Empoderamento dos enfermeiros : estudo de alguns fatores intervenientes

Enquadramento O empoderamento é um processo que resulta no fortalecimento pessoal e profissional, na forma de aquisição de competências, motivação, satisfação e tomada de decisão. Está vinculado á autonomia profissional e concretiza-se na tomada de decisão autónoma do enfermeiro. Objetivos:; Identificar as variáveis sociodemográficas, socioprofissionais e de contexto formativo que influenciam o Empoderamento dos enfermeiros. Método:Realizamos um estudo de natureza quantitativa, descritiva-analítico e correlacional com amostra não probabilística de 240 enfermeiros que responderam ao questionário sociodemográfico, á escala “ Perceptions of Empowerment in Midwifery Scale” (Mathews, Scott e Gallagher (2009)1 e á escala da motivação para o exercício profissional. Os enfermeiros possuíam idades entre os 26 e os 66 anos, maioritariamente com vinculo por tempo indeterminado á instituição onde trabalham. Revelaram uma boa perceção sobre o Empoderamento com percentuais a oscilar entre os 50,0% no reconhecimento organizacional e os 100% no reconhecimento por pares. Os mais jovens possuem melhor perceção sobre o Empoderamento no reconhecimento por pares, organizacional e empoderamento global, e os mais velhos maior empoderamento na dimensão pessoal. São os Enfermeiros com mestrado e doutoramento que possuem uma menor perceção na dimensão multidimensional, reconhecimento por pares e reconhecimento organizacional. Quanto à motivação 40,0%dos participantes do estudo encontram-se muito motivados, Conclusão. Pelos resultados obtidos podemos concluir que são os enfermeiros com maior motivação e com mais formação que revelam melhor perceção sobre o Empoderamento. e consequentemente maior capacidade de decisão.

Samhällskunskapens dimensioner : Tio lärare ramar in sitt ämne

Denna samhällskunskapsdidaktiska studies syfte är att undersöka vad samhällskunskapslärare själva upplever som de viktigaste påverkansfaktorerna för transformeringen av samhällskunskap som skolämne till samhällskunskap som undervisning utifrån didaktiska frågor som Vad?, Hur? och Varför?, samt hur detta upplevs förändrats över en tidsperiod om cirka tjugo år eller mer. Studien bygger på hermeneutisk-fenomenologisk livsvärldsansats där fenomenologisk beskrivning och hermeneutisk tolkning är centralt. Empirin utgörs av intervjuer med tio samhällskunskapslärare med lång yrkeserfarenhet från högstadium, gymnasium eller vuxenutbildning. Resultatet tematiseras utifrån inspiration från ramfaktorteoretiska utgångspunkteri fyra dimensioner av påverkansfaktorer, vilka är Den personliga dimensionen, Den didaktiska dimensionen, Den styrande dimensionen och Den samhälleliga dimensionen. Var och en av dessa dimensioner delas upp i ett antal variationer. Dimensionerna är konstruerade utifrån principen om det personligt nära till det samhälleligt distanserade. Utöver dessa dimensioner har en aspekt på dessa lagts till. Det är Den elevnära aspekten vars innehåll utgörs av eleverna som påverkansfaktor för hur undervisningen blir. Lärarna i studien pratar aldrig om eleverna som påverkansfaktor utan att koppla detta till någon av de fyra dimensionerna. Slutsatser som dras i studien är att de tio lärarna alla har mycket olika berättelserom vad de uppfattar som viktigaste påverkansfaktorer. Några lägger mest fokus på sin personliga bakgrund eller personliga intressen. Andra fokuserar mer på didaktiska idéer, på styrdokument eller på organisatoriska ramar. Studien visar också att lärarna alla har en eller ett par dominerande dimensioner som dels syns mest i berättelsen, dels också påverkar hur de pratar om de andra dimensionerna. Lärarnas berättelser visar även att de upplever att undervisningen och vad som påverkar denna påtagligt förändras över tid. Studiens viktigaste bidrag är kanske att den exemplifierar teoretiska perspektiv. Inte minst genom att belysa att vad som påverkar undervisningen i ett ämne är så komplext att den ramfaktorteoretiska byggnadsställningen måste anpassas efter den specifika undersökningen med dess frågeställningar och undersökningsmaterial.

The complexity in the implementation process of empowerment-based chronic kidney care: a case study

Background: This study is part of an interactive improvement intervention aimed to facilitate empowerment-based chronic kidney care using data from persons with CKD and their family members. There are many challenges to implementing empowerment-based care, and it is therefore necessary to study the implementation process. The aim of this study was to generate knowledge regarding the implementation process of an improvement intervention of empowerment for those who require chronic kidney care. Methods: A prospective single qualitative case study was chosen to follow the process of the implementation over a two year period. Twelve health care professionals were selected based on their various role(s) in the implementation of the improvement intervention. Data collection comprised of digitally recorded project group meetings, field notes of the meetings, and individual interviews before and after the improvement project. These multiple data were analyzed using qualitative latent content analysis. Results: Two facilitator themes emerged: Moving spirit and Encouragement. The healthcare professionals described a willingness to individualize care and to increase their professional development in the field of chronic kidney care. The implementation process was strongly reinforced by both the researchers working interactively with the staff, and the project group. One theme emerged as a barrier: the Limitations of the organization. Changes in the organization hindered the implementation of the intervention throughout the study period, and the lack of interplay in the organization most impeded the process. Conclusions: The findings indicated the complexity of maintaining a sustainable and lasting implementation over a period of two years. Implementing empowerment-based care was found to be facilitated by the cooperation between all involved healthcare professionals. Furthermore, long-term improvement interventions need strong encouragement from all levels of the organization to maintain engagement, even when it is initiated by the health care professionals themselves.

Partner relationship in couples living with atrial fibrillation

The aim of this thesis was to describe and explore how the partner relationship of patient–partner dyads isaffected following cardiac disease and, in particular, atrial fibrillation (AF) in one of the spouses. The thesis is based on four individual studies with different designs: descriptive (I), explorative (II, IV), and cross-sectional (III). Applied methods comprised a systematic review (I) and qualitative (II, IV) and quantitative methods (III). Participants in the studies were couples in which one of the spouses was afflicted with AF. Coherent with a systemic perspective, the research focused on the dyad as the unit of analysis. To identify and describe the current research position and knowledge base, the data for the systematic review were analyzed using an integrative approach. To explore couples’ main concern, interview data (n=12 couples) in study II were analyzed using classical grounded theory. Associations between patients and partners (n=91 couples) where analyzed through the Actor–Partner Interdependence Model using structural equation modelling (III). To explore couples’ illness beliefs, interview data (n=9 couples) in study IV were analyzed using Gadamerian hermeneutics. Study I revealed five themes of how the partner relationship is affected following cardiac disease: overprotection, communication deficiency, sexual concerns, changes in domestic roles, and adjustment to illness. Study II showed that couples living with AF experienced uncertainty as the common main concern, rooted in causation of AF and apprehension about AF episodes. The theory of Managing Uncertainty revealed the strategies of explicit sharing (mutual collaboration and finding resemblance) and implicit sharing (keeping distance and tacit understanding). Patients and spouses showed significant differences in terms of self-reported physical and mental health where patients rated themselves lower than spouses did (III). Several actor effects were identified, suggesting that emotional distress affects and is associated with perceived health. Patient partner effects and spouse partner effects were observed for vitality, indicating that higher levels of symptoms of depression in patients and spouses were associated with lower vitality in their partners. In study IV, couples’ core and secondary illness beliefs were revealed. From the core illness belief that “the heart is a representation of life,” two secondary illness beliefs were derived: AF is a threat to life, and AF can and must be explained. From the core illness belief that “change is an integral part of life,” two secondary illness beliefs were derived: AF is a disruption in our lives, and AF will not interfere with our lives. Finally, from the core illness belief that “adaptation is fundamental in life,” two secondary illness beliefs were derived: AF entails adjustment in daily life, and AF entails confidence in and adherence to professional care. In conclusion, the thesis result suggests that illness, in terms of cardiac disease and AF, affected and influenced the couple on aspects such as making sense of AF, responding to AF, and mutually incorporating and dealing with AF in their daily lives. In the light of this, the thesis results suggest that clinicians working with persons with AF and their partners should employ a systemic view with consideration of couple’s reciprocity and interdependence, but also have knowledge regarding AF, in terms of pathophysiology, the nature of AF (i.e., cause, consequences, and trajectory), and treatments. A possible approach to achieve this is a clinical utilization of an FSN based framework, such as the FamHC. Even if a formalized FSN framework is not utilized, partners should not be neglected but, rather, be considered a resource and be a part of clinical caring activities. This could be met by inviting partners to take part in rounds, treatment decisions, discharge calls or follow-up visits or other clinical caring activities. Likewise, interventional studies should include the couple as a unit of analysis as well as the target of interventions.

Dangerous practices : the practicum experiences of non-Indigenous pre-service teachers in remote communities

This paper seeks to explore the risks of providing preserviceteachers with professional experiences in remote communities.In particular this paper focuses on the risks associated with this kindof professional experience. Twelve pre-service teachers wereinterviewed whilst on a three-week practicum around Katherine andin Maningrida in the Northern Territory during 2012. The dangersoutlined in this paper relate to the way their experiences continued tobe mediated by stereotypes and perpetuating colonial practices. Thepre-service teachers’ limited understandings of Indigenousknowledges and languages are discussed before exploring the vexedissue of reverse culture shock that some of the participants identifiedwhen they returned home. The paper concludes by exploring thenotion of ‘allies’ as a way to negotiate the problematic nature of thiswork.

Teacher confidence and professional capital

This paper illustrates the role of professional learning in building teacher confidence, and explicates how confidence relates to professional capital. It reports on data from the Victorian State-wide Professional Mentoring Program for Early Childhood Teachers (2011–2014), and focuses on the experiences of both new to the profession and professionally isolated early childhood teachers and their more experienced early childhood teacher mentors who participated in this purposely designed program. The findings show that participants' gains in confidence are aligned with expansions in professional capital encompassing the acquisition of knowledge and skills (human capital), participation in networks of collaborative learning communities (social capital), and the ability to exercise professional agency (decisional capital). We conclude that teacher confidence is a function – and a constitutive feature – of teacher professional capital, and that professional learning through mentoring is one way of building this vital professional attribute. Theoretical insights and empirical evidence on this intricate interconnection have strong implications for policy and practice.

Multiliteracies in the wild : learning from computer games

The growth of interest in virtual worlds and other online spaces for children and young people raises important issues for literacy educators and researchers. This book is a timely and much-needed collection of current research in the area. It provides a synthesis of knowledge and understanding and will be a key resource for scholars, students and teachers, particularly those interested in digital literacies. The work presents a coherent vision of current knowledge, and some of the most engaging, empirical research being undertaken on virtual worlds and online spaces in and beyond educational institutions. It contains international studies from the UK, North America and Australasia.This is an important time for those researching virtual worlds, videogaming and Web 2.0 technologies, since there is growing professional interest in their significance in the education and development of children and young people. Whether these technologies are solely associated with informal learning or whether they should be incorporated into classroom contexts is hotly debated. This book provides a principled evaluation and appreciation of the learning, teaching and instruction that can occur in digital environments, showing children, young people and those who work with them as active agents with possibilities to navigate new paths.

An entrepreneurial adventure? Young women pre-service teachers in remote Aboriginal Australia

Following global interest in how pre-service teacher education might engage with social justice imperatives, this paper reports on interviews with three non-Aboriginal young women pre-service teachers taking part in a professional placement in remote Aboriginal Australia, and explores how their identity work reinscribes and/or challenges racialized forms of power. I argue that theories from the sociology of youth around 21st century girlhood can illuminate these young teachers’ identity work in useful ways that raise important issues and questions for teacher educators to consider. Simultaneously, I show how empirical research into teacher identity can enrich theory and research on young femininities.

Annual report 1979

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1980

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1981

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1983

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1984

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1986

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.

Annual report 1987

This report contains a brief discussion of the boards and commissions within this department, caseload statistics from each level of court, and concludes with personnel and other financial information gathered from the Judicial Survey of the offices of Clerk of Court, Probate Judge, Master-In-Equity, Public Defender, Magistrate and Municipal Judge.