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1
Shaynak, Tracy E. "Current status of wellness residence halls." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115749.
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Universities are challenged by the goal of providing opportunities for student development in residence halls. One popular approach is based on wellness and, to date, no formal assessment of this approach had been completed.This study assessed the current status of wellness residence halls (WRHs) to summarize trends. A self-designed questionnaire was sent to residence life departments who were identified as having WRHs. The survey focused on program size, budget size/source, programming model, and staffing. Participants were asked to indicate departments which supported WRHs, what made WRHs unique, the relative success of their WRHs and what inhibited or contributed to that success.This instrument collected useful demographic data related to WRH programs; however, there were no discernible patterns indicative of a homogenous WRH movement (as special interest halls) taking place in this country. It is seemingly the commitment of staff and students which guarantees the success of wellness residence halls.Fisher Institute for Wellness
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Hale, Nathan, Kate E. Beatty, and Michael Smith. "The Intersection of Residence, Community Vulnerability, and Premature Mortality." Digital Commons @ East Tennessee State University, 2019. https://doi.org/10.1111/jrh.12318.
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Purpose: Rural communities often experience higher rates of mortality than their urban counterparts, with gaps widening in the foreseeable future. However, the underlying level of socioeconomic vulnerability (area deprivation) among rural communities can vary widely. This study examines rural‐urban differences in mortality‐related outcomes within comparable levels of deprivation.
Methods: Rural‐urban differences in Years of Potential Life Lost (YPLL), derived from the County Health Rankings, were examined across comparable levels of area deprivation using a quantile regression approach. Rural‐urban differences in YPLL were estimated at the 10th, 25th, 50th, 75th, and 90th percentiles across levels of deprivation.
Findings: Compared to the reference population (urban counties/least deprived) a clear increase in YPLL among both rural and urban counties was noted across levels of deprivation, with the highest level of YPLL occurring in counties with the most deprivation. While YPLL increased across levels of deprivation, the magnitude of these differences was markedly higher in rural counties compared to urban, particularly among the most deprived counties. Rural counties experienced an advantage at the lowest percentiles and levels of deprivation. However, this advantage quickly deteriorated, revealing significant rural disparities at the highest level of deprivation.
Conclusions: This study noted a differential effect in mortality‐related outcomes among rural counties within comparable levels of community deprivation. Findings contribute to evidence that many, but not all rural communities face a double disadvantage. This underscores the need for a continued focus on the development and implementation of multiple policies aimed at reducing differences in poverty, education, and access to care.
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Malinski, David F. "Comparing health promoting lifestyle behaviors between wellness and traditional residence hall students." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/774744.
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The purpose of this study was to identify college students' health-promoting lifestyle behaviors and to identify differences in these behaviors among various groups of university students living in different residence halls. The subjects who participated in this study were students randomly selected from six wellness residence halls and six traditional residence halls. Of the 200 subjects randomly selected from the two groups, 121 (61%) students completed both the pre and posttest Health Promoting Lifestyle Profiles (HPLP). The wellness and traditional residence hall subjects' pre and posttests were not significantly different from each other. As a result of living in residence halls, the subjects' from both wellness and traditional halls scores on the HPLP increased significantly from pre to posttest. Univariate analyses of variance on the separate dependent variables found significant differences between residence halls for health responsibility. Also, as a result of living in residence halls, the subjects (both wellness and traditional hall) health responsibility scores significantly improved from pre to posttest. An analysis of variance was also used to analyze the effects that the demographic variables had on both the wellness and the traditional residence halls' pretest, posttest, and changes within each sample.Institute for Wellness
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Lee, HaeNim. "Co-Residence with Grandparents and Adolescent Health in Three-Generational Family Households." Thesis, Boston College, 2017. http://hdl.handle.net/2345/bc-ir:107534.
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Thesis advisor: Summer H. HawkinsThesis advisor: David Takeuchi
Dramatic increase in the number of people living to old age has led to a higher prevalence of three-generational households during the last few decades. And co-resident grandparents play a more important role in the lives of children as caregivers in three-generational households. However, little is known about the longitudinal effects of co-resident grandparents on grandchildren’s health. Using the National Longitudinal Study of Adolescent to Adult Health (Add Health) from Wave I-III, this three-paper dissertation explored the longitudinal effects of co-residence with grandparents on the physical and psychological health of grandchildren in three-generational households across racial/ethnic groups. Paper 1 investigated the determinants of co-residence with grandparents in three-generational households within the family context, showing that co-residence with a grandparent was associated with low socio-economic status for white families, and with family culture for Hispanic families. Paper 2 examined the influence of co-residence with grandparents on BMI trajectories as adolescents age into emerging adulthood across racial/ethnic groups. The results showed that Hispanic adolescents who lived with a grandparent showed significantly slower rates of BMI growth compared to those who have not lived with a grandparent during adolescence. Paper 3 examined how co-residence with a grandparent affects adolescents’ depressive trajectories as they age into early adulthood and whether this relationship varies by immigrant generational status. The results showed that Asian first-generation immigrant adolescents experienced less depressive symptoms than Asian second- and third- generation immigrant adolescents in three-generational households. This dissertation suggested that we attempt to provide intergenerational policies and services to improve the well-being of all family members
Thesis (PhD) — Boston College, 2017
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work
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Sham, Ka-hung Joe, and 岑家雄. "The effect of group residence on the psycho-social well-being of elderly residents in public subsidized housing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978356.
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Dawood, Eman Salah. "Dementia caregiving impact of location of residence on stress, coping, social support and health /." Diss., Online access via UMI:, 2007.
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7
Doker, Thomas Jeffrey. "Investigating the Association of White Male Lung Cancer Mortality and State of Residence." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/73.
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Lung cancer is the most common cause of cancer-related death. Most lung cancer is the result of a preventable cause, smoking. Nevertheless, U.S. tobacco production remains the fourth highest globally. This study examined the spatial aspects of U.S. White male lung cancer mortality and the associated risk factors of tobacco acreage, rural residence, smoking, poverty, lack of health insurance, and radon exposure. White male lung cancer mortality was significantly correlated with tobacco acreage (r = .455), rural residence (r = .389), and smoking (r = .475). Tobacco acreage (p = .005), rural residence (p = .011), and smoking (p = .030) remained significant with regression analysis. In qualitative analysis using a Geographic Information System, clustering was evident for all factors but only tobacco acreage correlated well spatially with White male lung cancer mortality. Tobacco-growing states were shown to have statistically higher lung cancer mortality 20 years later among White males. The causes for this mostly preventable cause of death need further investigation in order to target effective public health interventions.
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Vrijheid, Martine. "Risk of congenital anomaly in relation to residence near hazardous waste landfill sites." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2000. http://researchonline.lshtm.ac.uk/682274/.
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The main aim of this thesis is to investigate whether residence near hazardous waste landfill sites is associated with an increased risk of congenital anomaly. The thesis reports results of a multi-centre case-control study carried out in 10 regions in 6 European countries. Cases were live births, stillbirths, and induced abortions with major congenital anomalies resident at birth within a 7 km area around hazardous waste landfill sites. Controls, two per case, were non-malformed births resident in the same area. A total of 1089 cases of non-chromosomal anomaly, 270 cases of chromosomal anomaly, and 2508 controls were selected around 26 landfill sites. A 3 km zone around sites was defined as the zone of most likely exposure. An expert panel of four landfill specialists scored each landfill site according to their potential to cause exposure of nearby residents. A statistically significant 33% excess in risk of non-chromosomal anomalies was found for living within 3 km of a hazardous waste landfill site. The risk of non-chromosomal anomaly declined steadily with increasing distance from a site. Confounding factors or biases do not readily explain these findings. Risk of chromosomal anomalies was raised near sites but did not reach statistical significance. There was little evidence for relative risk of congenital anomaly (non-chromosomal or chromosomal) close to landfill sites to be associated with hazard potential of landfill sites, adding little support to a possible causal relationship. However, in the absence of a 'gold-standard' for the classification of hazard potential, misclassification of sites may have occurred. Lack of information on exposure of residents near the study sites or near landfill sites in general, limits interpretation of the results. Socio-economic status is a potential confounding factor in the current study but little is known in the literature about socio-economic status as a risk factor for congenital anomaly. This study finds a higher risk of non-chromosomal congenital anomaly and certain specific malformation groups in more deprived populations. These findings require follow-up in studies with larger geographical coverage.
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Stucke, Sheri Ann. "Adolescent overweight location of residence, demographics, dietary behaviors and physical activity /." Diss., Online access via UMI:, 2005.
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10
Fortney, Stoni Lin. "The Intersection of Urbanicity, Race, Diagnoses, Type of Residence, and Access to Services for Individuals with Intellectual Disabilities and Developmental Disabilities." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1554995471441475.
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Dokoupil, Jan. "Residence Erasmus - příprava, realizace a řízení stavby." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2013. http://www.nusl.cz/ntk/nusl-226481.
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This diploma thesis deals with the construction of a residential building The Erasmus Residence. This work includes a technical report of the issue solved, construction site installations of three phases of construction, which are groundwork, rough top construction and finishing. The work includes drawings of construction site installations for all these stages. The thesis also includes technological specification for thermal insulation systems including scaffolding construction, timing of construction, inspection and quality test plan and itemized budget.
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Smith, Pamela Lin. "The relationship between spirituality and spiritual/religious coping, goal attainment, and change in symptoms of adolescents in crisis residence." Thesis, Texas A&M University - Corpus Christi, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3642855.
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Despite the increase of attention in the counseling profession to spirituality, extant literature examining spirituality and adolescent mental health is limited (Powers, 2005; Van Dyke, Glenwick, & Kim, 2009). Few studies were conducted related to the spirituality of adolescents in residential treatment settings (Dew, et al., 2008; Hawke, Hennen, & Gallilone, 2005; Taylor, 2005). In particular, no studies were conducted to determine the relationship between spirituality and goal attainment or symptom change of adolescents in crisis residence. The purpose of the study was to identify the extent to which there is a relationship between spirituality and spiritual/religious coping, change of symptoms, and therapeutic goal attainment of adolescents in crisis residence.
A correlational design was used to examine the relationship between spirituality, spiritual and religious coping, goal attainment and symptom change of adolescents in crisis residence. A canonical correlation was conducted. The two sets of variables under investigation were spirituality (as measured by the Daily Spiritual Experiences Scale and Brief Religious and Spiritual Coping Scale) and treatment outcome (as measured by the Goal Attainment Scale of Stabilization and the Target Symptom Rating Scale).
The participants in this study were adolescent clients from an acute care psychiatric facility in the southern gulf coast. Male (n = 47) and female (n = 37) adolescent participants ranged in age from 12 years to 17 years. Ethnicity and religious preference of the adolescents were reported.
Results of the study indicated that no statistically significant relationship existed between spirituality and treatment outcome for adolescents in crisis residence.
Spirituality may not be an essential component to crisis stabilization of adolescents. Rather, counselors should be aware that spirituality is a uniquely personal construct. Counselors who utilize spiritual principles as the primary tool for stabilization of adolescents may want to rethink their treatment protocols. For adolescent clients in crisis who place much importance on spiritual matters, addressing spirituality in treatment may be beneficial to attaining goals and reducing symptoms. However, adolescent clients who place no importance on spirituality may still achieve the same treatment outcomes in crisis residence. Additional studies that explore individual perceptions of spirituality, investigate the results of infusing spirituality into treatment strategies, and take into account individual diagnosis with this population would be useful.
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Caron, Stephanie Lynne. "The effect students in emotional distress have on their residence hall roommate." Manhattan, Kan. : Kansas State University, 2010. http://hdl.handle.net/2097/4109.
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Eberly, Sloan Elizabeth Sorensen Mark V. "Investigating the health status of the Yakut an analysis of residence and sex differences in blood pressure /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2006. http://dc.lib.unc.edu/u?/etd,681.
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Thesis (M.A.)--University of North Carolina at Chapel Hill, 2006.Title from electronic title page (viewed Oct. 10, 2007). "... in partial fulfillment of the requirements for the degree of Master of Arts in the Department of Anthropology." Discipline: Anthropology; Department/School: Anthropology.
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Dorley, Mary Christine. "The Impacts of Race, Residence, and Prenatal Care on Infant Mortality." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7796.
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Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the Tennessee PRAMS survey (2009-2011) and geocoded to 2010 U.S. Census Bureau and U.S. Department of Agriculture data. The study was grounded on the theory of racial residential segregation and concentrated poverty. General linear model and hierarchical binomial logistic regression were used to analyze the data. High racial concentration was associated with IM for Non-Hispanic women and remained significant even after controlling for demographic variables (aOR = 5.33, 95%CI [1.11, 25.67]). Disparity in PNC access for Blacks, Other races, and Hispanics were observed based on racial concentration and rurality; however, PNC was not a risk factor for IM. Black race modified the relationship between high racial concentration and IM. Implications for social change include greater public awareness, education on risk factors, advocacy to decrease disparities in access to care, and resource allocation to highly impacted areas potentially mitigating health outcomes for the most vulnerable women and infants.
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Klöfvermark, Josefin. "Smoking during pregnancy by duration of residence among immigrants in Sweden 1991-2012 : A study on health inequalities." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-132647.
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This study revisits the effect of duration by residence in relation to smoking during pregnancy. It contributes to the literature by incorporating a health inequity perspective, and discusses whether immigrants tend to converge with Swedish women’s smoking. The study is based on Swedish Medical Birth Register and includes 1 1864 52 pregnancies between 1991 and 2012. Logistic regression was performed to attain crude and adjusted Odds Ratios and 95 % confidence intervals. Immigrants’ are divided by categorizing countries of origin depending on levels of Human Development (IHDI). Overall immigrant women show low levels of smoking during pregnancy when they arrive to Sweden, by duration of residence levels of smoking increase and converge with smoking patterns of Swedish women. I found that there are differences in smoking patterns depending on IHDI of the country. Immigrant women of higher categories of IHDI show higher levels of smoking although the increase of smoking is higher among immigrant women from categories of lower IHDI. However, immigrant women’s smoking during pregnancy is affected by duration of residence, and the increased smoking is associated with health inequalities related to their country of origins IHDI, and by socioeconomic inequalities in Sweden.
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Silva, Quelen Tanize Alves da. "Residência multiprofissional em saúde : o estar-junto na formação dos residentes em saúde." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/29960.
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Esta Dissertação busca mostrar quais os processos de produção de si que ocorrem entre os residentes partícipes do Programa de Residência Integrada do Grupo Hospitalar Conceição. Também busca entender o que insurge e se mostra a partir do estar-junto dos residentes: as socialidades da forma-Residência que se instauram no estar-junto e dar-se-com institucional. O estudo privilegiou uma abordagem qualitativa – através de observações e entrevistas – e teóricoconceitual – com a ajuda de autores como Maffesoli, Morin, Deleuze, Spinoza, dentre outros – com a intenção de compreender a complexidade das relações nesses espaços institucionais. A perspectiva metodológica fundamentou-se na reflexão teórico-crítica e na sensibilização intuitivo-reflexiva, uma vez que foi se constituindo ao longo do estudo, na medida em que se evidenciavam questões que não podiam ser ignoradas. Através da pesquisa foi possível vislumbrar que essa modalidade de formação em saúde é um campo aberto de possibilidades, que permite uma variação de constituição de si dos residentes e da Residência, uma vez que os encontros que ocorrem nesses lugares instauram novas possibilidades aos devires.This paper has the purpose to show which are the processes of the production that occur among the participant residents of the Integrate Residence Program of the Conceição Hospital Group. It also aims to understand what rises up and shows itself beginning from the staying together of the residents: the sociability of the Residence-form that are established in the institutional staying together and the dealing with. The study accorded special treatment to a qualitative approach through observations and interviews, and theory concept, with the help of writers such as Maffesoli, Morin, Deleuze, Spinoza, among others, and with the intention of understanding the complexity of the relations in these institutional spaces. The methodological perspective based oneself on the critic-theory reflection and in the reflexive-intuitive sensibility, since it was formed alongside of the study, as it became evident questions that could not be ignored. It was possible to glimpse through the research that this modality association in health is an open field of possibilities that permits a constitutional variation of itself of the residents and of the Residence. It happens because the meetings that occur in these places establish new possibilities for becomings.
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Christensen, Stephanie V. "Weight and Body Composition Change During the First Year of College: A Study of Traditional Residence Hall Freshmen." DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/209.
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Overweight and obesity trends are on the rise, and young people are no exception. The popular phrase "Freshman 15" suggests that freshmen in college tend to gain weight faster than other populations. There is a growing body of literature that supports evidence of increased weight gain during the transition from high school to college. This study sought to examine not only weight changes among freshmen, but body composition, body mass index (BMI), and waist circumference (WC) changes as well. Body composition was measured using air displacement plethysmography (Bod Pod®). This study examined changes in both males (n = 45) and females (n = 43), as well as a subsample of Division I collegiate athletes (n = 19). The present study evaluated changes that occurred among a final group of 107 participants. Measurements were taken at the beginning of the semester in September, again in December, and at the end of the school year in April. Self-report questionnaires based on nutritional and physical activity were also evaluated. Significant increases in weight (2.1 ± 2.6 kg), BMI (0.69 ± 0.87 kg/m2), and WC (1.7 ± 2.7 cm) did occur during the freshman year. However, the change in body composition was not significant (p > 0.05). There was no relationship between the nutrition responses and the body composition changes that occurred with the exception of a weak relationship between change in "total caloric consumption during your freshman year" and change in body mass (r = 0.25, p < 0.05), change in BMI (r = 0.24, p < 0.05), and change in %BF (r = 0.20, p < 0.05). Regarding exercise, "total time spent doing physical activity during your freshman year" was inversely correlated to change in %BF (r = 0.27, p < 0.01). Finally, differences between non-athletes and athletes were not statistically significant (p > 0.05). These findings indicate that there are significant physical changes that occur during the freshman year of college. These changes may be a result of changes in environment, caloric consumption, and decreased physical activity. However, results did not indicate that these changes include a significant increase in percent body fat.
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Nicklaus, Harry E. "Relationship of a wellness residence hall environment and student sense of competence and academic achievement." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/762980.
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This study examined the relationships between student-environment fit and sense of competence and academic achievement of freshmen students in wellness residence hall environments. This study was conducted at a mid-sized, midwestern state university. Perceived and actual fit scores derived from Form R and Form I of the University Residence Environment Scale (URES) served as the independent measures. Two measures, sense of competence and academic achievement, served as the dependent variables. A Sense of Competence Scale, developed by Steve Janosik (1987), measured a student's level of interpersonal and intellectual competence Academic achievement was measured by accumulative grade point averages. Step-wise multiple regression analyses were used to examine the relationships between these variables.All 571 freshmen residents living in one of six: wellness residence halls were asked to participate in this study. Of this number, 416 (72.7%) returned questionnaires and became the sample population.Freshmen residents living in the wellness residence halls reported that these environments were not as emotionally supportive nor were floor residents as involved with one another as residents would like. Further, a greater emphasis was needed in terms of academic and intellectual stimulation. Additionally, residents in the wellness residence hall environments desired more opportunities to influence their floor/hall and reported that these environments were too competitive.Significant differences existed between freshmen women and men. Women indicated that there was too much emphasis on traditional dating and other social activities and too much emphasis on competition. Women also indicated that their wellness residence hall environments did not provide them with the intellectual stimulation they wanted. Further, women rated the order and organization of these environments much lower than did men.The differences between student-environment fit and sense of competence and student-environment fit and academic achievement were not statistically significant.Actual discrepancy scores were a better measure of student-environment fit than perceived discrepancy scores.Department of Educational Leadership
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Maia, Evanira Rodrigues. "DistribuiÃÃo espacial e perfil epidemiolÃgico das pessoas com deficiÃncia em Ãreas cobertas pela estratÃgia saÃde da famÃlia." Universidade Federal do CearÃ, 2011. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7509.
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nÃo hÃOs aspectos espaciais e epidemiolÃgicos envolvidos na deficiÃncia ainda nÃo foram abordados de modo expressivo nas pesquisas demogrÃficas e de saÃde no Brasil. Realizar estudos sobre a prevalÃncia das problemÃticas inerentes à real situaÃÃo dessas pessoas à imprescindÃvel por possibilitar conhecer seu perfil de saÃde e condiÃÃes de vida. Teve-se como objetivo geral analisar a distribuiÃÃo espacial das pessoas com deficiÃncia no municÃpio do Crato-CE e, especificamente, identificar as pessoas com pessoas com deficiÃncia, descrever o perfil epidemiolÃgico das pessoas com deficiÃncia e distribuir espacialmente essas pessoas para descriÃÃo dos eventos e localizaÃÃo de Ãreas de sobre-risco. Estudo do tipo transversal com abordagem quantitativa, elaborado de janeiro de 2010 a outubro de 2011. Na primeira fase promoveu-se capacitaÃÃo prÃvia dos ACS mediante aplicaÃÃo do plano de capacitaÃÃo para desenvolvimento de competÃncias relativas à assistÃncia à pessoa com deficiÃncia, passo metodolÃgico de suporte à coleta de dados. Neste momento utilizaram-se instrumentos para a avaliaÃÃo de competÃncias do ACS. Na segunda fase os ACS identificaram as pessoas com deficiÃncia visual, auditiva e fÃsica residentes em suas Ãreas de abrangÃncia utilizando ficha de cadastro. Na terceira fase os domicÃlios das pessoas com deficiÃncia foram georreferenciados. Na quarta os dados nÃo grÃficos foram submetidos à anÃlise estatÃstica atravÃs do programa SPSS versÃo 18. Foram realizados teste Qui-Quadrado e Qui-Quadrado para dados emparelhados nos dados relativos ao perfil do ACS e desenvolvimento de competÃncias. Descreveu-se o perfil das pessoas com deficiÃncia e calculou-se a razÃo de prevalÃncia das variÃveis socioeconÃmicas. Os dados grÃficos foram analisados mediante o software Arcgis versÃo 9.2., empregando-se estimador de intensidade de Kernel. Desse modo, buscou-se verificar a intensidade dos eventos nas Ãreas adstritas a fim de identificar Ãreas de sobre-risco. No decorrer da pesquisa considerou-se a ResoluÃÃo 196/96 inerente à pesquisa envolvendo seres humanos. Nos resultados identificou-se o perfil das PcD como homens em idade produtiva, que moram em zona rural, tÃm baixa instruÃÃo e renda familiar, procedentes do municÃpio de Crato. Na distribuiÃÃo espacial evidenciou-se maior prevalÃncia em zona rural, com maior nÃmero de residentes nos distritos de Dom Quintino, Bela Vista, Campo Alegre, Ponta da Serra e Ãreas urbanas de menor indicador socioeconÃmico. A cobertura dos serviÃos de saÃde à satisfatÃria em relaÃÃo à ESF, mas os serviÃos de reabilitaÃÃo, apoio diagnÃstico, marcaÃÃo de exames e consultas especializadas e os serviÃos ambulatoriais e hospitalares estÃo concentrados na zona urbana. Desse modo, como se supunha, as caracterÃsticas daqueles com deficiÃncia resultam em um perfil que dificulta o acesso e a acessibilidade aos serviÃos de saÃde de reabilitaÃÃo, especialidades mÃdicas e de Ãmbito hospitalar. Ademais, o perfil à sugestivo de pessoas com exacerbada dependÃncia dos serviÃos pÃblicos, portanto, à preciso se criar estratÃgias de mobilidade para promover o acesso aos serviÃos de saÃde. E, ainda: os ACS sÃo sensÃveis a este pleito, mas carecem de medidas adequadas para prover cuidados de promoÃÃo de saÃde na perspectiva do seu papel de mediador.
The spatial and epidemiological aspects involved in disability have not been meaningfully addressed yet in demographic and health research in Brazil. Research on the prevalence of the problems inherent in these peopleâs actual situation is fundamental because this permits knowledge on their health profile and living conditions. The general aim was to analyze the spatial distribution of disabled people in Crato-CE, while the specific aim was to identify disabled people, describe their epidemiological profile and the spatial distribution of these people to describe the events and location of excess risk areas. Cross-sectional study with a quantitative approach, elaborated between January 2010 and October 2011. In the first phase, Community Health Agents (CHA) received previous training through the application of the training plan for competency development in care delivery for disabled people, a methodological phase to support data collection. At that moment, instruments were used to assess the CHAsâ competences. In the second phase, the CHAs identified people with visual, hearing and physical impairments living in their coverage area through the registration forms. In the third phase, the disabled peopleâs homes were georeferenced. In the fourth phase, non-geographical data were submitted to statistical analysis in SPSS version 18. Chi-squared and chi-squared tests for paired data were applied to data on the CHAsâ profile and competency development. The profile of disabled people was described and the prevalence rates of socioeconomic variables were calculated. Graphical data were analyzed in Arcgis version 9.2., using Kernelâs intensity estimator. Thus, the goal was to verify the intensity of events in the areas concerned in order to identify excess risk areas. The research complied with Resolution 196/96, concerning research involving human beings. In the results, the disabled peopleâs profile was identified as men of productive age, living in rural areas, with low education and family income levels, coming from the city of Crato. In the spatial distribution, higher prevalence levels were evidenced in rural areas, with a larger number of residents in the Dom Quintino, Bela Vista, Campo Alegre, Ponta da Serra districts, as well as in urban areas with lower socioeconomic indicators. Health service coverage is satisfactory concerning the FHS, but rehabilitation, diagnostic support, test and specialized appointment scheduling and outpatient and hospital services are concentrated in the urban area. Thus, as supposed, the characteristics of the disabled people result in a profile that hampers the access to and accessibility of rehabilitation services, medical specialties and hospital services. Moreover, the profile suggests people with increased dependence on public services. Therefore, mobility strategies need to be created to enhance health service access. And, also: the CHAs are sensitive to this plea, but lack adequate measures to deliver health promotion care within the perspective of their mediating role.
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Degraff, Annette Mary. "The relationship of student-environment fit and physical self-efficacy in university wellness residence halls." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/722456.
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The purpose of this study was to determine the relationship between student-environment fit and physical self-efficacy among female undergraduate students living in the Trane and Tichenor wellness residence halls at Ball State University. This study examined the following questions: 1) What is the degree of fit experienced by female students living in the Trane and Tichenor wellness residence halls?, and 2) Is there a relationship between student-environment fit and physical self-efficacy? Student-environment fit is necessary for a student's happiness, satisfaction, and achievement. Physical self-efficacy is an important component of positive self-concept and has been correlated with the healthy development of an individual. Data on student-environment fit was collected using the University Residence Environment Scale. The Physical Self-Efficacy Scale was used to collect data on the students' perceptions of their physical ability and self-presentation confidence. Statistical analysis of the data revealed: 1) significant t-scores for the degree of fit experienced by female students in Trane and Tichenor wellness residence halls, and 2) a significant correlation between the total student-environment fit score and the total physical self-efficacy score as well as a significant correlation for the URES subscales of Academic Achievement and Intellectuality with the total physical self-efficacy score.Department of Home Economics
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Kelly, Grief Mary C. "Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/2231.
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OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities.
METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission.
RESULTS: Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p< 0.001). Subjects residing in a facility located in an urban area (p< 0.002) or in two regions of Iowa (p=0.035, p=0.019, respectively) also had increased odds of receiving a dental procedure.
CONCLUSION: Our results show that approximately 50% of the subjects never received a dental procedure in the 5-year study period. The strongest predictor of receipt of dental procedures in the 2 years after entry was the receipt of dental procedures in the 3 years before entry. It is important for Medicaid-enrolled senior adults to establish a dental home while community-dwelling.
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Ribeiro, Marco Tulio Aguiar Mourao. "AvaliaÃÃo de implantaÃÃo de programa de residÃncia em medicina de famÃlia e comunidade de larga escala em capital do Nordeste." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7505.
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A EstratÃgia SaÃde da FamÃlia (ESF) vem sendo implementada hà quinze anos em vÃrias cidades do paÃs com repercussÃes na melhoria da qualidade da atenÃÃo à saÃde da populaÃÃo. No entanto constata-se um descompasso entre as necessidades existentes para o mÃdico que atua na AtenÃÃo BÃsica à SaÃde (ABS) e da sua formaÃÃo mais adequada. A expansÃo da oferta das vagas em Programas de ResidÃncia de Medicina de FamÃlia e Comunidade (PRMFC/F) nÃo acompanhou o ritmo da expansÃo da cobertura populacional da ESF. Observa-se uma iniquidade, na distribuiÃÃo dos programas no paÃs, com uma concentraÃÃo destes no sudeste e sul. Esta tendÃncia à paradoxal à distribuiÃÃo da cobertura populacional das equipes da ESF e reflete a ausÃncia de uma polÃtica de direcionamento de recursos pela necessidade de profissionais dentro do territÃrio nacional. A Secretaria Municipal de SaÃde de Fortaleza/CE em 2006 implantou o PRMFC/F que hoje conta com 76 Residentes. Apesar de seu pouco tempo de existÃncia, este programa apresenta algumas peculiaridades: trata-se do primeiro de larga escala, implantado em grande capital do paÃs, de forma concomitante com a expansÃo da rede de serviÃos da ESF e com taxa de ocupaÃÃo maior que a mÃdia nacional. Este processo recente de implantaÃÃo do PRMFC/F em Fortaleza/CE à o foco deste estudo. ApÃs extensa revisÃo bibliogrÃfica observa-se uma lacuna no conhecimento reforÃando a relevÃncia deste estudo. Como objetivo geral propÃe-se avaliar o processo de implantaÃÃo de um PRMFC/F de larga escala em municÃpio de grande porte populacional. Considerando os objetivos desta investigaÃÃo serà realizado um Estudo de Caso, de carÃter exploratÃrio, com nÃveis analÃticos imbricados e combinaÃÃo de AvaliaÃÃo Normativa e Pesquisa Avaliativa sobre componentes e aspectos da implantaÃÃo do PRMFC/F em Unidades de SaÃde da FamÃlia de Fortaleza/CE. Constatou-se que houve um investimento da gestÃo municipal para expandir e fortalecer a ABS no municÃpio, e este cenÃrio foi favorÃvel à implantaÃÃo do programa. Observou-se que para a maioria dos indicadores de estrutura, processo e resultado o PRMFC/F foi implantado e de acordo com os padrÃes normativos. Foram observadas poucas diferenÃas quanto ao grau de implantaÃÃo do PRMFC/F entre as seis Secretarias Executivas Regionais de Fortaleza. Este estudo possibilitou a formulaÃÃo de algumas hipÃteses e sugestÃo para estudos posteriores sobre temÃtica tÃo relevante para o contexto atual da Medicina de FamÃlia e Comunidade e AtenÃÃo PrimÃria à SaÃde no Brasil e no mundo.The FamilyÂs Health Strategy (ESF) has been implemented for fifteen years in various cities around the country with repercussions in the qualityÂs attention improvement to populationÂs health. Notwithstanding thereÂs a mismatch between the existing necessities to the phisician who work at the ―AtenÃÃo BÃsica à SaÃde, or ABS ( Basic Attention to Health), and its more adequate formation. The expansion of jobs on offer at the Family and CommunityÂs Medicine Residence Program (PRMFC/F) did not follow the expansion pace seen at the ESFÂs populational covering. An iniquity can be observed in the programÂs distribution around the country, with a concentration of them more specifically in the countryÂs south and southeast. This trend is paradoxical to the distribution of ESFÂs teams populational coverage and reflects the absence of a resource direction politics for the need of professionals inside national territory. The Fortaleza Health Department implanted the PRMFC/F, which nowadays has 76 members in its staff. Despite its short period of existence, this program presents some peculiarities: itÂs the first one on a large scale implanted in a capital city, concomitantly with the expansion of ESFÂs network of services, and with a occupation tax higher than the national average. This recent PRMFC/F implantation process in Fortaleza, Cearà is the theme of this study. After an extensive bibliographical review, a lacuna can be observed at the knowledge reinforcing the relevance of this study. As a main objective, it proposes to evaluate the implantation process of a PRMFC/F on a large scale at a city of large populational presence. Considering the objectives of this investigation, a Case Study will be accomplished, in exploratory character, with imbricated analytical levels, and a combination of Normative Evaluation and Evaluative Research over PRMFC/F implantation components and aspects at Family Health Units in the city of Fortaleza, CearÃ. It was found that there was an investment by the cityÂs government to expand and improve ABS ( Basic Attention to Health) in the city, and that this scenario was favorable to the implantation of the program. It was observed that for the majority of structure, process and result indexes, the PRMFC/F was implanted, and according to normative patterns. Few differences have been observed as to PRMFC/FÂs implantation level among the six FortalezaÂs Regional Executive Departments. This study has enabled the formulation of some hypothesis and suggestions for future studies on such a relevant theme to Family and Community Medicine, and Primary Attention to HealthÂs (Primary Care) current context in Brazil and all over the world.
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Bija, Yanelisa. "Determinants of under-five mortality in South Africa: A logistic regression." University of the Western Cape, 2019. http://hdl.handle.net/11394/6985.
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Magister Philosophiae - MPhilWhile several interventions have been implemented over the past decade to combat child mortality, under-five mortality remains a challenge especially in Sub-Saharan Africa. Global-ly, child mortality has decreased to half from 12.7 million in 1990 to 5.9 million per year in 2015. Despite these remarkable gains, more than 16,000 children are dying daily in the world (World Health Organisation, 2015). Previous studies on child survival have examined the contributing factors of child deaths and HIV/AIDS epidemic and socio-economic differentials such as the level of education, type of place of residence,and mother’s occupational status were identified as the contributing factor towards the high rate of under-five mortality. How-ever, there is a paucity of studies focusing on the impact of socio-economic and demographic factors on under-five mortality. Hence this study aims to explore the impact of socio-economic and demographic factors on under-five mortality in South Africa. There are underlying factors or background determinants (including direct and indirect) of under-five mortality. These factors influence under-five mortality in South Africa, and the direct causes are called proximate determinants or demographic factors. The conceptual framework of Mosley and Chen (1984) was adopted to explore the ways of influence of the underlying factors on under-five mortality in their study of determinants of child survival.
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Issa, Nazra. "The Challenges of education in Kenya : A critical analysis investigating the access to multicultural education and access to indigenous languages taught in Kenyan school." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-45492.
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The present study aimed at analysing the role of socioeconomic factors in the unequal access to health care among Kenyans. Content analysis was utilised as the principal data analysis methodology, while systems theory guided the process of addressing the research question. Relevant data was obtained from scholarly sources published in credible databases. The findings identified several socioeconomic factors accounting for unequal access to health care in Kenya. Large household size, female-headed households, and lower social class were identified as the chief social factors contributing to this problem. Poverty, low family income, low level of education, and living in informal settlements were revealed as the main economic contributors of unequal health care access. Overall, the current study affirmed that health care disparities have become a substantial human right issue in Kenya due to a combination of socioeconomic variables, such as household size, household head, social class, living conditions, education level, and place of residence.
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Nascimento, Debora Dupas Gonçalves do. "A residência multiprofissional em saúde da família como estratégia de formação da força de trabalho para o SUS." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/7/7137/tde-03092008-114039/.
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Trata-se de pesquisa qualitativa que tomou como objeto de estudo a formação dos profissionais da saúde para o SUS, na modalidade Residência Multiprofissional em Saúde da Família (RMSF). Os objetivos foram: identificar a concepção de competência que orienta a prática pedagógica dos preceptores do curso; identificar as competências profissionais referidas por trabalhadores das equipes da Estratégia Saúde da Família como necessárias no cotidiano de sua prática profissional e construir um perfil de competências para orientar a formação profissional na modalidade residência. Como categoria conceitual e analítica, utilizou-se a competência, tal como definida por Perrenoud, ancorada na concepção de trabalho em saúde de Mendes-Gonçalves e de trabalho em equipe de Peduzzi. O estudo foi desenvolvido em um curso de RMSF de uma instituição de ensino da cidade de São Paulo que tem como parceira uma instituição filantrópica responsável pela gestão de Unidades Básicas de Saúde da ESF. A população foi composta por preceptores do curso e profissionais da saúde que desenvolvem suas atividades profissionais na Estratégia Saúde da Família. A amostra foi constituída pela totalidade dos preceptores (15 participantes) e pelos profissionais por eles indicados como competentes no cotidiano da prática na ESF (8 participantes). Utilizou-se a entrevista semi-estruturada como instrumento de coleta de dados e, para análise dos dados empíricos, a técnica de análise de discurso proposta por Fiorin e adaptada por Car e Bertolozzi. Os discursos foram decompostos em frases temáticas e essas, em conhecimentos, habilidades e atitudes, segundo os quatro pilares da educação preconizados por Delors. Em seguida, à luz do referencial teórico, procedeu-se à recomposição desses conhecimentos, habilidades e atitudes em competências, classificadas nas áreas de domínio propostas por Witt: valores profissionais, comunicação, trabalho em equipe, gerência, orientada à comunidade, promoção da saúde, resolução de problemas, atenção à saúde, educacional e em ciências básicas da saúde pública e coletiva. A construção desse perfil de competências revelou, entre outros aspectos, a necessidade de pensar a formação na RMSF a partir de uma perspectiva ampliada do processo- saúde doença dos indivíduos, assim como refletiu as competências e ações que devem ser desenvolvidas por todos os profissionais no contexto da ESFIt\'s a qualitative research that had as the object of study the formation of healthcare professionals for SUS, in the Multiprofessional Residence in Family Health (MRFH) modality. The aims were to: identify the competence conception that guides the pedagogical practice of the course\'s preceptors; identify the professional competences referred by staff workers of Family Health Strategy (FHS) as necessary in the routine of their professional practice and build a competence profile to guide the professional formation in the residence modality. As the analytical and conceptual category, it was used the competence, as it was defined by Perrenoud, grounded in the conception of working in health by Mendes-Gonçalves and team work by Peduzzi. The study was developed at a course of MRFH of a teaching institution in the city of Sao Paulo, which has partnership with a philanthropic institution responsible for management of Health Basic Units of FHS. The population was made up of the course preceptors and healthcare professionals who develop their professional activities in Family Health Strategy. The sample was made of the totality of preceptors (15 participants) and by the professionals who were recommended by them as competent in the practice routine at the FHS (8 participants). It was used a semi-structured interview as instrument for data collection and the technique of analysis discourses proposed by Fiorin and adapted by Car and Bertolozzi for empirical data analysis. The discourses were decomposed in theme sentences and those, in knowledge, skills and attitudes, according to the four pillars of education professed by Delors. After that, following the theoretical referential, it was made the rearrangement of those knowledge, skills and attitudes in competences, classified in domain areas proposed by Witt: professional values, communication, team work, management, guided to community, health promotion, problem solving, attention to health, educational, and in basic science of public and collective health. The build up of this competence profile revealed, among other aspects, the need of thinking the formation in MRFH from a broad perspective of the health-disease process of the individuals, as it reflected the competences and actions that must be developed by all the professionals in the context of the FHS
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Silva, Monalisa Vasconcelos Ernesto. "Aprendendo a ser médico: análise da relação trabalho - saúde de médicos residentes." Universidade Federal da Paraíba, 2013. http://tede.biblioteca.ufpb.br:8080/handle/tede/6945.
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This paper analyses the relation between the process of Medical Residence (MR) and the health of the resident doctors. Intending both capacitating and actualizing, the MR has a fundamental role to the new graduate doctor. Through the MR, he will gains experience and knowledge that will be reflected further in better opportunities of job as well as in the professional clinic itself. The choose for researching in this particular academic field dues to the interest in analyze the possible health implications suffered by these new doctors as a consequence of their professional activities during the MR. Thus, this study has as the main objective to analyze the established relations between the doctor´s health during the MR and as specific objectives to investigate the syllabus and the peculiarities of the resident doctor activity; to delineate the conditions and organization of the resident doctor activity; to identify the sources of the sufferings and pleasures of their work; to analyze in which way these professionals manage both private and professional lives; to explore the peculiar duality established by MR`s doctor concerning being both a professional and a student, and, finally, to identify and to analyze healthy problems as illness, accidents and sufferings pointing out possible solutions to the problems. The theoretical basis of this paper will be supported by the academic fields of Work Psychodynamics; Ergonomy of Activity and Clinics of Activity. To the purpose of this study, 29 resident doctors of a university hospital, residents of the second year and from different clinical areas were investigated. It was used pre-structured application forms to investigate the objectives stated before. The analysis of the collected data followed a thematic content analysis. The results reveal that the lack of material to both preservation and recuperation of the patient´s health is a reflection of the working condition these professionals are submitted. The resident doctors also pointed as a source of suffering their impotence face the public health service including the lack of working structure and the excessive hours of working. As the principal source for pleasure they pointed the satisfaction in helping the patients. Thus, in this context, the notion of risk is part of the process of MR, including occupational, professional and psychosocial ones. It was also noticed that the private life of these professionals were banished to a second place. The family has to deal with the distance and the absence of them, facing the hard working schedule and the extra work in other institutions. Not forgetting that the new doctor is yet a student and so he has to deal with the limits imposed by the medical practice as well as by the adviser doctor. Thus, the principal problems suffered by the resident doctors detected by this research were: physical and psychiatric stress, sleeping and hormonal alterations, inadequate food and lack of disposition to the practice of physical activities which implies in the diminution of life quality. In the other hand, some of the participants denied any sort of health problems caused by the MR. In spite of all the situation presented above, the results also appointed a significant equilibrium, being perceived as fundamental, but transient.
Este trabalho dissertativo analisa as relações entre o processo de Residência Médica (RM) e a saúde de médicos residentes. Almejando capacitação e atualização, a RM assume fundamental valor para que o médico recém-formado obtenha experiência e acumule conhecimentos que redundarão em oportunidades posteriores de trabalho e melhor atendimento à população. A escolha por este campo deve-se ao interesse em analisar, no transcurso da RM, a atividade dos profissionais médicos em formação e possíveis implicações com a saúde, decorrente das atividades exercidas. Assim, o presente estudo tem como objetivo geral analisar as relações estabelecidas entre a saúde dos médicos residentes e o processo de RM; e, como objetivos específicos investigar o conteúdo e as especificidades da atividade do médico residente; delinear as condições e a organização do trabalho dos médicos residentes; identificar as fontes de sofrimento/ prazer no trabalho; analisar os modos de gestão adotados pelos médicos residentes na relação trabalho e vida privada; explorar a dualidade entre ser médico e ser estudante que caracteriza a RM, concomitantemente aos riscos inerentes ao desempenho da atividade; e, por fim, identificar e analisar a ocorrência de problemas de saúde (doenças, acidentes, sofrimento), bem como evidenciar as ações utilizadas na busca pela manutenção da saúde. O aporte teórico desse estudo reúne contribuições oriundas da Psicodinâmica do Trabalho, da Ergonomia da Atividade e da Clínica da Atividade. Participaram desta pesquisa 29 médicos residentes que estão no segundo ano de RM das áreas clínicas de um hospital universitário, através do critério de acessibilidade aos sujeitos e da disponibilidade dos mesmos em colaborar com o estudo. Utilizou-se a entrevista semiestruturada, tendo em vista o interesse em acessar as vivências, singularidades e perspectivas dos médicos residentes em relação ao seu trabalho. A análise dos dados foi conduzida através da análise de conteúdo temática. No que se refere aos resultados, identificou-se que a deletéria falta de material para a realização de técnicas para preservação e/ou recuperação das condições de saúde do paciente é recorrente quanto às condições de trabalho. Os médicos residentes apontaram também como fontes de sofrimento a impotência diante de certas condicionalidades do serviço público, da estrutura do hospital e de certos casos, a pressão e o excesso de trabalho. Como principal fonte de prazer no trabalho do médico residente, eles apontaram a satisfação pessoal em ajudar o paciente. Nesse contexto de dificuldades do cotidiano profissional, a noção de risco passa a ser vista como parte intrínseca da atividade, constituindo-se em riscos ocupacionais, organizacionais e psicossociais. Observou-se ainda que a vida extra-hospital fica relegada a segundo plano, tendo a família (muitas vezes de outro estado) que aprender a lidar e superar as ausências e a distância, seja em virtude da demanda horária da RM, seja em decorrência dos plantões em outras instituições. Fruto da dualidade característica em ser médico e ser residente, estudante, existe ainda a dissonância da responsabilidade médica se contrapondo às limitações impostas à prática do médico residente, supervisionado pela preceptoria. Identificou-se que os principais problemas relacionados ao trabalho do médico residente foram a sobrecarga física e psíquica, a fadiga, a alteração do sono e das taxas hormonais, a alimentação inadequada, a falta de disposição para a prática de exercícios físicos, implicando, dessa forma, na diminuição da qualidade de vida. Em contrapartida, alguns participantes negaram que pudessem ter algum tipo de problema de saúde decorrente da RM. Através dos resultados, foi perceptível que a atividade de trabalho dos médicos residentes denota significativo equilíbrio, sendo percebida como fundamental, mas transitória.
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Burton, Shawn R. "The Lived Experience of Gay Male College Students After Coming Out to a Heterosexual Roommate in a Residence Hall: A Phenomenological Investigation." Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1586258279094467.
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Coutinho, Letícia Maria Silva. "Transtornos mentais comuns e contexto social: análise multinível do \"São Paulo ageing and health study (SPAH)." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-27022014-123908/.
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INTRODUÇÃO: Problemas de saúde mental são responsáveis por uma morbidade significativa em todo o mundo, por sua frequência e pela associação com comorbidades físicas, níveis de incapacitação e prejuízo na qualidade de vida de portadores e cuidadores. A ocorrência de transtornos mentais comuns (TMC) é influenciada por fatores biológicos, sociais, econômicos e demográficos. O contexto social pode ter papel importante na etiologia dos transtornos mentais e na sua prevalência. OBJETIVOS: Investigar fatores de risco que contribuem para a prevalência, incidência e prognóstico de TMC em população de baixa renda da cidade de São Paulo, considerando distintos níveis contextuais: indivíduo, domicílio e setor censitário. MÉTODO: O presente estudo utilizou dados da investigação longitudinal de base populacional \"São Paulo Ageing & Health Study\" (SPAH). Os indivíduos selecionados eram residentes em domicílios em que houvesse pelo menos dois participantes do estudo com avaliação para presença de TMC, identificada pelo instrumento Self Reporting Questionaire (SRQ-20). Foram avaliadas as associações independentes entre TMC e características sociodemográficas e dos domicílios dos participantes, através de modelos de regressão logística multinível, tendo como desfechos a prevalência de TMC na inclusão e a presença de TMC em avaliação de dois anos de seguimento. RESULTADOS: Foram incluídos 2.366 indivíduos no estudo transversal, realizado no período de 2003 a 2005. A prevalência de TMC nesta amostra foi de 43%. As características individuais sexo, idade, escolaridade e ocupação estiveram associadas à prevalência de TMC. As características de domicílios aglomeração, morar com crianças, bens materiais, saneamento básico e renda familiar também se associaram à prevalência de TMC. Modelos de regressão logística multinível mostraram que parte da variância na prevalência de TMC foi associada ao nível do domicílio, com associações entre aglomeração, renda familiar e prevalência de TMC, mesmo após controle para características individuais. No estudo longitudinal foram incluídos 1.733 indivíduos, reavaliados no período de 2005 a 2007. A prevalência de TMC na avaliação de seguimento foi de 33%, sendo que 8% não apresentavam TMC na inclusão. As características individuais sexo, idade e ocupação, e a característica de domicílio renda familiar estiveram associadas à presença de TMC na avaliação de seguimento. Modelos de regressão logística multinível para os dados longitudinais mostraram que a maior parte da variância na presença de TMC foi associada ao nível do indivíduo, com associações entre sexo, faixa etária, escolaridade, ocupação e TMC, mesmo após controle para características do domicílio. O nível de domicílio também contribuiu de forma independente para a variância relacionada à presença de TMC no seguimento, com associação de efeito fixo para renda familiar, mesmo após controle para características individuais. CONCLUSÃO: Os resultados mostraram que características individuais contribuem para a maior parte da variância na prevalência, incidência e prognóstico de TMC, mas há uma associação independente com o nível domicílio, que não é explicada completamente pela renda familiar. Esses resultados indicam que características do ambiente onde as pessoas vivem contribuem para sua saúde mental, sugerindo que pesquisas futuras se concentrem nas características psicossociais de domicílios e vizinhanças para estudo de contexto social e TMCINTRODUCTION: Mental health problems are responsible for significant morbidity worldwide, due to its high frequency and association with physical comorbidities, levels of disability and impact in quality of life of patients and caregivers. The occurrence of common mental disorders (CMD) is influenced by biological, social, economic and demographic factors. The social context may play an important role in the etiology of mental disorders and their prevalence. OBJECTIVES: To investigate risk factors associated with the prevalence, incidence and prognosis of CMD in a low income population from the city of São Paulo, considering different contextual levels: individual, household, and census tract. METHOD: The present study used data from the population-based prospective investigation \"São Paulo Ageing & Health Study\" (SPAH). The individuals selected were living in households in which there were at least two study participants with assessments for presence of TMC, identified by the instrument Self Reporting Questionnaire (SRQ-20). We assessed independent associations between CMD and the sociodemographic and households characteristics of the participants, through multilevel logistic regression models, having as outcome variables the prevalence of CMD at inclusion and the presence of TMC at the 2-year follow-up assessment. RESULTS: We included 2.366 individuals in the cross-sectional study, carried out in the period from 2003 to 2005. The prevalence of CMD in this sample was 43%. Individual characteristics sex, age, education and occupation were associated with the prevalence of CMD. The household characteristics crowding, living with children, possessions, basic sanitation and family income were also associated with the prevalence of CMD. Multilevel logistic regression models showed that part of the variance in the prevalence of CMD was associated with the household level, with associations between crowding, family income and prevalence of CMD, even after controlling for individual characteristics. In the longitudinal study, 1.733 individuals were reassessed in the period of 2005-2007. The prevalence of CMD at 2 years was 33%, with 8% in individuals without TMC at inclusion. Individual characteristics sex, age and occupation and household characteristic family income were associated with presence of CMD at follow-up. Multilevel logistic regression models for longitudinal data showed that most of the variance associated with presence of CMD was associated with the level of the individual, with associations between sex, age, education, occupation and CMD, even after controlling for household characteristics. The household level also contributed independently to the variance related to the presence of TMC at follow-up, with associated fixed effect for family income, even after controlling for individual characteristics. CONCLUSION: The results showed that individual characteristics contribute to most of the variance in the prevalence, incidence and prognosis of TMC, but there is an independent association with the household level, which is not fully explained by family income. These results indicate that characteristics of the environment where people live contribute to their mental health, suggesting that future research focus on the psychosocial characteristics of households and neighborhoods to study the social and TMC
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Arnadottir, Solveig. "Physical activity, participation and self-rated health among older community-dwelling Icelanders : a population-based study." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35823.
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Background: The main objective of this study was to investigate older people’s physical activity, their participation in various life situations, and their perceptions of their own health. This included an exploration of potential influences of urban versus rural residency on these outcomes, an evaluation of the measurement properties of a balance confidence scale, and an examination of the proposed usefulness of the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework to facilitate analysis and understanding of selected outcomes. Methods: The study design was cross-sectional, population-based, with random selection from the national register of one urban and two rural municipalities in Northern Iceland. There were 186 participants, all community-dwelling, aged 65 to 88 years (mean = 73.8), and 48% of the group were women. The participation rate was 79%. Data was collected in 2004, in face-to-face interviews and through various standardized assessments. The main outcomes were total physical activity; leisure-time, household, and work-related physical activity; participation frequency and perceived participation restrictions; and self-rated health. Other assessments represented aspects of the ICF body functions, activities, environmental factors and personal factors. Moreover, Rasch analysis methods were applied to examine and modify the Activities-specific Balance Confidence (ABC) scale and the ICF used as a conceptual framework throughout the study. Results: The total physical activity score was the same for urban and rural people and the largest proportion of the total physical activity behavior was derived from the household domain. Rural females received the highest scores of all in household physical activity and rural males were more physically active than the others in the work-related domain. However, leisure-time physical activity was more common in urban than rural communities. A physically active lifestyle, urban living, a higher level of cognition, younger age, and fewer depressive symptoms were all associated with more frequent participation. Rural living and depressive symptoms were associated with perceived participation restrictions. Moreover, perceived participation restrictions were associated with not being employed and limitations in advanced lower extremity capacity. Both fewer depressive symptoms and advanced lower extremity capacity also increased the likelihood of better self-rated health, as did capacity in upper extremities, older age, and household physical activity. Rasch rating scale analysis indicated a need to modify the ABC to improve its psychometric properties. The modified ABC was then used to measure balance confidence which, however, was found not to play a major role in explaining participation or self-rated health. Finally, the ICF was useful as a conceptual framework for mapping various components of functioning and health and to facilitate analyses of their relationships. Conclusions: The results highlighted the commonalities and differences in factors associated with participation frequency, perceived participation restrictions, and self-rated health in old age. Some of these factors, such as advanced lower extremity capacity, depressive symptoms, and physical activity pattern should be of particular interest for geriatric physical therapy due to their potential for interventions. While the associations between depressive symptoms, participation, and self-rated health are well known, research is needed on the effects of advanced lower extremity capacity on participation and self-rated health in old age. The environment (urban versus rural) also presented itself as an important contextual variable to be aware of when working with older people’s participation and physically active life-style. Greater emphasis should be placed on using Rasch measurement methods for improving the availability of quality scientific measures to evaluate various aspects of functioning and health among older adults. Finally, a coordinated implementation of a conceptual framework such as ICF may further advance interdisciplinary and international studies on aging, functioning, and health.
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Aldana, Maylen Lizeth. "Examining the self-reported health behaviors and the importance of role modeling among resident directors affiliated with the Association of College and University Housing Officers-International (ACUHO-I) institutions." Diss., Mississippi State : Mississippi State University, 2009. http://library.msstate.edu/etd/show.asp?etd=etd-07132009-104125.
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Duarte, Paola Marques. "Perfil de saúde dos moradores da Casa do Estudante Universitário da Universidade Federal de Santa Maria." Universidade Federal de Pelotas, 2014. http://repositorio.ufpel.edu.br:8080/handle/prefix/3156.
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Introdução: Os estudantes universitários, em geral, são jovens em busca de formação profissional, que estão passando por uma fase de transição caracterizada por significativas mudanças morfofisiológicas, comportamentais, cognitivas e sociais. Esse momento da vida coincide com o ingresso no ensino superior, onde novas relações sociais são estabelecidas e comportamentos são adquiridos, tornando o universitário vulnerável a situações que colocam em risco a sua saúde. Para os alunos que residem em moradias universitárias, além dos fatores já mencionados, existe ainda a questão da mudança de cidade, que resulta no afastamento do ambiente familiar e da rede social, bem como o próprio fato de morar em uma residência universitária, onde um novo espaço será dividido com pessoas desconhecidas. Objetivo: Traçar um perfil de saúde dos moradores da Casa do Estudante Universitário da Universidade Federal de Santa Maria. Métodos: Estudo descritivo com delineamento transversal, realizado com 768 estudantes. Como instrumento para coleta de dados foi utilizado um questionário, administrado de forma autoaplicada. Foi realizada análise descritiva incluindo: média e desvio-padrão, para as variáveis contínuas; frequências e intervalo de confiança, para as variáveis categóricas, sendo as análises conduzidas no programa estatístico STATA 12.0. Resultados: Considerando o somatório da atividade física (lazer e deslocamento) 71,8% dos pesquisados eram ativos, 55,8% eram ativos somente no deslocamento, e 30% ativos somente no lazer. Apenas 11,2% dos estudantes apresentaram consumo regular de frutas, verduras e legumes, 42,4% referiu ter consumido álcool em excesso no último mês, e 9,4% ter consumido pelo menos um cigarro nos últimos 30 dias. Observou-se ainda que 18,9% dos estudantes percebiam sua saúde como regular/ruim, 6,2% relataram a presença de dislipidemias, e 25% apresentaram excesso de peso. Conclusão: Pode-se dizer que os pesquisados apresentaram baixos níveis de atividade física, principalmente no lazer; baixo consumo regular de frutas, verduras e legumes; excessivo consumo de álcool e tabaco; elevada prevalência de autopercepção de saúde regular/ruim; assim como elevada prevalência de excesso de peso. Portanto percebeu-se a necessidade de desenvolvimento de programas que incentivem a adoção de um estilo de vida mais saudável nessa população, tendo a universidade um local propício para criação e implementação de estratégias que estimulem mudanças comportamentais.
Background: University students, in general, are young people seeking training, who are going through a transition phase characterized by significant morphological and physiological, behavioral, cognitive and social changes. This time of life coincides with the entry into higher education, where new social relations are stablished and behaviors are acquired, making the university vulnerable to situations that endanger their health. For students who reside in university housing, in addition to the factors already mentioned, there is the issue of changing the city, resulting in the removal of the family environment and social network as well as the fact of living in a university residence, where a new space will be shared with strangers. Purpose: To draw a health profile of residents of a university residence of the Federal University of Santa Maria. Methods: A descriptive cross-sectional study was conducted with 768 students, and a questionnaire was used to search all variables. A descriptive analysis was performed including: frequencies and 95% confidence intervals, for categorical variables, average and standard deviation for continuous variables. All analyzes were conducted in STATA 12.0. Results: In the sum of physical activity (transportation and leisure time) 71.8% of the students were active, 55.8% were active only in transportation and 30% active only in leisure time. Only 11.2% had regular consumption of fruits and vegetables, 42.4% reported having consumed excess alcohol in the last month, and 9.4% had consumed at least one cigarette in the past 30 days. It was also observed that 18.9% of students perceived their health as regular/bad, 6.2% of respondents reported the presence of dyslipidemia, and 25% were overweight or obese. Conclusion: We concluded that the students had low levels of physical activity, especially in the leisure time; low regular consumption of fruits and vegetables; excessive consumption of alcohol and tobacco; high prevalence of self-reported health regular/bad; as well as high prevalence of overweight and obesity. Therefore, we need to develop programs that encourage the adoption of a healthier lifestyle in this population, and the university is a good place to create and implement strategies that encourage behavioral changes.
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Fusco, Alcione Pereira Biffi. "Distribuição espacial da tuberculose em um município do interior do estado de São Paulo entre 2008 - 2013." Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7694.
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Não recebi financiamento
Objective : To analyze the spatial distribution of tuberculosis cases in São Carlos / SP. Method : descriptive and ecological study of tuberculosis cases registered in the tb-web information system, between the years 2008 and 2013. Results: We identified 315 cases (addresses), and, of this total, 290 cases were geocoded, which corresponds to 92%. Most of these cases were male (n = 224; 70.89%), median age of 40 years and with the pulmonary clinical presentation predominant (n = 257; 81.33%). The distribution was not random or heterogeneous, representing specific areas of the municipality in epidemiological terms. Conclusion: The study showed that the city needs improvement with regard to aspects related to the management and planning of health services, strengthening the decentralization actions in relation to primary health care. In this sense, it is essential to increase the early detection and prevention actions, stimulating treatment adherence and active pursuit, contributing, consequently, to the improvement of tuberculosis patient’s care and their social environment.
Objetivo : Analisar a distribuição espacial dos casos de tuberculose no município de São Carlos/SP. Método: Estudo descritivo e ecológico dos casos de tuberculose registrados no sistema de informação tb-web, entre os anos de 2008 e 2013. Resultados: Identificou-se 315 endereços, sendo geocodificados 290 casos, ou seja, 92%. A maioria destes foram do sexo masculino (n=224; 70,89%) e idade mediana 40 anos, sendo a forma clínica pulmonar predominante (n=257; 81,33%). A distribuição ocorreu de forma não aleatória ou heterogênea, representando áreas específicas do município em termos epidemiológicos. Conclusão: O estudo evidenciou que o município necessita de maior investimento no que concerne aos aspectos inerentes à gestão e planejamento dos serviços de saúde, ou seja, fortalecimento das ações de descentralização junto à atenção primária à saúde. Neste sentido, torna-se imprescindível o incremento de ações de detecção e prevenção precoce, estímulo à adesão ao tratamento e busca ativa. Para assim, contribuir para a melhoria da atenção ao doente de tuberculose e seu entorno social.
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Rossoni, Eloá. "Formação multiprofissional em serviço na atenção básica à saúde : processos educativos em tempos líquidos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/27073.
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A residência multiprofissional em serviço na atenção básica à saúde, tema desta tese, faz parte de uma rede de formação na área da educação e saúde no Brasil. A formação dentro de serviços de saúde tem como objetivo preparar profissionais para atuação no Sistema Único de Saúde. O foco da pesquisa volta-se para os processos educativos vivenciados por residentes e preceptores/as no Programa de Residência Integrada em Saúde: Atenção Básica em Saúde Coletiva, desenvolvido predominantemente em unidades básicas de saúde pertencentes, até 2009, ao Centro de Saúde-Escola Murialdo e vinculado à Escola de Saúde Pública. O programa busca formar profissionais para o planejamento, a gestão e a clínica da atenção básica em equipe multiprofissional, orientados para a integralidade da atenção. Esta tese analisa como trabalhadores/as e residentes vivenciam os processos educativos em serviço, que relações de poder-saber constituem e atravessam essa formação e alguns dos desafios que são colocados às instituições formadoras. Trata-se de uma investigação qualitativa cujo percurso metodológico tem aporte nos estudos culturais em aproximação com a etnografia pós-moderna, pois estes concebem a cultura como campo de produção de significados, no qual os diferentes grupos sociais, situados em posições diferenciadas de poder, lutam pela imposição de seus significados à sociedade. O trabalho de campo foi desenvolvido no período de março de 2007 a abril de 2008 e o material empírico inclui documentos pedagógicos e administrativos institucionais, legislação pertinente à regulamentação dos programas de residência, relatórios de residentes, observação direta das equipes nos ambientes de trabalho e entrevistas com os/as trabalhadores/as que atuam nas unidades básicas de saúde. Para refletir sobre as limitações e as possibilidades desta formação, utilizei, especialmente, os escritos de Bauman acerca das características culturais da “modernidade líquida”. As unidades de análise estruturadas, a partir destes pressupostos, abordam: o enfrentamento cotidiano das incertezas por trabalhadores/as e residentes; os saberes e as práticas constitutivos da formação em situação de trabalho na atenção básica; os desafios da formação em serviço em tempos líquidos; as relações de saber-poder nas dinâmicas de ensino/serviço/gestão, sobretudo as implicações dos conflitos das corporações profissionais e da municipalização da assistência nos processos educativos da residência. Estas relações produzem potencialidades e vulnerabilidades no programa de residência, no contexto estudado, marcado pela provisoriedade e pela incerteza. A partir destas análises foi possível apreender que, em tempos líquidos, a criatividade e a solidariedade são ferramentas importantes dos e nos processos educativos que preparam para a vida (profissional).Multidisciplinary residency in primary health care, subject of this thesis, is part of a network of training in education and health in Brazil. Training in health care aims to prepare professionals for action in the National Health System. The research focus turns to the educational process experienced by residents and preceptors in Integrated Health Residency Program: Primary Care in Public Health, developed predominantly in basic health units belonging, in 2009, to the Murialdo Health School-Centre, and linked to the School of Public Health. The program seeks to train professionals for the planning, management and clinical practice of primary care in multiprofessional teamwork oriented by integral care. This thesis examines how workers and residents experience educational processes in service, which relations of power-knowledge are/go through such training and some of the challenges that are posed to the educational institution. This is a qualitative research whose methodological course has input into cultural studies in approach to post-modern ethnography. These studies conceive culture as a field of meaning production, in which different social groups located in different positions of power are fighting for impose their meanings on society. Fieldwork was conducted from March 2007 to April 2008 and empirical data included educational and administrative documents institutions, relevant legislation to the regulation of residency programs, reports of residents, direct observation of teams in the workplace and interviews with workers in training places. To discuss the limitations and possibilities of this training, I used especially the writings of Bauman about the cultural features of “liquid modernity”. The units of analysis structured to address these assumptions are: the daily confrontation of uncertainties by workers and residents, the knowledge and practices constituting the training on the work in primary care, the challenges of in-service training days net; the relations of knowledge-power in the teaching/service/management, especially the implications of conflicts of professional corporations and the decentralization of assistance in the educational processes of the residence. These relations yield potentials and vulnerabilities in residency programs in the studied context marked by provisional and uncertain. From this analysis it was possible to apprehend that in times of liquid modernity, creativity and solidarity are important tools of/on educational processes that prepare for (professional) life.
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Williams, Faustine, Aimee S. James, and Stephen Jeanetta. "Geographical Location and Stage of Breast Cancer Diagnosis: A Systematic Review of the Literature." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/65.
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Objective: To examine systematically the literature on the effect of geographical location variation on breast cancer stage at diagnosis, race/ethnicity, and socioeconomic status.
Methods. Eight electronic databases were searched using combination of key words. Of the 312 articles retrieved from the search, 36 studies from 12 countries were considered eligible for inclusion.
Results. This review identified 17 (47%) of 36 studies in which breast cancer patients residing in geographically remote/rural areas had more late-stage diagnosis than urban women. Ten (28%) studies reported higher proportions of women diagnosed with breast cancer resided in urban than rural counties. Nine (25%) studies reported no statistically significant association between place of residence and stage at diagnosis for breast cancer patients residing in rural and urban areas.
Conclusions. Cancer patients residing in rural and disadvantaged areas were more likely to be diagnosed with distant breast metastasis. Efforts to reduce these inequalities and subsequent mortality are needed.
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Katopodis, Valéria Moraes. "Estresse e Estratégia de Enfrentamento Psicológico de Residentes Multiprofissionais da Área da Saúde." Pontifícia Universidade Católica de Goiás, 2012. http://tede2.pucgoias.edu.br:8080/handle/tede/4080.
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This study aims at analyzing the impact of stress in health multiprofessionals residents life in an university hospital in Goiânia. Ten female residents, from the second year (R2), were evaluated, individually and in a previously organized place, by Goldberg General Health Questionnaire - QSG, from ISSL of Lipp and an Ebel Stress Physiologic Reaction Inventory (validated for Brazil), during the second semester of 2011. It was verified that the physiologic reactions to stress were in a high level (N=4), followed by a moderate level (N=3) and a low level (N=2). The salivary cortisol dose showed a level of normalcy and the body reading indicated a diaphragmatic armoring that suggests stress. Life quality showed to be compromised, specially, for showing stress indicators and two being in an exhaustion stage. In conclusion we see the need for a stress coping program oriented by body psychology techniques.
Este estudo objetivou avaliar o estresse de residentes multiprofissionais de saúde, de um hospital universitário, em Goiânia. Dez residentes do sexo feminino, do segundo ano (R2), foram avaliadas, individualmente e em local previamente preparado, por meio do Questionário de Saúde Geral de Goldberg – QSG, do ISSL de Lipp e Inventário de Reações Fisiológicas de Estresse Ebel (validados para o Brasil), durante o segundo semestre de 2011. Verificou-se que as reações fisiológicas ao estresse encontravam-se num nível alto (N=4), seguido pelos níveis moderado (N=3) e baixo (N=2). A dosagem de cortisol salivar mostrou-se na normalidade e a leitura corporal indicou encouraçamento diafragmático sugestivo de estresse. A qualidade de vida mostrou-se comprometida, principalmente, por apresentarem indicadores de estresse, sendo que duas árticipantes estavam na fase de exaustão. Conclui-se pela necessidade de um programa de enfrentamento ao estresse, orientado pelas técnicas de psicoterapia corporal.
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Nascimento, Murilo César do. "Geoepidemiologia da dengue no município de Alfenas, MG." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-01112011-154254/.
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A incidência de dengue no Município de Alfenas-MG foi estudada, entre os anos de 2001 e 2010, por meio de estudo transversal, utilizando variáveis referentes à pessoa, tempo e lugar dos casos autóctones de dengue, cujas informações foram obtidas no Sinan; as variáveis socioeconômicas foram disponibilizadas pelo IBGE e dados cartográficos foram cedidos pela Prefeitura Municipal. Na análise descritiva utilizou-se a análise multivariada e a análise espacial para descrever o perfil epidemiológico dos casos e a distribuição espacial das residências segundo bairros urbanos, áreas do Programa Saúde da Família e setores censitários de agrupamentos socioeconômicos distintos. Observou-se uma heterogeneidade da distribuição espacial dos casos e a ausência de padrão das densidades espaciais. Os principais aglomerados de casos foram identificados em áreas descobertas pela Estratégia Saúde da Família, apesar de as distribuições de frequência terem sido semelhantes nos extratos socioeconômicos; tais características podem estar associadas à dinâmica da circulação viral na localidade, considerando-se a mobilidade interna e o fluxo humano, além da atuação gradativa das Equipes de Saúde da Família no Município.The incidence of dengue in Alfenas-MG was studied between the years 2001 and 2010, through cross-sectional study, using variables related to the person, time and place of autochthonous cases of dengue, whose information was obtained in the Sinan, the socioeconomic variables were provided by IBGE and map data were provided by City Hall. In the descriptive analysis we used multivariate analysis and spatial analysis to describe the epidemiological profile of cases and spatial distribution of second homes urban neighborhoods, areas of the Family Health Program and census tracts of different socioeconomic groups. There was a heterogeneity of the spatial distribution of cases and the absence of spatial pattern of densities. The main clusters of cases were identified in areas uncovered by the Family Health Strategy, despite the frequency distributions were similar across socioeconomic strata, such features may be associated with the dynamics of viral circulation in the locality, considering the internal mobility and the human stream, and graded the performance of the Family Health Teams in the city.
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Angeloff, Line Ø. "Miljørettet helseverns tilsyn i norske asylmottak - de profesjonelles syn på dagens praksis, kompetanse og måloppnåelse." Thesis, Nordic School of Public Health NHV, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3643.
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Bakgrunn og hensikt: Studien setter fokus på miljørettet helseverns tilsynsrolle rettet mot psykososiale forhold i norske asylmottak med langtidsopphold. Hensikten var å belyse hvordan de profesjonelle tilsynsutøvere i kommunene ser på dagens tilsynspraksis og i hvilken grad de mener at den er i tråd med lovgivningens intensjoner. Studien søker dessuten å avdekke om tilgjengelige ressurser, lovverk, veiledere og rammebetingelser er tilstrekkelige, og hvilken betydning dette har for kvaliteten på tilsynet. Metode: Tversnittsstudie med strukturerte telefonintervjuer av 82 personer motsvarende 48,8% avdet mulige antallet fagpersoner fra norske kommuner, basert på et spørreskjema med 28 spørsmål med oppsatte svaralternativer og to åpne spørsmål. Data ble analysert med deskriptiv statistikk ogkvalitativ innholdsanalyse. Resultater: Ansatte som driver tilsyn etter forskrift for Miljørettet helsevern i dag opplever at de i for stor grad utøver et skjønnsbasert tilsyn, og etterlyser bedre retningslinjer og tydeligere krav i lover og veiledere. Videre etterlyses mer kunnskap direkte rettet mot psykososiale forhold i mottak, kurs og opplæring og bedre rammer for å kunne gjennomføre et forsvarlig tilsyn. Tettere og mer tverrfaglig samarbeid med helsefaglig personell og UDI, samt interkommunal organisering, sees på som en styrke for å bedre kvaliteten på tilsynene. Konklusjon: Dårlige boforhold (enkel standard), lang oppholdstid og lediggang/passifisering synes å være de største utfordringene for det psykososiale miljøet i mottakene. De viktigste tiltakene for å bedre kvaliteten på tilsynet synes å være økt kunnskap på feltet spesielt rettet inn mot psykososialeforhold, tydeligere krav og retningslinjer i lover og forskrift, og større grad av samarbeid på tvers avfagområder for å imøtekomme behovene til en utsatt gruppe mennesker/beboere i mottak.Background and objectives: This study focuses on the supervision of environmental andpsychosocial conditions in Norwegian accommodation centers for asylum seekers with long-term residence. We aimed to examine how professionals from the communities view current practice andto what extent they consider it compliant with legislative intentions. We further aimed to explore the sufficiency of available resources, guidelines, and conditions, and to determine their effect on the quality of the supervision. Methods: This cross-sectional study used structured telephone interviews with 82 persons, a number that corresponds to 48.8% of the total number of professionals in Norwegian communities, based ona questionnaire comprising 28 closed and 2 open questions. Data was analyzed using descriptive statistics and qualitative content analysis. Results: Employees who currently oversee regulations for environmental health reported too muchdiscretion-based supervision. They called for better policies and clearer requirements in laws an dsupervisors, respectively. Furthermore they announced more knowledge directly aimed at psychosocial factors in reception, and more focus from central government on courses and trainingand better facilities to carry out a proper inspection. Respondents viewed closer and more interdisciplinary collaboration with health professionals and immigration authorities, as well as intermunicipal organizations, as a force for improving the quality of inspections. Conclusions: Evidence suggests that poor housing conditions, long-term residence, andidleness/pacification comprise the largest challenges for the psychosocial environment in asylum centers. The most important measures for improving the quality of supervision likely requireincreased knowledge in the field, especially regarding psychosocial factors; clearer requirements;legal and regulatory guidelines; and greater cross-discipline collaboration to fulfill the needs of a vulnerable group of people/residents in reception
ISBN 978-91-982282-9-8
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Souza, Francisca Lopes de. "Estruturas essenciais de avaliaÃÃo de programas de residÃncia multiprofissional em saÃde da famÃlia: uma proposta de autoavaliaÃÃo a partir dos casos de Sobral e Fortaleza." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13008.
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nÃo hÃA ResidÃncia Multiprofissional em SaÃde da FamÃlia surgiu no Brasil, em meados dos anos 90, em respostas Ãs exigÃncias do Programa SaÃde da FamÃlia (PSF), com relaÃÃo à qualificaÃÃo dos profissionais de saÃde para atuarem dentro dos princÃpios da AtenÃÃo PrimÃria à SaÃde. Desde entÃo, essa modalidade de formaÃÃo em serviÃo vem sendo defendida como estratÃgia possÃvel para efetivar o encontro educaÃÃo-trabalho-saÃde no Sistema Ãnico de SaÃde (SUS). Entretanto, algumas indefiniÃÃes no campo pedagÃgico e metodolÃgico tÃm apontado desafios no Ãmbito da avaliaÃÃo, seja por falta de parÃmetros mÃnimos, seja pela incipiÃncia de mÃtodos e instrumentais. Este estudo teve como objetivo elaborar uma proposta de autoavaliaÃÃo para Programas de ResidÃncia Multiprofissional em SaÃde da FamÃlia à luz do referencial estrutural-sistÃmico a partir da anÃlise dos projetos polÃtico pedagÃgicos dos programas de Sobral e Fortaleza. Trata-se de uma pesquisa de abordagem qualitativa, do tipo estudo de caso mÃltiplo incorporado, documental e bibliogrÃfico. A pesquisa foi realizada entre maio de 2011 à janeiro de 2012. A coleta de dados consistiu na anÃlise dos projetos polÃtico pedagÃgicos das duas unidades de anÃlise (Sobral e Fortaleza) para identificaÃÃo das estruturas essenciais de avaliaÃÃo e validaÃÃo destas estruturas junto aos especialistas. Foram considerados especialistas os atores que compÃem os programas, quais sejam,tutores, preceptores, coordenadores e residentes. Na ocasiÃo do painel, compareceram 07 docentes (tutores e preceptores), as coordenaÃÃes dos dois programas e 5 residentes de diferentes categorias. As informaÃÃes oriundas das validaÃÃes foram analisadas a partir das contribuiÃÃes dos painelistas em diÃlogo com o arcabouÃo jurÃdico e teÃrico das residÃncias multiprofissionais. Utilizou-se da anÃlise temÃtica descrita por Minayo (2008) para as contribuiÃÃes dos especialistas. As estruturas validadas revelaram que os Programas ResidÃncias Multiprofissionais em SaÃde da FamÃlia no Cearà precisam contemplar, em suas propostas pedagÃgicas, os princÃpios do SUS, com destaque para a integralidade. Necessitam considerar a diversidade de cenÃrios de aprendizagem, alÃm de tomarem em consideraÃÃo a realidade institucional e a realidade lÃcus-regional, e estabelecer um diÃlogo permanente com o quadrilÃtero da formaÃÃo em saÃde: atenÃÃo, gestÃo, ensino e controle social. As estruturas de gestÃo do programa, contexto, currÃculo e pesquisa foram ânovidadesâ bem aceitas pelos especialistas e trouxeram à tona situaÃÃes que sÃo pouco discutidas e avaliadas nas residÃncias, tais como: a produÃÃo cientÃfica, as aÃÃes de responsabilidades sociais realizadas junto à comunidade, a percepÃÃo dos trabalhadores e dos usuÃrios sobre a contribuiÃÃo das residÃncias multiprofissionais para a melhoria da qualidade da atenÃÃo na EstratÃgia SaÃde da FamÃlia. Com base nos relatos dos especialistas, pode-se verificar que o momento da validaÃÃo provocou reflexÃes e despertou a necessidade premente de utilizar a autoavaliaÃÃo como estratÃgia de aprimoramento do programa. A adequaÃÃo das estruturas validadas Ãs realidades de outros programas tambÃm foi apontada pelos especialistas como possÃvel. A adaptaÃÃo e a validaÃÃo das estruturas essenciais de avaliaÃÃo de programas de residÃncias multiprofissionais em saÃde da famÃlia no CearÃ,ora realizada, sinalizam para a relevÃncia de uma proposta de autoavaliaÃÃo das mesmas que supere as avaliaÃÃes âtradicionaisâ e se torne um processo tÃo inventivo quanto se deseja Ãs residÃncias.
The multi professional residence in Family Health appeared in Brazil in the mid-90`s in response to demands coming from the Family Health Program which required qualifications from their health professional team to work within the principles of Primary Health Care. Since then, this type of formation in service has been defended like a powerful strategy to accomplish the union education-work-health in UHS(Unified Health System). However, some indefinitions in the pedagogical and methodological areas have constituted challengeswhich need to be overcome, mainly in the evaluation area, due to lack of minimal parameters, or the incipience of methods and instruments. This study has as an objective to elaborate a self-evaluation proposal for Multi professional Residence Programs in Family Health, guided by the structural-systemic reference(Lima, 2008), and starts out of the analysis of the Pedagogical-Political Projects of Programs in Sobral and Fortaleza. This work presents a qualitative approach characterized by incorporated multiple study, documental and bibliographic researches. It was held between May,2011 and January, 2012. The data collection consisted of Political-Pedagogical Projects in two units of analysis (Sobral and Fortaleza) which aimed the identification of the essential structures of evaluation and validation of these structures by the experts, where during the consecution of each step, appropriate instruments and collection techniques were used, such as filing guides and specialist overview. Seven teachers were considered as specialists, as well as two coordinators and five residents in the Program. The pieces of information from the validation were analyzed considering the panelists` contribution in multi professional residences. It was also made use of thematic analysis (Minayo,2008) for the specialists` contributions. The validated structures revealed that the Multi professional Residence Programs in Family Health in Cearà really need to review their pedagogical proposals, as well as the principles of UHS(Unified Health System), especially concerning integrity. It is also necessary to consider the diversity of learning scenarios, besides the institutional and regional realities, where a permanent dialogue should exist with the quadrilateral lines of formation: attention, management, teaching and social control. The structures of the program management, its context, curriculum and research were pieces of news well accepted by specialists, putting in evidence situations that are little discussed and evaluated in residences, such as: scientific production, social responsibility actions held by the communities, as well as the perception of workers and users on the contribution of multi professionals for the improvement of the health care quality in Family Health Strategy. Based on the specialistsâ reports, we can infer that the moment of validation has caused some reflections and the need for using self-evaluation as a strategy to improve the program. The adjustment of validated structures to other program realities was also mentioned by the specialists like something possible to be done. The adaptation and the validation of essential structures in multi professional residence programs in Family Health in Cearà outstand the importance of a self-evaluation proposal which can provide the improvement of the traditional evaluations. With that, it will be possible to attain such an inventive process so desired by the residences.
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Sánchez, Marín Francisco José. "Análisis de valores en los agentes de formación de los residentes de medicina familiar y comunitaria. Un estudio biográfico- narrativo." Doctoral thesis, Universidad de Murcia, 2007. http://hdl.handle.net/10803/37404.
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La formación de los médicos comprende un extenso, complejo, diverso y especializado itinerario formativo. Esta investigación se centra en el proceso de formación especializada de los Médicos Internos Residentes de Medicina Familiar y Comunitaria tutelado por otro médico especialista más experimentado que ejerce como Tutor, la Enfermera de cupo docente, así como por otros tutores y colaboradores docentes.
En este contexto se describen, analizan e interpretan los valores emergentes de la relación entre el Tutor, el MIR y la Enfermera: los vectores que orientan la acción educativa; las líneas directrices que determinan la labor docente y la formación durante la etapa inicial del primer y tercer año de formación. En este sentido pretende señalar aquellos elementos que determinan la enseñanza-aprendizaje de los MIR de MFyC desde el punto de vista de los valores en relación a sus experiencias de vida.The medical training includes an extensive, complex, diverse and specialized itinerary. This research focuses on the process of specialized training of resident physicians in Family Practice mentored by another more experienced doctor who serves as guardian, the quota Nurse teachers and other mentors and collaborators for teachers. In this context, describe, analyze and interpret the emerging values of the relationship between the tutor, the MIR and the Nurse: the vectors that guide education: guidelines that determine the teaching and training during the initial stage of first and third year of training. In this sense seeks to identify those elements that determine the teaching-learning MIR FCM from the point of view of values in relation to their life experiences.
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Waddington, Keirrie L. "New Graduate Residency." Thesis, Carlow University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10825506.
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Background: Shortly after the graduate nurses’ orientation period, the expectation is to rapidly function as a competent nurse. With this expectation, the graduate nurse experiences stress when attempting to quickly make the transition from student to practicing professional nurse. New nurses report that the primary reason they are leaving their employment within the first year is related to stress and thus low job satisfaction.
Purpose: The overall turnover rate for a community Catholic Hospital’s Critical Care Department is 60% within the past year. Combating the turnover, increasing satisfaction, and ensuring patient safety is what is needed for this hospital.
Methodology: The design for this project is comparative and correlational utilizing the Casey Fink New Graduate Nurse Survey. Residents involved in the revised residency program were surveyed on their job satisfaction and comfort-confidence after six months of residency. The results from the new residents were compared to nurses who had completed the previous residency program who had at least six months of experience.
Results: The results demonstrated the new residency program had no statistical significance on comfort, however, presented a statistically significant association with how new nurses experience the work environment of the Critical Care department.
Conclusions: The results of the study revealed a need for on-going assessment of the residents past the six month integration period. Another identified need that was noted was for on-going preceptor education and consistency. The study also discovered the need to explore other methods of increasing comfort during and after their residency period.
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Mocevičius, Paulius. "Rezidentūros kokybės vertinimas Kauno medicinos universitete." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100621_094742-02298.
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Tikslas – Įvertinti Kauno medicinos universiteto rezidentų, rezidentų vadovų ir gydytojų, baigusių Kauno medicinos universitetą 2003-2008 m. požiūrį į rezidentūros kokybę.
Uždaviniai:
1. Įvertinti rezidentų, rezidentų vadovų ir gydytojų, baigusių Kauno medicinos universitetą 2003-2008 m. požiūrį į rezidentūros studijų proceso organizavimą.
2. Išsiaiškinti svarbiausias rezidentų darbo problemas.
3. Aptarti svarbiausius rezidentūros kokybės elementus rezidentų, rezidentų vadovų ir gydytojų, baigusių KMU rezidentūrą 2003 – 2008 m. požiūriu.
4. Ištirti rezidentų savarankiškumą bei aktyvumą rezidentūros metu ir išsiaiškinti jų ateities planus.
Tyrimo metodika. KMU rezidentų, rezidentų vadovų ir 2003 -2008 m. baigusių studijas gydytojų anoniminė anketinė apklausa. Per apklausą buvo išdalinta 400 anketų rezidentams, iš jų gauta 266 atsakymų (66,5 proc.), apklausta 40 rezidentų vadovų ir 40 studijas jau baigusių gydytojų. Apklausoje naudota 10 balų Likerto skalė (1 balas žemiausias, o 10 aukščiausias), specifiniams klausimams buvo individualūs atsakymai. Anketų duomenys buvo apdoroti ir išanalizuoti naudojant statistinį duomenų analizės paketą SPSS 15,0.
Rezultatai. Rezidentai susipažinimą su rezidentūros studijų programa, rezidentūros studijų vykdymą atsižvelgiant į programą, teorinių žinių ir praktinių įgūdžių kokybę įvertino palankiai (atitinkamai : 7,36; 6,36; 6,53; ir 7,07 balais). Rezidentų vadovai rezidentūros studijų vykdymą atsižvelgiant į programą įvertino 7,5 balais... [toliau žr. visą tekstą]Aim – To evaluate the opinion of residents, supervisors of residents and doctors of Kaunas University of Medicine who graduated from Kaunas University of Medicine in 2003 – 2008 about the quality of the residency. Tasks: 1. To evaluate the opinion of residents, supervisors of residents and doctors, who graduate from Kaunas University of Medicine in 2003 – 2008, about the organization of process of residency studies. 2. To find out the most important problems of residents’ work. 3. To discuss the most important elements of the quality of residency according to the opinion of residents, supervisors of residents and doctors, who graduated from residency of Kaunas University of Medicine. 4. To explore the self-sufficiency and activeness of the residents during their residency and to find out their future plans. Methodology of the research. The anonymous questionnaire of residents, supervisors of residents and doctors, who graduated from Kaunas University of Medicine in 2003 – 2008. During the research 400 questionnaires were given to the residents, and 266 answers (66.5%) were got back, there were also questioned 40 supervisors of residents, and 40 doctors who had already finished their studies. The questionnaire included 10 points Likert scale (1 point is the lowest, 10 points is the highest), the specific questions had individual answers. The data of the questionnaires was processed and analysed using the package SPSS 15,0 of statistical data analysis. Results. The... [to full text]
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Smith, Raymond Joshua. "Frontier residents' perceptions of health care access." Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/smith/SmithR0508.pdf.
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It can be difficult to access health care due to cost, lack of insurance, and lack of available resources for Americans today. Frontier persons have even more obstacles in accessing health care due to geography, time and distance to facilities, lack of medical personal, and culture. This study's purpose was to better understand frontier residents' perceptions of access to health care. Specific aims were to (a) explore frontier residents' health care access resources, (b) investigate frontier residents' utilization of health care services, (c) search for reasons frontier residents seek health care (d) and explore the residents' overall satisfaction regarding their health care access options. A qualitative approach that included open-ended questions was used to interview a convenience sample of 11 frontier residents in a Southwestern Montana town. Participants were recruited using a snowball approach. Common themes were extracted using a "low inference" analysis style. Aday and Andersen's framework and their study of access to medical care (1975) guided the study. Results revealed most residents felt they had access to health care and all had seen a provider in the last 2 years. Residents used "local" services, the closest being 70 miles away, for minor ailments and injuries or when home remedies failed. A "by-pass" mentality of "local" services was seen for more serious events. Children were treated differently and health care was sought sooner if they became ill. Reasons for seeking care included preventative services, acute injuries, and infectious processes. Cost, weather, road conditions, gas prices, travel time, and taking time off work were mentioned as barriers in health care utilization. Insurance deductibles and costs of health services limited the type of health care residents sought. Satisfactions with health care providers were high as well as sliding scale fees of the local health centers. Cost and distance were unsatisfactory. Implications for practice include educating residents about benefits and abilities of their local resources, the need to seek care for preventative services, health promotion topics, and disease prevention. In addition, health care authorities should focus on alternative ways to bring health care to the frontier residents including telemedicine and lowering costs.
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Colburn, Sindhia. "Social support and youths' resilience in disadvantaged neighborhood contexts." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1589720131801544.
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Zurakowski, Tamara Lee. "Interpersonal factors and nursing home resident health." Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054909283.
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Petts, Rachel PhD, Jeffrey D. PhD Shahidullah, Paul W. PhD Kettlewell, Kathryn A. MD DeHart, Kris MD Rooney, Ilene G. MS Ladd, Tyler BS Bogaczyk, and Sharon L. PhD Larson. "As a Pediatrician, I Don’t Know the Second, Third, or Fourth Thing to Do: A Qualitative Study of Pediatric Residents’ Training and Experiences in Behavioral Health." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/ijhse/vol5/iss1/5.
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Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, working with families, the importance of behavioral health, fears of working with a pediatric population, and training issues. These qualitative data further identify gaps in the behavioral health training of pediatric residents and may inform future innovations in training curricula.
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Beker, Karine Kyomi. "Apoio matricial e institucional: investigando interfaces com a Residência Multiprofissional em Saúde da Família e Comunidade." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/6921.
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Previous issue date: 2014-03-21The Family Health Strategy (FHS) is focused on family and community, acting through strategies of promotion, prevention, recovery and rehabilitation. Complementing the actions of family health teams, matrix support consists in an organizational arrangement that offers specialized care as much rear of technical and pedagogical support teams and institutional support is intended to facilitate the spaces of co-management and joint teams, enabling the expansion of capacity and facilitating analysis of the process of reflection on the difficulties of everyday life. The need for training of professionals capable of these changes in health services has encouraged the creation and development of Multiprofessional Residences in Health. The Federal University of São Carlos (UFSCar) and the Municipal Health Secretariat of the municipality proposed the insertion of the Multiprofessional Residence in Health Family and Community (RMSFC) in municipal health network, in which residents work in the logic of FHS. The study aimed to understand the interfaces between activities as supporters and the process experienced in training RMSFC UFSCar. This is a qualitative study and by applying via online, a questionnaire with open and closed to graduates of the period 2007-2012 residency program questions, 21 answers to the questionnaire were obtained. Empirical data were examined using thematic analysis and divided into two themes: support and network school. For each theme, two categories were compiled: matrix support as an activity that focuses on care, the organization of the work process as the focus of institutional support, practical learning scenarios theoretical and practical training and theoretical spaces. The matrix support actions related to health care were assigned, while institutional support refers to the organization of the work process, according to the same. The scenario of practical and theoretical learning as well as the use of tools of lifelong education favor the formation of capable workers to collective actions, presenting augmenting elements for both supports, in particular the matrix. It appears, therefore, that the political pedagogical project (PPP) and the organizational arrangement of the residency program were developed and established in order to promote the full learning on the matrix support. The same is not true with respect to institutional support, for which some gaps should be analyzed. However, if the PPP does not endorse this type of support, the management powers of the work contained in assignments and assessments of residents, includes unique elements of the institutional support. In light of the theoretical framework, discusses the importance of integration between the educational institution and the municipal health system, providing residents an apprenticeship in which practice and theory complement each other. Thus it is apparent that, with this approach, fosters the formation of workers to adequate Unified Health System can affirm that there is an interface between the training process experienced in the residence and the practice of both supports listing, Top basement of the matrix support.
A Estratégia de Saúde da Família (ESF) tem como foco a família e a comunidade, atuando mediante estratégias de promoção, prevenção, recuperação e reabilitação. Complementando as ações das equipes de saúde da família, o apoio matricial compõe-se em um arranjo organizacional que oferece retaguarda especializada tanto assistencial quanto de suporte técnico-pedagógico às equipes e o apoio institucional tem o intuito de favorecer os espaços de cogestão e de articulação das equipes, possibilitando a ampliação da capacidade de análise destas e facilitando o processo de reflexão acerca das dificuldades do cotidiano. A necessidade de formação dos profissionais aptos a estas mudanças nos serviços de saúde incentivou a criação e desenvolvimento das Residências Multiprofissionais em Saúde. A Universidade Federal de São Carlos (UFSCar) e a Secretaria Municipal de Saúde do município propuseram a inserção da Residência Multiprofissional em Saúde da Família e Comunidade (RMSFC) na rede municipal de saúde, na qual os residentes atuam na lógica da ESF. O estudo objetivou compreender as interfaces entre a atuação como apoiadores e o processo de formação vivenciado na RMSFC da UFSCar. Trata-se de um estudo qualitativo e por meio da aplicação, via online, de um questionário com perguntas abertas e fechadas aos egressos do programa de residência do período de 2007 a 2012, foram obtidas 21 respostas ao questionário. Os dados empíricos foram examinados utilizando-se a análise temática e divididos em dois temas: apoio e rede escola. Para cada tema foram elaboradas duas categorias: apoio matricial como atividade que privilegia o cuidado, a organização do processo de trabalho como enfoque do apoio institucional, cenários de aprendizagem prática e espaços formativo teóricos e teórico práticos. Ao apoio matricial foram atribuídas ações relacionadas ao cuidado em saúde, enquanto que o apoio institucional refere-se à organização do processo de trabalho, segundo os mesmos. Os cenário de aprendizagem prática e teórica, bem como a utilização de ferramentas da educação permanente favorecem a formação de trabalhadores aptos às ações coletivas, apresentando elementos potencializadores para ambos os apoios, em especial o matricial. Constata-se, portanto, que o projeto político pedagógico (PPP) e o arranjo organizacional do programa de residência foram elaborados e estabelecidos de forma a favorecer o completo aprendizado sobre o apoio matricial. O mesmo não ocorre com relação ao apoio institucional, para o qual algumas lacunas devem ser analisadas. Porém, se o PPP não respalda esta modalidade de apoio, a competência de gestão do trabalho, contida nas atribuições e avaliações dos residentes, apresenta elementos próprios do apoio institucional. À luz do referencial teórico, discute-se a importância da aproximação entre a instituição formadora e a rede municipal de saúde, proporcionando aos residentes um aprendizado no qual a prática e a teoria se complementam. Desta maneira é perceptível que, com essa aproximação, fomenta-se a formação de trabalhadores com o perfil adequado ao Sistema Único de Saúde. Pode-se afirmar que há interface entre o processo de formação vivenciado na residência e a prática de ambos os apoios, com melhor embasamento do apoio matricial.
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Radziukaitė, Skirmantė. "Kauno medicinos universiteto gydytojų rezidentų pasirengimo praktiniam darbui įvertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.091534-08051.
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Darbo tikslas: įvertinti Kauno medicinos universiteto gydytojų rezidentų pasirengimą praktiniam darbui sveikatos priežiūros įstaigose.
Uždaviniai: 1. Įvertinti KMU rezidentūros studijų programų aprašą; 2. Įvertinti Lietuvos medicinos normų struktūros atitikimą reikalavimams; 3. Įvertinti KMU gydytojų rezidentų nuomonę apie savo pasirengimą praktinei veiklai.
Tyrimo metodika: Tyrimo objektas: KMU rezidentūros studijų programos; medicinos normos; 2006 m. KMU rezidentūros studijas baigę gydytojai rezidentai. Tyrimo metodai: mokslinės literatūros analizė; dokumentų analizė; anketinė apklausa; statistinė duomenų analizė programa SPSS 12.
Rezultatai: 1. Įvertintos 28 rezidentūros studijų programos turi aiškią ir vienodą visoms programoms struktūrą. Daugelyje programų išsamiai aprašyta jų sudėtis ir turinys, nėra bendros vidinio studijų kokybės užtikrinimo politikos. Šešiolikoje studijų programų rasta netikslumų šioje dalyje. 2. Septynios profesinės kvalifikacijos neturi patvirtintų medicinos normų. Visos medicinos normos turi vienodą ir aiškią struktūrą. Rezidentūros studijų programos parengtos remiantis šių normų reikalavimais. 3. Su medicinos norma yra susipažinę 53,8 proc. rezidentų, kurie taip pat geriau žinojo savo specialybės ligų sąrašą (p=0,029). Specialybės ligų simptomus, geriau žinojo konservatyviojo profilio rezidentai (Fišerio tiksliojo testo p=0,027). Pakankamai bendravimo su ligoniais patirties mano turintys 36,5 proc. rezidentų. Diagnozuoti ir gydyti navikus mano... [toliau žr. visą tekstą]Aim of the study: to evaluate Kaunas University of Medicine residents preparation for a practical activity and work in health care institutions. Objectives: 1. the evaluation of description of residential studies programs; 2. the evaluation of structure of medical standards; 3. the evaluation of resident’s opinion of their preparation for practical activity. Methods: The object of analysis: KMU programs of residency studies; medical standards; KMU doctors graduated in 2006. Methods of analysis: the analysis of scientific literature; the analysis of documents; questionnaire; the analysis of statistical data using the program SPSS 12. Results: 1. There was 28 residency studies programs evaluated, that had clear and equal for all programs structure. The constitution and content of programs were clearly described. There was no security of common internal residency programs quality politics and procedures. Some inaccuracy was found in sixteen residency programs. 2. Seven professional qualifications did not have certified medical standards. The standards had equal and clear structure. The residency programs were organized according to these standards. 3. 53, 8 % of residents got to know the medical standards, they also better knew their specialty diseases (p=0,029). Medical residents of traditional profile better knew the symptoms of their specialty diseases (Fisher exact test p=0,027). 36, 5 % of residents assumed that they had enough experience in communication with patients... [to full text]
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O'Donnell, Anne E. "Effective mentoring in physical therapy : approaches for residency training." Thesis, NSUWorks, 2012. https://nsuworks.nova.edu/hpd_pt_stuetd/13.
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PURPOSE: This study aimed to investigate how physical therapy mentors instill clinical judgment and competence during residency training. The researcher investigated effective mentoring behaviors and techniques in physical therapy residency training. SUBJECTS: Participants included physical therapy residency faculty, physical therapy residents currently enrolled in U.S. residency programs credentialed by the American Physical Therapy Association (APTA), and resident graduates (ie, within the past 2 years) from APTA programs. METHOD: A quantitative survey design was used to gain information about effective mentoring behaviors and techniques of physical therapy residency faculty who foster clinical expertise in physical therapy residents. Two online surveys were created: one for residency program faculty and one for current and past residents. RESULTS: Findings revealed that most mentors felt confident to mentor residents based on their past experiences instructing students and mentoring residents in physical therapy. Most mentor respondents had not taken APTA's Credentialed Clinical Instructor Program (CCIP), and fewer had taken Advanced CCIP (ACCIP). Mentor respondents who had taken both courses felt that CCIP was less helpful in mentoring residents than was ACCIP. Findings indicated important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs. Results revealed mentoring and teaching strategies that were most effective for different stages of residency programs. CONCLUSIONS: These findings will help guide residency program faculty in effective mentoring practices and have added to the literature about how mentoring methods impact development of clinical expertise in physical therapy residents. These results (a) revealed a need for advanced training specific to mentoring residents, (b) can be used to determine what mentoring behaviors and techniques work best with residents, and (c) can serve as a basis for further developing residency training curricula. RECOMMENDATIONS: Further investigation is needed to determine which components of mentoring help residency faculty feel prepared to mentor residents. Further development and testing of mentor training programs are warranted. Additional research using qualitative methodology and this study's findings related to important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs is necessary. Further research is also needed to investigate how reflection is used in mentoring in residency programs.
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Wen, Siying, and 溫思穎. "Health insurance effects on health care access for rural residents in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942749.
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