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Needs Assessment (need + assessment)
Selected AbstractsThe needs of carers of patients with anorexia and bulimia nervosaEUROPEAN EATING DISORDERS REVIEW, Issue 1 2008Holmer Graap Abstract Objective This study aims to assess the degree of distress and the need for support of carers of patients with anorexia and bulimia nervosa (BN). Methods Thirty-two carers filled out the General Health Questionnaire (GHQ-12) and the Burden Inventory (BI). In addition, they were interviewed with a semi-structured research interview, the Carers' Needs Assessment (CNA), to assess relevant problem areas as well as the needs for helpful interventions. Patients were interviewed with the Eating Disorder Examination (EDE) to assess the severity of the eating disorder. All patients met criteria for anorexia (n,=,16) or BN (n,=,16) according to DSM-IV criteria. Results The mean duration of illness was 5.6 years. The mean age of the carers was 41 years. Most of the carers were mothers or partners. In the CNA we found high numbers of problems as well as high numbers of needed interventions. The most frequently mentioned problem area was ,disappointment caused by the chronic course of the illness, concerns about the patient's future' and the most frequently reported need for support was ,counselling and support by a professional'. In three problem areas carers of persons suffering from anorexia nervosa (AN) reported significantly higher scores than carers of persons suffering from BN. Conclusions Our results suggest that carers themselves have high levels of needs which are usually not addressed in clinical practice. Copyright © 2007 John Wiley & Sons, Ltd and Eating Disorders Association. [source] FROM INFANTS TO ADOLESCENTS A Developmental Approach to Parenting PlansFAMILY COURT REVIEW, Issue 2 2000Risa J. Garon Divorce and the resultant process of child custody decision making impact heavily on the lives of children. Increasingly, parents and professionals have realized the importance of encouraging shared responsibility in child rearing following separation and divorce. This shared responsibility must continue throughout a child's life and into young adulthood. This article introduces a comprehensive child-and family-focused model of decision making. The goal of this model is to assist professionals in their work with parents and to help parents formulate parenting plans that reflect the ever-changing developmental needs of each child and that specify how each parent will meet the particular needs of each child in the family. Through the use of educational parenting seminars and the completion of a Needs Assessment for each child, flexible parenting plans are created and positive co-parenting skills develop. [source] Development and Validation of the Headache Needs Assessment (HANA) SurveyHEADACHE, Issue 4 2001Joyce A. Cramer BS Objective.,To develop and validate a brief survey of migraine-related quality-of-life issues. The Headache Needs Assessment (HANA) questionnaire was designed to assess two dimensions of the chronic impact of migraine (frequency and bothersomeness). Methods.,Seven issues related to living with migraine were posed as ratings of frequency and bothersomeness. Validation studies were performed in a Web-based survey, a clinical trial responsiveness population, and a retest reliability population. Headache characteristics (eg, frequency, severity, and treatment), demographic information, and the Headache Disability Inventory were used for external validation. Results.,The HANA was completed in full by 994 adults in the Web survey, with a mean total score of 77.98 ± 40.49 (range, 7 to 175). There were no floor or ceiling effects. The HANA met the standards for validity with internal consistency reliability (Cronbach , = .92, eigenvalue for the single factor = 4.8, and test-retest reliability = 0.77). External validity showed a high correlation between HANA and Headache Disability Inventory total scores (0.73, P<.0001), and high correlations with disease and treatment characteristics. Conclusions.,These data demonstrate the psychometric properties of the HANA. The brief questionnaire may be a useful screening tool to evaluate the impact of migraine on individuals. The two-dimensional approach to patient-reported quality of life allows individuals to weight the impact of both frequency and bothersomeness of chronic migraines on multiple aspects of daily life. [source] An Educational Needs Assessment of Pennsylvania Workforce: Opportunities to Redefine Secondary Career and Technical Education to Meet Food Industry NeedsJOURNAL OF FOOD SCIENCE EDUCATION, Issue 2 2006Larry Napoleon ABSTRACT: This article describes the outcomes of a needs assessment concerning current training needs and performance targets for non-degreed employees in the food industry. Focus groups were used to gather data from 5 food-processing companies: a fresh vegetable company, a canned vegetable company, 2 snack food companies, and a meat company. Focus group participants consisted of 1 senior-level manager each from human resource, production, quality assurance, purchasing, and product development departments within each company. The needs assessment identified 4 major themes that employers indicated as beneficial knowledge and skills for employees to possess: safety training, knowledge of food and production systems, learning and applying mathematical skills, and professional conduct. The authors anticipate that the knowledge of industry needs, with respect to the desired incoming workforce competencies and knowledge, will facilitate the development of integrated curriculum modules for secondary career and technical education programs (high school grades). These integrated curriculum modules will address the growing needs of the food industry and facilitate the development of employment skills required to function and prosper in the new global economy. [source] Needs assessment in dementiaINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2005A. M. Meaney Abstract Background Resource allocation and service development traditionally focuses on diagnostic categories and consequent perceived need. Identification of the actual level of need in the elderly with dementia, and the degree to which it is unmet is necessary to plan services both individually and as a group. The aim of this study was to characterise the needs of a sample of community dwelling elderly patients with dementia who were referred to an old age psychiatry service in Ireland between July 2002 and July 2003. Methodology Eighty-two consecutively referred community dwelling patients with ICD-10 diagnosis of dementia were assessed on The Care Needs Assessment Pack for Dementia (CareNap-D). Data on needs across seven domains (health and mobility, self-care and toileting, social interaction, thinking and memory, behaviour and mental state, housecare, community living) is presented (Reynolds T et al., 1998). Results Subjects had a mean of 33 (range: 13,56) identified needs. Approximately 1/3 of these were unmet with a mean of 13 (range: 0,37) and a mean of 20 (range: 4,39) were met. High levels of unmet need was identified in the domains of behaviour and mental state (84% of those with agitation) and of social interaction (79% of those with ,partaking in activities' need). The specific item of repetitive questioning occurred in 68 individuals and was unmet in 88% of these cases. Increasing age, lower MMSE score, and living alone were associated with greater total levels of unmet need. Conclusion This data underlines the degree of unmet need in the community dwelling elderly with dementia and the importance of developing a spectrum of services on the basis of the actual needs identified. Copyright © 2005 John Wiley & Sons, Ltd. [source] Needs assessment of university leadership programsJOURNAL OF LEADERSHIP STUDIES, Issue 1 2010A segmentation approach Although research indicates that university leadership programs can offer students many extremely valuable outcomes, the overall effectiveness of these programs is highly dependent on their abilty to attract student participants. This study addresses this issue by employing maximum difference scaling (MDS) analysis to determine the needs and preferences of university students with regard to participating in university leadership activities. From this data, four distinct need-based segments of students are identified and discussed: socializers, leaders, self-improvers, and job seekers. Suggested strategies are presented to increase particpation within each segment by focusing leadership programs on delivery of those outcomes most desired by each segment. [source] Needs assessment of runaway females in Iran from an occupational therapy perspectiveOCCUPATIONAL THERAPY INTERNATIONAL, Issue 4 2008Maryam Malekpour Abstract The purpose of this descriptive study was to assess, from an occupational therapy perspective, the occupational performance needs of runaway females between 15 and 33 years old, residing in the state-run shelters in Mashhad, Iran. The inclusion criteria were: (1) participants who were 15 years old or above; (2) participants who resided in one of the state-run shelters in Mashhad; and (3) participants who could read, comprehend and write in Farsi. A written survey was completed by 44 runaway females (response rate: 36.6%). The findings revealed the occupational needs of this population to be as follows: vocational needs to find a meaningful job, emotional needs to manage depression and hopelessness, social participation needs to manage family and peer/friend relationships and peer interactions with the opposite sex to find an appropriate mate and educational needs to continue their education. Participants were from one area of Iran, so the results of the study cannot be generalized to runaway females residing in shelters in other areas of the country. Future research could include a qualitative design to explore more in-depth needs of this population. Also, a larger population of runaway females nationwide should be included in a study to increase generalizability. Copyright © 2008 John Wiley & Sons, Ltd. [source] Needs assessment of family caregivers of cancer survivors: three cohorts comparison,PSYCHO-ONCOLOGY, Issue 6 2010Youngmee Kim Abstract Purpose/Background: Caregivers' quality of life (QOL) may be maximized when the caregivers' needs in the context of cancer care are met. Therefore, determining what needs are not being satisfied for family caregivers should be the first step in the development of programs designed to enhance caregivers' QOL. Method: The 28-item Needs Assessment of Family Caregivers-Cancer (NAFC-C) scale was developed and validated with caregivers at three different survivorship phases: at 2 months (n=162), 2 years (n=896), and 5 years (n=608) post-diagnosis. Results: The NAFC-C helped to identify caregivers whose needs were less likely to be met, based on their age and ethnicity. Furthermore, the extent to which caregivers' psychosocial needs were not being met was a consistent and strong predictor of poor mental health across all phases of survivorship, beyond the effects of a host of demographic characteristics. Conclusion: Findings suggest that interventions designed to help caregivers manage their own emotional distress as well as the survivors' distress, find meaning in the cancer caregiving experience, and foster supportive familial relationship will benefit caregivers by improving their QOL, not only during the time of diagnosis and treatment but years after. Copyright © 2009 John Wiley & Sons, Ltd. [source] Public service responsiveness to users' demands and needs: theory, practice and primary healthcare in EnglandPUBLIC ADMINISTRATION, Issue 3 2002Rod Sheaff Analyses and policy statements about publicly funded services frequently distinguish ,demands' from ,needs'. The distinction has been challenged, calling into question the coherence of formulating welfare policy and evaluating public services in terms of needs. This paper explicates the conceptual distinction between demands and needs in terms of derived demand and information asymmetry. ,Needs' can be defined as ,rational demands', where ,rational' means ,consistent and evidence,based', and ,demands' as ,desires' rather than ,effective (i.e. economic) demand'. On that basis, practical demand management in needs,based public services would require: 1. Knowledge of users' demands for services; 2. Content analyses of users' demands to identify any misinformed demands; 3. Conversion of any misinformed demands into evidence,based specifications of needs; 4. Formulating coherent, evidence,based demands on behalf of users who cannot to do so themselves. A study of English NHS Primary Care Groups explores the problems which authorities responsible for publicly funded services face in undertaking these activities. Demand management receives low priority in terms of the incentives and intellectual resources applied to it. Needs assessment has higher priority but is regarded as a branch of evidence,based professional practice, controlled by professionals rather than responsive to users. This separation tends to defeat the purposes of needs,based public services. [source] The Diabetes UK Mozambique Twinning Programme.DIABETIC MEDICINE, Issue 8 2010Results of improvements in diabetes care in Mozambique: a reassessment 6 years later using the Rapid Assessment Protocol for Insulin Access Diabet. Med. 27, 855,861 (2010) Abstract Objective, To assess improvements in diabetes care in Mozambique between 2003 and 2009 following the implementation of the Diabetes UK Twinning Programme. Methods, As in 2003, a Rapid Assessment Protocol was implemented from August to September 2009 in order to assess the improvements in diabetes care and impact of the Diabetes UK Twinning Programme. One hundred and eighty-four interviews were carried out at different levels of the health system in different areas of Mozambique. Results, The Diabetes UK Twinning Programme in Mozambique allowed the development of the first comprehensive non-communicable disease plan in sub-Saharan Africa. The other main improvements include a strengthening of the diabetes association with an 8-fold increase in membership, 265 health workers trained in diabetes care in all provinces, the development of patient education materials inspired by some Diabetes UK tools and the expansion of public awareness, particularly from events associated with World Diabetes Day. Conclusions, Much progress has been made in Mozambique with regard to diabetes and non-communicable diseases. Besides the direct impact of specific activities supported by Diabetes UK, this project allowed for ,collateral' benefits in the overall provision of diabetes care. As diabetes and non-communicable diseases have a low profile on the global health agenda, twinning partnerships based on rigorous needs assessment have the capacity to make significant improvements in diabetes care at a relatively low level of investment. Moreover, this study suggests that the tool used might be of value in assessing progress in health system strengthening as well as in conducting the initial needs assessment. [source] One size does not fit all: how the tobacco industry has altered cigarette design to target consumer groups with specific psychological and psychosocial needsADDICTION, Issue 11 2003Benjamin Lê Cook ABSTRACT Aims To identify whether the tobacco industry has targeted cigarette product design towards individuals with varying psychological/psychosocial needs. Design Internal industry documents were identified through searches of an online archival document research tool database using relevancy criteria of consumer segmentation and needs assessment. Findings The industry segmented consumer markets based on psychological needs (stress relief, behavioral arousal, performance enhancement, obesity reduction) and psychosocial needs (social acceptance, personal image). Associations between these segments and smoking behaviors, brand and design preferences were used to create cigarette brands targeting individuals with these needs. Conclusions Cigarette brands created to address the psychological/psychosocial needs of smokers may increase the likelihood of smoking initiation and addiction. Awareness of targeted product development will improve smoking cessation and prevention efforts. [source] Research use and support needs, and research activity in social care: a cross-sectional survey in two councils with social services responsibilities in the UKHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2008Cooke Jo BNurs MA RGN HV cert NDN Abstract The purpose of this study was to investigate the level of research activity, research use, research interests and research skills in the social care workforce in two UK councils with social service responsibilities (CSSRs). A cross-sectional survey was conducted of the social care workforce in two CSSRs (n = 1512) in 2005. The sample was identified in partnership with the councils, and included employees with professional qualifications (social workers and occupational therapists); staff who have a role to assess, plan and monitor care; service managers; commissioners of services; and those involved with social care policy, information management and training. The survey achieved a response rate of 24% (n = 368). The Internet was reported as an effective source of research information; conversely, research-based guidelines were reported to have a low impact on practice. Significant differences were found in research use, by work location, and postgraduate training. Most respondents saw research as useful for practice (69%), and wanted to collaborate in research (68%), but only 11% were planning to do research within the next 12 months. Having a master's degree was associated with a greater desire to lead or collaborate in research. A range of research training needs, and the preferred modes of delivery were identified. Support to increase research activity includes protected time and mentorship. The study concludes that a range of mechanisms to make research available for the social care workforce needs to be in place to support evidence-informed practice. Continual professional development to a postgraduate level supports the use and production of evidence in the social care workforce, and promotes the development of a research culture. The term research is used to include service user consultations, needs assessment and service evaluation. The findings highlight a relatively large body of the social care workforce willing to collaborate and conduct research. Councils and research support systems need to be developed to utilise this relatively untapped potential. [source] The need for venovenous bypass in liver transplantationHPB, Issue 3 2008Hamidreza Fonouni Abstract Since introduction of the conventional liver transplantation (CLTx) by Starzl, which was based on the resection of recipient inferior vena cava (IVC) along the liver, the procedure has undergone several refinements. Successful use of venovenous bypass (VVB) was first introduced by Shaw et al., although in recent decades there has been controversy regarding the routine use of VVB during CLTx. With development of piggyback liver transplantation (PLTx), the use of caval clamping and VVB is avoided, leading to fewer complications related to VVB. However, some authors still advocate VVB in PLTx. The great diversity among centers in their use of VVB during CLTx, or even along the PLTx technique, has led to confusion regarding the indication setting for VVB. For this reason, we present an overview of the use of VVB in CLTx, the target of patients for whom VVB could be beneficial, and the needs assessment of VVB for patients undergoing PLTx. Recent studies have shown that with the advancement of surgical skills, refinement of surgical techniques, and improvements in anesthesiology, there are only limited indications for doing CLTx with VVB routinely. PLTx with preservation of IVC can be performed in almost all primary transplants and in the majority of re-transplantations without the need for VVB. Nevertheless, in a few selective cases with severe intra-operative hemodynamic instability, or with a failed test of transient IVC occlusion, the application of VVB is still justifiable. These indications should be judged intra-operatively and the decision is based on each center's preference. [source] Reactions to skill assessment: The forgotten factor in explaining motivation to learnHUMAN RESOURCE DEVELOPMENT QUARTERLY, Issue 1 2007Bradford S. Bell The study presented here examined the effects of trainees' reactions to skill assessment on their motivation to learn. A model was developed that suggests that two dimensions of trainees' assessment reactions, distributive justice and utility, influence training motivation and overall training effectiveness. The model was tested using a sample of individuals (N = 113) enrolled in a truck driving training program. Results revealed that trainees who perceived higher levels of distributive justice and utility had higher motivation to learn. Training motivation was found to significantly predict several measures of training effectiveness. Trainees' performance on the pretraining assessment and trait goal orientation exhibited direct and interactive effects on their reactions to the skill assessment. Implications of these findings for future research on reactions to skill assessments are identified, along with the practical implications for the design and conduct of training needs assessment. [source] Needs and risks of patients in a state-wide inpatient forensic mental health populationINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 4 2010Ariel Segal ABSTRACT Routine needs assessments have become mandated requirements for public mental health services. However, the appropriateness of these generic health needs assessments to specialist populations remains questionable. This study sought to assess individual needs assessed using a widely used clinician rated assessment (Health of the Nation Outcome Scales-Secure; HoNOS-Secure), a subjective needs assessment that considers both staff and patient perspectives (Camberwell Assessment of Need-Forensic version; CANFOR), and a measure of risk for general criminal recidivism (Level of Service Inventory: Screening Version; LSI:SV) in a secure forensic mental health service. Results revealed significant positive correlations between staff ratings on HoNOS-Secure, CANFOR total needs, and CANFOR met needs scores, but no significant association between CANFOR ratings or HoNOS-Secure ratings and LSI:SV scores. Although patients and staff reported the same number of needs overall according to CANFOR (7.2 vs. 7.5, P > 0.05), patients reported that more of these needs were unmet (3.1 vs. 2.3, P < 0.05). Differences between staff and patient ratings of need suggest that needs assessments should include patient perspectives to facilitate more collaborative and comprehensive care planning. Divergent perspectives between patients and staff may impair patient engagement in treatment and therefore negatively impact on outcome. Service planning issues and opportunities for future research are discussed. [source] A sociodental approach to assessing dental needs of children: concept and modelsINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2006S. GHERUNPONG Summary. Objectives., Traditional normative methods of assessing dental needs do not correspond to current concepts of ,health' and ,need'. Although there is dental research on quality of life, evidence-based practice, and oral behaviours, those concepts are rarely applied to dental needs estimation. Dental needs are usually calculated mainly from clinical data and are likely to be inaccurate. A structured comprehensive method for assessing dental needs is required. The objectives of this study are to develop and test a new sociodental system of needs assessment for overall dental needs of primary schoolchildren. Furthermore, normative and sociodental estimates of need are compared. Design., The study developed a theoretical framework and pathway algorithms of sociodental needs assessment and applied them to assessing overall dental needs. Normative dental needs were assessed using standard normative criteria. The child oral impacts on daily performances (Child-OIDP) was used to assess oral impacts, and a self-administered questionnaire was used to obtain information on demographic variables and oral behaviours. Data were analysed according to the developed algorithms. Setting., A cross-sectional survey in Suphanburi Province, Thailand. Participants., All 1126 children aged 11,12 years in a town. Main results., The sociodental approach was acceptable and not costly. In all, 54·4% had normative need under the dental needs model for life-threatening and progressive conditions, but only 16·6% had high propensity-related need; the remaining 37·8% would require dental health education or oral health promotion (DHE/OHP) or both and appropriately adjusted clinical interventions. Under the basic model of dental needs, 45·1% had normative need. Two-thirds of them (30·9%) had impact-related need and the remaining 14·2% did not have oral impacts and therefore should only receive dental health education. Only one-third of those with impact-related need had high propensity and were suitable for evidence-based conventional treatments; the remaining two-thirds should receive DHE/OHP and alternative clinical interventions. Conclusions., A sociodental system of dental needs assessment was developed and tested on school children. It decreased the estimates of conventionally assessed dental treatment needs and introduced a broader approach to care. [source] Hunger: The Silent Epidemic Among Asylum Seekers and Resettled RefugeesINTERNATIONAL MIGRATION, Issue 1 2008Linda Piwowarczyk Refugees and asylum seekers face challenges after arriving in a host country. They carry the trauma that they may have experienced in their countries of origin, during fight, and in countries of asylum. Other stressors impact on their adjustment after arriving in the United States including basic needs such as food, clothing, and shelter. This is a retrospective review of data collected as part of a needs assessment by a program, which serves survivors of torture and refugee trauma. Asylum seekers (n=65) and refugees were compared (n=30). Asylum seekers were more apt to be from Africa (p<.001), need family reunification (p=.027), speak more languages (p<.001), suffer from political persecution (p<.001), move from place to place due to not having a permanent place to live (p=.031), and be unable to contribute to the rent (p<.001). Unadjusted, asylum seekers were also more likely than refugees to have gone to bed hungry in the previous two weeks (p<.001) or since arriving in the United States (p<.001). Refugees were more likely to be eating more food now than before feeing, and asylum seekers the opposite (p<.001). Being an asylum seeker made one 3.7 times more likely to suffer from food insecurity than being a refugee, and 5.3 times more likely to not have work authorization. Among asylum seekers, adjusting for gender, age, education, lack of permanent housing, English fluency, and self-reported health status, not having work authorization made one 5.6 times more likely to suffer from hunger. Independently, being a torture survivor made one 10.4 times more likely to suffer from hunger. Asylum seekers must wait 150 days before applying for asylum in the United States. For humanitarian reasons, mandatory-waiting periods for work authorization for asylum seekers should be eliminated. Les réfugiés et les demandeurs d'asile se heurtent à différentes diffcultés à leur arrivée dans le pays d'accueil. Ils sont porteurs des traumatismes qu'ils peuvent avoir vécus dans leur pays d'origine, durant leur déplacement ou dans des pays d'asile. D'autres facteurs de stress compliquent encore leur acclimatation sur le territoire des Etats-Unis, parmi lesquels la satisfaction de besoins fondamentaux tels que le gîte, le couvert et l'habillement. La présente étude constitue un examen rétrospectif des données recueillies dans le cadre d'une évaluation des besoins, pour un programme destinéà aider des personnes ayant subi la torture et des réfugiés victimes de traumatismes. Elle établit ainsi une comparaison entre les demandeurs d'asile et les réfugiés. Les demandeurs d'asile sont le plus souvent originaires d'Afrique, en attente de regroupement familial, s'expriment dans plus d'une seule langue, se disent victimes de persécutions politiques, semblent avoir du mal à fixer leur résidence en un point précis et ne pas être en mesure de contribuer au paiement d'un loyer. S'ils n'ont pas encore accompli leur adaptation, ils sont en outre plus susceptibles que les réfugiés de s'être couché le ventre vide au cours des deux semaines précédentes ou depuis leur arrivée aux Etats-Unis. Pour leur part, les réfugiés sont plus susceptibles de manger davantage qu'avant leur départ, au contraire des demandeurs d'asile. Le fait d'être demandeur d'asile signife être 3,7 fois plus exposé qu'un réfugié au risque d'insécurité alimentaire, et 5,3 fois plus à celui de ne pas obtenir une autorisation de travail. Parmi les demandeurs d'asile qui rencontrent des diffcultés d'adaptation liées au sexe, à l'âge, au niveau d'éducation, à l'absence de logement durable, à l'incapacité de communiquer facilement en anglais et à un état de santé défaillant, la non-obtention d'une autorisation de travail fait courir un risque de souffrir de la faim 5,6 fois supérieur. Indépendamment de ce qui précède, une personne ayant subi des actes de torture est 10,4 fois plus susceptible de souffrir de la faim. Aux Etats-Unis, les demandeurs d'asile doivent attendre 150 jours avant de pouvoir déposer une demande d'asile. Pour des raisons humanitaires, les périodes d'attente obligatoire de permis de travail devraient être supprimées pour les demandeurs d'asile. Los refugiados y solicitantes de asilo tienen que hacer frente a toda una serie de retos cuando llegan a un país de acogida. Traen consigo el trauma que han experimentado en sus países de origen, en su huída y en los países de asilo. Otros factores de estrés repercuten en su adaptación tras la llegada en los Estados Unidos, a saber, en necesidades tan elementales como los alimentos, la ropa y el albergue. Este recuento retrospectivo de los datos acopiados forma parte de una evaluación de necesidades de un programa que sirve a los sobrevivientes a torturas y a refugiados traumatizados. En este estudio se compararon solicitantes de asilo (n= 65) con refugiados (n= 30). Los solicitantes de asilo provenían mayormente de África (p<.001), venían por razones de reunifcación familiar (p=.027), fueron objeto de persecución (p<.001), se desplazaron de un lugar a otro sin tener un lugar permanente de residencia (p=.031), y no podían pagar un alquiler (p<.001). Los solicitantes de asilo inadaptados eran mayormente refugiados que habían pasado hambre durante los últimos quince días (p<.001) o desde que llegaron a los Estados Unidos (p<.001). Se observó que los refugiados comían más alimentos que antes de huir, mientras que el fenómeno inverso se produjo con los solicitantes de asilo (p<.001). El solicitante de asilo tenía 3,7 veces más probabilidades de sufrir de inseguridad alimenticia que el refugiado, y tenía 5,3 veces más probabilidades de no contar con un permiso de trabajo. Los solicitantes de asilo, clasifcados por sexo, edad, educación, falta de vivienda permanente, conocimientos de inglés y situación sanitaria autosufciente, que no contaban con autorización de trabajo eran 5,6 veces más propensos a sufrir de la hambruna. Independientemente, el ser un sobreviviente a la tortura hacía que se fuera 10,4 veces más propenso a sufrir de la hambruna. Los solicitantes de asilo tienen que aguardar por lo menos 150 días antes de solicitar el asilo en los Estados Unidos. Por razones humanitarias, convendría suprimir estos periodos de espera obligatorios para que los solicitantes de asilo obtengan permisos de trabajo. [source] An empowerment approach to needs assessment in health visiting practiceJOURNAL OF CLINICAL NURSING, Issue 5 2002ANNA M. HOUSTON BSc ,,This paper examines the usefulness of an integrated approach to needs assessment using an empowerment framework, within a health visitor/client interaction, in the home setting. ,,It is intended to demonstrate the existence of a flexible approach to assessing need that is based on research about necessary processes for carrying out health visiting. ,,The design of the tool described in this paper allows the use of professional judgement as well as fulfilling commissioning requirements to address health outcomes. ,,Health promotion and empowerment are central to health visiting practice and should be reflected in the way needs are assessed. ,,Many NHS trusts have introduced a system of targeting and prioritizing health visiting through a system of questioning to assess needs. This may reveal the work that health visitors do, but may also inhibit the open, listening approach required for client empowerment. ,,Different methods of assessing need can be used that do not compromise the commissioning requirements, the health visitor's duty of care or professional accountability. ,,The empowerment approach is key to the philosophy of health visiting. ,,There are ways of approaching needs assessment that do not compromise the ethos of partnership-working in a health promoting way. [source] ,Someone to talk to who'll listen': addressing the psychosocial needs of children and familiesJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 3 2001Jennifer Attride-Stirling Abstract The paper presents the Lewisham Community Child and Family Service (LCCFS), a community-based intervention providing psychosocial help for children, young people, parents and families. The service is focused on early intervention, prevention and promotion in the improvement of local health. It works under a service framework based on inter-agency collaboration, and a counselling model based on community and interpersonal partnerships, grounded in personal construct theory (Kelly, 1955). The policy demands and local need for accessible and acceptable mental health are discussed, and quantitative and qualitative findings of the needs assessment preceding the establishment of the LCCFS are presented, supporting the need for community mental health provision. The feasibility for the LCCFS to reconcile and meet the policy demands and the needs of parents with respect to child psychosocial help and services are discussed. Copyright © 2001 John Wiley & Sons, Ltd. [source] Support for military families and communitiesJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 2 2007Lisa Tsoi Hoshmand This is a call for community psychologists to engage in research, consultation, and program development and evaluation in supporting military families and communities. Barriers to such involvement are identified and discussed. It is argued that the needs of military families and communities cannot be ignored when military and civilian communities alike are affected by changes in the geopolitical situation and the effects of increased deployment. Examples of previous work related to military families and communities that have implications for policy and practice are presented in relation to concepts and practices in community psychology. Specific research and community approaches are suggested for future needs assessment and program development in enhancing community capacity and family resilience. © 2007 Wiley Periodicals, Inc. [source] An Educational Needs Assessment of Pennsylvania Workforce: Opportunities to Redefine Secondary Career and Technical Education to Meet Food Industry NeedsJOURNAL OF FOOD SCIENCE EDUCATION, Issue 2 2006Larry Napoleon ABSTRACT: This article describes the outcomes of a needs assessment concerning current training needs and performance targets for non-degreed employees in the food industry. Focus groups were used to gather data from 5 food-processing companies: a fresh vegetable company, a canned vegetable company, 2 snack food companies, and a meat company. Focus group participants consisted of 1 senior-level manager each from human resource, production, quality assurance, purchasing, and product development departments within each company. The needs assessment identified 4 major themes that employers indicated as beneficial knowledge and skills for employees to possess: safety training, knowledge of food and production systems, learning and applying mathematical skills, and professional conduct. The authors anticipate that the knowledge of industry needs, with respect to the desired incoming workforce competencies and knowledge, will facilitate the development of integrated curriculum modules for secondary career and technical education programs (high school grades). These integrated curriculum modules will address the growing needs of the food industry and facilitate the development of employment skills required to function and prosper in the new global economy. [source] Professional Development of Nursing in Saudi ArabiaJOURNAL OF NURSING SCHOLARSHIP, Issue 3 2001Gail Tumulty Purpose: To describe the development of nursing in Saudi Arabia and to recommend further directions for development of professional nursing in that country. Organizing Construct: A comprehensive needs assessment was performed in 1996 by an onsite consultant to: (a) evaluate the existing nursing system at the ministry, regional, and hospital levels, (b) describe the functional interrelationships of a nursing division within the Ministry of Health, and (c) prepare a work plan outlining the program elements that a nursing division could address to foster high-quality health care in the public sector. Methods: The needs assessment was conducted through direct observation, interviews, and review of existing documents in the Ministry of Health and representative hospitals, health centers, and health institutes. Data were collected about six factors as they pertained to the Ministry of Health Nursing Services: (a) key organizational and managerial activities, (b) the external environment, (c) the social system, (d) employees, (e) nursing services and research, and (f) formal organizational arrangements. Findings and Conclusions: The data showed a young country and an equally young nursing profession struggling to meet the needs of a growing population. The highest priority for the advancement of nursing in Saudi Arabia is the creation of a kingdom-wide system of nurse regulation. Pressing needs include regulation of professional standards, licensure of all nurses practicing in the Kingdom, accreditation of educational programs, and formation of a national nurses association. [source] A New Diagnosis Grouping System for Child Emergency Department VisitsACADEMIC EMERGENCY MEDICINE, Issue 2 2010Evaline A. Alessandrini MD Abstract Objectives:, A clinically sensible system of grouping diseases is needed for describing pediatric emergency diagnoses for research and reporting. This project aimed to create an International Classification of Diseases (ICD)-based diagnosis grouping system (DGS) for child emergency department (ED) visits that is 1) clinically sensible with regard to how diagnoses are grouped and 2) comprehensive in accounting for nearly all diagnoses (>95%). The second objective was to assess the construct validity of the DGS by examining variation in the frequency of targeted groups of diagnoses within the concepts of season, age, sex, and hospital type. Methods:, A panel of general and pediatric emergency physicians used the nominal group technique and Delphi surveys to create the DGS. The primary data source used to develop the DGS was the Pediatric Emergency Care Applied Research Network (PECARN) Core Data Project (PCDP). Results:, A total of 3,041 ICD-9 codes, accounting for 98.9% of all diagnoses in the PCDP, served as the basis for creation of the DGS. The expert panel developed a DGS framework representing a clinical approach to the diagnosis and treatment of pediatric emergency patients. The resulting DGS has 21 major groups and 77 subgroups and accounts for 96.5% to 99% of diagnoses when applied to three external data sets. Variations in the frequency of targeted groups of diagnoses related to seasonality, age, sex, and site of care confirm construct validity. Conclusions:, The DGS offers a clinically sensible method for describing pediatric ED visits by grouping ICD-9 codes in a consensus-derived classification scheme. This system may be used for research, reporting, needs assessment, and resource planning. ACADEMIC EMERGENCY MEDICINE 2010; 17:204,213 © 2010 by the Society for Academic Emergency Medicine [source] Exploring sexual and relationship possibilities for people with psychosis , a review of the literatureJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2003E. MCCANN msc rmn dippsi (thorn) cert ed This review examines the literature on sex and relationship issues in the context of serious and persistent mental health problems. It identifies gaps in the research and highlights key issues needing further investigation. The available published documents have been identified, which contain information, ideas, data and evidence on the topic. A critical analysis of the subject, through the examination of the various documents, is provided. The main themes that emerged included HIV/AIDS, medication and sexual dysfunction, sexuality needs, intimate relationships, family planning, policies and sex education. Several subthemes are discussed and include needs assessment, stigma and loneliness. The key findings highlight the lack of systematic studies in the UK, especially regarding the subjective views of patients in determining need and the subsequent development of appropriate plans of care. The author argues that future mental health research needs to go beyond investigating perceived ,risky' behaviours and should include potential therapeutic responses in all areas of sexuality. Further recommendations are made in terms of nurse education particularly the inclusion of psychosexual aspects in future pre- and postregistration curricula. This paper may be of interest to service users, mental health practitioners working alongside people with serious and persistent mental health problems as well as educators, researchers and policy makers. [source] Options for Sustaining School-Based Health CentersJOURNAL OF SCHOOL HEALTH, Issue 4 2004Susan M. Swider ABSTRACT: Several methods exist for financing and sustaining operations of school-based health centers (SBHCs). Promising sources of funds include private grants, federal grants, and slate funding. Recently, federal regulation changes mandated that federal funding specifically for SBHCs go only to SBHCs affiliated with a Federally Qualified Health Center (FQHC). Becoming a FQHC allows a SBHC to bill Medicaid at a higher rate, be notified about federal grants, and access the federal drug-pricing program. However, FQHCs must bill for services, including a sliding-fee scale based on ability to pay; develop a governance board with a majority of consumer members; provide a set of designated primary care services; and serve all people regardless of ability to pay. Private grants impose fewer restrictions and usually provide start-up and demonstration funds for specific program needs. Such funds are generally time limited, so new programs need to be incorporated into the operational budget of the center. State funding proves relatively stable, but fiscal challenges in some states made these funds less available. Using a variety of funding sources will enable ongoing provision of health care to students. Overall, SBHCs should consider infrastructure development that allows a variety of funding options, including formalizing existing partnership commitments, engaging in a needs assessment and strategic planning process, developing the infrastructure for FQHC status, and implementing a billing system for client services. [source] Narratives in needs assessment to improve first aid curriculumMEDICAL EDUCATION, Issue 5 2007Giulia Lamiani No abstract is available for this article. [source] A needs-based study and examination skills course improves students' performanceMEDICAL EDUCATION, Issue 5 2003Lutz Beckert Background, Adult learning theory suggests that learning is most effective when related to need, when driven by the learner and when it is flexible. We describe the effect of an educational intervention that was driven by student need, and largely designed by students. Methods, We undertook a needs assessment of fifth year medical students' study needs. Based on this, we helped them design a course to meet these needs. This was predominantly related to study skills and a practice objective structured clinical examination (OSCE). We evaluated the course by asking for student opinion and by measuring the effect on student performance in a high stakes medical school examination (written examination and OSCE). Findings, Despite the course being run voluntarily and in after-hours sessions, 80,90% of the medical student class attended each session. Student performance on the end of year examinations was significantly enhanced in the year of the intervention, compared with previous years and with students from other schools sitting identical examinations in the same year. Interpretation, Learning activities that are directly based on student needs, that focus on study and examination techniques, and that are largely student-driven, result in effective and valuable outcomes. [source] Informational needs assessment of non-Hodgkin lymphoma survivors and their physicians,AMERICAN JOURNAL OF HEMATOLOGY, Issue 7 2010Daphne R. Friedman First page of article [source] A Performance Approach to Job AnalysisPERFORMANCE IMPROVEMENT QUARTERLY, Issue 4 2001Al Folsom ABSTRACT When we think of conducting analyses with a performance view, we commonly lean toward tools like front end analysis, needs assessment, performance analysis, and several variations. Usually, this starts because of a performance problem or because of an anticipated new performance. What about existing training? We look to training evaluation in its various levels to determine whether people like it, learn from it, transfer it, and whether the organization is benefiting from it. This paper describes a scenario where existing training was occurring, people suspected it could be more efficient, and yet the individuals' performance was for the most part satisfactory. We wanted to determine where the training could be made more efficient, determine if there were other barriers to performance, and do this with valid and reliable data from a large workforce. The Coast Guard's Performance Technology Center was in its infancy and was given the permission to try out alternative methods of conducting its work. This article describes the lessons learned about the process, about the technologies employed, and even the logistics of carrying out a rather large-scale effort in minimal time. [source] Decisional needs assessment regarding Down syndrome prenatal testing: a systematic review of the perceptions of women, their partners and health professionalsPRENATAL DIAGNOSIS, Issue 13 2008Sylvie St-Jacques Abstract Objective To identify decisional needs of women, their partners and health professionals regarding prenatal testing for Down syndrome through a systematic review. Methods Articles reporting original data from real clinical situations on sources of difficulty and/or ease in making decisions regarding prenatal testing for Down syndrome were selected. Data were extracted using a taxonomy adapted from the Ottawa Decision-Support Framework and the quality of the studies was assessed using Qualsyst validated tools. Results In all 40 publications covering 32 unique studies were included. The majority concerned women. The most often reported sources of difficulty for decision-making in women were pressure from others, emotions and lack of information; in partners, emotion; in health professionals, lack of information, length of consultation, and personal values. The most important sources of ease were, in women, personal values, understanding and confidence in the medical system; in partners, personal values, information from external sources, and income; in health professionals, peer support and scientific meetings. Conclusion Interventions regarding a decision about prenatal testing for Down syndrome should address many decisional needs, which may indeed vary among the parties involved, whether women, their partners or health professionals. Very little is known about the decisional needs of partners and health professionals. Copyright © 2008 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||||||||||||||