Purpose – The purpose of this study is to explore the ways multinational companies implement CSR initiatives adapted to the social needs of local communities in African countries. The paper will highlight local communities’ social needs and the appropriateness of CSR initiatives to respond to them, performed by multinational companies, using Epiroc AB as a case study. Methodology - This research was conducted using a qualitative research approach, applying a case study strategy, and empirically inquiring, seeking new insights for a deeper understanding of phenomena. The authors carried out three formal semi-structured interviews, two conducted to relevant CSR employees, and one from a community member. The authors also used secondary data by reviewing published documents containing information on local communities’ social needs in Africa. Findings – Most demanding areas of CSR to be considered by the MCN are related to poverty alleviation (food, health, and shelter) but, to avoid dependency, these need to be coupled with a capacity-building (education/training) and/or access to infrastructure (drinkable water, electricity, communications). The MNC uses specific mechanisms to assess LCSN, called systematic assessments and on-sight assessments. MNCs tend to adopt locallydriven, globally-driven, or trend-driven CSR initiatives in its subsidiary African countries to build a long term business sustainability and create a balance amongst stakeholders in the host country. Originality – An assessment of local communities' social needs and adaptability by Multinational Companies venturing into the African Market is introduced and developed by the authors. Paper type – Qualitative/Exploratory paper.

Current literature has indicated a concern about standards of maternity care experienced by pregnant asylum seeking women. As the next generation of midwives, it would appear essential that students are educated in a way that prepares them to effectively care for pregnant asylum seekers. Consequently, this study examined the way in which midwifery students constructed a pregnant asylum seeker's health and social needs, the discourses that influenced their constructions and the implications of these findings for midwifery education. For the duration of year two of a pre-registration midwifery programme, eleven midwifery students participated in the study. Two focus group interviews using a problem based learning (PBL) scenario were conducted. In addition, three students were individually interviewed and two students' written reflections on practice were used to construct data. Following a critical discourse analysis, dominant discourses were identified which appeared to influence the way that pregnant asylum seekers were perceived. The findings suggested an underpinning discourse around the asylum seeker as different and of a criminal persuasion. In addition, managerial and medico-scientific discourses were identified, which appeared to influence how midwifery students approach their care of women in general, at the expense of a woman centred, midwifery perspective. The findings from this study were used to develop 'the pregnant woman within the global context' model for midwifery education and it is recommended that this be used in midwifery education, to facilitate the holistic assessment of pregnant asylum seekers' and other newly arrived migrants' health and social needs.

"The problem of this study is to determine whether the hobbies of the fourth and fifth grade boys of the public schools in Denton, Texas, are contributing to their social needs. It is believed that the intangible attributes of living, which can be mearsured neither by rule nor square, make for the well-rounded, happy, social, individual, whether he be adult or child. The degree to which an individual is adjusted socially ranges from the completely anti-social type to the fully-integrated type. The reasons for this gradation are numerous. They include the influence of the home, the school, and the playmates, as well as other factors in the general environment of the child. The purpose of this investigation is to discover whether the hobbies of the boys under consideration are potential and actual forces for integration and socialization."--leaf 1.

Föreliggande studies syfte var att undersöka biståndsläggarens arbete för att minska ensamhet och social isolering hos äldre personer. En kvalitativ explorativ design användes och materialet till studien samlades in genom semistrukturerade intervjuer med sex biståndshandläggare. Genom en tematisk analys framkom fyra huvudteman: vad är ensamhet och social isolering, identifiering och information, betydelsen av insatser och sociala sammanhang samt biståndshandläggaren och den äldre personen. Sammanfattningsvis beskriver de intervjuade biståndshandläggarna att ensamhet och social isolering kan förebyggas och minskas genom kommunala insatser men att den viktigaste faktorn är närheten till familj och sociala nätverk. Biståndshandläggarna beskriver också att de kan uppleva maktlöshet, både i förhållande till den enskilde och i förhållande till riktlinjer och brist på resurser inom den egna verksamheten. Maktlösheten kopplas i diskussionsavsnittet till Lipskys teori om frontlinjebyråkrater. Trots de utmaningar som finns är biståndshandläggarna överens om att de har en viktig och betydande roll i arbetet för att tillgodose den enskildes behov. / The aim of this study was to investigate the care managers’ work to reduce loneliness and social isolation in older people. A qualitative exploratory design was used and the material for the study was collected through semi-structured interviews with six care managers. Through a thematic analysis, four main themes emerged: "what is loneliness and social isolation", "identification and information", "the importance of activities and the social context" and "the care manager and the older person". In summary, the interviewed care managers describe that loneliness and social isolation can be prevented and reduced through governmental interventions, but the most important factor is proximity to family and social networks. Moreover, the care managers describe that they can experience impotency, both in relation to the individual client and in relation to framework and lack of resources within their own operation. The impotency is discussed in relation to Lipsky's theory of street level bureaucrats. Despite the challenges that exist, the care managers agree on the importance and significance of their role in working to meet the individual’s needs.

This thesis is focused on the issues linked with providing highly specialized care to critically ill patients with intra-aortic balloon pump (IABP) in intensive care units. IABP helps these patients overcome period of acute phase of heart failure or overcome period of time necessary before definitive intervention or surgical solution. A nurse has an irreplaceable role from the very beginning of patient's preparation before insertion of mechanical support (psychological as well as physical), assumes the assistance and instrumentation during insertion of heart support, observation during counterpulsation to psychological support of the patient leading to disconnection (weaning). This thesis is divided into two parts. Theoretical part is organized in several theme units focused on description and method principles, main indications, contraindications, and complications occuring with counterpulsation. The next part is dedicated to nurse's role in the problematics of saturation of bio-psycho-social needs of IABP patients. And the last part characterizes the specifics of intensive care. The core of practical part was qualitative research as per defined goals. The main objective was to map demand for quality nursing care in connection with IABP. This aim was reached through definition of four sub-aims and five research questions. The research questions were focused firstly on knowledge preconditions of nurses and problematic areas of care for IABP patients. Secondly, research effort was focused on the area of insufficient needs of patients in the bio-psycho-social area and on quality of information provided to patients. Imaginary centerpiece of research investigation consists of analysis of case studies of patiens, graphic visualisation of their thought map was used to survey the specifics of nursing care. For the evaluation of needs and mapping of patient's awareness the technique of individual half-structured interview with open questions was used. Same was used with nurses for mapping of problematic areas of nursing care. At the same time casuistry was formed as classical method of description followed by analysis of nursing case. Its meaning was to clarify optimization of means, processes and nursing interventions, i.e. mapping the specifics of nursing care of IABP patients. Research group consisted of patients selected intentionally with regards to the research problematics. For a complex conseption of the research the group for qualitative investigation consisted of four patients of cardio-surgery unit and one patient of coronary unit. Research investigation was realized in coronary intensive care units in České Budějovice hospital and Faculty hospital Plzeň and in Cardio-surgery unit of FN Plzeň. Research group for investigation of nursing problematic was formed by nurses of coronary units and cardio-surgery units of above mentioned hospitals. Eight nurses participated in the interviews. The selection of nurses was finalized only after the research topics were developed in detail. At that time sample selection was not bringing any new information any more, hence theoretical saturation of factual reality was reached. Based on analysis of research results within the goal defined and focused on the level of nurses' theoretical knowledge of nursing patients during IABP therapy it was observed that even though nurse's knowledge is sufficient, it is also significantly inconsistent. Relatively vast reserves were found especially in the area of communication with patients, hence in complex care for patient's psychological state.

PURPOSE The purpose of this study was to explore how primary care registered nurses address unmet social needs in patients. SPECIFIC AIMS Explore how RNs in a safety-net, primary care setting develop an awareness of and address patient's unmet social needs. Describe how information about unmet social needs are integrated into nursing assessment and intervention activities, and are shared with other members of the health care team. Describe the challenges primary care RNs face when addressing unmet social needs. FRAMEWORK Critical caring theory provided the framework for this study. DESIGN This study used a descriptive, qualitative design. Semi-structured interviews were conducted with seventeen nurses working in 11 different safety-net primary care clinics within a hospital-based system. RESULTS Three major themes emerged. Key findings included the importance of the nurse-patient relationship, the establishment of trust, and a caring, nonjudgmental approach to patients with unmet social needs. Nurses used knowledge of unmet needs to coordinate patient care, provide social support, and work collaboratively with care team members to refer patients to resources within the health care system and in the community. CONCLUSION Unmet social needs contribute to adverse health outcomes, and addressing social and medical needs is critical to eliminating health inequities and reducing health care costs. In this study, primary care nurses described relationships with patients that allowed for the sharing of sensitive information, leading the nurse to identify and address unmet social needs that could impact patient health.

Dans la vie sociale, les besoins sont regardés comme un préalable nécessaire à la définition d’un projet ou à la création d’un service. Pourtant s’ils apparaissent évidents, naturels, ils sont l’objet d’une construction sociale. Cette recherche se propose d’étudier le processus de fabrication des besoins sociaux dans la politique d’accueil des jeunes enfants en France en partant des questions suivantes : comment les besoins adviennent-ils sur la scène publique, dans quelle mesure sont-ils pris en considération, comment sont-ils exprimés ? Trois déterminants des besoins ont été au cœur de l’analyse : le politique, l’individu et le marché. Nous avons montré que les besoins sociaux reçoivent plusieurs formes de « mise en visibilité » pour exister publiquement mais que cette politisation aboutit partiellement à les faire reconnaître comme un vrai problème. Par ailleurs, la reconnaissance des besoins sociaux passe par leur transformation en une « demande sociale ». Dans le secteur de la petite enfance, cette expression est rendue difficile parce que la photographie des besoins qui ressort des enquêtes est très hétérogène, mais aussi en raison de l’existence d’une non-demande (le non-recours au service), et à cause des situations « d’imprévisibilité » dans lesquelles se trouvent les parents par rapport à leur mode d’accueil. Enfin, les besoins sont étroitement liés à ceux qui les couvrent. Dans le cadre du nouveau marché des crèches d’entreprise, un déplacement s’opère : les besoins des familles sont mis en arrière-plan au profit de ceux des entreprises et des collectivités financeurs et potentiels clients des services. Ceci étant, les entreprises de crèches continuent à faire exister les besoins des familles, autrement, de manière plus quantitative, notamment par les plates-formes de réservation de places et par la promotion de deux figures du parent, celle du « salarié-parent » et celle du « parent-prospect ». / In social life, needs are considered as a necessary prerequisite to the definition of a project or the creation of a service. Though they seem obvious and natural, they result from a social construction. This research sets out to study the making process of social needs regarding child care policy in France from the following questions : how do needs arise on public scene, to what extent are they taken into consideration, how are they expressed ? Three determinative were at the heart of our analysis : politics, market and the individual. We have shown that social needs acknowledge several forms of “visibiliting” so as to exist on public scene but that actually this politicization partially succeeds in making them recognize as a real problem. On the other hand, the recognition of social needs goes through their transformation into one social request. In child care field, this expression turns out to be difficult, because the picture of the needs which emerge from surveys is very heterogeneous, owing to the existence of no-requesting (no-resorting to services), because of some situations of “unpredictability” in which parents cope with child minding. Finally, needs are closely linked to those who cover them. Within the context of the firm child care centres’ new market, a transfer has occurred : families’ needs have been relegated to the background to the profit of the firms and local communities’ ones :services’ financing and potential customers. Yet, market continues making families ‘ needs exist but differently, in a more quantitative way, in particular through child care centres’ websites and also by the promotion of both new faces of the parent : “salaried-parent” and “prospect-parent”.

Magister Public Health - MPH / The Zambia Demographic Health Survey reports that 81% of the population of Mansa District, Zambia lives in extreme poverty. Eleven percent (11%) of this population is estimated to be HIV positive. Many of this HIV positive population were the primary breadwinners in their households prior to the onset of AIDS. The majority of them are cared for by family members (PCGs) with limited training. Home Based Care programmes provide care and support to patients at their homes. However, this support does not extend to the caregivers. This explorative study investigated the psychological, social and informational needs of primary caregivers of AIDS patients in Mansa District, Zambia. It was envisaged that the findings of the study would assist home-based care organizations to provide comprehensive support and care to the primary caregivers, in addition to patients. Methods A qualitative research approach was chosen to gain an in-depth understanding of healthrelated experiences of caregivers while taking into consideration the context within which this phenomenon takes place. Twenty-six caregivers who provide basic care and support to family members who had advanced HIV-disease were recruited into the study. All AIDS patients in the study were former breadwinners of their households. Purposive, maximum variation sampling was used to select non-homogeneous cases of family caregivers, who provided services to AIDS patients within their homes. It was envisaged that such a heterogeneous sample would provide wide variations in experiences, and this would contribute to the range of issues pertaining to caregiver needs being covered. Three Focus group discussions were conducted, audio-tape recorded and transcribed. Findings The findings of the study highlight that caregivers have the following psychological needs: reciprocated sympathy and appreciation from society and their patients, stress coping mechanisms, and the capacity to display patience despite unreasonable demands made by the patients for whom they are caring. The study highlights that caregivers face numerous challenges in dealing with conflicting relationships and in handling stigma and discrimination, and that they are in need of a strong social support network. It also emphasizes that many of the primary caregivers lack adequate information about social services organizations that can assist them with training. The training will enable those (PCGs) to provide care in a manner that does not compromise the safety of the patients or themselves, as well as give them opportunities for education and skills development for income generation that will make it possible for them to provide for the upkeep of the family. Conclusions Home-based care workers are best placed to support PCGs at home. The training of such home-based workers should be extended to take in consideration the specific needs of these caregivers. In addition, the role of primary caregivers should be acknowledged in national HIV/AIDS strategies.

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Current literature has indicated a concern about standards of maternity care experienced by pregnant asylum seeking women. As the next generation of midwives, it would appear essential that students are educated in a way that prepares them to effectively care for pregnant asylum seekers. Consequently, this study examined the way in which midwifery students constructed a pregnant asylum seeker's health and social needs, the discourses that influenced their constructions and the implications of these findings for midwifery education. For the duration of year two of a pre-registration midwifery programme, eleven midwifery students participated in the study. Two focus group interviews using a problem based learning (PBL) scenario were conducted. In addition, three students were individually interviewed and two students' written reflections on practice were used to construct data. Following a critical discourse analysis, dominant discourses were identified which appeared to influence the way that pregnant asylum seekers were perceived. The findings suggested an underpinning discourse around the asylum seeker as different and of a criminal persuasion. In addition, managerial and medico-scientific discourses were identified, which appeared to influence how midwifery students approach their care of women in general, at the expense of a woman centred, midwifery perspective. The findings from this study were used to develop 'the pregnant woman within the global context' model for midwifery education and it is recommended that this be used in midwifery education, to facilitate the holistic assessment of pregnant asylum seekers' and other newly arrived migrants' health and social needs. / Became: Haith-Cooper, Melanie. Please search under Haith-Cooper for later articles.