Relevant bibliographies by topics / Care and supervisory neglect / Dissertations / Theses

To see the other types of publications on this topic, follow the link: Care and supervisory neglect.

Dissertations / Theses on the topic 'Care and supervisory neglect'

Author: Grafiati

Published: 3 June 2025

Last updated: 13 July 2025

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 dissertations / theses for your research on the topic 'Care and supervisory neglect.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.

Menon, Anita. "Assessment of unilateral spatial neglect post stroke in acute care hospitals : are we neglecting neglect?" Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80332.

Full text

Abstract:

Timely and accurate assessment of unilateral spatial neglect (USN) post stroke is a critical component of best practice, given that a recent Clinical Practice Guidelines for stroke has recommended the standardized assessment of USN within 48 hours of regaining consciousness following a stroke. This multi-centered, retrospective study using data from medical charts of a representative sample of individuals admitted to 10 Ontario acute care hospitals from July 15th to December 15th 2002, examined the prevalence, timing and frequency of use of standardized assessments to evaluate USN post stroke. Out of the 248 subjects who should have received a USN assessment, 37.5% received an assessment; only 13.31% with a standardized visual perception tool and of these, only 0.81% (n = 2) with a standardized tool specific to USN assessment. All clients receiving a standardized assessment were evaluated for USN in the near extrapersonal space, the hemispace within reaching distance of the patient: no patient received a standardized assessment for USN in the personal space or far extrapersonal space. Three standardized visual perception tools that include a USN component were used: the Clock Drawing Test (n = 22), the Ontario Society of Occupational Therapists (OSOT) Perceptual Evaluation (n = 8) and the Motor-Free Visual Perception Test (n = 1). Only 8 (3.23%) of the 248 clients were screened with a standardized tool within the 2-day critical period as recommended by Stroke Guidelines. Reassessment was rare, even in those with detected USN, such that only 1 subject was ever reassessed with a standardized tool.

APA, Harvard, Vancouver, ISO, and other styles

Ma, Kwong-cho. "Unattended child : an area of neglect in Hong Kong /." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22054467.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Malmedal, Wenche. "Inadequate Care, Abuse and Neglect in Norwegian Nursing Homes." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for sosialt arbeid og helsevitenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-23721.

Full text

Abstract:

Inadekvat pleie og omsorg, overgrep og forsømmelser i norske sykehjem Beboere på sykehjem er spesielt sårbare og i risiko for å bli utsatt for inadekvat pleie og omsorg, overgrep og forsømmelser. Dette fordi de er mer eller mindre avhengig av hjelp grunnet kroniske sykdommer, særlig gjelder dette beboere med kognitiv svikt og atferdsmessige problemer. Gjentatte rapporter om enkelthendelser indikerer at fenomenet også finnes i norske sykehjem, men det er fortsatt lite kunnskap om i hvor stor grad dette forekommer. En overordnet målsetting med denne avhandlingen var å bidra til økt kunnskap om inadekvat pleie og omsorg, overgrep og forsømmelser i sykehjem. Fra 16 sykehjem har 616 ansatte besvart et spørreskjema. Avhandlingen undersøker utbredelse av ulike typer handlinger rapportert av ansatte, i tillegg til å undersøke mulige faktorer som bidrar til inadekvat pleie og omsorg, overgrep og forsømmelser. Dette arbeidet vil gi kunnskap som kan være nyttig for å utvikle forebyggende strategier og dermed bidra til bedre kvalitet i sykehjem. Avhandlingen består av tre delstudier (Paper I-III), og i tillegg noen resultater som ikke er omhandlet i artiklene. Den første delstudien undersøkte utbredelsen av ulike typer inadekvat pleie, overgrep og forsømmelser som ansatte rapporterte at de hadde begått. Den andre delstudien undersøkte ulike faktorers innvirkning på inadekvat pleie, overgrep og forsømmelser. Den tredje delstudien undersøkte ansattes holdninger til å rapportere hendelser begått av kolleger. I tillegg til resultater presentert i de tre artiklene, ble det bl. a. undersøkt hvordan ansatte forklarte at slike hendelser kunne finne sted, og om de tilla ulik forklaring for de forskjellige typene inadekvat pleie, overgrep og forsømmelser. Studiens hovedfunn er at beboere i sykehjem utsettes for inadekvat pleie og omsorg av både emosjonell og fysisk karakter, samt forsømmelser. Totalt rapporterte 91% at de hadde observert en kollega begå minst en handling, og 87% rapporterte at de selv hadde begått minst en av de handlingene opplistet i spørreskjemaet. Forsømmelser og handlinger av emosjonell karakter var hyppigst rapportert, både som observert og selvutført. Videre ser en at ulike karakteristika ved institusjonen (f.eks. størrelse og beliggenhet), ved ansatte (f.eks. alder og utdanning), og relasjonelle faktorer (f.eks. konflikter) i ulik grad assosieres med de tre typene. Ansatte er stort sett positive til å ville rapportere handlinger begått av kolleger, selv om noen grupper er mer tilbakeholdne, f.eks. de eldste ansatte. Ulike typer inadekvat pleie, overgrep og forsømmelser tillegges ulike forklaringsfaktorer, dette understreker behovet for å undersøke hver av typene separat. Den høye forekomsten av inadekvat pleie og omsorg, overgrep og forsømmelser som er kommet fram i denne studien påpeker behovet for å intervenere. Det er fortsatt mangel på oppmerksomhet rundt dette i mange land, også i Norge. En forutsetning for endring er å erkjenne at problemet finnes, deretter må det følges opp med handling. Et viktig element i god praksis er å være i stand til å oppdage inadekvat pleie og omsorg, overgrep og forsømmelser og også å forstå hvilke alvorlige konsekvenser slike handlinger kan ha for beboerne. Denne avhandlingen har bidratt til økt kunnskap om inadekvat pleie, overgrep og forsømmelser i sykehjem, men det gjenstår fortsatt mye å undersøke. Inadequate Care, Abuse and Neglect in Norwegian Nursing Homes Residents in nursing homes are particularly vulnerable and at risk of inadequate care, abuse and neglect because they are more or less dependent on their caregivers owing to chronic illnesses, especially those with cognitive and behavioural problems. Repeatedly reported single acts of inadequate care indicate that the phenomenon also occurs in Norwegian nursing homes, but there is a lack of knowledge about the extent to which it occurs. The overall purpose of this thesis was to contribute to increase knowledge of inadequate care, abuse and neglect in nursing homes by exploring the frequencies and types reported by staff, investigating factors seen as predictors of inadequate care, abuse and neglect, as well as how staff attributed inadequate care. Data in the thesis were obtained from a cross-sectional survey conducted in one county in the middle of Norway including nursing staff (n=616) from 16 nursing homes. The thesis consists of three studies, as well as some additional results. The first study (Paper I) investigated the frequency and types of inadequate care committed by staff in nursing homes. The second study (Paper II) investigated 11 factors that were hypothesized to be associated with inadequate care of emotional, negligent, and physical character committed by staff in nursing homes. The third study (Paper III) aimed to describe attitudes held by nursing home staff on reporting negative/ unwanted acts committed by their colleagues. Additionally (included in the thesis, but not published), perceived reasons for inadequate care, abuse and neglect and whether there are different reasons for the specific types of inadequate care were investigated. Main findings are that residents in Norwegian nursing homes are exposed to different types of inadequate care, abuse and neglect. All in all, 91% of the nursing staff reported they had observed a colleague commit at least one act of inadequate care and 87% reported that they themselves had committed at least one act of inadequate care. Acts of negligent and emotional character were most frequently reported, both as observed and committed. The types of inadequate care were associated with various institutional characteristics (e.g. size and location), staff (e.g. age and education), and relational characteristics (e.g. conflicts and aggression), but not to the same extent. Further, positive attitudes towards reporting acts of inadequate care committed by their colleagues were found, but also that some groups were more reluctant to report, e.g. the eldest groups of staff. Staff attributed the different types of inadequate care for different reasons, a result that emphasizes the need for further investigation. The high prevalence of inadequate care, abuse and neglect in this thesis underlines the need to intervene. There is still a lack of awareness of inadequate care, abuse and neglect in institutions for older persons in many countries, and recognition of the phenomena is the first step to a change, but it needs to be followed up by actions. An important element in nursing practice is to be able to recognize the occurrence of and understand the potential severe consequences of inadequate care, abuse and neglect particularly for frail, older persons. This thesis has contributed to extend the knowledge base regarding inadequate care, abuse and neglect in nursing homes, yet there is much more to be revealed and investigated.

APA, Harvard, Vancouver, ISO, and other styles

Ma, Kwong-cho, and 馬光祖. "Unattended child: an area of neglect in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31966299.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Issel, Rashida. "Self-neglect in the corporate world." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50091.

Full text

Abstract:

Thesis (MBA)--Stellenbosch University, 2004. ENGLISH ABSTRACT: Psychological distress, whether caused by personality traits, biochemical imbalances, or difficult circumstances or events, can have a profound effect on a one's physical wellbeing and quality of life as an individual, manager and executive. Personality traits include type A personality, type B personality, being emotional as well as management style. Difficult circumstances or events include changes at work, the birth of a child, the death of a family member as well as a promotion received at work. Experiencing constant stress at work, in addition to having unresolved emotions such as sadness, anger, fear and anxiety can have an effect on one's physical health. This can be observed in management as sluggishness, tiredness, and depression, increasing susceptibility to infections, heart attacks, burnout, and rheumatoid arthritis. Personality, personal experiences and circumstances shape the way one responds emotionally to problems in life. A particular problem may cause one person to become ill, whereas another person might cope comfortably with it. However, because responses to problems are not set in stone, managers can learn to manage their emotional problems more effectively. Above all, managers can teach their subordinates techniques that can help them steer clear of self-neglect. People find themselves living and working in an era dominated by real-time business decision-making, and many managers are struggling to cope. Of course, there are also people who are happy, healthy, peaceful and wealthy and who seem to have it all. They have good positions and seem to have a balanced life regarding their family and work. They have achieved equilibrium. There is a perception that such people are just lucky. Perhaps they are, but more likely they simply possess appropriate coping mechanisms that others too can acquire. The objective of this dissertation is to assist not only managers, but also the individual to overcome the rat race that the new millennium has bestowed upon us. It further aims to show that everyone is capable of achieving the necessary tools to combat self-neglect and destruction of the inner self. It is suggested that by learning to change ones thinking and behavioural approach to an event it is possible to change the outcome of the event. By learning a few thinking (cognitive) and physical (meditation) techniques it is possible to overcome the mere interpretation of an event, which will allow the individual to improve their ability to cope with stress and maintain not only their own physical well being, but also the well being of the organisation. Furthermore, organisations may assist their employees by encouraging or creating a good working culture in order to improve both the coqqitive and physical environment as experienced by the individual. This "looking after the other" relationship can and will only have a positive effect. The poet, Khalil Gibran (2002), reflects: "But I say to you that when you work you fulfil a part of earth's furthest dream, assigned to you when that dream was born. And in keeping yourself with labour you are in truth loving life And to love life through labour is to be intimate with life's innermost secret." Thus to enjoy life through work, one should learn to enjoy what life hands out by changing ones perception of the event as well as the attitude towards life and work. AFRIKAANSE OPSOMMING: Sielkundige distres wat ontstaan as gevolg van óf persoonlikheidstrekke, biochemiese wanbalanse, moeilike omstandighede of gebeurtenisse ongeag die oorsaak daarvan, kan 'n wesentlike uitwerking op 'n persoon se liggaamlike welstand en lewensgehalte as 'n individu, bestuurder en bedryfsleier hê. Persoonlikheidstrekke sluit tipe A-persoonlikheid, tipe B-persoonlikheid, emosionaliteit en bestuurstyl in. Moeilike omstandighede of gebeurtenisse sluit veranderinge in die werkplek, die geboorte van 'n kind, die sterfte van 'n familielid sowel as 'n bevordering by die werk in. Voortdurende spanning by die werk tesame met onverwerkte emosies soos hartseer, woede, vrees en angs kan 'n uitwerking op 'n mens se liggaamlike gesondheid hê. In bestuur kan dit waargeneem word as traagheid, moegheid en depressie, wat 'n mens se vatbaarheid vir infeksies, hartaanvalle, uitbranding en rumatiek verhoog. 'n Mens se persoonlikheid, ervarings en omstandighede bepaal hoe jy op die lewe se emosionele probleme reageer. Een mens mag siek word weens 'n probleem wat iemand anders heel maklik sal hanteer. Bestuurders kan egter leer hoe om hul emosionele probleme meer doeltreffend te hanteer. Bowenal kan bestuurders hul onderskiktes tegnieke leer om te verhoed dat hulle hulself verwaarloos. Die individu leef en werk in 'n era wat oorheers word deur die neem van vinnige en goeie sakebesluite en bestuurders sukkel om by te bly. Natuurlik is daar ook mense wat gelukkig, gesond, vreedsaam en welgesteld is, en lyk of hulle alles het. Hulle beklee goeie poste en ly skynbaar 'n gebalanseerde lewe tussen hul gesin en hul werk. Hulle het 'n balans bereik. Die persepsie bestaan dat sulke mense eenvoudig geluk aan hul kant het. Miskien het hulle, maar dalk het hulle net die regte meganismes om probleme doeltreffend te hanteer wat ander ook kan aanleer. Hierdie skripsie se doelwit is nie slegs om bestuurders nie, maar ook die individuele werknemer wat vasgevang is in die "rat race" wat teweeg gebring is deur die nuwe eeu, te help om die effekte daarvan teen te werk. Dit streef verder om te bewys dat elke persoon instaat is om die nodige hulpmiddele te bekom om eie-nalatigheid en uiteindelik die selfvernietiging van die innerlike mens te oorkom. Dit word verder voorgestel dat deur die aanlering om mens se denkwyses en gedragspatroon benadering tot die aangeleentheid te verander, is dit moontlik om sodoende die uitslag van die aangeleentheid te verander. Deur die aanleer van 'n paar denkwyses (kognitiewe) en fisiese (meditasie) tegnieke is dit moontlik om selfs die interpretasie van die aangeleentheid te oorkom, wat sal toelaat dat die individu sy vermoë om spanning te hanteer en die instandhouding van hulle fiesieke toestand te verbeter. Maatskappye kan ook sy werknemers bystaan deur die aanmoediging van, of die daarstelling van 'n goeie werkskultuur om sodoende beide die kognitiewe en die fisiese omgewing soos deur die individu beleef, te verbeter. Hierdie "omsien na die ander" verhouding kan, en sal net 'n positiewe uitwerking hê. Die digter, Khalil Gibran (2002), reflekteer: "But I say to you that when you work you fulfil a part of earth's furthest dream, assigned to you when that dream was born. And in keeping yourself with labour you are in truth loving life And to love life through labour is to be intimate with life's innermost secret." Dus, om die lewe deur middel van werk te geniet, moet mens leer om dit wat die lewe uitdeel, te geniet. En dit kan slegs bewerkstelling word indien 'n mens se persepsie van die aangeleentheid sowel as mens se houding teenoor die lewe en werk verander.

APA, Harvard, Vancouver, ISO, and other styles

Westbrook, Linda Oakes. "Cognitive structures of first-line nurse managers in critical care settings /." Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7299.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Kutame, Mamie Mariama. "Understanding self-neglect from the older person's perspective." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1186597966.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Ragsdale, Judith R. "Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study of Supervisory Wisdom." Antioch University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1205193710.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Timmerman, Geoffrey. "The care factor of leadership : identifying and understanding workplace appreciative behaviours in the supervisory relationship." Thesis, Federation University Australia, 2021. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/177134.

Full text

Abstract:

Most would agree, people like to be appreciated for who they are and for the work they do. Yet, the process resulting in employees feeling appreciated is not well understood. Further, appreciation in the workplace is complex, when considering the concept’s multifaceted nature. Workplace-relevant research supports hypotheses that being appreciated at work is associated with desirable employee outcomes such as enhanced subjective well-being (SWB), higher levels of job satisfaction and performance, creativity while also benefiting organisations through higher employee productivity. Some authors even suggest that being appreciated links to physical well-being. Regardless, empirical evidence supporting a putative relationship between appreciation and key workplace outcomes (SWB, job satisfaction and happiness) is lacking; This represents a knowledge gap in the management literature. An important related question concerns optimal ways that managers can express appreciation to their employees at work, and conversely, employee preferences for the form of appreciation that they receive from their manager. Past studies investigating the influence of appreciation in the workplace, though informative, have failed to apply a rigorous process to identify forms of appreciative behaviour. To advance knowledge on forms of workplace appreciation endowed by supervisors, and how this may influence employees, the first study aim was to identify and appraise the underlying components of appreciation-type behaviours. Hence, the supervisor-employee relationship forms the central component for this study. The second study aim was to identify whether and how supervisor-enacted appreciative behaviours influence selected employee work outcomes. A review of literature pertinent to the research aims provided theoretical foundations for understanding appreciative behaviours in the workplace. These included social relationships, human motivation, workplace sources of support, dispositional versus behavioural approaches to appreciation, selected aspects of leadership and the theorised function of workplace appreciation. From this, a conceptual model of an iterative workplace appreciation cycle was proposed to support the study aims. To meet the research aims, a two-phase study approach was adopted. Firstly, a qualitative study investigated the construct of expressed appreciation (phase 1). Here, expressed supervisor appreciative behaviours were identified through 19 one-on-one, semi-structured interviews with employees from a variety of professions and employment sectors. Through a rigorous thematic analysis, five supervisor appreciative behavioural themes (Interest, Rewards, Acknowledgment, Trust and Endorsement) were established to determine what (forms of appreciative behaviours enacted by supervisors). This first thematic framework was complemented by three outcome-related themes (Cognisance, Confirmation and Commendation) capturing the why (with regard to why employees feel appreciated) as a second thematic framework. Phase 2 of the study employed an online quantitative survey directly informed by phase 1 results. The hypothetical what and why constructs forming workplace appreciative behaviours were each developed as itemised scales (20-item and 12-item, respectively). An online survey instrument gathered employee (N=206) responses for itemised scales plus workplace outcome scales measuring SWB, job satisfaction and job commitment. Factor analysis of the 20-item what scale identified workplace appreciation behaviours endowed by supervisors to comprise a three-factor structure (factors labelled acknowledgement, trust and reward). A 12-item scale representing why employees feel appreciated provided a one-factor solution. Subsequent multiple regressions revealed the factors of acknowledgement and trust to be associated (p<.05) with job satisfaction, job commitment and overall well-being. Reward was not associated with any measured employee workplace outcome. Relationships of workplace appreciation factors with other measured variables including employee age, gender and workplace role were identified. The study findings provide both theoretical and practical contributions concerning the roles of and importance of supervisor appreciative behaviours manifest in the workplace. Supervisor acknowledgment is theorised to provide a foundation for developing a positive supervisor-employee relationship with trust conveyed over time to realise positive employee and organisational outcomes. Building on this, further studies are recommended to confirm this study’s results across a range of workplaces and for other national cultures. Doctor of Philosophy

APA, Harvard, Vancouver, ISO, and other styles

Johansson, Jenny. "Våga inte blunda : en studie om förskollärares syn på anmälningsplikt enligt socialtjänstlagen." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-27147.

Full text

Abstract:

The aim of this study was to capture preschool-teachers thoughts and experience basing on the obligation. Are there any policies and procedures for preschool-teachers to use when suspicion that a child is being abused occur. Are there some factors that may affect preschool-teachers to report to the social service? How does the preschool-teacher find the contact with the Social Service? I conducted four interviews with four preschool-teachers, two of these preschool teachers are employed at the same municipal preschool and the other two are employed at two other preschools. The interviews were semi-structured and were conducted at each individual’s workplace. To analyze my result, I used symbolic interactionism as a theory. The result shows that pree-schoolteachers find it difficult to use the mandatory notification law and lack of routines and not functional collaboration between the preschool and the social service are also some reasons why preschool teachers finds it difficult to report.

APA, Harvard, Vancouver, ISO, and other styles

坪井, 裕子, та Hiroko TSUBOI. "被虐待児の支援に関する現状と課題". 名古屋大学大学院教育発達科学研究科, 2005. http://hdl.handle.net/2237/9431.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Harrington, Maureen Patricia McWeeney. "Oral Health Care: An Autoethnography Reflecting on Dentistry's Collective Neglect and Changes in Professional Education Resulting in the Dental Hygienist Being the Prevention-focused Primary Oral Health Care Provider." Scholarly Commons, 2019. https://scholarlycommons.pacific.edu/uop_etds/3636.

Full text

Abstract:

Many factors influence poor oral health among disadvantaged populations including socioeconomic circumstances, knowledge of disease prevention strategies and ability to implement those strategies, public policies, insurance status, insurance policies, dental providers and other challenges to accessing dental care. Often these issues converge and result in early disadvantages to achieving good oral health (Horton & Barker, 2010). Addressing even some of the factors that contribute to poor oral health may provide ways to change the dental health status of historically underserved populations. The purpose of this research is to explore my role as a practitioner and researcher in the creation of a hygienist-based, community-site located, teledentistry supported system of dental care for underserved populations and the intersection of my experiences with cultural, societal and educational occurrences. This autoethnography examined my own experiences and also explored the experiences of a small sample of others who participated in onsite dental care systems utilizing hygienists as the prevention-focused primary care provider. As Ellis and Bochner (1996) note “Autoethnography stands as a current attempt to, quite literally, come to terms with sustaining questions of self and culture” (p. 193). The findings that emerged from my work included a realization that the dental industry creates and perpetuates the collective neglect of large portions of the US population. Some of this neglect is embedded in traditional power structures in dentistry, gender bias and distrust in professional skills as a result of separate professional education structures. The result for many people is untreated dental disease, a profound lack of health equity, increased shame due to poor oral health as well as missing school. There are ways to address the collective neglect of the dental industry through the reframing of the dental hygienist as the prevention-focused primary care oral health provider in professional education programs then integrating this provider type into community settings like schools.

APA, Harvard, Vancouver, ISO, and other styles

Rowe, Leanne. "The work of the societies for the prevention of cruelty to children in Australia, 1888 - 1930: Fighting cruelty, neglect and inexpert care." Thesis, Rowe, Leanne (2000) The work of the societies for the prevention of cruelty to children in Australia, 1888 - 1930: Fighting cruelty, neglect and inexpert care. PhD thesis, Murdoch University, 2000. https://researchrepository.murdoch.edu.au/id/eprint/51310/.

Full text

Abstract:

The subject of this thesis is the child protection work of the Australian Societies for the Prevention of Cruelty to Children (SPCCs). Drawing mainly on the case histories and records of these child protection agencies in Victoria, Queensland and Western Australia, my aim has been to write a history of their early years — why they were formed, what they were about, and how they operated. However, the thesis is not so much a study of the changing response to cruelly-treated and neglected children as it is a study of the changing definitions of the problem they were perceived to be. In the late nineteenth century, the emerging visibility of cruelly-treated children saw the perception of them change from delinquents and vagrants in need of control, to victims in need of assistance. Then, as child cruelty was submerged into the wider category of child neglect, the family and the environment were identified as causal. In particular, the mother and her inexpert care of the nation’s children, became the problem. Therefore, this thesis argues that changes to the definition of the problem of neglected and cruellytreated children affected their visibility and so the political and social response to their needs. No single historical method has been used in this thesis. Rather, I have attempted to achieve a balance between a traditional analytical narrative and a case-study approach, believing that the case-studies would reveal more significant details about the children, their families, and the officers of the Societies, than would be obvious in the quantitative evidence alone. In particular, these case-studies illustrate a major component of my argument that the SPCCs were just as involved in constructing their subjects (neglected and cruelly-treated children) as they were in attempting to solve the problem they became. This thesis, then, is relevant to contemporary studies of the family because it demonstrates that child abuse is nothing new, nor is it simply an on-going problem for which there has never been a suitable answer. Rather child abuse has been, and still is, an issue of changing visibility, definition and response.

APA, Harvard, Vancouver, ISO, and other styles

Saunders-Adams, Stacey M. "Reunification and Reentry in Child Welfare: A Systematic Review and Meta-analysis." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1299287934.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Mäkelä, Debora. "Historical Child Abuse In Out-Of-Home Care: Finland Disclosing And Discussing Its Past." Thesis, Linköpings universitet, Tema Barn, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-120402.

Full text

Abstract:

The main focus in this thesis lies in the observation of how the public debate is formulating and developing in Finland in relation to the current implementation of the Inquiry on historical child abuse and neglect in out-of-home care. This thesis analyses the testimonies published around the investigation and on historical child abuse, in the public domain. The release of two documentaries broadcasted on National TV (YLE TV1) in 2013 and 2014 triggered a, however scarce, online public discussion with few newspapers’ as well as magazines’ articles covering informatively the inquiry. The online debate has so far seen the participation mainly of the victims themselves of historical abuse. Generally, I found a confirmation that the Finnish individualistic culture is hardly prompt to open discussion on such topics. As S.N., a care leaver, explains in the second documentary: (Lehikoinen, Luurankokaappi, 2014) “the culture does not give space” though people have “the need to speak.” My thematic analysis on this debate has nonetheless disclosed an urge to come to terms with a past of institutional abuse, framed in a general context of public mistrust in the Child Welfare4 system. The care-leavers, narrating their stories in the two TV documentaries, disclosed memories of neglect, violence and systematical isolation of the Poor. Their stories are interpreted through the debate on the media as stories of injustice. Their narration portraits a concept of “child care” very far from nowadays’ standards of child welfare. Care-leaver H.S. points his finger on the Finnish child-care institution where he spent his childhood in the ‘50s: “Only a monster can send a child to such a place!” (Lehikoinen, Varastettu Lapsuus, 2013).

APA, Harvard, Vancouver, ISO, and other styles

Teufel, Lee A. "Clinical supervision of child and adolescent counselors in residential foster care : a collective case study." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002192.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Walsh, Kerryann. "Early childhood teachers and child abuse and neglect: A critical study of their work and knowledge." Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/36659/1/36659_Digitsed%20Thesis.pdf.

Full text

Abstract:

The field of child abuse and neglect contains a corpus of literature regarding teachers and child abuse and neglect. The literature, dominated by medical and scientific discourses, constructs the teacher's role, shapes what teachers should know, and influences policies and practices in care and education settings, and in the field of child protection. This thesis addresses a gap in this literature, particularly regarding authentic documentation of how teachers work in child abuse and neglect and what knowledge they apply in this work. This study is a multimethod qualitative inquiry into teachers' work and knowledge in child abuse and neglect. The research was conducted in three phases. In phase one, early childhood teachers were invited to participate in research about their experiences of working with children with a history of abuse or neglect. Teachers from 207 different early childhood settings, in a geographical area with a recognised high incidence of child abuse and neglect were approached. No teachers were willing or able to participate in the research - they were silent. Phase two investigated the reasons for this silence by using interview and survey methods to ask the teachers and other professionals in the field, to explain why the teachers were silent. Fourteen key informants and 80 early childhood teachers' views are presented in this phase. Phase three returned the focus of the study to teachers' work and knowledge, and presents the voices of eight early childhood teachers who were willing and able to speak in detail about their work and knowledge in child abuse and neglect when they were approached from within common professional networks, in which there were established relationships of trust. Paradoxically, in this study there was silence and there were voices. Using critical theories, this study reveals that research into child abuse and neglect was problematic because it was perceived to be sensitive and potentially damaging. The research was disenabled (silenced) in ways which protect existing relations of power which, in turn, benefit from both the conservation of silences about child abuse and neglect among early childhood practitioners, and maintenance of the conditions under which this silence was produced. When the teachers spoke about their work and knowledge, it appeared that their actions in relation to child abuse and neglect did not accord directly with the role that the literature ascribes for them, but reflected the broader characteristics of effective early childhood teaching practice. Early childhood teachers' work, therefore, may not be recognised easily by those outside care and education as constituting legitimate prevention and intervention in child abuse and neglect, and this has consequences for how early childhood practitioners are perceived in the field. This research explains teachers' apparent marginal positioning in the field of child abuse and neglect. It proposes that a more accurate representation of teachers' work in the field should reflect the concept of multiple roles rather than a singular role. This research refutes notions of teachers as incompetent and unknowledgeable regarding child abuse and neglect, but recognises that they are often absent from, and invisible within, the collective of professionals working to stop and prevent it.

APA, Harvard, Vancouver, ISO, and other styles

Rabie, Tinda. "Self-care of older persons in the Potchefstroom district / Tinda Rabie." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4006.

Full text

Abstract:

The number of older persons is growing at a shocking rate. In spite of this reality, the South African health care sector does not prioritise older persons, causing their health to be poorly managed. Not only does poor health management affect the health of the older person, but also economic factors. This causes a high burden on the public health sector of South Africa, with specific reference to the Primary Health Care (PHC) clinics. PHC clinics in this country are not only overcrowded due to staff shortages, but also owing to the rapidly ageing population and the large number of younger persons affected by the high unemployment rate of South Africa. The above-mentioned factors keep the professional nurses in the clinic from spending time on proper physical examinations and provision of health education to older persons. This causes older persons to lack knowledge regarding self-care, potentially leading to unintentional self-neglect, which decreases their quality of life. Studies conducted on older persons concluded that the older person wants to be involved in health promotion, but needs the necessary knowledge to take care of him- or herself. Therefore, the researcher's overarching aim with this study was to develop guidelines to facilitate self-care amongst older persons. Such guidelines aim at constituting an indirect approach to promote the health of the older person. Health education on self-care should be conducted in self-care support groups, since community experience teaches that some older persons in the community do not apply self-care skills learned without some form of support. The aim with these guidelines is to decrease unintentional self-neglect by empowering the older person to make autonomous decisions regarding self-care, in order to increase quality of life. RESEARCH AIM AND OBJECTIVES In order to reach the overarching aim of this study, which comprises the development of guidelines to facilitate self-care amongst the older persons in the Potchefstroom district, the study firstly includes a literature review to understand self-care and related constructs from a theoretical perspective. Secondly, the Appraisal of self-care agency scale-A (ASA-A) and Exercise of self-care agency scale (ESCA) were used as questionnaires to assess the self-care of the selected older persons. Lastly, after determining the self-care of the older persons, the study investigates the relationship between these two questionnaires through correlational analysis. RESEARCH DESIGN A quantitative, descriptive, correlational and contextual design was used in this study to .reach the overarching aim and respective objectives. RESEARCH METHOD The researcher firstly conducted a literature review to understand self-care and related constructs. Thereafter the researcher employed two structured questionnaires, the ASA-A and ESCA, were employed to collect data. The questionnaires were developed to measure self-care (self-care is determined by measuring the self-care agency). These questionnaires were based on Dorothea OrenYs self-care deficit theory of nursing, the same theory that this research study is based on. Minor adaptations were made to both the questionnaires prior to administration to the predominantly Setswana-speaking older population. The study formed part of the larger Multinational Prospective Urban and Rural Epidemiological study (PURE-SA study - ethical approval number 04M10). All the older persons identified in the peri-urban population of the PURE-SA study living in the Potchefstroom district and who were willing to participate were included in the sample. Trained fieldworkers assisted the researcher in data collection. Of the 198 older persons, 192 participated, accumulating to a 98% response rate. Lastly the researcher correlated the ASA-A and ESCA to determine their relationship as an added benefit to this research study. RESULTS The findings indicate that although the studied older population was of a lower socio-economic status with a lower literacy level, their overall self-care was relatively good. Seven self-care deficits were identified namely time management skills affecting self-care, energy deficit affecting self-care, sleep deprivation, lack of knowledge and ability to acquire knowledge with regard to health and self-care, lack of a rest, exercise and self-care programme, self-care deficit caused by physical deterioration and, lastly, the lack of performance of activities to prevent/decrease self-care deficits. These identified self-care deficits supported the development of guidelines to facilitate self-care amongst older persons, together with Menon's psychological health empowerment model, as well as an in-depth literature review on self-care and related constructs to understand self-care from a theoretical perspective. Furthermore, the study compared the ASA-A and ESCA questionnaires to determine the relationship between these questionnaires. The two questionnaires had a very good correlation with each other, conclusion that either of these two questionnaires could be used to measure self-care of a population. Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2010.

APA, Harvard, Vancouver, ISO, and other styles

Flye, Lindsay Brook. "A structural equation model: Family-friendly organizational policies, norms, supervisory support, work/family conflict and organizational attachment." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2120.

Full text

Abstract:

The purpose of this paper is to present a study that examines the underlying stucture of work/family conflict. Research has shown that reducing work/family conflict is beneficial to both employees and the organization by reducing turnover and increasing satisfction, production and commitment to the organization.

APA, Harvard, Vancouver, ISO, and other styles

Freiman, Agneta. "Distriktssköterskors erfarenheter av fysiskt, psykiskt och sexuellt våld samt omsorgssvikt mot äldre personer över 65 år : En intervjustudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-21823.

Full text

Abstract:

Bakgrund: Forskning visar att majoriteten av övergrepp mot äldre personer över 65 år sker inom familjen men kan även förkomma på institutioner som äldreboenden och andra vårdinrättningar. Syfte: Syftet med studien var att beskriva distriktssköterskors erfarenheter av fysiskt, psykiskt och sexuellt våld samt omsorgssvikt mot äldre personer över 65 år i deras nära relationer i ordinärt eller särskilt boende. Metod: studien hade en beskrivande design kvalitativ ansats och genomfördes via semistrukturerade intervjuer med åtta distriktssköterskor verksamma inom kommunal hemsjukvård. Materialet analyserades med kvalitativ innehållsanalys. Resultat: Analysprocessen resulterade i sex kategorier: Förekomst av fysiskt våld döljs av de inblandade Psykiskt våld i form av kränkningar och hot Begränsade erfarenheter av sexuellt våld Omsorgssvikt i form av för lite, för mycket eller utebliven omsorg Känslomässigt berörda av våldssituationer God kommunikation och stöd från medarbetare men avsaknad av stöd i riktlinjer. Slutsats: Slutsatsen av denna studie är att distriktssköterskor som jobbar inom hemsjukvård kommer i kontakt med våldsutsatta äldre personer och att våld mot dessa förekommer då distriktssköterskan är i patienternas hem och när de inte är där. Våldet som utförs kan vara fysiskt, psykiskt, sexuellt eller genom omsorgssvikt och behov av vidare forskning i ämnet våld i nära relationer bland äldre är angeläget. Background: Research shows that the majority of abuse of older people over 65 occurs within the family but can also occurs in institutions for the elderly and other care facilities. Purpose: The purpose of this study was to describe nurses' experiences of physical, psychological and sexual violence, and neglect of the elderly people above 65 years of their close relationships in the ordinary or special accommodation. Method: The study had a descriptive design qualitative approach and was carried out through semi-structured interviews with eight district nurses working in municipal home care. The material was analyzed using qualitative content analysis. Results: The analysis process resulted in six categories: Presence of physical violence hidden by the involved Psychological violence in the form of insults and threats Limited experience of sexual violence Neglect in the form of too little, too much or no care Emotionally affected by violent situations Good communication and support from employees but lack of support in the guidelines. Conclusion: The conclusion of this study is that the district nurses working in home health care come into contact with abused older people and that violence against these occur when the district nurse is the patient's home and when they are not there. Violence carried out can be physical, psychological, sexual or neglect and need for further research on the topic of violence in close relationships among the elderly is urgent.

APA, Harvard, Vancouver, ISO, and other styles

O'Shea, Laura E. "Structured professional judgement approach to risk assessment : generalisability across patient groups for the prediction of adverse outcomes in secure mental health care." Thesis, Abertay University, 2016. https://rke.abertay.ac.uk/en/studentTheses/323a84a6-d0f2-42ab-9225-bc83eee53b83.

Full text

Abstract:

This thesis comprises a rigorous and coherent body of work related to the use of the HCR-20 and the START to inform risk assessment and management of secure mental health inpatients. The thesis contributes significant theoretical and applied knowledge by: 1) investigating the extent to which these tools can be generalised beyond restricted validation samples to the full range of individuals in contact with secure services, 2) determining whether they can aid assessment and management of adverse outcomes beyond aggression, and 3) offering practical, empirically-derived advice for clinicians regarding management strategies that may reduce the occurrence of adverse events. This collection of papers has used considerably novel methods, such as rocreg analysis in risk assessment of behavioural outcomes, and high quality, routinely collected data to gain a more realistic representation of what occurs in clinical practice. Further, the papers draw on larger sample sizes than have previously been reported in this area, allowing for more complex statistical analysis. This thesis has helped clarify the contexts in which these instruments perform effectively and therefore has important implications for clinical risk assessment in inpatient settings. Specifically, there is evidence that the HCR-20 and the START may aid assessment and management of aggression for the majority of groups examined, and that both tools have some efficacy for predicting self-harm among female populations. However, the HCR-20 should not be used to inform prediction and management of aggression and self-harm for individuals with developmental and organic disorders and is unlikely to be beneficial at informing risk management strategies targeting self-harm among males; the START should not be used to inform prediction and management of substance abuse, victimisation, or unauthorised leave. Finally, this thesis highlights a number of directions for future research to continue advancement in this area.

APA, Harvard, Vancouver, ISO, and other styles

Silva, Elaine Corrêa da. "A antítese do cuidado: contornos da negligência nos processos éticos do COREN-SP (2001-2010)." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-23112018-161321/.

Full text

Abstract:

Introdução: A negligência é um fenômeno de incidência crescente na enfermagem contemporânea, uma omissão frente ao cuidado bastante naturalizada no cotidiano profissional, mas que constitui infração ética grave, pois viola os preceitos éticos e a própria essência da profissão. Este estudo abordou a negligência cometida pelos profissionais de enfermagem no exercício da função nos processos éticos julgados pelo COREN-SP entre 2001 e 2010 e nas falas dos profissionais condenados nos processos éticos de negligência com criança. Contemplou-se a negligência nas dimensões conceitual, semântica, jurídica e ético-profissional, com o intuito de elucidar seus contornos, distingui-la das infrações éticas análogas imperícia e imprudência e dimensionar a responsabilidade do profissional condenado por conduta negligente. Objetivos: Identificar e classificar os casos de negligência profissional julgados pelo COREN-SP no período de 2001 a 2010; analisar as justificativas presentes nos depoimentos dos profissionais condenados nos processos éticos de negligência com criança e reconstituir o sentido do ato negligente nos depoimentos desses profissionais. Métodos: Delineou-se como percurso metodológico a pesquisa bibliográfica exploratória da literatura especializada, realizada em duas etapas, e a pesquisa documental dos processos éticos nas abordagens quantitativa e qualitativa. A primeira etapa da pesquisa bibliográfica concentrou-se em publicações nacionais que abordaram a negligência sem definição de recorte temporal. Localizou-se um número reduzido de 13 estudos e constatou-se a inexistência de um conceito de negligência no campo da enfermagem, pressuposto do estudo. Na segunda etapa, ampliou-se a revisão das publicações nacionais para 19 estudos e procedeu-se a revisão dos 11 estudos internacionais encontrados, realizada subsequentemente à leitura dos processos. Utilizou-se como referencial teórico-filosófico as concepções de ética, deliberação e responsabilidade de Aristóteles e de Hans Jonas. Resultados: O estudo quantitativo abrangeu 482 processos éticos e forneceu dados para a composição de um primeiro retrato da negligência na enfermagem. Identificou-se 68 processos de negligência e 20 processos de negligência com criança, dos quais selecionou-se sete para o estudo qualitativo, realizado mediante a análise de conteúdo dos depoimentos, na modalidade de análise temática. Tal abordagem propiciou uma definição mais específica de ato negligente e subsidiou a formulação de seis categorias analíticas. Observou-se, nos depoimentos, a mesma naturalização da negligência presenciada no cotidiano profissional, dado que os profissionais não se referiram à conduta negligente como negativa em suas falas mesmo quando esta resultou em consequências fatais, tampouco expressaram qualquer manifestação de pesar pelo efeito lesivo do ato praticado, buscando sempre atenuá-lo por meio de estratégias discursivas. Conclusão: Concluiu-se que o ato negligente comporta sempre um componente de deliberação e de responsabilidade pessoal, o que permitiu definir negligência como o descumprimento deliberado do dever de atender a necessidade do cuidado e confirmar que, na qualidade de conduta antiética, a negligência efetivamente afronta a responsabilidade profissional que decorre do compromisso ético inerente à profissão Introduction: Neglect is a phenomenon of growing incidence in contemporary nursing, comprising an omission regarding care, which is quite naturalized in professional daily life, but which constitutes a serious ethical breach, as it violates ethical precepts and the very essence of the profession. This study addressed neglect committed by nursing professionals in the exercise of their function in the ethical proceedings judged by COREN-SP between 2001 and 2010 and in the statements of professionals convicted in ethical proceedings of child neglect. Neglect in the conceptual, semantic, juridical and ethical-professional dimensions was contemplated, with the aim of elucidating its contours, distinguish it from analogous ethical infractions, malice and imprudence, and dimension the responsibility of professionals convicted for negligent conduct. Purpose: To identify and classify the cases of professional neglect judged by COREN-SP in the period from 2001 to 2010; analyze the justifications present in the testimonies of convicted professionals in the ethical proceedings of child neglect; and reconstitute the meaning of the negligent act in the testimonies of these professionals. Methods: The exploratory bibliographic research of the specialized literature, carried out in two stages, as well as the documentary research of the ethical proceedings in the quantitative and qualitative approaches were delineated as a methodological course. The first stage of the bibliographical research focused on Brazilian publications that addressed neglect without a definition of timeframes. A small number of 13 studies were located, and there was no concept of neglect in the field of nursing, which was the studys assumption. In the second stage, the review of the Brazilian publications for 19 studies was expanded, and the 11 international studies were reviewed following the reading of the proceedings. The conceptions of ethics, deliberation and responsibility of Aristotle and Hans Jonas were used as theoretical-philosophical references. Results: The quantitative study covered 482 ethical proceedings and provided data for the composition of an initial image of nursing neglect. A total of 68 neglect cases and 20 child neglect cases were identified, of which seven were selected for the qualitative study, based on the analysis of the content of the testimonies, in the thematic analysis mode. This approach provided a more specific definition of a negligent act and subsidized the formulation of six analytical categories. The testimonies showed the same naturalization of the neglect observed in the professional daily life, as the professionals did not refer to the negligent conduct as negative in their statements, even when this resulted in fatal consequences, nor did they express any manifestation of regret by the injurious effect of the act, always seeking to alleviate it through discursive strategies. Conclusion: It was concluded that the negligent act always involves a component of deliberation and personal responsibility, which enabled a definition of neglect as the deliberate failure to comply with the duty to provide the care needed and to confirm that, as an unethical conduct, neglect is an effective violation of professional responsibility, arising from the ethical commitment inherent in the profession.

APA, Harvard, Vancouver, ISO, and other styles

Pitts, Shantell Yvette. "Self-care and School Psychologists: A Qualitative Study Examining Burnout Prevention and Career Satisfaction." University of Dayton / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1533219362221909.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Reeser, Douglas Carl. "Medical Pluralism in a Neoliberal State: Health and Deservingness in Southern Belize." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5295.

Full text

Abstract:

This ethnography explores the varied contours of a national health care system and how it is used in conjunction with traditional forms of health care in Toledo District, Belize, focused on the largest town of Punta Gorda (P.G.), In a medically plural environment, a variety of health care options are used based on a wide range of social, economic, and structural factors that shape people's choices and decisions. The convenience of and experience with low-cost home- and self-care options make these the most common first choice during an illness event in P.G., however a deeper exploration of health behavior reveals that people will exhaust all options in their quest for health. In an era when neoliberal trends have a direct effect on people's lives, including a negative impact on health and well-being, Belize stands out as an interesting case. The small Central American/Caribbean nation has taken actions that appear to be contradictory to broader neoliberal policies that encourage privatization of government services, by implementing a national health care system that provides low-cost and free health services to its citizens. While new health facilities have been opened, and health services have become more widely available throughout Belize, an analysis of how and why the health care system functions shows that such programs may actually function as mechanisms of control and surveillance, thus aligning with neoliberal aims such as decentralization and privatization of services. As it has been implemented in southern Belize, the national health care system also replicates and extends an historic trend of marginalization and neglect to the region, showing that from the perspective of the State, and by extension, the powerful and elite of the nation, the citizens of P.G. are seen as less deserving of the quality of health care services that are necessary to lead healthy and productive lives.

APA, Harvard, Vancouver, ISO, and other styles

Hillström, Moa. "När barn far illa : - BHV-sköterskors uppfattningar av stöd." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-16866.

Full text

Abstract:

Bakgrund: Antalet barn som far illa ökar samtidigt befaras det finnas ett mörkertal av barn som far illa men som aldrig upptäcks eller uppmärksammas. Detta tros bero på att inte tillräckligt många upprättar orosanmälningar till Socialtjänsten. Att upprätta en orosanmälan kräver stöd och en yrkesgrupp som särskilt berörs av detta är de sköterskor som arbetar inom BHV. Syfte: Att belysa BHV-sköterskors uppfattningar av stöd i arbetet med barn som far illa. Metod: Sju BHV-sköterskor intervjuades. Datamaterial analyserades med fenomenografisk ansats. Resultat: Tre beskrivningskategorier och nio underkategorier utformades. Resultatet visar att stöd är ett begrepp med flera innebörder. Det belyser också betydelsen av stöd samt vilka konsekvenser uteblivet stöd kan få. Organisatoriska faktorer påverkar BHV-sköterskans stöd och kan utgöra ett hinder i BHV-sköterskans arbete och uppfattning av stöd. Konklusion: Stöd kan vara avgörande för BHV-sköterskans arbete och omvårdnadsansvar. Uteblivet stöd skulle kunna få förödande konsekvenser. Utvecklad samverkan genom ett multiprofessionellt team ger stöd åt BHV-sköterskan och förbättrar samtidigt vårdkedjan för de barn som far illa. Organisatoriska faktorer påverkar BHV- sköterskan vilket bör tas i beaktning vid utformning och utveckling av vården. Background: The number of maltreated children are increasing and a great number of cases are estimated to never be detected or noted. This is believed to be caused by not enough reports to the Social Services which requires courage and support. A professional group that is affected by this are child health care nurses. Aim: To enlighten child health care nurses’ perceptions of support in working with maltreated children. Method: Seven child health care nurses were interviewed. The data were analysed through a phenomenographic approach.Results: Three description-categories and nine subcategories were formed. The results enlighten that support is a concept of several meanings, the meaning of support and what consequences lack of support can lead to. The results also show that organizational factors impact the support of the child health care nurse. Conclusion: Support can be a deciding factor in the child health care nurse’s work and responsibilities. Lack of support could have devastating consequences. A developed multi-professional team offers support to the child health care nurse and simultaneously improves the chain of care for the maltreated children. Organizational factors affect the child health care nurse, which should be taken into consideration in designing and developing health care.

APA, Harvard, Vancouver, ISO, and other styles

Bergfors, Gisela, and Anna Cernvall. "Den förlorade barndomen : - en studie av sex tidigare fosterbarns upplevelser av vanvård vid placering i samhällsvård." Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-74673.

Full text

Abstract:

The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method. When we analyzed the results we used developmentalpsychopathology, sense of coherence and earlier research. Our results shows that former foster children who have been maltreated and neglected in foster care have health problems, both mental and physical, they enter adolescence with low education and they have problems with close relationships. Our results also shows that former foster children who have been in foster care for a longer timer tend to have lower Sense of coherence. Furthermore our study shows that our interviewees are satisfied with their lives today.

APA, Harvard, Vancouver, ISO, and other styles

Hellmyrs, Maria, and Koula Karlsson. "Vägen bort : En textanalytisk studie av rättsdomar." Thesis, Stockholm University, Department of Social Work, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-8216.

Full text

Abstract:

The intention with the study is to describe the home and life conditions for boys at the age range between 13 to 18 year, who has been under custody according to the § 2 LVU.The empiric is 21 real court cases, judged in Stockholm and to Stockholm counted surround-ings 2006, in which the range of the boys were representative.A text analyze method is used to execute the study. The study penetrates the life situation of the caregiver and how their situation affects the boy and the boys actions.The total conclusion of the study, based on an ecological evolution perspective, is that life-situation of the caregiver affects the boys and the boys actions.The boys are affected negatively by the situation of their caregivers, and according to the study, the boys have established own problems, like difficulties in school, criminality, or other psychological diagnoses. They are also often exposed to physical or psychological violence by the caregiver. Additionally the conclusion is that the caregiver neglect the boys in many other ways, prior themselves and their needs before the boys.

APA, Harvard, Vancouver, ISO, and other styles

Friberg, Ebba, and Denise Näslund. ""Vi gör orosanmälningar och de begär ut journaler" : BVC-sköterskors erfarenheter av att samverka med socialtjänsten vid misstanke om att ett barn far illa." Thesis, Högskolan i Gävle, Socialt arbete, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-33191.

Full text

Abstract:

The aim of the study was to examine what obstacles and possibilities nurses at the Swedish child health services (CHS) experience in collaborating with social services when suspecting child maltreatment. Empirical data was collected through interviews with three CHS nurses and analyzed with a phenomenological approach. The theoretical perspectives used are Luhmann’s systems theory and domain theory. The results show that the nurses interviewed in this study consider themselves having good opportunities of detecting signs of child maltreatment and that they wanted more cooperation with the social services. Theoretical concepts of systemic and environmental complexity address organizational factors that affect collaboration. How collaboration between the CHS and the social services could be improved are discussed. Studien syftade till att undersöka vilka hinder och möjligheter BVC-sköterskor upplever i samverkan med socialtjänsten vid misstanke om att ett barn far illa. Studiens teoretiska utgångspunkter är systemteori, specifikt Luhmanns teorier om sociala system, och domänteori. En fenomenologisk ansats har använts vid datainsamlingen och analys av det empiriska materialet, som består av kvalitativa intervjuer med tre BVC-sköterskor. Resultatet visar bland annat att de intervjuade sköterskorna upplever sig ha goda möjligheter att upptäcka missförhållanden i barnets situation och att de önskar mer samverkan med socialtjänsten. Med hjälp av de teoretiska begreppen system- och miljökomplexitet belyses hur betingelser inom och mellan organisationerna påverkar samverkan. Förbättringsmöjligheter angående samverkan mellan BVC och socialtjänsten diskuteras.

APA, Harvard, Vancouver, ISO, and other styles

Peterson, Martina. "Att möta barn som far illa : Sjuksköterskans agerande och erfarenheter." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36172.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Silva, Juliana Sterci da. "O processo de trabalho do enfermeiro na supervisão ao agente comunitário de saúde em equipes de Saúde da Família." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-07012015-141025/.

Full text

Abstract:

Este estudo teve como objetivo analisar o processo de supervisão de enfermeiros na ESF aos agentes comunitários de saúde, buscando analisar as concepções desses profissionais, suas práticas e identificar a presença de escapes e interjogo no cotidiano da supervisão. O estudo teve por referencial teórico o processo de trabalho e as relações de poder. Trata-se de um estudo qualitativo, que teve como estratégias de coleta de dados: entrevista, observação sistemática e grupo focal entre os meses de junho a setembro de 2013. Foram realizadas dezoito entrevistas com enfermeiros de ESF pertencentes à uma região de saúde do estado de Goiás, 80 horas de observação sistemática em duas ESF e dois encontros de grupo focal com Agentes comunitários de saúde em um dos municípios da região estudada escolhidos por conveniência. Após transcrição, o material empírico resultou em trezentas e dezenove páginas. Este material foi submetidos à Analise de Conteúdo Temática, e após a categorização e triangulação dos dados foram identificadas as seguintes categorias: 1. \"Concepções sobre supervisão\", 2. \"Dia a dia da supervisão\" e 3. \"Interjogo no trabalho da supervisão. Entre os resultados há predomínio da concepção de controle e fiscalização em relação a supervisão realizada, principalmente, por meio de instrumentos impressos e visitas domiciliares, constituindo relações verticalizadas e impositivas. Identificamos também nas concepções dos enfermeiros a tentativa realização da supervisão como um processo que busca fazer junto e com a perspectiva educativa. Os ACS entendem a supervisão como controle do acompanhamento das famílias e compreendem a vertente educativa como base do trabalho do supervisor. Enquanto prática, percebe-se que o enfermeiro realiza a supervisão com mais ênfase na ação fiscalizadora e controladora, não se evidenciou a tendência educativa como verbalizado nas entrevistas. No cotidiano do trabalho, existem relações fragilizadas, conflituosas e distanciadas entre enfermeiros e ACS. A gestão de saúde local influencia na forma como a supervisão é realizada e o uso do poder politico partidário foi discutido e observado. Sobre os escapes e o interjogo na supervisão, percebemos que enfermeiros e ACS utilizam de seu autogoverno para conformar suas práticas e para \"fugir\" do controlar e do ser controlado. Concluímos que a supervisão realizada não proporciona as mudanças pretendidas pela ESF, e que os trabalhadores estruturam sua atuação pautadas no modelo de atenção à saúde médico centrado. This study aimed to analyze supervision\'s process of registered nurses in FHP (Family Health\'s Program) to community health workers, trying to analyze the conceptions of these professionals, their practices and identify the presence of leaks and interplay in everyday supervision . The study had as theoretical framework the process of work and its power in relationships. This is a qualitative study, which had as data collection strategies: interviews, systematic observation and focus group from the month of June to September 2013.Eighteen interviews with FHP nurses who belong to the state of Goiás were performed, 80 hours of systematic observation in two FHPs and two focus group meetings with community health agents in one of the municipalities of the study area chosen for convenience. After transcription, the empirical data resulted in three hundred and nineteen pages. This material was subjected to thematic content analysis, and after categorization and triangulation of data the following categories were identified: 1. \"Conceptions of supervision,\" 2. \"Day to day supervision\" and 3. \"Interplay in the work of supervision. Among the results are prevailing notion of control and inspection in relation to the supervision performed, mainly through printed instruments and home visits, being vertically integrated and imposed relations. We also identify the conceptions of nurses attempting the supervision\'s realization as a process which seeks to work together and with the educational perspective. FHP understand supervision as control and monitoring of families and understand the educational component as the basis of supervisor job. As practice, we realize that the nurse execute supervision with more emphasis on supervisory and controlling action, no evidence of the educational trend as voiced in interviews were identified. In daily work, there are fragile, conflicted and distant relationships between nurses and FHPs. The management of local health influences the way in which supervision is carried out and the use of partisan political power was observed and discussed. About the leaks and the interplay supervision, we realize that nurses and FHPs use their self-government to conform their practices to \"escape\" the action of control and being controlled. We conclude that monitoring does not provide the changes required by the FHP, and that workers structure their activities guided in the medical-centered health care model.

APA, Harvard, Vancouver, ISO, and other styles

Alkrdi, Amal, and Monika Sneath. "När distriktssköterskan misstänker att ett barn far illa : en kvalitativ intervjustudie." Thesis, Högskolan Kristianstad, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-21819.

Full text

Abstract:

Bakgrund: Barn har rätt att växa upp under trygga förhållanden utan utnyttjande eller våld. Tyvärr far barn illa på många sätt, vilka är en utmaning att identifiera. Distriktssköterskan har en skyldighet enligt lag att orosanmäla till socialtjänsten då ett barn misstänks fara illa, dock finns det försvårande faktorer som påverkar anmälningsbenägenheten. Det är svårt att identifiera riskfaktorer för barn i fara under korta vårdmöten på vårdcentral. Samtidigt åligger det distriktssköterskan att arbeta på ett familjecentrerat sätt och ta hela familjens mående i beaktande. Syfte: att beskriva distriktssköterskors erfarenheter av att få kännedom om eller misstänka att ett barn far illa. Metod: Kvalitativ intervjustudie med induktiv ansats, som analyserades med konventionell innehållsanalys. Individuella intervjuer över telefon eller video hölls med 12 distriktssköterskor från varierande arbetsplatser inom primärvården, med erfarenhet från vårdcentral. Resultat: I resultatet framkom ett övegripande tema: barn i fara är ett komplext ämne för distriktssköterskan. Två kategorier framträdde i resultatet: distriktssköterskans samlade kompetens om barn som far illa samt faktorer som påverkar anmälningsbenägenheten negativt. Distriktssköterskorna såg orosanmälan som en plikt, ibland saknades dock rätt förutsättningar. Det gjorde att distriktssköterskorna kunde tvivla på bedömningen och undvika orosanmälningar. Ett familjecentrerat arbetssätt underlättade. Slutsats: Inför beslut om orosanmälan behöver distriktssköterskan kartlägga familjens situation och barnets utsatthet, eftersom det oftast inte är tydligt att barnet far illa. För att känna trygghet i professionen behöver distriktssköterskan rätt förutsättningar på arbetsplatsen. Arbetsmomentet underlättas om distriktssköterskan har färdigheter i kommunikationstekniker med barn och föräldrar. Ytterligare insatser i form av samverkan med socialtjänsten behövs för att stärka distriktssköterskans anmälningsbenägenhet.

APA, Harvard, Vancouver, ISO, and other styles

Gustafsson, Helene, and Jani Karvonen. "Självbestämmande eller förmynderi? : Dilemman i hemtjänstens arbete med äldre som har en problematisk alkoholkonsumtion." Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24160.

Full text

Abstract:

Syftet med vårt arbete är att undersöka hur hemtjänstpersonal ser på problematisk alkoholkonsumtion i förhållande till självbestämmande bland äldre samt om det kan ha betydelse för deras omsorg av den äldre. Kvalitativa halvstrukturerade intervjuer genomfördes med hemtjänstpersonal (n=4) som analyserades hermeneutiskt utifrån teorier om makt och handlingsutrymme. Av resultaten framgår att självbestämmanderätten som Socialstyrelsen beskrivit den, är villkorad i hemtjänstpersonalens tolkning och att det saknas tydliga riktlinjer och rutiner i hemtjänstens arbete med äldre som har en problematisk alkoholkonsumtion. Resultaten visar att hemtjänstpersonalen gör individuella bedömningar i arbetet med äldre som har en problematisk alkoholkonsumtion. Det framgår att hemtjänstpersonalens arbete är förenat med svåra etiska ställningstaganden, där även maktförhållanden synliggörs och där hemtjänstpersonalen har tolkningsföreträde i förhållande till den äldre och förmynderi är en potentiell riskfaktor. En slutsats är att tydligare riktlinjer angående inköp av alkohol till äldre med en problematisk alkoholkonsumtion kan tänkas bidra till att hemtjänstpersonalen arbetar på ett mer likformigt sätt vilket i sin tur ökar rättssäkerheten för den äldre. The aim of our study was to examine how integrity and self-determination is conceived by care assistants regarding older care takers with a problematic alcohol consumption, and if it affects their care provided. Qualitative semi-structured interviews, carried out with home care assistants (n=4) and analyzed hermeneutically with theories of power and discretion, showed that self-determination, as described by The Swedish National Board of Health and Welfare, is fulfilled only under certain conditions in the home care assistant’s interpretation. We also found a lack of guidelines and routines concerning problematic alcohol consumption among older care takers. Our results showed that home care assistants made individual assessments in their work with older care takers with problematic alcohol consumption actualizing a difficult ethical dilemma between neglect and paternalism. These ethical issues visualize power relationships where home care assistants have the prerogative to decide in relation to the care takers, where paternalism is a potential risk factor. Clear guidelines regarding the purchase of alcohol to older care takers with problematic alcohol consumption may contribute to home care assistants working more uniformly which leads to a higher state of legal security for the care takers.

APA, Harvard, Vancouver, ISO, and other styles

Garrigue, Abgrall Marie. "Présence du jeune enfant : événement philosophique, source de questionnement éthique." Phd thesis, Université Paris-Est, 2009. http://tel.archives-ouvertes.fr/tel-00504947.

Full text

Abstract:

Pourquoi un événement en apparence si naturel qu'est l'accueil d'un bébé se révèle t-il si bouleversant et si complexe ? Pourquoi cette présence peut-elle provoquer joie et émerveillement ou angoisse et violence ? N'est-ce pas parce que l'enfant si vulnérable détient aussi une puissance créatrice ? Créateur de relations et d'émotions, il est d'emblée un être d'esprit. Il commence sa vie avec son lot, son daimon singulier. Suivant celui-ci il sera " jeté-dans-le monde " ou accueilli. Trait d'union entre les forces les plus archaïques et la civilisation, le très jeune enfant nous montre à quel point les mouvements de son corps sont le reflet de sa vie psychique. C'est pourquoi une attention aux soins de maternage, au jeu et aux activités d'éveil va être, avec ses parents, au coeur du processus d'intersubjectivité. Cette éducation première prenant sa source dans le soin est déjà de l'ordre du politique et suppose une éthique qui permette à l'enfant de s'épanouir et d'habiter le monde

APA, Harvard, Vancouver, ISO, and other styles

Avila, Janaína Amorim de. "Significado do atendimento aos idosos negligenciados ou socialmente vulneráveis para os profissionais da rede pública." Universidade Federal de Pelotas, 2017. http://repositorio.ufpel.edu.br:8080/handle/prefix/3813.

Full text

Abstract:

Submitted by Aline Batista (alinehb.ufpel@gmail.com) on 2018-03-28T21:55:12Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Tese_Janaína_Amorim_de_Avila.pdf: 3116845 bytes, checksum: 79a50ae79fa8d1ad309cf1b4154c62ce (MD5) Made available in DSpace on 2018-03-28T21:55:12Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Tese_Janaína_Amorim_de_Avila.pdf: 3116845 bytes, checksum: 79a50ae79fa8d1ad309cf1b4154c62ce (MD5) Previous issue date: 2017-10-26 Sem bolsa O presente estudo enfocou os profissionais que trabalham em rede pública de atendimento aos idosos negligenciados ou socialmente vulneráveis. O aumento expressivo de pessoas idosas, na sociedade brasileira, e a previsão de um contingente ainda maior nas décadas futuras remetem os profissionais e a sociedade, como um todo, a criar estratégias para diminuir ou acabar com a negligência e a vulnerabilidade social praticada contra a pessoa idosa. O estudo teve como objetivo geral: compreender o significado do atendimento aos idosos negligenciados ou socialmente vulneráveis para os profissionais da rede pública. E quanto aos específicos: Conhecer a organização da rede pública de serviços no atendimento prestado aos idosos negligenciados ou socialmente vulneráveis; Identificar as ações prestadas pelos profissionais que promovem assistência aos idosos negligenciados ou socialmente vulneráveis. Esta pesquisa foi fundamentada na linha do interacionismo simbólico, devido contemplar não só a complexa relação entre a sociedade, indivíduo e rede de serviços de atendimento, mas, também, o desenvolvimento de símbolos significantes e o processo de comportamento da mente, a partir de uma orientação filosófica e de fatos da existência real. A metodologia proposta nessa tese foi de cunho qualitativo, caráter exploratório e de análise de conteúdo somativa. A pesquisa foi aprovada pelo Comitê de ética da Faculdade de Medicina da Universidade Federal de Pelotas sob o parecer de número 2000.242, obedecendo aos preceitos éticos que direcionam a pesquisa com seres humanos no Brasil. A investigação transcorreu no município de Rio Grande/RS, cidade portuária, em que a população idosa apresenta uma estatística superior aos índices nacionais, sendo de 13,81%. A coleta de dados dessa averiguação transcursou por meio de entrevista semiestruturada, no período de abril a maio de 2017, com 21 participantes, sendo que 17 eram do sexo feminino, quatro masculino e na faixa etária entre 25 a 61anos. Quanto ao tempo de vinculação ao serviço variava entre 3 a 20 anos e com relação à formação profissional, 14 dos profissionais possuíam pós-graduação, nas áreas de Saúde Coletiva e Saúde da Família. A técnica de análise de conteúdo somativa ocorreu em três etapas: a pré-análise; a exploração do material que se repetia; a inferência e interpretação. Resultados: as entrevistas com os profissionais permitiram compreender que o profissional é o elo entre os dois mundos no atendimento ao idoso vulnerável e negligenciado, uma vez que ao atuar nesses universos, o profissional manifesta sentimentos diferenciados, ou seja, de satisfação com as resoluções dos casos e de frustração pela falta de apoio e sensibilidade dos gestores públicos em ofertar recursos suficientes para manutenção de um serviço proativo. Acredita-se que a vulnerabilidade e a negligência para o idoso só acabará ou minimizará se houver a mobilização dos profissionais e dos próprios idosos numa parceria de cidadania participativa. The present study focused on professionals working in a public network of care for the neglected or socially vulnerable elderly. The significant increase in the number of elderly people in Brazilian society and the prediction of an even larger contingent in the coming decades remind professionals and society as a whole to create strategies to reduce or eliminate the neglect and social vulnerability practiced against elderly. The objective of the study was to understand the meaning of care for neglected or socially vulnerable elderly people in the public network. And as for the specific ones: To know the organization of the public network of services in the care provided to the neglected or socially vulnerable elderly; Identify the actions provided by professionals who provide care to the neglected or socially vulnerable elderly. This research was founded on the line of symbolic interactionism, due to not only the complex relationship between society, individual and the service network, but also the development of significant symbols and the process of behavior of the mind, from a philosophical orientation and facts of real existence. The methodology proposed in this thesis was qualitative, exploratory and analysis of summative content. The investigation was carried out in the city of Rio Grande / RS, a port city, where the elderly population has a statistic higher than the national indexes, being 13.81%. As far as the time of connection to the service varied between 3 to 20 years and in relation to the professional formation, 14 of the professionals had postgraduate, in the areas of Collective Health and Family Health. The technique of summative content analysis occurred in three stages: pre-analysis; the exploitation of the material that was repeated; the inference and interpretation. Results: interviews with professionals allowed us to understand that the professional is the link between the two worlds in the care of the vulnerable and neglected elderly, since when working in these universes, the professional expresses different feelings, that is, satisfaction with the resolutions of the cases and frustration due to the lack of support and sensitivity of the public managers in offering sufficient resources to maintain a proactive service. It is believed that vulnerability and neglect for the elderly will only end or be minimized if the professionals and the elderly themselves are mobilized in a participatory citizenship partnership.

APA, Harvard, Vancouver, ISO, and other styles

Toman, Antonín. "Odpovědnost členů dozorčí rady." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-136214.

Full text

Abstract:

This thesis deals with civil liability of the Supervisory Board and its members for breaching his duties. Emphasis is placed on responsibility and legal relationship, whose content is obligation to pay damages, between Supervisory Board and its member and business companies (in the new terminology "business corporation"). This thesis is dealing at first with the legal anchoring of the Supervisory Board as such, the creation and termination of the Supervisory Board and the definition of its living space not only in the relation to corporation, but also to individual shareholders, General Assembly and of course to the Board - including their mutual rights and responsibilities. Thesis is crossed by author's intention to evaluate the active legislation, whose legislative life is coming to an end, and on the basis of that to comment upcoming legislation that at least brings a fresh wind to the corporate life. Shortly is discussed upon by the factual impossibility to prosecute members of the Supervisory Board for crimes associated with their performance.

APA, Harvard, Vancouver, ISO, and other styles

Souza, Maressa Priscila Daga de. "Preceptoria em enfermagem na atenção primária à saúde como instrumento de gestão." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-04102011-133243/.

Full text

Abstract:

Introdução: A preceptoria em enfermagem na Atenção Primária à Saúde tem o desafio de proporcionar aprimoramento aos enfermeiros, ao passo que discute e os apoia na busca por qualificação na assistência prestada ao usuário, família e comunidade. Objetivos: Compreender a preceptoria em enfermagem e suas interações nos processos educativos e de gestão dos serviços de Atenção Primária da Organização Social (OS) Santa Marcelina. Metodologia: Trata-se de um Estudo de Caso com abordagem qualitativa. Fizeram parte da pesquisa três regiões do município de São Paulo gerenciadas pela OS Santa Marcelina: Itaim Paulista, Cidade Tiradentes e Guaianases. Para a coleta de dados trabalhou-se com fontes documentais, utilizadas cotidianamente pela preceptoria, e entrevista com preceptores e técnicos atuantes na gestão regional que coordenam as ações desenvolvidas nas Unidades Básicas de Saúde. Utilizou-se a Análise Temática como método para tratamento dos dados. Foram identificadas cinco categorias temáticas: Preceptoria e seu papel como Educadora; Preceptoria e suas Interações; Preceptoria e a diversidade de seus Elos; Preceptoria e Gestão; e A Ambiguidade no papel da Preceptoria. Resultados: Parte dos envolvidos no processo de preceptoria percebe sua atividade como essencialmente educativa, porém os dados da pesquisa mostraram que está constituída por importantes elementos de gestão. Esses elementos podem atender às necessidades locais, oportunizando qualidade na assistência prestada à população, tendo em vista que seu papel interlocutor pode facilitar a integração entre a assistência direta, realizada pelos enfermeiros, e a gestão realizada tanto pelos gerentes das Unidades Básicas de Saúde quanto pelos gestores regionais. Seu papel como educadores proporciona espaço de troca e escuta aos enfermeiros das Unidades, trazendo consigo importantes elementos pontuados pela Política de Educação Permanente, além de possibilitar aperfeiçoamento de conhecimentos e habilidades requeridas à função. Suas Interações facilitam a interlocução entre Gestão Regional e Gerenciamento Local, frente às necessidades enfrentadas no cotidiano, tornando conhecidas as limitações e potencialidades. O estabelecimento de seus elos proporciona vínculo e transmissão de confiança, tanto à gestão quanto aos enfermeiros das Unidades, apoiando a tomada de decisão, articulando ações nos diferentes espaços e oferecendo suporte às mudanças necessárias. Seu papel na gestão pode ser demonstrado pela similaridade de sua atuação com a função de supervisão, utilizando-se mais dos aspectos pedagógicos e políticos dessa atividade, fortalecendo a organização do trabalho, planejamento, apoio às questões relacionais, avaliação, tomada de decisão, fortalecimento de metas e diretrizes e aumento da qualidade nos processos. Dadas essas características, emerge seu papel ambíguo visto que em determinados momentos o preceptor atua como educador e gestor, podendo gerar desconforto, conflito de papéis e perda de confiança, caso não seja bem trabalhado. Considerações Finais: A união dos cinco temas possibilita a visualização da preceptoria como prática Institucional emergente que tende a ser coletivizada para toda a equipe, abarcando, complementariamente, elementos da gestão de recursos humanos, supervisão e educação permanente. Tais aspectos, entretanto, devem ser tratados cuidadosamente junto à preceptoria e à gestão regional, oferecendo apoio para que não haja perdas na potencialidade de sua atuação Introduction: The nursing preceptorship in Primary Health Care is challenged to qualify nurses while it analyzes and supports them to pursue quality in their practice towards the user, the family and the community. Objectives: To understand nursing preceptorship and its interactions in education and management processes of Primary Health Care services of the Social Organization (SO) Santa Marcelina. Methodology: A case study with a qualitative approach. Three regions of São Paulo, managed by the (SO) Santa Marcelina, were part of this research: Itaim Paulista, Tiradentes and Guaianases. For data collection, documents daily applied in preceptorship were used as source in this research, as well as interviews with preceptors and technicians who work in said regions and manage the actions taken in the Primary Health Care Units. A thematic analysis was used as method for data treatment. Five thematic categories were defined: Preceptorship and its Education role; Preceptorship and its interactions; Preceptorship and its several connections; Preceptorship and Management; and the Ambiguity in the Preceptorship role. Results: Most of preceptors think their activity as essentially educational; however, research data indicate that it includes significant management elements that can meet local community needs, increasing quality in the service provided to the population, while it establishes an interaction between the direct service provided by nurses, and the management carried out by either managers of Primary Health Care Units or regional managers. Its role as educator makes room for communication and hearing of the Unit nurses, not only including important aspects focused by the Permanent Education Policy, but also allowing to increase knowledge and skills required to perform their job. Its interactions enable the conversation between Regional and Local Management regarding the needs daily faced, thus becoming aware of limitations and potentials. Establishing connections ensures reliability for both management and nurses of the Units, supporting the decision-making process, promoting initiatives in different rooms and inducing necessary changes. The role of Preceptorship can be found in its similarity to the supervision activity by using the pedagogical and political aspects of it, strengthening work structure and planning, supporting relationship matters, evaluation, decision making, goals and guidelines setting, and adding quality to the processes. Due to these characteristics, it highlights an ambiguous role since, in certain times, this preceptor works as an educator and manager, causing discomfort, conflict and unreliability when such role is not elaborated. Final Considerations: Bringing these five thematic categories together allows us to view preceptorship as an emerging Institutional practice to be made collective for all staff, embracing aspects of human resources, supervision and permanent education on a complementary basis. Still, such aspects must be carefully treated during preceptorship and regional management, providing support to it so as not to cause losses to its potential

APA, Harvard, Vancouver, ISO, and other styles

Sallot, Coleen Michelle. "Utilizing Play to Help Adopted Children Form Healthy Attachments." Miami University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=miami1619193153362829.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Karapliagou, Aliki, and Allan Kellehear. "The forgotten people in British public health: a national neglect of the dying, bereaved and caregivers." 2016. http://hdl.handle.net/10454/8476.

Full text

Abstract:

- The clinical and social epidemiology of living with a life-threatening or life-limiting illness, frail ageing, long-term caregiving, and grief and bereavement is well documented in the palliative care, psycho-oncology and psychiatric literature but this investigation asks what interest exists from the mainstream public health sector in these health and illness experiences. This paper reports a content analysis of 7 key British public health journals, 14 major public health textbooks and 3 public health websites employing key word and synonym searches to assess the size and quality of interest in populations related to ageing, dying, caregiving, and grief and bereavement. Compared with other public health issues, such as obesity and tobacco use, for examples, interest in the social experience and epidemiology of end-of-life experiences is extremely low. Reasons for this lack of interest are explored.

APA, Harvard, Vancouver, ISO, and other styles

Lin, Ching-Yu, and 林靜羭. "The Study of Supervisory Functions and Job Satisfaction of Home-care Workers for the Elderly." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/60311342754194833976.

Full text

Abstract:

碩士 國立暨南國際大學 社會政策與社會工作學系 94 The demands for home services have increased year by year, but presently home helpers are critically short, this would affect the continuity and the quality of home services. Nevertheless, the flowing rate issues of home helpers are because of job condition problems and low job satisfaction. Furthermore, the supervisors play an important role to home helpers. Therefore, the main theme of this research is concerned about the relationship between the supervisory functions and the home helper’s job satisfaction. The main research method of this study is quantitative method by using mail questionnaire, and the subjects of this research are those home helpers who worked in central Taiwan, including Miaoli County, Taichung County, Taichung City, Changhua County and Nantou County. There were totally 860 questionnaires sent and returned by 285 questionnaires, the response rate is approximately 33%. In this study, the researcher also combined qualitative research by using in-depth interview. There are totally 7 supervisors interviewed in this study. According to the data collection and analyses, the conclusion and discussion are presented as below: Quantitative dimension 1. The home helpers’ demographic variables: gender, age, level of education, seniority would cause significant differences in home helpers’ job satisfaction. 2. Salary causes significant differences in home helpers’ job satisfaction and the number of hourly pay has positive correlation to home helpers’ job satisfaction. 3. Administrative function, educational function, supportive function and function of adjustment all have conspicuously positive correlation to home helpers’ job satisfaction. 4. With regard to institutional characteristics, supervisor’s seniority has negative correlation to supervisor functions, and other variables including the type of home helper in organization, supervisor who is full time or part time, the title of supervisor and supervisor who trained or not have no conspicuously correlation to supervisor function. 5. The research shows that the variables of supervisor who is full time or part time, supervisor’s seniority and supervisor who trained or not will cause significant differences in home helpers’ job satisfaction. 6. According to this study, the three variables which are supervisor’s supportive function, seniority, salary could significantly explain home helpers’ job satisfaction. Qualitative dimension 1. The functions which implement frequently by the supervisors are administrative function and educational function. 2. Supervisors consider the most beneficial function for home helpers is supportive function and the secondly are educational function and function of adjustment. 3. Administrative function and educational function could apply into practice easily, and the most difficult to implement in practice is function of adjustment. 4. The key factor which would affect the supervisors is not home helpers’ gender, age and level of education but is home helper’s job motivation, identification of home care and previous work experience. 5. Home helpers surely need supervisors to help them to work effectively and satisfactorily. 6. Other related suggestions: supervisors also need professional supervisors and education, but they hoped that the education training is not limited to the areas of social work profession; they also need more supervisors concerning with the welfare and evaluation system; they hoped the government pay more attention on the issues of long term care and home-care workers for the elderly. According to the conclusions and findings, the study has suggestions as below: Suggestions for practice 1. When home helpers encountered difficulties, they should discuss with supervisors immediately. 2. Supervisors need to give more support and care to the home helpers, and also advance their communicative competences and skills to make the home services more appropriate. 3. The home care service institutions should guarantee home helper’s work security and work rights, and increase home helper’s work welfare. 4. The home care service institutions should strengthen supervisory system and employ more supervisors, and emphasize training and develop multiple classes to supervisors. Suggestions for policy 1. The government should give home helper appropriate bonus, and deliberately estimate the case loading and ensure clients and home helper’s rights. 2. Actively encourage home helper to apply for national license of home services. 3. Supervisor allocations need more flexible policies, and the government should pay more attention to supervisor allocations and enforce training precisely. Suggestions for academic 1. We should expand the research which is related to supervisor, and encouraging the researches on supervisors in each area of social work profession. 2. Researches related supervisor should spread out the whole country, and use quantitative research methods to carry out researches on supervisory issues. Keywords: home service、home helper、supervisor、job satisfaction

APA, Harvard, Vancouver, ISO, and other styles

Lagoa, Marta Celestina Grácio. "Autonegligência no Idoso." Master's thesis, 2019. http://hdl.handle.net/10316/89604.

Full text

Abstract:

Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina Introdução: A autonegligência apresenta-se como um sério e crescente problema de saúde pública que ameaça a saúde e segurança das pessoas idosas. Caracteriza-se por ser uma entidade de definição imprecisa, com múltiplas manifestações e consequências adversas associadas, especialmente para o idoso. Objetivos: Esta revisão da literatura sobre o tema da autonegligência nos idosos, surge com o objetivo de abordar a falta de consenso quanto à definição deste conceito, a multiplicidade de manifestações que dele podem advir, os vários modelos explicativos existentes, a sua prevalência e os diferentes fatores de risco e consequências associadas. Destacam-se, também, dilemas éticos com que os profissionais de saúde se deparam, muitas vezes, quando confrontados com esta problemática, bem como questões relacionadas com o papel dos mesmos no seu diagnóstico e prevenção, abordando, assim, diversas estratégias de avaliação da autonegligência e potenciais medidas de intervenção. Materiais e Métodos: Para o efeito, reviu-se e analisou-se a literatura médica sobre a autonegligência nos idosos, através de uma pesquisa na base de dados PubMed, com a finalidade de encontrar estudos e artigos de revisão acerca do tema da autonegligência nos idosos, para fazer uma análise crítica do mesmo.Resultados: Como o número e proporção de pessoas idosas está a aumentar cada vez mais, também o número de casos de autonegligência nesta população tem vindo a aumentar. Constatou-se que este tema se apresenta como um grande desafio quer ao nível da identificação quer ao nível da intervenção médica aquando da suspeita de autonegligência no idoso. Apesar disso, uma abordagem multidisciplinar nestas situações tem-se demonstrado eficaz. Porém, há evidências de que estes profissionais apresentam falta de treino e conhecimento nesta área. Acresce a isso a falta de protocolos com diretrizes específicas que permitam um diagnóstico, orientação e relato destas situações. O facto de não existir uma definição universal para este conceito, assim como, a inconsistência metodológica nas várias pesquisas, também dificulta a sua compreensão, investigação e mensuração.Conclusão: Mais estudos devem ser realizados para aumentar os conhecimentos médicos sobre este tema, de modo a poder incentivar a uma melhor consciencialização e formação destes profissionais bem como dos demais envolvidos, para que, deste modo, possam estar mais aptos e capazes de identificar, reconhecer e atuar nestas situações. Palavras-chave: “idosos”; “autonegligência”; “autocuidado” Introduction: Self-neglect presents itself as a serious and growing public health problem that threatens older people’s health and safety. Its definition is unclear, because of its multiple manifestations and because it is related to adverse consequences, especially for the elderly.Objectives: This review on the literature that theorizes elder self-neglect intends to reflect about the lack of consensus on the definition of this concept. It also intends to systematize the several manifestations related to self-neglect, the known explaining models as well as the risk factors and consequences associated to it. This study will highlight ethical dilemmas with which health professionals often have to deal with, as well as issues related to their role in its diagnosis and prevention. Different self-neglect evaluation strategies and potential intervention measures will also be taken into account throughout the review.Material and Methods: Keeping these purposes in mind, medical literature about elder self-neglect will be reviewed and analyzed through a research in the PubMed database. This strategy will help one to find studies and review articles on the subject of elder self-neglect, in order to develop the aimed critical analysis on the theme.Results: The number of elderly people is increasing everyday as well as the number of self-neglect cases in this age group. It was concluded that this theme presents itself as a huge challenge in what regards the medical intervention when the professional suspects that she/he is facing a case of elder self-neglect. Nevertheless, a multidisciplinary approach in these situations has been shown to be effective. However, it is also clear that these professionals have lack of training and knowledge in this area and that there is lack of protocols with specific guidelines to allow a diagnosis, guidance and reporting of these situations. The inexistence of a universal definition for this concept, as well as the methodological inconsistency in different surveys also makes it difficult to understand research and measure it.Conclusion: More studies should be developed to increase medical knowledge on this topic, in order to promote a better awareness and training of these professionals and other people involved. This way it would be easier to identify, recognize and act in these situations.Key-words: “elderly”; “self-neglect”; “self-care”.

APA, Harvard, Vancouver, ISO, and other styles

HSU, HUANG FEN-LAN, and 許黃芬蘭. "The Study of the Correlation among Perceptive Supervision Function, Supervisory Relationship and Self-Performance Evaluation of Home Care Workers." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/657y6g.

Full text

Abstract:

碩士 東海大學 社會工作學系 107 This study investigates the correlation among perceived supervisory function, supervisory relationship and self-evaluation of homecare workers from six Yunlin county government-contracted home-based service agencies, using paper-based questionnaire survey. The findings can help long-term care service teams in home service providers or the public contracted agencies and private sectors improve home service quality management and make home service related policies. Proportional sampling was used according to the sizes of the selected six agencies. 291 questionnaires were distributed and 284 responses (response rate: 97.59%) were obtained, of which 282 were completed questionnaires (96.91%). The results are: 1. In perceived supervisory function, responsivenss has the highest scores, and empathy the lowest. 2. In perceived supervisory relationship, the scores are highest in initiative-oriented relationship and lowest in closeness. 3. In self-evaluation, self-management has the highest scores while continuously doing their best has the lowest. 4. Subject’s supervisory methods, the frequency of supervisory meetings, institution managers ’participation are related with perceived supervisory function. 5. Subject’s ages, supervisory experiences, supervisory methods, the frequency of supervisory meetings, and institution managers ’participation are related with perceived supervisory relationship. 6. Subjects’ working experience in homecare, job tenure, the frequency of supervisory meetings are related with self-perceived performance. 7. Subjects’ perceived supervisory function, supervisory relationship, and self-evaluation are positively related. 8. Subjects’ personal backgrounds, institution’s environment data supervisory function, supervisory relationship, and self-evaluation are predictive. Based onthe results, this study proposes the following: 1. Home service agencies should pay attention to the supervision system of homecare workers and establish an effective communication channel to increase homecare worker’s retention rate as well as scores in self-evaluation. 2. Home service agencies should establish reward and promotion systems to provide career progression paths for homecare workers. 3. Home service agencies should actively plan the establishment of institutional resources to support homecare workers, in order to improve the effectiveness of professional services. 4. Home Services Quality Management – continue to maintain the Contracted partnership between the public and private sectors.

APA, Harvard, Vancouver, ISO, and other styles

Masha, Rankwe Reuben. "Factors contributing to the neglect and abuse of foster children : social workers’ perspectives and suggestions." Diss., 2020. http://hdl.handle.net/10500/26603.

Full text

Abstract:

The child protection system includes foster care. Yet some foster children are neglected, physically or emotionally abused and are used to obtain Foster Care Grants. The essence of this study is to develop a thorough and comprehensive understanding from the frame of reference of social workers on the factors that contribute to the neglect and abuse of foster children as well as their suggestions about possible interventions. The qualitative research approach was applied. The researcher utilised purposive sampling to select social workers. Semi-structured interviews were conducted to gather information and data was analysed. It is clear from the findings that the foster care system needs to be reviewed to minimise or stop neglect and abuse of foster children. Social Work M.A. (Social Work)

APA, Harvard, Vancouver, ISO, and other styles

Duarte, Mónica Costa. "Teste Apercebido de Roberts para Crianças (RATC): Estudo de validação com crianças e adolescentes em Acolhimento Residencial." Master's thesis, 2018. http://hdl.handle.net/10316/85367.

Full text

Abstract:

Dissertação de Mestrado Integrado em Psicologia apresentada à Faculdade de Psicologia e de Ciências da Educação Nos últimos anos, a temática da institucionalização de crianças no âmbito da proteção da infância tem sido alvo de investigação e preocupação por parte dos profissionais de várias áreas. No entanto, a nível nacional o interesse tem-se focalizado na avaliação da qualidade das instituições e dos serviços, enquanto o investimento na pesquisa sobre a avaliação do domínio emocional, afetivo e social das crianças e jovens tem merecido menor atenção.A avaliação psicológica das crianças e adolescentes em acolhimento residencial no âmbito do sistema de proteção é relevante por permitir aceder a informação sobre o seu funcionamento, vulnerabilidades e competências, e sobre o seu bem-estar pessoal. Um dos instrumentos clínicos usados na avaliação psicológica de crianças e adolescentes é o Teste Apercetivo de Roberts para Crianças (RATC), enquanto prova projetiva. O presente estudo pretende analisar as propriedades psicométricas do RATC numa amostra de crianças/adolescentes em acolhimento residencial, ao abrigo da Lei de Proteção de Crianças e Jovens em Perigo. Visa ainda comparar os resultados nas várias escalas do RATC, clínicas e adaptativas, entre a amostra forense de crianças/adolescentes em acolhimento residencial, e os dados de referência de uma amostra da população geral. A amostra forense é constituída por 35 crianças e jovens, acolhidos em Lares de Infância e Juventude (LIJ) a quem foram administrados o RA TC e o Questionário de Problemas do Comportamento de Achenbach (YSR). Foram assegurados todos os procedimentos éticos de acordo com a APA e a OPP (ver Anexo A).Os resultados do alfa de Cronbach registados nas escalas e nos indicadores clínicos do RATC variam entre “inadmissíveis” e “razoáveis”, traduzindo uma consistência interna “fraca” para a maior parte das escalas. Apenas nas escalas adaptativas Identificação de Problemas e Pedido de Ajuda se registaram coeficientes “razoáveis”.Relativamente à validade convergente, analisada através do recurso ao YSR (Achenbach, 1991; Fonseca & Monteiro, 1999) obtiveram-se correlações moderadas e negativas entre a Recusa do RATC e os fatores Isolamento, Comportamento Antissocial, Problemas de Atenção e Ansiedade e Depressão do YSR. Registou-se uma correlação moderada negativa entre a Resposta Maladaptativa e o fator Queixas Somáticas e correlações moderadas positivas entre a escala Estabelecimento de Limites e o fator Isolamento e entre a escala Suporte aos Outros e o fator Queixas Somáticas.Foram encontradas diferenças estatisticamente significativas entre a amostra forense e dados descritivos numa amostra da população geral nas escalas adaptativas Apoio à Criança, Identificação de Problemas e na Resolução-2, com as crianças/adolescentes acolhidas a obterem resultados mais baixos. Registou-se ainda uma diferença estatisticamente significativa na escala Suporte aos Outros, com a amostra forense a obter resultados superiores. Nos indicadores clínicos Resposta Maladaptativa e Recusa e nas escalas clínicas, com exceção da Rejeição, encontraram-se diferenças estatisticamente significativas, com a amostra forense a registar valores mais elevados.Os resultados obtidos no presente estudo indicam a necessidade de desenvolver mais investigação no âmbito da avaliação psicológica decrianças, particularmente as que integram o sistema de promoção e proteção da infância. Além disso, esta pesquisa realça a importância de se investir na avaliação psicológica para se ter um conhecimento mais integrado do funcionamento das crianças/adolescentes que estão em acolhimento residencial como medida de proteção. In recent years, the theme of children institutionalization in the field of child protection has been the subject of research and concern on the part of professionals in several areas. However, at the national level the interest has been focused on the evaluation of the quality of institutions and services, while the investment in research on the assessment of the emotional, affective and social domain of children and young people has deserved less attention.The psychological evaluation of children and adolescents in residential care under the protection system is relevant as it allows access to information about its functioning and their personal well-being. One of the clinical tools used in the psychological evaluation of children and adolescents is the Roberts Apperception Test for Children (RATC) as a projective test. Thus, the present study aims to analyze the psychometric properties of the Roberts Apperception Test for Children in a sample of children/adolescents in residential care, under the Protection of Children and Young People in Danger. It also strives to compare the results in the various scales of RATC, clinical and adaptive, between the forensic sample of children/adolescents in residential care, and a sample of the general population. The forensic sample is made up of 35 children and young people, housed in Homes for Children and Youth in the Portuguese territory, to whom were administered the RATC and the Youth Self-Report (YSR). All ethical procedures have been ensured in accordance with the APA and the OPP (see Appendix A).Regarding the internal consistency of RATC scales and clinical indicators, Cronbach's Alpha values ranged from "unacceptable" to "reasonable", translating into "poor" consistency for most scales. Only "reasonable" coefficients were recorded on the Adaptive Scales Problem Identification and Reliance on Others.With regards to the convergent validity, analyzed through the use of YSR (Achenbach, 1991; Fonseca & Monteiro, 1999), it displayed moderate and negative correlations between the RATC Refusal and the YSR factors Isolation, Antisocial Behavior, Attention Problems and Anxiety and Depression. It exhibited a moderate negative correlation between the Maladaptive Outcome and the Somatic Complaints factor and moderate positive correlations between the Limit Setting scale and the Isolation factor and between the Support-Others scale and the Somatic Complaints.Statistically significant differences were found between the forensic sample and descriptive data in a sample of the general population on the Child- Support, Problem Identification, and Resolution-2, with the children/ adolescents receiving lower scores. There was also a statistically significant difference in the Support-Others scale, with the forensic sample obtaining superior results. In the Clinical Indicators Maladaptive Outcome and Refusal and in the clinical scales, except for Rejection, we found statistically significant differences, with the forensic sample registering higher values.The results obtained in the present study indicate the need to develop more research in the psychological evaluation of children, particularly those that integrate the system of promotion and protection of childhood. In addition, this research highlights the importance of having a more integrated knowledge of the functioning of the children/adolescents who are placed in residential care as a protection measure.

APA, Harvard, Vancouver, ISO, and other styles

Alghamdi, Saeed M. "Evaluation of Clinical Facilities in term of Clinical Learning Environment, Supervisory Relationship,and Roles of Clinical Instructor." 2016. http://scholarworks.gsu.edu/rt_theses/31.

Full text

Abstract:

BACKGROUND: Clinical facilities are essential components not only for health care delivery systems but also for health care education programs. The clinical learning environment is important in training the future workforce in healthcare. Respiratory therapy education programs face several issues with the need to prepare a proper learning environment in different clinical settings. PURPOSE: The purpose of this study was to determine the perceptions of respiratory therapy students on the learning environment of clinical facilities affiliated with a respiratory therapy program at an urban state university. METHODS: This study used an exploratory research design to evaluate the essential aspects of a clinical learning environment in respiratory therapy education. A self-reporting survey was utilized to gather data from 34 respiratory therapy students regarding their perception about the effectiveness of clinical facilities in respiratory therapy education. The researcher utilized The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale that was developed by Sarrikoski et al. (2008). The CLES+T evaluation scale was adapted and modified after a written agreement from the author. The survey included three main domains, which are the clinical learning environment (18 items), the supervision relationship (15 items), and the role of clinical instructors (9 items). Thirty-two students participated in the survey with a response rate of 94.1%. RESULTS: Responses included two groups of students: the second year undergraduate (68.8%) and graduate students (31.3%), with 75% being female participants. The results obtained from the study indicated that both graduate and undergraduate respiratory therapy students gave high mean scores to the learning environment of the clinical facilities, supervisory relationship and the roles of clinical instructors. A statistically significant data was obtained pertaining to the difference of perceptions regarding the multi-dimensional learning between the graduate and undergraduate students. The graduate students evaluated that “the learning situation are multi-dimensional” more than the undergraduate students (p = 0.03). Findings of this study showed that female students had higher ratings than male students in all evaluations of clinical facilities. However, only one dimension of leadership style stating that “the effort of individual employees was appreciated” was statistically significant (p=0.03). The results stating, the presence of a significant percentage of the students with lack of successful private supervision and high percentage of failed supervisory relationship, are in contrast with the fact that clinical learning plays a vital role in the respiratory therapy education. It is also contrasting that majority of the students experienced team supervision, which is against the philosophy and principles of individualization. CONCLUSION: Since respiratory therapy is a practice-based profession, it is essential to integrate clinical education to respiratory care education. Gender and education level may impact students’ perceptions about the learning environment of clinical facilities. This study provides information about areas for improvement in clinical facilities affiliated with a respiratory care education program at an urban university.

APA, Harvard, Vancouver, ISO, and other styles

Ingle, Ann Marie. "The role of the ward sister in the context of supervisory status and the impact that the role has on quality of care." Thesis, 2018. https://arro.anglia.ac.uk/id/eprint/705289/3/Ingle_2018.docx.

Full text

Abstract:

The aim of this study, is to explore factors that influence the supervisory status of ward sisters in an acute hospital Trust and examine the impact that the role has on the quality of care both perceived and actual. Specifically, the study explores the lived experiences of ward sisters who move from non-supervisory to supervisory status, and the impact this has on the quality of patient care. Using case study methodology, ward sisters from five different wards participated in a 12-month study during which they underwent a role change from non-supervisory to supervisory status. Managerial interventions created structural changes, first to their role and working environment via a professional development programme, and secondly, through the design of the new supervisory role. The supervisory role facilitates enabling of time, access to resources and to lines of support. Using semi structured interview techniques and a hermeneutic approach to interpretation, the lived experiences of ward sisters were captured first in their non-supervisory states (their roles formed part of the clinical care team), and later, in their new supervisory role. In addition, to establish the impact of the role change on patient outcomes, nursing quality indicators were observed over the course of the study period. The findings of the research provide empirical support for propositions derived from Kanter’s theory of work empowerment. Whilst fluctuating clinical staffing challenges did not always enable the participants to manage with 100% supervisory status, when empowerment was operationalised in the organisational setting, ward sisters perceived increased levels of control, authority and support, as well as feelings that patient outcomes had improved. Quantitative data analysis of the nursing quality indicators showed no significant relationship with the role change; however closer inspection of the indicators revealed organisational inaccuracy of data capture. The research makes a unique contribution to practice by providing guidance to enhance ward sisters’ contributions to the quality of patient care and draws our attention to the way in which we measure this.

APA, Harvard, Vancouver, ISO, and other styles

Chun-FangSu and 蘇群芳. "Exploring the supervisory function and it’s satisfaction of the home care service supervisor from the view of supervisors themselves and the home service assistants in Tainan." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/d62r2h.

Full text

Abstract:

碩士 國立成功大學 老年學研究所 101 Taiwan government has established the Ten Year Long-Term Care Plan since 2007 and home service has become the most widely used service among disabled elderly people under the project. According to the government “ aging in place” policy and general preference of the disabled elderly people who would like to stay in own homes when needing long term care. The role of home care service supervisors becomes increasingly important to manage and oversee the quality of “home care service”. The job design for home services supervisors are generally with administrative, educational, support and regulatory function. Their role of supervision and connotation to ensure home service quality also has important influence. The aim of this study is to explore the importance and satisfaction of the supervisory role and function from views of home care supervisors themselves and home care assistants. The study is a cross-sectional research and the self-designed questionnaires were used based on knowledge gained from previous research regarding home care services. Validity and reliability has been checked on the “supervisory role and function questionnaire” in order to conduct survey in 12 home service agencies in Tainan city. In total, 11 home service agencies with 49 home care supervisors questionnaires (response rate 89%), and 344 home care assistants questionnaires (response rate 78%) have been finished with a total response rate 70%. The study results showed that the regulatory mediation function was found to be the most important and satisfied function from the views of both home service supervisors and home care assistants.The supervisory self-assessment showed that administrative functions was the least important and satisfied; and the care aides perceived that support functions of their supervisors was critically important, however, less satisfied.The gap between supervisors and care aids of home care services in terms of their view of the importance and satisfaction towards supervisors’ role and fuction needed to be solved in priority were also discussed in the study.. To explore the roles and functions of home care services supervisors in long term care system is important. The home services supervisory role and function could be improved through task identity and problem solving. It would be also helpful in improving the quality of home care services through a harmonious relationship between these key staff working together, which definitely would benefit the users by improving staff’s performance of home care services.

APA, Harvard, Vancouver, ISO, and other styles

Lin，Yen-Tzu and 林燕姿. "The Study of Supervisory Functions to Home Care Worker Feeling Relationship between Job Satisfaction and Intention to Stay— Seven Counties in the Southern Taiwan as Example." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/24r282.

Full text

Abstract:

碩士 長榮大學 社會工作學系碩士班 98 The main theme of this study is to explore the home care supervisory functions affect between job satisfaction of the home care worker and the intention to stay. The objects of this study are those home care workers who work full-time or part-time in seven counties of the southern Taiwan. There were totally returned 712 efficacious questionnaires. According to the data analyses, are presented as below: 1. The demographic variables analyses result of the home care workers: the female gender more than male, the gender rate is a wide gap. The age aspects focus on middle -advanced age, the number ridge between fifty and fifty-four. Senior high school is the highest level of the rate which of education. The work seniority aspect for the most part is under one year. The monthly average number of service hours are around 154 hours. 2. Analysis result of the job satisfaction and the intention to stay: the satisfaction of the interpersonal relationship is at most; the main consideration of home care worker is health factor. 3.The presents situation analyses result of the home care supervisory functions、job satisfaction and the intention to stay: the administrative supervision was displayed the best; the satisfaction about the feeling of job achievements was the best; mostly home care workers tend to stay on the organization where they can offer their service presently. 4. The difference analysis result of demographic variables、job satisfaction and the intention to stay: the gender variable and level of education variable would’t significant differences in job satisfaction, only area variable would cause significant differences in the satisfactions of welfare and salary . Besides, the gender、level of education variables would’t come to significant differences in the intention to stay. Only area variable would cause significant differences in the intention to stay. 5. The correlative analyses result among the home care supervisory functions、demographic variables、job satisfaction and the intention to stay: Obviously positive correlation between supervisory functions and job satisfaction; the age variable have no conspicuous correlation to job satisfaction; the work seniority has negative correlation to the system of organization; the month average number of service hours has positive correlation to the satisfaction of welfare and salary. Significantly positive correlation between supervisory functions and intention to stay; the age、work seniority and the monthly average number of service hours variable have no conspicuous correlation to the intention to stay; the variables of job satisfaction have significant positive correlation to intention to stay, except the satisfaction of organization system has no conspicuous correlation to intention to stay.

APA, Harvard, Vancouver, ISO, and other styles

Lin, Yi-tin, and 林儀婷. "The study about the subjective experiences and needs of abusive parents to the coactive services of social workers of government department- Take body abuse and neglect care for instance." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/62412358972876795273.

Full text

Abstract:

碩士 東吳大學 社會工作學系 96 The purpose of this essay is to realize the subjective feelings and experiences when Abusive parents undergo the courses of Child protect services. Hoping to understand the incidental influences that Child protect services bring in aspects of abusive parents and making CPS social workers find their way to work faster and more effective with those parents. Thus, abusive parents in Child protect services are the research samples for this essay , they were totally five parents participated in. Applying the research subjects to qualitative research and making In-depth interview with subjects. Finally, analyzing those interview records. This course holds moral principles of agreement, secrecy and respect to protect the rights of research subjects. There are four parts of this analyzing research course. Fist of all, mention the family backgrounds and pressure of life about abusive parents before the interference of child protect service system. Second, describe the actual experiences abusive parents have when undergo child protect services. Third, illustrate the subjectively feelings of abusive parents to child protect service system. Finally, according to the situations and what abusive parents need in order to discuss the differences and effects that child protect services may make to abusive parents. The research result shows that life pressure of weak families may occur unsuitable behaviors of parents easily. Therefore, in those violence accidents, not only children but also parents are wrong, even the society makes mistakes. According to three male interview subjects of this research, we could see the effects and constraints that traditional values had put on them. After abusive parents entered child protect service system, the feeling of disability was abiding and dynamic. The feeling of disability also showed problems in both work system and practice of child protect services. Besides, both genders and changes of social work are important elements to build working relationships with parents. If the services that social workers provide meet the subjective needs of the parents. It yields twice the result with half effort for the work for the services of child protect service. Eventually, the research also finds out that compulsory treatments also offers parents some unexpected and positive effects. Accordingly, this essay advances the following research recommendations: First, the basic faith and values about the aspect of policy to child protect services should be practiced even more, which means the service subjects will be expended to the whole families and also believes that they are willing to play the fine roles of being parents. When weak families encounter difficulties of life, the government should not only support them but also provide more resources to them. Second, social workers should exercise the power that law gives to them suitably. Replace the stereotype to abusive parents with the attitude of understanding and reinforce the sensitivity of genders in order to elevate the profession of child protect services.

APA, Harvard, Vancouver, ISO, and other styles

Tržilová, Jitka. "Zanedbávané dítě v MŠ." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-299952.

Full text

Abstract:

The goal of this thesis is to describe the historical development of child care in the Czech Republic and in the world. It was never easy for children in the adult world. At the origination, the leader of the tribe decided about their lives. In the past murders of little girls were common, men could fight and protect the tribe or nation better. Boys were often killed by enemies so there was no descendant left. It was not until the acceptance of Christianity in 16th century that it had changed. It was still not a peaceful childhood, but there were no child murders. On the other hand, a lot of childen ended up in monasteries without parents. Nowadays at least children in the developed world should have a real childhood. Unfortunately there is still a considerable amount of adverse cases. Another goal was to familiarize the reader with CAN Syndrome. In 1962 the term "Beaten Child Syndrome" was used, later the name CAN Syndrome became common. This syndrome was first described in the USA, where they noticed children have injuries their parents cannot make clear. Categories included in CAN Syndrome were established by the Council of Europe in 1992. One of the most important goals of the thesis was to focus on child neglect (its forms, conditions and signs of neglect). In the research part I determined...

APA, Harvard, Vancouver, ISO, and other styles

Víravová, Jiřina. "Ohrožované dítě. Ohrožování dětí a jeho vztahový rámec u jedinců umisťovaných do diagnostického ústavu." Doctoral thesis, 2014. http://www.nusl.cz/ntk/nusl-335653.

Full text

Abstract:

TITLE: Abused child: Child abuse and its referential framework in individuals placed to a diagnostic institute AUTHOR: Jiřina Víravová DEPARTMENT: The Department of Special Education SUPERVISOR: Doc. Boris Titzl, Ph.D. ABSTRACT: The submitted thesis focuses on the phenomenon of child abuse and neglect. The theoretical background for these issues had to be found in the science branches which have so far made the contribution to the explanation of the child abuse and neglect. Medicine (mainly traumatology) explains the mechanism of physical abuse, psychiatric- psychological approach not only enhances the topic with the psychical abuse and neglect, but also offers a backup to a non-moralizing explanation why abusing persons behave in such way. Sociological and ethological approach helps to understand the contextual factors which could foster the child abuse and neglect. The social work point of view is used to introduce the system of care of the abused children. Special pedagogy part of this thesis approaches the situation and education of the abused children mainly from the ethopedical point of view and reflects specific questions of institutional education. This part of the thesis is illustrated by real stories of abused and neglected children from the institutional education. In the research part of the...

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!