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Health Work (health + work)
Kinds of Health Work Selected AbstractsClinical Responsibility and Client Autonomy: Dilemmas in Mental Health Work at the MarginsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2001Michael Rowe Ph.D. Mental health outreach to homeless persons requires practice standards for cases in which clinical assessment and client autonomy conflict. After reviewing the principles of mental health outreach and presenting case examples, conditions and boundaries within which outreach workers negotiate the clinical responsibility/client autonomy dilemma are discussed. Guidelines to support sound clinical practice while respecting client autonomy are also discussed. [source] The Roles of Contemporary Mexican American Women in Domestic Health WorkPUBLIC HEALTH NURSING, Issue 2 2003Cindy Mendelson Ph.D. Abstract Domestic health work is defined as the day-to-day household activities, which are often invisible, that create the backbone of healthy environments and healthy individuals. This article describes the roles of a sample of contemporary Mexican American women in domestic health work. Using an ethnographic design, 13 moderately to highly acculturated women were interviewed to determine their roles in domestic health work. Women's roles fell into two broad categories: being a parent and caring for the family. The findings from this research highlight the burden and conflict of multiple roles in this sample and provide insight into the processes by which contemporary Mexican American women maintain culturally defined roles that they feel are important. It also addresses the burdens that they feel are culturally unnecessary. This research has significance for nurses working in the context of the community and the household in that it explicates women's roles in domestic health work and points to the need for community-based nurses to be aware of the many voices of Mexican American women. [source] Community mental health nursing: Keeping pace with care delivery?INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 3 2008Julie Henderson ABSTRACT:, The National Mental Health Strategy has been associated with the movement of service delivery into the community, creating greater demand for community services. The literature suggests that the closure of psychiatric beds and earlier discharge from inpatient services, have contributed to an intensification of the workload of community mental health nurses. This paper reports findings from the first stage of an action research project to develop a workload equalization tool for community mental health nurses. The study presents data from focus groups conducted with South Australian community mental health nurses to identify issues that impact upon their workload. Four themes were identified, relating to staffing and workforce issues, clients' characteristics or needs, regional issues, and the impact of the health-care system. The data show that the workload of community mental health nurses is increased by the greater complexity of needs of community mental health clients. Service change has also resulted in poor integration between inpatient and community services and tension between generic case management and specialist roles resulting in nurses undertaking tasks for other case managers. These issues, along with difficulties in recruiting and retaining staff, have led to the intensification of community mental health work and a crisis response to care with less time for targeted interventions. [source] Primary health care practitioners' tools for mental health careJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2004S. HYVÖNEN rn mnsc The purpose of this study was to describe and analyse the content of mental health care from the practitioner's point of view. The specific aim of this paper was to outline the types of mental health care tools and the ways in which they are used by primary health care practitioners. The data were derived from interviews with doctors and nurses (n = 29) working in primary health care in six different health care centres of the Pirkanmaa region in Finland. The data were analysed by using qualitative content analysis. The tools of mental health care used in primary health care were categorized as communicative, ideological, technical and collaborative tools. The interactive tools are either informative, supportive or contextual. The ideological tools consist of patient initiative, acceptance and permissiveness, honesty and genuineness, sense of security and client orientation. The technical tools are actions related to the monitoring of the patient's physical health and medical treatment. The collaborative tools are consultation and family orientation. The primary health care practitioner him/herself is an important tool in mental health care. On the one hand, the practitioner can be categorized as a meta-tool who has control over the other tools. On the other hand, the practitioner him/herself is a tool in the sense that s/he uses his/her personality in the professional context. The professional skills and attitudes of the practitioner have a significant influence on the type of caring the client receives. Compared with previous studies, the present informants from primary health care seemed to use notably versatile tools in mental health work. This observation is important for the implementation and development of mental health practices and education. [source] Beyond Trauma-Focused Psychiatric Epidemiology: Bridging Research and Practice With War-Affected PopulationsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2006Kenneth E. Miller PhD This article examines the centrality of trauma-focused psychiatric epidemiology (TFPE) in research with war-affected populations. The authors question the utility of the dominant focus on posttraumatic stress disorder and other disorders of Western psychiatry, and they identify a set of critical research foci related to mental health work with communities affected by political violence. Core assumptions of TFPE and its roots in logical positivism and the biomedical model of contemporary psychiatry are explored. The authors suggest that an alternative framework,social constructivism,can serve as a bridge between researchers and practitioners by helping to refocus research efforts in ways that are conceptually and methodologically more attuned to the needs of war-affected communities and those working to address their mental health needs. [source] The Best of Public Health Nursing, Circa 1941PUBLIC HEALTH NURSING, Issue 3 2008Sarah E. Abrams ABSTRACT Public health nursing was the term Lillian Wald used to describe the work of nurses whose role it was to address both the immediate impact of sickness and the underlying relationship between poverty, social disadvantage, environmental hazards, and disease. The nature and content of American public health nursing of the 1930s are reflected in exemplars from Marguerite Wales's 1941 book, The Public Health Nurse in Action. Nurses' roles as educators, caregivers, and case managers overcoming barriers emerge from the tales. These vignettes illustrate the organic relationships that existed between nurses and communities. Nurses' understanding of the nature and influence of environmental, psychological and social factors on health behavior was essential to effective public health work. Their stories help us interpret the meaning of nursing at a moment in time. They also reflect the values of the founders of Henry Street Nursing Service and supervisors of public and voluntary agencies throughout the U.S. and Canada who selected and edited them for instructive purposes. Reading collections of such narratives also helps us to appreciate the difficulty of negotiating complex needs, and may provide greater appreciation for the work of our predecessors as well as our own. [source] The Roles of Contemporary Mexican American Women in Domestic Health WorkPUBLIC HEALTH NURSING, Issue 2 2003Cindy Mendelson Ph.D. Abstract Domestic health work is defined as the day-to-day household activities, which are often invisible, that create the backbone of healthy environments and healthy individuals. This article describes the roles of a sample of contemporary Mexican American women in domestic health work. Using an ethnographic design, 13 moderately to highly acculturated women were interviewed to determine their roles in domestic health work. Women's roles fell into two broad categories: being a parent and caring for the family. The findings from this research highlight the burden and conflict of multiple roles in this sample and provide insight into the processes by which contemporary Mexican American women maintain culturally defined roles that they feel are important. It also addresses the burdens that they feel are culturally unnecessary. This research has significance for nurses working in the context of the community and the household in that it explicates women's roles in domestic health work and points to the need for community-based nurses to be aware of the many voices of Mexican American women. [source] Study Designs and Evaluation Models for Emergency Department Public Health ResearchACADEMIC EMERGENCY MEDICINE, Issue 11 2009Kerry B. Broderick MD Abstract Public health research requires sound design and thoughtful consideration of potential biases that may influence the validity of results. It also requires careful implementation of protocols and procedures that are likely to translate from the research environment to actual clinical practice. This article is the product of a breakout session from the 2009 Academic Emergency Medicine consensus conference entitled "Public Health in the ED: Screening, Surveillance, and Intervention" and serves to describe in detail aspects of performing emergency department (ED)-based public health research, while serving as a resource for current and future researchers. In doing so, the authors describe methodologic features of study design, participant selection and retention, and measurements and analyses pertinent to public health research. In addition, a number of recommendations related to research methods and future investigations related to public health work in the ED are provided. Public health investigators are poised to make substantial contributions to this important area of research, but this will only be accomplished by employing sound research methodology in the context of rigorous program evaluation. [source] Public health, private bodyAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 1 2001Dorothy Broom A number of comparatively recent epistemological shifts draw attention to the body, among them developments in social (including feminist) theory and gender studies. In many social science and humanities disciplines, there is now considerable research and debate about notions of embodiment. Yet despite the fact that our subject matter is, ultimately, the life and death of human bodies, public health has remained largely silent on the question of what bodies are and how our public health work, whether academic or applied, is shaped by ideas about embodiment. Consequently, public health notions of the body remain implicit, ambiguous, often contradictory and incoherent. In this discussion, I strive to make explicit what some of our implicit ideas might be, to speculate on why bodies are excluded from most public health discourse, how that exclusion is achieved, and the consequences for public health research and practice. In an active consideration of the fundamental subject matter of public health, I invite attention to where and how greater self-consciousness about embodiment and its consequences might instigate shifts in public health thinking and action. [source] | ||||||||||