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3894 Uppsatser om Prehospital emergency care - Sida 52 av 260

Ekonomistyrning inom äldreomsorgen, Intraprenad eller entreprenad - är det någon skillnad

In recent years the elderly care in Sweden has gone through several structural changes with the main purpose of delivering a more efficient service. The aim of this study is to compare the management control system in a privately and a publicly managed elderly home. A qualitative study was conducted which included interviews, observations of meetings and reviews of relevant documents. To be able to identify possible differences the framework of Hood consisting of seven dimensions was used. An analysis of the selected dimensions showed that the differences in management control were minimal and Brunsson's theory of politicization and 'company-ization' were used to explain why..

"Att känna sig som något lätt fjäderaktigt" : äldre människors upplevda hälsa och vårdande som stödjer deras hälsoprocess på särskilt boende

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

Från misstänkt stroke till möjlig trombolys -en pilotstudie av den akuta delen av vårdkedjan

Förlossningen är en stor livshändelse där sjukvårdens insatser är mycket viktiga både för mannen och kvinnan, men framför allt för förlossningsrädda kvinnor. Föreliggande undersökning syftade till att förstå förlossningsrädsla utifrån ett psykologiskt perspektiv, främst hur stödet och eftervården upplevs. Undersökningen baserades på en kvalitativ metod i form av intervjuer med åtta frivilliga intervjudeltagare. Alla respondenter upplevde stödet från stödverksamheten för förlossningsrädda som positivt. Samtliga upplevde ett behov av stöd i olika stor utsträckning.

Kultur - hinder och möjlighet : En studie om ensamkommande flyktingbarns möte med en ny kultur

The aim with this essay was that on the basis of the care staff?s interpretations study how the unaccompanied refugee children consider cultural differences in the Swedish society and how it influenced the children. The study was carried out through six qualitative interviews with care workers at a municipal group accommodation for unaccompanied refugee children in the south of Sweden. The individual interviews were semi-structured and built on a list of questions with different subjects that were linked to the aim and question formulation for the essay. The analysis was carried out from Lazarus theory about coping and Antonovsky?s theory about ?SOC?, sense of coherence, with focus on the three components, comprehensibility, manageability and meaningfulness.

Den rullande vårdavdelningen. Patienternas tillfredställelse med vården på lättvårdsambulanserna i Ljungby och Växjö: En kvantitativ enkätundersökning

Lättvårdsambulansen, ett sätt för ambulanssjukvården i Kronobergs län att anpassa vårdnivån vid överflyttningar mellan vårdenheter och öka tillgängligheten av ambulanser för akuta uppdrag. Sedan våren 2010 finns ett fordon placerat i Ljungby och ett i Växjö. Det som skiljer detta fordon från en traditionell ambulans är att det är bemannat med endast en personal, en ambulanssjuksköterska. Lättvårdsambulansen saknar mellanvägg, personalen finns på verbalt avstånd och patienten kan påkalla uppmärksamhet med hjälp av en larmklocka. Den medicinska utrustning som går att finna i en ambulans finns även tillgänglig på lättvårdsambulansen.

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.

Clashes and Education in Timor Leste

The purpose of this qualitative thesis is to describe and analyse the implementation of an education system in the newly independent state, Timor Leste. One question to be discussed is whether an emergency phase is still going on in the development of a functioning school system, or if Timor Leste already reached a capacity building phase? Via the participant's answers in field observations and interviews, the study analyses the clashes between generations, social classes and different levels in relation to the choice of Portuguese as an official language and the international environment in the country. The thesis concludes that a lot of work remains in creating a fully functioning education system. We enjoyed the writing - and hope you will enjoy the reading!.

BARNPERSPEKTIV VID UTFORMNING AV REGIONAL KATASTROFMEDICINSK BEREDSKAP I SVERIGE : EN NATIONELL STUDIE BLAND REGIONALA BEREDSKAPSSAMORDNARE

Bakgrund Barn finns ofta bland de drabbade i samband med allvarliga händelser och har utifrån ålder och mognadsgrad behov som skiljer dem från vuxna i dessa situationer. Sjukvårdspersonal anger att det är svårare och mer påfrestande att hantera situationer där flera barn drabbats, men sjukvårdens förmåga kan optimeras om barnaspekter uppmärksammas rutinmässigt vid utformning av katastrofmedicinsk beredskap. Internationella rapporter anger att barnaspekter ofta förbises vid utformning av katastrofmedicinsk beredskap, men ämnet är bristfälligt kartlagt i Sverige. Syfte: Att undersöka om barnperspektivet uppmärksammas vid utformning av katastrofmedicinsk beredskap på regional nivå. Metod: Enkätstudie där populationen utgjordes av Sveriges 21 beredskapssamordnare på regional nivå.

Experiences in enabling elderly people for communion and solitude in a South African context

Aim: The aim of this study was to explore the care providers' experiences in enabling communionship and solitude in daily living for elderly living in old age homes in a South African context. Method: This study was done using a qualitative analysing method, with empirical data obtained from nursing staff of elderly. The study was phenomenological which aims at deepen the understanding of human experiences as phenomenon. The data was collected by using a groupinterview which included five informants from an old age home in Pretoria. The analysis included two steps; Naive reading and structural analysis in order to transform the individual elucidations into an abstract which had no individual touch.

Att översätta idiomatiska uttryck i japansk skönlitteratur : En jämförande studie av olika översättningsstrategier

In view of the difficulty of recruiting staff to care profession and in terms of the increasing need to find ways of ensuring a good language level in the profession, have an interest in language tests been revealed. The purpose of this paper is therefore to highlight the use of language tests for admission to the care courses for adults in Värmland. What provided This is a survey of the prevalence and an examination of the validity of the test. The issue that this study assumed is: How is language test in connection with admission to the certified health and social care courses for adults in Värmland? How well correlates intent of the use of the language test with the test's validity and reliability?The methods used to seek answers to these questions has been a combination of questionnaires and experiments.

Mäns upplevelse av meningsfullhet och livskvalitet efter förlusten av sin maka, ansluten vid ett palliativt team : en kvalitativ intervjustudie

Background:Existential and spiritual thoughts are a big part of pallative care. The terms existential and spiritual can be understood in many different ways. It may mean thoughts about faith or thoughts concerning life and death. The nurse in palliative care need to have good communication skills, be responsible and be present and supportive in meeting with the patient.Aim:To describe the nurse's experiences of meeting patients' existential and spiritual thoughts in palliative care.Methods:A literature review based on 10 scientific studies have been done. The studies have been downloaded from the following scientific databases; Academic Search preimer, CINAHL Plus with   Full Text, and PubMed.

Kartläggning av Sveriges landstings användning av telemedicin

Sweden's aging population makes the need for a viable health care urgent and telemedicine can be a solution to enable older people to receive or give themselves care in their homes. Furthermore, implementation of telemedicine has the potential to realise profits in society by increasing the accessibility of health care and minimizing travel costs. Sweden?s low population density and geographical configuration makes the advantages of telemedicine even more appealing. To illustrate the differences between the county councils? use of telemedicine and thus increasing the possibility for coordinated care between them, the authors have on behalf of the Innovation Centre at the Karolinska University hospital mapped the amount of telemedicine technologies that are available in the Swedish county councils? today. To collect information an electronic survey and video or telephone interviews were used.

Omvårdnad vid livets slutskede när patienter inte förstår och talar svenska - En empirisk studie av vårdpersonalens upplevelser

Dagens mångkulturella samhälle avspeglas inom vården där vårdpersonal dagligen möter patienter från olika kulturer. Kommunikationssvårigheter relaterade till språkbrister kan uppkomma i mötet med patienter som inte förstår och talar svenska. I omvårdnadsarbetet ställs detta på sin spets, i synnerhet när det gäller vård vid livets slutskede. Denna studie syftade till att kartlägga och tolka vårdpersonalens upplevelser av möjligheter och svårigheter i omvårdnaden av denna patientgrupp. I studien har en kvalitativ metod med en hermeneutisk forskningsansats använts.

SJUKSKÖTERSKORS ERFARENHETER AV LEKEN SOM REDSKAP I VÅRD AV SJUKA BARN

ABSTRACTBackground: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse?s views on promotion of self- management.Purpose: To examine the diabetes specialist nurse?s experience of promoting self-management to patients with type 2 diabetes in primary care.  Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.Results: The diabetes nurse?s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work.

Prevention och orsaksinriktad behandling av gingivit, parodontit och karies med hjälp av motiverande samtal

Background: Traditional oral health education is seldom enough in order for dental care personnel to motivate their patients to good, long-lasting oral health care habits and there is a need for evaluation of other more efficient methods. One of these methods is motivational interviewing. An overview of its origin, definition, theoretical background and practical methods is given by way of introduction. Aim: The aim of the investigation was to review studies that had used motivational interviewing in order to obtain oral health, focusing on prevention and treatment of gingivitis, periodontitis and dental caries. Method: Systematic review. A search question was run through the databases ASSIA, ERIC, PsycINFO, Social Services Abstracts, Sociological Abstracts and PubMed. The articles were reviewed based on defined inclusion and exclusion criteria. Results: Five publications (based on three studies) met the inclusion criteria.

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