The hypothesis underpinning this research study suggests that the integration of schools into the childcare framework could provide a key to re-balancing child protection work so as to prioritise the Children Act's family support provisions. It is the researcher's contention that an essential element in this re-balancing process would be the development of a more effective early detection system. In this respect, it is proposed that the educational establishment could fulfil this role given its unique position to gather information and to liaise with other agencies at a community level. Whilst this position has been recognised to a limited extent, the education service could be utilised to a far greater extent to reinforce the philosophy of the 'Framework for the Assessment of Children in Need and their Families' and as such Part III of the Children Act. A brief summary of the implications and considerations to arise from an analysis of the research data is as follows: Information concerning children in need is available within schools, though the utilisation of this information varied considerably between schools. Liaison can successfully take place between schools and other agencies at a community level. Greater clarification is required in terms of the scope a Child Protection Liaison Teacher's duties/responsibilities in order to address the variation in practice indicated by the sample. Consequently, formalisation in terms of guidance documentation, training and/or the personnel undertaking the role of CPLT is required. Greater support and training of teaching staff in general is also required if schools are to be integrated into the childcare framework. Whilst schools could undertake the early detection role proposed by the hypothesis a great deal will nevertheless depend upon how that information is subsequently utilised, i.e. in order to identify children in need or to pursue the current practice of risk assessment.

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The thesis investigates the development of family support within one local authority in Scotland and shows that it has emerged from a complex interplay of governmental, philosophical, policy and practice change.

In recent years, family support partners (FSPs) have been hired to work in the behavioral health care system for the state in which this study was conducted. FSPs are legacy caregivers, meaning they have raised a child with a mental health illness. At the time of this study, there was not a set criterion in the state to measure the effectiveness or benefits of FSPs working with families. The purpose of this quantitative, correlational study was to determine whether a caregiver's level of empowerment, as measured by the Family Empowerment Scale (FES), was increased through working with an FSP. Social learning theory provided the framework for the study. Survey data were collected from 93 caregivers using the FES. Simultaneous multiple regression analysis was conducted to examine the predictive relationship between the caregiver's gender, age, ethnicity, length of time as a caregiver of a child or youth with a mental health illness, and length of time the caregiver worked with an FSP, and the level of caregiver empowerment on the family, service system, and community/political levels. On the family level, caregiver age and length of time the caregiver worked with an FSP were statistically significant predictors. On the service system level, length of time the caregiver worked with an FSP was a statistically significant predictor. On the community/political level, caregiver age, ethnicity, and length of time the caregiver worked with an FSP were statistically significant predictors. Length of time the caregiver worked with an FSP was the only variable shown to be statistically significant on all 3 levels. Findings may be used to support peer specialists in the state this study was conducted and other states, not only in the mental health field, but in additional fields as well.

Indiana University-Purdue University Indianapolis (IUPUI) / Hospitals and policymakers acknowledge the importance of the family in improved healthcare outcomes. Although there has been an increase in policies and research to bring families into planning, delivery, and evaluation of healthcare, there has not been a means to assess health-focused perceived support and communication behaviors. Without a means of assessing these factors, healthcare professionals cannot succinctly evaluate support and communication in a family system or provide recommendations for engaging family members in providing beneficial health-focused support and communication. This study involved the creation of the Inventory for Family Health-Focused Perceived Support and Communication Behaviors (Family HF-PSCB). Informed by family systems theory, social support literature, and health communication behaviors research, this three-phase study consisted of (a) generating items for the Family HF-PSCB, (b) establishing test-retest reliability, and (c) establishing a factor structure and convergent validity. Because of the increase of chronic disease in the United States, the Family HF-PSCB was created and tested with samples of individuals having chronic disease(s). Using a mixed methods approach, in-depth interviews with 12 participants generated 91 items for psychometric analysis. These items were tested through expert content review, and in pilot testing (n = 23), the remaining 84 items demonstrated test- retest and internal reliability. Through factor analysis (n = 209), two factors emerged to explain 72.1% of the variance. The final Family HF-PSCB contains 13 items, which indicates an individual’s perception of family health-focused support and communication behaviors. The factor explaining 63.2% of the variance has 8 items demonstrating healthfocused communication behaviors, and the second factor has 5 items demonstrating health-focused instrumental support. The developed scale suggests that family healthfocused communication behaviors may be a more explanatory variable in the family system for someone with chronic disease(s). The 13-item Family HF-PSCB demonstrates convergent validity through significant correlations with the Perceived Social Support Family Scale and the General Functioning Scale of the McMaster Family Assessment Device. Future studies should explore the correlation of the Family HF-PSCB with health outcomes attributed to symptom management in populations of chronic disease patients.

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Tidigare studier visar att arbetslöshet har negativ påverkan på individens hälsa och välbefinnande och att en minskning av ekonomin är en av de starkaste orsakerna som kan leda till isolering, stress och frustration. Syftet med denna studie var att få en djupare förståelse om hur individens upplever arbetslöshet och hur detta påverkar deras hälsa och välbefinnande. Undersökningen utgick utifrån en kvalitativ studie där respondenterna var 11 individer både män och kvinnor mellan 25-55 år, och arbetslöshetsperioden varierade mellan 1 till 9 månader. Respondenterna intervjuades ca 20 minuter med semistrukturerade frågor. Den fyra temana som var centrala i denna undersökning var: negativ påverkan på familj och hem, känsla av utanförskap, känsla av maktlöshet och psykisk ohälsa. Resultaten visade att respondenterna lever i en konstant osäkerhet på grund av minskning av ekonomi, känslan av hopplöshet dyker upp bland sysslolösa och att familjemedlemmar drabbas. De olika undertemana gav bättre förståelse kring respondenternas vardagssituationer.

The condition of the high-tech industry changes rapidly and the competition of the globe becomes sharp, we truly believe that the R&D professionals¡¦ innovation and technology will be the key factor of the business¡¦ expansion. To understand the R&D professionals¡¦ characteristic and requirement and to provide enough attraction to attract and retain them is the important topic in HRM. This study focuses on the relationship with motivation, job satisfaction, family support, intention to stay and professional commitment. The survey adopted questionnaire as investigating method, and a total of 480 questionnaires are delivered to the high-tech R&D professionals. 304 of them are valid, so the response rate is 63.3%. The survey responses were analyzed by the Spss statistical software. The findings are summarized as follows: 1.The motivation factor that the R&D professionals respect most is enjoyment, and they care less about the compensation. Generally speaking they are satisfied with their job, intrinsic satisfaction especially. In the all factors of the motivation, challenge, enjoyment, and outward positive correlated with job satisfaction. All of them can improve the job satisfaction, but compensation negative with the job satisfaction. 2.A significant positive correlation was identified between job satisfaction and intention to stay. 3.A significant positive correlation was identified between job satisfaction and professional commitment. 4.Job satisfaction was found to have full mediating effect between motivation factor and intention to stay. 5.Job satisfaction was found to have partial mediating effect between motivation factor and professional commitment. 6.Family support was found to have significant moderating effect between job satisfaction and intention to stay. In the moderating effect, family support in higher-grades groups influenced intention to stay more significantly than lower-grades groups. 7.Family support was found to have no moderating effect between job satisfaction and professional commitment.

Abstract Introduction: Breast cancer is the most common female cancer worldwide and it is also the principal cause of death from cancer among women globally. Breast cancer has the highest prevalence among Panamanian women and its incidence is also growing every year. Women living with and beyond breast cancer have special needs that have to be considered by society and the health care systems. After diagnosis, the quality of life (QOL) of women is highly affected, due to the emergence of physical, psychological and social effects which lead to changes in attitudes and expectations towards life. Purpose: To evaluate the QOL, among Panamanian women who suffer from breast cancer, factors that could influence QOL and the main life areas where these women are more affected when they receive this diagnosis. Methodology: A cross-sectional study was developed to measure the QOL of Panamanian breast cancer survivors in four domains (physical, social, psychological and environmental). A total of 240 survivor women completed 80% of the self-assessment QOL-BREF survey at the National Cancer Institute of Panama during March, 2013. Non-parametric statistical tests were used to define QOL based on the survey results, including sociodemographic and medical characteristics. A logistic regression model was performed to evaluate variables than can influence the quality of life among this population. Results: Higher socioeconomic indicators as well as having greater levels of spiritual belief, younger age and less than 5 years of cancer diagnosis appear to produce positive and statistically significant differences in QOL among breast cancer survivors. Conclusions: Breast cancer survivors in Panama have a good quality of life perception and are satisfied with their health. Support principally from family and friends plays a very important role in all aspects of QOL. Elderly women have different physical needs that could explain the lowest score reported in this study.