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5578 Uppsatser om Critical care unit - Sida 24 av 372

Organisation och marknadsorientering av äldreomsorgen : En jämförelse mellan Sverige och Tyskland

Organisation and market orientation of elderly careThis comparative literature study is intended to describe how elderly care is organised and financed in Germany and Sweden. Furthermore, it analyses the degree of competition and market orientation in both countries' care systems. Important aspects in this context are the kinds of measurements which are used on the two markets and the question if there are quasimarkets.The theoretical backgrounds of the study are Esping-Andersen's "Three Worlds of Welfare Capitalism" and Harold Wilensky's convergence theory. Esping-Andersen's theory describes Sweden as a social democratic and Germany as a conservative welfare regime which means that there are different conditions for the development of welfare. The use of Wilensky's theory shows that both welfare systems are converging since the end of the 20th century.

Bevarandet av patientens autonomi vid palliativ vård utifrån ett etiskt perspektiv

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.Aim: The aim of this study was to describe, from an ethical point of view, how the patient?s autonomy could preserved at palliative care.Method: A general literature study where 11 scientific articles have been analysed from a qualitative checklist whereof the result has been discussed based on the principles of ethics.

Sjuksköterskors syn på vad god omvårdnad innebär

Syftet med föreliggande studie var att undersöka vad kliniskt verksamma allmän-sjuksköterskor anser att god omvårdnad innebär. Studien är av empirisk kvalitativ art och baseras på fjorton legitimerade sjuksköterskors dagboksanteckningar under en fjortondagarsperiod. Aktuell metod är inspirerad utifrån Flanagans critical incident metod. Materialet från dagboksanteckningarna analyserades och resulterade i fyra överkategorier lindring av patientens smärta, oro och ångest, synliggöra patienten, delaktiggöra patienten samt lyhördhet för patienten..

Bevarandet av patientens autonomi vid palliativ vård utifrån ett etiskt perspektiv - en litteraturstudie

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

Patienters upplevelse av livskvalitet i livets slutskede inom den palliativa vården : en litteraturöversikt

Background: Palliative care is a type of care, which does not cure but eases the suffering caused by the disease. The goal of palliative care is not to extend or shorten the patient's life, but to relieve pain and distressing symptoms and to promote the patients? quality of life (QOL). QOL can be understood as a subjective sense of happiness of existence, which means that the patient is experiencing life when her total life situation is consistent with her ??wishes.

Kärlek som statsangelägenhet : En kvantitativ undersökning av tidningsartiklar publicerade under det kungliga bröllopet 2010

2010 was the year of the wedding between Sweden?s crown princess Victoria and Daniel Westling. Although the wedding was partly financed with tax payer?s money, the newspapers did not investigate it further. The main theme of the published articles was lighter and with an entertainment value rather than finding out what the tax money really went.

The Zeitgeist Movement : ?Allt kanske inte är som mamma och pappa sa?? EN SOCIALPSYKOLOGISK STUDIE MED FOKUS PÅ ETT ANTAL DELTAGARE I THE ZEITGEIST MOVEMENT

This study´s focus was a group of participants of a social movement called The Zeitgeist Movement. The purpose of this study was to understand and convey what causes participants of this movement to engage despite that the prevailing culture teaches them otherwise.With qualitative methodology of participatory observation and semi-structured interviews with ten participants, our objective has been to answer the following questions: What are the driving forces that make these people act, which approach do they have to ?reality? and how do they relate to it, and what are the potential consequences with this approach?The study has shown that their critical and questioning attitude towards their perception of reality and their social constructivist view of it lead to conflicts between them and their fellowmen. The data was then analyzed with Alfred Schütz phenomenological theories in synthesis with Zygmunt Baumans critical societal analysis and theories.The study's focus was on the Gothenburg chapter of the Swedish Zeitgeist Movement. We did not make any comparisons with other national or international chapters of the movement..

"Det gäller att få med alla på tåget" : En studie av implementeringen av ett kvalitetsregister för personer med demenssjukdom

Due to deficiency in dementia care, the government has commissioned the National Board of Health and Welfare to develop national guidelines for health care services to people with dementia and support for their relatives. It has been allocated stimulus funds that may be applied for to work on improvements in dementia care. In August 2010 these guidelines formed the basis for a decision made that collaboration would take place between the county and the municipalities regarding dementia care in Halland, named Anna's path. The aim of this study is to investigate, analyse and describe how our respondents in the project Anna?s path are planning and preparing for the implementation of the registry of quality BPSD - Behavioural and Psychological Symptoms of Dementia.

FaR för en heterogen målgrupp med komplexa behov : Förskrivares upplevelse av fysisk aktivitet på recept (FaR) och samverkan med aktivitetsmottagare

  Aim. The aim of the study was to describe how nurses in home care experience to pursue palliative care in ordinary housing. Methods. The study had a descriptive design with qualitative approach and was carried out through semi-structured interviews with 14 nurses in home health care from two medium-sized Swedish municipalities. The material was analyzed with manifest and latent content analysis. Findings. The underlying theme that emerged in the study was: Working with palliative care in the patient´s own homes is positive but challenging. Informants describe among other things that they perceived palliative home care as meaningful and that relatives have a central role in the palliative home care since they are close to the patient around the clock. The stress that emerges from the heavy work load and the long geographic distances are described as strenuous and to affect the care in a negative way. Informants describe the home environment as challenging as it is often not adapted for care and the collaboration with the palliative team is described to be experienced as both positive and negative.

Psykisk ohälsa i primärvården : en litteraturstudie om patienters upplevelser av mötet

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

Lärandemål för informationskompetens, en studie av förhållningssätt till informationskompetens och kritiskt tänkande inom högskolebibliotekens undervisningsverksamhet

In this Master thesis interest is directed towards approaches toinformation literacy (IL) and critical thinking in the educationalactivities of university libraries. The aspiration of universitylibrarians to promote the critical abilities of students isproblematized. At the center of attention is the project?Lärandemål för informationskompetens? [Learning outcomes forinformation literacy], which in 2006 was carried out incollaboration between the Swedish university libraries, in responseto the educational reforms connected to the Bologna Process.Through the discourse analytical framework of NormanFairclough, documents related to the project ?Lärandemål förinformationskompetens? are studied in order to identifydominating approaches to IL. The purpose is to investigate anddiscuss the possible implications of the dominating perspectives,with regard to the development of critical thinking amongstudents.The study results in the identification of two main discourses, thestandardization discourse and the discourse on employability.

Tillämpning av en markprofilmodell för hydrologiska beräkningar i avrinningsområdesskala

There is a great need to reduce nutrient leaching from arable land into lakes and oceans. By using several different types of models it has previously been possible to describe nutrient losses in a catchment area with a minimum unit of sub-catchment level. At present, it is instead desirable to model a smaller catchment with an opportunity to re-connect the results to the corresponding fields in the catchment. Such models already exist but they are not fully able to properly describe Swedish conditions and land characteristics in our region.With the approach of creating such a model, SLU has developed a project with this work as its first stage. The model is expected to be created under the working name SWE-model which stands for Soil Water Environment and is in this first stage supposed to apply the SOIL model in catchment scale. During the procedure to describe the first step in the process of developing such a model adapted to Swedish conditions and which works in the catchment scale with an area of about 10-30 km2, focus has been set on calculating the transport of water flow from different hydrological response units. Regardless of the processes occurring in the soil after the water has been added, it is assumed that all the water which flows from each simulated unit is drained.In the first step the hydrologic response units were identified based on land use and soil type in the study area. With the help of a script with functions that retrieve and transform data, certain units were chosen for simulation. The script was also created in this project. Finally, the model results were aggregated and summarized for each unique unit, for each sub-catchment, and also for the whole catchment.From the results it is possible to see similarities in the flow dynamics between modeled and measured data. The efficiency coefficient has been calculated to correspond to the mean of the measured values for the whole simulation period. With an automated calibration process the model should be able to perform better. The volume error gives an indication of overestimation from the model..

Digitaliseringen av den kirurgiska v?rden. En effektiv organisation eller r?rigt kaos?

The digitization in the Swedish health care sector is rapidly growing. This study investigates whether the digitalization in health care has led to higher quality and an increased value for patients. Interviews with staff in various health care professional categories were conducted to qualitatively study how the implementation of digitization is perceived in practice by those directly involved. Furthermore, an observation was made, where a doctor was followed duringa workday to study the different digitalization software tools that are being used. Previous studies and other relevant literature accompanied the study of digitalization in health care. Organizational theories were compared with the practical organization management at the studied health care organization, as well as their dependence on other authorities and companies.

Faktorer som orsakar stress bland sjuksköterskor : En litteraturstudie

Dementia may cause difficulties in communicating. People suffering from dementia are therefore often described as being unable to take part in meaningful conversation. The responsibility to create understanding in a conversation is shared by all participants. By means of different strategies, participants in conversation can construct understanding through collaboration. How these strategies are utilized in conversation where one or more of the participants suffer from dementia is relatively unknown.

Omvårdnadsåtgärder som främjar sömnen hos patienten : En systematisk litteraturstudie

ABSTRACTAim: The aim of this study is to chart the experiences of Swedish general psychiatric care on a Swedish University hospital from a relative?s point of view. The study focus on how they are meet, satisfaction with and participation in the care. The study is done as an improvement project.Methods: The study was conducted by performing semi-structured interviews with eight close relatives to patients on a general psychiatric ward. The interviews lasted for 20-40 minutes.Results: The result shows that relatives are satisfied with the way they are meet by the staff on the ward, that they appreciate staff that are open, down to earth and are inviting to form a good relationship.

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