Thesis (Ph. D.)--University of Wisconsin--Madison, 1980. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 246-264).

Thesis (M.S.) -- Central Connecticut State University, 2006. / Thesis advisor: Cynthia Pope. "... in partial fulfillment of the requirements for the degree of Masters of Science in International Studies." Includes bibliographical references (leaves 86-90). Also available via the World Wide Web.

Thesis (Ph. D.) -- Virginia Commonwealth University, 2005. / Title from title-page of electronic thesis. Prepared for: Dept. of Pharmaceutics Includes bibliographical references.

Dissertation (PhD) Florida State University, 2007. / Advisor: Jayne Standley, Florida State University, College of Music. Title and description from dissertation home page (viewed 8-29-2007). Document formatted into pages; contains 167 pages. Includes biographical sketch. Includes bibliographical references.

Background: Adherence to diabetes care is an issue of concern at Bishop Lavis Community Health Centre (BLCHC) as it results in so many diabetes patients ending up with complications that could have been avoided. Aim: To explore the reasons for people with diabetes in the Bishop Lavis area being non-adherent to diabetes care. Method: A qualitative study was undertaken. Three focus groups were held and seven in-depth interviews were conducted. The framework method was used to analyze the data. Findings: The main findings in this study was consistent with many of previous studies done on adherence, i.e. patient barriers, disease and drug regime barriers and doctor-patient relationship barriers.11 However, in this poverty-stricken area these participants also face other constraints that influence their compliance behaviour. These include 1.over-burdened public healthcare facilities, 2.insufficient education, 3.poor support structures, 4.infrastructure which is not wheelchair-friendly, 5.unsafe communities, 6.low income and unemployment. Conclusion: Non-adherence is a topic that has been widely researched over the last couple of years and it appears that the reasons are mostly consistent. However, in poverty-stricken areas it seems as if over-burdened public health services and social problems are the main reasons that need to be addressed. It is thus with great anticipation that we await the NHI plan of the government that will be rolled out as from 2012 to see whether it will better the health care services to the poor.

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

This thesis presents an ethical model to guide the nurse in the application of moral standards or principles in the clinical and community setting. The study is concerned with looking at ethics primarily in terms of patients'/events' rights, not ethics in general. The contribution of contemporary nurse theorists and philosophers in the international arena are considered to see how their contributions relate to the present and future developments and trends in the field of nursing, and how they may be translated into action in the daily care of patients/clients in the clinical and community setting. The research methods include an historical review of local, national and international nurse educational, philosophical and ethical literature. The central theme investigates the caring roles of nurses and the commitment to patient/client care which are the basis of the ethical perspective of nursing. The ethical principles inherent in the nursing discipline, such as patients'/clients' rights and autonomy are examined, to see how these principles may be applied at the bedside and in the community. Validation criteria are adapted and this validation tool, together with the ethical constructs/components, are used as a framework to ensure that an ethical perspective is included and utilised in all nursing models. As ethics is concerned with human conduct and relationships, the author concludes that an ethical model is vital and may be used with all models which guide nursing practice currently in use and in future developments. An Ethical Analysis Framework and Model has been developed by the author, to serve as a tool for the inclusion of ethical constructs/components in models which guide the practice of nursing in the clinical and community setting. It also aids in the application of ethical principles. The Ethical Analysis Model will hopefully contribute to the theoretical framework of curriculum development as curriculum is concerned with shaping attitudes towards knowledge and creating a forum for discussion and criticism. Ethical knowledge is part of that subject matter. Through deliberation and judgement the definition and solution of curriculum and ethical problems may be effected as curriculum development, like ethics, is concerned with what is, and what might be. An example is presented of how the Framework and Model can be used, and is strongly recommended for use with any model which guides the practice of nursing. The findings, their limitations and the relevant discussions and recommendations are highlighted, and areas for further research are identified.

This dissertation examined injury-based and emotional adjustment factors that may influence an individual's self-awareness of neurobehavioral deficits following traumatic brain injury (TBI). Two studies were completed to examine these issues in acute and post-acute rehabilitation settings using the reports of TBI patients and their significant-others. In Study 1, the Patient Competency Rating Scale (PCRS) and Self-Awareness of Deficits Interview were used to assess the patients' awareness of deficit, while the Profile of Mood States and the Grief Experiences Inventory were used to assess emotional adjustment. Six patients and significant-others were followed weekly during the course of inpatient rehabilitation, and were seen approximately one month after their discharge from hospital. While individual variability was observed, most patients reported minor changes in their level of competence and limited emotional distress. The individual perceptions of patients and of significant-others were generally consistent over the course of inpatient care, and variations in patients' emotional adjustment appeared to be reasonable reactions to circumstantial factors. The emotional adjustment of significant-others varied considerably among the individuals assessed, and this variability likely influenced their ratings of the patient. Staff ratings of the patients were also collected, and identified improvements in functional abilities over time. These results suggest that patient awareness is not a prerequisite for rehabilitation success. A lack of applied or practical experiences may also influence patients' ability to accurately rate their self-competence during the acute phase following TBI. Study 2 examined 166 individuals referred for post-acute rehabilitation, using the PCRS and the Katz Adjustment Scale (KAS-R) to assess awareness and emotional adjustment. Patients with a history of moderate and severe TBI showed good awareness of their abilities, based on PCRS Discrepancy Scores, while patients with mild TBI were likely to report greater impairments than observed by significant-others. TBI patients showed significant emotional adjustment difficulties on the KAS-R, regardless of the severity of their injury, and there was a strong positive association between patients' acknowledgement of neurobehavioral problems and ratings of their emotional adjustment. General intellectual ability was also strongly related to patients' report of difficulties, such that low IQ and poor emotional adjustment were associated with low ratings of self-competence. On the other hand, the general location of cerebral trauma was not strongly associated with deficits in awareness. Thus, the nature and severity of TBI appeared to be less important than IQ and emotional adjustment in the post-acute rehabilitation patients, although mildly injured patients are more likely to report neurobehavioral deficits than moderate or severely injured patients. Strengths and weakness of the self-other discrepancy approach to measuring self-awareness were considered, and a robust approach to awareness assessment, based on multiple measures, is recommended. Available options include structured interviews, self-report, clinical observation, or objective testing. Furthermore, the emotional adjustment of the patient appeared to become increasingly salient in the assessment of awareness during the post-acute phase, compared to the acute phase of recovery from TBI, where significant-other adjustment may be quite relevant. / Graduate

No description available.