RESUMO
BACKGROUND: A deficit-oriented discourse dominates child protection workforce research with worker distress including burnout and vicarious trauma predominating. Recent Australian research challenges this discourse through new understandings of worker resilience, with potential benefits for service quality and workforce retention, warranting consideration of this alternative lens. OBJECTIVE: This Australian longitudinal, qualitative study explored child protection worker perceptions and experiences of resilience to inform understandings of worker resilience, and implications for worker functioning and workforce retention. PARTICIPANTS AND SETTING: Participants were a purposive sample of 24 front-line child protection workers, in seven locations, from the state-based statutory child protection agency in Queensland, Australia. METHODS: Using semi-structured, in-depth interviews, this longitudinal, qualitative study utilised a reflective approach drawing on participant understandings and experiences. The thematic analysis via NVivo utilized theory informed a priori coding as sensitizing concepts, which was further developed through inductive coding drawing meaning from participant data. RESULTS AND CONCLUSION: With resilient workers maintaining effective practice over extended periods, findings highlighted the importance of reflective practice and relationship-based approaches to well-being and retention. Support for these practice approaches through supervision, peer support, and the organization were significant contributors. Participant-identified influences on resilience informed a relational-reflective framework, which recognizes the significance of reflective practice and the relational context to resilience, and how this is experienced. Given the common deficit-oriented discourse of worker distress in child protection, this study and the framework presented have relevance for workers, managers and organizations by reconceptualizing how resilience can be promoted to further workforce retention.
Assuntos
Serviços de Proteção Infantil , Resiliência Psicológica , Recursos Humanos , Feminino , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Cultura Organizacional , Pesquisa Qualitativa , Queensland , Autoeficácia , Local de Trabalho/organização & administração , Local de Trabalho/psicologiaRESUMO
Data on efficacy and safety of intravenous (IV) thrombolysis with recombinant tissue plasminogen activator (rtPA) in patients with acute ischemic stroke (AIS) and intracranial neoplasm are lacking. To date, only a handful of case reports have been published in the literature addressing the administration of IV rtPA to patients with AIS and coexisting brain neoplasms. We present the case of successful IV thrombolysis with rtPA for AIS in a patient with oligodendroglioma on bevacizumab without hemorrhagic complications. We summarize the published cases of thrombolysis in AIS in patients with intracranial neoplasms.