Дисертації з теми "Nursing care delivery system"
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Larsen, Trudean Charlotte. "A study of nurses' empathy in two different nursing care delivery systems." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq24975.pdf.
Повний текст джерелаGreenberg, Mary E. "The Process of Care Delivery in Telephone Nursing Practice: A Grounded Theory Approach." Diss., Tucson, Ariz. : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1236%5F1%5Fm.pdf&type=application/pdf.
Повний текст джерелаKoritor, Christine N. "A study comparing two health care delivery systems, for gerontological patients, and the incidence of hospitalization /." Staten Island, N.Y. : [s.n.], 1994. http://library.wagner.edu/theses/nursing/1994/thesis_nur_1994_korit_study.pdf.
Повний текст джерелаMazur, Lukasz Maciej. "The study of errors, expectations and skills for medication delivery systems improvement." Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/mazur/MazurL0508.pdf.
Повний текст джерелаMyers, Robert A. "Engineering Healthcare Delivery: A Systems Engineering Approach to Improving Trauma Center Nursing Efficacy." Wright State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=wright1482419145222356.
Повний текст джерелаEdgar, Linda. "The relationship between the characteristics of nursing care delivery systems and work-motivation, satisfaction, and intent to leave." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ36974.pdf.
Повний текст джерелаMiller, Donna Marie. "Establishing Inter Rater Reliability of the National Early Warning Score." Walsh University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=walsh1429472548.
Повний текст джерелаBosire, Joshua. "Designing an integrated surgical care delivery system." Diss., Online access via UMI:, 2007.
Знайти повний текст джерелаJohnston, Diann M. "The relationship between RN job satisfaction in a modified primary nursing delivery system and a team nursing delivery system /." Staten Island, N.Y. : [s.n.], 1989. http://library.wagner.edu/theses/nursing/1989/thesis_nur_1989_johns_relat.pdf.
Повний текст джерелаPhiri, Jane. "Socioeconomic inequalities in Zambia's public health care delivery system." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/9458.
Повний текст джерелаIn this thesis, equality is considered as the absence of differences in utilization among individuals of different socioeconomic status while equity is taken to mean that individuals in equal need of health care should use the same amount of care, irrespective of their socioeconomic status. Using the above definitions, this thesis, examines equity/inequality in the utilization of public health care in Zambia. Concentration curves, concentration indices and horizontal equity indices were used for this purpose. This thesis focuses specifically on public health care that is subsidized by the Government. It is anticipated that the findings of this thesis will broaden the knowledge base on health care utilization inequities in Africa.
Enochs, Shannon. "Bridging the Gap between Emotional Trauma Practice Guidelines and Care Delivery in the Primary Care Setting." Thesis, Brandman University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13428017.
Повний текст джерелаWhen patients present with complaints of anxiety or depression, providers in the primary care setting often prescribe anxiolytics or antidepressants without conducting an early emotional trauma or adverse childhood experiences assessment. Several studies demonstrate the link between early emotional trauma (EET) or adverse childhood experiences (ACEs) and the increased risk of anxiety or depression as adults. This Clinical Scholarly Project (CSP) implemented the use of the Adverse Childhood Experience (ACE) Questionnaire with patients who had a diagnosis of anxiety or depression in the primary care setting to increase patient access to resources and align clinical practice with practice guidelines. Participants included eight primary care providers, 30 patients and 21 chart review patients. The CSP utilized a quasi-experimental design to determine if the use of the ACE Questionnaire by patients with anxiety or depression would result in patients receiving more community resources (to include counseling), strengthen the provider-patient relationship, increase provider comfort in discussing ACEs with their patients and result in patients receiving care that was evidence based. Patient sample participants received significantly more resources (M = 8.27, SD = 2.27) than the chart audit sample (M = 0.90, SD = 0.30). Patient sample members received an average of eight resources (M = 8.27) and utilized an average of five resources (M = 5.07). Use of the ACE Questionnaire resulted in more trust in provider-patient relationship by patients (80.0%) and the majority of the provider sample more comfortable discussing ACEs after the project (85.7%).
SANTOS, Heliane Fernandes Lourenço. "Assistência obstétrica sob a ótica de mulheres atendidas no Sistema Único de Saúde em Goiânia, Goiás." Universidade Federal de Goiás, 2011. http://repositorio.bc.ufg.br/tede/handle/tde/716.
Повний текст джерелаINTRODUCTION: The policy of humanization of prenatal care, labor and delivery within the Health System recommends actions that should guarantee women the benefits of scientific advances, and ultimately, allow and encourage the practice of female citizenship, rescuing empower women in the process parturitivo, ensuring privacy, easy access to consultations and examinations, information and procedures proven beneficial. Avoiding unnecessary interventions, sharing with the mother decisions on measures to be adopted and establishing relationships based on ethical, social and professional (MINISTRY OF HEALTH, 2006). The study aims to analyze the adoption of standards of humane care to prenatal care, labor and birth, from the perspective of women served by the Health System in Goiânia, Goiás METHODOLOGY: A descriptive and exploratory qualitative approach. Data collection took place from May to July 2010 in Goiânia, Goiás For data collection we used semi-structured interview. RESULTS: The profile of the subjects were 21 pregnant women aged 18-31 years, most had high school, lived in a stable income and a minimum wage. Were prepared two thematic categories: Pre-natal care and childbirth and birth. It was found that prenatal was easy access to exams and the Family Health Strategy. However the Centers for Integral Health was difficult to access appointments. It found no or little information about the process parturitivo prevailed and the will or medical decision in choosing the type of delivery. During labor and delivery practices walking, freedom of position, power and right to analgesia were less evident, the right of the accompanying family is still not respected. Breastfeeding was encouraged after birth, rooming-in was seen as a place of abandonment and loneliness. The perception of the mother and birth care in the public health data direct to lack of education of health professionals. CONCLUSION: The data pointed to situations such as difficult access to prenatal care, lack of conduct and procedures to be adopted, absence of women's participation in decision making and lack of support in childbirth, situations that contradict with the policy advocated by humanizing prenatal care, labor and birth.
INTRODUÇÃO: A política de humanização da assistência ao pré-natal, parto e nascimento no âmbito do Sistema Único de Saúde preconiza ações que deve garantir à mulher os benefícios dos avanços científicos, e fundamentalmente, permitir e estimular o exercício da cidadania feminina, resgatando a autonomia da mulher no processo parturitivo, garantindo a privacidade, o fácil acesso a consultas e aos exames, a informação e, procedimentos comprovadamente benéficos. Evitando-se intervenções desnecessárias, compartilhando com a gestante as decisões sobre condutas a serem adotadas e estabelecendo relações baseadas em princípios éticos, sociais e profissionais (MINISTÉRIO DA SAÚDE, 2006). O estudo tem por objetivo analisar a adoção das normas de assistência humanizada ao pré-natal, parto e nascimento, sob a ótica das mulheres atendidas pelo Sistema Único de Saúde, em Goiânia, Goiás. METODOLOGIA: Estudo descritivo e exploratório de abordagem qualitativa. A coleta de dados se realizou no período de maio a julho de 2010 em Goiânia, Goiás. Para coleta de dados utilizou-se entrevista semi-estruturada. RESULTADOS: O perfil dos sujeitos foram 21 parturientes com idade entre 18-31 anos, a maioria tinha ensino fundamental, vivia em união estável e renda um salário mínimo. Elaboraram-se duas categorias temáticas: Assistência pré-natal e O parto e nascimento. Identificou-se que no pré-natal foi fácil o acesso aos exames e consultas na Estratégia Saúde da Família. Entretanto nos Centros de Atenção Integral a Saúde houve dificuldade de acesso às consultas. Constatou-se ausência ou pouca informação acerca do processo parturitivo e preponderou à vontade ou decisão médica na escolha do tipo de parto. Durante trabalho de parto e parto as práticas de deambulação, liberdade de posição, alimentação e direito à analgesia foram pouco evidenciadas, o direito do acompanhamento familiar ainda é pouco respeitado. O aleitamento materno foi incentivado após o parto, o alojamento conjunto foi visto como espaço de abandono e solidão. A percepção da parturiente quanto à assistência ao parto no Sistema Único de Saúde os dados direcionam para falta de educação dos profissionais de saúde. CONCLUSÃO: Os dados apontaram para situações como dificuldade de acesso ao pré-natal, desinformação das condutas e procedimentos a serem adotados, ausência da participação da mulher na tomada de decisão e ausência do acompanhante no parto, situações que contradizem com o preconizado pela Política de humanização ao pré-natal, parto e nascimento.
Oliveira, Roberto Santos de. "Mapeamento dos serviços de saúde da rede assistencial do município de Nova Iguaçu - análise situacional." Universidade Federal Fluminense, 2010. https://app.uff.br/riuff/handle/1/1226.
Повний текст джерелаMade available in DSpace on 2015-12-21T13:35:56Z (GMT). No. of bitstreams: 1 Roberto Santos de Oliveira.pdf: 6262428 bytes, checksum: 39f1c09619185c6bb47ea3a4e0128673 (MD5) Previous issue date: 2010
EELVI Ltda
Mestrado Profissional em Enfermagem Assistencial
Estudo descritivo de abordagem qualitativa que realiza o diagnostico situacional da rede assistencial própria do Sistema Único de Saúde no município de Nova Iguaçu. Realiza o mapeamento das unidades de saúde, através de uma ferramenta conhecida como geo-referenciamento. O marco teórico se apoia nas concepções de Cecílio, Merhy, Bodstein, Hartz, Mendes, Buss entre outros; encontra suporte metodologico em Minayo e analisa os resultados a partir das concepções de Levefre sobre o discurso do sujeito coletivo. Como resultados, foram mapeadas 72 Unidades de Saúde: sendo 01 Hospital Geral, 01 Centro de Referencia Materno Infantil, 03 Unidades Mistas, 03 Centros de Atenção Psico-Social, 02 Policlínicas, 01 Centro de Saúde, 01 Posto de Saúde, 24 Unidades Básicas de Saúde, 33 Equipes de Saúde da Família e 03 Unidades da Família. A organização segue os principios estabelecidos pelo Sistema de Saúde, Nova Iguaçu operacionaliza suas ações de saúde principalmente na atenção básica, através da estratégia de saúde da família. Quando confrontamos os resultados encontrados com os parâmetros legais de cobertura assistencial, constatamos que a realidade ainda está aquém do ideal; apesar deste fato, ao situar o município dentro do Estado do Rio de Janeiro, lançando mão de estratégias de avaliação como o Indice de Desenvolvimento Humano, encontramos um crescimento, modesto mas equilibrado entre Estado e União, destacando Nova Iguaçu, através do indicador: Expectativa de vida, que recebe reflexos da assistência prestada à saúde. Conclui identificando o espaçamento geográfico da rede própria, e um esboço da área de cobertura das unidades; percebe-se que são necessárias estratégias de adequação, treinamentos e hierarquização da rede, para utilização da dinâmica de referências e contra-referências, atividades próprias do planejamento em saúde, que vem sendo desenvolvida também pela enfermeira, quando ocupa a posição de gestor. Como contribuição traz as informações coletadas na modalidade de um manual de localização para encaminhamentos entre as Unidades de saúde
A descriptive study of qualitative approach that performs the status diagnosis of the self care network of the Unified Health System in Nova Iguacu. Performs the mapping of health facilities through a tool known as geo-referencing. The theoretical framework is based on the conceptions of Cecilio, Merhy, Bodstein, Hartz, Mendes, Buss and others; finds methodological support in Minayo and analyzes the results starting from concepts of the Levefre on the collective subject discourse. The results were 72 mapped Health Units: 01 the General Hospital, 01 Center Reference Maternal and Child, 03 Mixed Units, 03 Centers for Psycho-Social Care, 02 Polyclinics, 01 Health Center, 01 Health Post, 24 Basic Units Health, 33 Family Health Teams and 03 Units of the Family. The organization follows the principles established by the Health System, Nova Iguaçu operationalized its health activities mainly in primary care through the strategy of family health. When we confront the results with the legal parameters of coverage, we find that the reality is still far from ideal, despite this fact, to be located within Rio de Janeiro county, making use of assessment strategies such as Development human Index, we found a modest growth well balanced between State and Union, highlighting Nova Iguaçu, by indicator: life expectancy, which receives reflections of health care provided. It concludes by identifying the geographic spacing of the health network itself, and an outline of the coverage area of the units, one realizes that strategies are needed to adapt, training and hierarchy of the network, to use the momentum of references and cross-references, activities characteristic of planning health, and that also is being developed by the nurse, when she occupies the position of manager. As a contribution, brings the information collected in the reference guide for tracking referrals between the health units
Salsamendi, Noreen. "Stress, job satisfaction, and related outcomes in intensive care unit nurses and labor and delivery unit nurses." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1332.
Повний текст джерелаBachelors
Sciences
Psychology
Rejzer, Courtney Brynne. "The influence of the acute care nurse practitioner on healthcare delivery outcomes : a systematic review /." Full-text of dissertation on the Internet (211 KB), 2009. http://www.lib.jmu.edu/general/etd/2009/Honors/Rejzer_CourtneyB/rejzercb_honors_11-11-2009.pdf.
Повний текст джерелаGuise, Andrew George. "South African primary health care in the era of HIV/AIDS treatment and care : understanding the organisation and delivery of nursing care." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2012. http://researchonline.lshtm.ac.uk/878726/.
Повний текст джерелаCattoor, Erin. "The Effectiveness of Cares Dementia Training Modules on Delivery of Person Centered Care Inside a Memory Care Unit| Utilizing the Cares Observational Tool." Thesis, University of Missouri - Columbia, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13877136.
Повний текст джерелаThis study compared the efficacy of using online dementia training modules on both direct and non-direct care providers in long-term care settings and how this impacted their delivery of Person Centered Care (PCC), as well as their knowledge of caring for residents with a diagnosis of Alzheimer Disease (AD), dementia. Traditional educational opportunities for staff working specifically with demented residents inside Memory Care Units (MCU) were investigated, along with an alternative approach of training all staff (to include direct and non-direct care providers). The option of utilizing online dementia training modules for all staff was then evaluated by using an observational Person Centered Care tool, to see if education had made an impact on interactions between staff and the demented residents that they care for. This study utilized a single-group, repeated measures design to test a 10-week, standardized and computerized set of 10 interactive training modules in a 60-bed MCU . Fifty-one observations were made between MCU residents and staff and included in this study, employing a single-group pre-post-posttest design. The findings suggest that online dementia training modules may be beneficial for both knowledge and delivery of PCC to staff in MCUs who care for residents with a diagnosis of AD.
Vanhook, Patricia M. "State Stroke Systems of Care-Tennessee." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7449.
Повний текст джерелаStoyanov, Joan Ellen. "South African health care practitioners’ experiences of the current health care delivery system in Uthungulu District." Thesis, University of Zululand, 2017. http://hdl.handle.net/10530/1530.
Повний текст джерелаHealth is a human need and considered to be a human right across all societies. Access to health care services is not a problem for those who can afford it, but, for those who cannot provide for themselves, legislation needs to protect their rights. Although there is legislation in place to protect these vulnerable populations, it is ultimately the health care practitioners’ job to protect and improve the health of their communities. It is these health care practitioners who were the inspiration for and focus of the present study. The present study emerged as a separate, but expanded version of the researcher’s limited 2011 study, which specifically focused on medical practitioners’ experiences of the current health care delivery system. Results from this 2011 study suggested that a broader spectrum of health care practitioners may be similarly affected by the current health care system and that their experiences may ultimately contribute towards a better understanding of the dynamics within which health care practitioners work and function. Therefore, the present phenomenologically-oriented study aimed to describe, explicate, interpret and analyse the experiences of a broad sample of health care practitioners through their lived, day-to-day realities in both the public and private health care sectors. Data were collected from a non-probability, purposive, convenience sample of 30 adult registered health care practitioners in public and private hospitals, clinics and private practices in the uThungulu District of Kwa-Zulu Natal, South Africa. There were 15 participants from the public and 15 from the private sector. An open-ended questionnaire was used to ascertain and understand their experiences, knowledge and exposure to the relatively new national health insurance (NHI) system, what they perceived as key objectives for effective transformation of the South African health care system, possible reasons for considering emigration in light of the current staff shortages and their views on the new NHI policy, in order to find solutions to problems. The overall data analysis consisted of three levels of subsidiary data analysis, descriptive, social constructionist and interpretive paradigms, each contributing to the whole, both “vertically and horizontally”, where participants’ experiences were described, explicated and interpreted. Research findings indicated persisting large divisions and fragmentation in and between the public and private health care sectors. Yet there was unity in responses concerning the poor and disadvantaged members of society and the challenges of their access to health care services. Sensitivity to human rights standards, past socio-political influences and awareness of health as a human right and need were evident in all participant responses. Valuable solutions to improve the health care delivery system were offered by health care practitioners as key stakeholders in the future of health care delivery in South Africa. Public health care practitioners’ experiences were dominated by overall expressions of unhappiness, anger and frustration related to poor service delivery, lack of resources, inadequate management structures, wages, inadequate consultation, fear for personal (and family) safety and the future of health care. Concern for the poor, vulnerable and the majority of citizens who use health care services, coupled with the burgeoning burden of disease, were perceived as a major stressor and source of anger towards the government and bureaucracy in general. Chronic stress and anxiety, suggestive of burnout and other negative psychological states, were also apparent. The inability to service long patient queues, inadequate communication structures/channels and lack of cohesive team practices, ethics and standards created a sense of emotional overburden and other negative affective states. These, and the uncertain future of health care under the new NHI, exerted extra stress on already overworked health care personnel. Education and effective consultation about the NHI were expressed as being inadequate and incomplete. Despite these factors, health care practitioners offered various valuable solutions and suggestions for the improvement of health care service delivery. Despite also being stressed, participants who work in the private sector were generally happier and they evinced less negative psychological states. Although a stressful environment with its own problems, within the private sector the NHI was considered to be a good concept in principle, although many participants doubted its feasibility and felt that regulatory changes often took place without adequate consultation. Given the nature and transparency of the present study, across multidisciplinary teams of health care practitioners, the researcher is of the opinion that the present study created a platform for discussion and debate around the context of a changing health care system within South Africa’s culturally diverse society. In conclusion, a critical review of the present study and recommendations for management structures, health care practitioners themselves and future research is provided.
Stoyanov, Joan Ellen. "South African medical practitioners’ experiences of the current health-care delivery system." Thesis, University of Zululand, 2011. http://hdl.handle.net/10530/1087.
Повний текст джерелаSouth Africa is at a critical point in the debate about the future of health-care in the occupation-specific dispensation (OSD). It also faces the exodus of valuable human resources that was perceived as greener pastures, as medical practitioners become increasingly dissatisfied with governmental policy, wage negotiations, work-place disillusionment, lack of service delivery, expressions of corruptions, and lack of resources. This research aimed to thematically analyse the experiences, opinions and feelings of medical practitioners in both the public and private health-care sectors as well as explored international trends with the intention of drawing comparisons, highlighting problem areas, and discussion of possible solutions. It was hoped that this research would contribute towards understanding the dynamics that marked the exodus of medical practitioners from South Africa, at a time when change in the health-care system was imminent. In order for the medical practitioners to remain in the current health-care system, a new dialogue would have been opened in which their concerns could be raised and evaluated.
Mulvanerty, Noreen R. "Impact of healthcare provider education related to safe sleep practices on care delivery| Pilot study." Thesis, Georgetown University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10251871.
Повний текст джерелаThe purpose of this study was to increase the knowledge level and change self-reported behavioral intent among a sample of healthcare providers regarding safe sleep messaging. From 1995 through 2015 in New York City, an average of one infant died every week from unsafe sleeping conditions. One agency in New York City experienced four unsafe sleep infant deaths within two months in 2010. In 2011, the city provided case managers with training on infant safety. Before this training, up to six sleep-related infant deaths were reported annually. The following year, one sleep-related infant death occurred. None occurred during the second year subsequent to the training. Current literature demonstrates healthcare providers have considerable influence on safe sleep messaging. This current study utilized a similar educational training designed for healthcare providers working in an urban health facility.
A single group pre/post-test quasi-experimental design was delivered to 23 participants. The design incorporated an online educational intervention in order to increase healthcare provider’s knowledge level and change their self-reported behavioral intent to educate parents and caregivers on the importance of safe sleep practices. Data were gathered at pre-test and post-test to assess changes.
Final analysis, using a repeated measures general linear model, was carried out on data from the twenty-three participants who returned completed pre- and post-class surveys. There was a statistically significant change in the overall 13-item composite score reflecting knowledge level and change the self-reported behavioral intent from pretest (M=6.13, SD=2.78) to post-test (M=8.78, SD=3.79) at the p <.001 level. These findings support current literature recommendations for healthcare providers to incorporate the safe sleep message into their practice. Nonetheless, supplementary research is needed to conclude whether these results coincide with communities elsewhere and to examine the issues regarding knowledge and behavioral intent regarding safe sleep messaging.
Hendry, Charles. "Caring for patients - setting priorities : an exploration of the process of prioritising care in nursing." Thesis, Abertay University, 2001. https://rke.abertay.ac.uk/en/studentTheses/b6073061-57ac-40c0-a455-555b62418b1a.
Повний текст джерелаChao, Shir-Ley. "Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs)." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276836.
Повний текст джерелаCox, Karen R. (Karen Rose). "Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036817.
Повний текст джерелаBanks, Janet. "Carrying the load : nursing care experiences in a public hospital system /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.
Повний текст джерелаMahoney, Kevin B. "THE RISE OF MEDICAL CONSUMERISM, SELF-TRIAGE AND THE IMPACT ON THE HEALTHCARE DELIVERY SYSTEM." Diss., Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/501209.
Повний текст джерелаD.B.A.
The increased out-of-pocket payments required from today’s insurance plan designs is leading to the advent of patients acting more like regular consumers. They are shopping for the best value for their personal spending on healthcare services. This is leading to an increased use of less hospital and health system centric delivery sites. Enabled by the availability of information on the internet, more patients are using alternative settings such as urgent care centers, retail clinics, etc. Specifically, patients are opting for Urgent Care Centers (UCC) in lieu of the hospital emergency room (ER), principally due to higher out-of-pocket costs for unscheduled care but also a desire for a better overall service experience with amenities and a service orientation towards the consumer/patient. This shift in patient behavior raises questions as to how UCCs compare to ERs. To better understand this, two studies were conducted: the first examining the relative patient experience at UCCs versus ERs, and the second examining the effect of UCC visits on overall cost of service. To better understand the patient experience in UCCs compared to ERs, a quantitative analysis of reviews posted on Yelp for hospital emergency room and urgent care center was conducted. UCCs received significantly higher Yelp ratings than emergency rooms. Machine learning was used to determine which topics in Yelp reviews were most closely correlated with 5-star and 1-star ratings. 16,447 ER Yelp reviews were analyzed from 1,566 hospitals, and 84,502 reviews from 5,601 UCCs. There were more 5-star UCC reviews (n=43,487, 51%, p<0.05) compared to 5-star ER reviews (n=4,437, 27%, p<0.05). The study determined that 5-star reviews for ERs tend to focus on clinical care while UCC reviews focused on convenience. Online patient reviews provide an understanding of what patient’s value in their unscheduled care experience offering insights for health systems and providers in planning the future care delivery systems. To determine if urgent care centers are a less-costly substitute service to hospital-based emergency rooms or a complementary, cost-amplifying service, a second study was completed. The study compared the pre- and post-period spending differences, for selected low-acuity patient conditions, between patients who started their treatment at an urgent care center versus starting at an emergency room using difference-in-differences analysis. The study methodology was based on a sample University of Pennsylvania Health System employees and their dependents seen at an urgent care facility or in the emergency room between 2012-2017 with a primary diagnosis among 15 most common low-acuity conditions seen in those settings. The sample included 3,055 episodes with initial index visits in urgent care and 3,650 initial index visits in a hospital emergency room. Patients who visited the ER spent $1,323 (p < 0.0001) more than those who visited urgent care centers within 30 days following the visit, and $2,152 (p < 0.0001) more within 6 months following the visit. Visiting the emergency room corresponded to a 68.0% greater change in pre- to post-index period cost when evaluating the first 30 days and 40.0% comparing costs over 6 months. Thus, this study demonstrated the significant cost advantage of urgent care centers for treating selected conditions as compared to a hospital emergency rooms when the unit of analysis is total health care spending at 30-day and 6 months.
Temple University--Theses
Havaei, Farinaz. "The effect of mode of nursing care delivery and skill mix on quality and patient safety outcomes." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/59936.
Повний текст джерелаApplied Science, Faculty of
Nursing, School of
Graduate
Xaba, Anna Nnoi. "Perceptions of registered nurses on the factors influencing service delivery regarding expansion programmes in a primary health care setting." Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-02172009-150243/.
Повний текст джерелаWang, Shihua. "The experiences of Chinese immigrant women with the health care delivery system in Canada." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0025/MQ36382.pdf.
Повний текст джерелаCavenaghi, Suzana. "A spatial-temporal analysis of fertility transition and health care delivery system in Brazil /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.
Повний текст джерелаGuillen, Linda Diane. "Curriculum for an online course in technical communications using the I-CARE delivery system." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1851.
Повний текст джерелаCurrey, Judy A., and mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making." Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.
Повний текст джерелаJain, Tarun. "Electronic Data Capture System for Heart Failure Disease Management Program in Skilled Nursing Facility." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1412698796.
Повний текст джерелаMcCullough, Kylie. "The delivery of Primary Health Care in remote Australian communities: A Grounded Theory study of the perspective of nurses." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2018. https://ro.ecu.edu.au/theses/2153.
Повний текст джерелаDevika, Janae Alyna. "Implementing an Online Education and Reminder System to Aid a Clinic's Dietary Intervention Program." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/311578.
Повний текст джерелаHogan, Georgiana, Janice Lazear, Jean Croce Hemphill, Catherine Hebert, and Emily Wood. "Constipation in the Long-Term Care Resident." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/4.
Повний текст джерелаStevens, Brent Alan. "Improving the Quality of Electronic Documentation in Critical Care Nursing." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3636.
Повний текст джерелаPinkoane, Martha Gelemete. "Incorporation of the traditional healers into the national health care delivery system / Martha Gelemete Pinkoane." Thesis, North-West University, 2005. http://hdl.handle.net/10394/1725.
Повний текст джерелаKurtzman, Ellen T. "Delivery of High Quality Primary Care in Community Health Centers| The Role of Nurse Practitioners and State Scope of Practice Restrictions." Thesis, The George Washington University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=3746006.
Повний текст джерелаIn response to the increased demand for primary care in the United States—a byproduct of a growing elderly population and insurance expansion under the Affordable Care Act (ACA)—the total number and capacities of community health centers (HCs) is expected to grow. While HCs have historically depended on physicians to deliver the majority of their care, more and more, they are shifting to non-physician clinicians, especially nurse practitioners (NPs); yet, little is known about the quality of care delivered by NPs in HCs or about the role state occupational restrictions have on these practitioners or their patients.
Using quasi-experimental methods and data from the community health center subsample of the National Ambulatory Medical Care Survey (NAMCS), this dissertation explores three distinct, but related, research questions regarding NP-delivered care in HCs—its effectiveness and comparability to physician care, the extent that tradeoffs in the quantity and quality of care are made, and the real-world risks and benefits of states easing their scope of practice restrictions. Findings, which suggest that NP care is comparable to physician care in most ways and that the quality of NP-delivered care does not significantly vary irrespective of states’ NP independence status, have important implications for policy and practice.
Yang, Wai-lam Caroline. "Exploring the expanded role of nurses in coronary care." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31973024.
Повний текст джерелаRoger, Kathleen Mary Louise. "A nursing workload manager for a patient data management system /." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61047.
Повний текст джерелаNgum, Awasom fru. "Cultural Barriers in Healthcare Delivery from the Perspective of Patients." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-442091.
Повний текст джерелаBakgrund Många patienter, särskilt de med minoritetsbakgrund, står vanligtvis inför kulturella barriärer när de blir bemötta av hälso-och sjukvårdspersonal. Detta hindrar utformandet av kulturellt kompetent vård. Studien syftar till att förstå hur kulturella barriärer som patienter står inför är avgörande för att uppnå kulturellt kompetent omvårdnad. Mål Syftet med denna studie är att undersöka kulturella barriärer vid leverans av vårdtjänster ur patientens perspektiv. Metod Metoden är en litteraturstudie baserad på kvalitativ primär forskning.Tio artiklar valdes från databaserna CINAHL, PUBMED och Google. Alla utvalda artiklar är publicerade mellan 2010 och 2020. Kvaliteten på de artiklar som valdes är granskade med hjälp av en granskningsmall för kvalitativa studier. Data analyserades med hjälp av litteraturgranskning enligt en matrismetod. Resultat Analysen och resultaten från studien tyder på att fyra huvudsakliga kulturella barrier ur patientens perspektiv hade avgörande inverkan på bemötandet inom vården. Dessa kulturella barriärer inkluderade följande; kommunikationsproblem som uppstår under verbala och icke-verbala interaktionen, misstro och diskriminering till följd av tidigare kontakt med hälso- och sjukvården, socioekonomisk status och slutligen låg benägenhet att söka vård som är vanligt för människor med samma kulturella bakgrund. Slutsats Avslutningsvis är det uppenbart att patienter möter kulturella barriärer under sin interaktion med vården och deras erfarenheter kan formas av ett antal variabler och faktorer. Dessa kulturella utmaningar hindrar adekvat tillgång till hälso sjukvård och kan leda till ojämlikhet i tillgången till hälso- och sjukvårdstjänster.
Senot, Claire. "Combining Conformance Quality and Experiential Quality in the Delivery of Health Care." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1397407599.
Повний текст джерелаRodney, Paula Ann. "The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/421.
Повний текст джерелаZia, Vivian. "A computerized nursing workload management system in a pediatric ICU." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape16/PQDD_0007/MQ29638.pdf.
Повний текст джерелаWalts, Lynn Maddox Walker George M. "Patient classification system : an integrated method for measuring nursing intensity and optimizing resource allocation /." See options below, 1992. http://proquest.umi.com/pqdweb?did=745208811&sid=2&Fmt=2&clientId=68716&RQT=309&VName=PQD.
Повний текст джерелаChien, Hui-Wen. "Understanding the Nursing Home Care Processor: An Ethnographic Study." University of Sydney, 2009. http://hdl.handle.net/2123/6389.
Повний текст джерелаAim and significance: The aim of this research was to explore the phenomenon of Australian nursing home care from the perspective of those who provide and receive it. Its focus is on the processes of ‘quality care’ provision and the meanings and evaluations that care providers attach to their work. In other words, its purpose was to shed light on the practices based on a conceptualisation of care that is entwined with the mechanisms of ‘care’ production and identity creation, or what actually happens in the daily life of the complex social phenomenon that is a nursing home. A related aim was to add to understandings of clinical nursing competence and develop tools that will assist nurses to conceptualise and implement positive change in this setting. Background: The provision of care to our elderly has become a major concern with the ageing of the world population. This is occurring in the context of decline in the capacity of families to take on the responsibility of elder care, and of increasing commercialisation of medical care. Governments have responded by shifting their responsibilities from direct care provision to become auditors of the business of care provision that is supported by public funding. However poor care delivery has largely been hidden from the public gaze. Governments present themselves as having systems in place, creating the illusion of rational control; in reality, like the market economy, there is a ‘black box’ of unknown factors driven by human impulse. The aim of this study was to open up the black box of ‘quality care’ to direct observation, drawing insights from the literature on organisational culture and with a focus on the frontline worker and the construct of quality assurance. Specific research objectives were to: • Document the beliefs and attitudes of care providers towards elderly people in general and the needs of nursing home residents in particular • Elicit the range of meanings and evaluations that care providers attach to their work • Describe their constructions of ‘care’ and ‘quality of care’ and the organisational factors they believe to impact (positively and negatively) on their ability to provide it. • Through in-depth understanding of a particular setting, generate grounded theoretical insights into the phenomenon of quality of residential care that are more widely applicable Method: The study adopted a paradigmatic bricoleur approach, seeking to develop connections between a diverse range of methodologies. These included combinative ethnography, phenomenology, hermeneutics and traditional grounded theory. Conceptual insights were drawn from organisational studies, psychosocial nursing and coping theory. The research site was an Australian for-profit suburban nursing home. The student investigator conducted more than 500 hours of participant observation, recording extensive field notes which were analysed through the perspective of a hermeneutic middle way horizon that directed an augmented constant comparison traditional grounded theory approach. Additional data were collected through formal indepth interviews with six key stakeholders. Interviews were tape recorded, transcribed in full and analysed to reveal themes that were brought within a hermeneutic circle that spiralled recursively from the whole to the part and back to the whole. Findings: Eight key interrelated factors in the production of care within the nursing home were identified: internal and external accountability (the accreditation system); economic considerations; management and training; advocacy; characteristic of residents; care providers’ working conditions and environmental stressors; organisational culture; and the work/care styles of individual care providers. I have categorised the latter into two main types: ‘tortoises’ and ‘hares’. This typology is then used to generate a process-driven schematic diagram that tracks a hypothetical novice care provider through the process of learning how to produce ‘care’. Specifically, I found that nursing home ‘care’ is the outcome of a complex social process involving the interplay between resident, relative, care provider, proprietor, quality assessors and government within the phenomenon of the nursing home. Such care, indeed the phenomenon of the nursing home itself, is not a stable, controllable entity but is in a constant state of flux – what I refer to as a moral ecology. In their everyday practice, care providers devise a construction of ‘quality care’ that is more clearly grounded in their own worldviews and the development of the own identity than in the formal quality assurance system of standards, guidelines and evaluations. Conclusion: Understanding the ‘black box’ of processes that produce care is the key to identifying courses of action that will improve care outcomes. The study findings also question the validity, assumptions and significance of the accreditation system, which only identifies some of the component variables, disregarding both the complexity within the ‘black box’ and failing to acknowledge that the quality of care outcomes is overwhelmingly dependent on individual care providers.
Thrasher, Evelyn Byrd Terry Anthony. "Examining strategic fit for the interorganizational network an empirical investigation of the health care integrated delivery system /." Auburn, Ala., 2006. http://hdl.handle.net/10415/1300.
Повний текст джерелаDoerge, Jean Boehm 1951. "Cost effectiveness of nurse case management compared with an existing system of care." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/292108.
Повний текст джерелаGinos, Elizabeth. "The perceived role of wellness health coaches in delivering care to employees and their spouses with chronic conditions in a health care system in the Midwest." Thesis, Blessing-Rieman College of Nursing, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1570472.
Повний текст джерелаThe focus of recent attention in healthcare is the increasing population of people with chronic condition and the increasing cost of managing the health of this population. To improve care outcomes and increase cost effectiveness of managing the health of these patients their care needs to be directed by evidence-based approaches. One of these approaches could be wellness health coaching directed toward helping patients self-manage their chronic condition. The problem however, is that the research on the role of wellness health coaches with helping patients self-manage their chronic condition is limited. Therefore, research that focuses on the role of wellness health coaches and their approaches to facilitate self-management are needed.
To gain understanding of the role and approaches of these wellness health coaches a phenomenological method was used. By personal interviews with six wellness health coaches, the researcher sought to answer the two research questions by describing their perceived role and their approaches to facilitate self-management of individuals with chronic conditions.
Wellness health coaches in this study perceived their roles as educators, motivators, guides, supporters, facilitator, collaborator, and coordinator. With all their clients they help set goals and develop a plan to meet their goals. The wellness health coaches' approaches to help improve their clients' self-management skills include providing them with written educational materials, resource information, and other tools such as websites on health information. All of these wellness health coaches' activities are aimed at empowering their clients to be able to improve their lifestyle and overall health.