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.

According to the statistics from Department of Health, Executive Yuan, in 2007,brain attack has been listed as the third of the top ten reasons for death. In Taiwan, the occurrence rate of brain attack on population above 35-year-old is 3/1000. And the total amount of population above 35-year-old is nearly 10,000,000. Then the latest number of occurrence of brain attack is approximately 30,000¡COnce the stroke happens, under such a circumstance, not only the expense of acute care increases but also the long-term medical care expense, the family and social cost will become larger. In view of that, the long-term care plan for stroke patient has been in urgent need. This research, ¡¨Long-distance Community Health Care Nursing Service for Stroke Patients¡¨, which is originated from a plan conducted by a medical center in Southern Taiwan. Based on Andersen¡¦s¡]1968¡^health behavior model as the theoretical structure¡Awe studied 102 patients who had a stroke (including high stroke risk patients)within one year in Kaohsiung. In this study, we applied JMP V6.0¡]SAS Institute, Cary, NC, USA¡^to analyzing case characters¡Aconducting univariate analysis by £q2 analysis and ANOVA. Then we applied multivariate logistic regression analyses to significant variables. We hope to find out the predisposition, enabling factors and need factor from those important predictor variables in ¡§Long-distance Community Health Care and Nursing Service¡¨. We research the differences of stroke patients¡¦ behaviors, providing those research results as the reference materials for related business promotional strategy in future, hoping to advance the quality of long-term care and nursing for stroke patients. In this study, total 102 copies of the questionnaire were sent out and returned, with a return rate of 100%, and 100 copies of questionnaire were effective. The research results show that: 1. Predisposition¡GThere are significant differences on these items--¡§Number of Children¡¨(Demography), ¡§Buddhist¡¨(Religion) and ¡§Those who have a health check within nearly one year¡¨(Health Concept). 2.Enabling factors¡GThere are significant differences on these items--¡¨Monthly Family Income¡¨(Economical factor),¡¨Monthly Balance of Payment¡¨(Economical factor) and ¡§Commercial Insurance¡¨(Insurance resource). 3.Need factors¡GPeople (those who think their health state stay at the average level), Health State (¡§High Blood Pressure and Heart Attack¡¨,¡¨Eye Diseases¡¨, ¡¨Cancer¡¨,¡¨Bone and Muscle¡¨,¡¨Asthma¡¨,¡¨Ears Disease¡¨and ¡¨Neural Diseases¡¨are involved. The behavior research includes ¡§Number of Accepting Medical Treatment per month¡¨(1 to 2 times), ¡§Activity in Daily Life ¡¨¡]ADL¡BIADL-Shopping Ability¡^and ¡§Functional Behaviors¡¨. 4. To sum up, the predisposition, enabling and need factors in this research could partially influence using behaviors¡Ain accordance with Andersen¡¦s inference in health behavior model. In conclusion¡G1.¡¨Long-term Community Health Care and Nursing¡¨ can be applied to stroke patients, which can help patients to build up effective self-management and advance life quality; 2. This service combines Medical Service Chain established by Information-Telegraphic Technology. Currently, blood pressure checking and telephone consultation are most popular service among interviewees, and other kinds of service are under development; 3. Stroke patients with different demographical characters show a great difference on using behaviors; 4. To speak briefly, this service can meet the ideal long-term care and nursing standard for local aging population.

Thesis (M.S.)--University of Michigan, 1985. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Michigan, 1985. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 151-159). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 ElaineMC_DISSERT.pdf: 1704527 bytes, checksum: aa7c64c579a8ec9dbc45f747ccda176d (MD5) Previous issue date: 2011-12-09 / The problem facing the incidence of pressure ulcers (UP) in the hospital environment especially in the intensive care unit (ICU), although it is an old and frequent event in our professional practice, it is not notified in the researches as much as it should be. We observed a tendency to invest in therapeutical and in studies about the production of sophisticated new bandages. Few, however, are the investments in research on preventive measures in order to prevent or at least slow down the development of lesions. In this sense, the study aimed to analyze the correlation between nursing care and the risk of developing UP measured by the Braden scale in ICU patients. This is a descriptive study of longitudinal quantitative approach. The project obtained a favourable opinion from the Ethics Committee of HUOL (no 486/10). Data collection was carried out in the Hospital of Unimed in Natal during six months in 2011. The sample was of 32 patients hospitalized in ICU for over four days. The results were processed in SPSS 15.0 for descriptive statistics and inferential statistics. We identified that, only 9.4% of our sample developed UP, being predominantly male, elderly people aged above 60 years, Caucasian, with diagnostic hypothesis at the time of hospitalization of sepsis, were clinical patients, who presented hemodynamic instability, using orotracheal tube (TOT), enteral probe (SNE), vesical probe delay (SVD) and had values of albumin and hemoglobin levels below normal. In addition, these patients had a longer hospital stay, longer usage of TOT, SNE, SVD, increased use of sedation and drain than those who did not develop UP and were all at risk for developing these injuries second Braden scores. 66.7% of the lesions developed were located in the sacral region, limiting the degree I and all patients that developed were considered serious, 100.0% of them have evolved since the death. Small were the differences between the averages of Braden scores between patients with and without UP, 11,9+2,4 against 12,4+2,6 with p = 0.627. The clinical aspects of the patients in the study were instrumental in the development of UP, once, these findings were statistically significant through the Mann-Whitney test, and appropriateness of nursing conduct was decisive for the prevention of pressure ulcers in critical patients, since many were those classified as at risk (28) and few who have developed lesions (03) / A problem?tica frente ? incid?ncia de ?lcera de press?o (UP) no ambiente hospitalar, especialmente na Unidade de Terapia Intensiva (UTI), embora seja evento antigo e frequente, se observado em nossa pr?tica profissional, ? fato pouco notificado e com escassos estudos. Observamos uma tend?ncia em investir em condutas terap?uticas e em estudos para produ??o de novas coberturas sofisticadas. Poucos, por?m, s?o os investimentos em pesquisas sobre medidas preventivas com intuito de evitar ou pelo menos retardar o desenvolvimento das les?es. Nesse sentido, o estudo teve como objetivo analisar a correla??o entre a assist?ncia de enfermagem e o risco de desenvolvimento de UP medido pela escala de Braden em pacientes de UTI. Trata-se de um estudo descritivo longitudinal de abordagem quantitativa. O projeto obteve parecer favor?vel do Comit? de ?tica do HUOL (n.486/10). A coleta de dados realizou-se no Hospital da Unimed Natal, num per?odo de seis meses, em 2011. A amostra foi de 32 pacientes internados na UTI por mais de quatro dias. Os resultados foram processados no programa SPSS 15.0 por estat?stica descritiva e inferencial. Identificamos queapenas 9,4% de nossa amostra desenvolveram UP, sendo predominantemente do sexo masculino, idosos com faixa et?ria acima de 60 anos, de ra?a branca, com hip?tese diagn?stica no momento da interna??o de sepse; eram pacientes cl?nicos, que apresentaram instabilidade hemodin?mica, utilizando tubo orotraqueal (TOT), sonda enteral (SNE), sonda vesical de demora (SVD) e tinham valores de albumina e hemoglobina abaixo do normal. Al?m disso, estes pacientes apresentaram um maior tempo de internamento, maior tempo de uso de TOT, de SNE, de SVD, maior tempo de uso de seda??o e de dreno do que aqueles que n?o desenvolveram UP, e eram todos de risco para o desenvolvimento destas les?es segundo escores de Braden. Das les?es desenvolvidas, 66,7% localizavam-se na regi?o sacral, limitando-se a grau I, e todos os pacientes que as desenvolveram eram considerados graves, visto que 100,0% deles evolu?ram a ?bito. Pequenas foram as diferen?as entre as m?dias dos escores de Braden entre os pacientes com UP e os sem UP, 11,9+2,4 contra 12,4+2,6 com p=0,627. Os aspectos cl?nicos dos pacientes do estudo foram determinantes para o desenvolvimento de UP, uma vez que esses achados foram significantes estatisticamente atrav?s do teste de Mann-Whitney, e a adequa??o das condutas de enfermagem foi decisiva para a preven??o das ?lceras por press?o em pacientes cr?ticos, uma vez que muitos eram aqueles classificados como de risco (28) e poucos os que desenvolveram les?es (3)

Current situation: Educated and qualified nurse can fully do her job, give a patient bio-psycho-social-spiritual needs and satisfy them. This can happen only if optimal conditions are given to her, which means the optimal number of nursing staff. The aim of the study was to set the optimal number of nursing staff at surgical department in the Hospital of the Vysočina region, which was chosen. A standardized methodology of Pochylá and Pochylý (1999 and 2008) was used. Methodology and the research complex: Quantitative-qualitative method was used in the research. Detailed interviews were used in the first part of the study while talking to nurses of the surgical department of the Hospital of the Vysočina region. In phase two, 26 special nursing procedures were selected and divided into four thematic parts. 520 measurements were made in total, average time of making each special nursing procedure was set. In phase three, average values of nursing one patient in 12 hours at surgical department were set. Daily shots of the procedures were being taken for 14 days (Monday-Sunday). Optimal numbers of nursing staff and their qualified substitution in the Hospital of the Vysočina region were set in the last stage of the research. Results: The research question and three hypotheses were answered by performing and processing the research. The result is that there are statistically major differences in average value of basic and special nursing. 21 patients in average were treated in the hospital in the first week of research. The average nursing time for this number of patients in 12 hours was 3585 minutes 1027 minutes of basic nursing care and 1718 minutes of special nursing procedures. In the second week of research, 24 patients were treated at the department in average. The average nursing time for this number of patients was 3647 minutes in 12 hours 1036 minutes of basic nursing care and 1675 minutes of special nursing procedures. Statistically major differences were confirmed even during special nursing procedures. The longest average time was measured while incoming of patients, transferring, discharging (14,31 minutes) and the shortest average time was measure while applicating medicine into body cavities (0,5 minutes). Based on the research we can say that the number of staff at selected department is for a 12-hour shift optimal. Recommended number of full-time employees is 5, the real number is 5,4. Conclusion and recommendation: The output of this thesis is recommendation for management of nursing care regarding the issue of getting and maintaining the optimal number of nursing staff.

It is a qualitative, descriptive kind research, which had by objective to understand the social net that takes care people with stomia registred in the Municipal Program of Stomiad in a smll town of RS. The subjects were six individuals with intestinal ostomy registered on that Program. For data collection was used semi-structured interview and observation. The analysis was made by theme content analysis, which unfolds into three stages: the Pre- Analysis, the Material Exploration and the Treatment of Obtained Results and Interpretation. Were respected all the ethical aspects of researches with human beings, according to the Resolution 196/96, from National Health Council. The categories that came from data analysis are described and discussed in three articles that make the essence of the present work: Article 1: Support Social Nets of Ostomy Persons Care: Bibliographic Revision; Article 2: Even I Knew I Had so Many People For Me: Support Social Net For Persons With Ostomy; Article 3: With a Little Care We Go Forward: Living Histories From Persons With Ostomy. The results of article 1 happende by analysis of 11 articles of the literature, from those came the categories: Family support, Support of group of people with ostomys, Support realized by nurse and other professionals of health. The estudies qualitative werw thw most frequent and the cientific production of nursing numerical small. We can conclude that the know ledge about the social net of support is important to take care people with ostomys. The article 2 shows that the social net of support of people of ostomy was composed by family, friend, neigbours, workmates and professional of health. For this reason, it was realized how important is a social net strong among people with ostomy, because it helps a essencial support to its realization and survive with a new life condition. From article 3 came 3 categories: I am very well care, it s a little diffent of my life and it is necessary to go on, we can not stop. We feel that it s essencial to understand the ways of care that permeate ways of lives of people with ostomy as well the changes that happen in their lives and how they face these situations. We believe tha that this knowledge can aproch the nurse to the reality of these people lives, instrumentalizing to a qualified and resolutive assistency. / Trata-se de uma pesquisa qualitativa, do tipo descritiva, que teve como objetivo compreender as redes sociais de apoio no cuidado às pessoas com estomia cadastradas no Programa Municipal de Estomias de um município de pequeno porte do interior do RS. Os sujeitos da pesquisa foram seis pessoas com estomia intestinal cadastradas no programa. Para coleta de dados utilizou-se entrevista semiestruturada e observação. A análise se deu por meio da análise de conteúdo temática que desdobra-se em três etapas: a pré-análise, a exploração do material e o tratamento dos resultados obtidos e interpretação. Foram respeitados todos os aspectos éticos das pesquisas com seres humanos, conforme a Resolução 196/96, do Conselho Nacional de Saúde. As categorias oriundas da análise dos dados são descritas e discutidas em três artigos, que compõem a essência do presente trabalho: Artigo 1: As redes sociais de apoio no cuidado às pessoas com estomias: revisão bibliográfica; Artigo 2: Nem eu sabia que tinha tantas pessoas por mim: rede social de apoio às pessoas com estomia; Artigo 3: Com um pouco de cuidado a gente vai em frente: vivências de pessoas com estomia. Os resultados do artigo 1 se deram por meio da análise de 11 artigos da literatura, dos quais emergiram as categorias: Apoio familiar; Apoio da associação e grupos de pessoas com estomias; e Apoio realizado pelo enfermeiro e outros profissionais da saúde. Os estudos qualitativos foram os mais frequentes e a produção científica de enfermagem numericamente pequena. Concluiu-se que o conhecimento sobre a rede social de apoio é importante para o cuidado às pessoas com estomias. O artigo 2 revelou que a rede social de apoio das pessoas com estomia era composta pelos familiares, amigos, vizinhos e colegas de trabalho, e profissionais de saúde. Por meio deste, viu-se a importância da presença de uma rede social fortalecida na vida das pessoas com estomia, pois esta possibilita um apoio essencial para sua reabilitação e convivência com a nova condição de vida. A partir do artigo 3 emergiram as categorias: eu sou muito bem cuidado, é um pouco diferente a minha vida e é preciso andar, parar não dá. Percebeu-se que é fundamental compreender as formas de cuidado que permeiam as vivências das pessoas com estomia, bem como as alterações que acontecem em suas vidas e o modo como elas enfrentam essas situações. Acredita-se que esse conhecimento possa aproximar o enfermeiro da realidade em que vivem essas pessoas, instrumentalizando-o para uma assistência qualificada e resolutiva.

Att verka som första linjens chef i en vård och omsorgsorganisation är en viktig del i leveransen av välfärdstjänster av god kvalité. Införandet av New public management i offentlig sektor har över tid lett till en ökad centralisering på bekostnad av kärnverksamhetens självstyre. Syftet med uppsatsen är att undersöka första linjens chefers upplevelser av balans i sin yrkesroll samt upplevelser av sin position i en vård och omsorgsorganisation. Genom en hermeneutisk intervjustudie av tio erfarna enhetschefers tankar och upplevelser kring sin arbetsinsats och sin arbetssituation inom en vård och omsorgsorganisation. Intervjustudiens resultat visar att enhetschefer påverkas av en rad olika faktorer såsom hanterandet av olika relationer inom ramen för sitt yrke. / Acting as the first-line manager in a care and nursing organization is an important part of the delivery of good quality welfare services. The introduction of New public management in the public sector has over time led to an increased centralization at the expense of the core business's autonomy. The purpose of the thesis is to describe the first-line managers' perceived work situation in a care and nursing organization. Through a hermeneutic interview study of ten experienced unit managers' thoughts and experiences about their work effort and their work situation within a care and nursing organization. The results of the interview study show that unit managers are affected by a number of different factors, such as the handling of different relationships within the framework of their profession.

Little is known regarding registered nurse (RN) information management practice in long-term care (LTC) settings. This study identifies LTC RNs’ information management practice and needs, which are important for designing and implementing health information technology (HIT) in LTC settings. Methods: This descriptive qualitative study combines direct observations and semi-structured interviews, conducted at Alberta’s LTC facilities between May 2014 and August 2015. The constant comparative method of joint coding was used for data analysis. Results: Nine RNs from six nursing homes participated in the study. Based on the RNs’ existing information management system requirements, a graphic information flow model was constructed. Conclusion: This baseline study identified key components of LTC RNs’ information management system. The information flow model may assist HIT developers with future design and development of HIT solutions for LTCs, serve as a communication tool between RNs and developers to refine requirements and support further LTC HIT research. / Graduate