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3291 Uppsatser om Pain assessment dementia nursing - Sida 59 av 220

Vinster med återvinning, Stena Recycling

This project operate an environmental assessment of total waste was conducted by using a life cycle assessment (LCA), that examines the environmental benefits of recycling production waste from Atlas Copco at Stena recycling. Atlas Copco is a company engaged in the development and production of rig-mounted hydraulic breakers and handheld air breakers and handheld motorized rotisserie. Stena recycling is a recycling company engaged in recycling, processing and refining of metals, paper, electronics waste and hazardous waste.The purpose of this study is to focus on Stena customer Atlas Copco and evaluate environmental benefits between to recycle and not to do it. The result shows that the total energy gain, resulting from the recycling of waste fractions, lands at 6 990 089 MJ, corresponding to drive 3 times around the Equator with a truck (40 t). The result shows that recycling 3040 kg paper provides an energy gain of (38 600 MJ) compared with burning paper (19 500 MJ) is 19 100 MJ, which corresponds to heat a house for 11 weeks.

Omvårdnad av misshandlade kvinnor ur ett sjuksköterskeperspektiv

Intimate partner violence against women has gone from a concealed family affair to a public issue. The health care services are often those who first come in contact with abused women, despite this many women are not identified as victims of domestic violence. The purpose of this study was to describe nursing care of abused women and factors influencing the care. The study was conducted as a literature review where 18 articles were analyzed. The result showed the importance of the nurses? role in screening for abused women.

Hållbar utveckling i högre utbildning : Miljöledningssystem användbart för akademin?

The purpose of this report was to investigate how the Umeå School of Business and Economics at Umeå university can work to increase the share of courses and programmes that discuss sustainable development. Furthermore the purpose was to develop an action plan that can be used to increase that share. Methods used were a questionnaire directed towards the educators at the Umeå School of Business and Economics and an assessment of the content of courses and programmes connected to the Umeå School of Business and Economics. There was no clear structured way of working with education for sustainable development, but at the same time there was a will to integrate sustainable development in the education. Curricula were according to the educators an important tool to achieve this integration, their experience were that there are not enough time, people and money to work with sustainable development in the education and they would like to see more clear directions from the management.

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.

Förlust och känsla : En litteraturöversikt om kvinnors erfarenheter av missfall

Bakgrund: Missfall räknas som den vanligaste graviditetskomplikationen. Kvinnors omvårdnadsbehov efter missfall består av både fysiska och psykiska aspekter. Känslor av skuld, förlust, tomhet och sorg uppkom och ofta kvarstod känslorna under en längre tid. Kvinnorna som fått missfall upplevde ofta att deras omvårdnadsbehov inte tillgodosetts adekvat. Sjuksköterskans kompetensområde innefattar tillgodoseende av både fysiska och psykiska omvårdnadsbehov.Syfte: Att beskriva kvinnors erfarenheter och omvårdnadsbehov vid missfall.Metod: En litteraturöversikt baserad på elva vetenskapliga artiklar som granskats med hjälp av innehållsanalys.Resultat: Resultatet av denna litteraturöversikt visar att erfarenheten av att genomgå ett missfall påverkar kvinnan psykiskt, fysiskt och socialt.

Skriftliga omdömen : Om åttaåringars förmåga och möjlighet att förstå sina omdömen

Syftet med studien är att öka kunskapen om elevers förståelse av sina skriftliga omdömen och om vilka faktorer som påverkar förståelsen av dokumenten. Forskningsansatsen är starkt inspirerad av grundad teori. Studiens resultat utgår dels från analys av intervjuer av elever i år två och dels från dokumentanalys av elevernas skriftliga omdömen. Dessa båda har i den avslutande analysen relaterats till varandra, vilket har resulterat i en teoretisk modell, EFO-modellen som står för Elevers Förståelse av sina Skriftliga omdömen. Vid intervjuerna framkom att eleverna förstår omdömena på olika sätt och i olika utsträckning. Förståelsen påverkas av elevens motivation och koncentration, deras behov av bekräftelse samt deras språkliga förmåga.

Nu är det dags! En kvalitativ studie om när socialsekreterare institutionsplacerar ungdomar

The purpose of this study was to examine social workers apprehensions about institutional placement of youths and what determines when these proceedings are used. When research not always shows that institutional placements lead to positive changes for youngsters, we wondered how social workers act on their assessment to institutional placement. We wanted to find out if the social workers meet any dilemmas along the way. To find out about that we used qualitative interviews with ten social workers, who worked in social service and came from different places in the southern parts of Sweden. To analyze our material we used the theory of human service organization and street-level bureaucrats work situation.

Beräkning av massbalanser för metaller i vatten samt miljöriskbedömning av Nerån vid Österbyverken i Östhammars kommun

Österbyverken is an industrial estate in Östhammars municipality in Uppland, Sweden. Many different activities have taken place on the estate the last 600 years. During the last 15 years both health and environmental studies have been made by different companies. At the most recent study a great increase of metals in Nerån, a river that runs partly through and partly next to the estate, was identified with mass balances. The purpose of this thesis is to accomplish a deepened study about the reasons for the increase of metals in Nerån.

"Det är så lätt, det är bara att gå in och trycka på ett par knappar." En rättssociologisk utvärderingsstudie av lagen om upphovsrätt (Lag 2005:359) och de viktigaste orsaksmekanismerna bakom fildelning

The purpose of this study was to find out why the law that regulates downloading copyrighted material does not work and which of the most important main reasons lies behind downloading behaviour. The phenomenon being well investigated earlier has actualized a new demand for normative investigation in connection with the hot debated IPRED-law.Using qualitative method comprising of interviews with three typical file sharers and anchored in Max Webers action typology, rational choice theory and the norm model followed by two assessment models, we found that four important reasons lies behind downloading behaviour: 1) economical reasons was the most central and frequent determinant followed by 2) accessibility and comfort, and 3) social acceptance and moral and also 4) habits. Although the content of the law was correctly provided by the interviewees, it was clear that they did not perceive the impact of the law as meaningful or threatening.The results, being compatible with previous research, are discussed in terms of the named theories and assessment models. We suggest further research to take into account peoples norms as the new IPRED-law soon will be functional as well as studies from a perspective of the legal rights of the individual..

Sexuallivet efter en radikal prostatektomi - upplevelser, information och stöd hos opererade män och deras partner

The aim was to describe the experiences of couples where the male partner had undergone radical prostatectomy due to prostate cancer. Furthermore, the study explored how the operation had affected their sexual life, whether the couples had received enough post surgical support and information concerning these issues, and to describe the kind of support and information these couples desired. Twenty men and ten partners participated. All the men experienced a varying degree of post surgical erectile dysfunction and only five men had received support concerning their sexual life. Eleven men desired professional visiting support activities.

"Man nöjer sig med att prata med föräldrarna" : En kvalitativ studie om socialtjänstens bedömningsprocess efter inkommen 14 kap. 1 § SoL anmälan.

The aim of this study was to reach a deeper understanding of the process that occurs within the social services after receiving a notification according to Chapter 14, section 1, The Social Services Act. More specifically the focus of this study was to illustrate how social secretaries reason about children?s participation in the process, as well as to examine whether the legislative change, Chapter 11, section 1 a, The Social Services Act, has affected the process in any way. The study?s results reflect interviews with five social secretaries who are active in four different municipalities in southern Sweden.

Sjuksköterskors uppfattning om munvård och munhälsobedömning hos äldre boende på särskilt boende : En intervjustudie

Syfte: Syftet med denna studie var att beskriva uppfattningen hos sjuksköterskor med tjänst på särskilda boenden gällande deras arbete med tillämpningen av munhälsobedömningar och deras uppfattning om hur munvård utförs. Metod: Studien genomfördes med kvalitativ deskriptiv design. Data samlades in hjälp av intervjuer med sjuksköterskor (n= 6).  Intervjuerna analyserades med hjälp av innehållsanalys och fyra olika teman identifierades: Sjuksköterskors uppfattning om munvård, sjuksköterskors uppfattning om munhälsobedömning, sjuksköterskors uppfattning om munvår och munhälsobedömning i samband med palliativ vård samt sjuksköterskor uppfattning om samarbete med folktandvården. Resultat: Resultatet visade sjuksköterskorna uppfattade att munhälsobedömningar sällan utförs av sjuksköterskorna.

Miljöbedömning av olika behandlingsmetoder för organiskt hushållsavfall, slakteriavfall och flytgödsel

Organic material used for biogas production can also undergo other treatments. The emissions and impact from the different treatments are evaluated in this environmental assessment, with a focus on energy and climate. The materials included in the study are organic household waste, slaughterhouse waste and liquid manure. Other than biogas production, the possible treatments for organic household waste and slaughterhouse waste are incineration and composting, and for liquid manure storing and spreading. The analysis is based on data and information from current and relevant literature, and relates to the conditions in the Swedish energy system.

Sjuksköterskors omvårdnad av patienter med existentiell smärta

Inom den palliativa vården är vanliga symtom smärta och i synnerhet existentiell smärta. Obehandlad existentiell smärta får konsekvenser för graden av patientens lidande. Begreppet ?total pain? har haft stor betydelse för hospicerörelsen och palliativ medicin. Syftet med studien var att beskriva sjuksköterskors omvårdnad av patienter med existentiell smärta inom palliativ vård för att därmed kunna minska patientens lidande.

Från teori till praktik : sjuksköterskestudenters tankar kring omvårdnadsvetenskap

Bakgrund: Sjuksköterskeutbildningens karaktärsämne bygger på ett metaparadigm bestående av begreppen människa, hälsa, miljö och omvårdnad. Detta metaparadigm ligger till grund för de omvårdnadsvetenskapliga teorierna, begreppsmodellerna och slutligen den kliniska professionen. Huruvida vetenskapen ska benämnas omvårdnadsvetenskap eller vårdvetenskap råder ännu ingen konsensus kring, inte heller huruvida omvårdad eller vårdande ska användas som term för sjuksköterskans kunskaps- och kompetensområde. Denna oenighet leder till en begreppsförvirring och en begreppsoklarhet hos studenterna. Vidare uppfattar studenterna ett glapp mellan teori och praktik.

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