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Exploration of elderly residents' care needs in a Taiwanese nursing home : an ethnographic studyChuang, Yeu-Hui January 2007 (has links)
This study has explored the culture of nursing home life as experienced by elderly nursing home residents in Taiwan in order to understand, describe and interpret their care needs. In December 2006, the elderly represented 10% of the total population of Taiwan, and this proportion is predicted to increase steadily. In turn, this increase suggested that Taiwan would see ever greater numbers of elderly people with chronic illnesses and physical and mental disabilities. To care for these people, nursing homes have expanded rapidly throughout Taiwan. However, the quality of care provided in these nursing homes has become an urgent matter of concern. Though meeting the residents' care needs is essential for the provision of the best quality care, a review of the available literature shows that the care needs of the elderly residents within the nursing home context are poorly understood, both in Taiwan and internationally. To address this gap in present understanding, a focused ethnographic approach, using participant observation, in-depth interviews and a review of documents, was undertaken between July 2005 and February 2006. The key participants were sixteen elderly residents who were 65 years old and over, had no cognitive impairment and had lived in the nursing home selected for the present study for at least six months. Eight nurses, six nursing assistants, one private nursing assistant, one orderly, one physician's assistant and four family members were also interviewed, with questions put to them being based on the data generated from the observation and in-depth interviews with the elderly residents. All interviews were recorded on a digital recorder and transcribed verbatim. Following this, the data gathered from the in-depth interviews, the participant observation and the review of documents was sorted and indexed using the qualitative software program, NVivo7. A five-step analytic process, based on concepts discussed in previous literature, was used to trace the emerging themes. Nine major care needs were identified by the elderly residents. These included basic functional care needs, emotional support care needs, economic care needs, psychological care needs, environmental care needs, social support care needs, professional care needs, religious care needs and preparation for death care needs. Three themes of nursing home culture were generated; these were collective life, care rituals and embedded beliefs. The findings of the study indicate that the structure and culture of the nursing home contribute to several care needs remaining unmet. In addition, the results reveal that it is necessary to satisfy economic care needs before other care needs can be resolved. These findings fill an important gap in nursing knowledge regarding the delivery of better quality care in nursing homes. They also provide relevant information to nursing practice, nursing education and Taiwanese long-term care policy-making, and provide a sound basis for future residential care research.
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PROTEST FROM THE FRINGE: Overseas Students and their Influence on Australia’s Export of Education Services Policy 1983-1996Sebastian, Eugene Francis January 2010 (has links)
Doctor of Philosophy (PhD) / The thesis investigates the motivations behind, the methods used in, and the results of the overseas students’ collective action contesting the measures, which the Australian government introduced from 1983 to 1996. As a group of temporary residents located outside the boundaries of domestic political systems, yet within the core of Australia’s revenue earnings, overseas students independently mobilised in an attempt to influence the Australian Government policy on education from a position of limited political, social and legal rights. As temporary residents on short-term permits fully regulated under prescribed immigration rules, overseas students employed conventional repertoires of contention— they established formal structures, adopted action tools, framed their claims, internationalised their protest, formed alliances — in an attempt to mobilise resources and access existing avenues to influence government’s export of education services policy. Their mobilisation response and campaign strategy achieved modest success in securing some policy concessions, particularly during the early stages of education aid reform. Their strategy, however had to evolve as the fledgling export of education services expanded and eventually they shifted their position to fully embrace and reinterpret the government’s own ‘language of liberalisation’, which they used to greater effectiveness in making subsequent claims. Overseas students ability to procure concessions is derived not from their political or universal rights to education, but from their ability to influence policy changes based on their importance and strategic location in the Australian economy. In other words, government, universities and industry stakeholders have increasingly become dependent on substantial revenue earnings derived from overseas students and have become susceptible to potential chaos that may be precipitated if current students withdrew from the economy, or potential students choosing alternative education service destinations.
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PROTEST FROM THE FRINGE: Overseas Students and their Influence on Australia’s Export of Education Services Policy 1983-1996Sebastian, Eugene Francis January 2010 (has links)
Doctor of Philosophy (PhD) / The thesis investigates the motivations behind, the methods used in, and the results of the overseas students’ collective action contesting the measures, which the Australian government introduced from 1983 to 1996. As a group of temporary residents located outside the boundaries of domestic political systems, yet within the core of Australia’s revenue earnings, overseas students independently mobilised in an attempt to influence the Australian Government policy on education from a position of limited political, social and legal rights. As temporary residents on short-term permits fully regulated under prescribed immigration rules, overseas students employed conventional repertoires of contention— they established formal structures, adopted action tools, framed their claims, internationalised their protest, formed alliances — in an attempt to mobilise resources and access existing avenues to influence government’s export of education services policy. Their mobilisation response and campaign strategy achieved modest success in securing some policy concessions, particularly during the early stages of education aid reform. Their strategy, however had to evolve as the fledgling export of education services expanded and eventually they shifted their position to fully embrace and reinterpret the government’s own ‘language of liberalisation’, which they used to greater effectiveness in making subsequent claims. Overseas students ability to procure concessions is derived not from their political or universal rights to education, but from their ability to influence policy changes based on their importance and strategic location in the Australian economy. In other words, government, universities and industry stakeholders have increasingly become dependent on substantial revenue earnings derived from overseas students and have become susceptible to potential chaos that may be precipitated if current students withdrew from the economy, or potential students choosing alternative education service destinations.
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Assessing residents' readiness to screen for domestic violence : utilizing the transtheoretical model - stages of change, decisional balance and self-efficacy.Benjamins, Laura Jane. McAlister, Alfred, January 2007 (has links)
Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2007. / Source: Masters Abstracts International, Volume: 45-05, page: 2467. Adviser: Alfred McAlister. Includes bibliographical references.
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Organizational maintenance of residents' organizations : the case study of Tai Hang Tung and Nam Shan Estates Residents' Association /Ko, Ming-hui. January 1900 (has links)
Thesis (M.S.W.)--University of Hong Kong, 1990.
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Uso de Simulador no Ensino da Cirurgia de Catarata por Facoemulsificação / Use of Virtual Simulator in Phacoemulsification Cataract Surgery TrainingLucas, Larissa 23 February 2018 (has links)
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Previous issue date: 2018-02-23 / Objetivo: Determinar se o treinamento prévio no simulador de cirurgia de catarata Eyesi diminui a ocorrência de complicações intraoperatórias nas primeiras cirurgias de catarata por facoemulsificação realizadas por residentes de oftalmologia. Métodos: Foi realizado um estudo retrospectivo no qual foram avaliadas as dez primeiras cirurgias de catarata realizadas por dois grupos de residentes do segundo ano (R2) de Oftalmologia no Hospital das Clínicas de Botucatu – UNESP. O primeiro grupo (G1) foi composto por R2 que não tiveram treinamento prévio no simulador. O segundo grupo (G2) foi formado por R2 que realizaram treinamento no simulador antes de iniciarem as cirurgias nos pacientes. Foi avaliada a ocorrência das principais complicações cirúrgicas intraoperatórias. Os dois grupos foram comparados e os resultados foram submetidos a análise estatística. Resultados: O número total de complicações foi de 19 (27%) no G1 e nove (12,86%) no G2, essa diferença foi significativa (p=0,031). Quatorze (20%) cirurgias de G1 e sete (10,00%) de G2 apresentaram complicações; a rotura de cápsula posterior ocorreu em 13 (18,57%) cirurgias do G1 e sete (10,00%) do G2; fragmentos de núcleo no vítreo ocorreram em três cirurgias (4,29%) do G1 e em uma cirurgia (1,43%) do G2; a conversão para FEC foi necessária em duas cirurgias (2,86%) do G1 e em uma cirurgia (1,43%) do G2. Conclusão: O treinamento prévio no simulador de cirurgias de catarata Eyesi reduziu significativamente o número total de complicações intraoperatórias nas dez primeiras cirurgias de catarata por facoemulsificação realizadas por residentes de oftalmologia em treinamento. / Purpose: To determine if previous training with the Eyesi® cataract surgery simulator decreases intraoperative complications rates from the first phacoemulsification surgeries performed by residents. Methods: A retrospective analysis of the ten first cataract surgeries performed by two groups of second-year residents (R2) from Hospital das Clínicas de Botucatu – UNESP Ophthalmology Residency Program. We assessed the results from two groups of residents. The first group (G1) consisted of residents who did not had previous virtual simulator training. The second group (G2) consisted of residents who had virtual simulator training before performing their surgeries. The occurrence of the main intraoperative complications were analyzed. The groups were compared and the results were submitted to statistical analysis. Results: The total amount of complications was 19 (27%) in G1 group and nine (12,86%) in G2 group, with statistical difference (p=0,031). Fourteen (20%) G1 surgeries and seven G2(10,00%) surgeries had complications; posterior capsule tear was observed 13 times (18,57%) in G1 surgeries and seven times (10,00%)in G2 surgeries; nuclear fragments into the vitreous cavity were observed in three (4,29%) G1 surgeries and in one (1,43%) G2 surgery; conversion to manual extracapsular cataract extraction was necessary in two (2,86%) G1 surgeries and in one (1,43%) G2 surgery. Conclusion: Eyesi® cataract surgery simulator training significantly decreased the amount of intraoperative complications from the ten first phacoemulsification surgeries performed by young surgeons.
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Uso de Simulador no Ensino da Cirurgia de Catarata por FacoemulsificaçãoLucas, Larissa January 2018 (has links)
Orientador: Antônio Carlos Lottelli Rodrigues / Resumo: Objetivo: Determinar se o treinamento prévio no simulador de cirurgia de catarata Eyesi diminui a ocorrência de complicações intraoperatórias nas primeiras cirurgias de catarata por facoemulsificação realizadas por residentes de oftalmologia. Métodos: Foi realizado um estudo retrospectivo no qual foram avaliadas as dez primeiras cirurgias de catarata realizadas por dois grupos de residentes do segundo ano (R2) de Oftalmologia no Hospital das Clínicas de Botucatu – UNESP. O primeiro grupo (G1) foi composto por R2 que não tiveram treinamento prévio no simulador. O segundo grupo (G2) foi formado por R2 que realizaram treinamento no simulador antes de iniciarem as cirurgias nos pacientes. Foi avaliada a ocorrência das principais complicações cirúrgicas intraoperatórias. Os dois grupos foram comparados e os resultados foram submetidos a análise estatística. Resultados: O número total de complicações foi de 19 (27%) no G1 e nove (12,86%) no G2, essa diferença foi significativa (p=0,031). Quatorze (20%) cirurgias de G1 e sete (10,00%) de G2 apresentaram complicações; a rotura de cápsula posterior ocorreu em 13 (18,57%) cirurgias do G1 e sete (10,00%) do G2; fragmentos de núcleo no vítreo ocorreram em três cirurgias (4,29%) do G1 e em uma cirurgia (1,43%) do G2; a conversão para FEC foi necessária em duas cirurgias (2,86%) do G1 e em uma cirurgia (1,43%) do G2. Conclusão: O treinamento prévio no simulador de cirurgias de catarata Eyesi reduziu significativamente o número total de c... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Purpose: To determine if previous training with the Eyesi® cataract surgery simulator decreases intraoperative complications rates from the first phacoemulsification surgeries performed by residents. Methods: A retrospective analysis of the ten first cataract surgeries performed by two groups of second-year residents (R2) from Hospital das Clínicas de Botucatu – UNESP Ophthalmology Residency Program. We assessed the results from two groups of residents. The first group (G1) consisted of residents who did not had previous virtual simulator training. The second group (G2) consisted of residents who had virtual simulator training before performing their surgeries. The occurrence of the main intraoperative complications were analyzed. The groups were compared and the results were submitted to statistical analysis. Results: The total amount of complications was 19 (27%) in G1 group and nine (12,86%) in G2 group, with statistical difference (p=0,031). Fourteen (20%) G1 surgeries and seven G2(10,00%) surgeries had complications; posterior capsule tear was observed 13 times (18,57%) in G1 surgeries and seven times (10,00%)in G2 surgeries; nuclear fragments into the vitreous cavity were observed in three (4,29%) G1 surgeries and in one (1,43%) G2 surgery; conversion to manual extracapsular cataract extraction was necessary in two (2,86%) G1 surgeries and in one (1,43%) G2 surgery. Conclusion: Eyesi® cataract surgery simulator training significantly decreased the amount of intraoperati... (Complete abstract click electronic access below) / Mestre
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L'environnement olfactif : de la perception à la gêne : le cas d'un site industriel / Olfactive environment : from perception to annoyance : the industrial site casePierrette, Marjorie 19 June 2009 (has links)
Face à une industrialisation grandissante, les pouvoirs publics s’attèlent à réglementer de façon drastique les conditions de production industrielle afin que le bien être des citoyens soit respecté. Cependant, la persistance des plaintes laisse à penser que la réglementation ne répond pas toujours aux attentes de la population en matière de confort et de qualité de vie. Cette thèse se propose de cerner les différents facteurs en lien avec le niveau de gêne olfactive estimé par les riverains d’un site industriel odorant et d’évaluer leur importance dans la prédiction de la gêne. Pour ce faire, cent quatre-vingt trois riverains ont répondu à un questionnaire portant sur leur cadre de vie, les différentes nuisances présentes sur leur lieu d’habitation, ainsi que l’usine et ses odeurs. Les résultats montrent un lien entre le niveau de gêne olfactive, les caractéristiques des odeurs et certains facteurs individuels et contextuels. De plus, le calcul de régression appliqué aux différentes variables révèle l’importance de l’intensité perçue des odeurs, de leur imprévisibilité ou de la dangerosité perçues auxquelles nous devons ajouter la sensibilité olfactive de chacun dans la prédiction du niveau de gêne olfactive. Ces résultats soulignent la nécessité de mesures objectives mais aussi subjectives pour comprendre l’interaction de l’homme avec son cadre de vie. / Facing increasing industrialisation, authorities must tackle to regulate in drastic ways the conditions of industrial production so that citizens’ well being is considered. However, complaints remain which shows that regulation does not satisfy population’s expectations in term of comfort and life quality. This thesis aims at defining factors linked with the level of olfactive annoyance felt by residents living near an industrial site and at estimating their importance which could predict the annoyance. 183 residents answered a questionnaire about quality of life, various annoyances found on the place of dwelling, as well as about factory and their odours. The results underline the link between the level of annoyance, characteristics of the odours and some individual and contextual factors. Moreover the regression analyse applied to these variables highlights the importance of several factors to predict odour annoyance: perceived intensity, unpredictability, dangerousness and individual sensitiveness. Those results emphasize the necessity to consider not only objective measures but also subjective ones in order to understand the interaction between men and their environment.
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Research on Factors Influencing Individual’s Behavior of Energy ManagementJanuary 2016 (has links)
abstract: With the rapid rise of distributed generation, Internet of Things, and mobile Internet, both U.S. and European smart home manufacturers have developed energy management solutions for individual usage. These applications help people manage their energy consumption more efficiently. Domestic manufacturers have also launched similar products.
This paper focuses on the factors influencing Energy Management Behaviour (EMB) at the individual level. By reviewing academic literature, conducting surveys in Beijing, Shanghai and Guangzhou, the author builds an integrated behavioural energy management model of the Chinese energy consumers. This paper takes the vague term of EMB and redefines it as a function of two separate behavioural concepts: Energy Management Intention (EMI), and the traditional Energy Saving Intention (ESI).
Secondly, the author conducts statistical analyses on these two behavioural concepts. EMI is the main driver behind an individual’s EMB. EMI is affected by Behavioural Attitudes, Subjective Norms, and Perceived Behavioural Control (PBC). Among these three key factors, PBC exerts the strongest influence. This implies that the promotion of the energy management concept is mainly driven by good application user experience (UX). The traditional ESI also demonstrates positive influence on EMB, but its impact is weaker than the impacts arising under EMI’s three factors. In other words, the government and manufacturers may not be able to change an individual's energy management behaviour if they rely solely on their traditional promotion strategies. In addition, the study finds that the government may achieve better promotional results by launching subsidies to the manufacturers of these kinds of applications and smart appliances. / Dissertation/Thesis / Doctoral Dissertation Business Administration 2016
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Satisfação e apego das pessoas ao lugar de residência: implicações para qualidade de vida em uma visão de marketing de lugares.Medeiros, Fabiana Gama de 25 November 2013 (has links)
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Previous issue date: 2013-11-25 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This study aimed to understand the relationship between resident s place satisfaction, place attachment and perceived quality of life. The study is situated under place marketing s umbrella, which is an area of marketing studies that has been explored by research conducted mainly from the 2010s. A preliminary analysis of previous studies showed that focus of place marketing has lied predominantly on applying traditional marketing tools to places, seeking to attract visitors, investors and new residents, with little emphasis on residents. This justifies our focus on residents. From the literature review, we propose a model of relationships between the constructs, empirically tested using structural equation modeling on a sample of residents from the cities of João Pessoa, Campina Grande, Guarabira, and its surrounding cities, in the state of Paraíba. Along with proposing a model, we have also tested and proposed as cale to measure place satisfaction since existing scales turned out to be insufficient for our purposes. Hypothesis were confirmed, presenting place satisfaction and place attachment as predictors of perceived quality of life; a place satisfaction scale is developed and proposed; and specific factors contributing to overall place satisfaction were identified. The research makes a contribution to the field in that it explores a marketing view focused on resident s interests, offers in formation that can assist place managers over elements that shape residents perceived quality of life,and proposes a scale for measuring place satisfaction. / Esse estudo teve como objetivo compreender a relação entre a satisfação ao lugar, o apego ao lugar e a qualidade de vida percebida pelos residentes de um lugar. O estudo se insere, disciplinarmente, no campo de marketing de lugares, que é uma área de estudos de marketing que vem sendo explorada por pesquisas realizadas principalmente a partir da década de 2010. A análise preliminar dos estudos realizados mostrou que o foco de marketing de lugares tem sido predominantemente voltado para aplicar as ferramentas tradicionais de marketing aos lugares, na busca de atrair visitantes, investidores e novos residentes, com menor ênfase aos agentes residentes dos lugares. Isto justificou o foco deste estudo nos residentes. A partir da revisão da literatura, foi proposto um modelo de relações entre os construtos, testado empiricamente através de modelagem de equações estruturais em amostras de residentes das cidades de João Pessoa, Campina Grande, Guarabira e suas cidades circunvizinhas, no estado da Paraíba. Além do modelo, também testamos e propomos uma escala para medir o construto satisfação com o lugar, já que as escalas existentes na literatura se mostraram insuficientes para os nossos propósitos. Os resultados confirmam as hipóteses e apresentam a satisfação com o lugar e o apego ao lugar como preditores do construto qualidade de vida percebida; uma escala de satisfação com o lugar foi desenvolvida e proposta; e foram identificados os fatores específicos de um lugar que contribuem para a satisfação geral com o lugar. A pesquisa contribui para a área na medida em que explora uma visão de marketing de lugares voltada para o interesse do residente, oferece informações que podem auxiliar os gestores de lugares sobre os elementos que influenciam na formação da percepção de qualidade de vida pelos residentes de um lugar e propõe uma métrica para o construto satisfação com o lugar.
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