Em todos os segmentos da sociedade, a utilização de equipamentos eletrônicos projetados e construídos com avançadas tecnologias eletrônicas e controlados por microprocessadores aumenta a cada dia. Na área de saúde, denominados de equipamentos eletromédicos, dão suporte aos setores de diagnóstico, tratamento ou, procedimento cirúrgico, melhorando a qualidade dos serviços e o atendimento aos pacientes. No entanto, o sucesso global do processo deverá considerar a qualidade das instalações elétricas nesses ambientes, bem como a qualidade da energia elétrica fornecida a esses equipamentos. Este trabalho tem como objetivo comprovar, por meio de pesquisa em laboratório, o risco de diagnósticos médicos baseados em informações fornecidas por equipamentos eletromédicos, alimentados em redes elétricas que não atendem às normas vigentes ou, totalmente perturbadas por outros equipamentos típicos dos ambientes médico-hospitalares. A metodologia aplicada consistiu em medições dos parâmetros referentes à qualidade de energia elétrica nos estabelecimentos assistenciais de saúde. Atenção especial foi dada ao conteúdo harmônico de tensão e aos afundamentos de tensão de curta duração produzidos por equipamentos de raios X, mamografia, tomografia computadorizada, ressonância magnética nuclear e motores elétricos de indução. Em seguida, essas perturbações foram reproduzidas em fontes de tensão específicas para essa finalidade, instaladas no Laboratório do Centro Tecnológico de Qualidade de Energia da Escola Politécnica da Universidade de São Paulo, conhecido como Enerq-ct. Equipamentos eletromédicos portáteis, gentilmente cedidos por diversos fabricantes nacionais, foram submetidos a esses sinais para verificação do seu desempenho. Os resultados obtidos demonstram a importância da qualidade de energia elétrica bem como, a qualidade dos serviços de manutenção nas instalações elétricas desses ambientes. / Through all segments of our society, there is a daily increase in the use of electronic equipment designed and built with advanced electronic technology and computerized control. In the health-medical area, designated electromedical equipment, they provide support to sectors in charge of diagnosis, treatment or surgical procedures, improving the quality of services and the manner patients are cared for. However, the global success of this process must take into consideration the quality of electrical installations at these facilities, as well as the electrical power supplied to the equipment. The aim of this work is to attest through laboratory research the risk of medical diagnoses based on information provided by electromedical equipment powered through electrical networks which do not meet the standards in effect, or which are completely disturbed by other equipment typical of electromedical environments. The methodology applied consisted of measurements of the parameters referring to the quality of electrical power in health care facilities. Especial attention was given to the voltage harmonic content and to short duration voltage sags caused by X-ray, mammography, computerized tomography and nuclear magnetic resonance equipment or by induction motors. Later, these disturbances were reproduced in power supplies which are specific to this objective, installed at Laboratório do Centro Tecnológico de Qualidade de Energia da Escola Politécnica da Universidade de São Paulo- Energy Quality Technological Center of the Technical School of the University of Sao Paulo , known as Enerq-ct. Portable electromedical equipment, kindly supplied by national manufacturers, were subjected to these signals for assessment of their performance. The results obtained demonstrate the importance of the quality of electrical power as well as the quality of maintenance of electrical installations within these environments.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2008. / LICL has E-Thesis 0038 ; please contact computer services.

The purpose of this study was to explore and describe the factors that motivate the Primary Health Care Nurses to render quality care in the Ekurhuleni Metropolitan Municipality Health Care Facilities (in the Northern Region). The Ekurhuleni Metropolitan Municipality is located in Gauteng, South Africa. To achieve this, a quantitative, descriptive research study was undertaken. A purposive and voluntary sample of (n=54) Primary Health Care Nurses with two or more years’ experience of working in the Ekurhuleni Metropolitan Municipality, in the Northern Region, participated in the study. Data was collected using structured questionnaires. Findings from the study indicated those factors that enhance the motivation of the Primary Health Care Nurses and those factors which may demotivate them. The findings further revealed the need for greater motivation for the Primary Health Care Nurses. Based on the study results, guidelines and recommendations were formulated according to the manner in which these nurses’ motivation may be implemented and improved / Health Studies / M. A. (Health Studies)

Šių dienų situacija yra tokia, kad daug gydytojų, slaugytojų ir kitų medicinos personalo darbuotojų išvažiuoja/emigruoja į užsienio šalis, todėl likusiems gydytojams, slaugytojams smarkiai padidėja darbo krūvis. Norint šį krūvį normalizuoti, reguliuoti ar bent jau palaikyti tokį, kad darbuotojai kokybiškai galėtų teikti savo paslaugas, būtinas aiškus darbo pasidalinimas, žinojimas kas už ką atsakingas ir taikyti tai praktikoje. Kalbant apie socialinį sveikatos aspektą – tai turbūt vienintelė sritis, kuria rūpinasi beveik visi darbuotojai, prieinantys ir komunikuojantys su pacientu. Tačiau užtikrinant socialinį sveikatos aspektą labiausiai kompetentingas yra socialinis darbuotojas. Gydytojai ir slaugytojai neturėtų atlikti jo darbo. Tačiau kartais šie darbuotojai neturi kitos išeities, kadangi jų skyriuje nėra specialisto, kuris tuo rūpintųsi. Yra reikalingas tikslesnis darbo organizavimas, kuris priklauso nuo sveikatos priežiūros įstaigos vadovo, tai pat skyrių vadovai, kurie gali įtakoti darbuotojų skaičių ir jų kvalifikaciją savo skyriuje. Kita vertus, vien darbo organizavimo nepakanka, reikalingas tarpusavio susitarimas ir įprotis dirbti tik savo darbą bei „leidimas“ socialiniam darbuotojui atlikti savo pareigas, užtikrinti socialinį sveikatos aspektą. Tyrimo tikslas Įvertinti medikų vadovų požiūrį į socialinio pacientų sveikatos aspekto užtikrinimą. Tyrimo uždaviniai: 1. nustatyti medikų vadovų vaidmenį užtikrinant pacientų socialinį sveikatos aspektą; 2. apžvelgti... [toliau žr. visą tekstą] / Nowadays many doctors, nurses and other medical staff is emigrating to a foreign countries, therefore, the workload for remaining doctors, nurses greatly increased. In order to normalize or adjust the strain, or at least maintain it’s present level, that employees could provide quality services, it requires a clear division of job, knowledge of who does what and applying it in practice. Speaking about social aspect of health – it is probably the only area, which is cared by almost all workers , communicating with patients. However, ensuring the social dimension of health the most competent is a social worker. Doctors and nurses shouldn’t carry out his work. Sometimes these workers have no choice, because their section doesn’t have the right specialist. It is necessary for accurate labor organization, which depends on the health care manager, as well as department heads, which may affect the number of employees and their qualifications at their department. On the other hand, good organization is not enough, it requires mutual agreement and the habit of doing only their own job and “a pass” for social worker, to perform his duties and to ensure the social ascept of health, is needful. Aim of the study is to evaluate the medical head‘s approach to the social aspect of ensuring the health of patients. Objectives: 1. Set the medical managers role in ensuring patients' social aspect of health. 2. View the ways, how social aspect of patients health is ensured. 3. Value... [to full text]

The study comprises an investigation of the quality of the clinical teaching environment of undergraduate students in the accredited Primary health care ( PHC) facilities used by a provincial nursing college in Limpopo. The researcher, who is employed full time in one of the accredited PHC facilities to which undergraduate students are admitted for clinical practice, became aware of the tension between the undergraduate students and professional nurses working in the PHC facility during the performance of clinical practice. Undergraduate students accused the professional nurses of neither supervising them properly during the execution of their clinical practice, nor assessing them on the prescribed practical outcomes. On the other hand, the professional nurses working in the PHC facility complained that undergraduate students were placed at the PHC facilities in large numbers with no clinical accompanist accompanying them. The research objectives were to determine the quality of clinical practice in the PHC clinical learning environment as rated by undergraduate students allocated by a provincial nursing college located working in a PHC facility in a district of Limpopo Province, and to formulate recommendations for the professional nurses in PHC districtmanagement to incorporate supervision for undergraduate students in order to enhance clinical teaching for undergraduate students in Primary health care facilities. The researcher used a quantitative, descriptive, explorative and contextual design. An all-inclusive sampling method was used to select research participants. Participants were undergraduate students of a provincial nursing college in Limpopo. Informed consent was obtained. Ethical approval was obtained from the relevant authorities. Data was collected by using an internationally validated Clinical Learning Environment Supervision and Nurse Teacher Instrument (Saariskoki & Leino-Kilpi, 2008:259-267).. Data analysis was done by using descriptive statistics and revealed that the clinical practice environment was not conducive to enhancing practical skills development in the real practical PHC practice. Evaluation of study, limitations and recommendations for education, research, practice and policy were discussed. / MCur, North-West University, Potchefstroom Campus, 2014

The problem of this study is to compare prior health care experience with satisfactory adjustment in a long-term care facility. Both quantity and quality of prior experience in a health care facility are examined in terms of the significance to successful relocation. Demographic data and perceived control of health are examined in relation to significance of the findings.

Master of Public Health - MPH / This mini-thesis, assessed the use of ORT as a treatment for childhood diarrhoea in primary health care facilities in the Cape Metropole from the caregivers' perspective. Awareness and knowledge of oral rehydration therapy (ORT) and the preparation abilities of sugar salt solution (SSS) by caregivers of children younger than 5 years attending the health facilities were assessed. The availability of resources and utensils for the use of ORS packets and SSS and the accessibility to health facilities by caregivers were also determined. Using a cross sectional descriptive study design, a baseline situation review was carried out. Primary health care facilities in three heath districts namely; Khayelitsha, Nyanga and Oostenberg were purposely selected. Ninety-two caregivers in 12 facilities participated in the study. Basic analyses of quantitative data were done using Epi-Info 2002 software. Qualitative data were analysed manually. The study found that according to caregivers, all facilities used ORS packets as their immediate treatment for uncomplicated diarrhoea, and recommended sugar salt Diarrhoea Management in PHC Facilities solution as home treatment. Ninety-one percent of caregivers used ORT at home before they presented to the health facility.Of the caregivers who were advised by the health worker to use SSS at home, 60.7%, 55.8% and 60.2% in Oostenberg, Khayelitsha and Nyanga districts respectively remembered the correct ingredients and quantities to make the solution at home. Of those given ORS packets, 94.5%, 99.0% and 98.5% respectively, remembered the quantity of water to be mixed with each packet. Packets were found to be convenient and were preferred by many caregivers as compared to SSS. The advice or health education messages given to caregivers were often unclear, and there were language barriers in Brighton and Bloekombos clinics in the Oostenberg district. A litre bottle was available in 47% of caregivers' homes, 82 % had a teaspoon and all of them had access to running water. Twelve percent and 11 % admitted to not having sugar and salt respectively when they wanted to make SSS. Eighty-eight percent walked to the health facility and 12% used taxis or buses. The study concludes that ORT is widely used in primary health care facilities for diarrhoeal disease treatment, however caregiver's knowledge and preparation abilities of SSS is still limited. The resources and utensils to prepare ORT at home were fairly available in many homes, which makes SSS preparation at home feasible and acceptable.

The study comprises an investigation of the quality of the clinical teaching environment of undergraduate students in the accredited Primary health care ( PHC) facilities used by a provincial nursing college in Limpopo. The researcher, who is employed full time in one of the accredited PHC facilities to which undergraduate students are admitted for clinical practice, became aware of the tension between the undergraduate students and professional nurses working in the PHC facility during the performance of clinical practice. Undergraduate students accused the professional nurses of neither supervising them properly during the execution of their clinical practice, nor assessing them on the prescribed practical outcomes. On the other hand, the professional nurses working in the PHC facility complained that undergraduate students were placed at the PHC facilities in large numbers with no clinical accompanist accompanying them. The research objectives were to determine the quality of clinical practice in the PHC clinical learning environment as rated by undergraduate students allocated by a provincial nursing college located working in a PHC facility in a district of Limpopo Province, and to formulate recommendations for the professional nurses in PHC districtmanagement to incorporate supervision for undergraduate students in order to enhance clinical teaching for undergraduate students in Primary health care facilities. The researcher used a quantitative, descriptive, explorative and contextual design. An all-inclusive sampling method was used to select research participants. Participants were undergraduate students of a provincial nursing college in Limpopo. Informed consent was obtained. Ethical approval was obtained from the relevant authorities. Data was collected by using an internationally validated Clinical Learning Environment Supervision and Nurse Teacher Instrument (Saariskoki & Leino-Kilpi, 2008:259-267).. Data analysis was done by using descriptive statistics and revealed that the clinical practice environment was not conducive to enhancing practical skills development in the real practical PHC practice. Evaluation of study, limitations and recommendations for education, research, practice and policy were discussed. / MCur, North-West University, Potchefstroom Campus, 2014

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2008. / LICL has E-Thesis 0038 ; please contact computer services.

The thesis is focused on health and injuries in nursing homes and health care facilities and their prevention. Given that accidents cause high morbidity and mortality of the elderly, it is important to think about prevention and the search for the causes of these accidents. The main objective of the empirical part of the study was to determine the causes of clients accidents in social and medical facilities and compare both types of facilities. For research in the empirical part of this work has been used quantitative research strategy, method of questioning techniques of data collection questionnaire. Research has shown that 87% of respondents suffer from musculoskeletal diseases. 44% of respondents, women more often than men, had received the fall and subsequent hospitalization. The thesis may help to understand the issues of accidents of the elderly and health effect on the quality of people's life living in health and social care facilities.