Дисертації з теми "Evidence-based decisions"
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Chin, Ryan C. C. 1974. "Smart customization : making evidence-based environmental decisions." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/78200.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (p. 177-179).
This thesis examines the environmental benefits created by the manufacture, distribution, and consumer use of products that are mass customized (MC) or produced "on-demand" and tailored to individual end-user preferences. Traditional mass production (MP) models take advantage of economies of scale by efficiently producing multiple copies of the same standard product. However, this also creates waste throughout the product life cycle. The waste of stocks, transportation, overproduction, and non-actuality (markdowns and disposal due to inability to move products in time) pose a problem for manufacturers to achieve financial and environmental sustainability. Studies have found that the textile industry can lose approximately one-third of total revenue ($300B) a year due to waste alone. The men's dress shirt industry serves as a comparative case study in this research, demonstrating the trade-offs between MC and MP methods and enabling evidence-based environmental decisions by manufacturers and consumers. In addition to an examination of the carbon footprint created by the manufacture and distribution of MC vs. MP men's dress shirts, this study includes experiments to understand, in detail, the environmental consequences of shirt acquisition and consumer use. Experiment participants are provided coupons to "purchase" two new dress shirts (one MC, one MP), which are embedded with washable and dry-clean proof RFID tags. A RFID tracking system deployed at the entrance and exit of the participants' offices collects data over a period of 60 working days to determine overall utilization patterns. Armed with this "post-transaction" information gathered by this tracking methodology and ethnographic findings (information that manufacturers often lack), this thesis provides an evidence-based guide that takes into account the environmental benefits of both MC and MP models to enable manufacturers to produce more sustainable products and consumers to practice "Responsible Consumerism."
by Ryan C. C. Chin.
Ph.D.
Sansom, Rebecca Louise. "Understanding STEM Faculty Members' Decisions About Evidence-Based Instructional Practices." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/9066.
Повний текст джерелаStretch, Vincent. "The nature of the evidence evaluated in recognition memory decisions : familiarity-based versus retrieval-based models /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC IP addresses, 1997. http://wwwlib.umi.com/cr/ucsd/fullcit?p9732686.
Повний текст джерелаTurriff, Alison. "The effective evidence-based high school librarian : a journey to decision." Thesis, Robert Gordon University, 2008. http://hdl.handle.net/10059/375.
Повний текст джерелаMutyala, Suhrullekha, and Shravani Nelapudi. "Assessing Barriers and Facilitators to Evidence Use in Decisions : A Tertiary and Interview Study." Thesis, Blekinge Tekniska Högskola, Institutionen för programvaruteknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-15457.
Повний текст джерелаGobbo, Andrea. "The making of consumer decisions : revisiting the notions of evaluation and choice by reconstructing consumer habits through subject evidence based ethnography." Thesis, London School of Economics and Political Science (University of London), 2014. http://etheses.lse.ac.uk/1066/.
Повний текст джерелаSyrowatka, Ania. "Understanding the Role of the Ottawa Ankle Rules in Physicians' Radiography Decisions: A Social Judgment Analysis Approach." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/22854.
Повний текст джерелаVydrová, Rosa. "Evidence based management ve zdravotnictví." Master's thesis, Vysoká škola ekonomická v Praze, 2011. http://www.nusl.cz/ntk/nusl-72289.
Повний текст джерелаYet, Barbaros. "Bayesian networks for evidence based clinical decision support." Thesis, Queen Mary, University of London, 2013. http://qmro.qmul.ac.uk/xmlui/handle/123456789/9096.
Повний текст джерелаOsop, Hamzah Bin. "A practice-based evidence approach for clinical decision support." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/123320/2/Hamzah%20Bin%20Osop%20Thesis.pdf.
Повний текст джерелаLampi, Elina. "Individual preferences, choices, and risk perceptions - survey based evidence /." Göteborg : University of Gothenburg, 2008. http://catalog.hathitrust.org/api/volumes/oclc/235948582.html.
Повний текст джерелаHarris, Patricia Amanda. "Promoting research utilisation and evidence-based decision making amongst healthcare managers : utilising nonrecursive structural equation modelling to develop the theory of planned behaviour." n.p, 2005. http://ethos.bl.uk/.
Повний текст джерелаMiny, Marnie. "Evidenced based decision making in public policy for innovating firms." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/22769.
Повний текст джерелаDissertation (MBA)--University of Pretoria, 2012.
Gordon Institute of Business Science (GIBS)
unrestricted
Koufogiannakis, Denise Ann. "How academic librarians use evidence in their decision making : reconsidering the evidence based practice model." Thesis, Aberystwyth University, 2013. http://hdl.handle.net/2160/ad53022d-b416-444d-987a-f584db4aeb6d.
Повний текст джерелаVersteeg, Cynthia Elaine. "Fostering collaborative evidence-based decision-making: The public health nurse's role." Thesis, University of Ottawa (Canada), 2002. http://hdl.handle.net/10393/6360.
Повний текст джерелаMt-Isa, Shahrul Hisham. "Improving evidence-based risk-benefit decision-making of medicines for children." Thesis, Imperial College London, 2011. http://hdl.handle.net/10044/1/9049.
Повний текст джерелаSouthwick, Jason Scott. "Therapist Utilization of Evidence-Based Treatment Monitoring." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/3080.
Повний текст джерелаSchrefler, Lorna Sarah. "The role of economic analysis in the decision-making process of Independent Regulatory Agencies." Thesis, University of Exeter, 2011. http://hdl.handle.net/10036/3393.
Повний текст джерелаRowe, Erin T. "Clinical decision-making in aphasia therapy: A survey of perceived levels of evidence for common treatment approaches." Scholar Commons, 2010. http://scholarcommons.usf.edu/etd/1755.
Повний текст джерелаNannoolal, Shanitha. "Impact of organisational structure on evidence-based decision making : the matrix versus hierarchical." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/52274.
Повний текст джерелаMini Dissertation (MBA)--University of Pretoria, 2015.
vn2016
Gordon Institute of Business Science (GIBS)
MBA
Unrestricted
Momoti, Nikiwe Gloria. "A model to foster the use of records for evidence-based decision-making by senior managers in western cape governmental bodies, South Africa." University of the Western Cape, 2021. http://hdl.handle.net/11394/8118.
Повний текст джерелаSouth Africa has placed emphasis on evidence-based decision-making for justifying service delivery improvement decisions. Evidence-based decision-making entails decisions made by referring to verifiable facts and figures available from a variety of sources of evidence such as organizational records. Records are created or received during the conduct of business and contain evidence of organizational activities. Their use as sources of evidence is continuous. Most records management scholars hypothesize that the use of records as sources of evidence for decision-making contributes to improved service delivery. In the same breath, some scholars lament their minimal use as sources of evidence for decision-making in the South African public sector due to poor records management. This descriptive, positivist quantitative study used a cross-sectional survey to determine the extent to which records as sources of evidence were used for evidence-based decision-making by senior managers in Western Cape governmental bodies,
Al-Baghdadi, Mohammed Khalil Shaker. "Evidence-based management and clinical decision-making in temporomandibular joint disc displacement without reduction." Thesis, University of Newcastle upon Tyne, 2015. http://hdl.handle.net/10443/3204.
Повний текст джерелаEsfandiari, Mahsa. "Can oral health technology assessment promote evidence-based decision making in undergraduate dental faculties?" Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=114518.
Повний текст джерелаObjectifs: Pour étudier l'effet de Oral Health Technology Assessment (OHTA) sur Evidence-Based Decision Making (EBDM) dans le programme de premier cycle de médecine dentaire. Méthodes: Cette étude a été réalisée à deux niveaux: 1) la revue de la littérature où les bases de données électroniques, y compris PubMed, MEDLINE, EMBASE, Cochrane Library, et CINHAL ont été fouillés, et 2) Une évaluation des besoins au moyen des entrevues avec des membres du corps professoral et diplômés stagiaires pour une évaluation systématique des technologies dentaires a été réalisée à l'Université McGill, faculté de médecine dentaire. Résultats: Notre évaluation préliminaire de l'évaluation des technologies dentaires dans les facultés canadiennes révèle un modèle de décisions prises au hasard, sans concerne envers l'adoption et l'utilisation de EBDM dans les programmes de premier cycle des facultés médecine dentaire. En plus, il n'y a aucune preuve de intégration de EBDM ou l'évaluation systématique des technologies dentaires dans les facultés dentaires. Conclusion: Dans la limite de cette étude, nos résultats suggèrent que l'évaluation systématique des technologies dentaires peuvent aider les facultés de médecine dentaire à intégrer EBDM dans leur curriculum et que les comités d'évaluation des technologies pourrait fournir aux membres du corps professoral et les étudiants les derniers développements dans les technologies dentaires qui peuvent être adaptés dans les curriculum dentaires.
Stevenson, Paul. "Increasing evidence informed decision making practices among senior non-clinical NHS managers." Thesis, Robert Gordon University, 2017. http://hdl.handle.net/10059/2452.
Повний текст джерелаRushing, Jessica L. "EVIDENCE-BASED MUSIC THERAPY TREATMENT TO ELEVATE MOOD DURING ACUTE STROKE CARE." UKnowledge, 2019. https://uknowledge.uky.edu/rehabsci_etds/54.
Повний текст джерелаBarron-Kagan, Rene Norene. "An Evidence-Based Educational Intervention to Improve Nursing Staff's Critical Thinking and Decision-Making Skills." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2786.
Повний текст джерелаGwinn, Rachael E. "The role of attention in preference-based choice: Evidence from behavioral, neural, and auditorydomains." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555404091329415.
Повний текст джерелаCheng, Chih-Wen. "Development of integrated informatics analytics for improved evidence-based, personalized, and predictive health." Diss., Georgia Institute of Technology, 2015. http://hdl.handle.net/1853/54872.
Повний текст джерелаJennings, Elizabeth M. "Matters of life and death : rationalizing medical decision-making in a managed care nation /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC IP addresses, 2002. http://wwwlib.umi.com/cr/ucsd/fullcit?p3049667.
Повний текст джерелаLukeman, Sionnach. "Understanding Evidence-Informed Decision-Making in a Community-Based Network Working Towards the Baby Friendly Initiative." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/24401.
Повний текст джерелаAlyami, Mohammed Abdulkareem. "Toward Patient-Centered Personal Health Records Systems to Promote Evidence-Based Decision-Making and Information Sharing." Thesis, Towson University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10745897.
Повний текст джерелаPersonal health record (PHR) is considered a crucial part in improving patient outcomes by ensuring important aspects in treatment such as continuity of care (COC), evidence- based treatment (EBT) and most importantly prevent medical errors (PME). Recently there has been more focus on preventive care or monitoring and control of patients symptoms than treatment itself. Nowadays, there are many mobile health applications and sensors such as blood pressure sensors, electrocardiogram sensors, blood glucose measuring devices, and others that are used by the patients who monitor and control their health. These apps and sensors produce personal health data that can be used for treatment purposes. If managed and handled properly, it can be considered patient-generated data. There are other types of personal health data that are available from various sources such as hospitals, doctors offices, clinics, radiology centers or any other caregivers.
Aforementioned health documents are deemed as a PHR. However, personal health data is difficult to collect and manage due to the fact that they are distributed over multiple sources (e.g. caregivers, patients themselves, clinical devices, and others) and each may describe patient problems in their own way. Such inconsistencies could lead to medical mistakes when it comes to the treatment of the patient. In case of emergency, this situation makes timely retrieval of necessary personal clinical data difficult. In addition, since the amount and types of personal clinical data continue to grow, finding relevant clinical data when needed is getting more difficult if no actions are taken to resolve such issue. Having complete and accurate patient medical history available at the time of need can improve patient outcomes by ensuring important aspects such as COC, EBT, and PME. Despite the importance of PHR, the adoption rate by the general public in the U.S. still remains low. In this study we attempt to use Personal Health Record System (PHRS) as a central point to aggregate health records of a patient from multiple sources (e.g. caregivers, patients themselves, clinical devices, and others) and to standardize personal health records (e.g. use of International Classification of Diseases (ICD- 10) and Systemized Nomenclature of Medicine Clinical Terms (SNOMED CT)) through our proof-of-concept model: Health Decision Support System (HDSS).
We started out by exploring the barriers in adopting PHRs and proposed a few approaches that can promote the adoption of PHRS by the general public so it is possible to implement continuity of care in community settings, evidence-based care, and also prevent potential medical errors. To uncover the barriers in adopting PHR, we have surveyed articles related to PHRS from 2008 to 2017 and categorized them into 6 different categories: motivation, usability, ownerships, interoperability, privacy, and security and portability.
We incorporated the survey results into our proposed PHRS, so it can help overcome some of the barriers and motivate people to adopt PHRS. In Our proposed PHRS, we aimed to manage personal health data by utilizing metadata for organizing and retrieval of clinical data. Cloud storage was chosen for easy access and sharing of health data with relevant caregivers to implement the continuity of care and evidence-based treatment. In our study, we have used Dropbox as storage for testing purposes. However, for practical use, secure cloud storage services that are Health Insurance Portability and Accountability Act (HIPAA) complaint can be used for privacy and security purposes, such as Dropbox (Business), Box, Google Drive,Microsoft OneDrive, and Carbonite. In case of emergency, we make critical medical information such as current medication and allergies available to relevant caregivers with valid license numbers only. In addition, to standardize PHR and improve health knowledge, we provide semantic guidance for using SNOMED CT to describe patient problems and for mapping SNOMED CT codes to ICD-10-CM to uncover potential diseases. As a proof of concept, we have developed two systems (prototypes): first, my clinical record system (MCRS) for organizing, managing, storing, sharing and retrieving personal health records in a timely manner; second, a health decision support system (HDSS) that can help users to use SNOMED CT codes and potential disease(s) as a diagnosis result.
Sutcliffe, Katy. "Shared decision-making : an evidence-based approach for supporting children, parents and practitioners to manage chronic conditions." Thesis, UCL Institute of Education (IOE), 2010. http://eprints.ioe.ac.uk/6509/.
Повний текст джерелаRuppert, Tobias Verfasser], Dieter W. [Akademischer Betreuer] [Fellner, Jörn [Akademischer Betreuer] Kohlhammer, and Silvia [Akademischer Betreuer] Miksch. "Visual Analytics to Support Evidence-Based Decision Making / Tobias Ruppert ; Dieter W. Fellner, Jörn Kohlhammer, Silvia Miksch." Darmstadt : Universitäts- und Landesbibliothek Darmstadt, 2018. http://d-nb.info/1149824336/34.
Повний текст джерелаWalker, Alice Jessica. "Procedural Rationality as a Means for Evidence-Based Management in Conflicted Decision-Making: A Mixed-Methods Study." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1427835243.
Повний текст джерелаRuppert, Tobias [Verfasser], Dieter W. [Akademischer Betreuer] Fellner, Jörn [Akademischer Betreuer] Kohlhammer, and Silvia [Akademischer Betreuer] Miksch. "Visual Analytics to Support Evidence-Based Decision Making / Tobias Ruppert ; Dieter W. Fellner, Jörn Kohlhammer, Silvia Miksch." Darmstadt : Universitäts- und Landesbibliothek Darmstadt, 2018. http://d-nb.info/1149824336/34.
Повний текст джерелаChong, Natalie. "Beyond Evidence-Based Decision Support : Exploring the Multi-Dimensional Functionality of Environmental Modelling Tools. Comparative Analysis of Tool." Thesis, Paris Est, 2019. http://www.theses.fr/2019PESC1005.
Повний текст джерелаAs the sun sets on the age of unlimited growth and consumption, the call for progressively robust, adaptive and integrated solutions to address ‘wicked’ environmental problems has ushered in a new paradigm that has fundamentally changed the practices of both science and management. Emphasis on collaborative, integrative and participative approaches has given rise to burgeoning science-practice-policy arrangements while necessitating new tools to support the implementation of increasingly demanding regulation. In the context of water resources, models have emerged as fundamental tools favoured by scientists and practitioners alike, owing to their ability to advance scientific understanding of water systems functioning, while at the same time supporting key decisions in the management, policy and planning of river basins. A wide range of modelling tools have been developed to study the numerous physical, chemical, and biological processes at work, on different spatial and temporal scales, with varying levels of complexity. At the same time, models provide practitioners with a practical tool for supporting ‘evidence-based’ policy by transposing complex problems into technical, ‘manageable’ solutions. Yet, their application in practice has proven far from proportional to the amount of time and resources that have been invested in their development.This thesis aims to elucidate the enduring divide between science, practice and policy in the context of a new paradigm of science and management through the lens of modelling tools and their role at the science-practice-policy interface. Using a qualitative approach, we draw from two empirical examples: the PIREN-Seine in France and the CRC for Water Sensitive Cities in Australia. While both share similar challenges, methods and objectives, the fundamental difference in their strategies and approaches offers a rich foundation for comparison. In doing so, we explore the driving forces, implications and potential consequences of the parallel paradigm shifts in science and management, focusing on three main aspects: 1/ the use and utility of modelling tools to support water management, policy and planning; 2/ the different modalities of addressing uncertainty in model-based decision support, and; 3/ the role of new science-practice-policy arrangements. By first retracing the history of production and use of modelling tools in both examples, we seek to understand the nuanced relationship between ‘use’ and ‘utility’, offering insight into influencing factors. Next, we turn to the question of uncertainty by analysing how researchers and practitioners reconcile the fundamental challenge of uncertainty in model-based decision support. Delving deeper into the complex, negotiated social process that comprises the decision-making context, we focus on the social construction of ignorance and its role in decision-making. Finally, we examine the macro-level changes brought about by the paradigm shift in science and management. Amidst these changes, we seek to understand the emergence and functions of ‘boundary organisations’ in this new epoch, and their role in the quest for robust, adaptive and sustainable solutions
De, Beer Jessica. "Competing Values in the Integrated Environmental Management Process ~ Understanding the Dynamics Between Evidence Versus Value-Based Decision-Making." Diss., University of Pretoria, 2018. http://hdl.handle.net/2263/65176.
Повний текст джерелаMini Dissertation (MA) University of Pretoria, 2018.
Geography, Geoinformatics and Meteorology
MA
Unrestricted
Faverjon, Céline. "Risk based surveillance for vector-borne diseases in horses : combining multiple sources of evidence to improve decision making." Thesis, Clermont-Ferrand 2, 2015. http://www.theses.fr/2015CLF22604/document.
Повний текст джерелаEmerging vector-borne diseases are a growing concern, especially for horse populations, which are at particular risk for disease spread. In general, horses travel widely and frequently and, despite the health and economic impacts of equine diseases, effective health regulations and biosecurity systems to ensure safe equine movements are not always in place. The present work proposes to improve the surveillance of vector-borne diseases in horses through the use of different approaches that assess the probability of occurrence of a newly introduced epidemic. First, we developed a spatiotemporal quantitative model which combined various probabilities in order to estimate the risk of introduction of African horse sickness and equine encephalosis. Such combinations of risk provided more a detailed picture of the true risk posed by these pathogens. Second, we assessed syndromic surveillance systems using two approaches: a classical approach with the alarm threshold based on the standard error of prediction, and a Bayesian approach based on a likelihood ratio. We focused particularly on the early detection of West Nile virus using reports of nervous symptoms in horses. Both approaches provided interesting results but Bayes’ rule was especially useful as it provided a quantitative output and was able to combine different epidemiological information. Finally, a Bayesian approach was also used to quantitatively combine various sources of risk estimation in a multivariate syndromic surveillance system, as well as a combination of quantitative risk assessment with syndromic surveillance (applied to West Nile virus and equine encephalosis, respectively). Combining evidence provided promising results. This work, based on risk estimations, strengthens the surveillance of VBDs in horses and can support public health decision making. It also, however, highlights the need to improve data collection and data sharing, to implement full performance assessments of complex surveillance systems, and to use effective communication and training to promote the adoption of these approaches
Rydvall, Anders. "Withhold or withdraw futile treatment in intensive care : arguments supported by physicians and the general public." Doctoral thesis, Umeå universitet, Anestesiologi och intensivvård, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128863.
Повний текст джерелаGrove, Amy L. "A multicentre case study of evidence-based decision-making : exploring the process of knowledge mobilisation in NHS orthopaedic practice." Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/99177/.
Повний текст джерелаShibu, Litty Mathew. "Examining the research-practice gap in Physical Therapy (PT) in the United States of America using knowledge translation interventions (KTIs) : a comparative study." Thesis, Brunel University, 2018. http://bura.brunel.ac.uk/handle/2438/17553.
Повний текст джерелаChandler, Erol. "Increasing Evidence Based Reasoning in an 8th Grade Classroom Through Explicit Instruction." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1474.
Повний текст джерелаDenadija, Feda, and David Löfgren. "Revealing the Non-technical Side of Big Data Analytics : Evidence from Born analyticals and Big intelligent firms." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-298137.
Повний текст джерелаDiskett, Patricia Muriel. "Evidence-based decision-making and managerial chaos in population displacement emergencies : a case study of Rohingya refugees in Bangladesh 1992-93." Thesis, University of Liverpool, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243111.
Повний текст джерелаKvist, Linda, and Sara Gillhof. "Stödsystem/riktlinjer för riskbedömning av oral hälsa." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19763.
Повний текст джерелаRisk assessment is an essential part of dental practice today. Each patient should be assessed and stratified into a well defined group according to risk. This risk assessment should then affect the choice of prevention and treatment, and intervals for recalls and appropriate level of care. Today, in Swedish dental healthcare, different guidelines are being used as support in the assessment of a patient’s oral health. The aim of this study was to find out, compare and describe the most frequent used guidelines/systems for risk assessment of oral health in Sweden today. A second aim was to examine whether these systems are evidence-based and evaluated, and to identify existing knowledge about evidence-based supporting systems for risk assessment of oral health. A systematic review was made where articles published more than 10 years ago and papers which didn’t involve risk assessment of the whole patient were excluded. The Public Dental Service and Praktikertjänst were contacted and enquired about which systems if any were in use. For more in depth information on these systems, persons with key knowledge were interviewed. The information received was then analyzed in relation to the literature review. The results show that the system most frequently used in the Public Dental Service today is Beslutsstöd R2. Other computerbased systems are Datorstödd riskgruppering Effica and DentiGroup. In Praktikertjänst a system is available for all users of Opus Dental practice management system. Our conclusion is that the scientific evidence, regarding evidence-based and evaluation of support / guidelines are inadequate.
Harris, Patricia A. "Promoting research utilisation and evidence-based decision making amongst healthcare managers : utilising nonrecursive structural equation modelling to develop the theory of planned behaviour." Thesis, Open University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.424678.
Повний текст джерелаMacyk, Irene. "Staff Nurse Engagement, Decisional Involvement, Staff Nurse Participation in Shared Governance Councils and the Relationship to Evidence Based Practice Belief and Implementation." Thesis, Adelphi University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10610423.
Повний текст джерелаA nurse's use of evidence-based practice (EBP) is imperative if the goal is for quality and safe care that is safe. Patient quality care is directly correlated to the degree to which hospital nurses are active participants in decision making. Nurses possess the skills that should promote their presence in decision-making forums using evidence-based strategies. Both evidence-based practice (EBP) and participatory Shared Governance Models, independently, have been found to promote improved patient outcomes (Kramer & Schmalenberg, 2004). Shared governance models include formal councils that address recruitment and retention, policy and procedure development, professional practice challenges, quality improvement initiatives and research opportunities. A nurses' Decisional Involvement (DI) and participation in a Shared Governance Council (SGC) may serve as a venue to best utilize Evidenced-Based Practice (EBP) skills with the overall goal of improving care outcomes.
The aim of this research was to determine the relationship of staff nurse engagement, DI and its impact on participation in a SGC and the relationship to EBP. A quantitative non-experimental correlational, on-line survey design was utilized. A total of 156 staff nurses from two (2) Magnet® recognized hospitals in the Northeastern region of the United States was studied.
Results revealed a significant positive relationship between participation in a SGC and staff nurse engagement, actual DI, age, years of experience and professional certification. Additionally, nurses that participated in a SGC had a significantly higher self-reported EBP implementation. Exploratory logistic analysis revealed EBP implementation, staff nurse engagement, full time work status and participation in IDRs were significant predictors of participation in a SGC. A multiple regression analysis resulted in EBP belief, staff nurse engagement, and participation in a SGC explaining 34.5% of the variability of predicting EBP implementation. The findings give beginning support to the importance of creating an infrastructure that fosters staff nurse engagement and participation in a SGC to promote EBP implementation.
Henriksson, Dorcus Kiwanuka. "Health systems bottlenecks and evidence-based district health planning : Experiences from the district health system in Uganda." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-329082.
Повний текст джерелаRisso, Ashley, and Ashley Risso. "Assessing The Clinical Utility of Non-Depolarizing Cardioplegia & The Challenge Of Evidence-Based Decision Making in an Anecdotal Age of Cardioplegia Comparative Research." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/620839.
Повний текст джерелаKing, Jason Maxwell. "Risk Quantification and Reliability Based Design Optimization in Reusable Launch Vehicles." Wright State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=wright1291160215.
Повний текст джерела