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The Perceptions of Palestinian Health Professionals toward Factors Facilitating or Impeding the Prevention of Home Injuries among Young Children: A Qualitative Study 巴勒斯坦卫生专业人员对预防幼儿家庭伤害因素的认知:一项定性研究
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-04-01 DOI: 10.1080/13575279.2021.1895074
Intima Alrimawi, M. Watson, C. Hall, Maha Atout, Nabeel Al-Yateem
ABSTRACT Background Unintentional injuries are a major global health problem that affects children considerably. Such injuries are most common among under-fives and this places a significant burden on healthcare systems, particularly in low- and middle-income countries. In Palestine, there is a paucity of research in this area. Aim To explore health professionals’ perceptions regarding factors affecting the prevention of home injuries to children aged below five in Ramallah. Methods A qualitative approach was adopted, employing semi-structured interviews with 24 health professionals who worked with children in a primary health care setting. Data were analysed using thematic analysis. Results Three types of factors that facilitated or impeded the prevention of home injuries emerged: health professional-related factors, i.e. lack of training, workload, and team collaboration; parent-related factors, i.e. low economic status, lack of awareness, and the mothers’ employment status; and environmental factors, i.e. home size and structure, lack of data, low prioritisation among policymakers, lack of funds, and the political situation. Conclusions The findings of this study suggest that continuous education and specialised training of healthcare professionals is imperative to their pivotal role in increasing the awareness of parents and children about the prevention of home injuries, mainly in healthcare settings with limited resources such as Palestine.
摘要背景意外伤害是一个严重影响儿童健康的全球性问题。这种伤害在五岁以下儿童中最为常见,这给医疗系统带来了巨大负担,尤其是在中低收入国家。在巴勒斯坦,这方面的研究很少。目的探讨卫生专业人员对拉马拉五岁以下儿童家庭伤害预防因素的看法。方法采用定性方法,对24名在初级卫生保健环境中从事儿童工作的卫生专业人员进行半结构化访谈。数据采用专题分析法进行分析。结果出现了三类促进或阻碍家庭伤害预防的因素:卫生专业相关因素,即缺乏培训、工作量和团队协作;与父母有关的因素,即经济地位低、缺乏认识和母亲的就业状况;以及环境因素,即住房规模和结构、缺乏数据、决策者的优先级低、缺乏资金和政治局势。结论这项研究的结果表明,医疗保健专业人员的持续教育和专业培训对于提高父母和儿童对预防家庭伤害的认识至关重要,主要是在巴勒斯坦等资源有限的医疗保健环境中。
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引用次数: 1
The Importance of Assessing the Pre-school Children’s Participation at Home, Preschool and Community Setting 评估学龄前儿童在家庭、学前和社区环境中的参与的重要性
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-04-01 DOI: 10.1080/13575279.2021.1900787
S. Slavković, Sara Pavić, Š. Golubović
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引用次数: 0
Comprehensiveness, Coordination and Continuity in Services Provided to Young Children with Cerebral Palsy and Their Families in Norway 挪威向脑瘫幼儿及其家庭提供的服务的全面性、协调性和连续性
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-29 DOI: 10.1080/13575279.2021.1898934
Runa Kalleson, R. Jahnsen, S. Østensjø
ABSTRACT Background Cerebral palsy (CP) is one of the most common childhood disorders requiring comprehensive and coordinated care over time. This study aimed to add knowledge about health, educational and social services received by children and families throughout early childhood, with special attention on coordination services provided. Methods The study was designed as a prospective longitudinal cohort study utilising data from two CP registers in Norway. Fifty-seven families with children with CP aged 12–57 months with different levels of mobility limitations classified according to the Gross Motor Function Classification System were included. Services were mapped via the parent-reported Habilitation Service questionnaire at least three times. The relationships between mobility limitations and the number of services and type of coordination services were explored using a linear mixed model and Chi Square/Fischer’s exact test. Continuity in the provision of services was explored by identifying interruptions in the longitudinal reports on services received. Results Most of the families received both health, education and social services as well as some types of coordination services. The number and type of services received varied to some extent depending on the children’s mobility limitations. Multidisciplinary team and an individual service plan were widespread coordination services, while having a service coordinator was most common among the families raising a child with severe mobility limitations. Interruptions in the longitudinal reporting of services were frequent, especially in the receiving of coordination services. Conclusion The comprehensiveness of the provided services emphasises the need for coordination services. The relatively low proportion of families provided with a coordinator and the frequent interruptions in the longitudinal reports on services indicate some persistent challenges in the service system.
摘要背景脑瘫是最常见的儿童疾病之一,需要长期的综合协调护理。这项研究旨在增加对儿童和家庭在整个幼儿期所接受的健康、教育和社会服务的了解,并特别关注所提供的协调服务。方法该研究是一项前瞻性纵向队列研究,利用挪威两个CP登记处的数据。根据总运动功能分类系统分类,57个有12-17个月CP儿童的家庭具有不同程度的行动受限。至少三次通过家长报告的适应服务问卷绘制服务地图。使用线性混合模型和卡方/菲舍尔精确检验,探讨了移动性限制与服务数量和协调服务类型之间的关系。通过查明所收到服务的纵向报告中的中断情况,探讨了提供服务的连续性。结果大多数家庭接受了健康、教育和社会服务以及一些类型的协调服务。所接受服务的数量和类型在一定程度上因儿童行动不便而有所不同。多学科团队和个人服务计划是广泛的协调服务,而在抚养行动不便儿童的家庭中,由服务协调员最为常见。服务的纵向报告经常中断,特别是在接受协调服务方面。结论所提供服务的全面性强调了协调服务的必要性。为家庭提供协调员的比例相对较低,而且关于服务的纵向报告经常中断,这表明服务系统中存在一些持续的挑战。
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引用次数: 4
Reimagining Children's Behaviour and Behaviour Management “Otherwise”: A Critical Commentary on the English Early Years Foundation Stage (EYFS) 重塑儿童行为和行为管理“否则”——评英国早期基础阶段(EYFS)
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-23 DOI: 10.1080/13575279.2021.1895075
Sally Hester, Lisa Moran, Eliza Richards
ABSTRACT The paper focuses on the Early Years Foundation Stage (EYFS), which sets standards for children's care, development and education in England from birth to five years old. Analysing the EYFS, as comprised of knowledge and discourses that inform, and are informed by broader cultural understandings of childhood and development, we argue that the way in which the current EYFS (2017) frames young children's behaviour promotes largely instrumental strategies for behaviour management which perpetuate overly static understandings of childhood and children's development and promote neo-liberal ideals that might be said to be detrimental to children's rights and their overall well-being. Importantly, we argue that the EYFS imposes discourses about responsibility for managing one's own behaviour on young children which simultaneously overlook the multidimensionality of children's lives and contradict other aspects of the EYFS and English early years policy. The paper makes suggestions about how the EYFS can be reimagined “otherwise” using the lens of governmentality, exposing power relations and the production of taken-for-granted “truths” about children's realities that appear in contemporary policies.
摘要本文关注的是早期基础阶段(EYFS),该阶段为英国从出生到五岁的儿童护理、发展和教育制定了标准。分析EYFS,它由知识和话语组成,这些知识和话语为儿童和发展提供了信息,并受到更广泛的文化理解的影响,我们认为,当前EYFS(2017)制定幼儿行为的方式在很大程度上促进了行为管理的工具性策略,这种策略使对儿童和儿童发展的理解过于静态,并促进了新自由主义理想,这些理想可能会被说成损害儿童的权利和整体福祉。重要的是,我们认为,EYFS将管理自己行为的责任强加给幼儿,同时忽视了儿童生活的多维性,并与EYFS和英国早期政策的其他方面相矛盾。本文提出了一些建议,即如何利用政府心态的视角“以其他方式”重新构想EYFS,揭露权力关系,以及当代政策中出现的关于儿童现实的理所当然的“真相”。
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引用次数: 0
“We’re Trying so Hard for Outcomes but at the Same Time We’re not Doing Enough”: Barriers to Physical Activity for Australian Young People in Residential Out-of-home Care “我们正在努力取得成果,但同时我们做得还不够”:澳大利亚年轻人在寄宿家庭外护理中的体育活动障碍
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-23 DOI: 10.1080/13575279.2021.1895076
R. Green, Lauren Bruce, Renée O’Donnell, T. Quarmby, K. Hatzikiriakidis, David Strickland, H. Skouteris
ABSTRACT Despite the clear benefits of engaging in regular physical activity (PA), research suggests that young people in Out-of-Home Care (OoHC) are less likely to achieve the recommended levels of PA than their same-aged counterparts in the general community. To date, there has been limited examination of the barriers to PA engagement specific to young people living in residential OoHC. This qualitative study aimed to better understand the barriers and/or challenges to regular PA engagement for young people in residential OoHC. The voice of young people, residential care staff, and key stakeholders in the OoHC sector were included through the use of interviews and focus groups. Three key barriers were identified including: (1) the residential OoHC setting is not conducive to PA; (2) young people require additional support to be physically active; and (3) there are community barriers which impact young people’s engagement in PA. Discussions identified a number of individual barriers or challenges faced by young people, which are impacted or exacerbated by the barriers faced at the system and community level. Findings suggest there is a need for governments, agencies involved in OoHC and community sports and recreation facilities to re-examine current practices and policies and address barriers related to workloads of residential care staff, funding, resource allocations, and capacity to support young people’s participation in PA. The need to take action is urgent and warranted. It is recommended that future intervention approaches develop innovative partnerships—that bring together research, practice, community, and policy resources—to ensure access to PA does not become an equity issue for YP living in residential OoHC.
摘要尽管定期体育活动(PA)有明显的好处,但研究表明,与普通社区中的同龄人相比,接受家庭外护理(OoHC)的年轻人不太可能达到推荐的PA水平。迄今为止,对居住在OoHC住宅区的年轻人参与PA的障碍的研究有限。这项定性研究旨在更好地了解居住在OoHC的年轻人定期参与PA的障碍和/或挑战。通过访谈和焦点小组,纳入了OoHC部门年轻人、住院护理人员和主要利益相关者的声音。确定了三个关键障碍,包括:(1)住宅OoHC设置不利于PA;(2) 年轻人需要额外的支持才能进行体育活动;以及(3)存在影响年轻人参与PA的社区障碍。讨论确定了年轻人面临的一些个人障碍或挑战,这些障碍或挑战因系统和社区层面的障碍而受到影响或加剧。调查结果表明,政府、参与OoHC的机构以及社区体育和娱乐设施有必要重新审查当前的做法和政策,并解决与住宿护理人员工作量、资金、资源分配和支持年轻人参与PA的能力有关的障碍。采取行动的必要性是紧迫的。建议未来的干预方法发展创新的伙伴关系,将研究、实践、社区和政策资源结合起来,以确保获得PA不会成为居住在OoHC住宅区的YP的公平问题。
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引用次数: 5
Relationship between Gender, Physical Activity, Screen Time, Body Mass Index and Wellbeing in Irish Children from Social-Disadvantage 性别、身体活动、屏幕时间、体重指数与爱尔兰社会弱势儿童幸福感的关系
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-12 DOI: 10.1080/13575279.2021.1887815
Wesley O’Brien, S. Belton, Ben Fitzpatrick, S. Shannon, Deirdre Brennan, F. Chambers, Karol O’Donovan, G. Breslin
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引用次数: 8
Family-Centred Care and the Expectancy-Value Theory: Luxury or Necessity 以家庭为中心的护理与期望价值理论:奢侈品还是必需品
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-12 DOI: 10.1080/13575279.2021.1887816
M. Al-Motlaq
ABSTRACT As a popular tenant underpinning paediatric health service provision, the ability of health professionals to achieve Family-Centred Care (FCC) is often questioned. A major factor has been the judgmental attitudes and behaviour of health professionals. According to expectancy-value theory, individuals’ behavioural decisions are based on their attitudes and beliefs. In this sense, this study assessed the hypothesis: when necessity beliefs (beliefs and attitudes) rise, the actual implementation of FCC components (behavioural decisions) will improve. Using a correlation design, the study measured staff perceived self-reported implementation of FCC in their practice and their necessity beliefs of its core components using a modified questionnaire. Outcomes of 65 questionnaires revealed an overall mean of self reported implementation of 2.37/5.0 (SD = 0.57) and an overall mean of necessity beliefs of 3.06/5.0 (SD = 1.04). A significant moderate correlation (Spearman's rho (64) = −0.4, p < 0.001) indicated that professionals better practiced FCC components they favourably perceived necessary. It is recommended that policymakers should focus on changing attitudes of professionals towards FCC elements. The outcomes suggest that education that positively influences the attitudes and beliefs of health professionals may facilitate the involvement of families, and subsequently, better health outcomes for children.
摘要:作为儿科医疗服务的热门租户,卫生专业人员实现以家庭为中心的护理(FCC)的能力经常受到质疑。一个主要因素是卫生专业人员的评判态度和行为。根据期望值理论,个人的行为决定是基于他们的态度和信仰。从这个意义上说,这项研究评估了这一假设:当必要性信念(信念和态度)上升时,FCC组成部分(行为决策)的实际实施将得到改善。使用相关性设计,该研究使用修改后的问卷测量了员工在实践中自我报告的FCC实施情况,以及他们对其核心组成部分的必要性信念。65份问卷的结果显示,自我报告实施的总体平均值为2.37/5.0(SD = 0.57),必要性信念的总体平均值为3.06/5.0(SD = 1.04)。显著的中度相关性(Spearman’s rho(64) = −0.4,p < 0.001)表明专业人员更好地实践了他们有利地认为必要的FCC部件。建议政策制定者将重点放在改变专业人士对FCC要素的态度上。研究结果表明,对卫生专业人员的态度和信念产生积极影响的教育可能有助于家庭的参与,从而为儿童带来更好的健康结果。
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引用次数: 2
Parental Childhood Feeding Experiences and Complementary Feeding Practices in Urban Households of Nigeria 尼日利亚城市家庭的父母童年喂养经验和补充喂养做法
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-03-12 DOI: 10.1080/13575279.2021.1891861
U. V. Ukoji, O. Fayehun
ABSTRACT Background Poor complementary feeding practices can expose young children to increased burdens of undernutrition, morbidity, and poor health outcomes in adulthood. Parents and caregivers, who feed the children, are shaped by socio-cultural beliefs and pervasive socioeconomic realities. Also, parental values are influenced by their perceptions and childhood feeding experiences among others. This study, therefore, explored the role of parental childhood feeding experiences and changing socioeconomic realities on complementary feeding practices in urban households of Aba, Nigeria. Method Twenty-eight in-depth interviews and eight focus group discussions were held with parents of young children aged 6–23 months attending postnatal care clinics in selected healthcare facilities in Aba city, Nigeria. Aba city is one of the sprawling urban centers in South-East Nigeria. Data were thematically analyzed using Atlas.ti software. Results Complementary feeding practices in the Aba urban households of South-East Nigeria did not meet the recommended feeding guidelines on timely complementary feeding and dietary diversity. Consumption of processed foods and sweetened beverages was prevalent. Data suggest this feeding pattern was affected by two factors: parental feeding experiences in early life and changing socioeconomic realities. Parents who lacked satisfactory feeding experiences in their childhood but achieved some socioeconomic success in later life exhibited poor complementary feeding practices. Also, certain food types were associated with affluence notwithstanding their nutritional values. Poor complementary feeding was also linked to the parental desire to not reliving their poor childhood feeding experiences. Conclusion The parental perceived poor childhood feeding experience has led many to adopt the consumption of processed foods and sweetened beverages. This may expose children to risks of undernutrition, obesity, and overall poor health outcomes in later adulthood. More effort should be made to educate parents on healthful eating patterns and the dangers of poor complementary feeding practices in children's overall health well-being in later life.
背景:不良的辅食做法会使幼儿在成年后营养不良、发病率和健康状况不佳的负担增加。养育儿童的父母和照料者受到社会文化信仰和普遍的社会经济现实的影响。此外,父母的价值观受到他们的观念和童年喂养经历等因素的影响。因此,本研究探讨了父母童年喂养经历和不断变化的社会经济现实对尼日利亚阿巴城市家庭补充喂养做法的作用。方法对尼日利亚阿坝市选定医疗机构产后护理门诊6-23月龄幼儿的家长进行28次深度访谈和8次焦点小组讨论。阿坝市是尼日利亚东南部一个庞大的城市中心。使用Atlas对数据进行主题分析。ti的软件。结果尼日利亚东南部阿巴地区城市家庭的补充喂养方式不符合及时补充喂养和膳食多样性的推荐喂养指南。加工食品和加糖饮料的消费很普遍。数据表明,这种喂养模式受到两个因素的影响:父母早期的喂养经历和不断变化的社会经济现实。在童年时期缺乏令人满意的喂养经历,但在后来的生活中取得了一些社会经济成功的父母表现出较差的补充喂养做法。此外,尽管某些食物具有营养价值,但它们与富裕有关。不良的补充喂养也与父母不愿重温童年不良喂养经历的愿望有关。结论父母认为不良的童年喂养经历导致许多人采用加工食品和加糖饮料的消费。这可能会使儿童在成年后面临营养不良、肥胖和整体健康状况不佳的风险。应作出更多努力,教育父母健康饮食模式和不良补充喂养做法对儿童今后整体健康的危害。
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引用次数: 3
Children’s Participation in Child Welfare Decision Making: Recognising Dichotomies, Conceptualising Critically Informed Solutions. 儿童参与儿童福利决策:认识二分法,概念化关键知情解决方案。
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-02-25 DOI: 10.1080/13575279.2021.1896990
P. Mccafferty
Take down policy The Research Portal is Ulster University's institutional repository that provides access to Ulster's research outputs. Every effort has been made to ensure that content in the Research Portal does not infringe any person's rights, or applicable UK laws. If you discover content in the Research Portal that you believe breaches copyright or violates any law, please contact pure-support@ulster.ac.uk.
撤销政策研究门户网站是阿尔斯特大学的机构存储库,提供对阿尔斯特研究成果的访问。我们已尽一切努力确保研究门户网站中的内容不会侵犯任何人的权利或适用的英国法律。如果您在研究门户中发现您认为侵犯版权或违反任何法律的内容,请联系pure-support@ulster.ac.uk.
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引用次数: 3
Parental Perceptions of the Nature of Child Labour in Rural and Urban Ghana: Cultural Versus Economic Necessity 父母对加纳农村和城市童工性质的看法:文化与经济必要性
IF 1.9 Q3 FAMILY STUDIES Pub Date : 2021-02-25 DOI: 10.1080/13575279.2020.1868407
Obed Adonteng-Kissi
ABSTRACT There is nearly universal consensus that child labour is harmful to the development of the child, however, widespread contention exists on whether child labour is cultural or economic necessity. This paper aimed to ascertain parental perceptions of the nature of child labour in rural and urban Ghana. The sample size of this study was 60 participants, all of whom were parents. Participants included: government officials; NGO representatives; and both parents whose children were involved in child labour, and parents whose children were not. Semi-structured interviews were conducted with parents (10) and stakeholders (10). and Focus groups (30); and participant observations (10) were also utilised. A purposive sampling technique was employed across rural and urban areas in Ghana. Interviews were recorded and transcribed. A framework approach was utilised as the main qualitative data analysis method. Parents in the rural areas indicated that the nature of child labour is cultural because children are not working because of economic necessity but for cultural reasons. On the other hand, children engage in child labour in the urban area for economic necessity since child labour is a very important component of the local economy. Understanding the socio-cultural and economic factors that drive child labour is necessary to design and execute the most suitable mechanisms for intervention and prevention.
童工对儿童的发展是有害的,这是一个几乎普遍的共识,然而,关于童工是文化上的还是经济上的需要,存在着广泛的争论。本文旨在确定父母对加纳农村和城市童工性质的看法。这项研究的样本量为60名参与者,他们都是父母。与会者包括:政府官员;非政府组织代表;孩子从事童工劳动的父母和孩子没有从事童工劳动的父母。对家长(10)和利益相关者(10)进行了半结构化访谈。和焦点小组(30);参与者的观察(10)也被利用。在加纳的农村和城市地区采用了有目的的抽样技术。采访被记录下来并记录下来。采用框架方法作为主要的定性数据分析方法。农村地区的父母指出,童工的性质是文化的,因为儿童工作不是出于经济需要,而是出于文化原因。另一方面,儿童在城市地区从事童工是出于经济需要,因为童工是当地经济的一个非常重要的组成部分。了解推动童工的社会文化和经济因素对于设计和执行最合适的干预和预防机制是必要的。
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引用次数: 8
期刊
Child Care in Practice
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