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2175 Uppsatser om Clinical nursing supervision - Sida 32 av 145
Sjuksköterskans upplevelser av transkulturell omvårdnad. ?I palliativ vård-
Sverige har blivit ett mångkulturellt land vilket innebär att sjuksköterskan möter patienter från olika kulturer som är i behov av palliativ vård. Detta gör det viktigt att belysa i vilken grad sjuksköterskan har förmåga att hantera svårigheter som kan förekomma vid vård av patienter med olika kulturella bakgrunder i palliativ vård.Syftet med arbetet är att beskriva sjuksköterskans upplevelse av transkulturell palliativ vård. Metoden som används är en kvalitativ litteraturöversikt grundad på 11 artiklar som beskriver sjuksköterskans upplevelser av transkulturell palliativ vård. Artiklarna har eftersökts i databaserna CINAHL, Medline och PubMed.Resultatet visar att kommunikation är en viktig del för att kunna erbjuda vård och omsorg med kvalitet till patienter med olika kulturella bakgrunder. Förståelse för patientens verbala och icke-verbala kommunikation är väsentlig för att kunna skapa en bra relation mellan sjuksköterskan och patienten inom palliativ vård.
Individers erfarenhet av icke farmakologisk behandling vid långvarig smärta : En litteraturöversikt
Aim: The aim of this study was to highlighting the experiences of individuals of non-pharmacological treatment for chronic pain.Method: The study was designed as a literature review with aim to review andcompile the articles results. This study has been based on a systematic literature search of supplementing out of an unsystematic search were 11 articles were found.Results: The participants in the studies had experienced a good effect out of non-pharmacological treatments for their pain and a improved quality of life. Based on participants´ experiences of treatment two categories occurred: body awareness and relaxation. Body awareness arose through treatments like yoga, mindfulness meditation and CBT. Relaxation occurred through treatments, like music, heat, massage and meditation.Conclusion: This study highlights how non-pharmacological treatments is experienced by individuals with chronic pain and two key areas have been identified.
Följsamhet vid läkemedelsbehandling hos patienter med hjärt- och kärlsjukdomar
Idag behandlas flera patienter med läkemedelsbehandling vid hjärt- och kärlsjukdomar. Av alla ordinerade läkemedel, är hjärt- och kärlmediciner de allra vanligaste. Sjuksköterskan och läkaren har en central roll för att följsamheten ska bli god. Att finna vad det är som besvärar patienten vid läkemedelsbehandling är därför en förutsättning för att sjuksköterskan ska kunna påverka följsamheten. Litteraturstudiens syfte var att beskriva vad som påverkade patientens följsamhet vid läkemedelsbehandling av hjärt- och kärlsjukdomar.
Gammal och förvirrad : Sjuksköterskans omvårdnadsåtgärder vid konfusion hos äldre
Konfusion är mycket vanligt förekommande hos äldre och skapar stort lidande, ger höga samhällskostnader och orsakar hög mortalitet. Syftet med studien var att belysa sjuksköterskans icke farmakologiska omvårdnadsåtgärder vid konfusion hos äldre patienter. Metoden var en litteraturstudie, vilken innefattade tio artiklar där relevanta omvårdnadsåtgärder framkom, dessa presenterades i resultatet under VIPS - modellens åtgärdssökord. Resultatet av studien visade att patienter med konfusion mindes och uppmärksammade vad som skedde med och runt omkring dem. Viktigt var att få information om sitt konfusionstillstånd för att förstå vad som hände och varför.
Sjuksköterskors arbetsbelastning - en faktor för patientsäkerhet : En litteraturstudie.
Background: Every year, more than 1000 cases of adverse events are reported in the Swedish health care system. These adverse events cost approximately 240 million Swedish kronor each year. By explaining the factors that cause nurses to make mistakes when they have too great a workload, it is hoped the awareness of health care staff will increase. Aim: To perform a literature review which describes factors that can endanger patient safety when nurses experience too great a workload. Method: A systematic literature review encompassing both quantitative and qualitative material.
Kvinnor och män i avlönat omsorgsarbete : Hur kön, etnicitet och sexualitet kommer till uttryck i tal och handling på ett sjukhem
The aim of this study was to describe and analyse the constructions andinterplay of gender, ethnicity and sexuality between female and male careworkersand residents in a nursing home. To explore this from a qualitativeeveryday life?s approach, material was collected through participating observations,interviews, and informal conversation with careworkers and residents.The result points out that historical patterns of gender and caring relatedto this context still matter and affect both careworkers and residents. Forexample, female careworkers talked about the concept of caring as a genuinefemale experience, while male careworkers, who were in a minority, insteadtalked about caring in more gender-neutral words. The result also indicatesthat a larger number of male careworkers not necessarily leads to a highergrade of gender equality.
Problematiska beteenden vid demens
Sveriges befolkning blir allt äldre och i takt med detta ökar andelen personer med demens och deras behov av vård. Svårigheter med att hantera beteendestörningar såsom aggression och agitation hos personer med demens har visat sig vara ett problem för vårdpersonal. Syftet med denna litteraturstudie har varit att samman-ställa aktuell vetenskaplig litteratur avseende vad som är viktigt i omvårdnaden av personer med demenssjukdom som uppvisar problematiska beteenden samt att undersöka vilket stöd vårdpersonalen behöver för att på ett professionellt sätt kun-na bemöta dessa personer. En systematisk litteraturstudie genomfördes utefter Goodmans sju forskningssteg (SBU, 1993), där vetenskapliga artiklar hittades efter sökningar i databaserna PubMed och Cinahl. Resultatet redovisar vikten av att som vårdpersonal försöka finna eventuella bakomliggande orsaker till de prob-lematiska beteendena samt att utforma omvårdnad som anpassas till individen.
Kulturella skillnader och problem som kan uppstå vid vård av personer med annan kulturell bakgrund : en litteraturstudie
Migration ökar i hela världen och det svenska samhället omformas från ett samhälle med ett fåtal etniska inslag till ett samhälle med över hundra nationaliteter, språk och många religioner. Varje kultur har sin syn på hälsa och sjukdom. Vårdpersonal tycker att det är svårt att bedöma, förstå och vårda personer från andra kulturer. Syftet med arbetet är att belysa kulturella skillnader och problem som kan uppstå vid omvårdnad av person med annan kulturell bakgrund. En litteraturstudie gjordes och den är baserad på åtta vetenskapliga artiklar och materialet bearbetades genom en innehållsanalys.
Peritonitis in horses : a retrospective study of 69 cases admitted to a university hospital during a ten year period
Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden.
Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome.
All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available.
The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.
Ögonbehandling av häst med lavage system och infusionspump Omvårdnadsaspekter : omvårdnadsaspekter
Objective ? To study the requirement of nursing care of the equine patient during eye treatment with a lavage system together with a constant rate infusion pump.
Procedures ? Three veterinary nurses at ATG: s Hästsjukhus in Skara were asked nine questions at individual interviews. Inclusion criteria for participation in the interview were that the nurse should have treated equines with and without the infusion pump to the lavage system, but also traditionally with eye drops.
Results ? The equine had a higher well-being since it experienced less stress during eye treatment with the infusion pump compared to treatment given by hand through the lavage system. The treatment would be more effective with constant rate infusion and save costs for the owner.
Upplevelser av vårdpersonalens bemötande vid självskadebeteende : En studie av självbiografier
Background: Since the end of the 1990`s the self-harm among adolescents have increased. Research is needed on how to improve the ability to care for these patients. That is why it is important to investigate how patients who self-harm and the next of kin are encountered by the caregivers.Aim: The aim of this study was to illuminate the experiences of encounters with caregivers at self-harm.Method: The study was based on narratives, which in this case means analysis of autobiographies. Five autobiographies were analyzed in accordance with a description by Dahlborg-Lyckhage. Four of these were written by self-harmers and one by a next of kin.Results: Three themes and twelve subthemes emerged which describe both negative and positive experiences of encounters with caregivers.
Ett förslag till arbetsmöbel för användning i det offentliga rummet. : -examensarbete i samarbete med Nola AB
During spring 2007, I Matilda Lindblom, undertook my Bachelor Degree project in Furniture Design. The supervisors were Agneta Stake at Nola in Stockholm and Leo Jóhannsson, teacher and examiner at Carl Malmsten CTD in Stockholm.The project was based on three elements:? Cooperate together with a producer for professional supervision? Learn to work from a given design brief.? To learn more about industrial production? Learn more about furniture for public areasI contacted a furniture producer called Nola AB, in Stockholm, who became my work partner during this project. The asked me to design a piece of furniture where you can sit and work with a laptop on. The target was for public areas, for example in parks, malls, or at airports.In cooperation with Nola, my ambition was to develop this piece of furniture that was the answers on their wishes and demands.
Sjuksköterskans omvårdnad av för tidigt födda barn : Så kan föräldrarna involveras i vården av sitt barn
The aim of this literature review was primarily to describe how the nurse can involve the parents in the care for their premature baby, and secondly to describe the aim, design, method, population and quality of the reviewed studies. Searches have been made in different databases in order to find articles where the search words ?neonatal care?, ?neonatalvård?, ?premature infants? and ?nurse? were included. The literature review was based on 12 scientific articles. The results of the study were divided into six categories; The nursing staff?s relation to the parents, Support group, ?Home-early program?, Decision-making, A work in progress and A safe and efficient method.
Behandling av sommareksem hos häst med cetirizin : ett fältförsök
In this study we intend to evaluate the effect of cetirizin, orally administrated to horses with insect dermal hypersensitivity. The study comprised 156 horses from 49 farms, which were located in different parts of Sweden. The horses were matched on the farms and were given cetirizin or placebo in a double blind test. Veterinarians collected a blood sample and examined the horses visually, before and after three weeks of treatment and filled in given forms. The results are based on the veterinarians? subjective evaluation of the clinical appearance of the allergic dermatitis before and after treatment.
Minnesträdgården : En kvalitativ intervjuundersökning om hur ett trädgårdsprojekt påverkar äldre boende på Djuröhemmet avseende välbefinnande och delaktighet
This study aims to explore how a gardening project with elderly living in Djuröhemmet, a nursing home outside Stockholm, affected them regarding psychological well-being and their experience of participation during the planning and construction of the memory garden. The gardening project is new in its kind by allowing the residents to influence the design of the garden by sharing the project leader their gardening memories from previous parts of their life and by wishing for specific plants and items. The method being used was qualitative interviews where we interviewed seven people living in Djuröhemmet who participated in all or parts of the project. The theoretical framework is Molins (2004) definition of participation, but also theories of meaningfulness, social needs and gerotranscendence were applied. The results indicate that the participants did not realize that their involvement during the planning helped developed the garden.