Thesis (D.N. Sc.)--Catholic University of America. / Typescript. Bibliography: leaves 106-109.

Thesis (Ph.D.) -- University of Rhode Island, 2009. / Typescript. Includes bibliographical references (leaves 150-165).

Thesis (Ph. D.)--University of Texas at Austin, 2001. / Vita. Includes bibliographical references. Available also from UMI Company.

Research project (M.S.N.)--University of North Carolina at Wilmington, 2006. / Includes bibliographical references (leaves: 43-47)

Proefschrift Universiteit Maastricht. / Met lit. opg. - Met samenvatting in het Engels.

Thesis (M.A.)--Trinity Evangelical Divinity School, 1993. / Abstract. Includes bibliographical references (leaves 82-91).

Experience sampling methodology (ESM) is a real-time data capture method that can be used to monitor symptoms and behaviours as they occur during everyday life. With measures completed multiple times a day, over several days, this intensive longitudinal data collection method results in multilevel data with observations nested within days, nested within subjects. The aim of this thesis was to investigate the optimal use of multilevel models for ESM in the design, reporting and analysis of ESM data, and apply these models to a study in people with psychosis. A methodological systematic review was conducted to identify design, analysis and statistical reporting practices in current ESM studies. Seventy four studies from 2012 were reviewed, and together with the analysis of a motivating example, four significant areas of interest were identified: power and sample size, missing data, momentary variation and predicting momentary change. Appropriate multilevel methods were sought for each of these areas, and were evaluated in the three-level context of ESM.Missing data was found to be both underreported and rarely considered when choosing analysis methods in practice. This work has introduced a more detailed understanding of nonresponse in ESM studies and has discussed appropriate statistical methods in the presence of missing data. This thesis has extended two-level statistical methodology for data analysis to accommodate the three-level structure of ESM. Novel applications of time trends have been developed, were time can be measured at two separate levels. The suitability of predicting momentary change in ESM data has been questioned; it is argued that the first-difference and joint modelling methods that are claimed in the literature to remove bias possibly induce more in this context. Finally, Monte Carlo simulations were shown to be a flexible option for estimating empirical power under varying sample sizes at levels 3, 2 and 1, with recommendations made for conservative power estimates when a priori parameter estimates are unknown. In summary, this work demonstrates how multilevel models can be used to examine the rich data structure of ESM and fully utilize the variation in measures captured at all levels.

Resumo: A humanização é vista como um conjunto complexo de atitudes e ações motivadas por pensamentos éticos, humanísticos, sociais e holísticos. Hoje, a proposta de humanização em UTI tem um horizonte mais amplo, englobando desde o ambiente físico até as relações entre as equipes de saúde. Dessa forma, valorizar a presença de acompanhantes na instituição hospitalar e apreender sua percepção é um processo fundamental para o alcance de uma prática assistencial realmente humanizada. Assim, esse estudo tem o objetivo de analisar a percepção do acompanhante de pacientes que estão em processo de hospitalização, na busca da assistência humanizada em Unidade de Terapia Intensiva. É uma pesquisa de abordagem qualitativa, sendo entrevistados os acompanhantes nas UTIs pediátrica e coronariana do HC da Faculdade de Medicina de Botucatu - UNESP. Os depoimentos foram analisados através da Técnica de Análise de Conteúdo proposta por Bardin (96). As categorias identificadas foram: acolhimento e ambiente da UTI: estrutura física e profissionais de saúde. As percepções dos familiares em ser acompanhante refletem uma não diferenciação em ser acompanhante e ser visitante, porém enfatizam que a presença da família, mesmo nos horários de visitas, auxilia na recuperação do paciente, como também os tranqüilizam. Os acompanhantes consideram as informações fornecidas pelos profissionais de saúde, adequadas e verdadeiras. O atendimento das unidades é percebido como satisfatório, porém revelam ser necessário um repensar sobre as normas e rotinas das unidades, principalmente em relação aos horários de visitas. A percepção sobre acomodação reflete a possibilidade de estar próximo ao paciente, porém revelam a dificuldade por não ter um local apropriado para se acomodar que se localize próximo a UTI. Percebem ainda... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Humanization is viewed as a set of complex attitudes and actions motivated by ethical, humanistic, social and holistic thoughts. Today, the proposal of humanization at ICUs has a broader horizon which includes the physical environment as well as relations between health care teams. Hence, valuing the presence of companions in hospitals and apprehending their perceptions is a fundamental process for accomplishing an actually humanized care provision practice. Therefore, this study aimed at analyzing the perceptions of companions of patients undergoing the hospitalization process in the search for humanized care at an Intensive Care Unit. It is a qualitative study in which companions of patients hospitalized at the pediatric and coronary ICUs of the Botucatu School of Medicine University Hospital - UNESP were interviewed. The reports were analyzed through the Content Analysis Technique proposed by Bardin (96). The identified categories were: patient reception and the ICU enviroment - physical structure and health care professionals. Family members' perceptions of being companions reflected a non-differentiation between being a companion and being a visitor; however, they emphasized that the presence of relatives, even if only at visiting hours, helped patients' recovery as well as made them calm. Companions considered the information provided by health care professionals to be adequate and truthful. The care given at the units was perceived as satisfactory although the respondents reported the need to reconsider the units' rules and routine, especially as concerns visiting hours. The perception concerning acommodation reflected the possibility of being close to the patient; however, they revealed the difficulty of not having an appropriate accomodation area near the ICU. They also perceived that the University Hospital... (Complete abstract click electronic access below) / Orientador: Maria de Lourdes da Silva Marques Ferreira / Coorientador: Ione Correa / Banca: Ilda de Godoy / Banca: Maria José Sanches Marin / Mestre

M.Cur. / Please refer to full text to view abstract

M.Cur. (Nursing Science) / The purpose of the research study was to explore and describe the experiences of critical care nurses working in adult critical care units of a private hospital in Gauteng, following their involvement in a sentinel event. This information could enable the researcher to formulate guidelines for support of these nurses. Health care professionals aim to deliver safe, high quality care, but unfortunately, all humans can, and do make mistakes (Wakefield, 2007: 12). Since the report To err is human was released by The Institution of Medicine at Havard University (Kohn, Corrigen & Donaldson,1999), more authors have concluded that it is human to make mistakes (Erasmus, 2008:5). Mistakes in the nursing environment can be seen as sentinel events which could result in unintended harm to the patient (Muller, Bezuidenhout & Jooste, 2006:456). Sentinel events in health care, could lead to the devastating concepts of negligence, malpractice, or unprofessional practice, as nurses are held accountable for their acts and omissions according to Erasmus (2008: 5-6). The following research questions emerged:  What are the experiences of critical care nurses, following their involvement in a sentinel event, which harmed, or could have resulted in unintended harm to the patient?  What guidelines for support of these nurses could be formulated? This study was planned in two phases and the objectives of the study were: Phase 1: To explore and describe the lived experiences of nurses, working in the adult critical care units in a private hospital in Gauteng, following their involvement in a sentinel event, which harmed, or could have resulted in unintended harm to the patient. Phase 2: To formulate guidelines for support of these nurses, following their involvement in a sentinel event. A qualitative, exploratory, descriptive and contextual phenomenological research design was used to gain more information regarding critical care nurses` lived experiences, following their involvement in a sentinel event. The study was done in two adult critical care units, in a private hospital in Gauteng. Data was collected by means of six individual in - depth interviews and three naive sketches. Data analysis was done according to Tesch`s open-coding qualitative data analysis method (Creswell, 2007:156). Two main categories emerged from the data, namely the nurses` experiences following their involvement in a sentinel event and the recommendations towards guidelines for support of these nurses. The first main category was sub categorized as being personal, emotional, social and professional experiences and were found as being positive, as well as negative experiences. In the second main category, recommendations towards guidelines for support of nurses, following their involvement in a sentinel event, were proposed and these recommendations were sub- categorised as being at a personal, professional and organizational level of the nurse. In view of the findings of this study, the recommended guidelines for support of nurses, following their involvement in a sentinel event included communication, debriefing, in-service training, root cause analysis and organizational support. Consequently, the intent should be to implement these proposed guidelines for support in the hospital under study. If nurses were supported to follow these guidelines, it may help the nurses who had been involved in a sentinel event, to restore their strive for wholeness in body mind and spirit (University of Johannesburg, 2009:1) and these nurses could be able to render holistic nursing care.