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Davis, Adrian Lawrence. "Transport planning for health : explaining and evaluating barriers and opportunities to intersectoral collaboration." Thesis, Open University, 2001. http://oro.open.ac.uk/58174/.
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Lal, Shalini. "Intersectoral collaboration in a work insertion program for individuals with mental illness : a case study." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33794.
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This study examines the development, organization, and implementation process of an intersectoral work insertion program (ISWIP) that is implemented through the collaboration of six stakeholders from different sectors of the community, including health and employment. The research objective is approached by case study methodology whereby the main methods of inquiry are documentation collection, participant observation, and semi-structured interviews. An innovative program logic model is developed that illustrates key components of using an intersectoral approach: leadership, sharing resources, and serving interests. The study demonstrates the relevance of local development to the social integration of individuals with mental illness. It also provides insight into the challenging nature of collaboration; obstacles such as negotiating roles, maintaining interests, and dealing with unforeseen consequences can be sources of frustration and tension among participants. Communication, attitude, and stakeholder involvement, are mediating factors in overcoming conflicts, reducing tension, and promoting successful collaboration.
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Seddoh, Anthony T. "Strategic decentralised institutional re-formations for partnerships and intersectoral collaboration : an object study of Ghana." Thesis, Keele University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397667.
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van, der Walt Nicolette. "Health managers’ experiences and perceptions of intersectoral collaboration at the primary health care level in two urban sub-districts of the Western Cape Province, South Africa." University of the Western Cape, 2020. http://hdl.handle.net/11394/8079.
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Magister Public Health - MPHBackground: Actions on addressing the social determinants of health are necessary for reducing health inequities and improving health outcomes. These actions can, however, fall outside the scope of the health sector alone and require collaborative actions across sectors. Through the Western Cape Government’s stated commitment to following a whole-of-society approach to increase the wellness of people, this Province has committed to exploring intersectoral collaboration and action for health. This study is therefore aimed at exploring the experiences and perceptions of intersectoral collaboration and action for health amongst mid-level and frMethodology: The study design was qualitative and explorative in nature, using non-probability sampling to deliberately select study participants that were both relevant to the study and represented a diversity of views. Semi-structured interviews were conducted with seven health managers and non-participant observation of one intersectoral meeting was utilised to observe interactions that were relevant to the study. A thematic coding analysis approach was followed to inductively determine themes and analyse the data.ontline health managers working at the primary health care level in two sub-districts within the City of Cape Town, Western Cape Province. Results: Intersectoral collaboration for health at the primary health care level tends to take the form of collaborations between government departments, between the department of health and non-governmental organisations, between the public and private health sectors and between the Department of Health and the communities it serves. These collaborations overwhelmingly focus on expanding health services provision rather than addressing the social determinants of health. Conclusion: The concept of intersectoral collaboration and partnerships at the primary health care level in two sub-districts of the City of Cape Town, Western Cape, is perceived by health managers as being critical in addressing the social determinants of health. In practice, however, intersectoral collaboration and partnerships tend to focus on expanding health service provision and have limited value for addressing social determinants of health.
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Moolla, Nadeen. "The role of school psychologists in school development in South Africa: the challenge of intersectoral collaboration." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9202_1347975721.
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School psychologists in South Africa are employed by the state to provide psychological services to schools. The role of school psychologists has been debated and contested nationally and internationally for many decades, with the need for a paradigm shift in school psychology practice and redefining the role of school psychologists being highlighted. In this study, the roles and practices of school psychologists are explored, with a focus on the nature of collaborative work engaged in when facilitating school development. In particular, challenges that emerge when school psychologists work with other sectors to facilitate school development are investigated. The overall research question was: What are the challenges that face school psychologists who facilitate school development through intersectoral collaboration and how can these challenges be addressed?
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Owusu, Nicodemus Osei. "Malaria control policies and strategies in Ghana : the level of community participation in the intersectoral collaboration." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/340008/.
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For more than a century now, malaria has been a major public health problem in Ghana which consequently has been one of the country’s sources of underdevelopment due to economic losses, high rate of morbidity and mortality. Faced with this problem, the last ten years has seen a commitment from the Ghanaian government to address the issue by establishing a policy that would transform the way the disease is prevented and controlled. The transformation of the management of the disease by the use of intersectoral collaboration strategy (ISC) was to ensure the inclusion of the grass root community members who were hitherto excluded from participating in policymaking process of the national malaria control programme (NMCP) activities. The idea was that by allowing the communities to participate, members would be empowered to have ownership of programme activities, could accept the challenges associated with the control of the disease, and above all contribute more effectively to the success of the policy goal of minimising the persistence of malaria in Ghana. However, over ten years now, no systematic study has been done to access the extent to which this policy goal has been rhetoric or a reality. This thesis therefore seeks to examine this vision by investigating the extent to which the community members are allowed by the health authorities to participate in this policy strategy. Drawing on the case studies in the rural and urban districts in Ghana, the practical reality of the degree of community participation in ISC has been explored. In addition, the roles played by the community members in malaria control programme activities were examined with the aim of understanding the importance of communities in malaria control efforts. Finally, the barriers to participation as well as the extent of the institutional involvement in ISC and its possibility to facilitate community participation have also been examined. Overall, the evidence from the study findings demonstrated that the established strategy of ISC has not significantly promoted community participation in the NMCP activities. While the communities were consulted on malaria issues, they were often excluded from the final decision-making on issues that needed to be acted upon. Consequently, the communities have no guarantee that their views will be considered during the final deliberation in which they have little or no part to play. In spite of this, the study found that through various ways, the community members had been playing a number of significant roles in the control activities. These roles included: supporting health staff in their outreach services, contributing in managing the environment, providing assistance in the monitoring and evaluation of malaria programmes and finally assisting victims to cope with the disease. The findings also indicated that without a number of barriers, certain existing contextual factors (e.g. good level of horizontal integration and political structures and social-cultural institutions) potentially could have contributed to the community participation. From the views of health officials, these barriers were the powers of central bureaucratic structures and lack of resources whilst the community members perceived poverty, lack of support from the local health authorities, the precarious nature of their livelihood and traditional culture as those factors that have undermined participation. These barriers were structural and as such tackling any one barrier in isolation was not likely to solve the malaria problem. Besides, no one government sector, on its own, through participation, could make it possible for the community members to have a full ownership of the control programme activities as well as develop a culture of malaria prevention and control. Thus in the context of the study sites, the study concluded that although there is no evidence to suggest that ISC has enhanced full community participation, the strategy should be commended. In reality, the finding indicated that through ISC strategy many sectors including the community have become more aware of malaria problem and communicate more to solve the problem together. In the light of this, the study finds joint action in the form of ISC across many government sectors as a potential solution if these barriers are to be dealt with in a more strategic way rather than a piecemeal manner. In conclusion, it has been argued that with such a complex problem like malaria, ISC with community participation in policy making process is both a necessary and sufficient condition in reducing malaria persistence in the study sites. The health sector must work collaboratively with other related sectors and it is with such collaborative efforts that can change the attitudes of the community members. Changes in behavioural attitudes are paramount if communities’ activities that affect the environment and promote breeding of mosquitoes are to be minimised. Thus with ISC strategy, what is further needed are: proper control planning that will ensure better coordination amongst sectors, adequate resources and behavioural change by the community members themselves. Each of these factors, I believe should not work in isolation, rather must work together otherwise malaria persistence in Ghana will not go away anytime soon.
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Dick, Mathew. "Intersectoral collaboration theory as a framework to assist in developing a local government food and nutrition policy." Connect to full text, 2002. http://hdl.handle.net/2123/856.
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Thesis (M.P.H.)--University of Sydney, 2002.Title from title screen (viewed Apr. 24, 2008). Submitted in fulfilment of the requirements for the degree of Master of Public Health to the Dept. of Public Health and Community Medicine, Faculty of Medicine. Includes bibliography. Also available in print form.
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Dick, Mathew Philip. "Intersectoral collaboration theory as a framework to assist in developing a local government food and nutrition policy." Thesis, The University of Sydney, 2002. http://hdl.handle.net/2123/856.
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The potential role of local government in NSW to address public health nutrition issues has received encouraging reports. This treatise deals with the question of whether intersectoral collaboration theory is useful to assist development of a relationship with local government to develop food and nutrition policy. Intersectoral collaboration theory describes six conditions necessary for successful action: necessity, opportunity, capacity, relationships, planned action, and sustained outcomes. The project was a feasibility study carried out in a densely populated and multicultural local government area in Sydney's southwest during April 1998. Eight Council employees and one elected representative were interviewed using the semi-structured questionnaire to collect a range of opinions and knowledge about Council's involvement in a food and nutrition policy. Conceptual frameworks for the study included the Ottawa Charter and the food and nutrition system. Theoretical underpinning's were provided by intersectoral collaboration theory and organisational change theory. Using intersectoral collaboration theory, analysis of the interviews revealed that participants were very concerned with conditions of necessity, opportunity and capacity to develop food and nutrition policy. Intersectoral collaboration theory correctly predicted that the action proposed would have to assist Council to achieve their core business, gain social and political support and be possible within the current economic environment and level of other resources available. Participants were not able to identify how a food and nutrition policy would meet these conditions and be feasible within the current capacity of the organisation, and therefore did not become fully engaged in the feasibility study. The health sector needs to develop arguments for local government involvement from their perspective. Organisational change within the heath sector is required to develop capacity for intersectoral partnerships, as an effective strategy to address public health nutrition issues.
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Dick, Mathew Philip. "Intersectoral collaboration theory as a framework to assist in developing a local government food and nutrition policy." University of Sydney. Public Health and Community Medicine, 2002. http://hdl.handle.net/2123/856.
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The potential role of local government in NSW to address public health nutrition issues has received encouraging reports. This treatise deals with the question of whether intersectoral collaboration theory is useful to assist development of a relationship with local government to develop food and nutrition policy. Intersectoral collaboration theory describes six conditions necessary for successful action: necessity, opportunity, capacity, relationships, planned action, and sustained outcomes. The project was a feasibility study carried out in a densely populated and multicultural local government area in Sydney�s southwest during April 1998. Eight Council employees and one elected representative were interviewed using the semi-structured questionnaire to collect a range of opinions and knowledge about Council�s involvement in a food and nutrition policy. Conceptual frameworks for the study included the Ottawa Charter and the food and nutrition system. Theoretical underpinning�s were provided by intersectoral collaboration theory and organisational change theory. Using intersectoral collaboration theory, analysis of the interviews revealed that participants were very concerned with conditions of necessity, opportunity and capacity to develop food and nutrition policy. Intersectoral collaboration theory correctly predicted that the action proposed would have to assist Council to achieve their core business, gain social and political support and be possible within the current economic environment and level of other resources available. Participants were not able to identify how a food and nutrition policy would meet these conditions and be feasible within the current capacity of the organisation, and therefore did not become fully engaged in the feasibility study. The health sector needs to develop arguments for local government involvement from their perspective. Organisational change within the heath sector is required to develop capacity for intersectoral partnerships, as an effective strategy to address public health nutrition issues.
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Okeyo, Ida. "Intersectoral collaboration during policy formulation and early implementation: The case of the first 1,000 days initiative in the western cape province, South Africa." University of Western Cape, 2021. http://hdl.handle.net/11394/8261.
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Magister Public Health - MPHIntersectoral collaboration for health is widely recognised as a critical component of interventions to address complex public health issues. However, there is limited research that has examined how intersectoral approaches are formulated and implemented, especially in low- and middle-income countries. As a result, although the literature is populated with calls for action, little exists that can inform the evidence on how to sustain intersectoral action for health. This thesis is a case study of intersectoral action in the Western Cape Province of South Africa, examining the unfolding policy formulation and implementation processes of an initiative referred to as First 1,000 Days, in the period 2016 to 2019. Within early childhood, the First 1,000 Days (FTD) period presents a favourable window for intersectoral interventions that can ensure positive outcomes from early years of life to adulthood. The FTD initiative emerged in the Western Cape Province of South Africa in response to the growing number of children exposed to the social challenges of violence and of alcohol and drug abuse.
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Kaboru, Berthollet Bwira. "The interface between biomedical and traditional health practitioners in STI and HIV/ADIS care : a study on intersectoral collaboration in Zambia /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-229-3/.
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Sakai, Marcele Yumi. "Diálogos com os profissionais do Programa Saúde na Escola: potencialidades e fragilidades de uma experiência." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/108/108131/tde-17052018-142437/.
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O presente trabalho visa analisar as percepções, vivências e experiências dos profissionais da saúde e da educação envolvidos no Programa Saúde da Escola (PSE) do Município de Guarulhos (SP), incluindo a pesquisadora. Pela saúde, foram entrevistados 10 profissionais da Unidade Saúde da Família (USF) (gerente, enfermeira, auxiliar de enfermagem, três agentes comunitárias com maior tempo de serviço na Unidade, além de nutricionista, assistente-social, educador físico e psicóloga que atuam no Núcleo de Apoio à Saúde da Família (NASF) da Unidade; da pesquisadora, foi utilizado o diário de campo. Pela educação, foram entrevistados os profissionais da Escola da Prefeitura de Guarulhos (EPG) escolhida, sendo 6 da gestão (supervisora, diretor, vice-diretora, coordenadora pedagógica, assistente de gestão e agente escolar) e mais 9 educadoras, selecionadas segundo amostra intencional (maior tempo de contato com PSE e tempo de trabalho na escola). Foram propostas entrevistas individualizadas, com 6 questões abertas que nortearam as conversas, no local de trabalho do entrevistado. Para analisar o conteúdo das falas, foi escolhida um método qualitativo da Hermenêutica-Dialética. Como resultado notou-se que a presença constante da coordenadora em todos os grupos, no planejamento e nas conversas pode ter sugestionado um viés mais positivo na educação e mais negativo na saúde, pois nesta não há reuniões e encontros. A grande maioria não participa das ações nas escolas e não entende a sua função e importância no programa. Pelas quatro categorias criadas concluem-se que há falhas a serem trabalhadas, mas se houver mais momentos de compartilhamento entre os profissionais, seja na Saúde quanto na Educação e ações de formação (educação continuada), haverá uma melhora nas relações intersetoriais e trabalho multiprofissional. Foi proposto um encarte para ajudar na criação de estratégias para consolidar as ações dos profissionais, para melhorar a padronização das ações e de continuidade do programa.The present study aims to analyze the perceptions, experiences and experiences of health and education professionals involved in the School Health Program (PSE) of the Municipality of Guarulhos (SP), including the researcher. For health, 10 professionals from the Family Health Unit (USF) (manager, nurse, nursing assistant, three community agents with a longer period of service in the Unit, as well as a nutritionist, social worker, physical educator and psychologist In the education, the professionals of the chosen School of the City of Guarulhos (EPG) were interviewed, being 6 of the management (supervisor, director, assistant coordinator, pedagogical coordinator, management assistant and school agent) and 9 other educators, selected according to an intentional sample (longer time of contact with PSE and working time in school). Individualized interviews were proposed, with 6 open questions that guided the In order to analyze the content of the speeches, a qualitative method of Dialectic Hermeneutics was chosen. it was noted that the constant presence of the coordinator in all groups, in planning and in conversations may have suggested a more positive bias in education and more negative health, since there are no meetings and meetings. The vast majority do not participate in school actions and do not understand their role and importance in the program. For the four categories created it is concluded that there are flaws to be worked out, but if there are more moments of sharing among the professionals, whether in Health or Education and training actions (continuous education), there will be an improvement in intersectoral relations and multiprofessional work. An insert was proposed to assist in the creation of strategies to consolidate the actions of professionals, to improve standardization of actions and continuity of the program.
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Lidquist, Helene. "Collaboration between health promoting actors in a rural community - Maciene, Mozambique." Thesis, Mälardalen University, Mälardalen University, Department of Caring and Public Health Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-4273.
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In community health promotion intersectoral collaboration is essential. Important actors are the governmental health system, the civil society and Non-Governmental organisations (NGOs). The aim of this qualitative thesis was to examine what kind of cooperation existed in a rural community in Mozambique and to describe the actor’s experiences of collaboration and how it can be improved. This was done by conducting interviews. The result of the study showed that different ways of cooperation existed, intersectoral as well as side by side and intrasectoral. The extent of intersectoral collaboration was fairly loose, such as networks, alliances or partnership. All the informants were positive to collaboration, they had experienced that people had been helped and their knowledge in health issues was improved as an effect of joint efforts. The experience among the actors was that the collaboration had improved and that they had become closer together over the years. Problems to cooperation that were mentioned concerned dropouts and financial issues. The informants were unanimous that it was necessary to broaden the collaboration. They were concerned over the sustainability in the different projects as well as the sustainability in cooperation itself.
Para a promoção da saúde em comunidade a colaboração intersetorial é essencial. O sistema público de saúde, a sociedade civil e as organisações não governamentais (ONGs) são importantes agentes. O objetivo desta tese qualitativa foi examinar qual tipo de cooperação existiu em uma comunidade rural em Moçambique e descrever as experiências de colaboração dos agentes e como ela pode ser melhorada. Isto foi feito através de entrevistas. O resultado do estudo mostrou que existiram diferentes modos de colaboração: intersetorial assim como intrasetorial de forma paralela. O nível da colaboração intersetorial foi relativamente informal assim como redes de contato, alianças e parcerias. Todos os entrevistados foram positivos a colaborar e experienciaram que as pessoas tinham sido auxiliadas e que seus conhecimentos acerca de assuntos de saúde foi melhorado como resultado da união de esforços. A experiência entre os agentes foi de que a colaboração foi melhorada e que eles se tornaram mais próximos através dos anos. Problemas acerca de colaboração que foram mencionados foram devidos a desistências e questões financeiras. Os entrevistados foram unânimes sobre a necessidade de aumento do nível de colaboração. Eles estavam preocupados sobre a sustentabilidade de diferentes projetos assim como a sustentabilidade da cooperação em sí própria.
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Vieira, Francisca Maria Bezerra Ribeiro. "Interprofessional collaboration Project in Health and Prevention in Schools: the case Sobral." Universidade Federal do CearÃ, 2013. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=9751.
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FundaÃÃo Cearense de Apoio ao Desenvolvimento Cientifico e TecnolÃgicoNosso cotidiano profissional à permeado por relaÃÃes sociais constantes que ocorrem nas organizaÃÃes de trabalho; assim, a colaboraÃÃo interprofissional se constitui num tema de grande significado no contexto dessas organizaÃÃes; no sentido de responder Ãs necessidades nos trabalhos em equipe, de forma especial nos serviÃos de atenÃÃo à saÃde. Estudar a colaboraÃÃo interprofissional no Projeto SaÃde e PrevenÃÃo nas Escolas (PSPE) à relevante pela potencialidade de analisÃ-la em um projeto que tem por princÃpio a intersetorialidade, sinalizando a evidÃncia de potencialidades e fragilidades nas relaÃÃes entre os profissionais envolvidos nessa proposta; alÃm das possibilidades de fortalecer o desenvolvimento teÃrico-conceitual sobre colaboraÃÃo interprofissional e enriquecer a literatura cientÃfica acerca deste tema relevante para a concretizaÃÃo de prÃticas adequadas em saÃde. Neste estudo objetivou-se analisar em que dimensÃo ocorre a colaboraÃÃo interprofissional no PSPE no municÃpio de Sobral - CE. Trata-se de um estudo de caso, com abordagem qualitativa. Na fase de coleta de dados examinamos documentos relativos ao Projeto SaÃde e PrevenÃÃo nas Escolas e aplicamos questionÃrios aos sujeitos-chave. O referencial teÃrico-metodolÃgico do Modelo de ColaboraÃÃo Interprofissional de DâAmour (1997) subsidiou a organizaÃÃo, anÃlise e interpretaÃÃo dos dados. Relativamente Ãs quatro dimensÃes e aos dez indicadores propostos, os resultados evidenciaram que: os articuladores do PSPE alcanÃam parcialmente Ãxito na realizaÃÃo de suas atividades ao trabalharem juntos em torno de objetivos comuns; os profissionais do PSPE guiam suas condutas de acordo com seus interesses profissionais e nÃo conforme os interesses dos adolescentes e jovens; existem poucas oportunidades para que os integrantes do Projeto se conheÃam e interajam entre si; percebe-se uma confianÃa nas competÃncias e na capacidade dos outros em assumirem responsabilidades; os acordos formais ocorridos dentro do Projeto nÃo sÃo consensuais e ainda estÃo em processo de negociaÃÃo ou construÃÃo; a infra-estrutura de troca de informaÃÃo nÃo à usada adequadamente e/ou està incompleta; o papel das esferas pÃblicas nÃo està promovendo adequadamente a implementaÃÃo de estruturas para o desenvolvimento das aÃÃes realizadas dentro do PSPE; a lideranÃa existente no Projeto à do tipo fragmentada e pouco impactante; existem momentos de capacitaÃÃo para os profissionais integrantes do PSPE, porÃm, os sujeitos revelam que os articuladores responsÃveis por esses momentos nem sempre estÃo bem preparados para realizÃ-los; os espaÃos e momentos de encontro dos profissionais do PSPE sÃo para discussÃo de questÃes pontuais e especÃficas, que nÃo abordam aspectos contextuais como um todo. Esses resultados sinalizam que o nÃvel de colaboraÃÃo interprofissional desenvolvido neste Projeto à do tipo colaboraÃÃo âem desenvolvimentoâ, a qual para DâAmour et al. (2008) se constitui na colaboraÃÃo que nÃo està com as raÃzes fincadas nas culturas das organizaÃÃes e podem ainda estarem sujeitas à reavaliaÃÃo com base interna ou fatores ambientais. Percebe-se neste estudo que a realizaÃÃo no nÃvel mÃximo (ativo) de colaboraÃÃo interprofissional dentro do referido Projeto à algo possÃvel; entretanto, ainda à um desafio a ser conquistado. à necessÃrio inserir na agenda de aÃÃes dos gestores e profissionais envolvidos no contexto do PSPE, aspectos conceituais e a prÃtica da colaboraÃÃo para a melhoria de condiÃÃes de vida dos adolescentes e jovens de nossa sociedade.
Our daily work is permeated by constant social relations that occur in work organizations, so the interprofessional collaboration constitutes a topic of great significance in the context of these organizations, in order to meet the needs in teamwork, especially in the form of services health care. Studying interprofessional collaboration in Health and Prevention in Schools (PSPE) is relevant for the potential to analyze it in a project, whose principle intersectorality, signaling the evidence of strengths and weaknesses in the relationship between the professionals involved in this proposal; beyond the possibilities of strengthening the theoretical and conceptual model for interprofessional collaboration and enrich the scientific literature on this subject relevant to the achievement of best practice in health. This study aimed to examine to what extent occurs in interprofessional collaboration PSPE the city of Sobral - CE. This is a case study with a qualitative approach. At the stage of data collection examined documents relating to the Health and Prevention in Schools and applied questionnaires to key subjects. The theoretical and methodological Interprofessional Collaboration Model D'Amour (1997) supported the data analysis. For the four dimensions and the ten indicators, the results showed that: the articulators of reach PSPE partially successful in conducting its activities to work together around common goals; PSPE professionals guide their behavior according to their professional interests and not according to the interests of teenagers and young people are few opportunities for members of the Project to meet and interact with each other, there is a perceived competence and confidence in the ability of others to take responsibility; formal agreements occurring within the Project not are consensual and are still under negotiation or construction, the infrastructure for the exchange of information is not used properly and / or is incomplete, the role of public spheres is not adequately promoting the implementation of structures for the development of actions taken within the PSPE; existing leadership in the Project is the type fragmented and somewhat shocking, there are moments of training for professional members of PSPE, however, subjects reveal that the articulators responsible for these moments are not always well prepared to perform them, the spaces and moments of meeting professionals are PSPE to discuss specific issues and specific, that do not address contextual issues as a whole. These results indicate that the level of interprofessional collaboration developed in this project is kind of collaboration "in development", to which D'Amour et al. (2008) constitutes the collaboration that is not stuck with the roots in the cultures of the organizations and may still be subject to revaluation based internal or environmental factors. It is observed in this study that the performance at maximum (active) interprofessional collaboration within this project is something possible, however, remains a challenge to be conquered. You must enter the action agenda of managers and professionals involved in the context of PSPE, conceptual aspects and practice of collaboration for the improvement of living conditions of adolescents and youth of our society.
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Szczygiel, Nina Katarzyna. "Yes, we can? from intersectoral partnerships to quality of life and user satisfaction through patient-centered care provision." Doctoral thesis, Universidade de Aveiro, 2015. http://hdl.handle.net/10773/15189.
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Doutoramento em Gestão IndustrialThe World Health Organization reports that 15 million people experience cerebrovascular accident annually worldwide, of which 5 million die. Portugal is not an exception in the global tendency, with stroke constituting the principal cause of death. Survivors frequently experience morbidity, disability and dependency in activities of daily living, representing huge costs to individual, family and society. The UK data estimate the annual direct cost of stroke care to around £4 billion, with no data of that type found with respect to Portugal. Stroke, due to its prevalence and incidence, is hence a clear example on how today’s reality puts policy makers under enormous pressure to organize and manage care of the population, given current budget limitations in order to deal with aspects of health that have moved well beyond of what the health sector can handle alone. It is consensual that a survival rate is not a sufficient outcome indicator of quality of care. In case of stroke patients, quality of life after the acute phase may become a huge problem, commonly requiring long-term health and social care, and other assistance, and informal social support which represents both, relevant caregiving patterns and an enormous contribution to a person well-being. This increasing demand for complex, multidisciplinary care services raises a question on their quality and user satisfaction. Nevertheless, a few have deliberated these concepts within a multiple-setting which is turning vital to guarantee and improve coordination and continuity of care. International community has increasingly recognized the importance and potential of intersectoral partnerships in producing sustainable structural and social change as a fundamental element of health and social strategy. A pressing need for collaboration between a broad range and diversity of entities providing mostly fragmented care services in Portugal entails a multidimensional, multistakeholder and cross-sector perspective. Collaborative environment can be approached as a network of organizational relationships between service providers and health and social care entities seem today to be by nature embedded in the network perspective as they represent business and personal relationships. This thesis aims to investigate the status of intersectoral collaborative action for stroke patients in Portugal. Particularly, its objective is to evaluate the impact of existing partnerships on patients’ quality of life, perceived service quality and satisfaction from care, support and assistance services they experienced, and to analyze ways they function in the Portuguese context. To our knowledge, no study of this type has ever been developed, making this work relevant under current circumstances, and for the theoretical and practical contribution it provides.
A Organização Mundial de Saúde reportou que 15 milhões de pessoas sofrem um acidente vascular cerebral anualmente, em todo o mundo. Portugal não é excepção na tendência global, sendo o AVC a causa principal de morte no país. Os sobreviventes com frequência experienciam morbidade, incapacidades várias e dependência nas actividades da vida diária, com enormes custos para o indivíduo, a família e a sociedade. Foi estimado que, no Reino Unido, os custos anuais diretos do AVC rondam os 4 biliões de libras, não tendo sido encontrados números referentes à situação em Portugal. O AVC, devido à sua prevalência e incidência, é pois um exemplo claro de como a realidade actual coloca os decisores sob enorme pressão, quando organizam e gerem os cuidados prestados à população, dadas as actuais limitações orçamentais, de forma a lidar com aspectos de saúde que passaram a estar bem para lá daquilo com que o sector da saúde pode lidar sozinho. É consensual que a taxa de sobrevivência nestas situações não é um indicador suficiente para a qualidade dos cuidados prestados. No caso do AVC, a qualidade de vida depois da fase aguda pode tornar-se um enorme problema, requerendo normalmente cuidados de saúde e sociais de longo prazo e outro tipo de assistência, e com o apoio social informal representando não só uma parte muito importante do cuidado prestado mas também um contributo enorme para o bem-estar do sobrevivente. Esta crescente necessidade por serviços complexos e multidisciplinares coloca a questão da qualidade de cuidado global e da satisfação do utente que os experiencia de forma ainda mais premente. A comunidade internacional tem vindo a reconhecer, de forma crescente, a importância e o potencial das parcerias intersectoriais na produção de mudança estrutuctural e social sustentadas como elemento fundamental de estratégias de saúde e sociais. A necessidade urgente de colaboração entre uma ampla variedade e diversidade de entidades que prestam serviços de assistência em Portugal, por norma muito fragmentados, implica uma perspectiva multidimensão, multi-entidade e inter-sector. Um ambiente colaborativo pode ser encarado como uma rede de relacionamentos organizacionais entre prestadores de serviços, sendo que as entidades de saúde e sociais parecem hoje estar, por natureza, embutidas na perspectiva de rede, dado representarem relações complexas de trabalho e pessoais. Esta tese tem como objetivo estudar a acção colaborativa intersectorial disponível para doentes que sofreram um AVC em Portugal. Mais concretamente, pretende-se avaliar o impacto das parcerias existentes sobre a qualidade de vida dos doentes, a qualidade percebida do serviço experienciado e a satisfação com os serviços prestados, e analisar a realidade colaborativa no contexto Português. O estudo representa o primeiro esforço nesta área, não tendo sido encontrado qualquer outro semelhante publicado, o que torna este trabalho ainda mais relevante nas circunstâncias actuais, pelos contributos teóricos e práticos que proporciona.
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Granberg, Sandra. "Folkhälsoarbete i bebyggelseplanering : En fallstudie av samverkansarbete i bostadsområdet Byjorden i Köpings kommun." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-20954.
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Sammanfattning Denna uppsats handlar om folkhälsoarbete inom en pågående bebyggelseplanering i ett utsatt område i Köpings kommun. Bebyggelseplaneringen inriktar sig på att skapa stödjande miljöer och samverkan för att lyfta området och göra det mer hälsofrämjande. Studiens teoretiska referensram är modellerna HELPSAM och SESAME som är viktiga verktyg inom tvärsektoriellt arbete. Syftet med studien var att studera planering och genomförande av förbättringsarbetet i bostadsområdet Byjorden i Köpings kommun. Metoden som använts har en kvalitativ studiedesign med enskilda semistrukturerade intervjuer. Intervjuerna analyserades med manifest innehållsanalys. Resultaten visar att orsaken till projektets början var att bostadsområdet Byjorden länge varit stökigt och haft dåligt rykte. Det strategiska arbetet bestod av kartläggningar från polis, beslutsfattande, genomförande samt en kommande uppföljning. Resultaten visar även på att genomförda insatser i området var bland annat en trygghetsvandring, ökad polisiär närvaro samt ökad kommunikation med boende. Slutsatser som kan dras utifrån studien är att en god kommunikation med boende är viktigt för bredare förankring av projekt. Ytterligare slutsatser som kan dras var att arbetet behöver ytterligare utveckling och strukturering för tydligare riktlinjer och mål med samverkansarbetet. En slutsats var att projektet verkar som en föregångare inom brottsförebyggande arbete och kan fungera som förebild för många andra liknande projekt.abstract This paper is about public health in an ongoing community development in a vulnerable area in Koping municipality. The community development focuses on creating supportive environments and collaborative projects. The frame of reference is the HELPSAM and SESAME models which are important tools in intersectoral work. The purpose of this study was analyzing the planning and execution of improvements in Koping municipality. The method used is a qualitative study design with semi-structured interviews. Interviews were analyzed using a manifest content analysis. The results show that the reason the project started was that Byjorden had a bad reputation. The strategic work consisted of mapping from police, decision making, implementation and an upcoming follow-up. The results also show that efforts made in the area were increased police presence and increased communication with residents. Conclusions to be drawn from the study were that good communication with residents is important for the broader acceptance of the project, also that the work needs further development and structuring for clearer guidelines and goals in the intersectoral work. A further conclusion to be drawn was that the project is a pioneer in crime prevention and can therefor act as a model for other similar projects.
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Battams, Samantha Jane, and sam battams@flinders edu au. "Housing for people with a psychiatric disability; community empowerment, partnerships and politics." Flinders University. Public Health, 2008. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20080926.215213.
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This research examined intersectoral relationships and community participation in policy processes across the mental health and housing sectors. The focus was on the development of suitable housing options for people with a psychiatric disability. The study period covered five years of mental health system reform in South Australia (2000-2005). The research found a shortage of housing and support options for people with psychiatric disability and lack of significant strategic policy coordination or ongoing cross-sectoral programmes. The problems faced by people in gaining access to housing and disability support services and the ways in which families provide housing or support in the absence of public services are documented.
This case study used qualitative research methods which were triangulated across four stages: 1) a thematic analysis of national and state policies in the health, housing and disability sectors; 2) participant observation of NGO activity, a thematic analysis of NGO documents, and interviews and focus groups with NGOs; 3) interviews and focus groups with consumer and carer representatives and a thematic analysis of the minutes from state-level groups; 4) interviews with professionals from the health, housing and disability sectors
The housing situation for people with psychiatric disability was explained in terms of a number of key issues in the policy environment;
X The overarching neo-liberal policy context synonymous with a decline in public housing resources and increasing tension between NGOs service provider and advocacy roles.
X The political nature of the local mental health policy context and lack of political commitment to ongoing resources. Broad community stigma reflected in the media and government, affecting ongoing political commitment to mental health and housing and the introduction and progress of housing ¡¥projects¡¦.
X The slow development of peak NGO and consumer organisations and alliances in South Australia which affected access to policy networks and contributed to the dominance of professional interests within policy processes.
X The separation of health, housing and disability policy and networks within and across levels of government. This was associated with bilateral agreements (between Australian and state governments) tied to resources within departments, the programme objectives and the goals of bureaucrats.
X The separation of policy networks by sector was also connected to the dominance of bio-medical discourses and interventions and associated professional interests in the health policy sector. Medical discourses on health and disability and ¡¥consumerist¡¦ discourses on participation also led to social determinants of health such as housing being overlooked within policy processes.
X Governance reform at a state level contributed to organisational instability within departments, causing some problems for cross-sectoral initiatives and protocols.
Kingdon¡¦s (2003) multiple streams analysis of policy helped to explain what missed or reached political agendas within each policy sector of the case study. Kingdon predicts that the unity of policy networks is important for the realization of policy solutions, and the lack of unity in policy sectors was an obstacle to policy agendas on housing for people with a psychiatric disability. However, the way in which problems were being represented (Bacchi 1999) was also important to understanding this policy environment. For example, a medical discourse on disability (Fulcher 1989) tied to the health sector led to a narrow focus on clinical mental health services. Similarly, neo-liberal discourse (Dean 1999) supported private housing solutions and resources or NGOs advocating ¡¥within sectors¡¦ for the types of services they already provided or wished to provide.
The case study suggested strategies for ¡¥policy change¡¦ need to address a number of factors across service delivery, policy and political realms. Firstly, better recognition is warranted of the difficulty experienced by many people with psychiatric disability in achieving stable housing, and the need for indicators on housing access and stability for this group. Secondly, processes to address stigma (particularly that perpetuated in the media) will be instrumental for policy change and political commitment. Thirdly, ongoing cross sectoral advocacy and alliances require development at both a national and state level and support by a political culture which encourages advocacy. Developing processes for working across sectors such as policy learning forums involving both experts and community groups could counter problems arising from professional culture and territories that were documented in this study. Finally, the cross-sectoral development of policy, programmes and accountability mechanisms and the stability of policy networks will be important to ensuring stable housing for people with psychiatric disability.
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de, Montigny Joanne G. "Toward the Creation of Healthy Schools: Constructing a School Health Partnership Model for Student Well-being to Inspire and Guide Public Health and Education Professionals, at All Levels, and Mental Health Leads." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39223.
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Over twenty years ago, the World Health Organization launched a health promoting school movement as part of its settings approach to creating healthy environments. Partnerships across the public health and education sectors are vitally important in efforts to improve the health of children and youth in a school setting. In support of this principle, major advancements have been made within Ontario’s education sector, such as mandating local school systems to incorporate the goal of student well-being into their improvement plans and promoting the use of their Foundations for a Healthy School framework. Furthermore, the provincial ministries of education and health are actively encouraging the strengthening of local school health partnerships. However, there is a lack of knowledge within the health promoting school literature as to how to go about establishing well-functioning partnerships within local school systems.
To address this problem, the thesis project aimed to generate knowledge about partnerships between public health professionals and local school system actors, and to shed light on the potential for collaboration toward the creation of healthy schools. Before embarking on this thesis project, however, a conceptual framework was developed to gain a firm understanding of cross-sector collaboration for social change, since collaboration represents a partnership at the highest level of engagement. Two other literature reviews were carried out to understand further the partnership component of health promoting school models, and to show the extent of the knowledge gap existing in this area. The literature review on health promoting schools identifies, to a limited extent, the fundamental elements that specifically constitute school health partnerships at both the school and school board levels. Likewise, the scoping review that examines the knowledge-base on the different types of partnership for health promotion within school systems revealed an absence of in-depth knowledge on this topic.
When setting out to fill this knowledge gap, an exploratory research methodology that was primarily qualitative in design was chosen. It included a participatory orientation, whereby a research steering committee of 10 public health managers provided guidance with the formulation of the research question, and with the data collection and interpretation stages of the research project’s public health sector phase. An online survey of school health partnership actors from all 36 Ontario public health units was carried out, along with semi-structured interviews with key school health informants from 32 of these public health units and from six school boards in the province. Although the contribution from the education sector was not as pronounced, school board participants corroborated the findings from participating public health professionals and provided additional insights to gain a clearer understanding of partnership challenges and how to strengthen school health partnerships. Thematic analysis of the collected data was performed based on both deductive and inductive reasoning.
From the public health perspective, a school health partnership model for student well-being was constructed. This model was enhanced to some extent by the views of school board representatives. It is composed of two dimensions: the Partnership Generator, and the Collaboration Continuum. The Partnership Generator comprises four inter-related components, namely cross-sector engagement, connection, capacity, and continuity, with relationship building at its core. The cross-sector engagement component encompasses various elements that enrich engagement across the public health and education sectors, while the other three components consist of those elements that enable this engagement. The connection elements motivate school health partners to engage, whereas the capacity elements determine the extent to which engagement can take place. Finally, the elements that make up the continuity component maintain the momentum that motivated cross-sector engagement created based on the capacity that was made available through this engagement. Each of these elements contribute to a school health partnership’s strength. The Collaboration Continuum dimension refers to school health partners’ movement from one partnership arrangement to the next, with increasingly more extensive levels of cross-sector engagement. It includes three sets of supporting conditions to promote movement along the continuum, going from networking to cooperation and then to collaboration.
The resulting model provides the knowledge base for assessing the strengths of a given school health partnership and for shedding light on which partnership areas would need to be further developed. Overall, this model offers any professional, from the field of public health, education, or mental health, a closer look at what would be required for a school health partnership to become truly collaborative and reach its maximum potential. It promises to inspire and guide school health partners in their pursuit of more meaningful engagement with one another toward greater improvements in the well-being of school-age children, in recognition of their shared responsibility.
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Bloch, Bente. "”Hygiejne på tværs” : tværsektorielt samarbejde omkring patient/borger med behov for infektionshygiejnisk bistand – hvordan løses opgaven?" Thesis, Nordic School of Public Health NHV, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3106.
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Baggrund: Patientbehandling på sygehuse sker i et højt specialiseret tempo, hvor flere patienter modtager kompliceret pleje og behandling, som ofte fortsætter i kommunerne efter udskrivelsen. Efter strukturreformen skal aftaler om infektionshygiejnisk bistand fra sygehus til kommune indskrives i sundhedsaftaler. Formål: Formålet med studiet var at udforske og analysere samarbejde på tværs af sektorer, og få en øget forståelse for fænomenet tværsektorielt samarbejde i relation til patient/borger med behov for ydelser, hvori der indgår infektionshygiejnisk bistand. Metode: Studiet er et kvalitativt multiple casestudie, hvor empirien hentes via semistrukturerede interviews. Teorigrundlaget er perspektivet på tværsektorielt samarbejde, eksempler på modeller for samarbejde, og styrker og svagheder i samarbejde. Resultat: Studiet viste, at motiverende faktorer for tværsektorielt samarbejde i praksis var: fokus på organisering og struktur i organisationerne, at arbejde sammen i netværk, bevidsthed om klare kommunikationsveje og fokus på faglighed og kompetencer i forhold til infektionshygiejne. Struktureret samarbejde mellem kommune og sygehus med oprettelse af hygiejneorganisation mellem sektorer, gav adgang til ekspertviden, tryghed hos plejepersonalet og motivere til at arbejde med infektionshygiejne som indsatsområde. Konklusion: Nosokomielle infektioner hos patienter og borgere i sektorovergange, kan sandsynligvis forebygges ved dels at tilføre viden om infektionshygiejne til personale på alle niveauer i organisationerne, og dels ved at indgå et formelt samarbejde mellem kommune og sygehus omkring etablering af en tværsektoriel hygiejneorganisation.Background: Today, patient care in hospitals is highly specialised and undertaken at high speed. Many patients receive complex treatment and care, which often continues in the primary-care sector after the patient is discharged. Structural reform of the health care sector requires infection control measures in intersectoral health agreements. Aim: This study aimed to investigate and analyse intersectoral collaboration and gain better understanding of collaboration across health sectors in relation to the treatment and care of patients requiring treatment and care for infection control. Method: This is a qualitative, multiple-case study, wherein semi-structured interviews form the basis of the empirical knowledge. The theory underpinning the study is the perspective on intersectoral collaboration, examples of models of collaboration, and the strengths and weaknesses of collaboration. Results: The findings showed that the motivational factors for intersectoral collaboration include focus on organisational structure and organisation, collaboration through networks, awareness of the importance of clear communication, and focus on the relationship between professional competencies and infection hygiene. Structured collaboration with the establishment of an actual infection control organisation resulted in access to expert knowledge, security among personnel, and motivation to work with infection control as an area of focus. Conclusion: Patient transference of nosocomial infections from one health sector to another likely can be prevented by increasing workers’ knowledge of infection control in all sectors, and by formalised collaboration across health sectors to establish an intersectoral, infection control organization.
ISBN 978-91-86739-26-3
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Uusitalo, Oscar. "HÄLSOCENTER, ETT STEG MOT EN FRISKARE BEFOLKNING : En kvalitativ studie om att jobba hälsofrämjande med kost- och motionsvanor som exempel." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-25987.
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WHO rekommenderar hälso- och sjukvården att bli mer hälsofrämjande. Däremot visar forskning att hälso- och sjukvården inte lever upp till denna rekommendation. Landstinget Västmanland har dock gjort en satsning på det hälsofrämjande arbetet. Fyra hälsocenter har etablerats i länet till följd av detta. Syftet med denna uppsats var att undersöka hur personalen vid dessa hälsocenter upplevde sina förutsättningar att jobba hälsofrämjande med kost- och motionsvanor. Metoden som användes för att besvara syftet var kvalitativ. Datainsamlingen skedde genom att sex semistrukturerade intervjuer genomfördes. Fem hälsovägledare och en person med övergripande ansvar för hälsocenterverksamheten intervjuades. Datamaterialet analyserades med hjälp av en induktiv och manifest kvalitativ innehållsanalys. Resultatet visar att hälsocenters arbete följer de grundprinciper som tagits fram för hälsofrämjande arbete. Stöd i organisationen och den egna kompetensen var faktorer som underlättade arbetet, medan bristfälliga lokaler och samverkansproblem till exempel var faktorer som upplevdes hindra arbetet. Slutsatserna som presenterats utifrån uppsatsens resultat var att delar av hälsocenters arbete fungerade bra men att det fanns vissa förbättringsmöjligheter. Till följd av att hälsocenters arbete bedömdes ligga i linje med grundprinciperna för hälsofrämjande arbete drogs även slutsatsen att verksamheten kan vara ett gott exempel för andra vårdorganisationer som önskar arbeta hälsofrämjande.WHO recommend health services to become more health promoting. Yet, research indicates that health services don’t fulfill these recommendations. The county Landstinget Västmanland however, has made a commitment to work health promoting. Due to this commitment four Health facilities has been established in the county. The aim of this study was to investigate how the staff at these health facilities experienced their premises to work health promoting with diet- and physical activity habits. A qualitative method was used to answer this. Six semistructured interviews was performed to collect data. Five health counselors and one person with administrative responsibility for the health facilities was interviewed. An inductive and manifest qualitative content analysis was used to analyze the collected data. The result indicated that the health facilities was working health promoting according to the fundamental principles for health promotion. The result also showed that a supportive organization and the individual competence was two factors among others that made the work easier. Inadequate facilities and collaboration issues for example was on the other hand factors that the respondents felt complicated their work. The conclusions drawn from the result is that parts of the health facilities, health promotion work is working well, but that there is room for improvements. Also the conclusion that the health facilities can set an example for other health services that wishes to become more health promoting was drawn.
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Austberg, Sissel. "Skolens oppfatning av tverrprofesjonelt samarbeid : en utforskende studie innen en norsk ungdomsskole." Thesis, Nordic School of Public Health NHV, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3102.
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Hensikten: med denne studien er å få kunnskap om lærernes og ledelsens oppfatninger av, og erfaringer med, tverrprofesjonelt samarbeid. Deres oppfatning av behovet for, og muligheter for, å implementere tverrprofesjonelt samarbeid i arbeidet med skolens psykososiale miljø, søkes også belyst. I tillegg undersøkes om motivasjon for et strukturert samarbeid påvirkes av tidligere erfaringer. Metode:Fenomenografi ble brukt som tilnærmingsmetode og fokusgruppeintervju som datainnsamlingsmetode. 15 ansatte i en ungdomsskole, fordelt på tre fokusgrupper, deltok i studien. Resultat:Det ble identifisert tre beskrivelseskategorier og seks delkategorier. Begrepet tverrprofesjonelt samarbeid oppfattes som lite kjent. Samarbeid med andre profesjoner beskrives som lite, til dels besværlig og preget av tilfeldigheter. Skolens rolle i forpliktende samarbeid oppfattes å forvanskes ved at det i utgangspunktet stilles mange krav til skolen. Det er vanskelig å prioritere mellom fagopplæring og tema som sorterer under sosial kompetanse og trivselsgivende tiltak. Motivasjon for samarbeid begrunnes i behov for økt kunnskap om faktorer som påvirker elevenes individuelle og totale opplevelse av skolen. De fokusgruppene som har hatt befatning med et strukturert tverrprofesjonelt samarbeid tilkjennegir en mer positiv holdning til samarbeid med andre profesjoner. Formelle rammer oppfattes som en begrensende faktor for samarbeid. Konklusjoner: Funn i studien indikerer et behov for å avklare meningsinnhold i begrep som beskriver samarbeid mellom ulike profesjoner og sektorer. Metoder og formelt grunnlag for å utvikle et godt psykososialt miljø i et tverrprofesjonelt perspektiv etterlyses. Det å ha en positiv erfaring fra et strukturert tverrprofesjonelt samarbeid, øker motivasjonen for ytterligere samarbeid.Purpose: This study aimed to increase knowledge about teachers' and management's perceptions of, and experiences with, the concept of interprofessional collaboration. The study also sought to determine perceptions about the need and opportunity for implementing interprofessional collaboration in their work environment. Finally, the studie investigated whether past experiences influence motivation for structured cooperation. Method: This study used a fenomenografic approach and interviewed 15 employees of a Norwegian junior high school. Study participants were divided into three focus groups; participants from the management, teachers with experience from structured interprofessional collaboration and teachers without such experience. Results: Data analysis identified three categories and six subcategories. All participants described interprofessional collaboration as not well known and collaboration with other professions is described as rare, sometimes difficult, and random. They perceived the school's role in committed cooperation as difficult because it increases demands on the school. The study participants find prioritization between vocational training and topics that fall under the social skills difficult. Motivation for cooperation is based on a need for increased knowledge about the factors that influence students' individual and overall experience of school. Focus groups having greater experience with a structured interprofessional collaboratio, showed a more positive attitude toward cooperate with other professions. Participants perceived formal frameworks as a limiting factor for collaboration. Conclusions: This study showed a need to clarify the meaning of the term interprofessional collaboration. The school should work to develop a good psychosocial environment in an interprofessional perspective. A positive experience with structured interprofessional collaboration, increases motivation for further cooperation.
ISBN 978-91-86739-35-5
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Dubois, Alejandra. "Analyse des processus intersectoriels en tant que stratégie pouvant influencer les déterminants de la santé : étude de cas régionaux au Québec." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/30250.
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Puisque les déterminants sociaux de la santé sont en dehors du secteur institutionnel conventionnel de la santé, la collaboration intersectorielle apparaît comme la stratégie de choix pour agir sur ces déterminants. Comme souligné par Jackson et coll. (2006), la collaboration intersectorielle et les partenariats interorganisationnels sont des actions transversales qui doivent se produire à des niveaux structurels, sociaux et personnels et qui doivent être imbriquées dans toutes les stratégies de promotion de la santé mises de l’avant par la Charte d’Ottawa. Mais que signifie la collaboration intersectorielle, comment est-elle vécue, et comment ces processus intersectoriels peuvent-ils être réussis?
L’objectif principal de ce projet de recherche était de contribuer à l’élaboration d’un cadre conceptuel de l’action intersectorielle, développé à partir de la littérature disponible et validé empiriquement par quatre études de cas, à l’intérieur d’une région du Québec (Chaudière-Appalaches). Ces quatre initiatives se sont déroulées entre 1997 et 2012 :
• Cas 1 : Programme de prévention de la détresse psychologique auprès des agriculteurs
• Cas 2 : Construction du parc de jeu destiné aux enfants de 0 à 5 ans
• Cas 3 : Programme de cuisines collectives à Beauce-Sartigan
• Cas 4 : Programme de prévention de l’alcool au volant
La première partie de la thèse se concentre sur la compréhension de termes reliés à l’intersectorialité en santé, en comparant les définitions théoriques (à partir d’une revue systématique de la littérature grise et scientifique) à la terminologie utilisée sur le terrain (à partir des études de cas). La deuxième partie de la thèse consiste en une analyse transversale des quatre études de cas qui ont été élaborées autour des sept dimensions suivantes : le problème, les objectifs de santé de populations, les autres objectifs, les résultats, les acteurs, les processus et le contexte. L’analyse transversale porte principalement sur les avantages, les conditions facilitantes et les défis de l’action intersectorielle en santé, incluant une discussion sur le rôle et la légitimité du secteur santé en tant qu’instigateur du partenariat intersectoriel.
Thesis Abstract
Since the social determinants of health lie outside the conventional institutional health sector, intersectoral collaboration appears to be the strategy of choice to act on these determinants. As Jackson et al. note (2006), intersectoral collaboration and inter-organizational partnerships are cross-cutting actions that must occur at structural, social and personal levels, and they should be embedded in all strategies for health promotion put forward by the Ottawa Charter. But what does intersectoral collaboration mean, how it is lived, and how can these intersectoral processes be successful?
The main objective of this research project is to contribute to the development of a conceptual framework for intersectoral action. That framework is developed from the literature and empirically validated by four case studies within a Quebec region (Chaudière-Appalaches). These four initiatives took place between 1997 and 2012:
• Case 1: Program for the prevention of psychological distress among farmers
• Case 2: Construction of a play park for children aged 0 to 5 years
• Case 3: Program of collective kitchens in Beauce-Sartigan
• Case 4: Program for the prevention of alcohol-impaired driving
The first part of the thesis focuses on understanding terms related to intersectoriality in health by comparing the theoretical definitions (from a systematic review of scientific and grey literature) to the terminology used in the field (captured by conducting case studies). The second part of the thesis is a cross-sectional analysis of four case studies developed around the following seven dimensions: the problem, the population health objectives, other objectives, the outcomes, the actors, the processes and the context. This cross-sectional analysis focuses on the benefits, facilitating conditions and challenges of intersectoral action in health, including a discussion of the role and legitimacy of the health sector as an instigator of intersectoral partnerships.
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Peretti, Andrezza Gomes. "Discursos normativos e de profissionais da rede de proteção à infância: o trabalho intersetorial contra a violência em uma região de São Paulo - SP." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-05062018-124015/.
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O entendimento de que toda criança é sujeita de direitos é historicamente recente no Brasil. O paradigma atual, pautado nos direitos humanos, preconiza o fim da exploração e de quaisquer tipos de abusos a essa fase da vida. Entretanto, o fenômeno ainda ocorre e as consequências podem ser de curto a longo prazo, sendo um dos fatores de risco associado à problemas cognitivos, linguísticos, afetivos e acadêmicos. O enfrentamento da questão no Brasil se estabelece a partir de várias instituições que fazem parte da Rede de proteção à criança vítima de violência, como disposto desde 1990 pelo Estatuto da Criança e do Adolescente e melhor estruturado em 2006 pelo Sistema de Garantia de Direitos, que prevê um trabalho considerado intersetorial. Todavia, a literatura aponta certa falha na comunicação entre os seus componentes. Entender o funcionamento da Rede e em que medida ela compõe um trabalho intersetorial é importante para refletir acerca de sua dinâmica e suas potencialidades. Para tanto, o objetivo desta pesquisa é compreender a composição e funcionamento da Rede de proteção. Para a realização da pesquisa utilizamos duas fontes de informação: 1) normas, orientações e diretrizes voltadas aos profissionais de grandes áreas que fazem parte da rede protetiva, separando-as pelos seguintes setores: Direitos Humanos, Justiça e Segurança Pública, Saúde, Educação e Assistência Social; e 2) entrevistas semiestruturadas com profissionais que atuam nesses setores e trabalham em uma mesma região na zona Sul da cidade de São Paulo. O material foi analisado de forma qualitativa utilizando a análise discursiva para compreender como a articulação das diferentes esferas atuantes na proteção infantil emerge como um dispositivo para o enfrentamento da violência contra crianças. Notamos que há algumas diferenças entre as atribuições esperadas por cada setor e há uma maior flexibilização dos fluxos de atendimento nos discursos dos profissionais quando comparados aos discursos normativos. Quanto às notificações de violência, destacamos desafios para sua ocorrência relacionados a falta de capacitação dos profissionais para lidar com a temática, insegurança para notificar e ainda ausência de confiança no Conselho Tutelar. Quanto a este órgão, observamos falta de legitimidade quanto a eficácia de suas ações, tornando-se apenas uma instituição necessária para a Rede protetiva porque as normas e leis assim determinam. No que se refere ao funcionamento da rede, notamos que embora os documentos afirmem a sua importância, conceituem a violência de maneira homogênea e definam encaminhamentos a serem tomados, a rede funciona de forma ainda frágil, como constatam os discursos dos profissionais. Para a construção de uma política intersetorial torna-se necessário uniformizar o fluxo de atendimento, os sistemas de informação e notificação de violência e capacitar os profissionais para este processo. Estratégias promissoras para a construção de planos intersetoriais de atendimento na região são as audiências concentradas e outras reuniões semelhantes. A institucionalização desses mecanismos poderia facilitar uma maior articulação entre os setoresThe knowledge that every child is a subject of rights is historically recent in Brazil. The current paradigm, based on human rights, advocates the end of exploitation and any other type of abuse in this stage of life. However, the phenomena still occurs and its lead to short or long term consequences, and is one of the risk factors associated to cognitive, linguistic, affective and academic problems. The coping to that question in Brazil is established from many institutions that are part of a child abuse network protection, as it is recommended since 1990 by Child and Adolescent Statute (Estatuto da Criança e do Adolescente) and better organized in 2006 by the Rights Guarantee System (Sistema de Garantia de Direitos), that seeks a work considered intersectoral. Nevertheless, the literature points some failure in the communication of its components. Understand how the network works and to what extent it makes up an intersectoral work is important to reflect about its dynamic and possibilities. Therefore, the objective of this research is to understand the composition and operation of the Protection Network. In order to carry out the research, we used two sources of information: 1) standards, orientation and guidelines for professionals in large areas that are part of the protection network, separating them by the following sectors: Human Rights, Justice and Public Security, Health, Education and Social Assistance; and 2) semi-structured interviews with professionals who work in these sectors and acts in the same region in the southern part of Sao Paulo city. The material was analysed by qualitative methods using discursive analysis to understand how the articulation of the different spheres of child protection emerges as a device for coping with violence against children. We note that there are some differences between the attributions expected by each sector and there is a greater flexibility of the service flows in the professionals\' discourses when compared to normative discourses. Regarding the notifications of violence, we highlight challenges to its occurrence related to the lack of capacity of professionals to deal with the issue, insecurity to notify and still lack of trust in the Tutelary Council. Concerning this institution, we observe a lack of legitimacy regarding the effectiveness of its actions, becoming only a necessary institution for the Protective Network because the rules and laws so determine. Regarding the functioning of the network, we note that although the documents affirm their importance, conceptualize violence in a homogeneous way and define guidelines to be taken, the network works in a still fragile way, as evidenced by the professionals\' discourses. In order to build an intersectoral policy, it is necessary to standardize the flow of attendance, the information and notification systems of violence, and to empower professionals for this process. Promising strategies for building intersectoral service plans in the region are concentrated audience and other similar meetings. The institutionalization of these mechanisms could facilitate greater articulation between sectors
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Cuci, Albina. "Frivillighet kontra tvång : samverkan mellan rättspsykiatri och socialtjänst kring patienter som slussas ut från rättspsykiatrisk vård." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för socialvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8322.
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The aim of this study is to gain insight into professional`s experiences of interdisciplinary collaboration between the municipality and the forensic ward. The study was intended to contribute to an increased understanding of the professional`s experiences of what is considered to work and what is considered to lack in the interdisciplinary collaboration between the municipality and the forensic ward. The study`s empirical data was obtained through eight semi-structured interviews with five social workers from the social services and three counselors`s at the forensic ward. National and international previous research in interdisciplinary collaboration that was relevant for my study has been obtained. For the analyze I combined previous research, the result from my interviews and my theoretical framework. Conclusions show that the professionals believe that communication between social services and forensic psychiatry is good and that both parties focus on the individual patient. Conclusions also show that insufficient knowledge regarding the organizations, work areas, responsibility, and resources and that the legislation is different. All the interviewees have a wish to improve and develop the collaboration between them.
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Brännström, Forss Birgitta. "Må bra på äldre dar : en studie av ett hälsofrämjande samverkansprojek." Thesis, Nordic School of Public Health NHV, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3249.
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Syftet med denna studie är att förstå den erfarenhet och kunskap om samverkan som deltagarna i Må bra på äldre dar - projektet fått i det hälsofrämjande samverkansprojektet. Studien fokuserar på framgångsfaktorer och hinder för samverkansprocessen, hur projektet påverkat maktförhållandena mellan de ideella och offentliga organisationerna, deltagarnas organisatoriska erfarenheter av samverkan, deras uppfattning av arbetsklimatet och upplevelse av KASAM i projektet. Forskning kring hälsofrämjande samverkan bland äldre är sparsam. En kvalitativ ansats användes med fokusgrupper som datainsamlingsmetod. 11 fokusgrupper genomfördes med 62 deltagare. Intervjuade var representanter för de deltagande organisationerna, äldre och blivande äldre som deltagit. Projektledarens svar på intervjufrågorna redovisades skriftligt. Analys av materialet genomfördes med kvalitativ innehållsanalys. Nio teman framkom vid analys av framgångsfaktorerna: 1. Ledare, eldsjälar, mål, varaktighet, att lyssna mm, 2. offentliga organisationer har störst betydelse, men alla är viktiga, 3. människor möttes och skapade en process som gav flow, 4. delaktighet, 5. gränsöverskridande ett nytt sätt att arbeta, 6. människor och organisationer lärde sig av varandra, 7. nätverksbyggandet ökade i samhället, 8.helhet och sammanhang samt 9. positivt arbetsklimat och ingen stress. Nio teman framkom vid analys av de hinder de olika organisationerna upplevt inom projektet (de äldre och blivande äldre omfattades av fem av dem och projektledarens av sju): 1.bristande stöd och legitimitet, 2. bristande resurser och resursutnyttjande, 3. bristande organisatoriska förutsättningar, 4. ojämlik makt och ekonomiska förutsättningar, 5. otillräcklig förankring, 6. revir och konkurrens, 7. bristande delaktighet och tillit, 8. bristfälliga metoder och 9. stressande arbetsklimat. Deltagarna upplevde delaktighet inom projektet. Både offentliga och ideella företrädare upplevde inte att projektet påverkat de offentliga organisationernas arbetssätt. Projektets legitimitet minskade under projekttiden. Deltagare i projektet fick ny kunskap om att arbeta i samverkan, ny kompetens om att arbeta gränsöverskridande, om vikten av att bygga relationer och skapa nätverk. Projektets arbetsklimat uppfattades både som hälsosamt och stressande. Formuläret SOC 13 användes för att mäta deltagarnas KASAM. Resultatet visare en relativt hög känsla av sammanhang i projektet bland deltagarna. Studien visar på svårigheter att bedriva hälsofrämjande arbete bland äldre. Tecken finns att den offentliga sektorn inte är redo för detta paradigmskifte. Det finns dock mycket att vinna på att initiera hälsofrämjande arbete, social gemenskap utvecklas i ett demokratiarbete med empowerment som metod, ytterst för en hållbar utveckling.The aim of this study is to understand the experience and knowledge of intersectoral collaboration of the participants in the health promotional project “Feel good in the old age”. The study focuses on successful factors and barriers in the collaboration process, how the project have affected the power between the non governmental and the public organisations, the participants organisational experiences of collaboration, their view of the working climate in the project and their experiences of SOC in the project. Research in intersectoral collaboration in health promotion among elderly is sparse. The methodology is a qualitative study with focus groups. 11 focus groups was made with 62 participants from the different organisations – non governmental and public- and old and people becoming elderly. The project leader wrote the answers before the focus groups were made. Content analysis was used. As successful factors nine themes appeared: 1. leaders, energizers, duration, listen, 2. the public organisations are the most important but all are valuable, 3.people met and created a process with flow, 4. participation, 5. working over boundaries is a new way of working, 6. people and organisations learned from each other, 7. building of networks increased in the society, 8. sense of coherence and 9. positive working climate and no stress. Nine themes appeared in the analysis of barriers (elderly and becoming elderly was grasping five of them and the project leader seven): 1. insufficient support and legitimacy, 2. insufficient resources and use of available resources, 3. insufficient organisational conditions, 4. unequal power and economical conditions, 5. insufficient anchoring, 6. preservations and competition, 7. insufficient participation and trust, 8. insufficient methods and 9. the work in the project was under stress. The participants experienced participation in the project. Both public and nongovernmental representatives did not think the project had influenced the public organisations. The legitimacy of the project decreased during the run. The participants got new knowledge in how to work in collaboration, new competence of how to work over the boundaries and of the importance of building relationships and networks. The working climate was seen as healthy and as with stress. The SOC 13 formula was used to measure the participant’s sense of coherence in the project. The score was relatively high. The study shows difficulties in intersectoral collaboration. There are some signs that the public sector is not yet ready to change the paradigm. There are though a lot to win to initiate health promotion. A social fellowship develops in a democracy process with empowerment as the method, farthest out to reach a sustainable development
ISBN 91-7997-145-8
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Gonçalez, Ana Aparecida de Souza Santana. "Experiências de profissionais de saúde da rede pública que atuam na assistência da criança e adolescente obesa na cidade de São Paulo-SP." Universidade Católica de Santos, 2018. http://biblioteca.unisantos.br:8181/handle/tede/5041.
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A obesidade na criança e adolescente é uma doença crônica, epidêmica, de alta prevalência, multicausal e de complexa abordagem a qual envolve vários profissionais de saúde. Muitas pesquisas apontam para as dificuldades no enfrentamento da doença, no entanto, raros discorrem sobre as experiências dos profissionais de saúde que atuam no serviço público prestando cuidados a essas crianças e adolescentes, sobretudo a respeito das práticas e desafios enfrentados por eles durante o manejo desta doença nos diversos componentes de saúde. Este estudo buscou compreender, na perspectiva dos profissionais de saúde, como estes percebem suas práticas e respectivos desafios na assistência a esse público no serviço e entre os componentes de saúde. Trata-se de uma pesquisa qualitativa, mediante entrevista semiestruturada com profissionais de saúde que atuam no SUS na assistência com obesidade na criança e no adolescente de duas regiões da cidade de São Paulo. A captação da população foi por intermédio de indicação em bola de neve, de forma que contemplasse diversidades entre às formações profissionais, bem como à atuação nos diferentes componentes de atenção. Para a composição final da população deste estudo foi usado o critério de saturação teórica e o percurso analítico foi norteado pela análise de conteúdo temático. A captação encerrou-se com 16 profissionais, sendo 5 da atenção primária, 4 da secundária, 6 da terciária e um gestor da rede. Eles revelaram que as relações de trabalho com a equipe multiprofissional do respectivo serviço são positivas; o manejo da obesidade em crianças e adolescentes é complexo e desafiador pois o sistema de saúde apresenta problemas e não funciona na sua plenitude; quanto ao conhecimento sobre diretrizes que contemple a obesidade neste público, a maioria disse desconhecer e despontaram que suas atividades são baseadas em normas da instituição onde atuam assim como em suas práticas; a maioria não se articulava adequadamente entre os diferentes componentes de saúde; revelaram falhas no fluxo de referência e contra referência; disseram haver lacunas nos registros pois, as informações referentes a saúde do paciente não são integradas entre os diversos componentes de saúde; os profissionais não perceberam diferenças nas atribuições e competências por nível de atenção. Concluiu-se, a partir da prática e percepção desses profissionais de saúde, que eles enfrentam muitas adversidades os quais, por vezes, interferem em suas práticas gerando serviços nem sempre com a qualidade e articulação desejadas. Há diversidade de materiais e instrumentos norteadores para o manejo da obesidade, mas, poucos deixam claro condutas e fluxos que deverão ser seguidos, pois, são genéricas e não consideram as singularidades da criança e do adolescente.
Child and teenage obesity is a chronic, epidemic, high prevalence, multicausal and hard to approach disease, which involves multiple health professionals. Many researches show difficulties in facing the disease, but very few discourse on the experiences of the health professionals that work on the public service taking care of these youngsters, especially about the practices and challenges faced by them during the management of this disease in the different components of healthcare. This study aims to comprehend, through the perspective of the health professionals, how they perceive their practices and the respective challenges in the assistance to this public in the health system and in it¿s components of care. This is a qualitative research, conceived through semi structured interview with health professionals that act in SUS in the assistance of obese children and teenagers in two regions of São Paulo. The captation of the population was fulfilled by means of snowball indication, in such a way that it included diversity of professional formation and fields of actuation. To the final composition of the population, it was used the theoretical saturation criteria and the analytical path was guided by means of thematic content. The captation finished with 16 professionals, being 5 from the primary care, 4 from the secondary, 6 from the tertiary and one network manager. They revealed positive work relationships with the multiprofessional team of their respective level of care; the management of obesity in children and teenagers is complex and challenging because the health system presents problems and doesn¿t work in it¿s plenitude; regarding the awareness of the guidelines that cover obesity in this public, most of them declared not to have knowledge and pointed that their activities and practices are based on the norms of the institutions they work at; most didn¿t articulate well between the different components of healthcare, revealing reference/counter reference flow failures and gaps in the records due to the non integration of the patient's information about their health among the different levels of healthcare; the professionals didn¿t point differences between the attributions and competences of different levels of care. It was then concluded, from the practices and perceptions of these health professionals that act on the public network in the treatment of obese children and teenagers, that they face many adversities that, sometimes, interfere with their practices, resulting in services that may not reach the desired quality and articulation. There is a wide range of materials and instruments that guide the handling of obesity, but few are clear on the conducts and flows to be taken with obese children and teenagers as they are generic and don¿t consider the particularities of this public.
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Yasobant, Sandul [Verfasser]. "Research to explore Intersectoral Collaborations for One Health Approach (RICOHA) : A health system study in Ahmedabad, India / Sandul Yasobant." Bonn : Universitäts- und Landesbibliothek Bonn, 2021. http://d-nb.info/1227990537/34.
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Murphy, Brian Matthew. "Cross-sector social partnerships: value creation and capabilities." Doctoral thesis, Universitat Ramon Llull, 2012. http://hdl.handle.net/10803/81986.
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Aquesta tesi s’organitza en un compendi de tres articles individuals, tot i que estan interrelacionats, que se centren en diversos aspectes de les relacions interorganitzatives (RIO) entre sectors, en les quals es formen aliances entre empreses i organitzacions de la societat civil per tractar problemàtiques socials complexes. L’objectiu principal d’aquest treball és contribuir a les obres de referència sobre aliances intersectorials a partir de l’anàlisi d’especificitats de les habilitats que es requereixen per involucrar-se, de manera eficaç, en RIO en què els objectius dels partners i els de l’aliança difereixen enormement de les aliances entre empreses. El primer article, “Through Indigenous Lenses: Cross-sector collaborations with fringe stakeholders” (Murphy i Arenas, 2010), il•lustrat a partir de tres casos d’estudi, proposa un marc per a la construcció d’un pont intercultural i un model per a la creació de valor en les col•laboracions intersectorials entre empreses i parts interessades de la perifèria. El segon article, “Value Creation in Cross-Sector Collaborations: Increasing influence for competitive advantage” (Murphy, Arenas i Batista), que es basa en una enquesta duta a terme entre 362 directius espanyols de múltiples sectors, analitza els efectes i la interacció de les experiències de gestió anteriors a l’aliança i l’alineació de les missions, les estratègies i els valors dels partners en l’èxit de les col•laboracions intersectorials. Finalment, l’article “A New Perspective on Learning and Innovation in Cross-Sector Collaborations” (Murphy, Perrot i Rivera-Santos, 2012), recolzat per dos casos d’estudi, presenta el concepte de capacitat relacional per a la innovació social, un model relacionat amb la capacitat d’absorció, però més adequat al context de l’aprenentatge i la innovació en les col•laboracions entre sectors en mercats de subsistència.Esta tesis se organiza en un compendio de tres artículos individuales, aunque interrelacionados, que se centran en distintos aspectos de las relaciones interorganizacionales (RIO) entre sectores, en las que se forman alianzas entre empresas y organizaciones de la sociedad civil para tratar problemáticas sociales complejas. El principal objetivo de este trabajo es contribuir a las obras de referencia sobre alianzas intersectoriales a partir del análisis de especificidades de las habilidades que se requieren para involucrarse, de forma eficaz, en RIO en las que los objetivos de los partners y los de la alianza difieren enormemente de las alianzas entre empresas. El primer artículo, “Through Indigenous Lenses: Cross-sector collaborations with fringe stakeholders” (Murphy y Arenas, 2010), ilustrado a partir de tres casos de estudio, propone un marco para la construcción de un puente intercultural y un modelo para la creación de valor en las colaboraciones intersectoriales entre empresas y partes interesadas de la periferia. El segundo artículo, “Value Creation in Cross-Sector Collaborations: Increasing influence for competitive advantage” (Murphy, Arenas y Batista), basado en una encuesta llevada a cabo entre 362 directivos españoles de múltiples sectores, analiza los efectos y la interacción de las experiencias de gestión anteriores a la alianza y la alineación de las misiones, las estrategias y los valores de los partners en el éxito de las colaboraciones intersectoriales. Finalmente, el artículo “A New Perspective on Learning and Innovation in Cross-Sector Collaborations” (Murphy, Perrot y Rivera-Santos, 2012), respaldado por dos casos de estudio, presenta el concepto de capacidad relacional para la innovación social, un modelo relacionado con la capacidad de absorción, pero más adecuado al contexto del aprendizaje y la innovación en las colaboraciones entre sectores en mercados de subsistencia.
This thesis is organized in a compendium of three individual, though interrelated, articles that focus on various aspects of cross-sector inter-organizational relationships (IORs), where alliances between firms and civil-society organizations are formed to address complex societal dilemmas. The overall goal of this work is to contribute to the literature on cross-sector alliances by exploring the specificities of capabilities required to engage effectively in IORs where partners and alliance goals differ greatly from business-to-business alliances. The first article, “Through Indigenous Lenses: Cross-sector collaborations with fringe stakeholders” (Murphy and Arenas, 2010), illustrated through three case studies, proposes a framework for cross-cultural bridge building and a model for value creation in cross-sector collaborations between businesses and fringe stakeholders. The second article, “Value Creation in Cross-Sector Collaborations: Increasing Influence for Competitive Advantage” (Murphy, Arenas and Batista), based on a survey conducted among 362 Spanish managers across multiple sectors, analyzes the effects and interaction of prior alliance management experience and the alignment of partners’ missions, strategies and values on the success of cross-sector collaborations. Finally, the article “A New Perspective on Learning and Innovation in Cross-Sector Collaborations” (Murphy, Perrot and Rivera-Santos, 2012), supported by two case studies, introduces the concept of Relational Capacity for Social Innovation, a model related to Absorptive Capacity, but better suited to the context of learning and innovation in cross-sector collaborations in subsistence marketplaces.
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Mort, Janet Nadine. "School districts in community intersectoral coalitions : models of collaboration for young children." Thesis, 2007. http://hdl.handle.net/1828/1241.
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The study explored the differences that resulted when school districts participated
in successful interdisciplinary community coalitions to improve the quality of and the
opportunities for services for young children and their families—and ultimately enhance
school success. The study examined the structure, function and impact of four successful
intersectoral community coalitions in British Columbia. It determined that the coalitions’
work resulted in improved coordination, services and access to programs for the early
learning of young children. The types of services examined were those that addressed
local needs; were examples of collaboration of different service providers, including
schools; addressed different needs of children and families; were designed to promote the
community’s ability to care for its own families and to resolve issues and develop
programs at the local level. The study employed case-study methodology—focus groups,
interviews, data collection and analysis, and observations—to explore four diverse
communities that had established programs in response to defined needs and had
evaluated the effect of the services provided to children and families. The services
examined were those that (1) capitalized on existing assets and resources; (2) planned for
and accessed new resources through partnerships; and (3) promoted promising researchbased
practices. The study focused on early-childhood initiatives that supported literacy
development in the context of social, emotional, physical and cognitive development. The
research questions examined the function and evolution of the intersectoral coalitions and
the involvement of public schools in them; the characteristics that contributed to or
impeded success; descriptions of programs and services initiated by the school district;
and evidence of enhanced school success. The study noted social processes, relations,
practices, experiences and actions. The study examined programs that evolved through
the collaborative efforts of intersectoral professionals, and created social solutions for
early learning issues. The study resulted in eight conclusions related to: (1) the pivotal
role intersectoral coalitions play in community development, with four specific caveats;
(2) the key role schools and school districts have to play if community coalitions are to
reach their full potential; (3) the need for reliable data in order for proposed changes to be
embraced; (4) the role of family literacy programs in meeting social and emotional needs
as well as those of literacy; (5) the need for community coalitions to break down barriers
to access in order to support the most needy families; (6) the momentum created by a
sense of moral purpose and community consciousness as coalition work matures; (7) the
need for sustainable and transformative leadership that changes as the coalition evolves
and (8) the need for government to support grassroots movements by new service
reorganization, funding mechanisms and related policy development. Through rich
descriptions and respondents’ quotes, the study provides a variety of models that can be
replicated by community agencies seeking to establish a broad, coherent approach to
services for young families.
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Joseph, Marguerite Marie Jennifer. "Role of Intersectoral Collaboration in Mental Health Policy Formulation And Service Delivery in Saint Lucia." Master's thesis, 2016. http://hdl.handle.net/10362/17363.
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RESUMO: Santa Lúcia pequena ilha de país em desenvolvimento com recursos limitados e é confrontada com uma série de desafios socioeconômicos que exigem soluções criativas e inovadoras. É comprovado que a combinação de recursos entre setores para estabelecer os determinantes social, econômico e ambiental da saúde são uma estratégia útil para melhorar a saúde da população, principalmente a sua saúde mental.
Este estudo, o primeiro do seu tipo em Santa Lúcia, procurou examinar até que ponto a disponibilidade de uma política nacional de saúde mental levou a ação intersetorial para o fornecimento de serviços e promoção da saúde mental. Além disso, o estudo examinou o nível de colaboração intersetorial que existe entre as agências que prestam cuidados diretos e serviços de suporte para pessoas com doenças mentais e problemas sérios de saúde mental. O estudo também teve como objetivo identificar os fatores que promovem ou dificultam a colaboração intersectorial e gerar recomendações que possam ser aplicadas para países muito pequenos e com perfis socioeconômicos semelhantes.
Os dados gerados a partir de três (3) fontes foram sintetizados para formar uma visão ampla das questões. Uma avaliação da política de saúde mental de 2007, uma avaliação que identifica até que ponto a ação intersetorial atualmente deixa a prestação de serviços de saúde mental e a administração de entrevistas semiestruturadas nas mãos de gestores do programa de diferentes agências em todos os setores.
O estudo concluiu que, apesar da disponibilidade de uma política de saúde mental, que articula clara e explicitamente a colaboração intersetorial como área prioritária para ação, quase não existe no sistema de fornecimento atual do serviço. Os provedores de serviços em todos os setores reconhecem que há os benefícios da colaboração intersectorial e com entraves significativos em relação à colaboração intersetorial, que por sua vez, impede uma abordagem nacional para o planejamento e o fornecimento do serviço. A colaboração intersetorial não será possível se os próprios setores dependerem da abordagem direta do setor da saúde ou se a atmosfera geral for ofuscada pela estigmatização das doenças mentais.------------------------------------------------------------------------ABSTRACT: Saint Lucia a small island developing country with limited resources, is faced with a number of socio-economic challenges which require creative and innovative solutions to address. Combining resources across sectors to address the social, economic and environmental determinants of health has proven to be a useful strategy for improving population health in particular mental health.
This study, the first of its kind for Saint Lucia sought to examine the extent to which the availability of a national mental health policy led to intersectoral action for mental health promotion and service delivery. In addition the study examined the level of intersectoral collaboration which actually exist between agencies which provide direct care and support services to people with mental illnesses and significant mental health problems. The study also aimed to identify the factors which promote or hinder intersectoral collaboration and generate recommendations which can be applied to extremely small countries with similar socio-economic profiles.
Data generated from three (3) sources was synthesized to form a broad picture of the issues. An evaluation of the mental health policy of 2007, an assessment of the extent to which intersectoral action currently exist in mental health service delivery and the administration of semi-structured interviews with program managers from different agencies across sectors to identify implementation issues.
The study concluded that despite the availability of a mental health policy which clearly and explicitly articulates intersectoral collaboration as a priority area for action, very little exists in the current service delivery system. Services providers across sectors acknowledge the benefits of intersectoral collaboration and that there are significant barriers to intersectoral collaboration, which in turn hinders a national approach to service planning and delivery. Intersectoral collaboration is not possible if sectors themselves are dependent on a top-down health sector driven and dominated approach, or if the general atmosphere is clouded by stigmatization of mental health illnesses.
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Karam, Jessie. "Understanding the Intersectoral Collaboration of Rural Community Health Workers and Teachers: The Example of Addressing Violence against Women and Girls in Vulindlela, South Africa." Thèse, 2012. http://hdl.handle.net/1866/8736.
Full textAbstract:
Objectifs: Cette étude a documenté la collaboration intersectorielle entre les
agents de santé communautaires (ASC) et les enseignants visant à combattre la
violence à l’égard des femmes et des filles à Vulindlela, une communauté rurale
Sud-Africaine. La collaboration entre ces acteurs, les facteurs qui influencent leur
collaboration et les avenues possibles pour une amélioration de cette
collaboration ont été explorés.
Méthodes: Six ASC et cinq enseignants ont pris part à cette recherche
participative qui a inclut l'utilisation du dessin comme méthodologie visuelle. La
collecte de données a été réalisée en quatre phases, avec un total de huit
entretiens de groupes. La stratégie d’analyse principale a inclus une approche
dirigée du contenu narratif et une approche de comparaison constante.
Résultats: Le système de collaboration entre les enseignants et les ASC manque
de définition et ces acteurs ne peuvent donc en faire l’utilisation. Par conséquent
la collaboration actuelle entre ces acteurs a été jugée peu développé, impromptue
et informelle. De nombreuses contraintes à la collaboration ont été identifiées, y
compris le manque de motivation de la part des enseignants, la nature des
relations entre les acteurs, et la capacité individuelle limitée des ASC.
Conclusion: Compte tenu des nombreuses contraintes à la collaboration entre ces
ASC et les enseignants, il n'est pas évident que cette collaboration conduira aux
résultats espérés. Dans l'absence de motivation suffisante et d’une prise de
conscience réaliste des défis par les acteurs eux-mêmes, les initiatives externes
pour améliorer la collaboration sont peu susceptibles de succès.Objectives: This study had for objective to document intersectoral collaboration (ISC) between community health workers (CHWs) and teachers aimed at addressing violence against women and girls (VAW/G) in Vulindlela, a rural South African community. The current collaborative paths bringing CHWs and teachers together, the factors that influence their collaboration and potential avenues for future improvement of this collaborative were explored. Methods: A total of six CHWs and five teachers took part in this participatory research which included the use of drawing as a visual methodology. Data collection was divided into four phases and included a total of eight group interviews. The analysis of group interviews utilized a directed approach to narrative data analysis, and a constant comparative approach was used in the analysis of the participants` drawings. Results: There are no well-defined collaborative systems that CHWs and teachers are able to make use of. Consequently teacher-CHW collaboration was found to be poorly developed, unplanned and informal. Numerous barriers were identified as impeding collaboration including the teachers’ lack of motivation to collaborate, the nature of the relationships between these groups of actors and the CHWs’ overall lack of individual capacity. Conclusion: Given the numerous challenges facing collaboration between these CHWs and teacher, it is not clear that such collaboration would necessarily lead to effective outcomes. In the absence of sufficient motivation and a realistic awareness of the challenges from the actors themselves, external initiatives to foster collaboration are unlikely to be successful.
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Demesier, Katia. "Les rôles et les responsabilités du secteur de la santé dans une concertation intersectorielle locale pour une communauté plus en santé : une étude de cas de la table de Concertation Enfance Famille de Saint-Michel." Thèse, 2018. http://hdl.handle.net/1866/21398.
Full text
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Sumembayeva, Alima. "Spolupůsobení státu, trhu a občanského sektoru v procesu rozvoje sociální odpovědnosti firem v Kazachstánu v porovnání s praxí v EU." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-313374.
Full textAbstract:
This master thesis investigates the subject of Corporate Social Responsibility (CSR) in Kazakhstan and selected states of European Union (EU). Successful implementation of CSR depends on a number of factors influencing it. Firstly, CSR is regarded as a part of market strategic decision making. Thus, there should be certain level of awareness about CSR on this particular market. Secondly, CSR is highly dependent on the states' public policies and activities of civic sector organizations (CSOs). In this thesis I examine the interaction of the state, the market and civic sector in influencing and creating conditions for the development of CSR in Kazakhstan. One chapter is dedicated to CSR in Kazakhstan's oil and gas sector. This thesis also investigates and compares major differences regarding CSR in Kazakhstan and selected EU states. The aim of this thesis is to present current situation of CSR development in Kazakhstan and formulate recommendations for the successful development of CSR in this country.
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Mota, Rita Isabel dos Santos. "Adolescer com saúde." Master's thesis, 2011. http://hdl.handle.net/10400.14/8898.
Full textAbstract:
O presente Relatório reflecte o percurso desenvolvido durante os três módulos de estágio
realizados na Unidade de Saúde Familiar (USF) do Forte da Casa, tendo por base o
diagnóstico de situação da saúde de uma comunidade e a implementação de um projecto de
intervenção.
Os projectos desenvolvidos inserem-se no âmbito da Promoção da Saúde e Prevenção de
comportamentos de risco na adolescência. Os adolescentes são considerados
internacionalmente, como um grupo que vivencia grandes mudanças a nível físico, psicológico,
familiar e social sendo susceptíveis ao desenvolvimento de comportamentos de risco que se
poderão perpetuar no futuro. È com este argumento, que se torna fundamental uma
intervenção multissectorial, concertada entre os profissionais dos vários contextos em que os
adolescentes se inserem, nomeadamente no contexto escolar onde estes passam muito do seu
tempo.
O primeiro e segundo módulos de estágio centraram-se concretamente na prevenção da
violência no namoro na Escola Secundária do Forte da Casa, tendo como principais objectivos
o desenvolvimento de competências de um grupo de alunos para a formação dos pares,
relativamente á problemática da violência no namoro e o envolvimento dos profissionais da
escola no projecto implementado. Para isso, foram desenvolvidas várias actividades,
nomeadamente reuniões com vários profissionais da equipa multidisciplinar, sessões de
formação aos alunos participantes no projecto, elaboração de cartazes, entre outros.
Relativamente ao terceiro módulo de estágio, a intervenção centrou-se no planeamento e
estruturação de uma consulta de adolescentes, adequada à metodologia de funcionamento da
USF do Forte da Casa. Assim, foram realizadas várias actividades das quais se destacam,
entrevistas semidirigidas a informadores-chave, estágio de observação participante no Centro
de Atendimento a Adolescentes Aparece, reuniões periódicas com a equipa de Enfermagem
da USF e elaboração de documentos orientadores da consulta de adolescentes. As actividades
executadas ao longo dos três módulos de estágio permitirão futuramente, uma continuidade
dos projectos implementados e uma articulação efectiva entre os profissionais da escola e os
da USF do Forte da Casa.
Este relatório retrata o papel do Enfermeiro Especialista em Enfermagem de Saúde
Comunitária, que através das suas competências específicas, adequa as práticas, aplica um
Planeamento em Saúde eficaz, mobiliza os recursos comunitários e as equipas, na busca da
excelência nos cuidados de Enfermagem prestados e de ganhos de saúde da comunidade.The present report charts the course of the three internship modules carried out in the Family Health Unit (USF) in Forte da Casa. It is based on the diagnosis of the health situation of a community and the implementation of a health intervention project. The project which were developed, fall within the Promotion of Health and the Prevention of risk behavior in adolescence. Internationally, adolescents are regarded as a group which undergoes great changes in the physical, psychological, family and social spheres. As such, they are prone to developing risk behavior which may well continue into the future. It is, thus, necessary that there be concerted, multi-sector intervention by professionals from the various areas connected with adolescents, namely, in school where they spend much of their time. The first two internship modules focus on the prevention of violence among courting couples in Forte da Casa Secondary School. The main aim was to develop the competences of a group of pupils in training their peers regarding the problems of violence among courting couples and the involvement of school professionals in the project. To this end, activities were organized, namely, meetings with various professionals from the multi-disciplinary team, training sessions for the students involved in the project, the making of posters, among others. As regards the third internship module, intervention focused on the planning and structuring of the consultation of adolescents. This was adapted to the working methodology of the USF Forte da Casa. Thus, among the several activities that took place, the following may be highlighted: informal interviews with key informers, placement as an active observer in the Centro de Atendimento de Adolescentes Aparece (Adolescent Help Centre- Aparece), regular meetings with the USF nursing staff and the creation of guidelines resulting from the consultation of adolescents. The activities which were organized throughout the three internship modules, will enable the projects implemented to continue and will permit effective collaboration between the staff of the school and of the USF in the Forte da Casa. This report describes the role of the Specialist Nurse in Community Health Nursing. This Specialist, through the use of specific competences, adapts practice, applies effective Health Planning, mobilizes community resources and teams to achieve excellence in Nursing care, with a view to improving the health of a community.