published_or_final_version / Social Service Management / Master / Master of Social Sciences

by Yeung Wing Tsui, Lisa. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1993. / Includes bibliographical references (leaves 156-167). / Abstract --- p.i / Acknowledgements --- p.ii / Contents --- p.iii / Introduction --- p.1 / Chapter I. --- Professionalism as Cognition in a Discursive Society --- p.11 / The Taxonomical Approach: Reappraisal --- p.11 / The Power Paradigm: Room for Improvement --- p.18 / "Cognition, Professional Discourse and Society" --- p.23 / Chapter II. --- Foucault's Theoretical Contributions to the Study of Professions --- p.37 / """Power/Knowledge"": Archaeology and Genealogy" --- p.39 / """Disciplines"" and ""Disciplinary Society""" --- p.49 / """Disciplinary Apparatus"" and Arenas of Jurisdictional Claims" --- p.56 / Chapter III. --- The Hong Kong Western and Chinese Medical Professions --- p.66 / The General Scenario and Some Theoretical Highlights --- p.67 / The Medical Attitude of Hong Kong People --- p.75 / Chapter IV. --- The Production of the Hong Kong Western- Chinese Medical Discourse in Historical Context --- p.83 / The Social Organization of Health Care Service --- p.84 / Chinese Medicine as a Rational System --- p.89 / The Importance of the Establishment of Tung Wah Hospital to the Production of the Local Medical Discourse --- p.94 / The 1894 Bubonic Plague: Consolidation of the Western-dominant Medical Cognitive Structure --- p.102 / Chapter V. --- "Institutions, ""Disciplinary Power"" and Dissemination of Social Knowledge: Further Medical Discourse" --- p.110 / The Educational and Credential Arena --- p.111 / The Public Arena --- p.118 / The Political Arena --- p.122 / The Legal Arena --- p.128 / The Workplace Arena --- p.132 / Conclusion --- p.138 / Notes --- p.146 / References --- p.158

published_or_final_version / Public Administration / Master / Master of Public Administration

published_or_final_version / Public Administration / Master / Master of Social Sciences

Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals. The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong. Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction. Results: There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms. Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28. The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction. Conclusion: Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety. Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress. / published_or_final_version / Public Health / Master / Master of Public Health

Wong Shun-wah. / Thesis submitted on: December 2002. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 84-91). / Abstract --- p.i / Acknowledgements --- p.iii / Contents --- p.v / Chapter Chapter 1 --- Introduction --- p.1 / Chapter 1.1 --- Empirical Puzzle and Theoretical Questions / Chapter 1.2 --- Casing a Case: Hospital as a Critical Case for Studying Gender and Professional Authority / Chapter 1.3 --- The Methodology / Chapter 1.4 --- Overview of the Thesis / Chapter Chapter 2 --- Literature Review and Theoretical Framework --- p.10 / Chapter 2.1 --- Professional dominance and Professional Dependency / Chapter 2.2 --- Enthographic Studies of Resistance / Chapter 2.3 --- Gender and Organization / Chapter Chapter 3 --- Gendering Occupation in the Health Care Sector and the Gendered Occupational Structure of Hospitals --- p.16 / Chapter 3.1 --- Gender Segregation in the Health Care Workplace / Chapter 3.2 --- Hospital Setting: A Gendered Organization / Chapter Chapter 4 --- Resistance of Nurses --- p.45 / Chapter 4.1 --- Resistance Strategies of Women Nurses Mothering Gossip Symbolic Giving Explicit Resistance / Chapter 4.2 --- Strategies of Men Nurses: Resistance and Dilemma / Chapter 4.3 --- Divided and Not Organized / Chapter Chapter 5 --- Restrictive Authority of Doctors --- p.70 / Chapter 5.1 --- The Dependency of Doctors on Nurses in the Gendered Organizational Structure of Hospital / Chapter 5.2 --- Men Doctors' Means to Gain the Compliance of Nurses / Chapter 5.3 --- Women Doctors' Means to Gain the Compliance of Nurses / Chapter Chapter 6 --- Conclusion --- p.80 / Chapter 6.1 --- The Consequences of the resistance of women nurses: Accommodation and the Reproduction of Gender / Chapter 6.2 --- The Contribution of this Research and Issues for Future Study / Bibliography --- p.84

Objectives: To examine the attitudes of family members of the patients and medical staffs towards the policy of family presence during the resuscitation and any difference in attitudes between two groups, and to examine the factors influencing their attitudes. Methods: Descriptive questionnaire survey to analyze the attitudes, beliefs and concerns of family members of patients and medical staffs in the Intensive Care Unit of a district hospital in Hong Kong. Use chi-square test to compare family members and medical staffs to see any difference in attitudes about family presence during the resuscitation; and use logistic regression analysis to identify factors associated with supportive attitudes towards family presence during the resuscitation in both groups. Results: Among the respondents of 100 family members and 69 medical staffs, there were findings of significant difference in attitudes towards practicing FPDR, advantages of FPDR and disadvantages of FPDR between family members and medical staffs. Family members were more likely to support FPDR compared with medical staff (82% vs 36.2%, p<0.001). The attitudes towards different advantages and disadvantages were significantly different between family members and medical staffs. There was no difference between two groups in attitudes towards prerequisites for FPDR. Logistic regression analysis showed that family members who agreed beneficial effect of FPDR in relatives’ grieving process would be more likely to be supportive for FPDR (p=0.030, odds ratio (OR)=4.92, 95% confidence interval (CI)= 1.17-20.71) whereas the medical staffs who agreed beneficial effect of FPDR on family members would be more likely to be supportive for FPDR(p=0.003, OR=19.7, 95% CI 2.84-136.9). Conclusion: The results showed the great discrepancy of attitudes towards FPDR practice, FPDR benefits and FPDR risks between family members and the healthcare providers. Policy change of implementation of FPDR was at the present moment not feasible and practical in Hong Kong because of the resistance from the medical staffs. But the information acquired in the study did indicate a strong support and need for FPDR by the family members. Further investigations and works were required to overcome the obstacles to enhance the development of FPDR program in Hong Kong healthcare setting. / published_or_final_version / Public Health / Master / Master of Public Health

published_or_final_version / abstract / toc / Sociology / Master / Master of Philosophy