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Factors influencing knowledge of doctors on medical certification of cause of death in Limpopo ProvinceLekoloana, Matome Abel January 2019 (has links)
Thesis (MPHM. (Curriculum Studies)) -- University of Limpopo, 2019 / The quality of mortality data in South Africa has been questioned because of the high percentage of deaths reported to be due to ill-defined causes. We sought to assess the level of knowledge of doctors on the International Classification of Diseases (ICD) rules for medical certification of cause of death and determine the factors influencing that knowledge.
Methods
A cross-sectional study was conducted across 12 hospitals in Limpopo Province among the five districts stratified by level of care. Doctors completed selfadministered questionnaire, which included the baseline characteristics and questions that tested their theoretical knowledge of the ICD rules of death certification. The outcome, an adequate level of knowledge was set at a score of ≥ 60%. A chi square test was used to determine the factors associated with the outcome. Ethical approval was obtained from Turfloop Research Ethics Committee, University of Limpopo.
Results
Of the 301 doctors who participated, 50.5% were female, 64% were junior doctors and 13% were specialists. Up to 49% of doctors worked in the two tertiary hospitals. Only 18% of the doctors have ever attended a Continuing Professional Development (CPD) on the topic. The mean overall score on knowledge of medical certification for all the doctors was 59.80% (±11.95) with 53% obtaining at least 60% on the questionnaire. Doctors lacked knowledge on identifying unnatural deaths and discerning the underlying cause of death. Factors associated with the adequate knowledge included years of clinical experience (p=0.01), previous training (p<0.001), awareness of guidelines (p=0.04), comfort level (p=0.01) and rank (p=0.02).
Conclusion
The study highlighted the need for training of all doctors in the province and identified the knowledge gaps. Interactive capacity-building workshops have been shown to improve knowledge of doctors on medical certification of cause of death in other studies. To improve the quality of mortality data in Limpopo Province, such workshops must be conducted in all hospitals.
Key words: death notification, medical certification, cause of death
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Behavioral responses of children to the death of a sibling /Davies, Elizabeth Mary Bruce. January 1983 (has links)
Thesis (Ph. D.)--University of Washington, 1983. / Vita. Bibliography: leaves [197]-213.
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RELIGION AND THE PRE-ADOLESCENT'S CONCEPT OF DEATHKonkel, JoAnn, 1948- January 1987 (has links)
No description available.
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Analysis of death bed experiences in the light of ScriptureLicata, Thomas Andrew. January 1900 (has links)
Thesis (M. Div.)--Talbot School of Theology, Biola University, 1992. / Includes bibliographical references (leaves [68-72]).
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Analysis of death bed experiences in the light of ScriptureLicata, Thomas Andrew. January 1900 (has links)
Thesis (M. Div.)--Talbot School of Theology, Biola University, 1992. / Includes bibliographical references (leaves [68-72]).
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The effect of experience on nurses' responses to dying and death in the hospital setting a research report submitted in partial fulfillment ... /Platek, Janice. Tieslau, Muppy. January 1983 (has links)
Thesis (M.S.)--University of Michigan, 1983.
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The attitudes and experiences of families, nurses, and physicians with the determination of death in the home a research report submitted in partial fulfillment ... /Critz, Susan H. January 1988 (has links)
Thesis (M.S.)--University of Michigan, 1988.
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The attitudes and experiences of families, nurses, and physicians with the determination of death in the home a research report submitted in partial fulfillment ... /Critz, Susan H. January 1988 (has links)
Thesis (M.S.)--University of Michigan, 1988.
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The effect of experience on nurses' responses to dying and death in the hospital setting a research report submitted in partial fulfillment ... /Platek, Janice. Tieslau, Muppy. January 1983 (has links)
Thesis (M.S.)--University of Michigan, 1983.
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Children's Attitudes Toward DeathHargrove, Eddie L. 05 1900 (has links)
Most of the research relating to children and death has been psychological or psychoanalytic in nature and has employed case studies or projective methodology. This study utilized a sociological perspective and was aimed at discovering the socialization processes that shape children's attitudes in this area of inquiry. The children's attitudes were examined in terms of four variables, their definitions of death, the relationship of age and death, their reaction to self-destruction and the destruction of others, and the affects of the media on them. Findings from this study of twenty-five children provided further support for the contention that attitudes are the result of learning experiences, i.e., socialization, involving significant others. For the most part, the children's responses were reflections of dominant social values and might therefore be considered the result of socializing factors.
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