Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2009. / Chiropractic in Israel has become a more integrated part of many aspects of health care policies, in that it is practised in multidisciplinary medical teams, is now included in HMOs and hospitals services, and has contributed to research and military programmes. However, the chiropractic profession still has its problems. Without laws or legitimate recognition to protect chiropractors, the playing fields could never be levelled for all chiropractors in Israel. Patient use and demand for complementary and alternative practitioners, including chiropractors, is gradually increasing. However, there has been no research to investigate the perceptions of chiropractors, medical doctors and chiropractic patients (i.e. key stakeholders) regarding the integration of the chiropractic profession in the Israeli health care system. The purpose of this study was to explore and describe the perceptions of a selected group of stakeholders about the integration of the chiropractic profession in the Israeli health care system. Such an exploration might help the profession to secure its position and claim a higher status in society. This is desirable to educate the public and the authorities on the many positive advantages of chiropractic, include access to chiropractic services for people who traditionally have not been able to use these services because of economic barriers or internal government and authorities limiting laws, as well to enhance its public image such as honesty, integrity and objectivity in the health care, and to avoid any criticism of organized medicine. It therefore stands to reason that the factors that might contribute to this type of development should be considered as soon as possible in those countries where chiropractors practise. This type of investigation is important not only in the Israeli setting, but indeed in every country where the profession is aiming toward increased recognition and awareness of the contribution of chiropractic to health care. Chiropractic now has the opportunity to expand its influence and take a more active role in health care issues. Therefore, although geographically removed, South Africa stands to gain interesting and useful information from an investigation of this nature. The investigation was carried out within a post positivist approach close to that of critical realism, using an interpretive methodology. The sampling was purposive as individuals were targeted for their knowledge in three main topics, these being the scope of chiropractic practice, inter-professional relations between Doctors of Chiropractic (DCs) and Medical Doctors (MDs), and developmental issues. The participants included five chiropractors, three medical doctors and three chiropractic patients, who all resided in the metropolitan area of Tel Aviv. were presented in tabular form in order to facilitate analysis and interpretation. Although there were some discrepancies regarding the knowledge and background of the participants about the topics discussed, all the participants met the inclusion criteria. The results show that chiropractic stands at the crossroads of mainstream and alternative medicine. Therefore it is important to establish a leading statement on identity, which must be clear, concise and immediately relevant to both the public and the profession. Although inter-professional relations between MDs and DCs in Israel are improving, further research should be conducted to provide suggestions on how chiropractors can overcome barriers and improve communication with MDs and other health care professionals in the Israeli health care system. In general, the participants agreed that governmental legislation, recognition and support are important endorsements with respect to the societal relevance and development of the profession. Therefore issues such as public awareness of chiropractic education and scope of practice, research and evidence-based practice must be emphasized accordingly in order to facilitate the development of chiropractic practice in Israel.

Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2009. / Chiropractic in Israel has become a more integrated part of many aspects of health care policies, in that it is practised in multidisciplinary medical teams, is now included in HMOs and hospitals services, and has contributed to research and military programmes. However, the chiropractic profession still has its problems. Without laws or legitimate recognition to protect chiropractors, the playing fields could never be levelled for all chiropractors in Israel. Patient use and demand for complementary and alternative practitioners, including chiropractors, is gradually increasing. However, there has been no research to investigate the perceptions of chiropractors, medical doctors and chiropractic patients (i.e. key stakeholders) regarding the integration of the chiropractic profession in the Israeli health care system. The purpose of this study was to explore and describe the perceptions of a selected group of stakeholders about the integration of the chiropractic profession in the Israeli health care system. Such an exploration might help the profession to secure its position and claim a higher status in society. This is desirable to educate the public and the authorities on the many positive advantages of chiropractic, include access to chiropractic services for people who traditionally have not been able to use these services because of economic barriers or internal government and authorities limiting laws, as well to enhance its public image such as honesty, integrity and objectivity in the health care, and to avoid any criticism of organized medicine. It therefore stands to reason that the factors that might contribute to this type of development should be considered as soon as possible in those countries where chiropractors practise. This type of investigation is important not only in the Israeli setting, but indeed in every country where the profession is aiming toward increased recognition and awareness of the contribution of chiropractic to health care. Chiropractic now has the opportunity to expand its influence and take a more active role in health care issues. Therefore, although geographically removed, South Africa stands to gain interesting and useful information from an investigation of this nature. The investigation was carried out within a post positivist approach close to that of critical realism, using an interpretive methodology. The sampling was purposive as individuals were targeted for their knowledge in three main topics, these being the scope of chiropractic practice, inter-professional relations between Doctors of Chiropractic (DCs) and Medical Doctors (MDs), and developmental issues. The participants included five chiropractors, three medical doctors and three chiropractic patients, who all resided in the metropolitan area of Tel Aviv. were presented in tabular form in order to facilitate analysis and interpretation. Although there were some discrepancies regarding the knowledge and background of the participants about the topics discussed, all the participants met the inclusion criteria. The results show that chiropractic stands at the crossroads of mainstream and alternative medicine. Therefore it is important to establish a leading statement on identity, which must be clear, concise and immediately relevant to both the public and the profession. Although inter-professional relations between MDs and DCs in Israel are improving, further research should be conducted to provide suggestions on how chiropractors can overcome barriers and improve communication with MDs and other health care professionals in the Israeli health care system. In general, the participants agreed that governmental legislation, recognition and support are important endorsements with respect to the societal relevance and development of the profession. Therefore issues such as public awareness of chiropractic education and scope of practice, research and evidence-based practice must be emphasized accordingly in order to facilitate the development of chiropractic practice in Israel. / M

No description available.

Thesis (M.Sc.)--University of Alberta, 2010. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Science in Population Health, School of Public Health. Title from pdf file main screen (viewed on March 18, 2010). Includes bibliographical references.

The aim of this study was to develop an empowerment model that could be used to enhance nurse leaders’ participation in health policy development. The study explored the extent of nurse leaders’ participation in health policy development; built consensus on: essential leadership attributes and facilitators and barriers to nurse leaders participation in health policy development. A Delphi survey was applied which included the following criteria: expert panelists, iterative rounds, statistical analysis, and consensus building. The expert panelists were purposively selected and included national nurse leaders in leadership positions at the nursing professional associations, nursing regulatory bodies, ministries of health and universities in East Africa. The study was conducted in three iterative rounds. There were 78 expert panelists invited to participate in the study, the response rate was 47% for the first round, 65% for the second round and 100% for the third round. The data collection was done with the use of semi structured (first round) and structured questionnaires (second and third rounds). Data analysis for the first round was done by examining the data for the most commonly occurring categories. The second and third rounds were quantitative and descriptive statistics were used. The consensus accepted for the second round was 90%, and for the third round consensus was 70%. The findings of the study indicate that nurse leaders participate in health policy development though participation is limited and not consistent across all the stages of health policy development. The study revealed consensus on essential leadership attributes required for nurse leaders’ participation in health policy development, including transformational attributes, political skills, interpersonal and communication skills. The facilitators to nurse leaders’ participation in health policy development pertain to: knowledge and skills, involvement, image of nursing, support, structures and processes. Whereas, the barriers relate to: involvement, image of nursing, structures and processes. An empowerment model for nurse leaders participation in health policy development was developed. Implementation of the model may lead to enhance nurse leaders participation in health policy development. / Health Studies / D. Litt. et Phil. (Health Studies)

Text in English / The purpose of the study was to explore the registered nurse’s perceptions with regard to the use of authority by nurse managers in the workplace. A qualitative approach using phenomenological descriptive design was used. Data was collected by means of audio-taped individual interviews and field notes. The sample included registered nurses aged 25-45 years with more than two years’ experience. Ethical issues were adhered to. The data was analysed using content analysis as proposed by Creswell (2013). Five themes and seventeen subthemes emerged from the data. The findings revealed that the registered nurses were unhappy with the way authority is being used, their non-involvement in decision-making; lack of two way communication between nurses and managers; poor relationship between nurses and health service managers which hindered nurses’ opportunity for growth. Autonomy is a major determinant of nurse job satisfaction, and failure to apply it may lead to high turnover and absenteeism. / Health Studies / M.A. (Health Studies)

The aim of this study was to develop an empowerment model that could be used to enhance nurse leaders’ participation in health policy development. The study explored the extent of nurse leaders’ participation in health policy development; built consensus on: essential leadership attributes and facilitators and barriers to nurse leaders participation in health policy development. A Delphi survey was applied which included the following criteria: expert panelists, iterative rounds, statistical analysis, and consensus building. The expert panelists were purposively selected and included national nurse leaders in leadership positions at the nursing professional associations, nursing regulatory bodies, ministries of health and universities in East Africa. The study was conducted in three iterative rounds. There were 78 expert panelists invited to participate in the study, the response rate was 47% for the first round, 65% for the second round and 100% for the third round. The data collection was done with the use of semi structured (first round) and structured questionnaires (second and third rounds). Data analysis for the first round was done by examining the data for the most commonly occurring categories. The second and third rounds were quantitative and descriptive statistics were used. The consensus accepted for the second round was 90%, and for the third round consensus was 70%. The findings of the study indicate that nurse leaders participate in health policy development though participation is limited and not consistent across all the stages of health policy development. The study revealed consensus on essential leadership attributes required for nurse leaders’ participation in health policy development, including transformational attributes, political skills, interpersonal and communication skills. The facilitators to nurse leaders’ participation in health policy development pertain to: knowledge and skills, involvement, image of nursing, support, structures and processes. Whereas, the barriers relate to: involvement, image of nursing, structures and processes. An empowerment model for nurse leaders participation in health policy development was developed. Implementation of the model may lead to enhance nurse leaders participation in health policy development. / Health Studies / D. Litt. et Phil. (Health Studies)

Text in English / The purpose of the study was to explore the registered nurse’s perceptions with regard to the use of authority by nurse managers in the workplace. A qualitative approach using phenomenological descriptive design was used. Data was collected by means of audio-taped individual interviews and field notes. The sample included registered nurses aged 25-45 years with more than two years’ experience. Ethical issues were adhered to. The data was analysed using content analysis as proposed by Creswell (2013). Five themes and seventeen subthemes emerged from the data. The findings revealed that the registered nurses were unhappy with the way authority is being used, their non-involvement in decision-making; lack of two way communication between nurses and managers; poor relationship between nurses and health service managers which hindered nurses’ opportunity for growth. Autonomy is a major determinant of nurse job satisfaction, and failure to apply it may lead to high turnover and absenteeism. / Health Studies / M.A. (Health Studies)

M.Cur. (Professional Nursing) / The nursing service manager in local goverment is confronted by extensive changes in the health care delivery system. The communities need to work towards better health but in turn it ask for competent leadership from the nursing service manager. The nursing service manager is accountable for the nursing component of services in the personal health services and should focus in on quality control, in the preventative and primary health care services. It appears that leadership development of the nursing service manager in the local goverment does not receive the attention that it should. The question that offers leadership manager and if so needs to be asked, is whether local government development programs for the nursing service what is the nature and extent of the program? What is the predominant leadership style that the nursing service manager is using from within the situational leadership theory? What guidelines for a leadership development program for nursing service managers should be formulated? The objectives of this study is to investigate what the nature and extent of leadership development for the nursing service manager in the local government in the Pretoria, Witwatersrand and Vaal triangle is. The second objective is to determine the leadership style of the nursing service manager in the local government in the Pretoria, Witwatersrand and· Vaal triangle. The third objective is to develop guidelines for a leadership development program for nursing service managers in local government from within the framework of the situational leadership theory, based on the results of the study. An explorative, descriptive research design within the context was used to answer to the objectives set for this study. The research methods consist of a interview with a interview guide that was used to determine the nature and extent of leadership development that the nursing service manager receives. Secondly an evaluation was done with the aid of the LEAD-Self and LEADOthers instruments. The situational theory was the Whole Person Theory study. The researcher found that most of the nursing managers are working in the two biggest local governments and the predominant designation is that of chief community health nurse. The nursing service managers have the applicable clinical ability in community health nursing science. The findings are as follows The majority of nursing service managers in this study are working in the two largest local governments. The designation of community health nurse is the most common designation for the nursing service managers. The nursing service manager possesses the appropriate clinical experience in community health nursing. The researcher found that seven (38.9%) of the leaders are busy with formal leadership development by means of further studies, which points to positive motivation. The results show that . leadership development of the service manager does not receive the necessary attention should receive. nursing that it The primary managers are style three. leadership style that most of the nursing service using according to their own perception is that of This style is also known as the style of participation which is high in support and low in direction giving. According to the followers perception, the nursing service manager uses style two as the primary style. This style is both high in support and direction giving and it is also known as the selling style. Guidelines for the development program are set out accordingly curriculum development.

The aging population in the U.S. is dramatically increasing; it is predicted that not only will individuals live longer but also that they will live with multiple chronic diseases that could require high levels of medical and social resources. While the aging population increases, the number of health care providers choosing to specialize in caring for the elderly is decreasing just as dramatically. Teams are believed to be a possible response to more efficiently use the providers available, take advantage of alternative provider types, and integrate a range of health and social services to meet patient needs more effectively. Interdisciplinary teams are the best practice in the care of older adults, who require both medical and social services. However, maintaining functional collaborative teams has been an ever-present challenge to health and social care organizations. Research has found that institutional support is critical for teams to benefit patients and organizations alike. This study examined the role of institutional context in supporting interdisciplinary teams (IDT) in the care of older adults through interviews of the management and staff of the Program for All-Inclusive Care of the Elderly (PACE) in six states. PACE organizations must commit to an interdisciplinary model of care consisting of 11 different disciplines from across the professional spectrum. The research question posed for this study was: What elements of institutional context support the use of interdisciplinary teams in the care of older adults? Due to the standardized team structure used, PACE was selected as the model to see how institutions at macro and micro levels support the work done by PACE teams and possibly highlight where support is still lacking. A case study approach drawing upon qualitative methods was used to examine policy-regulative, cultural-cognitive, normative, relational, and procedural elements of institutional context and the extent to which they support collaborative teamwork. Thirty-two interviews were conducted with administrators and team members from seven PACE programs across the country. For these PACE programs, five elements and 14 categories of support were identified by the interviewees. Policy and regulatory elements constrain and systematize behavior. PACE IDT experience these constraints and systems through regulatory body practices, resource allocation, and quality measurement. Cultural-cognitive elements mediate between an IDT's external environmrder to make sense of what is happening. PACE IDTs create meaning through their interactions with their external environments through interdependence, demographic characteristics, and organizational structure. Normative findings constrain behavior and confer the rights and duties of IDT members, which arise from organizational mission and values, leadership, and professient and the response of the IDT in oonal boundaries. Relational elements emphasize relationships among IDT members and team interaction with the organization's environment. Social constructs within the team affect role definition and communication, which support IDT practice. Procedural support standardizes practices to maintain highly functional teams. In order to support IDT practice, PACE organizations highlighted recruitment and retention, time and space, and training and education as the primary ways to support IDTs. These categories illustrate the complexity of supporting teams and actualizing teamwork in practice. These findings suggest that PACE is succeeding in supporting the IDT model and provides lessons for other organizations that wish to do the same.