Male survivors of sexual assault face increased mental health concerns due to commonly held beliefs and lack of quality services. College and university administrators, under guidance provided by the Office for Civil Rights and the Department of Education, must respond to all incidents of sexual misconduct, no matter the gender identity of the complainant or respondent. The purpose of this multiple case study was to investigate how the Title IX Coordinators at small colleges understand and implement governmental guidelines to decrease the secondary victimization experienced by male survivors by analyzing current policies and programs. Critical theory provided the conceptual framework for the study. The participants were 4 Title IX Coordinators employed by small colleges. Two participants were selected from a list of schools under investigation by the Office for Civil Rights and two from a random selection of all small colleges in the United States. Data collection occurred through semistructured interviews with Title IX Coordinators and a review of services provided to survivors of sexual assault. Analysis of the data included cross-case synthesis to identify emergent themes. Participants focused on the equality of services provided to all survivors; however, more focus should be placed on equity in services to overcome the oppression facing male survivors. Training involving the collegiate and surrounding communities may achieve the social change needed to support male survivors of sexual assault. Title IX Coordinators may act as catalysts of social change that begins on campus and expands to the surrounding community.

Since 9/11, little statistical rigor has been placed on identifying the correlates of hospital preparedness. This quantitative study explores the research question: Is there a correlation between the employment of a designated hospital preparedness coordinator and the reported level of preparedness for: (a) general preparedness; (b) chemical, biological, radiological, and nuclear (CBRN) events; (c) pandemic disease outbreaks; (d) mass casualty events; and (e) internal infrastructure failure, as assessed by an online survey. Alternative analysis was conducted to assess the relationship between access to resources and the 5 dependent variables. Using complexity theory as the theoretical framework, point biserial correlation and Pearson's method were used to assess the relations between the dependent and independent variables. Initially, no statistically significant correlative relationship was found using point biserial analysis. However, further analysis found that the correlation between full-time employment of a preparedness coordinator and pandemic preparedness reached significance. Point biserial analysis of the alternative research questions found statistically significant correlations between access to preparedness resources, CBRN, pandemic, and infrastructure failure preparedness. Pearson analysis found a statistically significant correlation between single facility coordinator responsibilities and pandemic preparedness. This identifies at least 2 significant correlates of hospital preparedness. Positive social change can be achieved by identifying strategies that leverage these assets in a fiscally sustainable constructs that maximize hospitals' ability to effectively serve the community in disasters but that do not so heavily rely on government funding and grants in a world of ever-changing priorities.

<p>This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape&nbsp / who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008&nbsp / semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and&nbsp / convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven&nbsp / (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus&nbsp / f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded&nbsp / nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch&rsquo / s (1990) method, as cited in Creswell (2003). Saturation was tested&nbsp / after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the&nbsp / self-reported lived experiences of the third year community&nbsp / ealth nursing students while conducting the family health assessment learning task.&nbsp / </p>

This master thesis is based on a general issue of quality in social services. I have chosen to illustrate through an empirical case, namely the position social responsibility coordinator and shortened SAS. This position is fairly new to the Swedish social services and has the overall mandate to monitor, develop and ensure quality. To study this, I have developed two analytic schemes. One is based on the concept of quality value components, the second is based on the concept of quality character components. These analytical schemes are used as the presented material. When I study my case, I have used two methods, documents and questionnaires. In this study I will try to describe how new solutions to improve the quality of social services can conform and develop . I study the main focus SAS positions have in the quality mission. The result shows that SAS works in nearly throughout the quality chain, which means working with process, final performance and outcomes. SAS is found in both the prospective and the retrospective assignment as revealed by the questionnaire survey, observation and document study. SAS is primarily assigned to work with an indirect quality work at management level but it included both users, citizens, staffs and management.

<p>This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape&nbsp / who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008&nbsp / semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and&nbsp / convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven&nbsp / (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus&nbsp / f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded&nbsp / nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch&rsquo / s (1990) method, as cited in Creswell (2003). Saturation was tested&nbsp / after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the&nbsp / self-reported lived experiences of the third year community&nbsp / ealth nursing students while conducting the family health assessment learning task.&nbsp / </p>

Tuberculosis is a health threat, globally, in Africa, South Africa as well as in the North West Province. Although a number of positive interventions have been implemented, like the introduction of direct observation treatment strategy, still tuberculosis remains a threat. This may be due to the fact that while interventions to fight tuberculosis have been formulated and implemented, the most important resource in the Department of Health, which are nurses. Nurses working in the tuberculosis programme who play a vital role in the implementation of the health strategy are left behind and not given the proper support that they need to ensure the implementation of the health strategy. Nurses need to receive physical, emotional and social support from management so that they can give quality care to their patients. The purpose of this study was to explore the support from management to nurses working in the tuberculosis programme in the primary health care facilities at the Matlosana sub-district so as to make recommendations to management with the aim of improving the nurses’ work life and consequently rendering quality care to the tuberculosis patients. The research was conducted in the Matlosana sub-district in the North West Province of South Africa. A qualitative research design was used to explore and describe the support by management to nurses working in the tuberculosis programme in the primary health care facilities. A purposive voluntary sampling method was used to select participants who met the set criteria. In depth Semi structured interviews were conducted. Data was captured on an audio recorder, and transcribed verbatim. The researcher and the co-coder analysed the data after data saturation was reached. A consensus was reached on the categories that emerged. The results showed that most facility managers lack knowledge about tuberculosis making it difficult for them to support nurses working in the tuberculosis programme. The lack of support resulted in the arousal of feelings such as frustration, feeling undermined, feeling unnoticed and unappreciated. It also resulted in resistant behaviours such as underperformance, loss of interest in their work, wanting to leave to where they will be supported and reluctance to take annual leave due to fear of piling work. However, few participants reported supportive experiences from both their facility managers and from the tuberculosis coordinator. Recommendations were made for the field of nursing education, community health nursing practice and nursing research with the aim of improving the nurses’ work life and consequently rendering quality care to the tuberculosis patients. / MCur, North-West University, Potchefstroom Campus, 2013

Tuberculosis is a health threat, globally, in Africa, South Africa as well as in the North West Province. Although a number of positive interventions have been implemented, like the introduction of direct observation treatment strategy, still tuberculosis remains a threat. This may be due to the fact that while interventions to fight tuberculosis have been formulated and implemented, the most important resource in the Department of Health, which are nurses. Nurses working in the tuberculosis programme who play a vital role in the implementation of the health strategy are left behind and not given the proper support that they need to ensure the implementation of the health strategy. Nurses need to receive physical, emotional and social support from management so that they can give quality care to their patients. The purpose of this study was to explore the support from management to nurses working in the tuberculosis programme in the primary health care facilities at the Matlosana sub-district so as to make recommendations to management with the aim of improving the nurses’ work life and consequently rendering quality care to the tuberculosis patients. The research was conducted in the Matlosana sub-district in the North West Province of South Africa. A qualitative research design was used to explore and describe the support by management to nurses working in the tuberculosis programme in the primary health care facilities. A purposive voluntary sampling method was used to select participants who met the set criteria. In depth Semi structured interviews were conducted. Data was captured on an audio recorder, and transcribed verbatim. The researcher and the co-coder analysed the data after data saturation was reached. A consensus was reached on the categories that emerged. The results showed that most facility managers lack knowledge about tuberculosis making it difficult for them to support nurses working in the tuberculosis programme. The lack of support resulted in the arousal of feelings such as frustration, feeling undermined, feeling unnoticed and unappreciated. It also resulted in resistant behaviours such as underperformance, loss of interest in their work, wanting to leave to where they will be supported and reluctance to take annual leave due to fear of piling work. However, few participants reported supportive experiences from both their facility managers and from the tuberculosis coordinator. Recommendations were made for the field of nursing education, community health nursing practice and nursing research with the aim of improving the nurses’ work life and consequently rendering quality care to the tuberculosis patients. / MCur, North-West University, Potchefstroom Campus, 2013

Formålet: Formålet er, at få viden om hvordan sundhedskoordinatorfunktionen i folkeskolen opfattes ud fra ledelsens, lærerkollegernes og koordinatorernes eget perspektiv, herunder hvordan opfattes skolens ansvar for at fremme sundhed og trivsel for eleverne, og hvilke styrker og barrierer funktionen har som fremmer implementering af handleplanens mål. Metode: Der blev gennemført 3 fokusinterviews med henholdsvis lærere og sundhedskoordinatorer og 4 individuelle interviews med ledere efter en semistruktureret interviewguide. Fænomenografi blev anvendt som analysemetode. Resultat: Der fremkom 4 beskrivende kategorier og 12 delkategorier. De 4 beskrivende kategorier var: Skolen har en opgave; En vigtig nøgleperson; Ledelse har betydning og Det flytter sig. Der var en fælles opfattelse af, at skolen har en meningsfuld rolle i at fremme børns sundhed og trivsel. Informanterne taler udfra WHO´s positive og brede sundhedsbegreb. Indsatsen skal være flerstrenget og kræver en klar prioritering og lang implementeringsperiode.Lærerne oplever, at sundhedskoordinatoren holder fokus og støtter dem i deres arbejde, og lederne opfatter dem som understøttende i deres ledelsesfunktion. Koordinatorerne skal have de fornødne kompetencer, og rammer for deres opgaveløsning. Koordinatorerne beskriver i højere grad deres erfaringer og viden med sundhedsfremmende og sundhedspædagogiske termer.Sundhedskoordinatorerne beskriver positiv betydning af en engageret ledelsesopbakning. Der er sket en positiv holdningsændring til både sundhedskoordinatorerne, og den lange række indsatser de har bidraget til eller stået for. Konklusion: At arbejde med at fremme sundhed og trivsel i folkeskolen opleves som en meningsfuld opgave og informanterne er bevidste om skolens rolle og ansvar. Der er brug for både en tydelig politisk og ledelsesmæssig prioritering for at komme på skolernes dagsorden og tilstrækkelig tid til implementering. Sundhedskoordinatorfunktionen opleves som en nyttig ressource af alle informanter. Setting tilgangens mange elementer genkendes af informanterne, og foreslås derfor som en hensigtsmæssig ramme for det videre arbejde. / Purpose: This study aimed to increase understanding by management, teachers and healthcoordinators regarding the role of health coordinators in schools and to investigate schools’responsibility in promoting student health and well-being. The aim was also to identify thestrengths and barriers of health coordinators regarding implementation of a program ofaction. Methods: Based on semi-structured interview guides, three qualitative focus groupinterviews and four individual interviews were conducted with managers, teachers andhealth coordinators at a total of four schools. The method of analysis wasphenomenography. Results: 4 categories and 12 subcategories were developed. Categoriesincluded (i) the school has a task, (ii) an important key person, (iii) management matters,and (iv) it makes a difference. All informants agreed that school plays a meaningful role inpromoting children’s health and well-being. The informants use the broad and positivehealth concept exemplified by the World Health Organization. The measure must bemultifaceted, demand a clear priority, and provide an extensive implementation period. Theteachers as health coordinators must have the right qualifications and operate within a fixedstructure. Management predominantly viewed health coordinators as supportive, andteachers expected health coordinators to maintain focus and support them in their jobs.When describing their experiences and knowledge, health coordinators frequently usedhealth promotion and education terminology. They also viewed leaders’ support as essential.The results show a positive change in attitude toward the health coordinator function anddescribe different initiatives implemented by health coordinators. Conclusion: Promoting health and well-being in schools is a meaningful job that requiresschools to provide clear political and managerial priorities and sufficient time forimplementation. All informants recognized the usefulness of the health coordinator’s role.Informants recognized that the setting approach includes many elements that provide asuitable frame for continued effort. / <p>ISBN 978-91-86739-63-8</p>

Clinical research is conducted to advance human medicine by developing efficacious treatments and improving patient outcomes when new therapies are developed and implemented. Clinical trials are a subset of the types of clinical research conducted on human volunteers in the development of new drugs, devices and other therapies. Prior to the start of a trial, a country’s regulatory authority must review the trial to ensure it is scientifically and ethically sound. In Canada, the regulatory authority is Health Canada. The International Conference on Harmonization (ICH) of technical requirements for the registration of pharmaceutics for humans aims to provide ethical and scientific quality standards for design, conduct, data collection and reporting in clinical trials. The Good Clinical Practice (GCP) Guidelines were created by the ICH Steering Committee to assure the public that rights, safety and well being of subjects are protected according to the Declaration of Helsinki, and the clinical data obtained in a ICH/GCP compliant clinical trial will meet regulatory requirements. Health Canada has adopted the ICH/GCP Guidelines and therefore, in Canada, all clinical trials involving humans must comply with these Guidelines. The clinical trial coordinator is an important and central position on the research team executing many trial duties and communications. Regulatory authorities, Research Ethics Boards and the sponsor, overlook the role and responsibilities of a highly trained clinical coordinator, despite their vital and central position. The GCP Guidelines also fail to address the role and responsibilities of a clinical coordinator. Disconnect between guidelines, regulatory expectations and actual trial conduct provides an apparent need to formalize and clearly define the role and scope of a clinical coordinator. The Registered Nurse (RN) brings professionalism, knowledge, skill and a holistic perspective to the expanded role of a clinical coordinator and to the clinical trial. Highly trained health professionals are capable of assuming more responsibilities and executing clinical trial design, setup and management as compared to the traditional administrative roles of the clinical coordinator. The expanded role of the clinical coordinator is especially beneficial for Principal Investigator initiated trials due to limited research personnel and resources. Postoperative adhesions are a common complication following pelvic surgery, therefore, this clinical trial is relevant and a response to a healthcare need. My graduate studies focused on the development and set up of the clinical trial Protocol ADE002-2013 Phase I Trial of L-Alanyl-L-Glutamine for the Reduction of Peritoneal Adhesions in Adult Females Undergoing Myomectomy. My thesis is a discussion of general Canadian clinical trial research information followed by an explanation of how we executed the information to design and set up our PI initiated clinical trial. The value of the expanded role of the clinical coordinator as a member of the research team will also be discussed.

This phenomenological study has been conducted to reveal midwives’ experiences working as coordinator/charge midwives in tertiary hospital delivery suite settings. The methodology is informed by Heidegger’s interpretive phenomenological, hermeneutic philosophy (1927/1962). Data analysis is based on van Manen’s (1990) research methodology. Five coordinator/charge midwives who work at three tertiary hospitals were interviewed. These interviews were tape recorded, transcribed and analyzed to uncover commonality of themes which revealed what it felt like ‘being’ a coordinator/charge midwife. The three themes which emerged and are discussed in the data analysis chapters are: “The performing art of leadership”, “Time as lived” and “In the face of the ‘known’ and the ‘unknown’”. The findings of this study reveal coordinators are the ‘hub’ or the ‘pivot’ at their workplace with their art and soul of midwifery at the very core of their ‘being’. They ‘know’ the unpredictability of childbirth and are regularly challenged by ‘lived time’ as they ‘leap in’ to situations and ‘leap ahead’. Their ability to facilitate teamwork and their resilience in the face, at times, of seemingly insurmountable obstacles shines through.