No / This research aims to develop a better understanding of how cardiology patients experience the care provided by community pharmacy after discharge from hospital. • Contact with community pharmacists is infrequent and can be via a proxy. Patients’ experiences of community pharmacy care are limited and many patients have unmet medicines use support needs. • Community pharmacy misses opportunities to support patients in their medicines use after hospital discharge / Conference abstract.

Magister Legum - LLM / South Africa

Thesis (M.Tech.: Nursing)-Durban Institute of Technology, 2005 1 v. : ill. ; 30 cm / An exploratory descriptive research design was used for this study which investigated the underutilisation of a rural clinic’s labour ward by low risk pregnant women (LRPW). The study took place in Maputaland, Northern KwaZulu-Natal. Rosenstock’s health belief model (HBM) modified by Becker et al, in 1977 was adapted as a framework for this study.

Bakgrund: Traumatisk hjärnskada (THS) orsakas av våld mot huvud i samband med fallolyckor eller trafikolyckor. Varje år söker 20 000 personer vård på grund av skallskador. Vården för traumatiskt hjärnskadade patienter i Sverige skiljer sig åt, mycket beroende på avstånden som finns till specialistsjukhus, tiden och rätta åtgärder är avgörande faktorer för denna patientgrupp. Syfte: Att undersöka vikten och intensivvårdssjuksköterskors behov av rutiner i samband med vård av patienter med hjärnskador på allmänintensivvårdsavdelningar och på neurointensivvårdavdelningar. Metod: Kvalitativ studie med fokusgruppsintervjuer av tio intensivvårdsjuksköterskor som arbetar på en allmänintensivvårdsavdelning (IVA) och specialistneurointensivvårdavdelningen (NIVA). Resultat: På NIVA finns väl inarbetade rutiner och tydliga riktlinjer nedskrivna. Sjuksköterskornas upplevelse var att det fanns tillräckligt med rutiner, men några rutiner kunde utvecklas. På IVA fanns det inga nedskrivna riktlinjer och inga tydliga rutiner för att vårda denna patientgrupp. Vården och kontrollerna ordinerades av läkare som är i tjänst. Slutsats: Vården kring hjärnskadade patienter är ytterst viktigt då man ständigt måste förebygga sekundära skador/insulter. Rutiner är väl inarbetade på specialistsjukhuset, men vården börjar först på hemsjukhuset på IVA där tydliga rutiner och riktlinjer saknas. / Introduction: Traumatic brain injury caused by violence against the head during a fall or traffic accident. Each year 20000 people gets medical care because of head injuries. The care for traumatic brain injured patients in Sweden differ greatly depending on the distances available to specialist hospitals, the time and the proper measures are crucial factors in this population. Aim: The study aims to examine the importance and intensive care nurses need routines in connection with care of patients with brain injuries in general intensive care units and in neurological intensive care units. The study consists of three group interviews in a general ICU unit in Falun and specialist unit (NIVA). Method: A qualitative study with focus group interviews. Results: The results showed that the level have clear procedures and written guidelines regarding the "avoidable factors" which are well established, their experience was that there were enough procedures, but that some could continue to develop. IVA there were no written guidelines and no clear procedures to care for this population without the care and controls prescribed by the doctor who is on duty. Conclusion: The conclusion is that care about the brain-damaged patients is extremely important when you constantly have to prevent secondary injury / insults and check the "avoidable factors". Routines are well established on specialist hospital care but starts first at home hospital where the importance of working towards the same goal and have clear procedures and guidelines from the start.

According to recommendations from the Facility Guidelines Institute (FGI) of the American Institute of Architects (AIA), World Health Organization (WHO) and Center for Disease Control and Prevention (CDC), a common engineering approach to isolation room design is to maintain the air ventilation rate at a minimum of 12 air changes per hour (ACH) for mixing and dilution, and a negative pressure in the room to direct airflow inwards, instead of leaking outwards. / In collaborations with physicians in the Respiratory Division and the Intensive Care Unit (ICU) at the Chinese University of Hong Kong (CUHK), a series of experiments were carried out to verify the ventilation performance of an All room at the Princess Margaret Hospital (PMH). Experiments investigated the effects of ACH, the control of airflow direction, the air tightness of the automatic swing door and the application of positive pressure ventilation procedures, such as high flow rate oxygen masks, jet nebulizers and NPPV. These were extensively tested in two different isolation rooms of the Prince of Wales Hospital (PWH) and PMH, under common clinical circumstances and environmental conditions. / Many patients with severe respiratory infection require supportive therapy for respiratory failure. Common interventions involve supplemental oxygen to improve tissue oxygenation. In the worst scenario, mechanical ventilation via non-invasive positive pressure ventilation (NPPV) may be required. Since a large amount of aerosols is generated during these interventions, there is a great risk of spreading infectious aerosols from the respiratory tract of the patient to the surrounding environment. / The aerodynamic data in this thesis infonns architects and engineers on how to improve the hospital ward ventilation design so as to avoid aerosol and ventilation leakage. Ultimately, it is hoped that this work may play a role in preventing devastating nosocomial outbreaks in the future. / The design of airborne infection isolation (AII) room has become one of the major research domains following the emergence of the global concern of acute respiratory diseases in this century. These include severe acute respiratory syndrome (SARS) in 2003, H5N1 avian influenza, and pandemic influenza H1N1 in 2009. All of which have claimed thousands of lives. Even with the current stringent design and practice guidelines, nosocomial infection of healthcare workers (HCWs) and inpatients continues to occur. This implies that there might be limitations in current isolation ward designs. / The experiments implemented a high-fidelity human patient simulator (HPS) which could be programmed with different lung breathing conditions and oxygen flow rate settings. The patient exhaled air dispersion distances and airflow patterns were captured in detail with a non-intrusive, laser light sheet, smoke particle scattering technique, designed for this thesis. Thin laser light sheets were generated by a high energy YAG laser with custom cylindrical optics. Smoke concentration in the patient exhaled air and leakage jets was estimated from the intensity of light scattered, which was then expressed as nonnalized particle concentration contours using computer programs developed for this study. / The study quantitatively revealed the distinctive patient exhaled airflow patterns and the extent of bioaerosol, generated directly from the patient source with the application of different oxygen delivery interventions for different patient lung conditions and oxygen flow rates. It was found that contamination was more critical during the administration of oxygen therapies, which is common in clinical circumstances. Source control is therefore the most efficient and effective approach to the reduction and even elimination of patient exhaled bioaerosol contaminants. Thus, when working in an isolation room environment, full preventive measure should be taken and it is essential to consider the location of mechanical vents and the patient exhaled airflow patterns. It has also been shown in experiment that applications of bacterial viral filter could be a solution to the problem. / Chow, Ka Ming. / Advisers: Puay Peng Ho; Jin Yeu Tsou. / Source: Dissertation Abstracts International, Volume: 73-09(E), Section: A. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 115-147). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Bakgrund och problemformulering: Palliativ vård är en av de mest prioriterade vårdformer som svensk hälso- och sjukvård förväntas att bedriva. Den vilar på en speciell vårdfilosofi som bör ligga till grund för planering och genomförande av vården i livets slutskede. Denna filosofi genomsyras bland annat av WHO:s definition vilket innebär en aktiv helhetsvård i ett skede då patienten inte svarar på en botande behandling. Studier har visat brist på kontinuitet och skillnader i kvalitet och tillgänglighet för den enskilda patienten i livets slut. Mot denna bakgrund har ett vårdprogram i palliativ vård arbetats fram som ska ligga till grund för palliativ vård i Södra Älvsborg. Denna uppsats gjordes i ett tidigt skede av implementering av det aktuella vårdprogrammet.Syfte: Studien syftar till att beskriva personalens upplevelser av palliativ vård på avdelningar där det huvudsakligen bedrivs kurativ vård i ett tidigt skede av implementering av vårdprogram i palliativ vård vid livets slut. Vidare syftar studien till att beskriva personalens definition av palliativ vård.Metod: Sju öppna intervjuer gjordes med sjuksköterskor och undersköterskor verksamma vid olika sjukhusavdelningar vid Södra Älvsborgssjukhus. Materialet analyserades enligt kvalitativ innehållsanalys.Resultat och diskussion: Studiens resultat visar på möjligeter samt hinder i vården av palliativa patienter. Personalens upplevelser av hinder har sin grund i bland annat konflikter, bristande kontinuitet samt okunskap om den palliativa vårdens innehåll. Möjligheter definieras som individuell anpassad vård samt ett vårdande vårdkultur. Diagnosen spelar en avgörande roll för att få tillgång till en helhetsvård som den palliativa vårdens filosofi förespråkar. Alla informanter är överens om definitionen palliativ vård, men det föreligger skillnader i vilket innebörd personal respektive organisation tillskriver denna vårdform. Vårdande vårdkultur samt synen på döendet är viktiga faktorer som påverkar genomförandet samt utformningen av den palliativa vården. Handledningens betydelse diskuteras och belyses i diskussionen / <p>Program: Fristående kurs</p><p>Uppsatsnivå: D</p>

The history of the Church of Jesus Christ of Latter-day Saints, commonly referred to as the "Mormon" church, has been well researched, yet little has been written about individual community histories. This work centers on the small Mormon community of Syracuse, Utah, located about twenty-five miles north of Salt Lake City on the eastern shore of the Great Salt Lake. From its inception in 1877 through 1987, the community of Syracuse continues to be dominated by the Latter-day Saint (Mormon) influence. This thesis examines the development of this LDS Church settlement, giving emphasis to the early history of the area, prominent families and their roles in business, civic, and church matters, economic advancements in the area and their effects upon the community, the ecclesiastical leaders' direction within the community, and finally population expansions which have taken place in Syracuse.

Thesis (M.Tech.: Nursing)-Durban Institute of Technology, 2005 1 v. : ill. ; 30 cm / An exploratory descriptive research design was used for this study which investigated the underutilisation of a rural clinic’s labour ward by low risk pregnant women (LRPW). The study took place in Maputaland, Northern KwaZulu-Natal. Rosenstock’s health belief model (HBM) modified by Becker et al, in 1977 was adapted as a framework for this study.

Patient satisfaction is an outcome of care that represents the patient's judgment on the quality of care. An important aspect of quality affecting patient's judgment can be attributed to patients' expectations and experiences regarding nursing care according to type of unit. The purpose of this study was to examine differences between patients' perceptions of satisfaction with nursing care in critical care units and medical units in one Midwestern hospital.The conceptual framework was "A Framework of Expectation" developed by Oberst in 1984, which asserted that patients have expectations of hospitals and health care professionals regarding satisfaction and dissatisfaction with care. The instrument used to measure patient satisfaction was Risser's Patient Satisfaction Scale, with three dimensions of patient satisfaction: (a) Technical-Professional, (b) Interpersonal-Educational, (c) Interpersonal-Trusting. The convenience sample included 99 patients50 from critical care units and 49 from medical wards. Participation was voluntary. The study design was comparative descriptive and data was analyzed using a t-test.The demographic data showed that the majority of patients had five or more admission. About one-third of the patients were 45-55, 56-65, 66-75, respectively. Findings related to the research questions were that: (a) 84 percent of the respondents rated overall satisfaction in the satisfactory to excellent range, (b) results of a t-test showed significant differences in overall patient satisfaction with patients being more satisfied with care in critical care units. Significant differences were found in three subscales with critical care being more satisfied. No relationship was found between patient satisfaction and age/and/or type of unit.Conclusions were that in both medical and critical care units patients were more satisfied with Technical-Professional and Interpersonal-Trusting than with Interpersonal-Educational. Also noted was that patients in the units where nurse-to-patient ratio was higher participants perceived that nurses had more time, energy and ability to meet patient expectation. Implications call for analysis of nurse/patient ratio in relation to patient satisfaction and nurses in relation to patient education as well as patient's perceptions of getting their needs met. / School of Nursing

Mémoire (M.P.M.O.)-- Université du Québec à Chicoutimi, 1994. / Résumé disponible sur Internet. CaQCU Document électronique également accessible en format PDF. CaQCU