Thesis (M.S.)--University of Michigan, 1989.

Thesis (M.S.)--University of Michigan, 1989.

O objetivo geral do estudo foi analisar o processo de trabalho da enfermeira materno infantil (EMI), orientado ao cuidado da criança sadia no Programa de Vigilância da Nutrição, Crescimento e Desenvolvimento da Criança menor de 5 anos de idade, em uma instituição da Seguridade Social no México. Fundamentou-se nas concepções do processo de trabalho em saúde de Mendes-Golçalves (1994), no processo de trabalho da enfermagem como proposto por Almeida (1991) e Almeida e Rocha (1997), e nas concepções teóricas da micropolítica do trabalho vivo em saúde, que permitiram focalizar o espaço intercessor trabalhador/usuário (MERHY, 1997, 2004). Utilizou-se a abordagem qualitativa com observação sistemática direta e entrevista semi-estruturada. Os sujeitos do estudo foram as enfermeiras (EMI), as assistentes médicas da EMI (AEMI) e as mães que compareceram à consulta de enfermagem. Observaram-se 87 consultas proporcionadas pelas EMI, e observação à área da recepção atendida pela AEMI, assim como entrevista a este pessoal (6 entrevistas) e as mães (25 entrevistas). A saturação dos dados e a compreensão do significado foram os critérios para estabelecer o número necessário de observações e entrevistas. As consultas proporcionadas pela EMI identificaram-se centradas na realização de procedimentos como: verificação do peso, estatura e revisão da carteira de vacinas conforme os protocolos de atenção (tecnologias duras), com diálogos mais bem identificados como monólogos da EMI à mãe. Verificou-se que o encontro entre a mãe/filho portadores de uma dada necessidade de saúde com a EMI portadora de um arsenal de saberes específicos e práticas, envolve um encontro de situações não equivalentes, a mãe tem a necessidade de que a EMI, no mínimo a cumprimente e a acolha. Assim o trabalho da EMI é capturado pelo trabalho morto, pela configuração institucional que se expressa no tempo de atendimento, na consulta marcada com antecedência, no seguimento dos protocolos e rotinas impostos pelo serviço que não permitem o estabelecimento de um núcleo cuidador. Mas como o trabalho da EMI é trabalho em saúde que se efetiva em um processo quase-estruturado, a EMI foi capaz de produzir trabalho vivo como fonte de tecnologias leves (tecnologias de relações, de acolhimento), baseando-se principalmente em seu autogoverno que lhe permitiu o estabelecimento de um núcleo de cuidado mãe/filho-centrado. A conformação da equipe de saúde foi identificada como equipe agrupamento caracterizada pela fragmentação e especificidade do trabalho com comunicação de aspectos só pessoais. As mães perceberam o cuidado à criança sadia como a realização de procedimentos, verificação do peso e estatura, ter um registro dos avanços no desenvolvimento de seu filho e o fornecimento da cota de leite, que surgiu como um orientador/desorientador da atenção que coloca os atores sociais em conflito com necessidades distintas. Recomenda-se a flexibilização das normas e rotinas que permitam a construção de um núcleo cuidador mãe/filho-centrado, baseado nas tecnologias leves como o acolhimento e a confiança, para que a mãe possa colocar suas dúvidas relacionadas ao cuidado de seu filho e desenvolva um grau de autonomia e assim reconhecer à enfermeira como cuidadora, educadora, conselheira e promotora da saúde / The general aim of this study was to analyze the work process of maternal child nurses, directed to the care of healthy children in the Program of Nutrition Surveillance, Growth and Development for children under 5 years of age at a social security institution in Mexico. This research was based on the concepts of health work process by Mendes-Gonçalves (1994), the nursing work process proposed by Almeida (1991) and Almeida and Rocha (1997) and on the theoretical conceptions of micropolitics of health work involving human staff, enabling the author to focus the worker/user space (1991) (MERHY, 1997, 2004). A qualitative approach was used through systematic direct observation and semi-structured interviews. The subjects were maternal child nurses, medical assistants who welcomed the patients when they arrived and mothers who went to the nursing consultation. 87 nursing consultations were observed as well as the reception of patients. In addition, author interviewed the staff (6 interviews) and mothers (25 interviews). Data saturation and meaning comprehension were the criteria to establish the necessary number of observations and interviews. The consultations were identified as centered in procedures such as: weight and height measurement, review of the vaccination record according to the care protocols (hard technologies) with dialogues identified as monologues of nurses to the mothers. Findings showed that the meeting between mother and child with specific health needs and nurses with large scientific and practical knowledge involves an approximation of non-equivalent situations. The mothers expect, at least, that nurses will be able to welcome them. Thus, the maternal child nurse work is captured by a work with machines, the institutional configuration that is expressed during the consultation period, with the appointment determined previously, in following protocols and routines imposed by the service and that do not allow the establishment of a caring core. However, with nurses work, the health work happens in a nearly-structured process and nurses were able to produce a live work as a source of soft technologies (relationship and welcome technologies), based mainly in their self-governance and allowing the establishment of a nucleus of care centered in the mother/child. The conformation of the health team was identified as a grouping team characterized by the fragmentation and specificity of the work with only the communication of personal aspects. Mothers perceived that the care of a healthy child is based on procedures to verify height and weight, registration of the development of their children and the supply of a milk portion, that appeared as a factor that guided/disturbed the care as resulted in conflict among the social actors with different needs. The author recommends the flexibilization of the norms and routines, enabling the construction of a nucleus centered in the mother/child, based on soft technologies of welcome and trust, allowing mothers to ask their questions related to the care of their children as well as to develop a level of autonomy, recognizing the nurse as a care provider, educator, advisor and health promoter.

This study identified transition practices used by teachers and/or primary caregivers of infants and toddlers when entering child care programs across Dallas , TX . Participants completed the Program Entry Transition Practices Survey regarding their use of transition practices in fall 2003 and perceived barriers to entry transition practices. Results show frequency tallies, percentages of use for each transition practice, and the mean number of practices used for the entire sample and with the sample split according to participants from profit and non-profit programs. Results were also organized into four subscales based on the type of practice used. Results supported the hypothesis that teachers and caregivers would report more transition practices occurring after beginning care and directed towards a group than those occurring before beginning care and directed towards an individual. In response to the broader research question regarding barriers: Teachers and caregivers from profit and non-profit centers reported similar barriers to implementing transition practices.

by Lee Yuen Kum, Anna. / Bibliography: leaves 100-102 / Thesis (M.Ph.)--Chinese University of Hong Kong, 1984

The Child Care Access Means Parents in School (CCAMPIS) is intended to help student parents to persist with their course of study and graduate as soon as possible. This study was done to gain further insight into the service needs of the parents who participate in the program.

This thesis consists of a summary and four self-contained papers. Paper [I] examines whether fathers influence the time their children spend in subsidized child care. Two non-nested models of family child care demand are estimated. The parameter estimates indicate that several characteristics of the father are associated with the time his child spends in child care. J-tests and bootstrapped J-tests also show that a model where the father’s characteristics are excluded can be rejected in favour of a model where his characteristics are included. Paper [II] considers the effects of the Swedish child care fee reform on public expenditures and taxation in the municipalities. A difference-in-difference approach is employed where outcomes are compared with respect to the municipalities’ pre-reform fee systems. The results show that pre-reform characteristics determine taxes and child care expenditures in the post-reform period. It is also found that changes in child care quality were not connected to the pre-reform systems characteristics. Paper [III] provides evidence of the effect of college quality on earnings in Sweden. The results suggest that the link between college quality and earnings is weak. A small positive effect is found for individuals that are likely to work full time. Controlling for region of work affects the estimated effects, indicating a correlation between choice of college quality and choice of labour market region. In Paper [IV], earnings differences between transfer and non-transfer students are analysed. The results show that earnings, during the first years after leaving the university, are significantly lower for students who change universities compared to students who do not change. The earnings differences decrease significantly over time and over the earnings distribution.

This study investigated 15 child care centres to find out their responsiveness to the needs of families from non-Anglo backgrounds. Results of this study showed a need to improve service quality in child care to best serve the needs of children from non-Anglo backgrounds. Forty Filipino, 15 Cambodian and 30 Sudanese families were involved in this study.

Thesis (Ph. D.)--McMaster University, 2003. / Advisor: Charlotte A.B. Yates. Includes bibliographical references (leaves 272-299). Also available via World Wide Web.

This investigation was concerned with the problem that the staff development needs of child-care personnel in juvenile detention facilities in the State of Texas have not been identified and described. The study utilizes the Delphi technique in determining juvenile detention administrators' perceptions of the skills/knowledge required to be a competent detention child-care worker. The assumption was made that detention administrators can supply relevant input to study.