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3609 Uppsatser om Qality of care - Sida 59 av 241

Patienters upplevelser i samband med en hjärttransplantation : en litteraturstudie

Background: In Sweden, heart transplantation increases as a method of treatment. Patients undergoing heart transplantation require special needs of care. Nurses have to increase knowledge about experiences that these patients percieve to conform the health care in the future. In this study, health science has been used as a theoretical frame of reference which includes a patient perspective.Aim: The aim of this study was to describe experiences among patients, elder than 18 years old, undergoing heart transplantation.Method: The method was a qualitative descriptive study with a context analysis based on ten scientific articles and an autobiography corresponding with the aim of the study.Results: The results of this study showed six themes about experiences that emerged among patients undergoing heart transplantation: feeling of vitality, existential crisis, importance of social support, destructive feelings, capacity of going on and the experience of quality of life.Conclusion: It?s not a guarantee that the quality of life will increase among patients undergoing heart transplantation and they need a specialist trained nurse available to support at all hours..

Event som Marknadskommunikation - Din Guide till Eventgalaxen: En kvantitativ studie som testar hur ansträngningsgrad påverkar uppkomsten av kommunikationseffekter

Event marketing's ability to create strong communication effects is a well-known fact and a contributing factor to its popularity in the world of marketing today. But while we know that it is the interaction between consumers and the brand within the scope of live marketing that gives rise to loyalty and purchase intention, we have no knowledge in how the company's efforts affect the outcome. As the investments in event marketing are growing at a comparatively high pace, it is urgent to obtain a deeper understanding and a sense of direction of the elements infuencing its success.In this study we investigate in what way and to what extent the amount of effort that a company puts into the making of an event is used as a signal of manufactor credibility, ability (i.e., expertise) and consumer care. And in what way and to what extent the perceived effort influence purchase intent, attitude and word-of-mouth. We also analyze marketing events in terms of the theory of equitable exchange and "desperation", a subject matter thus far only touched upon.As we identify two different types of events on the market today, we include both in our study: the in-store promotion related event and the party event, which is held in an external venue.

Skillnader i energiåtgång och muskelaktivering vid gång utan stavar och med olika typer av stavar

Background: Patients who deliberate self harm often feel disappointed with the health care. The consequence of this may be that the patient avoid to seek help after self harming. Nurses' often experience these patients to be difficult and hard to deal with. Both patients' and nurses' thoughts about the situation may affect the situation in a negative way. A good relationship between the caregiver and patient is important.

Plantar fasciit : Sjukgymnastiska behandlingsmetoder inom primärvården i Dalarnas-, Gävleborgs- och Västmanlands län

AbstractBackground: Plantar fasciitis is the most common heel injury and is a long-term pain syndrom in the attachment of the plantar fascia to the calcaneus bone. The condition is treated mainly in primary care, but there is currently no treatment guideline for the treatment of plantar fasciitis in Sweden. The purpose of this study was to investigate which treatment that occurred in primary care in Dalarna, Gävleborg and Västmanland counties, which treatments that were most common alone and in combination with each other. The aim was also to investigate if the four most commonly used treatment methods as physical therapists said they had used were supported in the literature, and if there was any difference between county employees and private physical therapists in the choice of treatment method.Method: 100 physiotherapists in primary care in Dalarna, Gävleborg and Västmanland counties, received a questionnaire by mail. 80 of the 100 physiotherapists were county employees and 20 were private employees.

Värdighet i palliativ vård : en litteraturstudie om värdighetens bevarande vid livets slut

Bakgrund: Övervikt och fetma är en global epidemi. Fetma kan orsakas av arv, miljö och beteendemässiga faktorer. Övervikt kanleda till flera följdsjukdomar. Viktminskning kan ge ökad livskvalité pch psykiskt välbefinnande. Ur ett hälsoekonomiskt perspektiv är det av vikt att det hälsofrämjande arbetet startar tidigt i barndomen.

Att vara partner till en patient med akut hjärtinfarkt

Acute myocardial infarction is a serious diagnosis. Both the patient and the loved ones experience an immediate uncertainty. To be able to emotionally support the patient´s spouse, the nurse in the coronary care unit must be prepared to also encounter the world of the spouse. The aim of this study was from a nursing perspective to illuminate how life was experienced during the first two months by the spouse of someone, who was stricken by a first time acute myocardial infarction. Interviews with six spouses were conducted.

Sjuksköterskans tid för omvårdnad : Underlag inför implementering av patientnärmre vård på en medicinsk vårdavdelning

 Syftet med denna studie var att undersöka hur stor del av ett dagarbetspass som sjuksköterskor på en medicinavdelning ägnar sig åt omvårdnad i relation till andra arbetsuppgifter samt sjuksköterskans uppfattning om den tid denne lägger ner på olika arbetsuppgifter. Metod som använts var observation av nio sjuksköterskor med avseende på tidsåtgång för sex fördefinierade arbetsuppgifter; administration, omvårdnad, läkemedelshantering, ansvarsområden, rond och rapport. Enkäter delades även ut till sjuksköterskorna på avdelningen gällande självskattning av tidsåtgång för arbetsuppgifterna samt instämmande till påståenden angående deras uppfattning om tiden räckte för de olika arbetsuppgifterna. Resultatet visar att sjuksköterskorna lägger ned mest tid på administration följt av omvårdnad, rond, läkemedelshantering, rapport och sist ansvarsområden. Omvårdnad utgjorde 21 % av den sammanlagda arbetstiden och de uppgav att de för närvarande inte har tillräckligt med tid för denna arbetsuppgift. .

Riskkapitalägande i den svenska välfärdssektorn - kortaste vägen till (skatte-)paradiset

This thesis studies whether private equity owned firms within the Swedish welfare sector distinguish themselves in terms of tax planning and short-termism from a control group consisting of other privately owned welfare firms. For the first time, the comparison is made on the entire welfare sector, between 14 matched pairs within education, health care and elderly care. We use financial metrics associated with tax planning and short-termism in sign tests to examine whether the private equity owned firms differ from our control group. The financial metrics tested are actual and paid tax rates, level of interest, book-tax gap, investments, personnel expenses per employee, and cash earnings. We find that the private equity owned firms in terms of tax planning only differ in the level of interest, while no notable differences are found in terms of short-termism..

Medical and dental tourism : en studie om sjuk- och tandvårdsturismens drivkrafter bland svenskar

This essay concerns medical- and dental tourism. The main purpose with the essay was to study which factors that affects Swedish choices to seek medical- and dental care abroad and therefore reach an understanding for Swedish medical- and dental tourism to other countries. The aim has also been to try to reach an insight in how Swedish medical- and dental tourism might develop the future. The study is based on qualitative interviews with five officials who were well-grounded in the field. The theoretical framework concerned the need of travel, push- and pull factors, Maslow?s hierarchy of needs and the thinking about needs within business activities.

Faktorer som påverjar uteblivande och återbud inom tandvården -en enkätstudie

Non-attendance and cancellations within dental care is a problem resulting in both financial and time consuming losses. The purpose of this questionnaire was to investigate different factors influencing non-attendance and cancellations. Six public and private dental clinics located in Skåne participated. Information about the clinics and patient-related factors were collected. Result: Totally 182 patients cancelling or not attending their appointment were registered.

Allt är inte hopplöst; det finns fortfarande hopp : en litteraturöversikt om upplevelser av hopp och hopplöshet hos självmordsnära patienter och deras möte med vården

Background: Suicidal individuals are vulnerable patients in need of a caring relationship. A caring relationship should be based on a real presence were the patient's needs are in focus. Yet research has shown that suicidal patients experience caring that exacerbate their suicidial problems and hopelessness.Aim: To describe the experiences of hope and hopelessness in suicidal patients and their encounter with health care.Methods: In a literature review, in accordance with Friberg (2012) eight scientific papers have used, analyzed and scrutinized to answer the purpose of a new whole.Results: Two main themes emerged in the results with related subcategories. Experiences of hopegiving acts with sub-themes: The significance of  a caring relationship, the significance of a strong social network and the significance of feelings of hopefulness. The second main theme that emerged was: Experiences of acts connected to hopelessness with subthemes: The significance of a non-confirmatory caring relationship and the significance of feelings of hopelessness.Discussions: It is found that suicidal patients experience care that lead to feelings of despair.

Upplevd livskvalitet hos patienter med cancer i den palliativa vården utifrån fysiskt, psykiskt och socialt perspektiv : en litteraturstudie

Syftet med denna studie var att beskriva vad patienter med cancer i den palliativa fasen upplever att livskvalitet är utifrån fysiskt, psykiskt och socialt perspektiv. Sökning av de underlag som användes i studien gjordes i olika databaser som Medline (via pubmed), Science Direct och Academic Search Elite. Sökningarna gjordes med enkla sökord eller i kombination med varandra. De underlag som söktes begränsades med att vara skrivna på svenska eller engelska, vara publicerade mellan år 2000-2008, handla om vuxna patienter samt fri åtkomst via databasen i fulltext. Totalt 17 artiklar granskades, analyserades och sammanställdes sedan under de olika perspektiven: fysiskt, psykiskt och socialt.

Enhetschefer och undersköterskors perspektiv på rapportering enligt lex Sarah inom kommunal äldreomsorg

The aim of this study was to examine the experience, knowledge and attitude to mandatory reports of mistreatments amongst first line managers and assistance nurses in municipal elderly care. The following questions were at the center of the analysis: how do the different professional groups view having to report their own organization? How can various factors affect the mandatory reporting of mistreatments? What knowledge do the different professional groups have of mistreatments and mandatory reporting? A qualitative research method was used to examine these questions in the form of semi structured interviews and a small document study. The interviews were carried out with assistance nurses and first line manages in elder care, we interviewed four respondents from both professional groups. The interviews were then transcribed and coded with help of a content analysis.

Deltidsarbetandes företrädesrätt till högre sysselsättningsgrad

During the 20th century Sweden faced an increased proportion of workers registered as part-time unemployed, especially in the care sector. However, due to many valuable efforts, aimed at solving the problem of part time unemployment and political decisions, the number of people who are part-time unemployed has declined since the late 20th century. We have investigated part-time workers preferential right to extending their working hours. According to Section 25 a of the Employment Protection Act, part-time employees who have submitted an interest in increasing their working hours has a preferential right to increased working hours, with the assumptions that full-time employment with the employer will meet a labor need that the employee has sufficient qualifications for.Qualitative interviews have given us information about how Karlstad Community and a private care company deal with part-time unemployment and their workers preferential right to extending their working hours. We have found that people who work for Karlstad Community have an opportunity to choose their number of workings hours, thanks to a political decision made in Karlstad Community, aimed at solving the part time unemployment in the care sector.

Kvalitetsarbetet i Nacka : En fallstudie av kundvalsmodellen inom äldreomsorgen

This essay discusses the interaction between the authorities in Nacka municipality in Sweden and supervisors within the eldercare. In Nacka politicians have gradually started delegate responsibility for how care-giving for the elder should be done and focus instead on formulating economical objectives and overall rules. It is up to the approved supervisors of eldercare to deliver good care and quality. The method chosen to accomplish this is public choice. This method is a part of the big New Public Management (NPM) reform which have had a big impact on Swedish public sector since the 1980´s.

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