2004 Apothecary

The Apothecary staff of 2004 would like to offer our congratulations to the seniors graduating in December 2003 and May 2004. We wish each and every one of you much success as you enter the world as health care professionals. It is our hope that the 2004 Apothecary will serve as a reminder of your final year as students of Southwestern Oklahoma State University\u27s College of Pharmacy.https://dc.swosu.edu/apoth/1016/thumbnail.jp

Quality service and quality nursing care for persons with intellectual disabilities living in residential centres in the Republic of Ireland: a study of issues and influences affecting the quality of nursing care provided by registered nurses for the mentally handicapped in residential centres

This study is concerned with issues and influences affecting nurses’ provision of quality care to people with intellectual disability in residential centres. The methodology is a descriptive study conducted through a two-phase mixed methods approach using a dominant-less-dominant design. Phase one, the less dominant phase consisted of a small-scale experience survey of non-nurse experts and two focus group interviews with nurses in clinical practice. Phase two, the dominant phase, consisted of a quantitative survey of a random sample of nurses. Sequential triangulation was employed for data collection where the outcomes of the first phase were used for planning the second phase and for exploring and generating the constructs and variables for the survey. The theoretical perspective for the study is based on the paradigm of care within which nurses operate. In particular, whether or not nurses use the medical and humanistic models to underpin their care of clients in residential centres. The study investigated the dimensions of client care that nurses considered were important to nurses and to clients based on the perception of nurses. Also investigated were the approaches nurses used to evaluate care, the organisational processes used for care and, the influences that organisational management practices has on the nurses’ ability to provide quality care. Results reveal nursing care is only provided at the most basic needs level with physical/health care, safety and emotional care seen as the most important dimensions. Evaluation of nursing care is carried out but is concentrated at the level of physical and personal care. These findings are important and indicate that: 1. Nurses do not consider other dimensions of care to be of significant importance for clients in residential centres and are not providing holistic care. 2. Nurses are predominantly utilising the medical model to underpin the care they provide to clients in residential centres. This study makes an original contribution to knowledge in the following ways: It is the only empirical study in the Republic of Ireland that has looked at quality care as perceived by nurses for persons with intellectual disability in residential centres. It provides knowledge and insight into issues and influences affecting quality of nursing care for persons with intellectual disability in residential centres. It shows that the predominant model that nurses use in centres is the medical model. It advances both a typology and conceptual model useful for understanding, planning and evaluating dimensions of nursing care as needs and the relationship of these needs with dimensions of quality of life as the outcomes of meeting these needs. While the model is descriptive it has a fivefold application: 1. It signposts and provides insights about care that is useful for policy making. 2. It shows relationships between dimensions useful for informing care practices, 3. It draws attention to important issues for professional education and training. 4. It provides management with a guide for planning services responsive to needs 5. It is useful for planning and deciding on areas for investigation and research. Findings add to what is known about the service encounter in residential centres and make a contribution to evidence for practice for persons with intellectual disabilities

Adviser\u27s Guide to Health Care, Volume 1: An Era of Reform—The Four Pillars

https://egrove.olemiss.edu/aicpa_guides/2720/thumbnail.jp

BPR initiatives: The impacts of IT and organisational customs and practices

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University, 28/02/2002.This research is designed to investigate the relationship between IT and Organisational customs and practices in Business Process Reengineering (BPR) projects based on a research framework, which consists of organisational culture, IT and the outcome of BPR initiatives together with the inextricable interdependence between them. The focus is on developing a process oriented, context-based description and explanation of the BPR phenomenon in Arab Gulf Cooperation Council (AGCC) countries. The study strives to describe and explain the process of adopting and implementing BPR initiatives in petrochemical and utilities industries in AGCC countries in terms of interaction of contextual conditions, actions and consequences. The research methodology of this thesis focuses on the pragmatics of conducting case studies as a rigorous and effective method of research. The study emphasises on conducting positivist inquiry of three case studies' data to deductively test the researcher's understanding on BPR and her assumptions of 'Blueprints' for successful BPR in AGCC countries. Two of the case studies organisations are sister companies operating in the oil and gas industry, whereas the third case study organisation is a utility company operating in the field of water and electricity generation and supply. This study resulted in a framework that could serve as a prescription to achieve a successful BPR initiative. It has identified a number of organisational elements that emphasised the necessity to pay attention to cultural and IT issues prior to undertaking BPR projects. These include the development of strategy and sound stimuli for the project, the availability of leadership, top management vision, availability of required skills and expertise and the maturity of the IT infrastructure. In addition, the study has empirically emphasised a number of BPR project implementation elements that should be in place to ensure successful implementation and management of the project including: the availability of an appropriately composed project team, continuous communication, users' involvement and usage of communication technologies

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Normalizing life experiences for individuals with developmental disabilities: a structural analysis of the process and an individualistic critique of the outcome

Since the 1970s, the principles of normalization have guided residential service industries in their quest to provide training and service options to individuals with developmental disabilities. The normalization principle dictates that these individuals enjoy and share in the normal rhythms of the day, week, month, year, and season, and in the least restrictive environments possible. This includes offering them personalized training in normalized residential settings which include access to adequate privacy, social activities, human and personal rights and responsibilities, and opportunities to experience normal, life-long development, including the right to error. However, while the idea of normalizing the lifestyles of individuals with developmental disabilities is commendable, the concept has always remained somewhat troublesome, especially when it comes to translating the concept\u27s tenets into actual direct-care level practices. To date, the degree of success experienced by residential agencies in their endeavors to offer such services remains questionable. A variety of quantitative and qualitative research methods are used to evaluate how effective one residential care facility for the mentally retarded (RCF-MR) has been at developing programming services and residential options which are in keeping with the principles of normalization. In particular, through a larger case study, I wished to establish the degree to which the normalization had been implemented and if there was evidence that a general conceptual understanding was present among employees. In addition, I wanted to discover whether or not internal and external obstacles were present which acted as obstacles to the agency\u27s attempts to offer normalized services and options. These obstacles included such items as the impact of staff attitudes, the presence of abuse and surplus social control, as well as structural impediments found with the organizational structure of agency. Finally, in order to establish if the agency was meeting its mission statement goals, I examined quality of life issues from an individualistic perspective, i.e., as perceived and reported by agency consumers. While primarily descriptive in nature, my study does draw upon the theoretical notions of Wolfensberger, Flynn and Nitsch, and McCord as ways to analytically order and discuss results and findings

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Working-Class Culture and Practice amid Urban Renewal and Decline: Liverpool, c.1965-1985

This thesis examines the relationship between Liverpool’s urban space and its inner city communities between 1965 and 1985. As a period in which the city was buffeted by urban planning, urban renewal and urban decline, it illustrates the profound effects these processes had over the materiality of the city and the geography and culture of its communities. In doing so, it exposes the mutually constitutive relations between people and place in the postwar city. Landscapes created by planners and local government, and their subsequent decline, deeply shaped the structure of and potential for everyday life. The rich and diverse populations that existed underneath and alongside these processes demonstrates how communities retained an agency within these frameworks with which to shape their own lives. Their cultures and practices were deeply embedded within the cityscape, immeasurably shaping Liverpool. In drawing upon a combination of oral histories, photography and archival sources (including sociologies and urban planning documents), this thesis considers the relationship between the state, the city and its citizens. It illustrates how attempts to exert authority and control over the urban working class were met with myriad responses. It demonstrates the capacity of Liverpool’s inner city communities to resist, thwart and modify the plans and schemes that attempted to mould and shape their behaviour. It positions mundane and everyday cultures and practices as a form of resistance to exercises in state power. Moreover, it stipulates that these interactions ‘produced’ a series of spaces, to which the spaces of religion, sport, childhood and policing are examined. In illustrating the disparity between the city’s attempted shaping and actual use, it stresses the need for histories to focus on the experiences of the planned, and not simply on the plan or the planners. This thesis also provides a detailed investigation into the spaces, places and discursive constructs that became adopted into discourses regarding the inner city’s social breakdown. It furthers our understandings into the particularities of its “crisis” and exposes the diverse ways in which these endemic notions filtered down into everyday life. Furthermore, in presenting the memories of renewal and decline through oral histories, it critiques the wider cultural representations that have obscured, marginalised and stereotyped the inner city’s residents. Instead, it positions the inner city as a lively, productive and contested social and cultural space. In doing so, it contributes to our understandings of postwar working-class life and the history of the postwar British city