Este estudo teve como proposta desvelar, a partir da perspectiva das cuidadoras de familiares, como se dá o processo de trabalho da equipe de Internação Domiciliar e as principais consequências desta prática de cuidados sobre a vida das famílias assistidas. O estudo teve uma abordagem qualitativa e foi utilizada a técnica de entrevista, semi-estruturada, para a coleta das informações, com as sete cuidadoras, sujeitos da pesquisa, do sexo feminino e da própria família (mães e filhas) dos pacientes reinternados no Programa de Internação Domiciliar do Hospital Antônio Bezerra de Faria, pertencente à rede pública estadual, localizado no município de Vila Velha, estado do Espírito Santo, na Região Sudeste do Brasil. As entrevistas foram analisadas utilizando-se a metodologia da análise de conteúdo sugerida por Minayo (2007), das quais foram extraídas quatorze categorias analíticas, relacionadas ao adoecimento, aos cuidados hospitalares e aos cuidados domiciliares. Identificou-se um nível elevado de satisfação das cuidadoras com a atenção prestada pelas equipes dos diferentes locais, hospitalar e domiciliar, com preferência explícita e unânime pelo domiciliar. As críticas e as referências negativas foram direcionadas ao hospital, como local de transmissão de doenças físicas e psicoemocionais, com ênfase no corredor. Os resultados apontam para uma boa prática de cuidados dos profissionais, humanizada, com respeito ao modo de andar a vida de cada um pacientes, com suas particularidades e individualidades, extensivas aos familiares. O PID mostrou, também, como resultados o necessário estabelecimento de parcerias sociedade-instituições de saúde, a qualificação dos cuidadores, a ampliação dessas práticas diferenciadas de cuidados, a qualificação e ampliação do quantitativo de profissionais em face da repercussão positiva desta experiência, bem como da unanimidade em relação à satisfação com o Programa. Pode-se concluir que, não obstante às mudanças decorrentes do processo de adoecimento, na percepção das cuidadoras, não vivenciar o dia a dia hospitalar, o acesso irrestrito à equipe e ao hospital e a empatia que perpassa estas relações, somados ao conforto e a comodidade do seu domicílio junto aos familiares, sua reinserção social agregadas à dedicação, carinho e amor da equipe, gerando segurança e tranqüilidade, são consequências positivas que as cuidadoras destacam como decorrentes dos cuidados oferecidos nos domicílios. / This study have had as proposal to reveal, from the perspective of the family caregivers, how is the process of the work of the team of home-care and the main consequences of this practice care on the lives of the attended families. The study had a qualitative approach and it was used the technique of interview, half-structuralized, for the collection of the information with the seven caregivers, subject of the research, females and own family (mothers and daughters) patient readmitted in the Program of Home-care of Antonio Bezerra de Faria Hospital, pertaining to the state public net, located in the city of Vila Velha, state of the Espírito Santo, in the Southeastern Region of Brazil. The interviews had been analyzed using the methodology of the analysis of content suggested for Minayo (2007), of which fourteen analytical categories had been extracted, related to the falling ill, the hospital cares and the domiciliary cares. A high level of satisfaction of the caregivers with the attention given for the teams of the different places, from hospital and domiciliary, was identified, with explicit and unanimous preference for domiciliary. The criticism and the negative references had been directed to the hospital, as local of transmission of physical and psychological emotional illnesses, with emphasis on the corridor. The results point to a good practice of professionals cares, humane, with respect to the way of living of each one - patients, with their particularitities and individualities extensive to the familiar ones. The PID also showed as results the necessary establishment of partnerships between health society-institutions, the qualification of the caregivers, the enlargement of these differentiated practices of cares, the qualification and enlargement of the quantitativeness of professionals on face of the positive repercussion of this experience, as well as of the unamimity in relation to the satisfaction with the Program. However to the changes decurrent of the falling ill process, It can be concluded that, in the perception of the caregivers, not be lived deeply the day in the hospital, the unrestricted access to the team and to the hospital and the empathy that permeates these relations, added to the comfort and the convenience of their home next to relatives, their social reintegration aggregated to dedication, affection and love team, generating security and peace of mind, are positive consequences that the caregivers point out as consequences of the care offered in the domiciles.

Este estudo teve como proposta desvelar, a partir da perspectiva das cuidadoras de familiares, como se dá o processo de trabalho da equipe de Internação Domiciliar e as principais consequências desta prática de cuidados sobre a vida das famílias assistidas. O estudo teve uma abordagem qualitativa e foi utilizada a técnica de entrevista, semi-estruturada, para a coleta das informações, com as sete cuidadoras, sujeitos da pesquisa, do sexo feminino e da própria família (mães e filhas) dos pacientes reinternados no Programa de Internação Domiciliar do Hospital Antônio Bezerra de Faria, pertencente à rede pública estadual, localizado no município de Vila Velha, estado do Espírito Santo, na Região Sudeste do Brasil. As entrevistas foram analisadas utilizando-se a metodologia da análise de conteúdo sugerida por Minayo (2007), das quais foram extraídas quatorze categorias analíticas, relacionadas ao adoecimento, aos cuidados hospitalares e aos cuidados domiciliares. Identificou-se um nível elevado de satisfação das cuidadoras com a atenção prestada pelas equipes dos diferentes locais, hospitalar e domiciliar, com preferência explícita e unânime pelo domiciliar. As críticas e as referências negativas foram direcionadas ao hospital, como local de transmissão de doenças físicas e psicoemocionais, com ênfase no corredor. Os resultados apontam para uma boa prática de cuidados dos profissionais, humanizada, com respeito ao modo de andar a vida de cada um pacientes, com suas particularidades e individualidades, extensivas aos familiares. O PID mostrou, também, como resultados o necessário estabelecimento de parcerias sociedade-instituições de saúde, a qualificação dos cuidadores, a ampliação dessas práticas diferenciadas de cuidados, a qualificação e ampliação do quantitativo de profissionais em face da repercussão positiva desta experiência, bem como da unanimidade em relação à satisfação com o Programa. Pode-se concluir que, não obstante às mudanças decorrentes do processo de adoecimento, na percepção das cuidadoras, não vivenciar o dia a dia hospitalar, o acesso irrestrito à equipe e ao hospital e a empatia que perpassa estas relações, somados ao conforto e a comodidade do seu domicílio junto aos familiares, sua reinserção social agregadas à dedicação, carinho e amor da equipe, gerando segurança e tranqüilidade, são consequências positivas que as cuidadoras destacam como decorrentes dos cuidados oferecidos nos domicílios. / This study have had as proposal to reveal, from the perspective of the family caregivers, how is the process of the work of the team of home-care and the main consequences of this practice care on the lives of the attended families. The study had a qualitative approach and it was used the technique of interview, half-structuralized, for the collection of the information with the seven caregivers, subject of the research, females and own family (mothers and daughters) patient readmitted in the Program of Home-care of Antonio Bezerra de Faria Hospital, pertaining to the state public net, located in the city of Vila Velha, state of the Espírito Santo, in the Southeastern Region of Brazil. The interviews had been analyzed using the methodology of the analysis of content suggested for Minayo (2007), of which fourteen analytical categories had been extracted, related to the falling ill, the hospital cares and the domiciliary cares. A high level of satisfaction of the caregivers with the attention given for the teams of the different places, from hospital and domiciliary, was identified, with explicit and unanimous preference for domiciliary. The criticism and the negative references had been directed to the hospital, as local of transmission of physical and psychological emotional illnesses, with emphasis on the corridor. The results point to a good practice of professionals cares, humane, with respect to the way of living of each one - patients, with their particularitities and individualities extensive to the familiar ones. The PID also showed as results the necessary establishment of partnerships between health society-institutions, the qualification of the caregivers, the enlargement of these differentiated practices of cares, the qualification and enlargement of the quantitativeness of professionals on face of the positive repercussion of this experience, as well as of the unamimity in relation to the satisfaction with the Program. However to the changes decurrent of the falling ill process, It can be concluded that, in the perception of the caregivers, not be lived deeply the day in the hospital, the unrestricted access to the team and to the hospital and the empathy that permeates these relations, added to the comfort and the convenience of their home next to relatives, their social reintegration aggregated to dedication, affection and love team, generating security and peace of mind, are positive consequences that the caregivers point out as consequences of the care offered in the domiciles.

Uppsatsen syftade till att undersöka faktorer kring hemtjänstpersonalens kvarvarande i yrket samt personalens arbetsvillkor. Datainsamlingen utfördes genom en kvalitativ intervjustudie med fyra enhetschefer inom både privat och kommunal hemtjänst.  Bidragande orsaker till att personal lämnar yrket framgick som upplevelser av otillräcklighet, bristande påverkans- och utvecklingsmöjligheter samt arbetstidsförläggningen. Faktorer för kvarvarande uppmärksammades som betydelsen av det relationsnära arbetet, kollegialt utbyte, utvecklingsmöjligheter och stöd i arbetet.  Resultatet indikerade på att bristande resurser var skäl till att personal lämnar yrket och betydelsen för personalens kvarvarande har diskuterats utifrån äldreomsorgens kvalité. Äldreomsorgen har likt andra välfärdsverksamheter skyldigheter i att bedrivas på ett sätt som tillgodogör målgruppens behov varför personalens kompetens och erfarenhet blir av stor betydelse. / The study aimed to examine home care workers’ intentions to remain within their profession and working conditions. Data collection was conducted through qualitative interviews with four first-line managers within private and municipal home care. The first-line managers described experiences of inadequacy, lack of influence and development opportunities, and the working hours as reasons for the care workers’ turnover intentions. Factors regarding remaining in the profession were noted as the importance of relational work, collegiate exchange, development opportunities, and support. The results indicated lack of resources as the main reason for home care workers leaving their profession, and the importance of remaining has been discussed based on the quality of elderly care. Elderly care has obligations to be conducted in a manner that meets the needs of the targeted group, which is why the home care workers’ competence and experience are of significant importance.

Bakgrund: Över 56 miljoner människor är årligen i behov av palliativ vård, och dennasiffra förväntas växa i takt med att medellivslängden ökar. Omvårdnadsarbetet i patientens hem skapar en annan maktbalans. Samtidigt ställeromvårdnadsarbetet, utifrån ett personcentrerat förhållningssätt, höga kravpå sjuksköterskan avseende kunskap, kompetens och självständighet. Syfte: Syftet var att beskriva sjuksköterskans erfarenheter av palliativhemsjukvård. Metod: En litteraturöversikt med systematisk ansats genomfördes utifrån 13kvalitativa artiklar från databaserna CINAHL Complete, Pubmed ochNursing & Allied Health Premium. Artiklarna framsöktes utifrån sökordenNurses, Nursing, Nursing Care, Perspective, Experience, Palliative care,Home health nursing, Home Health Care och Home Care. Materialetanalyserades tematiskt i enlighet med Thomas och Hardens (2008)metodbeskrivning. Resultat: Resultatet påvisar vikten av välfungerande vårdrelationer, kännetecknadeav etisk lyhördhet, kontinuitet och tillit. Genom att analyserasjuksköterskors erfarenheter av hemmet som arbetsplats, beskriverstudiens resultat vikten av samverkan och kommunikation. Slutligenbelyser studien de känslomässiga aspekterna av att ge palliativ hemsjukvård, med betoning på sjuksköterskans behov av reflektion, stöd, ochfortbildning. Slutsats: Sjuksköterskans arbete är nära knutet till vårdrelationerna de bildar och ären del av. I detta sammanhang är samarbete och kommunikationavgörande. Studiens resultat utökar förståelsen för sjuksköterskorserfarenheter av palliativ hemsjukvård. Samtidigt argumenterar det förbehovet av att lämna utrymme för kompetensutveckling och reflektionsom centrala förutsättningar för att öka vårdkvaliteten. / Background: Over 56 million people need palliative care annually, and this number isexpected to grow as life expectancy increases. Nursing work in patientshomes reshuffles power relationships. Simultaneously, home care with aperson-centered approach, places high demands on nurses with respect totheir knowledge, competence and independence. Aim: The aim was to describe the nurses' experiences of palliative home care. Method: A literature review with a systematic approach was performed based on13 qualitative articles from the databases CINAHL Complete, Pubmedand Nursing & Allied Health Premium. These articles resulted fromusing the key words Nurses, Nursing, Nursing Care, Perspective,Experience, Palliative care, Home health nursing, Home Health Careand Home Care. The material was analyzed thematically in accordancewith the steps outlined by Thomas and Harden's (2008). Results: The results demonstrates the importance of well-functioning carerelationships, understood as featuring ethical sensitivity, continuity andtrust. Analysing nurses’ experiences of the home as a work place, thethesis describes the role of collaboration and communication and theemotional aspects of providing palliative home care, emphasising nurses’need for reflection, support and continuing education. Conclusion: Nurses’ work is intimately tied to the care relationship. In this context,cooperation and communication are crucial. These results expand ourunderstanding of nurses’ experiences of palliative home care, and arguefor the need to leave room for competence development and reflection askey conditions to increasing care quality.

No description available.

Thesis (MBA)--University of Stellenbosch, 2010. / Since the first case was discovered in Africa in the late 80s, the HIV/AIDS epidemic has gradually increased at alarming proportions worldwide especially in sub-Saharan Africa which prompted the United Nations' World Health Organisation to declare it a global pandemic. This research undertakes to highlight the current composition of care given for HIV and Aids, and the strengths and weaknesses of such programmes. The aim of this is to establish a better home based care programme in Swakopmund, Namibia, for improving the quality of care as well as living conditions for the infected and affected. For this initiative to be of the highest quality there is need to pay special attention to various regional and national HIV/AIDS programmes and policies. As the HIV/AIDS epidemic continues to spread, organisations and communities are now considering engaging more programmatic approaches as sub-Saharan countries are looking for scaled-up responses and national strategies for home based care. Policy-makers and senior administrators must be involved in developing and monitoring home based care programmes, and the people who manage and run the programmes must share information and feedback with senior administrators. In this sense, policy and action are interrelated as each partner learns from and guides the other. The researcher saw the need to involve community members and home based care-givers in a participatory process to research this topic and engage them in a process on how to improve the programmes that already exist. 52 Pages.

HIV/AIDS is a pandemic infecting and affecting millions of people worldwide. South Africa is also severely affected by this disease. Because hospitals cannot cope with patients admitted daily especially with the influx caused by HIV/AIDS patients, the government has introduced home-based care of people living with HIV/AIDS. Amongst those who practice home-based care are the volunteers. This study is aimed at exploring and describing the experiences of volunteers involved in home-based care of people living with HIV/AIDS in the Lusikisiki Magisterial district in the former Transkei area of the Province of the Eastern Cape. The researcher used a qualitative methodology with the aim of finding out what it is like to be a volunteer involved in home-based care in a rural area. The data was collected by means of semi-structured one-to-one interviews or guided interviews. A total sample of thirteen research participants was acquired through purposive as well as snowball sampling. The interviews were guided by a number of broad question themes. Data was analyzed using Tesch’s framework of data analysis as described in Creswell (1994). The researcher used Guba’s model as outlined in Krefting (1991) to ensure trustworthiness of the research findings. A literature control was undertaken to find out what other researchers and authors say about the issues raised by the study. There were five themes that came out of the data analysis process and these themes are: o The experiences of volunteers with home-based care. o Factors facilitating the work of volunteers. o Problems encountered by volunteers. o Possible solutions to problems encountered. o Views of volunteers regarding home-based care. These broad themes were further reduced into sub-themes and categories. Based on the discussion of themes, sub-themes, and categories, some research findings were presented. The discussion of the themes, sub-themes and categories was supported by verbatim quotations from the participants. On the basis of research findings, conclusions and recommendations were made.

This thesis deals with the development of hospice home care policy by identifying key events and actors who express themselves in the Czech Republic about the issue of hospice home care. From a methodological point of view, a qualitative approach is chosen. The research design of the thesis is a historical case study that allows to chronologically capture key events of origin and development of hospice home care in the Czech Republic. The work uses both secondary data and primary data. Primary data were obtained by eight expert interviews with members of a professional society, hospice home care providers, insurance companyand doctors. The author explains the development of hospice home care in the Czech Republic from 1989 until present through key events. In addition, the author identifies key actors and their value beliefs in the area of hospice home care on the basis of advocacy coalitions theory. She further analyzes the creation of possible coalitions of these actors. The thesis, using the view of questioned experts, identifies the main problems and barriers of the hospice home care system in the Czech Republic.

Based on the above findings and the preliminary theoretical framework, resource mobilizing and responsibility boundary is input to construct the support model of foster family. The characteristic of social support in substitute family is concluded. Recommendation about foster care policy and services is also provided. / Based on the review of literatures of foster care and social support, a preliminary theoretical framework is constructed. The important findings include: (l) The support relationship between foster families and foster adolescents is influenced by foster care service center and the natural family information of foster adolescents. Different foster families have different affection boundary and responsibility boundary. The boundary of support is constructed differently. Four types of support relationship is found: Totally Inclusive Supporting, Totally Exclusive Supporting, Semi Exclusive Supporting, and Passive Supporting. (2) In the support relationship between foster families and foster adolescents, foster families mobilize all kinds of family resources and outer resources to provide support to foster adolescents in living care, education, eliminating discrimination, development plan. (3) The support type of foster family is changing continuously. If the affection boundary and the responsibility boundary do not match with each other, the support relationship is not stable, or conflict with each other, and even collapse. / Since the 1990s, in the context of socialization of social welfare in China, the modern family foster care began to develop in China. This study is conducted in Shanghai, China. Qualitative research method is adopted. 16 foster adolescents and their foster families participate in this study. The aims of the study include exploring the support relationship between foster families and foster adolescents, researching the process of foster family's support to foster adolescents, finding the development of the support types, filling in the gaps of foster care study in China, expanding the study of social support in substitute family, advocating the foster care policy and services in China. / 王玥. / Advisers: Ngan-pun Ngai; Sek-yum Ngai. / Source: Dissertation Abstracts International, Volume: 73-06, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (p. 376-391). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Wang Yue.

published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy