scholarly journals Attitudes of social welfare professionals of the concept of positive health in the Netherlands

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N van der Meer ◽  
J A J Dierx

Abstract The current definition of health from the World Health Organisation seems to no longer meet the changes in the current Dutch health system. An alternative approach which puts emphasis on health, not disease, is Positive Health. The current and future developments in the health care system in the Netherlands are demanding different mentality and practice methods of social work and welfare professionals. In order to measure the extent to which there is support for positive health among the social welfare professionals, research must be carried out into the attitude of the professionals. In this study, the attitudes towards the concept of Positive Health of social welfare professionals are examined. Methods A mixed-method study was used, in which both quantitative and qualitative data were collected. By means of a survey (n = 128) and semi-structured interviews (n = 9), the attitude and working method of social workers were explored. Results Social welfare professionals find that the concept Positive health can contribute to an increase in resilience and self-management in citizens and patients. However, social welfare professionals wonder if all citizens and patients have the ability to self-manage skills. In addition, social welfare professionals think all domains of the positive health concept are regarded as important in defining health. Conclusions The concept of positive health is in line with the attitude of social welfare professionals and has support for implementation. In order to introduce the concept Positive Health further and to make it stand out in the social welfare domain, more attention needs to be paid to disseminating the concept, broadening the knowledge of the professionals and practical tools for practice. Key messages Positive Health concept connects professionals in health care and welfare. The concept of positive health is in line with the perceptions of health of the social welfare professionals.

2021 ◽  
Vol 16 (6) ◽  
pp. 480-488
Author(s):  
Nicola Evans ◽  
Rhiannon Lane ◽  
Gemma Stacey-Emile ◽  
Anthony Sefasi

Purpose The World Health Organisation found depression to be the fourth leading cause of disability in Malawi (Bowie, 2006) with the prevalence of mental health need in children and young people in Malawi estimated between 10 and 30% (Kutcher et al., 2019). One option to address this was to provide schoolteachers with skills and knowledge related to mental health so they can better support children. There is generally a lack of evidence of the utility or feasibility of school-based mental health literacy programmes in low to medium income countries (LMIC). This paper aims to report on a project to train schoolteachers in Malawi on aspects of mental health. Design/methodology/approach The aim of this project was to determine the acceptability and feasibility of delivering a training initiative in Malawi to teachers to better enable them to recognise and cope with school children who had been exposed to trauma and substance misuse. Findings Feedback was generated through the use of a specifically designed pre and post measure, focus groups, interviews and observations of the teaching delivery. Practical implications Teachers found the training built on their existing knowledge and they requested further opportunities for training and consultation about how to manage difficult presentations. It was evident that teachers did not know how to access mental health care or support for children whose needs could not be met by schoolteachers alone. Originality/value For a sustainable improvement for children’s mental health care in this context, further training becomes valuable when located as part of a network of joined up health and educational services.


Author(s):  
B. A. Haruna ◽  
F. Tahir ◽  
A. F. Umar ◽  
Mohammad M. Ibrahim ◽  
H. J. Balla ◽  
...  

Aim: We determine the prevalence of TB and MDRTB within the study population. Methodology: The sampling consists of 192 (54.4%) males and 161 (45.6%) females.  Ziehel Neelsen staining method was used for the detection of Acid Fast Bacilli (AFB) in the sputum samples collected. Rifampicin resistant (MDRTB) isolates were detected by GeneXpert and the conventional PCR technique. Results: In this study, 6 (9.5%) out of the 63 positive samples were rifampicin resistant Mycobacterium tuberculosis in which 4(6.3%) were found among females and 2 (3.2%) were found among males. Infection with Mycobacterium tuberculosis was not dependent on gender statistically in this study P>0.05. Secondary institution among the health care centers had highest cases of tuberculosis18 (33.3%) while tertiary institute had higher rifampicin resistant tuberculosis 5(2.5%). Statistically there was significant relationship between occurrence of tuberculosis and health care centers p<0.05. Conclusion: There is need to establish more reference laboratories within the country in order to address the rising cases of tuberculosis. There is also need for urgent attention of the government and other developmental partners to address the rising cases of MTB and MDRTB which is outside the expected ratio of 3:1 (male : female) stipulated by the World Health Organisation (WHO) and to conduct a national tuberculosis drug resistance survey so as to determine the actual burden of MDRTB in Nigeria.


Author(s):  
Lida Holtzhausen

Present-day South Africa is characterised by many societal and developmental issues, such as HIV awareness and prevention, child-headed households, environmental protection, poverty alleviation, violence and victim aid. However, it is widely acknowledged that government alone cannot address these issues effectively. The role of non-profit organisations (NPOs) in addressing social and development issues is increasingly emphasised. NPOs work at grass-roots level and they can therefore, on the whole, identify societal vulnerabilities and risks earlier than the government sector. However, due to the economic recession, NPOs operate in a competitive environment where an increasing number of NPOs rely on a small number of donors and other resources. NPOs should therefore differentiate themselves from the competition in order to obtain public legitimacy and funding. Corporate identity management is important for NPOs to fulfil their role in social welfare and thus contribute to disaster risk reduction. The exploratory nature of this study dictates a qualitative research approach. Semi-structured interviews with management of five NPOs in the social welfare sector were conducted in order to provide an answer to the study’s research question: ‘To what extent do NPOs in the social welfare sector practise corporate identity management, in order to prevent and address social welfare risks?’ The research found that NPOs do not realise the full potential of managing their corporate identities. NPOs therefore do not take advantage of a strong and distinct corporate identity which would allow them to ensure their ability to assess, address, reduce and/or alleviate vulnerabilities and disaster risks.


2019 ◽  
Vol 36 (11) ◽  
pp. 947-954 ◽  
Author(s):  
Danielle Zweers ◽  
Alexander de Graeff ◽  
Jette Duijn ◽  
Everlien de Graaf ◽  
Petronella O. Witteveen ◽  
...  

Introduction: Anxiety is a common symptom in the palliative phase, and symptom management depends on the competencies of individual professionals. This study aims to get insight into the needs of anxious hospice patients with advanced cancer regarding support. Method: Semi-structured interviews were performed in admitted hospice patients with cancer. Patients admitted from May 2017 till May 2018 were eligible whether or not they were anxious. Interviews were analyzed and coded within predefined topics. Results: Fourteen patients were included: 10 females, median age 71, and median World Health Organization performance score 3. Most patients were highly educated. Thirteen patients were interviewed within 6 months before death. Information, open communication, sense of control, safety, adequate symptom management, and respect for patients’ coping strategy were the 6 main expressed needs. Conclusion: Assessing patients’ needs regarding anxiety provided important angles where health-care professionals can make a difference in order to support anxious patients in their final stage of life to realize tailored palliative care. Future research should focus on the development of a systematic approach for health-care professionals to manage anxiety in daily care of terminal patients.


2019 ◽  
Vol 31 (5) ◽  
pp. 460-467
Author(s):  
Anita Ham

Introduction: Within a Dutch nursing home, the prevailing workforce culture was challenged by new personnel, which caused institutional change, which in turn, affected workforce integration. The purpose of this study was to examine social processes affecting workforce integration of first-generation immigrant health care professionals in aging citizens in a Dutch health institution in the Netherlands. Method: A purposive sample of 10 immigrants and 10 established nurses was recruited. Ethnography was used to guide this study. 105 hours of participant observation, 8 semistructured interviews with 4 immigrants and 4 established nurses, and 2 focus-group discussions with 8 immigrants and 6 established nurses. Results: The study identified various processes that affect culturally congruent care in the nursing home, like the imposing professional norms, the use of “weapons of the weak,” mutual suspicions of indifference, and collective images of “us” versus “them.” Both groups conceived the “others” as the source of their discomfort, however, both had pain of not mattering. Discussion: When recruiting international educated nurses “all nursing staff” face difficulties when going through the precarious process of mutual integration in daily care practices. We recommend that nurse leaders facilitate positive intergroup interactions that promotes reciprocity for all groups of nurses for better health care outcomes for all.


Author(s):  
Charles Mbohwa

This paper reviews and presents findings on mini-case studies done on the difficulties and problems faced by humanitarian organisations in running logistics systems in Zimbabwe. Document analysis was done and this was complemented by mini-case studies and semi-structured interviews and site visits. Mini-case studies of the operations of the World Food Programme, the International Red Cross Society and the Zimbabwe Red Cross Society, the World Health Organisation, the United Nations Children's Fund and the Zimbabwean Civil Protection Organisation in Zimbabwe are discussed. These clarify the difficulties and problems faced such as the lack of trained logistics personnel, lack of access to specialised humanitarian logistics courses and research information, the difficulty in using and adapting existing logistics systems in attending to humanitarian logistics and the lack of collaborative efforts that address the area specifically. This study seeks to use primary and secondary information to inform decision-making in humanitarian logistics with possible lessons for neighbouring countries, other regions in Africa and beyond. Activities on collaborative networks that are beneficial to humanitarian logistics are also suggested.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C M A De Bot ◽  
C Boemaars ◽  
J A J Dierx

Abstract Background The current WHO definition of health seems to no longer meet the changes in the current Dutch health system. An alternative approach which puts emphasis on health, not disease, is Positive Health. This focus shifts the emphasis on improving resilience and well-being rather than the perspective on what is lacking in health. In 2014, this new definition of Positive health was included in the professional profile ’physiotherapist’ of the Royal Dutch Association for Physiotherapy. This study examines the attitude of physiotherapists to Positive Health and to what extent they experience this concept in their current working practice. Methods A mixed method study was used, with a quantitative and qualitative method. A survey was completed by 276 physiotherapists and 7 semi-structured interviews were conducted among physiotherapists. Results Positive health was considered positive by 68% of the physiotherapists that health is seen as a dynamic concept rather than static, and 60.5% consider it important that the emphasis is on self-regulation. However, physiotherapists wonder if all patients have the ability to self-manage skills. The qualitative analysis shows that all therapists find the new definition positive and that it covers all aspects of health. Conclusions In general, physiotherapists are positive about the definition of positive health. Positive health can help physiotherapists in their work with clients and other professionals because of the multidisciplinary approach. Key messages Positive health can help physiotherapists to promote health in their clients. Positive health can stimulate cooperation between physiotherapists and client to increase self-management.


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