ÖREBRO UNIVERSITET Institutionen för beteende-, social- och rättsvetenskap Sociala omsorgsprogrammet Socialt arbete 41-60 p C-uppsats, 10 p Ht 2007 En studie om hemtjänstpersonalens upplevelser av att vårda äldre med syrisk ortodoxt ursprung - Hur upplever vissa syrisk ortodoxa äldre att ta emot omsorg i ett främmande land? Författare: Shamiram Gevriye, Mia Sleman Sammanfattning Denna studies syfte var att undersöka hur hemtjänstpersonal upplever att vårda äldre med syrisk ortodoxt ursprung. Syftet var även att undersöka vissa syrisk ortodoxa äldres upplevelser av att vårdas av hemtjänstpersonal. För studiens genomförande valdes den kvalitativa ansatsen som metod. Tematiska intervjuer genomomfördes med öppna frågor för att få del av hemtjänstpersonalens samt vissa brukares upplevelser av omsorgen. De tre teman som användes i studien var bemötande, anpassning och kultur. Kriterierna för urvalet av respondenter var för hemtjänstpersonalen att de skulle arbeta inom hemtjänst i ett invandrartätt område samt att de skulle ha haft kontakt med äldre med syrisk ortodoxt ursprung. För brukarna var urvalskriterierna att de skulle ha syrisk ortodoxt ursprung, vara över 70år samt vara beviljade hemtjänst. Resultaten visade att personalen upplevde svårigheter i kommunikationen på grund av bristande språkkunskaper både från sig som personal samt från brukarnas sida. Vidare visar resultaten att personalen på grund av språksvårigheter upplevde att samspelet mellan dem och brukarna med syrisk ortodoxt ursprung inte alltid var välfungerande vilket ledde till att personalen i vissa fall upplevde brister i bemötandet. Brukarna upplevde till skillnad från personalen att samspelet var välfungerande och att de blev välbemötta. Ytterligare visade resultaten att kompetens inom området kultur är en central aspekt för att kunna möjliggöra en anpassning och därmed förbättra brukarnas upplevelser av omsorgen. Nyckelord: äldre, invandrare, hemtjänst, hemtjänstpersonal, syrisk ortodox. / Örebro University The Department of Behavioral, Social and Legal Sciences Social work programme Social work advanced course, 41-60 points Essay, 10 points Ht 2007 A study about home- care staffs experiences of taking care of elderly with syriac orthodox origin. - How do some syriac orthodox elderly experience receiving care in a foreign country. Authors: Shamiram Gevriye, Mia Sleman Abstract The aim of this study has been to investigate how staff in home-care experience taking care of elderly with syriac orthodox origin. The aim also was to investigate some syriac orthodox elderly´s experience of being taken care of by home-care staff. The method choosen to carry out the studie was the qualitative. Thematic interviews were carried out with openend questions to acquaint ourselves with the home-care staff as well as some users’ experiences of the care. The three themes used were treatment, adaptation and culture. For the home-care staff the criterieas of selection were that they should work in home-care based in a neighbourhood with a high level of immigrants in conjunction with experience of meeting users with syriac orthodox origin. When it came to the users the criterias of selection were that they should have syriac orthodox origien, be at least 70 years old and be granted home-service. The results revealed that the staff experienced difficulties in communication because of deficiency in their own as well as the users’ knowledge of language. Further the results showed that the home-care staff experienced that the interaction with the syriac orthodox users to some extent was insufficient depending on language difficulties which led to that the staff experienced inadequate treatment. The users, in contrary, experienced that the interaction was sufficient and the treatment was satisfying. The results also showed that cultural competence is a critical aspect to facilitate adaptation and with that improve the users experiece of the care. Keywords: elderly, immigrants, home-care, home-care staff, syriac orthodox

published_or_final_version / Social Work / Master / Master of Social Sciences

This project explored the values considered by elderly people, their younger relatives, and health professionals in decisions about residential long - term care, aiming to contribute to the literature on prospectively held values. The mixed methods design utilised a medical record review of 60 frail elderly hospital patients, a stratified survey of 3,015 adults in the South Australian community, and interviews with 36 stakeholders ( 10 elderly people, 10 younger relatives, and 18 health professionals ). The medical record review confirmed that the hospital patients and their outcomes resembled those described internationally. It was used to develop a hypothetical vignette, used in the later studies. Survey responses suggested that when considering a hypothetical long - term care decision, community members put the elderly person ' s physical health and safety first. Situational variables ( the elderly person ' s autonomy, environmental adaptation, and caregiver burden ) appeared secondary, albeit less so with increasing age of the respondent. Thematic analysis of the interviews demonstrated that elderly stakeholders considering a hypothetical decision were more likely to mention autonomy values, and less likely to mention safety values, than were relatives or health professionals. However, elderly stakeholders were also more likely to suggest restrictive solutions, such as residential placement and proxy decision - making. This finding raised methodological issues concerning ' third person ' vignettes, in that respondents might be responding as proxy decision - makers, rather than as if the hypothetical decision applied to themselves. The project confirmed that, in this context, prospectively held values resembled the retrospectively described values identified by McCullough, Wilson, Teasdale, Kolpakchi and Shelly ( 1993 ). Hence, the retrospective literature could be applied. The project supported the importance and complexity of psychosocial predisposing factors when applying the Andersen Behavioral Model ( Andersen, 1995 ) to long - term care decisions. Additionally, the Ecological Theory of Aging ( Nahemow, 2000 ) and the MacArthur Model of Successful Aging ( Andrews, Clark, & Luszcz, 2002 ) were found to be relevant to long - term care decisions for individuals and populations. It was concluded that both clinically, and at a policy level, discussions of long - term care could be more effective if they focussed on maintenance of elderly people ' s autonomy and control, rather than on their physical health and safety. / Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2006.

Thesis (M. Soc. Sc.)--University of Hong Kong, 1997. / Includes bibliographical references.

Thesis (M.S.)--University of Missouri--Columbia, 2004. / Typescript. Includes bibliographical references (leaves 27-30). Also available on the Internet.

Thesis (M.Sc.)--Memorial University of Newfoundland, 2004. / Includes bibliographical references.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1997. / Includes bibliographical references. Also available in print.

Nursing documentation is currently still very hot topic. Perhaps because they are still many health workers (physicians and non-physicians) sufficiently understand the importance and seriousness of this document. The documentation not only provides valid information about the client and his health, but also ensures continuous flow its nursing care and ultimately became a piece of evidence in case of litigation. Documentation can also be used for education and research purposes. Home care is a field that has recently rapidly growing and gaining in popularity. As part of primary and community care nursing provides clients in its natural, familiar and domestic environment, which is a big advantage for him, he does not spend his days in hospital, which is economically difficult anyway. Home Care provides health care services indicated by the treating physician or practitioner and are paid for by health insurance. This thesis deals with the nursing documentation in home care agencies, which aims to describe the demographic impacts on the use of nursing documentation, check the attitude of nurses from selected agencies of home care to nursing documentation and analyze the nursing documentation in selected home care agencies. The thesis is composed of two parts, theoretical and empirical. The theoretical part deals with the history of home care, statistical data shows the growth of agencies, their employees and clients, providing comprehensive home care and medical documentation. The empirical part was realized in the form of qualitative research. The information was gathered in-depth interview technique, which was compiled from 1 identification questions and 11 open-ended questions that formed the framework for the entire interview. In fact, respondents to individually comment on the issue to the extent that they saw fit. The research group consisted of seven sisters of different age, education and length of experience, currently working from home care. Due to fears nurses were promised total anonymity, so you can just tell that they were sisters from ADP capital city of Prague and Central Bohemia. Complementary research was conducted in seven home care agencies for the same regions, but any of nurses does not belong to the Agency from the second survey. In the first phase of the research we examined the influence of nurses' demographic factors such as age, education or length of experience in the management of nursing documentation and own attitudes of nurses from selected agencies in the management of nursing documentation. The research sample consisted of seven nurses working in home care agencies that were selected purposefully and were willing to cooperate in research. In the second phase of the research we tried to analyze individual nursing documentation of selected home care agencies. For this part, we chose seven agencies, which have been their leadership under the promise of anonymity willing to cooperate. The research investigation set up three goals and three research questions. The first objective was to describe the demographic impacts on the use of nursing documentation. The second objective was to determine the attitude of nurses from selected agencies of home care to nursing documentation. The third objective was to analyze the nursing documentation in selected home care agencies. At the outset of the investigation, we asked the following questions: they influence the management of the nursing documentation demographic factors such as age, education or length of practice nurses? What attitudes toward nursing documentation occupy the sisters from selected home care agencies? Correspond to different parts of the nursing documentation with the phases of the nursing process? Results of the research can be an inspiration not only for the nursing management ADP, but also for the nurses working in home care agencies throughout the Czech Republic, only selected agencies.

Made available in DSpace on 2014-12-17T15:24:27Z (GMT). No. of bitstreams: 1 FrancenildoDR_DISSERT.pdf: 1441958 bytes, checksum: 084daa6b15b408dd79e5f9d215bf8101 (MD5) Previous issue date: 2013-12-19 / This dissertation try to understand how management actions implemented by Monsenhor Walfredo Gurgel Hospital in the city of Natal promote effectively the benefits of Home Care Services / Programa Melhor em Casa . The research is exploratory and descriptive, qualitative approach. Data were collected through document analysis and the interviews with the managers of the Program in Health Department and Hospital beyond the questionnaires with the home care teams and technical management unit of Hospital Jobs. The information were treatment trough categories that analyzed to implemented actions and program objectives. The results show that: the practices carried out by the host teams produce the humanization of care by seeking to ensure access to health services and solving human form; networks of health care are not yet finalized hindering the referral of patients to other units, the networks allow support from other institutions to minimize the problems encountered, the management unit vacancies allows the reduction of costs, mainly by regulating beds and record of health initiatives in home care assists in the monitoring and evaluation process of the Services Home Care / Programa Melhor em Casa primarily the epidemiological profile and patients individual treatment plan. Concludes that most of the actions implemented by the Hospital contribute to the effectiveness of the goals of Programa Melhor em Casa / Esta disserta??o busca compreender como as a??es gerenciais implementadas pelo Hospital Monsenhor Walfredo Gurgel no munic?pio do Natal promovem de forma eficaz os benef?cios do Servi?o de Aten??o Domiciliar/ Programa Melhor em Casa. A pesquisa tem natureza explorat?ria e descritiva, com abordagem qualitativa. Os dados foram coletados atrav?s da an?lise documental e com a realiza??o de entrevistas com os gestores do Programa na Secretaria Estadual de Sa?de e no Hospital al?m da aplica??o de question?rios com as equipes de aten??o domiciliar e com os t?cnicos da unidade de gerenciamento de vagas do Hospital. No tratamento das informa??es foram analisadas categorias vinculadas ?s a??es implementadas e aos objetivos do programa. Os resultados mostram que: as praticas de acolhimento realizadas pelas equipes produzem a humaniza??o do atendimento por buscar garantir o acesso ao servi?o de sa?de de forma humana e resolutiva; as redes de aten??o em sa?de ainda n?o est?o conclu?das dificultando o referenciamento dos pacientes para outras unidades; as redes possibilitam buscar apoio de outras institui??es para minimizar os problemas encontrados; a unidade de gerenciamento de vagas possibilita a redu??o dos custos, principalmente por regular os leitos de interna??o e o registro ambulatorial das a??es em sa?de em aten??o domiciliar auxilia no processo de monitoramento e avalia??o do Servi?o de Aten??o Domiciliar/Programa Melhor em Casa principalmente por conhecer o perfil epidemiol?gico e o plano terap?utico individual dos pacientes. Conclui assim que a maioria das a??es implementadas pelo Hospital contribuem para a efic?cia dos objetivos do Programa Melhor em Casa

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