Lietuvoje šiuo metu yra pereinamasis laikotarpis organizuojant sveikatos priežiūros paslaugas. Sekant Vakarų Europos šalių patirtimi, Lietuvos sveikatos priežiūros sistemos modelis yra orientuojamas į bendruomeninių sveikatos priežiūros paslaugų vystymą, o slaugos paslaugų namuose plėtra įvardinama kaip vienas iš sistemos prioritetų. Kadangi Lietuvoje slaugos paslaugos namuose tik pradedamos vystyti, tokių paslaugų teikimo modeliai remiasi daugiau Vakarų šalių patirtimi, tuo tarpu paslaugų organizavimą, poreikius atspindinčių mokslinių tyrimų kol kas stokojama. Šio darbo tikslas buvo įvertinti slaugos paslaugų namuose teikimo poreikį ir galimybes. Tyrimui atlikti buvo panaudotas tarptautinis slaugos paslaugų namuose poreikio vertinimo klausimynas. Tyrime dalyvavo 60 tiriamųjų, tyrimo atsako dažnis siekia 56 proc. Pacientų slaugos namuose poreikiai buvo įvertinti kompleksiškai, atsižvelgiant į keletą aspektų - paciento būklės, savarankiškumo lygio ir gebėjimo pasirūpinti savimi (pacientų būklės įvertinimas, klausos sutrikimų įtakos vertinimas, įprastų kasdienio gyvenimo veiklų priklausomumo ir nepriklausomumo lygio vertinimas, pusiausvyros ir eisenos vertinimas, paciento savarankiškumo ir kritimų rizikos vertinimas) įvertinimas. Tyrimo rezultatai parodė, kad yra didelis slaugos (ir socialinių) paslaugų namuose poreikis, kuris susijęs su dideliu priklausomumu nuo kitų asmenų, žemu savarankiškumo lygiu, žymiais klausos sutrikimais, didele kritimų rizika. Dauguma žmonių turėjo... [toliau žr. visą tekstą] / Lithuania is recently undergoing the transition period in organization of health care services. Following the experience of the western European countries, Lithuanina health care model is focusing on development of community based health care services. Nursing services at patient’s home is considered as a nowadays priority. Since home care nursing services are under development in Lithuania, the needs for this type of services is still not based on scientific data but on the western countries experience. The aim of this research work was to evaluate the needs and opportunities for homecare nursing. The internationally valid questionnaire was translated and adopted for assessment of home care nursing in Lithuania. The sample size consists of 60 research subjects whereas a response rate is 56%. The patients’ needs for home care nursing were evaluated in a systematic approach covering several dimensions – evaluation of patient’s state, independence level and self maintaining, assessment of risk for falling. The results of the study show, that patients have significant needs for homecare nursing due to high dependence level on others, low self maintaining level, high risk for falling, severe hearing problems. Most people have restricted abilities in communication and movement activities. According to the study results, home care nursing services are in need and good opportunities for development.

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No description available.

Thesis (MComm)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: This study stems from an urgent need to understand which factors contribute to nurse practitioners’ intention to quit, and consequently what organisations can do to retain these practitioners. There is increased pressure on the healthcare sector, more specifically nursing, due to a severe shortage in this discipline. These shortages are not an isolated phenomenon, but influence the private as well as public sector worldwide, as well as in South Africa. A multitude of factors contribute to the fact that nursing is a scarce skill worldwide. Some factors are controllable, others not. By isolating the controllable factors, organisations and managers can be equipped to put action plans in place to decrease the impact of this crisis. Processes and action plans to enlarge the nursing pool, and also to retain the current workforce, can contribute to overcoming this challenge. There is proof that the implementation of a structured talent management programme can contribute to overcoming this challenge. Line managers and their competence regarding the management of personnel play a key role in such a talent management programme. This study has as its objective to re-evaluate an existing talent management competency model for line managers, and to propose additional variables that can influence organisational outcomes like job satisfaction, organisational commitment and turnover intention. By understanding which line manager competencies influence organisational outcomes, and the manner in which they influence these outcomes, line managers as well as organisations can be equipped to formulate processes and programmes that can contribute to the retention of a scarce skill, and importantly, also minimise the impact of a worldwide crisis. The results of the study indicated that the operationalisation of the talent management competencies failed. The originally proposed model consequently had to be reduced by deleting all talent management latent variables from the model. Poor model fit was obtained for the reduced model. Modifications were, however, made to the reduced model based on modification index suggestions derived from the data. The modified model showed good fit and support was obtained for all the paths in the modified model. Crossvalidation of the modified model was recommended. / AFRIKAANSE OPSOMMING: Hierdie studie spruit uit ‘n dringende behoefte om te verstaan watter faktore daartoe bydra dat verpleegkundiges die voorneme ontwikkel om ‘n organisasie te verlaat, en gevolglik wat organisasies kan doen om verpleegkundiges wel te behou. Toenemende druk word in die gesondheidsorgsektor ervaar, meer spesifiek op verpleging, weens ernstige tekorte in hierdie dissipline. Hierdie tekorte is nie ‘n geïsoleerde verskynsel nie, maar raak die privaatsektor sowel as die publieke sektor wêreldwyd, sowel as Suid-Afrika. ‘n Veelvoud van faktore dra daartoe by dat verpleegkunde ‘n skaars vaardigheid wêreldwyd is. Sekere faktore is beheerbaar, ander nie. Deur die beheerbare faktore te isoleer, kan organisasies en bestuurders aksieplanne in plek stel om die impak van hierdie krisis te verminder. Prosesse en aksieplanne om byvoorbeeld die verplegingpoel te vergroot, en ook om die huidige werksmag te behou, kan bydra tot die oorbrugging van hierdie uitdaging. Daar is bewyse dat die implementering van ‘n gestruktureerde talentbestuurprogram kan bydra om hierdie uitdaging te oorkom. ‘n Sleutelrol in so ‘n talentbestuurprogram, is die lynbestuurder en sy/haar bevoegdheid ten opsigte van die bestuur van personeel. Hierdie studie het ten doel om ‘n bestaande talentbestuurmodel vir lynbestuurders te her-evalueer en addisionele veranderlikes voor te stel wat organisasie-uitkomste soos werkstevredenheid, organisasie-verbondenheid en voorneme om te bedank beïnvloed. Deur te verstaan watter lynbestuurbevoegdhede organisasie-uitkomste beïnvloed en die wyse waarop hierdie bevoegdhede op hierdie uitkomste inwerk, kan lynbestuurders, sowel as organisasies, toegerus word om prosesse en programme te formuleer. Hierdie programme kan ‘n bydra lewer tot die behoud van ‘n skaars vaardigheid, en sodoende die impak van ‘n wêreldwye krisis minimaliseer. Die resultate van die studie het aangetoon dat die operasionalisering van die talentbestuurbevoegdhede onsuksesvol was. Die oorspronklik voorgestelde model moes gevolglik gereduseer word deur die talentbestuur-latente veranderlikes uit die model te verwyder. Swak modelpassing is vir die gereduseerde model bevind. Wysigings is egter aan die gereduseerde model aangebring gebaseer op modifikasie-indeksvoorstelle afgelei uit die data. Die gewysigde model het goeie passing getoon en steun is vir al die bane in die gewysigde model gevind. Kruisvalidasie van die gewysigde gereduseerde model is aanbeveel.

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Husbands Living with Women on Dialysis: Embracing Their Transformed LifeThe purpose of this qualitative study was to explore the adjustment process of husbands living with women on dialysis. Using Glaser's (1978) grounded theory methodology, data were collected from 18 husbands through semi-structured face-to-face or telephone tape-recorded interviews. In using the constant comparative method of data analysis, the most central issue for these husbands was dealing with multiple changes imposed by the demands and impact of kidney failure and its treatment regimens on various dimensions of their lives. The changes impacted roles and responsibilities at home and work, social and recreational activities, finances, relationships with their spouse and others, home environment, daily routines, and future plans, as well as health and/or sleep patterns. Although the impact of these changes created many hardships for husbands, witnessing their wives' suffering was more distressing. In response, these men involved themselves in supporting their wives and engaging in the basic social process of embracing their transformed life. The four stages of embracing a transformed life are becoming aware, involving themselves, centering life on their wives, and striving to achieve balance. The marital relationship, the women's health status, as well as the presence of informal support and formal support are conditions which significantly influenced the process. The theory of embracing a transformed life provides a framework for understanding and explaining the complex interplay of strategies undertaken by these husbands to respond to, adjust to, and integrate changes in their daily and future lives. Moreover, the focus on husbands living with women on dialysis contributes towards closing an existing gap in knowledge and the findings underscore the husbands' abilities to learn and carry out complex roles, responsibilities, and routines that require sophisticated observation, decision making, and technical and problem-solving skills. The discrete stages of the theory guide nurses to better understand the various changes dialysis-caregivers may experience during different phases of the patients' illness trajectory and to implement supportive care to enhance their adjustment and sustain their efforts.Keywords: dialysis, spousal caregiver, dialysis-caregiver, adjustment, change, chronic kidney disease, end-stage renal disease. / Les hommes habitant avec une femme dialysée: Accepter la transformation qui s'effectue dans sa vieLe but de cette étude qualitative était d'examiner le processus d'adaptation des hommes habitant avec une femme qui subit des traitements de dialyse. Les données ont été recueillies au cours d'entretiens semi-structurés enregistrés, réalisés en personne ou au téléphone, auprès de 18 hommes mariés, conformément à la méthode de la théorie ancrée décrite par Glaser en 1978. Selon la méthode comparative constante d'analyse de données, il s'est avéré que la préoccupation centrale de ces hommes était de composer avec les multiples changements, aux différents aspects de leur vie, qu'imposaient les demandes et les répercussions de l'insuffisance rénale et du schéma thérapeutique correspondant. Les changements ont en effet une incidence sur divers aspects de leur vie, notamment les rôles et les responsabilités à la maison et au travail, les activités sociales et récréatives, la situation financière, les relations de couple et les relations amicales, l'ambiance à la maison, les activités quotidiennes, les projets futurs, la santé et la structure du sommeil. Bien que ces changements aient occasionné maintes difficultés pour ces hommes, il leur était encore plus difficile de voir leur femme souffrir. Ils se sont donc appliqués à leur apporter du soutien et à entamer le processus social fondamental qui consiste à accepter volontiers la transformation qui s'effectue dans leur vie. Les quatre étapes à suivre pour accepter la transformation d'une vie sont la prise de conscience, la participation, la centralisation de la vie sur la conjointe, et la recherche d'équilibre. La relation de couple, la santé de la femme et la présence d'un soutien formel et informel sont tous des facteurs qui ont une grande incidence sur le processus. La théorie qui consiste à accepter la transformation d'une vie propose un cadre qui permet de comprendre et d'expliquer l'ensemble complexe de stratégies qu'emploient ces hommes pour répondre aux changements, s'y adapter et les intégrer à leurs activités quotidiennes et à leur avenir. En outre, le fait de diriger le regard sur les hommes habitant avec une femme dialysée contribue à combler une lacune existante sur le plan des connaissances, et les constatations soulignent la capacité de ces hommes à apprendre et à mettre en pratique des rôles, des responsabilités et des routines complexes qui demandent des compétences avancées en observation, en prise de décision et en résolution de problème de même que sur le plan technique. Les étapes subtiles de la théorie guident les infirmières vers une meilleure compréhension des différents changements que les fournisseurs de soins de dialyse peuvent observer durant les différentes phases de la maladie de la patiente et leur permettent d'adopter des méthodes de soins de soutien qui facilitent leur adaptation et les poussent à poursuivre leurs efforts.Mots clés: dialyse, époux/épouse aidant, aidant en dialyse, adaptation, changement, insuffisance rénale chronique, maladie rénale terminale.

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The dissertation argues that police officers are not trained in handling mentally ill persons. Purpose The study explored police officers‟ knowledge of mental illness and skills necessary for handling mentally ill people. Research methods The descriptive quantitative investigation has been used as a research strategy to identify the knowledge and skills of police officers in handling mentally ill persons. Forty five police officers were randomly selected from a population of 136 police officers. A self administered questionnaire was used for collecting data. Data analysis was done manually and frequency distributions, cross-tabulations and correlations were carried out. Results The findings revealed that police officers do not have knowledge and skills to handle mentally ill people. Recommendations It is recommended that mental health care practitioners should engage the police in discussions on training in handling mentally ill people. iv Limitations Due to time and budgetary limitations, the study had to settle for a more modest investigation

This study is about exploring the factors that contribute to nursing students’ dropout at a public college. Lilitha College examination policy states that for a student to complete the Four Year Comprehensive Diploma Course, the student shall have passed all the four year courses. An increased student dropout rate has been identified to be affecting nursing student’s progress at Lilitha College of Nursing, East London Campus. This is a cause for concern and the researcher decided to investigate and explore the factors contributing to students’ dropout. This situation paralyzes the attempt by government to deal effectively with the shortage of trained nurses. The purpose of the study was to investigate and explore the factors that contribute to students’ dropout at Lilitha College of Nursing East London Campus. The objectives of this study were: To explore and describe experiences of students who dropped out from Lilitha College before course completion, to identify contributory factors related to increased students’ dropout rate, to come up with recommendations as how to curb the problem of student dropout and to ensure an increase of nursing students who complete at the end of the programme. This study followed a qualitative approach and explorative descriptive design. The population was all the students that have dropped out at Lilitha College of Nursing, East London Campus in the four year basic comprehensive programme from 2007 – 2011 at all levels of study. The sample size in this study was determined by data saturation, meaning that the data were collected to the point where no new information was obtained (Polit & Beck 2004: 308). A purposive sample of 15 former Lilitha students now working as Enrolled nursing assistants participated in this study. Data collection was divided into two sections, namely, demographic characteristics and face to face interviews. Demographic characteristics of the participants were obtained by asking questions related to age, sex, race, marital status, number of children per participant and the year of study at the time of dropping out. In section two of the study the interview guide was used for the purposes of data collection for this study, where four questions were formulated to guide the interview that was followed by probing questions. All tape recordings were listened to and transcribed verbatim. Field notes that were taken during unstructured interview were interpreted. The ideas that emerged from the interview sessions were then consolidated. Questions in the interview guide and their responses were drawn up and similar responses that arose from the interviews were grouped together. The identified major themes and sub themes were coded and categorized. Data belonging to each category were grouped together and analyzed and then the final remarks on the data analysis were completed. For most participants the course was frightening and difficult. They explained that they were exposed to a lot of information in a short space of time. In class, there was a lot of theory and in the wards there were skills to be learnt. Learners had to compile all the information and try to make sense out of it. Students follow up and support in the clinical facilities was reported as inadequate. The college should employ full time facilitators. This can improve teaching in the clinical area. The student should have mentors so that whenever they encounter a problem there will be people to assist and give them guidance. Through mentoring and support, student absenteeism can be controlled and students can gain self-confidence and learn more.