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Provan, David John. "What is the role of a safety professional? The identity, practice and future of the profession." Thesis, Griffith University, 2018. http://hdl.handle.net/10072/382671.
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The role of a safety professional is central to the way organisations understand and manage safety since it is these expert roles that provide their organisations with their safety narrative. Yet despite the importance of this role, we understand very little about safety professional identity and safety professional practice – who are they and what do they do? This thesis asks the fundamental question for the existence of the safety profession – What is the role of a safety professional?
The primary research design involved a 6-month longitudinal ethnographic case-study of professional identity and safety professional practice within a large Australian energy company. 12 mid-level and senior-level safety professionals were interviewed monthly regarding their work, and this data was supplemented by continuous work observations by an embedded researcher throughout the study period. Through the research design, the results of this study provide a deeper and broader perspective of safety professional practice, than the existing descriptive research into the role of safety professionals.
Safety Professional identify is rife with tensions and contradictions that reveal the complex social and organisational challenges associated with the role. Safety Professionals are both friend and enemy of line management and the frontline workforce. Safety professionals through the practice of their role: align themselves and their work with management objectives, develop safety specific processes and practices, satisfy organisational needs at the expense of worker safety risk reduction, and lack a working connection between safety science knowledge and their safety professional work, decisions and advice.
Contemporary safety theory describes new ways for achieving safety in organisations that are largely at odds with current organisational safety approaches and existing safety professional practice. This thesis provides the first practical description of the role of a safety professional thorough a resilience engineering, safety-II, and safety differently theoretical lens. The conclusion from this research, is that organisations expect safety professionals to perform their existing role, and that the contemporary safety science literature demands them to work vastly differently. This thesis makes a significant scientific contribution to the understanding of safety professional identity, safety professional practice, and the future design of the role of a safety professional which will narrow the gap between safety professional work and the safety of work.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Hum, Lang & Soc Sc
Arts, Education and Law
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Hartz, Wayne Edward. "21st-Century U.S. Safety Professional Educational Standards: Establishing Minimum Baccalaureate Graduate Learning Outcomes for Emerging Occupational Health and Safety Professionals." Antioch University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1387378108.
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Lundy, Shaun James. "Professional ethics in occupational health & safety practice." Thesis, Middlesex University, 2013. http://eprints.mdx.ac.uk/13712/.
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This thesis provides a critical evaluation of a real world project involving the researcher as leader of a review and subsequent development of a new Code of Conduct for the world’s largest health and safety body, the Institution of Occupational Safety Health (IOSH, 2011). The health and safety profession in the UK has seen many changes over the last 10-years, in particular a stronger focus on degree education, continual professional development (CPD) and Chartered Practitioner status. In addition to these progressive changes the profession has also seen a rise in the negative media coverage regarding reported risk aversion in decision-making processes. In response to the negative media and at the request of the conservative party, then in opposition, Lord Young led a complete review of health and safety in Great Britain(Young, 2010). More recently, the Government requested a further independent review into health and safety legislation (Löfstedt, 2011). Since the publication of these reports there have been calls for more rigorous competence standards for consultants and a move towards more industry led self-regulation. This has seen IOSH placed in a strong influencing position, albeit with added scrutiny of its own regulation of members. The researcher led a critical review of the existing Code as part of an IOSH standing Committee, the Profession Committee (PC) that has the responsibility among other things for examining allegations of misconduct. The project was conducted as action research and was divided into 4 cycles or stages. Stage 1 involved the critical review and benchmarking of the existing Code against other Codes using an adaptation of the PARN criteria. Stage 2 involved the consultation process for the development of a new Code. This included the researcher’s role as leader of the project and an evaluation of misconduct cases reviewed by the PC. Stage 3 involved semi-structured interviews of practitioners to explore experiential accounts of ethical issues from practice to inform the guidance on the Code. Finally, Stage 4 involved the concluding consultation and consolidation of all the stages for presentation of the revised Code to IOSH Council for approval. The project reinforced the benefits of applying a systematic approach for the development of professional body documentation. It also revealed the value of applying a flexible iterative methodology in the real world environment to prevent the project from diverging from its real world objectives. The outcome of the project has been positively received by IOSH. A new Code was produced with guidance and a revised disciplinary procedure that is fit for purpose and adaptable to change through the use of robust development and broad consultation processes. It is anticipated that these changes will make a significant contribution to the wider profession and practice. An ethical decision making model was developed from the findings and includes a dissemination strategy for the profession.
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Houser, Tiffany. "Assessment of Magnetic Resonance Imaging Safety: Allied Health Professional Clinical Competence." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3549.
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Magnetic resonance imaging is a major advancement in the diagnostic imaging field. Most patients can tolerate an MRI however, there are some who are unable to complete a lengthy scan while lying completely still without sedatives or anesthesia. Non-MRI healthcare providers are trained to use equipment that is “unsafe” in the MRI suite due to the strong magnetic field. Staff who are not fully knowledgeable and trained in MRI safety measures can endanger staff and patients.
The purpose of this study was to determine the knowledge level of non-MRI healthcare providers regarding safety risks associated with MRI and to determine their level of satisfaction regarding the MRI safety training they received. This study concluded that non-MRI healthcare providers are knowledgeable about most of the safety hazards. They are satisfied with annual training but would like more in-depth material added to their current learning modules.
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Gray, Katrina. "Don't Worry, I'm a Professional: A study of safety practitioners and their risky recreations." Thesis, Griffith University, 2020. http://hdl.handle.net/10072/396197.
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Portrayals of those who work in ‘safety’ increasingly conjure images of danger-avoiding crusaders on a quest to prevent exposure to even the most trivial of risks. “Bureaucratic”, “petty”, and “fun police” are just a few of the labels that have been applied to the modern-day safety practitioner, perpetuating a mostly unflattering stereotype. But just how accurate is this characterisation? How do safety practitioners view themselves?
These questions were explored via investigating the behaviours and discourses of safety practitioners in the context of their participation in recreational activities that are commonly deemed ‘risky’. Firstly, the proportion of persons who have participated in risky activities is compared for a sample of Australian safety practitioners against a sample of non-safety practitioners. The way in which risky activity participants explain and rationalise the risks of their pursuits to others is then examined in order to identify points of similarity and difference between the groups studied.
By means of original quantitative (survey) and qualitative (interview) research, evidence is presented that poses a direct challenge to the safety practitioner stereotype – at least outside of the workplace. It is concluded, with caution, that safety practitioners are more likely to have participated in one or more of a defined set of risky recreational activities than members of the broader population. Clear differences are also established between safety practitioners and others in how they tend to describe the risks related to their activities. These differences are observed across two related dimensions, termed and defined in this thesis as ‘Risk Management/Control Focus’ and ‘Otherness’.
The project raises interesting questions about the self-identity of safety practitioners and the influence this may have on how they think about risk and engage with risk in their recreational lives. Further research is necessary, however, to validate the findings of this study, to understand the underlying reasons why a relationship may exist between work as a safety practitioner and recreational activity, and to better appreciate the practical implications of improved knowledge in this area.Thesis (Masters)
Master of Arts Research (MARes)
School of Hum, Lang & Soc Sc
Arts, Education and Law
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Ball, Stephen Clifford. "The construction of local road safety issues : when lay and professional discourses collide." Thesis, University of Plymouth, 2013. http://hdl.handle.net/10026.1/1554.
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Highway Authorities in the United Kingdom have jurisdiction to control, maintain and improve the local highway network, and the Road Traffic Act 1988 places a duty on such authorities to take preventative measures to reduce road casualties. As such, engineers working for the Highway Authority are on the ‘front-line,’ and are required to deal directly with lay concerns relating to road safety. This study investigates the nature and characteristics of how local road safety issues are raised and how engineers respond to such issues in a local authority setting. A grounded theory methodology was applied in the collection and analysis of this data, and in the generation of subsequent emergent themes. Datasets were established containing textual data from correspondence between the lay public and the authority, and from local press reporting. This was augmented by 47 semi-structured interviews with engineers. The analysis demonstrates that road safety issues and their construction, form a distinct genre. There are certain characteristic structural elements and argumentative approaches, which are oft repeated, in lay formulations of road safety. Road safety issues are played out in a contested field, although engineers may have, in theory, the ‘expertise’ that grants them authority to assess, diagnose and implement mitigation measures; in practice they have little autonomy or control. Regulatory restrictions, political interference, resource impoverishment and a volatile public, severely limit engineers’ independence and discretion. In dealing with the exigencies and pressures of day-to-day front-line public service, engineers deploy certain strategies for ‘managing’ the public. These pragmatic strategies are examined in order to establish how engineers can best effect practical action, in the face of competing and often conflicting demands. In examining the rhetorical organisation of lay argumentative strategies, a ‘popular epidemiology’ of road safety is recreated. This term, borrowed from Brown (1992), encapsulates a folk philosophy with respect to accident causation and the measures that are considered necessary or appropriate to ameliorate/eliminate identified issues. It is suggested that in vivo formulations of road safety issues, such as the ‘accident waiting to happen’ are founded on vague premises, and constitute a category mistake. Projections from phenomenally troubling, yet largely unsubstantiable events, to those with profound material consequences, are neither necessary nor certain. In making decisions on substantial capital investments, engineers, by necessity, are required to assess competing sites on a more epistemically secure metric, namely the police road casualty record.
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Davids, Amirah Fatoma Gadija. "Assessing safety culture of professional pilots within selected South African based aviation organisations." University of the Western Cape, 2016. http://hdl.handle.net/11394/5263.
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Magister Commercii - MComThe aviation industry is one of many industries which is known to be a high-risk industry. Although it is a high risk industry, little research has been conducted within the industry especially with regards to safety culture. Safety culture is pivotal within the aviation industry as it reduces the potential to large scale disasters. While airlines are deemed to be highly reliable, when an accident occurs the cause usually tends to be human error. The aim of this study was to assess safety culture of professional pilots within selected South African based aviation organisations. This study utilized a safety culture quantitative survey instrument in order to collect data from pilots at selected South African based aviation organisations. The survey consisted of five themes (organisational commitment, management involvement, accountability systems, reporting systems and pilot empowerment). The pilots were required to respond to 49-item statements on a 5 point-likert scale, by only choosing one answer per statement. The results indicated that a majority of the participants had responded positively towards the items which represented a healthy safety culture within the selected South African based aviation organisations. Furthermore, a highly positive correlation exists between the themes of organisational commitment and management involvement. Multiple regression analysis showed there is an association between the five themes of safety culture with organisational commitment being a dependent variable. No significant difference was found between biographical information (such as rank, years of experience and flying hours), along with either the themes of organisational commitment or pilot empowerment.
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Hawkins, Richard D. "Injuries in professional football : identification of aetiological factors." Thesis, Loughborough University, 1998. https://dspace.lboro.ac.uk/2134/7520.
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UK health and safety legislation aims to protect employees from injury at work; professional footballers as employees are therefore covered by this legislation. A risk assessment approach to health and safety issues, as required by the Management of Health and Safety at Work Regulations 1992, has been undertaken to establish the epidemiological and aetiological factors related to injuries in professional football and to identify management and training procedures to reduce the incidence and severity of injuries. Issues of injury frequency and causation during the period 1994 to 1997 were addressed through two routes. First, during the 1994 World Cup Finals, 1996 European Championships, and 1994 to 1997 English league seasons via match analysis. Second, player injuries at four professional football league clubs were recorded by the club physiotherapist. These results provided complementary evidence showing an overall injury rate of 8.5/1000 playing hours, injury rates during training and matches being 3.5/1000 and 27.7/1000 playing hours, respectively. Two thirds of the injuries occurred during competitive match play, the remainder during training, the highest incidences of match and training injuries taking place during the first month of the playing season (P
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Lewis-Smith, Alison. "A community of practice : a case study exploring safety and quality through professional leadership." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/354123/.
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This research reports an emerging Community of Practice (CoP), informing how knowledge, understanding and learning were shared through professional leaders using stories to influence change and improve the safety and quality of services. The research focused on generating knowledge and dramatising leadership experiences in integrated community health and social care services. A case study design and multiple qualitative data collection methods were used. The analysis of all data sources revealed rich descriptions with several emerging features including: a) Constructing and sharing a meaning for professional leadership through partnership working to foster cross organisational learning. b) Creating an entrepreneurial identity through contextualising new knowledge and skills c) Developing skills and confidence to be instrumental in progressing the safety and quality agenda d) Using storytelling, sharing anecdotes to dramatise experiences and encourage debate creating shared meanings within the Community of Practice e) The Community of Practice created a forum for learning through generating professional capital by sharing experiential knowledge. The theory practice gap has been closed through professional practice and leadership discourse, developing new knowledge to lead and empower practitioners. In doing so it has widened the debate regarding the professional leadership structure in operation and questioned the need to reshape the context in which professional leaders act and are able to influence the safety and quality of services. Professional leaders should have continual investment as a resource to impact on safety and quality improvements, service developments and managing change. Communities of Practice should be acknowledged and established as an opportunity to generate collective knowledge and influence organisational development and change. Storytelling and narrative can be used as a recognised methodology for sharing specific experiences in order to reflect, contextualise and provide the language required to influence the wider organisational strategic direction. A recognised programme of further research should be considered.
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Mack, Darlene J. "Student Perception of Safety and Positive School Climate After Trauma Informed Care Professional Development." Bowling Green State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1573747578906961.
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Pryor, Pam. "Towards an understanding of the strategic influence of the occupational health and safety professional." Thesis, Federation University Australia, 2014. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/97796.
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As indicated by the emergence of occupational health and safety (OHS) professional bodies in the United States of America (1911), United Kingdom (1945) and Australia (1949), OHS advisors have had a role in industry for over 50 years. However, despite changes in legislation and in the major paradigm for OHS together with changes in the industrial and economic environment, it appears that the role of the OHS professional has changed little from the technically-oriented, people-focused, compliance approach of 50 years ago. It appears that senior managers may not seek the input of OHS professionals on strategic business matters that may impact on workplace health and safety, and the activities of OHS professionals do not position themselves to be influential with senior managers. This lack of strategic influence may be inhibiting improvement in OHS in Australian workplaces. This document outlines the rationale, research framework and research design for a study that applied grounded theory analysis methods to data collected through interviews of senior managers and OHS professionals, supported by observations, to develop a theory and model to explain the way OHS professionals interact with senior managers and how the manager processes and perceives OHS professional advice. The implications for OHS professional practice are presented in the form of a letter to a young colleague. The outcomes of this research should assist OHS professionals in developing the capability to enhance the acceptance of OHS professional advice at senior levels of management and so optimise safety and health in Australian workplaces.Master of Applied Science (Research)
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Lundvall, Lise-Lott. "Radiographers’ professional practice : a Swedish perspective." Licentiate thesis, Linköpings universitet, Avdelningen för radiologiska vetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-111722.
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The general aim of this thesis was to empirically describe the radiographers’ professional scope in diagnostic imaging from the viewpoint of the practitioners and investigate how technical development affects the relations and actions in this practice. Data was collected by interviews and observations to both studies at the same time with two different aims. Eight radiographers (n=8) were interviewed. The interviews were open in character, were recorded with a digital voice recorder, and transcribed verbatim by the interviewer. The interview guide consisted of four interview questions. The observations of radiographers during their work with Computer Tomography (CT) and Magnetic Resonance Imaging (MRI) were conducted in a middle-sized radiology department in the southern part of Sweden. The observations were ten (n=10) in total. Two different theoretical perspectives were used: phenomenology (Study I) and practice theory perspective (Study II). Data was analysed with a phenomenological method in Study I. In Study II data was firstly analysed inductively, which resulted in seven codes. Secondly, abduction was made by interpretation of these codes from a practice theory perspective. This led to four themes. The findings in Study I display the main aspect of the radiographers’ work with image production. Their general tasks and responsibilities can be viewed as a process with the goal of producing images that can be used for diagnosis purposes. The process has three different phases: planning the examination, production of images, and evaluation of the image quality. The radiographers experience the production of images as their autonomous professional area. The findings in Study II report how technology development affects the relations between different actors and their actions in the practice of Computer Tomography. Four themes were identified; 1) Changed materiality makes the practical action easier. Radiographers’ practica work with image production has become easier when working with CT compared to conventional techniques because the CT usually performs the image production in one scan. 2) Changed machines cause conflict between the arrangements of the work and the patients` needs. It is difficult to plan the examination individually for each patient because of the arrangements of the CT practice, i.e. they have little information about the patient before the examination. 3) Changing materiality prefigures learning. The radiographers describe a need for constant learning activities because of the changing procedures for image production and new modalities for image production. If not achieved it may affect their relations with the patients. 4) How the connections between different practices lead to times when practical reasoning is required in the radiography process with CT. The connections between the different professions in CT practice mainly occur through material arrangements because physically they work in different areas. The external arrangements in CT practice pre-figure actions for securing accurate radiation level and image quality. But the radiographers, who meet the patients, have to critically judge the intended actions in relation to clinical observed data to ensure patient safety.
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Leach, Jeremy Charles. "Food hygiene in public eating places : a comparative study of public and professional perceptions in the Wealden district of East Sussex." Thesis, University of Brighton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.302284.
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Fylan, Beth. "Medicines Management after Hospital Discharge: Patients’ Personal and Professional Networks." Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14465.
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Improving the safety of medicines management when people leave hospital is an international priority. There is evidence that poor co-ordination of medicines between providers can cause preventable harm to patients, yet there is insufficient evidence of the structure and function of the medicines management system that patients experience. This research used a mixed-methods social network analysis to determine the structure, content and function of that system as experienced by patients. Patients’ networks comprised a range of loosely connected healthcare professionals in different organisations and informal, personal contacts. Networks performed multiple functions, including health condition management, and orienting patients concerning their medicines. Some patients experienced safety incidents as a function of their networks. Staff discharging patients from hospital were also observed. Contributory factors that were found to risk the safety of patients’ discharge with medicines included active failures, individual factors and local working conditions. System defences involving staff and patients were also observed. The study identified how patients often co-ordinated a system that lacked personalisation and there is a need to provide more consistent support for patients’ self-management of medicines after they leave hospital. This could be achieved through interventions that include patients’ informal contacts in supporting their medicines use, enhancing their resilience to preventable harm, and developing and testing the role of a ‘medicines key worker’ in safely managing the transfer of care. The role of GP practices in co-ordinating the involvement of multiple professionals in patient polypharmacy needs to be further explored.University of Bradford studentship
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Fylan, Gwynn Elizabeth Margaret Mary. "Medicines management after hospital discharge : patients' personal and professional networks." Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14465.
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Improving the safety of medicines management when people leave hospital is an international priority. There is evidence that poor co-ordination of medicines between providers can cause preventable harm to patients, yet there is insufficient evidence of the structure and function of the medicines management system that patients experience. This research used a mixed-methods social network analysis to determine the structure, content and function of that system as experienced by patients. Patients’ networks comprised a range of loosely connected healthcare professionals in different organisations and informal, personal contacts. Networks performed multiple functions, including health condition management, and orienting patients concerning their medicines. Some patients experienced safety incidents as a function of their networks. Staff discharging patients from hospital were also observed. Contributory factors that were found to risk the safety of patients’ discharge with medicines included active failures, individual factors and local working conditions. System defences involving staff and patients were also observed. The study identified how patients often co-ordinated a system that lacked personalisation and there is a need to provide more consistent support for patients’ self-management of medicines after they leave hospital. This could be achieved through interventions that include patients’ informal contacts in supporting their medicines use, enhancing their resilience to preventable harm, and developing and testing the role of a ‘medicines key worker’ in safely managing the transfer of care. The role of GP practices in co-ordinating the involvement of multiple professionals in patient polypharmacy needs to be further explored.
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Tronsmoen, Torbjørn. "Lay and professional practical driver training in Norway: A comparison of subject matter content and traffic safety outcomes." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-15766.
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This thesis examines differences between formal and informal practical pre-licence driver training with regard to content, amount, and other didactical properties and associations with variables such as safety attitudes, self-assessment of driving ability, driver behaviour, and crash involvement. The aim of the thesis is to examine the association between psychological constructs and skills which are assumed to be influenced by driver training, and then to examine the relationships to crash involvement. The thesis is based on a cross-sectional study of a representative sample of young Norwegian drivers aged 18–20 years holding a licence to drive passenger cars (n = 1419). The thesis is based on three scientific papers. The theoretical basis for the thesis is theories of traffic behaviour and theories explaining accident involvement. The first study examines the psychometric quality of a new measurement instrument for self-assessment of driving ability. The results showed that young drivers’ self-assessment of their own driving ability is a multidimensional construct. There were differences among young drivers with regard to how they perceived their driving ability and safety skills when driving. One important contribution from the study is a “body dimension” of driving competence, as perceived by the young drivers. This body dimension is in line with several theories, although empirical support has been lacking in previous studies of self-assessment. The second study examines and compares three different psychological constructs: safety attitudes, self-assessment, and self-reported driver behaviour, all with regard to associations with driver training as well as with crash involvement. The results showed that there were weak, but statistical significant associations between the actual constructs and practical driver training. The results with regard to associations with crash involvement were more convincing. The strongest variable to explain variance in accident involvement was exposure, followed by the dimensions safety orientation and the body dimension from the self-assessment instrument. Also, violation behaviour was statistically significant. In the third study, the differences between formal and informal driver training were examined with regard to content and amount of training. The results showed substantial differences with regard to content and emphasis on elements in the training. Professional driver training emphasised nearly all the educational elements more heavily through the instruction compared to training given by lay instructors. The study also examined the relationship between didactical properties in the practical driver training and the dimensions of safety attitudes, self-assessment and driver behaviour. The results showed weak associations. However, the relationship between didactical properties and specific task skills, one of the dimensions within self-assessment, was fairly strong, accounting for more than 30% of the variance in specific task skills. Possible implications of the results of the three studies are discussed with regard to the balance between formal and informal driver training, and also with regard to other educational consequences
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Ількова, Оксана Григорівна. "Формування професійної компетентності розроблення Поло-ження про конфіденційну інформацію підприємства у майбутніх фахівців спеціальності «Документознавство та інформаційна діяльність»." Thesis, Талком, 2015. http://er.nau.edu.ua/handle/NAU/22896.
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Ількова О.Г. РФормування професійної компетентності розроблення Поло-ження про конфіденційну інформацію підприємства у майбутніх фахівців спеціальності «Документознавство та інформаційна діяльність» / О.Г. Ількова // Історико-культурна спадщина: збереження, доступ, використання : матер. Міжнар. наук.-практ. конф., м. Київ, 7–9 квітня 2015 р., Національний авіаційний університет / редкол. Тюрменко І. І. та ін. – К. : Талком, 2015. – С. 339–342.The attempt of construction of the system of indexes of qualities of the informative providing of process of decision-making administrative is carried out in the article. This system contains the exactness, plenitude, meaningfulness, efficiency and operativeness of informative providing of administrative activity.
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Hartranft, Susan R. "The effect of ethical ideology and professional values on registered nurses' intentions to act accountably." [Tampa, Fla.] : University of South Florida, 2009. http://digital.lib.usf.edu/?e14.2844.
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Lang, Gerard. "An investigation of the individual and social psychological factors affecting the professional competence of government inspectors of health and safety." Thesis, Heriot-Watt University, 2004. http://hdl.handle.net/10399/1154.
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Singleton, Meredith. "A Study on the Impact of Collective Feedback in the Online Technical and Professional Communication Classroom." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1479823064952066.
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Wilson, Emma. "Community occupational therapists' professional reasoning processes when considering positive risk-taking for individuals with traumatic brain injury." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2024. https://ro.ecu.edu.au/theses/2787.
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Introduction: Participation in meaningful occupations can be limited due to a range of risks and safety concerns following traumatic brain injury (TBI). Research has shown that positive risk-taking, an approach that embraces risk whilst enabling choice and control, has led to positive client-centred outcomes. However, there is no literature available to support the application of or guide the professional reasoning processes for positive risk-taking for occupational therapists working in the field of community TBI practice.
Objectives: Describe occupational therapists' profession reasoning processes when facilitating positive risk-taking with community dwelling adults with TBI.
Method: A qualitative descriptive research design was employed to gather the reflections of eight experienced Australian-based occupational therapists working in community TBI practice (experience ranging from 8 – 32 years). Semi-structured in-depth interviews and vignettes were used to elicit information about professional reasoning and risk, Transcripts were analysed thematically.
Findings: Participants provided rich descriptions of the perceived challenges faced by occupational therapists when attempting to support participation in meaningful occupations whilst balancing safety concerns with community-dwelling adults with a TBI. Themes included red flags and perceived responsibility for safety; mutually accepted performance expectations and safety parameters; team and family consensus upon an acceptable level of risk; and the occupational therapist’s willingness to embrace risk. A combination of professional reasoning processes were utilised to foster positive risk-taking for individuals with TBI, including a range of practical strategies to navigate risk of harm whilst also promoting choice and control with community-dwelling adults.
Conclusion: This study research has contributed new knowledge, and appears to be the first Australian-based study to investigate the professional reasoning processes utilised to embrace positive risk-taking by community occupational therapists. A significant ethical dilemma was highlighted, as occupational therapists expressed concerns about litigation, in the event of an injury whilst supporting a client’s engagement in valued roles and routines that exhibited some form of risk. Whilst acknowledging an element of risk is to be expected in everyday life, this exploratory study has begun to fill the evidence gap in relation to positive risk-taking, and provides practical guidance to help promote choice and control in the presence of safety concerns for adults with TBI. Further research is required to develop guidelines for practice to improve outcomes for people living with TBI.
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Willcocks, Trevor John. "Safety psychology : an investigation of attitudes to risk taking by scientific, research and professional staff in a hazardous and high risk environment." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368633.
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Mills, Kyly M. "Exploring the emotional dimension of non-Indigenous health student learning in First Peoples cultural safety education: An Indigenist mixed methods approach." Thesis, Griffith University, 2021. http://hdl.handle.net/10072/410192.
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Health professionals have a vital role in providing health services to First Peoples, in a culturally safe way that respects First Peoples histories, cultures, perspectives and identities. Including First Peoples health and cultural safety content in pre-registration health professional curricula may increase graduates’ skills, attributes, and knowledge to provide clinically and culturally safe care. In addition, a culturally safe workforce has the potential to reduce health inequities and social disadvantage for First Peoples.
Recent research suggests that for students to experience transformative learning, some discomfort with First Peoples cultural safety content is necessary. Despite this, there remains a dearth of research that explores students’ emotional responses in a meaningful way. Further, there has been limited research about pedagogies that enable educators to navigate these emotional responses in the classroom. Finally, there are few validated and robust measures that account for the emotional dimension of learning in cultural safety education in Australia.
This PhD program of research attempted to address these gaps by using an Indigenist mixed-methods sequential exploratory design that included six studies. Study results are either published or under review. Study 1 was a systematic review of the literature that explored the experiences and outcomes of health professional students when undertaking education on First Peoples health. Findings identified the included studies did not analyse how students emotionally engage with First Peoples health content and did not identify relationships between ‘discomfort’ and transformative learning experiences. Study 2 applied the pedagogy of discomfort (Boler, 1999) as a framework to better understand the emotional dimension of learning by non-indigenous health students after completing a First Peoples health course. This study found that while students expressed discomfort when learning about key cultural safety concepts, the extent of transformative learning varied. Study 3 involved an integrative Health professionals have a vital role in providing health services to First Peoples, in a culturally safe way that respects First Peoples histories, cultures, perspectives and identities. Including First Peoples health and cultural safety content in pre-registration health professional curricula may increase graduates’ skills, attributes, and knowledge to provide clinically and culturally safe care. In addition, a culturally safe workforce has the potential to reduce health inequities and social disadvantage for First Peoples.
Recent research suggests that for students to experience transformative learning, some discomfort with First Peoples cultural safety content is necessary. Despite this, there remains a dearth of research that explores students’ emotional responses in a meaningful way. Further, there has been limited research about pedagogies that enable educators to navigate these emotional responses in the classroom. Finally, there are few validated and robust measures that account for the emotional dimension of learning in cultural safety education in Australia.
This PhD program of research attempted to address these gaps by using an Indigenist mixed-methods sequential exploratory design that included six studies. Study results are either published or under review. Study 1 was a systematic review of the literature that explored the experiences and outcomes of health professional students when undertaking education on First Peoples health. Findings identified the included studies did not analyse how students emotionally engage with First Peoples health content and did not identify relationships between ‘discomfort’ and transformative learning experiences. Study 2 applied the pedagogy of discomfort (Boler, 1999) as a framework to better understand the emotional dimension of learning by non-indigenous health students after completing a First Peoples health course. This study found that while students expressed discomfort when learning about key cultural safety concepts, the extent of transformative learning varied. Study 3 involved an integrative systematic literature review to determine the scope and availability of tools used to measure the emotional constructs of undergraduate health students’ learning in First Peoples cultural safety education or similar educational settings. Although students’ emotional responses were measured, processes that encouraged students to reflect upon those reactions were not incorporated by researchers or educators within the classroom. Study 4 developed and tested a measure of student emotion using an approach that centred cultural safety tenets and First Peoples’ perspectives, values and lived realities. The Student Emotional Learning in Cultural Safety Instrument (SELCSI) was found to be valid and reliable. While use of the tool may contribute to understanding how health professional students learn to practice in culturally safe ways, it was imperative to develop appropriate, emotion-informed pedagogy. Study 5 incorporated First Peoples’ knowledges to interpret and theorise non-Indigenous health students’ emotional learning experiences within a cultural safety course. A qualitative analysis of free-text responses by students collected in conjunction with the SELCSI was conducted. The synthesis of non-Indigenous health students’ emotions in the classroom was metaphorically represented by a river in Kamilaroi Country during drought, flood, and when the waters clear. Study 6 evaluated a unique, brief, culturally-informed intervention using the SELCSI. The intervention involved health students’ written reflections and perceptions of comfort with workshop content, using a gawugaa-gii-mara (head, heart, hands) written response form. As part of the intervention, responses collected on this form were analysed and used to prompt discussion in a series of four workshops in the First Peoples’ cultural safety course.
Findings connect the river metaphor to recognisable emotional responses from students (gii) and what this may represent or ‘look’ like in the classroom (gawugaa), along with practical emotion-based strategies that can be implemented by educators in the cultural safety classroom (mara). There are future implications for educational pedagogies and spaces that are safe and address the emotional dimension of learning in cultural safety education. Properly understood, the inclusive planning, delivery and evaluation of education about First Peoples’ health and cultural safety could have significant flow-on benefits for First Peoples and communities. Students must be guided safely through this content using innovative First Peoples’ emotional pedagogy. Future longitudinal studies are required to determine if students’ understanding of cultural safety is sustained as they move into the healthcare workforce and ascertain whether their practice contributes to tangible change in healthcare outcomes for First Peoples.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
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Blignaut, Alwiena Johanna. "The relationship between the qualifications of professional nurses and their perception of patient safety and quality of care in medical and surgical units in South Africa / Alwiena Johanna Blignaut." Thesis, North-West University, 2012. http://hdl.handle.net/10394/7711.
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Background: Several international studies have been published on the importance of exploring and describing the perceptions of professional nurses to improve patient safety and quality of care. There is also a growing body of literature that has established the associations of qualifications on patient safety and quality of care. However, no comparable research has been conducted in South Africa, and little is known about the influence of personal characteristics, such as qualifications of the professional nurse, on his/her perception of patient safety and quality of care.
Objective: To investigate the perceptions of professional nurses regarding patient safety and quality of care as well as the relationship between the qualifications of professional nurses and these perceptions in medical and surgical units in public and private hospitals in South Africa.
Design: Cross-sectional survey of nurses.
Setting and participants: 1187 professional nurses (161 Baccalaureate degree and 956 diploma-prepared) working in medical and surgical units of 55 private hospitals and 7 public national referral hospitals in South Africa completed the survey.
Measurements: Perceptions of patient safety, quality of care and occurrence of adverse events, qualifications, age, job satisfaction, emotional exhaustion, experience, personal accomplishment and depersonalization.
Results: 54.1% (n = 87) of Baccalaureate professional nurses and 51.2% (n = 490) diploma nurses feel as if their mistakes are held against them. 37.9% (n = 61) of Baccalaureate professional nurses and 42.4% (n = 404) diploma nurses perceive important information to be lost during shift changes. 39.1% (n = 63) of Baccalaureate professional nurses and 38.6% (n = 369) diploma nurses feel that things “fall between the cracks” when transferring patients from one unit to another. 43.5% (n = 70) of Baccalaureate professional nurses and 48.7% (n = 465) diploma nurses feel that their hospital‟s managements are not approachable. Almost half of professional nurses (49% [n = 79] Baccalaureate and 44.4% [n = 418] diploma) do not have confidence in hospital management to resolve reported problems regarding patient care. 26.6% (n = 26.8) of Baccalaureate professional nurses and 25.5% (n = 237) of diploma professional nurses perceive the quality of care in their hospitals to have deteriorated. Both Baccalaureate and diploma professional nurses reported adverse events to occur a few times a year or less. Verbal abuse towards nurses is reported to occur once a month or less. Qualifications revealed no correlation with perceptions of patient safety and quality of care, though emotional exhaustion and depersonalization showed a small to medium negative correlation and personal accomplishment a small to medium positive correlation with these perceptions.
Conclusions: Supportive leadership and development of an environment in which professional nurses can freely report adverse events and hindering factors with regard to quality of care might benefit patients in terms of safety and better quality care.Thesis(M.Cur.)--North-West University, Potchefstroom Campus, 2012.
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Blankenberg, Cheryl Marion. "Evaluating the special sexual offences courts in Cape Town and Wynberg through professional perspectives." University of Western Cape, 2020. http://hdl.handle.net/11394/7352.
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Magister Artium (Social Work) - MA(SW)This is an evaluative research study which was undertaken to establish whether the legal reforms, through the establishment of the Special Sexual Offences Courts, have been effective in reducing secondary traumatisation. In attempting to examine this crucial area, I focused specifically on the perceptions of professionals who are involved in child sexual abuse matters in the Special Sexual Offences Courts at Wynberg (Court G) and Cape Town (Court 32). The study employed qualitative research methodology, in the form of individual and group interviews, structured questionnaires and participant observation, to collect data. The respondents included magistrates, prosecutors, both victims support services coordinators within the court system, social workers who work with child abuse matters, Child Protection Unit investigating officers who investigate matters of this nature and attorneys who have defended offenders of child sexual abuse. The results indicate a marked disparity in physical appearance, location and an overall sense of child-friendliness between the two Special Sexual Offences Courts; a need for joint training of inter-disciplinary professionals, and a need for a more effective multidisciplinary team approach to the problem of child sexual abuse. The findings also indicate a need for regular contact between the professionals involved at the two Special Courts to ensure uniformity in terms of service provision, and a need for the restructuring of the job description of the co-ordinator. The findings reported and discussed, suggest that the legal reforms promulgated are but one aspect to the entire area of child protection. The overall success of these legal reforms depends upon the involvement, commitment and development of a common philosophy in child protection by, the medical, social, legal and police service systems. It is hoped that this report will act as a catalyst to urgently address the shortcomings which have been identified by the respondents, and that the recommendations reported will contribute to measures which will result in the development and implementation of effective child protective policies and practices.
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Smith, Andrew Fairley. "'Risk and resilience' : the mobilisation of professional knowledge in the creation of patient safety in anaesthetic practice : a reflexive interpretive synthesis of previously published work." Thesis, Lancaster University, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.727388.
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The patient safety ‘movement’ has relied largely on formal, explicit structures in attempting to promote principles and practices from safety-critical industries within the healthcare sector. The ‘craft’ nature of medical practice is however, predicated on the interplay of formal and tacit experiential knowledge. The specialty of anaesthesia is a branch of medicine and yet the nature of anaesthetic practice resembles operational work within e.g. aviation and nuclear power, sharing with them the characteristics of time pressure, complex human-machine interactions, uncertainty and risk. This thesis takes the form of an interpretive meta-synthesis of six published journal articles to examine how patient safety is constructed and enacted through the transmission and co-creation of professional knowledge. After delineating the forms of knowledge used in anaesthetic work, it describes how abstract notions of safety are expressed within a number of specific aspects of practice: the use of electronic monitoring equipment; communication between actors on induction of, and emergence from, general anaesthesia; the definition and analysis of adverse incidents; postoperative handover of care in the recovery room and in the performance of regional anaesthesia as an exemplar technical procedure. Anaesthetists draw both on informal logics and routines of practice and on codified safety knowledge and tools. How, and when, to reconcile these two approaches relies on a dynamic combination of cognitive, affective and normative influences, which seem to be embedded in anaesthetists’ professional identity. Paradoxically, much of this seems to be learned through contact with the very failure and error that the routines are designed to avoid and prevent; It is developed through dealing with the many perturbations and threats to the safety of their patients, whether through personal experience, the ‘cautionary tales’ of others, or imagining what might go wrong. The interpretive synthesis thus provides empirical support for theoretical notions of how resilience to error is created in everyday work in safety-critical settings.
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Ferreira, Felipe Ferreira de. "Fatores de risco em acidentes envolvendo motocicletas em vias urbanas : a percepção dos condutores profissionais." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2009. http://hdl.handle.net/10183/18974.
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Esta dissertação de mestrado se refere ao estudo investigativo dos fatores de risco e a influência destes na ocorrência de acidentes envolvendo motocicletas, segundo a percepção dos condutores profissionais. A área de estudo foi a cidade de Porto Alegre, cujo cenário buscou-se mapear através do levantamento do perfil da categoria profissional de motociclistas e da análise dos anuários estáticos de acidentes envolvendo motocicletas, ocorridos entre os anos de 2000 e 2008. A pesquisa foi estabelecida em duas etapas. A primeira refere-se à pesquisa qualitativa, realizada através de aplicação da técnica de Grupo Focado, para determinação dos fatores de risco. Ao passo que, na segunda fase, foram realizados 123 questionários com condutores profissionais de motocicleta, para levantamento do perfil e percepção destes quanto à influência de cada fator no risco de acidentes. O estudo mostrou que para alguns dos fatores identificados como, pressão por pontualidade da entrega e longa jornada de trabalho, os entrevistados foram tendenciosos ao afirmar que estes possuíam pouca ou nenhuma influência no risco de acidentes, resultado contrário ao apontado por outros estudos encontrados na literatura. Para os demais fatores, os condutores profissionais demonstraram conhecer bem o ambiente viário urbano, de forma a terem boa percepção sobre os riscos de sua atividade. A pesquisa identificou a desatenção por parte dos motoristas de outros veículos, a presença de chuva e a má qualidade da infra-estrutura viária como os fatores de maior influência no risco de acidente. Sendo as situações de trânsito de maior perigo as de tráfego em interseções e nas vias congestionadas. A análise das bases estatísticas identificou a necessidade de coletar informações sobre os motociclistas acidentados, de forma a explicitar o objetivo de viagem quando da ocorrência do sinistro, permitindo assim, identificar o percentual de condutores profissionais entre os motociclistas acidentados.This master's dissertation refers to the study of risk factors, and its influence, on the occurrence of accidents involving motorcycles, according to the professional drivers’ perception. The study area was the city of Porto Alegre, whose scenery was mapped by surveying the profile of the professional category of motorcyclists, and by analysis of statistical directories of accidents involving motorcycles, occurred between the years 2000 and 2008. The research was established in two stages. The first one refers to the qualitative research, conducted by applying the technique of Focus Group for determining the risk factors. While in the second phase, 123 questionnaires were conducted with professional motorcyclists, to identify their profile and perception of how each factor influences the risk of accidents. The study has shown that for some of the risk factors indentified, such as pressure for punctuality and long hours of work, the respondents were biased in saying that they had little or no influence on the risk of accidents, contrary to the result reported by other studies found in the literature. For the other factors, professional drivers have demonstrated to know the urban road atmosphere well, in order to have good perception on the risks of their activity. The research has identified inattention by drivers of other vehicles, presence of rain and poor quality of road infrastructure as the factors of greatest influence on the risk of accidents. Traveling in crossing intersections and congested roads has been found as the most dangerous traffic situations. The statistical databases analysis has identified the need to collect information about the motorcycle accident victims in order to clarify the purpose of travel at the time of the accident, thus allowing, identifying the percentage of professional drivers among motorcyclists injured.
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LaFave, Lea R. Ayers. "Nursing Practice as Knowledge Work Within a Clinical Microsystem: A Dissertation." eScholarship@UMMS, 2008. https://escholarship.umassmed.edu/gsn_diss/9.
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Nurses have a key role in keeping patients safe from medical errors because they work at the point of care where most errors occur. Nursing work at the intersection of patients and health care systems requires high levels of cognitive activity to anticipate potential problems and effectively respond to rapidly evolving and potentially harmful situations. The literature describes nursing work at the intersection of patient and health care system as well as barriers to providing safe patient care. However, little is known about the systems knowledge nurses use to negotiate the health care system on their patients’ behalf, or how this systems information is exchanged between nurses.
Using the clinical microsystem as the conceptual framework, this qualitative descriptive investigation identified and described: 1) the components of systems knowledge needed by nurses, 2) how systems information is exchanged between nurses, and 3) systems information exchanged between staff nurses and travel nurses. Data were collected from a stratified maximum variation sample of 18 nurse leaders, staff nurses, and travel nurses working within a high-functioning neonatal intensive care nursery within a large academic medical center in New England. Data collection methods included participant observation, document review, individual interviews, and a focus group session. Data were analyzed through constant comparison for emerging themes and patterns. Findings were compared for commonalities and differences within and across groups.
Three components of systems knowledge emerged: structural, operational, and relational. Systems information exchange occurred through direct and indirect means. Direct means included formal and informal mechanisms. The formal mechanism of orientation was identified by each participant. Informal mechanisms such as peer teaching, problem solving, and modeling behaviors were identified by participants from each of the three nurse groups. Travel nurses’ descriptions of the common themes focused on individual efficacy. Staff nurses focused on fostering smooth unit functioning. Nurse leaders described common themes from a perspective of unit development. Four overarching domains of systems information were exchanged between staff nurses and travel nurses: practice patterns; staffing patterns and roles; tips, tricks, tidbits, and techniques; and environmental elements. Communication emerged as a common theme across nurse groups and domains of systems information exchanged. These findings have implications for nursing orientation and staff development, continuous improvement at the local level, and curriculum development.
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Worley, Charlotte Hardison. "An investigation of Virginia school leaders' knowledge and perceptions regarding the impact of the discipline provisions of the Individuals with Disabilities Education Act on school safety and professional development." W&M ScholarWorks, 2006. https://scholarworks.wm.edu/etd/1539618471.
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This research examined the knowledge level and perceptions of 300 randomly selected school leaders in the Commonwealth of Virginia concerning the discipline provisions of the Individuals with Disabilities Education Act of 1997 (IDEA 97). The overarching questions answered in the study were (1) to what extent are school leaders aware of the existing discipline provisions of IDEA 97 which have been in place since 2001; and (2) how do school leaders view the impact of those provisions on their ability to maintain a safe learning environment for all?;Findings resulted in one significant difference (p<.05) among school leaders in the sub-domain of Knowledge. Elementary leaders reported a significantly lower level of knowledge regarding the discipline provisions of IDEA 97 than did their middle school peers. School leaders across knowledge domains and school levels reported that the discipline provisions of IDEA 97 did not negatively impact their ability to maintain safe schools. Moreover, professional development was identified by school leaders in the study as a high need to manage the discipline provisions of IDEA 97 across all school levels.
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Fuente, Romero Juan Francisco de la. "El perfil de los profesionales de prevención como gestores del cambio cultural en las organizaciones." Doctoral thesis, Universitat de Lleida, 2016. http://hdl.handle.net/10803/392130.
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Les lògiques dels sistemes de gestió de salut laboral a Espanya són relativament recents. No obstant això, en aquests anys els escenaris socials i laborals han canviat substancialment, sorgint noves necessitats (riscos emergents, tractament de la diversitat o certa deconstrucció de la relació laboral) i noves expectatives (construcció d'entorns laborals òptims, models d'empresa saludable o gestió del compromís).
En aquest context, el professional de prevenció es constitueix com a figura clau per a la gestió del canvi i la generació de cultura preventiva. Aquesta recerca aprofundeix en aquesta realitat en tres eixos: aspectes rellevants dels contextos d'intervenció (rol, funcions i entorn), perfil de competències clau i propostes per a la formació inicial i contínua.
Es proposen línies de millora que pretenen contribuir tant a l'òptima configuració de la professionalitat com a la percepció i valoració social de la mateixa per, en últim terme, construir sistemes de gestió de la salut laboral més efectius i integratsLas lógicas de los sistemas de gestión de salud laboral en España son relativamente recientes. No obstante, en estos años los escenarios sociales y laborales han cambiado sustancialmente, surgiendo nuevas necesidades (riesgos emergentes, tratamiento de la diversidad o cierta deconstrucción de la relación laboral) y nuevas expectativas (construcción de entornos laborales óptimos, modelos de empresa saludable o gestión del compromiso). En este contexto, el profesional de prevención se constituye como figura clave para la gestión del cambio y la generación de cultura preventiva. Esta investigación profundiza en esta realidad en tres ejes: aspectos relevantes de los contextos de intervención (rol, funciones y entorno) perfil de competencias clave y propuestas para la formación inicial y continua. Se proponen líneas de mejora que pretenden contribuir tanto a la óptima configuración de la profesionalidad como a la percepción y valoración social de la misma para, en último término, construir sistemas de gestión de la salud laboral más efectivos e integrados
The guidelines for occupational safety and health management systems in Spain are rather new. Nevertheless, along these years, social and labour circumstances have substantially changed. New realities (emerging risks, treatment of diversity, or deconstruction of labour relations) and new expectations (workplaces improvement, healthy workplace models or engagement management) have emerged. In this context, the risk management professional stands out as a key figure on management of change and promotion of preventive safety and health culture. This research delves into three cornerstones of this fact: relevant aspects of his/her intervention context (role, functions and environment); profile of key competences; and proposals for initial / continuing vocational education and training. The current research sets out improvement guidelines for contributing to optimal professionalism configuration as well as to its social perception and assessment, with the ultimate goal of building more effective and integrated occupational safety and health management systems
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Martins, Lidiane Amaro. "Formação profissional de cozinheiros e percepção de risco em segurança dos alimentos: um estudo exploratório em serviços de alimentação localizados no Estado do Rio de Janeiro." EPSJV, 2011. https://www.arca.fiocruz.br/handle/icict/8812.
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Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Programa de Pós-Graduação em Educação Profissional em Saúde.
O presente estudo analisou a percepção de riscos em segurança dos alimentos por cozinheiros atuantes em serviços de alimentação, localizados no Estado do Rio de Janeiro. Identificou o desenvolvimento desta ocupação, assim como o andamento dos processos para sua futura regulamentação e o desenvolvimento da formação profissional de cozinheiros no Brasil e no Rio de Janeiro. Os resultados evidenciaram que Cozinheiro é considerado uma ocupação e não uma profissão. O aprendizado da função acontece no dia a dia da cozinha, através dos conhecimentos repassados pelos mais antigos, ou treinamentos realizados de forma pontual com objetivo do cumprimento da legislação de segurança de alimentos pelos gerentes, consultores ou responsáveis técnicos dos estabelecimentos. E foi identificado a falta de qualificação profissional e o baixo nível de escolaridade dos funcionários que atuam nesta função. Conclui-se que as empresas precisam repensar o treinamento dos manipuladores, forma, periodicidade e assunto para que o profissional seja realmente capacitado e não somente treinado sem entender a operação fim e que os responsáveis pelos Serviços de Alimentação devem reestruturar as atividades dos estabelecimentos e seguir as exigências da vigilância sanitária para efetivamente junto com os cozinheiros empenharem-se na segurança do alimento preparado.
The present study examined the food safety risk assessment by the cooks working in food services, located in the state of Rio de Janeiro. The Cooks occupation development was identified, as well as the progress of their future regulation, and the development of Cooks professional training in Brazil and in Rio de Janeiro. The results has shown that Cooks are considered an occupation not a profession. The function is learned on a day-to-day kitchen, through the knowledge passed on by older, or training carried out in a specific manner for the purpose of regulation compliance by security managers, advisers and technicians responsible for the establishments. Professional qualifications lacks and employees low level schooling was also identified. This study concludes that companies need to rethink food handlers training, form, timing and topic in order to truly enable the professionals, instead of just training. The food service responsibles should rearrange the establishments activities and develop procedures with the cooks to work together and to follow the regulatory requirements in order to minimise risks and reach an effective food safety.
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Alsaleh, Sultan Abdullah. "Investigating Riyadh's public health inspectors' ability to conduct risk-based food inspection, and their professional needs: A mixed-methods research study." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/208321/1/Sultan%20Abdullah%20R_Alsaleh_Thesis.pdf.
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Globally, the responsibilities of Food Safety Inspectors have dramatically evolved in recent times. The major change is the shift from a diagnostic and traditional food safety assessment role to a proactive and risk-based evaluation, resulting in better protection from foodborne illnesses. The aim of this study was to investigate the knowledge and skills required by food inspectors in Riyadh, Saudi Arabia, that will enable continuous improvement to food safety inspection practices by using proactive and risk-based evaluation methods. The result being that the implementation of more effective food inspection practices will result in the provision of safer food for consumers.
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Gephart, Sheila M., Alycia A. Bristol, Judy L. Dye, Brooke A. Finley, and Jane M. Carrington. "Validity and Reliability of a New Measure of Nursing Experience With Unintended Consequences of Electronic Health Records." LIPPINCOTT WILLIAMS & WILKINS, 2016. http://hdl.handle.net/10150/621591.
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Unintended consequences of electronic health records represent undesired effects on individuals or systems, which may contradict initial goals and impact patient care. The purpose of this study was to determine the extent to which a new quantitative measure called the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire (CG-UCE-Q) was valid and reliable. Then, it was used to describe acute care nurses' experience with unintended consequences of electronic health records and relate them to the professional practice environment. Acceptable content validity was achieved for two rounds of surveys with nursing informatics experts (n = 5). Then, acute care nurses (n = 144) were recruited locally and nationally to complete the survey and describe the frequency with which they encounter unintended consequences in daily work. Principal component analysis with oblique rotation was applied to evaluate construct validity. Correlational analysis with measures of the professional practice environment and workarounds was used to evaluate convergent validity. Test-retest reliability was measured in the local sample (N = 68). Explanation for 63% of the variance across six subscales (patient safety, system design, workload issues, workarounds, technology barriers, and sociotechnical impact) supported construct validity. Relationships were significant between subscales for electronic health record-related threats to patient safety and low autonomy/leadership (P < .01), poor communication about patients (P < .01), and low control over practice (P < .01). The most frequent sources of unintended consequences were increased workload, interruptions that shifted tasks from the computer, altered workflow, and the need to duplicate data entry. Convergent validity of the CG-UCE-Q was moderately supported with both the context and processes of workarounds with strong relationships identified for when nurses perceived a block and altered process to work around it to subscales in the CG-UCE-Q for electronic health record system design (P < .01) and technological barriers (P < .01).
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Lemos, Cassiane de Santana. "Assistência de enfermagem no procedimento anestésico: protocolo para segurança do paciente." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-13102015-161656/.
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Introdução: O procedimento anestésico é essencial para a realização da cirurgia, exigindo o planejamento de cuidados pela equipe cirúrgica para a segurança e a redução de danos ao paciente. No Brasil, o procedimento anestésico é privativo do anestesiologista e a equipe de enfermagem do centro cirúrgico auxilia o médico durante suas atividades, mas não há uma diretriz para execução de cuidados. Objetivos: Construir um protocolo de ações que direcione o enfermeiro durante a anestesia; avaliar, junto a anestesiologistas e enfermeiros especialistas em enfermagem perioperatória, a validade de conteúdo, a clareza dos itens, a pertinência do conteúdo e a abrangência do protocolo construído. Método: Busca na literatura de artigos publicados entre os anos de 1978 a 2014, indexados nas bases de dados Medline/Pubmed, Cinahl, Lilacs, Cochrane; Portal BVS, sobre a assistência de enfermagem em sala cirúrgica durante anestesias gerais de pacientes adultos. Elaboração de um protocolo com 40 itens, pautado na revisão elaborada, divididos em três períodos: antes da indução anestésica, indução e reversão da anestesia. O protocolo foi avaliado por 5 juízes quanto a 4 itens: validade do conteúdo, clareza, pertinência e abrangência. Cada item foi pontuado de 1 a 5, de acordo com a escala de Likert, sendo: (1) discordo totalmente, (2) discordo, (3) nem concordo/discordo, (4) concordo, (5) concordo totalmente. Os resultados foram analisados pelo índice de validade de conteúdo (IVC). Resultados: O protocolo foi analisado por 5 juízes: 3 anestesiologistas e 2 enfermeiras de centro cirúrgico. Antes da indução anestésica, o IVC variou de 60 a 100% em validade, 40 a 100% em clareza, 80 a 100% em pertinência e 60 a 80% em abrangência. Os juízes sugeriram alterações nos itens em teste e uma avaliação da disponibilidade de materiais. Na indução anestésica, o IVC variou de 40 a 100% nos itens validade, clareza e abrangência de conteúdo, de 20 a 100% em pertinência. A indução foi o período de maior divergência entre os juízes, que consideraram alguns procedimentos privativos do anestesiologista (avaliação da ventilação, punção venosa, registro de sinais vitais). No período de reversão da anestesia, os itens validade e abrangência tiveram IVC de 80 a 100%, de 60 a 100% em clareza e pertinência. Na reversão, os juízes sugeriram o monitorização do paciente para o transporte, registro dos dispositivos e condições do paciente antes da saída de sala cirúrgica. Conclusão: Em alguns países, o enfermeiro possui uma atuação consolidada em anestesia, com diretrizes de trabalho e certificação. No Brasil, o enfermeiro de centro cirúrgico auxilia o anestesiologista durante o procedimento anestésico, necessitando de um protocolo assistencial que direcione o trabalho e favoreça a assistência com qualidade, conhecimento e segurança.Introduction: The anesthetic procedure is critical for the execution of a surgery, and therefore requires the surgical team to prepare the planning of cares in order to ensure the safety and reduce the damages to the patient. In Brazil, the anesthetic procedure is exclusive to the anesthesiologist, while the surgical center nursing team assists the doctor with his/her activities. However, there is no directive on the provision of such cares. Objectives: To create a protocol of actions to orient the nurse during the anesthesia; to assess the validity and pertinence of the contents, the clarity of the items, and the coverage of the created protocol along with anesthesiologists and nurses specialized in perioperative nursing. Method: Survey the literature for articles published between 1978 and 2014, as indexed in the Medline/Pubmed, Cinahl, Lilacs, Cochrane, and Portal BVS databases on the nursing assistance in the surgical room during general anesthesias of adult patients. Elaboration of a protocol with 40 items based on the elaborated revision, and divided into three periods: before the anesthetic induction, induction, and reversal of anesthesia. The protocol was evaluated by 5 judges according to 4 items: validity of the contents, clarity, pertinence, and coverage. Each item was given scores from 1 to 5, according to the Likert scale. Namely: (1) strongly disagree, (2) disagree, (3) undecided, (4) agree, (5) strongly agree. The results were analyzed according to the content validity index (CVI). Results: The protocol was analyzed by 5 judges: 3 anesthesiologists, and 2 surgical center nurses. Before the anesthetic induction, the CVI varied from 60% to 100% in validity, 40% to 100% in clarity, 80% to 100% in pertinence, and 60% to 80% in coverage. The judges suggested changes to the items being tested and also an evaluation of the availability of materials. In the anesthetic induction, the CVI varied from 40% to 100% in validity, clarity, and content coverage, and from 20% to 100% in pertinence. The induction was the period with the most divergences between the judges, as they considered some procedures as exclusive to the anesthesiologist (ventilation assessment, venipuncture, record of vital signs). In the period of reversal of anesthesia, the validity and coverage had a CVI of 80% to 100%, with 6% to 100% for clarity and pertinence. In the reversal period, the judges suggested the monitoring of the patient for transportation, record of devices, and conditions of the patient before leaving the surgical room. Conclusion: In some countries, the nurse has a consolidated role in the anesthetic process, which includes work directives and certification. In Brazil, surgical center nurses assist the anesthesiologist during the anesthetic procedure, but they need an assistance protocol to direct the work and favor the quality, knowledge, and safety of such assistance.
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Ducci, Adriana Janzantte. "Segurança do paciente em Unidades de Terapia Intensiva: fatores dos pacientes, estresse, satisfação profissional e cultura de segurança na ocorrência de eventos adversos." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-21072015-121524/.
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Introdução: As Unidades de Terapia Intensiva (UTI) são ambientes propícios a ocorrência de Eventos Adversos (EA) devido a complexidade da assistência e das várias intervenções realizadas. Fatores relacionados aos profissionais de enfermagem, caraterísticas dos pacientes e cultura de segurança podem associar-se a ocorrência desses eventos. Identificar os fatores associados a sua ocorrência é importante para planejamento de melhorias. Objetivo: Analisar a associação entre variáveis demográficas e clínicas dos pacientes, estresse e satisfação dos profissionais de enfermagem e percepção da cultura de segurança do paciente com a ocorrência de EA de gravidade moderada e grave em UTI adulto. Método: Estudo realizado em oito UTI de um hospital universitário da cidade de São Paulo. Para coleta de dados dos pacientes realizou-se uma coorte prospectiva entre 03 de setembro e 01 de dezembro de 2012. Dados demográficos e clínicos, incluindo SAPSII, LODS, Índice de Comorbidade de Charlson (ICC) e Nursing Activities Score (NAS) e EA foram levantados das informações do prontuário e acompanhamento de 10% das passagens de plantão. Os EA foram caracterizados segundo Classificação Internacional para Segurança do Paciente (CISP) da Organização Mundial da Saúde. Para investigar o estresse, satisfação profissional e cultura de segurança, realizou-se abordagem transversal através da aplicação de três instrumentos em outubro de 2012: Lista de Sinais e Sintomas (LSS), Índice de Satisfação Profissional (ISP) e Pesquisa sobre Cultura de Segurança do Paciente nos Hospitais (HSOPSC). Para análise entre as variáveis de interesse, utilizou-se o modelo de regressão logística. Considerou-se significativos valor p>0,05. Resultados: Das 890 internações no período, houve predominância de pacientes masculinos (58,09%), com idade média de 54,11 anos. As médias do ICC e NAS foram, respectivamente, 1,82 pontos e 71,15%. A probabilidade de óbito medida pelo SAPSII foi 19,10% e pelo LODS, 28,70%. Os pacientes permaneceram internados, em média, 6,94 dias e a mortalidade observada na UTI foi 21,24%. Ocorreram 494 EA de gravidade moderada/grave. Os tipos de EA mais frequentes foram: procedimento/processo clínico (42,71%), acidentes com o paciente (28,74%) e infecção hospitalar (20,85%). Pacientes masculinos (p=0,01), submetidos a internação cirúrgica de emergência (p=0,00) e que evoluíram a óbito na UTI (p=0,00) apresentaram mais EA quando comparados aos pacientes do mesmo grupo. Também houve associação entre ocorrência de EA e prolongamento de tempo de internação (p=0,00). Na análise de correlação, observou-se significância positiva entre idade e NAS (r=0,09; p=0,01), ICC e SAPSII (r=0,21; p=0,00) e, SAPSII e LODS (r=0,60;p=0,00). A amostra dos profissionais de enfermagem consistiu de 100 enfermeiros e 187 auxiliares/técnicos de enfermagem. A maioria dos profissionais apresentou médio nível de estresse e baixa satisfação profissional, com média de 48,49 pontos (dp=8,45) e 10,95 pontos (dp=1,82), respectivamente. A percepção geral da cultura de segurança foi de 3,06 pontos. No modelo final de análise das variáveis, houve associação entre EA e tempo de internação na UTI (p=0,00), sexo (masculino; p=0,38) e condição de saída (óbito; p=0,01). Conclusões: Nenhuma característica dos profissionais de enfermagem ou a cultura de segurança apresentou associação com a ocorrência de EA. Apesar disto, a avaliação sistemática destas variáveis é necessária pois elas podem ser modificadas ao longo do tempo.Introduction: Intensive Care Units (ICU) are environments susceptible to Adverse Events (AE) due to the complexity of assistance and the various interventions carried out. Factors related to nursing staff, patient characteristics and the safety culture may be related to mishaps. It is of utmost importance that factors associated to their occurrence be identified for improvement planning. Objective: To analyze the connection among demographic variables and patient clinics, stress and nursing professionals satisfaction and the perception of patient safety culture with the occurrence of moderate and high severity AHE in adult ICU. Method: Study carried out in eight ICUs of a university hospital in the city of São Paulo. For the collection of patient data a prospective cohort was carried out from September 03rd to December 01st 2012. Demographic and clinical data, including SAPSII, LODS, Charlson Comorbidity Index (CCI), Nursing Activities Score (NAS) and AE were collected from patient record information and follow up of 10% of the change of shift. AE were categorized according to International Classification for Patient Safety (ICPS) from the World Health Organization. To investigate stress, professional satisfaction and safety culture, a transversal approach was carried out through the application of three instruments in October 2012: List of Signs and Symptoms (LSS), Professional Satisfaction Index (PSI) and Hospital Survey On Patient Safety Culture (HSOPSC). Logistics regression model was used for analysis among variables of interest. Results p>0.05 were considered significant. Results: From the 890 admissions in the period, there was a predominance of male patients (58.09%), at an average age of 54,11 years old. CCI and NAS averages were, respectively, 1,82 points and 71,15%. Death probability measured by SAPSII was of 19,10% and by LODS, 28,70%. Patients remained hospitalized, on average, 6,94 days and the observed mortality in the ICU was 21,24%. There were 494 AE of moderate/serious severty. The most frequent types of AE were: procedure/ clinical process (42.71%), patient accidents (28,74%) and hospital infection (20.85%). Male patients (p=0.01), submitted to emergency surgical hospitalization (p=0,00) ending up in death in the ICU (p=0.00) presented more AE when compared with patients in the same group. There was also a correlation between AE occurrence and longer hospitalization (p=0,00). In the correlation analysis, positive significance between age and NAS was observed (r=0,09; p=0,01), CCI and SAPSII (r=0,21; p=0,00) and, SAPSII and LODS (r=0,60; p=0,00). The nursing professionals sample consisted of 100 nurses and 187 auxiliaries/technical nurses. The majority of professionals presented medium level of stress and low professional satisfaction, with an average of 48,49 points (dp=8,45) and 10,95 points (dp=1,82), respectively. The general perception of safety culture was of 3,06 points. In the final model of variables analysis, there was association between AE and the amount of time spent in the ICU (p=0,00), sex (male; p=0,38) and the condition of exit (obit; p=0,01). Conclusions: No characteristics of the nursing professionals or the safety culture presented association with the occurrence of AE. Despite that, the systematic evaluation of these variables is necessary for they can be modified along the way.
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Berglund, Johan. "Formalisering och yrkeskunnande : en explorativ studie om säkerhetskulturen inom kärnkraftsindustrin." Doctoral thesis, KTH, Industriell ekonomi och organisation (Avd.), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-39000.
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Like many industries, the nuclear power industry in Sweden is currently facing the challenges of a major generational change. To meet these challenges, alongside the demands for a high level of security, the industry has attempted to standardise its mode of operations as far as possible. Apart from various technological fixes and safety devices, manuals and instructions have been modelled for every conceivable situation, or course of events; documentations and formal systems of co-ordination that become larger and larger, and more and more detailed. In high-risk industries there is a tendency to equate learning with changes in external patterns of behaviour, as against fixed standards, typically among operating staff. The acquisition of professional skill, on the other hand, is the result of participation in practice. From this point of view, rather, learning is the outcome of reflection, upon actual events and experiences. Recurrent training can be used to promote formalisation, but also to explore and reinforce the experience based knowledge of skilled operators; between these approaches, the former prevails. Accidents and incidents incessantly put in question what is commonly referred to as the safety culture of various power plants, and subsequent to the misfortunes at Forsmark 1 in 2006, the accident was described as the culmination of a longterm decline in safety culture. The strong requirement for security and control is a cause of formalisation, whereas the need to support reflection as formation of professional skill tends to be omitted. Even so, experience based skill and knowledge remains a substantial consituent of what could be regarded as a dependable safety culture. Codified knowledge must be interpreted and applied in practice. Furthermore, experienced professionals, from encountering a great variety of situations, seem to develop what can be described as the skill of anticipation, and, as shown in connection with the incident at Forsmark 1, an ability to handle the unexpected. The urge for formalisation raises certain concerns: that of the primacy of defining the containments of professional skill, the impact and resilience of local knowledge and diversity, and the hollowing out of ability and skill within work-life organisations. The “human factor”, that is the operating staff, is commonly made responsible for established accidents and incidents. Even so, experienced personnel are able to manage a variety of unforeseen events and disturbances, that sometimes occur in high-risk technology industries. At times, on the contrary, the human factor saves technology, instead of the other way around. This study explores the concept of safety culture within the nuclear power industry from an epistemological perspective. It discusses the use of recurrent training, and the role of experience based skill and knowledge in the operating of Swedish power plants. What methods can be employed to support experience based knowledge as an essential complement to standardised work processes, codified knowledge, or benchmark strategies? Principles of formalisation need to be supplemented with a more thorough exploration of professional skill, in which a distinction between behaviour and responsibility can be made.QC 20110906
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Santos, Wellington Luiz. "CURSOS SUPERIORES DE TECNOLOGIA EM SEGURANÇA NO TRABALHO: PERCEPÇÃO DO(A)S ALUNO(A)S E PROFESSORE(A)S." Universidade Metodista de Sao Paulo, 2015. http://tede.metodista.br/jspui/handle/tede/1679.
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The dissertation analyzes the technological education in its current configuration, investigating the perception of students of a degree of security technology at work, for their insertion in the professional field; investigating the hypothesis that these agents can sense lags in the real social process, which are expressed in the inadequacy between: the course structure of security technology at work, the judicial-legal sphere and the structure of the labor market. The research adopts an exploratory qualitative approach, based on the case study method to collect data. To discuss the issue of the professional formation and technological education in Brazil, we use bibliographic research in order to unveil the type teaching evolution in the contextual way in its relation to economic phenomena, social and political. To verify the research hypothesis, we investigated students and teachers of a safety course at work in an educational institution, through questionnaires and interviews; and we conducted a documentary research in related legislation on the issues of professional regulations in the specific field of the safety area at work. The results confirmed the research hypothesis, establishing serious modifications in the purpose and objectives of technological training, especially in its social effects. The documentary research articulated to the subjects’ answers, indicated the gap of the politics between the education area and the politics of labor and employment. Nevertheless, in the teachers’s discurses evidences were found to support hypothesis of the issue dealt with here, extend to other courses. The results show that it are necessary, further studies on this issue and to restablish a research agenda aimed at agents and process involved in this context, for the purpose of promoting discussions and identify actions and procedures to guide, correct any distortions and reduce the possibility of the repetition of events related to the problem under discussion.
A dissertação analisa a educação tecnológica em sua atual configuração, investigando a percepção de alunos de um curso superior de tecnologia em segurança no trabalho, para sua inserção no campo profissional; investigando a hipótese de que estes agentes pressentem defasagens que se encontram no processo social real e, que se exprimem na inadequação entre: a estrutura do curso de tecnologia em segurança no trabalho, a esfera jurídico-legal e a estrutura do mercado de trabalho. A pesquisa adota uma abordagem qualitativa exploratória, pautada no método de estudo de caso para a coleta de dados. Para discutir o tema da formação da educação profissional e tecnológica no Brasil, utilizamos a pesquisa bibliográfica de forma a desvelar a evolução desta modalidade de ensino de modo contextual em sua relação com os fenômenos econômicos, sociais e políticos. Para verificar a hipótese de pesquisa, investigamos discentes e docentes de um curso de segurança no trabalho em uma instituição de ensino, por meio de questionários e entrevistas; e realizamos uma pesquisa documental na legislação relacionada a questão da regulamentação profissional do campo específico da área de segurança no trabalho. Os resultados obtidos confirmaram a hipótese da pesquisa, configurando grave desvio no propósito e objetivos da formação tecnológica, mormente, em seus efeitos sociais. A pesquisa documental articulada às respostas dos sujeitos, indicou defasagem das políticas entre a esfera da educação e das políticas de trabalho e emprego. Ainda, na fala dos docentes verificou-se evidências que sustentam a hipótese da problemática tratada aqui, estender-se a outros cursos. Os resultados evidenciam que se faz necessário, aprofundar estudos neste tema e estabelecer uma agenda de pesquisas dirigidas aos agentes e processos envolvidos neste contexto, para fins de promover discussões e alcançar ações e medidas que visem orientar, corrigir eventuais distorções e reduzir a possibilidade de repetição de eventos relacionados ao problema em discussão
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Snyder, Daniel Jay. "Philosophia Soteria| How Occupational Safety and Health Professionals Influence Decision Makers." Thesis, University of Arkansas, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13421816.
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The purpose of this study was to identify ideas about how occupational safety and health (OSH) professionals influence decision-makers on matters impacting occupational health and safety management systems. A modified nominal group technique was used that involved 67 participants in ten nominal groups and identified the most important ideas about how OSH professionals can influence workplace safety and health decision making. The research produced themes of communication, scientific, professionalism, leadership, adaptability, and business acumen that resulted in six domains of occupational safety and health professional influence.
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Mendes, Joana Filipa Santos. "O papel da formação em Segurança e Saúde no Trabalho no desenvolvimento de competências profissionais: estudo de caso." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Ciências Empresariais, 2015. http://hdl.handle.net/10400.26/10520.
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Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de
Mestre em Segurança e Higiene no TrabalhoEsta dissertação de Mestrado estuda o papel da formação em Segurança e Saúde no Trabalho para o desenvolvimento das competências profissionais. A seleção deste tema deveu-se, essencialmente, à crescente relevância da formação profissional de adultos em contexto de empresa e da Segurança e Saúde no Trabalho como área de intervenção prioritária na atualidade das organizações. A formação em contexto de empresa representa uma mais-valia para a aprendizagem porque permite a contextualização dos conhecimentos teóricos e práticos diretamente no ambiente de trabalho, enfrentando os desafios próprios da especificidade de cada atividade. A competência profissional surge diretamente ligada à formação, uma vez que corresponde à eficaz mobilização de recursos e saberes teóricos, práticos e comportamentais na situação real de trabalho. A formação promotora da competência profissional deverá sobretudo incidir em metodologias adaptadas aos destinatários da formação, a seleção de assuntos e temáticas de acordo com os objetivos pretendidos mas sempre interligando com a prática profissional e, ainda, contemplar uma componente de aplicação prática para esclarecimento de dúvidas, confrontação com o contexto real e para melhoria do desempenho e treino de competências ao nível do trabalho de equipa, gestão de recursos, resolução de problemas e tomada de decisão. O tipo de pesquisa utilizada foi o estudo de caso, por permitir o estudo de um fenómeno dentro do seu próprio contexto, individualizando-o e compreendendo as suas especificidades. Pretendeu-se estudar o papel da formação no âmbito da Segurança e Saúde no Trabalho, efetuada em Novembro de 2014, para o desenvolvimento das competências profissionais dos trabalhadores da Divisão de Reparação e Manutenção Mecânica da Câmara Municipal de Lisboa. As técnicas de recolha de informação utilizadas foram o inquérito por questionário aplicado a uma amostra de cinquenta trabalhadores e a realização de entrevista semi-diretiva aos três Técnicos Superiores de Segurança no Trabalho diretamente relacionados com a formação em Segurança e Saúde no Trabalho. Da análise efetuada verifica-se que, de uma forma geral, os trabalhadores se mostram motivados e interessados nas temáticas da Segurança e Saúde no Trabalho e a frequência de ações de formação em geral. Conclui-se que o investimento feito nesta formação específica, a este grupo de trabalhadores, foi benéfico para o desenvolvimento das suas competências profissionais, existem todavia aspetos a desenvolver com maior profundidade com vista à maior competência e autonomia na prática profissional.
Abstract: This master’s dissertation studies the role of training in Health and Safety at Work for the development of professional skills. This choice of subject was mostly due to the increasing relevance of professional training of adults in the company context, as well as the fact that Health and Safety at Work is an area of priority intervention on today’s organizations. Training in the workplace may provide an added value, since it allows to ground theoretical and practical learning on its context of application, i.e. the work environment, where the specific challenges of each activity arise. Professional skills and training are linked, since the former requires an effective mobilization of resources, as well as of theoretical, practical and behavioral knowledge to the real work situation. The effective training for professional skills must take into account adapting methods to trainees’ specific needs; selecting subjects according to the desired goals and to their relevance for professional practice; as well as providing opportunities for practical application, in order to allow clearing up potential doubts, meeting the demands set by real work situations and enhancing work performance and skills, such as, team work, resource management, problem solving and decision making. The present work was based on a case study, considering that this method allows for the study of a given subject in its specific context, considering its singularities. This study aimed at understanding the role of training in Health and Safety at Work, conducted in November, 2014, for the professional skills of workers at the Division of Mechanical Repair and Maintenance of the Lisbon Municipality. The methods for collecting data were written questionnaires, on a sample of fifty employees, and semi-structured interviews for the three Safety at Work Senior Technicians directly involved in training for Health and Safety at Work. The results suggest that employees are globally motivated and interested in the subject of Health and Safety at Work and are willing to attend training actions in general. We may conclude that the investment on training for this group of workers was beneficial for developing their professional skills, however, some aspects still call for further development, in order to enhance competence and autonomy on workers’ professional practice.
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Willmott, Julie Debra. "Health Professionals’ Perception of Patient Safety and Quality in a Western Australian Hospital." Thesis, Curtin University, 2018. http://hdl.handle.net/20.500.11937/73515.
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A descriptive, cross-sectional design study conducted to determine health professionals’ perception of patient safety and quality in a Western Australian hospital. The validated Hospital Survey on Patient Safety Culture™ tool was used to collect quantitative data and a small component of qualitative data from a free text section. Comparison of the findings were made with the Agency for Healthcare Quality and Research 2016 comparative database to allow quantification of PSC in the Australian healthcare context.
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Weber, David E. "Investigating Assessors’ Scoring and Reasoning of Safety-Critical Crew Performance and Collaboration." Thesis, Griffith University, 2015. http://hdl.handle.net/10072/365456.
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The use of an assessment model has shown large variation (disagreement) in the scoring of airline professionals who judged the performance of a captain and first officer in multiple video scenarios. A better understanding was thus required of the source of assessors’ disagreement in terms of both the scoring and reasoning of safety-critical crew performance and collaboration. In the first study, the present thesis quantitatively compared the scoring and assessment time of airline professionals (first officers, captains, and flight examiners) from two different airlines who were given versus not given an assessment model to judge performance. The demographics of the participants were compared in terms of their age, total flight hours, and years flown as commercial pilot. In contrast, the second and third studies qualitatively investigated and analysed assessors’ reasoning further. The second study closely examined the reasoning of captain assessor pairs who assessed the performance of a captain in two video scenarios. Individually for each assessor pair and pilot assessed, this study contrasted the reasoning of the assessors against the scores they provided to the pilot assessed. The third study looked into the reasoning of flight examiner assessor pairs who judged a captain and first officer performing in an engine fire scenario. It was examined whether commonly used assessment categories (e.g., Situational Awareness, Management) are specific, in the sense that assessors build their assessments on the same observations and reasoning (justifications). Furthermore, it was questioned what might distinguish the sort of observations that are specific to a single assessment category from observations that are stated in multiple categories.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Natural Sciences
Science, Environment, Engineering and Technology
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Beeson, Jodie G. "Emergency stress: The impact of connectedness on perceived stress level in public safety professionals." Diss., Wichita State University, 2009. http://hdl.handle.net/10057/2374.
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Stress related illness is one of the most critical health issues facing public safety
professionals today. Much of the research has focused on interventions such as critical
incident stress management and the provision of clinical and peer support to public
safety professionals after a problem has been identified. The current study focused on
identifying environmental factors that would increase resiliency to the harmful effects of
working in a highly stressful profession. It was hypothesized that a higher reported
sense of connectedness to and a sense of feeling needed and valued by community,
friends/family, and co-workers would predict lower perceived stress levels in public
safety professionals. Law enforcement officers, firefighters, detention personnel, and
civilian support staff (n=218) from four agencies in a large mid-western city participated
in an internet based questionnaire to determine participants stress levels using the
Perceived Stress Scale (PSS-10) and levels of connectedness on nine predictors. The
model accounted for more than one third of the variance in participants’ perceived
stress levels. The participants’ connectedness to family/friends and community as well
as a sense of being needed and valued by co-workers accounted for the most variance
in the model.Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology
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Warren, Jeremy James. "Constructions of meaning and personal identity in the decision-making of community safety professionals." Thesis, University of Chester, 2010. http://hdl.handle.net/10034/128966.
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This thesis takes an interdisciplinary approach to the study of the impact that constructions of meaning and personal identity have upon the processes of professional decision-making, in the delivery of community safety services. The research draws upon the previous work undertaken in the fields of psychology, sociology, social anthropology, criminology and community safety. The research was composed of five separate studies. Study one was a Delphi exercise to determine consensus of meaning for different community terms in common usage for policy makers, practitioners and academics. The research was able to define consensual meanings for ten of the thirteen terms presented, including crime prevention, crime reduction and community safety. Consensus was not achieved for the terms community engagement, respect and quality of life and suggestions are made which may account for this result. Study two utilised repertory grids to investigate the ways that community safety professionals might construe the decisions that they have to make as part of their duties. Studies three and four utilised bespoke ISA/lpseus instruments, whose structures were informed by the results from Study Two. These instruments were used to further explore the construals and worldviews of a variety of community safety professionals through six process postulates. It was found that whilst an individual's initial job role or gender did not have significant impact upon their professional decision-making, the training that they had received in community safety and the time that they had spent working in the field did have a significant impact upon their professional decision-making. It was also found that the groups of community safety professionals differed in their attitudes towards those members of society who are the target of community safety activity. Study five involved the generation and piloting of a survey instrument whose various sections were designed to validate the findings generated from the previous studies, as well as providing further data on the decision-making processes of those working within community safety. The final chapter presents the Warren Person Process Priority (WaPPP) layered model of decision-making that was derived from the data collected to inform the current thesis. The outer Person layer is defined by the four-way typology derived from the Procedural / Free-form and Cautious / Adventurous bi-polar constructs of identity types that were identified from the ISA/lpseus studies. The middle layer of the model describes a number of different decision-making processes that professionals may follow when making a judgement or coming to a conclusion. The order of the processes was given by the results of the survey pilot. The central portion of the model presents a number of factors that may impact upon professional decision-making, determined from the ethnographic work that informed the ISA/lpseus studies. The order of these factors was determined from the preparatory data collection instrument that was used with the ISA/lpseus studies and confirmed by the results of the survey pilot. Suggestions are made for further research that may expand upon the results presented in this thesis. These include a larger version of the Delphi, with an international panel of experts; correlation of the ISA/lpseus instruments with other validated instruments for the measurement of personality, identity and decision-making and an expansion of the survey pilot.
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Fletcher, David Mark. "Organising experiences through activity : a comparison of aviation and medical professionals' concept of safety." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/39868.
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This thesis examines the concept of safety in two groups of professionals working in the fields of aviation and medicine. These professional activities are uniquely structured but have been compared in the literature as having certain similar characteristics. However, recent attempts at strengthening patient safety by transferring methods from aviation have had only a small effect, with evidence suggesting that professional engagement has been poor. One possibility is that there are large disparities in conceptual understanding about safety across these groups. This was derived from socio-cultural theories of knowledge showing how collective experiences are formed into meaningful categories through situated learning and structured internally through semiotic mediation. A cross cultural comparison of the safety concept was carried out using linguistic data to capture the concept. Forty-one interviews were conducted with participants across two groups comprising senior airline pilots and hospital consultants. Grounded theory analysis was used to code and analyse the da-ta. Taxonomic structures of the two safety concepts, comprising their main semantic sub-categories, are presented, along with models explaining their internal relation-ships. In aviation, a core category of control was identified involving principles of stability, invariance, and causal attribution. This is dominated by the sub-categories of institutional control and personal autonomy, which are mediated by the availability of information and predictability of events. In the medical sample a core category of clinical success was revealed. This encompassed overall quality of outcomes based on Bayesian thinking about different risks along possible treatment paths. The thesis shows how conceptual knowledge is formed through mediational means within the context of specific purposive activities. A tentative theory of conventionalisation is proposed to explain why top-down interventions for transferring practices between cultures fail when differences between key concepts are large. Interventions, such as change laboratories to scaffold learning towards re-conceptualisation are recommended.
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Reeder, James Allen. "Use of Physician Credentialing Standards by U.S. Medical Services Professionals." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4554.
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Credentialing in hospitals is the first line of defense for improving patient safety and reducing medical errors by verifying a physician's medical knowledge and skills. There is no single set of standards for physician credentialing followed by all hospitals in the United States. Using May's normalization process theory, the purpose of this quantitative study was to survey medical services professionals (MSPs) to determine which physician credentialing standards were being used, the sources being used, and the frequency of standards used. The dependent variables in this study were the 13 ideal credentialing standards developed by the National Association of Medical Staff Services (NAMSS). The independent variables were the methods MSPs use to satisfy the credentialing standard, or the way in which a hospital performs this function. The independent variables were measured using Likert-scale responses (always, almost always, sometimes, almost never, and never) and the dependent variables were measured by frequency of responses to each standard. A questionnaire was sent to 5,634 members of NAMSS. Findings from 364 responses indicated every facility had at least 1% of MSPs who almost never or never performed a particular standard in accordance with the ideal credentialing standards. A distribution table was used to measure the results, both individually and percentages of the total. To determine if there was a difference in credentialing standards based on hospital size or geographic location, a chi square was used. The results of this study demonstrated there are areas for improvement in physician credentialing. Results may be used to safeguard the public from fraudulent representation through implementation of a national credentialing standard.
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Sandersen, Vivi-Ann. "Et helsefremmende arbeidsmiljø i operasjonsavdelingen –fra operasjonssykepleiernes perspektiv. : En kvalitativ studie." Thesis, Nordic School of Public Health NHV, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3285.
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Hensikt: Hensikten med studien var å få en dypere forståelse av hva operasjonssykepleierne opplever som positivt, og dermed helsefremmende, i arbeidsmiljøet i operasjonsavdelingen, og som bidrar til at de fortsetter å utøve sin profesjon. Metode: En modifisert Grounded theory har blitt benyttet som analysemetode av ti åpne intervjuerResultat: I analysen fremkom kjernekategorien: Samarbeider utfyllende og inkluderende med fokus på pasienten,tre vilkårskategorier: Blir sett og hørt som medarbeider, Har kontinuerlig faglig oppdatering,Har forutsigbarhet i arbeidetog tre konsekvenskategorier: Fyller arbeidstiden og rekker det meste, Opplever at arbeidet er meningsfullt og Opplever samhold og fellesskap med kollegene.Kjernekategorien belyser et samarbeid i operasjonsteamet basert på støtte, gjensidig respekt, tillit, klar kommunikasjon og koordinering samt et tydelig pasientfokus. Vilkår for et slikt samarbeid er mulighet for medvirkning, fokus på operasjonssykepleiefaget og forutsigbarhet gjennom god planlegging og koordinering. Konsekvensene av et godt samarbeid er økt jobbtilfredshet med effektivitet i arbeidet, opplevelse av å gjøre noe av betydning for andre og samhørighet med kolleger. Konklusjon: Et positivt interprofesjonelt samarbeid slik operasjonssykepleierne opplever det, kan bidra til et helsefremmende arbeidsmiljø med positiv effekt på jobbtilfredshet ved god kontroll over kravene i arbeidet, noe som gir økt pasientsikkerhet. Vilkårene for et godt samarbeid som har fremkommet i studien, kan iverksettes i praksis umiddelbart. Det er imidlertid behov for mer forskning på området når det gjelder alle profesjonene i det interprofesjonelle teamet.Purpose: This qualitative study aimed to gain deeper knowledge of what operating room nurses consider positive in their work environment, thereby promoting employee health and making them stay working in the operating theatre. Method: A modified grounded theory was used to analyze ten open interviews. Result: Analysisof the interviews yielded a core category: inter-professional teamwork that focuses on patient safety. It also identified three subcategories that generate positive teamwork (employee validation, increased opportunities for continuing education, work predictability) and three subcategories that show the consequences of positive teamwork (effective work patterns, experiencing work as meaningful and positive relationships with colleagues). The core category illustrates teamwork that is based on support, mutual respect, trust, clear communication, and coordination. Such teamwork demands the possibility of participating in the decision-making process, focusing on professional work, and making work highly predictable. The consequences of such teamwork include increased jobsatisfaction, an effective and meaningful work experience, and supportive relationships with colleges. Conclusion: From the perspective of operating room nurses interviewed during this study, positive inter-professional teamwork can create a work environment that promotes health, enhances jobsatisfaction, exerts control over work demands,and increases patient safety. The conditions mentioned in this study can be implemented immediately in the workplace. Future research should focus on the different aspects of the inter-professional team
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Contos-McCord, Meredith L. "Health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1221310.
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The problem of this study was to determine health care professionals' opinions and practices concerning foodborne illness and food safety education during prenatal care. Data were collected from Indiana health care professionals using a mailed questionnaire. The results found that 71.7% of respondents do not provide foodborne illness and food safety education during prenatal care, however, 80.6% would like to. Most of the respondents indicated that they do not have the time (71.4%), resources (57 1%), or knowledge (25.7%) to provide this information to patients. Many of the respondents indicated that they have not received information on foodborne illness during pregnancy and are unaware of the recommendations to provide this information during prenatal care. The opinion questions found that most agree that foodborne illness can be serious in pregnancy and would like to learn more about the risks of foodborne illness to pregnant women and the fetus.Department of Physiology and Health Science
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Studnek, Jonathan R. "Evaluation of Back Problems among Emergency Medical Services Professionals." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1225909761.
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Li, Raymond. "Improving the reporting of adverse drug reactions by healthcare professionals in Australia: a mixed methods study." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29902.
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Introduction. Under-reporting adverse drug reactions (ADRs) is a significant healthcare problem as it delays identifying safety issues. Various strategies have been implemented to improve ADR reporting, however these have only been temporarily effective. Therefore, there is a need to create an effective intervention.
Methods A mixed methods study was used for this research. In phase one, a retrospective analysis of hospital records identified whether ADR related admissions were reported. An analysis of a regulatory intervention to improve ADR reporting utilised a time series analysis to assess any improvement in this area. In phase 2, a survey was deployed to identify the barriers and enablers of ADR reporting, which were mapped to the Theoretical Domains Framework (TDF). In phase 3, the evidence was integrated to create a proposed intervention to improve ADR reporting.
Results A total of 9% of admissions were considered ADR related. Up to 99% of all known ADRs were not reported. The impact of a regulatory intervention on ADR reporting showed that there was an increase of 0.41 reports per medicine (95%CI 0.02 – 0.80) and an almost 3-fold improvement in the quality of reporting. The survey was completed by 133 HCPs and knowing how to report ADRs (OR 3.58, 95%CI 1.05 – 12.2) and encountering ADRs (OR 18.6, 95%CI 5.52 – 62.5) were predictors of reporting. Content analysis identified three categories: modifying the reporting process, enabling clinicians to report ADRs, and creating a positive reporting culture. These were mapped to 3 domains: knowledge, environmental context/resources, and beliefs about consequences.
Conclusion The findings from this mixed methods research suggest that a multifaceted approach targeting the three TDF behavioural domains would be required to improve the quantity and quality of reporting.
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Yeung, Chi-ho Jackson, and 楊志豪. "The effectiveness and safety of exogenous melatonin in improving the sleep quality among health care professionals: a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46943912.
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