The purpose of the research was to describe the relationships between social support and role strain and preventative health behaviors. The sample consisted of 62 critical care nurses employed in three southwest acute care facilities. Subjects completed instruments measuring social support, role strain, and four preventative health care behaviors. Pearson correlations revealed significant positive relationships between social support and personal/household roles women perform and ways women handle stress. Additional significant negative relationships existed between marital/relationship roles women perform and leisure physical activities, a subset of preventative health behaviors. The parental roles, obligations, and responsibilities women perform were also significantly related with leisure physical activities. Conclusions drawn indicate that the critical care nurses did not perceive themselves susceptible to cardiovascular disease and therefore did not participate in preventative health care activities, regardless of perceived helpful social support and an absence of role strain.

For my diploma thesis I chose the topic of education of nurses in intensive care. In the field of nursing education, it was necessary to respond to new trends in the European Union. In recent years, the situation in the field of education has changed in many ways. Act No. 201/2017 Coll. it has brought a novelty that the credit system of education has been abolished and it is therefore possible to conclude that the motivation of nurses to education may have fallen. The theoretical part describes the history of intensive care in the world and in the Czech Republic. Mentioned is the history of nursing education in intensive care and the history of nursing education in the Czech Republic. The next chapter points to the current situation of intensive care, the requirements for qualification education of a nurse and the competence of a nurse specialist. The possibilities of intensive care education, including lifelong learning, are being announced. An integral part is the motivation chapter. The main aim of my thesis was to find out the motivation of nurses to specialize in intensive care. Subsequently, I then mapped the nurses' motivation to continue their education in lifelong learning. Research questions were chosen: 1.What preview do nurses themselves have from intensive care to specialized...

Includes bibliographical references. / 1 v. (various paging) : / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (D.Nurs.)--University of Adelaide, Dept. of Clinical Nursing, 2002

<p>Neuropathic pain of central and peripheral origin presents a substantial clinical problem as it is often resistant to pharmacological treatment.</p><p>The health related quality of life of 126 patients with peripheral neuropathic pain was studied, to provide a cross sectional description from this point of view. Two generic health-related quality of life instruments; the SF-36 and the Nottingham Health Profile were used together with pain assessments, global rating of health and verbal rating scales of pain and other symptoms, as well as patient descriptors.</p><p>The analgesic effect of ketamine, lidocaine and morphine were assessed in a double blind, placebo-controlled, randomized study design. Three groups of patients were studied: patients with peripheral neuropathic pain of traumatic origin, patients with central post-stroke pain and patients with neuropathic pain after spinal cord injury. Somatosensory function was examined to see if this could predict response to treatment and to investigate if the drugs caused changes in thermal or mechanical sensibility.</p><p>The results shows that the intense pain, limited efficacy and tolerability of available treatments, the low overall rating of health, reduced work status and troublesome symptoms constitute a substantial impact on the quality of life for patients with peripheral neuropathic pain.</p><p>The NMDA-antagonist ketamine yielded substantial pain relief to patients with peripheral neuropathic pain and patients with neuropathic pain after spinal cord injury. However, the reported side effects limit the clinical usefulness of the treatment. Lidocaine did not give significant pain relief to the patients in the three studied groups. Morphine may represent a therapeutic alternative for some patients with central post-stroke pain, although only a small group of this category of patients responded with analgesia.</p><p>Assessment of baseline somatosensory functions could not be used to identify responders to treatment with either drug, nor did ketamine, lidocaine or morphine cause any changes in thermal or mechanical sensibility.</p>

Neuropathic pain of central and peripheral origin presents a substantial clinical problem as it is often resistant to pharmacological treatment. The health related quality of life of 126 patients with peripheral neuropathic pain was studied, to provide a cross sectional description from this point of view. Two generic health-related quality of life instruments; the SF-36 and the Nottingham Health Profile were used together with pain assessments, global rating of health and verbal rating scales of pain and other symptoms, as well as patient descriptors. The analgesic effect of ketamine, lidocaine and morphine were assessed in a double blind, placebo-controlled, randomized study design. Three groups of patients were studied: patients with peripheral neuropathic pain of traumatic origin, patients with central post-stroke pain and patients with neuropathic pain after spinal cord injury. Somatosensory function was examined to see if this could predict response to treatment and to investigate if the drugs caused changes in thermal or mechanical sensibility. The results shows that the intense pain, limited efficacy and tolerability of available treatments, the low overall rating of health, reduced work status and troublesome symptoms constitute a substantial impact on the quality of life for patients with peripheral neuropathic pain. The NMDA-antagonist ketamine yielded substantial pain relief to patients with peripheral neuropathic pain and patients with neuropathic pain after spinal cord injury. However, the reported side effects limit the clinical usefulness of the treatment. Lidocaine did not give significant pain relief to the patients in the three studied groups. Morphine may represent a therapeutic alternative for some patients with central post-stroke pain, although only a small group of this category of patients responded with analgesia. Assessment of baseline somatosensory functions could not be used to identify responders to treatment with either drug, nor did ketamine, lidocaine or morphine cause any changes in thermal or mechanical sensibility.

Taiwan was famous for ¡§Taiwan Miracle¡¨, ¡§Four Dragon in Asia¡¨, ¡§The Role Model of the Developing Countries¡¨ with the rapid economic development. The most remarkable achievement of Taiwan was her continuous adjustment and transformation of the industrial structures. The development of the industrial structures in Taiwan usually follows the steps of the developed countries. With having a series of changing process, from the agricultural era to the industrial, service and high-tech industry, it produced a lot of impact effects, especially the unfairness of the income distribution. Hence, this thesis is going to combine the both and discusses that from the change of the industrial structures if it would be the main factors of influencing the source and level of income and then lead to the unfair distribution of wealth. From the dividing time period of 1987, the government opened our citizens to visit their relatives in Mainland China. We analyze the impact of income distribution from the change of Taiwan industrial structures by three phases of ¡§manpower investment¡¨, ¡§intensive degree of capital and technology¡¨ and ¡§export industry structure¡¨. First of all, in the phase of manpower, according to employee structure of three- level industry, service has got the first place, industry got the second place and agriculture got the last place. As a long trend view, the gap of the industrial structure is getting close and the manpower distribution is getting stable. However, the adjustment of the industrial structure has caused unemployment problem for the non-transferred low-tech labors. Especially from the 1997, the main reason of the unemployment in Taiwan is the change of the industrial structure. Moreover, Taiwan businessmen who invest a lot in Mainland China have caused magnetic effect to speed up the structural unemployment. In the phase of the intensive degree of the capital and technology, we utilize industry to observe and discover that most of the high labor-intensive industry move abroad in order to lower the labor cost. However, electric, electronic and communication commodities are toward the development of the capital intensive commodity and invest abroad to replace domestic manufacture. Moreover, according to the change of industry investment, we discover that the establishment of southern industrial park, Kaohsiung industrial park and the government incentive policy have not only speeded up the growth of high-tech industry but also promoted metal and chemical development of the mid and lower material. In the phase of the export industry structure, the Mainland China has already surpassed other countries to be the trade main area in Taiwan. In the part of the export commodity, owing to the investment of abroad, it leads to the export chain effect of domestic mechanical commodity and promotes the export of domestic material. Low-labor intensive, high-capital intensive and high-tech intensive commodities have the highest occupied rate. From the above three different phases, we discover that in the impact of change for the industry structure, it not only has significant effect for the macro economy but also deeply affects the gap of the high and low family income. According to the model of variation, if we continue to develop, the distribution of the family income is going to be an enlarged trend year by year.

Bakgrund: Arbetet på en intensivvårdsavdelning innefattar ofta ett högt tempo och intensivvårdssjuksköterskan förväntas utöver sin kunskap inom medicin och omvårdnad, kunna hantera de psykologiska reaktionerna som kan uppstå i samband med kritiska tillstånd.Debriefing och avlastande samtal är båda verktyg för att bearbeta känslor då en svår situation inträffat. Syfte: Att belysa intensivvårdssjuksköterskors upplevelser om vad som påverkar behovet av debriefing och avlastande samtal i det dagliga arbetet. Metod: Genom ett strategiskt urval valdes totalt 10 intensivvårssjuksköterskor ut att delta i denna deskriptiva kvalitativa studie, som genomfördes på tre olika intensivvårdsavdelningar i Sverige. Halvstrukturerade intervjuer utfördes och analyserades i enlighet med Granheim och Lundmans metod för kvalitativ innehållsanalys. Resultat: Sjuksköterskorna upplevde generellt ett behov av debriefing/avlastande samtal i samband med större olyckor. Behovet påverkades av olika faktorer som presenteras i kategorierna; akut och/eller oväntad händelse, etiska dilemman, igenkännande och personligt engagemang, personliga förmågor, erfarenhet, tid och ansvar. Slutsats: Erfarenhet i yrket underlättade för sjuksköterskorna att bearbeta svåra händelser på egen hand, medan igenkännande, i form av sjuksköterskans egna livsituation och föräldraskap, ökade behovet av debriefing/avlastande samtal. / Background: The work at an intensive care unit often involves a high tempo and the specialist nurse in intensive care is expected, in addition to the medical and nursing knowledge, to deal with the psychological reactions that may arise in critical conditions. Debriefing and defusing are both tools to process emotions when a difficult situation occurred. Aim: To illustrate intensive carenurses experience of what effects the need of debriefing and defusing in the daily work. Method:This descriptive qualitative study was conducted in three different intensive care units in Sweden.Through a strategic selection were a total of 10 intensive care nurses selected to participate in semi-structured interviews. Which were performed and analyzed in accordance with Granheimand Lundman's method for content analysis. Result: Intensive care nurses generally experience aneed of debriefing/defusing for major accidents. The need is affected by various factors which are presented in following categories; acute or unexpected situation, ethical dilemmas, recognition and personal engagement, personal abilities, experience, time and responsibility. Conclusion:Professional experience made it easier for intensive care nurses to process difficult situations on their own, while recognition, such as life situation and parenthood, increased the need for debriefing/defusing.

Title from title page of PDF (University of Missouri--St. Louis, viewed March 9, 2010). Includes bibliographical references (p. 52-61).

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In today’s economy the importance of knowledge in organizations is well underscored. The management of an organization’s knowledge has become one of the most important strategic vehicles to an organization's sustainable competitive advantage. The design and success of knowledge management systems (KMS) is viewed as the next evolutionary step in the management of knowledge processes and activities. The debate over the efficacy of these systems draws attention to the differences in approach to KMS that may develop among organizations whose employees’ work involves primarily the execution of procedural routines and those who are involved in primarily creative, problem solving work. This study explored empirically the factors defining Knowledge-intensive Organizations (KIOs) and related these factors to the choices of KMS deployed in these organizations. The study was conducted in two phases and employed both quantitative and qualitative methodologies for data collection. Survey and document analysis techniques were used in the first phase of the study which examined KIO defining factors, how they relate to each other, and how they contribute to knowledge intensity in KIOs. In the second phase semi-structured, in-depth interviews and survey techniques were employed. Grounded theory method (Glaser & Strauss, 1967) was then utilized to uncover how knowledge-intensive defining factors interlace with the choice of KMS deployed in KIOs. The interviews were analyzed using QSR NVivo 9 qualitative data analysis software. Quantitative computations were carried out using the PASW Statistics 17.0 package. The study found that KIOs are described by unique knowledge-intense attributes and these attributes inform the design and choices of KMS implemented in KIOs. This research contributes to the literature on factors that describe knowledge intensity in organizations. It provides the research community with a new articulation of the underpinnings of KIOs and KMS, an important step in advancing subsequent theoreti¬cal developments. The study might also have practical value for sellers and systems designers who are looking at assessing user demand for new KMS design ideas and for decision makers within KIOs who would like to evaluate the offerings of sellers.