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4448 Uppsatser om Municipal elderly care - Sida 40 av 297

Vilken omvårdnad får den polikliniska patienten vid cytostatikabehandling för att uppleva livskvalitet

Every year an avorage of 40 000 Swedes fall ill with different forms of cancer. Chemotheraphy has an effect on the tumour cells as well as the healthy cells in the body, this causes many side effects which can be very problematic for the patient. The study was carried out in order to indicate the care measures that are taken to deal with the side effects i. e stomatit, loss of hair and sickness/vomiting, that are connected with chemotheraphy so that the outpatients will experience a quality of life. The method used was a qualitative interview with six nurses from the South if Sweden, all of whom are working with chemotheraphy patients.

God vårdkvalitet inom äldreomsorgen : Vilka kvalitetskrav ställer kommuner på utförare som bedriver hemtjänst i ett valfrihetssystem?

Andelen äldre personer i Sveriges befolkning ökar, vilket leder till större behov av väl fungerande äldreomsorg. Kommunerna har ansvar för äldreomsorgen oberoende om den utförs i offentlig eller privat regi. Den 1 januari 2009 trädde lagen om valfrihet i kraft som bland annat syftar till att öka individens möjlighet att välja hemtjänstutförare. Idag har privata aktörer större möjligheter att etablera sig inom hemtjänsten. Kontrakten som tecknas mellan kommunen och en privat utförare är den enda direkta legala möjligheten för den ansvariga kommunen att påverka kvaliteten i verksamheterna.

Arbetstillfredsställelse relaterat till vårdkvalitet i en specifik vårdmiljö ur ett sjuksköterskeperspektiv

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

Stöd och support till patienter med diabetes typ 2. Vilka faktorer påverkar i omvårdnadssituationen?

Diabetes is a widespread disease, which is increasing in the Western World and even in the developing countries. This entail an increasing strain on the medical service when to nurse and treat patients with diabetes type 2. To support and empower the patients in their choices, which will affect them for life, is a challenge to the nurse. The nurse is an important character in nursing care when patients take a more active part in treatments. The aim of this literature review was to exam the factors, which influence diabetes care.

Sjuksköterskans upplevelser om sin kunskapskompetens : intervjustudie med sjuksköterskor inom hemsjukvård

The aim with this project was to describe how nursing staff working in the home care environment perceive their level of knowledge regarding mental ill health and if this level of knowledge is sufficient / insufficient in their dealings with mentally ill patients. The study is empirical and a qualitative method has been used. Questionaires have been used and interviews have been carried out with nurses working in the home care system and data has also been collected from previous research in this area. Result The result show that home care nurses consider that they have inadequate knowledge of treating patients with mental ill health and they seek more training, guidance and collaboration with psychiatric nurses. Conclusion Increased knowledge of mental health care and continuous guidance would make home care nurses more confident in their dealings with patients suffering from mental ill health.

Arbetstidsförlagd och subventionerad träning/motion och effekter på sjukskrivning

During the last Century a tremendously technical advancement has taken place and brought a change in society, which has affected workplaces in a monumental way. Many heavily and moveable physical working tasks at the work placement have been replaced with much easier and sedentary tasks.Two of the major reasons for sick absence in Sweden are illness in the locomotive organs and pain, which can be treated and prevented with physical activity on a large scale. Many employers offer their employees? subsidized exercise cards, which can be used during their free time. A health care exercise hour is one benefit that employers can offer their employees and normally takes place once a week during fully paid working time.

Diabetessköterskors information och undervisning till patienter med diabetes

The purpose of this study was to describe how nurses, working in primary health care and responsible for diabetes care, reflected on patient information and education, its? content and experiences of providing it. The study had a descriptive design and seven nurses from seven health care units in the middle of Sweden participated in the study. Data were analyzed with qualitative content analysis. The results are presented in two main categories; ?The information? and ?The procedure?.

Stepped Care - Framtidens vårdform? : En pilotstudie av stegvis behandling av OCD vid Ångestenheten, Karolinska universitetssjukhuset, Solna.

Den vård som har starkast evidens vid behandling av tvångssyndrom, Obsessive Compulsive Disorder (OCD), är kognitiv beteendeterapi (KBT), innehållande exponering och responsprevention. Idag är tillgången till denna vård begränsad främst på grund av för få behandlare. Tidigare forskning pekar på att personer med OCD kan bli hjälpta av mindre terapeutintensiva behandlingar. Att leverera vård stegvis med ökande behandlingsintensitet; Stepped Care, kan vara ett sätt att öka tillgängligheten av KBT. Denna pilotstudie har undersökt Stepped Care för OCD i form av tre steg, på Ångestenheten, Karolinska Universitetssjukhuset.

Att leva med långtidstrakeostomi

Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.

När jag dokumenterar har jag ryggen fri. Om omvårdnadspersonalens upplevelse av social dokumentation.

Syftet med denna studie är att belysa hur upplevelsen gällande dokumentation bland personal inom hemvården ser ut. Detta gjordes genom en kvalitativ studie med sex slumpmässigt utvalda ur personalen på tre arbetsplatser inom en medelstor stad i Sverige. Den huvudsakliga faktorn som formar upplevelsen gällande dokumentationen bland personal tenderer att vara hur arbetstiden är fördelad, då ingen specifik tid till detta finns utsatt i deras schema. Detta verkar vara ett stressmoment bland personalen. Vikten av kunskap, både gällande möjligheten till att använda de redskap som finns tillgängliga inom arbetsplatsen samt tillräckliga språkkunskaper för att ordentligt kunna dokumentera har även nämnts som viktiga faktorer.

Sjuksköterskors uppfattning om triagebedömning på en barnakutmottagning

Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses? perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12).

Sjuksköterskors erfarenheter av att uppmärksamma, bedöma och hantera somatiska symtom och problem i det psykiatriska omvårdnadsarbetet

Background:Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.Aim:The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the psychiatric care.Method:The study is based on interviews with 12 nurses working in psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.Result:The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication.

Stockholms destinationsutveckling

This essay is about personal assistance for persons with considerable intellectual disabilities.The purpose with the study is: to examine personal assistance for individuals, who can`t speakfor themselves, to examine how the individuals can determine and get influence into theirassistance and how they can get help with it, to examine the role of an representative inrelation to the serviceuser´s assistance and examine if there are factors of gender in theinterviews.The chosen method is qualitative interviews.The interviews has been analysed through earlier research about personal assistance andtheoretical perspectives like: influence, integration and citizenship and discussed throughperspectives of social psychology.The main conclusions are: the influence the serviceusers can have is through persons whoknow them very well, the role of the representatives are indistinct, the serviceusers can´tdetermine their assistance themselves and need help with it from relatives, representatives,personal assistants and managers, the persons who know the serviceuser intimately are best totransform the needs to assistance. The factors of gender, are that there are more men aspersonal assistants than in the care of elderly, and the representatives are mostly men. Thepersonal assistants appreciates the time they have for the serviceuser, the work can be lonelyand demanding..

Sjuksköterskors möte med familjer i BUP:s mellanvård

Background: ?Transitional care? is a new form of care in the Child and Adolescent Mental Health Services (CAMHS) in Sweden. The level of care, between outpatient and inpatient, has been developed to meet children/adolescents and their families in a different way than in the traditional outpatient and inpatient treatment. The contact offered can be intense with frequent contact and also with more time set aside for every occasion. The nurse, who is one of the categories of personnel involved in the multidisciplinary team works largely in other contexts than in the therapy room at the clinic or on the ward.

Sjuksköterskors uppfattning av elektronisk dokumentation avseende tidsåtgång, teknik och vårdkvalitet

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time.

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