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1940 Uppsatser om Critical illness - Sida 17 av 130

Hälsosamtal i elevhälsovården : Vad uppfattas som ett positivt och betydelsefullt hälsosamtal utifrån elev- och skolsköterskeperspektiv?

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.

Att träna sig i att vara människa : En kvalitativ studie om personalens upplevelse av dialektisk beteendeterapi och den terapeutiska alliansen

BackgroundPeople with psychiatric problems, despite efforts in recent decades still experience vulnerability. Patients with borderline personality disorder (BPD), where self-harm is common, often live in difficult and complex social relationships because of their illness. Additional knowledge and studies about mental illness, self-harm, dialectical behaviour therapy (DBT) and the therapeutic alliance are needed.Purpose and MethodThis study aims to examine how staff perceive and describe: DBT as a treatment method; the therapeutic alliance and the importance it has for treatment. The study utilises a qualitative approach with a qualitative content analysis method and presents earlier research on DBT and the therapeutic alliance. The empirical material consists of focus group interviews comprising three DBT - teams.

Unga Vuxna med psykisk sjukdom : Att våga prata om sin sjukdom

Aim: The aim of this study was to investigate the quality of the social network in regard to young adults, with psychological disorders, and their possibilities to be open about their disease. In addition the study aimed at identifying possible causes to perceived difficulties by young adults to talk about their disease. Method: The survey was a quantitative study with descriptive design. The data was collected using a study-specific questionnaire on a clinic for young adults with psychological disorders, between 18 and 25 years of age. Out of 123 potential participants 79 (64 %) answered the questionnaire, of which two were excluded because they did not see themselves as suffering from mental illness. Results: The results showed that the participants of the study stated that they had a social network and the majority (90%, n=69) considered they had someone to talk to about their disease, but most of them wanted to be more open about their illness.However, the majority had some form of difficulty to talk about their disease with their social network. The most common specified causes were to feel ashamed of their disease and that the mentally ill persons did not think they would be properly understood.Almost the half of the participant experienced that they had some form of difficulty to be open about their mental disorder in front of health professionals and the most common specified causes was that the participant did not thought that they would be properly  understood  or that they did not felt confidence before the health professionals. Conclusion: Young adults with psychological disease have difficulty to be open about their disease, partly because of stigma.

IKT, vad är det? : En studie baserad på pedagogers uppfattningar om digitala verktyg i förskolan

The aim of this study is to enlighten how todays working environment affects young individuals descriptions of how to reach success in work life, now often titled as ?career?. Our purpose has been to analyse how the term career is constituted discursively among young people in jobs characterized by flexibility. The study is based on six qualitative interviews with young adults in the media industry, all between 20-30 years old. By utilising a Foucaultdian discourse analysis we want to expose how the competing and dominating discourses, that our interviewees? statements are based on, can be associated with a wider social context.  The study reveals that our interviewees describe career in two separate ways, both positively and negatively.

Thank you for Smoking! The Discursive Battle about the Meaning of Smoking

Thesis purpose: The purpose of the master thesis is to analyse the battle of meaning creation regarding the notion of smoking and to reveal the production of unequal power relations. The battle is fought by different stakeholders through means of language and the study focuses on the tobacco industry in Germany. Methodology: A critical discourse analysis is applied with a qualitative research strategy. Our data collection was inspired by grounded theory and is limited in scope through a relevant case within the context of smoking in Germany. Empirical data is collected by means of an internet based document study of publicly available texts.

Samverkansprojekt för en bättre psykisk folkhälsa? En litteraturstudie om utvärderingsmetoder och effekter

Introduction: Mental illness is a public health issue which 20-40 per cent of the inhabitantsin Sweden suffer from. Many factors can lead to mental illness and because of that it isimportant that different organisations and professions collaborate in prevention and healthpromotion work. To develop the collaborative process by noticing difficulties and successes,documenting, follow-up and evaluation is of great importance. Aim: The aim of this literaturereview is to investigate which methods are used for evaluation of health promoting anddisease preventive collaborative projects, which focuses on mental health directly orindirectly, and find out what results these projects has revealed. Method: Literature reviewwith descriptive design.

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.

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..

"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.

?Boobs or gtfo? : En kritisk diskursanalys av bloggar i den svenska gamingdiskursen ur ett genusperspektiv

Research in the field of gaming and the gaming culture shows that the culture is characterized by sexism and hypermasculinity, however a majority of this research is conducted in an Anglo-Saxon context. Therefore the aim of this study was to elucidate the Swedish gaming discourse in relation to gender, gendered norms and stereotypes. We also sought to examine the relationship between the editorial content and the blog comments. The study was based on a critical discourse analysis with a gender perspective, applied to five Swedish gaming blogs. By implementing power theory and encoding/decoding theory, we have concluded that there is a discursive struggle, where one part of the gaming culture is characterized by male dominance, while the other part of the discourse is showing signs of resistance to this hypermasculinity.

Särskilt kvalificerad kontaktperson : Bedömningskriterier och begreppsanvändning i den sociala dokumentationen

The aim of the study was to examine individual staff experience and management of threats and violence in the acute psychiatric department for children and teenagers in Uppsala. Previous research shows that the experience of threats and/or violence is individual, and that it is difficult to distinguish between these concepts. Research shows that it is particularly vulnerable to work in psychiatry when mental illness is a cause when threats and violence occurs. Threats and violence can result in different consequences for the individual. The study is based on qualitative interviews and the material was collected in the autumn of 2012 at Akademiska sjukhuset.

Rebranding in the service sector

Thesis purpose: This thesis will through a case study of a recently rebranded bank ?Jyske Bank?, seek to research deeper within the field of service sector rebranding. The internal communication used in connection to the rebranding, will be analyzed in order to investigate what initiatives Jyske Bank?s organizational leaders launched to implement the rebranding and furthermore whether the initiatives have worked. The research questions are: - What are the critical initiatives behind the re-branding process, and have these initiatives been successful?- Furthermore, to determine the success: To what extend does the intended image, created by the organizational leaders of Jyske bank, in relation to the rebranding, correlate with the identity held by the organizational members? Methodology: This thesis employs a mix of quantitative questionnaires and qualitative semi structured interviews.Theoretical perspectives: Corporate rebranding framework (Daly & Moloney, 2004) and a conceptualization of the employee branding process (Miles & Mangold, 2005)Empirical data: The empirical data was collected from in depth interviews with management and questionnaires from employees.

Hantering av viktiga framgångsfaktorer vid utveckling av ett Data Warehouse

Business Intelligence may help organizations in making the right decisions byproviding data for analysis which can be presented to decision makers. DataWarehouse which is a central part of Business Intelligence can be built in severalways but the methods presented by Ralph Kimball and Bill Inmons are considered thetwo main methods. The solution provided by Inmon focuses on integrating the entirebusiness into one large database using relational database development. Kimballhowever proposes dimensional database modeling by creating one or more data martsand integrating these using a data bus. Previous research has shown that the quality ofa Data Warehouse can be measured through critical factors such as data quality andsystem quality.

Hemlöshetsdiskurser : Bilder av hemlöshet och hemlösa i Dagens Nyheter, Aftonbladet och Socialstyrelsen åren 2000 och 2012 ? en diskursanalys

Homelessness and homeless people is something that is described and explained in different ways over time. Since the 1950s, two discourses about homelessness and its causes has been competing with each other. One discourse hold the meaning that homelessness is caused by housing shortage and the other focus on individual shortcomings that make homeless to unsuitable tenants. In the media, homelessness and homeless often is associated with crime, addiction and mental illness, this reinforce the public perception of homeless people as deviants, which separates the homeless from society even more. The purpose of this study is to examine whether media representations of homeless and homelessness in an evening paper and a morning paper, has changed in the 2000s, and if these representations are consistent with those found in the reports of homelessness from The National Board of Wealth and Welfare. In order to achieve the purpose of the study and answer our research questions, the authors have used a discourse analytical approach using some key analytical tools from both critical discourse analysis and discourse theory in the analysis of the empirical material.

Att förlora en förälder i cancer-En kvalitativ studie över ungdomars behov av professionellt stöd

The aim of this study was to review six professionals supporters work to support adolescents in grief, and if this support is the kind of support adolescents actually need. These professional supporters are two hospital social workers, two hospice social workers and two support group leaders. The questions included in the work are; How does the professional support look like for adolescents aged 12-18, who has lost a parent in cancer? Are the adolescents getting the support they need from these professionals? The study is based on qualitative interviews based on interview guides, which where then analyzed thematically and linked to previous research and grief theory. The result indicate that adolescents may need different forms of support when their parent is dying or has died.

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