Diss. Linköping : Linköpings universitet, 2009.

Thesis (M.S.N.)--Marshall University, 2003. / Title from document title page. Document formatted into pages; contains vi, 39 p. Includes bibliographical references (p. 30-31).

Prescription drug abuse, in particular prescription opioid abuse is a public health concern. One measurement of the effects of prescription opioids is the number of patients visiting the emergency departments (ED) with opioid-related problems. Knowing more about the patients who visit the ED with opioid-related problems may assist in addressing this problem. This study examined hospital and prescription claims of Texas Medicaid enrollees from 2008 to 2011 to determine whether demographic factors could help predict the opioid prescription history of the ED patients. Age, sex and race/ethnicity were used as demographic predictors. A patient’s prescriptive history was categorized as a non-prescribed user, a short-term user, or a long-term user based on Texas Medicaid prescription claims. Of the 1001 Texas Medicaid enrollees in our dataset who had a claim for an opioid-related ED visit, 622 were classified as non-prescribed users, 65 were short-term users, and 314 were long-term users. Our ordinal logistic regression model was a poor model for predicting prescriptive history. This study does suggest that the number of opioid-related ED visits in the Texas Medicaid population is increasing. The majority of Texas Medicaid enrollees in our study were classified as non-prescribed users. Focused efforts to address the growing problem of opioid-related ED visits cannot be limited to the patients being with claims for opioid prescriptions. / text

This thesis document traces my writing process during the evolution of two play scripts, Emergency Prom and The Body. I examine these contrasting writing processes relative to the notion of necessity, as defined within. In addition to the process paper, this document includes the scripts of both plays. / text

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Emergency department overcrowding is a growing problem worldwide including Rwanda. Literature shows that this problem has an impact on the functioning of the health care system and the quality of care provided. Research Methodology. This study aimed at exploring the phenomenon of overcrowding in ED/CHUK. Fifty one self-administered questionnaires were distributed to 40 ED nurses; these comprised three questions related to demographic data and 48 questions related to overcrowding. Correlation between overcrowding and causes and overcrowding with outcomes was explored and the pearson's test demonstrated that there is no linear correlation between these variables. Results. Findings from the demographic data demonstrated that the majority (92%) of ED nurse's were young (aged between 20 to 35 years). The majority (74%) of ED nurses had less than one to three years of experience in ED. With regard to overcrowding characteristics; nurses reported that the patient's waiting time for a physician varied between less than 30 min to more than 180 min; ED beds occupancy varied between 1 hour to more than 24 hours; patients were placed in the ED hallways for 1 hour to more than 24 hours; waiting room occupancy varied between less than 1 hour to more than 24 hours. Nurses attributed overcrowding to a variety of causes, including; a lack of inpatients beds (95%), large volume of trauma patients (87%), patients with no urgent condition (66), inappropriate referral of chronic cases (61 %), space limitation in emergency department (76%) and insufficient acuity ED beds (74%). Perceived outcomes (impact) were also multiples including, boarding patient in ED (92%), increased stress among nurses (79%), stress among physicians (60%), and risk of poor outcomes (60%), staff dissatisfaction (58%), violence between health care providers and patients (60%) and increased patient waiting time (58%). Regarding the undertaken interventions to reduce ED overcrowding, 100% of respondent asserted that there was some sporadic interventions, but not consistent. Recommendations: Like in other countries ED/CHUK overcrowding is a complex problem that needs to be addressed by all stakeholders: CHUK managers, hospital staff, ED staff, Rwandan district hospitals and Ministry of health. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2008.

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Thesis (M.S.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 72-73). / viii, 73 leaves, bound ill. 29 cm

Thesis (MNursing (Advanced Practice))--University of South Australia, 1996.