Thesis (M. Soc. Sc.)--University of Hong Kong, 2006.

Thesis (Ph.D.)--Ohio University, June, 2006. / Title from PDF t.p. Includes bibliographical references (p. 288-302)

Thesis (M. Soc. Sc.)--University of Hong Kong, 2000.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 111-119).

Thesis (M.A.)--University of Wisconsin--Madison, 1973. / Title from title screen (viewed Mar. 27, 2007). Includes bibliographical references. Online version of the print original.

<p><font face="Times-Roman"> <p align="left">According to the findings of this study, childcare workers caring for HIV-positive children working in a residential care setting, have similar experiences and challenges to nurses, community-based caregivers and primary caregivers, such as coping with loss and contagion fear. Nonetheless, caring for HIV-positive children poses unique challenges for the caregiver, calling for flexibility and situation-dependent coping strategies.</p> </font></p>

Based on research involving an overview of 44 policies at Canadian universities and 21 interviews with anti-harassment practitioners across the country, this thesis explores the challenges faced by anti-harassment practitioners working with legally defined institutional harassment discrimination policies. Anti-harassment work at Canadian universities is complex because practitioners must negotiate institutional demands set out in policy as well as politicized demands from members of marginalized groups both inside and outside the institution. Interviews with practitioners reveal that their daily work in reactive investigation and mediation of complaints as well as their proactive work in educating campus communities may support the less powerful parties to complaints, rather than focusing only on limiting the institution’s legal liability. Therefore, although anti-harassment practitioners occupy a boundary role as defined by Fraser (1989), their work is not entirely “depoliticizing”. Practitioners’ identities, sense of marginalization, and commitment to activist politics contribute to their position as tempered radicals as defined by Meyerson and Scully (1995), helping to explain their commitment to both institutional prerogatives and to empowering marginalized members of the institution. The advent of neoliberalism has set the stage for the shift of discourses and practices away from those which value equity to those that underscore traditional divisions of power and challenge the demands of so-called “special interest groups’. This shift is underscored by concerns about “political correctness” that arise within institutional communities and the broader social context. Perhaps the most obvious of the changes relates to the shift from a focus on equity and human rights to what is termed the “respectful workplace model”. The inclusion of personal harassment issues in human rights policies shifts the focus of the policies to issues that are not tied to historical oppressions and can potentially deflect attention from the human rights component of these policies. The challenge is to move beyond a legalistic perspective regarding policy development and to consider changes in the broader social context that influence policy change and the work of anti-harassment practitioners.

Background: The adult inpatient psychiatric care is regulated by law and allows certain amount of coercion, most commonly restraint, forced medication and seclusion. To be treated according to this law you need to suffer from a serious mental disorder, oppose to the care and have an indispensable need of care. Many studies describe patients experiences to be treated with coercion but few about health care workers experiences. Aim: To describe health care workers experiences of performing coercion in psychiatric compulsory care. Method: A literature review was made and eight articles is the basis for the result. Results: From the articles used inthis study four themes were created. These are coercions impact on relations, health care workers feelings during coercion, coercion as a necessary evil and health care workers need for reflection. The themes are presented as headlines in the result. Conclusion: To use coercive measures brings out many different feelings among health care workers. There are both positive and negative aspects about coercive measures, but not enough support and time for reflection for the health care workers that execute them. The health care workers needto be acknowledged and feel that they have made the right decision and that they used coercion as a last resort. The result shows that there is a need for reflection and support among health care workers.

How do health workers understand population health as a concept and as it relates to their practice? How does an accreditation of a health region lead to an understanding of a population health approach? <p>The purpose of this study was to explore the extent to which health region staff understands population health and to determine how the Canadian Council on Health Services Accreditation (CCHSA) accreditation process addresses population health perspectives. The goal was to ascertain the knowledge, practices, and attitudes of the staff with respect to population health in general and with respect to an accreditation process in order to see how a health region integrates a population health component into its services. A case study of the Saskatoon Health Region (SHR) was used to determine how a health region can integrate a population health component into the design and delivery of its services. The case study was comprised of a literature review, secondary data review from the 2001 Accreditation Survey Report, and primary data collection from people involved in the 2004 accreditation self-assessment which took place in the health region from March through June, 2004, which was facilitated by the Canadian Council on Health Services Accreditation (CCHSA). Primary data was captured through the use of key informant interviews of twenty employees in the health region. The participants were selected from the sponsors and leads of the accreditation teams that are most connected to a population health perspective; other participants were invited from those teams. These teams were selected by the author after reviewing the results of the CCHSA 2001 Accreditation Report that highlighted areas for improvement. This variety of input from across the teams triangulated the responses. In addition, key informants representing senior management, (i.e. the medical health officer(s) and the Chief Executive Officer for SHR), were also interviewed. These people were included in order to capture the knowledge practices and attitudes of the visionaries and leaders of the region and their ideas with respect to the direction for population health. <p>The thesis closes with a discussion on implications for the policy arena and opportunities for the CCHSA to improve the population health content in their accreditation documents.

This thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.