Made available in DSpace on 2014-12-17T14:47:06Z (GMT). No. of bitstreams: 1 LivaGGF_DISSERT.pdf: 1222166 bytes, checksum: 880b584c8c56e4cbea7f570ca7c755fe (MD5) Previous issue date: 2014-04-04 / Since the publication of the report "To Err is Human" by the Institute of Medicine (IOM) , which estimated that between 44.000 to 98.000 Americans die annually as a result of errors in health care, patient safety spent gaining prominence, emerging studies assess the safety culture by measuring the safety climate. In this context, the aim of this study was to identify safety culture perceived by nursing professionals working in the intensive care unit of a maternity school in Natal/RN through the Security Attitudes Questionnaire (SAQ). This was a descriptive study, cross-sectional and quantitative approach undertaken in the Intensive Care Unit Maternal and Neonatal a maternity school in Natal/RN. The project was submitted to and approved by Brazil Platform Zip/UFRN under number 309 540 and CAAE 16489713.7.0000.5537. It was used to collect data two instruments: a questionnaire in order to collect socio-demographic data of the subjects and the Question?rio Atitudes de Seguran?a , a cultural adaptation to Portuguese of the instrument of the World Health Organization titled Safety Attitudes Questionnaire - (SAQ ) Short Form 2006. The collected data were analyzed quantitatively by the organization in electronic databases in Microsoft Excel 2010 spreadsheet and exported to statistical software for free access to be coded, tabulated and analyzed using descriptive statistics. The study included a total of 50 nurses, 31 and 19 of the NICU Maternal ICU, predominantly female, mean age 35 years, median time of 10 years training and working in maternity, mostly, less than 05 anos. As a result, two articles were produced. The first refers to the first two domains of the instrument entitled "climate of teamwork" and "climate security" . The scores of the two areas were slightly higher in Maternal ICU compared to the NICU, but no sector has reached the ideal minimum score of 75: in the first domain Maternal ICU had an average of 74.77, with medians of 75 and 100, while Neonatal ICU reached an average of 69.61 with median also 75 and 100, while the second field means were 69.35 and 66.01 for Maternal and Neonatal ICUs respectively, with a median of 100 in the two sectors. The second article relates to the field "Perception Management Unit and Hospital", which 9 assessed the perception of management units and motherhood by professionals. In general, the items of the domain in question also obtained scores below the ideal minimum: 63.68 to 51.02 and maternal ICU for neonatal, featuring a clear separation between the management and the professionals who work in direct care. These findings indicate a warning sign for the institution and point to the need to implement actions aimed at patient safety / A partir da publica??o do relat?rio Errar ? Humano pelo Institute of Medicine (IOM), o qual estimou que entre 44.000 e 98.000 americanos morrem anualmente em decorr?ncia de erros da assist?ncia ? sa?de, a seguran?a do paciente passou ganhar destaque, surgindo estudos que avaliam a cultura de seguran?a atrav?s da mensura??o do clima de seguran?a. Nesse contexto, o objetivo deste estudo foi identificar a cultura de seguran?a percebida pelos profissionais de enfermagem que atuam nas unidades de terapia intensiva de uma maternidade-escola em Natal/RN, atrav?s do Question?rio Atitudes de Seguran?a (SAQ). Tratou-se de um estudo do tipo descritivo, transversal, com abordagem quantitativa, realizado nas Unidades de Terapia Intensiva Materna e Neonatal de uma maternidade-escola na cidade de Natal/RN. O projeto foi submetido ? Plataforma Brasil e aprovado pelo CEP/UFRN sob o n?mero 309.540 e CAAE 16489713.7.0000.5537. Utilizaram-se para a coleta de dados dois instrumentos: um question?rio com a finalidade de coletar dados sociodemogr?ficos dos sujeitos e o Question?rio Atitudes de Seguran?a, uma adapta??o transcultural para a l?ngua portuguesa do instrumento da Organiza??o Mundial da Sa?de intitulado Safety Attitudes Questionnaire (SAQ) Short Form 2006. Os dados coletados foram analisados quantitativamente atrav?s da organiza??o em banco de dados eletr?nico no Microsoft Excel 2010 e exportados para planilha do SPSS (Statistical Package for the social sciences) vers?o 2.0 para serem codificados, tabulados, e analisados mediante estat?stica descritiva. Participaram do estudo 50 profissionais de enfermagem, sendo 31 da UTI Neonatal e 19 da UTI Materna, predominantemente do sexo feminino, com idade m?dia de 35 anos, tempo de forma??o m?dio de 10 anos e que trabalhavam na maternidade, em sua maioria, havia menos de 5 anos. Como resultado, foram produzidos dois artigos. O primeiro refere-se aos dois primeiros dom?nios do instrumento, intitulados Clima de trabalho em equipe e Clima de seguran?a . Os escores dos dois dom?nios foram ligeiramente mais elevados na UTI Materna se comparada ? UTI Neonatal, por?m nenhum setor atingiu o escore m?nimo ideal de 75: 7 no primeiro dom?nio a UTI Materna obteve m?dia de 74,77, com medianas de 75 e 100, e a UTI Neonatal atingiu m?dia de 69,61 com medianas tamb?m de 75 e 100; enquanto que no segundo dom?nio as m?dias foram de 69,35 e 66,01 para as UTIs Materna e Neonatal respectivamente, com mediana de 100 nos dois setores. O segundo artigo diz respeito ao dom?nio Percep??o da Ger?ncia da Unidade e do Hospital , que avaliou a percep??o da ger?ncia das unidades e da maternidade por parte dos profissionais. Em geral, os itens do dom?nio em quest?o tamb?m obtiveram escores aqu?m do m?nimo ideal: 63,68 para a UTI Materna e 51,02 para a Neonatal, caracterizando um evidente distanciamento entre a gest?o e os profissionais que atuavam na assist?ncia direta. Tais achados indicam um sinal de alerta para a institui??o e apontam para a necessidade de implementar a??es que visem a seguran?a do paciente

Made available in DSpace on 2014-06-11T19:24:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-08-23Bitstream added on 2014-06-13T19:30:46Z : No. of bitstreams: 1 queiroz_frc_me_bauru.pdf: 907123 bytes, checksum: 0089cd5002e3325a1111218cf4f9b9c7 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O setor da cana-de-açúcar sempre foi muito bem visto no Brasil; nos séculos XVI e XVII com a grande aceitação do açúcar no mercado europeu e alto valor financeiro agregado ao produto, houve uma grande expansão do setor no nordeste brasileiro devido à adaptação da plantação ao clima e à grande presença do trabalho escravo africano no cultivo. Na década de 70 do século XX houve um salto do setor sucroenergético com a produção do etanol como fonte alternativa de energia e à fabricação do carro a álcool em um período de altas do petróleo no mercado mundial. Junto com a rápida evolução do setor sucroenergético, vieram também os problemas ecológicos e sociais. Grandes corporações subsidiadas pelo Governo Federal no Projeto Próacool, recebiam as verbas e benefícios para uma produção mais eficiente e limpa. Com todos esses problemas, no final da década de 80 do século XX, o setor entrou em desaceleração. No início do século XXI o setor vive uma oportunidade histórica, pois com o fim anunciado das reservas de petróleo e as catástrofes devido às mudanças climáticas causadas pelo homem, hoje o etanol brasileiro é visto pelo mundo como uma fonte alternativa e sustentável; sem contar com o alto valor do açúcar pelo mercado europeu como nos séculos XVI e XVII. Mas o setor não é só alegria, pois luta contra os problemas de vivência dos tratos dos trabalhadores do setor, que se assemelha muito ao trabalho escravo sofrido pelos africanos no período áureo do açúcar. Apesar de o governo fiscalizar e criar novas leis, como a NR 31 (Norma Regulamentadora - Segurança e Saúde no trabalho na agricultura, pecuária silvicultura, exploração florestal e aquicultura); os trabalhadores do setor sucroenergético tem tido pouca atenção dos profissionais que desenvolvem produtos para este setor. Tudo que se é exigido... / The sector of cane sugas has always been well regarded in Brazil, in the sixteenth and seventheenth centuries with great acceptance in the European market for sugar and high value added to the product, there was a great expansion of the sector in northeastern Brazil due to adaptation plantation climate and large presence of African slave labor in cultivation. In the 70s of the twentieth century there was a jump of the sugarcane industry with the production of ethanol as an alternative energy source and manufacture the car with alcohol in period of high oil on the world market. Along with the rapid development of the sugarcane industry, came also the ecological and social problems. Large corporations subsidized by the Federal Government in Proálcool Project, received the money and benefits for a cleaner and more efficient production. With all these problems in the late 80s of the twentieth century, the industry went into deceleration. At the beginning of the XXI century industry is experiencing a historic opportunity, because with the announced end of oil reserves and disasters due to climate change caused by humans, today Brazilian ethanol is seen by the world as an alternative and sustainable source, not counting the high amount of sugar in the European market as the sixteenth and seventeenth centuries. But the industry is not only joy, for combating the problems of living the treatment of workers in the sector, which closely resembles slave labor suffered by Africans in the heyday of sugar. Althrough the government oversee and create new laws, as the NR 31 (Norm - Safety and Health at Work in agriculture, forestry livestock, forestry and aquaculture); workers in the sugarcane industry has had little attention from professionals who develope products for this sector. All that is required is adapted from another industry... (Complete abstract click electronic access below)

Introdução: A segurança do paciente tornou-se uma preocupação formal em diversos sistemas de saúde no mundo nas últimas décadas. Em 2004 a Organização Mundial da Saúde (OMS) propõe a Aliança para segurança do paciente e aponta a avaliação da cultura de segurança nas instituições de saúde como um dos aspectos chave para esse processo. Método: pesquisa transversal de abordagem quantitativa, realizada em um hospital de ensino no interior do estado de são Paulo entre os meses de março e abril de 2014. A população de estudo foi composta por todos os profissionais que faziam parte da escala de trabalho das unidades de terapia intensiva (UTI) adulto, pediátrica e neonatal e não se enquadravam no critério de exclusão (menos de 6 meses na unidade). Foram aplicados dois instrumentos para avaliação da cultura e clima de segurança do paciente, o Hospital Survey on Patient Safety (HSOPSC) e o Safety Attitudes Questionnaire (SAQ), e um instrumento para levantamento das informações sociodemográficas e profissionais. Para a análise de dados utilizou-se o teste de confiabilidade das escalas pelo Alfa de Cronbach. Foi verificada a presença de associações das escalas com variáveis de estudo pelo qui-quadrado de Pearson ou teste exato de Fischer nas variáveis qualitativas, a ANOVA para as variáveis quantitativas. A presença de correlação entre os instrumentos SAQ e HPSOPSC foi verificada pelo teste de correlação de Pearson. Resultado: os dados sociodemográficos quanto a sexo e idade e cargo foram homogêneos nas três UTI. A UTI Neonatal possuía profissionais com mais tempo de trabalho na unidade e na especialidade quando comparada as demais unidades. Ambas as escalas apresentaram boa confiabilidade pelo alfa de Cronbach, 0,853 para o SAQ e 0,889 para o HSPOSC. Na análise dos domínios do SAQ, observou-se pontuação 62 para as Condições de Trabalho e para Percepções da Gerência, enquanto para o HSPOSC a dimensão Resposta não punitiva aos erros obteve o menor percentual de repostas positivas (29,6%), e as dimensões Abertura da comunicação e Retorno da comunicação e das informações sobre o erro uma proporção de neutros maior de 30%. A nota total de segurança do paciente pelo HSPOSC foi de 85% (somados ótima e muito boa). Analisando-se o comportamento das UTIs através de cada escala, a UTI Neonatal apresentou maior satisfação no trabalho do que as demais UTIs. A UTI Adulto apresentou menores pontuações em cada domínio quando comparada com as demais e para os domínios do HSPOSC somente o domínio Abertura de comunicação obteve uma proporção de respostas positivas discretamente superior às demais UTIs. A correlação entre as escalas através da correlação de Pearson foi de força moderada (coeficiente de Pearson de 0,656). As respostas abertas evidenciaram que as mudanças ocorridas no hospital em decorrência dos processos de acreditação, contribuíram para a melhor percepção dos profissionais sobre a segurança do paciente. Conclusões: há diferenças de percepções quanto a segurança do paciente entre as UTIs dentro de um mesmo hospital, o que corrobora com a existência de microculturas locais. As escalas de avaliação de clima/ cultura de segurança do paciente parecem medir fenômenos semelhantes. / Introduction: Patient safety has become a formal concern in several health systems in the world, in the last decades. In 2004 the World Health Organization (WHO) proposes the Alliance for patient safety and aims safety culture evaluation in healthcare institutions as one of the key aspects to this process. Method: Cross-sectional quantitative research approach, performed in a teaching hospital in São Paulo State between the months of March and April 2014. The study population was composed of all the professional who were part of the work schedule of intensive care unit (ICU) adult, pediatric and neonatal and did not fit the exclusion criteria (less than six months in the unit). Two instruments for assessing the culture environment and patient safety, the Hospital Survey on Patient Safety (HSOPSC) the Safety Attitudes Questionnaire (SAQ), and an instrument for survey of demographic and professional information were applied. For data analysis, the test of reliability of the scales by Cronbachs alpha was used. The presence of associations of scales with study variables was checked by Pearsons chi-square test or Fishers exact test in the qualitative variables, the ANOVA for quantitative variables. The presence of correlation between the SAQ and the HPSOPSC instruments was tested by Pearson correlation test. Result: sociodemographic data regarding gender and age and position were homogenous in the three ICUs. Professional of the Neonatal ICU had worked longer time in this unit and specialty when compared to other units. Both scales showed good reliability by Cronbachs alpha, 0.853 for SAQ and 0.889 for HSPOSC. In the analysis of the SAQ domains, it was observed score 62 for Working Conditions and Perceptions of Management, while for HSPOSC dimension Non-punitive Response to Error had the lowest percentage of positive responses (29.6%), the dimension Open Communication and Return of Communication and Information on the Error a proportion of neutral responses more than 30%. The total score of patient safety by HSPOSC was 85% (summed up great and very good). Analyzing the behavior of ICUs through each scale, Neonatal ICU had higher job satisfaction than the other ICUs. Adult ICU had lower scores in each domain compared to other domains and for HSPOSC only the area Open Communication obtained the proportion of positive responses slightly superior to the other ICUs. The correlation between the scales through Pearson correlation was of moderate strength (Pearson correlation coefficient of 0.656). The open responses showed that changes in hospital as a result of accreditation processes, contributed to a better perception of professionals about patient safety. Conclusions: There are differences in perceptions of patient safety among ICUs within the same hospital, which corroborates the existence of local microcultures. Rating scales of climate/culture of patient safety seems to measure similar phenomena.

There is limited research using small-scale simulation in applied behavior analysis. We used small-scale simulation to train firearm safety skills to 3 to 5-years-old children and assessed whether the skills generalized to the natural environment through in situ assessment. Three participants completed the training and all participants learned the safety skills from simulation training. Two of the participants acquired the safety skills after the first simulation training and the third participant required one booster training before demonstrating the safety skills in the natural environment.

This thesis critically examines dominant conceptualizations of safety crimes – offences by corporations that seriously injure and kill workers – within the Alberta oil and gas industry. Using critical discourse analysis, and relying on and Foucaultian and Marxist literatures, the thesis critically examines the extent to which government fatality reports, workplace safety education campaigns and court decisions characterize safety crimes primarily as ‘accidents’ caused by ‘careless’ workers. Two main discourses were found: first, workers were responsibilized, effectively blamed for their own injury and death in the workplace while employers were characterized as largely good and law-abiding; second, serious injury and death was (re)conventionalized as the regrettable but largely unintentional and unavoidable side effect of capitalist production. In the process, the underlying causes of safety crimes, including weak and under-enforced laws and a socio-economic context that prioritizes profits over worker safety, remain untouched.

Thesis (M.A. (Criminology)) -- University of Limpopo, 2020 / Campus safety is an important part of a student’s overall university experience. However, safety and security are an issue that institutions of higher learning have to deal with and address within their campuses. The focus of this study was to explore students’ safety at the Universities of Limpopo (UL) and Venda (UNIVEN). This study adopted an exploratory triangulation approach. A triangulation design was implemented to allow the researcher the opportunity to collect qualitative and quantitative data and thereafter, integrate the results in the interpretation stage. For triangulation purposes, data was collected using interviews and a self-administered questionnaire. For the qualitative phase of the research (phase I), twenty face to face interviews were conducted and for the quantitative phase (phase II), eight hundred and nineteen respondents responded to the questionnaire. This study employed Routine Activities Theory (RAT) to discuss the findings. Some of the findings were that the majority of female students who reside off-campus were fearful of being victimised. More female students than males were more concerned of sexual harassment and rape. These criminal incidents were statistically significant. The study further reveals that a lack of sufficient lighting, alcohol and illicit drugs, campus camera surveillance, crime reporting, and the visibility of emergency phones are some of the contributing factors associated with students victimisations. There are no visible police patrolling around the campuses of UL and UNIVEN. The majority of the students do not report their victimisation to the police or campus authorities. Furthermore, this study reveals that there is no relationship between gender and the perception of safety. However, age and level of study have a relationship to the perception of safety and were statistically significant. Based on these findings, crime awareness campaigns, visibility of police patrolling around the campus, and the police should work closely with the University authority.

Abstracts in English, Zulu, Sesotho and Venda / This study focused on occupational health and safety in South African small businesses. The owners/managers of small businesses have a moral, legal and financial obligation to ensure the health and safety of their employees. Both an international and South African perspective on occupational health and safety in small businesses are included in the literature study. Twelve core occupational health and safety criteria, developed specifically with regard to small businesses, were identified and used as basis for this study, in conjunction with the aspects of the theory of planned behaviour. The research design of this study included a positivistic research philosophy and a deductive research approach. A questionnaire was developed and used to determine the knowledge, attitude, behavioural intent and actual behaviour of South African small business owners/managers with regard to occupational health and safety in their businesses. In addition, barriers to occupational health and safety compliance were determined and tested to determine the perceived strength of these barriers. South African small business owners/managers completed the questionnaire for this study. It was determined that the knowledge, attitude, behavioural intent and actual behaviour of South African small business owners/managers related to occupational health and safety were not at optimum levels. Barriers to compliance should be reduced. Legal compliance issues comprise one of the main reasons why South African small businesses fail. Therefore, this study proposes a compliance management framework, based on applicable occupational health and safety legislation that encompasses moral, legal and financial contentions. The identified core occupational health and safety criteria were used as sections in the compliance management framework. This proposed compliance management framework aims to reduce the complexity of occupational health and safety legislation for South African small business owners/managers. / Ngudo heyi yo sedza kha tsireledzo na mutakalo mushumoni kha mabindu maṱuku Afrika Tshipembe. Vhalanguli/vhaṋe vha mabindu maṱuku vha na pfanelo ya vhuḓilisi, mulayo na masheleni u khwaṱhisedza tsireledzo na mutakalo kha vhashumi vhavho. Vhuvhili hazwo mbonalo ya lushaka na ya dzitshaka nga ha tsireledzo na mutakalo mushumoni kha mabindu maṱuku zwo katelwa kha ngudo dza maṅwalwa. Nḓila khulwane dza fumimbili dza tsireledzo na mutakalo mushumoni, dzo bveledzwaho nga maanḓa hu tshi itelwa mabindu maṱuku, dzo topolwa na u shumiswa sa mutheo kha ngudo heyi, zwo ṱanganyiswa na zwiteṅwa zwa thiori ya vhuḓifari ho dzudzanywaho. Nyolo ya kuitele kwa ṱhoḓisiso heyi i katela fiḽosofi ya ṱhoḓisiso ine ya khwaṱhisedza nga u sedza hu tshi shumiswa kuitele kwa ṱhoḓisiso kwa u ṋea zwiitisi. Mbudzisambekanywa yo bveledziswa na u shumiswa u ta nḓivho, vhuvha, vhuḓifari vhune ha khou lavhelelwa na vhuḓifari ha vhukuma ha vhaṋe/vhalanguli vha mabindu maṱuku Afrika Tshipembe zwi tshi ḓa kha tsireledzo na mutakalo mushumoni mabinduni avho. U ḓadzisa kha zwenezwo, zwithivheli kha u tevhedza tsireledzo na mutakalo mushumoni zwo tiwa na u lingwa u ta maanḓa o vhonwaho kha zwithivheli izwi. Vhaṋe/vhalanguli vha mabindu maṱuku Afrika Tshipembe vho fhindula mbudzisambekanywa kha ngudo heyi. Ho waniwa uri nḓivho, vhuvha, vhuḓifari vhune ha khou lavhelela na vhuḓifari ha vhukuma ha vhaṋe/vhalanguli vha mabindu maṱuku Afrika Tshipembe zwi tshi ḓa kha tsireledzo na mutakalo mushumoni zwo vha zwi si kha ḽeveḽe dza nṱhesa. Mafhungo a u tevhedza lwa mulayo tsho vha tshiṅwe tsha zwiitisi zwihulwane uri ndingani mabindu maṱuku a Afrika Tshipembe a tshi khou kundelwa. Nga zwenezwo, ngudo heyi yo dzinginya furemiweke ya ndangulo ya u tevhedza, zwo ḓi sendeka kha mulayo wo teaho wa tsireledzo na mutakalo mushumoni une wa katela therisano dza vhuḓilisi, mulayo na masheleni. Nḓila khulwane dzo topolwaho dza tsireledzo na mutakalo mushumoni dzo shumiswa sa khethekanyo kha u tevhedza furemiweke ya ndangulo. Heyi furemiweke ya ndangulo ya u tevhedza yo dzinginywaho yo livhiswa kha u fhungudza vhukonḓi ha mulayo wa tsireledzo na mutakalo mushumoni kha vhaṋe/vhalanguli vha mabindu maṱuku Afrika Tshipembe. / Lolu cwaningo lugxile kwezempilo nokuphepha emsebenzini emabhizinisini amancane aseNingizimu Afrika. Abanikazi / abaphathi bamabhizinisi amancane banesibopho sokuziphatha, sezomthetho kanye nezezezimali sokuqinisekisa impilo nokuphepha kwabasebenzi babo. Kokubili umbono wamazwe omhlaba nowaseNingizimu Afrika ngempilo nokuphepha emsebenzini emabhizinisini amancane kufakiwe esifundweni semibhalo. Izimiso eziyishumi nambili eziyisisekelo zezempilo nokuphepha emsebenzini, ezithuthukisiwe ngokukhethekile maqondana namabhizinisi amancane, zahlonzwa futhi zasetshenziswa njengesisekelo salolu cwaningo, ngokuhlangana nezici zomqondo wokuziphatha okuhleliwe. Ukwakheka kocwaningo kwalesi sifundo kubandakanye isimo esiyisisekelo solwazi, iqiniso nokuba khona (ifilosofi) kokucwaninga okuhle kanye nendlela yocwaningo yokuthuthukisa umbono ngokuya komqondo osukhona. Kwenziwa uhlu lwemibuzo futhi lwasetshenziswa ukuthola ulwazi, isimo sengqondo, inhloso yokuziphatha nokuziphatha kwangempela kwabaninimabhizinisi / abaphathi bamabhizinisi amancane aseNingizimu Afrika maqondana nempilo nokuphepha emsebenzini emabhizinisini abo. Ngaphezu kwalokho, izithiyo ekuthobeleni ezempilo nokuphepha emsebenzini zanqunywa futhi zahlolwa ukuthola amandla abonwayo alezi zithiyo. Abanikazi bamabhizinisi amancane / abaphathi baseNingizimu Afrika bagcwalise uhlu lwemibuzo kulolu cwaningo. Kwanqunywa ukuthi ulwazi, isimo sengqondo, inhloso yokuziphatha nokuziphatha kwangempela kwabaninimabhizinisi / abaphathi bamabhizinisi amancane aseNingizimu Afrika ahlobene nempilo nokuphepha emsebenzini bekungekho ezingeni elifanele. Izithiyo ekuthobeleni kufanele zinciphiswe. Izinkinga zokuthobela komthetho ziqukethe esinye sezizathu ezisemqoka zokuthi kungani amabhizinisi amancane aseNingizimu Afrika ehluleka. Ngakho-ke, lolu cwaningo luphakamisa uhlaka lokuthobela kokuphathwa, olususelwa kumthetho osebenzayo wezempilo nokuphepha emsebenzini obandakanya imibango yokuziphatha, yezomthetho neyezezimali. Izimiso ezisemqoka ezikhonjiwe kwezempilo nokuphepha emsebenzini zisetshenziswe njengezigaba zohlaka lokuthobela kokuphathwa. Lolu hlaka oluhlongozwayo lokuthobela kokuphathwa luhlose ukunciphisa ubunzima bemithetho yezempilo nokuphepha emsebenzini yabaninimabhizinisi / abaphathi bamabhizinisi amancane aseNingizimu Afrika. / Boithuto bona bo ne bo shebane le polokeho le bophelo bo botle dikgwebong tse nyane Afrika Borwa. Beng ba/baokamedi ba dikgwebo tse nyane ba na le boikarabello ba boitshwaro, molao le ditjhelete ba ho netefatsa polokeho le bophelo bo botle ba basebeletsi ba bona. Boithuto ba dingolwa bo kenyelleditswe bobedi tjhebo ya matjhaba le ya Afrika Borwa mabapi le polokeho le bophelo bo botle mosebetsing ho dikgwebo tse nyane. Ho hlwailwe le ho sebediswa ditlhophiso tse leshome le metso e mmedi tsa motheo tsa polokeho le bophelo bo botle mosebetsing, tse thehilweng ka ho qolleha bakeng sa dikgwebo tse nyane jwalo ka motheo wa boithuto bona, hammoho le dikarolo tsa thiori ya boitshwaro bo rerilweng. Moralo wa patlisiso wa boithuto bona o ne o akarelletsa filosofi ya dipatlisiso tse senang leeme le katamelo ya dipatlisiso e etsang diteko ho fumana na thiori e itseng ke nnete kapa tjhe maemong a itseng. Ho ile ha hlahiswa le ho sebediswa letoto la dipotso ho fumana tsebo, maikutlo le maikemisetso a boitshwaro le boitshwaro ba nnete ba beng ba/baokamedi ba dikgwebo tse nyane ba maAfrika Borwa mabapi le polokeho le bophelo bo botle dikgwebong tsa bona. Ho feta moo, dithibedi tsa tatello ya melawana ya polokeho le bophelo bo botle mosebetsing di ile tsa fumanwa le ho etswa diteko ho bona matla ao ho dumelwang hore dithebedi tsena di na le ona. Beng ba/baokamedi ba dikgwebo tse nyane ba maAfrika Borwa ba ile ba tlatsa letoto la dipotso bakeng sa boithuto bona. Ho ile ha fumanwa hore tsebo, maikutlo le maikemisetso a boitshwaro le boitshwaro ba nnete ba beng ba/baokamedi ba dikgwebo tse nyane ba maAfrika Borwa mabapi le polokeho le bophelo bo botle mosebetsing ha di maemong a matle. Dithibedi tsa tatelo di lokela ho fokotswa. Mathata a tatelo ya semolao ke a mang a mabaka a sehlooho ao ka ona dikgwebo tse nyane tsa Afrika Borwa di hlolehang. Kahoo, boithuto bona bo sisinya boteng ba moralo wa tsamaiso ya tatelo, o thehilweng hodima melao e amehang ya polokeho le bophelo bo botle mosebetsing o kenyelletsang mehopolo ya boitshwaro, molao le ditjhelete. Ditlhophiso tse hlwailweng tsa motheo tsa polokeho le bophelo bo botle mosebetsing di sebedisitswe jwalo ka dikarolo moralong wa tsamaiso ya tatelo. Moralo ona o sisintsweng wa tsamaiso ya tatelo o ikemiseditse ho nolofatsa molao wa polokeho le bophelo bo botle mosebetsing bakeng sa beng ba/baokamedi ba dikgwebo tse nyane ba maAfrika Borwa. / Business Management / D. Phil. (Management Studies)

Industries related to agricultural cooperatives record some of the highest injury rates in the U.S. Therefore, agricultural cooperatives are highly motivated to invest in occupational health and safety (OHS). This thesis examines the economic efficiency of OHS investments at agricultural cooperatives and identifies cooperative characteristics leading to greater economic efficiency of OHS investments. A multiple input-output data envelopment analysis (DEA) is used to estimate technical efficiency. The effects of cooperative characteristics on the efficiency of OHS investments are estimated using ordinary least squares, censored regression, truncated regression, and the Simar and Wilson (2007) bootstrap procedure. Results show that the mean technical efficiency score was 0.833. Furthermore, a cooperative’s annual insurance premia has a significant, negative relationship with technical efficiency. In contrast, the experience levels of a cooperative’s top safety person and top managerial person and a location’s total workers employed have significant, positive relationships with efficiency in all estimated models. / North Dakota State University. Department of College of Agriculture, Food Systems and Natural Resources

Patient Safety: Improving Medication Reconciliation Accuracy for Long-Term Care Residents by Annisa L. Stover MSN, Southern University, 2008 BSN, Our Lady of the Lake College, 2005 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2016 During transition of care, inaccurate medication reconciliation is associated with increased risk of adverse events for patients. Older adults are the population most often affected by medication errors, and long-term care facilities struggle to accurately document medication reconciliation. Errors are more common at hospital discharge, but the critical moment for detecting and resolving them is during hospital or long-term care admission. Guided by Rosswurm and Larrabee's model for change, Rogers' diffusion of innovation, and the Multi-Center Medication Reconciliation Quality Improvement toolkit, a 6-member interdisciplinary team composed of nurses, pharmacists, and institutional stakeholders was mobilized to develop policy and practice guidelines as well as secondary documentation necessary to implement and evaluate a quality improvement initiative to address medication reconciliation. Current evidence was explored and used to develop policy and practice guidelines for medication reconciliation, then submitted to 4 scholars, including 2 practice experts, a nurse administrator, and a specialist in pharmacy, to validate content. Scholarly validation supported the premise that the developed products would be beneficial in the accurate documentation of medication reconciliation. Scholarly feedback was evaluated by comparing to current best practices for medication reconciliation. Implementation, education, and evaluation plans were developed to guide operationalization of policy and practice guidelines. This project may positively affect social change by fostering a new practice policy, practice guidelines, and supporting documents to manage medication reconciliation of long-term care residents transitioning to acute care settings, thereby improving medication safety at transitions of care for vulnerable populations.

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