Teses / dissertações: "Health care teams Attitudes"

1

Kerry, Matthew James. "Person and professional program determinants of health provider student attitudes toward inter-professional teamwork". Thesis, Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/45745.

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Health provider student characteristics and professional program were evaluated as predictors of attitudes toward inter-professional (IP) teams. Sixteen months after completing a self-report battery of demographic and non-ability trait measures, participants completed a second survey (N = 213), assessing components of attitudes toward IP teams. Non-ability traits showed comparable within-program predictive validities for affective reactions toward IP behavior. Additionally, results indicated the incremental predictive validity of trait Dominance and Motivational Inter-professional Team Intelligence, over professional program, for IP attitudes and affective reactions toward IP behavior, respectively. The independent, relative, and joint roles of non-ability individual differences and professional program as determinants of IP training outcomes are discussed.

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Stilp, Curt Carlton. "Rural Interprofessional Health Care Education: a Study of Student Perspectives". PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/3624.

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As the cost for health care delivery increases, so does the demand for access to care. However, individuals in a rural community often do not have access to the care they need. Shortages of rural health care professionals are an ever-increasing problem. The Affordable Care Act of 2010 sought to increase health care access by focusing on team-based care delivery. Thus, the need to educate health care students in the fundamentals of team-based practice has led to an increased emphasis on Interprofessional Education (IPE). While past research focused on urban IPE, a literature gap exists for the effects of a rural team-based educational experience on practice location decisions. This study examined how rural IPE influenced health profession students' perspectives of what it means to be a member of a rural health care team and explored what factors go into making decisions of where to live and provide care. Motivational Theory provided the framework for a mixed methods approach with data from student reflective journaling and a post-experience Q sort. Analysis yielded important understandings about the impact of rural IPE. Accordingly, having a rural IPE experience provided positive motivation for returning after graduation. Further, the time spent in rural IPE generated understandings of what it means to live and provide care to a rural community. One important new discovery gained is the clinical setting is not where most IPE took place. As a result, social interactions with fellow students and community members achieved the goals of rural IPE. Despite these influential findings, noted barriers to genuine rural IPE persisted. In the end, students, educators, and rural health care professionals need to be aware of the multiple factors that guide decisions of where to live and provide care.

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Topham, Maren. "Parental Attitudes of Immunization in Children with Special Healthcare Needs: A Qualitative Study". BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/7271.

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Background and Purpose: Just over 15% of children under 18 years of age in the UnitedStates, or approximately 11.2 million children, are estimated to have special healthcare needs.Although children with special healthcare needs (CSHCN) make up a small percentage of thepediatric population, they account for over one third of pediatric medical care. Parental attitudesregarding immunization play a significant role in vaccination rates among children. The purposeof this research is to explore parental attitudes regarding immunization of CSHCN.Methods: This qualitative study focused on parental perceptions and beliefs aboutimmunizations for CSHCN. Sixteen participants, who were parents of CSHCN from onepediatric specialty care clinic participated in focus groups. Institutional review board approvalwas received prior to data collection.Results: While the purpose of this study was to determine the attitudes of parents ofCSHCN regarding immunizations, analysis revealed parents simply wanted to share their lifeexperiences rearing these children, with issues of immunization being secondary. Participantsdescribed the experience of caring for their CSHCN related to isolationism and the weight ofresponsibility as leader of their child<'>s care. Additionally, the majority of parents thatparticipated viewed childhood vaccinations in a positive light. Parents acknowledged that it wasimportant for their own children to receive vaccines. Participants also recognized that it wasimportant for the community to be vaccinated in order to protect their child. However, the desirefor individualized care, at times, caused parents to disregard the immunization schedulerecommended by Center for Disease Control and Prevention.Conclusions: Health care providers can be effective and influential members of the healthcare team by engaging in community based education about vaccines, building trustingrelationships with parents and helping parents understand the need to follow the recommendedschedule for immunizations.

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Bull, Rosalind Margaret. "Theatre wear must be worn beyond this point : a hermeneutic ethnographic exploration of operating room nursing". Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb9355.pdf.

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Blanton, Sandra. "Justice in Health Care Access Measuring Attitudes of Health Care Professionals". TopSCHOLAR®, 2000. http://digitalcommons.wku.edu/theses/714.

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To measure attitudes toward justice in access to health care services in managed care plans in a convenience sample of medical professionals at Clark Memorial Hospital in Jeffersonville, Indiana. Methods. A sixteen item, self-administered instrument based on Morreim's four concepts of justice in health care access was administered to 147 health care professionals, representing physicians, allied health, and hospital administration. SPSS was used to analyze the results. Results. The attitudes of the respondents were negative toward managed care. They did not feel that managed care had been a positive development in the United States or that managed care had improved access to preventive care or improved primary care. On the survey instrument, respondents scored highest on the scale measuring fairness to individual patients. Conclusion. In a convenience sample of health care professionals at Clark Memorial Hospital in Jeffersonville, Indiana, equity in distributing access to health care among individual patient needs was found to more closely meet their expectations of justice in health care access. There were no differences found across occupational groups in their responses to the two scales. There were differences in attitudes toward managed care among occupational groups.

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Mickan, Sharon. "Understanding effective teams in healthcare environments /". St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16088.pdf.

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Hermary, Martin Ted. "An analysis of the "team" concept in the health care literature /". Thesis, McGill University, 1991. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61091.

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This thesis provides an account of the discussions of the "team" concept in health care literature since the early 1920s. It is argued that by adopting a historical, social constructionist stance, this thesis makes an original contribution to the literature. The research consisted of an inductive analysis of the "team" literature aiming to typify the ways in which the "team" concept has been constructed and historical, national or professional differences which have occurred. Historically, claims about "teamwork" in health care have occurred in four phases: (1) a statement of basic issues and themes; (2) the emergence of ideas of flexibility and adaptability; (3) a period of optimism; and (4) the co-existence of positive, sceptical, and critical claims. The professional and national differences in claims-making activities are also discussed. The least challenged claims about, and recent re-evaluations of, the "team" concept are also discussed. (Abstract shortened by UMI.)

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Thakker-Desai, Bayjool. "Health attitudes and personal health-care decisions in Bombay, India". Thesis, London School of Economics and Political Science (University of London), 1992. http://etheses.lse.ac.uk/2821/.

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Utilisation of medical sources other than the modern Western medicine (Allopathy) is characteristic of most societies. Health-care utilisation studies, in medically pluralistic societies, fall short of providing adequate explanation of how and why different medical sources are used. The present thesis is an attempt to delineate the social psychology of the health-care utilisation behaviour of people in Bombay by concentrating on the interplay between the individual, the social environment and the culture. It, therefore, benefits from disciplines both within and outside mainstream psychology like societal psychology, sociology, anthropology and medicine. The study addresses a twofold question: how are treatment related decisions made and what are their determinants. To answer these questions, an understanding of variables pertaining to the person as well as a consideration of the societal context is necessary. Following a quantitative pilot study, the research involved retrospective data collected with the help of a partially structured questionnaire using a quota sample of 480 Gujarati-speaking adults. The quotas were set for sex, income and illness types. The survey instrument elicited information on predisposing (demographic, social structural, belief and social), enabling (family resources and prior access) and illness (type and manifestation) variables as well as the process of seeking care. The results, highlight that health-care utilisation behaviour in a medically pluralistic setting is not a singular act but a continuously evolving decision-making process wherein sources are used differentially. Typically, the treatment-seeking process began with the use of non-formal sources, followed by an entry into the professional sector, invariably through an Allopathic family doctor. Subsequently, the individuals either revert back to non-formal sources, continue to remain within Allopathy or exhibit an irreversible shift to non-Allopathic formal sources. Accordingly, there exists a need to redefine health-care utilisation behaviour in terms of sequential patterns of usage. These patterns, are determined by individually based variables belonging to all three categories as mentioned above. However, in contrast to certain trends, the effect of demographic, social structural and income variable was very small. Between 18-42% of the respondents within each illness cluster, used two or more formal medical systems. Compared to their counterparts who used only one formal system, the multiple users were more likely to suffer from chronic illnesses, rely on lay advice, prefer non-Allopathic systems and already have an access to non-Allopathic sources of care.

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MacNaughton, Kate. "The Dynamics of Role Construction in Interprofessional Primary Health Care Teams". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23544.

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This qualitative study explores how roles are constructed within interprofessional health care teams. It focuses on elucidating the different types of role boundaries, the influences on role construction and the implications for professionals and patients. A comparative case study was conducted with two interprofessional primary health care teams. The data collection included a total of 26 interviews (13 with each team) and non-participant observations of team meetings (2-3 meetings at each site). Thematic analysis was used to analyze the data and a model was developed to represent the emergent findings. The role boundaries are organized around interprofessional interactions (autonomous-collaborative boundaries) and the distribution of tasks (interchangeable-differentiated boundaries). Salient influences are categorized as structural, interpersonal and individual dynamics. The implications of role construction include professional satisfaction and more favourable wait times for patients. The elements in this conceptual model may be transferable to other interprofessional primary health care teams. It may benefit these teams by raising awareness of the potential impact of various within-team influences on role construction.

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Poole, Gail Frances. "Talking about tubes : attitudes of health care professionals". Thesis, [S.l.] : [s.n.], 1998. http://www.nlc-bnc.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.

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Poole, Gail Frances. "Talking about tubes, attitudes of health care professionals". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50857.pdf.

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McGuire, White Kathleen, McKenzie Calhoun, Beth Bailey e Jesse Gilreath. "Interprofessional Transitional Care Teams Reduce Medications Needed Post-Discharge". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/181.

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Purpose: The United State health system is fractionated: most patients travel from location to location to see various clinicians about specific aspects of their health. The poor outcomes and high cost we currently see in the United States health system has challenged clinicians to explore better processes. This study sought to identify the potential impact of utilizing interprofessional transitional care (IPTC) teams in the primary care setting following hospitalization. One outcome measured was the relationship between pharmacist’s participation and number of medications a patient was taking after their IPTC visit. Electronic Health Records were utilized to extract patient data and it was analyzed using SPSS and R programming to examine relationships between patient populations, disease states, number of medications, and pharmacist intervention. This study was conducted as part of an overall investigation into benefits of IPTC teams in Primary Care. We expect that the number of the medications to be reduced for patients that had a pharmacist involved in their transitional care visit.

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Morgan, Natalie D. G. "The impact of health care reforms on community health nurses' attitudes /". St. John's, NF : [s.n.], 2002.

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Baker, Norma G. L. "Health care restructuring in acute care settings : implications for registered nurses' attitudes /". St. John's, NF : [s.n.], 2002.

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15

Satterstrom, Patricia. "How Micro-Processes Change Social Hierarchies in Teams". Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:32744408.

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Social hierarchies can prevent teams from hearing and using all of their members’ contributions. They are also ubiquitous and difficult to change, reinforced by conscious and unconscious factors as well as social-structural systems. Social hierarchies in teams, however, can and do change. This dissertation diverges from recent research focused on the stability of social hierarchies to argue that social hierarchies in teams can become more dynamic over time; it also explores why and how this shift comes about and how it impacts team member relationships and interaction patterns. In chapter 2, “Toward a more dynamic conceptualization of social hierarchy in teams,” I theorize about the antecedents and processes that allow teams to shift their social hierarchy, focusing on the importance of socialized schemas, identity, emotions, and behaviors. Chapters 3 and 4 draw from a 31-month ethnographic investigation into these processes in three multidisciplinary “change teams” in primary health care clinics. These teams were specifically charged with moving their organization toward a more dynamic social hierarchy to remain competitive in their industry. I studied how team members did this within their own team. In chapter 3, “Microwedges: Moving teams from rigid to dynamic social hierarchy,” I identify and theorize about the process through which an extra-role behavior, over time, helps to create cognitive changes in team members, prompting them to change their task strategies, role responsibilities, and communication patterns to promote dynamic social hierarchy in the team. Chapter 4, “The changing nature of social hierarchy and voice” follows a change team on a weekly basis over 22 months to document a shift to dynamic social hierarchy and to theorize about the relationship between social hierarchy and voice and silence via “opening” and “closing” behaviors and the team conversation structure. My dissertation extends and generates theory about social hierarchy and voice. It introduces the concepts of dynamic social hierarchy and the microwedge process to further our understanding of how teams and their members change over time. It also has practical implications for how team members can engage with the social hierarchy in which they are embedded, alter their teams’ processes, and help their organizations rethink entrenched assumptions about the capabilities and preferences of their members.

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Mitchell, R. Michael. "Comparative impact of selected group input variables on self-assessments of group process skills in interdisciplinary health care teams : a field study". PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4129.

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During the past two decades interdisciplinary health care teams have come to be considered an integral component in the efficient delivery of health care. Interdisciplinary teams dealing with the increasingly complex problems of patients are now common in many health care settings. The purpose of the present study was to investigate the individual and collective impact of several group process inputs, common to interdisciplinary health care teams, on team members' appraisals of their own group process skills.

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Rimkuvienė, Jūratė. "Attitudes towards infection control among dental health care professionals". Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110630_133927-98023.

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The oral flora is one of the most ecologically diverse microbial populiations known to man. It has been proved that any dental intervention: dental preparation, professional oral hygiene, extraction of teeth, regular prophylactic examination of patient‘s mouth is related with a possible spread of infection. Therefore, one of the most important tasks for the dental care professionals is to prevent the spread of infection and create safe environment for a patient, the dentist himself and other dental staff The aim of the present study is to identify and evaluate the attitudes of Lithuanian dental health care professionals towards infection control and carried out infection control procedures, and to determine vaccination frequency against hepatitis B among dental health care professionals. The study highlighteningt the dental health care professionals‘ attitude towards infection control and infection control procedures as well as incompliance of infection control procedures with the valid normative documentation was conducted at the Institute of Odontology, Faculty of Medicine, Vilnius University in 2008-2010. All 2,235 Lithuanian dentists, registered in the Lithuanian Dental Chamber Registry in 2008 and carrying general practice dentist‘s license, all 1,814 dental assistants and all 370 dental hygienists registered in 2010 (according to the database of the Lithuanian Dental Chamber Registry) were invited to take part in the investigation. The participants of the study survey... [to full text]
Burna yra viena labiausiai infekuotų žmogaus organizmo sričių. Įrodyta, kad bet kuri odontologinė intervencija – dantų preparavimas, profesionali burnos higiena, dantų šalinimas, įprastinė profilaktinė paciento burnos apžiūra – yra susijusi su galimu infekcijų plitimu. Todėl vienas iš svarbiausių odontologine praktika besiverčiančių asmenų uždavinių yra užkirsti kelią infekcijų plitimui ir sudaryti saugią aplinką pacientui, gydytojui odontologui ir kitam personalui. Darbo tikslas – nustatyti ir įvertinti Lietuvos odontologinės sveikatos priežiūros specialistų požiūrį į infekcijų kontrolę ir atliekamas infekcijų kontrolės procedūras, išsiaiškinti vakcinacijos nuo hepatito B apimtį tarp Lietuvos odontologinės sveikatos priežiūros specialistų. Odontologinės sveikatos priežiūros specialistų požiūrio į infekcijų kontrolę, atliekamas infekcijų kontrolės procedūras, infekcijų kontrolės procedūrų neatitikimus galiojantiems norminiams dokumentams tyrimas atliktas 2008 – 2010 metais Vilniaus universiteto Medicinos fakulteto Odontologijos institute. Tyrime buvo pakviesti dalyvauti visi 2235 Lietuvos gydytojai odontologai, 2008 metais registruoti Lietuvos odontologų rūmuose ir turintys bendros praktikos gydytojo odontologo licenciją ir visi 1814 gydytojų odontologų padėjėjai bei visi 370 burnos higienistai, registruoti 2010 metais (pagal Lietuvos odontologų rūmų duomenų bazę). Tyrimo dalyviams buvo išsiųsti anoniminiai klausimynai. Odontologinės sveikatos priežiūros specialistų požiūris... [toliau žr. visą tekstą]

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Zvonkovic, Jessica. "Development of the Attitudes Toward Integrated Health Care Scale". OpenSIUC, 2015. https://opensiuc.lib.siu.edu/theses/1663.

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This study created and tested a measure of the attitudes of health care providers toward integrated health care (IHC). Phase one of this scale development involved contacting experts in IHC to rate the quality of the items and provide qualitative feedback regarding content of the measure. The instrument was further revised based on this expert feedback. The final phase of instrument development was a field test of the measure with a larger, more representative sample of Physicians, Nurses, and Psychologists. Exploratory Factor Analysis (EFA) was used to determine the factor structure of the measure and to inform the final item composition of the measure. The Attitudes Toward Integrated Health Care scale (ATIHC) appears to be a reliable, valid, and potentially useful instrument for researchers and health care settings to use to assess professionals attitudes toward health care integration. It taps general positive and negative attitudes as well as ideas about characteristics that facilitate health care integration. Since there is now a base knowledge of health professional's attitudes toward IHC, work needs to be completed to better discern which items will differentiate between participants with positive and negative attitudes. Further, it will be essential to highlight items having the largest practical implications in health settings. In order to determine the most relevant questions to be included in the ATIHC and the corresponding most appropriate factor structure, further research should be completed with a larger and more representative sample of participants who posses a wider range of attitudes.

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Farrell, Kathy, e University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion". Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.

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The concept of health promotion is an alternative and emerging orientation. Here the belief is that all people have strengths and are capable of determining their own needs, finding their own answers, and solving their own problems. Most health care professional have been educated in the medical model of health. In this model, the health care professional, especially the physician, plays an active part as an expert on disease; the patient or client has essentially a passive role, and the disease rather than the person is the focus. The role of health care professionals in health promotion is an important one and will continue to expand with the new focus of the province of Alberta's health system. The focus of that system, and other health systems in Canada and abroad, is increasingly upon health promotion rather than disease treatment. The purpose of this study was to determine the perceptions of a variety of health care professionals working in the community and in the hospital setting relating to health promotion. The study takes a non-experimental approach utilizing a descriptive design. All professional staff including registered nurses, occupational therapists, recreational therapists, physiotherapists, respiratory therapists, social workers, dental workers, nutritionists, speech-language pathologists, and physicians working in Palliser Health Authority were asked to participate in the survey. Two hundred and thirteen staff responded to a questionnaire desgined to reflect their perceptions on the importance of health promotion, determinants of health, principles of health promotion, and skills and knowledge of health promotion. Staff were also asked to identify health promotion activities occuring at their work site, possible barriers to health promotion, and what was needed regarding training and support. Some of the major findings include: 1) Staff perceive health promotion to be an important part of their job. However staff working in the community perceive health promotion to be more important than those working in the hospital. Physicians were the least positive about questions pertaining to the importance of health promotion. 2) Staff perceive that the purpose of health promotion is to strengthen peoples' control over their health, but responses also indicate uncertainty concerning how control is to be defined and effected. 3) When asked to identify health promotion activities at their work site, the majority of staff pointed to the provision of information to individuals and groups. Community development was listed by very few staff. 4) When staff were asked to identify barriers to health promotion they identified the following in the order: lack of resources, old attitudes about health and health promotion, lack of support from the organization and doctors, lack of knowledge/education, and lack of communication between health care workers.
v, 101 leaves : ill. ; 28 cm.

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Sapsford, Lesley Eliaine. "The professional development of primary health care nurses in integrated self managing teams". Thesis, Bucks New University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270297.

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Asad, Sarah. "The Role of Peer Support Providers in Inter-Professional Mental Health Care Teams". Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32067.

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This qualitative study explores construction of peer support providers’ roles within inter-professional mental health care teams. The study focuses on factors influencing peer support providers' integration; implications of such integration to stakeholders; and views on introducing peer support certification. Interviews were conducted with peer support providers in two formal models of peer support employment in health care organizations in Ontario. Grounded theory approach was used to analyze data. The findings point to a variety of factors that enable peer support providers' integration as well as the challenges that they face in role construction. Implications of role integration suggested multiple benefits to various stakeholders. Participants were generally supportive of certification, but called for more research on this subject. Findings may be transferable to other formal peer models given similar contexts. Understanding of role construction and factors influencing integration may benefit peer support providers and health care organizations about to integrate the role.

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Fortin, Chelsea. "Women's Attitudes and Knowledge of Infertility Treatments". Miami University Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1304603697.

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Akinsuli, Olusegun. "Nigerian Cancer Survivors' Perceptions of Care Received From Health Care Professionals". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2631.

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Cancer patients worldwide receive care from multidisciplinary teams, and patients sometimes have little or no knowledge about the different treatment options available, making communication with their care providers an important influence in how they perceive their care. Patient satisfaction with care is an important factor in determining survivorship. The increasing prevalence of cancer worldwide has become a huge public health issue. The World Health Organization has warned that the potential gains from combatting infectious diseases in Nigeria might be lost because of the increasing prevalence of cancer. The purpose of this grounded theory study was to obtain the perceptions of 30 cancer survivors in Nigeria about their care in federally funded hospitals to improve cancer care in the country. Through a constructivist grounded theory (CGT) approach, data from 30 in-depth interviews with the cancer survivors were analyzed. Data analysis included open coding, selective coding, theoretical coding, and memo writing. Three themes emerged from the data analysis: positive perception of care (P), service improvement (S), and good care experience (G), all of which were cyclically related to form the PSG substantive theory, which indicates that better health care to cancer patients will improve preventative and curative cancer care services in Nigeria. This theory was validated by relating it to 3 theories in the literature as recommended in CGT research. The implication for positive social change is that the results might provide information that can help health care professionals to improve how they communicate with, relate to, and care for cancer patients and their families in Nigeria and other countries.

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Van, der Walt Stéphanie. "'n Studentegesentreerde opleidingsraamwerk vir kliniese verpleegpraktisyns in Noord-Kaapse plattelandse gemeenskappe /". Link to the online version, 2006. http://hdl.handle.net/10019/1634.

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Rogers, Tim. "Creating practical knowledge for managing interprofessional health care teams : the promise of critical realism and the theory of action /". Online version, 2005. http://bibpurl.oclc.org/web/30437.

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Thesis (PhDManagement)--University of South Australia, 2005.
A thesis submitted to the International Centre for Management and Organisational Effectiveness, Division of Business and Enterprise. University of South Australia. Includes bibliographical references (leaves 195-207).

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Coidakis-Barss, Christina. "INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY". Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1428068372.

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Graver, Lynne Denise. "The evaluation of the local multidisciplinary facilitation teams in primary health care, in Liverpool". Thesis, Liverpool John Moores University, 1999. http://researchonline.ljmu.ac.uk/5066/.

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COONS, STEPHEN JOEL. "THE EFFECT OF SELF-CARE INFORMATION ON HEALTH-RELATED ATTITUDES AND BELIEFS". Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183944.

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Health-case costs in the United States have been rising at an alarming pace. Therefore, a great deal of emphasis has been placed on finding more cost-effective methods of providing care and maintaining health. An area that warrants investigation is the potential for reducing inappropriate utilization of medical-care resources for relatively minor self-limiting problems. One method of accomplishing this is to provide the proper encouragement, skills, and resources to enable individuals to appropriately involve themselves in self-care activities. A study was conducted to determine if an intervention involving self-care information would change participants' beliefs and attitudes concerning responsibility and involvement in their own health care. Students entering the Student Health Service at the University of Arizona during the study period were randomly assigned to the treatment group or control group. Members of the treatment group received the intervention and were asked to complete a survey instrument. Members of the control group were asked to complete the survey instrument only. The survey instrument consisted of a measurement of attitudes toward information and behavioral involvement in health care (i.e., Krantz Health Opinion Survey) and a measure of beliefs regarding one's ability to exert control over their health (i.e., Multidimensional Health Locus of Control). Also on the instrument was a measure of the individual's behavioral intentions regarding projected use of medical-care practitioners. Results of the study indicated that the intervention was able to change the treatment group's attitudes regarding a greater preference for more active involvement in their health care. Also subsequent to the intervention, the treatment group's responses reflected less of a belief that health was outside of their control. No difference was found between the treatment and control group in regard to behavioral intentions. These results demonstrate that a positive change in health-related beliefs and attitudes can come about as a result of a relatively uncomplicated and inexpensive intervention.

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Shephard, Allyson Lee. "Parental presence during paediatric trauma resuscitation: Health care professionals' attitudes and beliefs". Thesis, University of Ottawa (Canada), 2004. http://hdl.handle.net/10393/26773.

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A qualitative study, using interpretive description, was conducted at a tertiary paediatric hospital. Its purpose was to determine attitudes and beliefs of nurses and physicians about parental presence during paediatric trauma resuscitations in the Emergency Department. Parental presence was believed to have both benefits and problems for patients, parents and the trauma team. Registered nurses and physicians expressed largely similar attitudes and beliefs related to parental presence. These depended heavily on context. Most participants believed presence was appropriate with stable children and when death was imminent. In between these two ends of the continuum, participants had greater variability in their attitudes and beliefs. Findings provide insight into how health care professionals believe they can deliver the highest quality technical care for the patient while meeting the psychosocial needs of all involved. Relevance of the findings to family centred-care is discussed. Implications for nursing practice, education and research are identified.

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Gilley, Margaret Mary. "Bridging the boundaries? : collaboration and community care, Sunderland 1990-1994". Thesis, Durham University, 1997. http://etheses.dur.ac.uk/5083/.

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The independence of the health and social care agencies makes the coordinated delivery of inter-related and inter-dependent services very difficult. Collaboration in health and social care has been a goal of policy makers for many decades, but it has not been achieved to the degree or to the extent of the aspiration. This thesis examines collaboration in the context of the NHS and Community Care Act 1990, which marked a new stage in the development of community care policy and in collaborative working between health and social services. The thesis takes the form of a case study set in Sunderland during 1990-1994, from the passing of the Act to the first anniversary of the implementation of its community care elements. It considers firstly, collaboration at a strategic planning level between Sunderland Health Authority and the Local Authority Social Services Department in the development and implementation of community care policy; secondly, the evaluation of a collaborative project at an operational level, in the attachment of a social worker to a general medical practice; and thirdly, the evaluation of a project which tried to strengthen collaborative working within the health service, among district nurses, health visitors and general practitioners. The thesis sets these three pieces of work in a number of contexts: the political setting of the NHS and Community Care Act and the changes it introduced; the literature of collaboration; and a description of Sunderland and its need for health and social care. The case study showed how difficult it is for organisations to work together. Relationships between individuals tended to be more collaborative than relationships between corporate bodies, but it is important to see the relationship between those individuals in the context of relationships between organisations. The study also found that for the success of joint projects to be sustainable and generalisable, collaboration needs to be present at all levels of the organisations. The thesis also showed that there is as much need for collaboration within the health service as between the health and social services. The thesis used as a measure a framework of factors which promote collaboration, and found that many elements were lacking in Sunderland. However, in the real world it is necessary to settle for a notion of "pragmatic collaboration" in which joint working is possible even when full collaboration is absent.

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Wibbelink, Margreet. "Perceptions of private sector midwives and obstetricians regarding collaborative maternity". Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1020979.

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The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated as the number of caesarean deliveries over the total number of live births. There is however, an international increase in the rate of caesarean section deliveries and this is a concern to midwives. The increase is evident in South Africa as well. Currently the rate of caesarean section deliveries in the private sector can be as high as 70 percent per total number of live births per year. As a result, the public often perceives giving birth surgically in South Africa as ‘normal’ and ‘safer’ than vaginal delivery, even for low-risk pregnancies. The lack of involvement of midwives in the care of pregnant women in the private sector is indicated as one of the reasons related to the high caesarean section delivery rates. This motivated the researcher to undertake a study to explore and describe the perceptions of private sector midwives and obstetricians regarding the feasibility of collaboration in maternity care. A literature review to support the study identified research done previously regarding collaborative maternity care. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included midwives and obstetricians in the private sector in the Eastern Cape. Non-probability, purposive sampling was used. The researcher conducted semi-structured one-to-one interviews to collect information rich data. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, non-maleficence, beneficence and justice. The interviews were transcribed and Creswell’s’ data analysis spiral was used as a guide for the data analysis. Themes and sub-themes were identified and grouped together to form new categories. An independent coder assisted with the coding process. Data analysis results revealed the following results Participants perceived a collaborative working relationship as being beneficial to maternity care. Participants identified that there might be critical impediments that need to be faced in order to realize collaborative maternity care. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness, which consists of the following four criteria namely credibility, transferability, dependability and conformability. The information obtained from this study assisted in developing guidelines to facilitate the implementation of collaborative maternity care between midwives and obstetricians in private practice in South Africa. The objective of the study was thus met.

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Jarva, Erika. "Health care professionals' attitudes and acceptance towards and experiences of digital health (eHealth) services". Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39883.

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The Nordic countries share common interests to digitize services in the health care sector from which their eHealth strategies are a proof of. Sweden has specifically put effort on the global scheme by setting a goal of being the best in eHealth by 2025. As one of the main goals of the strategies is increasing patient empowerment, perspective of the health care professionals in this digital shift has yet remained less noticed and the concrete effects on them is still scarcely studied. This study focuses on providing the aspect of the health care professionals and how they have perceived and experienced the digital tools and eHealth services affecting their work and what attitudes they themselves have as users. This study utilized the mixed method approach and was done in collaboration with the Digga Halland project which aims towards enhancing health care workers’ digital competences and conditions to utilize eHealth. Previously collected baseline survey data from health care professionals in different municipalities in the Halland region was analysed and five health care professionals were recruited for in-depth, phenomenological interviews. The results of this research indicate that the use of digital tools and services is common among health care professionals at work and outside work and the workers consider their digital competence rather good. However, the interview respondents presented varying attitudes towards digital services and eHealth depending on whether the services were evaluated from a professional role or outside work role when the professionals used the services themselves. Also, the current professional position guided whether the digital shift and eHealth were experienced more positively or negatively.

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Brown, Janet L. "Attitudes and knowledge about learning disabled students in health care faculties". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0015/MQ58016.pdf.

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Curtis, Drew A., Han-Hung Huang e Kendra L. Nicks. "Patient Deception in Health Care: Physical Therapy Education, Beliefs, and Attitudes". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/ijhse/vol5/iss1/4.

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A good professional-patient relationship is important to clinical practice, which may be compromised by deception. Deception research in physical therapy is scant. The current study investigated how the topic of patient deception is addressed in Doctor of Physical Therapy (DPT) educational curriculum, explore DPT students’ beliefs about deception and attitudes toward patient deception, and examine the effects of a pedagogical intervention on DPT students’ beliefs about deception and attitudes toward patient deception. The first objective was pursued by a descriptive survey sent to 217 DPT programs in the US. The second and third objectives were achieved by one-group pretest-posttest design provided to 17 DPT students before and after an educational workshop. Most DPT programs minimally include the topic of patient deception within their curriculum. DPT students held several inaccurate beliefs about the indicators of deception and negative attitudes toward patients who lied. After the educational intervention, students’ inaccurate beliefs were corrected and negative attitudes were reduced. Patient deception seems to be an under-addressed topic in current physical therapy education. An education workshop improved students’ beliefs about deception and attitudes toward to patient deception. Implications of deception research and theory in the applied practice of physical therapy are discussed.

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Walker, Matthew S. "Exploring stigmatizing attitudes toward mental illness in a midwestern long-term care facility". Thesis, Blessing-Rieman College of Nursing, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1561036.

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The purpose of this study is to assess the attitudes towards individuals with mental illness among the healthcare providers of a long-term care facility. It takes a quantitative, non-experimental, cross-sectional, descriptive approach to view relationships. Minimal research exists in this subject matter, and literature reviews suggest that negative attitudes toward mental illness exist among healthcare providers (Ahmead et al., 2010; Aydin et al., 2003; Bjorkman et al., 2008; Rao et al., 2008; Reed & Fitzgerald, 2005; Ucok, 2008; Ross & Goldner, 2009; Smith et al., 2011; Zolnierek & Clingerman, 2012). The Community Attitudes toward the Mentally Ill (CAMI) questionnaire was given to a sample of 51 long-term care employees. Data was analyzed by using the IBM Statistical Package for the Social Sciences (SPSS) version 20.0, focusing on significant results concerning t-test, chi-square, and correlations in order to answer the research questions. Findings suggest a majority of the employee's attitudes in this long-term care facility were nonauthoritarian, nonsocial restrictive, and nonbenevolent. While there was no significant empirical support for differences in attitudes among RNs, LPNs, and CNAs, certain questions on the CAMI did provide significant results. Related to this there was also no empirical evidence for differences among the attitudes of departments, except when individual analysis of each question was complete. Correlational analysis showed relationships between various variables: education and seeking treatment for oneself, race and previous work experience, department and previous work experience, authoritarian views and gender, authoritarian views and education, nonsocial restrictive view and age, community mental health ideology and age, and community mental health ideology and department. Implications on future research and a discussion of recommendations to further decrease stigma in the long-term care environment are completed.

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Garossino, Candance Jo. "Nurses' attitudes towards the care of the dying". Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29709.

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Terminally ill patients and their families describe hospital care as nonsupportive to their needs during the final phase of life. Nurses generally are not comfortable with a supportive role when caring for the dying and tend to adhere to a curative role. The purpose of this descriptive, correlational study therefore was to describe the attitudes of general staff nurses working on medical-surgical units in hospitals towards the care of the dying and to ascertain the relationship between these attitudes and the education and experience of the nurses. An adaptation of the model for role episode, conflict, and ambiguity by Kahn, Wolfe, Quinn, Snoek and Rosenthal (1964) was the applied theoretical framework. The sample consisted of 197 randomly selected registered nurses employed full or part-time on general adult medical-surgical hospital units in British Columbia. The majority of the sample were married, Protestant females, between the ages of 26 and 45 years who were prepared at the diploma level in nursing. The mean length of time worked as a nurse was 8.5 years with a mean of 7.5 years on medical-surgical units. Attitudes towards the care of the dying were generally ambiguous, neither negative nor positive as measured by scores obtained on the ‘Questionnaire for Understanding the Dying Person and His Family’. Additionally, half the respondents did not believe that nurses should be the primary health care professionals equipped to deal with the emotional reactions of the dying yet three-quarters of the sample believed that patients turned to nurses to discuss such emotional issues. Data revealed that close to two-thirds of the respondents had received structured death and dying content in their basic nursing education yet less than half furthered their death and dying education since graduation. Overall death education for the sample was low. A small positive correlation (r=-0.26) was found between respondents' death education and their attitudes towards the care of the dying; no significant association was found between respondents' level of general nursing education and their attitudes. Although there was variability in the amount of professional and personal death experience, over half of the respondents experienced between one and three terminally ill patient deaths on their medical-surgical units per month. Additionally, the majority of respondents had experienced the death of an immediate family member. Overall death experience was low to moderate. A small, but significant positive correlation (r=0.24) was found between overall death experience and attitudes' towards the care of the dying; no significant association was found between general experience and attitude. Findings suggest that supportive nursing care is not being demonstrated with dying patients and their families. However, the influencing natures of death education and death experience on nurses' attitudes are positive, thereby providing the nursing profession with two possible ways of positively influencing nurses' attitudes to the care of the dying.
Applied Science, Faculty of
Nursing, School of
Graduate

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Lamb, Maxwell, Sean Vinh, Chandler Parris, Emily K. Flores e KariLynn Dowling-McClay. "Impact on Student Attitudes through Participation in Interprofessional Student Teams at a Remote Area Medical Event in Rural Appalachia". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/18.

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Interprofessional teamwork is being adopted as the best way to care for patients, but it is also important to determine how future healthcare providers view this model of patient care. What are their attitudes and beliefs after having the opportunity to work in an interprofessional team? The primary objective of this study was to determine changes in health profession students’ attitudes toward interprofessional collaboration through participation in a Remote Area Medical (RAM) event in rural Appalachia. Researchers hypothesized that working in interprofessional teams positively impacts students’ attitudes toward interprofessional practice. To explore these variables, RedCap was utilized to collect demographic information, generate a pre/post survey matching code, and administer previously validated interprofessional education (IPE) questionnaires to RAM clinic student volunteers (representing five ETSU health sciences colleges and various undergraduate programs) before and after the event. Students were allowed to voluntarily complete the pre-survey online prior to participating in the event or at sign-in and the post-survey at sign-out or online after the event. The Student Perceptions of Interprofessional Clinical Education-Revised Instrument, Version 2 (SPICE-R2), which is validated for use in pre- and post-surveys, utilized 5-point Likert-type questions (strongly disagree to strongly agree) to evaluate students’ perceptions of their role on the team and the team’s impact on healthcare and patient outcomes. The Interprofessional Collaborative Competency Attainment Scale-Revised (ICCAS-R), which is only validated for use in post-surveys, required students to simultaneously evaluate their ability to perform tangible interprofessional team skills before and after the event using 5-point Likert-type questions (poor to excellent). At the event, students were placed into interprofessional teams to provide care to patients. Faculty members from a variety of professions provided leadership to the teams and guidance as needed. The pre-survey had 107 responses and the post-survey had 108 responses. However, after matching the pre- and post-surveys with student-generated codes, there were 70 valid matched responses. Data analysis was conducted using SPSS version 25. There were no statistically significant changes in SPICE-R2 IPE constructs from the pre-survey to post-survey. However, high pre-survey scores indicated that this student cohort already had a high level of appreciation for interprofessional teams, with mean scores of 4.5 out of 5 for teamwork, 4 out of 5 for roles and responsibilities, and 4.36 out of 5 for healthcare outcomes. The mean overall composite score on the ICCAS-R increased from 3.65 out of 5 on the pre-event portion to 4.03 out of 5 on the post-event portion (p < 0.001) , indicating that students increased their self-evaluated ability to perform tangible skills used in the interprofessional team through participation in the RAM clinic. Findings of this research may allow educators in both classroom and healthcare settings to better understand how hands-on IPE experiences influence students’ interprofessional attitudes and beliefs.

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Day, Michele Oliver Debra. "Team communication and collaboration in hospice pain management". Diss., Columbia, Mo. : University of Missouri--Columbia, 2008. http://hdl.handle.net/10355/6632.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 25, 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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Collins, Lynette A. "Knowledge, Attitudes, and Beliefs About Preconception Care Among American Adolescent Females". Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10112027.

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Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females’ knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited through criterion sampling and they each engaged in 2 individual in-depth interviews. The health belief model, social cognitive theory, and adolescent affective and cognitive theory were the conceptual frameworks used to develop the interview guide, conduct the interviews, analyze the data, and formulate the recommendations for future studies. Moustakas’s phenomenological interview process was used as a guiding framework to prepare and conduct the interviews. Qualitative data were analyzed using Moustakas’s modified version of the Stevick-Colaizzi-Keen method of analysis. Findings were that participants (a) had no experiences with PCC or RLP, (b) lacked knowledge about preparing for pregnancy, (c) had negative interactions with medical personnel, and (d) wanted more information about PCC and RLP. Further research is recommended to examine current PCC/RLP practices, conduct additional PCC studies of adolescents, and develop culturally- and age-appropriate PCC programs. Findings from these studies could improve both the lives of the adolescents and the health of their offspring.

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Carter, Angela Joy Wilhelmina. "Sharing the burden : a study of teamwork and well-being in secondary health care teams". Thesis, University of Sheffield, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324455.

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Draper, Catherine. "Medical students' attitudes towards and perceptions of the Primary Health Care approach". Doctoral thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/9357.

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Includes bibliographical references (p. 229-246).
The aim of this research was to provide an understanding of medical students' attitudes towards and perceptions of the PHC approach, and this was done using mainly qualitative methods, namely focus groups, interviews, and one questionnaire. This research also investigated students' views of the way in which the PHC approach was taught, their understanding of the PHC approach, what could influence students' views of the PHC approach, the appropriateness of the PHC approach in South Africa, their opinions of the fact that UCT has a PHC-driven MBChB curriculum, their views of the role of doctors in the PHC approach, and a number of other related issues. The main findings were that students enter their medical degree with an expectation of a biomedical emphasis and a lecture-based curriculum.

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Harrison, Pearl A. "Knowledge and Attitudes of Emergency Room Nurses Regarding Palliative Care Patients". Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10931506.

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Abstract Palliative care (PC) is the comprehensive management of patients diagnosed with terminal illness. Care for PC patients focuses on relieving symptoms. The purpose of this study was to determine the difference between pretest and posttest scores on the Frommelt Attitude towards the Care of the Dying (FATCOD) and the Palliative Care Quiz for Nurses (PCQN) after an educational intervention to emergency department (ED) nurses. The framework for this project was Bandura?s social cognitive theory. The FATCOD was used to assess ED nurses? attitudes toward PC, and the PCQN was used to assess ED nurses? knowledge about PC prior to the educational program. The educational intervention was developed using evidence obtained from the literature review and guided by the PCQN. The program presented to the ED nurses covered the essentials of palliative care and the information and skills needed by the ED nurse caring for the PC patient. The FATCOD and the PCQN were then administered as a posttest. A total of 70 nurses from two ED units volunteered to take part in the project. Results of the PCQN pre- and posttest showed a significant difference (p < .05), and the FATCOD pre- and posttest showed no significant difference (p = .849). The results revealed that education significantly improved knowledge of PC for the ED nurses participating in the project. Attitudes about PC were not significantly changed after the education program. The project promotes positive social change by raising awareness of the need for PC educational opportunities for ED nurses. By improving PC in the ED, patients and their families may experience increased satisfaction with end-of-life care and improved quality of life.

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Liu, Chaojie. "Closing the gap between policy and reality : a study of community health services in Chengdu and Panzhihua /". Access full text, 2003. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050303.102952/index.html.

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Cotmore, Richard A. "From policy to practice : the implementation of developmental community mental handicap teams in Nottinghamshire". Thesis, Loughborough University, 1988. https://dspace.lboro.ac.uk/2134/11944.

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Community mental handicap teams (CMHTs) are currently in vogue, although each of the constituent elements in their title: community; mental handicap; and team, are attracting much debate, hence these different concepts are explored. There is much variation between CMHTs in practice, one example being Notts where the CMHTs have been established uniquely with an explicit development role. This research is an empirical study of the first three CMHTs established in Notts and has two main foci: implementation and teamwork. Debates in the implementation field between the Bottom-up and Topdown models provide the backcloth for the unfolding of the CMHTs' establishment and development. These models are found to be too polarised and inflexible but a dimensions approach proves useful for overcoming the polarity without losing the insights of either model. Variation between the CMHTs in practice is partly accounted for by their different environments. Negotiation is a key element in the CMHTs' responses to their environments as teams carve out a niche for themselves in established structures and processes. This study examines the environments of the Notts CMHTs to understand how they have undertaken such negotiations. The CMHTs' internal dynamics are also studied, focusing on their experiences of co-operation. Particular aspects are studied in depth, for example, leadership, communication, conflict and· roles, and are shown clearly to inter-relate. Further, the models of co-operation employed by the teams are examined. Many theoretical models exist, and these are "tried" against the evidence, rather than trying to make the evidence fit the frameworks. A crucial question becomes: how is the work done, in an individualist or shared manner? A series of classifications is preferred to a composite measure because of differences within teams according to personnel and task. The distinction between teams and networks is seen as valid, with the question of identity emerging as a determining factor.

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Buckingham, J. K. ""Time for health" : the development, validation and comparison of instruments to value improvements in health". Thesis, University of Aberdeen, 1994. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=122011.

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This work begins by describing a general theory of value which embraces many of the commonly used valuation techniques that have been developed by economists (the time tradeoff, the standard gamble and willingness to pay). These techniques share the common characteristic that each expresses value in terms of a sacrifice that people are prepared to make in order to achieve the benefit being valued. Here, those benefits comprise improvements in health. In the time tradeoff, the sacrifice used to express the value people would attach to an improvement in health, is the amount of time they would give up to obtain it. Hitherto this technique has usually asked people to accept a premature death as the payment for better health. In the standard gamble, the most commonly used sacrifice that people are asked to make is a risk of death in exchange for better health. With 'willingness to pay', people are asked to value health in terms of the amount of money they would exchange for better health. Empirical evidence is produced from three major studies, involving 4739 respondents. These studies confirm that two health valuation techniques (the standard gamble and the time tradeoff) do indeed appear to be more closely related to each other than to other valuation methods, not based within the economic theory. Further work establishes the validity of an adaptation of the time tradeoff technique to overcome some of the principal disadvantages of the method as it has usually been applied hitherto. This adaptation asks people to value health by giving up time during much shorter and more immediate time intervals.

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Lynn, Nancy Bridger. "Correlates of attitudes toward behavioral health services among older primary care patients". [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002881.

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Hu, Weiming. "Effects of parents' health attitudes and beliefs on children's preventive care utilization". PDXScholar, 1992. https://pdxscholar.library.pdx.edu/open_access_etds/4315.

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This thesis was designed to test the relationship between parents' health attitudes and beliefs and utilization of preventive health services of their children. Four measures of health attitudes and beliefs (HAB) were examined in this study, they were: 1) Interest in and concern with health; 2) Skepticism about physicians; 3) Tendency to consult physicians; and 4) Efficacy. Preventive care utilization included well-child care and immunization.

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Kline, Leo Isaac. "Health Care Provision to Transgender Individuals; Understanding Clinician Attitudes and Knowledge Acquisition". ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/338.

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The Institute of Medicine report of 2011 defined Transgender Specific Health Needs as one of four priority research areas. While there is research asserting that health care providers (HCPs) do not have adequate training in providing competent care to transgender patients, there are no studies to date assessing HCPs' gender identity attitudes and their willingness to learn the Standards of Care (SOC) developed for this patient population. According to the Agency for Health Care Research and Quality, as of 2010, 52% of Nurse Practitioners (NPs) were practicing in primary care settings. As more than half of NPs practice in primary care and transgender patients often initially present their gender concerns to their primary care provider, this study focuses on the NP population. This study describes a sample of NPs' attitudes towards gender variance, as well as their perceived need and interest in learning the SOC as published by the World Professional Association for Transgender Health. Multi-state purposive sampling of NP professional organizations was conducted. Two conservative and two progressive states' professional organizations were included in the sample. The states were randomly assigned within both geopolitical groups to intervention or control with the use of a random numbers table. Comparisons between geopolitical groups and between control and intervention groups cannot be made due to low response rates of all states. The majority of this small sample of NPs agreed that they needed and wanted additional training in transgender health care. Future research with representative sample sizes is needed to better understand provider-sided barriers to caring for this marginalized patient population.

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Lewis, Sharna. "Attitudes of mainstream health care professionals towards people with a learning disability". Thesis, University of Birmingham, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487224.

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Ibis thesis is submitted in part fulfilment ofthe requirements for the degree of Clin.Psy.D. at the School ofPsychology , University ofBirmingham. It comprises both the research and clinical work carried out over the course oftraining. Throughout the thesis all identifying information has been changed to ensure confidentiality of clients and participants. Volume 1 comprises the research component ofthe thesis. The first paper is a review ofthe literature ofthe attitudes ofmainstream health professionals towards adults with a learning disability and the factors that affect these attitudes. Ibis paper has been prepared for submission to Clinical Psychology Review. The second paper is an investigation of nursing staff attitudes and emotions towards patients with learning disabilities in a general hospital setting. Ibis paper has been prepared for submission to the Journal ofApplied Research in Intellectual Disabilities. Appendices follow the second paper that provides additional details ofthe research process and an executive summary ofthe findings ofthe empirical paper. Volume two ofthe thesis consists offive clinical practice reports, which were submitted as examples ofclinical work and clinically related research over the course of training. These reports include a systemic and behavioural formulation ofa sixyear- old girl presenting with behavioural difficulties, a case study ofa 44-year-old woman referred to a community mental health team who presented with symptoms of anxiety, a small scale service related project, a single case experimental design research report and an abstract from an oral presentation.

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Mullins, Tanya Lilliane Kowalczyk. "HIV Testing Attitudes and Preferences Among Urban Adolescents". University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1211488756.

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