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3524 Uppsatser om Change after psychotherapy - Sida 66 av 235
Att beskriva och jämföra en expertgrupp och intensivvårdssjuksköterskors överensstämmelse i att detektera delirium hos intuberade, respiratorbehandlade patienter med sedering/analgesi, före och efter en utbildningsintervention : En kvasiexperimentell stud
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Strategisk utvecklingsprocess i praktiken. En kvalitativ fallstudie om hur och varför en organisationsstrategi anpassas och förändras
En viktig del till att bli en framgångsrik chef är att finna en balans mellan arbete ochfritid. Går det att finna balans mellan arbete och fritid. I det långa loppet handlar detom att orka hantera hög arbetsbelastning och krav som stundtals tenderar att spillaöver på ens fria tid. Genom teknikutvecklingen är inte längre tillgängligheten ettproblem utan problematiken ligger snarare hos individen att sätta sina egna gränser.Den här studien innefattar nio chefer från olika branscher verkade iGöteborgsområdet. Respondenterna har intervjuats där egna tankar och reflektionerkring deras balans har varit i fokus.
ALK?RR - K?LLA ELLER S?NKA F?R V?XTHUSGASERNA METAN OCH LUSTGAS? Empirisk studie av v?xthusgasutbyte i kustn?ra alk?rr p? den svenska V?stkusten.
Due to global climate change and the rising levels of greenhouse gases (GHG) in the atmosphere, the interest for seeking solutions for mitigation has increased. While much attention has been directed towards technical solutions such as carbon capture and storage (CCS), biogenic carbon sinks has also garnered significant attention. Previous studies have shown that coastal ecosystems such as seagrass meadows and mangroves have a much greater capacity for storing carbon (C) compared to terrestrial ecosystems. That raises the question if other coastal ecosystems, such as coastal wetland forests, that previously haven?t been considered as blue carbon habitats also contribute to coastal carbon sink capacity.
Bibliotekariers yrkesroll på integrerade bibliotek: undersökning av bibliotekariers uppfattningar inom integrerade folk- och skolbibliotek
This master thesis deals with the problem of integrated libraries. The number of integrated public and school libraries has significantly increased over time. These libraries are integrated for different reasons, most often because of economic considerations. The goal of the thesis is to investigate librarians´ understanding and perceptions of the professional role in this type of integrated libraries. I have investigated how librarians see and interpret their own professional role, and what factors influence their perceptions in an integrated library.The three main questions are: How do the librarians explain their professional role in an integrated library? How does their professional role change because of the fact that they work in an integrated environment? What factors, according to the librarians, influence and/or change the professional role mostly? The data has been collected through interviews with eight librarians at integrated libraries.
An assessment of public procurement of timber buildings : a multi-level perspective of change dynamics within the Swedish construction sector
The construction and use of buildings in the EU accounts for half of the EU?s extracted materials and energy consumptions, and a third of greenhouse gas emissions. In the past decade, the construction sector has responded to such concerns by focusing on post production energy efficiency. However, new findings indicate that upstream construction processes influence emissions significantly ? necessitating a shift in focus to include material choices and building processes.
Språkstöd i distanslaboratoriet på BTH
To study and laborate at distance, its necessary that the coursematerial is
accessible via internet.
Teaching at more languages than swedish bocomes more common,
why the information of courses needs to exist at several languages.
As teacher, you need a way to publish and edit material of a course. It also
has to be easy for the students to find the information. The distance
laboratory have developed an administrative websystem that handles programme,
courses and students, but misses the possibility for teachers to change content
at the webpages and publish new coursematerial on a way..
Förändrade konkurrensstrategier vid branschutvidgning : En jämförande undersökning av tre hotell i Stockholms innerstad
People in Sweden and in Europe have been traveling a lot more lately. Because of the economic boom that has been in a lot of countries people do have more money to spend. Sweden and especially Stockholm has lately become a very popular destination. Also big congresses and business meetings like to choose Stockholm for their meetings. The capital as it looks today does not have the capacity to let all those people stay at the hotels at the same time.
Förändrade konkurrensstrategier vid branschutvidgning : En jämförande undersökning av tre hotell i Stockholms innerstad
People in Sweden and in Europe have been traveling a lot more lately. Because of the economic boom that has been in a lot of countries people do have more money to spend. Sweden and especially Stockholm has lately become a very popular destination. Also big congresses and business meetings like to choose Stockholm for their meetings. The capital as it looks today does not have the capacity to let all those people stay at the hotels at the same time.
Entrén vid Universitetssjukhuset i Lund : hälsosjukhuset med frånvaro av trivsamhet
Scientific research shows that humans regain their strength when they are spending
time in nature. Ulrich, Kaplan & Kaplan, among others, has shown in their research
that nature can reduce stress and decrease the after effects of stress. Lund University
Hospital, USiL, is a big working place and has a large number of patients. To be a
patient often means that you lose control of your daily life which could cause stress.
For the personnel high workload can be a stress factor.
Studentboende hos Gavlegårdarna ? studenternas egna upplevelser
Gavlegårdarna is in the state of an invisible dissatisfaction situation from the students on the University of Gävle.This paper shows how the students feel about their housing situation in Gavlegårdarnas student apartments. It is a basis of change that hopefully will open up Gavlegårdarnas eyes and minds for changes.In this paper we come up with solutions for Gavlegårdarna to create a more satisfying student-housing situation, for the students on Högskolan i Gävle who are situated in Gavlegårdarnas student apartments..
Medicinen är kryckan, inte lösningen: personals upplevelser av de psykosociala inslagen i läkemedelsassisterad underhållsbehandling
The meaning of the concept of psychosocial treatment is ambiguous. The purpose of this study was to examine how professionals within some care institutions, which provide methadone, buprenorphine or naloxone treatment, regard and carry out the psychosocial features of such treatment. Central issues discussed were; how personnel approach the psychosocial features of the treatment, what personnel regard as a focus in the psychosocial treatment, what conditions personnel consider affect treatment positively in order for it to be successful and how personnel see the relation between the medical and psychosocial features of the treatment. The method used was interviews with nine professionals in six qualitative interviews. The theoretical perspectives and concepts used in our analysis were; the theory of biological dependence, an organizational perspective, Prochaska and DiClemente's Stages of Change Model, the concept of individual reality and the concept of marginal conflict.Results show that the conditions most important for successful treatment are; that the patient has a place to live, an occupation, motivation, that the patient take responsibility for his/hers progress and have realistic expectations about the effects of the medicine.
Europeiska Unionens makt att förändra världen : - En kvalitativ studie ur ett normativt perspektiv
The purpose with this essay was to examine how the European Union is working totransfer norms to states they signed an agreement with and provide support for inframe of the Barcelona process and the Tacis programme. The theory which weused was Ian Manners (PhD in Political Science) theory of "the EU as a uniquenormative power". The aim was to examine whether the EU - which Manners mean- has had a normative power to influence states to change. We used a qualitativeapproach through the use of a multiple case study and qualitative text and contentanalysis. The States which formed the basis of our study were within the BarcelonaProcess; Morocco and Tunisia as well as Azerbaijan and Armenia funded by theTacis programme.
Förändringsarbetet i banker : en kvalitativ studie om teknologisk utveckling och utsikt mot ett kontantlöst samhälle
Den teknologiska utvecklingen har under de senaste decennierna fa?tt en allt sto?rre betydelse i samha?llet. Som en naturlig fo?ljd av detta har bankernas verksamhet fo?ra?ndrats, bland annat genom o?kat utbud av tekniska tja?nster och produkter. Tidigare studier pa?visar att ma?nniskans beteende har fo?ra?ndrats i takt med samha?llets utveckling och ma?ste idag va?nja sig vid att allt mer kommer att hanteras via de teknologiska distributionskanalerna.
Inte var väl det så synd? Om församlingspedagogers syn på synd och hur de hanterar ämnet i barn- och konfirmandgrupper
The ambition of this paper is to study the construction of the categorization between ?us? and ?them? in a religious minority, represented by Jehovah?s Witnesses and a nationalist political party, represented by the Swedish Democrats. This will be done by a discursive psychology analysis of their official publications on each group?s website. By a deductive study using Henri Tajfel?s Social Identity Theory trying to disclose the psychological processes; social categorization, social identity, social comparison and psychological distinctiveness.
Färgval hos blomkrabbspindeln (Misumena vatia) med och utan konkurrens
The colour choice of spiders and the effects of competition on this phenomenon were examined in the laboratory using the sit-and-wait predator goldenrod crab spider (Misumena vatia, (Thomisidae)). This species can be both white and yellow (could also change colour) and it was here examined whether individuals preferred to sit on flowers which has the same colouration as their bodies. I found that M.vatia showed preference for flowers that matched their own body colour, but when competition was introduced this preference disappear. It seems, however, that position is a factor that can influences the substrate decisions of M. vatia, where the edge of the flower is preferred..