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3983 Uppsatser om Hospital Care - Sida 47 av 266

Kulturella värden, tro, levnadssätt och livsstil : faktorer som påverkar sjuksköterskans möte med muslimska patienter

There are over 1,5 billion Muslims living on earth and the religion is one of the world´s most increasing. Sweden is a country with a cultural diversity where about 300 000 Muslims lived in 1999. Today, the requirement for knowledge about caring for Muslims and the need of culturally competent nursing care are increasing.The aim of this study was to define cultural factors which the nurse has to recognize to be able to give culturally competent care to the Muslim patient. The method that has been used was a The Sunrise Model, which illustrates Leininger´s theory of culture care diversity and universality, provides a theoretical framework for the study. The results are presented on the basis of Leininger´s three cultural factors; cultural values, beliefs and lifeways.

"Vem bryr sig om hur våra mest utsatta barn och ungdomar behandlas, när det är samhället som tar hand om dem?" : En studie om länsstryrelsen som tillsynsmyndighet för enskilda HVB-hem

The aim of this study is to investigate how länsstyrelsen as a supervisory authority to private compulsory care-institutions works, to guarantee adequate institutional care of unprivileged children and youth with special problems.In order to reach this aim the following questions are to be answered:? Describe länsstyrelsen´s supervision of private compulsory care-institutions (HVB-hem)? How does the officials at the three chosen county administrative boards find about the responsibilityTo answer the questions of this bachelor thesis I have chosen to apply qualitative methods, by interviewing five supervisory authorities from länsstyrelsen, in three different county administrative boards in Sweden.The findings of the study show that officials sometimes find it hard to know the exact meaning and differences between accountability and to be accountable. It also shows that they tend to think that the relationship between länsstyrelsen and the private compulsory care institutions is complicated. Because the officials have two part relationships, they have on the one hand a consultative role and on the other hand the supervising role.Keywords: Länsstyrelsen, Hem för vård eller boende (HVB-hem), Ansvar, Ansvarsutkrävande, Socialtjänstlagen.

Utvecklingen av geografiska informationssystem : en studie vid Trollhättan stad och kommun

Organisationer och personer runt om i världen blir alltmer beroende av olika former av IT-stöd. För att effektivisera arbetet skaffa sig organisationen nya system eller försöker förbättra det redan befintligt systemet. En användare kan reagera på olika sätt vid införandet av ett nytt system beroende på olika faktorer hos systemet eller personen. Jag studerade ett komplett Care-system som används inom äldreomsorgen. Ett Care-system kan bestå av en webbapplikation inklusive digitala och mobila verktyg.

Tidig extubering efter hjärtkirurgi : Intensivvårdssjuksköterskans kunskap om tidig extubering och deras syn på faktorer som påverkar tiden till extubering

Early extubation of cardiac surgery patients has become increasingly important. The assessment of the patient before an early extubation is crucial and the intensive care nurses (ICU nurses) in this estimation is there for very important.The aim of this study was to examine critical care nurses' knowledge of early extubation, and what view ICU nurse has about factors that affect the time to extubation of cardiac surgery patients.A quantitative approach with descriptive and comparative design was used. Selection was all ICU nurses at a thoracic intensive care unit who were clinically active in patient care.The study showed that ICU nurses had good knowledge of why an early extubation was essential. However, the knowledge about the unit?s extubation criteria was low.

Att dela information. En fallstudie av en akutmottagnings förbättringsarbete

The purpose of this paper is to examine information sharing in a hospital organization that is undergoing reorganization. The aiming is to make all employees at all levels actively involved in business development in order to create a smooth and, from a patient?s perspective, adequate emergency care. The paper suggests that the theory of social capital can explain the complexity of what motivate and what promote individuals to share information. The method used in the paper is the case study, focusing on detecting, interpreting and gaining insight on how information shares in an emergency department.

Fångvaktare och medmänniska : En studie om kriminalvårdarens yrkesroll

The discussion of the swedish treatment of offenders often revolves round the two contradictions punishment and care. Modern prison is described to be based on values such as humanity, care and respect, although the main task is to protect the society from criminals by keeping them locked up. This study focused on the role of the prison officer with the purpose of understanding how he sees his profesional role in an organisation influenced by punishment and care.Central questions are: How does the prison officer handle his role as caretaker in an organisation where he not only has the right to, but also is obliged to, controle and power his clients? How does the prison officer define his working role and does he find any dificulties in combining these?The research was realized during the months of April and May 2005 through qualitative interviews and conversations with prison officers working in a swedish prison. It also contained a minor fieldstudy in that same prison.The results showed that the principle conflict between punishment and care have an insignificant influence on the daily work of the prison officer.

Varför tror vi att vissa företagär mer hållbara än andra? : - En studie om hur företags motiv och kommunikation kringhållbarhet är relaterat till konsumenters uppfattning

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

Att säkra farmor - En komparativ fallstudie av kvalitet och kvalitetssäkringsarbete inom äldreomsorgen

The care for the elderly in the municipalities has recently seen the need for a formalized system for quality assurance. Under increasing demands for monetary efficiency while bound by law to retain acceptable standards in health care, there is need for efficient and at the same time quality-assured management. The municipalities often solve this puzzle by introducing systems and standards influenced by theory-clusters such as NPM (New Public Management), TQM (Total Quality Management) or other quality management theories.This essay focuses on how the public administration in the municipalities defines quality and designs and implements system for formalized quality assurance. Our basic view of organizations is institutionalist and our theoretical framework includes theories about quality, NPM and TQM..

Evidensbaserat arbetssätt på bibliotek: Erfarenheter av användningen av EBLIP

The purpose of this thesis is to shed light on how evidence-based librarian and information practice (EBLIP) is understood and practised at some Swedish hospital libraries, and also to analyze how EBLIP functions as a strategy to bridge the gap between research and practice as described by Haddow & Klobas. The theoretical framework for the study is partly based on Haddow & Klobas description of the gap between research and practice in the field of LIS and partly a description of the EBP-process which plays a key role in the use of EBLIP. Interviews have been done with four people, three librarians, all with management experience, and an academic development officer, active at three different hospital libraries where EBLIP is practiced. All informants believed that it is important to make use of research results in order to improve services and practice. In their efforts to apply the research findings the informants face a number of hindrances, which indicates a gap between research and practice.

Sjuksköterskans/Vårdpersonalens bemötande av patienter som tar emot svåra besked

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

Development of real-time RT-PCR for the detection of human sapovirus in foods

Food-poisoning is a major health problem and an estimated half a million Swedes are food-poisoned annually, with acute gastroenteritis as a consequence. One of the major causes of contaminated foods is related to food- and waterborne viruses. To be able to trace back the source of contaminant, the method of detecting viruses must be specific and sensitive. No standardized method for detecting foods for sapovirus exists today. The aim of the work described in this bachelor thesis is to implement and opti-mize a real-time RT-PCR method for the detection of all genogroups of human sapovirus in foods.

Screening, intuition och erfarenhet; Nordiska barnavårdscentraler, mödravårdscentraler och gynekologimottagningars arbete med att identifiera och hjälpa kvinnor och barn som utsätts för våld i en nära relation. En litteraturbaserad studie.

Introduction: Domestic violence is a big public health problem and the hiddennumbers over victims are big. There is a lack of scientific research in the Nordiccountries when it comes to how the health- and medical care identify and care for thevictims of domestic violence. Aim: This literature review has two aims: To investigatewhat kind of methods maternal health services, child health services and gynecologyclinics in the Nordic countries use to discover women and children exposed to domesticviolence and to investigate if there are any guidelines to go by when a victim ofdomestic violence is identified. Method: A literature review. 12 articles were found inPubMed, Scopus and Cinahl and three more were included after a manual search.

Nutritionspolicyn på en kirurgavdelning : En utvärdering av följsamheten till riktlinjerna

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

Sömnvanor bland patienter på sjukhus

Background: Sleep is the most important human recovery process and research supports assumptions that sleep is an important component in the healing process. Lack of sleep can be the onset of certain diseases such as diabetes, hypertension and cardiovascular disease. Sleep is an integral part of basic nursing. It is important for nurses in hospitals to form a correct understanding of the patients? sleep since they among other things are responsible for administering ad lib hypnotic medication.

Jakten på vårdplatser som inte finns : En kvalitativ intervjustudie

Bakgrund: Vårdplatserna på svenska sjukhus har minskat drastiskt det senaste decenniet.  Detta har inneburit en högre beläggning på de kvarvarande och medfört längre väntetid på landets akutmottagningar. Platsbristen skapar, ibland dagliga, överbeläggningar och utlokaliseringar av patienter.Syfte: Att undersöka hur sjuksköterskor och läkare upplever att vårdplatssituationen påverkar deras arbete och vad detta får för konsekvenser för patienterna.Metod: Kvalitativ design med semistrukturerade intervjuer med tre läkare och nio sjuksköterskor från akutvårdsavdelning med inriktning infektion, mottagning med akutintag och akutmottagning. Analysarbetet genomfördes med Malteruds (2009) innehållsanalys. Resultat: Vårdplatssituationen kommer sig av en brist på vårdplatser inom främst medicindivisionen, samt en oförmåga att hålla de platser som finns öppna på grund av sjuksköterskebrist. Bristen på vårdplatser har inneburit en oförmåga för läkare och sjuksköterskor att utföra sitt arbete i enlighet med sin kompetens och beprövad erfarenhet.Slutsats: Svårigheterna med att finna platser till patienterna på deras hemavdelningar samt de ständiga omflyttningarna av patienter medför svårigheter för vårdpersonalen att ge god medicinsk vård och omvårdnad vilket medför stora risker för patientsäkerheten.

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