Medicine and Health Sciences Commons^™

Perceived Patient Control Over Personal Health Information In The Presence Of Context-Specific Concerns, Prabhashi A. Nanayakkara

Doctoral Dissertations

Information privacy issues have plagued the world of electronic media since its inception. This research focused mainly on factors that increase or decrease perceived patient control over personal health information (CTL) in the presence of context-specific concerns. Control agency theory was used for the paper's theoretical contributions. Personal and proxy control agencies acted as the independent variables, and context-specific concerns for information privacy (CFIP) were used as the moderator between proxy control agency, healthcare provider, and CTL. Demographic data and three control variables— the desire for information control, privacy experience, and trust propensity—were also included in the model to gauge …

The Green Staff Of Asclepius: Envisioning Sustainable Medicine, Jason Lee Fishel

Doctoral Dissertations

To make society sustainable our institutions must also become sustainable. As an institution, health care contributes to environmental degradation. While unsurprising, contributions to environmental degradation increase risk factors for disease and illness, effectively frustrating the goals of medicine. To find ways to make health care sustainable I begin by reviewing the literature on sustainability from within environmental ethics and two previous attempts at envisioning sustainable health care in order to learn what to include in a vision of sustainable health care. Then I examine problems specific to making medicine sustainable by investigating how sustainability might affect the principles of medicine. …

Interpreting, Stephanie Jo Kent

Doctoral Dissertations

What do community interpreting for the Deaf in western societies, conference interpreting for the European Parliament, and language brokering in international management have in common? Academic research and professional training have historically emphasized the linguistic and cognitive challenges of interpreting, neglecting or ignoring the social aspects that structure communication. All forms of interpreting are inherently social; they involve relationships among at least three people and two languages. The contexts explored here, American Sign Language/English interpreting and spoken language interpreting within the European Parliament, show that simultaneous interpreting involves attitudes, norms and values about intercultural communication that overemphasize information and discount …

Presence In Nursing Practice: A Critical Hermeneutic Analysis, Alicia Laurel Bright

Doctoral Dissertations

Research Topic

Presence, although it involves action at times, is a humanitarian quality of relating that is ethically generated and has real-world implications for both patient and nurse. It is an interpersonal process characterized by sensitivity, holism, intimacy, vulnerability, and adaptation to unique circumstances that results in enhanced mental wellbeing for nurses and patients, and improved physical wellbeing for patients. Knowing and being with are foundational to being present.

Theory and Protocol

This research is grounded in critical hermeneutics and follows an interpretive approach to field research and data analysis (Herda 1999). This orientation places the researcher and participants in …

In Sickness And In Health: Analyzing The Ethical Limits Of The Marriage Between Health Care And The Market In The United States, Thomas D Harter

Doctoral Dissertations

This dissertation aims to determine what should be the appropriate base ethical limits of health care markets in the United States. I argue that because we do not value health care goods and services as commodities, treating them as commodities available for market sale can only be ethical when health care markets accord with at least the principles of honesty, respect for autonomy, and increased access to essential health care goods and services.

I begin by establishing the theoretical foundation of my argument by expositing three theories of commodification and ethical markets that critically examine the relationship of goods to …

Biomechanical And Temporal Measurement Of Pharyngeal Swallowing For Stroke Patients With Aspiration, Youngsun Kim

Doctoral Dissertations

This study compared three pharyngeal swallowing measurements: Pharyngeal Delay Time (PDT), Stage Transition Duration (STD), and Delayed Pharyngeal Swallow (DPS) on the correct classification of three groups of subjects. These groups were: 15 stroke patients who aspirated (aspirators), 15 stroke patients who did not aspirate (non-aspirators) and 15 normal subjects.

Overall, the STD had highest mean classification among the three pharyngeal swallowing measurements. All three measures has a significant difference between aspirators and normal subjects. None of the measurements showed a difference between non-aspirators and normal subjects. The aspirators and the normal subjects were classified correctly most often; whereas the …