Thesis (Ph. D.)--Bowling Green State University, 1987.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (M.App.Psy.)--University of Waikato, 2006. / Includes bibliographical references (leaves 93-112)

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 151-159). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

This study investigated the effects of an individually administered versus a group-administered stress management training program on various measures of stress, job satisfaction, and burnout among mental health workers. A total of 36 subjects, who were employed in Texas community mental health facilities, participated in the study. The subjects were randomly assigned to one of three groups: an experimental group (N = 12) which received training on an individual basis, an experimental group (N = 12) which received training in small groups of four to six subjects, and a control group (N = 12) which did not receive training. Both didactic and experimental modes were utilized during the six-week training program. All experimental subjects practiced relaxation daily and were exposed to a broad range of coping skills for stress management.This study investigated the effects of an individually administered versus a group-administered stress management training program on various measures of stress, job satisfaction, and burnout among mental health workers. A total of 36 subjects, who were employed in Texas community mental health facilities, participated in the study. The subjects were randomly assigned to one of three groups: an experimental group (N = 12) which received training on an individual basis, an experimental group (N = 12) which received training in small groups of four to six subjects, and a control group (N = 12) which did not receive training. Both didactic and experimental modes were utilized during the six-week training program. All experimental subjects practiced relaxation daily and were exposed to a broad range of coping skills for stress management.

Bakgrund: Heroin är en olaglig narkotikaklassad drog som är starkt beroendeframkallande. Bruket har en negativ inverkan på den fysiska, psykiska och sociala hälsan vilket medför ett komplext vårdbehov. Brukare är utsatta för stigmatisering i samhället. En faktor som kan utgöra hinder för god vård på lika villkor är hälso- och sjukvårdspersonals attityder gentemot patienter de vårdar.  Syfte: Syftet var att belysa hälso- och sjukvårdpersonals attityder gentemot patienter som är eller har varit brukare av heroin. Metod: En litteraturöversikt baserad på tio vetenskapliga artiklar genomfördes enligt Fribergs metod. Artiklarna baserades på kvalitativa och kvantitativa studier samt studier utförda med mixad metod.   Resultat: Resultatet visar på förekomst av positiva och negativa attityder. De negativa attityderna var mer framträdande. Ytterligare framkom en polarisering av attityder inom gruppen hälso- och sjukvårdspersonal. Skillnaden var dock inte knuten till en viss yrkesgrupp utan kopplades till utbildning och erfarenhet av att arbeta med den aktuella patientgruppen. De som arbetade närmast patienterna hade övervägande positiva attityder och vice versa. Diskussion: Resultatet diskuteras utifrån centrala begrepp och idéer av Joyce Travelbee samt hur resultatet står i förhållande till vetenskap och lagtext. Tänkbara anledningar till förekomsten av negativa attityder avhandlas. En  “vi-och-dem"-mentalitet bidrar till hälso- och sjukvårdspersonalens svårigheter att empatisera för patienterna vilket utgör hinder för vårdrelationen. Medvetandegörande, erfarenhet och utbildning belyses som avgörande för möjliggörandet av en förändring. / Background: Heroin is an illicit narcotic drug that is highly addictive. The drug has a negative impact on the physical, mental and social health of the user, which implies complex needs of healthcare. Users are exposed to stigmatization in society. One factor that may constitute barriers to good care on equal terms is the healthcare professionals' attitudes towards patients they care for. Aim: The aim was to highlight attitudes of health personnel towards patients who are or have been users of heroin.  Method: A literature review based upon ten scientific articles was conducted according to Friberg’s method. The articles were based on qualitative and quantitative studies as well as studies performed with mixed method. Results: The result shows the presence of positive and negative attitudes. The negative attitudes were more prominent. Further on a polarization of attitudes within the group of healthcare professionals was revealed. However, the difference was not linked to a certain profession but instead linked to education and experiences of working with the current patient group. Those who worked closest to the patients held predominantly positive attitudes and vice versa. Discussion: The results are discussed on the basis of key concepts and ideas of Travelbee and how the result fits in relation to science and legal texts. Possible reasons for the presence of negative attitudes are discussed. A ‘we-and-them ' mentality contributes to the difficulties of health professionals in empathizing with patients, which precludes the caring relationship. Awareness-raising, experience and education are highlighted as crucial to the facilitation of change.

The purpose of this study was to determine the factors associated with choosing mental health nursing as a career, and to explore the possible ways of improving recruitment and retention of mental health nurses in Kenya. Quantitative, explorative descriptive research was conducted. Data collection was done by using questionnaires and focus group discussions. Three groups participated in the study: practicing mental health nurses (n=10), post-basic mental health nursing students (n=10) and final year basic nursing students (n=184). The findings revealed that basic nursing students do not intend to pursue a career in mental health nursing, and that there is an aging population of mental health nurses. The barriers to the mental health field include stigma, a poor working environment and inadequate career guidance. Marketing, policy and regulatory reforms, as well as positive work environments have been identified as strategies for improving the recruitment and retention of mental health nurses in Kenya. / Health Studies / Thesis (M.A. (Health Studies))

Orientador: Cristina Maria Garcia de Lima Parada / Resumo: Os registros do uso de drogas são conhecidos nas mais diversas culturas. No Brasil, o uso de álcool e/ou outras drogas tornou-se grave problema de saúde pública. Existe estimativa de que aproximadamente 90% das mulheres usuárias de drogas estejam em idade fértil. As gestantes usuárias de álcool e/ou outras drogas enfrentam diversos obstáculos no campo social e da saúde, fazendo-se necessário o desenvolvimento de estratégias que minimizem os danos biopsicossociais relacionados, de modo que o modelo de atenção seja focado nas necessidades de saúde dessas usuárias. Ou seja, é necessário que haja um olhar voltado à integralidade e às redes de atenção à saúde, em especial nas áreas de saúde mental e materno-infantil. Este estudo é composto por três artigos: o primeiro constitui revisão integrativa da literatura e buscou identificar na produção científica dos últimos dez anos (2004-2014), evidências sobre a melhor forma de tratamento não medicamentoso para gestantes usuárias de álcool e/ou outras drogas; o segundo artigo objetivou compreender as experiências de gestantes usuárias de álcool e/ou outras drogas atendidas nos serviços públicos de saúde de Botucatu/SP, quanto à gestação e à atenção à saúde recebida e o terceiro artigo teve como objetivo compreender as experiências dos profissionais de saúde que atuam nos serviços públicos de saúde de Botucatu/SP sobre o trabalho em rede para estas gestantes. Estes dois últimos artigos foram estudos do tipo qualitativo, e adotaram como r... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Records of drug use are known in many different cultures. In Brazil the use of alcohol and other drugs has become a serious public health problem. There is estimated that approximately 90% of drug users are women of childbearing age. Pregnant women users of alcohol and other drugs face a number of obstacles in the social and health making it necessary to develop strategies to minimize the related biopsychosocial damage focusing the care model on health needs of these users. In another words, it is needed a overlook facing the completeness and health care networks particularly in the areas of mental health, maternal and child. This study consists in three items: the first is an integrative literature review and sought to identify the scientific production of the last ten years (2004-2014), evidence on the best way to non-medication treatment for pregnant women users of alcohol and/or others drugs; the second article aimed to understand the experiences of pregnant women using alcohol and/or drugs treated in the public health services in Botucatu/SP as pregnancy and the health care received; the third study aimed to understand the experiences of health professionals who works in public health services in Botucatu/SP on networking for these pregnant women. The last two items were qualitative studies and adopted as a theoretical reference the Social Representations Theory as a methodological framework and the Collective Subject Discourse. In the literature review study found that ... (Complete abstract click electronic access below) / Doutor

Abstract In this study constructed a life course –aware age management model for the health care sector so it can be exploited by health care organizations nationally. The purpose of this study is to describe and explain how leadership, through the use of life course –aware age management, affects the well-being, and describe amount of sick leaves and retirement of diverse-employees in health care before and after intervention. The research consisted of three parts: 1) a description of earlier age management models, 2) a description of the needs and requirements of age-diverse employees for age management, and 3) a description of life course –aware age management effect on the well-being of an age-diverse workforce in the health care sector, and a description of amount of sick leaves and retirement of diverse-employees in health care before and after intervention. The results of parts one and two were made into the Life course –Aware Age Management Model. The well-being data were collected from nurses and doctors from one central hospital´s area of operation in 2014 (N = 702) and 2016 (N = 764). The research was conducted using intervention research methods. Quantitative data were analyzed by using statistical multivariate methods. Statistics on sick leave and retirement were also exploited in the data comparison. Employee age management needs were surveyed in connection with the first well-being measurement. Qualitative data were analyzed using deductive content analysis. The doctors and nurses valuated the realization of well-being mainly in the same way. No significant statistical association was found between employee age and well-being. Management using the Life course –Aware Age Management Model influenced employee well-being so that the way in which leadership was experienced improved between 2014 and 2016. The change was statistically extremely significant (p = 0.001). No impact was found on the amount of sick leaves and retirements. The amount of sick leaves and retirement was found no statistically significant change. The knowledge generated in this study can be exploited in the management of age-diverse workforces in health care. Using the Life course –Aware Age Management Model, employers can identify the support an age-diverse workforce requires to maintain their know-how, working ability and work-life balance. The results of this study can be utilized in leadership, education, and age management and well-being research. / Tiivistelmä Tutkimuksessa muodostettiin Elämänkulkutietoinen ikäjohtamisen toimintamalli terveysalalle. Malli on hyödynnettävissä terveysalalle valtakunnallisesti. Tutkimuksen tarkoituksena oli kuvata ja selittää miten Elämänkulkutietoisen ikäjohtamisen toimintamallin mukainen johtaminen vaikuttaa terveysalan eri-ikäisen henkilöstön työhyvinvointiin, sekä kuvata sairauspoissaolo- ja eläköitymismääriä ennen ja jälkeen intervention. Tutkimus koostuu kolmesta osatutkimuksesta: 1) kuvattiin kirjallisuuden perusteella aiempia ikäjohtamisen toimintamalleja, 2) kuvattiin terveysalan eri-ikäisen henkilöstön ikäjohtamiskeinoja ja ikäjohtamistarpeita laadullisen aineiston perusteella, ja 3) kuvattiin ja selitettiin elämänkulkutietoisen ikäjohtamisen vaikutusta terveysalan eri-ikäisen henkilöstön työhyvinvointiin interventiotutkimuksella, johon kuului alkumittaus ja vuoden kuluttua seurantamittaus ja kuvattiin sairauspoissaolojen ja eläköitymisten määriä ennen ja jälkeen intervention. Osatutkimusten 1 ja 2 perusteella muodostettiin Elämänkulkutietoinen ikäjohtamisen toimintamalli. Osatutkimusten 2 ja 3 aineistot kerättiin yhden keskussairaalan operatiivisen toimialueen lääkäri- ja hoitohenkilöstöltä vuosina 2014 (N = 702) ja 2016 (N = 764). Vaiheen 2 aineisto analysoitiin induktiivis-deduktiivisella sisällönanalyysilla ja määrällinen aineisto tilastollisin monimuuttujamenetelmin. Lisäksi kerättiin työterveyshuollon ja henkilöstöhallinnon tilastoista tietoja henkilöstön sairauspoissaoloista ja eläköitymisestä. Hoitajat ja lääkärit arvioivat työhyvinvoinnin toteutumista osapuilleen samansuuntaisesti. Iän ja työhyvinvoinnin osa-alueiden välistä tilastollisesti merkitsevää eroa ei ollut. Elämänkulkutietoisen ikäjohtamismallin mukainen toiminta vaikutti työhyvinvointiin siten, että esimiestyön koettiin parantuneen vuodesta 2014 vuoteen 2016 ja työhyvinvoinnin muutos oli tilastollisesti erittäin merkitsevä (p = 0,001). Sairauspoissaolo- ja eläköitymismäärissä ei ollut tilastollisesti merkitsevää eroa ennen ja jälkeen intervention. Tutkimuksen tuottamaa tietoa voidaan hyödyntää terveysalan eri-ikäisen henkilöstön johtamisessa. Tutkimuksessa muodostettua Elämänkulkutietoista ikäjohtamisen toimintamallia hyödyntämällä terveysalan esimiehet voivat paremmin huomioida eri-ikäisen henkilöstönsä tuen tarpeita osaamisen johtamisessa, työkyvyn ylläpitämisessä, sekä työn ja muun elämän yhteensovittamisessa. Tutkimuksen tuloksia voidaan hyödyntää henkilöstöjohtamisessa, koulutuksessa, sekä työhyvinvoinnin ja ikäjohtamisen tutkimuksessa.

Submitted by MAÍRA RODRIGUES BALDIN DAL POGETTO null (mairabaldin@yahoo.com.br) on 2016-02-29T14:19:03Z No. of bitstreams: 1 CORRECOES _MAIRADALPOGETTO_POS DEFESA.pdf: 1963539 bytes, checksum: 6ecf5f34c58e68722af71a8d05b6057d (MD5) / Approved for entry into archive by Ana Paula Grisoto (grisotoana@reitoria.unesp.br) on 2016-03-01T12:36:28Z (GMT) No. of bitstreams: 1 dalpogetto_mrb_dr_bot.pdf: 1963539 bytes, checksum: 6ecf5f34c58e68722af71a8d05b6057d (MD5) / Made available in DSpace on 2016-03-01T12:36:28Z (GMT). No. of bitstreams: 1 dalpogetto_mrb_dr_bot.pdf: 1963539 bytes, checksum: 6ecf5f34c58e68722af71a8d05b6057d (MD5) Previous issue date: 2016-02-22 / Os registros do uso de drogas são conhecidos nas mais diversas culturas. No Brasil, o uso de álcool e/ou outras drogas tornou-se grave problema de saúde pública. Existe estimativa de que aproximadamente 90% das mulheres usuárias de drogas estejam em idade fértil. As gestantes usuárias de álcool e/ou outras drogas enfrentam diversos obstáculos no campo social e da saúde, fazendo-se necessário o desenvolvimento de estratégias que minimizem os danos biopsicossociais relacionados, de modo que o modelo de atenção seja focado nas necessidades de saúde dessas usuárias. Ou seja, é necessário que haja um olhar voltado à integralidade e às redes de atenção à saúde, em especial nas áreas de saúde mental e materno-infantil. Este estudo é composto por três artigos: o primeiro constitui revisão integrativa da literatura e buscou identificar na produção científica dos últimos dez anos (2004-2014), evidências sobre a melhor forma de tratamento não medicamentoso para gestantes usuárias de álcool e/ou outras drogas; o segundo artigo objetivou compreender as experiências de gestantes usuárias de álcool e/ou outras drogas atendidas nos serviços públicos de saúde de Botucatu/SP, quanto à gestação e à atenção à saúde recebida e o terceiro artigo teve como objetivo compreender as experiências dos profissionais de saúde que atuam nos serviços públicos de saúde de Botucatu/SP sobre o trabalho em rede para estas gestantes. Estes dois últimos artigos foram estudos do tipo qualitativo, e adotaram como referencial teórico a Teoria das Representações Sociais e como referencial metodológico o Discurso do Sujeito Coletivo. No estudo de revisão da literatura encontrou-se que a participação das gestantes em diversos programas de tratamento, por vezes com oferta de alguma forma de benefício, teve impacto positivo, podendo ser potencial fator de mudança de comportamento. Na perspectiva das gestantes, pôde-se apreender que, a despeito da existência de serviços com diferentes níveis de complexidade no município, voltados ao atendimento em saúde mental e na área materno-infantil e, consequentemente, às gestantes usuárias de álcool e/ou outras drogas, há problemas a serem superados, como perda de oportunidade de atendimento, desenvolvimento de atividades que podem afastar a gestante dos serviços de saúde, inadequação dos serviços e desarticulação entre eles. Quanto aos profissionais de saúde, emergiu sentimento de impotência diante do contexto do uso de drogas, como também a sensação da falta de uma política voltada a elas. Assim, a partir da análise dos três artigos pode-se observar a complexidade envolvida na assistência a esta população, sendo que nos discursos das gestantes e dos profissionais constataram-se dificuldades para o efetivo trabalho em rede de atenção à saúde. São escassos os estudos nesta área, mas algumas iniciativas em programas de tratamento demostram que é possível para estas mulheres manterem-se abstinentes. É necessário que os serviços que assistem estas gestantes se conheçam de forma mais ampla, conheçam os seus propósitos e se comuniquem de maneira efetiva, para que o binômio mãe-bebê sejam assistidos integral e verdadeiramente / Records of drug use are known in many different cultures. In Brazil the use of alcohol and other drugs has become a serious public health problem. There is estimated that approximately 90% of drug users are women of childbearing age. Pregnant women users of alcohol and other drugs face a number of obstacles in the social and health making it necessary to develop strategies to minimize the related biopsychosocial damage focusing the care model on health needs of these users. In another words, it is needed a overlook facing the completeness and health care networks particularly in the areas of mental health, maternal and child. This study consists in three items: the first is an integrative literature review and sought to identify the scientific production of the last ten years (2004-2014), evidence on the best way to non-medication treatment for pregnant women users of alcohol and/or others drugs; the second article aimed to understand the experiences of pregnant women using alcohol and/or drugs treated in the public health services in Botucatu/SP as pregnancy and the health care received; the third study aimed to understand the experiences of health professionals who works in public health services in Botucatu/SP on networking for these pregnant women. The last two items were qualitative studies and adopted as a theoretical reference the Social Representations Theory as a methodological framework and the Collective Subject Discourse. In the literature review study found that the participation of pregnant women in various treatment programs, sometimes to offer some form of benefit, had a positive impact and may be potential behavior change factor. From the perspective of pregnant women, it could apprehend that, despite the existence of services with different levels of complexity in the municipality, aimed at meeting on mental health and maternal and child health and hence to pregnant women users of alcohol and/or other drugs, there are problems to be overcome, such as loss of service opportunity, development activities which can ward off the mother's health services, inadequate services and disarticulation between them. As for health professionals, emerged feeling of powerlessness in the face of the context of drug use, but also the feeling of the lack of a policy to them. Thus, from the analysis of the three articles can observe the complexity involved in assisting this population, and in the speeches of pregnant women and professionals found to difficulties for effective networking of health care. There are few studies in this area, but some initiatives demonstrate treatment programs it is possible for these women remain sexually abstinent. It is necessary for services that assist these pregnant women are known more broadly know their purpose and to communicate effectively, so that the mother-child binomial are fully serviced and truly.