Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC.

The main objective of this research was to study how increased arterial oxygenation by the use of Pulsed Inhaled Nitric-Oxide (PiNO) influenced the metabolic and cardiovascular parameters on horses undergoing acute abdominal surgery because of colic. The parameters blood lactate, blood glucose, pH and heart rate were evaluated before and during anesthesia and closely after recovery. The study showed that blood lactate concentrations decreased significantly during anaesthesia in horses treated with PiNO compared to non-treated horses. It was also seen that the lactate concentration decreased most in horses with the highest levels before PiNO treatment. Since enhanced oxygen extraction ratio was evident in the PiNO group, improved oxygen delivery to the tissue may be a possible explanation for the improved situation.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

Bakgrund: ERAS (Enhanced Recovery After Surgery) är ett standardiserat multimodalt vårdprogram vid elektiv kolorektalkirurgi, som syftar till snabbare återhämtning och kortare vårdtider genom ett tvärprofessionellt samarbete.  En vecka innan planerad operation träffar sjuksköterskan patienten för ett samtal om vårdförloppet. Syfte: Att identifiera och beskriva patientens upplevelse av sjuksköterskans ERAS- samtal och dess betydelse för patientens delaktighet i sin vård.   Metod: Datainsamlingen skedde genom kvalitativa intervjuer. Tolv patienter, nio män och tre kvinnor har intervjuats. De ljudinspelade samtalen har transkriberats ordagrant och analyserats med hjälp av tolkande fenomenologisk analys (Interpretative Phenomenological Analysis). Resultat: Analysarbetet resulterade i fem olika teman; bli sedd, trygghet, tillit, ansvar samt delaktighet. Alla teman relaterar till varandra och illustrerar en positiv och en negativ sida av den upplevda erfarenheten. Tillsammans bildar en helhet av upplevelsen; ERAS- samtalet och dess betydelse för patientens delaktighet. Konklusion: Resultatet visar att patienterna känner sig sedda under informationssamtalet.

BAKGRUND: CABG blir en allt vanligare åtgärd vid kranskärlssjukdom inom svensk sjukvård. Målet med operationen är att lindra symtom vid kärlkramp och hjärtinfarkt samt att reducera mortaliteten. SYFTE: Syftet var att beskriva patienters emotionella upplevelser under det första året efter en CABG operation. METOD: En allmän litteraturstudie som grundades på kvalitativa vetenskapliga artiklar genomfördes. Resultatet baserades på sju vetenskapliga artiklar som söktes fram via elektroniska databaser och därefter granskades och analyserades.

Dystocia, or difficult birth, is a commonly seen complication to natural birth in veterinary hospitals. Although other methods of resolving dystocia exist, 60 % of dystocias will need to undergo caesarean section. To perform a caesarean section, the bitch will have to undergo anesthesia. The purpose of this literary study was to provide a deeper understanding regarding how the physiologic changes that occur during pregnancy influence anesthetic management in the bitch and puppies. Which anesthetic drugs and drug combinations indicated was also investigated as well as how a veterinary nurse can optimize care of the mother throughout the procedure and how resuscitation of the puppies should be carried out for best possible outcome.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

SammanfattningBakgrund: Övervikt och fetma är ett växande problem i Sverige och i stora delar av världen. Överviktskirurgin har ökat kraftigt de senaste åren och är idag en utbredd metod för att behandla övervikt och dess följdsjukdomar. Trots att syftet med operationen är att minska risken för ohälsa så visar studier att personer som genomgått denna typ av behandling, konsumerar mer sjukvård än personer som behandlats med andra metoder mot sin fetma. Därav är det viktigt att få en djupare förståelse för hur personer som genomgår överviktskirurgi upplever sin situation i samband med ingreppet.  Syfte: Att beskriva personers upplevelser och behov i samband med överviktskirurgi ur ett vårdvetenskapligt perspektiv.Teoretisk utgångspunkt: Transitionsteorin utifrån Meleis et.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

Att möta och stödja närstående till svårt sjuka patienter är en av sjuksköterskans många uppgifter. Författarparet har genomfört en empirisk kvalitativ intervjustudie om hur närstående uppfattar att de blivit bemötta inom kirurgisk verksamhet. Semistrukturerade intervjuer genomfördes med fem stycken deltagare vars anhöriga vårdas eller vårdats för malign sjukdom i övre mag- tarm kanalen inom kirurgisk verksamhet. Syftet med studien var att få ökad kunskap i hur närstående uppfattar bemötandet. Vidare var syftet att ta reda på hur anhöriga önskar bli bemötta.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..