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1
Rooney, Margaret Mary Carmel. "Care leavers' experiences of transition : a biographical narrative study of care leavers' stories in one Trust area of Northern Ireland." Thesis, Queen's University Belfast, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.602794.
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The insightfulness of care leavers about their experiences of transition from care to adulthood is a powerful force for change. The leaving care legislation enhanced duties on Trusts to support and provide services for care leavers. Despite this, many young people leave care before they are ready to do so and experience poor outcomes. Yet, some do exceptionally well. Research suggests that transition from youth to adulthood is viewed as increasingly circuitous whilst transitions for care leavers tend to be accelerated and compressed. But how do care leavers themselves perceive their transitions? This study sources their accounts of their experiences. Using a qualitative approach, eight young care leavers from one Trust area in Northern Ireland were interviewed. The Biographical Narrative Interpretive Method (BNIM) was used to generate their care stories. In a supplementary interview, the care leavers constructed their biographical life-lines and self-assessed the degree of support and control they had and how they coped at key turning points in their lives. The data was analysed using BNIM. The findings show that as the care leavers experience events in their lives as they journey through their care pathway, they also experience changes in their subjectivity. These fall into three dominant phases forming a subjective pathway. It begins with 'loss of felt security', moves to 'finding stability' and culminates in 'actualising self'. The care leavers' turning points are not eureka moments associated solely with the events in their lives but are linked to changes in their subjectivity which transform in their consciousness over time. By using BNIM, hitherto an untapped methodology to uncover care leavers' experiences, access is given to their lived subjectivity. The findings reinforce the importance of underpinning policy, care practices and service provision with attachment and resilience theories and they point to the potential contribution of humanistic social psychology.
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Tilley, Alice. "Academically successful Care Leavers : what has gone right?" Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/academically-successful-care-leavers-what-has-gone-right(6e4a8182-f098-4dff-b6bd-a107e2a1c7c2).html.
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This research used Q methodology to explore the viewpoints of undergraduate Care Leavers (n = 10) and corporate parents (n = 20) regarding what it is that enables children who have been Looked After to achieve a university education. In addition, this study sought out the chance to explore the views of Care Leavers and corporate parents in such a way that themes emerging from each could be compared and considered in the light of future practice implications. The published literature exploring attainment in children and young people who are Looked After provides ample evidence of under-attainment and considers what might be put into place to address that trend. The role of the Social Worker in the life of any Looked After Child is detailed in statute, yet they are not the only profession who has responsibility for this vulnerable group as a Corporate Parent. The literature search carried out indicates that whilst there are a small number of studies where viewpoints of Looked After Children or Care Leavers are sought, none of the previous research has used Q methodology. A Q sort of 34 items was used to seek out the views of each participant and then these views were analysed using by-person factor analysis and varimax rotation. Factor arrays are used to provide the basis of a narrative for each factor emerging from the analysis. One factor (shared viewpoint) emerged from the Care Leavers and three factors from the corporate parents. The Care Leavers stressed the impact of being placed with the right carers, those who believed in them and the influence that a university education might have on their future. The corporate parents in Factor 1 recognised the role of carers and highlighted the role of the Social Worker and self- belief. Corporate parents in Factor 2 stressed the impact of carers, the determination to succeed and to make use of the financial support available, and minimised the influence of others especially birth family. Corporate parents represented by Factor 3 shared the viewpoint that teachers and the priority given to educational issues by everyone surrounding a child are integral to enabling a university education. In common to both the Care Leavers and the corporate parents was the central role played by carers in terms of the importance of an appropriate care placement and the belief of the carer that the child (as they were at the time) could achieve a university place. The viewpoints of the Care Leavers and the corporate parents are discussed and considered in terms of shared and divergent themes between and within the Factors. Consideration is given to what can be learned from Care Leavers who achieved a university education by those with the power and potential resource to enable the aspirations of all Looked After Children.
3
Weston, Jade Louise. "Care leavers' experiences of being and becoming parents." Thesis, University of Hertfordshire, 2013. http://hdl.handle.net/2299/13227.
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Aim: The aim of this study was to explore care leavers’ experiences of parenting. Although research has previously been carried out on this area, there is a lack of research on mature care leavers’ experiences of parenthood which this study attempts to address. It was hoped that this research might further illuminate our understanding of care leavers as parents, and highlight potential areas of clinical need and ways in which these could be addressed therapeutically. Method: This study employed a qualitative design through the use of semi-structured interviews with six care leavers who were mothers; the majority of whom were in their late 30’s to early 40’s. Interpretative Phenomenological Analysis (IPA) was used to develop a rich and multi-layered account of participants’ experiences. Results: Four main themes emerged across participants’ accounts. These were: ‘Fear of the past and its impact on the future’, ‘Trying to do better’, ‘Parenting is hard but rewarding’ and ‘Connecting and disconnecting: the push and pull.’ Implications: The study highlights the importance of holding the complexity of care leavers’ experiences as parents in mind; acknowledging both their strengths and struggles. Participants’ sense-making of their parenting in relation to their pasts as well as their resources and the processes surrounding learning to parent, were discussed in light of the themes that arose and previous theoretical and research literature. Clinical implications and recommendations for future research are also discussed.
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Ndure, Mariama, and Lisa King. "A qualitative study exploring care leavers' transition experiences from care to independency." Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och kriminologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-30298.
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The aim of this study was to explore care leavers' experiences to independency after being discharged from public care. The study explored the services provided for young adults who have left public care and how they perceived the support provided for them during their transition and after. The study has also an interest on the care leavers' rights according to the UN Convention on the Rights of a Child. A qualitative study approach was used to collect data, due to the focus on the interpretation of the care leavers' experiences and to get in-depth information and descriptions about their experiences and perspectives. Semi-structured interviews were conducted with four participants who have left care. Moreover, the findings show that the participants were disadvantaged in many areas during their transition and the support received were limited. From the findings, the care leavers were lacking stability, encouragement and both emotional and adequate practical support after being discharged from care.
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Golding, Frank. "Care leavers recovering voice and agency through counter-narratives." Thesis, Federation University Australia, 2021. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/177497.
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The publications in this thesis discuss recurring issues in the historical context of out-of-home Care (OOHC). They were written for various audiences but are arranged not by date of publication but thematically so as to present a coherent argument about the recovery of voice and agency by those who experienced OOHC. The thesis begins with an Overview which discusses autoethnographic and multi-layered approaches to history and shows how subject matter helps determine the choice of methodology and sources and, in turn, how methodologies influence the selection of sources and shape content. Authorities in Australia have a long history of removing children from their families when they are deemed to be neglected or ‘in moral danger’. Out of the public gaze, these children were often rendered silent, their voices simply unheard or deliberately supressed by the exercise of total institutional power. This thesis analyses how children were marginalised, cast as ‘the other’, and framed as deserving no better than they got. In the aftermath of a series of inquiries into institutional child maltreatment—some of which came about as a result of survivor advocacy and relied heavily on direct testimony—we now better understand children’s institutional experiences. In this changing environment, advocacy groups are effectively challenging the received accounts of historical Care. Their challenge has gained impetus from the opening up of records through rights legislation, especially access to personal case files. Large numbers of Care leavers have found their files inaccurate, incomplete, or misleading, and this discovery has stimulated many to produce compelling counter-narratives of the lived experiences of their childhood, and the living experiences that endure. The thesis concludes with an extended analytical commentary reflecting new interpretations of emerging histories, assessing changes in the status of Care leavers, and identifying directions warranting further development in OOHC.Doctor of Philosophy
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Ibrahim, Rawan Wadie Zaki. "Making the transition from residential care to adulthood : The experience of Jordanian care leavers." Thesis, University of East Anglia, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.522244.
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Chambers, Jemma. "The experience and influence of positive relationships in care leavers." Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/62931/.
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Poor long term outcomes have been documented for individuals growing up in the care system. These outcomes have been associated with early maltreatment within birth family relationships, which impinge on the individual’s development. However, supportive relationships have repeatedly been found to act as a protective factor for individuals who are in care. The aim of this study was to explore care leavers’ experiences of positive relationships and the impact that they had on the achievement of developmental needs. Rather than considering one type of relationship, the current study focused on how an individual’s developmental needs were met, possibly through multiple relationships. Eleven young people were recruited from a care-leaver service and took part in a semi-structured interview about their experience of positive relationships in the fulfilment of developmental needs. Interpretative Phenomenological Analysis produced three superordinate themes from the participants’ experiences: Attachment – being able to engage with a variety of attachment figures, yet still experiencing emotional dysregulation and relationship problems from early insecure attachments; Impact of Care System – which may exacerbate attachment problems or provide a safe haven for development; and Developmental Needs – how developmental needs were met through relationships or the barriers to them. These results were discussed in relation to how the emotional and relational effects of early insecure attachment was likely to be further impacted upon through experience of the care system. The specific influence of trust and rejection appeared throughout the results and this was discussed in relation to service development and interventions focusing upon relationship needs.
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Uzzell, M. "The internal conversations and social networks of care leavers at university." Thesis, University of Essex, 2018. http://repository.essex.ac.uk/22412/.
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Individuals who have been in care are often thought of as a homogenous group who, because of past and ongoing contextual adversities, have outcomes reflecting hardship in various do mains. Aggregated outcomes may conceal the presence of individuals within this group who develop life projects and are able to put plans into action. Some manage to succeed educationally and take up places on university course. This research seeks to explore the reflexivity, internal conversations and social networks of young people who had been in care but had managed to become students at university. Five young people were interviewed using Archer’s (2003, 2007) semi-structured internal conversation inter view and then using Hartman’s (1978) ecogram to graphically represent their social network. Data was analysed using Robinson and Smith’s (2010) composite analysis, which incorporates elements of Interpretative Phenomenological Analysis (2015) and the Inter active Model (Miles and Huberman (1995)). The young people’s accounts showed that they were proudly independent, demonstrating considerable personal agency, but were well connected and able to access emotional and practical support in their social networks. They felt different to others and managed their difficult histories in a variety of ways. The results are considered in relationship to Archer’s theory and theories of resilience.
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Hyde-Dryden, Georgia. "Overcoming by degrees : exploring care leavers' experiences of higher education in England." Thesis, Loughborough University, 2013. https://dspace.lboro.ac.uk/2134/12260.
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Existing research has shown that care leavers are one of the most disadvantaged groups in society and are at particular risk of experiencing negative long-term outcomes including unemployment, homelessness and mental health problems. This thesis makes a contribution to knowledge in this area by focusing upon a group of care leavers about whom very little is currently known: care leavers in higher education. These are young people who despite the odds, have succeeded educationally and are overcoming their early disadvantage to make a successful transition from care into adulthood. This thesis uses Bourdieu's theory on transformation and reproduction in society and the concepts of capital, field and habitus to explore care leavers' experiences of higher education. It considers how the support available to care leavers from their local authorities and higher education institutions has developed since Jackson and colleagues (2005) Going to University from Care study first highlighted deficits in the level of support provided to care leavers. This thesis also compares the experiences of care leavers with students from other disadvantaged backgrounds to understand where care leavers have specific support needs as a result of not being supported at university by their birth parents. Finally, this thesis considers the impact of the Buttle UK Quality Mark, developed in response to the findings of Jackson and colleagues (2005) and awarded to universities demonstrating a commitment to supporting care leavers.
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Canning, Amy. "An investigation of the relationship between self-esteem and aggression in care leavers." Thesis, Cardiff University, 2011. http://orca.cf.ac.uk/8627/.
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Aggression is a significant problem at an individual and societal level, and has a negative impact on both victims and perpetrators. There is evidence that aggression may be a particular problem for young people who have been in care (‘care leavers’), and this may exacerbate their already high levels of mental health and social needs. Previous research has suggested that self-esteem may play an important role in aggression. However, the nature of this relationship is unclear and the research evidence is inconsistent. It has been proposed that some of the inconsistencies apparent in the existing research are due to the way that self-esteem has been conceptualised and measured. This research aimed to investigate the relationship between a number of different forms of self-esteem and aggression using a cross-sectional survey design. The study used self-report measures and implicit association tests (Greenwald et al., 1998) designed to assess implicit global self-esteem and implicit domains of self-esteem. The relationship between global self-esteem and aggression, domains of self-esteem (social rank, mate value and social inclusion) and aggression and discrepant explicit/implicit self-esteem (calculated by subtracting implicit self-esteem scores from explicit self-esteem scores) and aggression were investigated. When male and female data were analysed together there was a weak positive relationship between social rank and aggression but no other significant relationships. However when male and female data were analysed separately marked gender differences in the relationships between self-esteem and aggression emerged. For women, there were significant inverse correlations between self-reported aggression and three different forms of self-esteem: global self-esteem, social inclusion and discrepant implicit/explicit social inclusion. For men, there were significant positive relationships between self-reported aggression and four different forms of self-esteem: social rank, mate value, discrepant social rank, and discrepant mate value. The methodological, theoretical and clinical implications of this study are discussed.
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Albar, Ahmed. "A triangulated multi-sites case study of abandoned young people in residential care and care leavers in Saudi Arabia." Thesis, University of York, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.559012.
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Hussey-Smith, Kelly. "apart & a part: a new kind of archive." Thesis, Griffith University, 2017. http://hdl.handle.net/10072/371138.
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apart & a part: a new kind of archive
For many individuals who spent time in institutional and out-of-home care as children during
the twentieth century in Australia, the experience was marked by longing, loss, and
displacement. apart & a part is a visual artwork that was created in collaboration with six
Australian care leavers as the outcome of my doctoral research. The project has focused on the
legacy of the institutional or out-of-home care experience on the individual and the subsequent
need to produce narratives of the self. It has traced the affective dimensions of trauma and
memory through a lengthy period of collaborative dialogue with care leavers. Drawing on the
notion of trauma as a quotidian experience, apart & a part explores how care leavers navigate
everyday encounters with their past.
The artworks featured in the installation create an expanded archive of visual responses and
narrative fragments that address the felt experiences often absent from historical or institutional
records. The immersive installation blends photography, video, sound, and archival images to
communicate the ongoing impacts of institutional thinking on individuals. Drawn from our
collaborative dialogues and actions, the works in apart & a part traverse expanded
documentary, social practice, and contemporary political art. The project explores the non-linear
and sensorial structure of trauma, and advances its potential to represent the affective
dimensions of lived experience. The project frames lived experiences as a continuum rather than
an event, thereby acknowledging the impact of abuse and trauma but not allowing them to
become life-defining.
Accompanying the artwork, this exegesis, apart & a part: a new kind of archive, interrogates
the conceptual underpinnings of the creative research. It provides a necessary socio-political and
historical context through which to understand the mass removal of children (First Nations and
non-First Nations) in Australia during the twentieth century. This leads to an exploration of
trauma theory and the limits of the victim–survivor narrative to grasp the complexity of these
experiences. The politics of collaboration are discussed through a series of case studies specific
to the project, where I argue for a transdisciplinary approach to collaborative practices that
privilege story over form. Learning to understand care leavers on their own terms resulted in a
long period of collaborative dialogue and conceptualisation. This catalysed the development of
a consultative, meaningful, and inclusive framework for participants, with the intention of
engaging a secondary audience. The intimate act of performing, recording, and memorialising
lived experience transformed these personal experiences into artworks. As such, I draw on the
field of reparative aesthetics to navigate shame in apart & a part, and argue for the
effectiveness of reparative strategies in collaborative projects that traverse trauma and memory.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Queensland College of Art
Arts, Education and Law
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Novozhylova, O. "A social psychological interpretation of life course trajectories for residential care leavers in Ukraine." Thesis, Queen's University Belfast, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580150.
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This thesis explores the experiences of young people in their transition from residential public care to adulthood in Ukraine, a group that has been increasingly recognised as vulnerable and at a great risk of being socially excluded. Available statistics show predominantly poor outcomes for Ukrainian care leavers across a number of life domains, including accommodation, employment, education and health. Historically, the Soviet Union relied heavily on residential care facilities. Nowadays Ukraine, like many other countries of the former USSR, has started reforms focused on restructuring state care institutions for children. These reforms aim to ensure that in-care needs of the children are better met as well as their after-care life chances being improved. However, there is a lack of Ukrainian research on which the reform can draw. With little research evidence available in the Ukrainian context, many questions as to why some transitions to the post care environment are more successful than others remain unanswered. f \ The aim of this project is to gain an understanding of what in contemporary Ukraine the transition from a residential care environment means to the young people involved and to determine what helps or hinders them to achieve best outcomes in this process. Twenty-one care leavers, who aged out from the same residential care facility and who had an experience of five or more years of independent living, were interviewed using a life history interview. Nine staff members involved in the upbringing of those young people were additionally interviewed to achieve an in-depthundetstanding of the current residential care context in Ukraine. The method utilised to manage and analyse data for this study is known as 'Framework.' It is a staged approach to thematic analysis. The-study employed a Life Course Approach as a theoretical perspective, which served as a framework for approaching the biographical narratives of the sampled Ukrainian residential care leavers, and was used to guide the interpretation of the results. By utilising a specific theoretical perspective this research contributes to the challenge of linking empirical and theoretical work in care leaving research, which has been increasingly emphasized as a necessary development in the field. " :c~ /:: IV The findings of this study do not only illustrate significant challenges that Ukrainian care leavers face in their transition from public care, but also indicate that young people appear to ne'gotiate their transitions differently. A typology emerged based on three leaving care coping styles: Active Transition Negotiation, Hesitant Transition Negotiation and Passive Transition Negotiation. Additional analysis revealed several factors crucial in shaping the life course trajectories of Ukrainian care leavers. These identified factors, along with the coping styles, were employed in developing a conceptual model of residential care leaving in Ukraine based on the life course paradigm. The conceptual model offers a holistic perspective for understanding leaving care experiences in Ukraine and explaining some of the differences in both the more andthe less successful transitions. In particular, the model brings to the forefront a range of factors fundamental in explaining why some transitions seem to be more successful than others. These core factors are (1) identity arid identity capital, (2) mental health, (3) stigma, (4) \ schooling, leisure and preparation for leaving care, (5) social networks and social capital and (6) critical moments. The findings make it clear that there is an urgent nee9 for improvements on both policy and -practice Tevelslftne-well-oeing-ofcare-Ieavers-is to-be-effedively-addressed-in-Ukrairle.Jn- concluding the thesis areas for improvements are formulated as four lessons: improve the general policy and legal framework; introduce changes in the culture and purpose of residential care; expand the range and comprehensiveness of after-care services; increase public awareness of the challenges faced by the young people leaving care. SuggestioJls are . also made as to further research.
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Amaral, Marina. "Thro’ the een o’ caer leevers (through the eyes of care leavers) : the experience of young people leaving care and suffering from depression in Scotland." Thesis, Heriot-Watt University, 2015. http://hdl.handle.net/10399/3011.
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The transition to adulthood is known to be a challenging period, particularly for care leavers who have been known to achieve poor outcomes. This study aimed to examine the Throughcare experience and outcomes achieved by young people who are simultaneously leaving care and experiencing depression. This study also adopted a multi-theoretical approach which accommodates both inner and external factors as potential elements which influence care leavers’ transitions. This theoretical position offered a useful approach for studying the multi-dimensional and complex reality of care leavers who suffer from depression. A qualitative methodological approach based on the constructivist paradigm was adopted for this study. Twenty seven young people who suffer from depression were interviewed and their data was complemented by information collected from seventeen key informants and a small group of young people leaving care who were not suffering from depression. The data was inductively analysed. The study found that some young people develop a material meaning of independence which leads them to disregard their mental health. This contributes to their inability to deal with problems and the difficult transitions they experience, where self-harm and suicide are often perceived as viable solutions for their problems. Poor mental health was also found to negatively impact on educational and work performance, school attendance, finding work, ability to maintain a job and perceptions of education and work. Other factors which impacted on education and work were attachment problems, inability to deal with simultaneous challenging problems, peer pressure, and the lack of appropriate formal and informal support. These young people also experienced poor housing outcomes, including the inability to sustain a tenancy, poor gate keeping, problems with neighbours and eviction leading to homelessness. Overall, the study concluded that care leavers with depression have specific vulnerabilities that contribute to difficult transitions to independent living. More attention needs to be paid to supporting these young people through strategic planning and policy, and investment in adequate resources to enable them to make successful transitions.
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Lamond, Catherine. "Young people leaving care : plans, challenges and discourses." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/621224.
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This small-scale study explored plans for four young people leaving care and the perspectives of twelve key adults supporting them. Using Fairclough’s model of critical discourse analysis, the rationale for this research was concern about the difference in outcomes between care leavers and young people in general. Aims were to explore if contradictions in plans and ideas contributed to problems for the young people, and to examine explanations and justifications made by the adult participants. Data were collected by semi-structured interviews from an opportunistic sample. Findings indicated that the established problem of young people having to leave care too early persists in spite of initiatives to prevent this happening. Theories drawn from the psychology of child development influence the professionals’ constructions of the young people, thereby limiting the responses which adults can offer. It is proposed that neoliberal discourses of individual responsibility and continuous self-improvement constrain systems which encourage young people to leave care before they are ready. Two concepts of chop (abrupt change, such as end of school phase) and churn (disruption, such as staff turnover) are used to examine how frequent disturbance in the life of a looked after child is exacerbated by points of rupture which are caused by the structures of children’s services. This study adds to calls for increased stability for young people, and recommends earlier planning for the future of young people in care. Implications for educational practice are presented, including the need to ensure that leaving mainstream education for segregated provision is not an irreversible decision. It is suggested that educators should consider critically the labelling of looked after children as having Special Educational Needs, as this can lead to practices which encourage compliance by young people, and pathologise resistance which could instead be re-framed as self-reliance.
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Hasse-Grierson, Eliane. "The neglected child becomes a mother : care-leavers' transition to motherhood and their lived experience of being a mother." Thesis, Regent's University London, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.698147.
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This study seeks to explore the experiences of motherhood amongst care-leavers with histories of neglect and/or abuse. Six mothers were interviewed, who had been in care for three years or more and had by the time of the interviews left care for at least eight years. The data collected was analysed using Interpretative Phenomenological Analysis (IPA), and four main themes were identified: (1) motherhood as a lifeline and a great challenge; (2) the negotiation of external threats and support; (3) care-leavers’ mothering overshadowed by their past; and (4) being good-enough-mothers: self-imposed pressures. The findings suggest that the transition to motherhood is a personal existential journey involving the search for connections, love and identity; giving the participants an opportunity to create a positive sense of self that lies beyond that of a “child of the system”, and bringing them a sense of purpose and self-worth. However it also propelled them to confront their givens and vulnerabilities, leaving them struggling at times to meet the demands of motherhood. External support and personal determination were key elements in their resilience and success in mothering their children. However, the positive elements of motherhood as the secure base from which to explore new ways of being were not enough to heal the trauma of their past. Participants’ needs to overprotect their children and the tendency to interpret their children’s need for independence as rejection may be fostering the transmission of psychological traits that they sought to avoid. There is a need for easier access to counselling services for these young adults before and after they leave care. Moreover, psychological educational programmes should be established to minimise the negative impact of children-in-care’s early experiences, preparing them not only for motherhood if desired, but also for life as independent, selfassured individuals.
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Munro, Emily R. "Balancing looked after children's protective, provisional and participatory rights in research, policy and practice." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/17976.
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In England around 68,000 children are currently looked after by the state. Sixty two per cent of this population are admitted to care or accommodation in response to abuse and neglect. As the United Nations Convention on the Rights of the Child acknowledges, the state has a unique responsibility for these children and is expected to ensure their safety, wellbeing and development. Underpinned by a rights-based framework the publications in the thesis make an original contribution to social work research, policy and practice, in respect of looked after children nationally and internationally. Three cohering theoretical strands - the new sociology of childhood, attachment theory and focal theory, and different methodological lenses, (from participatory research with young people to cross-national analysis of administrative data), are employed to advance understanding of the balance of protective, provisional and participatory rights ( 3 Ps ) for these children and young people. The work focuses upon their life pathways at two key stages in the lifespan: early infancy and adolescence into adulthood. Consistent with the theoretical underpinnings of the research, the methodological approach employed in two of the four core studies sought to promote children s active participation in the research process, and to give them a voice . The participatory peer methodology adopted moved beyond involving care experienced young people in interviewing their peers, to training and engaging them in several major aspects of the research cycle, including analysis of the data and the design and write up of the findings, to produce accessible peer research reports for young people. At the national level the work undertaken demonstrates how a needs-based discourse, and orientation towards considering looked after children as objects of concern, can mean that young children s protective rights may be prioritised in policy and practice, at the expense of their provisional and participatory rights. Children s participation rights are also constrained due to assumptions about the (in)capacities of younger children to express their wishes and feelings. In this context parents rights tend to be prioritised at the expense of the rights of the child. Whereas parents rights may take precedence when children are young, in adolescence the rights of parents are more peripheral. Cross-national comparisons reveal variations in how young people s provisional, participatory and protective rights are balanced as young people negotiate the transition from care to adulthood in western societies, as well as different drivers for reform. Empirical research on recent policy developments in England also illuminates the tensions and dilemmas professionals can face as they attempt to protect and provide for young people, whilst recognising their evolving capabilities and their right to autonomy and active participation in decision making processes. Finally, the studies highlight that young people with the most complex care histories may be denied the right to decide for themselves if they want to remain in foster or residential care into early adulthood.
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Magnusson, Ilja. "Hur ser ungas övergång från familjehemsplacering till vuxenlivet ut och hur hanteras den? - ur ett professionellt perspektiv." Thesis, Stockholms universitet, Institutionen för socialt arbete, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-189634.
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In research, the transition from foster care to adult life has been pointed out as a significant and problematic period in young people´s lives. However, we know less about how this transition is handled professionally. Through qualitative interviews, this study examines social worker´s views and experiences of this transition process. The research questions focus on what needs social workers see in young people´s transition, how they describe their own work, and what strategies and tools that may promote the transition. The results are analyzed using the following theoretical concepts – discretion, emotional support, informative support,instrumental support and evaluative support. The study shows that young people need long-term relationships, certain practical skills and each type of support. Work with the transition is based on these needs. Here, social workers have an exploratory and coordination role thatconsists of many tasks. While they describe some specific strategies and tools, the results show that there are difficulties within this work. The roles of foster carers and social workers in young people´s transition to adulthood are discussed.
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Qatanani, Abdulwahid, and Zeid Amd Abu. "Vi måste trolla med knäna : Socialsekreterares erfarenheter av eftervård till unga som lämnar dygnsvården." Thesis, Högskolan i Gävle, Socialt arbete, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-32875.
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Titel: Vi måste trolla med knäna- Socialsekreterares erfarenheter av eftervård till unga som lämnar dygnsvården Syfte: Syftet med studien var att undersöka vad socialsekreterare anser attsamhällsplacerade unga har för behov i övergången mot ett självständigt vuxenliv, samtderas erfarenheter av de stöd- och hjälpinsatser som erbjuds de unga eftersamhällsplaceringens avslut. Metod: För att besvara studiens syfte och frågeställningar genomfördes tvåfokusgruppsintervjuer på två olika avdelningar inom en Socialtjänst i Sverige. Resultat: Resultatet av studien visade att socialsekreterarna anser att de unga somlämnar dygnsvården har olika förutsättningar och är i stort behov av socialt stöd ochpraktiskt stöd. Resultatet visade även att de eftervårdsinsatser som erbjuds idag intetillgodoser de identifierade behoven. Socialsekreterarna måste således trolla med knänaoch hitta egna lösningar. Diskussion: Samhället har ett stort ansvar för de placerade barnen även efter avslutadplacering och därför behöver lagen kring eftervård bli tydligare.Title: Leaving social care in Sweden- Social workers experiences of working with young care leavers Aim: The study aims at examining what social workers consider necessary for youngcare leavers during their transition to adulthood, together with social workers experiences of working with aftercare. Method: To achieve the aim of the study, two focus group interviews were conductedwith social workers from two different sections of social services in one municipality in Sweden. Results: The result showed that according to the social workers, the young care leaversare a vulnerable group and in need of social and practical support. The study alsoshowed that the existing aftercare policies and services offered to care leavers does notmeet the identified needs. The social workers cannot therefore provide for the needs ofthe care leavers thus being forced to make things work out of the impossible. Discussion: The social services within municipalities are solely responsible for care andaftercare of the out of home placed children and youth. Therefore, there is need fordistinct policies and guidelines on aftercare.
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Qumza, Thabang Vuyo. "Barriers to entrepreneurship: assessing NMBM school leavers for business enterprise." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/d1011804.
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In plight of the country‟s high unemployment, poverty, and income inequalities, there is an urgent need to address these issues by converging toward entrepreneurship. World-wide, it is acknowledged by both government and academia that entrepreneurship soothes and remedies socio-economic ills. It creates employment, wealth, alleviates poverty, increases tax base, balances income disparities and accomplishes social stability. With the high youth (18-34 year age) unemployment looming at 73 percent and a low South African total entrepreneurship rate at 8.9 percent; this study attempts to investigate the barriers that hinder school leavers from engaging in entrepreneurship. The research investigates critical entrepreneurial factors including entrepreneurial character and behaviour, entrepreneurial knowledge and skills, managerial knowledge and skills, knowledge on legal aspects of a business, sourcing of finances, and entrepreneurial background and orientation. The primary objective was met through the investigation of the secondary objectives. This was accomplished through a questionnaire survey, composed with multiple choice questions and closed questions measured on a Likert scale. The questionnaire was constructed based on the literature reviewed from various sources including books, dissertations, journals, government reports, newspapers, magazines, internet, television and radio broadcasts (interviews and news). The study discovers that learners are inhibited by various factors from engaging into business venturing. The list of barriers identified was: A discouraging entrepreneurial background (heritage) – parents had low levels of education and were not entrepreneurial, Weak entrepreneurial character and behaviour, Lack of entrepreneurial exposure and work experience, Learners lack financial skills and computer skills, Families lack savings to financially support their business start-ups, Limited knowledge on the legal aspects regulating a business, Limited knowledge on sourcing finances (angel and venture capital investors).
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Namagembe, Jackie. "Exploring resilience in institution-reared children: learning from success stories of post-institutionalized adults in Zambia." University of Western Cape, 2020. http://hdl.handle.net/11394/7405.
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Magister Artium (Child and Family Studies) - MA(CFS)The field, institutional care and transitioning out of care, has been well-researched in different countries around the world. Recent research has begun to look more closely on how some post-institutionalized individuals overcome these challenges associated with institutional care and be able to adapt and integrate well in society. In other words, how post-institutionalized adults build their resilience.
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Christian, Desiré. "What OBE did to us!' : the experiences of four Cape Town secondary school teachers." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/8058.
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This dissertation is a study of the impact of OBE (Outcomes-based Education) and C2005 (Curriculum 2005) on the professional lives and teaching of a select group of high school teachers. The research was a combination of a case study approach and reflective professional practice. It sought to identify and explain key aspects that had produced such a marked alteration in the position of the teachers within such a short period.
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Gouchie, Michelle Sadie Jane. "Breadwinning and caregiving, a feminist analysis of child care, parental leave, and sick leave in Canada and Sweden." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20643.pdf.
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Skira, Meghan. "Essays on Informal Care, Labor Supply and Wages." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2652.
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Thesis advisor: Andrew BeauchampThesis advisor: Peter Gottschalk
This dissertation examines how caregiving for an elderly parent affects an adult child's labor supply and wages. In the first chapter (co-authored with Courtney H. Van Houtven and Norma B. Coe) we identify the relationship between informal care and labor force participation in the United States, both on the intensive and extensive margins, and examine wage effects. We control for time-invariant individual heterogeneity; rule out or control for endogeneity; examine effects for men and women separately; and analyze heterogeneous effects by task and intensity. We find modest decreases--1.4-2.4 percentage points--in the likelihood of working for caregivers providing personal care. Male and female chore caregivers, meanwhile, are more likely to retire. For female care providers who remain working, we find evidence that they decrease work by 3-10 hours per week and face a 2.3-2.6 percent wage penalty. We find little effect of caregiving on working men's hours or wages except for a wage premium for male intensive caregivers. In the second chapter I formulate and estimate a dynamic discrete choice model of elder parent care and work to analyze how caregiving affects a woman's current and future labor force participation and wages. Intertemporal tradeoffs, such as decreased future earning capacity due to a current reduction in labor market work, are central to the decision to provide care. The existing literature, however, overlooks such long-term considerations. I depart from the previous literature by modeling caregiving and work decisions in an explicitly intertemporal framework. The model incorporates dynamic elements such as the health of the elderly parent, human capital accumulation and job offer availability. I estimate the model on a sample of women from the Health and Retirement Study by efficient method of moments. The estimates indicate that intertemporal tradeoffs matter considerably. In particular, women face low probabilities of returning to work or increasing work hours after a caregiving spell. Using the estimates, I simulate several government sponsored elder care policy experiments: a longer unpaid leave than currently available under the Family and Medical Leave Act of 1993; a paid work leave; and a caregiver allowance. The leaves encourage more work among intensive care providers since they guarantee a woman can return to her job, while the caregiver allowance discourages work. A comparison of the welfare gains generated by the policies shows that half the value of the paid leave can be achieved with the unpaid leave, and the caregiver allowance generates gains comparable to the unpaid leave
Thesis (PhD) — Boston College, 2012
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Economics
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Gabriel, Alexandra Grace. "Self care is covering yourself in leaves and then running off to join the goblins and the tree people." Thesis, University of Iowa, 2019. https://ir.uiowa.edu/etd/6736.
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Nilsson, Annika. "Musculoskeletal Pain among Health Care Staff : Riskfactors for Pain, Disability and Sick leave." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8370.
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The present thesis is based on four empirical studies concerning risk factors related to musculoskeletal pain (MSP), disability, and sick leave among three non-clinical samples of health care staff. Initially, in Study I, cognitive, behavioural and environmental factors related to MSP of nurses' aides were explored. An experimental design including baseline, intervention and follow-ups among 29 nurses' aides working in a home for the elderly was used to evaluate effects of a workplace intervention based on cognitive behaviour (CB)- and conventional, symptom reduction principles. In Study II, a cross-sectional and correlational design was applied. A self-administered questionnaire was used to describe and investigate the relationship between risk factors and development of persistent pain, sick leave and long sick leave among 914 municipal health care staff. In Study III and IV, a longitudinal design was used among 200 registered nurses (RN) working in a county hospital to describe and predict pain, disability and sick leave. Data collection involved two self-administered questionnaires covering: 1) work and personal factors, pain, disability and sick leave at baseline and 2) valued life dimensions at baseline. The results showed that MSP was common among the staff. Study I showed positive effects among nurses' aides receiving the CB principles related to MSP compared with nurses' aides receiving the conventional principles. In Study II, pain severity and expectations to be working in 6 months were associated with persistent MSP and sick leave, respectively. In Study III, pain, disability and sick leave at baseline were the strongest predictors of pain, disability and sick leave at the three-year follow-up. In Study IV, the findings support the notion that individual values in different life domains are possible predictors of pain and disability.
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Carlsson, Lars. "Healthcare and patient factors affecting sick leave : From a primary health care perspective." Doctoral thesis, Uppsala universitet, Allmänmedicin och preventivmedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-327290.
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Background: For indeterminate reasons, there have been major variations in sick leave in Sweden, and many physicians have perceived sick leave assignments as burdensome. Aim: To gain more knowledge and understanding, from a perspective of primary health care, about factors in health care and patients that affect sick leave. Thereby help patients in the best way, facilitate the work of physicians and other health professionals involved in the rehabilitation process, and use the health care resources optimally. Methods: This thesis is based on a randomised controlled trial (RCT) in a primary health care centre with participants on short-term sick leave, due to pain and/or mental illness, who received a multidisciplinary assessment. Qualitative focus-group discussions with physicians in primary health care centres. A cohort of women on very long-term sick leave due to pain and/or mental illness, who lost sickness benefits due to a new time limit on sickness insurance, were randomised to multidisciplinary assessment and multimodal intervention (TEAM), or to Acceptance and Commitment Therapy (ACT). In an extended cohort, including some men on very long-term sick leave due to pain and/or mental illness, the importance of the motivation for return to work (RTW) was investigated. Results. Very early multidisciplinary assessment increased days on sick leave in the first three month period. Physicians at primary health care centres perceived sick leave assignments as burdensome, but clearer rules and cooperation with other professionals have made sick leave assignments less burdensome. TEAM intervention resulted in an increase in working hours per week as well as an increase in work-related engagements, compared to control in the RCT. Motivation for RTW was associated with RTW or increased employability in the rehabilitation of patients Conclusions: Continued studies are needed to find those who are at risk of long-term sick leave, the time when rehabilitation efforts should be started, and the content of rehabilitation. Collaboration in teams facilitates sick leave assignments for physicians at primary care health centres. Motivation for RTW might be a factor of importance for the effect of rehabilitation and needs to be studied further.
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Hiller, Sarah E. "The Parental Patriarchy: How U.S. Parental Leave and Child Care Policies Perpetuate Motherhood Inequality in the Workplace." Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/scripps_theses/665.
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This thesis looks at how parental leave and early child care policies in the U.S. can reshape our understanding of the role of government, parental responsibility, and gender within paid labor in order to dismantle the systems of oppression and domination that lead to motherhood inequality. The United States is the only developed economy without mandated paid parental leave, and privatized child care costs can be greater than tuition at public universities. As a result, mothers, still overwhelmingly the primary caregivers in families, are forced to juggle the responsibilities of paid and domestic labor in a way that leads to employment discrimination. Because policies have a unique power to incentivize behavior and change socially ingrained biases, I propose that Congress institute paid parental leave through the FAMILY Act and revives the Comprehensive Child Development Act of 1971 to establish public child care.
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Boyd, Wendy Anne. "Parent decisions regarding paid work and care of the child." Thesis, Queensland University of Technology, 2011. https://eprints.qut.edu.au/44058/1/Wendy_Boyd_Thesis.pdf.
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Australia has witnessed a continual increase in maternal employment over the past two decades, which has placed focus on child care- its effects on the child and on early childhood education and care policy and provision. The engagement of women in the paid workforce contributes to national economic development, and is recognised in government policy incentives such as cash subsidies and tax relief for child care fees. These incentives are targeted towards mothers, to encourage them to engage in paid work. Making a contribution to the family’s economy and to a mother’s economic self sufficiency are two key drivers for women’s engagement in satisfying paid work. Many women also seek to maintain a personal investment in the development of their career, simultaneously ensuring that the child is experiencing suitable care. Policies that support women’s choices for satisfying workforce engagement and care arrangements are prudent for ensuring productivity of the economy as well as for enhancing the wellbeing of parents and children (OECD, 2007). Policies that provide family friendly employment arrangements, paid parental leave, and child care support, directly affect maternal employment decisions. Availability of family friendly employment policies is viewed as one way to not only promote gender equity in employment opportunities but also support the wellbeing of children and families (OECD, 2007). Yet there are not comprehensive and coherent policies on work and family in Australia. Australia is due to implement its first paid parental leave scheme in January, 2011. At the time of the data collection of this research, June 2007 to December 2008, Australia had no statutory provision for paid parental leave. To date, most research has focused on the consequences of paid work and care decisions made by women. Far less is known about the processes of decision-making and reasons underlying women’s choices. Investigation of what is most salient for women as they make decisions regarding engagement in paid work, and care for their child is important in order to inform policy and practices related to parental leave, family friendly employment and care for the child. This prospective longitudinal research was of 124 Australian expectant first-time mothers who completed questionnaires in their third trimester of pregnancy, and again at six and twelve months postpartum. First-time expectant mothers' decisions regarding engaging in paid work and selecting care for their child represent those of a group who are invested in motherhood and have usually had direct experience of engaging in paid work. They therefore provide an important insight into society’s idealised views about motherhood and the emotional and social uncertainty of making personal decisions where the consequences of such decisions are unknown. These decisions reflect public beliefs about the role of women in contributing to the country’s productivity and decisions about providing for the economic and emotional care needs of their family. As so little is known about the reasoning and processes of decision-making of women’s choices regarding paid work and care of the child this research was designed to capture expectant first-time mother’s preferred options for engaging in paid work and the care of their child, and investigate their actual decisions made at six and 12 months postpartum. To capture preferred options, decisions and outcomes of decisions regarding paid work and care of the child a prospective longitudinal research design was utilised. This design had three important components that addressed key limitations in the extant literature. First the research commenced in pregnancy in order to investigate preferences and beliefs about paid work and care and to examine baseline data that may influence decisions made as the women returned to paid work. Second the research involved longitudinal tracking from the antenatal time point to six and 12 months postpartum in order to identify the influences on decisions made. Third the research measured outcomes of the decisions made at each time point. This research examined the intentions, preferences, beliefs, influences, and outcomes of the decisions about engagement in paid work and choice of care. The analyses examined factors predicting return to paid work, the timing of return and extent of engagement in paid work; the care for the child; satisfaction with paid work; satisfaction with care for the child, motherhood and fulfilment; and maternal wellbeing at six and 12 months postpartum. The factors of interest were both rational/economic (availability and extent of paid and unpaid maternity leave; flexible work patterns) and emotional/affective (career satisfaction, investment in motherhood, and concern with quality of care for the child). Results indicated a group preference, and realisation for, return to paid work within the first year after the birth of a child but with reduction in hours to part-time. Most women saw paid work not only as a source of income but also as source of personal satisfaction. There were four key themes arising from this research. First, the women strived to feel emotionally secure when deciding about engaging in paid work and care of the child. To achieve emotional security women made their decisions for paid work and care of the child differently. A woman’s decision for maternal employment is a function of her personal beliefs, preferences and context regarding paid work and care of the child. She adjusts her established work identity with her new identity as a mother. The second key theme from this research is that the women made their decisions for maternal employment in response to their personal context and there were different levels of opportunities between the women’s choices. There is inequity of entitlement regarding work conditions associated with a woman’s education level. This has implications for the woman’s engagement in paid work, and her child’s health and wellbeing. The third key theme is that the quality of the child’s care mattered to the women in the research. They preferred care provided by parents and/or relatives more than any other types of care. The fourth key theme identified that satisfaction and wellbeing outcomes experienced as a result of maternal employment decisions were a complex interaction between multiple factors that change across time with the ongoing development of the mother’s identity, and the development of the child. The implications for policy within Australia are that the employment of mothers in the workforce necessitates that non-parental care becomes a public concern, where there is universal access to good quality affordable care for every child, not just for those who can afford it. This is equitable and represents real choice while supporting the rights of the child (Thorpe, Cloney & Tayler, 2010), protecting and promoting the public interest (Cleveland & Krashinsky, 2010). Children’s health and wellbeing will be supported (Moore & Oberklaid, 2010) while children are in non-parental care, and they will be exposed to environments and experiences that support their learning and development. The significant design of the research enabled the trajectories of first-time expectant women to be tracked from the antenatal point to 12 months postpartum. But there were limitations: the small sample size, the over-representation of the sample being highly educated and the nature of a longitudinal research that is set within the economic, social and political context at that time. These limitations are discussed in relation to suggestions for future research.
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Masango-Makgobela, Agnes Tola. "Reasons patients leave their provided health care service to attend Karen Park Clinic, north of Pretoria." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/701.
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Thesis (M Med (Family Medicine)) -- University of Limpopo, 2010.Background: Many patients move from one healthcare provider to another, disturbing the continuity of holistic patient care. Objectives: The aim of this study is; to investigate the reasons why patients leave their nearest clinic, and to determine if these patients are able to use the provided care when they need to. Methods: A cross-sectional, quantitative study was conducted during the winter of 2010. Questionnaires were given to 350 patients attending Karen Park Clinic. Patients completed the questionnaires in the presence of the researcher, who was able to assist where needed. Variables addressed in the questionnaire included: place where they stay; if they visited their nearest clinic; what services there are at their nearest clinic; would they go back to their nearest clinic and if not, what would be the reasons. Results: The majority of respondents stayed in Soshanguve, 153 (43.7%), Mabopane 92(26.3%)Garankuwa, 29(8.3%)and Hebron 20(5.7%), Most ofthe respondents were females 271(77.4%), with 177 (50.6%)aged between 26 and45years. Eighty percent of patients indicated that they visited their nearest clinic and 191(54.6%) said that they will not return to that clinic. The reasons for not returning to the nearest clinic were: - no medication, 39(11.1%); long queues, 59(16.9%); rude staff, 59(16.9%); long waiting time to be helped, 88(25.1%) and other, 63(18.0%). Conclusion: The researcher found that many patients, who first attended their nearest clinic, opted not to return. Reducing long waiting times and long queues at a primary health care centre can be achieved. Satisfied health care providers would provide quality service to patients. Training courses for management committee members could lead to improving the health center's management and patients could be redirected to their nearest clinic by giving them referrals or transfer letters. Purchasing enough medicine will reduce the problem of no medication and increase the capability of the health center. Staff should receive training about health care practices, to reduce the rude behaviors that drive patients away.
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Qwele, Kumnandi. "Antioxidant activity and the quality of meat from goats and broilers supplemented with Moringa (Moringa Oleifera) leaves." Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/469.
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The objective of the study was to determine the antioxidant activity (AA) and the quality of meat from goats and chickens supplemented with Moringa (Moringa oleifera) leaves. For the first experimental chapter, eighteen 9 months old Xhosa lop-eared, castrated goats with an average body weight of 14 kg were used. There were three supplements namely, Moringa oleifera leaves, sunflower cake and grass hay. There were six goats per supplement. The goats were slaughtered after 60 days of supplementation and the Muscularis longissimus thoracis et lumborum (LTL) of the right side of each goat was used to determine fatty acid composition, total phenolic content (TPC), diphenylpicrylhydrazyl (DPPH) assay, 2, 2 azino-bis (3- ethylbenzothiazoline-6-sulphonic diammonium salt (ABTS) assay and reducing power assay of meat. Glutathione (GSH), catalase (CAT) and superoxide dismutase (SOD) and lipid peroxidation (thiobarbituric acid reactive substances, TBARS) were taken as parameters to evaluate in vivo AA of the meat. For the second experiment, twelve male broilers were used in four groups of dietary supplementation. Three broilers were allocated per group. After slaughter, the breast muscle was sampled for total phenols, flavonoids, proanthocyanidins, TPC, ABTS, GSH, CAT, SOD, lipid peroxidation, ultimate pH (pH24), colour (L* (lightness), a* (redness), b* (yellowness)), WB-shear force and cooking loss. In both chapters Moringa leaves exhibited the highest AA. Meat from goats supplement with Moringa exhibited the highest AA. Meat from broilers supplemented with a mixture of Moringa leaves, broiler finisher and crushed maize, had the highest (P < 0.05) pH24 and L* values. Moringa can therefore be used to preserve meat without changing the quality of meat.
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Sandin, Niklas. "“Jag har inte tid” : En kvalitativ studie om föräldrapars förhandlingar vid vård av sjukt barn." Thesis, Södertörns högskola, Institutionen för samhällsvetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-26288.
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The purpose of this paper is to create an understanding of the negotiation process behind the decision of who will stay at home with a sick child and to develop the knowledge of the mechanisms considered to affect the negotiation process, in particular, the mechanisms likely to contribute to an uneven use of care leave. In the study six interviews were conducted with three sets of parents. These interviews were then analysed with Janet Finch’s (1989) definition of negotiation of family responsibilities. The study finds that the negotiation on care leave is a result of the negotiation of the shared view of reality. This image is in turn influenced by a number of institutional aspects such as job design, relative resources, and the couple's ideological points. Previous studies that found that relative resources, converted to salary, affects the distribution greatest. Instead the results of this study points out that the nature of work is most important for how parents divide their care leave. If one parent have work that easier can be pushed forward or to be away from, the latter tend to be the one who stays at home. This arrangement, however, is affected by a number of other factors. For example, the ideas of a fair distribution of care leave counteract this tendency.
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Alfred, Crystal M. "Bullying: The Impact on Intention to Leave of Generational Members in the Acute Healthcare Setting." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523948285771456.
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Li, Zhiqing. "Factors Contributing to Job Retention of Direct Care Staff in Urban Assisted Living Facilities." Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/gerontology_theses/6.
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This study examined the influence of personal and workplace factors on direct care workers¡¯ retention in Assisted Living Facilities (ALFs). The sample includes 11 ALFs in urban areas in Atlanta, Georgia and 13 participants from the sample facilities. The findings show that personal and workplace factors interact with each other to influence retention in the long-term care field and retention in a particular facility. The findings of this study may have implications for facility policy and practice to retain workers.
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Herbst, Michelle Jacqueline. "The emotional experience of short–term foster carers when foster children leave their care / Herbst M.J." Thesis, North-West University, 2012. http://hdl.handle.net/10394/8186.
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The researcher has worked in the field of foster care in social work for a few years in Ireland and England and during this time has seen that foster carers experience some kind of grief and loss when children leave their care. The researcher wanted to explore the emotional experience of foster carers when foster children leave their care.
The aim of this study was to explore the emotional experience of short–term foster carers when foster children leave their care. This research aim resulted in the following research question: “What is the emotional experience of short–term foster carers when foster children leave their care?” The researcher used a conceptual framework that focused on the Gestalt approach and foster care as background to the empirical study. A qualitative approach was used to address the research question.
A case study strategy was used to explore and describe the experience of short–term foster carers when foster children leave their care. A non–probability purposive sampling technique was used and the population consisted of short–term foster carers in Oxfordshire, England, working with children in foster care. A total of nine participants took part in the study. Semi–structured one–to–one interviews were used to obtain accurate and reliable evidence of the emotional experience of foster carers when foster children leave their care. An interview schedule was used for the semi–structured interviews, which was derived from the literature review. The interview data was then transcribed and analysed. The six themes that were identified are (1) the general emotions of foster carers when children leave their care, (2) the difficulty foster carers experience to cope when a child leaves their care, (3) the experience of contact with a foster child when the child has moved on, (4) concerns that foster carers have when a foster child leaves their care, (5) the support experienced when a foster child moves on, and (6) the foster carers’ own children’s emotional experience when children
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in care leave their care. From the data analysis sub–themes were identified under the main themes and were discussed according to the literature review.
Conclusions were drawn for each of the six themes and sub–themes that were identified. The researcher concluded and recommended that more support, guidance, advice and input are needed for foster carers after a child leaves their care. The foster carer needs to have more of a voice and must be seen as an invaluable part of the multi–disciplinary fostering team. Improvements in the fostering system are needed to improve the emotional experience of the foster carers, but also to ultimately improve the retention of foster carers within the foster care system.Thesis (MSW)--North-West University, Potchefstroom Campus, 2012.
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Bungeni, Mzinto Cornelius. "A study of control measures for absenteeism of educators in Libode District." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1019917.
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The study focussed on the effectiveness of control measures for dealing with absenteeism of educators with specific reference to selected schools at Libode District in the Province of the Eastern Cape. It identified the policy framework including rules and regulations relating to the absenteeism of educators. It assessed the effectiveness of control measures which are currently at the disposal of the selected schools and it also investigated the challenges faced by school principals in addressing the challenge of absenteeism of educators in the selected schools. A qualitative research methodology was used in undertaking the study. Purposive sampling was used to select the schools and participants for the study. Participants were comprised of school principals and Education Development Officers. Data was collected through structured and semi-structured interviews. Literature study showed that the management of educator absenteeism is an important aspect of Human Resource Management in schools. Furthermore, the study found that control measures for dealing with absenteeism are not properly applied in many schools and there is no consistency in the manner in which they are utilised by school principals. The study also found that school principals are struggling to manage absenteeism to the extent that some of them are not sure how to deal with educators who abuse leave. The study recommends that school principals should be empowered on leave management through various forms of training which include workshops.
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Radford, Katrina. "Two Sides of the Same Coin? An Investigation into Factors Influencing Employees' Intentions to Stay and Leave." Thesis, Griffith University, 2014. http://hdl.handle.net/10072/367585.
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This study investigated Australian aged care employees’ intentions to stay and leave. Much research has been conducted on why people leave; however, an emerging body of research is also examining why people stay. While a few studies have investigated the factors influencing employees’ intentions to stay and leave, only one study (Howe, King, Ellis, Wells, Wei, & Teshuva, 2012) has investigated the factors influencing Australian aged care employees’ intentions to stay and leave. No study, however, has investigated the combined influence of personal factors (age, education status, marital status, tenure, perceived health of self and family, employment status, and area of employment) and organisational factors (perceived organisational support, perceived supervisor support, job embeddedness, and job satisfaction) on employees’ intentions to stay and leave. Additionally, there has been no study that has investigated these factors using the “Resource-Based View of the Firm”, which is the theoretical framework for this study. Therefore, this study makes original contributions to the literature.
Examining employees’ intentions to stay and leave is particularly important within the Australian aged care sector, which is characterised by high turnover, an ageing workforce, and the impact of the global shortages of nurses (King et al., 2012). Consequently, research that investigates the factors affecting the sustainability of this sector, such as employee retention and turnover, is needed. Only one study has investigated the similarities and differences in the factors influencing both community care and residential care (i.e., long-term care institutions) employees’ intentions to stay and leave (Howe et al., 2012). However, that study was limited in the data collected by the national census of aged care employees and as such did not study the same variables as the present study. Therefore, the present study makes valuable contributions to understanding the Australian aged care sector by investigating further similarities and differences among the factors influencing intentions in these two groups of employees, as well as providing additional knowledge to the sector regarding the general factors influencing employees’ intentions to stay and leave.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Griffith Business School
Griffith Business School
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Amanambu, Rochelle Aneeta. "An investigation of the intention to leave or stay of health care professionals at St. Andrews Hospital." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1011091.
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Background: The demand for and retention of talent worldwide is aggravated by revolutionary trends that include global competition, demographic changes and technological advances. In South Africa this phenomenon according to Frost (2002) is further challenged by the emigration of skilled people; the relative scarcity of specialist and managerial employees; employment equity and affirmative action procedures. But the development of strategies first requires an understanding of the factors which influence decisions to leave or stay particularly in rural and remote areas. St. Andrews Hospital is a rural district hospital in Ugu District, KZN. Its remoteness from urban areas and the lack of resources contributes towards challenges of attracting and retaining health care professionals to the area. It is the aim of this study to identify the ten most prevalent turnover and retention factors in a rural district hospital with the intention of making recommendations towards strategies to mitigate turnover and improve retention of health care professionals. This study will not only serve the local Human Resource Department but may also be used to inform district and provincial policies as well as departments’ decisions in the design or the review of current retention strategies aimed at reducing turnover. Method: The survey method was used to collect the primary data by distribution of self-administered questionnaires to Health Care Professionals at St. Andrews Hospital. Of the one hundred and fifty questionnaires distributed, one hundred and seven were returned (71% response rate) and formed the basis of the study. Results: Based on the impact scores, the top three turnover factors identified were, the way the organisation is led by top management (0.934); the size of the workload (0.862); and the way problems are dealt with by managers in the organisation (0.817). No statistically significant relationships were found between turnover factors and biographical variable. Availability of quality health services was ranked as the external factor that had the highest influence (78%) on turnover, while geographical location was ranked the lowest. The main reason given by respondents for leaving their previous employment was promotion, followed by distance and personal/family reasons. The top three retention factors identified from the impact scores were the quality of relationships with colleagues (1.698); the amount of support received from managers and colleagues (1.484); and the level of engagement and involvement with the job (1.390). This demonstrates that the salary package often thought to be a first priority factor Mobley, Horner and Hollingsworth (1978); Mobley (1982) and Herzberg (2003) is far less of a determining factor at St. Andrews Hospital than management support, job involvement and person-organisation fit as well as the social relationships formed in the workplace. A positive relationship was found between leadership and job dimension factors at the 1% level of significance. This supports the strong social bond (person-organisation fit) formed in the work environment between management and colleagues that supports retention and increases level of commitment. An important result of the study was that 46% of the respondents were thinking of leaving the town within the year while 29% were considering resigning from St. Andrews Hospital within the year. Conclusion: The results reveal a complex interaction of factors impacting on turnover and retention. The Human Resource Management function has a pivotal role to play in improving its ability to attract and retain professionals through developing comprehensive strategies based on external and internal and environmental factors. The study conveys to the St. Andrews Hospital management that turnover and retention factors are unique to the location and the working environment and differs amongst Health Care Professionals – this should be deliberated on when formulating Hospital Human Resource retention policies.
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Andrews, Diane. "THE EFFECT OF JOB STRAIN IN THE HOSPITAL ENVIRONMENT: APPLYING OREM'S THEORY OF SELF CARE." Doctoral diss., University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2234.
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The purpose of this research was to evaluate the causal relationships between job strain, the practice environment and the use of coping skills in order to assist in the prediction of nurses who are at risk for voluntary turnover. It was conducted at the level of the individual nurse employee in order to better understand the health consequences associated with job strain, the factors in the professional practice environment which may contribute to the propensity to leave and the influence of coping behaviors in response to workplace stressors. It was undertaken with the intention of identifying intervention strategies which will promote a healthy workforce and the retention of nurses in the workplace. An exploratory cross-sectional survey of 1235 staff nurses employed on the intensive, progressive and general medical-surgical nursing units of seven hospitals associated with a major Central Florida healthcare network tested a client-centered model in an effort to identify nurses vulnerable to the health consequences of job strain using structural equation modeling. Human subject protection was assured. An 82 item questionnaire was used to collect demographic data and measure responses to items associated with the constructs of health status, autonomy, collaboration, decentralization, coping, satisfaction, absenteeism and intent to leave. A variety instruments that were previously demonstrated as valid and reliable were used in the construction of the instrument. Subjects were also given the option of including additional written comments. A total of 325 surveys were returned, of which 308 met inclusion criteria, for a response rate of 25%. Data analysis determined that the measurement of job strain as a function of self-assessed generic health status was predictive of propensity to leave (ã = -.21). The experience of job strain shared a strong association with indicators of mental health status. Job strain was significantly influenced by coping behavior (ã = .56) which targeted activities associated with sustaining and balancing. Anecdotal remarks suggested that the need for balance influenced perceptions regarding stressors in the workplace. The professional practice environment was associated negatively with the propensity to leave (ã = -.58). Those staff nurses who experienced higher levels of autonomy expressed a greater degree of satisfaction and lower intent to leave. The variables of collaboration and decentralization contributed minimally to the construct of professional practice. Anecdotal remarks suggested that the low contribution of collaboration and decentralization contributed to a sense of powerlessness and frustration with work related circumstances. The influence of job strain, coping and the professional practice environment upon staff nurses suggests that health promotion strategies, efforts to enhance coping behavior and promotion of a professional practice environment will increase employee satisfaction and reduce intent to leave. Adoption of policies and procedures which support the health and well-being of individual staff members will benefit employees, strengthen the organizations in which they practice and promote the overall retention of nurses in the face of looming nurse shortages.Ph.D.
Health and Public Affairs
Public Affairs: Ph.D.
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Van, Loggerenberg Valerie. "Australian volunteers in the health sector : antecedents to volunteers' intention to leave /." Murdoch University Digital Theses Program, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090409.113755.
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von, Celsing Anna-Sophia. "Early risk assessment of long-term sick leave among patients in primary health care : risk factors, assessment tools, multidisciplinary intervention, and patients’ views on sick leave conclusion." Doctoral thesis, Uppsala universitet, Allmänmedicin och preventivmedicin, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-280414.
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Background. Long-term sick leave is one of the main risk factors for permanent exit out of the labour market. The longer the duration of sickness absence, the less likely sick leave conclusion. Objectives and Methods. The aims were to analyse possible determinants of sick leave conclusion and their relative impacts, to analyse the properties of two models for the assessment of sick leave conclusion, to study the impact of a multidisciplinary vocational intervention for sick leave conclusion in a high-risk group for long-term sick leave compared to a matched-control group, and to compare the patients’ own assessment on chance to sick leave conclusion within 6 months with the assessment of a team of rehabilitation professionals. A prospective cohort study of 943 patients aged 18 to 63 years, sickness certified at a Primary Health Care Centre in Sweden during 8 months in 2004, and follow-up for three years. Results. Significant determinants increasing time to sick leave conclusion were number of sick leave days the year before baseline, age and a psychiatric diagnosis (F in ICD-10). Concordance between actual sick leave conclusion and that predicted by a computer-based model was 73-76% during the first 28-180 days in a manual model, and approximately 10% units higher in a computer based model. Three nomograms provided detailed information on the probability on sick leave conclusion. Before intervention started, the rehabilitation group had a 73% higher sick leave conclusion rate than the control group but during the rehabilitation programme period, a 51% lower conclusion rate, and after there were no significant differences between the groups. The patients’ and the rehabilitation teams’ assessment scores were highly correlated (r=0.49). Conclusions. Previous sick leave was the most influential variable associated with sick leave conclusion. A computer- based assessment model gave more detailed information on sick leave conclusion than a manual model. A multidisciplinary intervention declined sick leave in a high-risk group for long-term sick leave but after intervention there was no difference between groups. Patients’ own view on sick leave conclusion was highly correlated to the assessment of professionals’.
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Kärrholm, Jenny. "Co-operation among rehabilitation actors for return to working life /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-335-1/.
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Edgar, Linda. "The relationship between the characteristics of nursing care delivery systems and work-motivation, satisfaction, and intent to leave." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ36974.pdf.
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Jenny, Johansson, and Tangegård Tove. "Att tänka utanför boxen men samtidigt handla innanför ramen : Hur enhetschefer i kommunal äldreomsorg hanterar sjukskrivningar av omsorgspersonal." Thesis, Karlstads universitet, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48044.
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Syftet med studien var att undersöka hur enhetschefer i kommunal äldreomsorg hanterar sjukskrivningar bland omsorgspersonal. I studien användes en kvalitativ metod och sammanlagt genomfördes fem intervjuer med yrkesverksamma enhetschefer inom kommunal äldreomsorg. Vi har inspirerats av kritisk teori som analysmetod. Den teoretiska referensramen i studien är handlingsutrymme, handlingsfrihet och klämsits. Studiens resultat visar att sjukskrivningar bland omsorgsarbetare enligt enhetscheferna är ett omfattande problem. Resultatet visar att enhetschefer själva är ett viktigt verktyg i hanteringen av sjukskrivningar. Samtliga enhetschefer är medvetna om den ram som styr deras handlingsutrymme i form av lagar, regler och organisatoriska förutsättningar, men resultatet visar att de hanterar sjukskrivningar på olika sätt. Hur man skall hantera sjukskrivningar är upp till varje enskild enhetschef att avgöra och det kan ibland vara svårt att parera de olika förväntningar som de har på sig själva och sitt uppdrag. Enhetscheferna beskriver bristande stödfunktioner som en orsak till att det blir svårt och menar att de tvingas utveckla egna strategier för att kompensera för dessa. Resultatet visar också att det finns bristande resurser, både i form av tid och av pengar för att kunna möta de juridiska skyldigheter som enhetscheferna har i sitt arbetsgivaransvar.The purpose of this study was to examine how first line managers in municipal elderly care manage sick leave among care workers. The study uses a qualitative method and five interviews were performed with first line manager professionals in municipal elderly care. We have been inspired by critical theory when analyze the result. The theoretical framework is space of action, freedom of action and conflict of interest. The result of the study shows that according to first line managers sick leave among care workers is an extensive problem. The result shows that first line managers themselves are an important tool while managing sick leave. They are all aware of the framework that controls their space of action and the framework consists of laws, rules and organizational conditions. The result shows that first line managers manage sick leave in different ways. How to manage sick leave is up to each and every one of them and it can sometimes be difficult to parry the different expectations they have on themselves and on their mission. First line managers describe lack of support functions as a reason why it can be difficult and they say that they are forced to develop their own strategies to compensate for these. The result also shows that there is a lack of resources, in both time and money to meet the legal obligations that first line managers have by their employer's' responsibility.
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Filho, Sérgio Gil de Toledo. "Avaliação da dinâmica da população de microrganismos em plantas de cana-de-açúcar IAC (93-3046)." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/11/11139/tde-22102010-083440/.
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O número das espécies microbianas presentes na forragem no ato da colheita é responsável pelo padrão de fermentação da silagem, sendo que o número de unidades formadoras de colônia (ufc) é alterado ao longo do ciclo da cultura e das condições ambientais, e esse fato, influencia fortemente a eficácia de aditivos utilizados no processo. Neste contexto, três experimentos foram conduzidos a fim de caracterizar a população microbiana em plantas de cana-de-açúcar. No primeiro experimento foi caracterizada a população microbiana em plantas de cana-de-açúcar por meio da técnica de plaqueamento. Os tratamentos impostos foram compostos por duas fontes de adubação (NPK e NPK associado a esteco bovino curtido 120kg de N/ha) da cana-de-açúcar colhidas manualmente com vista à quantificação do número de bactérias ácido láticas, leveduras e mofos, bem como relacionar suas freqüências de ocorrência com efeitos ambientais, fonte de fertilizante e estádio de maturação, com colheitas realizadas aos 10, 12, 14 e 18 meses, correspondendo aos meses de Março, Maio, Julho e Novembro de 2009, respectivamente. No segundo experimento foram avaliadas as variáveis biométricas, morfológicas, dinâmica de acúmulo de MS e dos nutrientes em cana-de-açúcar submetida às fontes de fertilização, descritas anteriormente. No terceiro experimento foi realizada avaliação química e bromatológica de cana-de-açúcar submetida à fontes de adubação. O experimento composto por blocos inteiramente casualizados sendo 6 blocos subdivididos em 2 parcelas. Os dados gerados foram analisados pelo procedimento Proc Mixed e Proc NLIN, do programa SAS. Não se observou efeito do tratamento sobre nunhuma variável avaliada. A produtividade média de massa verde variou entre 162 e 188 tMV/ha, podendo ser considerada elevada. O número de folhas verdes partiu de 9,5 aos 10 meses e atingiu cerca de 10 aos 18, o que é esperado, uma vez que ao passar do tempo há aumento da biomassa das plantas. O mesmo se observo para folhas secas, partindo de cerca de zero folhas por planta até cerca de 3 folhas. O peso das folhas também foi crescente. O peso e comprimento do colmo aumentaram de Março para Maio, mas apartir de Maio e Julho esse crescimento foi estagnado, não aumentando significativamente devido à seca. Porém, apartir de Julho esse crescimento voltou a ocorrer com o aumento das chuvas. A cana-de-açúcar apresentou 10 oBrix aos 10 meses, 17oBrix aos 12 meses e 20obrix aos 20 meses. O índice de maturidade aumentou, saindo de 33,46 aos 10 meses e atingindo 88,5 aos 18 meses. Aos 12 meses a cana-de-açúcar apresentou teor de matéria seca de 24%, e aos 18 meses 28%. Os teores de FDN e FDA da planta inteira dimunuiu ao longo do tempo, dos 10 meses (61% e 38,4% de FDN e FDA, respectivamente) para os 12 meses e permanecendo constante até os 18 meses (55% e 35,6% de FDN e FDA, respctivamente). Foi observado que existe correlação positiva entre DIVMS e do oBrix,e a equação, DIVMS = 41,35 + oBrix ; com R2=0,73 e P<0,01 se estabelecendo como ferramenta importante para se estimar a DIVMS. Ao longo do tempo, a contagem de bactérias ácido láticas e de leveduras foi crescente. De forma geral, todas as frações da planta apresentaram contagem numericamente semelhante, partindo de cerca de 4log ufc/gMV aos 10 meses e atingindo cerca de 5,5 log ufc/gMV aos 18 meses. Aos 10 meses a planta inteira de cana-de-açúcar apresentou contagem de leveduras de 4 log ufc/g MV permanecendo constante até os 18 meses, quando atingiu 5,7 log ufc/g MV. A fonte de adubação, quer seja química ou orgânica, não interfere na população de microrganismos, que entretanto, varia em função do período experimental e das condições climáticas.The numbe of microbial species in forages during the ensiling is responsible for the silage fermentation, and the numbeof colony forming units (cfu) changes during the crop cycle and environmental conditions. It suggests that the initial microbial profile strongly influences the effectiveness of additives used in the process. In this context, we propose three trials to characterize the microbial population in plants of sugarcane. The first trial evaluated the microbial population in plants of sugarcane by the technique of pour plating. The treatment consisted of two levels of fertilization (NPK and NPK associated with solid manure - 120kg N / ha) applied immediately after sugarcane was harvested by hand. The objective was quantify the number of lactic acid bacteria, yeasts and molds, as well as relating their frequencies with environmental effects, fertilization and stage of maturation, with samples taken at 10, 12, 14 and 18 months, corresponding to the months of March, May, July and November 2009. The second trial measured the biometric variables, morphological, the accumulation of dry matter and nutrients in sugarcane subjected the sources of fertilization, as mensioned. The third trial performed chemical assessments of sugarcane subjected to the sources of fertilization. The trials consisted of a completely randomized design with six blocks sub-divided into two plots. Data were analyzed by the procedure Proc Mixed and Proc NLIN of SAS program. There was no effect of treatment in any trial. The fresh yield ranged from 162 to 188tGM/ha which can be considered high. The number of green leaves was increased from 9.5 to 10 to 10 to 18, which is expected, since there is an increase of plant biomass across the time. The same was observed for dead leaves, from about 0 leaves per plant up to 3 leaves. The weight of the leaves was also increased. The weight and length of the stem increased from March to May, and became more intensive from July with increasing rainfall. However, during the dry season (May - July) there was a decreased growing rate.The sugarcane oBrix was 10 at 10 months, 17 oBrix at 12 months and 20oBrix to 20 months. The maturity index increased, from 33.46 to 10 months reaching 88.5 at 18 months. At 12 months the sugarcane showed dry matter content of 24% and 28% at 18 month. The NDF and ADF of the whole plant decreased over time from 10 months (61% and 38.4% NDF and ADF, respectively) for 12 months and remained constant until 18 months (55% and 35 6% NDF and ADF, respectively). A is positive correlation between IVDMD and oBrix was observed, and the equation, IVDMD = 41.35 + oBrix, with R2 = 0.73 and P <0.01 is an important tool to estimate IVDMD. Over time, the counts of lactic acid bacteria were increased. In general, all plant fractions showed similar counts, starting from 4 log cfu/gGM to 10 months and reaching about 5.5 log cfu/gGM to 18 months. At 10 months the whole plant sugarcane had yeast count of 4 log cfu/gGM remaining constant until 18 months, when it reached 5.7 log cfu / g MV. The source of fertilizer, whether chemical or organic, does not interfere in the population of microorganisms, however, varies depending on the experimental period and climatic conditions.
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Norrefalk, Jan-Rickard. "Outcome of an 8-week multiprofessional work-related rehabilitation programme for patients suffering from persistent musculoskeletal-related pain /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-961-0/.
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Wallman, Thorne. "Disability Pension with Special Reference to Sick Leave Track Record, Health Effects, Health Care Utilisation and Survival : A Population-based Study." Doctoral thesis, Uppsala universitet, Allmänmedicin och klinisk epidemiologi, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9308.
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Background. In Sweden 10 percent (550,000) of the labour force, aged 18 to 65 years are disability pensioners and about four percent are on sick leave. The knowledge of the course from healthy individual to disability pensioner is not well known and was the theme of this thesis. Objectives, Material and Methods. The aims of the thesis were to follow the study population regarding sickness absence, health care utilisation, quality of life, and survival. Population based data including 14,538 women and men from three cities in Sweden were used, of whom 1,952 were granted a disability pension at baseline or received one during follow up. Register data, including sickness spells, health care utilisation, and mortality data during 30 years of follow up, and questionnaire data including socio-economic and quality of life data were used. Results. The most powerful determinant for being granted a disability pension was cumulative annual sick leave days, more powerful than all other tested determinants together. The degree of explanation for all determinants combined was 96%. Health care utilisation among disability pensioners continued to be high also after disability pension, 2.3 times higher for hospital admissions and 8 times higher for primary health case appointments than among referents. Disability pensioners had lower quality of life than non-pensioners and old age pensioners. For those who became disability pensioners after the baseline measurements quality of life measures decreased progressively until disability pension was granted and were then stabilised on a low level. During follow up 525 (7.6%) subjects died. Compared with subjects who did not become disability pensioners the hazards ratio was 2.78 among women and 3.43 among men, even when the effect of a number of other outcome affecting variables were taken into account. The mortality differences were not explained by underlying disease. Conclusions. The risk of disability pension may be predicted but only late in the course of events. Disability pensioners continue to have a high level of health care utilisation, and have a worse quality of life development and a higher mortality rate than non-pensioners. Given the unfavourable outcome of disability pension, other means of managing the reduced work capacity might be considered.
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Holmberg, Sara. "Musculoskeletal disorders among farmers and referents, with special reference to occurrence, health care utilization and etiological factors : a population-based study /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4626.
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Löfvander, Monica. "Illness, disease, sickness : clinical factors, concepts of pain and sick leave patterns among immigrants in primary health care : effects of different therapeutic approaches /." Stockholm, 1997. http://diss.kib.ki.se/1997/91-628-2662-X.
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Andersson, Stina, and Anders Stenberg. "Hur medarbetare och flödeschefer på två bolag inom Sandvik AB upplever Unimed Care AB:s sjuk- och friskanmälningstjänst : en utvärderingsstudie." Thesis, University of Gävle, Department of Education and Psychology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-4666.
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Det finns många aktörer på marknaden som säljer hälsofrämjande tjänster till företag, föreningar och organisationer. Två bolag inom Sandvik AB köper en sjuk- och friskanmälningstjänst med telefonrådgivning av Unimed Care AB. Syftet med uppsatsen var att utföra en utvärdering åt de två bolag som köper tjänsten, samt se effekten av den. Tre olika enkäter delades ut till totalt 861 medarbetare. Bortfallet i undersökningen är betydande, 21 % av undersökningspopulationen deltog i utvärderingen. En enkät riktar sig till medarbetare, en till flödeschefer och en till Human Resource (personalavdelningen). För att komplettera insamlat material har information sökts via telefon och mail. Resultatet visar att medarbetares och flödeschefers uppfattningar om tjänsten varierar. För att öka samtligas tillfredställelse med tjänsten behövs mer information och kunskap om tjänsten, samt dess syfte. Det är många som inte vet hur tjänsten kan användas. Flödescheferna kan behöva förslag på hur statistiken kan användas i arbetet med personalfrågor. Sjukfrånvaron har minskat nationellt och även inom Sandvik koncernen under 2006-2008. Att sjukfrånvaron minskat under de år bolagen köpt tjänsten från Unimed kan förklaras som en kombination av samtliga insatser som bolagen genomfört, förändringar i nationella regler för sjukskrivning, samt att sjukskrivningarna minskat i hela landet.