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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
281

Louis de Potter and the Belgian Revolution of 1830

Groth, Karen N. 01 January 1981 (has links)
Louis Joseph Antoine De Potter (1786-1.859) was the gifted journalist who served as the catalyst of the successful Belgian revolution of 1830. He has been largely overlooked by students of the nineteenth century revolutionary era. Only one of De Potter's works is known to have been translated into English, his Vie de Scipion de Ricci. This paper has examined the development of De Potter's thought from his youth up to and including his participation in the Provisional Belgian Government of 1830. For clarity this study has been divided into four chapters.
282

Generations and intention to leave current job : Belgian nurses in the workplace

De Vos, Nele January 2016 (has links)
This master thesis aims to identify work-related factors making Belgian nurses consider leaving their job voluntary and to compare the work-related factors across different generations. The purpose of this master thesis has a descriptive nature of research. The research approach chosen is a deductive approach and the research design chosen is a quantitative research design. Cluster sampling in combination with simple random sampling was used as sampling technique. 128 nurses were surveyed from April to May 2016. Nurses who reported to leave the organization due to retirement reasons, temporary employment contract or maternity leave were excluded from the study as this study investigates the voluntary turnover intention. A total of 68 nurses were included in the study which indicates an overall response rate of 53 %. Numerous of the findings in this master thesis are consistent with previous studies on turnover intention of different generations in other western-countries than Belgium. The work-related factor workload was most often reported by Belgian nurses with no intention to leave their job. Belgian nurses with an intention to leave their job indicated most often the work-related factor (non-)financial benefits. The generation-specific findings indicated both similarities and differences between the work-related factors selected. It was observed that Baby Boomers with an intention to leave their job selected most often variables related to the work-related factors (non-)financial benefits, supportive organization and workload. The variable lack of recognition appeared among Baby Boomers with an intention and no intention to leave their job. Surprisingly was the often selected variables lack of direct and/clear feedback on performances and unsupportive supervisor among Baby Boomers with professional turnover intention. Further, it was observed that Generation Xers with an intention to leave their job selected most often variables related to the work-related factors supportive organization, communication, (non-)financial benefits, work content and workload. The variables inadequate opportunity for advancement/professional growth and imbalance work-life appeared among Generation Xers with an intention and no intention to leave their job. Generation Yers with an intention to leave their job selected most frequently variables related to the work-related factors (non-)financial benefits, workload and commitment. The variables inadequate salary and opportunities elsewhere appeared among nurses with an intention and no intention to leave their job. Surprisingly was the often selected variable inadequate salary among Generation Yers with professional turnover intention.
283

Veerkragtigheidsfaktore in Suid-Afrikaanse en Belgiese enkelouergesinne

Aspeling, Elmien 04 1900 (has links)
On t.p.: Magister in Lettere en Wysbegeerte (Voorligtingsielkunde) / Thesis (MA)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: This study focuses on the identification and comparison of resilience factors in Belgian and South African single parent families. The participants (parents and children in single parent families) from the two countries were identified on the basis of the nature of the crisis and the stage of development of the families. Self-reporting questionnaires were completed separately by the parent and a child, as representatives of the family. The questionnaires comprised a biographical questionnaire (which also included an open-ended question), the Relative and Friend Support Index, the Social Support Index, Family Crises Oriented Personal Evaluation Scales, the Family Sense of Coherence Scale, and the Family Hardiness Index. The responses from parents and children were analysed separately, therefore dealing with them as four groups (Belgian parents, South African parents, Belgian children and South African children). Pearson product-moment correlations were calculated to determine which factors were most strongly related to family coherence (Family Sense of Coherence). Family coherence is a quality that provides an indication of the measure of success achieved with adaptation following a crisis (divorce). This was followed with regression analyses for identifying a group of resilience factors that would, in combination, provide the best predictor for successful family adjustment. The results of this study confirm that of previous research, namely in the findings that the different populations reveal similarities as well as differences with regard to qualities and resources utilized for successful adaptation after a crisis. Results reveal that the inherent strength of the family in all four groups (parents and children from both countries) is seen as one of the most important resilience factors (as measured by the Family Hardiness Index). Aspects that show strong correlation with family coherence are: a sense of control (the perception of how well the family is able to deal with a crisis) over the outcomes of life experiences; the family's orientation with regard to challenges that have to be faced; as well as an active orientation (tendency to do something about the situation) with regard to adaptation in a stressful situation (as measured by the Family Hardiness Index). The importance of redefining the problem (crisis) in terms of its significance for the family (positive, negative or neutral) was also identified as a core resilience factor. Results from the parents in both countries revealed that the number of years of separation/number of years that had elapsed since the divorce was a significant resilience factor. The longer the time period after the divorce, the better the adjustment. A significant difference was found between the results obtained for Belgian and South African children with regard to the duration of the parents' marriage and the duration of the period since the parents' divorce, and the relevance of this for the family's adaptation. The children from both countries revealed similarities with regard to the importance of the utilization and the support of members of the immediate family, the extended family and friends to overcome the crisis. The results obtained for parents in both countries did not confirm this aspect, i.e. the value of support from family and friends. / AFRIKAANSE OPSOMMING: Hierdie studie fokus op die identifisering en vergelyking van veerkragtigheidsfaktore van Belgiese en Suid-Afrikaanse enkelouergesinne. Die deelnemers (ouers en kinders in enkelouergesinne) wat in beide lande geïdentifiseer is, is op grond van die aard van die krisis en die ontwikkelingstadium van die gesinne geïdentifiseer. Selfrapporteringsvraelyste is afsonderlik deur die ouer en 'n kind, as verteenwoordigers van die gesin, voltooi. Die vraelyste het bestaan uit 'n biografiese vraelys (wat ook 'n oop-einde vraag ingesluit het), die Relative and Friend Support Index, die Social Support Index, Family Crises Oriented Personal Evaluation Scales, die Family Sense of Coherence Scale, en die Family Hardiness Index. Die ouers en kinders se response is afsonderlik ontleed, dus was daar vier groepe (Belgiese ouers, Suid-Afrikaanse ouers, Belgiese kinders en Suid-Afrikaanse kinders). Pearson produk-moment korrelasies is bereken om vas te stel watter faktore die sterkste verband toon met gesinskoherensie (Family Sense of Coherence). Gesinskoherensie is 'n eienskap wat 'n aanduiding gee van die mate van suksesvolle aanpassing ná 'n krisis (egskeiding). Daama is regressie-ontledings gedoen om 'n groepering van veerkragtigheidsfaktore te identifiseer wat gekombineerd die beste voorspellers vir suksesvolle gesinsaanpassing is. Die resultate van hierdie studie bevestig dié van vorige navorsing, naamlik dat die verskillende populasies ooreenkomste, maar ook verskille, toon ten opsigte van kenmerke en hulpbronne wat hulle vir suksesvolle aanpassing na 'n krisis benut. Uit die resultate blyk dit dat inteme sterkte in die gesin in al vier groepe (beide lande se ouers en kinders) as een van die belangrikste veerkragtigheidsfaktore beskou word (soos met die Family Hardiness Index gemeet). Die volgende aspekte, te wete: sin vir kontrole (die persepsie van hoe goed die gesin 'n krisis sal kan hanteer) oor die uitkomste van lewenservaringe, die oriëntering van die gesin ten opsigte van uitdagings wat aan die gesin gestel word, asook 'n aktiewe oriëntering (geneigdheid om iets aan die situasie te doen) wat betref die aanpassing in 'n stressituasie (soos gemeet met die Family Hardiness Index) toon 'n sterk korrelasie met gesinskoherensie. Die belangrikheid om die probleem (krisis) in terme van die betekenis wat dit vir die gesin het, te herdefinieer (positief, negatief of neutraal) is as nog 'n kem-veerkragtigheidsfaktor geïdentifiseer. Beide lande se ouers se resultate het getoon dat die aantal jare wat die ouers geskei was 'n beduidende veerkragtigheidsfaktor is. Hoe langer die tyd na die egskeiding hoe beter die aanpassing. 'n Beduidende verskil is gevind tussen die Belgiese kinders en Suid-Afrikaanse kinders se resultate ten opsigte van die tydsduur van die ouers se huwelik en die tyd sedert die ouers geskei is, en die verband wat dit met gesinsaanpassing het. Die kinders van beide lande het ooreengestem ten opsigte van die die belangrikheid van die gebruik van, en die ondersteuning van gesinslede, familie asook vriende om 'n krisis te bowe te kom. Die resultate van beide lande se ouers het nie die voorafgaande aspek, naamlik die waarde van ondersteuning deur gesins-, familielede en vriende, bevestig nie.
284

Fantastique et révolte chez Jean Muno et Hugo Raes / Fantastic and Revolt in the Work of Jean Muno and Hugo Raes

Josefson, Åsa 06 March 2010 (has links)
Cette étude est consacrée aux expressions de la thématique de la révolte chez les écrivains belges Jean Muno (1924-1988), francophone, et Hugo Raes (1929-), néerlandophone. Il ne s’agit pas d’une étude comparée de leurs œuvres respectives, une approche exclue par les différences qui les séparent, mais d’une mise en valeur d’une thématique qui relie deux écrivains du même pays et de la même génération, tous deux actifs dans le domaine de la littérature de l’imaginaire. L’objectif est double : le premier est de relever et analyser les différentes composantes de la thématique de la révolte dans leurs textes. Le second est de cerner la particularité de leur fantastique à l’aide d’un modèle élaboré dans la section théorique du présent travail, inspiré par la théorie des prototypes telle qu’elle a été formulée par Eleanor Rosch. / This thesis focuses on the thematic of revolt in the work of the two Belgian writers Jean Muno (1924-1988), French-speaking, and Hugo Raes (1929-), Dutch-speaking. It is not a comparative study of their texts; the differences between them exclude such an approach. The present study highlights a thematic that connects two authors from the same country, of the same generation, both active in the field of fantastic literature. It has a double aim: the analysis of the different components of the thematic of revolt in their work is the first. The second is to define the distinctive features of their fantastic texts with the aid of a model elaborated in the theoretic section of the thesis, inspired by Eleanor Rosch’s prototype theory.
285

Victor Bourgeois, 1897-1962: radicaliteit en pragmatisme, moderniteit en traditie

Strauven, Iwan Aldo 28 May 2015 (has links)
Cette thèse de doctorat constitue la première étude transversale et systématique de l’œuvre et de la pensée théorique de l’architecte Victor Bourgeois (1897-1962). A contrepied d’une image de Bourgeois formée dans l’historiographie de l’architecture moderne en Belgique, cette étude est basée sur la cohérence fondamentale entre son œuvre d’avant et d’après-guerre, et sur la congruence entre sa théorie et sa pratique. Celles-ci résultent d’un engagement social permanent auquel Bourgeois, aux côtés de son frère, le poète Pierre Bourgeois, désirait donner forme à travers sa pratique professionnelle. <p>L’étude se présente en deux parties :un catalogue raisonné qui offre une vision complète des projets réalisés et non réalisés, ainsi qu’un commentaire et une courte bibliographie par projet. Ceci constitue la seconde partie, le premier volume étant consacré à un essai lui aussi divisé en deux parties. La première rassemble toute l’information disponible dans la littérature consacrée aux années de formation et à la carrière internationale de l’architecte, augmentée de quelques corrections et additions importantes. La seconde explore, sur la base de trois textes clefs, les trois champs d’action par lesquels Bourgeois a donné corps à son engagement social :l’urbanisme, l’architecture et l’éducation.<p>Il est question dans un premier temps de la forme qu’a pris l’engagement social de Victor Bourgeois à travers son œuvre construite. Cette interrogation s’appuie sur les écrits de Bourgeois à ce sujet. Sa réflexion sur la dimension sociale de sa profession est en permanente évolution et se construit autour de termes tels que :« l’art social », « le rendement de l’architecture », « la rationalisation de l’architecture », « la neutralité urbaine, », « la paix plastique », et « le civisme ». Ces concepts sont ici confrontés à quelques-uns de ses projets parmi les plus importants. Les interprétations successives que fait Bourgeois de cette dimension sociale de l’architecture moderne ont pour effet une érosion progressive de sa signification. Cette évolution ne le conduit pas nécessairement à une vision purement technocratique de l’architecture. Après-guerre, ses différentes pensées convergent dans deux textes aux titres révélateurs :De l’architecture au temps d’Erasme à l’humanisme social de notre architecture (1947) et L’architecte et son espace (1955).<p>Dans un second temps, cette thèse retrace la figure de l’urbaniste moderne tel qu’il émerge dans la pensée et la pratique urbanistique de Bourgeois. Alors qu’il était initialement proche des théories socio-biologiques (d’orientation esthétique) de Louis Van der Swaelmen, la figure de l’urbaniste en tant qu’organisateur apparaît progressivement dans ses textes :“L’architecte n’est plus ramené seulement à un rôle de dessinateur ou d’ingénieur, il devient un organisateur de toutes les valeurs utiles.” Et ailleurs: “L’urbaniste est un chef d’orchestre :il doit organiser et hiérarchiser cent, mille instruments différents.” C’est à la fin des années ’30 que la finalité sociale de la pratique urbanistique trouve sa formulation la plus explicite :“L’urbanisme ajuste l’espace au progrès social.” Ses projets urbanistiques des années 30 oscillent entre l’approche architecturo-urbanistique de Ludwig Hilberseimer, le modèle de ville linéaire de Nikolaï Miljutin et les théories du 19e siècle de Patrick Geddes et Paul Otlet. Ses prises de positions radicales aboutiront souvent, sur le terrain, à des solutions pragmatiques.<p>Enfin, dans un troisième temps, la dissertation thématise l’enseignement de Bourgeois. De ses premiers écrits, dans lesquels il défend les propositions de Victor Horta pour la réforme de l’Académie, jusqu’à sa retraite forcée de l’Institut d’Architecture La Cambre (quelques semaines avant sa mort), l’enseignement de l’architecture a été une préoccupation centrale pour Bourgeois. C’est ici que sa réflexion se manifeste le plus explicitement et qu’elle a été – comme il est souvent répété – la plus fertile. L’objectif est double :D’une part nous avons prêté attention à sa réflexion et au développement de sa carrière à l’ISAD-La Cambre ;d’autre part, nous proposons d’éclairer la complexité de sa figure à l’aide d’œuvres d’un certain nombre de ses ‘disciples’ qui revendiquent tous Bourgeois comme leur ‘père spirituel’, et qui ont chacun thématisé un aspect de sa ‘doctrine’ dans leur travail respectif.<p><p>La question en filigrane relève du domaine de la critique architecturale :Quelle est l’approche de Bourgeois? Comment s’est-elle incarnée dans ses projets (réalisés ou non réalisés)? Et enfin, quelles problématiques en constituent le fondement? Plus profondément, en dehors de l’évidente importance d’une documentation extensive et systématique du travail de cette figure majeure du modernisme Belge, ce questionnement a pour ambition d’évaluer le poids et l’importance du travail de Bourgeois. Pourquoi devrions-nous même en discuter encore aujourd’hui? Quelle est la pertinence de son approche au regard de la situation contemporaine?<p>La méthode de recherche utilisée est double. D’une part la thèse est basée sur l’histoire de la réception critique de l’œuvre construite et écrite de Bourgeois. Cette méthode permet d’isoler partiellement le travail (sous tous ses aspects) de l’accumulation d’interprétations dont il a fait l’objet jusqu’ici, et de nous faire prendre conscience de la trop grande simplicité des conclusions auxquelles elles ont souvent mené. D’autre part, la recherche est basée sur une étude comparative de la théorie et de la pratique :les écrits et les bâtiments. Quels effets concrets peut avoir une position théorique sur un projet, et vice versa, que peut nous transmettre un bâtiment des intentions de son créateur?<p>L’essai se propose donc de tracer un portrait complexe et nuancé de Victor Bourgeois. Il y est présenté comme un moderniste qui a cherché la continuité avec la tradition, un iconoclaste radical qui est toujours resté pragmatique. Dans le cas de Bourgeois, cette ambivalence résulte à la fois d’une attitude critique et d’une fascination vis-à-vis de la ville historique. Tout au long de sa carrière, la ville a été l’enjeu principal de son architecture, de sa pensée, de ses textes, de ses voyages et de son approche. Ainsi la thèse étudie Bourgeois en tant qu’éminent représentant d’une autre tradition moderniste qui a cherché, à l’encontre de la Charte d’Athènes, la continuité avec la morphologie de ville existante. <p> / Doctorat en Art de bâtir et urbanisme / info:eu-repo/semantics/nonPublished
286

Vetera Novis Augere : nationalism, neo-Thomism and historiography in Quebec and Flanders, 1900-1945

Swerts, Kasper Jan Jo January 2018 (has links)
This thesis compares and contrasts the historiography of Quebec and Flanders during the first half of the twentieth century. The main argument is that the philosophy of neo-Thomism was influential to the conceptualization and writing of history by prominent nationalist historians in both Quebec and Flanders during the period leading up to the Second World War. By extensively comparing the life and works of prominent nationalist historians that played an active role in the nationalist movements of Quebec and Flanders, it has been found that the Catholic University of Leuven was influential in the development of nationalist historiography in Quebec and Flanders during the first decades of the twentieth century. In this sense, this thesis argues that the nationalist historians of Quebec and Flanders be considered as part of a shared historiographical tradition that was influenced by the neo- Thomist philosophy which played an essential role at the Catholic University of Leuven during this period, and which can be traced back in the writings and practices of nationalist historians in both Quebec and Flanders. Out of this shared influence of the neo-Thomist philosophy then, this thesis argues for a reevaluation of the traditional portrayal of nationalist historiography in the first half of the twentieth century, and a reconsideration of the influence neo-Thomism has had on the conceptualization of nationalist history in Quebec and Flanders. It is argued that the nationalist historians of both Quebec and Flanders have traditionally been characterized as unscientific due to their convergence of science and politics, and portrayed the nation as deterministic, meaning that the nation's essence and development was unaffected by the historical circumstances. By analysing the historical works of nationalist historians that either attended the Catholic University of Leuven, or were part of a network that was influenced by the writings of the neo-Thomists that taught at Leuven, this thesis will make three general arguments that will nuance this traditional portrayal of nationalist historiography during the first half of the twentieth century. First, it will be argued that the neo-Thomist emphasis on the interdependence of essential and existential characteristics nuances the essentialist portrayal of the nation. Using the case of neo- Thomist chemistry as a counterexample, it will be shown how nationalist historians in Quebec and Flanders ascribed an important role to the existentiality and historicity of the nation, and as such, compels us to reconsider the essentialist paradigm of nationalist historiography. Secondly, the neo- Thomist notion of science which legitimated the convergence of subjectivity and objectivity sheds new light on the practice and theory of what constituted scientific history in the first half of the twentieth century. Moreover, it will be argued that Quebec and Flanders shared a similar theoretical concept of what constituted scientific history, but represented their historical works differently due to the differentiating political and academic context. Finally, the thesis will highlight how the notions of ambiguity and human freedom, which figured prominently in neo-Thomism, influenced the notion of teleology in Quebec and Flemish nationalist historiography, as is illustrated by the notion of coincidence in Flemish, and providence in Quebec historiography. In addition, using the cases of nationalist historians Lionel Groulx and Hendrik Elias, it will be argued that the different political contexts influenced the political actions of the two nationalist historians, which helps to shed new light on the motives of Flemish nationalist historians to collaborate during the Second World War. By comparing and contrasting the two cases then, this thesis is able to show how the neo- Thomist framework and crucial concepts were not only instrumental to the nationalist historiographies in Quebec and Flanders, but were also malleable to differing historical contexts, and, as such, provides new insight in the intricate relationship between religion, nationalism and historiography that underpinned nationalist historiography in Quebec and Flanders during the first half of the twentieth century.
287

Explaining small states' changing patterns of peacekeeping contributions through role theory : the case of Austria and Belgium

Gigleux, Victor Adolphe January 2018 (has links)
This doctoral project explores the ways in which European small states' approaches to peacekeeping have been affected by the changing nature of peace missions. The central objective is to explain the choices made by small states' governments to participate in missions which no longer fit traditional peacekeeping models. The increasing need for comprehensive and robust responses to international crises characterised by intra-state violence has challenged small states whose elites and publics have been accustomed to deploying troops to low intensity missions tasked to separate parties. Throughout the Cold War and beyond, traditional peacekeeping developed along the norms of non-use of force, impartiality and consent. Identifying positively with the objectives and normative underpinnings of traditional peacekeeping, small states have actively committed their armed forces based on a perception of themselves as international norm entrepreneurs. This thesis challenges the notion that small states' governments commit material and human resources to new types of peace operations motivated by such self-images. Transformations in the practice of peacekeeping are forcing foreign policy agents in small states to rethink the function(s) that their states should play in the international system towards peacekeeping. Three questions are considered: I) what new or existing roles are small states adopting in this evolving peacekeeping system? II) through what political processes do these roles emerge? and III) how do these roles affect decision-making on peacekeeping deployments? Small state research cannot effectively answer these questions nor comprehensively explain what small states do in international affairs because it lacks analytical tools to link structure and agency. A theoretical approach grounded in role theory is better suited to understand the foreign policies of small states and re-evaluate their peacekeeping credentials. A model depicting the interaction between role socialisation and domestic role processes is constructed to guide four empirical analyses of recent peacekeeping decisions taken by Austrian and Belgian governments. This theoretical foundation allows the contention that small states' changing self-perceptions do not necessarily originate from internal ideational factors, as the norm entrepreneur argument suggests. Each case study traces how the interplay between external role demands and domestically conceived ideas about the state's position in an evolving peacekeeping system informs Austria's and Belgium's adjustment to new peace missions. Austria's decisions to withdraw from UNDOF in 2013, and to participate in EUFOR Chad 2007-2008, are telling cases of a small state adapting to new forms of peacekeeping through a reconfiguration of roles. This thesis also investigates the roles that have motivated the contributions made by two Belgian governments towards the Malian crisis, 2012-2013 and the 2006 Israeli-Hezbollah war. This project contributes to small state research by showing that these actors fulfil a broad range of functions in the international system. It also improves the way we explain small states' foreign policy actions by providing a dynamic framework capturing the relationship between structure and agency, and by delving into the decision-making processes of small states. Additionally, it adds to the peacekeeping literature by providing an original account as to why states, and in particular small states, contribute troops to missions operating under evolving conditions. Finally, inputs are made to the scholarship on role theory by exploring how state size influences role conceptions and investigating how role socialisation and domestic role dynamics interact to affect the roles and decisions of an under-studied category of states.
288

Phonological variation, perception and language attitudes in the (Franco-)Belgian borderland

Foxen, Sarah Elizabeth January 2017 (has links)
The subject of this thesis is the French language in the Franco-Belgian borderland. More specifically, it investigates language, linguistic perceptions and language attitudes in the French-speaking part of Belgium which borders France. The study takes a variationist approach and is grounded in sociolinguistic theory, but it also draws on theories and methodologies from elsewhere in the social sciences. Two questions are at the heart of this study: how do people speak French in the Belgian borderland and why do they speak that way? To answer the research questions, speech and questionnaire data were gathered from 39 informants living in the borderland city of Tournai and its surrounding area. With this data, a variety of analyses were performed. Sociophonetic investigations were carried out on two phonological variables, namely the vocalic oppositions /e/-/ɛ/ and /o/-/ɔ/, draw-a-map task perceptual data were analysed through a ‘visual methods’ lens, and attitudinal data were also examined. Social variation in linguistic behaviour, perceptions and language attitudes was also analysed. The notions of ‘space’, ‘place’ and ‘spatiality’ were accorded considerable importance: the interactions between language and ‘space’ as the factors of ‘mobility’, ‘media consumption’, ‘sense of place’ and ‘regional belonging’ were also examined. The findings include that French in the Belgian borderland is more similar to that in France than to elsewhere in Francophone Belgium and that this is due to a number of factors. Moreover, the French in the borderland appears to be converging on that in France, although some differences persist. It was also found that spatial factors interact with both linguistic and social ones. Finally, it was concluded that whilst there is no longer a physical barrier at the national border, it persists to an extent as a psychological one, and this has ramifications for borderlanders’ behaviour: be it linguistic or otherwise.
289

Appropriate use of medicines in care of the elderly - Factors underlying inappropriateness, and impact of the clinical pharmacist

Spinewine, Anne 08 June 2006 (has links)
L'évolution des soins médicaux en milieu hospitalier se caractérise par une intensité accrue des soins et de l'utilisation des médicaments, ces derniers étant de plus en plus nombreux et souvent onéreux. De plus, les personnes âgées, en nombre croissant dans notre société, souffrent fréquemment de pathologies concomitantes et nécessitent donc une polythérapie. Il devient dès lors de plus en plus complexe d'assurer un usage optimal (efficace, non toxique, et économique) des médicaments, et également d'assurer un suivi adéquat du traitement lorsque ces patients sont transférés entre milieux de soins aigus et chroniques. De nombreuses publications ont mis en évidence, à l'étranger, une prévalence élevée d'utilisation inappropriée des médicaments en gériatrie (sous forme d'overuse, de misuse, et d'underuse). Les facteurs explicatifs d'une utilisation inappropriée n'ont cependant jamais été étudiés dans cette population. Or, cette étape d'identification est indispensable pour le développement d'interventions appropriées. Elle a donc constitué la première partie du travail de recherche (1). Ensuite, certaines études ont tenté d'évaluer l'impact de diverses approches permettant d'améliorer la prescription (y compris la pharmacie clinique), mais peu ont utilisé une méthodologie robuste. De plus, l'intérêt de cette approche de pharmacie clinique n'a jamais été évaluée en Belgique, alors qu'il existe un potentiel certain pour la développer. C'est dans ce cadre que s'est effectuée la deuxième partie du travail (2). (1) Pour répondre au premier objectif, une étude qualitative combinant des données issues d'entretiens et d'observations avec des professionnels et patients au sein de services de gériatrie a été réalisée. Trois grandes catégories de facteurs sous-jacents à une utilisation inappropriée des médicaments ont été identifiés : référence au modèle de soins de santé aigus pour des adultes en général ; attitude d'apprentissage passive; prise de décisions paternaliste. A l'inverse la prise en charge par un gériatre et la communication multidisciplinaire permettent une meilleure utilisation des médicaments. Les mesures d'optimisation potentielles devraient donc entre autres concerner les compétences individuelles, les relations médecin-patient et médecin-médecin, et les systèmes de transfert d'informations entre milieux de soins. (2) Afin de quantifier la qualité de prescription, et l'impact d'une collaboration avec un pharmacien clinicien, une étude randomisée contrôlée a été réalisé, et a inclus 200 patients hospitalisés au sein d'un service de gériatrie. Les résultats montrent que l'intervention d'un pharmacien clinicien permet de réduire de façon significative l'overuse, l'underuse et le misuse des médicaments. L'acceptation des interventions est excellente, et leur pertinence clinique élevée.Enfin, l'intervention s'accompagne d'une tendance à une diminution de la mortalité et de la morbidité des patients, un an après leur sortie de l'hôpital. Ce travail démontre donc l'intérêt de la pharmacie clinique dans le contexte belge, et ouvre plusieurs perspectives, dont une évaluation de la généralisation à d'autres services cliniques, et une évaluation de son rapport coût-efficacité.
290

Die politieke problematiek en hantering van nie-gevestigde minderhede in België / M.M. Smit

Smit, Maria Magdalena January 2009 (has links)
Since the end of the Second World War, several phases of migration to West European states have occurred. These migrants consisted of the so called guest workers who were recruited to fill labour shortages, citizens from former colonies who wanted to settle in the colonial empires as well as asylum seekers and refugees. These migrants generally migrated within the network of a certain ethnic group which led to the formation of ethnic groupings in the West European states (so called new ethnic minorities). These ethnic groupings often live segregated from the host population where they experience a lack of cultural, economical and political integration. This lack of integration of the new ethnic minorities often leads to antagonism, lack of understanding, mistrust and sometimes a racist attitude by the host population towards these groups. The development of a collective policy for the management of new ethnic minorities only became priority in the European Union (EU) by the late 1990s. The current policy for the management of new ethnic minorities consists of guidelines and recommendations to member states on the implementation of a own, unique new ethnic minority policy. Although the current Belgian policy for the management of new ethnic minorities adheres to the guidelines and recommendations of the EU, it still has structural problems and gaps. The purpose of this study was foremost to do a descriptive analysis of the protection of established minorities in Belgium. In contrast to and comparison with this, an in depth analysis of the political problem, management and current situation of new ethnic minorities in Belgian was made in order to identify shortcomings in the current policy for the management of new ethnic minorities. This was done through a literature search as well as an empirical study in the form of semi -structured interviews. The general finding was that the Belgian political system makes adequate provision for the protection of established minorities, but not for the protection of new ethnic minorities. In this regard and in conclusion, specific recommendations were made in order to identify and address the current protective measures of new ethnic minorities in Belgium. / Thesis (M.A. (Public Management and Administration))--North-West University, Vaal Triangle Campus, 2009.

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