Das Klinoskop ist die Firmenzeitschrift des Klinikums Chemnitz für Mitarbeiter, Patienten, Angehörige und für unsere Partner. Es erscheint in vier bis fünf Ausgaben pro Jahr in einem Umfang von 40 bis 92 Seiten im Vollfarbdruck. Unsere Firmenzeitschrift wurde seit 2006 von einer qualitativen Mitarbeiterinformation kontinuierlich zu einem relevanten Informationsmedium für unsere Partner wie niedergelassene Ärzte weiterentwickelt. Parallel soll das Klinoskop eine Publikation sein, mit der Patienten und Angehörige einen informativen Zugang zu Ihrem Klinkum Chemnitz erhalten. Damit möchten wir auch unseren Anspruch einer offenen Kommunikation unterlegen. / The Klinoskop is the corporate magazine of the Klinikum Chemnitz for our staff, patients and their family members as well as for our cooperating partners. It is published in full colour, with four or five issues per year, and each issue contains between 40 and 92 pages. Since 2006, our corporate magazine has been continuously refined from a high-quality publication for our staff to the relevant information medium for our partners, in particular physicians in private practice. At the same time, the Klinoskop is intended to be a publication that provides patients and their relatives with more detailed information about their Hospital in Chemnitz. This also helps us to emphasize our intentions of fostering open communication.

A qualitative, descriptive, exploratory and contextual study was undertaken to explore and describe how clinic nurses practice their role regarding growth development monitoring and anthropometric measurement of children and interpretation of their values. An accessible population of twelve clinic nurses of all categories were purposively recruited to participate in the study. In depth individual interviews were conducted to generate data. Interviews were audio-taped and transcribed by the researcher verbatim. The direct quotes of participants were coded and arranged into meaning units for analysis. Tech’s (1990:142-145) eight steps of analysis to analyse the textual qualitative data as cited by Creswell (2009:186) was used until themes, categories and subcategories were identified and developed. Data analysis was triangulated by using Atlas.ti computer software version 7.0 to organise text, audio data files coding, memos and findings into project files. An independent coder analysed data for validation using content analysis. Data analysis revealed that nurses had challenges in ways of doing practice evidenced by inconsistencies and discrepancies in GDM, APM of children and incorrect interpretation of their values. Non-compliance to protocols from both nurses and parents was a significant finding. Shortage of resources was reported as a major hindrance. Guidelines were formulated to guide clinic nurses. Recommendations were proposed that the matter be taken up by nurse managers, educators and leadership from the Department of Health / Health Studies / D. Litt. et Phil. (Health Studies)

The aim of the study was to determine factors contributing to late booking amongst pregnant women at Ekurhuleni health district in order to offer recommendations for enhancing early booking. Interpretative phenomenological analysis design was used. Data were collected using semi-structured individual face-to-face interviews from 20 purposively selected pregnant women. Each interview was audio recorded and lasted between 45-60 minutes. Fields notes were taken to triangulate data collection method. Audio recorded interviews were transcribed verbatim. Data were thematically analysed using Interpretative Phenomenological Analysis framework for data analysis. Results indicate that healthcare service related factors such as human resources, infrastructure and the type of service rendered at the clinic contribute to late bookings. Client related factors such as socioeconomic status, cultural beliefs and knowledge deficit also contribute to late bookings. Recommendations are made addressing both healthcare service and client related factors in order to enhance early booking among pregnant woman at Ekurhuleni district. / Health Studies / M.A. (Nursing science)

This study explores trainees' experiences of power dynamics within a ritualised training context, with reference to the three major aspects of the study: training, ritual and power. The psychotherapeutic training took place at Agape, a community-based counselling service in Mamelodi, whose theoretical approach to training included a mixture of postmodern, ecosystemic and African traditions. A substantial literature survey examines the major concepts and issues related to the research subject, such as psychotherapeutic training approaches, the philosophies and theories that may inform training procedures, ritual practices in psychotherapy, and organisational and power aspects of psychotherapeutic training. The research process was executed using the qualitative, interpretive research methodology. A sample of six of the trainees who had completed their training at this placement was interviewed, and two of the trainers. The researcher's reflections on her own training experiences are woven into the material. Using the interview technique and through asking a series of open-ended questions, the researcher obtained an account of the subjective, sacralised training interactions at Agape. Themes were identified that had emerged during the interview process. In brief, the themes referred to trainees' theoretical and practical experiences in the training placement, how they made sense of the sacralised therapeutic experiences, and comments on their relationship with trainers and fellow trainees. The most common theme that emerged was that of power. The end product of this study portrays the trainees' understandings of power within a sacralised psychotherapeutic context and their responses to this. This study makes explicit the links between ritualisation and power within an evaluative psychotherapeutic training context, and the consequences of this for training. / Psychology / M.A. (Clinical Psychology)

OBJECTIVE/ METHOD The study examined implementation challenges faced by primary health care workers within the Ekurhuleni Metropolitan Municipality in Gauteng South Africa. Data collection was based on semi-structured interviews carried out on a purposive sample (n=19) of frontline clinicians working within the district as primary health care practitioners. RESULTS Participants confirmed that work within the primary health care service disproportionately focussed on curative and rehabilitative functions of their roles with little prioritisation of preventive and promotive interventions. Primary identified reasons included, institutional culture that prioritised short-term curative approaches. Clinicians also cited a range of other organisational barriers, such as – poor strategic planning, and a lack of understanding of health promotion and illness prevention. CONCLUSIONS Although the challenges that exist in implementing primary health care are clearly understood, clinicians perceive the solutions for these as being within the control of policy makers and those with power within the organisation. / Health Studies / M.A. (Public Health)

Aim of the study is to explore the role caring practices within the nurse-patient relationship, in facilitating effective chronic pain management in the primary health care context. Objectives are to analyse the current caring practices within the nurse-patient relationship during the management of patients with chronic pain within primary health care services; explore the challenges experienced by nurses in primary health care services when managing patients with chronic pain; observe the caring practices within the nurse patient interaction for the patients suffering from chronic pain within the Primary health care setting and explain the nurses‟ caring practices when managing their chronic pain in the primary health care setting. Method The research design for this study is sequential, explanatory and mixed method, which is more appropriate due to the complexity of the phenomenon under study. Findings: Although the survey measured the caring practices subjectively which other studies had done consistently, generally nurses associated caring as their core function within the health profession. Nurses do not actively involve the patients in the development of a treatment plan and as a result the caring behaviours that are intended to benefit the patients are not realised and, thus patients report nurses as not being caring. The results indicated that lack of an inclusive treatment plan, which can only be discovered through the development of the therapeutic NPR, is not given priority in the management of patients with chronic pain Conclusions: Caring should not be seen as concrete execution of the set of activities towards the patient but rather as a joint venture between the nurse and the patient. The strength of the model developed in this study is the identification of the nurses‟ internal readiness to create a caring environment by experiencing the love, faith and hope before engaging with the patient. / Health Studies

Cette thèse s’inscrit de manière indirecte dans la problématique des risques psychosociaux. A la demande d’un groupe mondial de l’industrie électrique, nous sommes entré dans la question en renversant le problème. Nous avons étudié les instruments psychosociaux de la santé au travail chez les managers de proximité. Le développement du pouvoir d’agir protège la santé et la formation de nouveaux buts est un organisateur de ce développement. Nous avons donc cherché à comprendre et à expliquer comment de nouveaux buts se forment dans et par les dialogues entre pairs sur le travail. L’analyse de discours a permis d’identifier une opération langagière et deux opérations psychologiques qui concourent au renouvellement des buts d’action : la reprise de discours dans le discours, la différenciation des sources de but et l’institution de liaison entre les activités. Sur la base de ces résultats, nous définissons les conditions que les dialogues entre pairs doivent réunir pour être un instrument de la santé. / This thesis is a contribution to the field of psychosocial risks at work. It reports how, in order to respond to the command of an international corporation of electrics industry, we entered the question of psychosocial risk at work, and how we managed to reverse the question. We ‘ve been studying, in a team managers’ group, the psychosocial tools used in order to build and maintain health at work. in the perspective of Clinic of Activity, we know firstly that the development of « power to act » in activity protects and promotes health at work, and secondly that the creation of new goals is a medium of this development. That is why , in this research project, we aimed to understand the creation process of new goals in activity, and we studied this process in a specific frame : in and by the way of dialogues about work activity among professional peers. Discourse analysis permit to identify three different processes, a language process and two psychological ones, that all participate to a renew of goals. Those processes are : 1) a new iteration, in the discourse, of a verbal statement taken from another discourse ; 2) the differentiation of goal’s origins ; and 3) the elaboration of new links between activities. Those issues allows us to define some of the significant properties of dialogue as a tool for health promotion between peers at work.

Esta dissertação tem por objetivo estudar a relação do professor iniciante de FLE com sua atividade e seu posicionamento diante das orientações/prescrições para seu trabalho, tendo como contexto de pesquisa uma escola particular de língua francesa localizada em uma cidade no interior do Estado de São Paulo, onde trabalhava a professora participante da pesquisa. O quadro teórico e metodológico que fornece o eixo central deste estudo é o Interacionismo Social (VYGOTSKI, 1984; 2008), de onde se originam suas vertentes também aqui adotadas: o Interacionismo Sociodiscursivo (BRONCKART, 1999; 2004; 2006; 2008; 2010; 2011; BRONCKART; MACHADO, 2004; MACHADO, 2004; 2007; 2009a; 2009b;) e duas das Ciências do Trabalho, a Clínica da Atividade (CLOT, 1995; 2001a; 2001b; 2006a; 2006b; 2008; 2010; 2012; 2013; FAÏTA, 2002; 2004) e a Ergonomia da Atividade dos Profissionais da Educação (AMIGUES, 2002; 2003; 2004; 2009; SAUJAT, 2002; 2003; 2004; AMIGUES; FÉLIX; ESPINASSY, 2014). A fim de analisar nossos dados, além do quadro teórico-metodológico proposto por Bronckart (1999; 2006), servimo-nos também dos estudos de Bulea (2010), Kerbrat-Orecchioni (2006). Maingueneau (1989) e Marcuschi (1999) para enriquecer nossas análises. A metodologia desta pesquisa consistiu na coleta e análise dos documentos de orientação existentes na situação de trabalho da professora iniciante participante desta pesquisa, bem como de duas entrevistas de Instrução ao Sósia (2001b) realizadas com ela e dos diários de aula produzidos pela professora participante, em que ela registrou suas impressões e sentimentos suscitados a partir de suas aulas. Através das análises de nossos dados, procuramos investigar o papel das prescrições (explícitas e implícitas) na situação de trabalho de nossa professora participante, os protagonistas de sua situação de trabalho bem como as implicações do uso da Instrução ao Sósia e dos diários de aula em processos de formação de professores iniciantes. Os resultados de nossas análises revelam a grande influência das prescrições explícitas e implícitas no agir do professor, sendo que elas podem vir a tolher seu poder de agir e prejudicar sua saúde no trabalho (CLOT, 2010; 2013). Vimos que, como protagonistas da situação de trabalho do professor iniciante, há a coordenadora pedagógica, o coletivo de professores e os alunos, instância também prescritora e responsável pelas intenções de mudanças do agir da professora. Finalmente, vimos que as entrevistas de Instrução ao Sósia e os diários de aula podem ser instrumentos que atuam na aprendizagem do métier e, possivelmente, no desenvolvimento do professor iniciante. Sabendo que o estudo do trabalho do professor iniciante pode ajudar a ampliar os conhecimentos do métier do professor (SAUJAT, 2004), ressaltamos a importância desta pesquisa para o campo da formação de professores, não apenas de francês como, também, de outras disciplinas. / This thesis has as its main objective to study the relationship between the FSL beginning teachers and their activity, as well as their position towards the guidance/prescription to their work, having as research background a French private school at the countryside of the state of São Paulo where the teacher who is also the research participant worked. The theoretical and methodological framework that supplies the pivoting point of this research is the Social Interactionism (VYGOTSKI, 1948; 2008), from which come its branches, which were also used in this paper: the Socio-discursive Interactionism (BRONCKART, 1999; 2004; 2006; 2008; 2010; 2011; BRONCKART; MACHADO, 2004; MACHADO, 2004; 2007; 2009a; 2009b;) and two of the Work Sciences, the Activity Clinic (CLOT, 1995; 2001a; 2001b; 2006a; 2006b; 2008; 2010; 2012; 2013; FAÏTA, 2002; 2004) and the Activity Ergonomics of the Education Professionals (AMIGUES, 2002; 2003; 2004; 2009; SAUJAT, 2002; 2003; 2004; AMIGUES; FÉLIX; ESPINASSY, 2014). To analyze our data, besides the theoretical and methodological framework proposed by Bronckart (1999; 2006), we also used the studies by Bulea (2010), Kerbrat-Orecchioni (2006), Maingueneau (1989) and Marcuschi (1999) to enrich our analyses. The methodology of this research consisted of collecting and analyzing the guidance documents which existed in the work situation of the beginning teacher participant of this research, as well as two interviews from Instruction to the Double (2001b) done with her and the teacher\'s diaries produced by the participant teacher, where she registered her impressions and the feelings aroused from her classes. Through the analyzes of our data, we attempted to investigate the role of the prescriptions (explicit and implicit) in the work situation of our participant teacher, the protagonists of her work situation as well as the implications of the use of Instruction to the Double and the teacher\'s diaries in the processes of beginning teachers\' development. The results of our analyzes show the great influence from the explicit and implicit prescriptions on the way the teacher performed, showing that they can come to hinder their power of performing and harm their well-being at work (CLOT, 2010 ; 2013). We realized that, as protagonists on the work situation of the beginning teacher, there are the pedagogical coordinator, the group of teachers and the students, who are also a prescribing instance responsible for the changing intentions on the teacher\'s way of acting. Finally, we realized that the interviews from the Instructions to the Double and the teacher\'s diaries can be tools that operate on the métier learning process and possibly, on the development of the beginning teacher. Knowing that the study on the beginning teacher\'s work may help to broaden the knowledge of the métier of the teacher (SAUJAT, 2004), we highlight the importance of this research in the teachers\' development field, not only for French, but also for other subjects.

A presente tese parte da afirmação reiterada e desconcertante desse filósofo francês de que ele não seria, de modo algum, um \"teórico do poder\", para mostrar que, para além das discussões em torno de se o primeiro Foucault (da arqueologia dos saberes), o segundo (da genealogia do poder), ou o terceiro (da ética e das condutas individuas), seria o mais importante, o \"melhor\", é possível falar numa unidade no que diz respeito à trajetória do seu pensamento e que essa unidade se dá em torno das relações políticas entre os homens, o que faz com que ele seja, eminentemente, um pensador da política, ou melhor, do político. Só que a política tal qual ele a entende não tem nada a ver com a aquela dos teóricos da política ou do poder e, sim, com a relação que ele passou a perseguir em um determinado momento dessa trajetória: a relação entre governantes e governados. Essa relação, cuja percepção se tornou possível por meio do conceito de governamentalidade, gestado no ano de 1978, constitui-se numa nova \"grade de leitura\" para a política, que permite: 1) dar um basta à idéia de que haja, nesse âmbito, modelos universais que possam dar respostas a todos os tipos de questões--modelos esses que legitimam a existência de \"intelectuais universais\", incumbidos de conceber esses modelos e apresentá-los aos \"explorados\" e \"ignorantes\", prometendo-lhes a sua libertação, bem como da \"vida política\" nas atuais democracias representativas--; 2) conceber uma noção de liberdade--enquanto uma relação entre governantes e governados que não possui limites a priori--que escapa à da tradição liberal que, gestada nos séculos XVII-XVIII, se tornou hegemônica no Ocidente a partir do século XIX, não só no plano discursivo, mas enquanto realidade sócio-econômica global. Onde quer que existam essas relações--e elas sempre existirão, para Foucault, do micro ao macro--é necessário que seja possível, sempre, pô-las sob questão; o que só acontece quando o pensamento é deixado solto para ser capaz de levantar o maior número de conflitos possível--e não de consensos--; para, crítico, apontar o maior número de problemas a serem resolvidos dentro do âmbito dessas. Algumas dessas relações irão, então, se sustentar, conseguir se justificar; outras, não, terão que ser revistas, num interminável trabalho de extensão dos limites da liberdade humana. Essa nova noção de liberdade, por sua vez, traz consigo a possibilidade de interrogação do fenômeno da subjetividade, na medida em que são sujeitos, sempre, os que participam dessas relações entre governantes e governados. Por isso, o presente trabalho se esforça em mostrar percursos intelectuais que, tendo sido percebidos e diretamente abordados por Foucault (caso de Kant e de Platão) ou não (segunda clínica lacaniana e perspectivismo ameríndio), mantêm, na ênfase que dão ao sujeito, uma visada em comum com a empreitada foucaultiana. / This thesis initiates itself by the reiterated and astonishing declaration by this French philosopher that he would not be, under any circumstance, a \"power theoretician\", in order to show that, beyond the debates on whether it would be the first Foucault (the archeology of knowledge one), the second (genealogy of power one), or the third (the ethics and the individual conduct one), the most important one, the \"best\", it is possible to talk about a unity in what concerns the trajectory of his thought and that such unity concerns the political relations between men, which results in that he is, eminently, a thinker of politics, or rather, of the political. Except that politics as he understands it has nothing to do with that of the theorists of politics or of power but with a relationship that he began to pursue somewhere along such a trajectory: the relationship that exists between the governing and the governed. Such a relationship, whose perception became possible by means of the concept of governmentality, conceived in the year of 1978, constitutes itself as a \"grid of understanding\" for politics, which allows to: 1) declare that we\'ve had enough of the idea that there shall exist, in such domain, universal models that may answer all kinds of questions--models which legitimate the existence of \"universal intellectuals\", held responsible for conceiving such models and for presenting them to the \"exploited\" and \"ignorant\", promising their liberation, as well as of \"political life\" in current representative democracies--; 2) to conceive a notion of liberty--as a relationship between the governing and the governed which has no a priori limits--that escapes from the liberal tradition one which, created along the XVII/XVIIIth century, became hegemonic in the West since the XIXth century, not only on the discursive level, but as socio-economic global reality. Wherever such relations exist--and they will always do, for Foucault, from micro to macro--it is necessary that it be possible, always, to put them open to question; that which only occurs when thought is left free to be able to raise the highest number possible of conflicts--and not consensuses--, in order to, critic as it is, point out the highest number of problems to be solved in such domain. Some of those relationships will be able, then, to sustain themselves, to justify themselves; others, won\'t, they will have to be modified, in an interminable labor of extending the limits of human liberty. This new notion of liberty, by its turn, carries along with itself the possibility of the inquiry of the phenomenon of subjectivity, as it is that it is always subjects that participate in such relations between the governing and the governed. For this reason, this thesis makes an effort to present intellectual paths which, having been noticed and approached by Foucault (the case of Kant and Plato) or not (second Lacanian clinic and Amerindian perspectivism), maintain, in the emphasis they give to the subject, a common viewpoint with the Foucauldian enterprise.

Ce mémoire examine les pratiques des demandeurs d’asile dans les structures humanitaires médicales de l’île de Lesvos, en Grèce. Maintenus dans la zone-frontière que constitue l'île, les demandeurs d’asile vivent dans le camp de Moria, reconnu pour ses conditions de vie extrêmement mauvaises. Dans le cadre de leur processus d’asile, ils sont soumis à une procédure médicale, l’évaluation de vulnérabilité, dont le résultat influence leurs parcours. Dans le cadre d’un terrain ethnographique mené sur l’île à l’été 2018, j’ai effectué de la participation observante en tant qu’interprète au sein d’une clinique humanitaire, où des médecins bénévoles et des demandeurs d’asile négocient ensemble le pouvoir attribué à l’évaluation de vulnérabilité. Le mémoire analyse les pratiques des demandeurs d’asile à partir du concept d’agentivité circonscrite, une forme d'agentivité aux effets imprévisibles. Dans une première partie, je démontre que les demandeurs d’asile mettent en œuvre des stratégies pour négocier la situation inhumaine dans laquelle ils sont mis ainsi que pour obtenir une reconnaissance. Leurs stratégies se structurent autour d’une réappropriation des logiques du dispositif humanitaire, notamment des stéréotypes qui sont assignés aux réfugiés. Dans une seconde partie, j’examine en profondeur un élément de ces stratégies qui est central aux interactions de soin dans la clinique humanitaire : les documents médicaux. Je montre que ces documents sont une technologie flexible dont la fonction est détournée par les pratiques des demandeurs d’asile, qui les utilisent comme une ressource et comme une preuve. Finalement, j’analyse les différentes façons dont les médecins bénévoles réagissent à ces pratiques ainsi que leurs conséquences sur l’accès aux soins médicaux. Ces éléments établissent un portrait nuancé des effets du dispositif humanitaire établi aux frontières de l’Europe suite à la crise des réfugiés de 2015. / This study examines asylum seekers’ practices within medical humanitarian structures on Lesvos island, Greece. Maintained inside the border-zone constituted by the island, asylum seekers live in Moria camp, which is known for its extremely bad living conditions. In the context of their asylum process, they undergo a medical procedure, the vulnerability assessment, the result of which influences their trajectories. As part of an ethnographic fieldwork conducted on the island in the summer of 2018, I carried out observing participation as an interpreter in a humanitarian clinic, a space where volunteer doctors and asylum seekers negotiate the power attributed to the vulnerability assessment. This study analyses the practices of asylum seekers through the concept of circumscribed agency, which effects are unpredictable. I first show that asylum seekers set up strategies to negotiate the inhuman situation in which they find themselves, as well as to obtain recognition. Their strategies are structured around a reappropriation of the logics of the humanitarian device, notably the stereotypes assigned to refugees. The second part extensively examines an element of these strategies central to the care interactions taking place in the humanitarian clinic: the medical documents. I show that these documents act as a flexible technology and that their function is reconfigured by asylum seekers’ practices, who use them as resources and proofs. Finally, I highlight the different ways in which volunteer doctors react to these practices, along with their consequences on access to medical care. These elements provide a nuanced description of the effects of the humanitarian device established at Europe’s borders following the 2015 refugee crisis.