Global ETD Search

561	Quality management : barriers and enablers in a curative primary health care service Uys, Cornelle 31 July 2004 (has links) Curative primary health care nurses are the first level of contact with health personnel the patient has when entering the district-driven health system of South Africa. It is imperative that these nurses are competent, or patients may suffer. Several factors exist as barriers to competent curative care. Donabedian's structure-process-outcome framework has been used in the study of these factors. Literature were selected from international and national studies of nursing to discover barriers and enablers in general nursing care but also specifically in curative primary health care. The curative primary health care nurses in the Southern Cape/Karoo region were used as a sample for the study. Data gained from questionnaires were organised to present the findings: Barriers to a curative PHC service seem to be multifactorial, with scarce resources causing great stress for the workforce. This have a negative impact on relationships between employer and employee, CPHCNs and their patients, the type of managing that take place, and the quality of the examination and treatment of patients. Slow changes frustrates workers, causing more stress and poor attitudes, feelings of not being valued, and not being motivated (internally and externally). Enablers examined showed that although the workforce may be discontented and overworked, they still try to deliver their best, with few medical mistakes. Patients still have a lot of respect for their healthcare deliverers, but this trend may not continue for much longer. Patients are already returning more often to clinics, causing even more stress for staff. / Health Studies / M.A. (Health Studies) Curative primary health care Community health nursing Structure Process Outcome District health system 362.1730680968739 Public health -- South Africa -- Karoo
562	The perception of community members of the quality of care rendered in Limpopo, in terms of the Batho Pele principles Legodi , Elizabeth Mmalehu 31 March 2008 (has links) The purpose of the study was to describe and explore the provision of quality care in the primary health care clinics of Limpopo within the framework of the Batho Pele principles' service standards by determining the level of implementation of these principles. The aim was to improve compliance with the Batho Pele principles. The researcher conducted a quantitative, exploratory and descriptive study in four selected primary health care clinics. Data collection was done using structured questionnaires for interviews and observation. Two groups of respondents participated in the study, namely patients (n=185) and nurses (n=21). The study highlighted the level of implementation of the Batho Pele principles in four primary health care clinics in the Capricorn District, Limpopo. The findings revealed that the Batho Pele principles were regarded as important criteria to assess quality care. Recommendations were made to improve the level of implementation of some of the principles. / Health Studies / M. A. (Health Studies) Primary health care clinics Patients Nurses Batho Pele principles Perceptions Quality care 353.6096825 Batho Pele (Program)
563	Vergleich von Anästhesieverfahren bei chirurgischen Eingriffen an der oberen Extremität / Regional anesthesia compared to general anesthesia for outpatient surgery on the upper limb Geibel, Stephan 09 August 2017 (has links) No description available. 610 Handchirurgie obere Extremität Patientenzufriedenheit postoperative Schmerzen perioperative Schmerzen Sympathikusaktivität ESG Stressreaktion Hämodynamik Komplikationsrate Prozesszeiten Allgemeinanästhesie axilläre Plexusanästhesie IV-Block nach Bier Mathilda lokale Infiltrationsanästhesie Regionalanästhesie ambulantes Operieren ambulanten Eingriffe anaesthesia complications surgery postoperative period outpatient surgery patient satisfaction postoperative pain perioperative pain sympathetic activity stress hemodynamics processing time general anesthesia axillary plexus anesthesia Bier’s block local infiltration anesthesia regional anesthesia upper limb
564	Things that matter to residents in nursing homes and the nursing care implications Reimer, Nila B. January 2014 (has links) Indiana University-Purdue University Indianapolis (IUPUI) / A move toward care of residents in nursing homes where they are respected and heard is finally emerging. Common strategies used in nursing homes to improve quality of care for residents are integration of person-centered care and assessing care using satisfaction surveys. Although approaches of integrating person-centered care and satisfaction surveys have been valuable in improving nursing home quality, strategies of care that include things that matter from residents’ perspectives while living in nursing homes need investigation. The purpose of this qualitative descriptive study was to describe things that residents age 65 and older state matter to them while living in the long-term care sections of nursing homes. A qualitative mode of inquiry using purposeful sampling led to a natural unfolding of data that revealed things that mattered to residents. Content analysis was used to reduce the data in a manner that kept the data close to the context yet moved the data toward new ideas about including things that mattered to residents in nursing care. The findings revealed residents’ positive and negative experiences and addressed the question: How can nurses manage residents’ positive and negative aspects of care in nursing homes? This study substantiated the importance of developing nursing care strategies derived from residents’ descriptions of care. Finding ways to promote nurses’ investment in attitudes about a person-centered care philosophy is essential for successful person-centered care implementation. Enhancing nurses’ knowledge, skills, and attitudes with an investment in person centeredness will be more likely to put nurses in a position to role-model care that is person-centered from residents’ perspectives. gerontology long-term care nursing nursing homes residents things that matter Gerontology -- Research -- Analysis Nursing home care -- Evaluation Nursing homes -- Length of stay Nursing home patients -- Attitudes Nursing -- Philosophy Quality of life Health status indicators Nursing models -- Research Patient satisfaction -- Evaluation Long-term care of the sick -- Evaluation Sampling (Statistics) Qualitative research Older people -- Long-term care Nursing home care -- Quality control Nurse and patient
565	Communication dynamics in producing effective patient care : a case study at Stanger Hospital’s diabetes clinic in Kwazulu-Natal, South Africa Moola, Sabihah 03 1900 (has links) Text in English / Interactive health communication between the health-care professional (HCP) and patient relationship for diabetes health-care positively contributes to patient-centred care. Hence individual patient concerns are addressed and catered for in the medical system. The purpose of this study was to analyse in-depth how HCP-patient relationships and HCP-HCP teamwork dynamics positively contribute to effective diabetes patient care and treatment adherence. Different health communication models and theories were reviewed and a conceptual framework was developed from the literature. A qualitative case study approach was used to collect data at Stanger Hospital’s diabetes clinic. Data was collected using three different methods, namely in-depth interviews with HCPs and patients individually, observations conducted at the clinic analysing both the HCPs and patients, and finally, documentation that emerged as a third data collection method where patient files and diabetes educational material were analysed at the clinic. Triangulation by means of the three methods ensured that reliable, valid and credible data was collected in the field. Diabetes health-care and treatment management are affected by the social context/social system which includes family and culture. These social factors are acknowledged as core in the literature. However, a single comprehensive health communication model did not exist solely in this regard. The data indicated that at the Stanger Hospital’s diabetes clinic, patient-centred (individual tailor-made treatment plans) care was only implemented after patients had defaulted treatment for reasons linked to their social circumstances. The findings of the study indicate that teamwork was favoured in the HCP-HCP relationship at the diabetes clinic, and that this made a positive contribution to effective diabetes patient care. HCPs were overburdened at the clinic since patient numbers were high and there were staff shortages. The patients’ empirical data indicated that interactive communication positively contributed to their medical concerns being catered for at the diabetes clinic, but this tended to occur only after non-adherence. Patients required care and support from HCPs in order to learn to accept diabetes and manage their illness. / Sociology / D. Litt. et Phil. (Sociology) Interactive health communication Persuasive communication Communication exchange Cognitive Psychological Social system/context Family Culture HCP-patient relationships HCP-HCP teamwork Biomedical Biopsychosocial Apartheid medicine Patient-centred care Communication dynamics Diabetes Treatment adherence Public health-care Case study 362.1964620096844 Stanger Regional Hospital -- Case study

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