Dissertations / Theses on the topic 'Patient'
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O'Brien, Roxanne Louise. "Keeping patients safe: The relationship between patient safety climate and patient outcomes." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378501.
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Söderholm, Werkö Sophie. "Patient Patients? : Achieving Patient Empowerment through active participation, increased knowledge and organisation." Doctoral thesis, Stockholms universitet, Företagsekonomiska institutionen, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7261.
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This study examines patient empowerment in two local diabetes branch organisations in Sweden. In particular, the study focuses on the organisations’ membership, participation and influence on external actors. The overall aim of this thesis is to explore patient empowerment in order to discern what influence patient organisations and individual members can have and how they use it. This study is based on both quantitative and qualitative empirical data. Interviews with active members from two local diabetes organisations were conducted and a survey was carried out to identify the members’ thoughts and feelings about their membership, motivations, participation and influence, as well as to examine their local organisation, its work and influence. The findings form an overall picture of how members experience their organisation, memberships and empowerment. Characteristics of the two local patient branch organisations were identified and the leaders were found to be intensely dedicated people. The interviews, survey and participant observations revealed the members’ opinions about their organisation, their reasons for joining, their involvement, participation and influence, as well as their understanding of the local organisation and the Swedish Diabetic Association (SDA) and their possibility to empower them. Without organisations, members felt that they could not have a significant influence on external actors and events.
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Söderholm, Werkö Sophie. "Patient patients? : achieving patient empowerment through active participation, increased knowledge and organisation /." Stockholm : School of Business, Stockholm University, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7261.
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Simard, Virginie. "Relations entre les comportements interpersonnels du psychothérapeute, la motivation des clients face à la thérapie et leur santé mentale /." Chicoutimi : Trois-Rivières : Université du Québec à Chicoutimi ; Université du Québec à Trois-Rivières, 2005. http://dx.doi.org/doi:10.1522/24604870.
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Thèse (M.Ps.) -- Université du Québec à Chicoutimi, 2005."Mémoire présenté à l'Université du Québec à Chicoutimi comme exigence partielle de la maîtrise en psychologie offerte à l'Université du Québec à Chicoutimi en vertu d'un protocole d'entente avec l'Université du Québec à Trois-Rivières." Comprend des réf. bibliogr. : f. [103]-115. Document électronique également accessible en format PDF.
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Klässbo, Maria. "HIP disability : patient education, classification and assessment /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-425-9/.
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Oi, Katsuya. "Understanding the Role of Patient Activation in the Association between Patient Socio-Economic Demographics and Patient Experience." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/467.
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This study focuses on the association between patient characteristics, which include both demographic and contextual factors, and patients' experiences with health care. The pre-existing literature provides rich information about patients' various demographics related to patient experience. Despite the abundance of empirical evidence showing that patients' demographics do affect how they perceive their health care. However, there is little to no empirical knowledge explaining the significance of such factors. As the existing literature points out the need for taking into contextual factors such as patient's beliefs, attitudes, skills that are pertinent to dealing with health care, my study proposes patient activation as such a contextual factor that explains the association between patient demographics and patient experience. Findings suggest that patient activation is a strong predictor of two patient experience measures: patients' rating of doctor-patient communication and their self-reported difficulties in getting needed care. However, it is also observed that the mediating effects of patient activation vary by the two dimensions of patient experiences. Though this study demonstrates that promoting patient activation may be able to normalize how patients report the quality of doctor-patient interaction, further research is needed to address access to care issues.
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Morrical, Kathy Jo S. "Readiness to learn as described by adults experiencing a change in health/illness status." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1272425.
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Ramones, Valerie. "Patient education and compliance in the hypertensive elderly." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276814.
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This study examined the difference among 3 patient education intervention strategies and compliance in the hypertensive elderly. The strategies were verbal instructions, written instructions and both verbal and written instructions. An ex post facto descriptive design was implemented based on a Cognitive Information Processing Theory of Learning. Forty subjects were recruited and interviewed. Data analysis revealed that compliance did not differ significantly with the type of educational strategy.
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Pernet, Adeline. "Coproduire un soin sûr et efficace : le développement des capabilités des patients en radiothérapie." Thesis, Paris, CNAM, 2013. http://www.theses.fr/2013CNAM0906/document.
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Cette recherche traite de la participation des patients à la sécurité des soins en radiothérapie, qui se définit comme les actions mises en œuvre par les patients pour réduire la probabilité d’erreurs médicales et/ou pour atténuer les effets des erreurs lorsqu’elles surviennent effectivement. La sécurité des patients en radiothérapie est devenue une priorité centrale pour les politiques publiques suite aux accidents récents survenus à Épinal, Toulouse ou Grenoble pour les plus emblématiques. Dans ce contexte, la participation des patients peut être un moyen d'amélioration de la sécurité des soins. L’objectif général de cette étude est de comprendre la dynamique constructive des capabilités des patients dans la coproduction d’un soin sûr et efficace. Les capabilités des patients se définissent comme les contributions réelles faites par ces derniers et visant à assurer la sécurité et l'efficacité des soins.L'étude est menée dans les services de radiothérapie d’un hôpital et d'un centre de lutte contre le cancer. Plusieurs méthodes ont été combinées pour analyser l'activité de travail des manipulateurs, des patients et de l’activité conjointe entre ces deux partenaires : des observations des séances de traitement, des entretiens semi- directifs avec des manipulateurs et des patients, des auto- et allo -confrontations avec des manipulateurs et des entretiens d'explicitation avec des patients.Les résultats décrivent les contributions effectives mises en œuvre par les patients, et montrent que la coopération du patient agit comme une barrière de sécurité supplémentaire qui renforce la sécurité et l'efficacité du traitement. L'environnement et la durée de radiothérapie (traitement répétitif sur plusieurs semaines) sont des ressources externes qui fournissent une opportunité créative pour le patient d’apprendre de la situation et de l'évaluer en observant ce qui se passe. L'étude s’attache également à analyser les facteurs qui permettent (facteurs dits « positifs ») ou au contraire empêchent (facteurs dits « négatifs ») de convertir les capacités des patients en capabilités, c’est-à-dire en contributions effectives. Les facteurs de conversion positifs sont relatifs aux patients (connaissance des risques associés aux soins, motivation personnelle), au collectif manipulateur-patient (objectif commun, synchronisation cognitive, synchronisation opératoire) et aux manipulateurs (construction d’une relation de confiance, encouragement et renforcement positif). Cependant, les capabilités des patients ne sont pas toujours optimisées et les fortes pressions temporelles rencontrées par les manipulateurs dans leur pratique peuvent empêcher leur développement.Cette étude a permis de montrer qu’il y a une volonté conjointe des professionnels et des patients d’aller ensemble vers une meilleure coopération. Elle montre également que la coopération du patient est une nécessité qui reste encore méconnue et sous-exploitée, alors qu’elle permettrait probablement de réduire le nombre de situations et des comportements à risques des patients. Cette participation active, si elle ne doit en aucun cas être exigée et être une source d’anxiété supplémentaire pour le patient, mérite d’être développée et encouragéeThis research deals with patient participation to patient safety, which can be defined as the actions taken by patients to reduce the likelihood of medical errors and / or mitigate the effects of errors when they do occur. Patient safety in radiotherapy has become a central priority for public policies further to the recent accidents arisen at Épinal, Toulouse and Grenoble for the most symbolic. In this context, patient participation may be a way of improvement of patient safety. The general objective of this study is to understand the constructive dynamics of patient capabilities in the co-production of a safe and effective care. Patient capabilities are defined as the actual contributions made by patients to ensure the safety and effective of care.The study was conducted in the radiotherapy departments of a public hospital and of a cancer center. Several methods have been combined to analyze the work activity of radiographers, of patients and of joint activity between the two partners : observations of treatment sessions, semi-structured interviews with manipulators and patients, self- and allo-confrontations with radiographers and elicitation interviews with patients.The results describe the actual contributions carried out by patients and show that patient cooperation acts as an additional safety barrier for patient safety. The environment of care and the duration of radiotherapy (repetitive and long treatment) constitute external resources, which provide a creative opportunity for the patient to learn from the situation and to evaluate it by observing what happens. The study also attempts to analyze the factors that allow ("positive" factors) or prevent ("negative" factors) patient capacities to become capabilities, i.e. actual contributions. The positive conversion factors are relative to the patients (knowledge of risks associated to care, personal motivation), to the collective (common objective, cognitive synchronization, operative synchronization) and to radiographers (construction of a trust relationship, encouragement and positive strengthening). However, patient capabilities are not always optimized and the strong work-related temporal pressures can prevent their development.This study highlights that there is a common will of professionals and patients to go together towards a better cooperation. It also shows that patient cooperation is a necessity that remains still unknown and underexploited, while it would likely reduce the number of risky situations and patients’ risky behaviors. Even if this active participation should not be required and be an additional source of anxiety for the patient, it should be developed and encouraged
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Kshetri, Kanak Bikram. "Modelling patient states in intensive care patients." Thesis, Massachusetts Institute of Technology, 2011. http://hdl.handle.net/1721.1/76985.
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Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2011.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 71-74).
Extensive bedside monitoring in hospital Intensive Care Units (ICU) has resulted in a deluge of information on patient physiology. Consequently, clinical decision makers have to reason with data that is simultaneously large and high-dimensional. Mechanisms to compress these datasets while retaining their salient features are in great need. Previous work in this area has focused exclusively on supervised models to predict specific hazardous outcomes like mortality. These models, while effective, are highly specific and do not generalize easily to other outcomes. This research describes the use of non-parametric unsupervised learning to discover abstract patient states that summarize a patient's physiology. The resulting model focuses on grouping physiologically similar patients instead of predicting particular outcomes. This type of cluster analysis has traditionally been done in small, low-dimensional, error-free datasets. Since our real-world clinical dataset affords none of these luxuries, we describe the engineering required to perform the analysis on a large, high-dimensional, sparse, noisy and mixed dataset. The discovered groups showed cohesiveness, isolation and correspondence to natural groupings. These groups were also tested for enrichment towards survival, Glasgow Coma Scale values and critical heart rate events. In each case, we found groups which were enriched and depleted towards those outcomes.
by Kanak Bikram Kshetri.
M.Eng.
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Gross, Olivia. "Experts et expertise : le cas des patients : Contribution à la caractérisation du patient-expert et de son expertise." Thesis, Paris 13, 2014. http://www.theses.fr/2014PA131003.
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Les nouvelles technologies de l’information rendent l’accès au savoir possible, des forum et des réseaux sociaux permettent aux malades de s’organiser, le monde associatif se structure, et dans cette dynamique, des patients sont considérés des experts de leur maladie chronique. Toutefois, la nature de leur expertise reste floue et polémique et appelle à être caractérisée. Pour caractériser ce phénomène, nous avons utilisé comme cadre conceptuel le socioconstructivisme et l’individualisme méthodologique. A partir d’une première grille d’analyse issue d’une recension des écrits sur les notions d’expert et d’expertise, il a été procédé à des entretiens avec 12 patients reconnus socialement comme ayant une pratique d’expert ainsi qu’à des entretiens avec des professionnels de santé qui les côtoient en différentes circonstances. La première grille d’analyse ayant permis d’identifier les domaines à explorer, nous avons procédé à l’analyse qualitative et compréhensive des récits de vie des patients et mis en évidence leur motivation, éthique, déontologie, rapport au savoir, modalités d’apprentissages, savoirs, actions, compétences, traits de personnalité, et leur rapport aux soins et à leurs soignants. Deux types de patients-experts émergent qui se consacrent soit aux problématiques biomédicales, soit à l’accompagnement social et au système de soins. Ces deux types de patients-experts ont en commun d’être des acteurs sociaux passionnés et altruistes, qui poursuivent l’objectif d’améliorer la prise en charge de la maladie et/ou sa prévention, qui déploient à cet effet des compétences interculturelles, émotionnelles et de l’autonomie, et qui assurent des rôles d’interface, de porte-voix et d’éclaireurs. Ces acteurs motivés, qui participent à identifier des problématiques de santé et à les élucider, intéressent la santé publique dans la mesure où nos résultats interrogent le type de fonctions qu’ils pourraient occuper dans le système de santé et la forme que pourrait prendre la valorisation de leurs actionsNew information technology provides access to knowledge; thanks to forums and social networks, patients can organize, constructing a community in which some patients are considered experts in their chronic disease. The nature of that expertise is unclear and controversial, however, and demands characterizations. To characterize this phenomenon we employed social constructivism and methodological individualism as a conceptual framework. Using an initial analysis grid taken from a literature review on the concepts of expert and expertise, we interviewed twelve patients socially acknowledged as having expert experience, as well as health professionals with whom they have contact in a variety of circumstances
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George, Mercy. "Patient Navigation Program in Oncolgy Clinical Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5193.
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Cancer diagnoses affect millions of people in the United States each year. Today, cancer patients face many challenges when trying to navigate the complex healthcare system. Patient navigation programs were developed to address and overcome barriers patients may face as they make their way through the healthcare system. The purpose of this project was to provide an analysis and discussion of the current published literature to provide evidence for improving care coordination and patient satisfaction in the oncology clinical setting with a patient navigator program. The practice-focused question for this project asked if a patient navigator program for adult cancer patients improved patient outcomes. The systematic review, guided by Watson's theory of caring, included 11 studies published between 2010 and 2017 identified through Cochrane Library, CINAHL, ProQuest, PubMed, and Joanna Briggs Institute. Initially a total of 679 articles were identified; however the number reduced by removing duplicates and after review of titles and abstracts. The remaining articles were then evaluated by the level of evidence based on the Manly and Fineout-Overholt's guide on hierarchy of evidence. The results identified in this systematic review showed patient navigation can improve care coordination and patient satisfaction. This review offers findings on the impact of cancer care coordination and patient satisfaction, which may be used by healthcare leaders when determining how to improve cancer care and as a result may provide positive social change. If the organization implements a patient navigator program, it is expected that this change would benefit patients, families, healthcare providers and the organization.
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Garris, Bill R., and Amy J. Weber. "Putting the Patient Back in Patient Care: Health Decision-Making from the Patient’s Perspective." NSUWorks, 2018. https://nsuworks.nova.edu/tqr/vol23/iss2/1.
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This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and deeply held reasons people gave as they made decisions concerning their health, eating and exercising. We propose this model, grounded in informant stories, as a heuristic, to guide further inquiry. From these stories, the patient is seen as more active and the interrelated influences of knowledge, agency, and purpose, synergistically interact to explain changes in health behaviors.
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Garris, Bill R., and Amy Weber. "Putting the Patient Back in Patient Care: Health Decision-Making from the Patient’s Perspective." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5343.
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This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and deeply held reasons people gave as they made decisions concerning their health, eating and exercising. We propose this model, grounded in informant stories, as a heuristic, to guide further inquiry. From these stories, the patient is seen as more active and the interrelated influences of knowledge, agency, and purpose, synergistically interact to explain changes in health behaviors.
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Fram, Fawaz. "Patient information provision and involvement of patients by stroke professionals : implications for the patient-provider relationship." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/31381.
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Despite significant moves to inform and involve patients in their care, implementation of this vision has only been achieved with limited success. Part of the problem appears to stem from an insufficient consideration of the processes underpinning patient participation in the first instance. To help resolve this, we ask what factors drive the patient information provision and participation processes and how these factors have their impact. A significant barrier to the improvement of patient information and empowerment is the incomplete understanding of the interaction between patients and health professionals - commonly termed the patient-provider relationship (PPR). We argue that the PPR has not been fully developed in the context of stroke care specifically and we therefore propose a revised framework for understanding the nature of the patient-provider interaction, specific to stroke care. The new framework more realistically conveys the context for stroke care services in the UK today. The work first evaluates the research literature on the PPR in general, before focusing on the PPR in the acute phase of stroke care. We therefore place stroke care in the context of what is already theorised about the PPR. Based on the results from 50 semi-structured telephone interviews with stroke professionals, we then propose that a revision of our understanding of stroke PPR is needed to more fully take into account the dynamic external influences acting upon it. The general analytical approach is an inductively driven constant comparative method of qualitative analysis, conducted in line with grounded theory. Significant findings include: (i) the provider may no longer be the most important source of information for the patient within a revised stroke PPR model; (ii) stroke physicians reported cases involving lucid patients refusing thrombolytic treatment. Studies reporting stroke patients playing active, participatory roles in acute decision making do not appear in the literature and policymakers have tended to assume that the involvement of patients should only begin after the hyper-acute stages of care have passed. The findings here challenge this position and suggest that participation in decision-making during the hyper-acute phase is feasible and should be considered in clinical practice and policy making. Further, stroke care policy and practice recommendations arising from the study include: (i) greater consideration needs to be given to the allocation of resources designed to psychologically support stroke patients, (ii) audits must be designed to assess better the quality of stroke patient information provision, (iii) more information should be provided to patients and their families about what they can reasonably expect from the service they are using, (iv) priority should be given to the production of high-quality online material to complement the existing offline offering, (v) longer-term strategies should be developed for sustaining the sense of empowerment stroke patients have outside the hospital, when they generally ask more questions and demand more say in their care.
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Chumbley, Gillian Mary. "Patients' evaluation of patient controlled analgesia after surgery." Thesis, St George's, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249438.
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Le, May Andree Christine. "Nurse-patient touch and wellbeing of elderly patients." Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392280.
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凌綽姿 and Cheuk-chi Ling. "Evidence-based pain education programme for cancer patients with pain." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251365.
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Peng, Siwei, and 彭思玮. "Medication nonadherence among hypertension patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425230.
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Optimal effect of medical treatment requires patients' adherence to those treatments, which plays a even greater role than the medical decision made by physicians. With the epidemiological dynamic evolving, chronic disease becomes the major burden of healthcare, such as AIDS, hypertension, COPD, tuberculosis, asthma, epilepsy, schizophrenia, depression and diabetes, which make the adherence especially medication adherence a sightworthy issue because the risk of poor adherence with the complexity and duration of treatment with both of them are inherent to chronic diseases. Among patients with hypertension, medication nonadherence contributes to poorly controlled blood pressure as an significant yet unrecognized role. With the mediator of negative outcomes of further development of vascular disorders, including stroke, heart failure, renal insufficiency and coronary diseases, medication nonadherence to antihypertensives become the root of all devil in terms of healthcare.
In terms of healthcare utilization, it costs approximately 396 to 792 million dollars per year and creates a significant burden. Effect factors for medication nonadherence among hypertension patients include knowledge about hypertension, beliefs about hypertension, perceived beliefs about medication, inadequate self-management behaviors, physician-patient relationship, social support and healthcare policy. The achievements of current single level interventions are not satisfactory, therefore multiple level interventions are calling for attention.Everyone in the healthcare system are responsible to alter the situation. A comprehensive healthcare system that consummates all the effect factors is the effective and efficient solution.published_or_final_version
Public Health
Master
Master of Public Health
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Heinemann, Stefan. "Data power to the patients! Patient-driven data business, not data-driven patient business: the centrality of the patient in the commerce of digital healthcare." Universität Leipzig, 2018. https://ul.qucosa.de/id/qucosa%3A32044.
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Data-driven business models make up the medical and healthcare market in large parts, a
trend reinforced by further technological developments and regulation. Care must be taken
to avoid a situation where only a few players benefit. It’s weird the patient has to become a
customer in order to be a human being in the health business: The consistent empowerment
of patients to handle their own data is essential.
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Nilsson, Sara, and Johanna Persson. "Vilka erfarenheter patienter med hepatit C har av bemötandet i vården." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13537.
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Bakgrund: Den vanligaste smittvägen för hepatit C är genom intravenöst drogmissbruk. Smittöverföring kan även ske via blodtransfusioner eller stickskador i vården. Det finns många fördomar förknippade med sjukdomen och risken är stor att dessa färgar mötet med patienter. Det är viktigt att som vårdpersonal vara medveten om hur den egna synen på sjukdomen kan påverka bemötandet. Syfte: Syftet var att belysa vilka erfarenheter patienter med hepatit C har av bemötandet i vården. Metod: Studien utformades som en allmän litteraturöversikt av tolv kvalitativa artiklar. Manifest innehållsanalys användes. Resultat: Patienter med HCV hade blandade erfarenheter av mottagandet: välkomnande, avvisande eller otryggt. Vidare ledde detta till erfarenheter av stöd eller diskriminering. Patienter kunde ha erfarenheter av professionellt stöd eller brist på professionellt stöd. Diskriminering kunde orsakas av antingen vårdpersonal eller organisation. Slutsats: På grund av stigmatisering kring sjukdomen är patienter med hepatit C en utsatt grupp i samhället. Vårdpersonalens kunskap är en viktig del i bemötandet. Det krävs utbildning för att kunna erbjuda en mer holistisk vård vid hepatit C än i dagsläget. Genom ökad kunskap kring både sjukdom och bemötande kan bemötandet påverkas positivt, det vill säga: mottagandet blir bättre, stödet ökar och diskrimineringen minskar.Background: The most common route of transmission of hepatitis C is through intravenous drug abuse. Transmission can also occur through blood transfusion. There are many prejudices associated with hepatitis C. Chances are that this colors interactions with patients. It is important that healthcare professionals are aware of how their own perception of the disease may affect the encounter. The Objective was to highlight the experiences patients with hepatitis C have of the encounter in the healthcare. Method: The study was designed as a general literature review of twelve qualitative articles. Manifest content analysis was used. Results: Patients with hepatitis C had mixed experiences of receipt: welcoming, rejecting or unsafe. This led to experiences of support or discrimination. Patients experienced professional support or lack of professional support. Discrimination could be caused either by healthcare professionals or the organization. Conclusion: Because of stigma surrounding the disease patients with hepatitis C are a vulnerable group in society. The knowledge of healthcare professionals is an important part of the encounter. It requires training to provide holistic care for hepatitis C. Increased knowledge about both the disease and patient-professional relation can positively affect the encounter: the reception gets better, support increases and discrimination is reduced.
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Krainin, Penelope. "The influence of patient weight on patient-physician interaction and patient satisfaction." Full text available online (restricted access), 2001. http://images.lib.monash.edu.au/ts/theses/krainin.pdf.
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Gunnarsson, Anna-Karin. "Patients with Hip Fracture : Various aspects of patient safety." Doctoral thesis, Uppsala universitet, Ortopedi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-232825.
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The overall aim of the thesis was to investigate whether patient safety can be improved for patients with hip fracture by nutritional intervention and by pharmacological treatment with cranberry concentrate. Another aim was to describe the patients’ experience of involvement in their care. The thesis includes results from four studies that include both quantitative and qualitative design. Studies I and II were intervention studies with a quasi-experimental design, with intervention and comparison groups. Study III was a randomised, double-blind, placebo-controlled trial with intervention and control groups. Study IV took a qualitative approach. Study I showed that when patients with hip fracture received nutritional supplementation according to nutritional guidelines, from admission until five days postoperatively, fewer patients developed pressure ulcers. Study II showed that it is possible to objectively evaluate a short-term nutritional intervention through the nutritional biochemical marker IGF-1, as it was affected by a five-day high-energy regimen. The randomised controlled trial, Study III, showed that a short-term treatment from admission until five days postoperatively with cranberry as capsules does not seem to be useful in preventing positive urine cultures in female patients with hip fracture and a urinary catheter. Finally, Study IV showed that patients with hip fracture reported experiencing very little involvement in their nursing care, to the extent that fundamental aspects of nursing care went unfulfilled. Patients did not feel valued by the nurses and unbearable pain that affected rehabilitation was reported. Positive interactions with nurses, however, did encourage patients to be more active. It is possible for every nurse to improve patient safety at bedside when caring for patients with hip fracture. Simply by increasing caloric/energy intake, it is possible to prevent pressure ulcers. It is also important to involve patients in nursing care, since the patients have experienced low or almost no involvement in care. Nurses need to see each patient as a whole person with different wishes and needs. However, certain prerequisites have to be in place to give nurses the opportunity to increase patient safety at bedside for patients with hip fracture.
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Kotze, E., and T. McDonald. "A longitudinal patient record for patients receiving antiretroviral treatment." Journal for New Generation Sciences, Vol 10, Issue 1: Central University of Technology, Free State, Bloemfontein, 2012. http://hdl.handle.net/11462/598.
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Published ArticleIn response to the Human Immunodeficiency Virus (HIV) epidemic in the country, the South African Government started with the provisioning of Antiretroviral Therapy (ART) in the public health sector. Monitoring and evaluating the effectiveness of the ART programme is of the utmost importance. The current patient information system could not supply the required information to manage the rollout of the ART programme. A data warehouse, consisting of several data marts, was developed that integrated several disparate systems related to HIV/AIDS/ART into one system. It was, however, not possible to trace a patient across all the data marts in the data warehouse. No unique identifiers existed for the patient records in the different data marts and they also had different structures. Record linkage in conjunction with a mapping process was used to link all the data marts and in so doing identify the same patient in all the data marts. This resulted in a longitudinal patient record of an ART patient that displayed all the treatments received by the patient in all public health care facilities in the province.
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Waltz, Margaret. "(Im)Patient Patients: An Ethnography of Medical Waiting Rooms." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1457030358.
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Petit, Amanda. "Patient-Provider Communication in Patients with Inflammatory Bowel Disease." Ohio University Honors Tutorial College / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1528924843222824.
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RinaldiFuller, Julie. "Patient to nurse ratios and safety outcomes for patients." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/JRinaldiFuller2008.pdf.
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Willmann, Chantel Shroyer. "Comparison of the effects of programmed instruction versus lecture on knowledge acquisition among post myocardial infarction patients." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/834614.
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The purpose of the study was to determine the effects of either a programmed instruction booklet or group lecture on knowledge of post myocardial infarction patients. A convenience sample of 30 post myocardial infarction patients enrolled in Cardiac Rehabilitation at a midwestern hospital were asked to participate.Subjects were assigned either to the experimental group or the lecture group. The pretest was administered to both groups. The experimental group received the self instruction booklet and the lecture group received a posttest was immediately completed by the participants. A nonequivalent pretest-posttest repeated measure design was utilized in the study.The results of the study showed a mean improvement in knowledge scores for both the booklet group and lecture group, with the booklet group having the larger gain in knowledge scores. The knowledge gain however, was not significant at the 0.05 level.School of Nursing
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Lund, Kim, and Linnéa Myrhage. "Att vara människa - inte en diagnos! : En litteraturstudie om vuxna människor med psykisk ohälsa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10747.
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Psykisk ohälsa är ett växande problem i samhället och allmänsjuksköterskan möter i sitt arbete dagligen människor med psykisk ohälsa. Dessa människor upplever sig ofta osynliga i samhället och upplever även förutfattade meningar i mötet med sjuksköterskan. Forskning idag utgår mindre ofta från perspektivet hos människor med psykisk ohälsa, vilket behövs för att omvårdnaden ska kunna utvecklas. Problematiken är att sjuksköterskan många gånger möter människor utifrån deras psykiska diagnos, istället för att möta dessa människor utifrån ett helhetsperspektiv. Examensarbetet beskriver hur vuxna människor med psykisk ohälsa kan uppleva mötet med sjuksköterskan. Två teman framkommer efter sammanställning av befintlig forskning. Vuxna människor med psykisk ohälsa upplever antingen sig sedda i mötet med sjuksköterskan eller en känsla av osynlighet. Känslan av att vara sedd uppkommer när sjuksköterskan bekräftar individen genom att vara öppensinnad. Sjuksköterskan lägger ner tid i mötet genom att lyssna och att försöka förstå personens situation. En känsla av osynlighet i mötet uppkommer när sjuksköterskan förminskar personen till en diagnos. De med psykisk ohälsa upplever hinder i relationen genom att sjuksköterskan utövar makt och behandlar dem som barn. De känner sig ensamma när sjuksköterskan inte har tid för dem och inte tyckts bryr sig om dem. Genom denna studie kan sjuksköterskan få en ökad förståelse för hur vuxna människor med psykisk ohälsa upplever mötet med dem. Ökad förståelse kan förbättra relationen mellan människor med psykisk ohälsa och sjuksköterskan. Det kan även leda till en ökad känsla av hälsa hos människor med psykisk ohälsa.Background: Mental illness has in recent years increased in society. It has since centuries been seen as a shameful disease and mental illness has not been a high priority in health care. Aim: The aim of this study was to describe how adult humans with mental illness experiences the meeting with the nurse.Method: The method that was used was a literature based study with basis in analysis of qualitative research. 11 articles with a qualitative approach was analyzed. Result: The result showed two main theme. The first theme was a feeling of being seen in the meeting when an open dialogue was used and a relationship was created. The second theme was a feeling of invisible because they felt reduced to a diagnosis and encountered obstacles in the relation. Conclusion: Adult humans with mental illness could experience the meeting in different ways. A good meeting with the nurse could increase the human with mental illness trust in healthcare. It could improve the care and relationship between human with mental illness and the nurse.
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Westfall, Lee Lucia. "The effects of a structured patient education program on adaptation to cancer." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276581.
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This study examined changes in adult learning, adaptation, and anxiety that occurred as the result of the adult cancer education program "I Can Cope." The study utilized a repeated measures descriptive design. A volunteer sample of 19 subjects participated in this study. Changes in each person's pre-mid-post-test scores were measured against their pre-mid-post-test scores on three instruments: (a) Course Inquiry Test; (b) Purpose in Life Test; and (c) A-State Anxiety Inventory. A comparison of scores measured whether any short-term adult learning, adaptation and change in anxiety occurred as a result of the "I Can Cope" Program. The study did demonstrate that an organized adult patient education program could foster and enhance adult learning and adaptation as well as influence anxiety of participants.
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Stallemo, Kjetil. "Patient friendly Presentation of Electronic Patient Records." Thesis, Norwegian University of Science and Technology, Department of Computer and Information Science, 2008. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-8870.
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Reading an electronic patient record (EPR) is a very challenging task because of the medical jargons, which are almost impossible to understand for the layman. This becomes a highly relevant challenge because of the more extensive use of the internet to get medical information. Also the Norwegian laws state that the patient has the right to read his or her own EPR. A master thesis executed in 2006, and a specialization project in 2007 addressed this subject and developed a prototype for adapting EPRs to a patient presentation. This thesis continues this work and aims to extend the system with more functionality and improve the translation of the EPRs. The main issues discussed in the thesis are how disambiguating between Norwegian words and medical terms, provide summaries of EPRs, and supply the patient with external information about his or her health condition. In addition the refined user interface from the specialization project was implemented. The conclusion of this thesis is that the Support Vector Machine classifier with character bigrams provides good and accurate disambiguation between Norwegian words and medical terms. The external information functionality provides correct and quality assured information from the patient hand book. There are still some issues, and possible improvements on providing only precise and relevant articles. Summarizing of EPRs is achieved through named entity extraction of ICD codes, and then presenting the codes together with their corresponding descriptions. This implementation seems to be accurate, correct, and precise.
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Shiri, Clarris. "Patient education : the effect on patient behaviour." Thesis, Rhodes University, 2006. http://eprints.ru.ac.za/1348/.
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Labuda, Schrop Susan M. "The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?" Kent State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395.
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Furniss, Stephanie. "Characteristics of Patients Using a Patient Portal via Mobile Technology." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1492468236459889.
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Flora, Luigi. "Le patient formateur : élaboration théorique et pratique d’un nouveau métier de la santé." Paris 8, 2012. http://www.theses.fr/2012PA083535.
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Le projet de cette recherche vise à questionner les enjeux : existentiel, relationnel, institutionnel et socio anthropologiques révélés par le patient formateur. Les objectifs opérationnels de cette thèse tendent vers la compréhension de la part de savoirs des malades et leurs interactions avec celle des professionnels de la santé, leur transmissibilité et des processus en œuvre tant à titre : individuel, collectifs que sociétaux dans le domaine de la santé et des systèmes de santé. Les thèmes théoriques abordés concernent le concept de l’éthique du Care, les sciences de l’éducation, les regards sociologiques et anthropologiques concernant le sujet, et pour cela sont abordés les champs de la formation et des apprentissages des adultes, les concepts de promotion de la santé et d’éducation thérapeutique comme l’histoire du savoir des malades et des nouvelles figures qui ont émergé. Au plan épistémologique, cette recherche s’inscrit dans la démarche qualitative, compréhensive, autour de la théorie ancrée, à partir d'approches : d'observation directe, participative et de recherche-action. Au plan méthodologique, le mode de recueil des données s’appuie : sur des entretiens de patients, patients formateurs vivant avec une ou des maladies chroniques qui ont réalisé un retour réflexif, des initiateurs de dispositifs innovants, triangulés avec des immersions de terrain et des publications sur les environnements approchés lorsque ces dernières existaient. L’interprétation des données éclaire les enjeux questionnés à des niveaux micro, méso et macro, et abouti sur une proposition d’élaboration théorique et pratique d’un nouveau métier de la santé, celui de patient formateurThis research questions the existential, relational, institutional and socio anthropological aspects related to the experiences of patients in their function of trainers of medical staff. The goal is is to improve the understanding of the patients’ knowledge, of the way they communicate it, of the way they interact with health professionals, and of the individual, collective, and societal processes they rely on. The theoretical frame is built around the ethical concept of Care, the sciences of education, the sociological and anthropological ways of considering the subject. The theoretical frame draws on theories concerning teaching and learning in adult education, health promotion strategies, therapeutic education, and history concerning patients, their experiences and their knowledge. The epistemology of this research is qualitative, comprehensive, and is inspired by grounded theory, using mostly direct, participative observations and action-research. On the methodological level, data are collected through interviews with patients living suffering from chronical disease. They often have gained insights from reflecting on their experience as patients, and sometimes even have created new ideas or procedures related to their disease or to care. We used data from fieldwork and available research to improve understanding on micro, méso and macro levels which resulted in the theorical and practical proposal of a new health profession : the patient as a trainer of medical staff
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DeAdder, Dawna Nadine. "The illness experience of patients following a myocardial infarction : implications for patient education." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/29706.
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This study used the research method of phenomenology to elicit the patient's perspective of the illness experience following a myocardial infarction (MI). The purpose of studying this experience was to gain an understanding of what it meant to men and women to have a MI, what the learning needs were following a MI, and how these learning needs were met. It was proposed that patients would view the illness experience differently from health professionals, thus the patients would identify different learning needs. Anderson's (1985) adaptation of Kleinman's health care system framework was used to conceptualize this problem.
Three males and two females, ranging in age from 42 to 77 years, participated in the study. Data were collected through 11 in-depth interviews. From analysis of this data significant statements were extracted to provide a description of the phenomenon under study.
The findings of this study suggest that health professionals and patients do view the MI experience from different perspectives. The emphasis of the patients on understanding the MI experience from the reality of their world is reflected in their attempts to rationalize the occurrence of the MI and their desires to know more about
their own MI, prognosis, and treatment. In order to plan patient education that will assist post-MI patients in their recovery health professionals must assess patients individually for their: (1) beliefs regarding risk factors and causes of MI; (2) desire for Information; (3) preference for method of instruction; and, (4) preference for timing of education.Applied Science, Faculty of
Nursing, School of
Graduate
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Al-Busaidi, Asma Ali S. "Personalising patient Internet searching using electronic patient records." Thesis, Cardiff University, 2008. http://orca.cf.ac.uk/54651/.
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The research reported in this thesis addresses a patient's information requirements when searching the Internet for health information. A patient's lack of information about his/her health condition and its care is officially acknowledged and traditional patient information sources do not address today's patient information needs. Internet health information resources have become the foremost health information platform. However, patient Internet searching is currently manual, uncustomised and hindered by health information vocabulary and quality challenges. Patient access to quality Internet health information is currently ensured through national health gateways, medical search engines, third-party accredited search engines and charity health websites. However, such resources are generic, i.e. do not cater for a patient particular information needs. In this study, we propose personalising patient Internet searching by enabling a patient's access to their Electronic Patient Records (EPRs) and using this EPR data in Internet information searching. The feasibility of patient access to EPRs has recently been promoted by national health information programmes. Very recently, in the literature, there are reports about pilot studies on personal Health Record (PHR) systems that offer a patient online access to their medical records and related health information. However, the extensive literature searching shows no reports about patient-personalised search engines, within the reported PHR prototypes, that utilise a patient's own data to personalise the search features for a patient especially with regard to health information vocabulary needs. The thesis presents a novel approach to personalising patient information searching based on linking EPR data with relevant Internet Information resources, integrating medical and lay perspectives in a diagnosis vocabulary that distinguishes between medical and lay information needs, and accommodating a variable perspective on online information quality. To demonstrate our research work, we have implemented a prototype online patient personal health information system, known as the Patient Health Base (PHB) that offers a patient a Summary Medical Record (SMR) and a Personal Internet Search (PerlS) service. PerlS addresses patient Internet search challenges identified in the project. Evaluation of PerlS's approach to improving a patient's medical Internet searching demonstrated improvements in terms of search capabilities, focusing techniques and results. This research explored a new direction for patient Internet searching and foresees a great potential for further customising Internet information searching for patients, families and the public as a whole.
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Baker, Diane. "Does team patient care mean better patient outcomes?" Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10161771.
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Traditional patient care in the U.S. has been fragmented and redundant, resulting in high healthcare costs and poor patient outcomes. New team patient care models are being attempted to improve outcomes and lower the cost of care. Models of integrated and coordinated care, including the Patient-Centered Medical Home model, have demonstrated some improvements, especially for chronically ill patients. Membership in a Health Maintenance Organization (HMO) and presence of a diabetes diagnosis is tested and results for the chronically ill are discussed.
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Rycroft-Malone, Joanne. "Patient participation in nurse-patient interactions about medication." Thesis, University of Southampton, 2002. https://eprints.soton.ac.uk/50615/.
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The dominant political ideology emphasises the patient as a consumer and partner in health care. Correspondingly, the move towards patient-centred nursing, based on the principles of humanism and individualism, emphasise the central role patients' should play in the nurse-patient encounter. Additionally, changing social and demographic trends highlight the importance of medication as a health care issue. Thus, current health care policy and practice contexts highlight the importance of patients' participation in health care as consumers and partners and, nurses' ability to make an effective contribution to educating patients about medication as part of their role in health education and promotion. However, despite the significance of this context, little is known about the extent and manner of patient participation, or the contribution that nurses make to this important health promotion activity. Therefore the purpose of this study is to extend knowledge in this area by describing and explaining patient participation in medication interactions, as it occurs within the reality of the clinical context. In order to study patient participation in medication interactions in the reality of the clinical context, a case study approach was adopted. Three case sites were sampled and included: 1) an acute medical ward, 2) a community hospital rehabilitation unit, and 3) a community mental health service. Data collection methods employed to explore and describe patient participation in medication interactions included: non-participant observation, audio-recording of nurse-patient interactions, nurse interviews, patient interviews, reflective field notes, focus groups and documentation. The data analysis framework included the use of conversation analysis for nurse-patient interaction data and content analysis for other qualitative data. The findings indicate that patient participation can be understood at least in part by the communicative practices and choices that nurse and patients/clients make. More specifically a range of conversational strategies were employed by nurses to initiate and control conversations and by doing so inhibited patients' participation. However a comparison of findings across sites indicates that there were both differences and similarities in the extent to which nurses facilitated and inhibited patient participation. A number of influencing factors were identified that helped to explain these findings. These include: power, nurses' communicative style, knowledge, skills and experience, patients' age, acuity of illness and level of knowledge, and the organisation and philosophy of care. The findings from the study make a unique contribution to the body of knowledge in a number of ways. First, as the only study to describe patient participation in medication interactions between nurses and patients, it identifies that participation can occur at an interactional level, as well as a more practical level via, for example, the potential to self medicate and independently manage medications. Related to this, it has also contributed to the conceptual clarity and development of the concept of patient participation. This study has highlighted that patient participation may be realised and understood more fundamentally, at the level of the nurse-patient interaction, in contrast to previous research that conceptualises participation as making choices and involvement in decisionmaking. Furthermore, by the successful use of conversation analysis, this study has also advanced knowledge about potential ways to investigate patient participation at the level of nurse-patient discourse. Finally, this study provides a contribution to advancing theoretical explanations of patient participation through the construction of a framework of explanatory factors influencing patient participation. A framework for enabling participation has been developed based on the specific conclusions and principles for action drawn from the findings and from the philosophy of Freire (1972; 1983), which acknowledges an individual's potential to be empowered and assume control. The framework proposes that addressing attitudinal, interactional, relational, educational and contextual issues, might facilitate patient participation. Implications and recommendations reflect the practice and education requirements needed to implement such a framework.
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Vietmeier, Anna C. "The Effects of Patient Expectation on Patient Perception." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728.
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Fox, Jessica M. "The Effect of Patient Expectations on Patient Satisfaction." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1560350332980685.
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Thornlow, Deirdre. "Relationship of patient safety practices to patient outcomes." Saarbrücken VDM Verlag Dr. Müller, 2007. http://d-nb.info/991198212/04.
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Hellbom, Maria. "Individual Support for Cancer Patients : Effects, Patient Satisfaction and Utilisation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5183-7/.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients." Cleveland, Ohio : Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1220463022.
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馮淑貞 and Shuk-ching Corina Fung. "Needs assessment for schizophrenic patients in an out-patient clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225998.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1220463022.
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Fung, Shuk-ching Corina. "Needs assessment for schizophrenic patients in an out-patient clinic /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24391049.
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Alquier, Isabelle. "Le statut du patient hospitalisé en établissement de santé privé." Thesis, Aix-Marseille 3, 2011. http://www.theses.fr/2011AIX32018/document.
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Le système de santé français repose sur une dichotomie publique-privée. Cette dualité juridique se retrouve dans l’offre de soins proposée aux patients qui disposent du libre choix de se faire hospitaliser aussi bien en établissement de santé public qu’en établissement de santé privé, l’hospitalisation privée devenant prépondérante en France. Pour le patient peu importe la structure d’hospitalisation, puisque les droits des patients étant des droits fondamentaux, pour certains constitutionnellement garantis, ce dernier doit bénéficier des mêmes droits quel que soit le lieu de son hospitalisation. Or les conséquences engendrées par la spécificité « privée » de l’établissement de santé amène à s’interroger sur une éventuelle disparité dans l’application des droits du patient, qui pourraient être à l’origine d’un statut propre au patient hospitalisé en établissement de santé privéThe French healthcare system relies on a public-private dichotomy. This difference in legal status is reflected in the actual provision of healthcare, as patients have the right to choose their preferred type of hospitalization with private sector hospitalizations now becoming predominant in France. However, patients must be granted the same rights regardless of which type of hospital they have chosen, due to the fact that patients' rights are fundamental rights, and for some of them they are constitutionally guaranteed. The implications of the specific nature of private hospitals raise questions about a potential disparity in the application of patients' rights, which would result in a different status for patients entering private hospitals
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Tobiano, Georgia Ann. "Patient Participation in Nursing Care: A Focused Ethnography." Thesis, Griffith University, 2016. http://hdl.handle.net/10072/365834.
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Patient-centred care has been recognised internationally as a way patients can participate in their nursing care to potentially improve their safety, yet widespread understanding of patient participation and ways to promote it is lacking. Further, nurses’ behaviours sometimes conflict with their reported support for patient participation. The aim of this study was to understand patient participation in nursing care in medical wards and the barriers to and facilitators of patient participation. This study was a focused ethnography. Two hospitals participated in the study. Site 1 was located in Queensland and catered for public patients, while Site 2 was located in Victoria and catered for private patients. The setting for this study was four medical wards, two from each hospital. Patients and nurses were observed in practice and participated in semi-structured interviews. Observational field notes were analysed using both deductive and inductive content analysis. Interviews were transcribed and analysed using inductive content analysis. Deductive analysis of observations of practice showed that the most frequent types of participation were in the categories ‘having dialogue with health care staff’ and ‘sharing knowledge’. Patients participated less frequently in the categories ‘partaking in planning’ and ‘managing self-care’. Inductive analysis of field notes demonstrated that nurses exerted control over care, evident in the category ‘maintaining control of work’. Findings from 20 patient interviews, revealed four categories. In the category ‘valuing participation’ patients spoke about wanting to participate and seeing it as beneficial. The categories ‘exchanging intelligence’ and ‘on the lookout’, were ways patients reported participating in care. The final category ‘power imbalance’, revealed patients’ difficulty in enacting participation.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Papagiannis, Fragoulis. "National patient flow framework : an ontological patient-oriented redesign." Thesis, City University London, 2010. http://openaccess.city.ac.uk/8301/.
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This study aims to redesign and measure patient satisfaction and treatment of the patient flow process. Based on ontology, it will redesign the core patient flow processes with the simultaneous introduction of a patient-oriented model that will conceptualise and implement this ontological framework. A gap regarding scientific, patient-oriented, measurable frameworks has been discovered and demonstrates the need for a new healthcare management framework. As the need for this new framework is identified, this study aims at fulfilling the following objectives: A novel redesign of core transactions of the patient flow process, based on ontology, and its supporting patient-oriented information system, from being healthcare oriented to being patient oriented. Implement this study’s conceptualisation (patient-oriented flow) in a novel beyond any doubt, way through the function of the supporting information system as well as its measures used for the ontological process redesign. Improve efficiency in the healthcare system through competent management of institutional resources by providing a fertile framework for strategic cooperation among patients and healthcare providers. Assist in the development and maintenance of measurable activity-based driven results that improve patient quality value added services, turning everyday healthcare acts into healthcare facts relevant to this study’s concept. Concluding, scientific contributions of this study include the discovery and redesign of the contemporary both conceptual and structural gaps in the patient flow process and the introduction of a measurable scientific, not practical, redesign through the enterprise ontology methodology. Finally, the implementation of a novel patient-oriented framework (OS), based on universal characteristics, that results to effective GP appointment, proper diagnosis and referral, economically traceable and structurally measurable, both qualitative and quantitative, hospital inflow-outflow as well as patient awareness and patient relations management.