Increasing Compliance with Company rules in a multi-cultural group of floor workers. Case company: Caternet Finland Oy

This thesis is a piece of research done whilst working for Caternet Finland Oy, a food company located and operating in Helsinki, Finland. The thesis originates from the researcher’s experience in the company. While working for the company the author realized a problem with in-house compliance of company rules, mainly when it comes to the floor workers. The main objective of my research was to study how Caternet Finland Oy can increase internal compliance within its multi-cultural group of floor workers through improving the communication of rules and regulations. The purpose is therefore to detect weaknesses and loopholes in the entire structure, but mainly in the communication of company rules to the multi-cultural group of shop floor workers. The research was carried out by using the qualitative research method. The data was collected through face to face interviews by the researcher himself. The interviews followed major themes, which included the following: rules and compliance employee communication and intercultural communication. The results revealed that rules in Caternet Finland Oy are formulated from what the law stipulates, customer demands and what the management wants. There has not been through communication of these rules to floor workers. The few rules which have been communicated have not effectively reached the entire group of floor workers. The research concludes that even though there are weaknesses in the formulation of rules, the company has more problems in the communication of rules to the workers. Intercultural communication has been viewed as the most urgent area for the company to check in order to achieve compliance from its multicultural group of floor workers. Suggestions are given for the company on how to improve the communication of rules

Nursing interventions in preventing obstetric fistula in adolescents in East Africa

Women in developing countries, particularly young girls experience difficult childbirth which results in the loss of their babies and a significant injury to their sexual and reproductive organs, a condition called obstetric fistula. According to the World Health Organization, an estimated 2 million women in sub-Saharan Africa, Asia, the Arab region, and Latin America and the Caribbean are living with this injury, and some 50,000 to 100,000 new cases develop each year. Statistics from United Nations Population Funds (UNFPA) presents that nine out of ten births are from adolescent girls and these births occur with a marriage or a union. Cultural practices of early marriages and early deliveries present a major risk factor for the development of obstetric fistula (OF) as a result of obstructed labour. Sub-Saharan Africa has the highest prevalence of teenage pregnancies in the world. Births to teenage mothers account for more than half of all the births in the region with an estimate of 101 births per 1000 women aged 15 to 19. The purpose of this thesis was to describe nursing interventions that have been and could be used in the prevention of obstetric fistula in adolescents in East Africa. Literature review methodology was used. 16 articles were retrieved from EBSCOHOST and PROQUEST databases by use of inclusive and exclusive criteria. Inductive content analysis was used to analyse the data which gave rise to several sub-categories and further narrowed to two main categories for interventions which have been done and two main categories for interventions which could be used to prevent OF in adolescents. The results showed that although there has been efforts to prevent obstetric fistula, more resources are aimed at treatment and management of obstetric fistula among women, not adolescents as a high-risk group. Findings also indicate that there is need to educate more nurses and midwives specialized in fistula prevention. There were also recommendations of what should be done in the prevention of obstetric fistula. Preventive measures for obstetric fistula should aim for root causes which provide long-term and sustainable solutions. Further research is recommended on obstetric fistula prevention in adolescents, defining the role of nursing intervention as an important component