Is immunisation for children and young people in statutory care in Victoria 'all too hard'? A qualitative study with health professionals

2019 ◽  
Vol 25 (2) ◽  
pp. 131 ◽  
Author(s):  
Katherine Thornton ◽  
Susan Webster ◽  
Meredith Temple-Smith
Keyword(s):  
Home Care ◽  
Health Professionals ◽  
Vaccine Hesitancy ◽  
Structured Interviews ◽  
Enabling Factors ◽  
Children And Young People ◽  
Factors Affecting ◽  
Roles And Responsibilities ◽  
Out Of Home Care ◽  
Legal Consent

This formative study aimed to identify health professionals’ perspectives on vaccination issues among children in statutory out-of-home care in Victoria. Eight health professionals, drawn from a purposive Victorian sample known to be proactive in addressing the vaccination needs of children in out-of-home care, took part in semi-structured interviews. Questions addressed participants’ views about roles and responsibilities, barriers and enabling factors affecting vaccination, and ideas about systems improvements. Interview transcripts were analysed thematically. The main themes that emerged were health professionals’ observations about vaccine hesitancy among significant adults in the out-of-home care sector, the paucity of child medical history information available and diffuse responsibility for the provision of legal consent to vaccination. More accurate immunisation status monitoring appears warranted for children in out-of-home care. Unless the collection and maintenance of child medical records improves and vaccination consent processes are streamlined, health professionals will be limited in their capacity to provide efficient vaccination services to these children. Research on vaccine hesitancy among staff and carers in the statutory care sector may be of value. This study supports other Australian research that indicates these children may require more targeted, inter-sectoral immunisation approaches.

scholarly journals Proactive responses to delinquent behaviours in out-of-home care

2010 ◽  
Vol 35 (3) ◽  
pp. 25-31
Author(s):  
Stephen Larmar ◽  
Julie Clark
Keyword(s):  
Young People ◽  
Home Care ◽  
Young Adulthood ◽  
Health Professionals ◽  
Young Person ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Personal Experiences ◽  
Challenging Behaviours

The transition from childhood to young adulthood is often associated with a range of challenges that can be overwhelming for a young person. For young people in out-of-home care, complex histories that may include traumatic personal experiences can make this transition even more problematic, both for the young person and their carers. This is the final paper in a series of four which has focussed on a range of challenging behaviours in children and young people in out-of-home care. This paper examines delinquency and its associated effects on young people and carers and outlines specific considerations for carers and other health professionals in responding appropriately to delinquent behaviours in young people.

scholarly journals Do you love me? An empirical analysis of the feeling of love amongst children in out-of-home care

2016 ◽  
Author(s):  
Mette Lausten ◽  
Signe Frederiksen
Keyword(s):  
Home Care ◽  
Child Protection ◽  
Subjective Feeling ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Social Pedagogy ◽  
Fundamental Part ◽  
Moderating Factors ◽  
Loving Care ◽  
Danish Survey

Questions about whether love can be offered in residential child care units, whether combining child protection and safeguarding in social work with loving care or care with love is possible, and whether children and young people feel loved by someone who is paid to care for them, have raised long-standing issues. Social pedagogy puts such questions at the core of its philosophy and practice, and has been a fundamental part of care in Denmark for many years. Drawing on a Danish survey of 1,400 children in out-of-home care, this paper analyses the subjective feeling of love amongst children living in out-of-home care. The main moderating factors for feeling loved are the feeling of security and the feeling of social support, the tangible counterpart of Honneth’s concept of recognition.

scholarly journals Healthcare professionals’ experiences of providing individualized nutritional care for Older People in hospital and home care: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christine Hillestad Hestevik ◽  
Marianne Molin ◽  
Jonas Debesay ◽  
Astrid Bergland ◽  
Asta Bye
Keyword(s):  
Home Care ◽  
Health Professionals ◽  
Older Persons ◽  
Healthcare Professionals ◽  
Interdisciplinary Collaboration ◽  
Care Practice ◽  
Structured Interviews ◽  
Nutritional Care ◽  
Organisation Of Care ◽  
Preferences For Care

Abstract Background Recent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can become rigid and standardised, thus failing to be respectful of and responsive to each person’s needs and preferences. There is limited research exploring health professionals’ views on how structure of care allows them to individualize nutritional care to older persons. In this study we aim to explore how healthcare professionals’ experience providing individualised nutritional care within the organisational frames of acute geriatric hospital care and home care. Methods Semi-structured interviews with 23 healthcare professionals from hospital acute geriatric care and home care. Interviews were analyzed using thematic analysis. Results Two main themes and six sub-themes emerged from the material. Theme 1: ‘Meeting patients with complex nutritional problems’ with the sub-themes: ‘It is much more complex than just not eating’ and ‘seeing nutrition as a part of the whole’. Theme 2: ‘The structure of the nutritional care’, with the sub-themes: ‘Nutritional routines: Much ado, but for what?’, ‘lack of time to individualize nutritional care’, ‘lack of interdisciplinary collaboration in nutritional care’ and ‘meeting challenging situations with limited resources in home care’. Conclusions The healthcare professionals described having a high focus on and priority of nutritional care when caring for older persons. They did however find it challenging to practice individualized nutritional care due to the complexity of the patients’ nutritional problems and constraints in the way nutritional care was organised. By describing the challenges the healthcare professionals face when trying to individualize the nutritional care, this study may provide important knowledge to health professionals and policy makers on how to decrease the gap between older patients’ preferences for care and nutritional care practice.

scholarly journals Interventions and practice models for improving health and psychosocial outcomes of children and young people in out-of-home care: protocol for a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031362
Author(s):  
Emma Galvin ◽  
Renée O'donnell ◽  
Helen Skouteris ◽  
Nick Halfpenny ◽  
Aya Mousa
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Home Care ◽  
Psychosocial Outcomes ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Practice Models ◽  
Outcomes For Children ◽  
The Impact ◽  
Improve Health

IntroductionChildren and young people placed in out-of-home care (OoHC) are often affected by a history of trauma and adverse childhood experiences. Trauma in early childhood can impact on children’s health and psychosocial development, whereas early interventions can improve children’s development and placement stability. Although several interventions and practice models have been developed to improve health and psychosocial outcomes for children and young people in OoHC, there remains a lack of rigorous research examining the impact of these interventions in OoHC settings, as there are no systematic reviews examining the impact these interventions and practice models have on the children and young people they serve. We aim to conduct a comprehensive systematic review to examine the effectiveness of interventions and practice models for improving health and psychosocial outcomes in children and young people living in OoHC and to identify relevant knowledge gaps.Methods and analysisMajor electronic databases including Medline, Medline in-process and other non-indexed citations, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycInfo, Sociological Abstracts and all Evidence-Based Medicine Reviews incorporating: Cochrane Database of Systematic Reviews, American College of PhysiciansJournal Club, Database of Abstracts of Reviews of Effects,Cochrane Central Register of Controlled Trials, CochraneMethodology Register, Health Technology Assessment and National Health Service Economic Evaluation Database, will be systematically searched for any studies published between 2008 and 2018 of interventions and practice models developed to improve health and psychosocial outcomes for children and young people in OoHC. Two independent reviewers will assess titles and abstracts for eligibility according to prespecified selection criteria and will perform data extraction and quality appraisal. Meta-analyses and/or metaregression will be conducted where appropriate.Ethics and disseminationThis study will not collect primary data and formal ethical approval is therefore not required. Findings from this systematic review will be disseminated in a peer-reviewed publication and conference presentations.PROSPERO registration numberCRD42019115082.

‘Getting our voices out there’: acceptability of a mental health participation programme for young people with out of home care experience in Australia

2019 ◽  
Vol 35 (5) ◽  
pp. 1085-1093
Author(s):  
Jessie Rafeld ◽  
Kristen Moeller-Saxone ◽  
Sue Cotton ◽  
Simon Rice ◽  
Katherine Monson ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Service Planning ◽  
System Level ◽  
Mental Health Training ◽  
Structured Interviews ◽  
Care Experience ◽  
Out Of Home Care ◽  
Meaningful Participation

Abstract Youth with experience of out-of-home-care (OoHC) typically have poorer mental health than their peers in the general population, and lack opportunities to contribute to service planning. Promoting mental health through leadership training may improve young people’s mental health and facilitate system change. The Bounce Project is a pilot youth-leadership mental health training programme co-designed with young people who have experienced OoHC. In this study, we evaluated the Bounce Project from the young people’s perspectives to explore the acceptability, successes and limitations of the training to promote the participant’s mental health and their contribution to system level change. Thirteen young people aged 18–26 years old who had experienced OoHC and participated in the Bounce Project were interviewed. Semi-structured interviews were conducted and thematically analysed. Four major themes were thereby identified: making their mark; opportunities for growth; redefining roles and pitfalls of research participation. Participants valued the opportunity to have their voices heard, participate in research and learn about mental health. Perceived negative aspects included infrequent participation opportunities, interpersonal difficulties and frustration about the limitations of research including pressure to recruit and restrictive deadlines. Participating in the Bounce Project was a mostly positive experience, but young people also encountered barriers to meaningful participation. Youth with lived experience need more avenues to participate in research and leadership, but research programmes require specific designs that take into consideration the needs of participants and create opportunities for effective and meaningful participation.

scholarly journals Transition to hospital process orientation: The case of regional hospitals in Latvia

2015 ◽  
Vol 5 (2) ◽  
pp. 15 ◽  
Author(s):  
Juris Barzdins ◽  
Rita Konstante ◽  
Uldis Mitenbergs ◽  
Maris Taube
Keyword(s):  
Health Professionals ◽  
Process Management ◽  
Positive Impact ◽  
Hospital Performance ◽  
Theoretical Research ◽  
Structured Interviews ◽  
Process Orientation ◽  
Factors Affecting ◽  
Depth Analysis ◽  
Regional Hospitals

Management of processes instead of functions has growing importance into the health care. Transition to hospital process orientation (HPO) changes the way physicians and other health professionals have used to practice before. Study was performed to explore factors affecting introduction of HPO in Latvian hospitals responding to significant external pressures during the years of economic crisis to detect the best practices used for process management implementation in clinical setting. To reach the research goal dissimilarities between current performance and management of hospitals were explored. As changes in hospital reimbursement system demand improved efficiency, hospital’s performance was measured by decrease in avoidable hospitalisations, and increase in usage of more cost effective alternatives to a full hospitalisation. A regression analysis was performed to evaluate correlations of hospitalisation rates in Latvian hospitals to various outpatient health services utilisation indicators. This was done to exclude influence of external factors on hospital performance and to prove the positive impact of HPO initiatives on hospitalisation rate. Afterward the performance of all regional hospitals was compared and the two most distinct hospitals were selected for further in depth analysis. Operational data of the selected hospitals and a set of structured interviews outlined the differences between both hospital’s managerial practices and factors affecting the introduction of process oriented initiatives. The theoretical research together with comparative analysis of approaches used in both hospitals served as a basis for elaboration of recommendations towards development of HPO and facilitation of the development of self-management competence of health professionals.

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