Social Service Centers Research Articles

EFEKTIVITAS PELAYANAN PSIKOLOGIS TERHADAP LANJUT USIA (Studi Kasus Pada UPTD Pusat Pelayanan Sosial Lanjut Usia Mappakasunggu Parepare)

This research is qualitative descriptive by conducting interviews, observing and documenting to produce descriptive data in the form of words, written, or oral, and observed behavior. The results showed that 1) the elderly background had a glorious period of employment status as soldiers, civil servants and field tennis athletes, but with neglected and vulnerable conditions they experienced so they could prevent their psychological state. 2) Forms of services used in psychological services in the elderly in the form of group counseling and therapy with spiritual guidance which is a process carried out through Islamic psychotherapy, and mental fitness therapy and skill guidance. 3) The effectiveness of psychological services is said to be effective seeing from the effectiveness theory which shows the success in terms of achieving the target actions which are determined by meeting the needs of abraham maslow needs with the results that the elderly feel more secure and comfortable with holding consultations every day, feeling more cared for by mentoring from the coach who always visit their guesthouse, feel more self-respect because they are still able to do gymnastic activities and skill guidance, and with spiritual guidance can give them inner peace and bring closer to Allah SWT. Thus, it can be concluded that the effectiveness of psychological services in the UPTD of the elderly social service center, while waiting for Parepare to be effective, has seen from the benchmark of the theory of effectiveness and the fulfillment of elderly needs that they feel more comfortable in their homes than in their own homes. However, it is still less effective when viewed in terms of group consultation and therapy room facilities, as well as limited therapeutic equipment.

Various views of the same elephant: crossing perceptions of key actors on an integrated local health network for older adults

Context: In 2004, Quebec’s government lead an important reform of its health and social structure, aiming at improving integration of services. Accordingly, 94 Health and social services centers were created by the mergers of public establishments local community health centers, long term care facilities and acute care hospitals in most cases. Each new organisation was mandated to lead in the implementation of an integrated local health network that ensures the delivery of a comprehensive continuum of care for the population living on their territories. Several stakeholders policy makers, managers, providers, patients and caregivers were involved at different levels in the implementation of the integrated local health networks. Aims: To analyse an integrated local health network for older adults according to multiple perspectives. Methods: This research is part of an international research program “implementing integrated care for older adults with complex health needs” ICOACH where three case studies were carried out in each jurisdiction: Quebec, Ontario and New Zealand. This presentation is based on data collected in Quebec from 96 semi-structured interviews with various key stakeholders such as policy makersn=11; healthcare providers n=28, managers n=33, older adult patients n=14 and caregivers n=10, as well as the analysis of official documents. data was analysed based on the 59 items of the six dimensions of the Rainbow Model of Integrated Care framework to identify convergences and divergences in the perspectives of the major stakeholders. Results: In general, there is a strong convergence in the views of policy makers, managers and providers on several key features of functional, professional and clinical integration. Although they often adhere to the same principles, differences are sometimes observed at the level of implementation. For instance, they all view, the Continuity item as a central element where organizational structures must support service trajectories. However, several providers report that the poor harmonization of the operating rules between the organizations and the lack of knowledge of the various programs create a lack of fluidity. Another example is related to the item centrality of client needs. Policy makers and managers report that services are developed on the needs of patients while provider’s nuances by repeatedly reporting that services are offered according to their availability at the organization. Among the six dimensions, the clinical dimension is the one that is illuminated by all perspectives while the organizational and systemic dimension are more addressed by policy-makers and managers. Adding the perspectives of patients/caregivers reveals a dissonance of the apparent consensus around the clinical dimension. Conclusion: Based on the Rainbow model, we observed discrepancies between the 4 perspectives in analyzing the implementation of integrated local health networks. Policymakers and managers hold very similar perspectives. Providers often converge in the guiding principles with policy makers and managers, but often diverge at the implementation level by reporting several barriers. They are the buffer group whose perspectives sometimes converge with policy-makers and managers, and at other times with patients/caregivers. Regarding patients/caregivers, they mainly focus on t the clinical dimension and their views often diverge from those of decision makers and managers.

PROBLEMS OF PREPARATION OF FUTURE TEACHERS FOR WORK IN THE CONDITIONS OF INCLUSIVE EDUCATIONAL ENVIRONMENT

NEVMERZHYTSKA Olena – Doctor of Pedagogical Sciences, Associate professor, Professor of the General Pedagogy and Preschool Education Department, Drohobych Ivan Franko State Pedagogical University, Ivan Franko st., 24, Drohobych, 82100, Ukraine (nhelen750@gmail.com)ORCID: http://orcid.org/0000-0002-9911-9735ResearcherID: http://www.researcherid.com/rid/D-4176-2018DOI: https://doi.org/10.24919/2313-2094.7/39.126018To cite this article: Nevmerzhytska, O. (2018). Problemy pidhotovky maibutnikh pedahohiv do roboty v umovakh inkliuzyvnoho osvitnoho seredovyshcha [Problems of preparation of future teachers for work in the conditions of inclusive educational environment]. Liudynoznavchi studii. Seriia «Pedahohika» – Human Studies. Series of «Pedagogy», 7/39, 200–210. doi: 10.24919/2313-2094.7/39.126018 [in Ukrainian].Article historyReceived: 15 April 2018Received in revised form: 6 June 2018Accepted: 10 July 2018Available online: 12 September 2018 Abstract. The article analyzes the problems that arise in the process of preparing future educators for work in an inclusive educational environment. In particular, the main forms of training for people with special educational needs (special education, mainstreaming, integration, inclusion) are considered. It is stated that at the present stage the role and necessity of the introduction of inclusive education is not objectionable. However, modern Ukrainian society is not always ready to reject prejudices and stereotypes about people with disabilities. The forces of education can and should be influenced by the formation of a tolerant attitude towards people with special educational needs in society, and the teacher plays a significant role in this process. In view of this, the professional training of modern teachers should be improved, mainly in the area of preparedness for work in an inclusive educational environment.Such training should be focused on the formation of professional, pedagogical and psychological readiness of specialists, which will ensure, on the one hand, the acquisition of the necessary professional competences by future educators, and, on the other hand, motivational readiness for work in an inclusive educational environment. The article analyzes the content of the disciplines «Fundamentals of inclusive education» and «Fundamentals of correctional pedagogy», which are offered to students of the Drohobych Ivan Franko State Pedagogical University in order to form the competencies necessary for work in an inclusive educational environment. It is established that they cannot provide a holistic view of work in the conditions of an inclusive educational environment. In view of this, a number of ways to improve the professional readiness of future teachers to work in the conditions of inclusion is proposed: an introduction to the content of a large number of educational disciplines of information that would enable students to form a personal attitude to inclusion, filling of the content of methodological disciplines, so that future teachers could get acquainted with methods of working with children with special educational needs at lessons, engagement of student youth to volunteering activities in rehabilitation centers and social services, which will provide a better understanding of the features of people with disabilities, their perception and acceptance. Such comprehensive acquaintance of students with the peculiarities of people with special educational needs will enable them to develop the ability to choose the best ways to organize inclusive education, apply different methods of pedagogical interaction between subjects of the educational process, create an environment for correction and development in the conditions of inclusive educational space, as well as the need for self-education on issues of joint education of children with disabilities and their healthy peers. Acknowledgments. Sincere thanks to the teaching staff of the Drohobych City Center for Social Services for Family, Children and Youth, in particular, Oksana Matchyshyn.Funding. The author received no financial support for the research, authorship, and/or publication of this article.

Information and Communication Technologies Interest, Access, and Use: Cross-Sectional Survey of a Community Sample of Urban, Predominantly Black Women.

BackgroundInformation and communication technologies (ICT) offer the potential for delivering health care interventions to low socioeconomic populations who often face barriers in accessing health care. However, most studies on ICT for health education and interventions have been conducted in clinical settings.ObjectiveThe aim of this study was to examine access to and use of mobile phones and computers, as well as interest in, using ICT for receipt of behavioral health information among a community sample of urban, predominately black, women with low socioeconomic status.MethodsParticipants (N=220) were recruited from hair salons and social service centers and completed audio-computer assisted self-interviews.ResultsThe majority of the participants (212/220, 96.3%) reported use of a cell phone at least weekly, of which 89.1% (189/212) used smartphones and 62.3% (137/220) reported computer use at least weekly. Of the women included in the study, 51.9% (107/206) reported using a cell phone and 39.4% (74/188) reported using a computer to access health and/or safety information at least weekly. Approximately half of the women expressed an interest in receiving information about stress management (51%-56%) or alcohol and health (45%-46%) via ICT. Smartphone ownership was associated with younger age (odds ratio [OR] 0.92, 95% CI 0.87-0.97) and employment (OR 5.12, 95% CI 1.05-24.95). Accessing health and safety information weekly by phone was associated with younger age (OR 0.96, 95% CI 0.94-0.99) and inversely associated with higher income (OR 0.42, 95% CI 0.20-0.92).ConclusionsOur findings suggest that ICT use, particularly smartphone use, is pervasive among predominantly black women with low socioeconomic status in urban, nonclinical settings. These results show that ICT is a promising modality for delivering health information to this population. Further exploration of the acceptability, feasibility, and effectiveness of using ICT to disseminate behavioral health education and intervention is warranted.

Empowering elderly Iranians through a social group work intervention: A trial study to assess the effect of the intervention on participants' quality of life.

We designed and ran an empowerment-oriented social group work intervention to assess whether the intervention could improve the quality of life of older Iranians. The intervention consisted of nine group sessions that focused on capacity building and increasing individual competences, environmental resources and opportunities. Using a randomised controlled trial (RCT), 60 elderly people (30 men and 30 women in the intervention and control groups) from Social Services Centres in Tehran Municipality participated in this study. The WHOQOL-BREF instrument was used to measure quality of life, comparing before, after and follow-up measures between the groups and within each group. ANOVA and GEE tests were applied to analyse the data. The results showed significant progress in overall quality of life of the participants, particularly in the domains of physical health, psychological health, social relationships and environmental health. In pretest, there were no significant differences between the groups in terms of quality of life and its domains, but there were significant differences in the post- and follow-up tests. This study provides support for the empowerment-oriented social group work intervention with Iranian elderly people. This kind of intervention can be a useful model for empowering older people, especially in countries where social support and health services for seniors are not yet freely available.

Characteristics of the Pharmacological Regulation of Functional States in Elderly Adults

Introduction. This paper reports a study of characteristics of pharmacological regulation of functional states in elderly adults by means of psycho-relaxation and aromatherapy sessions of various durations with the use of catnip oil. The assessment of functional states was carried out through the analysis of the main parameters of cardiovascular system and subjective estimates of respondents’ health, activity, and mood. This is the first study on the pharmacological effects of catnip essential oil on elderly adults’ functional states, depending on the diffusion duration (10, 20, and 30 minutes), monitored by psycho-relaxation recording.
 Methods. The study used the following techniques: (a) recording of cardiovascular parameters (systolic blood pressure, diastolic blood pressure, pulse pressure, heart rate, minute blood volume, heart stroke volume, cardiac index, blood circulation index); (b) the Hospital Anxiety and Depression Scale (HADS); (c) the Technique for Measuring the Speed of Thought; (d) the Proofreading Test (modified version); (e) Ivanov-Smolensky proofreading tables; and (f) self-assessment diagnostic technique by Dembo-Rubinstein (modified by A. M. Prikhozhan).
 The study participants were 324 adults aged 50–90 years, including 94 hypertensive respondents who were registered at social services centers for elderly and disabled citizens in Yalta and Simferopol (the Republic of Crimea).
 Results. The study results show that a 10- or 20-minute non-invasive pharmacological exposure to aromatherapy with the use of catnip oil can positively affect psychophysiological and psychoemotional states and mental working capacity in elderly adults.
 Discussion. The data obtained indicate that aroma-relaxation treatment with the use of catnip essential oil positively affects functional states in elderly adults, reduces anxiety symptoms, and decreases pulse and systolic blood pressure.
 Highlights
 
 Pharmacological exposure to catnip essential oil (EO) combined with the psycho-relaxation and aromatherapy treatment can positively affect psychophysiological and psychoemotional states and mental working capacity in elderly adults.
 Inhaling catnip essential oil (1 mg/m3) for 10 and 20 minutes reduces situational anxiety. A 30-minute aromatherapy session with the use of catnip essential oil increases the speed of thought. Inhaling catnip essential oil for 10, 20, and 30 minutes increases mental working capacity and subjective self-rating of the overall respondents’ condition, health, mood, vitality, and attention.
 Aroma-relaxation treatment with catnip essential oil has a pronounced impact on basic parameters of cardiovascular system in hypertensive elderly adults.

What role do children play in social services?

Greater emphasis is being placed on developing policies that provide services based on the user's perspective and this includes the perspective of children's rights. This study analyses professional practices in interventions involving children and families at 40 Social Services Centres in Barcelona with a view to identifying the degree of child participation. Taking into account the perspective of the different stakeholders, i.e., practitioners as providers and children and families as users, we implemented a mixed methodological research design: data analysis from the city council database (N=56,468); quantitative data collection based on a questionnaire directed to practitioners (N=225); qualitative data collection based on interviews with adults and children (N=39); focus groups made up of practitioners (N=30), and user satisfaction surveys directed to adults (N=280) and children (N=120). We use triangulation for data analysis. Results indicated low child participation, lack of clarity regarding work methods and professional profiles, and problems in evaluating outcomes. Perceptions differed greatly depending on the sources consulted, and this could have implications for policy and practice.

Parent Education for Migrant Mothers of Left‐Behind Children in China: A Pilot Randomized Controlled Trial

Although numerous studies have indicated the significance of parental support and parent-child communication in alleviating the adverse effects of parental departure on left-behind children, researchers have rarely addressed the impact of parent education on migrant parents. On the basis of the results of a pilot randomized controlled trial, the study reported here involved examining the possible outcomes and feasibility of a parent education program for rural-to-urban migrant mothers of left-behind children in China. Informed by an existential-narrative approach to parent education, the program was composed of six 2.5-hour sessions. The sample included 56 migrant mothers recruited from a social service center in Shenzhen, China, who were randomly assigned to either the immediate group (n=28, M=34.82years, SD=4.12, aged 23-43) or the waitlist control group (n=28, M=34.68years, SD=4.53, aged 28-43). The hypotheses of the trial were twofold: that the program would positively affect participants' parental identity and that it would improve mother-child relationships and parenting practices. The results revealed no significant difference in parental identity between the intervention group and the waitlist control group at the post-test assessment after ruling out the effects of pretest survey scores. However, significant differences did emerge in parent-child relationships and parenting practices. Overall, the results corroborate the feasibility of examining the current program for migrant mothers in China in a full trial. The findings also offer insights into developing empirically supported parent education programs for migrant parents.

Detección de barrios vulnerables a partir de la accesibilidad a los servicios públicos de proximidad. El caso de la ciudad de Valencia

El análisis de la accesibilidad a los servicios públicos de proximidad es una manera de acercarnos al estudio de la sostenibilidad social en las ciudades. En este artículo se analizacómo la localización de dichos servicios (centros de especialidades médicas, institutos de enseñanza secundaria y servicios sociales de base) contribuye a mejorar la calidad de vida de las personas. Para ello se ha estimado la accesibilidad desde el lugar de residencia al centro de oferta de servicio en la ciudad de Valencia utilizando SIG e información espacialmente detallada (por número de policía o portal). La relación entre dicha accesibilidad y una serie de variables de tipo socioeconómico facilita la detección de barrios con peores dotaciones sociales y permite caracterizar dichas áreas según su estructura socioeconómica y población en riesgo de exclusión, con el fin de facilitar la toma de decisiones para la intervención pública.

Qualitative analysis of rural-to-urban migrant Chinese mothers’ perceived outcomes and experiences in a parent support and education programme with an existential–narrative approach

ABSTRACTThis paper discusses the qualitative findings of practice research on rural-to-urban migrant Chinese mothers’ perceived outcomes and experiences in a parent support and education programme. Informed by an existential–narrative approach to parent education, four intervention groups were provided to 56 migrant mothers recruited from a social service centre in China. Of them, 28 mothers were purposively selected and invited to join four post-intervention focus groups. Themes of their narratives suggest that the programme has helped participants to reconstruct what migrant mothering means to them, reorganise their lived experiences, reflect upon their priorities in life, adjust their parental expectations, deepen their parent–child connectedness by visiting and calling home, express gratitude to their children’s caregivers, reaffirm the role of the children’s fathers in parenting, and facilitate learning from other participants. The findings offer insights into developing parenting programmes for migrant mothers that focus on meaning-making, storytelling and mutual learning.

ЦЕНТР СОЦИАЛЬНЫХ СЛУЖБ ДЛЯ СЕМЬИ, ДЕТЕЙ И МОЛОДЕЖИ КАК СОЦИАЛЬНО-ПЕДАГОГИЧЕСКАЯ СИСТЕМА

The article analyzes the legislative regulation and the scientific approach to studying the problems of the centers of social services for family, children and youth. The author considers features of the development of centers as subjects of social work and the ways of reforming the regulatory and legal framework governing their activity. A new definition of the notion “center of social services for family, children and youth” is proposed to differentiate the spheres of activity between subjects of social work.

We believe in life before death: the Christian aid movement in Taiwan, 1970-78

Christian Aid, a faith-based anti-poverty charity based in the UK, origins lie in the reconstruction of Europe following the Second World War. In 1948, the organisation regrouped under the title: Inter-Church Aid and Refugee Service and its focus shifted towards worldwide poverty. The 1970s saw the organisation directly funding over 100 development projects in 40 different countries and by the 1990s Christian Aid was campaigning on global political issues that included (but not limited to) South African apartheid, Stop Climate Chaos, fair trade and trade justice movements. Without representatives overseas, Christian Aid works entirely through local structures, mainly churches and/or voluntary organisations; relying heavily on regional screening of projects by local experts. The collection used in this paper comprises of correspondences, minutes and reports. It draws on primary sources material (in both English and Chinese) that include: the Taroko Mountain Village Development Programme in 1973; the typhoon relief in 1973-74; Leadership and Community Development for East Coast Aborigines in 1972; the Training Centre for Handicapped People (est. 1972-73); Health Education Programme for East Coast Aborigines (1970-72); Social Service Centre (1970-71); Lotung Student Centre (1974-75); Vehicle repairing courses for tribal people, 1972-76; Aboriginal Agricultural Development Project–1975-76; among others. The paper is framed in the context of civil movements (in particular relief programmes), with the Taiwan indigenous peoples as a representative case study. Its main contribution is as a historical source; a comparative for present-day civil movements that have their routes in grassroots issues. In the case of Taiwan, much of the literature on the 1970s has tended (and perhaps rightfully so) concentrated on the change in representation at the United Nations Security Council in 1971; the US establishment of diplomatic ties with the Peoples’ Republic of China (PRC) in 1972; the passing of the Taiwan Relations Act in ‘1979; the 1979 Kaohsiung Incident; and the death of Chiang Kaishek and power transfer to Chiang Ching-kuo in ‘75 and ‘78 respectively. Little is known on social movements and development projects among the indigenous peoples during this ‘decade of change’. By addressing this overlooked aspect of the history of Taiwan civil movements, this paper will greatly contribute to existing knowledge on social movements, rights discourses and citizenship.

Expectations of stakeholders regarding technology in home care to optimise the functional autonomy of clients

Purpose : In Quebec, administrators of home care are more and more open to offering smart environments as part of services to maintain at home individuals facing an important loss of autonomy. Nonetheless, the implementation of technology in the context of home care requires the involvement of other stakeholders including care providers, clients and their families. The influence of care providers on the implementation of technology within the healthcare system is documented (Cf. Reviews1 2). However, little information is available about the implementation of technology in the community as well as the perspective of the clients and their families. Consequently, stakeholders in home care may not have the same expectations as those working in an institutional setting. Acceptance of technology is not the only barrier to the implementation, other factors such as social, technical, and organizational context can play a role. Method : Prior to implementing technology within home care services of an Integrated University Health and Social Services Centre in Montreal (Quebec), the purpose of this qualitative study was to evaluate the perspectives of multiple stakeholders in regards to: (1) facilitators and barriers to maintaining individuals at risk of self-neglect at home; and (2) expectations toward technology to optimise the functional autonomy of this clientele. lndividuals and group interviews were conducted with administrators (n = 2), head of services (n=S), care providers (n = 8), as well as clients at risk of self-neglect (n = 5) and their caregivers (n = 3). Data was analyzed using the approach of Miles, Huberman and Saldana. Results & Discussion : Perspectives of stakeholders were sometimes complementary but also divergent. On the one hand, the concept of perceived risk for the client was central to the decision-making process regarding the type of support needed to maintain the persan at home including technology. On the other hand, some of the clients expressed relatively no needs for services as they perceived themselves as functioning well at home while other stakeholders identified important problems. Overall, technology was expected to fulfill two main functions: (1) obtaining additional data to support the decision-making process related to the type and frequency of support needed to maintain the client at home; and (2) supporting the autonomy of the client. In conclusion, these results suggest that the implementation of technology within home care requires merging perspectives from multiple stakeholders to have a common understanding of the needs of the client and identify common objectives regarding the role of technology.

ГЕНЕЗИС СТАНОВЛЕНИЯ И РАЗВИТИЯ ЦЕНТРОВ СОЦИАЛЬНЫХ СЛУЖБ ДЛЯ СЕМЬИ, ДЕТЕЙ И МОЛОДЁЖИ В УСЛОВИЯХ КРЫМА

В данной статье проанализированы общие научные тенденции в понимании развития системы социальной защиты. Целью статьи является изучение исторического опыта становления и основных путей развития органов социальной работы на примере центров социальных служб для семьи, детей и молодежи Республики Крым как нового субъекта социальной работы в правовом поле Российской Федерации на пути реформирования социальной сферы.Метод или методология проведения работы. Основу теоретического исследования составляют: теоретический анализ; аналогия; моделирование, а также принцип историко-философской реконструкции. Эмпирическое исследование образует: изучение литературных источников, нормативных и программно-методических документов; изучение и обобщение опыта.Научная новизна и теоретическая значимость исследования: выявлены особенности функционирования и руководства центрами социальных служб для семьи, детей и молодежи как единой иерархической системы государственных социальных учреждений в Республике Крым; рассмотрена результативность социальной работы с семьями, детьми и молодежью во взаимодействии с другими субъектами социальной работы и правоохранительными органами региона.Результаты исследования заключаются в том, что предложены эффективные пути усовершенствования социальной работы Российской Федерации на основе опыта центров социальных служб для семьи, детей и молодежи в части доступности социальных услуг нуждающимся категориям населения.Область применения результатов. Результаты исследования могут быть применены в сфере социальной работы государственных учреждений с семьями, детьми и молодежью по обеспечению всестороннего охвата социальными услугами.

Reorganising health and social care in Québec: a journey towards integrating care through mergers.

ContextTwo reforms (2014, 2015) characterised by the merger of public health care establishments profoundly shaped the current organisation of Quebec’s healthcare system. In 2015, 22 megastructures called Integrated Health and Social Services Centres/Integrated University Health and Social Services Centres (IHSSC/IUHSSC), were created and mandated to organise care delivery to their local populations.ObjectiveTo describe the service configuration of the 2015 healthcare system reforms, emphasising on how it shaped the organisation of primary health care (PHC) in Quebec.ResultsWith the creation of IHSSCs/IUHSSCs, Quebec’s healthcare system passed from three to two levels of governance, leading to a centralisation of decision-making powers. Most health services are delivered by the new organisations, while most PHC is delivered by semi-private medical practices, mainly Family Medicine Groups (FMGs). The FMG model is the preferred strategy to develop interdisciplinary team-work and inter-organizational collaborations with other PHC services.Conclusionmechanisms through which centralised healthcare systems achieve community oriented integrated care (COIC) need to be properly understood in order to improve meaningful clinical outcomes. Mergers may not sufficiently achieve integration of services in all its dimensions. These reforms should be monitored and evaluated on their capacity to mobilise all providers as well as physicians to participate in COIC.

Interactive CO-learning for Research Engagement and Education (I-COREE) Curriculum to Build Capacity Between Community Partners and Academic Researchers.

The voice of diverse communities continues to be minimal in academic research. Few models exist for education and training of new research topics and terminology and building partnership capacity in community-engaged research. Little is known about integrative education and training when building participatory research partnerships for sustainability and developing trust and rapport. Community partners at an Asian community-based health and social services center in a large metropolitan area wanted to explore the cultural context of a health-assistive smart home that monitors and auto-alerts with changes in health. With historical and recent rising trends in culturally insensitive research in several diverse communities, the concept of technology-enabled monitoring in the privacy of one’s home brings uncertainty. Academic nurse researchers and community partners co-created a culturally safe integrative education and training curriculum, the Interactive CO-learning for Research Engagement and Education (I-COREE). The purpose was to design, implement, and evaluate the curriculum to respond to the community partners’ needs to create a culturally safe space through an integrative education and training to facilitate building partnership capacity for research engagement including developing trust and rapport and addressing uncertainties in health-assistive technologies. Popular education tenets informed the curriculum. Twelve academic and community partners participated, four were team teachers who co-led the session. Implementation of the experiential, multimodal co-learning activities were conducted within ahalf-day. The curriculum evaluation indicated that it helped bridge critical conversations about partners’ fears of the unknown, approach culturally sensitive topics safely, and trust and rapport. Key elements may be translatable to other partnerships.

빈곤관이 사회복지 환경 인식에 미치는 영향 ╶사회복지관과 사회서비스기관 종사자 비교를 중심으로-

빈곤관이 사회복지 환경 인식에 미치는 영향 ╶사회복지관과 사회서비스기관 종사자 비교를 중심으로-

Fostering development of nursing practices to support integrated care when implementing integrated care pathways: what levers to use?

BackgroundCare integration has been the focus of recent health system reforms. Given their functions at all levels of the care continuum, nurses have a substantial and primordial role to play in such integration processes. The aim of this study was to identify levers and strategies that organizations can use to support the development of a nursing practice aligned with the requirements of care integration in a health and social services centre (HSSC) in Quebec.MethodsThe research design was a cross-sectional descriptive qualitative study based on a single case study with nested levels of analysis. The case was a public, multi-disciplinary HSSC in a semi-urban region of Quebec. Semi-structured interviews with 37 persons (nurses, professionals, managers, administrators) allowed for data saturation and ensured theoretical representation by covering four care pathways constituting different care integration contexts. Analysis involved four steps: preparing a predetermined list of codes based on the reference framework developed by Minkman (2011); coding transcript content; developing general and summary matrices to group observations for each care pathway; and creating a general model showing the overall results for the four pathways.ResultsThe organization’s capacity for response with regard to developing an integrated system of services resulted in two types of complementary interventions. The first involved investing in key resources and renewing organizational structures; the second involved deploying a series of organizational and clinical-administrative processes. In resource terms, integration efforts resulted in setting up new strategic services, re-arranging physical infrastructures, and deploying new technological resources. Organizational and clinical-administrative processes to promote integration involved renewing governance, improving the flow of care pathways, fostering continuous quality improvement, developing new roles, promoting clinician collaboration, and strengthening care providers’ capacities. However, progress in these areas was offset by persistent constraints.ConclusionsThe results highlight key levers organizations can use to foster the implementation and institutionalization of integrative nursing practices. They show that progress in this area requires a combination of strategies using multiple complementary levers. They also suggest that such progress calls for rethinking not only the deployment of certain organizational resources and structures, but also a series of organizational and clinical processes.

Soutenir le changement de pratiques d’enseignement chez les professionnels de la santé: le cas des rencontres prénatales dans un CSSS de Montréal

A Montreal Social and Health Service Centre (CSSS) has set up a learning community following the accreditation visit related to obtaining Baby-Friendly Initiative certification. The evaluators of this program noted that parents did not retain much information from prenatal meetings. The article describes the professional development system established by the Perinatal Team that sought to refine its teaching practices. It also summarizes the two evaluations that allowed the professionals to improve on a continual basis. The discussion focuses on the conditions that have favoured the development of the skills of the teaching professionals. In particular, it appears that parents retain information and apply it when the professionals succeed in including them actively in the training and in reaching them emotionally in their learning: skin-to-skin contact between mother and baby and the reinforcement of breastfeeding goals are prime examples.

Building a Collaboration Between a Children’s Hospital and an Early Childhood Education and Social Services Center

To address toxic stress among children growing up in poverty, an innovative collaboration was developed between a community center, Operation Breakthrough (OB), and a tertiary care children's hospital, Children's Mercy Hospital (CMH). OB started as a day care center but has expanded and developed ways to provide shelter, safety, food, employment, education and health care. CMH is a traditional academic children's hospital that, in recent years, has been looking for ways to better address the social determinants of health. This article describes how the two organizations found ways to work together to capitalize on each other's strengths. Although the two institutions shared some common goals, they had very different organizational structure. We describe how a series of complex negotiations and trust-building exercises eventually led to a robust and unique partnership.