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6512 Uppsatser om Quality of care - Sida 36 av 435

Livsstilsförändringar och livskvalitet hos patienter med hjärt-kärlsjukdom : Litteraturstudie

Background:In Sweden and Northern Europe, cardiovascular disease mortality rates are high. The clinical picture in the Western world is dominated by lifestyle diseases in which individual behavior and attitudes have a significant impact on the health effect. In the society cardiovascular disease is seen as an illness factor and contribution to disability. Conditions for a good life are not only good health also factors such as intimate relationships and meaningful work which affect the person's quality of life.Aim:Lifestyle changes and quality of life for patients, regarding cardiovascular disease.Method:A literature review was made. Eight articles, quantitative and qualitative were analyzed.

Att leva med stomi. En litteraturstudie om hur stomiopererade personer upplever sin nya livssituation och den omvårdnaden de får av sjuksköterskan

The purpose of this study was to find knowledge about ostomy patients experience with a focus on overall life situation and the care they receive from the nurse. The method used was a systematic literature review according to Polit, Beck & Hungler. Six scientific research reports have been used as foundation of the result in this study. The articles have been reviewed according to Antonovsky's Sense of Coherence (SOC).The result shows that experiences of having ostomy are individual. Adapting to their new life situation varies depending on the reason for having an ostomy.

Referensservice + Internet = Sant? Bibliotekariers tankar kring användandet av Internet under referensservicen.

The aim of this master thesis is to investigate the design of the reference service and its development that Internet has caused in college/university libraries when it comes to the service provided to the user. I want to examine the quality of this development from the view of the librarians, and also investigate their attitude and how they deal with this development.The following questions were asked:? How has Internet changed the reference service at college/university libraries?? How do the librarians look upon the possible change of quality in the reference service when the Internet is involved?? What attitude do the librarians hold toward this development where Internet is used in the reference service and how do they deal with it?The method used was qualitative interviews. A total of six librarians from Blekinge tekniska högskola, Halmstad högskola, Lunds universitet and Växjö universitet have been interviewed.The theories and models used were ?media richness?, a quality framework including ?quality aspects of a service?, and social psychology and its ?reasons for a positive/negative attitude on an organisations change?.The result shows that Internet has brought more sources of information and additional ways to contact the library.

The Intimate Connection Between Autonomy and Decision-Making in Applied Health Care Ethics

The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

Att definiera omsorgsbrist : En kvalitativ studie om socialsekreterares tolkningar av 2 § LVU utifrån intersektionalitet och makt

This study regards the Care of Young Persons Act, LVU, and the 2 § that focus on parent inability to care for their children. The assessment of parent ability to care for their children is performed by social workers in different municipalities. The law leaves room for interpretation concerning how to assess parent ability and therefore we found it interesting to study how social workers interpret 2 § LVU. The study?s aim was also to seek an understanding of how different categories, like gender, race, class and physical and psychical ability of the parents affect the assessment of their parenting ability, with a intersectional perspective.

Outside the box - Inside care : En deskriptiv studie om effektivitet i vården

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

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.

Närståendes upplevelser av stöd i den sena palliativa fasen

Family members need a great deal of support during palliative care. It is vital for the family that nursing contacts are accessible all day and night. The nurse can support the family members by sharing a professional knowledge and adapt the information to the recipient, by being present and also encourage them by not only focus on death. The support should be adapted to each individual and also have the possibility to be adjusted in each case. The aim of the study was to illustrate family members experiences of support in a late stage of palliative care.

Strukturerad- kontra beteendeintervju : Skillnad i mängd och kvalitet på den information som erhålls vid anställningsintervjuer

According to Barclay (2001), behavioral interviews yield higher quality information, than other interview techniques. This study focused on whether the quality and quantity of information differ between structured interview and behavioral interviewing. Two headhunters held 16 job interviews with the two techniques, 9 behavioral interviews and 7 structured interviews. Both headhunters and candidates have evaluated the interviews quantitatively. Initial and concluding interviews have, as well, been held with the headhunters.  No definitive answers were found in the quantitative analysis, but the qualitative results suggest that behavioral interviews give, because of the headhunters opinions, more and higher quality information.

Sjuksköterskans identifiering, omvårdnadsproblem samt omvårdnadsåtgärder vid neglect : En intervjustudie

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Utvärdering av ett Care-system i hemtjänsten

Organisationer och personer runt om i världen blir alltmer beroende av olika former av IT-stöd. För att effektivisera arbetet skaffa sig organisationen nya system eller försöker förbättra det redan befintligt systemet. En användare kan reagera på olika sätt vid införandet av ett nytt system beroende på olika faktorer hos systemet eller personen. Jag studerade ett komplett Care-system som används inom äldreomsorgen. Ett Care-system kan bestå av en webbapplikation inklusive digitala och mobila verktyg.

Traumateamsövningar - vad kommer patienten till del?

Background: In today's Swedish health care, it is required that the various professionals must work together in teams to safer care. Several professionals with various skills expected working together in the traumateam at the care of the traumapatient. At the same time, research shows that substandard teamwork leads to avoidable errors in care. One way to improve teamwork is to practice. Purpose: The purpose of this study is to shed light on the experiences of the traumateam exercises that exercise participants feel has been favorable for the patient at the initial care of trauma patients.

Motion eller relation? : En kvalitativ studie om sex chefers syn på hälsofrämjande arbete inom äldreomsorgen.

The aim of this thesis was to study the view on workplace health promotion among leaders in elderly care, to see how their views can influence employee health. The research questions of this study were: How do leaders in elderly care define the term health? What conditions do leaders in elderly care experience that they need to maintain or improve employee health? How do leaders in elderly care experience their role in workplace health promotion?The thesis is done with a qualitative approach and is based on six partly structured interviews with leaders of care homes within Stockholm municipality. The results from the interviews were analysed against Aaron Antonovskys theories about the salutogenic model and sense of coherence as well as with previous research. The result from the study showed that the leaders´ had an awareness of the meaning with health promotion, however, they had not reached the stage where they implemented the health promoting thoughts in their actual work with health.

Skillnader i följsamhet och förutsättningar för basala hygienrutiner mellan personal inom kommunal- och sjukhusvård samt tillgången av skyddsmaterial

AbstractThe purpose of this study was to describe and compare the degree of selfreporting succession to the basal hygienic routines of emplyees working in municipal old peoples care versus hospital care. It is also to describe the access of material available in prevention of cross infections. The study was also carried out with a comparative and quantitative run up design. The study is based on a questionnaire in the district of Gävleborg in the spring of 2009. Nurses, auxiliaries and carers whom were in close contact with patients were asked to join the study.

Stuck in the Middle With You : En kvalitativ studie om förutsättningarna för mellanchefer inom äldreomsorgen i privat och offentlig verksamhet

The position of middle-management is a role where the manager is at risk of being caught between its management and its employees. Elderly care is an industry that has been discussed a lot, to a large extent on how businesses should be managed and by whom it should be conducted. Middle-management in the business of elderly care thereby possess a vulnerable position in a controversial industry. In this study the aim is to investigate the managers' roles and tasks in both the public sector and the private sector in elderly care. It also aims to examine whether there are differences between the roles and how they in such cases is manifested.

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