Holistic Service Research Articles

Transformasi Pusat Layanan Gizi Masyarakat UNP sebagai Layanan Terpadu Penyakit Sindrom Metabolik

The main objective of the program at the community nutrition service center is to encourage Padang State University clinics to provide holistic community nutrition services. This service center is assisted by nutrition from FMIPA, and FPP Culinary Experts, as well as from FIK, which is intended for the community. The implementation of this activity is managed by a group of lecturers who are scientifically closely related to the program to be made. The proposed community nutrition service center is expected to develop well in providing individual and community services based on clinical nutrition. Community nutrition service centers are oriented towards other health service efforts found in clinics, namely promotive, preventive, curative and rehabilitative. The advantage of this service center compared to other first level health facilities such as the puskesmas is that the services provided are accompanied by assistance in the field when conducting counseling and providing services with integrity. The main targets of community nutrition services are children, adolescents, pregnant women and the elderly. The programs carried out include infant and toddler nutrition service programs, youth nutrition services, pregnant women nutrition services, elderly nutrition services and pre-participation examinations. This clinic is under the Chancellor of UNP which will be developed within the Center for Health Service Development. It is hoped that the UNP clinic will continue to develop according to the capabilities of each faculty in developing health services according to their scientific fields.

EXAMINATION OF THE FAIR WORLD BELIEF OF PROFESSIONALS WORKING AT THE MINISTRY OF SOCIAL SERVICES

The Ministry of Family and Social Services is trying to implement effective and efficient social service models by trying to reach every member of the society, with the mission of developing and implementing holistic and fair social service models for the protection, strengthening and development of the individual, the family and our social values. The Ministry of Family and Social Services, which adopts supply-oriented working as a principle while reaching individuals, constitutes a large part of the working area of disadvantaged, fragmented families in need of social and economic support, and women, children and disabled individuals. Establishing the necessary communication with the families in question, carrying out the professional work, determining and implementing the appropriate social work model are among the job descriptions of the professional staff working as psychological counselors, psychologists, social workers, sociologists and teachers working under the ministry. Considering the family structures and case details of the mentioned professionals, they have witnessed many traumatic experiences directly or indirectly; The main purpose of this study is to examine how they look at events, how they keep their psychological well-being in balance or for what reasons, and how the just world belief systems affect all these experiences.

Solidaritas Allah Ditengah Penderitaan Seorang Ibu Karena Kematian Anaknya: Sebuah Pendampingan Pastoral

Death is something that no one can avoid. When parents are faced with the death of their child, it is often the mother who seems to be devastated and feels deep suffering. For this reason, this research discusses God's Solidarity in the midst of a mother's suffering due to the death of her child: an offer of Pastoral assistance. The approach used in this study is a qualitative approach by collecting data through interviews with 3 mothers who have suffered because of the death of their child and also from books, the Bible, and electronic journals that are relevant to the theme discussed. The purpose of this research is to further explore the meaning of God's solidarity in the midst of a mother's suffering as a result of the death of her beloved child as well as to become an offer of pastoral assistance for the church by paying attention to aspects of holistic or comprehensive service covering physical, mental and psychological, social and spiritual aspects so that they can provide reinforcement for every mother who experienced something similar.

Headache Disorders in VHA Primary Care: Prevalence, Psychiatric Comorbidity, and Health Care Utilization

Military veterans are at increased risk for headache disorders compared to the general population, yet the prevalence and burden associated with headache disorders among veterans is not yet well understood. In this electronic medical record study, we examined the prevalence of headache disorders among veterans seen in a northeastern network of Veterans Health Administration (VHA) primary care during 2017–2018. We also examined rates of psychiatric comorbidity and health care utilization of veterans with headache disorders for the year following the date of the first headache code in the medical record. Of the total population of veterans in the network, 1.3% had a headache disorder and another 3.5% had a possible headache disorder. Migraine and chronic migraine represented the majority of cases. Posttraumatic stress disorder was the most frequent psychiatric comorbidity. Having a headache disorder was associated with higher rates of primary care, neurology, pain clinic, and mental health service use but not higher rates of emergency department or Whole Health (e.g., patient-centered, holistic health services) use. Prevalence findings are comparable to those previously found among veterans, but a substantial proportion of veterans may have been misdiagnosed. Veterans with headache disorders have high rates of psychiatric comorbidity and use several types of health services at higher rates. Findings highlight the need for interdisciplinary care and further education and support for primary care providers. Primary care settings that integrate evidence-based behavioral and Whole Health services may be an optimal way of providing more holistic care for headache disorders.

When edge intelligence meets cognitive buildings: The COGITO platform

Future buildings are complex systems that aim at improving the quality of life of their inhabitants and increasing safeness, security, and efficiency. In order to reach these goals, they require their own self-management and self-adaptation capabilities, thus becoming cognitive entities. However, developing cognitive buildings that exploit advanced Artificial Intelligence (AI) techniques in a distributed fashion is still a challenge. Indeed, they need to continuously collect and process a variety of environmental parameters, learn and predict the users’ needs and preferences, and then control a large number of heterogeneous devices. These operations may leverage the dynamic availability of edge and cloud computing resources.This paper discusses the challenges and requirements tied to the development of cognitive buildings and proposes COGITO, an Internet of Things platform specifically suited to design and implement cognitive buildings. COGITO enables edge intelligence and the exploitation of all the available resources in the computing continuum between the edge and the cloud. All of this is to support holistic services that guarantee energy efficiency, security, and user comfort. For validation purposes, a case study involving the use of COGITO in an office building is presented, together with a performance evaluation analysis.

Implementation of Worship and Religious Preservation Obligations in Inpatients at YARSI Hospital

According to WHO, healthy involves a state of complete well-being which includes four dimensions: physical, mental, social and spiritual. A person's level of spirituality can affect his quality of life. In relation to the healing process, spirituality can be explained by holistic concepts and services in nursing. YARSI Hospital itself has conducted an assessment of the spiritual aspect among other Islamic hospitals entitled "Spiritual Friendly" or can be mentioned with its motto that preserves religion (hifdz Addin), such as the obligation of worship and religious preservations obligations. This study aims to find out an overview of the implementation of spiritual aspects in inpatients at YARSI Hospital and its review in Islam. This study used analytical survey research with a cross-sectional research design. The sample was established using purposive sampling technique. The population of this study was inpatients at YARSI Hospital for the period of May – December 2021 with its collection using the YARSI Hospital Information System instrument with a sample of 1703 patients. The results showed that the majority of patients were women. The results of the statistical test also showed that gender was related to worship obligations (p=0.003) and religious actions (p=0.000), age with religious actions (p=0.000), length of hospitalization with worship obligations and religious actions (p=0.000). Meanwhile, at the age of worship obligations, no significant relationship was found. The conclusion in this study is that the nature of disease in Islam is the best test given by Allah Almighty. A good believer when given an exam will have to respond sincerely, patiently, and seek treatment.

Psychosocial Problems on Adolescents with Thalassemia Major: A Systematic Scoping Review

Disease and treatment of thalassemia major that are carried out for life can cause physical and psychological problems in sufferers. Adolescents with thalassemia major will experience disturbances at a stage of development that is undergoing dynamic changes. Nurses, as health workers who provide holistic services, need to know what psychosocial problems may arise in adolescents with thalassemia major. This study aims to describe psychosocial problems in adolescents with thalassemia major. This study uses a scoping review design by searching English literature through the CINAHL, PubMed, and Scopus databases. The keywords used are psychosocial problems, thalassemia major, and adolescence. The criteria for the article in this study where the patient was a teenager with thalassemia, open access full text, and the time setting was the last 10 years (2013-2022). We found 9 articles discussing psychosocial problems in adolescents with thalassemia. Psychosocial problems that arise in the form of disturbances in several functions, namely physical, emotional, social, and school functions. Psychosocial disorders that occur in adolescents with thalassemia cause disturbances at the stage of adolescent development. Psychosocial problems that occur in adolescents with thalassemia include impaired physical, emotional, social, and school functions.
 Keywords: adolescence, psychosocial problems, thalassemia major

Health-related quality of life and psychosocial effects of the diagnosis of aortovascular manifestations in Marfan syndrome patients: a qualitative study

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): Barts Charity Background Marfan Syndrome (MFS) is a rare autosomal-dominant connective tissue disorder with serious and life-threatening cardiovascular manifestations. Despite the severity of this life-long condition, there is very little evidence on the health-related quality of life (HRQoL) and psychosocial effects of living with MFS and no available evidence on the effect of the aortovascular manifestations. Purpose This study is part of a programme of work aiming to identify the HRQoL and the psychosocial factors affecting MFS patients following the diagnosis of an aortovascular manifestation. Methods This single site qualitative exploratory study was designed to identify quality of life issues affected by the aortovascular diagnosis in MFS from patients’ lived experience. Convenience sampling was employed for this study, with an expected sample size of 20 adult participants who had validated diagnosis of MFS using the revised Ghent criteria[1] and diagnosed with aortovascular manifestations. Interviews, lasting up to 1 hour, were conducted using a semi-structured interview schedule. Each interview was audio-taped and transcribed verbatim. Data saturation assessment was done using the Guest et al.[2] method. Data analysis was undertaken using the Framework method[3], which follows a seven-stage process Results Twenty interviews were undertaken, transcribed and analysed. Participants ranged from 24 to 71 years old (M = 39.6); were 55% male, were primarily Caucasian (n=17, 85%), and 80% completed secondary and post-secondary education. Majority were employed (n=12, 70%) and 40% had greater than average household income. The results identified that patient reported HRQoL and psychosocial factors affecting MFS patients following aortovascular diagnosis include: social and self-stigma, depression, social and health anxiety, loss of personal efficacy, financial burden, loss of self-esteem, worry in building a relationship or family and vital exhaustion. However, patients also expressed that the diagnosis led to disease acceptance, constructive engagement in coping with the condition and self-acceptance. Conclusion These results assist in better understanding the HRQoL and psychosocial factors that affect patients with MFS. This information can support the development of a patient care pathway that includes HRQoL and psychosocial aspects of care to provide a holistic and comprehensive service for this patient group.

KNOWLEDGE TO INCREASE NURSING WORK PERFORMANCE INPATIENT CARE: EMPIRICAL STUDY AT RSUD TAMANSARI

The hospital has the role of providing a holistic health care services. Nursing personnel makes up the largest proportion, which are almost 50% of all hospital human resources. The purpose of this study is to determine the effect analysis of motivation, workload and knowledge on the performance of nursing staff at RSUD Tamansari inpatient care. The method used in this study is cross sectional in the form of quantitative causality. Data collection used a survey method by taking questionnaires from 41 nurses in the inpatient unit of RSUD Tamansari. The sampling technique used in this study is total sampling. The analysis between variables using multiple linear regression test. The results showed that motivation and knowledge variables had a significant value of <0.05, while the workload variable had a significant value of >0.05. The research findings show that the dominant knowledge variable influences the performance of nursing staff inpatient care at RSUD Tamansari. The conclusion in this study is that motivation and knowledge have a direct and significant effect on the performance of nursing staff at inpatient care at RSUD Tamansari and workload does not have a direct and significant effect on the performance of nursing staff at inpatient care at RSUD Tamansari. One of the managerial implications is that hospital management and training units need to improve the education and training system as a priority.

Violence Victimization, Homelessness, and Severe Mental Illness Among People Who Use Opioids in Three U.S. Cities.

This study examined the associations between violence victimization, homelessness, and severe mental illness (SMI) among people who use opioids (PWUOs) in three U.S. cities. We analyzed data from a cross-sectional survey conducted from May 2019 to February 2020 across three study sites: Los Angeles, CA; Las Vegas, NV; and Atlanta, GA. We used multivariable regressions to examine how multiple victimizations and housing situation are associated with SMI. Based on K-6 scale, nearly half (44.2%) were screened positive for SMI. Meanwhile, 69.7% of the participants reported experiencing some kind of violence in their lifetime, and more than half (51.9%) reported experiencing recent violence (in the past 6 months). The most common form of lifetime violence was emotional (59.5%), followed by physical and intimate partner violence (IPV) (56.1 and 34.9%, respectively), and 34.9% of all participants reported experiencing multiple forms of victimization in the past 6 months. Participants who reported homelessness were more likely to report having experienced recent violence victimization (p < .001). In multivariable models, experiencing recent victimization was significantly associated with SMI (adjusted odds ratio (AOR) = 1.85, 95% confidence interval [CI] [1.46, 2.38]), as was homelessness (AOR = 1.57, 95% CI [1.15, 2.14]), after adjusting for study covariates. Among those with moderate and SMI (n = 927), only 22% were currently receiving mental health services, and those who reported having experienced any forms of violence in the past 6 months were more likely to utilize mental health services than those who had not experienced any recent violence victimization (25 vs. 17.9%, p < .05). To improve mental health and wellness among this high priority population, mental health facilities and syringe service programs may consider screening for experiences of violence and using trauma-informed mental health approaches. Harm reduction interventions must be responsive to the diverse individual and structural-level needs of PWUOs, especially those experiencing homelessness and housing insecurity. Holistic strategies and services are needed to meet the social and structural needs of this population.

Padang State University of Public Nutrition Services Center (Promotion, Quality of Resources, Quantity of Facilities)

The main objective of the PPUPIK program at the community nutrition service center is toencourage Padang State University clinics to provide holistic community nutrition services. Theimplementation of this activity is managed by a group of lecturers who scientifically have a closerelationship with the program to be created. It is hoped that the proposal for a community nutritionservice center will develop well in providing individual and community services based on clinicalnutrition. Community nutrition service centers are oriented towards other health service efforts found inclinics, namely promotive, preventive, curative and rehabilitative. The advantage of this service centercompared to other first-level health facilities such as the puskesmas is that the services provided areaccompanied in the field when carrying out counseling and provision as an integrity service. The maintargets of community nutrition services are children, adolescents, pregnant women and the elderly. Theprograms carried out include nutrition service programs for infants and toddlers, nutrition services foradolescents, nutrition services for pregnant women, nutrition services for the elderly and preparticipation examinations.

Pelayanan Misi Holistik Memakai Media Digital

The use of digital media is a current trend. This progress should be utilized in Christian mission services, especially in responding to the challenges of service in underdeveloped villages scattered throughout Indonesia. This article tries to explain the use of digital media in holistic mission services in Bambaoma village. By using ethnographic qualitative methods and also use a variety of existing literature and observations of researchers who have served in this village. The results of the study found that the use of digital media for holistic mission services in Bambaoma hamlet can be used to support teaching and training in various fields, both in the spiritual field through sermons, teaching in Sunday Schools and basic education for young children, as well as teaching ways to good farming practices and healthy lifestyles to improve the welfare of the Bamboama hamlet community holistically.

Customer Service Combining Human Operators and Virtual Agents: A Call for Multidisciplinary AI Research

The use of virtual agents (bots) has become essential for providing online assistance to customers. However, even though a lot of effort has been dedicated to the research, development, and deployment of such virtual agents, customers are frequently frustrated with the interaction with the virtual agent and require a human instead. We suggest that a holistic approach, combining virtual agents and human operators working together, is the path to providing satisfactory service. However, implementing such a holistic customer service system will not, and cannot, be achieved using any single AI technology or branch. Rather, such a system will inevitably require the integration of multiple and diverse AI technologies, including natural language processing, multi-agent systems, machine learning, reinforcement learning, and behavioral cloning; in addition to integration with other disciplines such as psychology, business, sociology, economics, operation research, informatics, computer-human interaction, and more. As such, we believe this customer service application offers a rich domain for experimentation and application of multidisciplinary AI. In this paper, we introduce the holistic customer service application and discuss the key AI technologies and disciplines required for a successful AI solution for this setting. For each of these AI technologies, we outline the key scientific questions and research avenues stemming from this setting. We demonstrate that integrating technologies from different fields can lead to a cost-effective successful customer service center. The challenge is that there is a need for several communities, each with its own language and modeling techniques, different problem-solving methods, and different evaluation methodologies, all of which need to work together. Real cooperation will require the formation of joint methodologies and techniques that could improve the service to customers, but, more importantly, open new directions in cooperation of diverse communities toward solving joint difficult tasks.

A photovoice study of college students who have experienced foster care, relative care, and/or homelessness

PurposeYoung people with a history of foster care and or homelessness experience barriers to education and often have poorer educational outcomes. Universities have established campus support programs (CSP) to address these student needs; however, there is limited knowledge about their experiences in CSP and in college. MethodWe used photovoice methodology to elicit the perspectives of 18 undergraduate students in a CSP. Participants took pictures that addressed two guiding questions: What is it like to be a college student who experienced foster care, homelessness, relative care, or ward of the State status? What is it like to participate in a CSP? We interviewed participants about their photos and coded interview transcripts using an inductive, iterative approach. ResultsParticipants’ experiences in college were often impacted by their past. Participants disclosed that they often felt like outsiders on campus. Concerns of being misunderstood were accompanied by feelings of pressure to perform as role models for others. Resources provided by the CSP were identified as important as was the support and sense of community in being part of the CSP. Students appreciated having a designated space on campus where they could connect to other students with similar backgrounds. Consistently, participants stressed that the CSP improved their college experience and contributed to their successes. DiscussionFindings highlight the importance of CSP’s holistic services and a sense of community. By supporting students, CSPs can create spaces in which students who disproportionately have been excluded from higher education feel welcome and able to overcome adversity.

“I Want to Know What People are Saying”: Trans Youth Learning Critical Media Literacies to Negotiate Hate on Social Media

Abstract We draw on 37 interviews with a racially diverse group of 21 trans and queer teenagers to consider how they used social media to navigate dominant ideologies amid rapidly accelerating white supremacy, anti-Blackness, xenophobia, anti-transness, and anti-queerness in 2019-2020. The analysis emerges from a humanizing qualitative study of lgbtq+ youth digital life conducted in partnership with an interdisciplinary gender health program that provides holistic services. Employing grounded theory and intersectional theories of queer politics, we expand conceptualizations of queer critical media literacies. We find that youth in the study enacted critical media literacies to 1) anticipate the logics of hate by which they are oppressed; 2) unlearn dominant ideologies that structure privilege; 3) and rehearse responses to intersecting oppression. Understanding the ways youth negotiate dominant ideologies on social media can inform the design of critical media literacy teaching and learning to confront phobic forces in multiple youth-serving contexts.

Embedding the developmental approach in social work with older persons: Prospects and challenges for Lesotho

Although social work has evolved greatly since its inception in the late 19th century, it is faced with the need to adopt more appropriate interventions to address the needs of service users. This is mainly because of the shift of interest towards service user involvement in the assessment of the services they require and the rise of evidence-based practice. The paradigm shift in the orientation of Lesotho’s Ministry of Social Development in 2012, from welfare to the developmental approach presents opportunities for holistic and comprehensive service delivery for vulnerable people, older persons included. Furthermore, the establishment of the Department of Elderly Care Services in 2013, in the Ministry of Social Development was a strategic move in the implementation of the developmental approach in service delivery for older persons. However, progress in the implementation of the developmental approach in service delivery for older persons is constrained by inadequate financial and human resources, lack of specialised training for social workers on this strategy, and political instability that has resulted in frequent changes in government. How to cite this article using ASWNet style Dhemba J., Makofane M. D. M. and Mabetoa, M. (2023). Embedding the developmental approach in social work with older persons: Prospects and challenges for Lesotho. People centred – The Journal of Development Administration (JDA), 8(2), 23-29. https://dx.doi.org/10.4314/jda.v8i2.1 Visit journal website: https://jda.africasocialwork.net

Perspectives on an enhanced ‘Improving Access to Psychological Therapies’ (IAPT) service addressing the wider determinants of mental health: a qualitative study

BackgroundA new Health and Wellbeing pathway was introduced into the Improving Access to Psychological Therapies (IAPT) service in one geographical area of the UK in 2021 to address the wider determinants of mental health problems. It comprised assisted signposting to wider services and physical health promotion. This qualitative study aimed to understand stakeholders’ experiences of implementing and receiving this new support and the barriers and facilitators to its delivery.MethodsForty-seven interviews were conducted, with service developers (n = 6), service deliverers (n = 12), service users (n = 22) and community and clinical partners (n = 7), as part of a larger mixed-methods evaluation. Interviews were recorded, transcribed, and analysed using reflexive thematic analysis.ResultsThree themes spanned all participant groups and represented key aspects of the service: (1) identifying suitability, (2) a holistic service, and (3) moving forward. The sub-themes represent the barriers and facilitators to processes working in practice, lending insight into potential service improvements. These included strengthening the quality of communication during referral and assessment, tailoring the support and delivery mode, and increasing transparency around continued care to drive sustained benefits.LimitationsService users may have been selected due to their positive experiences of IAPT and were not demographically representative of the population, although participants’ experiences of the service did suggest variation in our sample.ConclusionsThe Health and Wellbeing pathway was perceived as having a positive impact on mental health and could reduce the burden on therapeutic services. However, service- and individual-level barriers need to be addressed to enhance statutory and community support links, manage service users’ expectations, and improve accessibility for certain groups.

From treatment of mental disorders to the treatment of difficult life situations: A hypothesis and rationale

The group-level symptom-reduction model of mental health care emphasizes predetermined treatment guidelines for those mental and social difficulties that are diagnosable as mental health disorders on the basis of predetermined diagnostic criteria. The model have produced generalizable information to support medical decision-making for symptom reduction. However, it may have also increased the reification of diagnostic labels, and in so doing medicalized and stigmatized complex human-life experiences, with a lack of attention to a range of social determinants and existential factors associated with mental health. Since symptom-reduction model can easily lose sight of essential non-technical and contextual aspects of mental health care, including the quality of the interaction and other common factors needed to understand and treat mental health difficulties, there is doubts that the symptom-reduction model may actually decrease the effectiveness of mental health services, as compared to a holistic approach. Based on recent critiques of the group-level symptom-reduction model to mental health care, and research on common-factor perspectives on mental health treatments, holistic conceptions of humans, and naturalistic outcome studies from several holistic mental health services from different countries, I hypothesized that an ontological turn from the treatment of “mental disorders” to the treatment of “difficult life situations” will lead to a more personalized and comprehensive treatment approach, that mediates an improved effectiveness of mental health services.

Negotiating collaborative agreements: Interprofessional collaboration in a Norwegian welfare context

ABSTRACT Interprofessional collaboration among welfare services is a policy objective promoted to ensure successful service provision to people with complex needs. In the Nordic region, people who are not in education, employment, or training often have challenging life situations requiring help from a multitude of services. In Norway, significant political and institutional efforts focus on implementing policies that support collaboration. However, we know little about how service workers formalize joint efforts. In this study, I used institutional ethnography to explore how interprofessional collaboration was constructed through negotiations of collaborative agreements among leaders of welfare services and how such negotiations are consequential for collaborative practices. I explored two cases of negotiations initiated by the leader of the Norwegian Labor and Welfare Administration. The negotiations were with the local child welfare and protection services and Refugee services, focusing on the transition of care regarding youth and refugees. The data includes two collaborative agreements between the services, an observation of the negotiation of one agreement, and 10 interviews with leaders and staff. Results show that collaboration is constructed based on holistic service provision. The negotiations, however, do not result in such collaborative practices, but are characterized by the demarcation of responsibilities and work.

A Holistic and Community-Based Service Program Promoting Mental Health among Latina Breast Cancer Survivors and Informal Caregivers.

This report discusses the components and uptake of a holistic-health community-based service program designed to promote mental health among Latina breast cancer survivors and their caregivers. Salud Holística para la Mujer's (SAHOM) strategic plan tackled all phases of the mental health prevention continuum and of the cancer care continuum.