Suchergebnisse

The Chakhama Valley, a remote area in Pakistan-administered Kashmir, was badly damaged by the 7.6-magnitude earthquake that struck India and Pakistan on 8 October 2005. More than 5% of the population lost their lives, and about 90% of the existing housing was irreparably damaged or completely destroyed. In early 2006, the Aga Khan Development Network (AKDN) initiated a multisector, community-driven reconstruction program in the Chakhama Valley on the premise that the scale of the disaster required a response that would address all aspects of people's lives. One important aspect covered the promotion of disaster risk management for sustainable recovery in a safe environment. Accordingly, prevailing hazards (rockfalls, landslides, and debris flow, in addition to earthquake hazards) and existing risks were thoroughly assessed, and the information was incorporated into the main planning processes. Hazard maps, detailed site investigations, and proposals for precautionary measures assisted engineers in supporting the reconstruction of private homes in safe locations to render investments disaster resilient. The information was also used for community-based land use decisions and disaster mitigation and preparedness. The work revealed three main problems: (1) thorough assessment of hazards and incorporation of this assessment into planning processes is time consuming and often little understood by the population directly affected, but it pays off in the long run; (2) relocating people out of dangerous places is a highly sensitive issue that requires the support of clear and forceful government policies; and (3) the involvement of local communities is essential for the success of mitigation and preparedness.

Aim: The purpose of this review is to describe the use and definitions of the concepts of nurse-patient interaction and nurse-patient communication in nursing literature. Furthermore, empirical findings of nurse-patient communication research will be presented, and applied theories will be shown. Method: An integrative literature search was executed. The total number of relevant citations found was 97. The search results were reviewed, and key points were extracted in a standardized form. Extracts were then qualitatively summarized according to relevant aspects and categories for the review. Results: The relation of interaction and communication is not clearly defined in nursing literature. Often the terms are used interchangeably or synonymously, and a clear theoretical definition is avoided or rather implicit. Symbolic interactionism and classic sender-receiver models were by far the most referred to models. Compared to the use of theories of adjacent sciences, the use of original nursing theories related to communication is rather infrequent. The articles that try to clarify the relation of both concepts see communication as a special or subtype of interaction. Conclusion: The included citations all conclude that communication skills can be learned to a certain degree. Involvement of patients and their role in communication often is neglected by authors. Considering the mutual nature of communication, patients' share in conversation should be taken more into consideration than it has been until now. Nursing science has to integrate its own theories of nursing care with theories of communication and interaction from other scientific disciplines like sociology.

Zusammenfassung
Der Beitrag diskutiert Auswirkungen der Einführung des Sozialgesetzbuches II auf gesundheitlich beeinträchtigte Leistungsbezieher und die Inanspruchnahme von beruflichen Rehabilitationsleistungen. Es zeigt sich, dass einerseits die Ziele des SGB II mit Zielen des SGB IX in Teilen schwer vereinbar sind. Aufbauprozesse der neuen SGB II-Träger, vor allem im Jahr 2005, führten andererseits zu Aufgabenhierarchisierung und zur Konzentration auf finanzielle Leistungsgewährung. Das Ziel einer schnellen Vermittlung in Arbeit beeinflusst pudern Zugangsprozesse und trägt, neben anderen Faktoren, im Ergebnis einem deutlichen Rückgang der Eintritte in Maßnahmen der beruflichen Rehabilitation bei. So lassen sich in unterschiedlich starkem Maße Anzeichen einer Praxis herausarbeiten, die eine Inkongruenz zur gesetzgeberischen Intention deutlich machen.