Type 2 diabetes (T2D) and arterial hypertension (AH) are among the greatest challenges facing health systems worldwide and require comprehensive patient-centred care. The key to successful management ...in chronic patients is self-management support, which was found to be only weakly implemented in Slovenia. The aim of the study is to develop an evidence-based model of peer support for people with T2D and AH at the primary healthcare level in Slovenia, which could represent a potential solution for upgrading integrated care for these patients.
A prospective interventional, mixed-methods pilot study will begin by recruiting approximately 40 eligible people with T2D and AH through purposive sampling. The participants will receive structured training, led by a specialist nurse, to become trained peer supporters. Each will voluntarily share their knowledge and experience at monthly group meetings with up to 10 people with T2D and AH over a three-month period in the local community. Data will be collected through interviews and focus groups and questionnaires about socio-demographic and clinical data, knowledge about T2D and AH, participants' quality of life, level of empowerment and acceptability of the intervention.
The study will provide an evidence-based model for integrating peer support into the local community. It is expected that the intervention will prove feasible and acceptable with educational, psychosocial and behavioural benefits.
Peer support through empowerment of people with T2D and AH, family members and other informal caregivers in the local community could scale-up the integrated care continuum and contribute to sustainability of the healthcare system.
Ženske in migracije Rosulnik, Klara Kožar
AS. Andragoška spoznanja,
10/2015, Letnik:
21, Številka:
3
Journal Article
Recenzirano
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Skozi zgodovino so raziskovalci migracij svojo pozornost namenjali predvsem moškim med migranti, danes opažamo povečano raziskovalno zanimanje za migrantke. Ta neuravnoteženi pristop ogroža pogled na ...migracije kot spolno zaznamovan proces. Migracija namreč prinaša velike življenjske spremembe in izkušnje, ki jih ne glede na časovno obdobje moški in ženske doživljajo različno. V članku poskušam odgovoriti na vprašanje, zakaj so bile migracijske izkušnje žensk v zgodovini prezrte ali stereotipno obravnavane ter zakaj v sodobnosti govorimo o feminizaciji migracij. Žensko predstavim kot aktiven subjekt v migracijskem procesu, ki z zavestno odločitvijo za spremembo v življenju prevzame odgovornost za svoje življenje in nadzor nad njim.
Izvleček Namen: V članku raziskujemo v literaturi pogosto spregledano vprašanje kolektivnega psihološkega opolnomočenja uporabnikov spletnih zdravstvenih skupnosti. Izhajajoč iz teorij opolnomočenja ...s področja psihologije skupnosti, preverjamo, kateri dejavniki, ki obenem odražajo pomembne lastnosti spletnih zdravstvenih skupnosti, so povezani s kolektivnim psihološkim opolnomočenjem njihovih uporabnikov. Metode: Vlogo štirih dejavnikov kolektivnega opolnomočenja smo analizirali s pomočjo multiple linearne regresije na podatkih, zbranih konec leta 2010 s spletno anketo na neverjetnostnem vzorcu (n = 235) aktivnih sodelujočih na forumih največje slovenske spletne zdravstvene skupnosti Med.over.net, ki je vključeval 8,5% moških, 49,7% vsaj visoko izobraženih in 41,5% poročenih anketirancev, ki so bili v povprečju stari 35,1 leta (SD = 9,1). Rezultati: Ugotavljamo, da se predstavljeni teoretični model dejavnikov ustrezno prilega podatkom (F = 8,65, df = 8, p < 0,001) in z njim lahko pojasnimo 23,4% variabilnosti občutka kolektivnega opolnomočenja. Občutek pripadnosti spletni skupnosti (β = 0,279, p < 0,001), vključenost v organizacijske aktivnosti skupnosti (0,194, 0,001) in zaznana participacija spletne skupnosti v širšem okolju (0,157, 0,02) vplivajo na kolektivno opolnomočenje uporabnikov spletne zdravstvene skupnosti Med.over.net, medtem ko tega ni mogoče trditi za intenzivnost participacije v forumskih razpravah (0,029, 0,65). Zaključek: Za povečevanje kolektivne komponente psihološkega opolnomočenja uporabnikov spletnih zdravstvenih skupnosti je treba v prvi vrsti graditi na kakovosti odnosov med člani, vključevanju članov v strateške odločitve o skupnosti in na vključenosti skupnosti v širše družbeno okolje, saj sama participacija uporabnikov v spletnih skupnosti še ne zagotavlja njihovega višjega kolektivnega opolnomočenja.
Abstract Objective: This paper investigates the collective psychological empowerment of users of online health communities, which has been often overlooked in literature. Drawing on the theories of empowerment in the context of community psychology, it explores the factors - that are also an important characteristic of online health communities - that are associated with the collective psychological empowerment of online health community users. Methods: Four factors of collective empowerment were analysed and evaluated using multiple linear regression on the data collected at the end of 2010 through a web survey on a non-probability sample (n = 235) of active participants in the web forums on Med.over.net, the largest online health community in Slovenia. Among them 8.5% were male, 49.7% had some kind of university education and 41.5% were married respondents with a mean age of 35.1 years (SD = 9.1). Results: The study found that the theoretical model of factors adequately fits the data (F = 8.65, df = 8, p < 0.001), explaining 23.4% of the variability of collective empowerment. Sense of community (β = 0.279, p < 0.001), organisational involvement in community activities (0.194, 0.001), and perceived online health community participation in the wider environment (0.157, 0.02) contribute to the collective empowerment of users of the online health community Med.over.net. Conversely, the frequency of posting messages to online health forum discussions is not associated with collective empowerment (0.029, 0.65). Conclusion: In order to improve the collective empowerment of users of online health communities, it is necessary first of all to build on the quality of relationships between its members, involve them in strategic decisions of the community and foster online health community involvement in the wider social environment, since the participation of users in online communities itself does not lead to a higher level of their collective empowerment.
Perceptions of empowerment among part-time nursing students Objective: Empowerment is an important construct because it offers the potential to positively influence outcomes that benefit individuals ...and organisations. The purpose of the study was to examine the characteristics of individual perceptions of empowerment among part-time nursing students in their work. Methods: The study involved 57 part-time nursing students of the Faculty of Health Science. Survey measures used included the modified Spreitzer empowerment instrument. A questionnaire was used to collect data on the variables of the Psychological Empowerment Instrument. Friedman's test and Spearman's test were used to analyse the data collected. The data was analysed using the statistical package SPSS v. 17.0 for Windows. Results: The results show that the participants expressed a high level of mean score in the areas of competence and meaning. Friedman's test showed a statistically significant difference in the perceived area of meaning, selfdetermination and impact. In the area of competence, there were no significant differences. Spearman's test showed that the scales of competence and self-determination had more correlation rankings between the psychological empowerment items. Conclusion: Employee empowerment is an important organisational issue. The results showed that participants have the capability to perform work activities with the necessary skills and knowledge, as well as valuing the work goals or purposes highly when judged by an individual's perception relative to his or her own personal mission or expectations. The findings also suggest that the participants in the study did not put much emphasis on the importance of impact. PUBLICATION ABSTRACT
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