Diplomová práce se zabývá problematikou standardů kvality poskytovaných služeb, konkrétně zvyšováním kvality sociálních služeb Domova pro seniory v Karviné. Cílem práce bylo zjistit, jak se projevuje subjektivní vnímání pracovníků ohledně způsobu poskytování sociálních služeb na základě jejich poslání, zásad poskytování služeb, osobních cílů uživatelů služby a jejich chování a postojů. Teoretická část je zaměřena na definování kvality, a to v souvislosti s kvalitou poskytovaných služeb domova pro seniory, měření a zvyšování kvality sociálních služeb. Dále se zabývá přístupy zaměřené na člověka jako model, který může být vodítkem "dobré" služby v návaznosti na možné důkazy o zvýšení kvality poskytovaných pobytových služeb pro osoby vyššího věku. Ty vycházejí především ze standardů kvality poskytovaných služeb. Postoje a chování pracovníků jsou sledovány v rámci empirické části ve vybraných situacích, které jsou v organizaci považovány z hlediska přímé péče a ochrany práv uživatele za rizikové. Na základě výsledků z ohniskových skupin jsou vytvořena doporučení, která mohou být základem pro změny v pojetí kvality v dané pobytové sociální službě a nastavení programu jejího zvyšování. Klíčová slova: Sociální služby, domov pro seniory, kvalita, měření kvality, zvyšování kvality, kvalita života seniorů,...

This study explores the subjective experiences of mothers living with HIV from Southeastern Ontario when accessing health and social services. Drawing on principles of feminist participatory action research, 5 MLWH were brought together in order to share their stories of accessing health and social services and to participate in the creation of a collage as part of the storytelling process. Intersectional feminist theory was chosen as a theoretical lens for this project to highlight the ways women’s multiple identities intersect and contribute to HIV-stigma. Emerging from the storytelling and arts based process were stories about the women’s interactions with the criminal justice system, Children’s Aid Societies, social welfare programs and women-specific supports. The key concerns that the women raised in connection to these interactions included having to re-tell their story, concerns about confidentiality and disclosure and experiencing a loss of control as a result of depending on a myriad of health and social services. In addition, the participants identified changes they would like to see within health/social services including more opportunities for peer support and an increase in services available to support the unique psychosocial challenges of MLWH. / Thesis / Master of Social Work (MSW)

In South Africa, substance use, abuse and dependency is twice the world norm. To address this trend, the continuum of care guides legislative prescriptions for the treatment of a substance use disorder. This study aimed to address the lack of a description of the utilisation thereof in literature and recent research findings. A qualitative approach was followed and purposive sampling was employed to collect data from both service providers and users of services. Tesch’s framework for qualitative data analysis (Creswell, 2014:218) was used to identify themes, sub-themes and categories, while the data was compared with existing literature on the identified themes. The trustworthiness of the findings was enhanced by the verification of the data through aspects of credibility/authenticity, transformability, dependability and conformability (Schurink, Fouché and de Vos, 2011:397). Informed consent, confidentiality , non-compensation, debriefing of participants, and the management of information were considered to ensure ethical practice. / Social Work / M.A.(S.S.)

No / Aims and objectives To (1) investigate the organisation, provision and practice of oral care in typical UK stroke units; (2) explore stroke survivors', carers' and healthcare professionals' experiences and perceptions about the barriers and facilitators to receiving and undertaking oral care in stroke units. Cerebrovascular disease and oral health are major global health concerns. Little is known about the provision, challenges and practice of oral care in the stroke unit setting, and there are currently no evidence-based practice guidelines. Design Cross-sectional survey of 11 stroke units across Greater Manchester and descriptive qualitative study using focus groups and semi-structured interviews. Methods A self-report questionnaire was used to survey 11 stroke units in Greater Manchester. Data were then collected through two focus groups (n = 10) with healthcare professionals and five semi-structured interviews with stroke survivors and carers. Focus group and interview data were recorded, transcribed verbatim and analysed using framework approach. Results Eleven stroke units in Greater Manchester responded to the survey. Stroke survivors and carers identified a lack of oral care practice and enablement by healthcare professionals. Healthcare professionals identified a lack of formal training to conduct oral care for stroke patients, inconsistency in the delivery of oral care and no set protocols or use of formal oral assessment tools. Conclusion Oral care post-stroke could be improved by increasing healthcare professionals' awareness, understanding and knowledge of the potential health benefits of oral care post-stroke. Further research is required to develop and evaluate the provision of oral care in stroke care to inform evidence-based education and practice.