The main aim of this study was to investigate how effective School Management Teams were in the management of healthy school environments in the Gert Sibande District. This was a qualitative study which employed two data collection strategies: face to face interviews and photographs. A literature review on this study revealed vital aspects, that a healthy school environment: can directly improve children’s health and effective learning; the school is strategically positioned to reach large numbers of the population to teach them to understand the importance of investing in health. Literature indicated collaboration and synergy as essential aspects, and policies as cornerstones that underpin the health promotion initiatives. Selection of sites was purposefully done as three of the four schools in this study were part of the Eco Schools programme. The study revealed that there was disconnect between the SMTs and committees that were involved in health promotion: in coordinating plans; and monitoring and evaluating the implementation of programmes. This therefore, means that there was no support for the committees from the SMT. It was also found that there were committees that: did not have plans; did not sit for meetings and the reluctance of the SMT to address these challenges compounded the situation and contributed to some committees being dysfunctional. The failure of the SMT to guide and provide leadership in their engagement with community members who provided assistance in terms of basic needs to learners indicated a need for the development of a cadre of leaders that are capable of working beyond the borders of schools. In all the committees that were interviewed, the Environmental Committee came up to be more effective and organized than others in three schools. The health committee was lacking in the area of training especially in the prevention of communicable diseases. The study provided recommendations to assist the SMT in their endeavors to promote healthy environments in their schools. / MEd, Education Management, North-West University, Vaal Triangle Campus, 2012

This thesis deals with the knowledge of processes and practical skills of cardiopulmonary resuscitation among nurses working in the field of anesthesia and intensive medicine. The theoretical part of this paper defines the notion of cardiopulmonary resuscitation, deals with its history, changing definitions, and the latest recommendations. It also describes and specifies terms such as competence, knowledge of the processes and the role of the nurse in the system. The empirical part, using a questionnaire survey, assesses orientation of nurses and nurses specialists in the latest recommendations in cardiopulmonary resuscitation and the related knowledge and competences in the use of resuscitation itself. The questionnaire survey was answered by 152 respondents from 3 large hospitals in Prague. There were also the results of its investigation, compared with the results of research conducted by Václav Kukol in 2010 - 2011 as part of their thesis. In the final discussion paper evaluates the confirmation of the hypotheses. Then attach the recommendations for practice.

Os profissionais da área de saúde deparam-se constantemente com situações que envolvem risco de vida para os clientes, uma delas é a parada cardiorrespiratória (PCR) e necessita que sejam instituídas mais rapidamente as manobras de ressuscitação cardiopulmonar (RCP) que compreende o Suporte Básico de Vida (SBV) e o uso de Desfibrilador Externo Automático (DEA). Trata-se de um estudo exploratório descritivo com o objetivo de identificar a HABILIDADE (prática) e o CONHECIMENTO (teórico) dos alunos dos cursos de graduação da área da saúde, de uma universidade privada no interior do Estado de São Paulo, antes e após serem submetidos ao curso/ treinamento. A coleta dos dados foi dividida em duas etapas sendo: 1ª. Etapa - avaliação do conhecimento teórico e prático prévio antes de um curso teórico com demonstração prática das manobras de RCP com uso do DEA e treinamento utilizando o laboratório de práticas com o manequim de RCP e o DEA; 2ª. Etapa avaliação teórica e prática individual. Foram incluídos 173 alunos com faixa etária de 17 a 23 anos, 151 (87,3%) do sexo feminino; na Avaliação da HABILIDADE na 1ª. Etapa, a pontuação máxima foi de 91 pontos 69 (39,9%) alunos e 104 (60,1%) alunos não pontuaram, na 2ª. Etapa a pontuação máxima obtida foi de 260 pontos por 101(58,4%) alunos. Na Avaliação do CONHECIMENTO, a pontuação máxima foi de 5,75 pontos e a pontuação mínima de 1,0 ponto na 1ª. Etapa. Na 2ª. Etapa, a pontuação máxima foi de 10,0 pontos por sete (4,0%) alunos, nenhum aluno obteve pontuação inferior a 7,5 pontos. Para 19 itens a diferença foi significativa na Avaliação da HABILIDADE da 1ª para a 2ª. Etapa em todos os grupos de conteúdos sendo: Avaliação inicial e responsividade 2 itens; Abertura das vias aéreas e manobras de respiração - 6 itens; Avaliação do pulso carotídeo e compressões torácicas - 3 itens e Manuseio do DEA 8 itens. Para 9 questões a diferença foi significativa na Avaliação do CONHECIMENTO da 1ª para a 2ª. Etapa em dois grupos de conteúdos: Abertura das vias aéreas e manobras de respiração - 3 questões e Manuseio do DEA 6 questões. As 13 questões que não apresentaram bom desempenho na 2ª. Etapa do estudo, no Conhecimento, estão agrupadas nos conteúdos: Avaliação inicial e responsividade; Abertura das vias aéreas e manobras de respiração e Manuseio do DEA. Quanto comparados a HABILIDADE e o CONHECIMENTO verifica-se que houve melhora no desempenho da primeira para a segunda etapa em todos os itens e questões (p=0,0001). Quanto ao treinamento a média do tempo de observação foi de 78,3 minutos e o tempo de treino foi de 117,1 minutos. Em relação à HABILIDADE os itens que não atingiram bom desempenho na 2ª. Etapa estão nos conteúdos Avaliação inicial e responsividade e Manuseio do DEA e em relação ao CONHECIMENTO as questões que não atingiram bom desempenho estão nos conteúdos Avaliação inicial e responsividade; Abertura das vias aéreas e manobras de respiração e Manuseio do DEA. Conclui-se que tanto na HABILIDADE quanto no CONHECIMENTO houve melhora no desempenho dos alunos. / The health professionals faced with situations involving risk of life for patients, one of them is cardiopulmonary arrest (CA) and needs to be established more quickly cardiopulmonary resuscitation (CPR) involving the Basic Life Support (BLS) and use of Automated External Defibrillator (AED) This is a exploratory study aiming to identify the skill (practice) and knowledge (theoretical) of the students in health undergraduate students in a private university in the state of São Paulo, before and after their submitted to the course / training. Data collection was divided into two stages as follows: 1st. Step - Evaluation of knowledge practical and theoretical and course with prior practical demonstration of CPR maneuvers using the AED, 2nd. Step - training and theory/practice evaluation individual, using laboratory practices with the manikin CPR and AED. 173 students were included aged 17 to 23 years, 151 (87.3%) were female; the skill evaluation in the 1st. Step, the maximum score of 91 points was 69 (39.9%) and 104 students (60.1%) were not scored in the 2nd. Step a maximum score of 260 points was obtained for 101 (58.4%) students. The Knowledge evaluation, the maximum score was 5.75 points in the 1st. Stage and a minimum score of 1.0 in the 2nd. Step, the maximum score was 10.0 points in seven (4.0%) students, no students scored less than 7.5 points. For 19 items the difference was significant in the skill evaluation the 1st to 2nd. Step in all groups of content being: \"Initial evaluation and responsiveness\" - 2 items, \"Opening the airway and breathing maneuvers\" - 6 items, \"Evaluation of the carotid pulse and chest compressions - items 3 and \" Handling the DEA \"- 8 items. In nine questions for the difference was significant in the Knowledge evaluation from the 1st to 2nd. Step into two groups of content: \"Opening the airway and breathing maneuvers\" - three questions and \"Handling the DEA\" - 6 issues. The 13 questions that did not show good performance in the 2nd. Stage of the study on Knowledge, are grouped by content: \"Initial evaluation and responsiveness,\" \"Opening the airway and breathing maneuvers\" and \"Handling the DEA.\" As compared with the skill and knowledge there is a significant improvement in performance from first to second step on all the items and issues (p = 0.0001). As for training the average observation time was 78.3 minutes and the workout time was 117.1 minutes. Regarding skill items that did not achieve good performance in the 2nd. Step in the contents are Initial evaluation and responsiveness and Handling the DEA and about the knowledge the questions that are not achieved a good performance in the contents Initial evaluation and responsiveness, Opening the airway and breathing maneuvers and Handling the DEA. We conclude that both the skill and knowledge in significant improvement in student performance.

Os profissionais da área de saúde deparam-se constantemente com situações que envolvem risco de vida para os clientes, uma delas é a parada cardiorrespiratória (PCR) e necessita que sejam instituídas mais rapidamente as manobras de ressuscitação cardiopulmonar (RCP) que compreende o Suporte Básico de Vida (SBV) e o uso de Desfibrilador Externo Automático (DEA). Trata-se de um estudo exploratório descritivo com o objetivo de identificar a HABILIDADE (prática) e o CONHECIMENTO (teórico) dos alunos dos cursos de graduação da área da saúde, de uma universidade privada no interior do Estado de São Paulo, antes e após serem submetidos ao curso/ treinamento. A coleta dos dados foi dividida em duas etapas sendo: 1ª. Etapa - avaliação do conhecimento teórico e prático prévio antes de um curso teórico com demonstração prática das manobras de RCP com uso do DEA e treinamento utilizando o laboratório de práticas com o manequim de RCP e o DEA; 2ª. Etapa avaliação teórica e prática individual. Foram incluídos 173 alunos com faixa etária de 17 a 23 anos, 151 (87,3%) do sexo feminino; na Avaliação da HABILIDADE na 1ª. Etapa, a pontuação máxima foi de 91 pontos 69 (39,9%) alunos e 104 (60,1%) alunos não pontuaram, na 2ª. Etapa a pontuação máxima obtida foi de 260 pontos por 101(58,4%) alunos. Na Avaliação do CONHECIMENTO, a pontuação máxima foi de 5,75 pontos e a pontuação mínima de 1,0 ponto na 1ª. Etapa. Na 2ª. Etapa, a pontuação máxima foi de 10,0 pontos por sete (4,0%) alunos, nenhum aluno obteve pontuação inferior a 7,5 pontos. Para 19 itens a diferença foi significativa na Avaliação da HABILIDADE da 1ª para a 2ª. Etapa em todos os grupos de conteúdos sendo: Avaliação inicial e responsividade 2 itens; Abertura das vias aéreas e manobras de respiração - 6 itens; Avaliação do pulso carotídeo e compressões torácicas - 3 itens e Manuseio do DEA 8 itens. Para 9 questões a diferença foi significativa na Avaliação do CONHECIMENTO da 1ª para a 2ª. Etapa em dois grupos de conteúdos: Abertura das vias aéreas e manobras de respiração - 3 questões e Manuseio do DEA 6 questões. As 13 questões que não apresentaram bom desempenho na 2ª. Etapa do estudo, no Conhecimento, estão agrupadas nos conteúdos: Avaliação inicial e responsividade; Abertura das vias aéreas e manobras de respiração e Manuseio do DEA. Quanto comparados a HABILIDADE e o CONHECIMENTO verifica-se que houve melhora no desempenho da primeira para a segunda etapa em todos os itens e questões (p=0,0001). Quanto ao treinamento a média do tempo de observação foi de 78,3 minutos e o tempo de treino foi de 117,1 minutos. Em relação à HABILIDADE os itens que não atingiram bom desempenho na 2ª. Etapa estão nos conteúdos Avaliação inicial e responsividade e Manuseio do DEA e em relação ao CONHECIMENTO as questões que não atingiram bom desempenho estão nos conteúdos Avaliação inicial e responsividade; Abertura das vias aéreas e manobras de respiração e Manuseio do DEA. Conclui-se que tanto na HABILIDADE quanto no CONHECIMENTO houve melhora no desempenho dos alunos. / The health professionals faced with situations involving risk of life for patients, one of them is cardiopulmonary arrest (CA) and needs to be established more quickly cardiopulmonary resuscitation (CPR) involving the Basic Life Support (BLS) and use of Automated External Defibrillator (AED) This is a exploratory study aiming to identify the skill (practice) and knowledge (theoretical) of the students in health undergraduate students in a private university in the state of São Paulo, before and after their submitted to the course / training. Data collection was divided into two stages as follows: 1st. Step - Evaluation of knowledge practical and theoretical and course with prior practical demonstration of CPR maneuvers using the AED, 2nd. Step - training and theory/practice evaluation individual, using laboratory practices with the manikin CPR and AED. 173 students were included aged 17 to 23 years, 151 (87.3%) were female; the skill evaluation in the 1st. Step, the maximum score of 91 points was 69 (39.9%) and 104 students (60.1%) were not scored in the 2nd. Step a maximum score of 260 points was obtained for 101 (58.4%) students. The Knowledge evaluation, the maximum score was 5.75 points in the 1st. Stage and a minimum score of 1.0 in the 2nd. Step, the maximum score was 10.0 points in seven (4.0%) students, no students scored less than 7.5 points. For 19 items the difference was significant in the skill evaluation the 1st to 2nd. Step in all groups of content being: \"Initial evaluation and responsiveness\" - 2 items, \"Opening the airway and breathing maneuvers\" - 6 items, \"Evaluation of the carotid pulse and chest compressions - items 3 and \" Handling the DEA \"- 8 items. In nine questions for the difference was significant in the Knowledge evaluation from the 1st to 2nd. Step into two groups of content: \"Opening the airway and breathing maneuvers\" - three questions and \"Handling the DEA\" - 6 issues. The 13 questions that did not show good performance in the 2nd. Stage of the study on Knowledge, are grouped by content: \"Initial evaluation and responsiveness,\" \"Opening the airway and breathing maneuvers\" and \"Handling the DEA.\" As compared with the skill and knowledge there is a significant improvement in performance from first to second step on all the items and issues (p = 0.0001). As for training the average observation time was 78.3 minutes and the workout time was 117.1 minutes. Regarding skill items that did not achieve good performance in the 2nd. Step in the contents are Initial evaluation and responsiveness and Handling the DEA and about the knowledge the questions that are not achieved a good performance in the contents Initial evaluation and responsiveness, Opening the airway and breathing maneuvers and Handling the DEA. We conclude that both the skill and knowledge in significant improvement in student performance.

The diploma thesis "Methodology of human protection in emergencies at primary school" is focused on the practical teaching of pupils. It outlines the practice of dealing with possible extraordinary events according to the specific requirements of the Všetaty Primary School. In the theoretical part, inclusion of the given issue in education, legislation and detailed analysis of the framework educational program for basic education are presented. It is possible to divide extraordinary events and its further specification. Emergencies and general principles of behavior are established in the event of their occurrence. Population warning and alert, integrated rescue and emergency call lines are pointed out. First aid in involved in the conclusion. The research part describes a research survey which used various information sources, based the method of interview and analysis of theoretical documents. The main objective of the research is to find out which emergencies endanger the Všetaty region and to design the activities in the educational program in compliance in accordance with the found threads. In the practical part the draft of the educational program of the topic Human rights protection in emergencies, which is created according to the specific needs of the Všetaty elementary school is...

Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2017-06-22T13:29:21Z No. of bitstreams: 1 Gabriela Oliveira Zavaglia_.pdf: 2183895 bytes, checksum: 6eed7a2dd3f6809639deb11f97ced4a2 (MD5) / Made available in DSpace on 2017-06-22T13:29:21Z (GMT). No. of bitstreams: 1 Gabriela Oliveira Zavaglia_.pdf: 2183895 bytes, checksum: 6eed7a2dd3f6809639deb11f97ced4a2 (MD5) Previous issue date: 2017-04-20 / Nenhuma / O presente estudo teve como objetivo principal: desenvolver um guia de orientações práticas em saúde sobre primeiros socorros para trabalhadores de ensino fundamental em uma escola pública do município de Dilermando de Aguiar, Rio Grande do Sul. Método: trata-se de uma pesquisa qualitativa, de caráter descritivo e exploratório, desenvolvido por meio de uma entrevista semi estruturada com trabalhadores atuantes em uma escola pública de ensino fundamental da cidade descrita. Resultados e discussão: participaram da pesquisa 22 trabalhadores de ensino fundamental, destes, seis eram do sexo masculino e 16 do sexo feminino, com idades que variam entre 27 e 70 anos, com grau de instrução alternando entre ensino fundamental incompleto e pós graduação, e com tempo de atuação no local de pesquisa variando entre um e 40 anos. Foram elegíveis duas categorias: conhecimento dos trabalhadores em situações que envolvam primeiros socorros, com as subcategorias conhecimentos técnicos sobre primeiros socorros e conhecimento de senso comum sobre primeiros socorros e a segunda categoria: demandas e necessidades referentes a primeiros socorros com as subcategorias: situações relatadas que envolveram primeiros socorros, atuação frente aos eventos relatados envolvendo primeiros socorros; solicitação de treinamento sobre primeiros socorros. Os participantes relataram o seu desconhecimento sobre os primeiros socorros e atribuíram este à falta de oferta de treinamentos e esclarecimentos sobre o mesmo em seu local de trabalho. Diante disto, foram desenvolvidas ações educativas referentes a primeiros socorros e um guia de orientações práticas ilustrado para os trabalhadores da escola que será um importante recurso a ser acessado rapidamente, sempre que houver dúvidas, tanto no âmbito escolar como no meio social. Conclusão: Os resultados do trabalho assinalam que a temática “Primeiros Socorros” é pouco conhecida por trabalhadores de escolas de ensino fundamental, por não ser apresentada e desenvolvida durante sua formação e não abordada como um assunto de extrema importância no local de trabalho, impactando assim na realidade local e apresentando melhorias na promoção da saúde local. Registra-se a relevância do profissional enfermeiro como disseminador de conhecimento e por ser capaz de criar vínculos entre os serviços de educação e saúde. / The present study aimed to develop a guide to practical health guidelines on first aid for primary school workers in a public school in the city of Dilermando de Aguiar, Rio Grande do Sul, as well as to describe the actions of primary education workers in public schools, according to their self-report, in situations involving first aid, to identify the demands and needs of workers related to situations involving first aid and develop educational actions related to first aid with elementary school workers in public schools. Method: this is a qualitative, descriptive and exploratory research, developed through a partially structured interview with workers at a public elementary school in the city of Dilermando de Aguiar, Rio Grande do Sul. Results and discussion: twenty-two primary education workers participated in this study, of which six were male and 16 female, with ages varying between 27 and 70 years, with a level of education alternating between incomplete elementary and postgraduate education, and work time at the research site ranging from one to 40 years. Two categories were eligible: knowledge of workers in first-aid situations, with the subcategories: first aid technical knowledge and common-sense knowledge about first aid and second category: demands and needs regarding first aid with subcategories: situations that involved first aid; action on reported events involving first aid and first aid training request. Participants reported their unfamiliarity about first aid and attributed this to the lack of training offer and clarification on the subject in their workplace. Therefore, educational actions referring first aid were developed in an illustrated practical guidelines guide for school workers which will be an important resource to be accessed quickly, whenever there are doubts, both in the school and in the social environment. Conclusion: the results of the study indicate that the subject "First Aid" is little known to primary school workers because it is not presented and developed during their training and is not approached as a matter of extreme importance in the workplace. The importance of the nursing professional as a disseminator of knowledge and of being able to create connections between the education and health services is registered.

Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2016-03-16T13:51:51Z No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5) / Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2016-07-21T20:50:00Z (GMT) No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5) / Made available in DSpace on 2016-07-21T20:50:11Z (GMT). No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5) Previous issue date: 2013-02-22 / The aim of this study was to analyze the incidence of trauma among elderly victims rescued by the Mobile First-Aid Service (MFAS). MATERIAL AND METHODS: Cross-sectional study conducted in the city of Sousa / PB using data from 190 records of elderly victims of trauma rescued by MFAS in the period from January 1 to December 31, 2011. The survey instrument included a specific form containing demographic variables (gender and age group) and data related to the trauma (time, location, day of week, month, trauma mechanism, existing lesions, presence of ethylic breath and patient referral). From those who had suffered falls, information about socio-demographic characteristics and consequences of the fall were collected. Data were analyzed using the SPSS software (Statistical Package for the Social Sciences) 17.0 for Windows. Associations were verified by using the Chi-square test or Fisher's exact test with Freeman-Halton extension, whenever appropriate, adopting significance level of  < 5%. RESULTS: Data were collected from records of 190 elderly victims of diverse trauma (51.1% male). Their ages ranged from 60 to 104 years, with mean age of 75.3 years (SD 10.44 years) and median of 74.0 years. According to the characteristics of the occurrence of traumas, significant association was observed between presence of ethylic breath and sex (p <0.001) and age group (p = 0.004) and trauma mechanism with sex (p <0.001). From the total traumatized elderly, 124 (65 3%) suffered falls. However, due to losses and / or refusals, 93 elderly patients who suffered falls were evaluated, whose interview was conducted at their homes. Their ages ranged from 60 to 104 years, with mean age of 79.0 years (SD = 10.5 years) and median of 78.0 years. Among those who suffered falls, 62.4% were female, 47.3% had 80 years or more, 65.6% lived without a partner, 51.6% had incomplete primary education or above and 66.7% had no income or earned up to one minimum wage. Data regarding elderly who suffered falls showed association between sex and age group (p = 0.004), marital status (p = 0.002), hospitalization (p = 0.047) and place of fall (p = 0.006). CONCLUSION: Among the traumas occurred, most were due to falls, followed by traffic accidents. Among those who suffered falls, the majority reported that the fall was due to the height, to have occurred at home and mainly due to dizziness / imbalance and environmental factors. / OBJETIVO: Analisar a ocorrência dos traumas entre as vítimas idosas socorridas pelo Serviço de Atendimento Móvel de Urgência (SAMU). MATERIAL E MÉTODOS: Estudo transversal realizado no município de Sousa/PB, utilizando as fichas de ocorrência de atendimento a idosos vítimas de traumas diversos socorridos pelo SAMU no período de 01 de janeiro a 31 de dezembro de 2011. O instrumento de pesquisa compreendeu um formulário específico sendo analisadas as variáveis demográficas (sexo e grupo etário) e referentes ao trauma (horário, local, dia da semana, mês, mecanismo do trauma, lesões existentes, presença de hálito etílico e o encaminhamento do paciente). Daqueles indivíduos que sofreram queda, foram coletadas, ainda, informações sócio-demográficas, características e consequências da queda. Os dados foram analisados por meio do aplicativo estatístico SPSS (Statistical Package for the Social Sciences) versão 17.0 for Windows. As associações foram verificadas por meio do teste Qui-quadrado de Pearson, ou Teste Exato de Fisher com extensão de Freeman-Halton, quando apropriado, sendo adotado o nível de significância  <5%. RESULTADOS: Foram estudados 190 idosos vítimas de traumas (51,1% do sexo masculino), com idade variando de 60 a 104 anos, média etária de 75,3 anos (DP= 10,44 anos) e mediana de 74,0 anos. De acordo com as características das ocorrências dos traumas, foi observada associação significativa da presença de hálito etílico com o sexo (p<0,001) e grupo etário (p=0,004) e do mecanismo de trauma com o sexo (p<0,001). Do total de idosos traumatizados, 124 (65,3%) sofreram queda, contudo, devido às perdas e/ou recusas, foram avaliados 93 idosos. A idade desses idosos variou de 60 a 104 anos, com média de 79,0 anos (DP= 10,5 anos) e mediana de 78,0 anos. Do total de idosos que sofreram quedas 62,4% eram do sexo feminino, 47,3% apresentava 80 anos ou mais, 65,6% vivia sem companheiro, 51,6% possuíam ensino fundamental incompleto ou acima e 66,7% não tinha renda ou ganhava até um salário mínimo. Os dados referentes aos idosos que sofreram quedas mostraram associação entre grupo etário e sexo (p= 0,004), situação conjugal (p= 0,002), hospitalização (p= 0,047) e lugar da queda (p= 0,006). De todos os traumas ocorridos, a maioria foi devido a quedas, seguido pelos acidentes de transporte. Entre os idosos que sofreram quedas, maior proporção referiu ter sido da própria altura, ocorrida em casa e causadas principalmente por tontura/desequilíbrio e fatores ambientais. CONCLUSÃO: Entre os principais traumas ocorridos foi observada associação significativa da presença de hálito etílico com o sexo e grupo etário e do mecanismo de trauma com o sexo. Assim, considera-se que esta pesquisa foi relevante para caracterizar os idosos socorridos e as ocorrências dos traumas e espera-se que os profissionais de saúde envolvidos no atendimento a idosos sejam sensibilizados quanto à alta frequência e gravidade dos episódios de trauma.

Studies have shown that emergency mental health trauma (EMHT) services can significantly reduce the long-term effects of trauma after a disaster. However, rural municipalities may find they do not have the capacity to create such a service, or may not realize that their disaster planning includes no provision for emergency mental health care. Such was the case in a rural island community in the state of Washington, where, in 2014, several residents initiated a discussion that helped to identify the community's lack of EMHT services. This project, framed by action research and based on collaboration theory, sought to advance the potential for the community's 21 resident social workers to address this issue collaboratively. Accordingly, the project's research question asked how social workers on south Whidbey Island perceived the issue of a rural EMHT service in their community. Data consisted of responses from 8 participants who completed mailed questionnaires and participated in brief telephone interviews. Descriptive coding analysis of the data confirmed a nearly universal lack of knowledge about an EMHT service, a clear perception of the need for such a service, and a unanimous commitment from the respondents to participate in addressing this problem. Such collaborative activity is expected to have a positive impact on the micro, mezzo, and macro levels of social work practice in south Whidbey, as well as on the community itself, not only in spearheading a dialogue about EMHT but also in activating a group of social workers who had no prior association.

The main aim of this study was to investigate how effective School Management Teams were in the management of healthy school environments in the Gert Sibande District. This was a qualitative study which employed two data collection strategies: face to face interviews and photographs. A literature review on this study revealed vital aspects, that a healthy school environment: can directly improve children’s health and effective learning; the school is strategically positioned to reach large numbers of the population to teach them to understand the importance of investing in health. Literature indicated collaboration and synergy as essential aspects, and policies as cornerstones that underpin the health promotion initiatives. Selection of sites was purposefully done as three of the four schools in this study were part of the Eco Schools programme. The study revealed that there was disconnect between the SMTs and committees that were involved in health promotion: in coordinating plans; and monitoring and evaluating the implementation of programmes. This therefore, means that there was no support for the committees from the SMT. It was also found that there were committees that: did not have plans; did not sit for meetings and the reluctance of the SMT to address these challenges compounded the situation and contributed to some committees being dysfunctional. The failure of the SMT to guide and provide leadership in their engagement with community members who provided assistance in terms of basic needs to learners indicated a need for the development of a cadre of leaders that are capable of working beyond the borders of schools. In all the committees that were interviewed, the Environmental Committee came up to be more effective and organized than others in three schools. The health committee was lacking in the area of training especially in the prevention of communicable diseases. The study provided recommendations to assist the SMT in their endeavors to promote healthy environments in their schools. / MEd, Education Management, North-West University, Vaal Triangle Campus, 2012

The thesis, which is divided into a practical and a theoretical part, examines the level of knowledge among the members of the Fire Brigade of the South Bohemia region. The theoretical part characterizes the Fire Brigade of the Czech Republic, its mission and tasks, its position within the Integrated Emergency System. The theoretical part deals with the issues of stagnant, flowing and frozen water hydrology, physiology related to staying in cold water and the possibilities to use rescue and protective aids. I also present a list of dangerous situations rescuers are exposed to when rescuing on water surfaces. Results of a questionnaire research are processed and evaluated in the practical part. The questionnaire deals with the issues of stagnant, flowing and frozen water hydrology, the basic theoretical knowledge as well as practical skills of the members of the South Bohemian Fire Brigade. The most important findings resulting from the performed research are summarized in the conclusion of the work. I evaluate the aims and hypotheses set at the beginning and propose a possible solution of the problems in question.