Dissertations / Theses on the topic 'Terminal care facilities Australia'

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1

Walker, Helen M. "The experience of care assistants who care for residents in the final stage of life in residential aged care facilities." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/278.

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This thesis presents the results of a study that explores the experience of care assistants who care for residents in the final stages of life in residential aged care facilities in metropolitan Perth. Care assistants, with little formal training and no regulation, play a pivotal role in the direct care of dying residents in these facilities. Yet little was known about the palliative care role and the impact that caring for residents in the final stage of life has on this health care group. The literature relating to end of life care in residential aged care facilities revealed limited research in this area. In particular, there is a lack of studies that relate specifically to the care assistants' role and their experiences of end of life care. Research to date has focused on the context of palliative care in residential aged care facilities, the workplace environment, how to provide a dignified death, relationships and the central role of the care assistant. This study used a qualitative narrative inquiry research design.
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2

Ho, Man-chuen Anthony. "A hospice in Sandy Bay." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25946043.

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3

Swenson, Denise Lyn Parker-Oliver Debra. "Designated hospice rooms in nursing homes a new model of end-of-life care /." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6157.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 16, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Debra Oliver. Vita. Includes bibliographical references.
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4

Mak, Kiu-yan Wayne. "Towards nirvanna : a Buddhist hospice /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25955585.

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5

Leung, Hiu-sum. "Healing environment in hospitals : improving and redesigning the outdoor areas in the Haven of Hope Hospital /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B34609702.

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6

McConigley, Ruth. "Rural palliative care nursing: A modified grounded theory study." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/986.

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This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling techniques were used to identify the six palliative care nurses working in rural Western Australia who participated in this study. Data was generated using in depth interview and participant observation techniques. Constant comparative analysis of the data was employed to allow concepts to emerge from the data. The central theme that developed from the data Living Palliative Care describes the all-consuming nature of the rural palliative care nurses’ role. Three related categories, Wearing Many Huts, Being the Expert and Surviving in Palliative Care are also discussed. This research has explored issues that rural palliative care nurses feel are relevant to their professional practice and it describes the basic social processes inherent in the rural palliative care nurse’s role. Recommendations for nursing research, education, administration and clinical practice are presented.
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7

何敏泉 and Man-chuen Anthony Ho. "A hospice in Sandy Bay." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31982414.

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8

Pappne, Demecs Ilona. "The use of creative activities in dementia in residential aged care facilities in Australia : a cross-sectional study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82146/1/Ilona_Pappne%20Demecs_Thesis.pdf.

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This thesis provides the first inquiry into the use of creative activities in dementia care in residential aged care facilities in Australia. The study used descriptive method design, incorporating a mix of quantitative and qualitative approaches to explore the incidence and the characteristics of these activities from the carers' perspective. Information about the use of creative activities and the appreciation of these activities by residents and carers is essential to the provision of dementia care and treatment to improve the quality of life of people with dementia.
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9

Movahed, Arezu. "Physical and Environmental Features that Contribute to Satisfaction with Hospice Facilities." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/1283.

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Improving the quality of remaining life for individuals who are terminally ill and their families is an issue that has become increasingly important in recent years. This issue has evolved from perceived deficiencies of conventional health care institutions in meeting the needs of people who are in the final stages of their life, when curative measures are no longer deemed appropriate. In response to deficiencies in care of the terminally ill and their families, there has been a movement toward humanizing conventional health care and making it more holistic. Hospice care, which is consistent with this movement, has evolved as an alternative to hospitals and nursing homes. The purpose (of this study was to investigate the physical environment (building and grounds) of a free-standing hospice facility to identify the features that would contribute to the design and renovation of other hospices and health care facilities that plan to adopt a hospice program of care. In this study, an attempt was made to examine how architectural factors combine in a hospice setting to meet the needs of the dying and their families and those who work in hospices. Specifically, this study used a qualitative, case study approach to describe and develop an understanding of the feelings and experiences of the users of a particular hospice facility concerning the physical environment of that facility. Post Occupancy Evaluation Methodology, which is a process to assess the performance of the built environment after it has been occupied for some time, was employed. Qualitative analysis of the data revealed three distinct environments within the facility to be of major importance to the users when discussing the physical surroundings. The three separate areas of importance were the grounds, the administrative offices, and the patient care unit. The findings of the study will be of use to designers, architects, and planners, as well as hospice advocates, as they will assist them in conceptualizing essential components of hospice design and in creating better hospice facilities in the future.
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10

Badrick, Tony Cecil. "Implementing total quality management in Australian health care organizations." Thesis, Queensland University of Technology, 1997.

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11

Hatton, Jacinta. "Fear of falling and its relationship to depression and anxiety in older adults living in the community and in extended care facilities in Australia." Thesis, Hatton, Jacinta (2016) Fear of falling and its relationship to depression and anxiety in older adults living in the community and in extended care facilities in Australia. Professional Doctorate thesis, Murdoch University, 2016. https://researchrepository.murdoch.edu.au/id/eprint/35039/.

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One of the most common psychological costs of falls in older adults is the development of a fear of falling, which can then result in an increased risk of future falls. The purpose of this research was to examine the relationships between fear of falling and two of the most common psychological disorders in later life; depression and anxiety. To extend on previous research, study one aimed to investigate the relationships between fear of falling, depression and anxiety in an Australian community-dwelling population using quantitative analysis. Due to the limited number of studies examining fear of falling in the extended care population, study two was an exploratory investigation of the above relationships in this population using both quantitative and qualitative analysis. A total of 80 community-dwelling older adults and 47 extended care older adults completed the questionnaires. A further 12 older adults participated in the interviews. The findings, overall, extended on previous research, where anxiety was consistently associated with fear of falling constructs in both the community and extended care populations. In contrast, associations between fear or falling and depression were variable within and across studies, depending on the fear of falling measurement that was used. In addition, an important finding from the qualitative analysis revealed that older adults may view their feelings as a “concern” rather than a “fear”, supporting recent suggestions to revise how fear of falling is described. The clinical implications were discussed in terms of the importance for clinicians who work with older adults with mood disorders to screen for fear of falling and address this in clinical interventions. Furthermore, results suggest that assessment should include both an interview and questionnaires in order to capture all fall-related psychological concerns.
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12

Fan, Lijun. "Effectiveness and cost analysis of a hospital in the nursing home program in Queensland, Australia." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101165/1/Lijun_Fan_Thesis.pdf.

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This thesis evaluated the effectiveness and cost-saving potential of a health service delivery model in Queensland Australia, the Hospital in the Nursing Home program. The research adopted a before-after controlled study design, comparing the outcomes between an intervention hospital and a control hospital during the pre- and post-intervention periods. Findings from the research supported that the intervention was preferred over the current practice, which reduced the attendances to emergency departments (EDs) and inpatient hospitals from patients in residential aged care facilities, shortened their length of ED stay, and saved the overall costs.
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13

Mak, Kiu-yan Wayne, and 麥喬恩. "Towards nirvanna: a Buddhist hospice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31983546.

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14

Leung, Hiu-sum, and 梁曉心. "Healing environment in hospitals: improving and redesigning the outdoor areas in the Haven of Hope Hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45009648.

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15

"Sociology, dying and AIDS: learning from Hospice Care in South Africa." Thesis, 2008. http://hdl.handle.net/10210/1325.

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M.A.
In sub-Saharan Africa the importance of understanding the illness and dying experiences of people living with HIV/AIDS (PLWHAs) is underlined by the fact that some 30 million people are already infected with HIV. Yet, there has been precious little research on chronic illness and dying within the sociology of health and illness. This dissertation begins to address this gap by considering the question ‘how does care of AIDS patients inform a sociology of illness and dying?’ It is argued that AIDS related chronic illness and dying are best understood within the AIDS care context. A theoretical model of quality AIDS care (QACM) was constructed, and highlights access, physical and psychosocial aspects of care. This was evaluated in relation to two South African hospices, both located on the Witwatersrand. In addition, a telephonic survey was undertaken in order to situate the two case studies within a national context of hospice-based AIDS-care. Some of the valuable refinements made to the literature QACM include new staff motivators, self-contained funding, additional dietary concerns, more cost-effective treatments, the importance of stigma, patient-patient support and the advent of hospice day-care centres. It was concluded that caregiver and patient needs must be met to ensure quality care provision. Three noteworthy conclusions were drawn. Firstly, the QACM was found to be a sound reflection of hospice AIDS-care reality. Secondly, the case hospices sufficiently subscribed to the required care standards, but improvements are warranted. Thirdly, and most importantly, the study highlights the impact of stigma on the chronic illness and dying experiences of PLWHAs. This study has taken a small step in the right direction by providing some sociological insights into chronic illness and dying, by the application of Northern-centric literature to the developing context of South African hospice AIDS-care. Further investigations may serve to bear these conclusions out, in alternative care settings, in order to further develop the sociology of illness and dying.
Prof. J.M. Uys Prof. P. Alexander.
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16

Eggert, Gunhild Marlene. "Rewarding care : a theory of nurses' care provision." Phd thesis, 2013. http://hdl.handle.net/1885/150036.

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Australian nurses' job satisfaction has been investigated at intervals since the 1970s. From the year 2000 studies showed for the first time that nurses were dissatisfied with the quality of their care. In the preceding decade Australian State governments undertook reforms to significantly increase public hospitals' productivity. This thesis proposes that the definition of hospitals' product as 'discharged patients' contributed to changing hospitals' operations in such a way that nurses missed out on important job rewards. This thesis explores (1) the role nurses' satisfaction with their patient care plays in nurses' production function, (2) how the reforms instituted undermined nurses' ability to give the care they perceived as meeting professional standards, and (3) how restoring nurses' satisfaction with care returns double dividends to nurses' employers in terms of improved nursing productivity and better patient outcomes. The policy makers who designed the reforms to increase public hospitals' productivity understood hospitals' production function to be analogous to factories' production of goods. This conceptualisation overlooks that hospitals' mix of outputs consists mainly of services delivered directly to patients. It is difficult to gain efficiencies in the production of direct services through a reduction of labour inputs because (1) labour inputs become service outputs, and (2) services are produced and consumed simultaneously. Because nurses' product is the service of providing patient care, reductions in nurses' time and skill per patient frequently diminish the quality of nursing care, reducing nurses' job satisfaction. Nurses' job satisfaction results from the size of their aggregate rewards, both extrinsic and intrinsic to nursing work. Empirically, nurses' perceived quality of their care is shown to make the greatest contribution to nurses' job satisfaction. Nurses derive intrinsic job returns in terms of meaning and enjoyment gained from attending to their patients. Nurses' perceived drop in the quality of care reduces their intrinsic job rewards, explaining nurses' poor professional morale discovered by the studies undertaken from the year 2000. For hospital administrators, nurses' low levels of returns on their care giving are of concern because these intrinsic returns have an incentive effect on nurses' care performance. The more care a nurse gives, the more intrinsic returns she generates. Highly vocationally committed nurses earn the best care-giving returns. Sustaining committed nurses' care performance matters to employers because the care these nurses give informally sets high standards for their team. The incentive effect of nurses' care giving is of further significance to employers because nursing work is difficult to supervise and extrinsic motivators, such as monitoring, are very costly to apply. However, strategies to increase nursing productivity can be carefully designed to take account of the nature of nurses' care product and/or to decrease barriers to nurses' care giving. In this case employers can enjoy the double dividends of nurses' sustained high output of care and good patient outcomes. Other policy approaches to restoring nurses' intrinsic rewards include (1) the incremental improvement of quality of patient care, (2) giving nurses organisational voice, and (3) providing formal recognition for excellence in nursing care.
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17

Bingham, Kevin Gary. "AIDS and architecture : the study of an interaction : architectural responses to the development of the HIV/AIDS epidemic in KwaZulu-Natal." Thesis, 2008. http://hdl.handle.net/10413/343.

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18

Cochrane, Susan Frances. "The personal interest and decision-making about medical treatment." Phd thesis, 2006. http://hdl.handle.net/1885/150997.

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