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5969 Uppsatser om The experience of district nurses - Sida 37 av 398
Att leva med långtidstrakeostomi
Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.
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.
Hur arbetar distriktssköterskan inom primärvården med sjukdomsförebyggande metoder?
Bakgrund: Den medicinska och ekonomiska kostnaden för hjärt- kärlsjukdomar är idagmycket omfattande. Största delen av dessa sjukdomar liksom andra kroniska, ickesmittsamma sjukdomar som cancer, lungsjukdom och diabetes, hör ihop med påverkbara,livsstilsrelaterade riskfaktorer. Genom att göra hälsosamma val när det gäller mat, rökning,alkohol och motion kan livsstilssjukdomar förhindras eller fördröjas. Livsstilsfrågor är enav distriktssköterskans huvuduppgifter och efter vårdvalet är det få distriktssköterskor somverkligen får arbeta med detta. Syfte: Syftet med denna studie är att beskriva hurdistriktssköterskan arbetar med sjukdomsförebyggande metoder inom primärvården.Metod: Studien är baserad på en kvalitativ metod med en induktiv ansats.
Att beskriva och jämföra en expertgrupp och intensivvårdssjuksköterskors överensstämmelse i att detektera delirium hos intuberade, respiratorbehandlade patienter med sedering/analgesi, före och efter en utbildningsintervention : En kvasiexperimentell stud
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Två frivårdskontors syn på den procentuella skillnaden, vad gäller kontraktvårdsdomar
The aim of this paper is to spread some light over contract treatment from the perspective of the District Courts, Social Services and Probation Services, and understand the reason for local variation of the number of people sentenced to contractual treatment.Essential questions asked in this paper are; What advantages and disadvantages are known by the cooperating parties regarding contract treatment in comparison to prison? What parameters are considered when the cooperating parties decide upon contract treatment? What impact does the shared responsibility of cost have? What do the respondents think is the reason for the local variation?In order to answer the essential questions a qualitative and descriptive method has been used to highlight the main question of our study; What is the reason for the local variation in number of contract treatment sentences in Halmstad and Ystads district courts?The paper shows that the local variation between the Probation Services districts is dependent on the conditions to propose a contract treatment. In Halmstad it is not conditioned for the Probation Services to have a responsibility agreement with the Social Services to the same extent as for the Probation Services in Ystad..
Affärsupplägg biobränsle Västerbotten : en undersökning av större biobränsleanvändares syn på biobränslemarknaden i Västerbotten
The use of bio energy in Sweden has increased during the last few years and with every passing year, bio energy produces 3-4 TWh´s more energy than the previous year. The increase in the use of bio energy makes it an interesting prospect for forest companies to produce bio energy from the forest. Sveaskog has a fairly extensive bio energy programme, mainly in southern and middle Sweden. Their activity regarding bio energy in northern Sweden has been very restrictive or even non-existent. Because of this, during the winter of 2003-2004, Sveaskog initiated a number of degree projects with the purpose of looking at the use of bio energy in northern Sweden.
Uppvärmningssystem - En analys av valmöjligheter för småhus
When constructing a new house many questions appear, from architecture to decisions regarding installations. Sweden is situated in a cold part of the planet and questions regarding which heating system to install face everyone who decides to build a new house. This thesis describes a construction solution of a villa in Kiruna. The extended essay analyzes which heating system is most suitable for the construction. The options are geothermal, district and pellet heating systems.
För modet i tiden : ett representationshus för mode
En medelsvensson, en KTH:are och en kung, oavsett vilka vi är kommunicerar vi med våra kläder. Projektet är ett representationshus för mode där de olika delarna i modeindustrin blir synliga bakom den blanka fasaden..
"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.
Hälsosamtal i elevhälsovården : Vad uppfattas som ett positivt och betydelsefullt hälsosamtal utifrån elev- och skolsköterskeperspektiv?
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
En studie av besöksantalet i tre tätortsnära skogar i Stockholmsområdet med hjälp av Radio Beam Counter : ett räkneverk baserat på radiovågsteknik
Forests affect its visitors in many positive ways. It is the acknowledgement of this fact that has prompted an EU-LIFE sponsored project entitled ?Urban forests for mankind?. It aims to lure or welcome more citizens near urban forests to experience nature in its many forms.
In Sweden, three municipalities have decided to take the lead in this effort. Huddinge district, Haninge district, and the Royal Djurgården Administration in conjunction with The National Board of Forestry in Mälardalen are in the midst of this four year project (2001-2005).
Inappetens hos katt ? omvårdnadsbehandlingar med fokus på beröring
Particular to the cat among our pets is its´ unique nutritional needs and metabolism. The cat cannot produce some nutrients by themselves and must get them through their diet. This means that the cat quickly can suffer from various diseases unless the nutritional needs are covered. In those cases where man is completely in control of the cat?s diet, the right knowledge is crucial for the cat?s wellbeing.
Stereoskopisk 3D-film : En studie om tittarens upplevelse av 3D-film
Since the release of Avatar in 2009, the 3D movie industry has experienced an apparent growth. Almost all blockbuster movies are being released in 3D at the cinema, but the 3D format has been met with mixed opinions by the consumers. Some argue that 3D is the future, while others believe that the 2D format is enough for an appreciated movie experience. Through a qualitative survey, twenty participants with 3DTV in their homes answered questions regarding their experience of 3D movies and what improvements they desire. We suggest that 3D film creates immersion, realism and effects that 2D films can´t handle.
?men kan vi inte hjälpas åt då? : en intervju med fem socialsekreterare om samarbete inom socialtjänsten
The aim of this study is to illustrate, and analyze how social workers are able to more effectively pursue operative possibilities within their own particular organizations. The main question concerning this issue is: How are social workers, working within the same district organization able to realise any potential for co-operation with other social workers, in different locales and units, yet working within the same organization? Following on from this question, further issues arise such as: 1. How do the varying demands of the clients affect the workload of the social worker? 2.
Samordningens betydelse för vård av patienter i hemmet : En kvalitativ studie av distriktssköterskors erfarenheter
Då allt fler patienter vårdas i hemmen krävs att samordningen mellan olika vårdaktörer fungerar för att patienterna ska kunna erbjudas en god och säker omvårdnad. Syftet med studien var att beskriva distriktssköterskors erfarenheter av att samordna vården för patienter som vårdades i hemmet. En kvalitativ metod användes och som datainsamlingsmetod valdes intervjuer. Sex distriktssköterskor intervjuades i en kommun i Väst Sverige. Studien resulterade i fem teman: skiftande och komplexa vårdbehov som ska samordnas, att samordna utifrån patientens situation och behov, svårigheter att samordna vården när helhetssynen brister, samordningen av patientens medicinska situation kräver närhet till läkare att rådgöra med och tillfredställelse och nöjdhet för både patienter och distriktssköterskor när samordningen fungerar.