Emergency departments (ED) provide access to care for large numbers of patients who have nonemergent medical needs. More than half of the patients presenting to the ED at Salem Hospital in Salem, Oregon, were found to be seeking care for nonemergent medical needs. In an effort to provide an alternative location for receiving this medical care, the hospital opened an Urgent Care Center (UCC) a few blocks from the ED. The purpose of this study was to determine who uses the ED, why, and what effect the UCC had on providing an alternative to the ED. My anthropological methodology uses both quantitative and qualitative techniques. Included in the study is a random retrospective chart review of 462 patients who utilized the ED and 183 patients who utilized the UCC. The collected data were analyzed and compared with information found in the literature review. Interviews with hospital staff and patients using the two facilities are integrated into the analysis. My own experience as a nurse allows me a certain insider's perspective which was useful in interpreting data, while doing observation, and during the interview process. Findings from my research show that the Urgent Care Clinic does provide an alternative source of health care to the ED for many people. This is particularly true for those whose usual source of care is unavailable and for those who are unable to find a primary care provider to accept them. The emergency department provides nonemergent care for large numbers of patients, some of whom have psycho-social problems which differ as compared to the general population. Some of these patients have moderate psychiatric dysfunction and/or addiction problems or homelessness as well as underlying medical problems, all of which are barriers to obtaining care in a regular office setting. In some cases, the emergency department provides the best option of available care. / Graduation date: 1999

This research study represents a personalized account of my experiences as a San Antonio Fire Department (SAFD) paramedic. In this study I bring the reader closer to the subculture of the Emergency Medical Services (EMS) through the research methodology of autoethnography. This qualitative method allows me to be researcher, subject, and narrator of the study. Autoethnography requires considerable attention to reflection, introspection, and self-analysis through the use of the narrative. Written in first person voice, I am positioned in the narrative in a manner that allows me to communicate directly with the audience. Through an insider’s perspective, I have traced the time I spent in EMS by reflecting, interpreting, and analyzing a collection of epochal events that significantly impacted my life both personally and professionally. There are five themes that I have identified as salient to the meaning-making process of the study: (a) death and dying, (b) faith and spirituality, (c) job burnout, (d) dealing and coping with job-related stress, and (e) alcohol abuse. The events that I have selected for this study may be read and interpreted as a prelude to what is a much broader narrative of my tenure in EMS and of other emergency responders’ experiences as well. The study explores how my life was impacted beyond the immediate experience and how the story continues to evolve to the present day. The study establishes a foundation for designing training programs to be used by public safety educators. Three theoretical elements of adult learning that help inform professional education strategies for emergency responders have been identified: (a) experiential, (b) narrative, and (c) transformative learning. The study also sensitizes the general public to the physical, social, and psychological demands that are placed on paramedics. It is important for the reader to know that these public servants are ordinary human beings doing extraordinary work in one of the most stressful and hazardous professions in the world.

Thesis (M.Tech.: Emergency Medical Care)- Dept. of Emergency Medical Care and Rescue, Durban University of Technology, 2008. xvii, 198 leaves. / The purpose of the study was to assess ambulance infection control in an emergency medical service in the Ilembe District of KwaZulu-Natal, by determining the prevalence of bacteria and fungi in ambulances, including those that are potentially pathogenic, and evaluating the knowledge and practices of staff in infection control.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2005. / Härtill 5 uppsatser.

Diss. (sammanfattning) Örebro : Örebro universitet, 2006. / Härtill 4 uppsatser.

Thesis (Ph.D.)--University of Western Australia, 2007.

Thesis PlanB (M.S.)--University of Wisconsin--Stout, 2009. / Includes bibliographical references.

Thesis (M.A.)--Northern Kentucky University, 2008. / Made available through ProQuest. Publication number: AAT 1459943. ProQuest document ID: 1622191091. Includes bibliographical references (p. 28-31)

Thesis (M.A.)--Northern Kentucky University, 2008. / Made available through ProQuest. Publication number: AAT 1459944. ProQuest document ID: 1622202091. Includes bibliographical references (p. 24-26)

Thesis (M.S.)--University of British Columbia, 2004. / Includes bibliographical references (leaves 92-102). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.