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No description available.

Methicillin Resistant Staphylococcus aureus (MRSA) is the most commonly isolated multi-drug resistant organism in the hospital setting. MRSA can result in death among people who have no identified risk factors for infection. One-third of MRSA infections are cross-transmitted as Healthcare-Associated Infections (HAIs). It is well known that the single most effective means for decreasing the risk of HAIs is hand hygiene (HH), yet poor performance among registered nurses persists. The theoretical framework used to guide the study was the Health Belief Model (HBM). The purposes of the study were to: explore the RNs’ self-reported HH performance rate; explore the RNs’ knowledge related to MRSA; identify relationships between MRSA knowledge and HBM constructs; explore the RNs’ barriers to HH performance; identify relationships between barriers and self-reported HH performance; explore relationships among HH behaviors and constructs in the HBM; explore predictors of ‘overall HH’ performance; and identify if certain demographic characteristics are related to MRSA knowledge, self-reported HH, and HBM constructs. A cross sectional descriptive study was conducted with a sample of RNs who were randomly selected. The questionnaire mailing, which included the survey, consent, and the return-stamped envelope were distributed to 684 RNs. Completed surveys (n=120) from RNs who met the sample inclusion criteria were returned within four weeks. Self-reported HH were highest during times of increased perceived susceptibility for infection. In addition, nurses were more likely to overcome barriers to HH during ‘moments’ associated with the highest perceived susceptibility. Although MRSA knowledge did not correlate with ‘overall HH’ performance, there was a significant relationship identified with self-efficacy (r=.27, p<.01), which may influence HH behaviors. The most commonly identified barriers to HH performance were system factors (e.g. ‘a high workload’). Self-efficacy and barriers represented 26% of the variability in the regression model when applying significant correlations among HBM constructs and ‘overall HH.’ The phenomenon of the RN’s HH decision making is not completely understood. More research is needed to explain predictors for HH among registered nurses. This understanding will allow researchers to plan interventions aimed at increasing knowledge and understanding about perceived susceptibility, which may in turn improve self-efficacy behaviors for HH, which could decrease HAI rates. / text

Craft is the unification of the work of the hand and the work of the mind through material to produce an object with meaning. A craftsman is he or she who engages in the process of making with conscious intent and engagement with material and a broader scope of people and nature. Today, advances in mechanization and industry have allowed us to embrace a passivity that leaves us disconnected from the world and other people. We can look to craft, particularly with wood, as an antidote for this loss of connection. Through material specificity, the way handwork can offer the maker meaning about the place of the self in the world, and the way in which it illuminates the greater network of people, objects, and nature in which the maker exists, craft is a vehicle by which to produce knowledge otherwise unavailable through today’s methods of production and consumption. Through a personal account of the process of making a rocking chair out of wood and an examination of past and current scholarship surrounding craft and ontological aspects of identity, perception, and experience, the following examination, in conjunction with the actual process of making, aims to create a place for dialogue in the space between aesthetic philosophy and craft, creating a new paradigm for the role and definition of hand work today. It is an inquiry into the relationship between making and the production of knowledge. / text

Background: Surgical site infections are commonly occuring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and prevent infection, compliance however is often low or insufficient. Aim: The Aim of the study was to observe intraoperative compliance to basic hand hygiene in the operating theatre, the secondary aim was to investigate the surgical teams views on patient safety by using a survey on patient safety culture. Method: The design is a quantitative observational study. Through participant observation information was gathered on compliance to basic intraoperative hygiene routines in operating theatres in Mozambique. Operating personnel were then asked to complete a survey on patient safety culture. Result: None of the work elements were performed in complete compliance to WHO’s guidelines at all times. The operating theatre personnel’s views on Patient Safety Culture showed the highest percentage of positive responses was the dimensions “Teamwork Within Hospital Units” and “Organisational Learning- Continous improvement”. The dimensions with the least positive response was “Nonpunitive Response To Error” and “Staffing”. When comparing compliance to basic hygiene and the results of the patient safety culture survey a medium relation was found, where the staff who gave the most positive response to the survey also complied better to the WHO’s hygiene guidelines. Conclusions: Compliance to basic hygiene during the intraoperative phase in the operating theatre in Mozambique, Maputo was often insufficient. There was a medium strong relation between the staffs views on patient safety and their compliance to basic hygiene. This implies that working with the staff’s attitudes concerning patient safety could improve hygiene compliance resulting in reduced number of surgical site infections.

To investigate the role of action representations in the identification of upright and rotated objects, we examined the time course of their evocation. Across five experiments, subjects made vertically or horizontally oriented reach and grasp actions primed by images of handled objects that were depicted in upright or rotated orientations, at various Stimulus Onset Asynchronies: -250 ms (action cue preceded the prime), 0 ms, and +250 ms. Congruency effects between action and object orientation were driven by the object's canonical (upright) orientation at the 0 ms SOA, but by its depicted orientation at the +250 ms SOA. Alignment effects between response hand and the object's handle appeared only at the +250 ms SOA, and were driven by the depicted orientation. Surprisingly, an attempt to replicate this finding with improved stimuli (Experiment 3) did not show significant congruency effects at the 0 ms SOA; a further examination of the 0 ms SOA in Experiments 4 and 5 also failed to reach significance. However, a meta-analysis of the latter three experiments showed evidence for the congruency effect, suggesting that the experiments might just have been underpowered. We conclude that subjects initially evoke a conceptually-driven motor representation of the object, and that only after some time can the depicted form become prominent enough to influence the elicited action representation. / Graduate / 0633 / ragavk@uvic.ca

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

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