Global ETD Search

221	Uncovering the Role of Community Health Worker/Lay Health Worker Programs in Addressing Health Equity for Immigrant and Refugee Women in Canada: An Instrumental and Embedded Qualitative Case Study Torres Ospina, Sara January 2013 (has links) “Why do immigrants and refugees need community health workers/lay health workers (CHWs) if Canada already has a universal health care system?” Abundant evidence demonstrates that despite the universality of our health care system marginalized populations, including immigrants and refugees, experience barriers to accessing the health system. Evidence on the role of CHWs facilitating access is both lacking and urgently needed. This dissertation contributes to this evidence by providing a thick description and thorough analytical exploration of a CHW model, in Edmonton, Canada. Specifically, I examine the activities of the Multicultural Health Brokers Co-operative (MCHB Co-op) and its Multicultural Health Brokers from 1992 to 2011 as well as the relationship they have with Alberta Health Services (AHS) Edmonton Zone Public Health. The research for this study is based on an instrumental and embedded qualitative case study design. The case is the MCHB Co-op, an independently-run multicultural health worker co-operative, which contracts with health and social services providers in Edmonton to offer linguistically- and culturally-appropriate services to marginalized immigrant and refugee women and their families. The two embedded mini-cases are two programs of the MCHB Co-op: Perinatal Outreach and Health for Two, which are the raison d’être for a sustained partnership between the MCHB Co-op and AHS. The phenomenon under study is the Multicultural Health Brokers’ practice. I triangulate multiple methods (research strategies and data sources), including 46 days of participant and direct observation, 44 in-depth interviews (with Multicultural Health Brokers, mentors, women using the programs, health professionals and outsiders who knew of the work of the MCHB Co-op and Multicultural Health Brokers), and document review and analysis of policy documents, yearly reports, training manuals, educational materials as well as quantitative analysis of the Health Brokers’ 3,442 client caseload database. In addition, data include my field notes of both descriptive and analytical reflections taken throughout the onsite research. I also triangulate various theoretical frameworks to explore how historically specific social structures, economic relationships, and ideological assumptions serve to create and reinforce the conditions that give rise to the need for CHWs, and the factors that aid or hinder their ability to facilitate marginalized populations’ access to health and social services. Findings reveal that Multicultural Health Brokers facilitate access to health and social services as well as foster community capacity building in order to address settlement, adaptation, and integration of immigrant and refugee women and their families into Canadian society. Findings also demonstrate that the Multicultural Health Broker model is an example of collaboration between community-based organizations and local systems in targeting health equity for marginalized populations; in particular, in perinatal health and violence against women. A major problem these workers face is they provide important services as part of Canada’s health human resources workforce, but their contributions are often not recognized as such. The triangulation of methods and theory provides empirical and theoretical understanding of the Multicultural Health Brokers’ contribution to immigrant and refugee women and their families’ feminist urban citizenship. Canada Case Study Inequity Immigrants Refugees Community Capacity Building Alberta Health Services Multicultural Health Brokers Health Human Resources Workforce Health Brokers Lay Health Promoters Lay Health Workers Authoritative Knowledge Experiential Knowledge Feminist Families Qualitative Research Child Welfare Cultural Brokering Community Health Workers Models Co-operatives Women Women's Urban Citizenship Empowerment Embedded Case Study Research Social Determinants of Health Social Change Social Work Urban Citizenship Universal Programs Unregulated Health Care Workers Theory Typology Perinatal Health Racialized Gender Race Class Discrimination Diversity Health Worker Co-operatives Policy Makers Urban Citizenship Universal Programs Access to Health Services Equity Access to Social Services Cultural Competence Racism Canada Prenatal Nutrition Program Public Health Primary Care Health Promotion Violence Prevention Immigrant Health Care Workers Immigrant Community Health Workers
222	"What does that mean?" Objects of significance in residential programmes for young persons in South Africa Molepo, Phineas Lesiba 30 June 2008 (has links) Many young persons live under difficult circumstances. Factors including HIV/AIDS pandemic, exacerbate the need to place young persons into alternative placements. The new and the unknown can be frightening but carrying a faithful transitional object establishes therapeutic bridge between the old and known and the new and unknown. This study sought to explore South African child and youth care workers' awareness of young persons' objects of significance in residential care settings. The rational was that with greater awareness, important objects may become a more useful option for the promotion of young persons' well-being. The research confirmed that South African child and youth care workers are aware of the existence and importance of significant objects. It further revealed that young persons possess different objects of significance to which workers need to pay careful attention. / Research Institute for Theology and Religion / M.Tech. (Child and Youth Care) Residential care programme Awareness Well-being Developmental work Therapeutic work Transition Possessions Significance Transitional objects Young persons Child and youth care worker 362.730968 Institutional care -- South Africa Custody of children -- South Africa Social work with youth -- South Africa Child care services -- South Africa Group homes for children -- South Africa Group homes for youth -- South Africa Child care workers -- South Africa
223	Exploring the practice of HIV self-testing among health care workers at Nyeri Provincial Hospital in Kenya Kennedy, Muthoka Joseph 22 November 2013 (has links) The purpose of the study was to describe the determinants and practice of HIV self-testing among health care workers (HCWs) in Nyeri provincial hospital, Kenya. A descriptive cross-sectional study was conducted to determine the rate of HIV self-testing, explore the factors influencing the practice and describe access to HIV psychosocial support, care and treatment. The study was guided by the concepts of the protection motivation theory. Data was collected from 348 HCWs and analysed by means of logistic regression. Results showed that 65.8% of the HCWs had practiced HIV self-testing among themselves. Age, self efficacy and response efficacy were found to be significant predictors of HIV self-testing. Willingness to access HIV psychosocial support (71.3%) and care and treatment (73.9%) was high. Self-testing is highly practiced by HCWs. / HIV self-testing among health care workers at Nyeri Provincial Hospital in Kenya / HIV self-testing among health care workers / Public Health / M.A. (Public Health) HIV Home testing Self-testing Health care workers Predictors of HIV self-testing Factors influencing HIV self-testing HIV care and treatment Psychosocial support 362.19697920096762 Nyeri Provincial Hospital (Kenya) AIDS (Disease) -- Kenya -- Nyeri
224	Evidence-based guidelines to promote the health and safety of health care workers in selected public hospitals in the Tshwane health care district in Gauteng, South Africa Sehume, Odilia Monica Mamane 11 1900 (has links) Text in English / The purpose of this research was to investigate occupational health and safety challenges and their impact on health care workers (HCWs) in selected public hospitals from the Gauteng Province, South Africa. Method: A quantitative descriptive cross-sectional survey was conducted among HCWs in the study sites. A two-staged sampling that include purposive sampling of study sites and census sampling of 2000 HCWs was used. Self-administered questionnaires were used to obtain data from HCWs. In addition, two different checklists were used to conduct retrospective records reviews to assess occupational health and safety (OHS) policy compliance and occupational injuries and diseases occurrence. The SAS Release 9.3 was used to analyse data. The Fischer Exact test and Chi-square were also used to determine the association of variables and P-value was set at <0.05 to indicate significant association. Results: A total of eight public hospitals and 926 (46.3%) HCWs who were all females nurses participated in this survey. Major occupational health hazards reported by the participants include: needle-stick injuries 275 (54.67%), slips trips and falls 67 (13.32%) and splashes 57 (11.33%). The analysis of open-ended responses indicated increased workloads, long hours of work and shift work as the most reported psychosocial hazards among HCWs. The reviewed records indicated that back injuries 22 (4.37%), tuberculosis (TB) 17 (3.38%) and asthmatic reactions 8 (1.59%) were the commonly reported occupational injuries and diseases among the HCWs. The records review also revealed a lack in the conducting of adequate medical surveillance among participants. The results showed poor compliance with the OHS policy and a negative impact of biological and psychosocial hazards on the HCWs. Conclusion: There was a high risk of exposures to biological hazards whilst providing care to patients, thus warranting the implementation of robust preventive measures. As a result, the guidelines were developed to promote the health and safety of HCWs with a view to promoting policy compliance and preventing the occurrence of occupational injuries and diseases as well as their impact among HCWs. / Health Studies / D.Litt et Phil. (Health Studies) Health care workers Nurse Occupational health and safety Public hospitals Hazards Risk Guidelines 363.1160968227
225	"What does that mean?" Objects of significance in residential programmes for young persons in South Africa Molepo, Phineas Lesiba 30 June 2008 (has links) Many young persons live under difficult circumstances. Factors including HIV/AIDS pandemic, exacerbate the need to place young persons into alternative placements. The new and the unknown can be frightening but carrying a faithful transitional object establishes therapeutic bridge between the old and known and the new and unknown. This study sought to explore South African child and youth care workers' awareness of young persons' objects of significance in residential care settings. The rational was that with greater awareness, important objects may become a more useful option for the promotion of young persons' well-being. The research confirmed that South African child and youth care workers are aware of the existence and importance of significant objects. It further revealed that young persons possess different objects of significance to which workers need to pay careful attention. / Research Institute for Theology and Religion / M.Tech. (Child and Youth Care) Residential care programme Awareness Well-being Developmental work Therapeutic work Transition Possessions Significance Transitional objects Young persons Child and youth care worker 362.730968 Institutional care -- South Africa Custody of children -- South Africa Social work with youth -- South Africa Child care services -- South Africa Group homes for children -- South Africa Group homes for youth -- South Africa Child care workers -- South Africa
226	Exploring the practice of HIV self-testing among health care workers at Nyeri Provincial Hospital in Kenya Muthoka, Joseph Kennedy 11 1900 (has links) The purpose of the study was to describe the determinants and practice of HIV self-testing among health care workers (HCWs) in Nyeri provincial hospital, Kenya. A descriptive cross-sectional study was conducted to determine the rate of HIV self-testing, explore the factors influencing the practice and describe access to HIV psychosocial support, care and treatment. The study was guided by the concepts of the protection motivation theory. Data was collected from 348 HCWs and analysed by means of logistic regression. Results showed that 65.8% of the HCWs had practiced HIV self-testing among themselves. Age, self efficacy and response efficacy were found to be significant predictors of HIV self-testing. Willingness to access HIV psychosocial support (71.3%) and care and treatment (73.9%) was high. Self-testing is highly practiced by HCWs. / Public Health / M.A. (Public Health) HIV Home testing Self-testing Health care workers Predictors of HIV self-testing Factors influencing HIV self-testing HIV care and treatment Psychosocial support 362.19697920096762 Nyeri Provincial Hospital (Kenya) AIDS (Disease) -- Kenya -- Nyeri
227	施設介護労働者の職場定着策の在り方に関する研究 : 介護職員のキャリアと人材育成の視点から / シセツカイゴロウドウシャノショクバテイチャクサクノアリカタニカンスルケンキュウ : カイゴショクインノキャリアトジンザイイクセイノシテンカラ中井良育, Yoshiyasu Nakai 21 March 2018 (has links) 本研究は、介護労働者の職場定着のあり方について、就業前から就業後にかけての職業キャリアに着目しながら分析し、主に教育・研修等の人材育成の視点から実証的に考察した。検証の結果、労働環境の整備、教育機関との連携、介護の社会的意義等の理解促進等の人材確保策、職業キャリアに着目した労働条件の改善とメンタルヘルス対策及び能力等に対する目標設定と評価基準の導入、並びに職員への教育や指導で生じる負担軽減等の職場定着策、コミュニケーション能力向上を目的とした教育・研修及び非正規職員への教育・研修、並びに実施した研修・講習の効果測定等の人材確保策を提起した。 / 博士(政策科学) / Doctor of Philosophy in Policy and Management / 同志社大学 / Doshisha University 介護労働介護職員介護サービス事業所人材確保離職要因介護業務遂行能力職務満足ストレス要因人材育成キャリア Care Workforce Care Workers Care Providers Securing Human Resources Factorｓ of Leaving Care Work Total Care Work Competency Overall Job Satisfaction Causes of Stress Human Resources Development Carrier
228	Ways in which child and youth care workers support child-headed households in communities Thumbadoo, Zenuella Sugantha 31 January 2013 (has links) The qualitative research approach, applying an explorative, descriptive and contextual strategy of enquiry was used to address the research question formulated, - How do child and youth care workers support child-headed households in the community? In this process the needs, relationships, interactions and encounters which occur between child and youth care workers and young people in child-headed households are described. The research was conducted with children from two child-headed households (12 children in all) and three community child and youth care workers from the Isibindi project in the province of Kwa-Zulu Natal. The findings confirm that the integration of child and youth care work characteristics in the daily life events of the children, contributed to services to children that are therapeutically caring, reclaiming and reflective of the African spirit of Ubuntu – demonstrating a relevant and unique South African expression of child and youth care practice. / Sociology / M. Tech. (Child and Youth Care) Child-headed households Child and youth care work Caring Ubuntu Reclaiming Community child and youth care work The Isibindi Model HIV/AIDS 362.709684
229	Who benefited? : implications of "Project Go" for the children in a children's home De Lauwere, Henriette 01 1900 (has links) The transformation of child and youth care ran concurrently with the political transformation in South Afriola. One of the projects aimed at establishing the transformation of child and youth care, was Project Go. This project placed a moratorium on the transfer of children 'deeper' into the child care system. It aimed at reunifying children ln residential care wtth their families. Furthermore, the projed assessed the children in the system with the aim of accommodating them in the least restrictive, most empowering child care facility. This narrative action research study focused on the effects of Project Go and the transformations on the children at the Children's Haven M T R Smit This study can also be described as emanciipatory action research. This qualitative study is positioned within a social construction discourse. Knowledge was socially constructed through multiple reflexive conversations. I researched the background to the transformation of the child and youth care system and investigated the implications of the transformation for the children at t.he Children's Haven M T R Smit,as well as for the child care workers and management of the haven. A narrative approach was employed. I relied on the Foucauldian discourse to come to some understanding of issues of power and resistance. Following Foucauldian thought, I investigated discourses constituting the care that the children at the Children's Haven M T R Smit received. This investigatlon led me to formulate some understanding of the history of the Dutch Reformed Church (DRC) the body responsible for the management of the haven since it was founded in the earty 1920s. 0nce I reached an understanding of some of the historical developments of the DRC (which l learned was closely linked lo Afrikaner politics), I explored some implications of the transformation for the DRC's future involvement with the children in its care. This exploration led me to a comparison of the theology of the DRC and black liberation theology, focusing on prophetic practice. Although not an initial aim of this study, I learned that the transfornation of child and youth care held implications not only for the pastoral practice of the DRC, but also for the helping professions such as psychology, social work and child care. l focused briefly on the ethics and some limitations of care provided by the profession of psychology. I reflected on the implications of the transformation of child and youth care for the helping professions. / Philosophy, Practical & Systematic Theology / D. Th. (Practical Theology (Pastoral Therapy)) 362.732096875 Christian ethics -- South Africa Church and state -- South Africa Sociology, Christian (Reformed Church) Liberation theology -- South Africa South Africa -- Church history South Africa -- Politics and government
230	Nurses perceptions of the factors contributing to the spread of tuberculosis in a clinic in the Odi Moretele sub district of Gauteng Molele, Mahlodi Annah 06 1900 (has links) Introduction: Despite being one of the most preventable diseases, TB still remains a serious and largely neglected disease. Nurses as compared to the general population are at greater risk of acquiring nosocomial TB. This study was conducted to describe the perceptions of nurses on the underlying contributory factors that may lead to the spread of TB in the clinics treating TB patients. Methods: Quantitative, non – experimental, descriptive, exploratory and cross sectional design was used. A structured and pretested questionnaire was used. Findings: The key contributory factors identified were insufficient TB training for staff and lack of knowledge on the TB legislative framework and TB policy directives. Conclusion: The findings indicate the need for a comprehensive TB infection prevention and control policy, with associated standards for provision and practice. / Health Studies / M.A. (Public Health) Health care workers Health care facilities Prevention Perception Tuberculosis and risk factors 616.9950231

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