Since there has been an abundance of research concerning high and low social status and little on inconsistents, the present study intends to shed some understanding of this group by comparing their feelings and attitudes to the highs and lows. Four principle areas are emphasized: family relationships, attitude toward sex, interpersonal relationships and self concept, with sub-areas lending added data.

The purpose of this study is to examine how unaccompanied refugee children living in a care-institution are being prepared for a independent life in Sweden. The study wish to pay attention to how the treatment assistants perceice their work with these children. To create a deeper understanding from the staff's perspective, the study is also focusing on their personal experiences of working with the children. To analyze the results, we have using the theoretical perspectives empowerment and systems theory, so called "systemteorin". The results showed that the treatment assistants are in first place working to build a secure and reliable relationship with the unaccompanied refugee children. The results also show that the staff at the care-institution serves as "extra parents" for the children seeing that they come to Sweden without their biological parents. This also means that the staff are teaching the children everyday skills such as cooking and how to manage an economy, and how the swedish society is formed.

The aim of the study was to analyze quality of investigation and treatment in the specialized services – dermatological and sexually transmissible diseases outpatient department of the II Kaunas Clinical hospital and private health care institution “Medidermas”. Methods. Study population – patients with dermatological and sexually transmissible diseases. Randomly selected patients were interviewed in 2004 September-October. Totally 157 patients from state and 62 from private institution were investigated. MS Office Exel and EpiInfo 6.0 packages were used in the statistical analysis. Results. Mean age of the investigated was 42.5±1.1 yrs. One quarter of the investigated chose health care institution, recommended by familiar or friend, only 24% applied to specialized departments with referrals. The majority of respondents (85.5%) of the private institution “Medidermas” were accepted after few days of registration, 38.2% (p<0.001) of the dermatological and sexually transmissible diseases outpatient department of the II Kaunas Clinical hospital were accepted after one or two weeks. 45.2% of the investigated in the private service were registered in the interval of 10 minutes, 43.5% - 15 minutes. In the state institution only 17.8% (p 0.001) were registered during 10 minutes and half – 15 minutes. The respondents of “Medidermas” had a longer waiting time before acceptance to a medical doctor as compared to the state health care service (in 10 minutes 41.9% and 17.3%, p<0.001... [to full text]

Darbo tikslas - išnagrinėti ir įvertinti senyvo amžiaus asmenų globos įstaigų veiklos organizavimo aspektus ir pateikti tobulinimo galimybes. Daugelyje socialinės globos įstaigų vykdoma veikla dar neatitinka šiuolaikinės socialinės globos sampratos. Socialinę globą teikiančio personalo sudėties, jo kvalifikacijos ir darbo organizavimo trūkumai, fizinė paslaugų teikimo aplinka, socialinės globos paslaugų reglamentavimo netobulumas daro įtaką senyvo amžiaus asmenų globos įstaigų veiklos organizavimui. Darbe analizuojama senyvo amžiaus asmenų globos įstaigų veiklos organizavimo specifika, kuri susijusi su šių įstaigų teikiamų paslaugų paskirtimi ir tikslais. Be to, aptariama socialinės globos vieta socialinių paslaugų sistemoje, apžvelgiama socialinės globos politika senyvo amžiaus asmenims, socialinės globos paslaugų plėtra, apibūdinta šių paslaugų valdymas, teisės aktai, reglamentuojantys globos paslaugų reglamentavimą. Siekiant įvykdyti iškeltus uždavinius atlikta mokslinės literatūros, statistinių duomenų analizė. Išnagrinėta socialinės globos samprata ir reikšmė, senyvo amžiaus asmenų socialinės globos įstaigų veiklos organizavimo aspektai. Apžvelgta Europos Sąjungos ir Lietuvos socialinė politika, nagrinėjanti socialinės globos klausimus, apibūdintas šių paslaugų valdymas. Atlikta socialinės globos įstaigų veiklą reglamentuojančių teisės aktų aprašomoji analizė. Socialinės globos įstaigų veiklos organizavimo vertinimas šiame darbe vykdomas atliekant tyrimą – interviu su... [toliau žr. visą tekstą] / The goal of the study is to analyse and evaluate the organization aspects of the actions of sheltered accommodation for advanced in age individuals and to propose the development possibilities. The actions performed in social sheltered accommodation mostly do not yet conform to the conception of contemporary social care. The make-up of social care providing staff, the shortcomings of its qualification and organization of actions, physical environment for providing of services, imperfection of regulation for social care services impact on the organization of actions of sheltered accommodation for advanced in years individuals. The study analyses the particularities of the organization of actions of sheltered accommodation for advanced in years individuals that are related to the purposes and goals of services provided by those sheltered accommodation. Moreover, the place of social care in the system of social services is discussed, the social care policy for advanced in years individuals and the expansion of social care services are reviewed, the management of those services and the acts of law for regulation of care services are defined. On purpose to accomplish the set tasks the analysis of scientific literature and statistical data is performed. The conception and importance of social care, the aspects of the organization of actions of sheltered accommodation for advanced in years individuals are examined. The social policy of European Union and Lithuania dealing with the... [to full text]

Orientador: Cassiana Mendes Bertoncello Fontes / Resumo: Introdução: As Instituições de longa permanência para idosos (ILPIs) podem ser instituições governamentais; ou não; de caráter residencial, destinadas ao domicilio coletivo de pessoas com idade igual ou superior a 60 anos com ou sem suporte familiar; e em condição de liberdade, dignidade e cidadania. Em ILPI o enfermeiro coordena a equipe de enfermagem, composta por auxiliares e técnicos de enfermagem e é responsável pelo gerenciamento e planejamento individual do cuidado aos idosos, educação e treinamento da equipe assim como a execução dos cuidados de maior complexidade.O planejamento da assistência de enfermagem individualizada ao idoso é exigido pela legislação do COFEN 358/2009 e está representado pelo Processo de Enfermagem (PE).A operacionalização do PE se estabelece pelas etapas da Sistematização da Assistência de Enfermagem (SAE) e nesse contexto corrobora para promover a qualidade e segurança do paciente, de forma a conduzir o processo de cuidar na ILPI; Objetivo: O objetivo do estudo foi compreender a experiência dos enfermeiros, que atuam em ILPIs, com o planejamento da assistência representado pela SAE. Tratou-se de um estudo qualitativo, aprovado pelo Comitê de Ética local, Plataforma Brasil, CAAE 65473317.7.0000.5411, Parecer nº 2.154.867. métodos: Utilizou-se como referencial teórico-metodológico a Teoria de Wanda de Aguiar Horta e como referencial metodológico a Análise de Conteúdo de Bardin. A coleta de dados foi realizada pela pesquisadora por meio de entre... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Introduction: Long-term Institutions for the Elderly (ILPIs) can be governmental institutions; or not; of residential character, destined to the collective address of people aged 60 or over with or without family support; and in the condition of freedom, dignity and citizenship. In ILPI, the nurse coordinates the nursing team, composed of nursing auxiliaries and technicians and is responsible for the management and individual planning of care for the elderly, education and training of the team as well as the execution of the more complex care. nursing is required by the COFEN 358/2009 legislation and is represented by the Nursing Process (PE). The operationalization of the EP is established through the Nursing Care Systematization (SAE) stages and, in this context, corroborates the patient safety in order to conduct the caring process in the ILPI. Objective: The objective of the study was to understand the experience of nurses, who work in ILPIs, with the planning of care represented by SAE. This was a qualitative study, approved by the Local Ethics Committee,Brazil Platform, CAAE 65473317.7.0000.5411, Opinion no. 2,154,867. Methods: The Wanda Theory of Aguiar Horta was used as theoretical-methodological reference and as a methodological reference to the Bardin Content Analysis. Data collection was performed by the researcher through semi-structured and recorded audio interviews, with ten ILPI nurses from three municipalities in the interior of São Paulo. The guiding question... (Complete abstract click electronic access below) / Mestre

Darbo tikslas. Išanalizuoti asmens sveikatos priežiūros įstaigų bendradarbiavimo galimybes su įstaigų veiklą kontroliuojančiomis valstybės institucijomis. Metodika. 2009 m. gruodžio – 2010 m. vasario mėn. buvo atlikta Kauno apskrities asmens sveikatos priežiūros įstaigų administracinį darbą dirbančių darbuotojų anketinė apklausa. Anketas užpildė ir grąžino 68 respondentai iš 55 Kauno apskrityje veikiančių asmens sveikatos priežiūros įstaigų (atsako dažnis 66,7%). Statistiniams ryšiams įvertinti naudotas Chi kvadrato (χ2 ) kriterijus, Z-kriterijus taikytas lyginant dviejų proporcijų lygybę. Rodiklių skirtumai laikyti statistiškai reikšmingais, kai p<0,05. Rezultatai. Kauno apskrities asmens sveikatos priežiūros įstaigų darbuotojai (86,8 proc.) dažniausiai bendradarbiauja su Teritorinėmis ligonių kasomis, mažiausiai - su Lietuvos medicinos etikos komitetu (4,4 proc.). Asmens sveikatos priežiūros įstaigų darbuotojai įstaigų veiklą kontroliuojančių valstybės institucijų darbą vertino: labai gerai 5,9 proc., gerai 38,2 proc., vidutiniškai 51,5 proc., blogai 4,4 proc. Bendradarbiavimas su įstaigų veiklą kontroliuojančiomis valstybės institucijomis dažniausiai vyksta kelis kartus per mėnesį. Dažniausiai informacija įstaigų veiklą kontroliuojančioms valstybės institucijomis yra perduodama el. paštu. Vyresnio amžiaus darbuotojai, bei vyrai, dažniau bendradarbiauja neformalioje aplinkoje su kitų asmens sveikatos priežiūros įstaigų darbuotojais ir su įstaigų veiklą kontroliuojančiomis... [toliau žr. visą tekstą] / Aim of the study. To analyze the opportunities of co-operation between health care institutions and the state controlling institutions. Methods. The survey of workers of Kaunas county health care institutions was accomplished during 2009 December - 2010 February. Questionnaires were filled-in and returned by 68 respondents of the 55 Kaunas county health care institutions (response rate 66,7%). For the assessment of the statistical relationships Chi square (χ2) criteria was used; Z-test was used for the comparison of two proportions. Differences were considered as statistically significant at p<0,05 level. Results. Kaunas county health care workers (86,8%) mostly collaborate with regional sickness insurance funds, at least with Lithuanian medical ethics committee (4,4%). Health care workers assess work of the state controlling institutions: very good (5,9%), well (38,2%), an average (51,5%), negative (4,4%). Cooperation with the state controlling institutions is preceded several times a month. Information is often transferred by e-mail to the state controlling institutions. Older workers and men often co-operate with the state controlling institutions in non-formal way. Respondents who are satisfied in supervising with the state controlling institutions are more satisfied with aspects of the issues. Only one third of the respondents received information from the state controlling institutions timely. Respondents under the age of 35 and over the age of 43 years were satisfied... [to full text]

Bakalauro darbe analizuojamas perdegimo sindromo apraiškos socialinių pedagogų, dirbančių vaikų globos įstaigose, profesinėje veikloje pagal tris dimenisijas: depersonalizacija (neigiamas, abejingas, ciniškas požiūris į darbą, bendradarbius, ugdytinius), emocinis išsekimas - (fizinių bei emocinių resursų išeikvojimas, persidirbimo jausmas) ir asmeninių profesinių siekių redukcija (žmogaus bejėgiškumas, neigiamas savęs ir savo darbo vertinimas). Darbo tikslas - išanalizuoti vaikų globos įstaigųų socialinių pedagogų patiriamo perdegimo sindromo apraiškas profesinėje veikloje. Tyrime dalyvavo 100 socialinių pedagogų, dirbančių vaikų globos įstaigose. Uždaro tipo klausimyno metodu tirta socialinių pedagogų, dirbančių vaikų globos įstaigose, perdegimo sindromo apraiškos profesinėje veikloje, remiantis dimensijomis (depersonalizacija, emocinis išsekimas, sumažėję asmeniai laimėjimai) išskirti aspektai: darbo pobūdis, stresas darbe, darbo santykiai su kolegomis ir ugdytiniais, savęs vertinimas profesinėje veikloje, darbo sąlygos. Depersonalizacijos srities klausimai apima kolegų ir ugdytinių santykius, emocinio išsekimo sritis apima darbo pobūdį ir emocinę būseną darbo metu, o asmeninių profesinių siekių redukcija apima savęs vertinimą ir darbo sąlygas. Analizuojant tyrimo duomenis, bandyta įvertinti socialinių pedagogų, dirbančių vaikų globos namuose, perdegimo sindromo apraiškas profesinėje veikloje. Tyrimu nustatyta, jog gana sudėtingas socialinių pedagogų darbo pobūdis... [toliau žr. visą tekstą] / Bachelor's paper analyzes the social manifestations of burnout syndrome social pedagogue working in orphanages, according to the three professional dimentions: depersonalization (negative, indifferent, cynical attitude towards work, colleagues, and learners), emotional exhaustion (physical and emotional exhaustion of resources) and decreased professional accomplishment (human helplessness, negative self-evaluation and his job). The aim is to examine how the burnout syndrome is experienced by the teachers in children's social care homes. The study included 100 social pedagogues working in child care centers. Closed-ended questionnaire method was used. The volunteers were social pedagogues working in child care facilities who experience the burnout syndrome manifestations of the occupation. The principles of the basis of dimensions (depersonalization, emotional exhaustion, reduced the achievements of a person) were used to distinguish aspects: depersonalization, field questions from colleagues and pupils included relationships, emotional exhaustion areas included the nature and emotional condition at work, personal and professional goals included the reduction of self-evaluation, and working conditions. The analysis of the data was to try to assess the social educators, working in orphanage and assess manifestations of burnout syndrome in working life. The study found that relatively complex social nature of teachers' work (work intensity, complexity and... [to full text]

Thesis topic is "Protecting the population in a social care institution with a large number of people". The theoretical part deals with issues of self-help and simple human assistance perception, which is a cornerstone of protecting the population. It is important to realize that the experience and the memory makes us ready and durable, but also vulnerable and fearful, and that prevention and preparedness are not identical. The thesis describes the history of the civil protection and its current status. These issues are constantly evolving and it is necessary to constantly respond to current threats not only in the area of law-making, but also preventatively and practically. The aim of the thesis is to identify the readiness of the staff in the Home for the elderly in Blatná to a possible outbreak of an emergency or crisis situation. The result of this thesis is to design measures to improve the readiness of personnel in social care institutions with applications for the Home for the elderly in Blatná. To clarify the objectives of the thesis a questionnaire construction was used focused on finding out the level of awareness of the personnel in the field of civil protection. Office staff, technical support, nursing and health care personnel have participated in the research. The research was conducted in June 2015. Collected data are sorted in the chapter "Results" and the results of these investigations are clearly displayed using graphs. The questionnaires were evaluated by descriptive and mathematical statistics. After evaluating the results of the level of awareness of the personnel in the field of protecting the population and after a consultation with the management of the Home for the elderly, a set of measures has been suggested and implemented to improve awareness using presentation. Preparedness and awareness of the staff in the Home for the elderly in Blatná to emergency and crisis situations, identified by questionnaire research was only partial, according to the documents related to protection of the population, and its level should be increased. The thesis can be an inspiration to the desired upgrade of the improving the preparedness of the personnel in the area of civil protection in social care institutions and to desirable change of the inappropriate name of the document dealing with emergency and crisis situations in the Home for the elderly in Blatná. Updates proposal and recommended development of the document are also parts of the thesis. The thesis also suggests measures to deal with the possible emergence of a fire in the clients' kitchenette. By a verification of information obtained from the presentation, which has been held in the Home for the elderly in Blatná in order to increase the level of personnel awareness of the people in the field of civil protection, it was found by identical questionnaires that staff awareness in the social care institution increased very positively. The readiness of social care institution for different emergencies is a very important factor in the managing these situations. By managing or mismanaging one event people are going to manage or mismanage following events.

Magistro baigiamajame darbe išanalizuoti LR egzistuojančių viešų ir privačių sveikatos priežiūros įstaigų veiklos skirtumai bei jų sąveiką. Ištirti tokie viešųjų ir privačių sveikatos priežiūros sektorių aspektai: sveikatos priežiūros sektoriai patys savaime, šių įstaigų institucinis išsidėstymas, teisinis reglamentavimas, finansavimas, konkurencingumas, prieinamumas pacientui. Pirmojoje darbo dalyje yra aptarta Lietuvos nacionalinės sveikatos sistema, kaip turinti vienyti viešąsias ir privačiąsias sveikatos priežiūros įstaigas, aptarta jos bendroji charakteristika. Antrojoje dalyje išsamiai išnagrinėtos, suklasifikuotos sveikatos priežiūros įstaigos, aptarta jų priklausomybė viena nuo kitos. Trečiojoje darbo dalyje kaip atskiros grupės išskirtos privačios ir viešosios sveikatos priežiūros: aptarta jų sąveika, pagrindiniai skirtumai, pamatiniai teisinio reglamentavimo ypatumai. Paskutinė ketvirta lyginamoji darbo dalis leido surasti tuos taškus, per kuriuos viešasis sveikatos priežiūros sektorius galėtų bendradarbiauti su privačiu. Palyginta šių sektorių finansavimo bazė, surasta papildoma alternatyva papildomojo sveikatos draudimo pavidalu. Kadangi sveiktos priežiūros sektoriuje centrinė figūra vis tik turi būti pacientas, pateiktas ir jo požiūris į privatų ir viešąjį sveikatos priežiūros sektorius, šių sektorių vertinimas. / The distinction and interface of health care institutions of Lithuania Republic are analyzed in this final master’s work Such public ant private health care institutions aspects are analyzed: health care institutions by themselves, deployment of these institutions, their legal regulation, sponsorship, competitive ability, accessibility for the patients. The first part of the work is concerned about national health care system of Lithuania, which must unify public and private health care institutions. The common characteristics of this system are discussed. The second part thoroughly reveals and classifies health care institutions; knock about their dependence on each other. In the third part as separate groups are divided private and public health care institutions: their interaction, main differences and basic legal regulation principles are discussed. The last fourth comparative part enabled to find those points, which could help for private health care sector to collaborate with public one. The comparison of financial basis of those sectors, allowed to found an additional assurance alternative. Since the patient is the central figure in a health care sector, his attitude towards the private and public health care institutions, and those sectors valuation is represented.

As complicações de pacientes com insuficiência renal crônica submetidos ao tratamento hemodialítico representam desafios para os profissionais de saúde. A variabilidade de fatores de risco que predispõem a essas complicações têm sido, freqüentemente, investigada na literatura científica. Nesse sentido, objetivou-se descrever as complicações locais e sistêmicas dos pacientes com insuficiência renal crônica a partir da implantação do cateter temporário de duplo lúmen para hemodiálise até sua retirada definitiva. Trata-se de um estudo de segmento que avaliou prospectivamente os pacientes da implantação do cateter até sua retirada definitiva. Para o estabelecimento do grupo estudado foi considerado um período de seis meses consecutivos de julho a dezembro de 2003. Assim, após a aprovação do Comitê de Ética em pesquisa procedeu-se a coleta dos dados. Para análise dos resultados realizou-se a codificação das variáveis no banco de dados do programa Microsoft Excel mediante dupla digitação, e, utilizou-se o programa Software Statistical Package for Social Sciences, versão 10.0 na análise estatística. Dos 64 pacientes avaliados 38 (59,4%) eram do sexo masculino, 20 (31,2%) tinham como causa provável da insuficiência renal a nefroesclerose hipertensiva, e, 35 (54,7%) implantaram o cateter devido à necessidade do tratamento hemodialítico imediato. Totalizou-se no período 145 cateteres implantados, 29 (45,3%) dos pacientes tiveram implantes únicos, 98 (67,6%) dos acessos foram a veia jugular interna direita, 40 (27,6%) das trocas dos cateteres foram devido a febre. O tempo médio de permanência dos cateteres foi de 30 dias. A complicação local mais freqüente em 41 (64%) dos pacientes foi o funcionamento inadequado do cateter com 26 dias de média para a ocorrência, e, a complicação sistêmica mais freqüente em 24 (37,5%) foi a febre com 34 dias de média para sua ocorrência, 27 (42,2%) dos pacientes apresentaram infecção do sítio de inserção, e, 30 (47%) infecção da corrente sanguínea. O Staphylococcus aureus foi o microrganismo mais isolado em 10 (33,4%) das hemoculturas. Observou-se que 45 (70,4%) dos pacientes retiraram definitivamente o cateter devido à punção da fístula arteriovenosa. O estudo apontou aspectos preocupantes, dentre eles, o tempo de permanência do cateter, que expõe sobremaneira o paciente a diferentes complicações, em especial, a infecção. A confecção da fístula arteriovenosa representa uma importante alternativa que contrapõe o uso do cateter temporário. / Complications in chronic renal insufficiency patients under dialysis treatment represent important challenges to health professionals. The variety of risk factors predisposing towards these complications have frequently been discussed in scientific literature. Thus, this study aimed to describe the local and systemic complications of chronic renal insufficiency patients who were using a temporary double-lumen catheter for hemodialysis treatment, until its final withdrawal. A segment research prospectively studied patients from the moment the catheter was inserted until its final withdrawal. A period of six consecutive months, from July to December 2003, was considered to determine the group of patients ti be studied. Thus, after ethical approval, data were collected through interviews, clinical exams and patient record evaluation. For the result analysis, the variables were coded in a database through double data entry in Microsoft Excel and Software Statistical Package Social Sciences, version 10.0 was used for statistical analysis. 38 (59.4%) of the 64 patients were men, 20 (31.2%) showed hypertensive nephrosclerosis as the probable cause of insufficiency renal and 35 (54.7%) inserted the catheter due to the need for immediate hemodialysis treatment. 145 catheters were inserted during the period, 29 (45.3%) of which were single implants and the right internal jugular vein was the access in 98 cases (67.6%). Average catheter permanence time was 30 days. Catheters were substituted in 40 cases (27.6%) due to fever. The most frequent local complication was inadequate functioning in 41 (64%) cases, with an average occurrence of 26 days, while the most frequent systemic complication was fever in 24 cases (37.5%), with an average occurrence of 34 days. Infection of the insertion site occurred in 27 (42.2%) cases and infection of the blood flow associated with the catheter in 30 (49%) cases. Sthaphylococos aureus was the most frequently isolated microorganism in 10 (33.4%) blood cultures. 45 (70.4%) final catheter withdrawals were due to arterio-venous fistula puncture. This analysis revealed various preoccupying aspects, including the catheter permanence time, which highly exposes the patient to different complications, particularly infection.