Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 830
Filtrar
1.
J. Health Biol. Sci. (Online) ; 10(1): 1-12, 01/jan./2022.
Artigo em Português | LILACS | ID: biblio-1367660

RESUMO

Objetivos: contribuir para a geração de dados de avaliação econômica de estratégias de empoderamento farmacoterapêutico para pacientes com Diabetes Mellitus tipo 2 (DM tipo 2). Métodos: este estudo farmacoeconômico é aninhado a um ensaio clínico com controle não randomizado que incluiu pacientes ≥18 anos de idade, cadastrados no HIPERDIA. Os pacientes foram alocados em um modelo de Markov conforme valores de hemoglobina glicada do acompanhamento. As probabilidades do surgimento de complicações relativas ao DM, incluindo-se óbito, foram estimadas por dez anos. Cada complicação do DM tipo 2 teve seu custo estabelecido para determinação do custo anual. Resultados: entre os participantes da intervenção, não ocorrem óbitos ocasionados por DM tipo 2, e a progressão de complicações mantém-se estável durante os anos simulados, enquanto, no grupo controle, 60% dos pacientes podem evoluir para óbito nos dez anos, e a probabilidade de serem acometidos por complicações relacionadas ao DM tipo 2 é crescente. Com relação aos custos, ao final de dez anos, os pacientes que participaram da Estratégia Individual de Empoderamento Farmacoterapêutico (EIEF) tiveram um custo médio de UU$134,45 poupando a vida de 100% dos pacientes, e os pacientes do atendimento convencional um custo médio de UU$237,12 e 40% dos pacientes acompanhados chegariam ao final do ciclo com vida. Conclusão: a EIEF parece ser uma alternativa economicamente viável em longo prazo, bem como para a promoção do controle glicêmico.


Objectives: contribute to the data generation for the economic evaluation of pharmacotherapeutic empowerment strategies for type 2 diabetes mellitus patients (type 2 DM). Method: This pharmacoeconomic study is nested in a clinical trial with non-randomized control that included patients ≥18 years old, registered in HIPERDIA. The patients were allocated to a Markov model according to the follow-up glycated hemoglobin values. The probabilities of the appearance of complications related to DM, including death, have been estimated for ten years. Each complication of type 2 DM had its cost established to determine the annual cost. Results: Among the participants in the intervention, there are no deaths caused by type 2 DM, and the progression of complications remains stable during the simulated years, whereas in the control group, 60% of the patients can progress to death in ten years and the probability of being affected by complications related to type 2 DM is increasing. Regarding costs, at the end of ten years, patients who participated in Individual Pharmacotherapeutic Empowerment Strategy (IPES) had an average cost of US$ 134.45, saving 100% of patient's lives, and conventional care patients cost an average of US$ 237.12 and 40% of the patients followed would reach the end of the life cycle. Conclusion: The IPES seems like an economically viable and long-term economic alternative and promotes glycemic control.


Assuntos
Diabetes Mellitus , Análise Custo-Benefício , Custos e Análise de Custo , Empoderamento , Controle Glicêmico
2.
Stud Health Technol Inform ; 299: 177-182, 2022 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-36325860

RESUMO

Empowerment is a process through which people acquire the necessary knowledge and self-awareness to understand their health conditions and treatment options, self-manage them, and make informed choices. Currently, few stand-alone applications for patient empowerment exist and people/patients often go on the Web to search for health information. Such information is mainly obtained through generic search engines and it is often overwhelming, too generic, and of poor quality. Intelligent Empowering Agents (IEA) can filter such information and assist the user in the understanding of health information about specific complaints or health in general. We have designed and developed a first prototype of an IEA that dialogues with the user in simple language, collects health information from the Web, and provides tailored, easily understood, and trusted information. It empowers users to create their own comprehensive and objective opinion on health matters that concern them. The paper describes the IEA main characteristics and presents the results of subjective tests carried out to assess the effectiveness of the IEA. Twenty-eight Master students in Digital Health filled an online survey presenting questions on usability, user experience and perceived value. Most respondents found the IEA easy to use and helpful. They also felt that it would improve communication with their doctors.


Assuntos
Empoderamento , Participação do Paciente , Humanos , Comunicação , Inquéritos e Questionários , Idioma
4.
Artigo em Inglês | MEDLINE | ID: mdl-36361203

RESUMO

Children growing up in poverty are disproportionately affected by diseases, including HIV. In this study, we use data from Suubi+Adherence, a longitudinal randomized control trial (2012-2018) with 702 adolescents living with HIV (ALWHIV), to examine the effectiveness of a family-based multifaceted economic empowerment (EE) intervention in addressing economic instability and multidimensional poverty among ALWHIV in Southern Uganda. We constructed a Multidimensional Poverty Index of individual and household indicators, including health, assets, housing and family dynamics. We computed the proportion of multidimensionally poor children (H), estimated poverty intensity (A) and adjusted headcount ratio (M0). Using repeated measures at five-time points (baseline, years 1, 2, 3 and 4-post baseline) across two study arms: treatment (receiving the EE intervention) vs. control arm (not receiving EE), we find that both the incidence and proportion of multidimensional poverty decreased in the treatment arm vs. the control arm. Given that there is a direct link between economic instability and poor health outcomes, these findings are informative. They point to the potential for family EE interventions to decrease multidimensional poverty among vulnerable children, including ALWHIV, impacting their overall wellbeing and ability to meet their treatment needs and improve HIV care continuum outcomes.


Assuntos
Infecções por HIV , Criança , Adolescente , Humanos , Infecções por HIV/epidemiologia , Infecções por HIV/terapia , Pobreza , Uganda/epidemiologia , Empoderamento , Relações Familiares
5.
BMC Pregnancy Childbirth ; 22(1): 774, 2022 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-36253719

RESUMO

BACKGROUND: The Midlands has amongst the highest rates of neonatal and infant mortality in the UK. A public health parent education and empowerment programme, aimed at reducing key risks associated with this mortality was established and evaluated in the region. This was undertaken in an attempt to identify areas for optimal delivery of the public health messages around reducing risks for neonatal and infant mortality. METHOD: Qualitatively assessment, using the software package Dedoose®, was undertaken. This involved analysis of reflections by the programme trainers, after the delivery of their training sessions to parents, families and carers, between 01 January and 31 December 2021. These were intended to capture insights from the trainers on parent, family, carer and staff perspectives, perceptions/misperceptions around reducing risks for infant mortality. Potential areas for improvement in delivery of the programme were identified from this analysis. RESULTS: A total of 323 programmes, comprising 524 parents, family members and carers were offered the programme. Analysis of 167 reflections around these interactions and those of staff (n = 29) are reported. The programme was positively received across parents, families, carers and staff. Four overall themes were identified: (a) reach and inclusion, (b) knowledge, (c) practical and emotional support and (d) challenges for delivery of the programme. Recommendations for improved delivery of the programme were identified, based on qualitative analysis. CONCLUSION: This novel approach to empowerment and education around neonatal public health messaging is a valuable tool for parents, families, carers and staff in the Midlands. Key practical recommendations for enhancing delivery of these critical public health messages were identified from this qualitative research. These are likely to be of value in other parts of the UK and globally.


Assuntos
Educação em Saúde , Mortalidade Infantil , Pais , Humanos , Lactente , Recém-Nascido , Empoderamento , Educação em Saúde/métodos , Pais/educação , Pais/psicologia , Saúde Pública , Pesquisa Qualitativa , Medição de Risco , Reino Unido/epidemiologia , Avaliação de Programas e Projetos de Saúde
6.
PLoS One ; 17(10): e0275713, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36264856

RESUMO

Women's empowerment is considered to play a crucial role in food and nutrition security. We aimed to explore the relationship between women's empowerment and food and nutrition security, in rural Pakistan. METHODS: To estimate women's empowerment, we developed a Rural Women Composite Empowerment Index incorporating nine domains. For indicators of food and nutritional data we used data of 1879 rural households from Pakistan Rural Household Panel Survey (PRHPS). Food insecurity was measured through a caloric intake approach; nutrition insecurity was measured through recommended nutrient intake (RNI). Using the Rural Women's Composite Empowerment Index (RWCEI), we employed multi-level mixed-effect regression analysis. RESULTS: The domains of traveling safely (21%), time allocated to tasks (20%), and (lack of) domestic violence (19%) were the most significant domains in defining empowerment of rural woman. The prevalence of food and nutrition insecurity were 33% and 50% respectively. Regression analysis found a positive and significant relationship between women's empowerment and food and nutrition security-the proportion of household who were food and nutritionally secure in empowered households was 70% and 98% respectively. CONCLUSIONS: Developing programmes and policies to improve the range of domains of women's empowerment requires a focussed policy agenda, bringing together policy makers from a number of different sectors including education, economy, communications, technology and agriculture. Women's empowerment has the potential to make positive changes not only in food and nutrition security, but in all aspects of family health and wellbeing.


Assuntos
Empoderamento , Estado Nutricional , Humanos , Feminino , Paquistão , Alimentos , Abastecimento de Alimentos , Direitos da Mulher
7.
Artigo em Inglês | MEDLINE | ID: mdl-36293748

RESUMO

Approximately 160 million children work as child laborers globally, 39% of whom are female. Ghana is one of the countries with the highest rates of child labor. Child labor has serious health, mental health, and educational consequences, and those who migrate independently for child labor are even at higher risk. Yet, evidence-based efforts to prevent unaccompanied child migration are limited. In this study, we examined the acceptability of a family-level intervention, called ANZANSI (resilience in local language) combining two evidence-based interventions, a family economic empowerment intervention and a multiple family group family strengthening intervention, to reduce the risk factors associated with the independent migration of adolescent girls from the Northern region to big cities in Ghana. We conducted semi-structured interviews separately with 20 adolescent girls and their caregivers who participated in ANZANSI. Interviews were conducted in the local language and transcribed and translated verbatim. Informed by the theoretical framework of acceptability, the data were analyzed using thematic analysis. The results showed high intervention acceptability among both adolescent girls and their caregivers, including low burden, positive affective attitude, high perceived effectiveness, low opportunity costs, and high self-efficacy. The study findings underline the high need for such interventions in low-resource contexts in Ghana and provide the foundation for testing this intervention in a larger randomized trial.


Assuntos
Empoderamento , Autoeficácia , Criança , Adolescente , Humanos , Feminino , Masculino , Escolaridade , Saúde Mental , Cuidadores
8.
Int J Community Based Nurs Midwifery ; 10(4): 279-289, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36274663

RESUMO

Background: Women's empowerment status in menopausal transition is of great importance due to the increasing trend of life expectancy and population aging. This study was conducted to evaluate the empowerment status of women during the menopausal transition in Gonabad, Iran. Methods: This cross-sectional study was conducted in Gonabad city in Northeast of Iran from April 2017 to March 2018. Cluster sampling was used for selecting 680 women who were in the menopausal transition. Demographic questionnaire and Women's Empowerment Status Questionnaire - a researcher-made questionnaire- was used for data collection. Pearson's correlation coefficient, one-way ANOVA, and linear regression were used to analyze the data using SPSS version 16; A p-value less than 0.05 was considered as significant. Results: The majority of the participants (510; 76.10%) had a high empowerment level. A high empowerment status in the family, economic, social, and health domains was observed in 499 (74.50%), 534 (79.70%), 523 (78.05%), and 493 (73.60%) participants, respectively. The majority of the participants had moderate empowerment status in political (427; 70.40%) and religious domains (464; 69.30%). There was a negative correlation between the total empowerment score and the participants' age (P<0.001), husband's age (P<0.001), and the number of children (P<0.001). There was a positive correlation between the total empowerment score and education (P=0.003) as well as age of marriage (P=0.03). Conclusion: Overall empowerment status of women in menopausal transition in Gonabad -Iran was high. However, in political and religious domains, the status was moderate. We suggest that empowered women should be invited to share their experiences with other females. Development of social networks could provide the basis for sharing the experiences of these women and helps policy makers to develop community empowerment programs.


Assuntos
Empoderamento , Direitos da Mulher , Criança , Feminino , Humanos , Estudos Transversais , Menopausa , Casamento
9.
Artigo em Espanhol | PAHO-IRIS | ID: phr-56479

RESUMO

[RESUMEN]. Objetivo. Adaptar y validar el instrumento EMPODERA-TB para medir el empoderamiento en pacientes con tuberculosis pulmonar. Métodos. Se adaptó y validó un instrumento, diseñado inicialmente para medir el empoderamiento en pacien- tes con enfermedades crónicas, para medir el empoderamiento en pacientes con tuberculosis. Para ello, se seleccionaron y adaptaron los ítems aplicables a los pacientes con tuberculosis. La validación se realizó mediante análisis factorial exploratorio y confirmatorio, y la consistencia interna mediante el coeficiente alfa de Cronbach, con base en los datos de una muestra de 49 pacientes de origen mexicano con diagnóstico de tuberculosis pulmonar. Resultados. El instrumento se integró por 19 ítems agrupados en tres dimensiones: adquisición de conoci- mientos, habilidades para compartir información y para la toma de decisiones. Se observó un ajuste aceptable (SRMR: 0,124; CD: 0,999), mientras que la consistencia interna para las dimensiones fue de 0,878; 0,879 y 0,808, respectivamente, y para el instrumento completo fue de 0,885. Conclusiones. El instrumento mostró índices de ajuste de bondad aceptables y consistencia interna adecuada, por lo que permite medir el empoderamiento en pacientes con tuberculosis pulmonar. Este instru- mento será de utilidad en la práctica clínica y epidemiología de tuberculosis en países latinoamericanos de habla hispana, y permitirá implementar estrategias que mejoren el conocimiento y el apego al tratamiento, así como la interacción con pacientes o individuos en riesgo de contagio y, con ello, establecer estrategias de prevención.


[ABSTRACT]. Objective. Adapt and validate EMPODERA-TB in order to measure empowerment of patients with pulmonary tuberculosis (TB). Methods. An instrument initially designed to measure empowerment of patients with chronic diseases was adapted and validated to measure empowerment of patients with tuberculosis. The items applicable to patients with tuberculosis were selected and adapted. Validation was performed using exploratory and confirmatory factor analysis, and internal consistency was determined using Cronbach's alpha coefficient, based on data from a sample of 49 patients of Mexican origin diagnosed with pulmonary tuberculosis. Results. The instrument comprised 19 items grouped into three dimensions: knowledge acquisition, informa- tion-sharing skills, and decision-making skills. Acceptable goodness-of-fit was observed (SRMR: 0.124; CD: 0.999); internal consistency for the three dimensions was 0.878, 0.879, and 0.808, respectively, and for the instrument overall it was 0.885. Conclusions. The instrument showed acceptable goodness-of-fit and adequate internal consistency, making it possible to measure empowerment of patients with pulmonary tuberculosis. This instrument will be useful in TB clinical practice and epidemiology in Spanish-speaking Latin American countries. It will allow implementa- tion of strategies that improve knowledge and adherence to treatment, interactions with patients or individuals at risk of infection, and development of prevention strategies.


[RESUMO]. Objetivo. Adaptar e validar o instrumento EMPODERA-TB para medir o empoderamento em pacientes com tuberculose pulmonar. Métodos. Um instrumento elaborado inicialmente para medir o empoderamento em pacientes com doenças crônicas foi adaptado e validado para medir o empoderamento em pacientes com tuberculose. Para tanto, foram selecionados e adaptados os itens aplicáveis aos pacientes com tuberculose. A validação foi realizada por meio de análise fatorial exploratória e confirmatória, e a consistência interna foi analisada por meio do coeficiente alfa de Cronbach, com base em dados de uma amostra de 49 pacientes de origem mexicana com diagnóstico de tuberculose pulmonar. Resultados. O instrumento foi composto por 19 itens, agrupados em três dimensões: aquisição de conhe- cimento, habilidade de compartilhar informações e habilidade para a tomada de decisão. Observou-se um ajuste aceitável (SRMR: 0,124; CD: 0,999), enquanto a consistência interna para as dimensões foi de 0,878, 0,879 e 0,808, respectivamente, e para o instrumento como um todo foi de 0,885. Conclusões. O instrumento apresentou índices de bondade de ajuste aceitáveis e consistência interna adequada; portanto, permite mensurar o empoderamento em pacientes com tuberculose pulmonar. Este instrumento será útil para a prática clínica e epidemiológica da tuberculose nos países latino-americanos de língua espanhola, e permitirá a implementação de estratégias que melhorem o conhecimento e a adesão ao tratamento, bem como a interação com pacientes ou indivíduos em risco de contágio e, portanto, o estabelecimento de estratégias de prevenção.


Assuntos
Empoderamento , Tuberculose Pulmonar , Participação do Paciente , Letramento em Saúde , Psicometria , Empoderamento , Tuberculose Pulmonar , Participação do Paciente , Letramento em Saúde , Psicometria , Empoderamento , Tuberculose Pulmonar , Participação do Paciente , Letramento em Saúde , Psicometria
10.
Viana do Castelo; s.n; 20221019. il., tab..
Tese em Português | BDENF - Enfermagem | ID: biblio-1399799

RESUMO

O atual envelhecimento e aumento populacional, associado ao progresso científico e tecnológico, proporcionou a existência de maior cronicidade e incapacidade na saúde. Os cuidados de saúde primários são, neste âmbito, um dos contextos privilegiados de intervenção. O Acidente Vascular Cerebral (AVC) é uma das maiores causas de incapacidade crónica dos idosos, e o cuidador informal (CI) é um dos pilares da assistência necessária, podendo o seu papel influenciar várias dimensões da saúde. A literatura releva que os CI se deparam com dificuldades no regresso ao domicílio, com necessidade de mais e melhor informação e suporte na aquisição de competências que os capacitem para o seu desempenho. A intervenção na área da capacitação do CI no autocuidado do idoso dependente por AVC no domicílio, espera-se enriquecedora para os cuidados de saúde. O Enfermeiro Especialista em Reabilitação (EEER) tem um papel fundamental na construção de respostas dos sistemas de saúde aos desafios societais. No desenvolvimento profissional especializado é fundamental uma prática sustentada pela evidência, adequada às necessidades da população e orientada para resultados sensíveis aos cuidados de enfermagem de reabilitação. Nesta ótica, foi realizado um Estágio de Natureza Profissional com o objetivo geral de desenvolver competências no âmbito da Enfermagem de Reabilitação na Comunidade. O Relatório Final apresentado constitui um relato fundamentado e reflexivo das atividades realizadas, que permitiram o desenvolvimento de competências profissionais específicas do EEER, junto com o perfil das competências comuns. No nortear deste percurso foram tidos como modelos teóricos estruturantes as Teoria do Défice de Autocuidado de Orem e Teoria das Transições de Meleis. A componente de investigação desenvolvida baseou-se numa metodologia quantitativa (estudo pré-experimental de grupo único), com os objetivos de: identificar caraterísticas sociodemográficas e clínicas dos CI de idosos dependentes por AVC no domicílio, e conhecer os efeitos de um programa de enfermagem de reabilitação na capacitação destes CI para o autocuidado: cuidar da higiene pessoal, transferir, posicionar, providenciar ajudas técnicas, usar o sanitário, alimentar/hidratar e vestir/despir. Foram utilizados como instrumentos de recolha de dados: Formulário de Caraterização do CI e Escala de Capacidades do Prestador Informal de Cuidados a Idosos Dependentes por AVC (Araújo [et al.], 2016). A amostra foi constituída por 15 CI de uma Unidade de Cuidados na Comunidade da região Norte de Portugal, cujo programa de intervenção, baseado no ensino e treino de capacidades, contemplou seis contactos: cinco presenciais e um telefónico, com sessões individuais no domicílio e uma em grupo. Os resultados do estudo permitiram concluir que o programa de enfermagem de reabilitação influenciou favoravelmente a capacitação do CI para o autocuidado do idoso dependente por AVC no domicílio, comprovando-se as hipóteses estatísticas relativas às áreas do autocuidado referidas, corroborando a importância da intervenção nesta área. A compreensão e análise desta problemática ajudará os profissionais, como o EEER, a melhor apoiar esta população. O presente e futuro patenteiam novos desafios e oportunidades para tornar mais forte o corpo de conhecimentos da enfermagem na área da reabilitação.


The current aging and population increase, associated with scientific and technological progress, has provided the existence of a bigger chronicity and disability on health. Primary health care is, in this area, one of the privileged contexts of intervention. Stroke is one of the major causes of chronic disability in the elderly, and the informal caregivers are one of the pillars of their assistance, whose role can influence several dimensions of health. The literature reveals that informal caregivers faces difficulties on returning home, needing more and better information and support in acquiring skills that enable them to perform their role. The intervention in the area of informal caregiver empowerment with regard to self-care of the elderly dependent for stroke, at home, is expected to be enriching for health care. The rehabilitation specialist nurse has a role key in building health systems responses to societal challenges. In a specialized professional development, the practice supported by evidence is essential, also adequate to the needs of the population and oriented towards sensitive results to rehabilitation nursing care. A Professional Internship was carried out with the general objective of developing competences of rehabilitation nursing in the community. The Final Report presented constitutes a reasoned and reflective account of the performed activities, which allowed the development of specific professional competences of the rehabilitation specialist nurse, together with the common competences. In order to guide this path, Orem's Self-Care Deficit Theory and Meleis's Transition Theory were taken as structuring theoretical models. The developed study was based on a quantitative methodology (pre-experimental study with a single group). The objectives were: identifying sociodemographic and clinical characteristics of informal caregivers of elderly people dependent for stroke, at home, and knowing the effects of a nursing rehabilitation training program on the empowerment of this informal caregivers, with regard to self-care in the areas of: personal hygiene, transferring, positioning, providing technical assistance, using the toilet, feeding/hydrating and dressing/undressing. The data collection tools used were: The Informal Caregiver Characterization Form and The Skills Scale of Informal Caregivers of Dependent Older People Post-Stroke (Araújo [et al.], 2016). The participants were 15 informal caregivers from a Community Care Unit in the North region of Portugal, whose intervention program, based on teaching and training skills, included six contacts: five in person and one by telephone, with individual sessions at home and one in a group. The results of the study allowed us to conclude that the nursing rehabilitation training program favorably influenced the empowerment of informal caregiver with regard to self-care of the elderly dependent for stroke, at home, proving the statistical hypotheses related to the aforementioned areas of self-care, corroborating the importance of intervention in this area. The understanding and analysis of this matter will help health professionals, such as the rehabilitation specialist nurse, to better support this population. The present and the future reveals new challenges that will constitute opportunities to strengthen the nursing body of knowledge, in the area of rehabilitation.


Assuntos
Cuidadores , Enfermagem em Reabilitação , Acidente Vascular Cerebral , Empoderamento
11.
Artigo em Inglês | MEDLINE | ID: mdl-36141578

RESUMO

Systematically improving empowerment is not easy when operating a diabetes program for older adults. This study aimed to develop and test the feasibility of the diabetes empowerment (Dia-Empower) program for older adults with type 2 diabetes. A non-randomized controlled study with a matched sampling design was conducted. Community-dwelling older adults with diabetes were allocated to either the Dia-Empower program group or a control group. Changes in the primary (diabetes self-care and empowerment) and secondary outcomes (body composition and physical function) were compared between the groups. The scores for diabetes self-care and empowerment were significantly higher in the experimental group than in the control group. Changes in skeletal muscle mass and body fat ratio were significantly different between the groups. Handgrip strength and shoulder flexibility positively changed in the experimental group. The Dia-Empower program was feasible for older adults with diabetes in the community. In the future, it is necessary to study the long-term effects of the program and its effects on blood sugar control.


Assuntos
Diabetes Mellitus Tipo 2 , Idoso , Glicemia , Diabetes Mellitus Tipo 2/terapia , Empoderamento , Força da Mão , Humanos , Autocuidado
12.
Health Promot Int ; 37(4)2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-36102476

RESUMO

There is a growing body of research examining the nature and correlates of salutogenic factors in the workplace and employee wellbeing, and the role of empowerment therewithin. A paucity of research has distinguished between structural and psychological forms of empowerment in the workplace and examined how they independently and collectively relate to employee wellbeing. Much of the existing research has examined such considerations in western samples, with limited exploration of eastern working populations. The aim of this study is to investigate the association between structural empowerment (SE) and employee self-reported work-related wellbeing (operationalized as psychological wellbeing and job satisfaction), and the postulated mediating role of psychological empowerment (PE). With a sample of 324 southeast Asian employees from a single organization, this study used a cross-sectional case study design using self-report measures to examine the relationships between SE, PE and employee job satisfaction and psychological wellbeing. PE was postulated to mediate the relationship between SE and work-related wellbeing outcomes of job satisfaction and psychological wellbeing. Mediation analyses revealed that SE was positively associated with PE which, in turn, completely mediated the positive relationships between SE, and job satisfaction and psychological wellbeing. The results of this study contribute empirically and practically in the following ways: (i) it expands upon previous research on employee empowerment, (ii) contributes to the developing field of positive occupational health psychology and (iii) highlights the crucial role of organizations in creating sources of SE and PE.


In this study, we explore two forms of empowerment at work and investigate their relationship with employee wellbeing. Workplace empowerment (WE) comes from organizational structures, policies and practices that ensure power and resources are shared across employees, and, in turn, facilitate their accomplishment and development at work. Psychological empowerment (PE) derives from the meaning, competence, perceived control and influence employees feel they have at work and on work outcomes. Limited research has investigated whether WE and PE interact with each other, and whether this, in turn, relates to employees' motivation, health and wellbeing. This is the aim of this study. We collected data from 334 employees in a large organization in southeast Asia using an online survey. Both WE and PE were observed to be important factors in relationship to employees' satisfaction at work and psychological wellbeing. We found the relationship between WE and employees' self-reported job satisfaction and psychological wellbeing was facilitated through their PE. This study contributes to the small, but growing, body of literature examining empowerment in the workplace. Our findings highlight the importance of workplace health promotion initiatives to ensure employee empowerment is cultivated both within individuals and their work environments.


Assuntos
Empoderamento , Saúde do Trabalhador , Poder Psicológico , Local de Trabalho , Estudos Transversais , Humanos , Satisfação no Emprego , Local de Trabalho/psicologia
13.
PLoS One ; 17(9): e0272909, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36103466

RESUMO

Women's empowerment is a fundamental human right but attempts to measure progress in this area have been limited. We used 142 nationally representative surveys to quantify empowerment in six domains (Intimate Partner Violence, Family Planning, Reproductive Healthcare, Employment, Education, and Decision-Making) for first-level subdivisions of all countries in Sub-Saharan Africa for three years (1995, 2005, and 2015). The possible value for each domain ranged between zero (worst) and one (best). The median value for employment decreased by 0.02, but it increased between 0.09 and 0.16 for the other domains. The average empowerment score increased from 0.44 to 0.53, but it remained low for Education (0.34). While progress was clear and consistent, it was uneven within and between countries, and Sahelian West Africa fell further behind. The expanded understanding of geographic variation and trends in women's empowerment that we provide should be instrumental in efforts to improve women's lives.


Assuntos
Poder Psicológico , Direitos da Mulher , África ao Sul do Saara , Empoderamento , Serviços de Planejamento Familiar , Feminino , Humanos
14.
BMC Womens Health ; 22(1): 378, 2022 09 16.
Artigo em Inglês | MEDLINE | ID: mdl-36114507

RESUMO

BACKGROUND: Health insurance coverage is one of the several measures being implemented to reduce the inequity in access to quality health services among vulnerable groups. Although women's empowerment has been viewed as a cost-effective strategy for the reduction of maternal and child morbidity and mortality, as it enables women to tackle the barriers to accessing healthcare, its association with health insurance usage has been barely investigated. Our study aims at examining the prevalence of health insurance utilisation and its association with women empowerment as well as other socio-demographic factors among Rwandan women. METHODS: We used Rwanda Demographic and Health Survey (RDHS) 2020 data of 14,634 women aged 15-49 years, who were selected using multistage sampling. Health insurance utilisation, the outcome variable was a binary response (yes/no), while women empowerment was assessed by four composite indicators; exposure to mass media, decision making, economic and sexual empowerment. We conducted multivariable logistic regression to explore its association with socio-demographic factors, using SPSS (version 25). RESULTS: Out of the 14,634 women, 12,095 (82.6%) (95% CI 82.0-83.2) had health insurance, and the majority (77.2%) were covered by mutual/community organization insurance. Women empowerment indicators had a negative association with health insurance utilisation; low (AOR = 0.85, 95% CI 0.73-0.98) and high (AOR = 0.66, 95% CI 0.52-0.85) exposure to mass media, high decision making (AOR = 0.78, 95% CI 0.68-0.91) and high economic empowerment (AOR = 0.63, 95% CI 0.51-0.78). Other socio-demographic factors found significant include; educational level, wealth index, and household size which had a negative association, but residence and region with a positive association. CONCLUSIONS: A high proportion of Rwandan women had health insurance, but it was negatively associated with women's empowerment. Therefore, tailoring mass-media material considering the specific knowledge gaps to addressing misinformation, as well as addressing regional imbalance by improving women's access to health facilities/services are key in increasing coverage of health insurance among women in Rwanda.


Assuntos
Empoderamento , Seguro Saúde , Criança , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Ruanda
16.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-49134

RESUMO

Tema do podcast da revista Residência Pediátrica (RP) é “Pai empoderado compartilha amamentação”. No programa, a dra. Rossiclei Pinheiro, do Departamento Científico de Aleitamento Materno da Sociedade Brasileira de Pediatria (SBP), explica como o pediatra pode atuar para fortalecer o vínculo e apoio paterno na prática da amamentação.


Assuntos
Aleitamento Materno , Relações Pai-Filho , Paternidade , Empoderamento
17.
Artigo em Inglês | MEDLINE | ID: mdl-36011964

RESUMO

The number of community-dwelling people with dementia (PwD) is rising, and the role of their relatives is crucial in addressing and mitigating the implications of dementia on health care systems and on society. We developed a new conceptual framework to promote the collaboration of the community in supporting relatives who are caring for a PwD as well as a range of stakeholders in embracing dementia. A qualitatively driven, multi-method study divided into three phases was performed from 2019 to 2021. A qualitative descriptive study, a mixed-method systematic review and three consensus workshops were conducted, and their results were triangulated. The final version of the Community Collaboration Concept Framework is composed of three main domains based upon seven components: (1) embracing dementia; (2) creating empowerment and a sense of community; (3) collaborating through cocreation and design thinking. The new framework is based on the literature, the synthesis of empirical data and the consensus of a panel of international experts, supporting the global goal of improving community inclusiveness and collaboration. Further studies are needed to confirm its validity, how it should be implemented in practice in various settings and to propose improvements when designing projects based upon it.


Assuntos
Apoio Comunitário , Demência , Vida Independente , Cuidadores , Empoderamento , Humanos , Pesquisa Qualitativa
18.
BMC Nephrol ; 23(1): 282, 2022 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-35962338

RESUMO

BACKGROUND: Community engagement is essential for effective research when addressing issues important to both the community and researchers. Despite its effectiveness, there is limited published evidence concerning the evaluation of community engagement in research projects, especially in the area of nephrology. METHODS: We developed a community engagement program in Guatemala to address the role of hydration in chronic kidney disease of unknown origin, using five key engagement principles: 1. Local relevance and determinants of health. 2. Acknowledgment of the community. 3. Dissemination of findings and knowledge gained to all partners. 4. Usage of community partners' input. 5. Involvement of a cyclical and iterative process in the pursuit of goals. The effectiveness of community engagement was measured by a structured questionnaire on a 5-point likert scale. This measure determined how well and how often the research team adhered to the five engagement principles. We assessed internal consistency for each set of the engagement items through Omega coefficient. RESULTS: Sixty-two community leaders completed the questionnaire. Seventy-five percent were female, with a mean age of 37 years. All 5 engagement principles scored highly on the 5-point likert scale. Every item set corresponding to an engagement principles evaluation had a Omega coefficient > 0.80, indicating a firm internal consistency for all question groups on both qualitative and quantitative scales. CONCLUSION: Engagement of the community in the kidney research provides sustainability of the efforts and facilitates the achievements of the goals. Community leaders and researchers became a team and develop a relationship in which commitment and empowerment facilitated the participation in all aspects of the research process. This initiative could be a useful tool for researchers, especially in low-middle income countries, to start research in a community, achieve objectives in a viable form, and open opportunities to further studies.


Assuntos
Empoderamento , Hispânico ou Latino , Adulto , Feminino , Guatemala , Humanos , Rim , Masculino , Inquéritos e Questionários
19.
Artigo em Inglês | MEDLINE | ID: mdl-35954883

RESUMO

To study the impacts of implementing a gender-sensitive value chain development (VCD) initiative in the agri-food sector, we conducted a mixed-methods study of a woman-owned food processing business and its associated value chain in Touba, Senegal. As a result of partnering with a USAID-funded project, the business began producing instant fortified flours, an innovative, higher-value product compared to traditional porridge, using extrusion and fortification techniques. Drawing on Senegalese women's association networks, the business connected with local women who could work as processors and retailers. Our study's goal was to explore how the project's support of this food processing value chain has affected the lives of women processors and retailers, farmers, and medical personnel along the value chain. Particularly relevant to our study is the general lack of opportunities for women to earn their own incomes in the study region, especially outside of the home, and provide for their families. Through surveys, interviews, observations, and novel participatory focus group activities, our study provides qualitative and quantitative evidence of the perceived impacts of value chain development on women's empowerment, income, and nutrition by key stakeholders in the value chain. We find an often cited barrier to women's empowerment is the husband's lack of understanding and limitations placed on women's mobility, yet we also find perceptions of women's empowerment in this conservative religious context. Our findings and discussion highlight the need for more research into VCD projects on the complex and, at times, contradictory processes of women's empowerment. The women in our study expressed a desire for freedom to work outside of the home, and they expressed a need for childcare and contraception. Notably, the women discussed positive community changes, such as infrastructure and the creation of a childcare center, that implicate women's collective empowerment. We also highlight a promising research opportunity in Senegal to explore the subnational variation in women's empowerment through VCD.


Assuntos
Empoderamento , Renda , Criança , Feminino , Manipulação de Alimentos , Humanos , Estado Nutricional , Senegal , Direitos da Mulher
20.
PLoS One ; 17(8): e0272708, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35980968

RESUMO

BACKGROUND: Central and western Africa struggle with the world's lowest regional proportion of facility birth at 57%. The aim of the current study was to compare beliefs related to maternal health care services, science/technology, gender norms, and empowerment in states with high vs. low proportions of facility birth in Nigeria. METHODS: Face-to-face interviews were performed as part of a nationally representative survey in Nigeria using a new module to measure values and beliefs related to gender and sexual and reproductive health and rights collected as part the 2018 World Values Survey. We compared beliefs related to maternal health care services, science/technology, gender norms, and empowerment between Nigerian states with facility birth proportions > 50% vs. < 25% as presented in the 2018 Nigerian Demographic Health Survey report. Pearson's chi-squared test, the independent t-test, and univariable and multivariable logistic and linear regression were used for analyses. Results were also stratified by gender. RESULTS: Among the 1,273 participants interviewed, 653 resided in states with high and 360 resided in states with low proportions of facility birth. There were no significant differences between the groups in perceived safety of facility birth (96% vs. 94%) and confidence in antenatal care (91% vs 94%). However, in states with low proportions of facility birth, participants had higher confidence in traditional birth attendants (61% vs. 39%, adjusted odds ratio [aOR] 2.1, [1.5-2.8]), men were more often perceived as the ones deciding whether a woman should give birth at a clinic (56% vs. 29%, aOR 2.4 [1.8-3.3]), and participants experienced less freedom over their own lives (56% vs. 72%, aOR 0.56 [0.41-0.76]). Most differences in responses between men and women were not statistically significant. CONCLUSIONS: In order to increase facility births in Nigeria and other similar contexts, transforming gender norms and increasing women's empowerment is key.


Assuntos
Serviços de Saúde Materna , Parto , Estudos Transversais , Empoderamento , Feminino , Humanos , Masculino , Nigéria , Gravidez
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...