Thesis (Ph.D.) - University of Queensland, 2004. / Includes bibliography.

Thesis (M Nursing)--Montana State University--Bozeman, 2010. / Typescript. Chairperson, Graduate Committee: Patricia A. Holkup. Includes bibliographical references (leaves 82-90).

Proefschrift Rijksuniversiteit Limburg, Maastricht. / Auteursnaam op omslag: Marjan Groen. Lit. opg.: p. 139-146. - Met een samenvatting in het Nederlands.

Proefschrift Universiteit Maastricht. / Met bibliogr., lit. opg.-Met samenvatting in het Nederlands.

Proefschrift Universiteit Maastricht. / Met bibliogr., lit. opg. - Met samenvatting in het Nederlands.

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

Essa dissertação tem o objetivo de analisar a complexidade do vínculo entre as indústrias eletrointensivas e o setor elétrico brasileiro, depois da década de 70, buscando responder à pergunta formulada no próprio título. 0 consumo de energia elétrica nas indústrias eletrointensivas teve um peso significativo na estrutura do consumo industrial, motivando análise por se tratar de um segmento industrial com demanda elevada de energia elétrica, exigindo consequentemente crescentes investimentos no setor de energia elétrica. Para efeito de análise, o trabalho está dividido em duas partes: a primeira aborda as questões relativas às indústrias eletrointensivas; a segunda analisa a indústria do alumínio primário brasileiro, simulando o cálculo do valor aproximado da \"perda potencial de receita\" do setor elétrico, ao fornecer energia elétrica com tarefas especiais para as duas empresas localizadas na região norte do país. Ao enfocar a implantação das duas indústrias de alumínio primário na região norte, o objetivo foi de mostrar um exemplo de decisão governamental que favoreceu investimentos pesados no Setor Elétrico, sem levar em conta o seu próprio planejamento. É bem verdade que a própria configuração do setor favoreceu esse tipo de decisão. A crise macroeconômica, que marcou a década de 80, provocou tanto a estagnação na produção e a retração do mercado interno, como o esgotamento na capacidade de financiamento do setor de energia elétrica. As indústrias de bens intermediários, como as eletrointensivas, conseguiram sobreviver graças ao mercado externo, ganhando competitividade mesmo com perda do dinamismo econômico. Num contexto de redefinição do papel do Estado, em que faltam recursos para o setor elétrico ampliar seus parque de origem hidráulica, é necessário analisar como se deu o vínculo entre o consumo de energia elétrica e as indústrias de bens intermediários, buscando respostas às necessidades do momento atual. / The aim of this study is to verify the amount of subsidie given by the electricity sector to Northern Region, as well as, the brazilian\'s option of the electricityintensive, mainly in the aluminium industry. In 1995, the Brazilian Primary Aluminium Industry consumed 18.189,5 GWh of electrical energy to produce 1188,2 thousands tons. Its growth occured after the establishment of the projects Albras and Alumar, in the Northern Region of Brazil. These two projects pay \"special tariffs\" for the electricity consumed which is generated by the Tucuruí Hydroelectric Power Plant in the State of Pará, for 20 years. When the Brazilien Government decided to build the Tucuruí Hydroelectric Power Plant, it did not take into account the criterion of lower cost projects. It has started giving incentives and allowing tariff discounts to new projects which aimed at exploring mineral reserves located in the Northern Region. The establishment of Primary Aluminium Industries in the Northern Region are typical examples of industrial policy decision, favouring heavy investments in the electricity sector without a coordinated process in its decision.

M.Cur. / The intensive care nurse practising respiratory nursing care, is responsible for giving high quality nursing care. Due to the rising cost of health care more pressure is placed on the nurse to provide a high quality nursing care (Sanazaro, 1986:27) Bruwer (1986:220-245) states that there is a need for an orderly, methodical qua l Ity assurance approach on all nursing levels in South Africa, based on a South African model, as well as the development of nursing standards for public and private hospitals. Mechanical ventilation forms an important part of the nursing of the adult critically ill patient in the intensive care unit. To ensure that the patient benefits from mechanical ventilation and does not suffer from complications due to mechanical ventilation, standards must be developed to ensure the giving of a high quality of nursing care. Without these standards it is impossible to determine the quality of their nursing care given. The quality can furthermore,only be questioned and not be determined scientifically. Standards for providing high quality nursing care to mechanically ventilated patients do not exist in South Africa. The quality of the nursing care that these patients receive is therefore questioned.

M.Cur. (Intensive Care Nursing) / The nurse working in an intensive care unit is legally accountable for complete and accurate record-keeping. Record-keeping is especially important during a crisis incident as the sequential management or treatment depends on what happened before and during the crisis incident. Before she can be held accountable for complete and accurate record-keeping, the nurse must have the necessary abilities (knowledge, skills and values) . She will have to accept the responsibility and legally she will receive the authority for it. Complete and accurate record-keeping helps to maintain, improve and restore the critical patient's health. In this way the nurse working in an intensive care unit facilitates the patient's aim for wholeness and at the same time achieves her own aim for' quality nursing. The purpose of this research is accurate nursing records are kept intensive care unit. A contextual-descriptive research design, including a survey method and retrospective auditing were used to determine the completeness and accuracy of record-keeping by nurses during a crisis incident. Auditing was done on the basis of three structured control lists. The results showed that the graphic-symbolic report was more complete and accurate with regard to the patients' particulars and graphic accuracy. The results also showed that there is a great variance in the knowledge and skills of the nurses working in the intensive care unit, regarding record-keeping. Recommendations evolving from this study are: The purpose and use of the records should be clarified. The record system must be revised. Temporary staff must be accompanied on day duty by permanent staff members before they start working night duty. The allocation of the staff must be revised. A policy for record-keeping must be established. In-service training for expanding knowledge regarding record- keeping must be initiated. The purpose and the use of record-keeping must be included in the orientation program. Records must be evaluated to identify shortcomings.

Objective: The Patient Self-Determination Act of 1990 (PSDA) protects a patient’s right to predetermine the level of life-supporting care they are willing to receive (U.S. Department of Health and Human Services, 1993). In Arizona, the advance directive (AD) complies with the PSDA and is used to guide care in the event of cardiopulmonary failure. The AD may indicate “do not resuscitate” (DNR), which prohibits cardiopulmonary resuscitation in the event of cardiac arrest. In the institution used for this project, a palliative care team assists with identifying goals of care and helps guide interventions consistent with the AD. The purpose of this Doctor of Nursing Practice (DNP) project was to complete a retrospective chart review and identify patients admitted to the medical intensive care unit (ICU) with a DNR as indicated by a copy of the AD in the electronic health record (EHR) and determine if they received a palliative care consultation. This information could support a quality improvement project led by the DNP-prepared AGACNP focused on ensuring a palliative care consultation within 48 hours of admission for patients admitted to the ICU with a DNR. Methods: A search of the EHR identified patients admitted to the medical ICU over a 12-month period. The EHR of patients admitted with a DNR were reviewed to determine if they received a palliative care consultation during the ICU stay and the patient’s final disposition. Findings: A total of 38 patients had an AD indicating DNR status on admission to the medical ICU. Of those patients, 26 (68.4%) received a palliative care consultation. Twelve patients (31.6%) with a DNR status on admission did not receive a palliative care consultation. Additionally, five patients with a DNR (13.16%) died in the ICU without receiving a palliative care consultation. Conclusion: Twelve patients with an AD indicating a DNR did not receive a palliative care consultation, and five of those patients died in the ICU. The findings from this project support a quality improvement project to implement palliative care consults to review goals of care for patients with a pre-existing AD indicating a DNR code status.