Thesis (M.S.)--University of Wisconsin. School of Nursing, 1976. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ed. D.)--Illinois State University, 2001. / Title from title page screen, viewed March 30, 2006. Dissertation Committee: Dent Rhodes (chair), Norman Bettis, Kenneth Jerich, Joaquin Vila. Includes bibliographical references (leaves 110-118) and abstract. Also available in print.

<p>Ronden på en kirurgisk akutvårdsavdelning är en central del i vårdprocessen för patient och personal. Ronden sker dagligen och mötet mellan patient, läkare, sjuksköterska och undersköterska sker på kort tid och det sker snabba beslut. Syftet var att undersöka patientens upplevelse av ronden på en kirurgisk akut vårdsavdelning. Med utgångspunkt från detta så valdes det en kvalitativ metod med fenomenologisk ansats och intervjuer som datainsamlings metod. Efter analys av totalt 11 patienters upplevelser av ronden kom det fram tre kategorier med tillhörande underkategorier i resultatet. Kategorin tid och rum har underkategorierna mångfaldens, tidens och placeringens betydelse, kategorin interaktion har bemötandets, rummets och erfarenhetens betydelse och kategorin delaktighet har informationens betydelse, självbestämmande och känsla av stöd. Informanternas upplevelser av ronden betonade att det var många deltagare, att mötet var kort och snabbt, deltagarnas placering på rummet och delgivande av information hade en betydelse. Dock ett bra bemötande från personalen, att känna sig delaktig, att känna ett stöd från sjuksköterskan, känsla av förtroende och tidigare negativa upplevelser gav en positiv upplevelse av ronden.</p> / <p>Round on a surgical emergency ward is a central part of the care process for patients and staff. Round take place daily and the meeting between patient, doctors and other staff take place briefly and decisions are taken rapidly. The purpose was to examine the patient's experience of rounds on a surgical emergency ward. A qualitative and the phenomenon illogical approach were chosen with the interviews. After the analysis of the 11 patients' experiences of rounds show three categories and related subcategories which are labelled as time and room such as diversity, time and posting importance. Further more interaction such as importance of treatment, the space and experience and also participation such as the importance of information, self-determination and sense of support. The results show that the participants thought that there were various participants involved in the rounds, the meetings were short and brief, and the participants' presence in the room and the given information affected their experiences. However, a good treatment from the staff, sense of participation, a sense of support, a sense of confidence and previous experience gave participants positive experiences.</p>

Thèse (M.Ps.) -- Université du Québec à Chicoutimi, 2005. / "Mémoire présenté à l'Université du Québec à Chicoutimi comme exigence partielle de la maîtrise en psychologie offerte à l'Université du Québec à Chicoutimi en vertu d'un protocole d'entente avec l'Université du Québec à Trois-Rivières." Comprend des réf. bibliogr. : f. [103]-115. Document électronique également accessible en format PDF.

Thesis (M.Ost.)--Unitec New Zealand, 2009. / Includes bibliographical references (leaves 81-87)

Background: For patients with end-stage organ failure receiving an organ is lifesaving. To be transplanted means a big change and adjustment in life with lifelong medication. The ambition for these patients is to go back and live as normal of life as possible. Aim: The aim of this study was to describe patients experiences of being organ transplanted. Method: The method used was a literature-based study based on qualitative scientific articles. A total of 9articles were analyzed with a qualitative content analysis. Result: After analysis 5 categories emerged; indebted, limitations in daily life, fear of organ rejection, concerns about medicine and a positive attitude to life. It showed that patient´s experiences of being organ transplanted are individual and unique. Some experiences are harder to deal with than others. Conclusion: Patients describe both negative as well as positive experiences of being transplanted. They express a need for more knowledge about their condition and a need that health care staff enhance their knowledge and understanding about their unique situation.

Using symbolic interaction as a theoretical framework, the researcher explored the nurses' interpretation of their interactions with elderly, confused patients for the purposes of understanding nurses' behavior and of implementing more effective nurse-patient interactions. Qualitative data were collected during interviews with 18 registered nurses currently working either full-time or part-time in one of three extended care units. Findings indicated that the nurses perceived specific patient behaviors, nurse behaviors, and external factors as influencing all phases of this interaction. Six categories of patient behaviors emerged from the data. These categories are: (a) disruptive behaviors, (b) contextually inappropriate behaviors, (c) unintelligible behaviors, (d) memory-impaired behaviors, (e) unproductive repetitions, and (f) unpredictable fluctuations. These behaviors influenced the nurse-patient interaction by reducing the frequency with which nurses attached understandable meaning to patients' behavior, thereby reducing the effectiveness of and their satisfaction with the interaction. The nurses' perceived that their behavior influenced the type, frequency, and duration of nurse-patient communication, the degree to which the interaction was individualized and patient focused, and the extent of patient control during the interaction. When patients influenced nursing behaviors in ways that reduced the frequency and person-oriented nature of the interaction, the nurses experienced the interaction as stressful and dissatisfying and subsequently withdrew to some degree. External factors described as personal, interpersonal, and impersonal either facilitated or impeded the nurses' ability to assign understandable meaning to patients' behavior. The amount of understanding that occurred influenced the quality of care and communication and the amount of stress experienced by the nurse. The findings suggest that geriatric nurses should focus their behavior on patients' psychosocial and emotional needs in addition to their physical needs. Nurses must be aware of the impact of behavior identified as confusion on the interaction. In response they must direct their caregiving and communication behaviors toward minimizing the impact of the reduced understanding that occurs during the interaction. / Applied Science, Faculty of / Nursing, School of / Graduate

Background: In South Africa, tuberculosis (TB) is the leading cause of death, and Cape Town is among the three cities in the country with the highest TB burden. Despite implementation of Directly Observed Treatment Short-Course (DOTS), and improvements in the organisation and delivery of TB care, poor treatment adherence challenges treatment outcomes and the health system's ability to reach international targets. TB requires long-term care, where the relationship with healthcare providers is one of the important influences on decisions to seek care and adhere to treatment. This study sought to explore and deepen insight into how trust is built and experienced between patients and healthcare providers for TB treatment in primary care settings from a gender perspective. Methods: The research was located in three local government-managed clinics in the City of Cape Town's Metropole health district, similar in TB patient load and performance indicators, but differing in level of TB-HIV integrated services. A case study design employing qualitative data collection approaches (non-participant observations in clinics, focus group discussions and in-depth interviews with patients and providers) was applied. Findings: Trust plays a central role for both patients and providers in treatment for TB. On the part of patients, many expressed a deep desire and motivation to complete their treatment. However, patient vulnerability, a complex outcome of intersecting factors at all levels (personal, community and health service level), across which gender was an underlying influence, emerged as a critical influence over patient trust in providers and the health system, with consequences for a range of outcomes including treatment adherence. The ability of providers and the health system as an institution to recognise and respond to patient vulnerability and needs beyond the illness, including to access socio-economic and psycho-social support for the patient, was critical for building trust and enabling adherence. On the part of healthcare providers, vulnerability was a consequence of a range of factors, including professional status and gender, with implications for how trust was built in patients and managers and its outcomes. Patient trustworthiness was based on judgements of competency, integrity and recognition. The ability of managers to mitigate the challenges healthcare providers faced, through providing a supportive and enabling work environment, had implications for providers' experiences and judgements of institutional trustworthiness. Conclusion: Reflecting on the findings within broader national, provincial and global health policy reforms, specific strategies for building patient and provider trust in each other, and in the health system, are proposed. Recommended strategies addressing both patient and provider vulnerabilities rooted in the personal, community and health facility environment are considered. While many of the recommendations are specific to the TB and TB/HIV model of care, they have wider relevance for building mutual trust between patients and providers and enhancing the responsiveness of the health system as a whole. This is important in the context of South Africa, where the vision espoused under proposed National Health Insurance reforms towards universal coverage is transformative, even revolutionary, but its implementation and ultimate achievements are likely to be dogged by challenges of patient and provider trust in the health system, unless themselves addressed. Globally, the study's conclusions also offer important insights about patient-provider trust relevant to health system development, as well as ideas for future, related research.

Research has shown that many patients find it difficult to understand and retain information that is conveyed verbally by medical professionals. One solution to this problem is to give patients this information in a written form so that it can be reviewed when needed to maximize retention and understanding. When implementing this solution, care should be taken that the patient education materials (PEMs) are written in a way that is easily understood by the patient. PEMs should also be of good quality, meaning that they are comprehensive, without bias, evidence based, relevant, and balanced. Well written PEMs are especially important within the field of audiology as many patients find it particularly difficult to understand audiological and vestibular information. PEMs related to many different diagnoses and treatment within the field of audiology have been evaluated to ensure that they are appropriate for patients, but this evaluation has not yet been done for PEMs pertaining to benign paroxysmal positional vertigo (BPPV). BPPV is a common cause of dizziness where episodes are triggered by head movements such as tipping the head back. For this study, 11 PEMs pertaining to BPPV were gathered from professional organizations online and 3 were gathered from audiology clinics local to East Tennessee. Reading grade level was determined using the Fry Method and the Simple Measure of Gobbledygook (SMOG). Quality was determined using the DISCERN. The results of this study indicate that the current PEMs related to BPPV are not written at an appropriate reading level for patients as determined by the Agency for Healthcare Research and Quality (AHRQ). The conclusion of this study is that while some of the PEMs analyzed were found to be of good quality, many can and should be improved. Organizations such as the CDC and AHRQ have created materials to guide medical professionals through the process of improving their PEMs.

Patient engagement in research has many benefits including the alignment of research aims, projects, and outcomes with those of the ultimate end-user. As a result, patient engagement is becoming increasingly established in many areas of health research. Missing from this growing body of evidence are details about how patient partners (i.e., individuals with lived experience of a health condition including informal caregivers, family and friends) are compensated for their contributions as well as existing barriers or challenges to compensation. The overall aim of my thesis is to synthesize and assess the current landscape of patient partner compensation. First, I conducted a systematic review that identified a cohort of published patient engagement research and assessed the prevalence of reporting compensation and identified current compensation practices. Second, we surveyed researchers identified by the systematic review and their affiliated institutions to understand researcher attitudes towards compensation and any experienced barriers and challenges to offering financial compensation to patient partners. Third, we conducted a scoping review to synthesize available guidance and policy documents that inform patient partner compensation. Broadly, these projects found that: 1) reporting of patient partner financial compensation is modest and non-financial methods of compensation (e.g., co-authorship) are reported more often, 2) researchers are generally positive about their abilities and intend to offer financial compensation to patient partners, however institutional barriers including lack of policy or support persist, and 3) the majority of identified guidance recommend offering financial compensation to patient partners and discuss benefits of such practices including fostering a sense of equality between researchers and patient partners. Findings from this thesis may influence research practices by informing stakeholders of the benefits of offering financial compensation to patient partners and guiding the development of compensation strategies. Lastly, findings may inform implementation strategies at the institutional and funder level, including adoption of guidance and procedure, to better support researchers in navigating compensation.