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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
931

Consequences of Internet (mis)use : views among university students and social workers

Emelyanova, Ivanna January 2015 (has links)
The purpose of this thesis was to explore views on consequences of Internet use among young people sampled at a Swedish university. Both quantitative and qualitative research designs were used. The quantitative data were gathered by a quantitative survey conducted among 50 university students at the University of Gävle. To broaden the picture, face-to-face interviews were conducted with two social workers (from Sweden and Russia). In order to analyze and interpret the data collected, Bronfenbrenner’s bioecological model of human development and learning theory were applied. Symptoms of Internet addiction proposed by Young (1998a) were used to examine whether the data collected demonstrated presence of Internet addiction among sampled university students. The results indicated that the majority of respondents had an excessive use of Internet, however, the female participants and different aspects of their everyday life seemed to be more influenced by Internet use compared to the male respondents. Another conclusion is that the field of social work has to increase the knowledge and competence in diagnosing the symptoms of excessive Internet use. Internet related disorders are problems of increased proportion and mental health counsellors need to be prepared to meet a growing demand in the area of social work.
932

Risks faced by South African offshore investors

Godi, Ntwanano Jethro 09 1900 (has links)
Risks faced by South African offshore investors is a study that seeks to identify and rank in order of importance the risks that are faced by South African offshore investors. As a global player, South African investment institutions exchange trades with institutions in other countries. These trades are, however, not risk free. Trading in foreign markets can lead to institutions collapsing if their investment plans are not well formulated. There are many factors to consider when planning an offshore investment. For example, what products to invest in, which countries to invest in, why invest in such countries or institutions, how long is the investment going to be, and what are the expected returns, taking into account all the risks involved. All these questions and many others should be answered before investing offshore. South African investment brokers registered with the Financial Services Board and licensed to trade offshore were selected as the target population to respond to a questionnaire designed for this study. A web-based questionnaire using LimeSurvey was used to collate data from the respondents. The SPSS statistical methodology was used for the analysis from where recommendations and conclusions were drawn. / Business Management / M. Com. (Business Management)
933

Protection and security in a technologically advanced society : children and young people's perspectives

Hannigan, Kerry January 2014 (has links)
The continuous advancement of new technology, specifically in the area of internet technology, has led to an increase in concerns surrounding children and young people’s safety when online. The following thesis describes a study of protection and security on the internet from the perspective of children and young people and contributes and expands on the findings of my Masters Dissertation which examined parents’ perceptions of children at risk on the internet. The research focuses on young people’s perspectives about what risks they face and what would keep them safe and is set within literature on child sex abusers and internet grooming. The thesis is based on an online survey which gathered information about the behaviour and opinions of 859 children and young people living in Scotland. Findings were separated into four main topics: children and young people’s behaviour on the internet, children and young people’s perception of strangers both online and offline, children and young people’s opinion of education on internet safety and children and young people’s opinion of the government’s role in relation to their safety online. Respondents’ stated that they wanted to be protected when on the internet (whilst acknowledging their own responsibility when online), either by the government or through those responsible for the content of the internet. They also provided several suggestions on how schools and the government can do more to listen to their voices and improve internet safety education. There were a number of children and young people who reported that they disclosed personal information over the internet (their own and that of their friends and family) and that they were willing to meet people in the real environment whom they had been communicating with online: many respondents’ viewed internet ‘strangers’ as different from ‘strangers’ in the real environment. Vygotsky’s (1978) theory of the Zone of Proximal Development (ZPD) and Wood et al.’s (1976) development of the concept of scaffolding, which has been developed in an educational rather than criminological context, were identified as offering some promise for explaining the behaviour of both the victims and the offender as other theories of sexual offending (either specific theories or explanations developed from general theories) are incapable of fully providing an explanation that will encompass grooming in general and online grooming in particular. It is argued that if these theories are applied to internet safety education they have the potential to empower children and young people and make grooming tactics and approaches less effective. The findings also indicated that more child and young people-oriented protection measures may be needed. Perceptions of protection and security on the internet were wide ranging but respondents were keen to provide possible solutions and examples of how to improve their safety when online. This would suggest that communicating with children and young people when developing policy, legislation, research and educational materials is the way forward if we wish to improve their safety and eliminate or reduce the dangers they face when using the internet.
934

Addressing the incremental risks associated with social media by using the cobit 5 control framework

Gerber, Petro 04 1900 (has links)
Thesis (MComm)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: Social media offers great opportunities for businesses and the use thereof will increase competitiveness. However, social media also introduce significant risks to those who adopt it. A business can use existing IT governance control framework to address the risks introduced by social media. However a business should combine existing control frameworks for adequate and complete IT governance. This study was undertaken to help businesses to identify incremental risks resulting from the adoption of social media and to develop an integrated IT governance control framework to address these risks both at strategic and operational level. With the help of the processes in COBIT 5, this study provides safeguards or controls which can be implemented to address the IT risks that social media introduce to a business. By implementing the safeguards and controls identified from COBIT 5, a business ensures that they successfully govern the IT related risks at strategic level. This study also briefly discuss the steps that a business can follow to ensure IT related risks at operational level is addressed through the implementation of configuration controls. / AFRIKAANSE OPSOMMING: Sosiale media bied groot geleenthede vir besighede en die gebruik daarvan sal mededingendheid verhoog. Sosiale media hou ook egter beduidende risiko's in vir diegene wat dit aanneem. 'n Besigheid kan bestaande Informasie Tegnologie (IT) kontrole raamwerke gebruik om die risiko's wat ontstaan as gevolg van die gebruik van sosiale media aan te spreek. Vir voldoende en volledige IT korporatiewe beheer moet 'n besigheid egter bestaande kontrole raamwerke kombineer. Hierdie studie is onderneem om besighede te help om die toenemende risiko's wat ontstaan as gevolg van die gebruik van die sosiale media, te identifiseer en om 'n geïntegreerde IT kontrole raamwerk te ontwikkel om hierdie risiko's op strategiese sowel as operasionele vlak aan te spreek. Met die hulp van die prosesse in COBIT 5 voorsien hierdie studie voorsorgmaatreëls of kontroles wat geïmplementeer kan word om die IT-risiko's waaraan die besigheid, deur middel van sosiale media blootgestel is, aan te spreek. Deur die implementering van die voorsorgmaatreëls en kontroles soos geïdentifiseer uit COBIT 5, verseker ʼn besigheid dat hulle die IT-verwante risiko's op strategiese vlak suksesvol beheer. Hierdie studie bespreek ook kortliks die stappe wat 'n besigheid kan volg om te verseker dat IT-verwante risiko's op operasionele vlak aangespreek word deur die implementering van konfigurasie kontroles.
935

'n Kritiese evaluasie van die gebruik van informasie tegnologie ten einde produksierisiko van aartappels onder besproeiing, te verminder

Jordaan, Emile 03 1900 (has links)
Thesis (MBA)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: This study evaluates the use of information technology as a method to reduce production risk for irrigated potatoes. Risk in agriculture is discussed under climatic, market or price and production related risk. Production related risk covers the disciplines of planting, irrigation, fertilisation, disease and pest control as well as harvesting. It is in the above mentioned disciplines that information technology could possible be applied to reduce production risk in irrigated potatoes. The nature of this study can therefor be described as the investigation of the economic justification of information technology as a method to reduce production risk in irrigated potatoes. A brief introduction to put potato production in world and South African context into perspective, is provided. In South African context the importance and position of potato production relative to other crops is discussed. To better understand the economic conditions, under which potatoes are produced in South Africa, a financial breakdown of production cost for irrigated potatoes over regions is given. It is important to understand the economics of potato production before a proper assessment of thepossible benefits of information technology can be made. Various principles and instruments involved with information technology, as it applies to potato production under irrigation are also discussed. Irrigation scheduling as a discipline in which information technology can be applied, is also discussed. It is important to understand that irrigation scheduling can be based on two underlying principles, i.e. atmospheric modelling and soil moisture measurement. Various examples of measurement instruments are discussed. Climatic based disease modelling and petiole sampling as a method to determine nutritional status in the potato plant, was also discussed. A brief discussion of computerised agriculture management software was included to conclude the discussion on the principles and instruments available for information technology in irrigated potato production. The use of fertiliser scheduling, irrigation scheduling and climatic modelling to reduce fungal diseases in potatoes, as information technology methods, are explained in greater detail. It is shown that recommended levels for various nutrients do exist and that petiole analysis as a method to determine these levels at various growth stages, can be applied successfully. It is further argued that with various methods of irrigation scheduling, proper decision making about the amount and timing of irrigation needed, can be possible. The Plant-Plus system as a method to better control Late Blight on potatoes, is discussed. The results obtained through a commercial trial proves the validity of climatic modelling as a method of information technology to reduce production risk on potatoes, specifically the risk associated with Late Blight. The existence of and results obtained through the equipment and methods previuosly mentioned, raises the question of the economic viability of information technology at farm level. To investigate the perception of growers with regard to the applicability of information technology to reduce production risk and their readiness to adopt such . -- technology, a questionnaire was sent to 40 commercial potato growers throughout South Africa. Growers were tested on their perception with regard to the use of information technology on aspects such as financial management, irrigation scheduling, fertilisation, climatic measurement for fungal modelling as well as a profile analysis of the grower. The results of the survey are tabulated and analysed. Growers were on average positive about the value of information technology and indicated that under certain conditions, they were prepared to implement such technology. Margins in commercial potato production are under severe pressure and are in fact shrinking. Case studies presented in this investigation and results from the pilot survey indicate that the use of information technology is not only important for the reduction of risk in potato production but also imperative for sustainable and profitable potato production. It can therefore be concluded that, based on the results obtained in the pilot questionnaire, a statistical valid sample would probably support the findings in the pilot study. The pilot study indicated that reliable, affordable and practical information technology, as it has been presented in this investigation, does have a place in modern day irrigated potato production. / AFRIKAANSE OPSOMMING: Hierdie studie evalueer die gebruik van informasie tegnologie as 'n metode om produksie risiko in die verbouing van aartappels onder besproeiing, te verminder. Risiko in landbou word onder klimatologiese, mark of prys en produksie verwante risiko bespreek. Produksie verwante risiko kan weer onderverdeel word in risiko wat verband hou met plant of vestiging, besproeiing, bemesting, plaag en pes beheer asook oes. Dit is dan in die bogenoemde dissiplines waar informasie tegnologie moontlik aangewend kan word om produksie verwante risiko te verminder. Die kern van hierdie ondersoek kan gevolglik saamgevat word as 'n ondersoek na die ekonomiese regverdigbaarheid van informasie tegnologie as 'n metode om produksierisiko in die verbouing van aartappels onder besproeiing, te verminder. Daar word kortliks verwys na aartappel verbouing in wêreld en Suid Afrikaanse konteks. In Suid Afrikaanse konteks is die relatiewe belangrikheid van aartappelverbouing in vergelyking met ander gewasse uitgelig. Ten einde 'n beter begrip vir die ekonomiese omstandighede waaronder aartappels in Suid Afrika verbou word, word 'n afbraak van produksiekoste oor streke verskaf Dit is belangrik om die ekonomie van aartappelproduksie te verstaan voordat 'n deeglike evaluering van die moontlike voordele wat informasie tegnologie kan inhou, onderneem kan word. Verskeie beginsels en instrumente in die aanwending van informasie tegnologie, soos van toepassing in die verbouing van aartappels onder besproeiing, word ook toegelig. Hieronder word besproeiingskedulering as 'n metode bespreek. Dit is verder belangrik om te besef dat besproeiingskedulering op hoofsaaklik twee beginsels berus naamlik atmosferiese modellering en fisiese grondvog meting. Verskeie voorbeelde van meetinstrumente word bespreek. Klimatologiese siektemodellering en petioolontledings as 'n metode om die voedingstatus van aartappelplante te bepaal, word ook bespreek. Die gebruik van bemestingskedulering, besproeiingskedulering en klimatologiese modellering vir die beheer van laatroes op aartappels, as metodes van informasie tegnologie, word in groter besonderhede toegelig. Daar is aangetoon dat aanbevole peile vir verskeie nutriënte bestaan. Deur die neem van gereelde petiool ontledings kan hierdie peile suksesvol gedurende die opeenvolgende fenologiese stadia van die aartappelplant, gehandhaaf word. Daar is verder aangevoer dat deur die gebruik van verskeie metodes van besproeiingskedulering, deeglike besluitneming rakende die hoeveelheid en tydsberekening van 'n besproeiing, moontlik is. Die Plant-Plus sisteem as 'n metode om laatroes op aartappels te beheer, is toegelig. Resultate behaal in 'n kommersiële aanplanting het die geldigheid van klimatologiese modellering as 'n metode om produksierisiko - veral die risiko geassosieer met laatroes - te verminder, onderskryf. Die bestaan van resultate en instrumente soos voorgehou in Hoofstukke 3 en 4, onderskryf of bevestig die vermoede dat informasie tegnologie wel aangewend kan word om produksierisiko in aartappelverbouing te verminder. Die vraag is egter of dit ekonomies op plaasvlak aangewend kan word. Ten einde die persepsie met betrekking tot - die toepaslikheid en gereedheid van produsente in dié verband te evalueer, is 'n loodsvraelys na 40 respondente, wat die kommersiële aartappelprodusente regdeur Suid Afrika verteenwoordig, gestuur. Respondente is ge-evalueer met betrekking tot hul persepsie rakende die gebruik van informasie tegnologie in die dissiplines van finansiële bestuur, besproeiingskedulering, nutriëntskedulering en klimatologiese modellering vir die beheer van laatroes. Respondente was oor die algemeen positief met betrekking tot die nut van informasie tegnologie en dat onder seker voorwaardes, hulle dit sal gebruik. Marges in kommersiële aartappelverbouing is onder ernstige druk en is inderdaad besig om te krimp. Gevallestudies wat in hierdie ondersoek voorgehou is, asook resultate verkry uit die vraelys, dui aan dat informasie tegnologie nie alleen belangrik is vir die vermindering van risiko in aartappelverbouing me, maar ook noodsaaklik IS vir volhoubare en winsgewende aartappelproduksie. Dit kan gevolglik gestel word dat resultate verkry uit die loodsvraelys, daarop mag dui dat 'n statisties verifieerbare steekproef moontlik kan uitwys dat betroubare, bekostigbare en praktiese informasie tegnologie, soos voorgehou in hierdie ondersoek, wel 'n bestaansreg in die moderne verbouing van aartappels onder besproeiing het.
936

貿易經營風險管理之研究

林芬美, LIN, FEN-MEI Unknown Date (has links)
商業是以營利為目的,互通有無,調節貨物供求的經濟行為。其具有從甲地收購運往 乙地出售,以增加貨物的「場所效用」(place utility );或於生產季節買進貨物 ,至缺貨季節出售,以增加貨物的「時間效用」(time utility);或向生產者購買 貨物轉售給消費者,以增加貨物的」對人效用」(personal utility)。故商業固然 以營利為目的,但對於繁榮社會經濟、造福人群,也有很大的貢獻。然而,商人在從 事商業活動時,卻面臨著許多的「營業風險」(business risks),尤其是經營國際 間的貿易,須面對如匯兌、政治及信用、價格、海運、商貨等風險,凡上述各種風險 均非國內貿易所可比擬。職是之故,我們經營國際貿易者,對於此種經營上的風險, 自有詳加研究探討的必要。藉此,我們即可儘量設法排除、防範這些風險,至於那些 無法防範、排除的風險,我們則應設法予以轉嫁,用以確保經營的安全。 本文共分七章,第一章為研究目的及動機;第二章為匯兌風險及其管理;第三章為政 治及信用風險及其管理;第四章為價格風險及其管理;第五章為商貨風險及其管理; 第六章為海運風險及其管理;第七章為結論及建議。期待藉著本文的探討,幫助貿易 業者了解風險之所在,並提供對策以供因應,藉以保障其貿易行為所應得的利益,並 進一步為企業創造更大的利潤。
937

非比例再保險風險基礎計價法之研究:台灣營造綜合險 / EXPOSURE RATING OF EXCESS OF LOSS REINSURANCE - TAIWAN CONTRACTOR’S ALL RISKS INSURANCE

余東坤, Rick Yu Unknown Date (has links)
本研究之主要貢獻為發展適合台灣營造綜合險保單(本體損失險)之風險曲線。 先前由Salzmann (1963)及Ludwig (1998)之相關研究,係採用美國市場之損失經驗,考量不同保單之承保範圍、不同保險標的、及不同之承保風險,直接引用美國市場風險曲線於台灣市場之通用性值得釐清。 本研究回顧台灣營造綜合險保單之承保範圍及除外條款,依據西元一九九六年至兩千年之損失經驗,發現台灣營造綜合險之損率深受天然災害如地震、颱風、豪雨所影響。 再保險安排可分成兩大類,一是比例再保險; 另一是非比例再保險。風險曲線是非比例再保險常用之計價方式之一。 比較先前之研究,本研究之風險曲線分佈集中在低層其主要之原因如下:- 一、 分析標的之可能最大損失(PML)偏低: PML代表某一特定危險所可能造成之可能最大損失。以道路工程為例,其可能最大損失小於30%之保額。由於道路工程大多綿延數十公里甚或更長,其工程本身呈線狀之分佈。換言之,非常不可能會有單一損失其損失金額超過保額之30%。 因此,道路工程之損失分佈不平均且分佈集中在低層。 二、 營造綜合險保期偏長: 營造工程其中一個特性為多年期的保險期間。 因為工程之進行往往需要花超過一年的時間來完成,因此,營造綜合險全損(損失金額等於保額)之機率,遠小於財產險因火災造成全損之機率。 三、 分析之承保風險不同: Salzmann (1963)僅針對火災此一危險因子來從事她的研究。就我們所知,美國大多數住宅皆是木造,屬可燃性建材,火災造成之影響相當大。 相反地,本研究標的大多利用不可燃性建材來興建,如鋼鐵或混凝土,故火災之影響性相對較小。 關鍵字: 非比例再保險、風險基礎計價、營造綜合保險 / The major contribution of this research is to develop the exposure curves suitable for the Taiwan Contractor’s All Risks (CAR) Insurance (Material Damage Cover). The exposure curves generated in Salzmann (1963) and Ludwig (1998) were originated from the loss experience in the United States. Considering the different types of policies, different types of risks, and different types of perils, the applicability of those curves in Taiwan market is discussable. This study reviews the scope of coverage, insuring clause and exclusions of the Taiwan Contractor’s All Risks Insurance. According to the loss records between 1996 and 2000, it’s understood that the result of the Contractor’s All Risks Insurance is highly influenced by the natural catastrophic perils, such as earthquake, typhoon and heavy rains. The reinsurance placement can be categorized into proportional and non-proportional reinsurance or called excess of loss reinsurance. Exposure rating is one of the common pricing methods for the excess of loss reinsurance. Compared with those two previous researches done by Salzmann (1963) and Ludwig (1998), the outcome of this analysis shows an unbalanced loss distribution which leans to the lower layers that is mainly because of the following reasons: - (1) Low PML percentage of analyzed risks: The PML represents the Probable Maximum Loss subject to a certain type of peril. Taking a road construction project as an example, the PML of a road construction project is less than 30% of the total sum insured. Usually, the length of a road construction project is tens of kilometers or even much longer. In consideration of its linear shape, it’s very unlikely to have a loss exceeding 30% of its total sum insured. Therefore there was very few or nil loss data above the 30% of the total sum insured that’s the reason why the loss distribution is unbalanced and leans to the lower layers. (2) Long Construction Period of a CAR Project: A character of a CAR project is having a multiple-year policy period because the construction work usually takes more than one year to be completed. Therefore the possibility to have a total loss case, loss amount equal to the total sum insured, is much less than a property risk with a fire scenario. (3) Types of Perils Analyzed: Salzmann (1963) carried out her research by analyzing the peril of fire covered under the homeowners’ policies. As we know, most of the houses in the United States are the wooden structures, which are combustible. Oppositely, the risks in this research are mostly constructed by using the non-combustible materials, such as steel or reinforced concrete. Keywords: excess of loss, non-proportional reinsurance, exposure rating, and contractor’s all risks insurance.
938

Ethical problems in work and working environment contexts

Persson, Anders J. January 2004 (has links)
<p>This thesis identifies and systematizes two categories ofpractical problems that stem from work and working environmentcontexts: workplace privacy and occupational health risks. Thefocus of the discussion is on ethical justification. Do we havereason to accept a certain level of (potential) harm toemployees by virtue of the fact that they are employees, and ifso, under what circumstances? The thesis consists of a briefintroduction and three essays.</p><p>In<i>Essay</i>I, it is argued that employees have a prima facieright to privacy, but that this right can be overridden bycompeting moral principles that follow, explicitly orimplicitly, from the contract of employment. Three types ofjustification are specified: those that refer to the employer'sinterests, those that refer to the interests of the employee,and those that refer to the interests of third parties. A setof ethical criteria is developed and used in the subsequentessay to determine the moral status of infringement ofworkplace privacy.</p><p>In<i>Essay</i>II, these criteria are applied to three broadcategories of intrusive workplace practices: (1) monitoring andsurveillance, (2) genetic testing, and (3) drug testing.Scenarios are used to show that such practical ethical problemscan be handled systematically using proposed guidelines. It isalso shown that some practices are dubious and at least some ofthem can be replaced by less intrusive means of ensuring thedesired outcome, for instance efficiency or safety in aworkplace.</p><p><i>Essay</i>III deals with the fact that health and safetystandards for employees are less protective than those thatapply to the public. Emphasis is put on the distinction betweenexposure and risk, and this distinction is claimed to be a keyfactor in the relevance of arguments in favour of such doublestandards. The analysis of 'double standards' for public andoccupational exposure to risk aims to show that a justificationof such standards is closely linked to two separate types ofissues, namely empirical and normative issues. It is claimedthat this kind of differentiation seems to be supported neitherby a reasonable conception of the contract of employment nor byany obvious ethical principle that is applicable to workplacesor work situations in general.</p><p><b>Key words:</b>Contract of employment, double standards,drug testing, ethics, ethical justification, exposure, genetictesting, health and safety standards, privacy, surveillance,risks, work, work environment</p>
939

Patienter med aggressvt beteende och en förklaringsmodell om vad som kan trigga igång aggressivitet : - En Integrativ litteraturöversikt / Patients with aggressive behavior and an explanatory model of aspects that can trigger aggressiveness : - An integrative litterature overview

Yifter, Lilly January 2017 (has links)
Bakgrund: Vårdmiljön inom psykiatrisk heldygnsvård har beskrivits framkalla olika känslor och präglas av en hård miljö där patienter bland annat kan vårdas mot sin vilja och vara utsatta för tvångsåtgärder och restriktioner. Aggressivitet är vanligt förekommande på dessa avdelningar och bedöms vara ett problem. En kunskapslucka finns vad gäller vilka patienter och situationer som ökar risken för aggressivitet inom kontexten psykiatrisk heldygnsvård. Syfte: Att identifiera karaktäristiska drag hos patienter med aggressivt beteende och identifiera aspekter som påverkar situationer där hot- och våldsincidenter uppstått inom psykiatrisk heldygnsvård samt syntetisera en förklaringsmodell. Metod: En integrativ litteraturöversikt beståendes av både kvalitativa och kvantitativa artiklar. Materialet analyserades med hjälp av Whittemore och Knafls (2005) arbetsprocess. Resultat: Resultatet genererade i tre huvudteman och tio underteman. Följande tre huvudteman identifierades: patienten som en trigger, vårdmiljön som en trigger och personalen som en trigger. Diskussion: Metoden diskuteras utifrån begreppen: trovärdighet, pålitlighet, bekräftelsebarhet och överförbarhet. Resultatets huvudfynd diskuteras med stöd av tidigare forskning och i relation till Phil Barkers teori tidvattenmodellen. / Background: The care environment within psychiatric inpatient care has been described to create different emotions and is characterized as a hard environment where patients sometimes are treated against their will and can be exposed to coercive measures and restrictions. Aggressiveness is common at these wards and is considered a problem. There is a knowledge gap when it comes to patients and situations that increase the risk for aggressiveness in the context of psychiatric inpatient care. Aim: To identify characteristic features of aggressive patients and to identify aspects that effects situations where threats and violence has occurred in psychiatric inpatient care and to synthesise an explanatory model. Method: An integrative literature overview containing both qualitative and quantitative articles. The data were analysed using Whittemore and Knafl’s (2005) working procedure. Results: The result generated in three main themes and ten subthemes. Following three main themes were identified: the patient as a trigger, the care environment as a trigger and the staff as a trigger. Discussion: The method is discussed in relation to these concepts: trustworthiness, dependability, confirmability and transferability. The results are discussed with support of previous research and in relation to Phil Barker's theory the Tidal model.
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La promotion de l’allaitement maternel en milieu défavorisé dans le cadre de l’implantation de l’Initiative des amis des bébés : le cas des infirmières de santé communautaire

Doucet, Marie-Hélène 12 1900 (has links)
Contexte : Pour favoriser l’allaitement, la Condition 3 de l’Initiative des amis des bébés (IAB) (OMS / UNICEF) vise à offrir une information complète aux femmes enceintes. Or, cette condition est implantée de façon variable dans les CLSC de Montréal car les intervenants de la santé ne semblent pas confortables à faire la promotion de l’allaitement en prénatal, surtout dans les milieux « québécois » et défavorisés. Objectif : Explorer les expériences personnelles et professionnelles des infirmières en santé communautaire qui sont reliées à la promotion de l’allaitement en prénatal en milieu défavorisé. Dans la présente étude, les informations moins souvent transmises, soit les risques du non-allaitement ainsi que la recommandation de poursuite de l’allaitement jusqu’à deux ans ou au-delà, ont été examinées. Méthodologie : La collecte des données de cette recherche qualitative s’est effectuée auprès d’infirmières de huit CLSC montréalais offrant des services à une population importante de femmes défavorisées, francophones, nées au Canada et ce, sous forme d’entrevues individuelles (n=12 infirmières) et d’entrevues de groupe (n=36 infirmières). Résultats : Les principaux facteurs favorables au niveau de confort des infirmières à faire la promotion de l’allaitement sont d’avoir suivi 20 heures ou plus de formation en allaitement dans les cinq dernières années, et d’avoir des croyances profondes positives quant à la valeur de l’allaitement comparativement aux préparations commerciales pour nourrissons (PCN). Craindre de susciter la culpabilité nuit à la promotion de l’allaitement. De plus, les infirmières exposées à la culture d’allaitement pendant l’enfance, ayant eu une expérience personnelle d’allaitement positive, qui perçoivent que leur rôle est d’encourager les mères à allaiter, ou qui recommandent rarement de donner des PCN en postnatal en cas de problèmes d’allaitement, sont plus confortables à informer les femmes enceintes des risques du non-allaitement. Conclusion : Plusieurs infirmières semblent manquer de connaissances sur la qualité supérieure de l’allaitement par rapport à l’alimentation artificielle et sur les risques du non-allaitement. De plus, il semble que plusieurs infirmières n’aient pas les habiletés cliniques optimales pour soutenir les mères dans leur allaitement. Des formations appropriées aideraient les infirmières à avoir davantage confiance dans leur capacité à soutenir les mères en postnatal, ainsi qu’à promouvoir l’allaitement en prénatal. Finalement, les infirmières devraient prendre conscience de leurs biais personnels, afin d’en réduire les impacts négatifs sur leur pratique professionnelle. / Background: In order to increase breastfeeding rates, the third Step of the Baby Friendly Initiative (BFI) (WHO / UNICEF) aims to offer complete information on breastfeeding to pregnant women. However, this step’s implementation varies among the Montreal’s CLSCs as healthcare professionals seem uncomfortable to promote breastfeeding prenatally, especially in French speaking and underprivileged areas. Objective: To explore the personal and professional experiences of community health nurses which are linked to the promotion of breastfeeding during the prenatal period in underprivileged areas. Information less often offered were examined in this study: the risks of not breastfeeding and the recommendation to continue breastfeeding up to 2 years or beyond. Methodology: The data of this qualitative study were collected in 8 CLSCs of Montreal, offering services to an important population of underprivileged women, French speaking and born in Canada, through nurses’ individual interviews (n=12 nurses) and group interviews (n=36 nurses). Results: The most important factors for the level of comfort of nurses to promote breastfeeding are: to have followed 20 hours or more of training on breastfeeding within the 5 past years, and to have positive profound beliefs about the value of breastfeeding compared to artificial infant formula (AIF). Fear of causing guilt by promoting breastfeeding hinders breastfeeding promotion. Furthermore, nurses exposed to breastfeeding culture during their childhood, with a positive personal breastfeeding experience, who perceived that their role is to support women to breastfeed, or those who rarely recommended mothers to give AIF postnatally in case of breastfeeding problems, are more comfortable to inform pregnant women about the risks of not breastfeeding. Conclusion: Many nurses seem to have a lack of knowledge about the superior quality of breastfeeding in comparison with artificial feeding and about the risks of not breastfeeding. Moreover, it seems that many nurses do not have the optimal clinical abilities to support mothers in their breastfeeding experience. Appropriate training could greatly help nurses to have greater confidence in their abilities to support mothers during the postnatal period, as well as to promote breastfeeding in the prenatal period. Finally, nurses should become aware of their personal bias, in order to reduce as much as possible negative impacts on their professional practices.

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