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Thesis (MA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: This research investigates the indicators, different role players and the assessment process of intentional physical injuries to children who are hospitalized. The basic premise for this research is the importance of professionals working with children in acquiring skills and knowledge on handling physically abused children. Physical abuse affects and requires the involvement of the entire family of the physically abused child. It is therefore necessary to consider the physically abused child as a part of the larger family system, and not assessed or treated in isolation. The purpose of this research is to broaden the theoretical knowledge of professionals working with children, and specifically social workers, in identifying and assessing physically abused children. This research report includes an investigation of risk factors, consequences and the adjustment process of physically abused children. Knowledge of these indicators of physical abuse will increase the awareness and the ability of the social worker or other professional to identify the injury as intentional. The assessment process by the multi-professional team in the hospital is also examined, focusing on the central role of the social worker in managing cases of physically abused children. The phases of the assessment process, the role of each team member, the various techniques applied as well as factors influencing assessment are described. The empirical research involved the use of both qualitative and quantitative methods in order to explore the theoretical part of the research. This section can be divided into three phases. The first phase included setting up a profile, over a period of four months, of physically abused children under the age of five, who were admitted to the hospital and their families (N = 24). Of this sample, the characteristics and circumstances of four parents/perpetrators (n = 4) were investigated in the form of interviews, which formed part of the second phase of the empirical research. The third phase included conducting a survey with the social workers (n = 5) that assessed physically abused children in the hospital. This was done III the form of questionnaires, which included closed and open-ended questions. The findings and responses of the respondents were analyzed and compared with the findings from previous studies undertaken by various authors. The findings of this research can be used as guidelines for professionals in general who work with children, and more specifically social workers in a hospital that assess children presenting with intentional physical injuries. / AFRIKAANSE OPSOMMING: Hierdie navorsing ondersoek die aanduidende faktore, die rolspelers en die asseseringsproses van fisies mishandelde kinders wat gehospitaliseer word. Die uitgangspunt is die noodsaaklikheid van professionele persone wat met kinders werk, en veral maatskaplike werkers, om kennis en vaardighede te hê, ten einde kinders wat fisies mishandel is te kan hanteer. Omdat die hele gesin van die mishandelde kind geaffekteer word en betrokke is, is dit belangrik om die fisies mishandelde kind nie in isolasie, maar as deel van die familie sisteem te kan benader. Die navorsingsondersoek het ten doel om die teoretiese kennis basis van professionele persone wat met kinders werk, en spesifiek maatskaplike werkers, oor die identifisering en assesering van fisies mishandelde kinders uit te brei. Ten einde maatskaplike werkers se kennis van die probleem onders aandag uit te bou, vervat die navorsingsverslag 'n bespreking van die risiko faktore, gevolge en aanpassingsproses van die fisies mishandelde kind. Kennis van hierdie aanduiders sal die bewusdheid asook die vermoë van professionele persone om die fisiese mishandeling te identifiseer, verhoog. Die asseseringsproses deur die multiprofessionele span in die hospitaal word ook ondersoek, met fokus op die sentrale rol van die maatskaplike werker in die hantering van fisies mishandelde kinders. Die fases van die asseseringsproses, die rol van elke spanlid, verskeie tegnieke en faktore wat assesering beïnvloed, word bespreek. Die teoretiese doel van die verslag word uitgebrei in die empiriese ondersoek, deur 'n bespreking van die bevindinge wat deur veskeie metodes verkry is. Kwalitatiewe asook kwantitatiewe metodes is benut tydens die drie fases van die empiriese ondersoek. Die eerste fase was die opstel van 'n profiel wat oor 'n tydperk van vier maande geneem is, van fisies mishandelde kinders wat toegelaat is in die hospitaal en hul gesinne (N = 24). Vanuit hierdie streekproef, is die eienskappe en omstandighede van vier ouers/oortreders (n = 4) ondersoek deur middel van onderhoude, wat die tweede fase van die ondersoek bevat. Die derde fase was om 'n opname te doen met die maatskaplike werkers (n = 5) wat die fisies mishandelde kinders in die hospitaal asseseer. Die bevindinge en response van die respondente is geanaliseer en vergelyk met die bevindinge van vorige studies wat deur verskeie outeurs onderneem is. Die bevindinge van hierdie navorsing kan as 'n riglyn gebruik word deur professionele persone wat oor die algemeen met kinders werk, en meer spesifiek maatskaplike werkers wat fisies mishandelde kinders in 'n hospitaal asseseer.

本研究主要在探討雇主對殘障工作者的印象、對定額晉用的態度、雇用殘障者態度及雇用行為四個變項的關係。參與本研究的受試為 272位服務於百人以上民營企業、有實際參與雇用決策且擔任現職一年以上之人事主管及單位主管。研究的結果發現：(一)雇主對殘障工作者持有正面的評價。(二)雖然雇主認為定額晉用制度是難以達成且不公平的，但是仍認為有其存在的必要。(三)在雇用態度上，雇主有高的雇用意願，認為雇用殘障者不會提升雇用成本，且同意雇用殘障者可獲致一些雇用上的利益。(四)在雇主個人變項與各項態度的相關上，研究發現：(1)低學歷者(高中以下) 較高學歷者(大學及研究所)有正向的態度。(2) 在工作場合中曾與殘障者接觸者較不曾接觸者有正向的態度。(3) 知道定額晉用規定者較不知道者有正向的態度。(五)在各項態度的相關上發現對殘障者印象、定額晉用態度與雇用殘障者態度間均有相關存在殘障者態度最有預測力。(六)在各項態度與行為的相關上發現人事主管中態度與行為的關聯性較單位主管強。(七)組織規模小的企業(較大企業)及製造業(較服務業)達成定額晉用的比例高。 / The purpose of this research was to explore the relationships between employers' impression toward the disabled, attitudes toward employmentthe disabled, attitudes toward the quota scheme (in Welfare Laws for theInvalid), and the performed behaviors for employment the disabled. Twohundred and seventy-two direct and personnel managers attended this research. The major findings of this study were as follows: (1) Employer shad favorable impression toward the disabled, especially on the dimension of job attitudes. (2) The quota scheme was evaluated to be difficult and unfaire, but also necessary. (3) Employers had high willing to employ thedisabled, and tought that to employ the disabled would not heighten the cost of employment, but also could gain some benefits. (4) Employers whohad lower educational level, who had contact with the disabled at work,or who knew of the quota scheme before attending this study had more favorable attitudes than had other employers. (5) There were positiverelationships between the impression toward the disabled, attitudes towardemployment the disabled and attitudes toward the quota scheme. (6)the linksbetween the attitudes and the performed behaviors were stronger in personnelmanagers than in direct managers. (7)The rate of achieving the legal numbersfor employment the disabled was heigher in manufacturing or small corporations tnan in service or large corporations.

Depuis une cinquantaine d’années l’action sociale en faveur des personnes âgées et des personnes handicapées s’est construite par empilements successifs de dispositifs législatifs et réglementaires sans une volonté d’harmonisation et de cohérence.Les services à domicile, sanitaires ou médico-sociaux, créés ces vingt dernières années n’échappent pas à ce mouvement, qu’ils soient en direction des enfants ou des adultes handicapés, ou des personnes âgées.Cette thèse fait l’état de ce qui existe en recherchant comment les bénéficiaires utilisateurs ont accès aux services, par leurs propres moyens financiers, par un financement public ou par le biais de la solidarité nationale. Des propositions de simplification des dispositifs, de mise en cohérence entre eux sont faites pour permettre un plus large accès.La recherche de la protection des bénéficiaires y est présente notamment d’une part, par la qualité du service, dans l’étude des processus de professionnalisation des acteurs à travers leur formation ou l’organisation professionnelle du secteur. D’autre part, la protection des bénéficiaires est également étudiée sous l’angle des dispositifs juridiques existants, pour lesquels il semble nécessaire d’y apporter un renforcement. Enfin, pour développer le soutien aux aidants familiaux, pilier essentiel de la prise en compte de la dépendance des personnes âgées et des personnes handicapées, il faut modifier le droit actuel. / Since fifty years the social action for the elderly and disabled persons has been built by successive stacks of legislation and regulations without desire for harmonization and consistency.Home services created in the last twenty years are no exception to this trend, whether towards children and adults with disabilities and the elderly, health or medico-social.This thesis is the state that exists by searching how recipient users have access to services through their own financial resources, through public funding or through national solidarity. Proposals for simplification of the devices, to ensure consistency between them are made to allow wider access.The search for the protection of beneficiaries is present, especially in the study of processes of professionalization, through training or professional organization of the sector. Proposals are made there. The protection of beneficiaries is also studied in terms of existing legal frameworks, where it seems necessary to make it stronger. Finally to expand the support for family caregivers, an essential pillar of taking into account the dependence of the elderly and disabled persons, we have to change the current law.