scholarly journals Citizens Participating in their Healthcare – Challenges for Nurses

Author(s):  
Pirkko Kouri

In Finland, health and welfare is taken care under the common health and social services system that consists of independent private, public and third sector actors. Through taxation, municipalities finance most of the healthcare and the government provides additional support. Functionality and effectiveness of the overall system is vitally important to guarantee today’s good healthcare services. For instance, in social services and healthcare, digital health supports the quality of life, care, dignity and sovereignty. The necessary technology is equally, fairly and easily accessible due to the widespread technological infrastructure. For example, in healthcare, use of technology is agreed with the citizen when preparing the healthcare service plan. The documentation of patient data is carried out virtually at all levels of care. Technology offers options that can paradoxically mean both freedom and slavery depending on how and where technology is used, and who has the right to use it. Furthermore, the digital divide has narrowed, but it still exists. Due to the ageing of people, there is a growing need for healthcare staff who are digitally knowledgeable in order to support citizens and their families in health issues. When studying different digital health related strategies from 1995 to 2020, the vital role of healthcare staff is recognised and their technological competence and skills need to be updated along with the development of technology. During the last decade, in the latest strategies, the role of the citizen as a key part of the healthcare service chain has grown significantly.  Simultaneously, the development of a digital society offers possibilities to participate and the advanced digital expertise of citizens promotes their participation in healthcare. In principle, everyone has possibilities to access health data and gather health related data via Internet databases. This article discusses the elements of citizen or patient and nurse interactions, and how and whether this challenges nurses.

2020 ◽  
Vol 50 (6) ◽  
pp. 1854-1870
Author(s):  
Ester Zychlinski ◽  
Sagit Lev ◽  
Maya Kagan

Abstract The purpose of the current study was to examine the frequency of ethical conflicts amongst social workers, deriving from dual obligations to clients and employers, as associated with their organisational affiliation and professional seniority. The sample included 723 social workers from three organisational sectors in Israel: the government sector, the third sector and the for-profit sector. Two-way analysis of variance (ANOVA) was conducted to examine the main and interaction effects of organisational affiliation and seniority on the frequency of ethical conflicts amongst social workers. Social workers in the for-profit and third sectors experienced a significantly higher frequency of ethical conflicts than those in the government sector. In addition, social workers with moderate seniority were found to experience ethical conflicts more frequently than those with low and high seniority. These findings have an important contribution to the ongoing public debate on the privatisation of social services, by pointing to the difficulties encountered by social workers employed in partially privatised social services in meeting their obligations to clients. Better public monitoring and adequate supervision of social workers are recommended. In addition, it is suggested that partial privatisation processes be reconsidered in the case of vulnerable populations.


2018 ◽  
Vol 52 (1) ◽  
pp. 50-59
Author(s):  
Silvia Barnová ◽  
Viola Tamášová

Abstract Introduction: A certain degree of stress is present in everyone’s life and young people are not an exception. Most of them show a certain degree of resilience and can cope with stressful situations without any difficulties, however there is a group of youth who live in toxic environments and need help. If there is a risk of failure due to the intensity of stressors; external formal and informal support have a great role to play as they have the potential to prevent negative developmental outcomes. Purpose: The authors’ intention was to make a review of available literature on the current issues of resilience research with a focus on the importance of protective factors in young people’s lives – especially when they are exposed to adversity. An emphasis is placed on the vital role of social support to individuals provided by schools as well as social services. Methods: In the presented literature review, multiple formal search methods including hand searching of key journals; electronic searching of journal databases and subject specific websites; reference scanning; and citation tracking were used. Conclusion: Individuals commonly demonstrate some level of resilience, yet most of them are able to deal with stressful situations without any harm. On the other hand, if the adversity is too high, the presence of social support provided by their social environment is important. In this context, good relationships in general and sufficient external protective factors provided by their social environment (schools, school psychologists, institutional social and health service providers) are important.


1992 ◽  
Vol 3 (1) ◽  
pp. 112-125 ◽  
Author(s):  
Peter Cook

The fundamental objective of the Government's industrial relations policy is to encourage and assist Australian companies and their employees to adopt work and management practices that will strengthen their capacity to compete successfully both in domestic and international markets. To this end we support co-operative and equitable workplace bargaining, with wage increases being linked to the reform of work practices and attitudes. Our support for decentralised bargaining is aimed at improving productivity by fostering a new workplace culture of striving for continuous improvement. We emphatically reject the view that such an outcome will be achieved by wholesale deregulation and reliance on unfettered market forces. The Government is committed, for both equity and efficiency reasons, to maintaining the Accord approach to wages policy. We are also committed to an independent Australian Industrial Relations Commission playing the vital role of protecting lower paid employees through the safety net of minimum award wages and conditions.


2021 ◽  
Vol 331 ◽  
pp. 04010
Author(s):  
Fakira Mohan Nahak

Odisha is a natural disaster prone state. Its geographical location contributes a lot for the disasters. The eastern Indian state has a 480 Kilometre long coastline. The Bay of Bengal which is the house of cyclonic storms is the major contributor for the calamities in the state. From time immemorial till today Odisha has been facing hundreds of calamities in the form of cyclones, floods and famines. It is a regular phenomenon that in the period of September to December every year Odisha faces varieties of cyclones. These affect human life, properties and agriculture to the maximum extent. After the super cyclone of 1999 the government became sensitive so also the media. In these two decades Odisha media has played a vital role in creating awareness about the disasters and helped people in displacement and rehabilitation. In recent pasts media helped the Government in reaching the “Zero Casualty” target. The role of media not only limited to this, even post-disasters it followed the condition of people and their lives. The researcher takes some case studies of different disasters and their handling by media. Also tries to find out the people’s perception about media in disaster preparedness and management.


Author(s):  
Ajay Chaudhary ◽  
Sateesh Kumar Peddoju ◽  
Suresh Kumar Peddoju

The wireless infrastructure based devices can collect data for long period of time even with a tiny power source as they perform specific function of collection of health related data and sending to gateways. The sensing data of healthcare monitoring consumes low power but they had limited computation power to process this data, where the cloud computing plays a vital role and compliment the loophole of wireless infrastructure based systems. In cloud computing with its immense computation power for easily deployment of healthcare monitoring algorithms and helps to process sensed data. As these two technologies did great jobs in their respective fields a conflate framework of these two technologies may lead to a great architecture for healthcare applications. This chapter reviews complete state-of-the-art and several use cases related to healthcare monitoring using different wireless infrastructure and adapting cloud based technologies in providing the healthcare services.


Author(s):  
Armen Mazmanyan

This chapter considers the role of the courts, which is expected to be critical for electoral integrity through upholding voting rights; examining legal appeals, petitions, and complaints in specific cases; and evaluating the constitutionality of electoral procedures. In many countries, constitutional courts have often played a vital role in judging legal complaints about electoral malpractices. This process is particularly important in democratic states with an independent judiciary. By contrast, in autocratic states, the judiciary is often believed to be in the pockets of ruling parties, although this assumption has been challenged where the courts ruled against the government. Through examining cases in eastern Europe this chapter considers the role and independence of the courts as a check and balance both on the legislature and executive branches.


Author(s):  
Mahdieh Motamedi ◽  
Reza Vaezi ◽  
Seyed Mehdi Alvani ◽  
Davood Danesh Jafari

Nowadays, the field of healthcare is facing difficult issues in a way that both public and private sectors are fully aware of their inability to address emerging public health-related issues without the help of the other sector. Accordingly, public-private partnerships are put on the agenda in policy-related issues as a mechanism of cooperation between the public and private sectors to take into account the interests of both parties in the related contracts .From the late of 2019, the world is struggling with a new virus called the coronavirus, which has already cost a lot to the health sector. The partnership between the government and the private sector is very important to get through the corona period since the government alone cannot be responsible for the negative effects of the virus in the field of health. Considering the successes and failures of countries in the implementation of partnership models, a question arises as to how such partnerships for health development strategies can be attractive and effective in developing Islamic countries. In addition to the review of theoretical foundations of the subject and examining the development process of public-private partnerships, the study emphasizes the use of the third sector capacities. It further reviews the endowments and charitable affairs in the framework of multi-sectoral partnerships to develop health in the community with all available potentiality. The theoretical framework of the research includes the four steps of policy-making in the country, creating common perspectives among stakeholders, ensuring key success factors in the project, and reviewing the achievements of participation are considered. These policies are described after classifying and reconstructing the components in the research literature.


Two Homelands ◽  
2020 ◽  
Author(s):  
Joan Lacomba ◽  
Mourad Aboussi

The conjunction between the last few decades’ public policy changes and the impact of the growth of immigration in Spain has had a transformative effect on the third sector. The government trend toward outsourcing the management of international development cooperation programs and social services has shifted much of the state’s responsibility onto the shoulders of civil society organizations. The context has subjected them to tensions and changes in the way they take action and the way they are organized. This article, based on two research projects, explores the adaptations and new forms of relationships among the main actors involved in the field of migration and development.


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