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4002 Uppsatser om Advanced care of newborn baby - Sida 27 av 267
Patientrelaterade riskfaktorer för postoperativ sårinfektion efter Coronary Artery Bypass Graft - CABG
Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..
Långvarig neuropatisk smärta : en litteraturstudie om livskvalitet ur ett patientperspektiv
Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.
Sätter jag mig i ett hörn, blir jag äldre än vad jag är : En kvalitativ studie om insatsen aktivering inom hemtjänsten
From the day we are born, we slowly grow old and sooner or later most people will have to use geriatric care provided by the community. In the Swedish model, society is responsible for the geriatric care, so the elderly can live a dignified, meaningful and active life. Home help insert activity is designed to help elderly get their social needs satisfied in the form of, for example, being outdoors, walk and visit a friend or some other form of social interaction. The study's purpose is to study how older people use and perceive bet activation in the municipal home care. To find out how this was conducted five interviews with older people who have help from home care to insert activation was made.
Förändringsarbete i sjukvården En kvalitativ studie av införandet av en avancerad specialistsköterska
Denna fallstudie utreder hur ett företag expanderar via ett innovativt projekt. Genom observationer, intervjuer och återberättelser har studien en etnografisk ansats för att skapa en bild av hur ett sådant projekt kan gå till och hur dess olika processer ser ut. Syftet med studien är att utifrån begreppen: innovation, projekt, projektledning och kunskapsöverföring analysera hur företaget Josephssons genomfört lanseringen av Josephssons Webshop och på vilket sätt det pågående innovativa projektet e?handel genomförs. Författarna har genom en litterär fördjupning av de olika begreppen skaffat sig en teoretisk referensram som sedan använts för att analysera det empiriska materialet.
?Han ska inte bli likadan som jag har varit? : En narrativ studie av moderskapets betydelse för några unga, före detta familjehems- eller institutionsplacerade mammor
The purpose of this study was to examine how some young mothers, who previously have been in foster care or residential care, describe the way motherhood has affected their lives and identities. Narrative interviews were conducted with three teenage mothers and one mother aged 23. As tools for analyzing the narratives, theories about narrative psychology and how people present themselves through story-telling and language were used. The results of the study show that becoming a mother was life-changing in a positive way, according to the young mothers. They described how they, since becoming mothers, had become more mature and now lived less risk-full lives.
Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg
Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.
Dokumentation vid vård av patienter med demenssjukdom i palliativt skede på särskilda boenden : -En retrospektiv journalstudie
Abstract Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach.
Nyblivna mödrars erfarenheter av förberedelse och initiering av amning
Bakgrund: Baby Friendly Hospital Initiativ bygger på Tio steg till lyckad amning och lanserades år 1991 i Sverige. Efter detta sågs en ökning av amningsfrekvensen. Nu 20 år efter införandet av Tio steg till lyckad amning sjunker amningsfrekvensen. Studier har visat att amningsutfallet påverkas av hur amningen initieras samt det stöd kvinnan får från vårdpersonal, partner och närstående. Syfte: Syftet med denna studie var att beskriva nyblivna mödrars erfarenheter av förberedelse och initiering av amning.
Äldres framtidssyn och funderingar med fokus på vård och omsorg
The western societies is characterized by a strong future concern and the
members of the society are valued most of all according to their capability to
produce. In our time the elder ness is representing a rapidly increasing number
of relatively well kept elders. What sight of the future does the aging human
have? Are one meditating of what kind of service and care one are going to
need? The purpose with this study was to describe how individuals in ages
between 60 and 96 sees, both the future and their coming need for care in
relation to sex, age, social activities and experienced health. The material
was taken from ?SNAC-Blekinge? witch is a part of a bigger national study; SNAC
(The Swedish National study on Aging and Care).
Efficient treatment of adolescents with behavioural problems
The purpose of this essay is to investigate which components previous scientific studies suggest that an efficient treatment for adolescents with behavioural problems should contain. For this purpose, an extensive review of scientific research conducted in Scandinavia has been read and will be presented in this essay. This essay also present an introduction to residential care in Sweden as well as to an alternative form of treatment for adolescents with behavioural problems called Multidimensional Treatment Foster Care (MTFC). The result of this essay suggest that treatment of adolescents with behavioural problems should be based on the emphasis of risk/resilience factors of the youth and that the treatment should be adapted to the youth?s individual personality and way of learning.
Omhändertagandet av små barn : En dokumentanalys av åren mellan 1931 - 1940
This is a study about children?s welfare and the Child Care Board way of working in Malmö city. We decided to make this a narrative and document analyses where the main focus have been the interactions between human beings, which means everything from the interaction between parents and child as well as the interaction between families and society.We wanted to investigate any possible alterations within the working system between 1931?1940. Our analysis showed that there hasn?t been a big change with the Swedish legislation.
Moral distress och dess konsekvenser för sjuksköterskans yrkesutövning : Littersturstudie
The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant factors in the development of moral distress, such as providing life-sustaining care, competing loyalties, conflicts with the physician, communication barriers, emotional barriers, cultural barriers, regulation and rules and working environment that gives the nurse difficult or unsolved ethical dilemmas.
Avsaknaden av samvetsfrihet inom den svenska hälso- och sjukvården : Hur Sverige valt att frångå Europakonventionen
The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.
KOGNITIV PROBLEMLÖSNING UNDER STRESS : PÅVERKAR FYSIOLOGISK AROUSAL PRESTATIONEN?
Förmågan att prestera under akut eller kraftig stress är en förutsättning för en del yrken. Forskningsresultaten gällande hur stress påverkar prestation pekar åt olika håll. Denna studie undersökte sambandet mellan fysiologisk arousal och kognitiv problemlösningsförmåga under stress. Trettiotvå polisstudenter testades på Ravens test av flytande intelligens APM set II både före och efter att antingen ha sprungit i tjugo minuter eller haft en självskyddslektion på ca fyrtio minuter. Resultaten från en mixed ANOVA för beroende mätningar visade på en signifikant interaktionseffekt (F (30) = 6,547, p < 0,05) ? en ökning i prestationen hos självskyddsgruppen med arton procent och en minskning med femton procent hos löpningsgruppen.
Omvårdnad för personer med självskadebeteende ? En studie om utvecklingsbehov
INTRODUCTION: Research from both nurse and patient perspective highlights shortcomings in psychiatric inpatient care for people with Non-Suicidal Self-Injury (NSSI). Nursing for people with NSSI, a subject in need for further knowledge, is in this study examined through a theoretical framework based on Person-Centered Nursing and Patientology AIM: Based on people's own experiences of being cared for NSSI in psychiatric inpatient care, the aim is to elucidate development opportunities for the nursing care of this group of patients.METHOD: Seven informants, all women aged 25-31, were interviewed about their experiences of nursing in psychiatric inpatient care. The transcribed text was analyzed and categorized according to an existential hermeneutic research approach.RESULTS: The categorization of the interviews resulted in seven areas of nursing in need of development. Knowledge, Environment, Information, Routines, Involvement, Communication and The nurse?s actions.CONCLUSION: Development of nursing is prevented since NSSI is stigmatized within psychiatric inpatient care.