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1552 Uppsatser om Critical incidents - Sida 10 av 104

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.

Gör som jag menar : En studie om budskapets betydelse samt dess påverkan på inre upplevelse och yttre beteende

The purpose of this paper was to understand internal communication?s critical tradition by studying the interface of the subjective experience and the objective behavior within a management team. During almost two years this group was observed, several semi-structured interviews were conducted and a specific incident was analyzed. The interview texts where analyzed, using the Meaning Constitution Analysis developed by Roger Sages (2010) at Lund University. The observations were summarized in sociograms showing relationships in the organization.

Kompetensbegreppet i kommunal verksamhet : En kritisk diskursanalys

Large retirement numbers and fierce competition of available labour, results in municipalities have to be more attractive as an employer. One way for the municipalities to fulfil their staffing requirement is partly to increase their recruitment efforts, and partly to educate their existing employees. Discussions about the supply of competence are therefore pressing within municipal activity. The aim of the study was to investigate how the concept of competence is used within a municipal administration. The method that has been used is Norman Fairclough?s critical discourse analysis, a method that allows multi dimensional analysis.

"Cronulla riot" - En kritisk diskursanalys om representationer, makt och rasism utifrån tidningsartiklar publicerade om Cronulla riot i The Sydney Morning Herald, The Daily Telegraph samt The Sunday Telegraph.

This research paper aims to show how racism, power, social representations and identity are created and reproduced through the media. The research paper will analyse newspaper articles presented about Cronulla riot in The Sydney Morning Herald, The Daily Telegraph and The Sunday Telegraph using Fairclough?s critical discourse analysis, CDA, as a theory and method. The research paper aims to demonstrate how inequality in the Australian society is reproduced by the media through the use stereotypes and certain social representations and how knowledge and awareness about this is relevant to social work of today..

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.

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.

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..

Visualiseringsverktyg för Sykedjor

This thesis has been done in order to ease the process of drawing schematics ofelectrical wiring. The need arose after demand from the government due to a seriesof incidents that took place during the revision of the nuclear power plant in year2009.The task of the project has been to create a computer program that can generate agraphical representation of the electrical components relations. The basis for theprogram has been an example of how the client wants the graphical representation tolook. During the course of the project weekly meetings have occured in which theclient has reviewed the work.The result of the project is a program written in Visual Basic Applications that can berun in Microsoft Excel. The program is capable of generating graphics for a majority ofthe cases.

Osäkerheter vid brandteknisk dimensionering av ventilationssystem

This masters thesis deals with smoke spread via ventilation systems. One aim of the thesis is to investigate and explain the differences in efforts to prevent smoke spread via ventilation systems in different countries. A second aim of this thesis is to investigate how frequently occurring smoke spread via ventilation systems in Swedish buildings are. A third aim is to investigate how uncertainties in input variables to smoke spread calculations will affect the result of calculation. To be able to do this the most important input variables are identified and analysed.

"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.

Att vara i en intensivvårdsmiljö - patientens perspektiv

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

?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.

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.

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