Evaluating the efficiency of community-based HIV testing and counseling strategies in sub-Saharan Africa

Thesis (Ph.D.)--University of Washington, 2016-08

Por um bairro mais amigo das crianças: novos protagonistas

Ouvir a voz das crianças e valorizar o seu papel no entendimento da vida das suas comunidades foi o ponto essencial nesta investigação. Procuramos partir das suas perceções sobre a realidade do Bairro e do Parque que ocupa parte do seu território, para um diálogo centrado na procura e discussão de soluções para problemas por elas identificados em iniciativas anteriores. Partindo da ideia de Tonucci, partilhada por muitos outros autores, de que o que é bom para a qualidade de vida e autonomia das crianças na Cidade é bom para todos os grupos sociais que a (co)habitam, convidamos as crianças a observar e a reimaginar o Parque como espaço público e como lugar de convivência entre pessoas de todas as idades. O objetivo deste trabalho foi analisar as condições locais com que se tem procurado que os interesses e as opiniões crianças sejam tidas em conta nas decisões que visem a melhoria do Parque de Santiago, de forma a que o Bairro deixe de ser considerado, como um território de exclusão. Pretendemos também que a participação das crianças possa ser reconhecida, neste processo, como um parâmetro da qualidade da vida urbana. Tendo como referência a metodologia de investigação-ação participativa, partiu-se da escuta e debate de opiniões já expressas, para a organização das crianças como um sujeito coletivo capaz de reclamar o direito de todas as crianças ao Parque se Santiago, como espaço de lazer e tempos livres e espaço público relevante para a vida do bairro, da comunidade e para a Cidade de que é parte.

Project AWARE Sets New Records in 2015: 1,000 to Service, Friendships & Community

Project AWARE is the Iowa DNR's volunteer river cleanup.

I film therefore I am: process and participation, networks and knowledge – examples from Scottish community media projects.

This chapter examines community media projects in Scotland as social processes that nurture knowledge through participation in production. A visual and media anthropology framework (Ginsburg, 2005) with an emphasis on the social context of media production informs the analysis of community media. Drawing on community media projects in the Govan area of Glasgow and the Isle of Bute, the techniques of production foreground “the relational aspects of filmmaking” (Grimshaw and Ravetz, 2005: 7) and act as a catalyst for knowledge and networks of relations embedded in time and place. Community media is defined here as a creative social process, characterised by an approach to production that is multi-authored, collaborative and informed by the lives of participants, and which recognises the relevance of networks of relations to that practice (Caines, 2007: 2). As a networked process, community media production is recognised as existing in collaboration between a director or producer, such as myself, and organisations, institutions and participants, who are connected through a range of identities, practices and place. These relations born of the production process reflect a complex area of practice and participation that brings together “parallel and overlapping public spheres” (Meadows et al., 2002: 3). This relates to broader concerns with networks (Carpentier, Servaes and Lie, 2003; Rodríguez, 2001), both revealed during the process of production and enhanced by it, and how they can be described with reference to the knowledge practice of community media.

Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group

Background According to the Nursing Role Effectiveness Model, the structural components (nurses, patients, organizational variables) may directly BMC Health Services Research 2016, Volume 16 Suppl 3 Page 41 of 132 or indirectly influence the care outcomes through the process (actions developed by the nurses). Objectives: To identify the changes that, from the nurses' perspective, occurred during the provision of care to patients with peripheral venous catheters (PVCs) between the first and the second phase of the Action-Research (AR) study, and the components that influenced these changes. Methods During the second phase of the AR study (December, 2011), a focus group composed of six nurses was held at a medicine unit of a central hospital. A script was used with six open-ended questions. All ethical procedures were followed. Results Positive changes in nursing care provision to patients with PVCs were identified related to the type of dressing used, patient monitoring, aseptic care, and infusion rate. The nurses believed that some variables of the organizational component influenced those changes, such as the centralization of the material used for catheterization or the availability of materials, such as transparent dressings. The nurses also valued the following aspects: knowledge of the research findings of the first phase; training sessions on the topic; and, above all, the nurses' engagement throughout the process of change in care provision. Conclusions Considering the model of analysis used, we found that the changes identified in nursing care resulted from several factors, with the engagement of the professionals themselves in the change process being considered a key aspect.

Relatório de estágio de qualificação profissional

Relatório EPE - Relatório de estágio em Educação Pré-Escolar: O presente relatório de estágio tem como propósito principal refletir, criticamente, acerca de todo o percurso realizado no contexto educativo de Educação Pré-Escolar, no âmbito da Unidade Curricular (UC) de Prática Pedagógica Supervisionada (PPS), inserida no Mestrado em Educação Pré-escolar (PE) e Ensino do 1º Ciclo do Ensino Básico (1ºCEB). O trabalho desenvolvido teve como objetivo o desenvolvimento de competências profissionais associadas ao saber agir em ação, exigindo um quadro concetual rigoroso, adaptado às características do nível educativo e do contexto. Para tal, foi necessária uma atitude profissional indagadora e investigativa, critica e reflexiva, que permitisse agir com intencionalidade pedagógica. Neste sentido, os processos educativos e formativos desenvolvidos ao longo de todo o semestre, centraram-se numa metodologia de investigação-ação, caracterizada por uma espiral de ciclos de observação, planificação, ação, avaliação e reflexão, tendo em conta diferentes dimensões pedagógicas. Todos estes processos foram devidamente articulados com referentes teóricos e legais, sendo feito um enquadramento a esse nível, com vista a compreender a base de sustentação das práticas da mestranda. Evidencia-se a conceção de criança e o papel fundamental, não só do educador, mas também de todos os intervenientes do processo educativo, no sentido de estimular e motivar a criança para a construção das suas próprias aprendizagens, destacando-se, assim, uma visão socio construtivista da aprendizagem, transversal a todos os processos referidos. Todas as ações desenvolvidas permitiram analisar o percurso da formanda e o desenvolvimento das suas competências profissionais, não só relacionadas com a prática, mas também direcionadas para quadros concetuais mais alargados.

Learning Management Systems (LMS) and e-learning management: an integrative review and research agenda

Information Technology (IT) can be an important component for innovation since enabling e-learning it can provide conditions to which the organization can work with new business and improved processes. In this regard, the Learning Management Systems (LMS) allows communication and interaction between teachers and students in virtual spaces. However the literature indicates that there are gaps in the researches, especially concerning the use of IT for the management of e-learning. The purpose of this paper is to analyze the available literature about the application of LMS for the e-learning management, seeking to present possibilities for researches in the field. An integrative literature review was performed considering the Web of Science, Scopus, Ebsco and Scielo databases, where 78 references were found, of which 25 were full papers. This analysis derives interesting characteristics from scientific studies, highlighting gaps and guidelines for future research.

Notes about an ongoing action research

Emigration is now both a solution and a problem. To us, the ones wanting and seeking a better life, to emigrate is a solution but to the countries we choose to go, we are (or can be) little more than a problem: they even decide to shut borders or to limit the number of people allowed in and when this is not enough they set requirements: one must speak the language of the chosen country, possess awareness of the cultural background and current politics. It is true that other EU members economy is nowhere near as bad as ours but is equally true that they want it to stay like this

Prática de ensino supervisionada em ensino de Educação Musical no Ensino Básico

As diferentes transformações tecnológicas, científicas, sociais e culturais colocam cada vez mais desafios ao contexto educativo. Partindo desta perspetiva e assente nos contributos epistemológicos de Schafer (1969), Paynter (1991) e Chapuis (2001), o presente Relatório de Estágio Profissional pretende mostrar as experiências de ensino e aprendizagem desenvolvidas ao longo dos três ciclos do Ensino Básico. Face aos objetivos intrínsecos à prática pedagógica nos diferentes ciclos do Ensino Básico, a componente empírica teve a sua base no modelo de investigação-ação. Da análise de todos os dados recolhidos emergiram indicadores relevantes que as atividades didáticas implementadas desempenharam um papel fundamental no desenvolvimento do saber ser e saber fazer. De salientar, que estas atividades permitiram uma proximidade e disponibilidade de todos os alunos para a prática vocal e instrumental e melhoraram o seu contentamento relativo à disciplina de Expressão/Educação Musical.

Culture change in a museum: An action research analysis

The move of a museum in the western United States to larger quarters resulted in an increase in visitors and requests for tours. To respond to the greater number of tours, new volunteers (docents) were recruited and trained. But conflicts arose between the old and new docents. As Docent Chair, one of the authors worked with the Curator of Education to understand the culture change faced by the old docent group and integrate the old and new docent groups. This paper analyzes the culture change using Lewin’s Action Research model. The success of the culture integration was demonstrated when the old and new docents moved away from «this is how it should be done…» to «this is what I see…» in speaking about an event or problem. The language and perception changes were steps toward building a common meaning.

Transition to Product Service Systems: methodology based on scenarios identification, modelling and evaluation

Part 4: Transition Towards Product-Service Systems

Transformer les pratiques professionnelles vis-à-vis des personnes prestataires de l’aide sociale : développement participatif et évaluation d’une formation continue en cabinet dentaire

L’objectif de la présente thèse est de générer des connaissances sur les contributions possibles d’une formation continue à l’évolution des perspectives et pratiques des professionnels de la santé buccodentaire. Prônant une approche centrée sur le patient, la formation vise à sensibiliser les professionnels à la pauvreté et à encourager des pratiques qui se veulent inclusives et qui tiennent compte du contexte social des patients. L’évaluation de la formation s’inscrit dans le contexte d’une recherche-action participative de développement d’outils éducatifs et de transfert des connaissances sur la pauvreté. Cette recherche-action aspire à contribuer à la lutte contre les iniquités sociales de santé et d’accès aux soins au Québec; elle reflète une préoccupation pour une plus grande justice sociale ainsi qu’une prise de position pour une santé publique critique fondée sur une « science des solutions » (Potvin, 2013). Quatre articles scientifiques, ancrés dans une philosophie constructiviste et dans les concepts et principes de l’apprentissage transformationnel (Mezirow, 1991), constituent le cœur de cette thèse. Le premier article présente une revue critique de la littérature portant sur l’enseignement de l’approche de soins centrés sur le patient. Prenant appui sur le concept d’une « épistémologie partagée », des principes éducatifs porteurs d’une transformation de perspective à l’égard de la relation professionnel-patient ont été identifiés et analysés. Le deuxième article de thèse s’inscrit dans le cadre du développement participatif d’outils de formation sur la pauvreté et illustre le processus de co-construction d’un scénario de court-métrage social réaliste portant sur la pauvreté et l’accès aux soins. L’article décrit et apporte une réflexion, notamment sur la dimension de co-formation entre les différents acteurs des milieux académique, professionnel et citoyen qui ont constitué le collectif À l’écoute les uns des autres. Nous y découvrons la force du croisement des savoirs pour générer des prises de conscience sur soi et sur ses préjugés. Les outils développés par le collectif ont été intégrés à une formation continue axée sur la réflexion critique et l’apprentissage transformationnel, et conçue pour être livrée en cabinet dentaire privé. Les deux derniers articles de thèse présentent les résultats d’une étude de cas instrumentale évaluative centrée sur cette formation continue et visant donc à répondre à l’objectif premier de cette thèse. Le premier consiste en une analyse des transformations de perspectives et d’action au sein d’une équipe de 15 professionnels dentaires ayant participé à la formation continue sur une période de trois mois. L’article décrit, entre autres, une plus grande ouverture, chez certains participants, sur les causes structurelles de la pauvreté et une plus grande sensibilité au vécu au quotidien des personnes prestataires de l’aide sociale. L’article comprend également une exploration des effets paradoxaux dans l’apprentissage, notamment le renforcement, chez certains, de perceptions négatives à l’égard des personnes prestataires de l’aide sociale. Le quatrième article fait état de barrières idéologiques contraignant la transformation des pratiques professionnelles : 1) l’identification à l’idéologie du marché privé comme véhicule d’organisation des soins; 2) l’attachement au concept d’égalité dans les pratiques, au détriment de l’équité; 3) la prédominance du modèle biomédical, contraignant l’adoption de pratiques centrées sur la personne et 4) la catégorisation sociale des personnes prestataires de l’aide sociale. L’analyse des perceptions, mais aussi de l’expérience vécue de ces barrières démontre comment des facteurs systémiques et sociaux influent sur le rapport entre professionnel dentaire et personne prestataire de l’aide sociale. Les conséquences pour la recherche, l’éducation dentaire, le transfert des connaissances, ainsi que pour la régulation professionnelle et les politiques de santé buccodentaire, sont examinées à partir de cette perspective.

The Effectiveness of Community-Based Nutrition Education on the Nutrition Status of Under-five Children in Developing Countries. A Systematic Review

Aim This systematic review aimed at examining the best available evidence on the effectiveness of community-based nutrition education in improving the nutrition status of under five children in developing countries. Methods A systematic search of the literature was conducted utilising the following data bases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Medline, and Web of Knowledge. 9 studies were identified for the critical appraisal process. The Joanna Briggs Institute (JBI) critical appraisal check-list for experimental studies was utilised and two reviewers conducted the appraisal process independently. 7 studies were included for this review and data was extracted using the JBI data extraction form for experimental studies. The extracted data was heterogeneous as such narrative synthesis was conducted. Results The nutritional status of children in all studies improved and this was evidenced by increases in weight, height, mid upper arm circumference and reduced morbidity. Key messages about education were age at introduction of complementary foods, nutrition value on different types of feeds found locally and frequency of feeding the children. However, there were varied Results regarding the effects of the intervention on the nutrition status of children. This was attributed by differences in implementers’ characteristics, different intervention strategy and intensity, difference in age of the children at enrolment, pre-existing children’s growth and nutritional status and follow-up periods. In addition to home visiting, conducting group meetings of care givers and community leaders, providing education twice a week and use of cooking demonstrations have shown that they produce highly significant findings. Conclusion The evidence from the identified studies suggests that community- based nutrition education improves the nutrition status of under-five children in developing countries.

An Ecosystem Approach to Antimicrobial Stewardship: An Ecuadorian-Canadian Collaboration To Design, Implement and Evaluate a Community-Based Intervention

English