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Application Coaching Support in Efforts to Regulate Diet and Fluid Restriction in Patients with Chronic Kidney Disease 应用辅导支持,努力调节饮食和液体限制在慢性肾脏疾病患者
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-12-14 DOI: 10.33086/cdj.v6i3.2816
S. Susanti, Difran Nobel Bistara
Proper diet and fluid restriction are very important things to note, because intake Excessive fluids can worsen the condition of patients with kidney disease. Although patients already understand that failure to limit fluids can be fatal, about 50% of patients with Chronic Kidney Disease (CKD) do not adhere to the recommended dietary and fluid restriction diet. Management of chronic kidney disease with diet and fluid restriction can be done by nurses by providing coaching support. The method of implementing community service which is carried out through the provision of coaching support is by providing health education gradually and continuously by paying attention to the problems experienced by Chronic Kidney Disease (CKD) sufferers so that awareness of the disease is achieved and the end result is an improvement in the behavior of the sufferer. Participants in this activity are all CKD patients who carry out routine checks at the Internal Medicine Poly Hospital of Adi Husada Surabaya from April 2021 to June 2021. Meetings with participants are followed up at the participants' homes for intervention. The behavior of the fiber was observed before and after the intervention. The results obtained before the intervention was given, most of the participants had poor behavior as many as 11 people (55%) and after being given coaching support most of the 12 people (60%) had good behavior in diet and fluid restrictions. Based on these data, it can be seen by using the Wilcoxon Signed Rank Test statistical test, the behavioral value p value = 0.001 so there is an effect of providing coaching support on the behavior of diet regulation and fluid restriction. Providing coaching support can be one of the therapies for CKD sufferers in maintaining stable kidney function so that the patient's quality of life becomes better
适当的饮食和液体限制是非常重要的事情要注意,因为摄入过多的液体会使肾脏疾病患者的病情恶化。虽然患者已经明白不能限制饮水可能是致命的,但大约50%的慢性肾脏疾病(CKD)患者没有坚持推荐的饮食和饮水限制饮食。慢性肾脏疾病的管理与饮食和液体限制可以由护士通过提供指导支持。通过提供辅导支持来实施社区服务的方法是,通过关注慢性肾脏疾病(CKD)患者所经历的问题,逐步和持续地提供健康教育,从而实现对疾病的认识,最终结果是患者行为的改善。本次活动的参与者均为CKD患者,他们将于2021年4月至2021年6月在泗水阿迪胡萨达内科保利医院进行常规检查。与参与者的会议随后在参与者家中进行干预。在干预前后观察纤维的行为。在进行干预之前,大多数参与者的行为不佳,多达11人(55%),而在给予指导支持后,12人中大多数(60%)在饮食和液体限制方面表现良好。根据这些数据,可以看出,使用Wilcoxon sign Rank Test统计检验,行为值p值= 0.001,因此提供教练支持对饮食调节和限制液体的行为有影响。提供指导支持可以成为CKD患者维持稳定肾功能的治疗方法之一,从而使患者的生活质量得到改善
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引用次数: 0
Cadre Assistance in Waste Management in the As Salafiyah Al Fitrah Islamic Boarding School Surabaya in 2022 2022年泗水As Salafiyah Al Fitrah伊斯兰寄宿学校废物管理干部援助
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-12-14 DOI: 10.33086/cdj.v6i3.3595
W. E. Rusdi, Dewi Masithah, Yasi Anggarsari, M. N. Rhomadhoni, Noer Farakhin
Background: The economic activities of the community, as well as the rising standard of living and efforts to meet requirements, are directly related to the quantity of garbage created by the community. Improper waste management and a lack of information about waste reduction will increase the strain placed on the Final Processing Site (TPA), and if the TPA is unable to process trash, different environmental contamination will result. The lack of public awareness of waste management is caused by a lack of information and comprehension of waste management's relevance. Methods: The implementation of this community service comprises multiple stages, including coordination and licensing, facility, and infrastructure preparation, activity implementation, monitoring, and evaluation. Cadre support in waste management for students at As Salafiyah Al Fitrah Islamic Boarding School Surabaya is carried out offline at PP. As Salafiyah Al Fitrah Surabaya with as many as 21 students who attended on May 21-22 2022. Results: The general description of the respondents in the form of the characteristics of the students themselves, the students who participated in the mentoring were 21 male students of the As Salafiyah Al Fitrah Islamic Boarding School Surabaya. The Wilcoxon test showed a significant change in knowledge about waste management at the Healthy Santri Cadre of the As Salafiyah Al Fitrah Islamic Boarding School Surabaya as evidenced by a p-value of 0.021 < 0.05. For the minimum value obtained, it also increased, initially during the pretest, the largest value was obtained with a value of 56, then during the post-test the largest value was obtained with a value of 75. Conclusion: there was a change in knowledge after community service was carried out in the form of cadre assistance regarding waste management in the As Salafiyah Al Fitrah Islamic Boarding School Surabaya environment.
背景:社区的经济活动,以及不断提高的生活水平和满足需求的努力,与社区产生的垃圾数量直接相关。不当的废物管理和缺乏关于减少废物的信息将增加最终处理场(TPA)的压力,如果TPA无法处理垃圾,将导致不同的环境污染。公众对废物管理意识的缺乏是由于对废物管理的相关性缺乏信息和理解。方法:该社区服务的实施包括协调和许可、设施和基础设施准备、活动实施、监测和评估等多个阶段。2022年5月21日至22日,泗水As Salafiyah Al Fitrah伊斯兰寄宿学校在PP线下开展了对学生废物管理的骨干支持。As Salafiyah Al Fitrah泗水有多达21名学生参加。结果:调查对象以学生自身特征的形式进行总体描述,参与辅导的学生为泗水As Salafiyah Al Fitrah伊斯兰寄宿学校的21名男学生。Wilcoxon检验显示,泗水As Salafiyah Al Fitrah伊斯兰寄宿学校Healthy Santri干部的废物管理知识发生了显著变化,p值为0.021 < 0.05。最小值也逐渐增大,前测时最大值为56,后测时最大值为75。结论:在As Salafiyah Al Fitrah伊斯兰寄宿学校泗水环境中,以干部援助的形式开展社区服务后,对废物管理的认识发生了变化。
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引用次数: 0
Ethics for educational research in regions of protracted armed conflict and crisis: a participatory community project in the Lake Chad region 长期武装冲突和危机地区的教育研究伦理:乍得湖地区的一个参与性社区项目
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-12-06 DOI: 10.1093/cdj/bsac040
Margaret Ebubedike, T. Akanji, Afu Isaiah Kunock, A. Fox
This paper critically considers the ethics of conducting community-based participatory research, which engages community members, including young people, as active participants in research about them, in the context of the protracted armed conflict and crisis of the Lake Chad region. We highlight the intersection of cultural practices and religious belief systems prevalent in this context, which further deepens the complexities arising from researching populations experiencing protracted armed conflict and crisis. This raises the possibilities of understanding research ethics in such contexts via the lens of a postcolonial frame. Using participatory photography allowed engagement in face-to-face collaborative data collection. In doing so, the research team was able to pay attention to verbal and non-verbal dimensions arising from community engagement, which supported learning about the community’s positions and needs as a resource for thinking about how these might need accommodation in the project. It is not straightforward to lead this kind of project as researchers based in the Global North in terms of deciding what is right and what research practices would be considered just, compassionate, and trustworthy in these contexts. The approach taken was to distribute leadership in the project to include local actors such as NGOs working at local levels, community leaders (traditional and religious), as well as to draw on in-country research teams and the members of each of the participating communities. We argue that a more nuanced understanding about how to mitigate identified ethical concerns has implications for enhancing community-based research, especially when researching similar populations.
在乍得湖地区旷日持久的武装冲突和危机的背景下,本文批判性地考虑了开展基于社区的参与性研究的伦理问题,这种研究让包括年轻人在内的社区成员积极参与关于他们的研究。我们强调了文化习俗和宗教信仰体系在这一背景下的交叉,这进一步加深了研究经历长期武装冲突和危机的人群所产生的复杂性。这提高了通过后殖民框架的镜头理解这种背景下的研究伦理的可能性。使用参与式摄影允许参与面对面的协作数据收集。通过这样做,研究团队能够关注社区参与产生的语言和非语言维度,这有助于了解社区的立场和需求,作为思考项目中这些可能需要的资源。在这种情况下,作为全球北方的研究人员,要决定什么是正确的,什么研究实践被认为是公正的、富有同情心的和值得信赖的,这并不是一件容易的事。所采取的办法是将项目领导权分配给在地方一级工作的非政府组织、社区领袖(传统和宗教)等当地行动者,并利用国内研究小组和每个参与社区的成员。我们认为,对如何减轻已确定的伦理问题的更细致的理解对加强基于社区的研究具有重要意义,特别是在研究相似人群时。
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引用次数: 0
Towards a community-based ethical contract 迈向以社区为基础的道德契约
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-11-17 DOI: 10.1093/cdj/bsac035
D. Beck, R. Purcell
This article argues that to be effective, community development ethics need to be embedded in community development practice. In the professional experience of the authors, ethics are often said by community development practitioners to be important in theory but may seem abstract or have little impact on day-to-day work. We therefore argue that to bridge that gap between theory and practice the establishment of an ethical contract between community workers and the groups that they work with should be seen as an indispensable element of good practice. We suggest that for an ethical contract to be effective it should be established by workers and community groups working in inclusive and participative ways. This will increase the degree to which ethical practice is understood and owned by all participants and opens up opportunities for practice to be accountable to everyone involved in the community development process and not just professional workers. Drawing on human rights literature and insights from popular education, the article highlights the ways in which using a static ethics framework (such as a statement of ethical principles or code of ethics) may reinforce existing power imbalances and inadvertently disempower communities. It explores how establishing a dynamic ethical contract between practitioners and the groups they work with offers greater potential for embedding ethical practice in community development work.
本文认为,社区发展伦理必须嵌入到社区发展实践中,才能发挥作用。在作者的专业经验中,社区发展实践者经常说道德在理论上很重要,但可能看起来很抽象,或者对日常工作几乎没有影响。因此,我们认为,为了弥合理论与实践之间的差距,在社区工作者和与他们合作的团体之间建立道德合同应被视为良好实践中不可或缺的因素。我们建议,为了使道德合同有效,它应该由工人和社区团体以包容和参与的方式建立。这将提高道德实践被所有参与者理解和拥有的程度,并为实践对参与社区发展过程的每个人(而不仅仅是专业人员)负责提供机会。根据人权文献和大众教育的见解,本文强调了使用静态伦理框架(如道德原则声明或道德准则)可能会加剧现有的权力不平衡,并在无意中剥夺社区的权力。它探讨了如何在从业者和他们合作的团体之间建立一个动态的道德契约,为将道德实践融入社区发展工作提供更大的潜力。
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引用次数: 0
Everyday ethical challenges for Indian community development practitioners during the COVID-19 pandemic 2019冠状病毒病大流行期间印度社区发展从业者面临的日常道德挑战
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-11-17 DOI: 10.1093/cdj/bsac032
A. Pankaj, S. Yadav
Drawing upon empirical evidence and using Sarah Banks’s concept ‘ethics work’ as a conceptual approach, the article examines the ethical dilemmas facing community development practitioners during the COVID-19 pandemic. The article attempts to understand the everyday experience of community development practitioners working with Dalits, women, and labour migrants in India. Further, given these communities’ social and economic vulnerabilities, the article tries to comprehend how practitioners’ engagement with these communities during the COVID-19 response exposed them to various ethical dilemmas. The article also traces negotiation and navigation strategies for dealing with ethical dilemmas and delivering services in the community during the COVID-19 pandemic in ways that promote human dignity.
本文以经验证据为基础,以莎拉·班克斯(Sarah Banks)的“伦理工作”概念为概念方法,考察了2019冠状病毒病大流行期间社区发展从业者面临的伦理困境。本文试图了解在印度与达利特人、妇女和劳工移民一起工作的社区发展从业者的日常经验。此外,鉴于这些社区的社会和经济脆弱性,本文试图理解从业人员在应对COVID-19期间与这些社区的接触如何使他们面临各种道德困境。本文还探讨了在2019冠状病毒病大流行期间以促进人类尊严的方式处理道德困境和在社区提供服务的谈判和导航策略。
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引用次数: 0
COVID-19 community pantries as community health engagement: the case of Maginhawa community pantry in the Philippines COVID-19社区食品储藏室作为社区卫生参与:菲律宾马金哈瓦社区食品储藏室的案例
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-10-14 DOI: 10.1093/cdj/bsac026
L. E. A. Abesamis, Charles Anthony P Suarez, Mary Louise B Rivera, N. D. S. Montevirgen, J. V. Cleofas
The COVID-19 pandemic has exacerbated and surfaced long-standing inadequacies in the country’s health and social systems. In response to the Philippine government’s inefficient and ineffective COVID-19 response and their dismissal of the calls for accountability, Filipinos at the barangay level organized community pantries to respond to the needs of the community. Using WHO’s Framework for Community Health Engagement, this study positions community pantries as a unique health phenomenon during the COVID-19 pandemic within the Philippine context. This study explores the ways that the Maginhawa Community Pantry—the critical case study—addresses both emergent and pre-existing health needs among Filipinos during the COVID-19 pandemic. By examining community pantries from the perspective of the Maginhawa Community Pantry organizer, this paper elucidates how community pantries engage in diverse initiatives that: (1) mobilize the community for health, (2) improve access to healthcare, (3) ensure community collaboration and (4) call for collective action for systemic issues. The findings of this paper highlight the capacity and potential of community pantries as a health response beyond the COVID-19 pandemic and address gaps in the Philippine healthcare system.
COVID-19大流行加剧并暴露了该国卫生和社会系统中长期存在的不足。针对菲律宾政府应对COVID-19的效率低下和无效,以及无视追究责任的呼吁,菲律宾人在村一级组织了社区食品储藏室,以应对社区的需求。本研究利用世卫组织的《社区卫生参与框架》,将社区食品储藏室定位为菲律宾2019冠状病毒病大流行期间的一种独特卫生现象。本研究探讨了Maginhawa社区食品储藏室(关键案例研究)在COVID-19大流行期间解决菲律宾人紧急和预先存在的卫生需求的方式。通过从Maginhawa社区食品储藏室组织者的角度考察社区食品储藏室,本文阐明了社区食品储藏室如何参与各种举措:(1)动员社区健康,(2)改善医疗保健机会,(3)确保社区合作,(4)呼吁对系统性问题采取集体行动。本文的研究结果强调了社区食品储藏室作为COVID-19大流行之外的卫生应对措施的能力和潜力,并解决了菲律宾医疗保健系统的差距。
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引用次数: 0
Art Activism for an Anticolonial Future: a conversation with Carlos Garrido Castellano 反殖民主义未来的艺术行动主义:与卡洛斯·加里多·卡斯特拉诺的对话
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-10-13 DOI: 10.1093/cdj/bsac027
Carlos Garrido Castellano
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引用次数: 1
‘Participation—with what money and whose time?’ An intersectional feminist analysis of community participation “参与——用什么钱,用谁的时间?”这是对社区参与的交叉女权主义分析
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-10-04 DOI: 10.1093/cdj/bsac025
Julia Fursova, Denise Bishop-Earle, Kisa Hamilton, Gillian Kranias
The paper presents the results of community-based participatory action research that evaluated the quality and extent of resident participation in community development projects initiated by a network of non-profit and public agencies in a lower-income, racialized neighbourhood in Toronto. The paper examines dynamics of community engagement and volunteer participation in relation to the socio-political context of neoliberal urban development within which they unfold. Against this backdrop, the paper discusses processes of normalization and the mainstreaming of a technocratic or instrumental approach to community engagement. The paper argues how this instrumental approach extracts volunteer participation from residents to meet short-term organizational targets while offering no genuine opportunity for residents to co-create long-term, meaningful solutions to community needs and priorities. Such short-term, ‘band-aid’ community engagement and capacity building projects contribute to a crisis of trust between residents and the non-profit agencies. The paper presents a community engagement continuum mapping indicators for technocratic and extractivist community engagement in contrast to indicators for transformative and empowering processes.
本文介绍了基于社区的参与性行动研究的结果,该研究评估了居民参与社区发展项目的质量和程度,这些项目是由多伦多一个低收入、种族化社区的非营利和公共机构网络发起的。本文考察了与新自由主义城市发展的社会政治背景相关的社区参与和志愿者参与的动态。在此背景下,本文讨论了社区参与的技术官僚或工具方法的正常化和主流化过程。本文论证了这种工具性方法如何从居民中提取志愿者参与来实现短期组织目标,而没有为居民提供真正的机会来共同创造长期的、有意义的解决方案来满足社区需求和优先事项。这种短期的、“创可贴”式的社区参与和能力建设项目导致了居民与非营利机构之间的信任危机。本文提出了一个社区参与连续映射指标的技术官僚和采掘者社区参与与指标的变革和赋权过程的对比。
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引用次数: 0
Old problems, new forms 老问题,新形式
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-09-10 DOI: 10.1093/cdj/bsac024
R. Pearce, Kirsty Lohman
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引用次数: 2
A community development story and portrayal of a phenomenological reflective practice in the social field of paediatric palliative care 社区发展的故事和写照现象学反思实践在儿科姑息治疗的社会领域
IF 1.5 3区 社会学 Q3 DEVELOPMENT STUDIES Pub Date : 2022-09-04 DOI: 10.1093/cdj/bsac023
Peter Westoby, Elham Day, Fiona Hawthorne, M. Toon, Kelly Oldham
This article is both a story of community development (CD) practice within the paediatric palliative care and bereavement space – and a portrayal of phenomenological reflective practice in the social field. The story and portrayal are about a tradition of work – understood as participatory CD – amplified, made more visible and alive by a phenomenological reflective practice. While the framework of participatory CD applied in the palliative care space will be thought provoking for readers, the unique contribution of this article is the use of phenomenological reflective practice, one rarely drawn upon within the CD field.
这篇文章既是儿科姑息治疗和丧亲空间内社区发展(CD)实践的故事,也是社会领域现象学反思实践的写照。故事和写照是关于工作的传统-被理解为参与式CD -被现象学反思实践放大,变得更加可见和活跃。虽然在姑息治疗领域中应用参与式CD的框架将引起读者的深思,但本文的独特贡献是使用现象学反思实践,这在CD领域中很少被引用。
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引用次数: 1
期刊
Community Development Journal
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