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4989 Uppsatser om Critical care - Sida 40 av 333
Att vårda patienter i ett sent palliativt skede : Ur ett sjuksköterskeperspektiv
Background: Nurses´daily has to face death and dying in their work with patients in a palliative state. This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.
Manliga romers upplevelser av bemötande inom den svenska hälso- och sjukvården
Background: In studies about Romani people?s health, it becomes clear that the Romani inseveral countries have a poor health and avoid seeking health care.Objective: The purpose of this study was to explore Romani men's experiences of treatmentin the Swedish health care.Method: A qualitative interview study was conducted with respondents about theirexperiences in individual interviews. Seven male Romanis were elected with a purposefulsample. A content analysis by systematic text condensation on the data obtained was made asdescribed by Granheim & Lundman (2004).Results: The summed up impressions of the responses was perceived to be good, however,many men believe that the information is inadequate. Staff at the emergency department inUppsala should listen more to patients.
Terminalisering hos JM AB
During the last decade, the construction industry has focused on improving and optimising its production process. The construction industry is now facing larger changes regarding efficiency in their supply chain for the next decade. Many companies are now trying to optimise its supply chain together with its supplier. JM AB, which is one of the biggest construction companies in Sweden, is looking at different options to improve its own logistics together with their suppliers. One option is to use a terminal between JM and the suppliers to solve problems such as quality, custom service and inventory for the in production.
Om obstetrik och osteologi. Paleodemografiska perspektiv p? graviditet, f?rlossning och obstetrisk v?rd under svensk medeltid och tidigmodern tid
This essay examines possible maternal deaths in paleodemographic analyses and grave material by comparing three cemeteries: Nya L?d?se, Helgeandsholmen and V?sterhus. By comparing mortality patterns and burial practices, the aim is to investigate possible signs of obstetric care during medieval and early modern Sweden. The results show a higher death rate for adult women in all three burial places, indicating possible maternal deaths. Fetuses and small children were found in all cemeteries and potential evidence of medical knowledge were found in Nya L?d?se.
Litteraturrecensioner i Expressen och BLM 1964-2004 : En studie av genreförändringar i två skilda pressorgan
The aim of this study is to describe how reviews of literature in Bonniers litterära magasin and Expressen changed during the period 1964-2004. The investigation is based on 20 reviews of novels and short stories, which are analysed with a method described in Hellspong and Ledin (1997) and inspired by Halliday. The theoretical frame of the investigation is founded on critical discourse analysis (Fairclough 1992 & 2001) and Habermas´social theory of the public sphere.The investigation shows, among other things, that the reviews became shorter and easier to read in both paper during the period. The investigation also shows that the genre´s style, composition and contents are relatively stable, and that current ideologies in society have a tendency to be reflected in the reviewers´evaluation of the books. To generalize, the reviews thus developed from a poetic genre in 1964, to become political in the 1970s, academic in the 1980s, feminist in the 1990s and finally an intermedial genre in 2004..
Om detta är en psykiskt funktionshindrad. : - Diskurs, makt och subjekt i psykiatrireformen 1995
This study aims to investigate the political reformation of the psychiatric care in Sweden, that took place 1995. The main purpose is to illuminate the transformation of subjectivity for mentally ill people after the reform 1995. The group of people which are present in the study are those who former were subjects of care in psychiatric hospitals, but with regarding to the reform have moved out from the institutions and instead become clients for community care. This new group of mentally ill people became, in connection with the reform, subjects for a new concept psykiskt funktionshinder. This new label and concept, that were attached to the present group, is the main concept for the investigation in the present study. The method, that was used in the study, develops a textual based analysis of the official documents, that were produced in connection with the political decision to reform the care of mentally ill people. With a theoretical conceptuality taken from Michel Foucault, with concepts such as discourse, power, and subjectivity, are the documents analysed in order to illuminate how the new subjectivity, under the concept of psykiskt funktionshinder arise.
Ett vårdinformationssystem i vårdens frontlinje : En fallstudie om Cambio Cosmic på en vårdcentral i Landstinget Kronoberg
In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.
Sjuksköterskors uppfattningar av föräldrars delaktighet i vården av unga vuxna med psykisk ohälsa.
Background: Young adults undergo a phase in life when they try to become independent individuals and are expected to take responsibility. The transition to adult life, cause hardship for all young adults, but with concurrent mental illness this transition can be more complicated. The young adults may need support from their parents in connection with care.Aim: The aim of this study was to describe nurses' perceptions of parental participation in the care of young adults with mental illness.Method: To describe the perceptions of a phenomenon, qualitative interviews with a phenomenographic approach were conducted. The interview texts were analyzed into five description categories and 10 perceptions. In the study, eight nurses were interviewed.Results: The result shows that parental participation in the care is based on the young adult's decision.
"Är ditt pass köpt i Botkyrka?" : En kvalitativ fallstudie av Public Service digitala nyhetsrapportering om "Jakten pa? papperslo?sa"
The study examines medias impact on every day racism through Agenda Setting and Framing. Prior studies on the subject are either conducted from an American perspective, or are several years of age. In this study we highlight how todays media depicts our society and how it affects the concept of the world on an individual level. The study is a content analysis of the case study on the news stories ?The hunt for the unregistered immigrants?, which have been analyzed through critical discourse analysis.
Utlandsfödda människors upplevelser av sjuksköterskans bemötande i den svenska sjukvården.
Aim: The aim of this study was to describe how immigrants have experienced nurse's attitude and how they would like nurse´s to care for them in the Swedish health care. Method: The authors have conducted an interview study with qualitative approach. The sampling method used was a convenience sample. The informants were recruited at a school after the authors received the principal's approval. Eight semi-structured interviews were performed with an interview guide for support.
Betydelsen av att samverka : En studie av det interorganisatoriska samarbetet kring demensvården i Halland
The purpose of our study is to interpret and understand the collaborative process around a regional model that is based on state developed guidelines for people with dementia. We have chosen to focus on the importance of interaction and have therefore interviewed participants in the project's steering committee. This group participates in efforts to develop a model for dementia care in Halland.The project work in Halland, to develop a joint model for people with dementia and their families was initiated in the spring of 2011 and is due to finish at the end of 2012. The Halland model has been named ?Annas led? and is about Anna and her husband Lars and living with dementia.
Föräldrars önskningar och upplevelser av stödet från barnavårdcentralen : en intervjustudie
ABSTRACTParental support is needed because it promotes a positive development in children, because parents ask for it and because it has positive effects on the public economy. Those responsible in Sweden for Child health care have shown an increased interest in supporting parenthood.Aim: The overall purpose of this study was to investigate what kind of support parents today desire from child health care. An additional purpose was to investigate if they feel their needs and wishes are met.Method: The study has a descriptive and qualitative design. The selection was eight parents of children under eighteen months of age: four mothers and four fathers. None of the participants were couples.
Hopp hos patienter i palliativ vård : En deduktiv litteraturstudie med modellen de 6 S:en som utgångpunkt
Background: In previous studies on the subject hope it has been revealed that hope is an important condition for the experience of health, quality of life and well-being. In the literature hope is described as a great support in life that is vital for a person's life and for how the person manages to become afflicted with a fatal disease. Within palliative care the 6S: s is a person-centered model for care that is directed towards the promotion of patient´s participation, relief from suffering and enablement of well-being and support of the patient and his or her family members. Aim: To describe how patients find hope in their situation in palliative care, and to examine whether there is an interaction between the different dimensions of 6 S: s model and with patients' experiences of hope. Methods: This degree project is literature study.
Intensivvårdssjuksköterskans delaktighet i etiska beslut i livets slutskede
Introduktion: Intensivvårdsjuksköterskan arbetar nära patienter i livets slutskede och etiskabeslut är vanligt förekommande. Sjuksköterskans nära relation till patient och närstående gerhenne/honom kunskap som kan underlätta för läkaren i det medicinska avgörandet i att avbrytaeller att avstå från livsuppehållande behandling. Beslutsprocessen är svår och upplagd i flera stegdär sjuksköterskan kan medverka i alla steg utom själva beslutet.Syfte: Undersöka vilken delaktighet sjuksköterskor på intensivvårdsavdelningar har i etiskabeslut i livets slutskede.Metod: Litteraturstudie som bygger på 14 vetenskapliga artiklar, sökta via databaserna CINAHLoch PubMed samt manuell sökning.Resultat: Läkaren har det lagliga ansvaret och sjuksköterskans delaktighet i beslutsprocessenskiljer sig åt i de olika länderna. Att inte få delta leder till en moralisk stress för sjuksköterskorna.Läkarna bjuder ofta inte in till diskussion. För att få en trygg vård är lagarbete och öppenhet förvarandras professioner viktiga.Diskussion: Det finns ett missnöje bland sjuksköterskorna att inte bli hörsammade och de flestaönskar ett ökat inflytande i beslutsprocessen.
Sköra äldre patienters upplevelse av vistelsen på akutmottagningen
Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age.