Thesis (Ed. D.)--Virginia Polytechnic Institute and State University, 1991. / Vita. Abstract. Includes bibliographical references (leaves 173-181). Also available via the Internet.

Thesis (Ph. D.)--UCLA, 2007. / Vita. Includes bibliographical references (leaves 277-287).

Thesis (D. Min.)--Dallas Theological Seminary, 2007. / Includes abstract. Includes bibliographical references (leaves 198-203).

Thesis (D. Min.)--Dallas Theological Seminary, 2007. / Includes abstract. Includes bibliographical references (leaves 198-203).

Thesis (D. Min.)--Liberty Baptist Theological Seminary, 1993. / Includes bibliographical references (p. 238-264).

Sammanfattning Bakgrund: Allt fler vårdtagare drabbas av vårdskador i Sverige och förutom mänskligt lidande innebär detta stora kostnader för samhället. Orsakerna till varför vårdskadorna ökar är delvis klarlagda. Brister i den muntliga kommunikationen mellan vårdpersonal anges vara en av orsakerna. Dessa brister kan bero på olika omständigheter som påverkar patientsäkerheten negativt. Syfte: Att beskriva vad som påverkar den muntliga kommunikationen mellan vårdpersonal i relation till säker vård. Metod: Litteraturöversikten bygger på tio vetenskapliga artiklar med kvalitativ ansats. Materialet analyserades med hjälp av Fribergs femstegsmodell. Induktiv ansats användes som grund för arbetet. Resultat: Tre huvudteman identifierades: Brist på struktur, Sociala strukturer och Arbetsmiljöfaktorer, samt sex subteman. Resultatet visar hur olika faktorer påverkar kommunikationen mellan vårdpersonal och vad det har för betydelse för möjligheten att erbjuda säker vård. Slutsats: Litteraturöversikten ger ökad kunskap om vad kommunikationen har för betydelse i det dagliga arbetet inom hälso- och sjukvården och på vilket sätt vårdpersonal kan kommunicera med adekvat innehåll för att uppnå en säkrare vård. / Summary Title: The conversations that affect patient safety Background: An increasing number of healthcare providers suffer from healthcare in Sweden, and in addition to human suffering, this implies major costs for society. The causes of why healthcare is increasing is partly clarified. Deficiencies in the oral communication between healthcare professionals are mentioned as one of the reasons. These deficiencies may be due to different circumstances that affect patient safety negatively. Aim: To describe what affects the oral communication between healthcare professionals in relation to safe care. Method: The literature review is based on ten scientific articles with a qualitative approach. The material was analyzed using Friberg's five-step model. Inductive approach was used as a basis for the work. Result: Three main themes were identified: Lack of structure, Social structures and Labor environment factors, as well as six subthemes. The result shows how different factors affect communication between healthcare professionals and what it matters to the possibility of offering safe care. Conclusion: The literature review provides increased knowledge of what communication is important in the day-to-day work in health care and how healthcare professionals can communicate with adequate content to achieve more secure healthcare.

To keep good and non-conflict relationships between doctors and nurses is not an easy task their stressful working environment. Despite the fact that both doctors and nurses have a common goal, and that is to provide the best care of their patients, there are situations leading to conflicts between doctors and nurses. Good relationships between nurses and doctors are a guarantee of a harmonized cooperation in the entire medical team. That is why it is important to avoid conflicts and, if any conflict has already occurred, it is important to use it for the benefit of the whole team. The goal of our work was to define the most frequented conflicts in hospitals from a point of nurse's view in a cooperation with doctors, and what impact these conflicts have on nurses' work. To process the data in the first part of my thesis, the quality method for a research survey was used. The data collection was implemented by interviews. The research sample group was composed of eight nurses working in bed departments of different hospitals. On the grounds of the quality survey I set four hypotheses which I tried to verify in the quantity survey. To collect the data in the quantity part a questionnaire survey was used and the research sample group was also composed of nurses working in bed departments. The data were being collected in the period of March through May. To assess the results 175 questionnaires were used. The hypothesis 1 - The most frequented conflicts between nurses and doctors root in a wrong communication, has been proven on the grounds of our findings. The hypothesis 2 - Conflicts between nurses and doctors result from increasing competences for nurses has been proven, too, as well as the hypothesis 3 - Conflicts between nurses and doctors result from misunderstanding nurses' and doctors' roles. The hypothesis 4 - Conflicts between nurses and doctors have a negative impact on nurses' work was proven, too. The results have also revealed that the second most frequented reasons for conflict situations represent personal qualities of doctors, which was not included in the hypotheses. In the summary of the thesis I incorporated some recommendations how to handle conflict situations effectively. This work should be a foundation for a potential follow- up research not only in this field, but it can also serve management teams in medical institutions. They should take actions to improve the situation to some extent.

In the Czech Republic all activities of individual groups of health care workers are defined by various regulations and laws. All nurses' competences are stipulated by 424/2004 Decree of Coll. of Laws and that defines activities and responsibilities for health care workers as well as other professionals and experts in the medical field. In my thesis three goals and hypotheses were set. The first goal of my thesis was to find out what level of awareness of the existence and of the content of the 424/2004 Decree doctors and nurses was. For that purpose the hypothesis Hl was set. It was worded as the following: ,Doctors are aware of the existence and the content of the 424/2004 Decree. The second goal was to find out what doctors' opinoions on the relevant competences were. To reach this goal hypotheses H2 were set. They were worded as the following:" Doctors have not become familiar with the importance of a qualification study that is backed up with having the relevant competences stipulated in 424/2004 Decree. H3 was worded as the following : "Activities required by doctors for nurses to be carried out go over their competences stipulated in 424/2004 Decree. H4: Activities going beyond nurses' competences do not enable the nurses providing relevant nursing care which should be focused on saturation and meeting patients' needs. The third goal was to find out what doctors think of the Decree's implementation in everyday life. I set a hypothesis that doctors do not feel any need to change nurses competences.

This thesis explores the intersection of folkloric ritual theory and popular culture, expressed in science fiction television. The three-part rite of passage model established by folklorist Arnold van Gennep and later expounded upon by anthropologist Victor Turner is used as an analytical tool to establish the themes and structures of two popular television programs, Battlestar Galactica and Doctor Who. Both contain structures that resemble a rite of passage and exhibit a particular feature of the liminal stage of a rite of passage: ludic recombination. In the discussion of Battlestar Galactica, the plot arc of the entire series is analyzed as a rite of passage. On Doctor Who, the ritual model is examined as a structural component of the "companion" character. The structure and features of rites of passage allow science fiction narratives to explore sociocultural issues and existential themes in a meaningful way.

INTRODUCTION: While transitions of care (TOC) programs are known to decrease readmissions for heart failure (HF), significant policy and resource challenges inhibit the implementation of hospital based TOC programs, thus novel models of TOC are urgently needed. The purpose of this study is to evaluate the need and readiness of a private practice based TOC program led by DNP-prepared nurse practitioners. METHODS: In this descriptive study, cardiology providers from a private practice in the Southwest (N=14) participated in a survey on HF TOC. The practice’s electronic medical records (EMR) database was queried for patient demographic data along with other HF measures (N=3175). RESULTS: There were 1,827 females (57.5%) and 1,348 males (42.5%) with the mean age being 75.1 years +/-11.1. The 70-79 year age bracket represented 41.0% of all HF patients. The most common ICD-10 code for HF was [I50.32] Chronic Diastolic Congestive Heart Failure (N=986), which translates into 31.0% of the total HF population. Almost 30% of the providers (N=4) acknowledge that they never document their HF readmissions in the practice’s EMR. Nearly 65% percent of respondents “strongly agree,” that HF patients discharged from the hospital require a specific plan of care, while 86% of providers (N=12) either “somewhat agree” to “strongly agree” in the need for a TOC program for HF patients within their cardiology practice. Over 71% (N=10) of the providers “strongly agree” with a DNP-led TOC program for HF. CONCLUSION: This study provides encouraging results for the future implementation of a cutting edge private cardiology practice based TOC program for HF in Tucson, AZ. The study results clearly indicate the need and readiness for the Tucson-based private practice TOC program for HF. The DNP prepared nurse practitioner is thoroughly prepared to take the lead in designing, implementing and evaluating such a program and this unique role was supported by the practice. Importantly, the results of this study may provide the foundation for future studies examining the effects of private practice based TOC programs for HF.