Dissertations / Theses on the topic 'Physical environment in aged care'
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Liu, Sherry T. "Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013.
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Hansen, Annissa Margaret. "Shaping aged care work through technology: A senior manager affordance perspective." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/208914/1/Annissa_Hansen_Thesis.pdf.
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This research identifies the affordances of technology in aged care from the perspectives of senior managers. Interviews with Executives and Directors in a large aged care provider, an aged care industry body, and an aged care technology developer revealed the numerous ways in which technology shapes the aged care work environment. The findings suggest that government, aged care organisations, and technology providers need to balance the efficiencies of technology adoption with the humanistic nature of aged care work.
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Potter, Rachel. "Does the physical environment predict depressive symptoms in older people living in care homes?" Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/55206/.
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40% of residents living in care homes in the United Kingdom have significant depressive symptoms, compared with 9% living in the community. Care homes can appear to be depressing places, but whether the physical environment of homes directly affects depression in care home residents is unknown. The overall aim of the thesis was to establish whether the physical environment or specific features of the physical environment predict depressive symptoms in older people living in care homes. A mixed methods approach was used: 1. A systematic review was conducted to identify and evaluate instruments designed to measure the physical environment of healthcare settings and informed the choice of instrument used to measure the physical environment of care homes in an observational study. 2. Semi-structured interviews with 15 participants living in four care homes identified features of care home design that were considered important to investigate in the observational study and assisted with interpretation of the results. 3. An observational study explored the longitudinal relationship between the physical environment and depressive symptoms using data from an interventional trial among older people living in care homes. The physical environments of 50 care homes were assessed using The Sheffield Care Environment Assessment Matrix (SCEAM). Depressive symptoms were measured using the Geriatric Depression Scale (GDS-15) for 510 residents living in the care homes at baseline, six and twelve months. Multi-level modelling was used to analyse the data. Interviews revealed residents valued environments that increased opportunity for social interaction, maximised physical function, and allowed access to outdoor space. In the observational study the overall physical environment of care homes (overall SCEAM score) did not predict depressive symptoms. Care homes that scored highly on the SCEAM domain community weakly predicted lower depressive symptoms. Controlling for dependency (Barthel Index), social engagement (Index of Social Engagement) and home type (nursing/residential) ‘access to outdoor space’ predicted greater depressive symptoms. This finding initially appeared counterintuitive; however evidence from the interview study suggested access to outdoor space was restricted for residents in many different ways: locked doors, lack of paths, inadequate seating, steep steps, and needing permission or assistance of staff to go outside. Residents may have ‘free access to outdoor space’ but are prevented from using the outdoors for reasons that negatively affect their decisional autonomy and consequently their mood. The research provides evidence to support care home design that encourages social interaction and allows unrestricted access to outdoor spaces in order to positively influence mood in care home residents.
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Loh, Hui Yee. "The Contribution of the Neighbourhood Environment to the Relationship Between Neighbourhood Disadvantage and Physical Function Among Middle-Aged to Older Adults." Thesis, Australian Catholic University, 2018. https://acuresearchbank.acu.edu.au/download/f874dd1116560426fc11fffab625631c655ea1a636cb03fb913415437e2378c7/11526170/LOH_2018_The_contribution_of_the_neighbourhood_environment.pdf.
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Background
With the continuing increases in life expectancies in developed countries, an important public health goal is to ensure successful ageing—morbidity compression, maintenance of physical functioning and active engagement in life. It is well established that the onset of physical function decline begins in mid-life, and functional capacity is critical to maintaining mobility, independence and quality of life. A growing body of literature has found that residents of more disadvantaged neighbourhoods have significantly poorer physical function, independent of individual-level factors. However, the mechanisms through which neighbourhood environments are associated with this relationship remain largely unknown.
The overarching aim of this thesis was to investigate the contributions of the neighbourhood environment to the relationship between neighbourhood disadvantage and physical function among middle-aged to older adults: this was accomplished in three studies. First, I examined the relationship between neighbourhood disadvantage and physical function in the Australian context (Study One). Second, I investigated if this relationship is explained by neighbourhood-level perceptions of safety from crime and walking for recreation (Study Two). Third, I examined the contribution of neighbourhood walkability and walking for transport to the relationship between neighbourhood disadvantage and physical function (Study Three).
Methods
This program of research utilized secondary data from the How Areas in Brisbane Influence HealTh and AcTivity (HABITAT) study. HABITAT is a multilevel longitudinal study underpinned by a social ecological framework. It was conducted in Brisbane among adults aged 45-70 years living in 200 neighbourhoods. HABITAT commenced in 2007 and had subsequent data collection waves in 2009, 2011, 2013 and 2016. For this thesis, the 2013 data were utilised as physical function was first collected in 2013 (n= 6,520). The measure of neighbourhood disadvantage was derived from the Australian Bureau of Statistics’ (ABS) Index of Relative Socioeconomic Disadvantage (IRSD) scores. Physical function was measured using the Physical Function Scale (0 – 100), a component of the Short Form-36 Health Survey, with higher scores indicating better function. In Study Two, participants self-reported their perceptions of safety from crime using items from the Neighbourhood Environment Walkability Scale (NEWS) questionnaire, which were subsequently aggregated to the neighbourhood-level. Walking for recreation (minutes per week) was self-reported by participants. In Study Three, neighbourhood walkability measures (street connectivity, dwelling density and land use mix) was objectively measured and provided by the Brisbane City Council (the local government authority responsible for the jurisdiction covered by the HABITAT study). Walking for transport (minutes per week) was self-reported by participants.
The data were analysed using multilevel regression models (linear, binomial or multinomial). In instances where multilevel categorical models are undertaken, Markov chain Monte Carlo (MCMC) simulation will be employed to estimate odds ratio and 95% credible intervals. All data were prepared in STATA SE 13 and analyses were conducted using MLwiN version 2.35.
Results
Findings from Study One found that residents of more disadvantaged neighbourhoods had significantly poorer physical function. These associations remained significant after adjustment for individual-level socioeconomic position (SEP). Moving forward from the descriptive findings, Study Two found that neighbourhood-level perceptions of safety from crime and walking for recreation partly explained (24% in men and 25% in women) neighbourhood differences in physical function. In Study Three, I found that neighbourhood walkability and walking for transport did not explain the relationship between neighbourhood disadvantage and physical function.
Conclusion
Given the growing proportion of the ageing population in Australia and the resultant increasing pressure on neighbourhood and city infrastructure in Australia, it is important to understand the contributions of the neighbourhood environment in the relationship between neighbourhood disadvantage and physical function. Despite the complexity in understanding neighbourhood socioeconomic differences in physical function, the findings of this thesis suggest that the neighbourhood in which we live is important to physical function. To reduce neighbourhood inequalities in physical function, attention needs to be given to improve the perceptions of safety from crime in more disadvantaged neighbourhoods to encourage more walking for recreation. Living in a walkable neighbourhood is important to support more walking for transport, but may not be sufficient to reduce neighbourhood inequalities in physical function. A multi-faceted intervention is needed to create a healthy, liveable and equitable community for successful ageing.
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Hampson, R. "Setting policy in concrete: the impact of the built environment on older people who live in residential aged care facilities." University of Melbourne, 2008. http://repository.unimelb.edu.au/10187/3425.
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Residents of residential aged care facilities live out the last days of their lives in an institutional environment. These facilities can potentially liberate and/or constrain. The voice of actual residents has been little explored to date. Critical gerontology, which underpins the study, demands that researchers endeavour to understand the lived experience of the older person.This thesis focuses on the impact of the built environment on older people (without dementia) who live in residential aged care facilities. Based on original research undertaken in Victoria and some of the latest thinking from Australia and overseas the study was undertaken using mixed methods. The research involved a review of the literature, in depth small group interviews with residents, staff, family and carers, and surveys and a best practice forum with architects and managers.
The research identified and explored the key areas of concern for each of these stakeholders, considering how residential aged care services could do more to improve the quality of life for residents through the built environment. Three key areas emerged from the study. Firstly, the journey the residents make in their time in the RACF and how the built environment impacts on their quality of life in place and over time. Secondly, the ‘frames of reference’ the key informants to the study hold are explored and how they can impact on the design process. Finally, by analysing the data collected and placing the resident at the centre, a model is proposed which holds potential and significance in relation to the development of RACFs in the future
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Littbrand, Håkan. "Physical exercise for older people : focusing on people living in residential care facilities and people with dementia." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39784.
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The main purposes of this thesis were to evaluate a high-intensity functional weight-bearing exercise programme, regarding its applicability (attendance, achieved intensity, adverse events) as well as its effect on physical functions and activities of daily living (ADL) among older people living in residential care facilities, with a special focus on people with dementia. Furthermore, a main purpose was to systematically review the applicability and effects of physical exercise on physical functions, cognitive functions, and ADL among people with dementia. A high-intensity functional weight-bearing exercise programme that includes lower-limb strength and balance exercises in standing and walking, was evaluated in a randomised controlled trial among 191 older people, dependent in ADL, living in residential care facilities, and with a Mini-Mental State Examination (MMSE) score of ten or more. One hundred (52.4%) of the participants had dementia. Participants were randomised to an exercise programme or a control activity, consisting of 29 supervised sessions over 3 months, as well as to an intake of a protein-enriched energy supplement or a placebo drink immediately after each session. The effect on physical functions was evaluated using the Berg Balance Scale, usual and maximum gait speed, and one-repetition maximum in a leg press machine measuring lower-limb strength. The effect on ADL was evaluated using the Barthel Index. These outcome measures were followed up at 3 and 6 months by blinded assessors and analysed using the intention-to-treat principle. The evaluation of the applicability of the high-intensity functional weight-bearing exercise programme showed that there was a high rate of attendance, a relatively high achieved intensity in the exercises, and all except two adverse events were assessed as minor or temporary and none led to manifest injury or disease. No statistically significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, the applicability of the programme was not associated with the participants’ cognitive function. Significant long-term effects of the exercise programme were seen regarding functional balance, gait ability and lower-limb strength in comparison with the control activity. The intake of the protein-enriched energy supplement did not increase the effect of the training. Age, sex, depression, dementia disorder, nutritional status, and level of functional balance capacity did not influence the effect on functional balance of the high-intensity functional weight-bearing exercise programme. There were no significant differences between the groups regarding overall ADL performance. Analyses for each item revealed that a significantly smaller proportion of participants in the exercise group had deteriorated regarding indoor mobility at 3 and 6 months. For people with dementia, there was a significant difference in overall ADL performance in favour of the exercise group at 3 months, but not at 6 months. In a systematic review, randomised controlled trials, evaluating the effects of physical exercise among people with dementia, were identified according to pre-defined inclusion criteria. Two reviewers independently extracted predetermined data and assessed methodological quality. Ten studies were included in the review and the majority of the participants were older people with Alzheimer’s disease living in residential care facilities. Four studies reached “moderate” methodological quality and six “low”. The results showed that among older people with Alzheimer’s disease in residential care facilities, combined functional weight-bearing exercise over 12 months at an intended moderate intensity seems applicable for use regarding attendance and adverse events and there is some evidence that the exercise improves walking performance and reduces ADL decline. Furthermore, there is some evidence that walking exercise over 16 weeks performed individually, where the participant walks as far as possible during the session, reduces decline in walking performance, but adverse events need to be evaluated. In conclusion, among older people who are dependent in ADL, living in residential care facilities, and have an MMSE score of 10 or more, a high-intensity functional weight-bearing exercise programme is applicable for use and has positive long-term effects on functional balance, gait ability, and lower-limb strength and seems to reduce ADL decline related to indoor mobility. An intake of a protein-enriched energy supplement immediately after the exercise does not appear to increase the effect of the training. In people with dementia, the exercise programme may prevent decline in overall ADL performance, but continuous training may be needed to maintain that effect. The positive results regarding applicability and effects of combined functional weight-bearing exercise among people with dementia is confirmed when the scientific literature is systematically reviewed. It seems to be important that exercise interventions among people with dementia last for at least a few months and that the exercises are task-specific and intended to challenge the individual’s physical capacity. Whether physical exercise can improve cognitive functions among people with dementia remains unclear. There is a need for more exercise studies of high methodological quality among people with dementia disorders.
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Hikade, Stribling Emily Elizabeth. "Light, Color and Texture: How the Physical Environment Can Aid the Treatment of Cancer." University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1242835088.
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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." University of Sydney, 2008. http://hdl.handle.net/2123/3986.
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Doctor of philosophy (PhD)Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.
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Jassim, Taghrid. "Preceptors' and nursing students’ experiences of using peer learning in Primary Health Care settings : A qualitative study." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-40603.
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Background: There is a need for students to integrate theory with practice and there is an ongoing search for the best learning and teaching models in Primary Health Care settings. The aim of this study was to explore preceptors' and nursing students’ experiences of using peer learning during clinical practice in Primary Health Care. Methods: A qualitative research approach was used based on semi-structured interviews with 7 preceptors and 8 nursing students performed in May 2017. The interviews were transcribed and analyzed by using content analysis based on an inductive reasoning. Results: Preceptors and students perceived peer learning as a pedagogical model beneficial for learning in primary care settings and described the model as stimulating, challenging and developing. All informants were positive of the peer learning experience and students described that they were seen as individuals and not treated as a couple even if they worked in peers. The physical environment was demanding due to telephone counseling, limited opportunities for using computers and small rooms. Conclusion: This study shows that despite the complex learning environment peer learning as a pedagogical model seems to work well in Primary health care setting. However, there is much to improve to facilitate the student's learning process. The students should be given priority and that the assignment with preceptorship should be highlighted Keywords: Learning environment, Peer learning, Physical environment, Primary Health Care, Structured learning activities.
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Netten, Ann Penelope. "Residential care and senile dementia : the effect of the physical and social environment of homes for elderly people on residents suffering from senile dementia." Thesis, University of Kent, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.236247.
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Monahan, Ann Corneille. "Day care for people with dementia--the importance of communicating a safe and uncritical environment to clients and facilitating stimulating activity." Thesis, University of Stirling, 2005. http://hdl.handle.net/1893/270.
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Exploratory case studies investigated the day care benefit from the multiple perspectives of the person with dementia, caregiver, and day care worker. The routines, daily processes, and factors promoting benefit were reported. The day care client was also queried to explore their ability to contribute useful information about their care environment. The adult day care is primarily a social occasion for its clients, who enjoy the benefits of companionship and interaction. Day cares were differentiated by the environmental features: worker:client ratio, size, suitability of the site for intended purpose, quality of client-worker relationships, and quality of the activities offered. The quality of each of these features is an important component in the day care environment. All components at their highest quality are not necessary for the environment to be beneficial. The most important factors contributing to day care quality were workers who (1) communicated safety to the client through a relaxed, uncritical environment, and (2) facilitated client stimulation through activity and personal interaction, satisfying the clients’ basic needs to be safe and occupied. This evaluation was comprised of: two sets of case studies. Each evaluation was concurrently conducted and consistently designed. Participant observation and survey were the primary methods of data collection. Informed consent was sought from day care clients with dementia, family caregivers, and day care workers.
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Faith, Verity. "Designing for dementia : an assessment of the impact of the physical environment on wayfinding success for residents in long term care settings." Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.673849.
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One of the consequences of an ageing demographic is the increase in the incidence of illnesses such as dementia. Dementia affects visuo-spatial perception, causing difficulty with wayfinding, even during the early stages of the disease. The role of the physical environment as part of a holistic approach to caring for people with dementia is widely recognised. There is a need for specialist support and care, placing a greater impetus on the need for a person-centred approach to tackle issues related to wayfinding and dementia. This thesis aims to improve design for dementia in long term care settings in Northern Ireland. The purpose of this was to provide a better understanding of how people with dementia experience the physical environment and to highlight features of the design that assist with wayfinding. The outcome is intended to improve quality of life, wellbeing, independence and uphold the dignity of people with dementia living in nursing or residential care homes. Ethical issues were considered throughout the thesis and in the research design which used a mixed methods approach. This involved an initial questionnaire to home managers (based on leading design recommendations), semi-structured interviews with the staff in the long term care settings and the resident's next of kin and a wayfinding task (which employed ethnographic methods). Additionally, Space Syntax methodologies were used to examine the physical properties of the architectural layout. Results indicate that particular environmental features are associated with improved performance on the wayfinding tasks. By enhancing design for dementia, through identifying the attributes, challenges with wayfinding may be overcome and the benefits of the physical environment can be seen to promote wellbeing. There were limitations due to the available resources, time and funding. Future research would involve testing the identified environmental features within a specific environment to enable measured observation of improvements.
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Morgan, Katherine. "Using the concept of environmental press to examine the built environment and physical activity among older adults living in long-term care homes." Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28101.
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Objective. To apply the concept of environmental press to study the relationship between the built environment and physical activity among older adults living in long-term care (LTC) homes.
Methods. This cross-sectional study used a questionnaire to assess physical activity among 78 seniors living in seven LTC homes. Secondary data analysis of existing environmental scans divided the homes into two levels of environmental press. Type and duration of physical activity were compared between seniors living in homes with appropriate and inappropriately high levels of environmental press.
Results. Seniors' total amount of physical activity did not differ between the two groups of homes. Seniors living in homes with appropriate environmental press were more likely to receive physiotherapy and less likely to stretch alone than those living in homes with inappropriately high environmental press.
Conclusions. Environmental press did not significantly influence seniors' total participation in physical activity. Validated environmental assessments tailored to LTC settings are needed.
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Pellfolk, Tony. "Physical restraint use and falls in institutional care of old people effects of a restraint minimization program /." Doctoral thesis, Umeå : Umeå universitet, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-31952.
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Lasslo, Julie. "THE INFLUENCE OF PATIENT-PROVIDER INTERACTION, SELF-CONCEPT, AND THE SOCIO-PHYSICAL ENVIRONMENT ON PELVIC EXAM SEEKING BEHAVIOR, ANXIETY, AND THE HEALTH CARE EXPERIENCE." UKnowledge, 2019. https://uknowledge.uky.edu/edsc_etds/56.
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Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior.
A total of 350 women 19 through 80 years of age completed a one time, 15-minute online survey regarding their gynecological care seeking behavior. Ordered logistic regression analysis revealed that when controlling for demographic variables and self-concept scores satisfaction was significantly impacted by the quality of provider communication. Specifically, higher quality of communication likely increases satisfaction by 12% (coef = .77; odds ratio= 1.19 at a p< .01). Avoidance was significantly associated with greater provider empathy indicating a 9% decrease in avoidance is likely as empathy scores go up (coef = -.19; odds ratio= 0.96 at a p< .01). When controlling for various demographic factors, self-concept scores and provider communication were not shown to be significantly associated with patient anxiety. These findings suggest that enhancing provider communication quality and empathy may improve satisfaction and lessen patient avoidance. Results also indicate that women who have a more positive evaluation of their genital self-image were more likely to feel greater satisfaction concerning gynecological care. Thematic analysis of open-ended essay questions revealed several themes among 3 main areas: 1). Clinician Communication (active listening, explanation, empathic communication, & pace), 2). Social Environment (hospitality& being relational), and 3). Physical Environment (Privacy, Aesthetics, & Sensate Variables).
Detailed explanation, empathetic communication, and not rushing patients through procedures all emerged as important components that may guard against patient anxiety. Results suggest that distress related to gynecological care could be mitigated by easily modifiable improvements to the environment like increasing the temperature of the exam rooms, opting for less harsh lighting, providing a place to hang or set clothing, and more thoughtful placement of baby pictures. Results also suggest that improvements to modesty concerns within the exam room, like larger cloth draping and gowns, may significantly improve the patient experience.
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de, Weger Angela. "The relationship between the quality of the outdoor learning environment and physical activity in preschoolers in centre-based early childhood education and care settings." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/104123/8/Angela_de%20Weger_Thesis.pdf.
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A significant number of preschoolers do not meet recommends for daily physical activity. The early childhood education and care setting provides a significant opportunity to influence and support healthy physical activity behaviours of preschoolers. This project explored the relationship between the quality of the outdoor learning environment and physical activity in preschoolers in centre-based early childhood educations and care settings.
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Greenberger, Hilary Beth. "Influences on Health Related Quality of Life in Community Dwelling Adults Aged 60 Years and Over." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1638.
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Krantz, Karin, and Anna Lundgren. "Distriktssköterskors erfarenheter av att främja fysisk aktivitet hos personer, 65 år eller äldre, vid besök på vårdcentral : En kvalitativ intervjustudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-34094.
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Fysisk aktivitet är en av många faktorer som har betydelse för att förebygga ohälsa och sjuklighet hos äldre personer. Bristen på fysisk aktivitet hos äldre personer kan ge hälsoproblem och skapa behov av vård. Distriktssköterskor kan i sin profession bidra till äldre personers möjligheter till fysiskt oberoende genom att främja olika former av fysiska aktiviteter. Hälsofrämjande arbete kan resultera i att äldre personer ökar sin fysiska aktivitet. Genom att intervjua distriktssköterskor om deras erfarenheter på området kan kunskapen om detta öka och bidra till att utveckla det hälsofrämjande arbetet på vårdcentraler. Syftet var att undersöka distriktssköterskors erfarenheter av personcentrerad vård för att främja fysisk aktivitet hos personer, 65 år eller äldre, vid besök på vårdcentral. En kvalitativ studie med induktiv ansats genomfördes i form av intervjuer där 14 distriktssköterskor inkluderades. Analysen genomfördes med innehållsanalys enligt Graneheim och Lundman. I resultatet framträdde tre kategorier: Förhållningssätt vid främjandet av fysisk aktivitet, Motivation till fysisk aktivitet och Hinder för att främja fysisk aktivitet. Förhållningssätt gentemot äldre personer är avgörande för hur det hälsofrämjande arbetet kan bedrivas. Motivation är centralt för att personer ska ändra och vidmakthålla nya vanor. Distriktssköterskor uttrycker att olika faktorer verkar som barriärer när det gäller att främja fysisk aktivitet. Resultatet i denna studie skulle kunna medverka i utvecklandet av hälsoprocesser och i kompetensutveckling för distriktssköterskor i att främja fysisk aktivitet hos äldre personer.Physical activity is one of many factors which plays a contributing role in preventing poor health and sickness. The lack of physical activity among elderly may lead to sickness and a need for care. District nurses can, in their profession, be a positive force in the strive for physical independence among elderly by promoting different types of physical activity. Health promoting work could result in increased physical activity among elderly. By interviewing district nurses about their experiences in the field, the knowledge about this problem could be improved. Hence, it can help further develop this important work at local health centres. The aim of this study was to describe district nurses’ experiences of person-centered care while promoting physical activity among people, aged 65 or older, when visiting a health care center. The method was a qualitative interview study in which 14 district nurses were included. A content analysis was made according to a method described by Graneheim and Lundman. In the result, three categories emerged: Approaches when Promoting Physical Activity, Motivation for Physical Activity and Obstacles when Promoting Physical Activity. The approach that district nurses have towards elderly determines how health promotive work can be conducted. Motivation is central for people changing and enforcing new habits. District nurses express that different factors acts as obstacles when promoting physical activity. The results of this study could contribute to the development of health processes and the skills development of district nurses in promoting physical activity among elderly.
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Marquardt, Gesine, and Nadine Glasow. "Braucht der Wohnbereich einen Ausgang?" Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2006. http://nbn-resolving.de/urn:nbn:de:swb:14-1163786055669-11636.
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Der Umgang mit möglicher Selbstgefährdung demenzerkrankter Bewohner durch das selbständige Verlassen des Wohnbereichs wird in Altenpflegeeinrichtungen häufig und kontrovers diskutiert. In dieser Studie wurde untersucht, ob eine milieutherapeutische Intervention in Form eines Vorhangs vor der Ausgangstür die Bewohner am Verlassen des Wohnbereichs hindert. Das wesentliche Untersuchungsziel war es dabei zu erfassen, ob Veränderungen in Verhalten und Wohlbefinden der Bewohner zu verzeichnen sind.
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Rosendahl, Erik. "Fall prediction and a high-intensity functional exercise programme to improve physical functions and to prevent falls among older people living in residential care facilities." Doctoral thesis, Umeå : Samhällsmedicin och rehabilitering Community Medicine and Rehabilitation, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-756.
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Graucob, Susanna, and Lizette Janesten. "Ambulanssjuksköterskans upplevelse av hur arbetsmiljön påverkar omvårdnaden : en kvalitativ intervjustudie." Thesis, Sophiahemmet Högskola, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2786.
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SAMMANFATTNING Prehospital sjukvård innebär akuta medicinska insatser som sker utanför sjukhus av hälso- och sjukvårdspersonal. I mötet med patienten ingår det i ambulanssjuksköterskans arbetsroll att värna om patientens integritet samt organisera omvårdnaden så att det främjar patientens välbefinnande och minskar lidande. Faktorer i miljön där vårdandet sker, i den prehospitala sjukvården, påverkar inte bara patienten och dennes anhöriga utan även ambulanssjuksköterskan. Arbetsmiljön inom prehospital sjukvård kan innebära hälsorisker för ambulanssjuksköterskan då arbetet kan vara både mentalt och fysiskt ansträngande eftersom det bland annat förekommer tunga lyft, omedelbar beredskap och ogynnsamma arbetsställningar. Det krävs en förmåga att arbeta under tidspress och att kunna hantera allvarliga situationer. Syftet med studien var att belysa ambulanssjuksköterskans upplevelse av arbetsmiljörelaterade faktorers påverkan på omvårdnaden i den prehospitala miljön. Studien är en kvalitativ intervjustudie där författarna intervjuade åtta ambulanssjuksköterskor med stöd av en intervjuguide där informanterna fick belysa sina upplevelser och erfarenheter av arbetsmiljön i den prehospitala miljön. Intervjuerna analyserades sedan genom en kvalitativ innehållsanalys för att ge en djupare förståelse för det studerade fenomenet. Resultatet visade att det fanns ett flertal faktorer i arbetsmiljön som ambulanssjuksköterskan upplevde påverkade omvårdnaden av patienten i den prehospitala sjukvården. Innehållsanalysen av intervjuerna resulterade i fyra kategorier, kommunikation, erfarenhet och utbildning, ambulansfordonet samt egen säkerhet och hälsa. Kategorierna sammanfattar informanternas upplevelser kring faktorer i arbetsmiljön som kunde påverka omvårdanden samt önskemål om förbättring och utveckling som kan påverka detta. Studiens slutsats innebar att det fanns många faktorer i arbetsmiljön som påverkade ambulanssjuksköterskans utförande av omvårdnad i den prehospitala miljön. Det visade att god kommunikation med kollega, patienter och anhöriga var av stor vikt för att kunna ge organiserad och adekvat omvårdnad. Många upplevde att det fanns ett stort behov av vidareutbildning för kompetensutveckling och förbättring av kommunikation med andra samverkande grupper för att förtydliga syftet med uppdraget och förbättra omvårdnaden till patienten. Det fanns ett behov av att vidareutveckla utrustningen i ambulansen samt utformningen av ambulansen för att minska risken för skador på kroppen. Nyckelord: ambulanssjuksköterska, fysisk arbetsmiljö, psykosocial arbetsmiljö, prehospital sjukvård, omvårdnad.ABSTRACT Emergency medical service is healthcare that takes place outside the hospital and is performed by specializes nurses. In the interaction between the specialized ambulance nurse and the patient, it is important to address the patients´ well-being and organize the care to prevent the patient from unnecessary suffering. Factors in the environment where prehospital care is taking place are not often studied and is not something that just affects the patient, but also presents risks to the ambulance personnel as working in the emergency medical services can be both mentally and physically exerting. Working in emergency medical service includes heavy lifting, immediate preparedness, unfavorable work environments, and requires the ability to work under time pressure as well as the ability to handle serious situations. The aim of the study was to highlight the ambulance nurses experience of the effects of work environment-related factors on nursing care in the prehospital setting. The study was a qualitative interview study in which the authors interviewed eight ambulance nurses using a questionnaire where informants were able to highlight their experiences in the prehospital setting as well as their experiences of the work environment in the ambulance care industry. The interviews were then analyzed to provide a deeper understanding of the studied phenomenon. The results showed several factors in the work environment that affect the care of the patient in the prehospital setting. The content analysis of the interviews resulted in four separate categories; communication, experience and education, the ambulance vehicle and the workers own safety and health. The categories summarized the informants´ experiences about factors in the work environment and how they can affect these, as well as the desire for improvement and development in order to provide adequate and safe care for the patients. The conclusion of the study implied that there are many factors in the work environment that influence the ambulance nurse in the prehospital setting. Direct communication between the college, patient and their relative was important to be able to organize the care and provide safe medical care. However, many of the ambulance nurses experienced a need for further education and improved communication with other collaborative groups to clarify the purpose of the assignment and to improve the care of the patient. There was also a need for development of the equipment used in the prehospital setting and in the vehicle to prevent damages on the ambulance nurse´s health. Keywords: ambulance nurse, physical work environment, psychosocial work environment, prehospital care, nursing.
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Mcguire, Julianne. "Exploring barriers and enablers in early childhood education and care services to meet Australian infant feeding guidelines." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/201105/1/Julianne_McGuire_Thesis.pdf.
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This thesis studies infant and young child feeding in Early Childhood Education and Care services in Australia, an environment of increasing importance to the child population. It examines policies and practices highlighting the need for visibility, support and collaboration in infant feeding in the first 1000 days to support ongoing health and development. It uniquely gives voice to experience of assessors as well as educators and families in eliciting strategies for increasing awareness and support for optimal infant and young child feeding practices in Early Childhood Education and Care.
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Elo, S. (Satu). "Teoria pohjoissuomalaisten kotona asuvien ikääntyneiden hyvinvointia tukevasta ympäristöstä." Doctoral thesis, University of Oulu, 2006. http://urn.fi/urn:isbn:9514281950.
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Abstract The aim of this study was to construct a theory of an environment supporting the well-being of the home-dwelling elderly from Northern Finland. The development process proceeded as follows: 1) description of elements of environment supporting the well-being of home-dwelling elderly aged over 65 years (physical, social and symbolical environment) and, using concept synthesis, construction of hypothetical models of a physical, social and symbolic environment supporting well-being, 2) development of an indicator to test the hypothetical models and 3) testing the hypothetical models. The analysed data (N = 39) of the first stage consisted of theme interviews with home-dwelling elderly persons. Hypothetical models of an environment supporting the well-being of home-dwelling elderly were constructed using inductive concept synthesis. In the second stage, the reliability of the indicator designed to test the hypothetical models was evaluated by a panel of experts consisting of 15 students of nursing science and three doctors of Health Sciences. The data (n = 96) used to test the reliability of the second indicator consisted of the results of a postal questionnaire to elderly over the age of 65 from Northern Finland. The questionnaire also included questions about answering the indicator aimed further development. The data were analysed by looking at descriptive statistics and correlation coefficients. The data (n = 328) of the final stage of the study comprised again home-dwelling elderly from Northern Finland. The data were analysed using explorative and confirmatory factor analyses to test the hypothetical models. In addition, the data were analysed using statistical methods. According to the theory, an environment supporting the well-being of home-dwelling elderly from Northern Finland is made up by its physical, social and symbolical attributes. The attributes defining a physical environment supporting well-being are a northern environment, an environment ensuring safety and a pleasant physical environment. A social environment supporting well-being is made up of the availability of assistance, contact with family members, friends supporting well-being and a pleasant living community. A symbolic environment supporting well-being comprises the idealistic attributes of well-being, spirituality, the normative attributes of well-being and historicalness. The information gained from the study can be used to broaden the knowledge base of gerontological nursing science and gerontological nursing in supporting the health and well-being of home-dwelling elderlyTiivistelmä Tämän tutkimuksen tarkoituksena oli rakentaa teoria kotona asuvien pohjoissuomalaisten ikääntyneiden hyvinvointia tukevasta ympäristöstä. Teorian kehittämisprosessi eteni seuraavasti: 1) kuvattiin kotona asuvien yli 65-vuotiaiden pohjoissuomalaisten ikääntyneiden hyvinvointia tukevan ympäristön osa-alueita (fyysinen, sosiaalinen ja symbolinen ympäristö) ja rakennettiin käsitesynteesin avulla hypoteettiset mallit hyvinvointia tukevista fyysisestä, sosiaalisesta ja symbolisesta ympäristöstä, 2) kehitettiin mittari hypoteettisten mallien testaamiseksi ja 3) testattiin hypoteettisia malleja. Ensimmäisen vaiheen analysoitavan aineiston (n = 39) muodostivat kotona asuvien yli 65-vuotiaiden ikääntyneiden teemahaastattelut. Induktiivisen käsitesynteesin avulla tuotettiin hypoteettiset mallit pohjoissuomalaisten ikääntyneiden hyvinvointia tukevasta ympäristöstä. Toisessa vaiheessa hypoteettisten mallien testaamiseksi kehitetyn mittarin luotettavuutta arvioi asiantuntijapaneelissa 15 hoitotieteen loppuvaiheen opiskelijaa sekä kolme terveystieteiden tohtoria. Toisen mittarin luotettavuuden testaamisessa käytetyn aineiston (n = 96) muodostivat pohjoissuomalaisten yli 65-vuotiaaiden ikääntyneiden postikyselyn vastaukset. Kyselylomake sisälsi myös mittariin vastaamista koskevia kysymyksiä sen edelleen kehittämiseksi. Aineisto analysoitiin tarkastelemalla tilastollisia tunnuslukuja ja korrelaatiokertoimia. Tutkimuksen viimeisen vaiheen aineisto (n = 328) muodostui niin ikään kotona asuvista pohjoissuomalaisista ikääntyneistä. Aineistolle tehtiin eksploratiiviset ja konfirmatoriset faktorianalyysit hypoteettisten mallien testaamiseksi. Lisäksi aineistoa analysoitiin tilastollisin menetelmin. Kehitetyn teorian mukaan pohjoissuomalaisten kotona asuvien ikääntyneiden hyvinvointia tukeva ympäristö rakentuu sen fyysisten, sosiaalisten ja symbolisten ominaisuuksien myötä. Hyvinvointia tukevaa fyysistä ympäristöä määrittävät pohjoinen ympäristö, turvallisen toiminnan mahdollistava ympäristö ja viihtyisä fyysinen ympäristö. Hyvinvointia tukeva sosiaalinen ympäristö rakentuu avun saamisesta, yhteydenpidosta omaisiin, ystävistä ja viihtyisästä asuinyhteisöstä. Hyvinvointia tukeva symbolinen ympäristö muodostuu hyvinvoinnin ideaalisista ominaisuuksista, hengellisyydestä, hyvinvoinnin normatiivisista ominaisuuksista ja historiallisuudesta. Tutkimuksessa tuotetulla tiedolla voidaan laajentaa gerontologisen hoitotieteen tietoperustaa tuettaessa kotona asuvien ikääntyneiden terveyttä ja hyvinvointia. Gerontologisessa hoitotyössä teoriaa voidaan käyttää eräänlaisena ajattelun tai päätöksenteon apuvälineenä jäsentämään ikääntyneiden hyvinvointia tukevaa ympäristöä
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Larsson, Lund Maria. "Living with physical disability : experiences of the rehabilitation process, occupations and participation in everyday life." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-317.
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Chung, Yon Antonella, Arancivia Melissa Gutierrez, Huaman Milenny Marissa Jaimes, Dall¨Orso Andrea Valentina Vargas, and Azañero Miguel Eduardo Villalobos. "Estudio de la viabilidad de producción y venta de Jabón natural, Shampoo y Acondicionador en sólido Q´UMIR." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/652748.
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En la actualidad el país ha ido aumentando el consumo de productos de cuidado e higiene personal, esto sucede por el crecimiento económico, el aumento de los ingresos de la población a lo largo de los años y que las personas buscan más información acerca de qué productos deben consumir según las tendencias. ¿Sabía usted que en un solo día una mujer puede consumir hasta 12 productos de limpieza con aproximadamente 100 ingredientes que son perjudiciales para la salud y el medio ambiente? Cada año se producen 120,000 mil millones de unidades de empaques de cosméticos y de limpieza personal y la mayoría para ser usados una sola vez.
Es por eso, que en el mercado han ido ingresando muchas marcas internacionales al país y se han creado nuevas marcas a nivel nacional. Muchas de estas marcas que se encuentran en el mercado se han especializado para diferentes tipos de segmentos específicos, con características específicas como que sus productos están elaborados con insumos que cuiden tanto su bienestar físico como el del medio ambiente. Por este motivo, este trabajo de investigación se basó en proponer una alternativa de idea de negocio en donde los productos están elaborados con insumos y componentes libres de químicos y con un formato innovador.
Q´umir es una empresa encargada de la comercialización y fabricación de jabón, shampoo y acondicionador en sólido para diferentes tipos de piel y cabello (seca, grasa y mixta), le sumamos que utilizamos ingredientes naturales y ecológicos que brindan hidratación y firmeza.Currently the country has been increasing the consumption of personal care and hygiene products, this is due to economic growth, the increase in the income of the population over the years and that people are looking for more information about what products they should consume according to trends. Did you know that in a single day a woman can consume up to 12 cleaning products with approximately 100 ingredients that are harmful to health and the environment? Every year 120 billion units of cosmetic and personal cleansing packaging are produced, and most are for one-time use. That is why, many international brands have entered the country in the market and new brands have been created at a national level. Many of these brands that are on the market have specialized for different types of specific segments, with specific characteristics such as that their products are made with inputs that take care of both their physical and environmental well-being. For this reason, this research work was based on proposing an alternative business idea where the products are made with inputs and components that are free from chemicals and with an innovative format. Q´umir is a company in charge of the commercialization and manufacture of soap, shampoo and conditioner in solid for different types of skin and hair (dry, oily and mixed), we add that we use natural and ecological ingredients that provide hydration and firmness for women.
Trabajo de investigación
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Coidakis-Barss, Christina. "INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1428068372.
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Ghannad, Ghorsi Sara, and Adriana Mitic. "Vårdgivares erfarenheter av hur patienter med demenssjukdom påverkas av sin vårdmiljö : En kvalitativ litteraturstudie." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-40879.
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Bakgrund: Vårdmiljön kan delas in i två kategorier, varav den ena är objektiv och den andra är subjektiv. Båda dessa miljöfaktorer påverkar livskvaliteten för personer med demens. Vårdmiljön inkluderar rum, byggnader, inom-/utomhus och trädgårdar. Förståelse för vårdmiljön och dess påverkan hos demenssjuka är därför avgörande för vårdpersonal, sjuksköterskor och anhöriga som bör engagera sig i att implementera rätt vårdmiljö som skapar en kvalitativ levnadsstandard hos individer med demenssjukdom. Syfte: Att undersöka forskning om vårdgivares erfarenheter av hur patienter med demenssjukdom påverkas av sin vårdmiljö. Metod: Litteraturundersökningen grundar sig på det systematiska flödesschemat enligt Polit & Beck, (2012). Litteraturstudien börjar med att formulera en frågeställning och finna därmed relevanta sökord. Granskningen gick utifrån SBU:s (2014) och studien styrkas med aktuell forskning. Resultat: Utifrån 12 granskade artiklar som genomförts i USA, England, och Australien gällande vårdmiljön och socialmiljön instämmer vårdpersonal, sjuksköterskor och anhöriga enhälligt att en trivsam hemmiljön stärker självvärdet för individer med demenssjukdom och måste individanpassas. I och med detta behöver vårdpersonal, sjuksköterskor och anhöriga vara delaktiga i tillämpande och implementeringen av rutiner och anpassningen av miljön för de demenssjuka. Konklusion: Vårdmiljön och socialmiljön och hur den inrättas och implementeras är direkt avgörande för levnadsstandarden hos individer med demenssjukdom. En trevlig och behaglig hemmiljö som individen med demenssjukdom kan känna igen skapar trygghet. En socialmiljö där individen med demenssjukdom kan vara delaktigt och kognitivt engagera sig skapar självvärde.Background: The care environment can be divided into two categories, one of which is objective, and the other is subjective. Both environmental factors affect the quality of life of people with dementia. The care environment includes rooms, buildings, indoor / outdoor and gardens. Understanding the care environment and its impact on people with dementia is therefore crucial for care staff, nurses and relatives who should be involved in implementing the right care environment that creates a qualitative standard of living for individuals with dementia. Objective: To investigate research on caregivers' experiences of how patients with dementia are affected by their care environment. Method: The literature review is based on the systematic flow chart according to Polit & Beck, (2012). The literature study begins with formulating a question and thereby finding relevant keywords. The literature study is supported by current research. The review template used was from SBUs (2014). Result: Based on 12 reviewed articles conducted in the USA, England, and Australia regarding the care environment and the social environment, care staff, nurses and relatives unanimously agree that a pleasant home environment strengthens the self-esteem of individuals with dementia and must be individually adapted. As a result, healthcare professionals, nurses and relatives need to be involved in the application and implementation of routines and the adaptation of the environment for people with dementia. Conclusion: The care environment and the social environment and how it is set up and implemented are directly correlated with the standard of living for individuals with dementia. A pleasant and comfortable home environment that the individual with dementia can recognize creates security. A social environment where the individual with dementia can be involved and cognitively get involved creates self-worth.
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Uusimaki, Sirkka-Liisa Marjatta. "Pre-service teacher education and the development of middle school teacher identity : an exploratory study." Thesis, Queensland University of Technology, 2009. https://eprints.qut.edu.au/34438/1/Sirkka-Liisa_Uusimaki_Thesis.pdf.
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This research study investigated the factors that influenced the development of teacher identity in a small cohort of mature-aged graduate pre-service teachers over the course of a one-year Graduate Diploma program (Middle Years). It sought to illuminate the social and relational dynamics of these pre-service teachers’ experiences as they began new ways of being and learning during a newly introduced one-year Graduate Diploma program. A relational-ontological perspective underpinned the relational-cultural framework that was applied in a workshop program as an integral part of this research. A relational-ontological perspective suggests that the development of teacher identity is to be construed more as an ontological process than an epistemological one. Its focus is more on questions surrounding the person and their ‘becoming’ a teacher than about the knowledge they have or will come to have. Hence, drawing on work by researchers such as Alsup (2006), Gilligan, (1982), Isaacs, (2007), Miller (1976), Noddings, (2005), Stout (2001), and Taylor, (1989), teacher identity was defined as an individual pre-service teacher’s unique sense of self as a teacher that included his or her beliefs about teaching and learning (Alsup, 2006; Stout, 2001; Walkington, 2005). Case-study was the preferred methodology within which this research project was framed, and narrative research was used as a method to document the way teacher identity was shaped and negotiated in discursive environments such as teacher education programs, prior experiences, classroom settings and the practicum. The data that was collected included student narratives, student email written reflections, and focus group dialogue. The narrative approach applied in this research context provided the depth of data needed to understand the nature of the mature-aged pre-service teachers’ emerging teacher identities and experiences in the graduate diploma program. Findings indicated that most of the mature-aged graduate pre-service teachers came in to the one-year graduate diploma program with a strong sense of personal and professional selves and well-established reasons why they had chosen to teach Middle Years. Their choice of program involved an expectation of support and welcome to a middle-school community and culture. Two critical issues that emerged from the pre-service teachers’ narratives were the importance they placed on the human support including the affirmation of themselves and their emerging teacher identities. Evidence from this study suggests that the lack of recognition of preservice teachers’ personal and professional selves during the graduate diploma program inhibited the development of a positive middle-school teacher identity. However, a workshop program developed for the participants in this research and addressing a range of practical concerns to beginning teachers offered them a space where they felt both a sense of belonging to a community and where their thoughts and beliefs were recognized and valued. Thus, the workshops provided participants with the positive social and relational dynamics necessary to support them in their developing teacher identities. The overall findings of this research study strongly indicate a need for a relational support structure based on a relational-ontological perspective to be built into the overall course structure of Graduate Pre-service Diplomas in Education to support the development of teacher identity. Such a support structure acknowledges that the pre-service teacher’s learning and formation is socially embedded, relational, and a continual, lifelong process.
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Skantz, Nina, and Sofia Östenson. "Fysisk aktivitets påverkan på stress och den psykosociala arbetsmiljön inom vård och omsorgssektorn. : En kvantitativ studie." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-15159.
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I vård och omsorgssektorn är sjukfrånvaron hög. Det finns många orsaker till ohälsa och i många fall är det arbetsrelaterat och de anställda har en ökad risk att drabbas av psykisk ohälsa och främst stress. Finns det en obalans i arbetslivet och kraven överstiger resurserna kan det få negativa effekter. En god arbetsmiljö kan inspirera medarbetaren till att behålla sina egna resurser och bidra till en ökad medvetenhet relaterat till välbefinnande. Fysisk aktivitet har positiva effekter på hälsan och kan skydda individer från att utveckla psykiska ohälsa orsakad av stress. Måttlig intensitet av träning, 150 minuter per vecka är tillräckligt för att uppleva mindre stress och ett ökat välbefinnande. Arbetsmiljölagen ställer krav på arbetsgivaren att arbetet ska anpassas till den enskilda arbetstagarens psykiska och fysiska förutsättningar. I det ingår att undvika stress genom att anpassa arbetet till arbetstagaren. Syftet med studien är att belysa om det finns ett samband mellan fysisk aktivitet och upplevelsen av stress och den psykosociala arbetsmiljön hos medarbetare inom vård och omsorg. En kvantitativ metod har använts och olika professioner i vård och omsorgssektorn har svarat på en enkät. Resultatet visar att det inte finns signifikant skillnad i upplevelsen av stress mellan de som inte är fysiskt aktiva och de som är fysiskt aktiva. Däremot finns det ett samband mellan fysiskt aktiva individer kopplat till att de har lättare att hantera arbetskrav i form av arbetsmängd. De fysiskt aktiva upplever att de har stöd från arbetskamrater vänner och familj i större utsträckning än de fysiskt inaktiva.In the healthcare and care sector sick leave is high. There are many causes of ill health and in many cases it is work-related and employees have an increased risk of mental illness and, above all, stress. If there is an imbalance in working life and the requirements exceed the resources, it can have negative effects. A good working environment can inspire the employee to maintain his own resources and contribute to increased awareness of well-being. Physical activity has positive effects on health and can protect individuals from developing mental health caused by stress. Moderate intensity of exercise, 150 minutes per week is enough to experience less stress and increased well-being. The Work Environment Act requires employers to adapt the work to the individual employee. The purpose of the study is to highlight whether there is a connection between physical activity and the experience of stress and the psychosocial work environment of the employee in healthcare and care. A quantitative method has been used and various professions in the healthcare and care sector have responded to a questionnaire. The result shows that there is no significant difference in the experience of stress between those who are not physically active and those who are physically active. On the other hand, there is a connection between physically active individuals linked to the fact that they are easier to handle work demands in terms of workload. The physical activists experience that they have support from workmates, friends and family to a greater extent than the physically inactive ones.
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Lee, Ping-Wen, and 李秉文. "The use of Environmental Audit Tool (EAT) to improve the design of physical environments within residential aged care facilities (RACFs) in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8shd6p.
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碩士國立宜蘭大學
建築與永續規劃研究所碩士班
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This paper reports on two study aims: (1) to explore the process of adapting the English version of the Environmental Audit Tool (EAT) developed in Australian into Chinese questionnaire survey that can be used to investigate RACFs in Taiwan; (2) to compare EAT scores of a sample of RACFs in Taiwan with the mean and standard deviation (SD) of EAT scores across a variety (N=56) of RACFs in Australian where some (N=24) were purpose-built for people with dementia while others (N=32) were non- purpose-built.
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Zhang, Angela Rong Yang. "At home in a nursing home: on movement and care." Thesis, 2020. http://hdl.handle.net/2440/129650.
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This thesis follows the everyday movements of a group of elderly Australians, to critically examine how they came to experience a sense of home while living with bodily and cognitive impairments in a nursing home. In tracing their steps and the minutiae of their day-to-day activities, this research illustrates how nursing home residents experience ‘home’ as a sense of ‘rightness’ of being through doing the most mundane activities of walking, transferring position and eating. Examining care through the lens of home, I analyse how home, bodies and movement are reconfigured through multiple contexts of care. I argue that it is only in constellations of care that produce movements that residents attempt to make, but are unable to make on their own, that the potential to become at home is made possible. Based on 12 months of fieldwork in two nursing homes in metropolitan Adelaide, South Australia, this research attends closely to the sensory extensions (Dennis 2007) and restrictions of residents’ bodies vis-à-vis their engagements with other people and things. From the taste of a home cooked meal, to the touch of staff and family members, medications, handrails, carpeted floors and walking aids, residents’ ageing and declining bodies respond to, and may resist, assistance to walk, stand or eat. Care plans, staff and equipment, as this thesis will show, can also restrain residents’ bodies, inhibiting their movements and their becoming at home. This thesis draws on Deleuze and Guattari’s (1977, 1988) theories of becoming and desiring production to expand Jackson’s notion of home (1995, 2002) and ‘existential imperative’ (2002, p. 14) to propose that home is a matter of becoming-at-home-in-the-world. Key to my argument is how residents experience an innermost drive to move, and in examining how their urge to move is responded to, I demonstrate the multiple and at times contested forces that can propel residents to sit, to stand, or to put one foot ahead of the other. It is through this Deleuzian approach that I detail the multiple persons and things that enact and produce assemblages (Deleuze & Guattari 1988) of care. In so doing, I demonstrate that an ethically responsive care, or the care that was communicated and experienced as ‘right’ by residents, requires tinkering (Mol, Moser & Pols 2010) to achieve a balance between inclusion and autonomy (Rapport 2018). From moment to moment, and day-to-day, as bodies age, decline and eventually die, each resident requires different assemblages of care to move and to become at home. Examining the varieties of experience for nursing home residents through the theoretical lens of becoming at-home-in-the-world, this thesis provides new knowledge about the interrelations between movement and care, and the generative and productive affects of walking, standing and eating in residents’ lives. I argue that this ethnographically informed understanding of the sensibilities and potentialities of movement presents a challenge to clinical constructions of bodily and cognitive impairment and is at odds with aged care discourses and practices that may render the lives of nursing home residents inactive or meaningless and thus further constrain their existential and bodily potentials.Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2020
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Hilaire, Trevor James. "Sustainable residential aged care: the influence of the built environment on carer work satisfaction and stress." Thesis, 2016. http://hdl.handle.net/1959.13/1337777.
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Research Doctorate - Doctor of Philosophy (PhD)The population in Australia and much of the developed world is ageing and increasing the demand on residential aged care (RAC) which is costly to establish and operate thereby imposing an economic burden on society and impacting upon social sustainability. Quality of life (QoL) for residents is a primary condition of RAC. Quality of care is a significant factor of QoL and is provided by the care team however, it can be affected by work stress/satisfaction. RAC facilities are work places for the care team and studies within the field of environmental psychology indicate that the work place environments can affect work stress/satisfaction impacting upon work outputs. This research investigates the potential for the RAC built environment to influence the work stress/satisfaction of the care team thereby impacting quality of care, affecting QoL and addressing concerns for the future on a number of levels. The research identifies a number of design influences (DI) and then, over two stages studies the DI within the context of work stress/satisfaction to identify the care team’s perception of the identified DI, their control over them (Stage 1) and the level of consideration facility managers and designers gave to the impact on care team work stress/satisfaction during the design process (Stage 2). Stage 1 comprises qualitative interviews with members of care teams where Stage 2 involves three case studies with qualitative interviews of three cohorts (care team, managers and designers) along with observations on site and desktop audits of documentation to corroborate comments made in interviews. The significance of this research is threefold: i) investigating the relationships of the identified DI, ii) identifying factors that affect the inclusion of DI in the design process, and iii) identifying a process to enable the DI to be appropriately incorporated into the RAC built environment in order to provide an optimal impact on the work stress/satisfaction of the Care Team.
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Chen, Chu-Mien, and 陳珠綿. "The Study on Business Model of Applying Physical –Spiritual Soul LifeEducation to Aged Residential Care Homes." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/28ujnp.
Full textAbstract:
碩士明道大學
企業高階管理碩士班
106
Abstract Taiwan has entered an ageing society formally. The government's long-term policy is just starting. National health insurance is in jeopardy! The so-called "prevention" is better than "treatment." At present, both at home and abroad are implementing "distal care", which is "complementary integration of medicine." This study will focus on thePhysical –Spiritual Soul life education, and will use the scientific evidence to share information with the general public: understanding the essence of life, paying attention to spiritual therapy, and using natural remedies, scientific qigong, meditation, etc., to promote health promotion Preventive Medicine. We hope can help reduce aging, dementia and dementia, and implement humanitarian treatment that respects personal wishes at the end of the life cycle, and makes every effort to reduce health care and social burden. In this qualitative study, 15 experts and scholars were interviewed. Among them, 5 were university professors and associate professors, 3 were in religious circles, 2 were responsible for conservation organizations, and 2 were senior care attendants. There is 1 current doctor, 1 family member, plus 1 CEO of Yangsheng Village. As the mind cannot be quantified, only domestic and foreign research reports can be used, supplemented by factual experience to help them. Through brainstorming, this study proposes the following five propositions: Proposition 1. The physical education of Physical –Spiritual Soul life educationhas positive effects on the management of health villages. Proposition2. The spiritual education of Physical –Spiritual Soul life education has a positive effect on the management of health villages. Proposition3. The soul education of Physical –Spiritual Soul life education has a positive effect on the management of health villages. Proposition 4. Care services is an indispensable element in the management of health villages and must be demonstrated with the full support of the public sector. Proposition 5. Innovation investment is an indispensable and important element in the management of health villages, and it must be emphasized with the cooperation of the profession and the system. With more than a dozen experts and scholars interviewing, it is difficult to achieve the saturation of the research. Therefore, it is expected that this study will be able to extend more data in the academic community and constructive thinking on the future of Taiwan’s population aging problem in preventive medicine and beyond. In terms of providing care and services, we continue to contribute wisdom and energy to the benefit of the people. It is also the common desire of the world’s humanity. Keywords: Physical –Spiritual Soul life education; Health Village; Spiritual Care; Meditation; Qualitative Research
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"Navigating the Patient Room: Critical Care Nurses' Interaction with the Designed Physical Environment." Doctoral diss., 2017. http://hdl.handle.net/2286/R.I.46309.
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abstract: The physical environment influences the physiology, psychology, and the societal interactions of those who experience it. The environment can also influence human behavior. Critical care nurses are in constant interaction with the physical environment surrounding their patients. High acuity ICU patients are vulnerable and at risk for harm, infection, and poor outcomes while the physical and cognitive workload of nurses presents a demanding and continuous challenge.
The goal of this qualitative study was to explore and understand the way critical care nurses navigate within the patient room and interact with its features. The study of critical care nurses interacting with the patient room environment was conducted in five critical care units at three tertiary care institutions in the Eastern United States, along with another unit in the pilot study at a community hospital in the Southwest United States. Nurses were observed in their typical work environment as they performed normal tasks and patient care activities for entire day and night shifts. The study involved ethnographic field observations, individual semi-structured participant interviews, and examination of photographs and floor plans.
The exploratory study resulted in a comprehensive model for nurse navigation that includes both cognitive and action components, along with a conceptual framework for nurse behavioral activity. Repetitive patterns of nurse movement were identified and named. The findings produced recommendations for nurses’ effective use of space and architectural design of ICU patient rooms to improve patient outcomes.Dissertation/Thesis
Doctoral Dissertation Nursing and Healthcare Innovation 2017
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Farvis, Marie Joan. "The provision of a culturally sensitive home-like environment in residential aged care : experiences from Melbourne's West." Thesis, 2006. https://vuir.vu.edu.au/32968/.
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As people are living longer, residential living has become a fact of life for those who need
extensive care and are no longer able to live in the community. Care facilities, bound by
legislative requirements, follow strict government guidelines and, unless identified
specifically as ethno-specific, accept all 'cultures and creeds'. The quality of life for people
residing in facilities has been a focal point for some years, and the requirement to provide a
home-like atmosphere emphasised. However, a home-like environment is difficult to define
because of its subjective interpretation.
This thesis reports on a small study of residents, family/friends and staff connected with
three residential aged-care facilities in Melbourne's western suburbs. Their experiences and
opinions have been gathered to establish their definitions of a culturally sensitive home-like
environment, the ways they experience their own facilities, and what they regard as the
positive and negative qualities of their facilities.
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"Defining the Roles of Physical and Occupational Therapists in the Health-Care Environment Today." TopSCHOLAR, 1998. http://digitalcommons.wku.edu/stu_hon_theses/30.
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Wang, Yu-Yuan, and 王鈺淵. "The relationship between major depression and physical illnesses in older men: a survey in the aged care center." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/54605144628266113819.
Full textAbstract:
碩士國立成功大學
行為醫學研究所
94
Objectives: The older men have the highest rates of suicide. However, major depression is often misdiagnosed or overlooked by primary care providers due to the mixed symptoms of aging and comorbid physical illness in this population. The study examined the characteristics of major depression and the relationship between major depression and physical illness in older men. Methods: Older (aged 70 years or older) men were recruited, excluding suspected cases of dementia assessed through Mini-Mental State Examination (MMSE). Specialist physicians obtained past histories of physical illnesses through chart reviews and further history taking. Mini-International Neuropsychiatric Interview (MINI) was used to assess a current major depressive episode and the revised Geriatric Depression Scale Short Form (GDS) was used to measure the severity of depression. Results: The depressed older men had lower educational level, more cognitive impairment (especially in concentration and calculation) than the non-depressed ones. Diabetes and malignant diseases might be the risk factors for major depression in older men. Hypertension might not be the risk factor for depression, but the prevalence of major depression and severity of depression increased in the hypertensive older men comorbid with vascular diseases than the uncomplicated hypertensive ones. Conclusion: Clinicians should pay more attention to the elder men with lower educational level and cognitive impairment for major depression screening. Major depression should be diagnosed and treated early in the hypertensive men to decrease the complication. This study provides more characteristics of elderly depression for primary care providers to increase the awareness in older men.
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Fan, Ruei-Li, and 范瑞麗. "The study of the post-hospital care services use and physical function change on the middle-aged elders." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/91077857437388526756.
Full textAbstract:
碩士嘉南藥理科技大學
醫療資訊管理研究所
99
The continuing care of post hospital has two parts, the transition stage and referral connection stage. Purpose of this study was in exploring the elder’s transitional care flow and the effects on their physical function status. This research samples were the discharged patients from a district teaching hospital of Tainan area , and the middle-aged elders who needed to be continue care after discharge were selected. All samples were followed for six months, and investigated their medical care services use and the physical function change situation in the four time point, 1st week , 1st month,3rd months and 6th months of post hospital. The results showed that : (1) most of the total 134 subjects were back home after discharge and taken care by their family (51.5%) , and the peak of re-admission in the first month among the period of post hospital , (2) the related factors of influence the selection of the way to take care of were subjects'' children number, living conditions before hospitalization, the status of ADLs and IADLs in the discharge, (3) the most demand for the lease or purchase of assistive devices in the time of discharg, the most frequently use of home care was in the first weeks and the first months after discharge.The same utilization status of home care and home care services in 3th months of post hospital and then the home services exceeded among the 6th months, (4) the utilization of supportive services were significantly related to the main source of income and the ADLs status in discharge. The main income source come form the government’s grants had more use of the supportive services than the income from their own work pension or families, and the subjects were totally dependent level ADLs also more than lesser level, (5) the recipients of ADLs and IADLs totally dependence and with three or more chronic diseases had a higher percentage of employed nursing care and use supportive services, (6) ADLs moderate dependent group (61-90 points) with lease or purchase of assistive devices had the larger progress than useless (29> 10 points). The home care user’s ADLs score’s progress were more than useless (50> 26.18 points), (7) the subjects of IADLs totally dependent to use of meals service had more helpful than service useless. The middle-aged elders have more chances to get diseases which could influence their physical activity. Based on the research result, We proposed to provide the appropriate care services for the post hospital patients as soon as possible to help improve their physical function and could be delay to reside in long- term care facilities.
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Fang, Chen, and 巫晨芳. "Research on Physical Environment and Elderly Activity Behaviorsfor Different Types of Elderly Day Care Center." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/37273487814517477392.
Full textAbstract:
碩士雲林科技大學
空間設計系碩士班
97
Economy drives the development of the society, the social attitude changes and transfers from agriculture to industry, is it happen remote place population outflow, city is it collect occupy, woman employment person who increase reason to produce to amplify under industrialized impact, cause original family type attitude change, medical scientific and technological progress rapidly, impel fertility rate drop year by year, average life span raise, in addition, the melting chronically of disease type attitude, cause long-term body function to be not normal, old man that can lose unable to look after daily life by oneself, make compatriot to look after demand increase hurriedly for a long time. 一、Learn such results as its influence factor including individual, adviser, staff member, course, environment and equipment,etc. to put in order as follows in result of study 二、There is only an activity room to set up the sunshine centre independently, all activities go on here, cooperate with course in change way of the desk chair; Organization set up sunshine in the center is it among organization, can use organization other space equipment cooperate with course activity can make activity pluralism to set up. Classify and nature in course 三、Rizhao in the center is it ask elder to be speciality different to charge, course distinguish to some extent, with extensive hitting scale number of times, activity of coursing most, interdynamic that the desk chair arranges and disposes the interpersonal exchange among the persons who influence advanced age of the way at the time of the activity. 四、Rizhao in the center is it ask elder to be speciality different to charge, course distinguish to some extent, with extensive hitting scale number of times, activity of coursing most, interdynamic that the desk chair arranges and disposes the interpersonal exchange among the persons who influence advanced age of the way at the time of the activity. Advanced age person''s interdynamic relation. The setting up type strong-willed worker of sunshine centre participates in the activity, let elders receive psychological care independently, celebrating a festival and increasing the social chance together with other elders in the center of Rizhao, staff members give lessons and teach elders in person, make the distance between staff member and elder close. The organization sets up the sunshine centre and sunshine elder there is a little interdynamic, staff members increase the interdynamic number of times with the treatment and care on ordinary days.
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Wallace, Janet Patricia. "The development of a service-learning model of health promotion in the residential aged care environment for dental hygiene students." Thesis, 2013. http://hdl.handle.net/1959.13/1045491.
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Research Doctorate - Doctor of Philosophy (PhD)Dental hygienists are preventive focused oral health professionals with the skills, knowledge and expertise to provide preventive oral health care. To contribute to the development of these attributes in their students the Faculty of Health and Medicine at the University of Newcastle implemented a novel student placement program in Residential Aged Care Facilities (RACF) on the NSW Central Coast, Australia. As with any educational innovation it was imperative to monitor whether the intervention had been positive and if improvements were required. The program was assessed using both qualitative and quantitative methodology to explore issues that students documented and reported with reference to their placement experiences. After analysing the students’ feedback from questionnaires, reflective folios and focus groups the placement proved to provide considerable benefits. Students reported an improvement in their knowledge of the oral health needs of residents; an improvement in their knowledge and ability to assess the oral health needs of residents with Dementia and Alzheimer’s disease, improved knowledge relating to medical and dental conditions of older people; increased confidence working with other health professionals and an increased knowledge of the RACF environment. Early results and feedback showed that there was a need for the development of a more comprehensive ‘real life’ orientation that depicted the student journey and experience during the RACF placement. Students reported feeling anxious and nervous in the early stages of the placement, and felt the pre-placement orientation did not prepare them for the challenges of dealing with cognitively impaired residents nor did it prepare them for interacting with staff in the RACFs. As a result student learning in the initial stages of the placement was hindered until they became acclimatised to the RACF environment and its challenges. The results from phases one to five of this research enabled a DVD to be produced depicting the RACF placement program using recent graduates who had previously completed a RACF placement during their own undergraduate degree. The DVD provides a comprehensive representation of the RACF environment and its daily routines and includes a series of scenarios that show students dealing with the challenges of providing oral hygiene care to residents with Dementia and Alzheimer’s disease. The DVD has been used to provide undergraduate dental hygiene students with a more realistic orientation to the aged care placement enabling them to transition from the classroom to the ‘real life’ experience that is residential aged care in a more positive and timely manner. The impact of the DVD on the student experience was measured by a two-group qualitative study. The findings and tools developed from this research have been implemented in the Bachelor of Oral Health degree program at the University of Newcastle, Australia. There has also been international, national and local interest in the research and its findings with funded research development utilising dental hygienists in residential aged care facilities on a permanent basis currently underway.
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Wang, Su-Han, and 王思涵. "Influence of stroke history on physical and mental health and health care utilization of the middle-aged and elderly population in Taiwan." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/65862664190998633942.
Full textAbstract:
碩士亞洲大學
健康產業管理學系長期照護組 在職專班
98
Purpose: Stroke is one of the main causes of elderly disability in physical and mental health. The aim of this study is to investigate the influence of stroke history on physical and mental health and health care utilization of the middle-aged and elderly adults. Methods: The data come from a follow-up of the Survey of Health and Living Status of the Elderly in Taiwan. Based on the responses of stroke history reported in 1999 and 2003, subjects were grouped into ‘no stroke’ (n=3207), ‘onset of stroke’ (n=170) and ‘had stroke history’ (n=109). Results: Physical and mental health of middle-aged and elderly people got worse and utilization of health care increased along with increased age. Subjects in the ‘onset of stroke’ group showed worse self-evaluated health, ADL and IADL, less social activities, increased chronic diseases, increased usage of aids, and increased utilization of emergency and hospitalized services. The differences were all apparently greater than those of ‘no stroke’ group. Besides, subjects in the ‘had stroke history’ group showed significantly increased chronic diseases, increased usage of aids and decreased utilization of physical examination by comparing with the ‘no stroke’ group. Conclusion: Aging thoroughly affects health of middle-aged and elderly adults. The study investigates the influence of stroke history on health and health care utilization of the middle-aged and elderly adults by using longitudinal data analysis methods. This study could offer substantial and important reference materials for planning social or medical welfare of stroke patients.
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Nordin, Susanna. "The quality of the physical environment and its association with activities and well-being among older people in residential care facilities." Doctoral thesis, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:du-23790.
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The physical environment can influence older people’s health and well-being, and is often mentioned as being an important factor for person-centred care. Due to high levels of frail health, many older people spend a majority of their time within care facilities and depend on the physical environment for support in their daily life. However, the quality of the physical environment is rarely evaluated, and knowledge is sparse in terms of how well the environment meets the needs of older people. This is partly due to the lack of valid and reliable instruments that could provide important information on environmental quality. Aim: The aim of this thesis was to study the quality of the physical environment in Swedish care facilities for older people, and how it relates to residents’ activities and well-being. Methods: The thesis comprises four papers where both qualitative and quantitative methods were used. Study I involved the translation and adaptation of the Sheffield Care Environment Assessment Matrix (SCEAM) into a Swedish version (S-SCEAM). Several methods were used including forward and backward translation, test of validity via expert consultation and reliability tests. In Study II, S-SCEAM was used to assess the quality of the environment, and descriptive data were collected from 20 purposively sampled residential care facilities (RCFs). Study III was a comparative case study conducted at two RCFs using observations, interviews and S-SCEAM to examine how the physical environment relates to older people’s activities and interactions. In study IV, multilevel modeling was used to determine the association between the quality of the physical environment and the psychological and social well-being of older people living in RCFs. The data in the thesis were analysed using qualitative content analysis, and descriptive, bivariate and multilevel statistics. Results: A specific result was the production of the Swedish version of SCEAM. The instrument contains 210 items structured into eight domains reflecting the needs of older people. When using S-SCEAM, the results showed a substantial variation in the quality of the physical environment between and within RCFs. In general, private apartments and dining areas had high quality, whereas overall building layout and outdoor areas had lower quality. Also, older people’s safety was supported in the majority of facilities, whereas cognitive support and privacy had lower quality. Further, the results showed that environmental quality in terms of cognitive support was associated with residents’ social well-being. Specific environmental features, such as building design and space size, were also noted, through observation, as influencing residents’ activities, and several barriers were found that seemed to restrict residents’ full use of the environment. Conclusions: This thesis contributes to the growing evidence-based design field. The S-SCEAM can be used in future research on the association between the environment and people’s health and well-being. The instrument could also serve as a guide in the planning and design process of new RCFs.
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Bernard, Ghida. "A descriptive study investigating the quality of the physical and social environment for infants and toddlers living in residential care facilities in Johannesburg, South Africa." Thesis, 2014. http://hdl.handle.net/10539/15520.
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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements of the Master of Science Degree in Occupational Therapy.
Johannesburg, 2014The number of children needing care outside of the home environment is increasing. Little is known on quality of residential child carechild care environments in South Africa. To address this knowledge gap, a quantitative descriptive research protocol with a cross-sectional study design was employed to survey residential child care facilities in Johannesburg. The Infant-Toddler Environmental Rating Scale – revised edition was used to describe the social and physical environments provided to children (0-30 months) residing in 18 facilities. Furthermore, caregiver (n=45) and facility demographic information were gathered to determine whether an association existed between three aspects of the environments (caregiver education, training, and child to caregiver ratios) and overall quality scores. Results showed that the environments provided were inadequate and no statistical significant correlations were found between structural aspects and quality scores. The results indicated that the environment restricted children in the fulfilment of meaningful occupation, highlighting the importance of intervention by occupational therapists.
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Snaith, Beverly, Maryann L. Hardy, and A. Walker. "Emergency ultrasound in the prehospital setting: the impact of environment on examination outcomes." 2011. http://hdl.handle.net/10454/7022.
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NoThis study aimed to compare ultrasound examinations performed within a land ambulance (stationary and moving) with those completed in a simulated emergency department (ED) to determine the feasibility of undertaking ultrasound examinations within the UK prehospital care environment. The findings suggest that abdominal aortic aneurysm and extended focused assessment with sonography in trauma emergency ultrasound examinations can be performed in the stationary or moving land ambulance environment to a standard consistent with those performed in the hospital ED.
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Chang, Kuei Feng, and 張桂鳳. "The Post-Occupancy Evaluation on the Indoor Physical Environment of Dwellings for the Enderly－Based on the Care Centers for Aging in Taiwan." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/51333301444264713948.
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Lobsinger, Tosha. "Canadian Healthy After School Environments (CHASE): Validity and Reliability Study." Thesis, 2013. http://hdl.handle.net/1828/4586.
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The present study aimed to assess the current affordances for physical activity (PA) and healthy eating (HE) in after-school child care. The primary purpose of this study was to develop a valid and reliable online survey to assess the affordance of PA and HE in Canadian after-school childcare settings. A two-stage instrument validation procedure was implemented. Stage 1 was an instrument review (n=5) to create the Canadian Healthy After School Environments (CHASE) survey and an expert review (n=7) to establish logical validity of its items and components. Stage 2 was a comparison of the self-administered CHASE survey with existing observation tools to establish concurrent validity and test retest to establish its reliability in 20 after-school child care programs on Vancouver Island (n=20). Observation tools included the Environment and Policy Assessment and Observation (EPAO), an audit of the facility environment, staff behaviours, and snacks and activities observed, and the Physical Activity Observation Recording Sheet (PAORS), a scan of the physical activity intensity and facilitation of each child during each minute of activity. Pearson correlations were calculated for subscales and items on CHASE, EPAO and PAORS to establish validity. Percent agreement and intra-class correlations (ICCs) between CHASE T1 and T2 scores were calculated to establish reliability. The results indicated that CHASE T1 Social HE Environment subscale significantly correlated with 5 objective measures: EPAO-measured proportion of time in PA (r=0.715, p<.001); total PA minutes (r=0.680, p=.001); total outdoor PA (r=0.521, p=.018); total sedentary behaviour (r=-0.580, p=.009); and PAORS-measured total PA minutes (r=0.631, p=.003). CHASE T1 HE Total subscale also significantly correlated with these objective measures: EPAO-measured proportion of time in PA (r=0.450, p=.047); total PA minutes (r=0.565, p=.009); total outdoor PA (r=0.517, p=.020); total sedentary behaviour (r=-0.577, p=.010); and PAORS-measured total PA minutes (r=0.514, p=.020). Other significant correlations were found between EPAO total outdoor PA and CHASE T1 Physical HE Environment subscale (r=0.501, p=.024), as well as EPAO total minutes of television and CHASE T1 PA Practices subscale (r=-0.459, p=.042). Other CHASE subscales were not significantly correlated with objective PA measures. Significant correlations between CHASE and EPAO subscales were found for Social PA Environment (r=0.664, p=.001) and HE Total (r=0.553, p=.040). The remaining correlations between CHASE and EPAO subscales were not significant. ICCs indicated strong reliability for all CHASE subscales, excluding Social PA Environment, Social HE Environment, PA Practices. ICCs indicated strong reliability for all CHASE sections, excluding HE Environment and Policies. Average percent agreement calculations indicated high reliability for CHASE Environment Total (Mean=84.42, SD=7.02), PA Total (Mean=75.43, SD=10.29), HE Total (Mean=83.70, SD=3.42) and Overall Total section scores (Mean= 81.18, SD=5.56). The CHASE survey has the potential to increase the feasibility of assessing the physical activity and healthy eating environment in after-school child-care programs in many sites across Canada. These findings highlight that it is reliable and that some of the subscales and items have concurrent validity. More work has to be done to explore why certain subscales and items lacked validity and to compare CHASE to directly measured physical activity using accelerometers.Graduate
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toshalobsinger@me.com
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Oliveira, Luís Francisco da Silva. "Sentir-se em casa em estruturas residenciais para pessoas idosas: o papel do ambiente físico na qualidade de vida." Master's thesis, 2014. http://hdl.handle.net/10071/10138.
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Enquadramento: A avaliação da qualidade em estruturas residenciais para pessoas idosas tem focado a prestação directa de cuidados. Contudo, a qualidade de vida e a experiência de sentir-se em casa são indicadores de resultado que condensam o impacto que a estrutura e os processos têm nos residentes. O ambiente físico é uma variável importante que influencia o bem-estar dos residentes.
Objectivos: Avaliar a influência do ambiente físico na qualidade de vida e experiência de sentir-se em casa e a diferença de resultados destes indicadores por estrutura residencial. Iniciar o processo de validação da escala de experiência de sentir-se em casa para a população portuguesa.
Métodos: Aplicação de questionário contendo variáveis sócio-demográficas, competências funcionais, satisfação com a vida, qualidade de vida e experiência de sentir-se em casa a 58 indivíduos de 3 estruturas residenciais para pessoas idosas. Avaliação do ambiente físico dos 3 equipamentos através de uma grelha de observação, conduzida por dois arquitectos.
Resultados: Verificaram-se diferenças significativas entre as três estruturas residenciais para pessoas idosas nos scores globais de qualidade de vida e experiência de sentir-se em casa. Níveis mais elevados no ambiente físico e satisfação com a habitação encontram-se associados a resultados médios superiores na qualidade de vida e experiência de sentir-se em casa, depois de tomadas em consideração as variáveis de controlo.
Conclusões: A avaliação da qualidade de vida e experiência de sentir-se em casa são instrumentos úteis na gestão de instituições geriátricas. Para além de expressarem o impacto que a estrutura e os processo têm nos residentes, permitem avaliar necessidades de ordem superior que não se reflectem na avaliação típica da prestação de cuidados. A associação de resultados diferenciados na avaliação destes indicadores por estrutura residencial a níveis distintos na qualidade do ambiente físico sugere que esta variável tem impacto no bem-estar dos indivíduos.Background: Nursing home quality assessment has been focused on care delivery. However, quality of life and experience of home are result outcomes that capture the impact that both structure and process have on residents. The physical environment is an important variable in determining the well-being of nursing home residents. Objectives: Assess the relationship between physical environment, quality of life and experience of home as well as establishing differences in these outcomes by nursing home. Begin the validation process of the experience of home scale for the Portuguese population. Methods: In-person interviews with 58 residents across 3 nursing homes to gather information regarding social-demographic variables, functional skills, life satisfaction, quality of life and experience of home. The physical environment was evaluated by means of a specific technical grid with observations being done by two architects. Results: Significant differences across the 3 nursing homes were found in the global quality of life and experience of home scores. Higher levels of physical environment quality and housing satisfaction were associated with higher mean scores of quality of life and experience of home, after accounting for control variables. Conclusion: Quality of life and experience of home measurements are relevant outcomes for the management of nursing homes. Apart from translating the impact structure and processes have on the residents, these outcomes address higher-order needs not captured by care delivery measures. Differences between nursing home physical environment quality linked together with divergent quality of life and experience of home scores suggest the former impacts the residents’ well-being.
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STRNADOVÁ, Eva. "Aplikace ošetřovatelského modelu Kathryn Barnardové u dítěte s tělesným handicapem." Master's thesis, 2010. http://www.nusl.cz/ntk/nusl-79950.
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Physical disability/physical handicap is an affection that is manifested by either temporary or permanent problems in motor diathesis of children. Physically disabled children may suffer from physical disability either from their birth or may acquire physical disability in the course of their lives. These problems may act in a negative manner on children perception and feeling and the same holds good for their near relatives. Problems come into existence in parent-physically handicapped child interrelation. The nursing model of Ms. Kathryn Barnard focuses on mutual interaction between parents and their children. In her model Ms. Kathryn Barnard points out the importance of the aforementioned parent-physically handicapped child interrelationship. On the basis of evaluation of the parent-child interactions based on three main factors: a child, mother, environment, a general child development is determined. The parent-child interaction affects a child development, child{\crq}s health, growth and development of a child. The aim of nursing care is to assist in finding a proper way of parent- physically disabled child interaction so that the nursing care may act on general development of a child in a positive manner. In this diploma work the following goal has been set: to find out and identify the most important problems existing in the parent-physically disabled child relation, and to evaluate possibilities of nursing care in solving problems arising at the parent-physically disabled child interaction. For the purpose of meeting these goals the following research questions has been established: What are the most important problems in the parent-physically handicapped child interaction? How can nursing care help in the parent-physically handicapped child interaction? What is the proper procedure for the nursing care of a physically disabled child and his/her close relatives? After carrying out research examinations the answers to the above-specified questions are as follows: 1. The most important problems lying in the parent-physically disabled child interaction are as follows: parent to reconcile himself/herself with his/her child's diagnosis, more frequent occurrence of stress situations, excessive emotional ties of the physically handicapped child with his/her nursing personnel. 2. The nurse can help by means of nursing process in an active manner solve the above-specified problems in interrelation between parent-physically handicapped children. On the basis of information having been gained by the study of professional literature and pieces of information obtained from the answers of the parents of physically disabled children a nursing documentation has been made in accordance with the Kathryn Barnard interaction model as well as nursing care standard of physically handicapped children. By finishing it both the third and fourth aims have been accomplished. Nurses providing care for physically disabled children have used the nursing documentation and it has proved useful and nursing personnel declared it satisfactory. The nursing documentation and the standard should help nurses in providing quality nursing care of physically handicapped children.
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Giroux, Valérie. "Impact d'une suralimentation prolongée et d'une supplémentation en polyphénols sur le profil d'activité physique et de sédentarité." Thèse, 2018. http://hdl.handle.net/1866/22279.
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Birkett, Allison. "Nature, health and stress: a research-based approach to stress within our sensorial world." 2014. http://hdl.handle.net/1993/30083.
Full textAbstract:
This practicum focuses on developing a deeper knowledge about stress and our external environments. It is directed towards the profession of Landscape Architecture, and healthcare facilities including professionals. It outlines critical information about stress: how stress affects people’s physical, emotional, mental health and well-being, and how landscape architects are able to mitigate different types of stress through the design and use of our exterior environments, offering respite and healing in times of great need. Stress reveals and manifests itself in numerous ways. It has become a major problem within our society, much bigger than people care to acknowledge or believe. Landscape Architects have the ability to help people reflect upon the stress that they are under by creating spaces that inevitably sooth their ‘selves’. Through the profession and subsequent work of Landscape Architects the awareness of stress can be addressed, helping bring respite and relieve tension and stress, whether large or small, which is extremely critical in today’s society. Through the use of gardens and exterior spaces designed with stress-relief in mind, we will be able to decrease hospital stays, drug use and the overall amount of money used by medical institutions and governments, while decreasing the progression and succession of illness and diseases related to and accentuated or propagated by, or due to stress.
Through this document I will discuss ideas and theories that influence and/or are pertinent to Landscape Architecture and stress, as well as natural elements that should be taken into consideration when starting to design or when planning a design that will be situated within medical institutions and healthcare facilities, but not limited to, and including any other exterior environment (such as a backyard). It will also outline design elements which emphasize appropriate ways to design these spaces and places responsibly and sensitively. By understanding how people respond to stress, Landscape Architects may be able to design appropriate, beautiful spaces.
Initially this practicum was directed towards designing beautiful, meaningful gardens for the sick and/or dying, as well as for the families, visitors, and employees within healthcare settings. It has evolved, to include how our brains and bodies are physiologically affected by spaces and places that we encounter, and how these spaces either reduce or increase stress responses within us, therefore, increasing or decreasing our ability to heal, be healthy, and feel well. Stress is a major condition that is often “down-played”, ignored, or not understood within society. It is in fact a very serious condition / illness that has the ability to dictate the outcome of our physical and mental performances, and especially our health and well-being. Landscape Architects have the ability and responsibility to contribute positively to people’s bodily reactions to spaces: exterior and interior.