Thesis (Ph.D.)--Aberdeen University, 2008. / Title from web page (viewed on June 11, 2009). Includes bibliographical references.

Cycling for transport is an increasingly popular mode of travel in Hamilton, Ontario. Between 2011 and 2016, the mode share of cycling grew from 0.6% to 1.2%. As of 2019, 46% of the planned cycling facilities network has been built, which suggests that the city is transitioning to a cycling city. However, less is known about the built environment factors that influence cycling trips or the routes travelled by people who cycle in Hamilton. Drawing on the strengths of quantitative and qualitative methods, this research explores the built environment correlates of cycling and the perceptions of people who regularly cycle. First, a spatial interaction model was developed to test the level of cycling flows against various built environment attributes using trips data from the 2016 Transportation Tomorrow Survey. A novel feature of this analysis is the use of a cycle routing algorithm to infer routes as impedance factors. The most parsimonious model suggests that the shortest-path quietest routes best explain the pattern of travel by bicycle in Hamilton. To build upon these findings, objective built environment attributes were documented along select shortest-path quietest routes using environmental audits. The qualitative phase of the study then explores how well these approximated routes match where cyclists travel in Hamilton, as well as how the built environment more broadly in a growing city is perceived and experienced, by interviewing people who regularly travel by bicycle. The interviews highlight that the built environment is not yet bicycle-oriented and that cycling infrastructure influences mobility and route choice. As a result, people who cycle seek out routes that enable them to minimize interactions with cars, by incorporating quiet streets, and that have enjoyable environments. Policy implications and recommendations specific to these findings are discussed to further support the city of Hamilton’s transition to a more bikeable city. / Thesis / Master of Public Health (MPH)

Nurses' working environment, together with their patient relationships, can elicit emotions which they will need to manage in order to perform successfully in their daily work activities. It is for this reason that it is crucial that sound emotional intelligence measures should be developed which hospitals can utilise to identify emotionally intelligent individuals for emotionally laden jobs or even to identify their developmental needs within the area of emotional intelligence. The objective of this study was to investigate the psychometric properties of the Emotional Intelligence Scale (EIS) developed by Schutte and colleagues in 1998 within a nursing environment. A convenience random sample of 5 11 nurses was taken from hospitals located in the areas of Klerksdorp, Potchefstroom, Krugersdorp, Johannesburg and Pretoria. The EIS was used as a measuring instrument. Cronbach alpha coefficients, Pearson-product correlation coefficients and MANOVAS were used to analyse the data. The results showed a 5-factor solution for the EIS, which explained 50,04% of the total variance. All of the five dimensions had adequate internal consistencies, except for the Negative Emotions dimension. Lastly, group differences were identified between personnel area and emotional intelligence, as well as between race and emotional intelligence levels. Recommendations were made for future research. / Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

Nurses' working environment, together with their patient relationships, can elicit emotions which they will need to manage in order to perform successfully in their daily work activities. It is for this reason that it is crucial that sound emotional intelligence measures should be developed which hospitals can utilise to identify emotionally intelligent individuals for emotionally laden jobs or even to identify their developmental needs within the area of emotional intelligence. The objective of this study was to investigate the psychometric properties of the Emotional Intelligence Scale (EIS) developed by Schutte and colleagues in 1998 within a nursing environment. A convenience random sample of 5 11 nurses was taken from hospitals located in the areas of Klerksdorp, Potchefstroom, Krugersdorp, Johannesburg and Pretoria. The EIS was used as a measuring instrument. Cronbach alpha coefficients, Pearson-product correlation coefficients and MANOVAS were used to analyse the data. The results showed a 5-factor solution for the EIS, which explained 50,04% of the total variance. All of the five dimensions had adequate internal consistencies, except for the Negative Emotions dimension. Lastly, group differences were identified between personnel area and emotional intelligence, as well as between race and emotional intelligence levels. Recommendations were made for future research. / Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

Orientador: Edineis de Brito Guirardello / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-14T00:18:04Z (GMT). No. of bitstreams: 1 Roscani_AlessandraNazarethCainePereira_M.pdf: 1574041 bytes, checksum: c6b1497cd99d0773b8f88e5448203228 (MD5) Previous issue date: 2009 / Resumo: A capacidade de direcionar atenção é essencial para o enfermeiro no ambiente de trabalho devido às múltiplas fontes de demanda de atenção que requerem alto nível de concentração para processar informações importantes no gerenciamento do cuidado ao paciente. Trata-se de um estudo descritivo e correlacional que tem por objetivos: avaliar como este profissional percebe o seu desempenho frente às situações cotidianas que requerem concentração e, verificar se existe associação entre as situações de demanda, percepção da adequação do ambiente e variáveis pessoais e profissionais. Para a coleta de dados utilizou-se os instrumentos: a) versão brasileira do Attentional Function Index (AFI) b) Demandas para Atenção Dirigida e, c) Percepção da adequação do ambiente de trabalho. Para análise dos dados utilizou-se o programa SPSS. Participaram do estudo 169 enfermeiros, sendo a maioria do sexo feminino. Verificou-se que a média de percepção de desempenho dos enfermeiros, avaliada pelo AFI foi de 60,43, considerada satisfatória, entretanto ao ser correlacionada com as situações de demanda para atenção, resultou em uma associação negativa de baixa magnitude (r = - 0,294; p < 0,0001) e positiva de baixa magnitude (r = 0,196; p-valor < 0,05) para a percepção da adequação do ambiente de trabalho. A percepção de desempenho difere entre os serviços (p = 0,013) no qual os enfermeiros da clínica médicocirúrgica II julgaram maiores médias de desempenho em relação aos da clínica médico-cirúrgica I e pediatria. Aqueles com jornada de trabalho inferior a 40 horas (p = 0,044) e com algum problema de saúde (p = 0,026) apresentaram menores médias de desempenho em relação aos demais. Dentre a maior demanda destaca-se as situações de demanda de atenção relacionadas ao domínio psicológico. Há diferenças estatisticamente significantes para as variáveis unidade de trabalho, número de pacientes por enfermeiro, presença de afecção psicológica. O ambiente de trabalho foi percebido como inadequado e como variável que interfere no esforço mental e na capacidade de direcionar atenção. Conclui-se que os enfermeiros julgaram um desempenho satisfatório na capacidade de direcionar atenção, sendo este associado às situações de demandas de atenção e a percepção da adequação do ambiente de trabalho. / Abstract: The capacity to direct attention is essential to nurses in the work environment due to multiple sources of attention demands that require higher level of concentration in order to process important information in the management of the patient care. This is a descriptive and correlational study that aims to evaluate: how nurses perceived their effectiveness in purposeful activity requiring direct attention and verify the relationships between the situations that require direct attention; the environment's adequacy and professional or personal variables. For the data collect were used the instruments: a) Attentional Function Index (AFI) - Brazilian version b) Direct Attention Demands and, c) Perception of Work Environment Adequacy. For data analyses was used the SPSS software. The sample was composed of 169 nurses, most of them women. The mean perception of the AFI was 60.43, considered satisfactory, but in correlating with attention demand situations resulted in low negative value (r = - 0.294; p < 0.0001) and low positive value (r = 0.196; p-valor < 0.05) for the work environment adequacy. The AFI showed differences between services (p = 0.013) in which nurses from medical surgical unit II judged higher mean values when compared to nurses from medical surgical unit I and pediatrics unit. The nurses who worked less than 40 hours a week (p = 0.044) and with some kind of health problem (p = 0.026) showed lower AFI in comparison with the others. The situations related to the psychological domain required higher level of directed attention in relation to the other domains. There was a statistical significance for the variables: work unit, number of patients usually assigned for care and psychological affection. The work environment was perceived as inadequate by nurses with can increased the need of mental effort or directed attention as well as the capacity to direction attention. As conclusion, the nurses judged a satisfactory AFI to do purposeful activity requiring direct attention= and it was associated to situations of attention demands and perception of work environment adequacy. / Mestrado / Enfermagem e Trabalho / Mestre em Enfermagem

Bakgrund Vårdmiljön har beskrivits ända sedan Florence Nightingales dagar. Sjukhusens utformning har följt samhällets utveckling och medicinska framsteg. Forskning om vårdmiljön började på allvar på 1980-talet. Forskning bedrivs både om patienters upplevelse och på hur arkitektur och design kan påverka läkning och återhämtning. Detta kan förstärka möjligheten för sjuksköterskan att ge personcentrerad vård.  Syfte Syftet var att beskriva patienters upplevelse av vårdmiljön. Metod En allmän litteraturöversikt gjordes och analyserades med innehållsanalys. Elva vetenskapliga artiklar ingick i översikten. Sju artiklar var kvalitativa och två artiklar var kvantitativa. Två artiklar var av blandad metod. Resultat Två huvudteman framkom vid analysen av de elva artiklarna gällande patienters upplevelse av vårdmiljö. Dessa teman var: Upplevelse av den fysiska vårdmiljön och Upplevelse av samhörighet och gemenskap. Resultatet visar att den fysiska vårdmiljön och den psykosociala miljön har en stor inverkan på patienters upplevelse. Likaså påverkar det om patienten hamnar i enkelrum eller flerbäddsrum samt om integritet, autonomi och sekretess kan upprätthållas. Sammanfattning Patienters upplevelse av vårdmiljön påverkas av ett flertal faktorer som framkom i resultatet såsom den fysiska vårdmiljön, den psykosociala vårdmiljön samt hur väl integritet och autonomi kan bevaras. Upplevelsen påverkas även av patientens livsvärld och kulturella kontext. Detta gör att sjuksköterskan måste se patientens omvårdnadsbehov kopplat till vårdmiljön i ett helhetsperspektiv. / Background The health facility environment has been described ever since the days of Florence Nightingale. The design of the hospitals has followed society’s development and medical progress. Research on the health facility environment began in earnest in the 1980s. Research is conducted both on the patients’ experience and on how architecture and design can affect healing and recovery. This can enhance the ability of the nurse to provide person-centered care. Aim The aim was to describe patients’ experience of the health facility environment. Method A general literature review was conducted and analyzed using content analysis. Eleven scientific articles were included in the review. Seven articles were qualitative and two articles were quantitative. Two articles were of mixed methods. Results Two main themes emerged from the analysis of the eleven articles regarding patients’ experience of the health facility environment. These themes were: Experience of the physical health facility environment and Experience of belonging and community. The results show that the physical health facility environment and the psychosocial environment have a major impact on patients’ experience. It also affects whether the patient ends up in a single room or multi-bed room and whether integrity, autonomy and confidentiality can be maintained. Summary Patients’ experience of the health facility environment is influenced by a number of factors that emerged in the results, such as the physical health facility environment, the psychosocial environment and how well integrity and autonomy can be preserved. The experience is also influenced by the patient’s life world and cultural context. This means that the nurse must see the patient’s nursing needs linked to the health facility environment in a holistic perspective.

Bakgrund: De medicinska insatser, omvårdnad och rehabilitering som erbjuds patienter i primärvård idag är vedertagna och vanligtvisevidensbaserade. Patienter kan få diagnos, behandling och ofta bot för många åkommor. En dimension som dock mindre ofta är tillvaratagen är effekterna av en genomtänkt fysisk miljö. Ett respektfullt bemötande i kombination med en genomtänkt vårdmiljö kan beskrivas som en god vårdatmosfär. Syftet med studien är att undersöka hur patienter upplever och uppfattar vårdatmosfären vid besök på en rehabiliteringsenhet i primärvård. Metod: Kvalitativaforskningsintervjuer och kvalitativ innehållsanalys Huvudresultat: En vårdatmosfär kan delas in i tre domäner: Fysisk miljö, Bemötande och Organisation. Inom domänerna finns ett antal kategoriermed variationer: Känsla av kontroll, Fysiska förutsättningar för att bli uppmärksammad, Subjektiva upplevelser av miljön, Kunskap om miljöns effekter, Uppmärksammar och bekräftar, Kommunicerar, Helhetssyn, Patienten i fokus, Delaktighet, Empati, Jämlikt möte, Att göradet ‖lilla extra‖, Innehåll och utbud, Tillgänglighet, Kontinuitet, Vårdkedjor och samverkan, Jämlik vård, Patientens rättigheter, Bemötandeandaoch förbättrings-och utvecklingsanda.Temat som framkommit är Att bli sedd, att vara värdefull. Slutsats: Till begreppet vårdatmosfär kan förutom vårdmiljö och bemötande, organisation läggastill. Organisationen ger förutsättningar eller kan försvåra. Ett tema håller samman alla kategorier och det är betydelsen av att bli sedd som ger budskap om att vara värdeful / Background: Medical treatment, care, and rehabilitation offered to patients in primary care settings are established and mostly evidence-based. Patients can receive diagnose, treatment and, quite often, cure. A dimension that receives less attention involves the effects of a carefully planned physical environment. Combined with a carefully planned environment, respectful interaction between patients and health professionals enhancesthe atmosphere of care settings. Aim: This study aimed to investigate how patients experience the atmosphere they encounter when visiting a rehabilitation unit within a primary care unit. Method: Qualitative research interviews and qualitative content analysisResults: The atmosphere in care settings encompasses three domains: physical environment, interaction between patients and health professionals, and the organization. Within these domains, categories include sense of control, physical conditionsfor to attract attention, subjective experience, knowledge of the effects of the environment, attention to and confirmation of the patient, communication, holistic view of the patient, patient in focus, participation, empathy, equality in the meeting, To do ―the little more‖, healthcare content, accessibility, continuity, cooperation, equal care, patient rights, spirit of interaction between patient and health professional, and spirit of improvement and development. The major themes that emerged were the patient’s need to be noticed and valued. Conclusion: Our results suggest that the organization should be added to the concepts of atmosphere in care settings. The organization can create and obstruct careconditions. The overarching theme of these categories is the patient’s need to be noticed and valued / <p>ISBN 978-91-86739-27-0</p>

BAKGRUND: Det finns idag ungefär 148 000 personer med demenssjukdom i Sverige. Under sjukdomsförloppet drabbas nio av tio någon gång av någon form av beteendemässiga eller psykiska symtom (BPSD). Dessa symtom skapar ett stort lidande för personen med demens och dess närstående och är ofta en bidragande orsak till flytt till särskilt boende. På det särskilda boendet är det viktigt att personalen har kunskap och intresse för att kunna hantera krävande situationer som kan uppstå vid BPSD SYFTE: Studiens syfte var att belysa hur vårdmiljön kan påverka förekomsten av beteendemässiga och psykiska symtom vid demenssjukdom hos personer som bor på särskilt boende. METOD: En allmän litteraturstudie baserad på 20 vetenskapliga artiklar genomfördes. RESULTAT: Resultatet av denna litteraturstudie visar att utformningen av vårdmiljön har betydelse vid förekomst av BPSD. Personer med demens har behov av hemlik miljö och anpassad inredning för att kunna fungera i sin vardag. Genom meningsfull aktivitet kan känslan av självständighet och välbefinnande bevaras. Musik och beröring kan vara en väg till kommunikation då den verbala kommunikationen sviktar. Att ha kunskap om, och planera omvårdnaden för personer med demens påverkar förekomst av BPSD. DISKUSSION: En god vårdmiljö bör erbjuda en balans mellan krav och kompetens och en vardag som är meningsfull och begriplig. Förutsättningen för denna vårdmiljö är att personalen ser till varje individs resurser och behov för att kunna ge en personcentrerad omvårdnad. SLUTSATS: Resultatet i denna studie visar att små förändringar i vårdmiljön kan göra stor skillnad vid BPSD. Med en balanserad vårdmiljö tillsammans med en personcentrerad omvårdnad kan BPSD minska och i bästa fall förebyggas.

The oil and gas industry in Libya has suffered a number of health and safety accidents including environmental disasters due to the nature of the work involved and the hazardous materials it handles in all facets of exploration and production. Such issues have hitherto not received due attention by the Libyan Authorities. The fact that strict HSE assessment standards are neither well-defined nor established in Libya is not helpful. Furthermore, oil and gas industry in new free Libya has suffered immensely during the 2011 Arab Spring and its rebuilding poses a number of critical HSE challenges. The purpose of the research is to develop and validate a HSE Performance Review Methodology for Libyan oil and gas industry based on clearly defined and measurable aspects for assessment. The thesis starts by performing a comprehensive literature review on all aspects of HSE including universal standards. The review indicates that there is a gap in respect of semi-qualitative methods for assessing HSE performance commensurate with other disciplines. The thesis then identifies four key research problems in the context of Libyan oil and gas industries. Based on these problems, an empirical research was conducted and included three distinct Stages. Stage 1 consisted of a pilot study based on an interview questionnaire with 15 experienced HSE professionals working in oil and gas companies in Libya to help identify key issues pertaining to HSE assessment. Data analysis results for Stage 2 have been used to derive a list of 12 main groups of HSE questions which have then been tested on 84 HSE professionals working in Libya stemming from 35 medium and large oil and gas companies. Modal distribution analyses have been performed to scope down the number of HSE performance factors, which would then be used in Stage 3 of the empirical research. This consisted of issuing the same 84 interviewees with a questionnaire requesting their assessment of how Critical, Important and Less Important were the 60 factors identified. Central Tendency, Variation Ratios and Indices of Diversity were used to successfully analyse the data. With the QAA Subject Review in mind as a potential model for the sought methodology, and a mapping of the four research problems with data analysis results from Stages 1, 2 and 3; six HSE Performance Review Aspects emerged: Prevention, Surveillance, Response, Achievements, Resource and HSE Management and Enhancement – judged and graded using a 1 to 4 scale. The HSE Performance Review methodology has been validated by direct application to five comprehensive studies starting from the self-assessment document written by the companies, an extensive review visit by peer-assessors and a final report showing grades, benchmarks and shortcomings. Lessons learned from the validation exercise have been used to revise the definition of the six Aspects and used to propose an appropriate implementation plan in Libya. The results of the validation exercise are very encouraging and readily confirm that the methodology can be applied to other industry sectors.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2017-11-06T18:13:59Z No. of bitstreams: 1 Michelle Leiko Uemura.pdf: 1905572 bytes, checksum: 3f6485a1c200299a9216b36e406b1da3 (MD5) / Made available in DSpace on 2017-11-06T18:14:00Z (GMT). No. of bitstreams: 1 Michelle Leiko Uemura.pdf: 1905572 bytes, checksum: 3f6485a1c200299a9216b36e406b1da3 (MD5) Previous issue date: 2017-09-18 / Universidade Católica de Santos - Católica de Santos / According to the Ministry of Health, respiratory problems represent the second cause of morbidity in the distribution of diseases in Brazil. Studies on the association of air pollutants with morbidity and mortality outcomes from respiratory diseases began in the 1990s. Within professional kitchens, the pollutants emitted by food products mainly result from the heating and cooking process. In addition, the combustion of liquefied petroleum gas (LPG) and the smoke emitted during the cooking process may contain a number of hazardous pollutants due to the incomplete combustion of the organic compounds in the food material. This study aims to evaluate respiratory risk in commercial restaurant workers in the city of Santos exposed to pollutants, temperature and humidity released during cooking. The present study is cross-sectional, with random sampling for convenience and standardized definitions. Data collection was carried out in ten commercial Buffet restaurants, inside their kitchens and in the hall. The collection of particulate matter (PM2.5), nitrogen dioxide (NO2), temperature and humidity were performed in duplicate. We also used the European Community Respiratory Health Survey (ECRHS) questionnaire for symptoms suggestive of respiratory compromise validated in Brazil and was the pulmonary function test (Spirometry) in the workers. The descriptive analysis, correlation analysis and Mann-Whitney U-test were performed to make the results. The univariate and multiple logistic regression model was used to evaluate risk factors for the loss of lung function of exposed workers. The significance level was 5%. Statistical Package for Social Science (SPSS) for Windows, version 13.0 (SPSS Inc., Chicago, United States) was used for the statistical analysis. It was verified that NO2, PM2.5 and Temperature are above values recommended by the National Environment Council (CONAMA) and São Paulo State Environmental Company (CETESB), both in the kitchen and in the salon, which are higher in the kitchen when compared to the salon (p<0.05), as well as the Humidity that is higher in greater proportions in the hall when compared to (p<0.05). Regarding the respiratory findings among all the evaluated levels PM2,5 and NO2 are jointly important risk factors for decreased FEV1 (PM2.5 above the 1st Quartile OR 2.98, 95% CI 1.15 - 7.71 and NO2 Above the 1st Quartile OR 3.49, 95% CI 1.25 - 9.89). In view of the above, respiratory diseases present a chronic effect on the exposure to air pollutants and meteorological factors, affecting commercial kitchen workers, as evidenced by the importance of public policies aimed at maintaining pollutant levels in concentrations that do not affect workers' health. / Segundo o Ministério da Saúde os problemas respiratórios representam a segunda causa de morbidade na distribuição de doenças no Brasil. Estudos de associação de poluentes atmosféricos com desfechos de morbidade e mortalidade por doenças respiratórias começaram a partir da década de 1990. Dentro de cozinhas profissionais, os poluentes emitidos pelos alimentos resultam principalmente do aquecimento e processo de cocção dos mesmos. Além disso, a combustão do gás liquefeito de petróleo (GLP) e a fumaça emitida durante o processo de cocção podem conter uma série de poluentes perigosos devido à combustão incompleta dos componentes carbônicos no material alimentar. Este estudo tem por objetivo avaliar o risco respiratório em trabalhadores de restaurantes comerciais na cidade de Santos expostos a poluentes, temperatura e umidade liberados durante a cocção dos alimentos. O presente estudo é transversal, sendo os dados obtidos com amostragem aleatória por conveniência e definições padronizadas. A coleta de dados foi realizada em dez restaurantes comerciais tipo Buffet, dentro de suas cozinhas e no salão, sendo a coleta do material particulado (PM2,5), dióxido de nitrogênio (NO2), temperatura e umidade realizadas em duplicata. Foi utilizado o European Community Respiratory Health Survey (ECRHS) questionário investigativo para sintomas sugestivos de comprometimentos respiratórios validado no Brasil e foi a prova de função pulmonar (Espirometria) nos trabalhadores. Para confecção dos resultados foi realizada a análise descritiva, análise de correlação e teste U de Mann-Whitney. Para avaliação fatores de risco para a perda de função pulmonar dos trabalhadores expostos foi utilizado o modelo de regressão logística univariada e múltipla, sendo o nível de significância utilizado 5%. Para as análises estatísticas foi utilizado o programa StatisticalPackage for Social Science (SPSS) para Windows, versão 13.0 (SPSS Inc., Chicago, Estados Unidos). Verificou-se que o NO2, o PM2,5 e a temperatura encontram-se acima dos valores recomendados pelo Conselho Nacional do Meio Ambiente (CONAMA) e Companhia Ambiental do Estado de São Paulo (CETESB) tanto na cozinha como no salão, esses mais elevados na cozinha quando comparado ao salão (p<0,05) bem como a umidade que se encontra elevada em maiores proporções no salão quando comparada a cozinha (p<0,05). No que se refere aos achados respiratórios, entre todos os níveis avaliados, PM2,5 e NO2 são fatores de risco conjuntamente importantes para FEV1 diminuído (PM2,5 acima do 1o Quartil OR 2,98, IC95% 1,15 - 7,71 e NO2 acima do 1o Quartil OR 3,49, IC95% 1,25 - 9,89). Diante do exposto, verifica-se que as afecções respiratórias apresentam efeito crônico à exposição aos poluentes do ar e aos fatores meteorológicos, afetando os trabalhadores de cozinhas comerciais, com isso evidencia-se a importância das políticas públicas voltadas para manutenção dos níveis de poluentes em concentrações que não afetem a saúde dos trabalhadores.