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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
211

Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård

Höglund, Kristin January 2012 (has links)
SAMMANFATTNING Bakgrund: Antipsykotika utgör grunden i behandling av psykossjukdomar. Bristande följsamhet till läkemedelsbehandlingen är dock vanligt förekommande och en stor anledning till att patienter återinsjuknar i psykos och behöver vårdas inom slutenvård. Syfte: Dels att beskriva hur patienter som vårdas inom sluten psykiatrisk psykosvård uppfattar läkemedelsadministrering och dels att beskriva om patienterna uppfattar att sjuksköterskors bemötande i samband med läkemedelsadministrering har betydelse för deras inställning till att medicinera. Metod: Kvalitativ ansats. Intervjustudie med fenomenografi som metod i datainsamling och analys. Resultat: Tio beskrivningskategorier identifierades: Läkemedel befogat och bra, tar läkemedel trots ambivalens/motstånd, läkemedelsadministrationen – ett odramatiskt moment, tvångsmedicinering, behov av information om läkemedel, att vilja ha kontroll eller överlåta ansvar, en stressig situation, belöning för medverkan i medicinering, bemötandet spelar ingen roll och bemötandet spelar stor/viss roll.  Slutsats: Patienter som vårdas inom sluten psykiatrisk psykosvård uppfattar medicinering med antipsykotika och momentet läkemedelsadministration olika. Dessa individuella uppfattningar skulle troligtvis kunna identifieras om rutiner för samtal med patienter kring dessa frågor utarbetas på avdelningar där sådan vård bedrivs. Sannolikheten för att frivilliga lösningar och en bättre individuellt anpassad vård lättare skulle kunna bedrivas borde då öka. Strävan måste vara att så långt det är möjligt undvika tvångsmedicinering och situationer och bemötande som i denna studie identifierats som mindre positiva då de kan utgöra en risk att patienter blir negativt inställda till att medicinera. Ambitionen måste vara att hitta arbetssätt som syftar till långvarig följsamhet. / ABSTRACT Background: Antipsychotics are the basis of the treatment of psychotic illnesses. Lack of adherence to medication is common and a major reason why patients recurrence of psychosis and need to be cared for in hospital. Purpose: To describe how patients with psychosis, cared for in inpatient psychiatric wards, understand medication administration and also to describe if the patients perceive that nurses treatment in the moment of medication administration has an impact on their attitudes to medicate. Method: Qualitative approach. An interview study with phenomenography as a method of data collection and analysis.  Results: Ten categories were identified: medicines justified and well, take medicine despite ambivalence/resistance, administration of medicine – an undramatic moment, coerced medication, need for information about medicines, want to have control or assign responsibility, a stressful situation, reward for participation in the medication, treatment don´t  matter and treatment play a major/some role. Conclusion: Patients with psychosis, who are cared for in inpatient psychiatric wards, understand medication with antipsychotics and the moment of drug administration different. These individual understandings would likely be identified if routines for dialogue with patients about these issues were developed at wards where such care is conducted. The probability of voluntary solutions and better individualized care should then be increased. The ambition must as far as possible be to avoid forced medication and situations identified as less positive in this study as they may pose a risk to cause negative attitudes to medication among patients.  The ambition must be to find ways of working aimed at long-term adherence.
212

Rationality and Group Decision-Making in Practical Healthcare

Heffernan, Courtney January 2006 (has links)
In this paper, a view of non-compliance in practical healthcare is provided that identifies certain non-compliant behaviours as rational. This view of rational non-compliance is used to update a current form of doctor patient relationships with the aim of reducing non-compliance. In addition to reforming one standard doctor patient relationship model, the normative implications of understanding non-compliance as a rational form of human behaviour are described.
213

Voluntary compliance and implied cost of equity capital : evidence from Canadian share repurchase programs

Leung, Joanne 18 September 2008 (has links)
Securities legislation in Canada and around the world does not mandate firms to fulfill announced share repurchase programs. As such, a firms repurchase program completion rate can be interpreted as a measure of the firms voluntary compliance, which communicates to investors the degree to which the firm is responsible, reliable and makes good faith efforts to fulfill its announced programs. We therefore expect that the voluntary compliance may reduce the riskiness of a firm and thus its cost of capital. In a sample of Canadian repurchase programs announced between 1995 and 2004, surprisingly, we find little evidence to suggest that a significant relationship exists between the firms repurchase program completion rate and the cost of equity. We present a number of explanations for this result.
214

Antipsykotikans dubbla ansikte : ett patientperspektiv

Nilsson, Mia January 2012 (has links)
Syfte: Syftet med denna studie är att beskriva patienters inställning till sin antipsykotiska medicinering och orsaker till varför läkemedelsordinationer inte följs. Metod: Enkätstudie med kvalitativ innehållsanalys. Resultat: Två teman och 13 kategorier framkom för att beskriva patienters inställning till läkemedlet. Dessa teman är Läkemedel som hjälp och Läkemedel som belastning. Antalet kategorier under temat läkemedel som hjälp är nio stycken och antalet kategorier under temat läkemedel som belastning är fyra. För att beskriva varför ordinationer inte följts framkom fyra kategorier. Slutsats: Huvudresultaten i denna studie är de två teman som framkom, Läkemedel som hjälp och Läkemedel som belastning. Deltagarna i denna studie uppgav både positiva och negativa attityder till sin antipsykotiska medicin. Medicinen förbättrade sjukdomsbilden och ökade deras välbefinnande, men den var också förknippad med biverkningar och att man var bunden till att äta ett läkemedel. Inställningen till antipsykotiska läkemedel var dock övervägande positiv i denna studie. Deltagare som någon gång valt att sluta med medicinen uppgav att de gjort det på grund av glömska, biverkningar och en önskan om att få vara frisk. / Objective: The purpose of this study is to describe patients’ attitude to their medication and reasons why they may not be compliant to the medical treatment. Method: Data was collected using questionnaires and the data was analysed using qualitative content analysis. Results: Two themes and 13 categories emerged to describepatients’ attitude to their medication. The themes are Medication as an aid and Medication as a burden. There were nine categories describing the theme Medication as an aid and four to describe Medication as a burden. For reasons why patients did not adhere to medication treatment four categories emerged. Conclusion: The main results in this study are the two themes that emerged, Medication as an aid and Medication as a burden. The participants in this study expressed both positive and negative attitudes towards their antipsychotic medication. The medicine improved the clinical picture and their well-being, but it was also associated with side effects and that they were tied to a drug. Participants who stated that they had quit taking their medication one time or another had done so because of forgetfulness, side effects and a desire to be healthy.
215

Institutional Control of NCAA Division I (FBS) Athletics: An Investigation of Economic and Administrative Influences of NCAA Recruiting Infractions

Clark, Robert Smith 2010 May 1900 (has links)
Recruiting talented student-athletes is integral to the success of an athletics program. Yet, some universities and individuals therein have been willing to violate National Collegiate Athletic Association (NCAA) recruiting regulations to lure talented athletes to play at their institution. Institutional and isomorphic pressures of discouraging unethical recruiting behavior and practice rely heavily upon the rationalization and institutionalizing of social phenomena through written policy in NCAA Bylaw 13. These policies may be identified as cartel agreements, where a group creates rules to control actions that assure economic profit. Although recruiting top talent may lead to increased victories and revenues, most NCAA athletic departments do not make a profit and being sanctioned for violating NCAA recruiting rules may lead to damaged institutional reputation. In response, universities have invested resources to protect institutional prestige through a comprehensive NCAA rules compliance program. Nevertheless, undisclosed recruiting violations transpire because there are financial incentives to violate NCAA rules. Three separate works were utilized to examine the economic, institutional, and individual factors of NCAA institutional control. First, institutional factors of reported NCAA recruiting violations were analyzed through a series of chi-square tests. Correlative institutional factors were found in particular types of Bylaw 13 violations including conference affiliation, geographic region, sports involved in a major infraction, and size of full-time athletic compliance staff when the violation occurred. Second, hierarchical loglinear regression was used to analyze the results from a survey of 7,200 current student-athletes regarding undisclosed recruiting violations. Various violation types of Bylaw 13 correlatively involved institutions from Bowl Championship Series (BCS) conferences, based on geographic regions, revenue sports, and individual factors of race, sex, and income level. Third, a qualitative instrumental case study examined the economic, administrative, and individual relationships regarding NCAA institutional control of athletics recruiting at a perceivably compliant Division I (FBS), BCS conference-affiliated institution. Findings from this study suggested that the systemic pressure to win championships and maintain institutional control become difficult to balance with the added pressure of high stakes recruiting that can influence the financial stability of an athletic department. The conclusion of this work will assess systemic alternatives regarding NCAA recruiting violations and propose legal remedies to curtail future recruiting violations.
216

China and Trade-Related Aspects of Intellectual Property Rights: An Inquiry on Regime Compliance

L. Kho, Jr., Antonio 09 September 2008 (has links)
This is a study on the compliance of China to the World Trade Organization¡¦s (WTO) Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) before and after China¡¦s accession to WTO. The study on pre-accession period focuses on the enactment of China¡¦s patent, copyright and trademark laws in the light of the provisions of the TRIPS Agreement. It also focuses China¡¦s adoption, revisions and amendments of the constitution, administrative, criminal, civil, judicial, and legal professional laws and procedures to make enforcements of the intellectual property rights law effective. It likewise shows how the enactment of these laws consistent with the TRIPS Agreement is contributing to the development of the institutions of private property and the rule of law. The result shows that while the pre-accession to WTO would indicate China¡¦s substantial compliance to the TRIPS Agreement, it also focuses on some weaknesses in the laws on the determination of what violation would constitute a criminal act. This problem would manifest later after accession. The post-accession period sharply focuses on the performance of China in the enforcement of their obligations under the TRIPS regime after 2001. The assessment of China¡¦s performance in enforcement focuses on the infringement cases, the complaints filed against China before the dispute settlement mechanisms of WTO, and the multilateral and bilateral reviews on China¡¦s laws and enforcement effort after its accession to WTO. The result shows the over-reliance of China on the administrative rather than the judicial remedies in its internal enforcement effort which resulted in the weak performance of infringement deterrence. The result also notes the shift from the reliance on internal to external measures in the enforcement of intellectual property rights by the trading partners headed by US. The result of the study which shows continuing reforms in the intellectual, civil, criminal and administrative laws after WTO accession to precisely address the issues raised against China in its enforcement effort is an indication of China¡¦s willingness to play by the international rules. While the reforms have not been met with optimism, the WTO¡¦s TRIPS regime provides a sufficient mechanism to deal with China¡¦s TRIPS violations, and more importantly China is positively responding to it.
217

Determinants of nutrition appointment non-attendance among male veterans

Bell, Claire. January 2009 (has links)
Thesis (M.S.P.H.)--University of South Florida, 2009. / Title from PDF of title page. Document formatted into pages; contains 129 pages. Includes bibliographical references.
218

The relationship between aggression in selected male surgical patients, satisfaction with hospitalization, and attitudes of nursing personnel

McGivern, Diane O., January 1972 (has links)
Thesis (Ph. D.)--New York University, 1972. / Includes bibliographical references (leaves [69]-81).
219

Patients' knowledge and compliance with post-hospitalization prescriptions as related to body image and teaching format

Bille, Donald Allen, January 1975 (has links)
Thesis--University of Wisconsin-Madison. / Photocopy of typescript. Ann Arbor, Mich. : University Microfilms International, 1977. -- 21 cm. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 173-185).
220

Improving medication adherence for children with asthma objective monitoring and feedback as an intervention for inhaled corticosteroid use /

Spaulding, Scott A. January 2001 (has links)
Thesis (Ph. D.)--West Virginia University, 2001. / Title from document title page. Document formatted into pages; contains vii, 60 p. : ill. Includes abstract. Includes bibliographical references (p. 39-42).

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