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4293 Uppsatser om Patient flow - Sida 13 av 287
Sjuksköterskornas upplevelser av det emotionella arbetet : En fenomenologisk hermeneutisk studie
Background: A nurse who is working in the health care is expected to show the best side for other people. An emotional work demands a lot of the role of a nurse, when she has to deal with her feelings after the given situation to satisfy the patient.Aim: The purpose of the study is to seek understanding of what nurses perceive to be the essence of the emotional work in health care. The study also wants to understand what factors could affect the meeting both positively and negatively between nurse and patient in social interactionMethod: The study?s methodology is qualitative with phenomenological-hermeneutical approach to seek understanding of the six interviewed nurses lived experiences and the experiences of the emotional work.Results: The result has four main themes developed: Emotional management, to consider the patients existential needs, meeting the patient and to do something meaningful.Conclusion: The essence of the perceived emotional work for nurses is emotional transformation where the nurse changes her feelings by acting according to the situation in the meeting with the patient. It is important that nurses reflect in the work so they do not take their work home and become exhausted and burn out.Keywords: Emotional labour, emotional management, patient encounter, phenomenological-hermeneutical, existential needs, the essence, burn out.
Produktivitetsanalys ur ett LEAN-perspektiv : En studie hos OPPC, AstraZeneca
The objective of this thesis is to map the resources and methods used at the department OPPC, at AstraZeneca, and derived from that give suggestions on possible solutions that will increase their productivity.Mapping of the product flow, as well as gathering of process data, has mainly been done using observations, but consultation with the process technicians has also played a great role. Further have theoretical methods been used, based on literature studies, within the areas of Lean production and statistics.The work has incrementally gone forward since the steps taken has been restricted by the irregularity of production which led to the need of creating a fictive production flow. This has affected the lead-time calculations in the way that they are meant to give an indication, rather than an absolute truth, on how different methods described shall be used.The current state analysis showed multiple areas of improvement when defining capacity as value adding time in relation to total throughput time. Using the "standard scenario" as a basis showed that the actual production flow only constituted 50% of the total project time. Further it showed that the workflow contained more non-value adding activities than value adding activities, which is a result of how the work is distributed within the department as well as in the different projects.
Skyddande isolering i samband med stamcellstransplantation : Patienters upplevelser av den skyddande isoleringen samt uppfattningar om sjuksköterskans roll under vårdtiden
When going through a stem cell transplantation a patient is forced to undergo protective isolation to inhibit risk of opportunistic infections related to the low leucocyte count as a result of aggressive pre-transplant chemotherapy treatment. Protective isolation has shown to have an impact on patient experiences during treatment and the aim of this study is to elucidate experiences of protective isolation of patients undergoing hematopoietic stem cell transplantation and to deduce patient perceptions of the role of nurses in protective isolation care. The presented study was performed as a mixed qualitative and quantitative survey at a hematopoietic ward in Sweden. Results were analyzed by Mayring (2000) and by descriptive frequency charts and show that patients in protective isolation experience alienation, necessity, safety and anxiety with regards to their protective situation. Considering the role of nurses patients perceive their role to be attendant, informant and acting as an executioner of medical implementations.
Ny stamstation i Yttermalung för anslutning av vindkraft : Nätstudie av olika utföranden i normal- och reservdrift
Since 2004, wind power has had the largest installation of new capacity compared to other energy sources in Sweden. Accommodating new wind power may require strengthening or rebuilding of the existing grid in areas where the grid is already loaded to maximum capacity. This master thesis examine the possibility of a new 400/130 kV substation in Yttermalung, Sweden, with a connection to the two neighboring regional grids in Dalarna and Värmland owned by Fortum. This substation would provide a new connection point to the Swedish transmission system as well as an interconnection of the two, currently separated, regional grids. Different expansion scenarios where a substation with and without series compensation or a phase shifting transformer (PST) to control active power flow were studied.
Sjuksköterskors upplevelser av kommunikation med patienter med invandrarbakgrund
Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.
Effektivisera materialflödet med hjälp av självgående truckar
The thesis that follows is performed in collaboration with Nitator in Oskarström.The factory in Oskarström focuses on laser cutting, robotic welding and surfacetreatment of steel for the automotive industry.The project aims to streamline the flow of materials in production by automatingthe movements of the forklifts, running to and from the interlayer, and betweenworkstations.The project started with a systematic literature search. The literature searchshowed the research position around the AGV-system. Also a review of studentliterature was made, so that a suitable method for practical implementation couldbe developed and applied. Selected method uses both quantitative and qualitativeapproaches, which is analyzed by using triangulation.The work has resulted in a modified layout of the current facility in Oskarströmthat can be used for the implementation of the AGV-system. It has also resulted inthe tender documents and profitability calculation from several of AGV-suppliers..
Sjuksköterskors roll i rehabiliteringen av en skallskadad patient : En litteraturöversikt
Bakgrund: Sjuksköterskor är en viktig länk i omvårdnaden kring den traumatiskt skallskadade patienten och dennes anhöriga. Den tidigare forskningen inom området har visat hur viktigt bemötandet och anhörigmedverkan är för patientens tillfrisknande. De kognitiva problem som ofta uppstår hos en traumatisk skallskadad patient är också de som är svårast att bemöta och behandla. Syfte: Att sammanställa och belysa forskning, som beskriver sjuksköterskors roll i omvårdnadsarbetet av traumatiskt skallskadade patienters speciella behov av omvårdnad. Metod: En litteraturöversikt med 13 empiriska artiklar.
Kommunikation mellan vårdare och patient med olika kulturell bakgrund
I varje kultur spelar kommunikationen en stor roll. Kommunikation är en process som både sändare och mottagare deltar i och omfattar såväl verbal som icke- verbala delar. En person kan visa känslor och attityder med kroppsliga uttryck om han eller hon inte kan använda språket. När det finns en brist i förståelsen mellan patient och vårdare kan detta påverka relationen mellan vårdare och patient och därmed också vården av patienten. Syftet med denna litteraturstudie är att beskriva faktorer som kan vara hindrande i kommunikationen mellan vårdare och patient med annan kulturell bakgrund, utifrån vårdare och patient perspektiv.
Från frihet till fängelse: En studie av klientflödet på Häktet Kronoberg
In the last decades, lean production has proven to be one of the most important organizational paradigms in manufacturing. The lean concept has also spread into the service industry where it is applied within a range of different areas. The wide applicability of lean principles has spurred the authors of this study to apply the principles in the context of the operations of a Swedish remand prison. The thesis examines the process a client of the remand prison Häktet Kronoberg goes through from the time of arrest until he/she is released or convicted and transferred to jail. Based on lean tools and principles, the thesis maps and analyses this process.
Att använda checklista inför vaken patient : operationssjuksköterskans upplevelser
Bakgrund: WHO:s checklista är avsedd för operationskliniker världen över som vill reducera komplikationer i samband med operativa ingrepp. Studier har visat att checklistan inte bara förbättrade patientsäkerheten utan också bidrog till bättre teamarbete och kommunikation mellan personal. Få studier finns om hur patienter som är vakna under operation påverkas av att man använder checklista. Syfte: Syftet med denna pilotstudie var att belysa hur ett antal operationssjuksköterskor upplevde att använda checklistan inför vaken patient. Metod: En pilotstudie med kvalitativ ansats där datainsamlingen genomfördes i form av halvstrukturerade intervjuer med tre operationssjuksköterskor.
Vad kan påverka en patient till ändrad livsstil efter hjärtinfarkt? - en litteraturstudie
Bakgrund: Sveriges största folkhälsoproblem idag är hjärt- kärlsjukdomar och
den vanligaste orsaken till att personer uppsöker akutsjukvård. Att drabbas av
hjärt- kärlsjukdom
innebär ett lidande och en livsstilsförändring för den drabbade. Syfte: Syftet
med studien var att undersöka vad som kan påverka en patient till förändrad
livsstil efter
hjärtinfarkt. Metod: En litteraturstudie gjordes utifrån 8 stycken artiklar där
författarna inspirerades av Burnards analysmetod. Resultat: Resultatet
redovisades i 4 kategorier
sjukdomsinsikt, informationskällor, socialt stöd och professionellt stöd.
Studie av Karlskogas fjärrvärmenät för att sänka returtemperaturen
A district heating plant has the advantage that it can take advantage of the waste heat from industries and use of cheap fuels to produce heat. But for the long term is competitive requires that energy is also saved in district heating plants. One way to save energy in a district heating system is to increasing cooling to the return temperature. This leads to less power needed to drive the distribution pumps, and that more energy could be extracted from the same amount of fuel by an improved flue gas condensation.In Karlskoga the return temperature into the district heating plant is high. They would therefore reduce the return temperature in order to extract more energy from the flue gases.
Palliativ vård. En litteraturstudie om sjuksköterskans syn på mötet med döende patienter och närstående.
Palliative care concerns care of those who are dying and when cure is no longer an option. The nurse´s job is then to support the patient and to give care of good qualitive so that the patient will experience optimal quality of life. The aim of this literature review was to describe how the nurse can prepare herself/himself for the meeting with both the patient and close ones also to describe a nurse´s need of support and education. Nine studies have been used as a foundation for this literature review. Four headlines have been crystallized out of the result, a) the view of death b) the impact of the meeting c) the importance of support d) the importance of preparation and education.
Upplevelsen inför att sticka en patient med känd blodsmitta
I sjuksköterskans arbetsuppgifter ingår venösa blodprov och insättande av perifera
venkatetrar (PVK). Även då patienten bär en blodsmitta skall detta utföras, vilket
sätter sjuksköterskans professionalism och biologiska säkerhet på prov. Sjuksköterskans
upplevelser inför att sticka en patient med känd blodsmitta är ett ämne som bör diskuteras mer. Föregås stickmomentet av rädsla eller obehagskänslor? Denna studie syftade till att undersöka sjuksköterskans tankar och upplevelser inför att sticka en patient med känd blodsmitta.
Ökad kunskap hos sjuksköterskor om orsaker till bristande följsamhet förbättrar patienters delaktighet
In today?s health care it?s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor?s prescription. This does not just affect the individual patient?s health but it can also result in consequences for other people and the whole society.