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3609 Uppsatser om Qality of care - Sida 66 av 241

Från hemförlossning till barnbördshus. Läkare och barnmorskors syn på förlossningsvårdens hospitalisering vid sekelskiftet.

The hospitalization of childbirth and maternal care in Sweden is from an international perspective quite unique. It was implemented already in the beginning of the 20th century and fully mainstreamed by the 1960?s. This essay examines the professional discussions of midwives and doctors as depicted in their union?s membership papers, during the hospitalization period.

Time Care ? schemaläggningsprogram med individuella och flexibla arbetstider: en vinn-vinn situation för arbetsgivare och anställda?

Time care är ett datorbaserat schemaläggningsprogram som tar hänsyn till både arbetsgivare och de anställdas individuella önskemål angående arbetstider. Utgående från den ram verksamhetens bemanningsbehov utgör registerar personalen in individella önskemål om arbetstider inför en given schemaperiod. Det är också möjligt att lägga veto för tider då man av olika orsaker inte kan eller önskar arbeta. Detta gör att varje arbetstagare får en möjlighet att utforma sitt personliga schema för den angivna tidsperioden. Fokus på denna uppsats kommer att ligga på vad denna organisationsförändring (TimeCare) medför på personal och arbetsgivare i fråga om flexibilitet och effektivitet.

Är det inte dokumenterat är det inte gjort!

SAMMANFATTNING Detta examensarbete syftar till att kvalitetssäkra omvårdnaden av hästar med medicinsk kolik på djursjukhusens stationärvårdsavdelning. Genom att bidra med ett förslag till standardvårdplan för hästar med medicinsk kolik vill vi optimera hästens vård och omvårdnad under sjukhusvistelsen. Syftet med att arbeta med standardvårdplaner (SVP) är att skapa högkvalitativ omvårdnad, underlätta dokumentationsarbetet och i förlängningen kunna få mer tid till att se och vårda den enskilde patienten. Kolik är en åkomma med många olika samverkande faktorer, både miljöbetingade och eventuellt ärftliga Kolik i matsmältningskanalen delas ofta in i medicinsk- och kirurgisk kolik och i detta arbete läggs vikten på medicinsk kolik. Huvuddelen (~90 %) av all kolik kräver ingen kirurgi och tillhör därmed gruppen medicinsk kolik. Kolikavsnittet i arbetet är tänkt som en kunskapsöversikt över sjukdomstillståndet och ska användas som ett styrdokument för att trygga en kvalitativ basnivå på omvårdnaden. I standardvårdplanen har ett antal riskområden identifierats och därefter har riskdiagnoser, mål och åtgärder för att uppnå huvudmålet - en kolikfri patient, utarbetats. Därpå utvecklades kryssprotokoll för parametrar vid observation av kolikhäst och för smärtbedömning vid medicinsk kolik. Nyckelord: dokumentation, medicinsk kolik, omvårdnad, standardvårdplan SUMMARY This diploma work aims to assure the quality care of horses with medical colic on the veterinary hospital's stationary ward.

Balanserade styrkort i primärvården i landstinget i Östergötland : en analys av styrkort och processer

SummaryBackground: Management control is important for all kinds of activities, both in trade and industry and in the public sector since you must economize on scarce resources. There are nevertheless many different views on management control, which have changed with the times. With regard to the public sector in Sweden, the management control systems have changed radically the last half century, especially from the 1980s, due to depressions and increased focus on effectiveness. New approaches have been taken by many municipalities and county councils, both in Sweden and internationally, where the former management control systems have been abandoned in favour of result control, target costing, and activity-based-costing, for example. Another new approach has been the Balanced Scorecard, which was introduced by Kaplan & Norton in a pioneering article in 1992.The Balanced scorecard is a multidimensional tool, originally intended to be used in trade and industry, but with regard to its nature, it has been adopted even by many non-commercial organizations, especially in Sweden.

Sjuksköterskans upplevelse av att vårda patienter i livets slutskede på sjukhusavdelningar : En litteraturstudie

Syfte:Syftet med litteraturstudien var att beskriva sjuksköterskors upplevelser av att vårda patienter i livets slutskede på sjukhusavdelningar.Metod:Beskrivande litteraturstudie som baserades på tretton vetenskapliga artiklar. Data inhämtades från databaserna Cinahl och Pubmed.Resultat:Att vårda patienter i livets slut på sjukhusavdelningar är en komplex situation. Sjuksköterskorna beskrev både upplevelser av tillfredsställelse och närhet samtidigt som de kunde känna sig otillräckliga. Relationer till patienter och närstående var betydelsefulla men en distansering var nödvändig för att behålla en professionell yrkesidentitet. Faktorer som påverkade upplevelserna var rädsla för den egna döden, tidigare erfarenheter, tidsbrist och den rumsliga miljön på avdelningarna.

Faktorer som kan påverka upplevelsen av ensamhet hos äldre personer inom kommunal omsorg bosatta i Sverige

Background: Older people are a major patient group seeking medical care in Sweden. Several of the elderly are living alone and the main reason for living alone is when the spouse passes away. Loneliness is a factor that can affect quality of life, health and wellbeing. Loneliness is an individual experience, loneliness can be self-chosen but involuntary loneliness can lead to lifelong suffering and feelings of loneliness. Aim: The aim of the study was to highlight the factors affecting loneliness among elderly people within municipal care living in Sweden.

Lämplighet i familjehem : En kvalitativ studie av godkända familjehemsutredningar

The focus of this thesis is on what is considered to be a suitable foster home. For the study to be carried out an application had to be made to get access to the foster home assessments in a medium-sized municipality in Sweden. With the support of attachment theory and theory of standards different categories have been picked out and analyzed in foster home assessements that have been approved. The conclusion to what is considered to be a suitable foster home is a complex issue, as there are many factors that are interacting. Social workers seem to focus on the importance of a family?s ability to provide some kind of stability and security for a child who is considered to be placed within their home.

Utsidan räknas : ?En materialstudie

Judged by appearance. This is the conclusion of research made on shopper behavior that revealed that consumers tend to go by their instinct when evaluating vacuum cleaners in a purchasing situation. Many buy the first vacuum cleaner they interact with and few buy pre-planned brands. Almost none even turn the machine on before taking a purchase decision.Electrolux Floor Care Europe has their factory for vacuum cleaners in Hungary. Increased competition from China makes it harder to "only" produce vacuum cleaners with good performance.

"Som om barnet heter Kalle" : - En studie av mottagandet av ensamkommande, asylsökande barn i Sverige 2008

 The 1st of July 2006 Sweden made a change of authorities in the system concerning the reception of separated asylum seeking children. Prior to the change, the Swedish Board of Migration was held completely responsible for the reception of these children, who arrives in Sweden without their parents or any other relatives to care for them. Since the alteration of the law (1994:137) the responsibility for the housing of these children now lies within the Swedish municipalities, while the Board of Migration still handles their legal commissions. The change was intended to fundamentally improve the conditions under which these children were taken care of. However the implementation took a severe wrong turn when the municipalities weren't prepared for their new responsibilities and the immediate result was alarming. This qualitative study is based upon interviews with the people responsible for the reception of the separated asylum seeking children in the municipalities of Kronobergs County, as well as one of the two people in charge of the new system at the Swedish Board of Migration.

Att arbeta med tolk vid bedömningar : sjuksköterskors upplevelser av kvalitén

Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.

Utsatta barn : Hur personal vid ett utredningshem arbetar utifrån barnperspektivet och BBIC modellen

AbstractTo take the role of another is an important and a central part of human interaction. When we take the role of another we not only learn about them but also we learn about ourselves and how we interact with other people.  Social work in this form, working with directly with families in crises, is much about understanding other people?s perspective and feelings. It is important to know the strategy of one?s work and which perspective to work from.

Föräldrars upplevelser när deras barn vårdas på intensivvårdsavdelning : - en litteraturstudie

Kritiskt sjuka barn som vårdades på intensivvårdsavdelning väckte svåra känslosamma reaktioner hos föräldrarna. Syftet med denna studie var att belysa föräldrars upplevelse av omvårdnaden av sitt barn på intensivvårdsavdelning. Metoden som användes var litteraturstudie och omfattade 16 vetenskapliga artiklar. Litteratursökningen gjordes med hjälp av MESH-termerna: intensive care, critical care, parent, experience och need via databaserna PUBMED och CINAHL. Resultatet visade att ovissheten, barnets förändrade utseende och smärta hade betydelse för hur föräldrarna upplevde barnets sjukdomstillstånd.

Jobbgarantin för ungdomar : En studie kring deltagarnas upplevelse av jobbgarantin för ungdomar

Abstract"The Care of Work" is a study whose background comes from the problems surrounding work-life balance and equality that permeates social debates today. The problematic work-life-balance and gender equality are just as relevant today as they were 35 years ago. The aim of the study was to investigate whether or not men and women have a satisfactory work-life balance and if the organization they work for is doing something to make their life puzzles function. Last, but not least, the purpose is to see if gender equality is in the interest of the individual or the state.The study is based on work-life balance, gender equality and gender as the theoretical frames of reference. Eight respondents, four men and four women, from established IT companies were interviewed.

Nyanla?nda invandrares etablering i Sverige : En kritisk diskursanalys av den nya lagen om etableringsinsatser fo?r vissa nyanla?nda invandrare

This thesis is a qualitative study of a new law that was applied in December 2010. The law is called Lagen om etableringsinsatser fo?r vissa nyanla?nda invandrare, and is meant to help newly arrived immigrants that come to Sweden to establish themselves in the Swedish society. The aim of the study is to see what discourses the Swedish government produces as a result of this new law. Interesting for the study is to see what happens in the implementation stage at a local level, in this case in the municipality of O?rnsko?ldsvik.Theoretically and methodologically I emanate from critical discourse theory and institutional theory.

Hur fungerar vårdens IT-system egentligen? : Jämförelse av elektroniska patientjournalsystem

To support, enhance and, in the future, develop the activity within the county councils in Sweden, IT support systems are currently used to a large extent. The need to document is central to the health care organizations and the counties have come a long way in the introduction of electronic patient record systems (EPR). The aim of the EPR systems is to support the care processes and the clinical professions in their work.This is a master thesis in the area of human-computer interaction (HCI), Department of Information Technology at Uppsala University. The aim of the thesis was to describe and compare the five most common EPR systems in Sweden. The comparison will focus on some usability aspects and on how well they support the users in their clinical practice.

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