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Articles 1441 - 1470 of 10982
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Success Factors Facilitating Care During Escalation (The Suffice Study), Jody Ede
Success Factors Facilitating Care During Escalation (The Suffice Study), Jody Ede
School of Nursing and Midwifery Theses
BACKGROUND: In the United Kingdom, there continues to be preventable National Health Service (NHS) patient deaths. Contributory factors include inadequate recognition of deterioration, poor monitoring, or delayed escalation to a higher level of care. Strategies to improve care escalation, such as vital sign scoring systems and specialist teams who manage deterioration events, have shown variable impact on patient mortality. The need for greater care improvements has consistently been identified in NHS care reviews as well as patient stories. Furthermore, current research informing escalation improvements predominantly comes from examining failure to rescue events, neglecting what can be learned from rescue or …
An Exploration Of Preconception Care For People With Health Conditions Using Realist Methodology: What Works, For Whom, And In What Circumstances?, Heather Hopper
School of Nursing and Midwifery Theses
Background: People living with pre-existing physical or mental health conditions are over-represented in audits and confidential enquiries regarding maternal morbidity and mortality and thus often advised to stabilise or optimise their health prior to becoming pregnant. Preconception care may include medication or behaviour change, which can be effective but not always accessed by those who need it, and there is a lack of evidence demonstrating how this can be achieved. The aim of this study was therefore to explore what form of preconception care for people living with health conditions works, for whom, how do these approaches work, and in …
Navigating A Complex Transition: From Qualifying As A Nurse To Becoming A Confident Practitioner., Rachel Pascoe
Navigating A Complex Transition: From Qualifying As A Nurse To Becoming A Confident Practitioner., Rachel Pascoe
School of Nursing and Midwifery Theses
This thesis explores the complexities of transition to professional practice of newly qualified nurses following an undergraduate professional preparation programme. Transition to professional practice from student to qualified nurse and then to confident practitioner has been explored since the late 1960s and is recognised as a complex and multi-faceted issue for the newly qualified nurses. They can feel unprepared for clinical practice and for the organisational demands who require competent and confident personnel to join the workforce. Adopting a social constructionist approach, this study utilises a combination of diaries and interviews to gain a deeper understanding of the experiences and …
Development And Validation Of A Patient-Reported Experience Measure For Older Adults Attending The Emergency Department: The Prem-Ed 65 Study, Blair Graham
School of Nursing and Midwifery Theses
Emergency Department (ED) care traditionally focuses on resolving single-organ pathology, emphasising rapid patient flow. As such, ED care may fall short of addressing the holistic needs of older adults, where atypical and complex presentations exacerbated by frailty, comorbidity, polypharmacy, and sensory deficits are much more prevalent than in the general population. Older adults are particularly vulnerable to the effects of ED crowding and prolonged length of ED stay and suffer increased in-hospital mortality as a result.Patient experience is a central determinant of quality of care and is positively associated with improved outcomes for acute conditions, including pneumonia, asthma, and acute …
The Reconstruction Of Climate In Beringia By Analysis Of Glycerol Dialkyl Glycerol Tetraether (Gdgt) Distributions Using High Performance Liquid Chromatography – Mass Spectrometry (Hplc-Ms)., Lauren Beth Pankhurst
The Reconstruction Of Climate In Beringia By Analysis Of Glycerol Dialkyl Glycerol Tetraether (Gdgt) Distributions Using High Performance Liquid Chromatography – Mass Spectrometry (Hplc-Ms)., Lauren Beth Pankhurst
School of Geography, Earth and Environmental Sciences Theses
The reconstruction of past environments, including temperatures, aids in the production of climate models which predict how the Earth will respond to future climatic changes that are occurring at an accelerated rate, due to global warming. High-latitude seas, including the Bering Sea, are sensitive to changes in global climate, across both glacial and interglacial timescales. Membrane lipids synthesised by archaea and bacteria are retained within the sediment and when extracted give evidence to the environmental conditions present during the organism’s lifetime. The membrane lipids are structured in a way that is chemically favourable to their environment, and calibrations derived in …
Using Remote Sensing To Track Complex Sinuous Ripple Migration On A Barchan Dune In Herschel Crater, Mars, Elizabeth Visick
Using Remote Sensing To Track Complex Sinuous Ripple Migration On A Barchan Dune In Herschel Crater, Mars, Elizabeth Visick
School of Geography, Earth and Environmental Sciences Theses
Dunes on Mars are known to migrate, in particular ripples have also been found to migrate. This is known to have occurred in eastern, western and southern Herschel Crater, but it was not known if this was true for Central Herschel Crater. Central Herschel Crater is of particular interest as the dunes found there were deemed indurated. However, since the release of HiRISE (2023) satellite images it is clear that these dunes are in fact very much the opposite. These dunes were actively migrating and presented some unique superimposed ripples. With this, we set out to measure the migration of …
Volcanic Debris Avalanche Propagation And Emplacement Mechanisms: Sedimentological Field Evidence And Bidisperse Granular Flow Experiments, Symeon Makris
School of Geography, Earth and Environmental Sciences Theses
Volcanic debris avalanches mobilise large volumes and achieve long runouts with high destructive potential. Although many theories have been proposed regarding the mechanisms that enable their long runouts, the processes remain unknown. Theoretical and numerical models are unable to account for their long runout while being consistent with deposit observations. Therefore, evaluation of their dynamics in reference to deposit structure and sedimentology is fundamental for constraining such models. This thesis explores volcanic debris avalanche propagation dynamics and evaluates potential factors contributing to their long runouts. A systematic comparison of volcanic debris avalanches and lahars allows the evaluation of water as …
Resilience Thinking And The Influence Of Street-Level Bureaucrats On The Implementation Of Eu Environmental Policies In Overseas Territories: Lessons From Gibraltar., Jaime Sanchez-Garcia
Resilience Thinking And The Influence Of Street-Level Bureaucrats On The Implementation Of Eu Environmental Policies In Overseas Territories: Lessons From Gibraltar., Jaime Sanchez-Garcia
School of Geography, Earth and Environmental Sciences Theses
The policy implementation literature has provided important insights on how policy formulation processes affect the achievement of policy goals and how street-level bureaucrats (SLBs) involved in policy implementation utilise coping mechanisms to overcome shortages in resources, expertise and other local constraints. However, it has struggled to provide a systematic analysis of how contextual factors influence the work of SLBs or the implications of their coping mechanisms for the functioning of implementation systems, particularly in smaller countries and non-states territories, where mismatches between policy requirements and resources are more acute. This thesis addresses these knowledge gaps by examining the implementation of …
Andean Sediment Response To Natural And Anthropogenic Changes At The Catchment Scale, Jessica Kitch
Andean Sediment Response To Natural And Anthropogenic Changes At The Catchment Scale, Jessica Kitch
School of Geography, Earth and Environmental Sciences Theses
Changing climate and population growth poses a challenge for the water, food and energy security nexus, particularly in glacier-fed mountainous catchments. Soil erosion, driven by both natural and anthropogenic activities, further exacerbates the challenge for resource security. Soil erosion is contributing to increased levels of sediment in river systems threatening crucial river functions, including crop irrigation, drinking water, and hydroelectricity. Past studies in the Andes regarding soil erosion have indicated that human activities have accelerated soil erosion and rates often exceed natural soil production. To date, the majority of Andean studies have primarily focused on larger eastern catchments, with fewer …
Technology Impacts, Justice, Place, And Worldviews: An Integrated Framework For Understanding Perceptions Of And Attitudes Towards Shale-Gas Fracking In English Host Communities, Kechagia Magdalini
Technology Impacts, Justice, Place, And Worldviews: An Integrated Framework For Understanding Perceptions Of And Attitudes Towards Shale-Gas Fracking In English Host Communities, Kechagia Magdalini
School of Geography, Earth and Environmental Sciences Theses
Despite growing national opposition, local resistance, and moratoriums in Scotland and Wales, successive UK governments have supported the use of fracking to exploit oil and gas from shale formations in England in response to declining North Sea reserves and concerns about geopolitical instabilities affecting energy security. Although scholars have examined technological, justice, and socio-psychological drivers of social attitudes to fracking in order to challenge ‘Not-In-My-Back-Yard’ explanations of perceptions and attitudes, existing studies have rarely examined these factors in an integrated way. The aim of this research is to investigate whether and how an integrated approach, combining insights from the factors …
Silence In Market Reaction To Annual Reports, Magdalena Kochanowicz
Silence In Market Reaction To Annual Reports, Magdalena Kochanowicz
Other Faculty of Arts, Humanities and Business Theses
Research problem - The literature suggests that the market either does not react or reacts with a delay to the content of annual reports, concerning notion given their importance for investment decisions due to the value relevance of the information they convey. According to the Efficient Market Hypothesis, the market should exhibit a prompt reaction to their release. Rationale - This study aims to uncover the underlying reasons for investors' lack of response to annual report filings. It predicts that the reaction depends, among other factors, on the release of preliminary disclosures of financial results, the method of distribution of …
Rhythmical And Balanced Education – A Matter Of Trust And Boundaries. – A Hermeneutic Phenomenological Study About Pedagogic Practice In Swedish Waldorf-Steiner Schools, Helena Selsfors
Other Faculty of Arts, Humanities and Business Theses
Helena Selsfors, School of Society and Culture, Faculty of Education, Plymouth University Title of the study: Rhythmical and Balanced Education – a Matter of Trust and Boundaries; a Hermeneutic Phenomenological Study about Pedagogic Practice in Swedish Waldorf-Steiner Schools. This study investigates pedagogic practice in Swedish Waldorf-Steiner schools by using a hermeneutic phenomenological approach. Focus is on lived experiences of rhythms and balance, interpersonal processes, interaction and trust between teachers and students – connected to the mechanisms of power and control. It also investigates the experience of being part of a strong pedagogic tradition. In this study, cognition and experience are …
Integrating Natural Light For Wellbeing, Performance, And Quality Care Delivery In Healthcare Environments, Ademola Adebayo Akinbami
Integrating Natural Light For Wellbeing, Performance, And Quality Care Delivery In Healthcare Environments, Ademola Adebayo Akinbami
Other Faculty of Arts, Humanities and Business Theses
The global challenge of addressing human ill-health demands a re-evaluation of the multifaceted factors impacting health outcomes. Rising health issues in society impose significant burdens on healthcare professionals, affecting their comfort, overall well-being, and performance. While issues like inadequate funding and medical equipment shortages are frequently discussed, a growing recognition centres on the pivotal role that architecture and the built environment play in shaping health outcomes. Poorly designed healthcare facilities contribute to staff shortages and poor care outcomes. Consequently, architecture's transformative potential within the built environment becomes essential in advancing human health, well-being, and productivity. Interestingly, the impact of a …
Knowledge Construction And Multiple Realities: Global Health Collaborations, Development Practices, And Face Masks In The Context Of Covid-19, Linan Zhang
School of Art, Design and Architecture Theses
This thesis is inspired by a global health collaborative programme named GRASPIT and by my own desire to do something good which can benefit the people in need as well as reduce suffering. The GRASPIT collaboration intended to improve post-operative outcomes, but the programme failed to deliver the expected result. Preliminary analysis by the GRASPIT team identified issues with knowledge sharing as one of the contributory causes of its failure. This prompted the reflection in this thesis upon apparent asymmetries when knowledge is shared. Quite soon after the research began, the global pandemic COVID-19 revealed the issue of having inconsistent …
Life Still: A Sequence Of Paintings Reimagining Dutch Golden Age Still Life, Christopher Cook
Life Still: A Sequence Of Paintings Reimagining Dutch Golden Age Still Life, Christopher Cook
School of Art, Design and Architecture Theses
Abstract This research project refers to a sequence of forty-nine monochrome paintings, made between 2016 and 2020, which took as starting point Dutch 17th century still life painting. The works use an idiosyncratic graphite medium to interpret, appropriate and reposition the genre, resulting in a sequence of common focus. The sequence is illustrated in full, and is accompanied by a chronology of individual works presented in the public domain. The reflective essay studies the progress of the sequence from early experimental beginnings to later works made in full awareness of their theoretical contexts. A background to the making process considers …
Transmission+Interference: A New Materialist And Machine-Oriented Approach To Collectively Make-With Noise, David Strang
Transmission+Interference: A New Materialist And Machine-Oriented Approach To Collectively Make-With Noise, David Strang
School of Art, Design and Architecture Theses
This thesis explores the materiality at play within installation and performance artworks from across the interdisciplinary fields of media arts, digital arts and contemporary technological arts and is positioned at the noisier end of the artistic spectrum of these disciplines. The practice-led research presented here deals with the shift away from clean digital media environments of production in order to embrace a more material focused approach that has emerged within recent years (see the emergence of physical computing and electronics practices), especially across sonic arts practices (see also the re-emergence of modular synthesis). The aim is to unfold an understanding …
Bridging The Gap: Technological Mediation And The Development Of Humanistic Skills In Medical Simulation: Lessons From Covid-19 And The Impact Of Immersive Media And Minimal Viable Simulation (Mvs), Nicholas Peres
School of Art, Design and Architecture Theses
This thesis provides a chronological account of the integration of innovation and technology within medical simulation and training from 2014 to 2023 at Torbay and South Devon NHS Foundation Trust (TSDFT). Responding to the backdrop of a constantly changing technological and clinical (epidemiological) landscape, it seeks to develop a methodology for assessing the role of technology in improving medical simulation and training. The research critically challenges the current trend towards high-fidelity simulations, driven by manufacturers' technology-centric marketing strategies that frequently impose cost constraints and limit perceived educational outcomes. Motivated by the Francis Report's (2013) findings, this practice-based study explores the …
Mapping A Lived Experience In Landscape: An Artist’S Analysis Of Gps And Gis Data, Becalelis Brodskis
Mapping A Lived Experience In Landscape: An Artist’S Analysis Of Gps And Gis Data, Becalelis Brodskis
School of Art, Design and Architecture Theses
This thesis involves a critical analysis of data types and digital interfaces used in a socially engaged arts practice aligned with the concerns of participatory mapping. The research identifies a problem which occurs when the development and use of technologies begins to conflate data with its visual representation or, conversely, reduces the experience of reality to what can be documented. The thesis aligns with a concern that this impacts the perception of, and sensitivity to, available qualities or indeed possibilities of experience. Responding to this concern questions are raised relating to how and why qualities of objectivity or subjectivity are …
An Evolutionary Algorithms Approach To Physical Modelling Of Vocal Synthesis, Jared Drayton
An Evolutionary Algorithms Approach To Physical Modelling Of Vocal Synthesis, Jared Drayton
School of Art, Design and Architecture Theses
This thesis documents the application of Evolutionary Algorithms to the Acoustic Articulatory Inversion of vowels using the Praat physical model. Speech synthesis by computational means has been a field for many decades, giving rise to several differing approaches. While the physical modelling approach has been a continually active area of research, it has yet to prove a viable solution to applied TTS systems partly due to the complexity of the model parameters, hence why an efficient and robust method of Acoustic-Articulatory Inversion of parameters for these models would benefit the field. To do so, the use of Evolutionary Algorithms as …
Before Sensing Becomes A Some-Thing: Writing With The Bodily Experience Of Liminality In Processes Of Social Organising, Juliana Schneider
Before Sensing Becomes A Some-Thing: Writing With The Bodily Experience Of Liminality In Processes Of Social Organising, Juliana Schneider
School of Art, Design and Architecture Theses
The research addresses organisational practitioners’ capacity for noticing and responding to fleeting, small gestures and indeterminate impressions that register as bodily sensations in the midst of dynamic circumstances. The thesis explores such experience as occurring in the realm of the liminal - liminality taken up as a quality of experience when vague perceptions are sensed and felt viscerally at the very edge of articulation.The research asks how this domain of experience, here discussed as liminal perceptive sensibility, may be brought further into articulation while retaining the quality of the experience. This involves experimenting with a combination of first person reflexive …
#Instafood: A Speculative Design Exploration Of The Eating Experience, Perception, Fabrication, And Consumption., Jie Yan
School of Art, Design and Architecture Theses
The discussion of dietary nutrition and the pursuit of satisfaction in eating experience has consistently attracted significant attention. While advanced technologies have been dedicated to providing solutions in these fields, the challenge of increasingly complex and diverse dietary needs requires more innovative approaches. Grounded in speculative design, this study introduces InstaFood, an approach to personalized eating for well-being. It speculates a future possibility of influencing intake by manipulating food-related visual cues, through a combination of perceptual impacts, social media image-based investigations, and digital fabrication.Research on crossmodal perception in psychology establishes a theoretical framework that links visual characteristics to food perception, …
What Role Do Metrics Of Value Play In Translating Policy Into Action In Partnership Management Of Landscape Restoration?, Adam Guy
School of Art, Design and Architecture Theses
Accelerating decline in the quality and extent of natural habitats has led to biodiversity loss characterised as an unprecedented global crisis. The emerging explanatory paradigm is that nature has been systematically undervalued economically.The response has been a (moral) demand for environmental restoration. This call to action, driven by the hegemonic sustainability discourse, proposes interventions driven by partnerships of local and state agents, empowered to act immediately despite pervading uncertainty around appropriate restoration techniques, and unpredictable outcomes. In the context of the delegislating neoliberal state, funding is problematic, engagement in partnerships is comparatively unsuccessful, and the policy context is muddled by …
Utilising Plutonium Isotopes To Evaluate Soil Erosion In Tropical East African Agri-Systems, Sophia Marie Dowell
Utilising Plutonium Isotopes To Evaluate Soil Erosion In Tropical East African Agri-Systems, Sophia Marie Dowell
Other Faculty of Science and Engineering Theses
In the beautiful landscapes of Tropical East Africa, agriculture serves as the lifeblood of both people and ecosystems. The delicate balance between agriculture and soil preservation forms a complex web of factors that significantly impact soil and plant health in the region. The use of plutonium (Pu) isotopes is a potential strategy for unravelling the history of soil erosion in this ecologically varied and agriculturally crucial area. This thesis investigates a novel method using Pu isotopes to study small-scale soil redistribution patterns across various land use histories and management practices in the Rift Valley region of the Winam Gulf catchment …
Developing An Occupation-Based Complex Intervention For Living Well With Anxiety In Parkinson's (Obtain-Pd), Christopher Lovegrove
Developing An Occupation-Based Complex Intervention For Living Well With Anxiety In Parkinson's (Obtain-Pd), Christopher Lovegrove
School of Health Professions Theses
Background: Parkinson’s is the UK's second most common neurodegenerative condition, affecting approximately 175,000 people. Current anxiolytic medications are ineffective in treating anxiety in Parkinson’s. The most promising behavioural interventions have inconclusive and mixed results. Occupational therapy is effective at promoting participation in activities of daily living and is recommended in national guidelines. An evidence-based occupational therapy intervention for living well with anxiety in Parkinson’s does not exist.Aim: To design a new occupation-based complex intervention for living well with anxiety in Parkinson’s (OBtAIN-PD) in co-production with people with Parkinson’s (PWPs), care partners, and occupational therapists.Methods: A scoping review, conducted in line …
Sensing Freedom: An Occupational Therapy And Service User Perspective Of Sensory Processing And Occupational Participation In Forensic Mental Health, Elanor Moore
School of Health Professions Theses
Abstract: Elanor Moore: Sensing Freedom: An Occupational Therapy and Service User Perspective of Sensory Processing and Occupational Participation in Forensic Mental HealthBackground: Sensory processing is a universal dynamic mind-body process which all individuals experience. It is influenced by the environment and impacts participation in occupations. Occupational therapists in forensic mental health inpatient settings aim to facilitate occupationally enriching opportunities, to support service users’ safe community reintegration. Emerging evidence indicates links between sensory processing and mental health, but with limited guidance on how this translates into occupation-focused practice.Methodology: A scoping review identified both inconsistency in sensory processing terminology and a limited …
Exploring The Links Between Unknowns, Uncertainty And Epistemological Understanding In A More Authentic Form Of School Science Investigation, Matthew Wharf
Other Faculty of Arts, Humanities and Business Theses
This research explored the role a more ‘authentic’ science investigation had on the epistemological understanding of secondary school students. It reviewed the understanding of what is taught within the science curriculum in terms of epistemology and the Nature of Science (NOS) and what may be considered a more authentic activity that more closely aligns with the qualities of professional science, where new knowledge is being formed as compared to what could be seen as conventional science investigations, the repetition of classic experiments. Lessons of 3 different classes, at different schools and in different years were used. An investigation lesson from …
The Assessment-Related Logics Of Practice At A South West Multi-Academy Trust, Samuel Gordon Morahan
The Assessment-Related Logics Of Practice At A South West Multi-Academy Trust, Samuel Gordon Morahan
Plymouth Institute of Education Theses
Over the last 40 years there have been widescale changes to the British education system. Through the process of neoliberalisation, education has become a commodity to be bought and sold with an ever-increasing emphasis on performativity and its related measures. Within this educational market, alternative provision settings provide commissioning schools with opportunities to purchase placements and packages for pupils, who for a variety of reasons, are unable to engage in mainstream education. Alternative provision settings must evidence value for money to these schools, whilst meeting statutory inspection requirements. Assessment practices and the numerical data they generate are central within this …
The Effectiveness Of Imagery Use In Motivating Physical Activity And Exercise, Karol Nedza
The Effectiveness Of Imagery Use In Motivating Physical Activity And Exercise, Karol Nedza
School of Psychology Theses
The research detailed across these chapters provides a comprehensive exploration of the multifaceted interplay between mental imagery, motivation, and physical activity. The global inactivity levels and their consequences for economic, health and social domains is at this point well documented. Despite the number of interventions and approaches, inactivity is steadily increasing annually. This thesis encompasses the effects of mental imagery in shaping behaviour, the diverse applications of mental imagery in sports and health-related behaviour change, and the emergence of Functional Imagery Training (FIT) as a powerful approach. FIT is discussed as a versatile tool for promoting behaviour change, grounded in …
The Relationship And Interaction Process Of Taiwanese Couples Having Undergone Assisted Reproductive Technology- A Systemic Perspective, Yu-Chieh Liu
School of Psychology Theses
Approximately 10-15% of married couples in Taiwan encounter the challenge of infertility, which significantly impacts their lives and relationships. However, the nature and extent of this impact vary across different social and cultural contexts. Recognising the complex and wide-ranging nature of infertility issues, integrated interventions have emerged as a novel approach to assist infertile couples effectively. Drawing upon Helms et al.'s (2011) modified three-level model of marriage, Huston's model, and Bronfenbrenner's ecological systems theory (1986), a comprehensive framework is constructed within this thesis to explore various aspects of infertile couples' experiences in Taiwan as they are undergoing assisted reproductive technology …
Tourist Perceived Destination Innovativeness (Tpdi) And Its Impacts On Tourist Experience And Tourist Satisfaction -The Case Study Of Hunan (China), Xiaoshan Yang
Plymouth Business School Theses
The primary purpose of this study is to develop a comprehensive understanding of tourist perceived destination innovativeness (TPDI) and to assess its impacts on tourist experience and satisfaction, and the thesis accordingly develops a multidimensional scale for measuring the concept of destination innovativeness. TPDI in this study refers to the willingness and capability of a destination to provide and deliver unique, interesting service and product. The development and validation of the multidimensional scale for the concept followed a rigorous procedure with three different stages of study, the data for which was collected from tourists in Hunan. The first stage analysed …