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Developing a cross-cultural measure of the self-as-carer inventory questionnaire for the Thai populationIsaramalai, Sang-Arun, January 2002 (has links)
Thesis (Ph. D.)--University of Missouri--Columbia, 2002. / Typescript. Vita. Includes bibliographical references (leaves 76-81). Also available on the Internet.
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Strategy and organizational effectiveness : a case study of health care services change /Gilmartin, Mattia Jean. January 1999 (has links)
Thesis (Ph. D.)--University of Virginia, 1999. / Includes bibliographical references (p. 230-254). Also available online through Digital Dissertations.
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Assessing the effect of a learning organization on change in levels of developmentally supportive care in the newborn intensive care unitZapalo, Barbara J. January 2006 (has links)
Thesis (Ph.D.)--Duquesne University, 2006. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p.117-123) and index.
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O processo de cuidar em Unidade de Terapia IntensivaCosta, Theo Duarte da 10 October 2011 (has links)
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Previous issue date: 2011-10-10 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The environment of Intensive Care Unit (ICU) is commonly referred to as a place where
caring is inextricably linked to high technology. The care in ICU often changes the patient into
a taxpayer being left apart from its complexity and sometimes seen through a reductionist
perspective. Thus, studies circa the care process are needed oriented from a historical
ransom, raising the prospect of a more centralized human care. Hence, this study aimed to
analyze the care process in a nursing intensive care unit from the perspective of the
professional, family and patients. The study is characterized from a qualitative, descriptive
and exploratory methodological approach. The actors were participating nursing
professionals, patients and family members of an intensive care unit of Mossor? / RN. Data
were collected in the period of May-June 2011, through interviews and observation of
activities performed by nursing professionals, and their records in the chart. Data analysis
was divided into topics and subtopics representing the phases and shapes that formed the
collection. The analysis and discussion of the interviews were based on Bardin's proposal,
when we created categories from a process of sorting and grouping criteria adequately
defined. The observation of nursing records intended to observe the emphasis which is
described in those notes as well as their consistency with practice of FCN and resolution
358/2009. The analysis showed that the nursing staff also performs work focused on
mechanized activities and technical-bureaucratic institution that seem to override the needs
of patients. In an overview, the care provided by professionals occurs either fragmented or
insipient, however there is a service that involves other aspects beyond technical-curative
practice, considering that major attention is given to the family and patient, focused on the
concern of Nursing guiding their actions in not only the performance of procedures. However,
the process of humanizing not always ends with an engagement between professional and
patient, which mischaracterizes the true meaning of human care. The records also showed a
tendency to focus on caring in a positivist line, where, in most cases, the factors of the
disease and the obligation to meet the productivity have overshadowed other relevant
aspects to a holistic understanding of caring. Regarding FCN Resolution No. 358/2009,
which guides a systematization of nursing care, it is confirmed a technical view, a fragmented
and superficial view of the patient, as well as a weakness of care, caused by ignorance and
unpreparedness of the entire team. The perspective of caring demonstrates a reality with
dialectic between what is proposed in a humane nursing and what happens in this
performance space. Besides, it was shown a daily full of important considerations that arise
in professional practice, in their views and also those people who were participants in the
process / O ambiente da Unidade de Terapia Intensiva (UTI) ? referido comumente como um local
onde o cuidar est? intrinsecamente ligado ? alta tecnologia. O cuidar na UTI transforma,
muitas vezes, o paciente em um sujeito passivo, sendo sua complexidade deixada ? parte e,
por vezes, compreendida em uma perspectiva reducionista. Com isso, fazem-se
necess?rios estudos voltados para o processo cuidar a partir de um resgate hist?rico,
trazendo a perspectiva de uma assist?ncia mais centralizada no ser humano. Desta forma,
este estudo teve como objetivo analisar o processo de cuidar em Enfermagem de uma
unidade de terapia intensiva a partir da ?tica do profissional, do familiar e dos pacientes. O
estudo caracteriza-se a partir de uma abordagem metodol?gica qualitativa do tipo descritivoexplorat?ria.
Os atores participantes foram os profissionais de Enfermagem, os pacientes e
os familiares de uma unidade de terapia intensiva de Mossor?/RN. Os dados foram obtidos,
no per?odo de maio a junho de 2011,atrav?s de entrevistas e observa??o das atividades
realizadas pelos profissionais da Enfermagem, bem como seus registros no prontu?rio. A
an?lise dos dados foi dividida em t?picos e subt?picos representativos das fases e formas
que delinearam a coleta. A an?lise e a discuss?o das entrevistas basearam-se na proposta
de Bardin, em que criamos categorias a partir de um processo de classifica??o e
agrupamento segundo crit?rios devidamente definidos. A observa??o dos registros de
Enfermagem teve como ?nfase observar o que ? descrito nessas anota??es, bem como sua
coer?ncia com sua pr?tica e a resolu??o 358/2009 do COFEN. A an?lise demonstrou que a
equipe de Enfermagem ainda realiza um trabalho centrado em atividades mecanizadas e
t?cnico-burocr?ticas da institui??o que parecem se sobrepor ?s necessidades dos
pacientes. Em uma vis?o geral, o cuidado realizado pelos profissionais ocorre de forma
fragmentada ou insipiente, por?m existe uma assist?ncia que envolve outros aspectos al?m
do fazer t?cnico-curativo, considerando importante a aten??o que ? fornecida ? fam?lia e ao
paciente, focalizada na preocupa??o da Enfermagem em n?o direcionar suas a??es
somente ? realiza??o de procedimentos. Contudo, o processo de humanizar nem sempre
se finaliza com um envolvimento entre profissional e paciente, o que descaracteriza o
verdadeiro sentido do cuidar humano. Os registros tamb?m evidenciaram uma tend?ncia
em focar o cuidar em uma linha positivista, em que, na maioria das vezes, os fatores da
doen?a e a obriga??o de atender ? produtividade se sobrepuseram aos demais aspectos
relevantes para uma compreens?o hol?stica de cuidar. Em rela??o ? resolu??o COFEN n?
358/2009, que norteia uma sistematiza??o da assist?ncia de Enfermagem, confirma-se uma
vis?o tecnicista, fragmentada e superficial do paciente, bem como uma fragilidade da
assist?ncia, causada pelo desconhecimento e despreparo de toda a equipe. A vis?o do
cuidar que acontece nesse espa?o demonstra uma realidade com uma dial?tica entre o que
se prop?e em uma Enfermagem humanizada e o que acontece nesse espa?o de atua??o.
Al?m disso, mostrou-se um cotidiano repleto de considera??es importantes, que se
apresentam na pr?tica do profissional, em suas concep??es e tamb?m naquelas pessoas
que foram part?cipes do processo
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Dětská paliativní péče z pohledu dětské sestry / Children's palliative care from the perspective of nursesŠVEHLOVÁ, Tereza January 2018 (has links)
The diploma thesis titled " Child palliative care from a child nurse's perspective" responds to the current state of child palliative care in society. The aim of the work was to map childhood palliative care from the viewpoint of child nurses based on theoretical background. The thesis was elaborated as theoretical using the method of synthesis, explanation and comparison. The chapter titled Child Palliative Care has described what child care palliative care is and what it does. In addition, there have been described diseases that can be found in palliative care, as well as principles, levels and forms of child palliative care, pain, dying and death. However, the child's family in palliative care and the nurse's role in this care have not been omitted. In the second chapter entitled Child Palliative Care in the Czech Republic, the current state of child palliative care in our country, obstacles and accessibility were described,. Further, all three conferences that took place in our country and all the hospices that specialize in children and their visions in our country were described in the chapter. In the last chapter entitled Child Palliative Care in the World, the development of the hospice movement in the world, the development and the current state of child palliative care outside the territory of the Czech Republic were described. The work could serve as a comprehensive source of information on child palliative care. It could also serve as a basis for creating articles, new research or new theories.
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Processo de Enfermagem em UTI: implantando etapas para integralizar o sistema de assistÃncia / Case of Nursing in UTI: integralizar steps for implementing the system of assistanceLucivaldo dos Santos Madeira 03 July 2003 (has links)
CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior / O presente trabalho tem como proposta integralizar o Processo de Enfermagem (PE) na Unidade de Terapia Intensiva de um Hospital Militar, inserindo Ãs etapas jà existentes, o HistÃrico e o DiagnÃstico de enfermagem, a fim de melhor favorecer uma assistÃncia ordenada, inter-relacionada e integrada. O estudo foi desenvolvido no Hospital Geral de Fortaleza (Militar), OrganizaÃÃo Militar de SaÃde do ExÃrcito Brasileiro, situada no municÃpio de Fortaleza, Estado do CearÃ. A pesquisa baseou-se no referencial teÃrico de Wanda de Aguiar Horta e na classificaÃÃo diagnÃstica da NANDA. Fez parte dos objetivos a adaptaÃÃo de um modelo cientÃfico do HistÃrico e do DiagnÃstico de enfermagem; a aplicaÃÃo de um Projeto de Treinamento para os profissionais envolvidos e a experimentaÃÃo do Processo de Enfermagem integralizado na UTI. A amostra constituiu-se de 6 enfermeiros, 1 acadÃmico de enfermagem e 15 auxiliares de enfermagem, atuantes na UTI do referido hospital. Os dados foram coletados por meio da observaÃÃo livre, com anotaÃÃes em um diÃrio de campo, processadas de acordo com as fases de integralizaÃÃo dos instrumentos do P.E..prevista para o perÃodo de agosto a dezembro de 2002. Utilizou-se para o estudo uma abordagem metodolÃgica qualitativa com enfoque na pesquisa aÃÃo. Os resultados foram trabalhados segundo o mÃtodo de AnÃlise de ConteÃdo e organizados em trÃs categorias temÃticas a saber: A IntegralizaÃÃo e ImplementaÃÃo do P.E. na UTI; O Treinamento para a implantaÃÃo do Processo de Enfermagem e Vantagem de selecionar uma teoria apropriada para subsidiar a experiÃncia. Com exceÃÃo da Ãltima categoria temÃtica, as duas iniciais estÃo inseridas em subcategorias temÃticas. Ficou evidenciado que a seleÃÃo pelo referencial teÃrico, deve estar de acordo com o conhecimento dos profissionais na realidade encontrada; registraram-se benefÃcios e vantagens na utilizaÃÃo do P.E. integralizado, como Ãs peculiaridades da UTI, tanto em funÃÃo da gravidade do paciente, quanto do ambiente organizacional; o treinamento com o pessoal envolvido deve ser de preferÃncia contÃnuo e em serviÃo; os aspectos motivacionais, tipo motivaÃÃo e satisfaÃÃo do grupo devem estar sendo continuamente trabalhados; o planejamento da implementaÃÃo do P.E. deve envolver todos os integrantes da UTI e contar com o apoio da InstituiÃÃo, na pessoa do chefe imediato, à um fator propulsor. Portanto, conclui-se com o trabalho, que o P.E integralizado favoreceu a autonomia profissional, proporcionando um cuidado qualificado com maior satisfaÃÃo para o cliente e para a InstituiÃÃo.
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Crowding på akutmottagning och påverkan på omvårdnaden / Crowding in the emergency department and impact of nursingLeviné Ericson, Ann-Cathrin, Yrjölä-Kuortti, Johanna January 2022 (has links)
Crowding på akutmottagningar är ett problem som pågått under flera år och som kan leda till ökade omvårdnadsåtgärder till patienter som stannar kvar på akutmottagningen i väntan på en vårdplats. Många av dessa patienter är gamla och sköra och med ett stort omvårdnadsbehov. Efter en granskning av Inspektionen för Vård och Omsorg (IVO) på akutmottagningen på Huddinge sjukhus utarbetades omvårdnadsmål för att fungera som stöd i omvårdnadsarbetet. Syftet med denna studie var att sammanställa vilka omvårdnadsåtgärder som påverkas vid crowding på akutmottagningen och hur detta i sin tur påverkar patienten. Metod som använts är en litteraturöversikt med systematisk ansats och datasökningarna har utförts i Cinahl och PubMed där sökningarna genererade 25 originalartiklar med utgångspunkt i litteraturöversiktens syfte. Artiklarna är till största del med kvantitativ ansats och kvaliteten på artiklarna har genomgående bedömts som god. Analyseringen av artiklarna har gjorts med en integrerad analys. Omvårdnadsåtgärder har kategoriserats enligt Fundamentals of Care´s akuta vårdprocess. Den akuta vårdprocessen är uppdelad som initial bedömning, utförande av omvårdnadsåtgärder, övervakning och vidare bedömning och dokumentation. Resultatet i studien visar att crowding påverkar omvårdnaden av patienterna på akutmottagningen. Störst påverkan ses i omvårdnaden av patienten vid triagering, läkemedelshantering och följsamhet till riktlinjer för behandling av patienten på akutmottagningen. Slutsatsen är att en rad olika omvårdnadsåtgärder påverkas av crowding. Flertal risker har identifierats beträffande patientens omvårdnad på akutmottagningen då det råder crowding. Omvårdnadsåtgärder med störst påverkan vid crowding var den initiala bedömningen av patienten och läkemedelsadministreringen. Som patient att befinna sig på akutmottagningen då det råder crowding är en patientsäkerhetsrisk. Resultatet överensstämmer inte med de framtagna omvårdnadsmålen på akutmottagningen. / Crowding in emergency department is a problem that has been going on for several years, which in turn can lead to increased nursing measures for patients who remain in the emergency department while waiting for a care place. Many of these patients are old and fragile and in great need of care. After a review by Health and Social Care Inspectorate (IVO) the emergency department at Huddinge university hospital, nursing goals were developed to serve as a support tool in the nursing work. The aim of this study was to compile which nursing measures are affected by crowding in the emergency department and how this in turn affects the patient. The method used is a literature review with a systematic approach and the data searches have been performed in Cinahl and PubMed, where the searches generated 25 original articles based on the purpose of the literature review. The articles are mostly with a quantitative approach and the quality of the articles was consistently of good quality. The analysis of the articles has been done with an integrated analysis. Nursing measures were categorized according to the Fundamentals of Care´s acute care process. The acute care process is divided into initial assessment, execution of nursing measures, monitoring and further assessment and documentation. The results of the study show that crowding affects the care of patients in the emergency department, The greatest impact is seen in the care of the patient during triage, medication handling and compliance with guidelines for treatment of the patient in the emergency department. The conclusion is that a number of different nursing measures are affected by crowding. Several risks have been identified regarding the nursing of the patient in the emergency department as there is crowding. Nursing measures with the greatest impact from crowding were the initial assessment of the patient and drug administration. As a patient, being in the emergency department when there is crowding is a patient safety risk. The result does not correspond with the developed nursing goals at the emergency department.
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Entreprenöriellt lärande - ett förhållningssätt i undervisningenEttanen, Tarja January 2010 (has links)
<p>Avsikten med detta arbete har varit att synliggöra och att utforma en lärarhandledning som baseras på det entreprenöriella förhållningssättet i undervisningen. Bakomliggande metod har inkluderat litteraturstudier, inventering av befintliga projekt inom området, deltagande av utbildningsdag om entreprenörskap, intervjuer av lärare samt västerås projektansvarige för entreprenörskap i Västerås skolor. Entreprenörskap för elever har tidigare drivits av organisationer utanför skolorna varför det har blivit mer angeläget att utbilda skolpersonal så att förhållningssättet kan börja utvecklas inne i den dagliga verksamheten inom skolans egen arena. Resultatet visade att det fanns lärare som framhöll att de alltid undervisat med ett entreprenöriellt förhållningssätt. Det fanns lärare som kände behov av att lära elever olika strategier som eleverna sedan själva kunde utnyttja i sitt lärande. Arbetet visade även att det fanns lärare som blev nyfikna och intresserade av det entreprenöriella förhållningssättet.</p>
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Diabetessköterskans erfarenheter av vägledning i egenvård : En kvalitativ studie inom primärvården / Diabetes nurse´s experiences of guidance in self-care : A qualitative study within primary careAndersson, Maritha, Knoop, Johanna January 2016 (has links)
Bakgrund: Diabetes mellitus är en kronisk sjukdom som allt fler personer världen över drabbas av. Studier har visat ett nära samband mellan livsstil och diabetes typ 2. Genom att ha en bra egenvårdsbehandling minskar personen med diabetes risken för senkomplikationer. Här har diabetessköterskan ett viktigt ansvar att arbeta både hälsofrämjande och sjukdomsförebyggande genom vägledning i egenvård. Syfte: Syftet med studien var att beskriva diabetessköterskans erfarenheter av att vägleda personer med diabetes i egenvård. Metod: Mellan januari och mars 2016 genomfördes 16 stycken semistrukturerade intervjuer med diabetessköterskor inom primärvården. Intervjuerna transkriberades och analyserades med kvalitativ innehållsanalys baserad på Elo och Kyngäs. Kategorier och underkategorier skapades sedan. Resultat: Innehållsanalysen har resulterat i tre kategorier; Grunden för engagemang, Kunskapsöverföring och Organisatoriska faktorer. Under respektive kategori finns 2-4 underkategorier. I resultatet kunde fyra huvudfynd ses vilka var; Diabetessköterskans möjlighet att skapa delaktighet, kunskapen hos både diabetessköterskan och personen med diabetes, grupputbildningarnas hälsofrämjande inverkan och teamets inverkan på vägledningen. Slutsats: Resultatet belyser vikten av att vägledningen bygger på kunskap och leder till ett ökat engagemang hos personen med diabetes. En väl fungerande kommunikation är avgörande för att nå de gemensamma målen samt att det finns ett fungerande team runt personen med diabetes som tillsammans arbetar mot samma mål. / Background: Diabetes mellitus is a chronic disease which affects more and more people around the world. Studies have shown a close relationship between lifestyle and diabetes type 2 and the importance of having a good self-care treatment to reduce the risk of complications. The diabetes nurse has an important responsibility to work with both health promotion and disease prevention through guidance in self-care. Purpose: The purpose of the study was to describe the diabetes nurse’s experiences of guiding people with diabetes in self-care. Method: 16 semi-structured interviews was performed during January – March 2016 with diabetes nurses who worked in primary care. The interviews were transcribed and analyzed using a qualitative content analysis. Result: The content analysis resulted in three categories; the ground for commitment, Knowledge transfer and Organizational conditions. The four main results in the study was: The diabetes nurse’s possibilities to create participation, knowledge that both the diabetes nurse and the person possessed, group educations health promoting impacts and the team’s impact on guidance. Conclusion: The result highlights that guidance in self-care should be built on knowledge and lead to a higher level of engagement. A well-functioning communication is crucial to achieve common goals and that the team around the person with diabetes is working together towards the same goal.
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Forma??o profissional na escola de enfermagem Wenceslau Braz : o ensino do cuidar em curso de gradua??o em enfermagem / Academic education at Wenceslau Braz Nursing School : taking care teaching in graduation course nursingHertel, Valdin?a Luiz 25 June 2003 (has links)
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Previous issue date: 2003-06-25 / The present work is in the research line Institutional Avaliation . Its purpose is to know taking care conceptions in Nursing, identify used strategies to the teaching of taking care, reflect on the responsibility of the discipline: Fundamental Semiology Notions in the construction of taking care in Nursing as weel to understanding the logical applied to Methodological resorts choice to the process of taking care teaching. The researched people were 15 academic teaching staff and professionals in Nursing at Wenceslau Braz Nursing School. We chose to congratulate the investigation, having as a theorical methodological support the quality approach in which one it was pointed the obtained data in mainly three categories to the elaborating analyses: Taking care conceptions in Nursing, Pedagogical principles of taking care teaching, The objective of the disciplines in professional Education. The results concerning to the teaching staff are divided among technical, humanist and changing views. The ones who defende humanistic conception keep valueing the the technical racionality. We got to the conclusion that we need to rescue in the Nursing School the Care Education centered in the human approach through the reorganization of the Pedagogical work. / Este trabalho est? inserido na Linha de Pesquisa Avalia??o Institucional . Teve como objetivos conhecer as concep??es de cuidar em Enfermagem, identificar as estrat?gias utilizadas para o ensino do cuidar, refletir sobre a responsabilidade da disciplina No??es Fundamentais de Semiologia na constru??o do cuidar em Enfermagem e, tamb?m, compreender a l?gica utilizada na escolha de recursos metodol?gicos para o processo do ensino do cuidar. Os sujeitos da pesquisa foram quinze docentes com forma??o acad?mica e profissional em Enfermagem da Escola de Enfermagem Wenceslau Braz. Optamos por privilegiar a investiga??o, tendo como suporte te?rico-metodol?gico a abordagem qualitativa, na qual delimitamos os dados obtidos em tr?s categorias constru?das a priori para elabora??o da an?lise: Concep??es de Cuidar em Enfermagem, Princ?pios Pedag?gicos no Ensino do Cuidar e o Papel das Disciplinas na Forma??o Profissional . Constatamos que quanto ? concep??o de cuidar em Enfermagem, os docentes encontram-se divididos entre a vis?o tecnicista, humanista e a de transi??o. Os que defendem a concep??o human?stica continuam valorizando a racionalidade t?cnica. Chegamos ? conclus?o de que precisamos resgatar na Enfermagem uma educa??o centrada na humaniza??o do cuidado, atrav?s da reorganiza??o do trabalho pedag?gico.
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