<p>Att bli förälder är en omtumlande upplevelse. För de föräldrar som vill ha stöd ska detta också finnas tillgängligt för att de med trygghet ska kunna möta barnets behov och stärka dess utveckling. BVC-sjuksköterskan har en central uppgift när det gäller att ge stöd till föräldrar med barn i åldrarna 0-6 år. Syftet med studien var att beskriva BVC-sjuksköterskors erfarenheter av att ge stöd i föräldraskapet. Metoden som användes var en kvalitativ innehållsanalys med induktiv ansats beskriven av Lundman och Hällgren Graneheim. Datainsamling gjordes genom intervjuer med fyra BVC-sjuksköterskor. Resultatet visade att BVC-sjuksköterskan upplevde att föräldrastöd var något som utfördes varje gång hon träffade föräldrarna. Genom att finnas till för familjen och stärka föräldrarnas egna resurser kunde hon stödja dem i föräldraskapet. Ett förändrat samhälle krävde dock en förändrad barnhälsovård och de resurser som gavs påverkade det stöd som kunde erbjudas föräldrarna.</p> / <p>Becoming a parent is an overwhelming experience. It is important to have support available for those who need it in order for parents to safely meet the needs of their child, and to strengthen the development of their child. The Child Health Nurse has a central role in supporting parents with childen aged 0-6 years. The aim of this study was to describe Child Health Nurses experiences of supporting parents. The method being used was a qualitative content analysis with an inductive approach described by Lundman and Hällgren Graneheim. The data was collected through interviews with four Child Health Nurses. The result shows that the Child Health Nurses experienced that parenting support was something which took place each time they met with the parents. By being there for the family and by strengthening the own resources of the parents, she could support their parenting. A changed society demanded a change in child health care and the conditions given influenced the support available for parents.</p>

Self-help groups have emerged as a system of care for groups of people sharing a common problem or condition. Most of the interest in research came from professionals in mental health and social services. Educators have traditionally viewed self-help groups as outside their domain. The focus of this study is the phenomenon of personal change within self-help groups. This is viewed as “learning with peers.” The subject of the study was HOPE Cancer Health Centre, a non-profit community based self-help organization in Vancouver, B.C. Appropriate to the study of phenomena in their natural surroundings, data collection methods were qualitative in nature. Fourteen in-depth interviews were carried out with members and leaders of the self-help group. Two introductory workshops were attended for participant observation and several pertinent documents were reviewed. A full description of HOPE Cancer Health Centre as a self-help group and as a context for adult learning was developed. To clarify the description of HOPE, a framework of characteristics of self-help groups was developed. It was used to organize data collection and analysis. Compilation and analysis of the findings created a description of HOPE that adds to the understanding of self-help groups as organizations in a larger system of care provision. It also adds to the understanding of HOPE as an organization with the purpose to assist cancer patients who are interested in actively participating in their cancer treatment and recovery. In order to enhance understanding of adult learning in the context of a selfhelp group, three perspectives from the literature on adult learning were selected for their potential to organize and explain the resulting data. Four important themes emerged from the data on the learning experiences of the members of HOPE. First, the ideology of HOPE, “self as participant in healing,” is the framework of learning and within that frame there are four forms of learning, the forms of transformative learning being the most significant. Second, for the learners of HOPE, the basis of knowledge is their personal experience; therefore, processes of experiential learning are important as well as those of perspective transformation. Third, the affective dimension of the experiential learning process was found to be integral in the process of learning. The fourth theme is “learning with peers,” the innate characteristic of self-help groups. All members interviewed placed high value on their experiences of learning with peers and of learning at HOPE. Meaningful interpretation of the data resulted from application of concepts and theoretical propositions from three perspectives on adult learning: experiential learning, transformative learning and situated learning.

Melatonin Therapy for the difficult sleep disorders of children with neurodevelopmental disabilities Dr. James Jan Pediatric Neurologist, Department of Pediatrics, BC Children's Hospital Founder of the Visual Impairment program Sunny Hill Health Centre for Children A Sunny Hill TeleCDR Education Series Presentation Recorded at: Sunny Hill Health Centre for Children on March 15, 2007

Aim of the study: – investigate and compare the satisfaction of work of the personnel working in the Kaunas Centre of Public Health (KCPH) and its subsidiaries. Methods: - The personnel of KCPH and its subsidiaries took part in the inquiry. There were 193 questionnaires distributed, 150 of them were completed and returned. The response rate was 77.7%. The 7 – point Likert scale was used in the survey where 1 point stood for “totally disagree”, and 7 points for “totally agree”. The acquired inquiry results data were then processed and analyzed using SPSS version 9.0 Statistical software package. Hypothesis about the absence of interdependence between the two indicators were verified using the chi-square (χ2) criterion. Results differences at p < 0.05 level were considered as statistically significant. Means, standard deviations (SD) and confidence intervals (CI) were also calculated. The strength of relation among the rating variables was verified using Spirmen coefficient of correlation. Results: - In the KCPH subsidiaries 50% of the personnel are elder than 50 years of age. 49.1% of the KCPH subsidiaries employees have secondary education. General satisfaction with the work, independently of working place, is higher than average (4.98). The most satisfied with the work are the ones who have secondary education (5.33), elder than 50 years of age (5.31) and the ones who have 26 or more years of previous experience in the field (5.52). The motivation actions were identified... [to full text]

Šiuo metu vykstančios nuolatinės permainos, įvairios reorganizacijos visuomenės sveikatos apsaugos srityje skatina įvertinti visuomenės sveikatos centrų (toliau – VSC) darbuotojų motyvaciją organizacinės kaitos sąlygomis, nes išsamesnių tyrimų šia tema nėra. Darbo tikslas – įvertinti visuomenės sveikatos centro darbuotojų motyvaciją organizacinės kaitos sąlygomis. Uždaviniai: išanalizuoti VSC organizacinės kaitos aspektus bei motyvavimo organizacijoje ypatumus įtakojančius darbuotojų veiklą; išsiaiškinti VSC darbuotojų motyvacijos priklausomybę nuo amžiaus ir užimamų pareigų; palyginti Šiaulių VSC bei skyrių darbuotojų motyvaciją lemiančius veiksnius organizacinės kaitos sąlygomis. Tyrimo metodika. 2009 m. spalio – lapkričio mėn. buvo atliktas empirinis tyrimas panaudojant apklausą raštu. Apklausti 84 Šiaulių VSC ir skyrių darbuotojai. Anketinės apklausos duomenys apdoroti ir analizuojami naudojant statistinį duomenų analizės paketą SPSS 15.0 for Windows, Microsoft Excel bei Microsoft Word XP 2003 programas. Kiekybinių požymių priklausomumo, homogeniškumo bei proporcijų lygybių vertinimui naudotas x² kriterijus. Rezultatai. Organizacinę kaitą Šiaulių VSC labiausiai įtakoja socialiniai – ekonominiai pokyčiai šalyje (86,9 proc.). Vadovai pokyčius stengiasi aptarti su savo institucijos nariais (85,7 proc.). Svarbiausiais motyvacijos veiksniais respondentai išskyrė atlyginimo dydį (98,8 proc.), šiltus ir draugiškus santykius tarp bendradarbių (95,2 proc.). Nustatyta, kad... [toliau žr. visą tekstą] / The constant transformations and various reorganizations that have been recently taking part in the field of public health protection urges to evaluate the employees’ motivation at public health centers (further as PHC) under the conditions of organizational change, since there is a lack of the detailed research on this topic. The aim of research is to evaluate the employees’ motivation at public health center under the conditions of organizational change. The objectives are as follows: to analyze the aspects of organizational change at PHC and the peculiarities of motivating in organization that influence the employees’ performance; to identify the dependency of PHC employees’ motivation on the criteria of age and the official position they take in that organization; to compare the employees motivation influencing factors at Šiauliai PHC and subdivisions under the conditions of organizational change. The methods of research. The empirical research by employing the written survey was carried out in 2009, from October till November. 84 employees at Šiauliai PHC and subdivisions were surveyed. The data of questionnaire survey were processed and analyzed by means of statistical package for social sciences SPSS 15.0 for Windows, Microsoft Excel and Microsoft Word XP 2003 software. x² criterion was used for evaluating the dependency, homogeneity and proportion equality of the quantitative variables. Results. The organizational change at Šiauliai PHC has been mostly influenced... [to full text]

SUMMARY In the process of undertaking of health care reform, a network of ambulatory mental health centres (MHC) was created in Lithuania and legislative acts, which regulate the activity of the centres were adopted. However there is lack of data on spread, character and consumers of services, which are provided in practice in the mental health centres. Aim of the study- to analyse the structure of services, aimed at children and provided in the Mental Health Centre, and the data of children, who are applying for the help (their sex, age, the indications of their visits). Objectives:1) to determine the number and conditions of children who apply for the help to the Mental Health Centre; 2) to describe demographic structure of children who apply for the help to the Mental Health Centre; 3) to assess services provided for children with mental disorders in the Mental Health Centre. Methods: The Mental Health Centre of Kaunas Center Outpatient Department, which services about 50 000 habitants, was chosen for the research. Case-histories of 663 children from 0 to 18 years old were investigated. On the ground of visits of children, who depend to the provided district, the spread and morbidity of mental disorders was identified. Quantitative indicators of children visits to the mental health specialists were analysed. Data analysis was performed using the statistical package of SPSS 10.03. Results: In the years 2002 – 2004, 6,1 percent from all served children applied to the... [to full text]

At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational changes like a new appointment system, a new medical record and local care programs for some common diseases were introduced. Official statistics were also used for comparative purposes. The aims of the work were postulated (increased accessibility, higher continuity, more equitable distribution and enhanced cooperation) and suitable methods were designed. From postal surveys, chartreviews and administrative data (from hospitals, out-patient clinics and health centres) figures and information were collected. Accessibility was studied by waiting room time which was reduced and continuity, analyzed with a new concept - visit based provider continuity - was improved. The question of equitable distribution was studied by the consultation rates at different out-patient clinics. It seemed as if the local development work changed the patterns of utilization but some important issues were not decisively answered. Repeated postal surveys reflected the question of equitable distribution and the cooperation between the VPHCC and the community members. Positive responses were recorded in aspects like telephone accessibility and health care information. In a tracer study of diabetes the quality of care was studied. The local care program was actually implemented in the daily practice but the question of care quality needs further penetration. Within the frames of the development work new methods in the health care planning were introduced. Our work started from the prerequisits of the VPHCC and other health centres might find other ways of planning for care provision. On a general level, however, the structure of our work - defining aims, means and evaluation methods - can be used by others. / <p>Diss. (sammanfattning) Umeå : Umeå universitet, 1986, härtill 6 uppsatser.</p> / digitalisering@umu

The practice environment of nurses plays a very important role in the delivery of quality health care. However, there is limited knowledge on what positive practice environments entail with specific reference to the primary health context of the public health care sector of South Africa. Nurses in this context are the frontline health personnel and are affected not only by nursing shortages, but also high workloads as the public health care sector serves 83% of the South African population and the private health care sector only 17%. In this study the researcher decided to conduct a study to explore the practice environment of nurses in the primary health care context as no studies have previously been undertaken in this regard. The researcher used a case study design with quantitative and qualitative approaches and implemented descriptive, explanatory and contextual strategies. This design, together with the findings of objectives one, two and three, the World Health Organization Strengthening of Health Systems and Fourteen Forces of Magnetism Frameworks and inductive and deductive logic enabled the researcher to achieve the overarching aim, which is objective four, of this study. Descriptive statistics, confirmatory factor analysis and Cronbach’s alpha assisted the researcher in assessing the demographic profile (objective 1) and the status of the practice environment of community health centres in North West Province (objective 2). Thereafter, the researcher was also able to identify the community health centre with the most favourable practice environment in order to conduct semi-structured individual interviews (objective 3). The descriptive data of objective 1 revealed that community health centres in the North West Province are located on average 36 km from the nearest referral hospital to which an average of five patients per day are referred. The average number of patients consulted per month is 3 545 of which the nurse consults an average of 40 and the physician 15 patients per day. In the community health centres the average age of nurses is 40, with 10 years of nursing experience. There were more female than male nurses of which 65% of the registered nurses had a diploma in nursing and had only started their careers at 31 years of age. There is an average of eleven registered nurses, five auxiliary and one enrolled nurse in the community health centres of which only four of the registered nurses (36%) had a qualification in Clinical Health Assessment, Treatment and Care. The overall staff turnover rates were very low and the satisfaction levels were high. The factor analysis of objective 2 revealed that the Practice Environment Scale of the Nursing Work Index’s sub-scales staffing and resource adequacy and nurse participation in primary health care/community health centre affairs had means below 2.5, indicating that nurses were not in agreement with these sub-scales. However, nurse manager ability, leadership and support; collegial nurse-physician relationships and nursing foundations for quality of care had a mean above 2.5 indicating that the nurses were in agreement with these sub-scales. Lastly, the qualitative findings indicated that although the community health centres with the most favourable practice environment were affected by factors that decrease quality of care which included a lack of resources, limited infrastructure, limited support from pharmacy and staff shortages. These mentioned factors were not in the control of the community health centres. Although the community health centres were affected by the above-mentioned factors these community health centres excelled in support, leadership and governance, collegial nurse-physician relationships and factors influencing quality of care which were in the control of the community health centre. / Thesis (PhD (Nursing))--North-West University, Potchefstroom Campus, 2013.

The practice environment of nurses plays a very important role in the delivery of quality health care. However, there is limited knowledge on what positive practice environments entail with specific reference to the primary health context of the public health care sector of South Africa. Nurses in this context are the frontline health personnel and are affected not only by nursing shortages, but also high workloads as the public health care sector serves 83% of the South African population and the private health care sector only 17%. In this study the researcher decided to conduct a study to explore the practice environment of nurses in the primary health care context as no studies have previously been undertaken in this regard. The researcher used a case study design with quantitative and qualitative approaches and implemented descriptive, explanatory and contextual strategies. This design, together with the findings of objectives one, two and three, the World Health Organization Strengthening of Health Systems and Fourteen Forces of Magnetism Frameworks and inductive and deductive logic enabled the researcher to achieve the overarching aim, which is objective four, of this study. Descriptive statistics, confirmatory factor analysis and Cronbach’s alpha assisted the researcher in assessing the demographic profile (objective 1) and the status of the practice environment of community health centres in North West Province (objective 2). Thereafter, the researcher was also able to identify the community health centre with the most favourable practice environment in order to conduct semi-structured individual interviews (objective 3). The descriptive data of objective 1 revealed that community health centres in the North West Province are located on average 36 km from the nearest referral hospital to which an average of five patients per day are referred. The average number of patients consulted per month is 3 545 of which the nurse consults an average of 40 and the physician 15 patients per day. In the community health centres the average age of nurses is 40, with 10 years of nursing experience. There were more female than male nurses of which 65% of the registered nurses had a diploma in nursing and had only started their careers at 31 years of age. There is an average of eleven registered nurses, five auxiliary and one enrolled nurse in the community health centres of which only four of the registered nurses (36%) had a qualification in Clinical Health Assessment, Treatment and Care. The overall staff turnover rates were very low and the satisfaction levels were high. The factor analysis of objective 2 revealed that the Practice Environment Scale of the Nursing Work Index’s sub-scales staffing and resource adequacy and nurse participation in primary health care/community health centre affairs had means below 2.5, indicating that nurses were not in agreement with these sub-scales. However, nurse manager ability, leadership and support; collegial nurse-physician relationships and nursing foundations for quality of care had a mean above 2.5 indicating that the nurses were in agreement with these sub-scales. Lastly, the qualitative findings indicated that although the community health centres with the most favourable practice environment were affected by factors that decrease quality of care which included a lack of resources, limited infrastructure, limited support from pharmacy and staff shortages. These mentioned factors were not in the control of the community health centres. Although the community health centres were affected by the above-mentioned factors these community health centres excelled in support, leadership and governance, collegial nurse-physician relationships and factors influencing quality of care which were in the control of the community health centre. / Thesis (PhD (Nursing))--North-West University, Potchefstroom Campus, 2013.

Darbo tikslas. Įvertinti komandinio darbo svarbą bei ištirti socialinių darbuotojų vaidmenį, Kauno miesto, rajono ir apskrities, psichikos sveikatos centruose. Darbo uždaviniai: 1) įvertinti psichikos sveikatos centrų darbuotojų nuomonę apie komandinį darbą ir socialinių darbuotojų įtraukimą į jį; 2) įvertinti psichikos sveikatos centrų darbuotojų nuomonę apie socialinių darbuotojų vaidmenį ir jų atliekamas funkcijas; 3) ištirti kaip psichikos sveikatos centrų socialiniai darbuotojai vertina komandinį darbą ir savo vaidmenį jame. Tyrimo metodika. Kiekybinis tyrimas. Anoniminės anketos pagalba 2013 m. gruodžio mėn. – 2014 m. vasario mėn. buvo apklausti Kauno miesto, jo rajono ir apskrities, psichikos sveikatos centruose dirbantys specialistai. Išdalinta 110 anketų, tinkamomis analizei pripažintos 102 anketos (atsako dažnis – 77,3 proc.). Hipotezės apie dviejų požymių nepriklausomumą buvo tikrinamos naudojant Chi-kvadrato kriterijų, hipotezė apie dviejų nepriklausomų imčių proporcijų lygybę buvo tikrinama naudojant z – kriterijų. Kokybinis tyrimas. Buvo naudojamas pusiau struktūruotas interviu metodas, atlikta duomenų analizė. Buvo apklausti 6 socialiniai darbuotojai, ne trumpiau kaip 1 metus, dirbantys psichikos sveikatos centruose. Rezultatai. Komandinio darbo efektyvumą gerai vertina 50 proc. respondentų. Respondentai, kurie komandinio darbo efektyvumą vertina gerai ir puikiai dažniau nurodo, kad komandinis darbas vyksta visada arba dažnai (93,8 proc.), lyginant su... [toliau žr. visą tekstą] / Objective of the work. To assess the importance of the team work and to analyze the role of social workers in the mental health centres in Kaunas city, region and district. Tasks of the work: 1) to evaluate the opinion of the employees of mental health centres about the team work and involvement of social workers into it; 2) to evaluate the opinion of the employees of mental health centres about the role and functions of social workers; 3) to analyze, how the social workers of mental health centres see their team work and their role in it. Research methodology. Quantitative research. The anonymous questionnaires were used in December 2013-February 2014 to survey the specialists working in the mental health centres in Kaunas city, region and district. 110 questionnaires were distributed and 102 questionnaires were recognized as suitable for analysis (the response rate – 77.3%). The hypotheses about independence of two variables were checked using the Chi-square criterion, while the hypothesis about equal proportion of two independent samples was checked using the z criterion. Qualitative research. The semi-structured interview was used and the data were analyzed. Six social workers, who have been working in mental health centres for at least one year, were surveyed. Results. The effectiveness of team work was evaluated well by 50 % of respondents. The respondents, who evaluated the effectiveness of team work as good and excellent, indicate that the team work is carried out... [to full text]