. Hospital services providers in the case desire to reduce the gap in terms of improving medical service quality. Improvements are needed in preventive health care utilization to enhance customer care and respond to internal institute’s research-based recommendations. This appropriate strategy is to assist the development of hospital services for internal customers.
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Dufourq, Nicholas. "What level of competence in emergency skills do registrars in various specialities possess?" Thesis, 2014.
Find full textAbstract:
To determine the level of self-assessed competence various registrars possessed in emergency skills as well as to identify any factors that may have contributed to their level of competence. Materials and Methods: Questionnaires were completed by registrars working in General Surgery, Internal Medicine, Psychiatry and Radiology in three academic hospitals in Johannesburg. Information regarding demographic data, educational background, work experience in emergency-related environments and resuscitation courses attended were collected. Registrars rated their level of perceived competence in a list of 25 emergency skills according to a ranking scale of 1 to 5. Results: A total number of 94 registrars participated in the study which amounted to an estimated response rate of 35%. General Surgery registrars had the highest mean competence scores of 3.7 and 3.9 for the respective basic and advanced skills groups. General Surgery and Internal Medicine registrars had the highest mean competence scores of 3.7 for the intermediate skills group. Psychiatry registrars had the lowest mean competence scores of 2.7, 2.4 and 1.5 in each of the skill groups. Registrars who had current certification in a PALS course had competence scores 0.6 units higher than others in both basic (p=0.027) and advanced (p=0.035) emergency skills.
Conclusions: General Surgery and Internal Medicine registrars have a higher level of perceived competence in various emergency skills. The General Surgery group rated themselves the highest in levels of competence in the basic and advanced emergency skills groups. Current certification in BLS, ACLS, PALS and AMLS has a positive impact on registrars‟ self-perceived levels of competence in emergency skills. Registrars who had spent less time between community service and starting their specialist training had higher levels of self-perceived competence in intermediate and advanced emergency skills.
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Wang, Chung-Li, and 王崇禮. "Performance Bonus System of Visiting Staff in a Medical Center in Taipei." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/67251386344995920705.
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碩士國立臺灣大學
高階公共管理組
94
This retrospective study aimed to analyze how the visiting staff performance bonus system implemented since July, 1996 affect the hospital under study from various perspectives including service, teaching and research. The principles of the performance bonus system are: 1. there is no deficit in the fiscal year. 2. total bonus is calculated from 15% of monthly revenue (drugs and materials excluded). The amount of bonus depends on doctor’s individual medical service procedures, such as out patient service, inpatient service, emergency service and operation…..etc. In average, the bonus amounts to 30%-40% of a visiting staff’s total salary. The rate of resignation of the visiting staff did not differ much after the new system. However, the doctor’s productivity, the hospital revenue and financial benefit improved, at a slightly higher rate than peer hospitals. The quality of medical care kept going well. The average teaching load decreased. It could be ascribed to the fact that the number of visiting staff had increased. On the other hand, the number of publication in the Science Citation Index journals increased significantly after the implementation of the system. Research efforts were not adversely affected by the increased service. The doctor’s total salary in the studied hospital increased a lot after the bonus added, diminishing the perception of inequity of visiting staff compared with other hospitals and accordingly stabilizing their turnover rate. Performance-based bonus system provides not only motivation for the doctors, but also guidelines for the management to implement objectives from an institutional perspective. Relatively less extrinsic reward in the studied hospital is positive for the internal motivation of the employees. Inspecting and revising the bonus system periodically is necessary, particularly in the face of dramatic evolution of the national health insurance and in a new era of performance development for the employees.
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許安和. "The Determinants Of The Medical Staff''s Retention In Rural Christian Hospital." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/98732604140644272576.
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Chu, Wen-Wei, and 朱文瑋. "Study of Internal Service Quality Key Factors of Medical Equipment Sales Staff." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/47188797128704524999.
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碩士亞洲大學
經營管理學系碩士在職專班
104
Enterprise is to maintain its competitive advantage and services, and to do its utmost to maintain at all costs to provide customers with excellent quality of service and wish to obtain customer approval. In Taiwan, the industrial output value of medical equipment has broken trillion, which shows the importance of Taiwan's medical equipment industry. In this paper seven internal service quality factor of architecture to explore the key factors in the quality of internal services staff medical equipment business combination analytic hierarchy process. The results showed that the quality of internal services staff from seven medical equipment business perspective, the importance of staff training sequence is 1, 2. Tools and equipment, 3. communication channels, 4 target recognition, 5. Teamwork, 6. management support, 7 policies and procedures. In staff training levels found business personnel training for internal staff time service quality criteria in order, is of great importance 1. Complete pre-service training, 2 organizational learning a good atmosphere, 3 encourage employees to job training.
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Yeh, Erh-Chun, and 葉爾鈞. "Developing a variable neighborhood search to solve the medical staff scheduling problem." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/72316994817470201299.
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碩士中原大學
工業與系統工程研究所
105
This research adopted the variable neighborhood search to solve the medical staff scheduling problem. Based on the case radiologists’ constraints, this study developed three neighborhood searches as the local searches and tested seven neighborhood structures under different numbers of radiologists. The numerical results showed that the two neighborhood structures had better performance than others. Furthermore, the results showed that more neighborhood structures did not guarantee to have better performance than few neighborhood structures. The good neighborhood search had better impacts on the objective function. Therefore, researchers should design a good neighborhood search and its neighborhood structure based on the radiologists’ constraints. Through the numerical tests, the outcome showed that all seven neighborhood structures had found the optimal solution, and that the average objective function values among the seven neighborhood structures are close. The finding of this research proved that the variable neighborhood search could provide a good and stable medical staff schedule for hospital managers.
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CHIN, LIN CHI, and 林己群. "An study of the medical staff satisfaction of the pre-hospital emergency medical treatment by emergency medical technician. A case of Kaohsiung city." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/ktu336.
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碩士高苑科技大學
經營管理研究所
102
Providing high quality and sufficient pre-hospital emergency service for the people is an index of civilization of a country. In Taiwan, the emergency service demands are increasing year by year. How to measure the emergency service quality is an important issue. For emergency service quality, people and users which using the emergency service are the main subjects, medical staffs are very few in past researches. In this study, according to the opinions by medical staff which from emergency department, analyze the satisfaction of the pre-hospital emergency medical treatment. We select the medical staffs from emergency department which by moderately and severely hospital to be main subjects in Kaohsiung. The analysis of the emergency medical technician behavior is divides three parts: knowledge, skills, and attitudes. The experimental results show that the emergency medical technician behavior (include knowledge, skills, and attitudes) is valued by medical staffs that the age between twenty one to thirty and the seniority is under five years. Moreover, emergency medical technician behavior is effect the satisfaction of the pre-hospital emergency medical treatment According to the experimental results, if we want to improve the emergency service quality, it must plan the professional training in the further education of emergency medical technician.
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He, Shu An, and 何叔安. "A study on the medical staff worktime allocation at the Taipei municipal hospitals." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/85003780697988763717.
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Selemela, Letlhogonolo Patrick. "Spot evaluation of dosimetry compliance amongst diagnostic radiology staff in a medical facility." Thesis, 2018. https://hdl.handle.net/10539/25371.
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A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in fulfilment of the requirements for the degree of Master of
Medicine in Diagnostic Radiology (MMed Rad.D)
Johannesburg, 2018.INTRODUCTION It is important for radiation workers to wear a dosimeter while working in a radiology department as part of their daily practice. This is one of the requirements for radiation control set by the Department of Health (DoH). Dosimeters are used for monitoring the amount of radiation received by radiation workers while at work. AIM The aim of this study was to assess compliance with the wearing and correct placing of radiation dosimeters by radiation workers in four medical facilities. METHOD A prospective descriptive study was performed in the radiology departments of the Helen Joseph Hospital (HJH), Chris Hani Baragwanath Academic Hospital (CHBAH), Rahima Moosa Mother and Child Hospital (RHM), and Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). Radiology staff workers were interviewed on an individual basis to determine whether they were wearing their dosimeter badge, and if so, whether they were wearing it in the correct manner. Unannounced spot checks and interviews were done on a random day. Data were collected in the general X-ray, computed-tomography (CT), fluoroscopy, and mammography units of each of the hospitals concerned. RESULTS Of the 85 participants, almost half (49.41%) did not have their dosimeter while working in their usual work environment. Of those who had their dosimeter on their person, 38% were wearing their dosimeter on either their collar or their chest pocket. In the sample, 25% of the consultant radiologists, 56% of the qualified radiographers, 41% of the radiology registrars and 83% of the radiographer students were wearing their dosimeter while at work. Sixty-seven per cent of the participants under the age of 32 were wearing their dosimeter, while only 30% of the participants between the ages of 33 and 65 had their dosimeter at work. 6 CONCLUSIONS As shown by this study, there was a low level of dosimeter compliance among senior radiographers and radiologists, and a non-existent level of compliance among nursing staff, working in the radiology departments concerned. The study highlighted a need for the introduction of targeted work-related educational and reinforcement programmes that would improve the knowledge and increase the awareness of radiation safety of all staff working in radiology departments.
LG2018