Faculty of Health Sciences Schoolof Nursing Thearpeutic Sciences 0210998w 0842097202 / In order for caregivers to be better able to work with dying patients, they need to confront their fears about their own mortality and explore their feelings about their personal and professional losses. The importance of death anxiety research rests on the premise that death is an eventuality that everyone faces and how health professionals, specifically, deal with death anxiety is of considerable relevance as to the quality of care given to the terminally ill patient. The purpose of this study was to identify, explore and describe nurses’ personal fear of death (death anxiety) and explore whether an association exists between death anxiety and their attitudes towards dying patients in a private acute care hospital in Johannesburg. A quantitative, descriptive correlational survey was conducted to examine the relationship between death anxiety and nurses’ attitudes toward terminally ill patients in a private acute care hospital in the province of Gauteng in South Africa. Various extraneous variables have been identified and defined. No attempt was made to control or manipulate the situation as it was currently occurring. The study population comprised of all nurses working in this hospital who fulfilled the stipulated selection criteria. Data were obtained from nurses through the use of a self-administered questionnaire. The response rate was 42% of the expected population. A total of 93 responses were received. Descriptive statistics were used to analyze data and the significance of the relationships between variables was determined using the Fishers exact test (p-value of 0.05). The findings of this study were consistent to that of similar studies. Findings suggest high levels of death anxiety within the study population with correlating negative death attitudes. This may be associated with the fact that a significant proportion of the study sample was younger and less experienced as opposed to those who demonstrated lower levels of death anxiety and positive death attitudes and were more experienced and older. v A strong association was found between death anxiety and death attitudes. Statistically significant relationships between age and length of nursing experience/exposure were found. No significant relationships between sex, institutional support, death anxiety and death attitudes were found. Of import, the need for ongoing terminal care education was identified in this study.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfilment of the requirements for the degree of Master of Science in Medicine (Pharmaceutical Affairs) Johannesburg, 29 August 2014 / In South Africa’s current healthcare structure, about 8.3% of GDP is spent on healthcare. This is well above the WHO recommended 5% of GDP spend. Despite the heavy spending, health outcomes remain poor when compared to similar middle-income countries. Solutions need to be found to cut back on healthcare costs. Approximately half (4.1%) of the healthcare spend is consumed by the private sector which benefits a very small segment (16%) of the population. This segment is largely on medical schemes. Using generic medicines can aid in cutting back on drug costs but are generics being adequately assimilated by the consumers of healthcare in the private sector? The objective of the study was to evaluate the perceptions attitudes and knowledge of the consumers of healthcare in the Northern suburbs of Johannesburg towards generic medicines. A survey was conducted on a sample of 402 respondents across 9 randomly selected pharmacies in the Johannesburg north region between November 2012 and February 2013. A researcher administered questionnaire was the sole data collection tool. Questions asked covered the research objectives and also included demographic data and other explanatory variables. Data analysis was carried out in SAS. The 5% significance level was used throughout, unless specified otherwise. The chi-squared (Χ2 ) test was used to assess the relationships between categorical variables. Fisher’s exact test was used for 2 x 2 tables or where the requirements for the Χ2 test could not be met. The strength of the associations was measured by Cramer’s V and the phi coefficient respectively. Key results on respondent demographics included high representation of the higher income earning groups (78% >R10 000); furthermore 44% had completed tertiary education, 60% were comprehensively insured, 61% regularly visited a pharmacy, 38% were on prescription medication and 24% on chronic medicine. On knowledge, 5% of respondents were able to most accurately define generic medicines. On attitudes, 78% had used generics however the level of agreement was lower for the highest education category (p<0.0001; Cramer’s V=0.18). Trends favoured brands over generics with increasing severity of illness as generics were chosen by 10% in major illness and 5% in chronic illness. 80% perceived generics as safe while 95% perceived brands as safe. 75% of respondents felt that generic medicines were as effective as branded medicines. 15% indicated that branded medicines have fewer side effects. 64% showed positive perceptions of quality of generics compared to 93% for brands. Bowker’s test of symmetry was significant (p<0.0001) showing a shift towards slightly more negative perceptions towards generic medicines amongst those who thought highly of brand quality. Knowledge of generics was overall low. Perceptions regarding safety, quality, efficacy, and side effects of generic medicines were generally positive but responses proved more positive for brands. Attitudes towards generic medicines were mostly positive however willingness to use generics lessened with increasing severity of illness. Household income, health insurance (medical aid) status, level of education, experience with medicines and racial demographics played a key role in explaining consumer beliefs and behaviours. Pharmacists and Doctors had a positive influence on generic use patterns amongst other factors.

A thesis submitted in fulfilment of the requirements for the degree of Master of Public Health in the department of school of Public Health Faculty of Health Sciences University of the Witwatersrand Johannesburg, 2003 / Smoking is a preventable cause of death. Young people start smoking at an early age due to certain external influences such as peer pressure, advertising etc. Once they start smoking, they often remain smokers forever because of the addictive effects of nicotine. The international studies show that the high morbidity and mortality rates caused by cigarette smoking can be reduced if health promotion strategies target school going children. The aim of the study was to investigate knowledge, attitudes and practices of students in matric as regards smoking in the Greater Tshwane Metropolitan area (Pretoria). This will inform the health promotion programmes, in particular health education, dealing with tobacco smoking prevention and control in schools / IT2018

Thesis advisor: Audrey Friedman / This mixed-method study, combining both qualitative and quantitative procedures, aimed at investigating the impact of Palestinian EFL teachers' attitudes toward oral errors on their students' attitudes and choice of oral error correction strategies. The study sample consisted of (151) high elementary and secondary school Palestinian EFL teachers and (774) of their students, distributed proportionately between males and females. Both groups responded to a teacher and a student questionnaire respectively. The sample also included (12) teacher participants, each of whom was observed and interviewed twice in the course of the study, and (12) student participants, each of whom took part in two focus group interviews. Data obtained from different sources (i.e. case study vignettes, questionnaires, interviews, focus groups, and observations) provided significant evidence that the majority of both Palestinian EFL teachers and students had positive attitudes toward oral errors and their correction as they generally agreed that error correction was necessary for the enhancement of language teaching and learning. However, the data also revealed some discrepancy between students and teachers regarding what, how often, when, how, and by whom errors should be corrected. The study also showed that although students wanted to improve their accuracy in English to be well prepared for accuracy-oriented formal tests, the majority of them preferred not to be marked down on every error they made. Further, the study revealed that different error correction strategies had different cognitive, affective, and behavioral impacts on different students. The study recommends that both EFL teachers and learners develop more positive attitudes toward oral errors and their correction. In addition, teachers should have at their disposal a wide variety of error correction strategies to be able to deal more appropriately and effectively with student oral errors. The study also recommends that teachers get the right amount and timing of error correction for each individual student preferences, language proficiency, personality type, and learning styles, which cannot be achieved without the teachers having a dialogic interaction with their students and students being able to voice up what their perceptions of and preferences for oral error correction strategies are, what errors they want to be corrected, and who should correct them. / Thesis (PhD) — Boston College, 2010. / Submitted to: Boston College. Lynch School of Education. / Discipline: Teacher Education, Special Education, Curriculum and Instruction.

Thesis advisor: Philip G. Altbach / Internationalization on campus is being called for in order to adapt to a rapidly globalizing social and economic context. However, many institutions, including those across Vermont, have not yet polled their faculty to see what international experiences or background faculty members have. Few have a comprehensive understanding of faculty language competencies, or in what ways faculty members have been collaborating with foreign scholars. This study looked at attitudes and beliefs faculty members have towards bringing global dimensions into their faculty role, as well as their perceptions of internationalization on campuses. This study takes the extra step of looking at the data collected on Vermont faculty, and then slices it through multiple lenses, looking to see if there are trends and connections by demographic factors such as gender, academic rank, discipline, number of years in the field, or having a preference for student learning or research. Results of this dissertation study revealed a faculty composition that was reassuringly internationalized when looking at language abilities, international experiences, among other demographic factors. Results also revealed that faculty attitudes and beliefs as well as perceptions of campus climate towards internationalization, were overwhelmingly positive. Following comparisons to prior national and international studies, Vermont institutions have strong evidence to claim support for internationalization among their faculty. / Thesis (PhD) — Boston College, 2010. / Submitted to: Boston College. Lynch School of Education. / Discipline: Educational Administration and Higher Education.

Employee engagement is a topic that has been widely studied over the course of the past 30 years. Its potential value to healthcare organizations has only begun to be recognized within the most recent decade. Numerous studies have been conducted which demonstrate that increased employee engagement contributes to improved patient outcomes, including decreased mortality and hospital acquired conditions as well as increased patient experience scores. Despite the plethora of literature available documenting the drivers of, barriers to, and outcomes associated with employee engagement hospitals have struggled to gain traction in increasing their scores. Many experts in employee engagement posit that this could be due to a lack of consistent conceptualization of the phenomenon. This qualitative descriptive study was conducted to understand the perceived attitudes and behaviors of the nurses who are engaged in their work from the perspective of both their peers and leaders. Sixteen total participants were interviewed utilizing a semi-structured interview guide with questions that were derived from Arnold Bakker’s evidence-based model of work engagement. Content analysis was utilized to identify themes and sub-themes from each of the participant group’s responses to each of the questions. There were minimal differences in the responses of the direct-care RNs as compared to the nurse leaders regarding their perceptions of the engaged nurse. Resulting themes were then synthesized and four overarching themes identified. Overarching themes were personal style, extra-role behavior, commitment to the patient, and leadership. Participant responses supported Bakker’s model, but highlighted the engaged nurse’s personality as a significant and widely overlooked contributor to engagement. By recognizing the personal attributes inherent to the engaged nurse hospitals may better understand the traits important to the recruitment of nurses who are more likely to be engaged in their work. Effective recruitment and retention of a highly engaged workforce will allow organizations to benefit from the extra-role work often demonstrated by the engaged nurse and realize improved patient outcomes as a result.

University of Macau / Faculty of Arts and Humanities. / Department of English

In Essay 1, I use cross-country differences in investors’ traits — trust, patience, overconfidence, and risk tolerance — to test the underreaction, overreaction, and uncertain information theories of stock returns. I find that investors’ reactions to large daily stock price shocks vary between lower and higher levels of these traits. Specifically, investors with lower levels of trust and more patience underreact more (or overreact less) to price shocks, which aligns with the predictions of the underreaction hypothesis. Investors with higher levels of overconfidence overreact more to positive price shocks and overreact less to negative price shocks. While this finding does not conform exactly to the predictions of the overreaction hypothesis, it is consistent with more refined theories of how overconfidence affects asset prices. Investors less tolerant of risk overreact less to positive price shocks. I also find that differences in institutional characteristics affect over/underreaction. Specifically, there is less overreaction in countries with stronger investor protections and less insider trading. Additionally, the ability to sell short is associated with more overreaction to negative shocks and less overreaction to positive shocks. In Essay 2, I investigate whether publicly available information (PAI) affects over/underreaction according to predictions of several theoretical models, and then I test if differences in investors’ traits modifies the association between publicly available information and returns. After identifying and correcting for a methodological issue in some prior research, I show that in a pooled international sample of stocks, investors overreact to price shocks not accompanied by information, and also overreact (or react efficiently in some models) to information-based price shocks. I find that the effect of PAI on returns is not the same in each country, which motivates my tests on how this variability relates to differences in investor traits. My results show that investors with higher trust tend to overreact less to shocks accompanied by PAI, while investors less tolerant of risk underreact to positive price shocks. Additionally, investors with higher overconfidence and self-attribution bias overreact more to positive price shocks, but less to negative price shocks, in accordance with behavioral theories. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2018. / FAU Electronic Theses and Dissertations Collection

Based on the classification from quantitative studies, total six teachers, two in each category, were interviewed to construct six individual qualitative case studies. The results suggested that teacher professional knowledge about function and beliefs about mathematics had impacts on their teaching approaches. The teaching approaches can be classified into three categories, i.e, content-centered with performance focus, contentcentered with understanding focus and student-centered with cognitive focus, which constituted traditional content-centered and student-centered perspectives on teaching approaches. Emphasizing process or product is still dichotomy for teachers. / In conclusion, this study showed the significance of subject matter knowledge, pedagogical content knowledge and beliefs about mathematics to teaching approaches of mathematics teachers, which pave the way for future education researches in this field. This study has also provided some valuable experiences in applying hypothetical situations to education researches. In the future, further explorations can be conducted in finding the effect of contextual factors to teaching approaches and how teaching approaches influenced student learning. / In past 30 years, under the global trend of curriculum reform, new requirements on teacher professional knowledge and belief were put on teachers. Accordingly, the focus of research on teaching was shifted from finding effective teaching behavior to in search for teacher professional knowledge, beliefs and cognitions behinds their behaviors. Before, the literatures on teacher professional knowledge were mainly focused on what professional knowledge that teachers have and/or should have. Only few literatures were interested in the effect of teacher professional knowledge and beliefs to teaching approaches. / The main objective of this study is to fill in the missing pieces and investigate the effect of teacher professional knowledge and mathematics beliefs on teaching for inservices mathematics teachers. Mixed method was applied in this study in order to build up some comprehensive understandings to the effects. In quantitative part, this study has surveyed ninety one high school mathematics teachers in M city to find out the deepness of professional knowledge and mathematical beliefs that teachers held. For professional knowledge, the results showed that teachers had different levels of subject matter knowledge and pedagogical content knowledge. For beliefs about mathematics, the results echoed with Ernest's (1989) classification of teacher mathematical beliefs, i.e. instrumentalist, Platonist, and problem-solver. / 張侨平. / Adviser: Ngai-Ying Wong. / Source: Dissertation Abstracts International, Volume: 73-03, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (p. 184-209). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Zhang Qiaoping.

This dissertation aims to develop a grounded theory explaining how Chinese stock investors construct risk through their communication practices. Many of the previous studies attribute the risk in the stock market to greedy or unprofessional investors who speculate in stocks. In order to explore this topic further, this dissertation applies a grounded theory approach to develop a detailed local case showing the communication practices of Shanghai investors with respect to stock investment. By examining how investors produce meanings of risk and the relevant risk positions, the dissertation explains why investors keep speculating in the stock market. It uses interviews with 35 investors, in-depth interviews with 12 investors, and on-site observations of four stock exchange halls, investors’ home and working places in Shanghai from 2012 to 2014. The findings show that the investors consider risk to be the uncertainties about the accuracy of the information and the speed by which it is obtained. Ideally, they would obtain public information, make sense of public information professionally, and then generate directional information on which they can base their stock trades. However, with the devaluation of public information due to the corrupt social system, investors are forced to communicate more accurate information in a private way to position themselves to have a privileged risk position, which produces certainties for them but uncertainty for others. The belief in professionalism is eroded through the surge in demand for insider information based on interpersonal relations (guanxi). Because of the lack of insurance and security when circulating information privately, investors have shifted away from long-term stock investments to speculate in stocks. Although the mechanism of stock speculation produces risk for almost all investors, they still produce and reproduce this mechanism. The reason for this is that these investors are trapped in a paradox of risk and security without realizing that their practices to produce security are in fact producing uncertainties for them. / 本論文研究上海的股票投資者是怎樣在傳播實踐中構建風險的意義的。很多研究將金融風險歸咎於投資者的貪婪或不專業的過度投機行為。為了進一步研究這一課題，本論文採取紮根理論的研究方法，構建一個詳實的關於上海投資者傳播實踐的案例。由此，本論文研究了當地投資者怎樣通過傳播實踐構建風險的意義以及不同的風險處境，並由此對投資者進行投機行為進行理論性的闡釋。本論文的數據收集時間為2012年至2014年，其中主要包括對4所上海的投資交易大廳的實地觀察，對35個投資者的訪談，以及12個深入訪談以及追踪觀察。研究發現，投資者將風險與對信息的正確性以及傳播速度的不確定性相關聯。理想狀態下，投資者通過獲取公共信息，專業解讀信息以將其轉化為導向性的信息，之後進行股票交易。然而，由於腐敗等問題，各類公共信息都產生了貶值，投資者被迫用更私人的方式傳播更準確的信息，以使自己能處於有利地位，並將對信息的確定性建立在其他投資者對信息的不確定性之上。專業主義被瓦解了，取而代之的是建立在人際關係之上的對內幕消息的傳播。投資者們也從專業的、長期的投資專為短期的投機。而那些處於不利地位的投資者所面臨的不確定性亦將反過來加諸於有利地位的投資者之上。儘管投機的體系將風險加諸於幾乎所有投資者之上，投資者仍繼續投機行為。本論文認為其原因是投資者被困於“風險矛盾”之中——投資者通過實踐來尋求保障，未曾意識到其實踐造成了自己乃至於經濟體系更大的風險。 / Mao, Zhifei. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2015. / Includes bibliographical references (leaves 203-222). / Abstracts also in Chinese. / Title from PDF title page (viewed on 15, September, 2016). / Detailed summary in vernacular field only.