Global ETD Search

71	The experiences of registered nurses involved in termination of pregnancy at Soshanguve Community Health Centre Mamabolo, Lekwetji Redibone Catherine 30 June 2006 (has links) The legalising of abortion in many countries has given women the choice or right to decide to terminate pregnancy. The Choice on Termination of Pregnancy Act (Act No 92 of 1996) was promulgated in 1997. This legislation promotes reproductive rights including to choose between having an unwanted pregnancy terminated early, safely and legally. The legislation affects both the women who choose to terminate pregnancy and the staff involved in the termination of pregnancy (TOP) procedures. This exploratory, descriptive and contextual qualitative study was designed to gain insight into the experiences of registered nurses in the procedure for termination of pregnancy and to explore recommendations based on these experiences. The researcher adopted a phenomenological approach. Participants were drawn from registered nurses providing TOP services at Soshanguve Community Health Centre near Pretoria. Registered nurses have the right to refuse to participate in TOP, those that do provide the service are exposed to emotional and psychological trauma. / Health Studies / M.A. TOP Termination of pregnancy Registered nurses Nurse's rights Experiences Choice on Termination of Pregnancy Act Abortion 363.460968228 Soshanguve Community Health Centre
72	Mixed method: exploration of caring practices related to the management of patients with chronic pain within the primary health care setting Makua, Mogalagadi Rachel 10 December 2014 (has links) Aim of the study is to explore the role caring practices within the nurse-patient relationship, in facilitating effective chronic pain management in the primary health care context. Objectives are to analyse the current caring practices within the nurse-patient relationship during the management of patients with chronic pain within primary health care services; explore the challenges experienced by nurses in primary health care services when managing patients with chronic pain; observe the caring practices within the nurse patient interaction for the patients suffering from chronic pain within the Primary health care setting and explain the nurses‟ caring practices when managing their chronic pain in the primary health care setting. Method The research design for this study is sequential, explanatory and mixed method, which is more appropriate due to the complexity of the phenomenon under study. Findings: Although the survey measured the caring practices subjectively which other studies had done consistently, generally nurses associated caring as their core function within the health profession. Nurses do not actively involve the patients in the development of a treatment plan and as a result the caring behaviours that are intended to benefit the patients are not realised and, thus patients report nurses as not being caring. The results indicated that lack of an inclusive treatment plan, which can only be discovered through the development of the therapeutic NPR, is not given priority in the management of patients with chronic pain Conclusions: Caring should not be seen as concrete execution of the set of activities towards the patient but rather as a joint venture between the nurse and the patient. The strength of the model developed in this study is the identification of the nurses‟ internal readiness to create a caring environment by experiencing the love, faith and hope before engaging with the patient. / Health Studies Chronic pain Clinic Clinical nurse practioner Community health centre Health promotion Healthy work environment Model Nurse patient relationship Nurse Patient Primary health care Professional nurse Quality of care Relationship 610.730690968 Pain -- Treatment -- South Africa Pain -- Nursing -- South Africa Medical personnel -- South Africa Nurse and patient -- South Africa
73	Moderní poliklinika / Modern Health Center Juračková, Edita January 2013 (has links) Subject of master's thesis is project of health centre in Brno. The building is constructed as a frame of reinforced concrete with four above-ground floors. The building is based on square individual footing and uncased piles. Building envelopes consists of supporting part and thermally isulated part. Supporting part is made of earated concrete block Ytong. Thermally isulated part is made of thermal insulation polystyrene and Kingspan panel facade cladding. Building is roofed with vegetative promenade flat roof with 3-meters-high trees. Part of master's thesis is also a static desing of reinforced concrete components, fire-safety solving and thermal-technical evaluation og building.
74	Zdravotní středisko / Health Care Centre Horelicová, Pavlína January 2016 (has links) This diploma thesis deals with the processing of project documentation for construction of a health centre in Šlapanice. The proposed building is situated on parcels no. 1906/1, 1906/11 and 1906/13. The parcels are part of the cadastral city Šlapanice. The terrain is flat. There are all necessary underground utilities nearby. The object is functionally divided into two parts and has a rectangular plan. The first part consists of a medical centre with a capacity of 19 specialized surgeries. The second part consists of a pharmacy for the general public. The building is designed of the brick construction system with a monolithic reinforced concrete columns and a reinforced concrete continuous slab. The largest footprint building is 66.75 x 18.75 meters. The cladding is designed in aluminium and glass facades with a total thickness of 250 mm. Roofing of the building's entire surface of a flat roof with a waterproofing layer at a gradient of 3% with multiple height levels. The structure of flat roofs is designed as a flat roof with a stabilizing layer of washed river gravel or vegetation roof. Foundation of a building is a combination of foundation footings and foundation passports. The pharmacy part is designed as a single-storey building and the health centre is designed as a partial basement building with three floors.
75	Effective prevention of mother-to-child transmission of HIV at Oshakati District Health Centre in the Republic of Namibia Shoopala, Naemi Ndahambelela 02 1900 (has links) The aim of this study was to assess the extent on how effective was the prevention of mother-to-child transmission of Human Immunodeficiency Virus (HIV) infection at Oshakati District Health Centre. Explanatory survey was used to conduct the research. A total of 160 nurses experienced in prevention of mother-to-child transmission and women who attended antenatal care and post natal care services participated in the study. Respondents expressed unsatisfactory with the promoting involvement of male partners, high quality voluntary counselling and testing services, couple counselling and testing, integration of Highly Active Antiretroviral Therapy services, administration of short course of Zidovudine to pregnant mothers and the provision of antiretroviral drugs to infants. Therefore, promoting involvement of male partners, couple counselling and testing, administration of short course of Zidovudine to pregnant mothers and educating women about exclusive breastfeeding prior to delivery are some of recommendations for effective prevention of mother-to-child transmission of HIV infections. / Health Studies / M.A. (Public Health) HIV Nevirapine Exclusive breastfeeding HIV virus transmission Zidovudine Antepartum Intrapartum Postpartum Highly active antiretroviral therapy Nevirapine Challenges Namibia 618.9297920096881 Oshakati District Health Centre AIDS (Disease) -- Namibia -- Oshakati
76	L'intégration et la négociation du rôle de l'infirmière praticienne en soins de santé primaires en contexte de collaboration interprofessionnelle Rioux-Dubois, Annie 17 January 2019 (has links) La prestation coordonnée de soins de santé primaires (SSP) a été éprouvée comme améliorant la qualité et l’accès des soins prodigués aux Canadiens. Plusieurs études ont notamment confirmé les avantages des infirmières praticiennes (IP) et des modèles interprofessionnels en SSP pour le système de santé. Les écrits suggèrent toutefois que l’intégration des IP en SSP est jalonnée de tensions et restructurations en raison d’une confusion supposée de leur rôle. À ce jour, les recherches ont principalement ciblé les barrières et facilitateurs de l’intégration du rôle des IP. Une analyse critique des dynamiques socioprofessionnelles et politiques de l’intégration des IP n’a toutefois pas encore été réalisée. Une ethnographie critique combinant la Théorie de l’acteur-réseau et les concepts foucaldiens de discours, savoir et pouvoir a permis l’examen des interactions sémiotiques caractérisant certains milieux de SSP. Différents modèles interprofessionnels de SSP (2 centres de santé communautaire, 2 équipes de santé familiale et 2 cliniques dirigées par les IP) ont été investis. Les données issues d’entrevues semi-dirigées avec des IP (n=23), d’observations directes de milieux et de rencontres interprofessionnelles, et d’analyse documentaire ont été soumises à une analyse thématique puis une analyse critique de discours. Les résultats montrent que la valeur morale des IP, les finalités organisationnelles des milieux de SSP, les normes de pratique, la collaboration interprofessionnelle et la prise en charge des patients disposent les IP à la négociation de leur rôle et à certains enjeux socioprofessionnels et politiques qui génèrent plusieurs contrecoups: pluralisme de leurs rôles professionnels, dissonance identitaire, sentiments d’incompétence et d’incertitude, glissements discursifs dans leurs propres discours, et divers états émotionnels et souffrances. Ces contrecoups commandent diverses stratégies d’adaptation et de résistance permettant aux IP de gérer ces tensions. Plusieurs entités non-humaines (inscription des clientèles, discours de soutien aux médecins et espaces physiques) émergent comme acteurs agissant sur l’intégration et la négociation du rôle des IP en SSP. Cette étude permet de décrire le processus de traduction du rôle de l’IP en SSP qui problématise certains discours tenus pour acquis en SSP. Elle permet également de proposer une nouvelle définition de l’intégration du rôle des IP en SSP. Infirmière praticienne Soins de santé primaires Collaboration interprofessionnelle Rôle professionnel Négociation Pratique infirmière avancée Théorie de l'acteur-réseau Ethnographie Centre de santé communautaire Équipe de santé familiale Advanced nursing practice Nurse Practitioner Primary Health Care Interprofessional Collaboration Actor-Network Theory Role Negotiation Ethnography Critical Theory Théorie critique Foucault Community Health Centre Family Health Team Nurse Practitioner Led Clinic Analyse critique de discours Critical Discourse Analysis Pouvoir Power Processus de traduction Sociology of translation Standards of practice Normes de pratique

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