Navigating a Middle Ground - Exploring Health Professionals’ Experiences and Perceptions of Providing Rehabilitation in Outdoor Community Settings

2020 ◽  
Vol 31 (1) ◽  
pp. 41-53
Author(s):  
Louise S. Madsen ◽  
Claus V. Nielsen ◽  
John L. Oliffe ◽  
Charlotte Handberg

Contemporary practice has started to rethink use of outdoor and community environments for advancing comprehensive rehabilitation outcomes. The aim is to examine health professionals’ experiences and perceptions of providing rehabilitation in outdoor community settings. The purpose is to use these experiences to generate practice-based knowledge in using the outdoors as a means to guide community-based rehabilitation. The Interpretive Description methodology was accompanied by social practice theory. Fieldwork was conducted utilizing participant observation, photovoice, and focus-group interviews. Included were 27 health professionals. The analysis revealed how “naturalistic learning opportunities” offered health professionals strategies to empower activity and participation levels and yet invoked “rehabilitation setting tensions.” A continuum was engaged in the theme “navigating a middle ground,” representing an integrated environment approach; rehabilitation in conventional indoor and outdoor community settings. Development of a sustainable concept for outdoor community-based rehabilitation involves strengthening health professionals’ competencies and skills for providing outdoor and community work.

2017 ◽  
Vol 59 (2) ◽  
pp. 48
Author(s):  
Magugu Ngubane ◽  
Verusia Chetty

This study sought to determine the levels of satisfaction and experiences of caregivers with a multidisciplinary rehabilitation programme. A total of 26 caregivers were recruited at 3 health settings in South Africa. A survey based on the Multidimensional Assessment of Parental Satisfaction for Children with Special Needs and focus-group discussions were conducted at the end of programme. The majority of the respondents were mothers and unemployed. The participants were generally satisfied with the rehabilitation. However, participants held on to myths, stereotypes, and beliefs about the cause of disability and explained the impact of stigma on having a disabled child in their communities. Caregivers perceived the benefit of rehabilitation but believed that lack of communication and consultation with health professionals limited the care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1254929


2018 ◽  
Vol 1 (2) ◽  
pp. 116
Author(s):  
Irfan Fatkhurrahman ◽  
Rahesli Humsona

<p>Abstract : The purpose of this research is to know the effectiveness of interactive rehabilitation of child victims of sexual violence and the impact of rehabilitation in Surakarta City. The theory used in this research is social practice theory from Bourdieu. Research location in Surakarta City namely Kakak Foundation and UPT PTPAS Surakarta. Qualitative research with case study and evaluation approach to support and know the effectiveness of rehabilitation. Sampling used purposive sampling that is director, daily management, student apprentice Kakak, psychologist UPT PTPAS Surakarta, parents, and child victims of sexual violence. Data collection with in-depth interviews, participant observation, and documentation. Data validity using source triangulation. The analysis used is an interactive analysis model through data reduction, data presentation, and conclusion. The result of this research shows that the institution that handles the child victims of sexual violence, especially Yayasan Kakak and UPT PTPAS has done rehabilitation in accordance with the Law of the Republic of Indonesia Number 35 Year 2014 and Surakarta City Regulation Number 4 Year 2012 related to child protection. Rehabilitation works effectively for the purpose of rehabilitation. Through the interactive rehabilitation of children victims of sexual violence back cheerful, happy, reduced trauma, and can live everyday life normally as when the child has not been a victim.<br />Keywords: Child, effectiveness, sexual violence, interactive rehabilitation</p><p>Abstrak : Tujuan penelitian ini adalah mengetahui efektivitas rehabilitasi interaktif anak korban kekerasan seksual dan dampak rehabilitasi di Kota Surakarta. Teori yang digunakan dalam penelitian ini adalah teori praktik sosial dari Bourdieu. Lokasi penelitian di Kota Surakarta yaitu Yayasan Kakak dan UPT PTPAS Surakarta. Penelitian kualitatif dengan pendekatan studi kasus dan evaluasi untuk mendukung dan mengetahui efektivitas rehabilitasi. Pengambilan sampel menggunakan purposive sampling yaitu direktur, pengurus harian, mahasiswa magang Kakak, psikolog UPT PTPAS Surakarta, orang tua, dan anak korban kekerasan seksual. Pengumpulan data dengan wawancara mendalam, observasi partisipan, dan dokumentasi. Validitas data menggunakan triangulasi sumber. Analisis yang digunakan adalah model analisis interaktif melalui reduksi data, penyajian data, serta penarikan kesimpulan. Hasil penelitian menunjukkan bahwa lembaga yang melakukan penanganan terhadap anak korban kekerasan seksual terutama Yayasan Kakak dan UPT PTPAS telah melakukan rehabilitasi sesuai dengan Undang-Undang Republik Indonesia Nomor 35 Tahun 2014 dan Peraturan Daerah Kota Surakarta Nomor 4 Tahun 2012 terkait perlindungan anak. Rehabilitasi berjalan dengan efektif sesuai tujuan dari rehabilitasi. Melalui rehabilitasi interaktif anak korban kekerasan seksual kembali ceria, bahagia, berkurang traumanya, serta dapat menjalani kehidupan kesehariannya dengan normal seperti saat anak belum menjadi korban.<br />Kata Kunci : Anak, efektivitas, kekerasan seksual, rehabilitasi interaktif</p>


Author(s):  
Liz O’Brien

The Active Forests programme was developed through a partnership between Forestry England and Sport England. A three-year pilot programme focused on five forest sites ran from 2014. It was mainstreamed in April 2017 and is now running on eighteen forest sites in England in 2019. The aim of the programme is to encourage a physical activity habit, and participants can get involved in a wide range of activities from Nordic walking to mountain biking, Pilates, running, and Bootcamp in different scenic forests. The aim of the research was to identify the motivations, benefits and the overall experience participants had from their forest physical activity. As part of the programme, qualitative data was gathered through in-situ participant observation, and interviews or focus groups. One hundred and twenty people were involved in the research. The findings identify some of the key elements of the programme that encourage, support and in some instances help to sustain or change physical activity. These include participants gaining a wide range of wellbeing benefits; appropriate targeted activities; opportunities for progression; social connections; providing challenge; and a supportive atmosphere. There is evidence of participants sustaining and changing physical activity practices, however attribution of this to the Active Forests programme is not straightforward. The programme is also explored through the lens of social practice theory and its concepts of materials, competence, and meanings. The research highlights how a targeted physical activity programme can reach and involve a broad range of people from the already physically active to those who are less active.


Author(s):  
Annisa Fathin ◽  
R Ekeu Agiati ◽  
Neni Kusumawardhani

Capacity building is the capability enhancement process of the Community-Based Rehabilitation (RBM) caretaker in providing services to persons with disabilities, so they could access their needed services. The purpose of this research is to study Capacity Building of Community-Based Rehabilitation to Accessibility of Persons with Disabilities in Cibiru Wetan Village, Cileunyi Sub-district, Bandung Regency. The research method used is qualitative with action research design. Data source used is primary data source and secondary data source. The data collection techniques used were in-depth interviews, participant observation, documentation study, and Focus Group Discussion (FGD). Data validity checking technique used is credibility, transferability, dependability, and confirmability. Furthermore, the results of this study were analyzed by qualitative analysis techniques. The results showed that the capacity building of RBM Cibiru Wetan caretaker enhances the capability of RBM caretaker to provide services to persons with disabilities.Shown by RBM Cibiru Wetan caretaker in providing services to identify the needs and problem of persons with disabilities, assessment, planning and working matrix, improving the RBM management, as well as recording the handling of cases of persons with disabilities. The RBM caretaker capacity impacts the quality of RBM services to be comprehensive and based on social work.


2011 ◽  
Vol 11 (1) ◽  
pp. 79-99 ◽  
Author(s):  
Tom Hargreaves

This article applies the insights of social practice theory to the study of proenvironmental behaviour change through an ethnographic case study (nine months of participant observation and 38 semi-structured interviews) of a behaviour change initiative — Environment Champions — that occurred in a workplace. In contrast to conventional, individualistic and rationalist approaches to behaviour change, social practice theory de-centres individuals from analyses, and turns attention instead towards the social and collective organization of practices — broad cultural entities that shape individuals’ perceptions, interpretations and actions within the world. By considering the planning and delivery of the Environment Champions initiative, the article suggests that practice theory provides a more holistic and grounded perspective on behaviour change processes as they occur in situ. In so doing, it offers up a wide range of mundane footholds for behavioural change, over and above individuals’ attitudes or values. At the same time, it reveals the profound difficulties encountered in attempts to challenge and change practices, difficulties that extend far beyond the removal of contextual ‘barriers’ to change and instead implicate the organization of normal everyday life. The article concludes by considering the benefits and shortcomings of a practice-based approach emphasizing a need for it to develop a greater understanding of the role of social interactions and power relations in the grounded performance of practices.


Seminar.net ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 43-61
Author(s):  
Inés Matres García del Pino

Newspapers help teachers to connect their classes with the real world. Their role in education is widely researched, but the use of historical newspapers has attracted little attention. Using social practice theory, this article examines the practices they enable, and how such practices relate to the skills and knowledge upper-secondary students are expected to acquire in school. These questions are pertinent today, as the digitization of newspaper heritage is generalizing access to materials traditionally considered for scholarly research. My approach is ethnographic, involving in-depth interviews, focus-group discussion, and participant observation. The teachers’ accounts motivated me to consider the tradition of using newspapers in school. The class projects demonstrated that historical newspapers reflect attributes that make present-day newspapers popular. Closer examination of students’ work demonstrated that the digital library that houses historical newspapers facilitated and constrained the students’ freedom and capacity to go deep when conducting research. The main finding is that historical documents can support the students’ digital skills. By considering digitization and preservation processes of media heritage, the scope of media education can be widened from its focus on production and consumption. In practice, a better understanding of these materials, will help educators give adequate guidelines to their students.


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