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1.
Research regarding child sexual abuse (CSA) indicates significant gender differences in disclosure rates, with males less likely to disclose their abuse compared to females. CSA can have lasting impact on a children’s emotional, physical, and psychological wellbeing. While service providers play an instrumental role in providing care and support for male CSA survivors, little is known about their perceptions and experiences related to disclosure among these men. The aim of this qualitative study was to explore service providers’ perceptions and awareness of disclosure-related barriers and facilitators amongst male CSA survivors. Individual interviews were conducted with eleven service providers. Study findings reveal four key themes related to the disclosure process among male CSA survivors: (a) personal characteristics, (b) interpersonal relations, (c) institutional elements, and (d) societal norms. Findings indicate that service providers understand and respond to complex challenges associated with disclosure of CSA among this marginalized population. Study findings demonstrate the need for additional research on the specific issues of gender bias and stigma associated with male sexual abuse. Along with their empirical significance, these findings can be used to develop more tailored public health and social service-related programming for male CSA survivors, their families, and the broader community to promote a safer and more supportive environment in which to discuss these sensitive and important issues. Recommendations to service providers are discussed.  相似文献   

2.
The capacity to achieve and retain control over one's own life—to make decisions about and exert power over one's situation—is strongly correlated with being healthy. For older persons, there is a real danger that professionals with good intentions will encroach on this control in the name of providing service. We examine the issues of power, control, decision making, and healthy aging from the perspective of educating health care providers. Particular attention is paid to how health care providers see their role in defining older adults as being at risk when they refuse service or take risks that providers define as unacceptable. We raise this issue of appropriate professional control and cite the literature on successful coping to argue for policies and practices that enhance personal autonomy and interdependence as effective vehicles for healthy aging. Lessons from primary health care are applied to healthy aging even in the face of diminished capacities.  相似文献   

3.
Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents can be educated about how to communicate with health-care providers. Educating nurses on how to provide end-of-life care may also help improve support for parents during this difficult time. Additional research is recommended to examine parents' needs during and after end-of-life care decisions for their newborn.  相似文献   

4.
Research Findings: Outdoor play is important for children’s health and development, yet many preschool-age children in child care settings do not receive the recommended 60 min/day of outdoor play. Child care providers have previously described parent-related barriers to increasing outdoor playtime, including parents not providing appropriate clothing for their children and parents’ preference for academics over active play. This study explored parent perceptions and knowledge of outdoor playtime in child care environments. On average, parents reported wanting their child to spend significantly more time playing outside during a full day of child care than the recommended minimum. However, more than half of parents reported that they did not know how much time their child actually spent playing outside, and 43% reported that they did not know their child care center’s outdoor play policies. Practice or Policy: Child care providers may overperceive parent-related barriers to outdoor play. Parents generally support outdoor play for their preschooler during center-based child care but are not well informed about outdoor playtime and policies. Encouraging communication between parents and early childhood educators about these topics could lead to more universal support and strategies for promoting outdoor and active play opportunities for children, which are important for children’s health and development.  相似文献   

5.
In the United Kingdom, the issue of health and social care of young people is now a major concern for the government. Thus, a recent government green paper has insisted on the provision of early and appropriate interventions for young peoples' mental health difficulties and that their views must be incorporated into the design of mental health services. More recently, the NHS Health Advisory Service has recommended that schools and teachers should assume some responsibility in the identification of pupils who may have mental health difficulties. Unfortunately, there is scant information in the United Kingdom on young peoples' pathways into services. We know very little about their help-seeking strategies and service use, barriers or facilitators to care, satisfaction with services and service preferences. In addition, we have limited knowledge of how young people conceptualize mental health or how they perceive mental health professionals. In brief, the needs and help-seeking behaviours of young people in psychological distress are poorly understood and often mediated through older people such as parents and teachers. In this paper, we examine these issues and discuss the implications of such gaps in the evidence base for our understanding of adolescent help-seeking and our ability to provide appropriate well-targeted services.  相似文献   

6.
BackgroundChild sexual abuse (CSA) is a multi-dimensional problem. The search for best practice must consider the complexities surrounding CSA and its management in any particular society.ObjectiveData previously gathered from service providers on CSA service provision in Trinidad and Tobago identified key deficient issues in policy and practice. In this paper, researchers aimed to bridge the gaps identified, and effect changes to improve services for CSA using an action research methodology.Participants and settingService providers from all sectors in governmental and non-governmental organizations in Trinidad and Tobago, who work with children at risk of CSA were involved in the process.MethodsResearchers led the service providers into an awareness of their own practice through critical discussion of, and reflection on, the key deficient issues. The new knowledge generated, with guided input from evidenced-based best practice, led to the development of guidelines for management. Discussion of the practicability of the guidelines by service providers in multiple sectors generated more new knowledge that refined the management approach.ResultsThe contextual knowledge obtained from service providers resulted in best practice guidelines for service providers that were culturally relevant and context-sensitive, adaptive and implementable, and allowed a seamless multidisciplinary response to CSA in Trinidad and Tobago within prevailing constraints.ConclusionsAction research offers an effective approach to improve services for CSA through mobilization of service providers and changes in policy and practice. It is applicable in any setting and likely to be effective in any socio-cultural context.  相似文献   

7.
Mental health care for foster children in California   总被引：3，自引：0，他引：3  
This paper reports on a study conducted to assess the health care needs of foster children in California. To evaluate foster children's mental health problems and the services provided to meet them, 154 program administrators, social workers, foster parents, and health care providers were interviewed in 14 counties. Foster parents and social workers were interviewed in groups, and foster parents and administrators also completed questionnaires. We found that although all counties care immediately for children who are injured, abused, or ill, only one county performs routine mental health evaluations of all children, and in most counties less than a third of children ever receive such evaluations. Informants identified mental health problems as more severe than medical problems in this population, and they identified four major barriers to access to appropriate therapy. Recommendations are that all children should receive comprehensive mental health evaluations, and procedures for immediate and ongoing care with consistent providers who are sensitive to foster children's needs should be included in case management plans, and covered by improved payment mechanisms. Additionally, communication, coordination and joint planning should be instituted among relevant agencies to address foster children's needs, and increased resources and training should be directed towards social service agencies and foster parents.  相似文献   

8.
This study explored Korean older adults’ concerns and preferences regarding end-of-life care and the expected role of physicians in the decision making process. The purpose was to assist health care professionals, in particular, physicians, to better understand how to interact with Korean older adults. A qualitative method using in-person interviews was conducted with Korean older adults (N = 54). The seven main themes generated in this study included the following: (a) life-sustaining treatments and hope for quality of life; (b) physician expert status; (c) truth telling and ethics; (d) preferred way to disclose bad news; (e) physician's role to treat, (f) potential misuse of life-sustaining treatments; and (g) priority of patients’ preferences. Overall, study participants generally anticipated a larger role for physicians in their own end-of-life decision making, though some expressed concerns about the outcome of giving such power to physicians, especially in agreeing to life-sustaining treatments. Although culture provides one important clue about expectations, it is always crucial for health care providers to ask about individual preferences and to develop an open communication style to decrease distress. Our findings highlight the importance of understanding concerns and preferences regarding end-of-life care among Korean older adults and the importance of assisting them in planning end-of-life care within a cultural framework.  相似文献   

9.
In this article we respond to the call to action that is the crisis among seniors called The Silver Tsunami! We describe the education of students through the use of Feil's Validation Therapy. There are growing concerns among social service providers regarding the rapid increase of the elderly population and the lack of adequate staff to provide care for our seniors. If we as educators, agency administrators, or committed family members ignore this call to action, the cycle of the employee “revolving door” will continue with inadequately trained and emotionally disconnected personnel working with aging persons. Frontline workers are the backbone of any agency. They are the ones who interact with seniors and their loved ones and collaborate with other medical and community professionals. We, as their teachers, must enhance their knowledge and skills so they many continue to provide service to the second most vulnerable population.  相似文献   

10.
The current study sought to understand commercially sexually exploited (CSE) youths’ health care experiences, barriers to care, and recommendations for improving health care services. We conducted focus groups (N = 5) with 18 CSE youth from February 2015 through May 2016 at two group homes serving CSE youth in Southern California. We performed thematic content analysis to identify emergent themes about CSE youths’ perspectives on health care. Youth described facilitators to care, including availability of services such as screening for sexually transmitted infections, knowledge about sexual health, and a strong motivation to stay healthy. Barriers included feeling judged, concerns about confidentiality, fear, perceived low quality of services, and self-reliance. Overall, youth emphasized self-reliance and “street smarts” for survival and de-emphasized “victimhood,” which shaped their interactions with health care, and recommended that health providers develop increased understanding of CSE youth. Our findings suggest that providers and community agencies can play an essential role in raising awareness of the needs of CSE youth and meet their health needs through creating a non-judgmental environment in health care settings that validates the experiences of these youth.  相似文献   

11.
This study identifies health beliefs influencing Hispanic college men's human papillomavirus (HPV) vaccine uptake decision making processes. Hispanic college men were interviewed about their HPV vaccine knowledge, and information seeking behaviors. Overall, participants did not view HPV infection or vaccination as an immediate concern or priority; belief that it was a virus that only affected women, and a sense of invulnerability informed their positions. Despite these issues, most men were willing to consider getting the HPV vaccine if they received more education from health care providers, and cost concerns were addressed. These findings pointed to gaps in our understandings of Hispanic college men's HPV vaccination beliefs and provided insight into the importance of integrating this population's unique beliefs into campus health providers efforts aimed at increasing vaccination rates.  相似文献   

12.
Findings from recent Canadian studies on the knowledge and beliefs about birth practices among first-time pregnant women and among obstetricians and other birth providers indicate that many women are inadequately informed and many providers deliver non-evidence-based maternity care. Consequently, informed decision making is problematic for pregnant women and their providers. New strategies are needed to inform pregnant women about key procedures and approaches that might be used in birth so they can have an educated, shared discussion with their provider and successfully advocate for their preferred birth experience. In addition, providers can be encouraged to supplement their knowledge with current, evidence-based maternity care practices. To avoid a lack of informed decision making and to ensure that natural, safe, and healthy birth practices are based on current evidence, pregnant women and providers must work together to inform themselves and to add childbirth to the women's health agenda.  相似文献   

13.
Due to complex individual, interpersonal, and systemic factors, deaf and hard of hearing (d/hoh) individuals often receive inadequate, inappropriate, and unethical health care. This article begins with a review of the relevant socioeconomic and legal issues and the health status of d/hoh individuals. I then review health care starting with the patient's knowledge base, personal experiences, and understanding of health care relationships. I discuss the Deaf community's perspectives, providers' views about disability, communication between providers and deaf patients, and barriers encountered in health care delivery. The article concludes by assessing these factors' effects on health care delivery to d/hoh people, reviewing the ethical implications, and making recommendations for change.  相似文献   

14.
为探讨高校心理咨询服务现状、特点与问题所在,更有针对性地开展心理咨询服务,研究通过对某高校1 005份咨询记录进行统计学分析,结果发现:1)寻求心理咨询的学生虽然逐年增多,但占大学生总数比率偏小。2)寻求咨询学生存在一定规律性:女生多于男生,文科生多于理科生,大一学生多于其他年级学生;3)情感、情绪、人际关系和学业是大学生最常见的四种咨询问题,各年级侧重点不同;4)网络问题等咨询学生较少;研究者建议通过开设心理健康必修课、建设学生朋辈心理辅导员队伍、加强心理咨询师专业化队伍建设与开展多种形式心理咨询服务,来加强心理宣传力度、拓展心理咨询服务范围,提高心理健康服务质量。  相似文献   

15.
This study aimed to determine the educational needs of members of the public and related professional disciplines in order to improve health literacy in elderly issues. A cross-sectional survey was conducted in 2007; 2,694 subjects were recruited from the noninstitutional Hong Kong population aged 16 years and over. Undergraduate students of health care professions, professionals working at the hospitals, and the seniors were purposefully over-sampled. Results showed significant knowledge gaps and misconceptions. The gaps were more prevalent with increasing age in general, although they also existed among health care professionals. Public education should target the revealed areas of knowledge gaps and misconceptions.  相似文献   

16.
Effective health care with older adults requires that clinicians and practitioners are knowledgeable about aging issues and have the skills to work within an interdisciplinary team context. This article describes a Senior Mentoring Program that paired clinical students in medicine, nursing, and a physician assistant program with community-dwelling seniors for regular interactions. This interprofessional education experience included graduate gerontology students as discussion facilitators. Because including gerontology students as Interprofessional Dialogue Facilitators (IDFs) was an innovative aspect of the program, their participation within interdisciplinary groups was analyzed. IDFs monitored a secure internet site where clinical students discussed their experiences with their mentors. Discussion posts by the IDFs were clustered into three major types: amplifying statements that stimulated and furthered dialogue, augmenting posts that integrated specialized content on aging within the discussions, and analyzing comments that helped students reflect on experiences from different perspectives. The advantages of including aging content experts, such as gerontology students, within aging awareness activities like Seminar Mentoring programs are discussed.  相似文献   

17.
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18.
The numbers of aging and older persons with developmental disabilities are rapidly growing. Knowledge based on new and ongoing research is fast beginning to accumulate. Efforts to provide training, both preservice and in‐service, are beginning to be implemented. This article (a) reports on existing health‐care training materials, (b) discusses service providers’ training needs in the area of developmental disabilities and aging, and (c) provides recommendations for future training and curriculum development. The investigation included a search of library and archival records for existing information on health, aging, and developmental disabilities; semistructured interviews with 20 “expert” providers of health care to developmentally disabled elderly individuals; and a survey of 245 service providers for their perceptions of providers’ training needs in the area of health care for older adults with developmental disabilities.  相似文献   

19.
ABSTRACT

The purpose of this research is to highlight the aging and elderly care in Pakistan, a country considered the seventh most populous country in the world with an estimated population of 220 million people (citation, 2017). In 2013, Pakistan signed a MoU with China for 56 billion in US$ to create opportunities for the youngsters, but there was no story of opportunity included for the senior citizens. An attempt has been made to raise awareness of the plight of seniors to the Pakistan Government’s attention; however since there is no formal policy dedicated to elders from the Chinese mega MoU and political instability, only little has been accomplished to better the lives of older adults. Modernization has had a major impact on the life of older Pakistani, and not always a positive effect. This research focuses on the important issues that are making the lives of senior citizens more difficult. The issues include psychological factors, anxiety, physical issues, and environmental issues. The research concludes while many factors are making the lives of senior citizens problematic, seniors are still living a satisfied life because they are not depending on their children or others. Senior citizens demand and desire time with their children and grandchildren. Increases found in elders’ psychological problems are likely correlated with modernization. Unfortunately, the China–Pakistan Economic Corridor (CPEC) and the mega project remain totally for the younger population with no economic prospects for elders to directly benefit. Thus, the question remains what will be the outcome for Pakistani seniors?  相似文献   

20.
OBJECTIVE: The purpose of this paper is to explore the role of the volunteer with vulnerable populations, specifically, new parents and their infants and at-risk elderly. As demand for volunteer services increases due to budgetary and personnel reductions, a better understanding of volunteers as service providers is imperative. METHOD: A review of the literature related to volunteers who work with these two populations was conducted. Volunteer characteristics, roles, needs of populations served, recruitment, and training issues were addressed, specifically as they relate to the two populations. RESULTS: Studies indicate that the socio-demographic range of volunteers is wide, as are the motivations for volunteering. Similarities between the needs of new families and the elderly exist, and volunteers for both populations often provide supportive and pragmatic services. Volunteers for both populations are further challenged to maintain a client-focused intervention, a task which may be more difficult in the home. Training of volunteers was found to be both client and volunteer driven, with the needs of the population being served and the role of the volunteer within a specific service domain of prime importance. CONCLUSION: Similarities between infant and elder populations exist, as do volunteer interventions with these populations. A theoretical framework for defining motivation, designing need-based training, and addressing the role of volunteers is discussed. The use of volunteers as compassionate and cost-effective service providers for populations across the lifespan not only provides an increase in the number of skilled workers involved with these vulnerable populations, but also allows professional staff to expand the care which they are able to provide.  相似文献   

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