This study examined the effect a telephone health care information system has on emergency department patients. The research questions address the patient's acuity and the length of time between the onset of symptoms and seeking treatment.A convenience sample of 80 ambulatory emergency department patients treated over a four month period, in one emergency department of a Midwest hospital with a published telephone health care information system. The sample was divided into two groups according to the treatment. The treatment group had accessed the telephone health information system prior to emergency department visit and the control group of patients had not. The procedure for the protection of human subjects were followed.Data was collected by two instruments, a demographic questionnaire completed by the subjects, and a patient acuity scale completed by the treating emergency nurse. Acuity is scored on a 1 through 5 point scale. Subjects selected the best time interval representing the onset of symptoms and treatment. The Whitney-Mann U test was used to test differences in mean ranks. When comparing individuals who used Ask-A-Nurse, there was no significant difference between the two groups and acuity scores. There were no differences between the frequency of time interval ranges in the two groups, however a pattern indicated the subjects sought treatment sooner if the telephone health care information systems was assessed. The ability of the telephone health care information system to refer nonemergency patients to physician's offices or medical clinic and avoid overcrowded emergnecy department appears limited. Implications call for an increased method of screening and providing information to emergency patients who need health care advice. / School of Nursing

This action research study explored the supports required to facilitate the successful transition for new graduate paramedics integrating into their role and to provide recommendations to AHS Emergency Medical Services managers to implement a positive change outcome. AHS paramedics who graduated in the last three years participated in a focus group and online survey. The study findings revealed that the transition experience was challenging and caused stress and anxiety for new graduates. Having a support system in place could increase job satisfaction, retention, organizational commitment, and enhance employee skill development. The study concluded that implementing a mentorship program with support of AHS leadership would prove invaluable. The recommendations reflect the importance of providing a healthy and supportive work environment and working collaboratively with key stakeholders to develop and implement support for new graduate paramedics in AHS. This study adhered to all ethical requirements.

Diss. (sammanfattning) Stockholm : Karol inst., 2003. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2006. / Härtill 4 uppsatser.

Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009. / Includes bibliographical references.

Dissertation (Ph.D.)--University of South Florida, 2009. / Title from PDF of title page. Document formatted into pages; contains 295 pages. Includes vita. Includes bibliographical references.

Thesis (M.N. (Clinical))--Victoria University of Wellington, 2009. / Includes bibliographical references.

Thesis (Ph.D.)--York University, 2009. Graduate Programme in Sociology. / Typescript. Includes bibliographical references (leaves 314-337). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:NR51682

Thesis (M.A.)--Northern Kentucky University, 2006. / Made available through ProQuest. Publication number: AAT 1438489. ProQuest document ID: 1240705311. Includes bibliographical references (p. 33-34)