Thesis (M. Phil.)--University of Hong Kong, 1999. / Includes bibliographical references (leaves 147-163).

Thesis (Ph.D.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Epidemiology, Department of Public Health Sciences. Title from pdf file main screen (viewed on October 11, 2009). Includes bibliographical references.

Thesis (M.G.S.)--Miami University, Dept. of Sociology and Gerontology, 2005. / Title from first page of PDF document. Document formatted into pages; contains [1], vi, 69 p. Includes bibliographical references (p. 65-69).

Thesis (M.S.)--University of Michigan, 1989.

Thesis (M.S.)--University of Michigan, 1996. / Includes bibliographical references.

Thesis (M.N.)--Memorial University of Newfoundland, 2004. / Typescript. Bibliography: leaves 141-150.

Abstract The diploma thesis is focused on the application of insulin in nursing practice. In 2013, there were 678,935 patients with diabetes mellitus in the Czech Republic. Of this, 17.5 % of patients were treated with insulin. When applying insulin, we must observe certain principles and procedures to avoid complications. The diploma thesis consists of the theoretical and research part. The theoretical part describes the characteristics of diabetes mellitus, describes insulin and its history, regimens, types and storage of insulin. It is also focused on the insulin application process and the education of patients. In relation to the topic, two objectives were set. The first objective was to find out how to apply insulin in nursing practice based on evidence. The second objective was to find out how the nursing process is provided by a nurse when applying insulin in nursing practice. Following these objectives, two research questions have been identified. First research question: How is insulin applied in nursing practice? The second research question: How is the nursing process filled with the insulin application? The practical part was elaborated using a qualitative research survey. The research was carried out using two variants of a semi-structured interview. The first variation of the interview was for insulin-like patients. The second variant was intended for general nurses from standard departments of selected hospitals and for nurses working in diabetological outpatient clinics. The first set consisted of ten respondents, of which 5 were women and 5 men. The second group consisted of 9 respondents, of whom all were women. The conversations were recorded and then literally overwritten. Interviews were overwritten using the pencil-paper method and further analyzed by Open Encoding. Based on data analysis, 5 categories were created with several subcategories for patients and 6 categories with several subcategories for nurses. Based on the analysis of the data, it can be said that patients or nurses do not apply insulin completely correctly. I perceive the basic problem in the distribution of insulin by species and its correct application, which varies for each species. I see another problem in incorrect application according to the length of the needle, such as the angle of the needle and the formation of the skin kelp. The output of the diploma thesis will be the standard of nursing care based on EBP, in order to highlight the shortcomings we found in the research investigation and to prevent their prevention. This standard aims to refine and improve the care provided.

Submitted by Nadir Basilio (nadirsb@uninove.br) on 2017-04-04T15:37:56Z No. of bitstreams: 1 Cristiane das Gracas Dias Cavalcante.pdf: 1626896 bytes, checksum: ee11f49fb1b597ed920660b24ef76487 (MD5) / Made available in DSpace on 2017-04-04T15:37:56Z (GMT). No. of bitstreams: 1 Cristiane das Gracas Dias Cavalcante.pdf: 1626896 bytes, checksum: ee11f49fb1b597ed920660b24ef76487 (MD5) Previous issue date: 2016-12-08 / The inadequate disposal of Health Services Waste (HSW) represents a potential risk of contamination to the environment, in addition to the occupational risk to professionals who work directly with the waste collection, as well as to the community, such as cardboard waste pickers in dumps. Sharp objects or E-type waste, such as syringes, lancets, scalpel blades and needles that have been in contact with human blood, can transmit infectious diseases such as HIV and hepatitis. The legislation regarding care with HSW determines that the management of waste E is carried out by establishments of interest to health, stored in appropriate collection boxes, but there is a gap in relation to the material produced by patients in their homes, such as insulin-dependent diabetics. The objective of the study was to analyze how to proceed Technical Manager (TM) of a Basic Health Unit (BHU) on the management of residues E, generated in households, by diabetic insulin users and enrolled in the Capillary Glucose Self Monitoring Program (CGSM), besides, the use of this tool in the annual measurement of household residues generated. This is a single case study, descriptive, qualitative, exploratory, with documentary research based on primary sources extracted from the SIGA Software (where the CGSM is inserted), from October 2014 to October 2015, in addition it was applied a semi-structured questionnaire for the TM. There was a dispensation of 204,990 syringes, 195,221 lancets and 1,919 collecting containers, and no criteria were observed for dispensing containers according to the number of syringes and lancets provided to patients. The BHU supplies containers in 99% of patient care time, but still receives 9% of all sharps residues stored improperly in plastic bottles. / O descarte inadequado de Resíduos de Serviços de Saúde (RSS) representa um risco potencial de contaminação ao meio ambiente, além do risco ocupacional aos profissionais que trabalham diretamente com a coleta do resíduo, bem como para a comunidade, a exemplo dos catadores de papelão em lixões. Objetos perfurocortantes ou resíduo classificado como tipo E, tais como seringas, lancetas, lâminas de bisturi e agulhas que estiveram em contato com sangue humano, podem transmitir doenças infecciosas, como o vírus HIV e hepatites. A legislação referente ao cuidado com o RSS determina que o gerenciamento do resíduo E seja efetuado por estabelecimentos de interesse à saúde, armazenados em caixas coletoras apropriadas, porém existe uma lacuna em relação ao material produzido por pacientes em seus domicílios, a exemplo dos diabéticos insulinodependentes. O objetivo do estudo foi analisar a como o Responsável Técnico (RT) de uma Unidade Básica de Saúde (UBS) procede sobre o gerenciamento de resíduos E, gerados em domicílios, por diabéticos usuários de insulina e cadastrados no programa de Automonitoramento Glicêmico Capilar (AMGC), além do uso desta ferramenta na mensuração anual de resíduos domiciliares gerados. Trata-se de um estudo de caso exploratório descritivo de abordagem qualitativa, com levantamento e pesquisa documental baseada em fontes primárias extraídas do Software SIGA (onde se insere o AMGC), no período de outubro de 2014 a outubro de 2015, além da aplicação de questionário semiestruturado para o RT. Houve a dispensação de 204.990 seringas, 195.221 lancetas e 1.919 recipientes coletores, não foram observados quaisquer critérios de distribuição de recipientes em função da quantidade de seringas e lancetas fornecidas aos pacientes. A UBS fornece recipientes em 99% do tempo de atendimento aos pacientes, mas ainda recebe 9% de todo resíduo perfurocortante armazenados inadequadamente em garrafas plásticas.

This study is about young people (age 11-16) with diabetes. Based on fieldwork in a paediatric diabetes centre in Scotland, it describes the ways diabetes is lived and done by young people, their health carers and insulin pumps. This enactment is contrasted with other ways of doing diabetes, as observed on short fieldwork trips to paediatric centres in Brussels, Gothenburg and Boston. I explore the dynamics of diabetes care on two levels. I consider the interaction between health carers and patients. Comparative data from various paediatric centres make apparent how culturally and socially informed approaches towards adolescence, health and illness shape both care practices and patients' experiences, resulting in different medical outcomes. Concretely in the Scottish centre, a non-hierarchical holistic care approach by health carers emphasizing quality of life over health, informs the young people's perspective on diabetes. Being a free adolescent takes priority over managing diabetes, with the results of ill health and possible future complications. The existing dynamics in this care framework change as a third actor enters the scene: the insulin pump, a pager-sized technological device continuously attached to the body. I explore the balancing act between young people and their pumps. As the adolescents actively engage with their pumps not to search for better health but rather to pursue a better quality of life, the guiding question becomes: how can a technological device for insulin injection double as a tool towards a desired identity and a different illness? This work then, can be read as a concrete case study of how a uniform technological device is embedded and used in a specific cultural and social context. It can also be read as an argument for a re-orientation of paediatric diabetes care in the Scottish centre: care centred on collaboration and inclusion rather than focused on merely containing underlying conflict (between adults and adolescents, diabetes and life, health and quality of life). Centres in Brussels, Gothenburg and Boston, and the insulin pump concretely, show how collaboration can lead to good health and quality of life. To leave us to wonder: is 'doing diabetes differently' synonymous with 'doing a different diabetes'?

Pregnancy is a normal physiological process for the majority of women. These women, their families and significant others normally expect a successful period of pregnancy, labour, delivery and arrival of a normal and healthy baby. However, some of these pregnant women may develop Gestational Diabetes Mellitus (GDM) during this period and if not managed properly, the mother and the foetus in utero are affected in a negative way: there is a likelihood of the mother and baby developing Type 2 Diabetes in the future and also, other risks such as preterm labour, and foetal macrosomia. In order to prevent such occurrences, I set out to develop a best practice guideline for the nursing management of GDM in military health institutions in Ghana in order to help enhance nursing care. The design for this research was qualitative, explorative, descriptive and contextual in nature. The research is organised in three phases: Phase one deals with the data analysis and discussion of the interviews with professional nurses and midwives and women with a history of GDM. The data collected from the interviews were transcribed, analysed and extracted with Tesch’s eight steps of coding used for the coding. The services of an independent coder were employed to assist with the coding process which led to the formulation of key themes. Semi-structured individual interviews provided a means of exploring the perceptions of professional nurses and midwives on the nursing management of GDM: in addition, women with a history of GDM were interviewed so as to elicit their views on the management they had experienced from professional nurses and midwives before and after being diagnosed with GDM. The trustworthiness of the study was ensured by conforming to Lincoln and Guba’s framework of credibility, transferability, dependability, confirmability and authenticity. An independent coder assisted with the coding process. Phase two deals with the Integrative literature review of available evidence-based clinical practice guidelines for the nursing management of GDM. Evidence-based clinical practice guidelines were searched and appraised with assistance from an independent appraiser and themes were then formulated. In Phase three, the themes from Phase one and Phase two were integrated for the development of a draft best practice guideline for the nursing management of GDM in military health institutions in Ghana. The draft guideline was given to an expert panel of reviewers for their comments and recommendations. These were considered in the development of the final best practice guideline for the nursing management of GDM.