Our understanding of what factors contribute to the success of human service organisations is limited. Social workers often occupy leadership roles in such organisations, and so research is needed on how leadership influences success. This study explored how staff at a care home for older people perceive factors important for creating success, and the function of leadership. A case study design was adopted employing a qualitative approach, with data collected using semi-structured interviews. A care home identified as something out of the ordinary was chosen as the field site and three care staff and the care home manager selected as participants. A qualitative analysis indicated that a work environment characterized by solidarity generated resilience and satisfaction among staff. A focus on the residents, an innovative work approach and a visible, honest and accommodating manager were factors perceived as vital for creating success. / Vår förståelse för vilka faktorer som bidrar till framgång för människobehandlande organisationer är begränsad. Socionomer innehar ofta ledande roller inom dessa organisationer, därmed behövs forskning om hur ledarskapet påverkar framgång. Denna studie undersöker hur personal på ett vård- och omsorgsboende för äldre beskriver faktorer som är viktiga för att skapa framgång, samt funktionen av ledarskap. En fallstudiedesign användes vilken utgick från en kvalitativ ansats där datamaterialet samlades in genom semistrukturerade intervjuer. Ett vård- och omsorgsboende vilket utmärkt sig som något utöver det vanliga valdes som plats för studien och tre ur vård- och omsorgspersonalen samt enhetschefen valdes som deltagare. Kvalitativ analys visade att en arbetsmiljö som kännetecknas av solidaritet genererade motståndskraft och tillfredsställelse bland personalen. Fokus på de boende, ett innovativt arbetssätt och en synlig, ärlig och tillmötesgående enhetschef var faktorer som uppfattades avgörande för att skapa framgång.

Made available in DSpace on 2015-03-05T19:35:31Z (GMT). No. of bitstreams: 0 Previous issue date: 31 / Nenhuma / Esta pesquisa tem por objetivo apresentar uma discussão sobre as características do processo terapêutico no atendimento psicológico domiciliar, a partir da análise de conceitos fundamentais da psicoterapia psicanalítica, tais como: o setting, a neutralidade, a intervenção e a relação terapêutica. Além disso, a mesma se propõe a identificar e compreender os aspectos técnicos desta modalidade de acompanhamento, realizando uma reflexão teórica e técnica a partir do referencial psicanalítico. A metodologia utilizada foi o estudo de caso. Foram apresentados e discutidos os relatos de dois casos clínicos, de João e Luciana, que receberam atendimento psicológico domiciliar por seis meses. As entrevistas foram analisadas a partir das categorias analíticas propostas: setting, neutralidade, intervenção e relação terapêutica. Concluiu-se que o processo terapêutico domiciliar apresenta características específicas no setting, no campo terapêutico, assim como na técnica utilizada, na postura do terapeuta, em relação à neut / This research aims to present a discussion on the characteristics of the therapeutic process in psychological home care from the analysis of the fundamental concepts of psychoanalytic psychotherapy, such as: the setting, the neutrality, intervention and therapeutic relationship. Moreover, it proposes to identify and understand the technical aspects of this type of monitoring, conducting a technical and theoretical reflection from the psychoanalytical references. The methodology used was the case study. It was presented and discussed the reports of two cases of John and Luciana, who received psychological care home for six months. The sessions were analyzed through the from analytical categories proposed: setting neutrality, intervention and therapeutic relationship. It was that the therapeutic process has specific characteristics regarding the home setting, the therapeutic, the technique used and the attitude of the therapist in relation to neutrality, situations that distinguish it from a conventional psycho

This research examined notions of belonging and sense of community through a set of layered lenses that integrated a social model of aging with phenomenology to gain a better understanding of the lived experiences of individuals residing in a long-term care (LTC) home. Conducted in a for-profit LTC home in Ontario, this study analyzed messaging in marketing materials supplied to potential residents and their families in anticipation of a move to a LTC home and in the staff policies and procedures manuals using document and narrative analysis. Themes emerging from this phase were then compared with the first-hand experiences of living in a LTC home as told by residents through the use of a focus group (n=6) and individual interviews (n=6) and experiences of working in a LTC home as described by interviews with staff (n=6). Analysis of marketing documents revealed the theme of let us be your caring community. As messaged in these documents, the LTC home supported residents by caring, embodying the ideals of home through natural living spaces, and supporting meaningful personal connections. This contrasted with messages found in the staff policy manuals. Divided discourses highlighted the tangible complexities of implementing a person-centered philosophy within a business model by describing the industry of care, prescribed customer service, fabricating normalcy and, to a much lesser extent, promoting the practice of person-centered care. Residents’ phenomenological stories illustrated variable un/belonging within a LTC home. Personal experiences of the institutional erosion of belonging, congregate nature of living in a LTC home, changing nature of personal relationships and the prescriptive living environment routinized day-to-day experiences and provided a stark contrast between belonging in community and un/belonging in a LTC home. Weaving belonging into daily tasks described how staff members laboured daily at working to personalize LTC home living, and how they were helpless to prevent losses in community and belonging. After completing the research and analysis of the promotional materials, policy and procedures manuals, and resident and staff transcripts I conducted a broader level analysis of all four sets of themes in order to get a sense of the whole. I concluded there were five tensions of: constructing home from the outside; person-centered care within a biomedical, business model; promoting individuality in a congregate structure; synthetic connections at the expense of long-standing relationships; and fostering living in a death-indifferent culture which justified society’s need to divide and regulate. Incorporating a range of data including promotional materials, policy and procedures manuals, and the voices of both residents and staff, these tensions are not only implicit in the culture of Manor House but within the overarching structure of LTC homes in general and have deep implications on the standing and status bestowed upon older adults in Canadian culture. My intention was to bring to light the contextualized lived experiences of individuals living at Manor House and highlight the structural and social barriers that continue to produce discrimination by “problematizing” aging and subsequently fostering notions of presumably acceptable dividing practices (Foucault, 1982) within society. By examining meanings and experiences of community in a LTC home, and also recognizing the systemic, structural and cultural factors that may shape those experiences, I sought to gain a more comprehensive understanding of the lifeworlds of individuals living within a LTC home.

The presence of human pharmaceuticals in the aquatic environment is now becoming a well-established fact. The identified problems associated with their presence include the fact that these compounds are biologically active, some of them are toxic in nature, and a number of compounds have potential to foster and maintain drug resistant microorganisms. They are discharged into the aquatic environment from a variety of sources, but mainly by the excretion of incompletely metabolized pharmaceuticals by individuals into the wastewater. This situation makes finding a source-control strategy difficult. However, healthcare facility (hospitals and long-term-care homes) effluents are suspected to have relatively higher concentrations of these compounds, as such facilities use pharmaceuticals in large amounts for diagnostic, cure and research purposes. It is expected that controlling discharges from these facilities may provide a cost-effective solution to reduce the pharmaceutical loads entering the aquatic environment.

Studies have shown that young people in residential care homes tend to be low achievers in school and are at high risk of entering adulthood with a low level of education. This group has also shown tendency to adverse psychosocial outcomes. The aim with this study is to reach an understanding of how teenagers and young adults view themselves and their future, what ambitions they have in life and how they see their opportunities to realize their goals. The study is based on a qualitative method and was conducted with semi structured personal interviews with five youngsters 15-21 years old in two different residential care homes. The theoretical viewpoints have been based on E.H Erikson’s theory about identity as well as the theory about resilience.The result of this study indicates that the persons we have interviewed have expressed difficulties in describing themselves. They also express a wish to finish their primary school with complete grades. All of them described what professions they would like to work with. It also came clear that they do not like to plan too far ahead, instead they take one day at a time.The young people that we interviewed expressed a positive view about their future, most of them knew what they want in life, but they find it difficult to describe the way to get there.

The purpose of our qualitative study is to investigate how the caretakers, in the elderly care, interpret and manage the issue of alcohol problems in elderly people. We have been performing semi-structured interviews on 9 people, on different levels in the elderly care. There were 3 elderly care managers, 1 nurse, 1 assistance administrator and 4 auxiliary nurses, who all, at some level, work with alcohol problems in elderly people. Those interviews were performed singularly, with one exception: we interviewed an elderly care manager and her 2 auxiliary nurses at the same time. To analyse our empirics, we have used the theories of Power and Ageism. Our study shows that the auxiliary nurses, who are the ones who must deal with these problems, have great difficulties to perform their work because they have no qualified knowledge about alcohol problems. In addition, they almost never get the proper information, they don’t have access to guidelines about handling people with alcohol problems and they don’t receive support from their superiors. They have to make the most difficult decisions for themselves without any resources or other guidance.

The presence of human pharmaceuticals in the aquatic environment is now becoming a well-established fact. The identified problems associated with their presence include the fact that these compounds are biologically active, some of them are toxic in nature, and a number of compounds have potential to foster and maintain drug resistant microorganisms. They are discharged into the aquatic environment from a variety of sources, but mainly by the excretion of incompletely metabolized pharmaceuticals by individuals into the wastewater. This situation makes finding a source-control strategy difficult. However, healthcare facility (hospitals and long-term-care homes) effluents are suspected to have relatively higher concentrations of these compounds, as such facilities use pharmaceuticals in large amounts for diagnostic, cure and research purposes. It is expected that controlling discharges from these facilities may provide a cost-effective solution to reduce the pharmaceutical loads entering the aquatic environment.

Visuomenėje didėjantis pagyvenusių ir senyvo amžiaus žmonių skaičius verčia atkreipti dėmesį į šios amžiaus grupės ypatumus. Senstant žmogaus gyvenimas įgauna tam tikrų bruožų: socialinių ryšių siaurėjimas, mirties baimė, užimtumo trūkumas, silpnėjanti sveikata. Dauguma jų netenka gyvenimo partnerių ir tampa vieniši, ką rodo socialinio darbo praktika stacionariose globos įstaigose. Dėka bendruomeniškumo, kurį kuria patys žmonės, skatinami individualūs skirtumai, gyvenimo patirties ar požiūrių, jausmų, sugebėjimų ir talentų grupinėje situacijoje išreiškimas ir aptarimas. Bendruomeninė veikla įtraukia žmones į bendradarbiavimą, naujų tikslų ir uždavinių formavimą ir įgyvendinimą, skatina socialinius mainus, kultūros raidą, savitarpio pagalbą, dvasinių poreikių patenkinimą. Bendravime svarbiausiais tampa palaikomieji santykiai tarp žmonių, pirmiausiai susiję su socialiniu socialinio palaikymo dėmesiu. Tyrimo objektas: socialinis palaikymas Parapijiniuose globos namuose. Tyrimo tikslas: apibūdinti formalų ir neformalų socialinį palaikymą Parapijiniuose globos namuose, išryškinant gyventojų ir socialinių darbuotojų vaidmenis. Uždaviniai: aptarti pagyvenusių ir senyvo amžiaus žmonių palaikantį dalyvavimą Parapijinių globos namų bendruomenėje; atskleisti, kokie socialiniai ryšiai plėtojami tarp senyvo amžiaus žmonių, esant socialiniam palaikymui globos namuose; išsiaiškinti, kaip vertybės ir aplinka sąlygoja socialinio palaikymo būdą Šakių Parapijiniuose globos namuose. Tyrimo... [toliau žr. visą tekstą] / Society is aging and elderly population number translates to draw attention to the features of this age group. Aging of human life takes on certain characteristics: shrinking of social relations, death, fear, lack of jobs, weakening health and so on. Mid-life most of them lose life partners and are living alone, as shown in social work practice in-patient care facilities. By which the people themselves, encouraging individual differences in life experiences or attitudes, feelings, abilities and talents of a situation, the expression of short-term group and talk. For community service include people in co-operation, new goals and targets for the design and implementation, promote the exchange of social and cultural development, mutual support, spiritual needs. Communication becomes a major supporting the relationship between people, primarily concerned with the social emphasis on social support. The object of research: social support parish nursing homes. The study aims: to reveal the formal and informal social support parish nursing homes, highlighting key social worker for assistance opportunities for the community. The tasks were: describe of the elderly and elderly people in the enabled parish nursing homes community; to find out how social relationships develop among the elderly, with social support; to explore how Christian values and the environment shapes the way of social support. Research methods: literature and documents analysis; a survey; interview... [to full text]

Nepilnamečių nukrypstamas elgesys kelią didelių problemų visuomenėje. Jis dažnai perauga į rimtesnius teisės pažeidimus, o tai įtakoja kriminogeninius reiškinius visuomenėje ir sudaro problemas visoje socialinėje sistemoje. Vaikai augantys globos namuose susiduria su neigiama socializacija šeimos aplinkoje, institucinio ugdymo specifika, visuomenės požiūriu ir kitais neigiamais faktoriais, kas vienaip ar kitaip įtakoja socialinių normų perėmimo sudėtingumą. Visuomenėje nepilnamečių nusikalstamumas išlieka aktualia problema visuomenėje, ir išlaiko gana aukštus rodiklius nusikalstamumo statistikoje. Todėl svarbu sukurti efektyvias prevencines programas, kurios užkirstų kelią delinkventinio elgesio pasireiškimams bei nusikalstamumo formavimuisi, sutelkiant dėmesį į ankstyvąją prevenciją ir efektyvų jos įgyvendinimą, atitinkantį ugdymo dalyvių lūkesčius. Darbo tikslas: apžvelgti vaikų globos namuose taikomas delinkventinio elgesio prevencijos priemones ir atskleisti auklėtojų ir auklėtinių vertinimą bei tobulinimo prielaidas jų atžvilgiu. Darbo uždaviniai: Išanalizuoti delinkventiškumo sampratą ir apžvelgti pagrindines delinkventinį elgesį aiškinančias teorijas; apžvelgti socialinius veiksnius, galinčius turėti įtakos, delinkventiniam elgesiui; apžvelgti globos įstaigoje taikomas delinkventinio elgesio prevencines priemones; atlikus tyrimą atskleisti vaikų globos namų auklėtojų ir auklėtinių vertinimą ir lūkesčius delinkventinio elgesio prevencijos tobulinimo atžvilgiu. Tyrimo... [toliau žr. visą tekstą] / Inappropriate juvenile behavior causes serious problems in the society. Such behavior often leads to more serious offenses which have an impact on criminogenic phenomenon in the society, and create social problems in the whole social system. Children living in care homes are faced with negative socialization in the family environment, peculiarities of institutional development, society‘s attitude and other negative factors which one way or another have an influence on the adoption of social norms. Juvenile delinquency remains a topical issue in the society, and the rate of such offences is fairly high according to the crime statistics. Therefore, it is very important to develop effective prevention programs that would help to prevent delinquent behavior and formation of delinquency, focusing on early prevention and its effective implementation according to the expectations of the participants of the prevention program. The aim of the paper – to review measures preventing delinquent behavior that are applied in the child care home and to reveal corresponding evaluation of those measures by educators and pupils, and suggestions for improvement. The tasks of the paper – to analyze the concept of delinquency and review the basic theories explaining the delinquent behavior; to review social factors that may have an influence on delinquent behavior; to review measures preventing delinquent behavior that are applied at the care home; to carry out a research and reveal the... [to full text]

The case study examined physical and social privacy for nine residents residing in personal care homes in Winnipeg, Manitoba, Canada. The study explored how residents’ well-being and quality of life was affected by the privacy afforded to them in various room accommodations. The case study explored residents’ social location, room preference, safety and security, communication with family, interaction with staff, and interaction with roommates. The study found that residents benefit from having access to locks for doors; specialized units for cognitively impaired residents; private health assessment rooms; phasing out multi-bed room; use of room barriers; privacy for intimacy; access to private lounges for visiting; and private room with a public telephone. The study assists health care providers and students in health fields in becoming aware of privacy issues. The study may be useful in assisting residents to prepare for adjustment to a personal care home.