Thesis (M. Cur.) --University of Limpopo, 2015 / The purpose of this study was to determine the factors that were contributing to selfreferrals of antenatal women at the Dilokong Hospital in the Tubatse Local Municipality. By employing a quantitative, non-experimental research method, 360 women completed and submitted a structured questionnaire. Validity and reliability were insured by pre-testing the data collection instrument on respondents who were not part of the main study. Data was analysed by using the SPSS and Excel computer programs with the assistance of a statistician. The age group between 21 and 30 years 197 (54.7%) was larger than the other age groups. Primigravida women represented less than half 147 (40.3%) of the respondents. These women were also supposed to be referred to the hospital for delivery; however, only 23.3% of the women were referred to the hospital for delivery. The choice of the delivery site was influenced by a lack of women’s knowledge about the referral system and of services offered at the clinics, as well as the unavailability of doctors, midwives, food, equipment, enough space for delivery at the clinics, and the perceptions that nurses and midwives were rude. The government should ensure that the clinics are provided with adequate human resources and other resources that are needed for providing these health services. Pregnant women should be given referral letters and information with regard to where they are supposed to deliver. Key concepts: Antenatal women, self-referral, referral system, and Primary Health Care (PHC).

The study sought to analyse the referrals received by a psychiatric unit in a general hospital in the Western Cape by studying the referral letters and the referral responses. The study sought to determine which departments were referring patients and which patients were being referred. The completeness and appropriateness of the referrals were also studied. The major inferences drawn from this study are that health care workers have a poor concept of what information the psychiatric units needs and about the scope and function of the unit. The poor feedback from the psychiatric unit to the referral source is indicative of the poor communication amongst the health care team members. / Health Studies / M.A. (Advanced Nursing Sciences)

Introduktion Röntgenremissen ligger till grund för röntgensjuksköterskan och radiologens planering och utförande av undersökning. Det är av stor vikt att remitterande läkare skriver en informativ och relevant remiss för att röntgensjuksköterskor ska ha möjlighet att utföra ett patient- och personalsäkert arbete som samtidigt är effektivt. Tidigare forskning visar att bristfälliga remisser förekommer runt om i världen. Syfte Att undersöka och sammanställa röntgensjuksköterskans upplevda brister i akuta konventionella röntgenremisser. Metod Kvantitativ enkätstudie med fem deltagande röntgensjuksköterskor från ett sjukhus i norra Sverige. Kartläggning av vilka brister som kan finnas i röntgenremissen utan någon djupare statistisk analys. Resultat Av de besvarade 71 remisserna, 33 från hälsocentral och 38 från annan remittent upplevdes 32 remisser tillfredsställande. Brister förekom i 39 remisser varav 17 remisser från hälsocentral och 22 remisser från annan remittent. Vissa remisser ansågs tillfredsställande trots brister. Slutsats Studien visar att allvarliga brister i remisser till akut konventionell röntgen förekommer i olika utsträckning. Brister i remisser leder till mer arbete för röntgensjuksköterskan när möjligheterna att planera och prioritera försämras. / Introduction The x-ray referral is the basis for the radiographer and radiologist’s planning and execution of a radiographic study. It is of critical importance that the referring physician writes an informative and thorough referral for the radiographer to conduct at safe and efficient study from a staff and patient perspective. The literature on the subject shows that suboptimal referrals occur throughout the world. Purpose To study and compile the radiographers experienced deficiencies of acute conventional x-ray referrals. Method A quantitative survey study with 5 participating radiographers at a hospital located in the north of Sweden. Results Among the 71 referrals included in the study, 33 from primary care and 38 from a different referring medical professional 32 were noted as satisfactory. Deficiencies occurred in 39 referrals, 17 from primary care physicians and 22 from other medical professionals. Some referrals were considered satisfactory even though they contained some deficiency. Conclusion The study shows that severe errors are occurring in a significant number of referrals to the emergency conventional x-ray unit. Deficiencies in referrals leads to more work for the radiographer when the opportunities to plan and prioritize deteriorate.

A critical aspect for organizational performance is recruiting “the right” people. Great talent serves as a foundation for great companies and a strong pool of candidates is a prerequisite for success. It is furthermore necessary to have an effective recruitment process in order to attract high quality candidates. Slow-paced recruiting processes may serve as a bottleneck to growth meanwhile an effective recruitment process within an organization speaks volumes about the company. It is a direct reflection of the professionalism and validity of the business while leaving its mark on both current and prospective employees. Referral-based recruiting is often referred to as the “holy grail” of recruiting strategies and is an industry term for when a someone, such as a current employee, supplies a candidate from their own network to the recruiter. The strategy capitalizes on the social and professional networks of people in order to generate candidates and is often combined with rewards to incentivize recommendations. Many claims that the recruitment method yields advantages such as increased candidate quality, retention rate and reduced time to hire etc. However, often, these claims are not peer reviewed and lack the empirical evidence to support these claims. This research aims to contribute with knowledge to what role referral-based recruiting plays within Stockholm and to learn more about how the social processes and human elements affects the outcome. Furthermore, how the recruitment method impacts the assessed quality of the candidate pool and recruitment process. A total of six managers active within recruiting in Stockholm has been interviewed for this research. The managers were each asked to describe and evaluate the hiring of five candidates and their respective recruitment process. The empirical results were analyzed in combination to the theoretical framework. Through the analysis, the conclusion was drawn that referral-based recruiting in fact appears to offer unique advantages in comparison to traditional recruiting strategies, such as job-adverts, headhunting and hiring the services of recruitment firms.

This study used a phenomenological design to discover how middle school teachers in northern California perceived the effectiveness of Positive Behavioral Interventions and Supports (PBIS) in improving school climate and lowering office discipline referrals. PBIS is a school-wide initiative implemented in schools across the United States as an approach for addressing discipline and promoting a positive school climate. The researcher examined teacher perceptions on effectiveness of PBIS at the middle school level. The district implemented PBIS to align with district initiatives to lower exclusionary discipline practices (office referrals, suspensions, and expulsions) for students, with an emphasis on African American males, students with disabilities, and foster youth. The study used transformative learning theory and teacher self-efficacy to guide the research. The overarching research question explored was: What are middle school teachers’ perceptions about the effectiveness of PBIS? Data were collected from individual semi-structured open-ended interviews; concern statements; and examination of the trends of suspension, expulsion, and office discipline referrals pre-PBIS and post-PBIS. Data analysis revealed that all participants used positive terms to describe their school’s climate. Participants also experienced shared benefits and barriers when discussing PBIS in their school settings. The results of this study support PBIS in middle schools and addressed barriers. The results could be used to guide the decision-making process of those responsible for PBIS at the local school district level as well as at the individual school and classroom levels.

School recess can be a problematic setting due to inadequate safety, supervision, and structure. Peer praise notes (PPNs) is a school-wide positive behavior support strategy that was implemented during recess to address these concerns at a Title I elementary school. An ABAB reversal design across all students was employed to evaluate the effectiveness of PPNs. Overall changes in office disciplinary referrals (ODRs) in each phase of the design, an effect size that reflects a highly effective treatment, and a moderately strong and statistically significant negative correlation suggest that PPNs decreased ODRs. Results from social validity surveys completed by eight recess aides and 88 students indicated that participants had positive perceptions of PPNs improving student behavior and peer relations, communicating playground rules, extending supervision responsibilities, and offering structured activity to peer praisers. Students' perceptions were overall more positive than the recess aides' perceptions. Limitations, future research, and implications are addressed.

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Made available in DSpace on 2016-04-04T18:33:14Z (GMT). No. of bitstreams: 1 Silvia Helena Ferrao Silva.pdf: 1765995 bytes, checksum: d5d8a80eba8028ab8f87866ee7d926e4 (MD5) Previous issue date: 2014-02-03 / This paper presents a study on the actions taken by teachers of the 3rd year of Elementary School, related to the decisions and referrals regarding the students indicated as having learning gap in Mathematics. Our question at issue is: How and why do referrals of students in the 3rd year of Elementary School with Mathematics difficulties occur in the teachers view? The main goal was to analyze, based on pieces of information from teachers of the 3rd year of Elementary School regular and special education classes the conceptions related to the Mathematics concepts learning difficulties found by students and the need for psychological referral or pedagogical remedial help. The research development brought indications with reference to the issue of children learning difficulties in Mathematics, their emotions during the learning process and the aspects regarding Mathematics teaching and learning in school. The data arose from semi-structured interviews with three teachers of the 3rd year two from the classrooms and the resource room teacher in two different moments: in the beginning of 2013 school year and in November of the same year; and also the documentation for the student referral to remedial classes and psychological support. During the interviews the participants pointed out that the initial training course didn`t offer them enough theoretical subsidies to perform in the teaching discipline of Mathematics to the initial years of Elementary School. It was also pointed that a lot of the learning difficulties of these students is generally related to Mathematics concepts that weren`t understood by them. Teachers considerations about the referrals of students with learning difficulties were analyzed, as well as their conceptions about how and why these referrals should happen. In addition, the documentation of a 3rd year student who attended the resource class and the psychological assistance for two years was analyzed. It has been concluded that the services of resource class and psychological assistance, both offered by the city council, do not become linked, then bringing little contribution to students progress. The considerations to evaluate the student`s development are evasive, advancing little to identify their difficulties and to show alternatives to those people who will keep working with children, what provides little contribution to cognitive and psychological development. / O trabalho apresenta um estudo sobre as a??es de professoras do 3? ano do Ensino Fundamental, relacionadas ?s decis?es e encaminhamentos referentes aos alunos indicados como portadores de defasagem de aprendizagem em Matem?tica. Nossa quest?o problema assim se configura: Como e por que ocorrem os encaminhamentos de alunos com dificuldades relacionadas ? Matem?tica em sala de 3? ano do Ensino Fundamental de uma rede p?blica municipal na vis?o das professoras? Teve por objetivo analisar, a partir das informa??es de professoras do 3? ano do Ensino Fundamental da sala regular e de educa??o especial as concep??es relacionadas ?s dificuldades encontradas pelos alunos ao aprender conceitos matem?ticos e a necessidade de encaminhamento psicol?gico ou de refor?o pedag?gico. No desenvolvimento da pesquisa trouxemos apontamentos relativos ?s quest?es das dificuldades de aprendizagem das crian?as em Matem?tica, das suas emo??es no percurso da aprendizagem e de aspectos relacionados ao ensino e ? aprendizagem de Matem?tica na escola. Os dados originaram-se das entrevistas semiestruturadas realizadas com tr?s professoras de 3? ano duas de sala de aula e a professora da sala de recurso em dois momentos diferentes: no in?cio do ano letivo de 2013 e no m?s de novembro do mesmo ano. Ainda, de documenta??o relativa ao encaminhamento do aluno para sala de refor?o e de atendimento psicol?gico. Nas entrevistas as participantes indicaram que o curso de forma??o inicial n?o lhes ofereceu subs?dios te?ricos suficientes para a atua??o na doc?ncia na disciplina de Matem?tica para os anos iniciais do Ensino Fundamental. Tamb?m que muitas das dificuldades de aprendizagem destes alunos, de maneira geral est?o relacionadas com os conceitos matem?ticos n?o compreendidos por eles. Analisamos as considera??es das professoras referentes ao encaminhamento de alunos com defasagem de aprendizagem, suas concep??es sobre como e por que esses encaminhamentos devam se dar. Ainda, a documenta??o de um aluno de 3? ano, que freq?entou por dois anos a sala de recurso e o atendimento psicol?gico. Conclu?mos que os servi?os de sala de recurso e atendimento psicol?gico, ambos oferecidos pela prefeitura, n?o se articulam, trazendo pouca contribui??o para os avan?os dos alunos. As considera??es para avaliar o desenvolvimento do aluno se fazem evasivas, pouco avan?ando no sentido de identificar suas dificuldades e de apresentar alternativas para o trabalho daqueles que com a crian?a v?o continuar atuando, o que proporciona pouca contribui??o para os avan?os cognitivos e psicol?gicos.

This study reports long-term evaluation of school-wide positive behavior support (SWPBS) in a rurally-located K – 8 and a middle school. With assistance from a university-based PBS project, these schools developed and implemented a SWPBS program. Target positive behaviors (respect, responsibility, cooperation) were operationally defined and directly taught to students. A reward ticket system was used to reinforce students’ positive behaviors. Office discipline referrals (ODRs) and reward tickets were recorded. At the end of each grading period, students with at least 1 ticket attended a school-wide celebration. An A-B case study design analyzed results for five-years for the K-8 and four years for the middle school. Following the first year of SWPBS, ODR rates decreased substantially, correlating moderately with reinforcement tickets given. Compared to two similar schools without SWPBS in the same district, the K-8 school’s had substantially fewer overall ODRs and fewer students with high-risk levels of referrals. ODR reductions resulted in recovering an average 5.25 and 10 student class hours and 11.75 and 25 administrative hours in the elementary and middle schools, respectively. These results replicated and extended effects reported by others. Issues regarding consistent SWPBS implementation and measurement of its effects as well as future research are addressed. [Abstract is from a repeated presentation at the Annual Conference of the Association for Bheavior Analysis International San Antonio, TX]