Rozprawy doktorskie na temat „Hôpitaux – Environnement”
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Valette, Annick. "Formation des trajectoires d'offre de soins : l'interaction hôpital – environnement". Paris 9, 1994. https://portail.bu.dauphine.fr/fileviewer/index.php?doc=1994PA090041.
Pełny tekst źródłaBased on a historical and comparative case study of two general hospitals the first part of the dissertation studies the process of care supply formation. The dynamics of the change generated by interactions between organization and environment is then studied. Three arguments have to be enlighted: the care supply formation is the result of resources accumulation which is the only variable which can be managed. In short term, resources acquired by the two hospitals can be variable. The coalition at the head of hospital, the relative scarcity of resources and relationships with actors of environment explain the differences. In medium term, irreversibility and self enforcement maintain the specificity of care supply trajectories nevertheless, the action of administration by regulating the availability of some resources, induces trajectories to converge
Le, Mercier Thomas. "Etablissements publics de santé et qualité environnementale". Nantes, 2007. http://www.theses.fr/2007NANT4022.
Pełny tekst źródłaThe environmental quality in hospitals, i. E. Their capacity to provide an environment compliant with healthcare requirements and to pay attention to environmental protection in general, is not covered as such by the legislation. Nevertheless, the legislation holds a major role in its formation. It gives healthcare establishments the means to manage the physical characteristics of their environment. Therefore the "hospitals" are the main actors of their environmental quality: they define it, they have the responsibility to integrate it to their general management and they have a duty to consider it when faced with a choice of management method as regards to any secondary activities The law is also involved in the achievement of environmental quality within hospitals through the broader scope of state building legislation. It determines consequently the concept of private project management in such a way as to offer contracting authorities, among which hospitals, the means to enrol the services of qualified architects and engineers that are able to comply with their specific expectations. The agreement contents binding architects and engineers to the contracting authority, which organises the schedule of the project development, is also covered by the legislation in order to allow the construction of quality structures. Beyond the organisation of relationships between the contracting authority, the architects and engineers, the legislation interferes with the environmental quality of th hospitals by enforcing a control through inspections of some specific aspects by bodies whose conclusions can lead to the modification of some of the characteristics of the projected building
Coq, Jean-Michel. "Enfants psychotiques : comportements de communication et environnement : de la récréation en hôpital de jour". Paris 10, 1993. http://www.theses.fr/1993PA100127.
Pełny tekst źródłaCoutelier, Bruno. "Caractérisation de la qualité d'un environnement lumineux à l'aide d'outils de mesure vidéo-photométriques et de simulations en milieux virtuels". Lyon, INSA, 2006. http://theses.insa-lyon.fr/publication/2006ISAL0015/these.pdf.
Pełny tekst źródłaThe characterisation of the visual quality of a luminous environment is usually limited to the examination of a few conditions of visual comfort. However, other studies have shown that the appreciation of this notion of quality requires other numerous perceptive dimensions. Our study has the objective to put into evidence those descriptors of the visual ambiance, based essentially on the luminance relations that appear to influence the perception of the luminous characteristics of artificially lit spaces. Some descriptive scales are considered in that way (related with the impressions of luminosity, brightness, space, uniformity…) for different kinds of places (offices, class rooms, hospital rooms, museums, stores, restaurants and meeting rooms). These luminous scenes presented by the way of a virtual reality simulator using passive stereoscopy technology. Two groups of thirty subjects have been asked to judge the projected scenes with two different protocols of spychomotric tests : one test of paired comparison (based on a semantic differentiation protocol) and one test of adjustment (used to collect preference judgements). This formulated judgement were compared with the photometric data issued from the luminance maps produced by a video luminance-meter especially developed for this study
Béchu, Thierry. "De la clinique privée à l'hôpital privé, d'un outil de travail à une entreprise, d'un environnement stable à des mutations importantes : les nouveaux enjeux pour l'établissement de santé privé à la lumière des modèles de réflexion stratégique". Rennes 1, 2000. http://www.theses.fr/2000REN10001.
Pełny tekst źródłaVadrot, Cyril. "Mise au point d'une méthode de détection du bacille de la tuberculose et application pour l'étude de lieux à risques". Paris 5, 2002. http://www.theses.fr/2002PA05P626.
Pełny tekst źródłaTuberculosis remains a health problem in many developed countries. It should be beneficial to obtain a non-invasive tool to detect Mycobacterium tuberculosis in environment. A semi-quantitative approach for a bioaerosol monitoring of M. Tuberculosis based on a DNA diagnostic involving the polymerase chain reaction (PCR) was adapted for direct detection of Mycobacterium tuberculosis, in different indoor locations. The method was assessed by tests in hospital rooms (in the presence of tuberculosis patients, in a bronchoscopy room, in mycobacteria laboratory and in a bus carrying homeless people. The method was put into practice, with positive results in hospital rooms where tubercular pneumonia patients were hospitalized during the first days after the diagnosis and in the mycobacteria laboratory. These methods could be adapted to study environmental spreading of M. Tuberculosis airborne particles expelled from the human respiratory tract and applied to risk-assessment studies
Bonneau, Lila. "De l'origine aux devenirs de l'architecture thérapeutique du XXème siècle et de ses milieux : l'hôpital Beaujon à Clichy (1935-2021)". Thesis, Université Paris Cité, 2021. https://wo.app.u-paris.fr/cgi-bin/WebObjects/TheseWeb.woa/wa/show?t=3576&f=34155.
Pełny tekst źródłaThis monographic building research focuses on the Beaujon Hospital in Clichy, inaugurated in 1935 (Urbain Cassan and Louis Plousey, architects, and Jean Walter, architect-construction company manager). The first high-rise hospital in Europe, this "Healing Machine" is striking in its balance between the international influences of Americanism and the rationalism of French building culture. This hospital also reflects the hygienist, functionalist and Art Deco aesthetic approaches of the inter-war period. It also draws its strength from the designers' desire to build a space conducive to well-being and healing. Considered obsolete in the face of medical developments and increasing technical-regulatory restrictions, the Beaujon Hospital is expected to change its original use, although it has undergone increasingly rapid adaptations, particularly at the time of the 2020-2021 health crisis. Through an understanding of the history and memory of the site, from its genesis and anamnesis, to its current state, this thesis seeks to highlight the material and immaterial values that make up the "Beaujon Spirit". As the first study to cover the space-time arc of this building and its surroundings, a symbol and an icon of 20th century hospital architecture, this research attempts to open up future perspectives, based on an analysis of the potential for transformation of an exceptional work and site
Almakki, Ayad Qasim Mahdi. "Résistance aux antibiotiques dans des eaux urbaines péri-hospitalières considérées dans un continuum hydrologique". Electronic Thesis or Diss., Montpellier, 2017. http://www.theses.fr/2017MONTS002.
Pełny tekst źródłaAquatic ecosystems subjected to anthropic pressures are places of rapid evolution of microbial communities. They are likely hotspots for emergence of infectious disease agents resistant to antibiotics. The city of Montpellier is located in a small watershed that undergoes brutal rainfall episodes and strong demographic pressures. A hospital is located in a runoff area including two small urban rivers originating from karstic groundwater few kilometers upstream. The aim of the study is to explore bacterial communities in urban rivers flowing near hospital settings in order to evaluate the influence of runoffs on antibiotics resistance in the bacterial communities. Bacterial communities are also described in upstream karstic aquifers.An introductive section presents the methods available for studying antimicrobial resistance in environment and then reviews comprehensively bibliography on antibiotics resistance in urban runoffs. This part supports the experimental strategies. The method developed herein, called community Inhibitory Concentration (c-IC) determination is combined to taxonomic richness description to provide a tool that gives a rapid snapshot of resistant bacterial communities in aquatic environments. A strategy derived from c-IC approach allows the exploration of bacterial resistance in the urban hydrologic system near the hospital and in karstic aquifers. The collected microbiological data has been completed by hydrological, hydrogeological, climatic and physico-chemical data.The impact of very low concentration of antibiotics on the bacterial community structure in various water bodies was demonstrated and appeared as an indicator of the vulnerability of ecosystems to antimicrobial pressures. The taxonomic repertory of the urban river communities was described and its dynamics was compared to environmental conditions. Hospital vicinity significantly increase the prevalence of resistant bacteria compared to a similar urban area remote from hospital. Diverse clinically relevant cephalosporins and carbapenems resistant bacteria have been isolated. Surprisingly, a NDM-producing Escherichia coli, which is a highly resistant and emerging pathogen was reported for the first time in a French River. The clone was detected in two independent sampling showing its persistence. The blaNDM-5 gene and its surrounding sequences were described on a transferable IncX3 plasmid, indicating possible genetic transfer to other bacteria. The antimicrobial resistance in karst groundwater varied in time and space and was hardly compared with that described in related rivers.In urban settings, water quality and infectious risk is generally assessed on sewers and wastewater treatment plants effluents. This study shows that runoff waters in urbanized area contribute to the emergence and dissemination of antimicrobial resistance. Considering the worrisome epidemiology of infectious diseases, it urges to decipher all environmental reservoirs for resistant bacteria in order to complete knowledges about the epidemiological cycle of antimicrobial resistance and try to break or slow down it
Bellagamba, Gauthier. "Qualité de vie au travail et environnement organisationnel : études qualitatives et quantitatives sur les personnels en établissement de santé". Thesis, Aix-Marseille, 2016. http://www.theses.fr/2016AIXM5028/document.
Pełny tekst źródłaAIM. These researches examined the association between quality of work life (QoWL) and organizational factors within health care workers. METHOD. Two studies by questionnaires and two studies by semi-structured interviews were conducted. Studies by questionnaires explored the professional psychosocial characteristics (JCQ), quality of life (SF-12) and psycho-organizational constraints (NWI-EO). The interviews focused on the work organization, the work environment, the interpersonal relationships and the influence of work on health. RESULTS. A total of 452 professionals participated in the studies by questionnaires and 36 professionals were interviewed. Professionals who lived a department relocation have presented an increase of job strain associated with social isolation and declared greater constraints concerning the lack of communication as well as team relationships. In our population, the other main factors associated with the degradation of psychosocial characteristics and quality of life are to work more than two weekends a month, to be regularly on call, to work in non-functional environments and to do not participate in regular meetings. CONCLUSION. These results call the hospital management to design more appropriate communication processes, to provide a good balance between professional and personal life as well as an ergonomic and functional environment
Laval, Quentin. "Un environnement de modélisation et d'aide à la décision pour un problème de livraison - collecte sous incertitudes : application à la PFL de l'AP-HM". Thesis, Aix-Marseille, 2017. http://www.theses.fr/2017AIXM0193.
Pełny tekst źródłaThis thesis work is part of the logistics project of the Assistance Publique-Hôpitaux de Marseille. Indeed the AP-HM opened a logistics platform in April 2013 in order to central- ize production activities of meals, sterilization, storage product and bleaching of linen. These products are then transported in containers, thanks to a team of transport, to the four hospitals in Marseille. After consumption of the products, by healthcare units, used containers must be re- ported to the logistics platform that they are disinfected and reinstated in the production loop. The purpose of this research study is to propose a method and a tool to help the team of regulation of transport for the management of transport resources. This study takes into account the variability of the transport time and the hazards that could inter- vene in the life cycle of a tour of transport.For this we make a knowledge model of logistics system using the ASCI methodology. This model of knowledge is then validated with a simulation model. We offer then a method and a tool allowing the generation of daily tour schedule. This method is an ad - hoc solu- tion that integrates solving a problem loading, planning for vehicle and crew, as well as representation and statistical modelling of variability in the time of transport in urban areas. Indeed, the daily congestion rate can vary a transport time of one to two. Finally, for the management of the ups and downs, we propose a method of repair of planning that we model with multi agent systems. This last point of this thesis according to failure sce- narios, makes it possible to propose the best solution to the transport staff
Boulogne, Philippe. "Le dossier médical électronique au sein d'un environnement hypertextuel". Paris 6, 2002. http://www.theses.fr/2002PA066482.
Pełny tekst źródłaFatima, Abdouchakour. "Réservoir environnemental, persistance et succès épidémiologique des populations de Pseudomonas aeruginosa dans un hôpital". Thesis, Montpellier, 2016. http://www.theses.fr/2016MONTT102/document.
Pełny tekst źródłaPseudomonas aeruginosa is an environmental pathogen that growths in water and plumbing systems. In hospital, the rate of healthcare associated infections (HAIs) and outbreaks caused by P. aeruginosa raised questions about the cycle of its transmission to human beings in the hospital environment. P. aeruginosa epidemiology at the Montpellier Academic Hospital allowed to collect 730 strains isolated over a 9-years period. This collection is representative of various environmental niches and two marked epidemiological periods. Clinical strains involved in outbreak events and serious infections were also included in the study. Genetic and phenetic analysis were performed with the aim to understand structure, dynamics and persistence of P. aeruginosa populations in various hospital reservoirs as well as the relationships between environmental reservoirs and epidemic success of P. aeruginosa.The experimental study, organized in 3 parts, produced the following major results. Medical and technological reservoirs of P. aeruginosa are highly dynamic and clonal emergence occurs in these systems, particularly in relation with networks decontamination by biocides. At the hospital scale, environmental reservoirs are directly involved in outbreak events. Physical barriers between water and patients cut the cycle of transmission from environment to human and markedly changed the epidemiology with a decrease of outbreaks in frequency and incidence. Moreover, the most ubiquitary strains that also persists in environment correspond to Epidemic High Risk (EHR) clones that succeed locally and globally. Population structure of P. aeruginosa within the hospital is similar to the worldwide population or to more local populations previously described: an epidemic structure with a background of recombinations involved in lineages emergence. The major EHR clone ST308 is more resistant to antibiotics than other prevalent clones not involved in outbreaks. However, the study of 46 strains in ST308 showed extreme within genotype variability, particularly various behaviours against antimicrobial agents. Increased ability to form biofilm and decreased motility have been described in literature as specific traits of EHR clones but it is not observed in this study. Our main hypothesis is that epidemic success of EHR clone ST308 in the hospital was linked to its diversity and versatility rather than to specific characters shared by all EHR strains.This study provides strong arguments in favour of the involvement of P. aeruginosa environmental reservoirs in HAI outbreaks. For a better control of these outbreaks, a surveillance of EHR clones of P. aeruginosa should be implemented independently to their antibiotic resistance. Moreover, barriers between environment and patient should be established as soon as an environmental reservoir of EHR clone is detected.Key words : Pseudomonas aeruginosa, Healthcare Associated Infections, outbreak, environment, water network, population structure, epidemic high risk clone, resistance to antibiotics, biofilm, motility, intraclonal variation, adaptation
Vassallo, Laurent. "Le droit du développement durable appliqué aux établissements de santé". Limoges, 2010. https://www.bnds.fr/collection/theses-numeriques-de-la-bnds/le-droit-du-developpement-durable-applique-aux-etablissements-de-sante-9782848741536.html.
Pełny tekst źródłaBaranovsky, Sophie. "Circulation et persistance de pathogènes nosocomiaux multirésistants et hautement résistants émergents dans l’environnement hospitalier : complexité des unités de transmission". Thesis, Montpellier, 2020. http://www.theses.fr/2020MONTG002.
Pełny tekst źródłaHealthcare-associated infections (HAI) are a major concern of Public Health because of their involvement in the global threat of antibiotic resistance, predicted to become the first cause of mortality in 2050 with about 10 million deaths a year. The high antibiotic consumption associated with both patients’ promiscuity and vulnerability make hospital an ideal place for cross-transmission of bacteria, especially drug-resistant bacteria, and for outbreak occurrence. Surfaces within hospital environment play an important role in these phenomena, serving as reservoir or relay for bacteria responsible of HAI. Better understand the diffusion of bacteria responsible of HAI onto hospital surfaces appears as a major axe of research.In order to observe the circulation and persistence of gram-negative bacteria (GNB) involved in HAI onto hospital surfaces, and to identify the reasons of diffusion and outbreak successes of certain bacterial species and sub-species, we performed intensive samplings of hospital environment, with a total of 5329 surfaces sampled. Two sources of contamination were considered: the hydric origin with Pseudomonas aeruginosa in leading position, and the human origin with carbapenemase-producing bacteria (CPB).During this work, we collected 567 strains by sampling the hospital environment. For every strain, both clinical, ecological and epidemiological data were gathered. The strains collection isolated in real conditions of hospital activities is the foundation of this thesis and constitutes its originality. It permitted to retrace, as close as possible to real-life conditions, the routes of transmission of bacteria responsible of HAI on hospital surfaces. This allowed us to identify environmental reservoirs of GNB and analyze the circulation of hydric bacteria between water and water point-of-use, surfaces and patients, as well as the circulation of human bacteria between patients and hospital surfaces. These analyses integrated the different levels of complexity of bacteria through the diversity of bacterial population and sub-populations. Considering this complexity as a whole seems to be the key to better understand the involvement of hospital environment in the transmission of bacteria responsible of HAI. Furthermore, we demonstrated that the close environment of patients reflected the bacteria colonizing/infecting patients, while providing further information on its diversity. Thus, the patient within its healthcare environment must be considered as a unique entity of transmission in order to better anticipating the diffusion of bacteria in hospital environment and the occurrence of outbreaks
Mullot, Jean-Ulrich. "Modélisation des flux de médicaments dans les effluents hospitaliers". Paris 11, 2009. http://www.theses.fr/2009PA114825.
Pełny tekst źródłaThe management of water contamination by pharmaceutical residues requires knowledge of the loads entering the sewage network: this study try to describe and model the contribution of the hospital sewage. A prioritization method was first applied to select a limited number of target molecules, then analyzed in the wastewater of 3 hospitals and in the influent and effluents of WWTPs. All target molecules investigated, except one, were detected at least once in hospital wastewater at concentrations ranging from a few ng. L-1 to a few mg. L-1. These measures have helped to provide models, using easily available data in hospitals, to obtain a probabilistic prediction of drug residues loads emerging from hospitals. Finally, for each molecule, the part of hospital source in the total load of urban pollution has been assessed to provide a contrasted picture of this contribution
Almakki, Ayad Qasim Mahdi. "Résistance aux antibiotiques dans des eaux urbaines péri-hospitalières considérées dans un continuum hydrologique". Thesis, Montpellier, 2017. http://www.theses.fr/2017MONTS002/document.
Pełny tekst źródłaAquatic ecosystems subjected to anthropic pressures are places of rapid evolution of microbial communities. They are likely hotspots for emergence of infectious disease agents resistant to antibiotics. The city of Montpellier is located in a small watershed that undergoes brutal rainfall episodes and strong demographic pressures. A hospital is located in a runoff area including two small urban rivers originating from karstic groundwater few kilometers upstream. The aim of the study is to explore bacterial communities in urban rivers flowing near hospital settings in order to evaluate the influence of runoffs on antibiotics resistance in the bacterial communities. Bacterial communities are also described in upstream karstic aquifers.An introductive section presents the methods available for studying antimicrobial resistance in environment and then reviews comprehensively bibliography on antibiotics resistance in urban runoffs. This part supports the experimental strategies. The method developed herein, called community Inhibitory Concentration (c-IC) determination is combined to taxonomic richness description to provide a tool that gives a rapid snapshot of resistant bacterial communities in aquatic environments. A strategy derived from c-IC approach allows the exploration of bacterial resistance in the urban hydrologic system near the hospital and in karstic aquifers. The collected microbiological data has been completed by hydrological, hydrogeological, climatic and physico-chemical data.The impact of very low concentration of antibiotics on the bacterial community structure in various water bodies was demonstrated and appeared as an indicator of the vulnerability of ecosystems to antimicrobial pressures. The taxonomic repertory of the urban river communities was described and its dynamics was compared to environmental conditions. Hospital vicinity significantly increase the prevalence of resistant bacteria compared to a similar urban area remote from hospital. Diverse clinically relevant cephalosporins and carbapenems resistant bacteria have been isolated. Surprisingly, a NDM-producing Escherichia coli, which is a highly resistant and emerging pathogen was reported for the first time in a French River. The clone was detected in two independent sampling showing its persistence. The blaNDM-5 gene and its surrounding sequences were described on a transferable IncX3 plasmid, indicating possible genetic transfer to other bacteria. The antimicrobial resistance in karst groundwater varied in time and space and was hardly compared with that described in related rivers.In urban settings, water quality and infectious risk is generally assessed on sewers and wastewater treatment plants effluents. This study shows that runoff waters in urbanized area contribute to the emergence and dissemination of antimicrobial resistance. Considering the worrisome epidemiology of infectious diseases, it urges to decipher all environmental reservoirs for resistant bacteria in order to complete knowledges about the epidemiological cycle of antimicrobial resistance and try to break or slow down it
Hammouni, Zakia. "L’expérience vécue des professionnels de la santé dans un grand centre hospitalier universitaire à Montréal : un regard contextuel". Thesis, 2020. http://hdl.handle.net/1866/25509.
Pełny tekst źródłaThe objective of this doctoral research is to understand how healthcare professionals live in their work environment and what attributes of this physical environment facilitate their work and promote their well-being. The recent emerging hospital context and the construction of new large university hospital centres (CHU) in Quebec during the last decade have changed the nature of the hospital environment significantly. This new environment considers the multiplicity of users, stressors and multiple interactions of health professionals. Furthermore, this new hospital complex integrates new design approaches to alleviate users stress levels and ensure their well-being. The patient centred design approach implemented prioritizes the patient’s well-being and yet little is known about how the physical environment affects the experiences of healthcare professionals. This study examines these issues and their pertinence in light of prior scientific literature, that until recently has placed less emphasis on the healthcare professionals’ interactions within the physical work environment itself. Using a constructivist approach, this study explores these issues in the context of experiences within two care units at one new university hospital complex known as the CHU (Centre Hospitalier de l'Université de Montréal), Canada. Data collection methods included observations of the physical setting and healthcare experiences, supported by semi structured interviews and cognitive mapping that were used to collect data from 44 healthcare professionals. Data analysis uses both a comparative and interpretative approach to analyse the lived experiences of healthcare professionals from diverse perspectives. Results indicate that healthcare professionals evaluated their work environment as supportive. However, they perceived some attributes of the physical environment in this hospital as stressors and the stress faced by these professionals affect the quality of care of patients within the physical environment. The physical environment has an impact on the functioning of the care unit and its management. This study’s contribution includes establishing a portrait of the lived experiences of healthcare professionals and identify both the quality of care issues and the stress limitations among healthcare professionals as these are related to the physical environment. It highlights the importance of adapting the organizational and management system to the spatial configuration of care units in order to achieve optimal performance.
Beaudet, Geneviève. "Relation entre le ratio infirmières-patients, la composition des équipes soignantes et la perception de l'environnement de pratique des infirmières". Thèse, 2007. http://hdl.handle.net/1866/7794.
Pełny tekst źródłaVanié, Bi Dje Jules. "L'évaluation de l'implantation de la politique du recouvrement des coûts des actes de santé en Côte d'Ivoire". Thèse, 2002. http://hdl.handle.net/1866/15066.
Pełny tekst źródłaBilterys, Robert. "Le contexte interne d’implantation d’un environnement de travail promoteur de santé pour les infirmières d’un centre hospitalier universitaire du Québec". Thèse, 2013. http://hdl.handle.net/1866/10495.
Pełny tekst źródłaIn 2006, a University Hospital in Montreal decided to implement the "Health Promoting Hospital" project in a context where nurses’ working conditions were particularly difficult. A case study was conducted at the University Hospital in order to better understand the internal context of implementation of the subproject ‘health promoting workplace'. Interviews were conducted with 7 strategic stakeholders and 18 head nurses to examine their perceptions about the implementation of the HPH project, and particularly of a ‘health promoting workplace’ for nurses. A questionnaire was administered by interview to four key strategic stakeholders of the hospital to assess the compatibility of organizational practices with the standards and criteria of one dimension of the HPH project i.e. the health promoting workplace. The results show similarities and differences among strategic stakeholders’ perceptions about the internal context of implementation. The similarities are on utility, compatibility of the subproject ‘health promoting workplace’ with the organizational values, the need for a gradual implementation, as well as obstacles to its implementation. Differences have lead to five discourses from strategic actors with different levels of commitment. These levels depend on factors of intelligibility (i.e. understanding of the HPH concept, perceived role in the implementation, implementation strategies, vision of implications of the HPH concept). The results also reveal that all head nurses perceive the usefulness and compatibility of the subproject ‘health promoting workplace' with the organizational values, norms, strategies and goals, as well as the same obstacles to its implementation perceived by the strategic stakeholders. They also show two groups of head nurses differing on proposed and used strategies to implement a ‘health promoting workplace’. The strategies of group 1 can be compared to those of transactional leaders, while those of group 2 can be compared to transformational leaders. Finally, results from the questionnaire show various levels of compatibility between hospital practices and the criteria of a health promoting workplace. Compatibility is high on the criteria for organizational learning and efficiency, health and safety strategies, activities related to health promoting lifestyles, and changes in the physical and social environment. However, it is low for the criteria on health promotion policy and nurses’ participation. Our study has shown the importance of organizational readiness to implement an innovation, a concept hardly considered in the studies about the implementation efficacy of innovations in health services, and particularly the HPH project. Our results also highlighted the importance for a hospital wishing to implement a ‘health promoting workplace’, to train its staff and managers about the HPH project, to have an effective communication plan, and to achieve an organizational diagnostic prior to implementation.
Feillou, Isabelle. "La prise en compte des aînés et de leurs activités : étude du projet Vendôme à Montréal dans la perspective de l’ergonomie et du design urbain". Thèse, 2017. http://hdl.handle.net/1866/18424.
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