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4405 Uppsatser om Pediatric intensive care unit (PICU) - Sida 31 av 294
Myten om partnerskapet: Om institutioner, rationaliserade myter och regionala tillväxtprogram
The overarching goal of this paper is to explain the intensive occurrence of partnerships ? regarded as a specific organizational structure ? in the formulation and implementation of Regional Growth Programs.By using theoretical concepts from new institutionalism, the paper tries to examine the explanatory capacity of this theory in the specific case of partnerships. The basis is a skeptical stance towards the conventional interpretation that views partnerships as rational organizational tools. Hence, the purpose of the paper is also to compare our own institutional explanation with the conventional.The paper finds that the occurrence of partnerships can be understood as the effect of an intensive institutional pressure. The government has, in what we regard as the institution for regional development, prescribed the partnership as a rational solution ? a rationalized myth - to the regional growth problem.
Lyckade Familjehemsplaceringar : är SoL lika med en solig placering och LVU bara en lång väg ut?
Focusing of what´s best for the child has been a keyword in social work for a long time. That seems obvious for many people, but sometimes it lacks in the care of the children and the child may be taken in to care. The purpose was to find circumstances of success that can contribute to a successful placement of the child according to social workers and foster families. In which way does the cooperation between social worker, foster family and the origin family affect the placement? The study is based upon a qualitative method in form of interviews intending to get the respondents own knowledge and experience of foster care.
Folkbibliotek som tredje plats ? Café, informationslager eller något mitt emellan?
This bachelor?s thesis describes a qualitative case study of a public library as ?third place?, a place besides from home and workplace visited frequently for conversation. The subject is chosen because of the many roles of public libraries. The main query of the study is ?What view does the public library have of its role as third space and how does that relate to the way utilization of the public library as third place is seen??.
Moralisk stress hos intensivvårdssjuksköterskor
Intensivvårdssjuksköterskor uttrycker upplevelser av moralisk stress i det dagliga arbetet och detta kan leda till utbrändhet eller behov av att byta yrke då de inte lyckas bemästra sin situation. Studiens syfte var att kartlägga moralisk stress hos intensivvårdssjuksköterskor med hjälp av Moral Distress Scale(MDS). Studien utfördes med en deskreptiv metod av tvärsnittsdesign där 45 sjusköterskor med intensivvårdsutbildning i västsverige tillfrågades att vid ett tillfälle besvara en enkät med en validerad svensköversatt MDS. Resultatet påvisade att det finns signifikant höga nivåer av moralisk stress hos intensivvårdssjuksköterskor yngre än 45 år(p=0,044) och även i gruppen med kandidat/-magisterexamen(p=0,003). De högsta nivåerna av moralisk stress kunde uppmätas när intensivvårdssjuksköterskorna ställdes inför situationer där de upplevde att ingen var beredd att fatta beslut om att avsluta livsuppehållande behandling.
Mobil försäljningsenhet : En produktutvecklingsprocess
Galna Glassen is a company that has a unique way of selling ice cream in Sweden. The idea is for the costumer to be able to compose their own favorite ice cream, partly by choosing the flavor of ice cream but also by picking the ingredients. The ingredients that can be chosen from are around twenty and can be everything from cookies to candy to berries. When the costumer has chosen their ice cream and ingredients they are mixed together on a cooled granite board.The company was very successful when it was founded in the summer of 2011 and decided to expand to other cities in Sweden. They also wanted to explore the profitability of a mobile sales unit that is intended for festivals and events.The thesis is meant to develop Galna Glassen?s mobile sales unit.
Vårdpersonals upplevelse av att vårda patientermed diagnosen afasi efter stroke : En litteraturstudie
Background: Stroke is one of the leading causes for longlasting sequelae, among themloss in cognitive function, like aphasia. Aphasia effects the patients ability to understandand express themselves in speaking and writing. To be able to reach a good level of care,the careproviders and patients ought to have the same goals and values. This requires agood communication between the careproviders and patients. Which can be problematicfor the caregivers when they don't feel secure in their way of getting close to these patients.Aim: The purpose of this study was to illuminate caregivers experience of caring forpatients with the diagnosis aphasia following stroke.Method: This is a literature study where nine studies, with qualitative design, has beenanalyzed and compiled.
Utveckling av sensor för mätning av hjärtaktivitet
Rörelseanalys är ett nödvändigt verktyg då det gäller bedömning, uppföljning och diagnos vid alla de sjukdomar som påverkar den mänskliga rörelseapparaten. Idag finns det i Sverige ett fåtal kliniska gånglaboratorier dit patienter kan remitteras för att få en mer detaljerad och objektiv bedömning av deras rörelsemönster. Problemen med dessa gånglaboratorier är att de är förhållandevis dyra och resurskrävande.Avdelningen för Medicinsk Teknik- FoU vid Norrlands Universitetssjukhus har därför initierat ett forskningsprojekt där AnyMo, ett mobilt system för mätningar av rörelsemönster, har utvecklats.Målet med detta examensarbete var att vidareutveckla det befintliga systemet till att simultant kunna mäta hjärtats EKG, då det skulle göra undersökningen mer komplett.De delar som konstruerades i projektet var en EKG-sensor och en Master Unit, som kopplades ihop med en befintlig rörelsesensor (del av AnyMo-systemet). Informationen från sensorerna lagrades lokalt i ett minneskort på systemets Master Unit.Den färdiga produkten testades och utvärderades på en motionscykel vid olika nivåer av fysisk ansträngning och varierande rörelsefrekvens..
Palliativ vård för barn : Stöd och tröst till det svårt sjuka barnet och dess familj
Purpose: The purpose of this study is to highlight what is perceived as- and what is not perceived as- supportive and comforting, by the sick child in palliative care, and by its family. Method: Systematic literature review in which only scientific articles from the years 2001-2010 have been included. Analysis: A method inspired by qualitative content analysis was used. Results: The analysis revealed five categories of what the sick child and its family experienced as supportive and comforting - and what was perceived negatively - in the context of palliative care for children. The results showed that it was very important to have competent, dedicated and compassionate staff that not only care for the child but also see to the whole family.
"Man får vara deras vikarierande pannlob" Möjligheter och svårigheter i omvårdnaden av personer med frontallobsskador vid demenssjukdom/ ?You have to be their deputy frontal lobe?Possibilities and difficulties in nursing care of persons having dementia wi
Nursing care of persons having dementia diseases affecting the frontal lobes, sets special demands on the staff, but the knowledge about how to best tailor nursing care is sparse. The aim of the study was to illuminate possibilities and difficulties in nursing care of persons having dementia diseases with frontal lobe dysfunction and was carried out as a descriptive, qualitative study, based on a review of medical records and interviews with nursing staff (n=10) that was analysed with qualitative content analysis. The difficulties were related to the patients lack of inhibition and judgement, anxiety, agitation, reduced ability to care for physical needs, egocentrism, imbalance between rest and activity, and depressed mood. The possibilities were seen in relation to the nursing staffs professional encounter, characterised by being distinct and consequent, being a step ahead, being flexible and catch the moment, being calm and create a positive atmosphere, being close and trusting and being and doing together. To receive continuous feedback and support was a prerequisite for the staffs? engagement.
"Man får vara deras vikarierande pannlob" Möjligheter och svårigheter i omvårdnaden av personer med frontallobsskador vid demenssjukdom/ ?You have to be their deputy frontal lobe? Possibilities and difficulties in nursing care of persons having dementia
Nursing care of persons having dementia diseases affecting the frontal lobes, sets special demands on the staff, but the knowledge about how to best tailor nursing care is sparse. The aim of the study was to illuminate possibilities and difficulties in nursing care of persons having dementia diseases with frontal lobe dysfunction and was carried out as a descriptive, qualitative study, based on a review of medical records and interviews with nursing staff (n=10) that was analysed with qualitative content analysis. The difficulties were related to the patients lack of inhibition and judgement, anxiety, agitation, reduced ability to care for physical needs, egocentrism, imbalance between rest and activity, and depressed mood. The possibilities were seen in relation to the nursing staffs professional encounter, characterised by being distinct and consequent, being a step ahead, being flexible and catch the moment, being calm and create a positive atmosphere, being close and trusting and being and doing together. To receive continuous feedback and support was a prerequisite for the staffs? engagement.
Faktorer med inverkan på föräldrars närvaro hos sitt extremt underburna barn på intensivvårdssal
Syfte:Att beskriva föräldrars upplevelse av faktorer om har inverkan på deras närvaro hos sitt extremt underburna barn som vårdats på intensivvårdssal på neonatalavdelning.Material och metod: Semistrukturerade djupintervjuer utifrån en intervjuguide genomfördes under 2010 och 2011. Tretton föräldrar deltog i studien. De inspelade intervjuerna transkiberades ordagrant, och bearbetades med kvalitativ innehållsanalys.Resultat:Föräldrar till extremt underburna barn som vårdais på intensivvårdssal beskrev skilda upplevelser av vården och uttryckte olika behov. Vårdtiden innebar ett känslomässigt pendlande från chock till en känsla av kontroll. Faktorer som underlättade närvaron hos barnet var möjlighet till boende på avdelningen.
Perioperativ trycksårsprevention - en litteraturstudie om operationssjuksköterskans skyddande åtgärder
ABSTRACTPressure ulcers are a serious health damage that causes great suffering, prolonged hospital stays and increased health care costs. Patients undergoing surgery are at high risk of developing pressure ulcers and it is the operating theatre nurse responsibility to protect against health damage through nursing. There are little research made in the area of perioperative pressure ulcer prevention. In order to investigate perioperative pressure ulcer preventive care measures that are described in the litterature and to answer the question how the operating theater nurse can protect the patient, a pilot study of a systematic literature review was carried out. Data base searches were conducted in PubMed and Cinahl from where ten articles were selected and examined for their quality and content.
Experiences and needs of family members in the end of life care at a nursinghome
Background: There might be a risk that family members experience limited possibilities to act, participate and influence the end of life care for the elderly in the nursing home. For family members it could be the first time they face death which can imply a lot of questions and existential needs. Aim: The aim of this study was to examine the needs of family members in the patient terminal care in a nursing home. Research methods: The study implemented a qualitative approach and data was collected through four interviews and through a literature review were 17 articles were selected. The results were processed and analysed with a qualitative content analysis and two main categories, participation and assurance with subcategories were identified.
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.
Primärvårdschefers uppfattning om arbetet med patienter med risk- och missbruksproblem
The Purpose of the study was to highlight the primary care managers' perception of the barriers and opportunities in the implementation of the national guidelines for harmful drinking and alcohol abuse in KalmarCounty. The data was collected by questionnaires which were directed to all primary care managers in the county. The response rate was low, 40%. The data collection was complemented at a later stage with a non-response analysis. To analyze the results implementation theory with following terms were used: wants to, understand and know.