Bakgrund: Sjuksköterskor ansvarar för att leda omvårdnadsarbetet, där omvårdnadsprocessen spelar en avgörande roll. Omvårdnadsprocessen säkerställer att sjuksköterskor ger högkvalitativ vård som är anpassad efter individens unika behov. Studier visar att nyutexaminerade sjuksköterskor har god teoretisk kunskap men saknar förmågan att tillämpa den i det kliniska arbetet. Syfte: Att beskriva nyutexaminerade sjuksköterskors upplevelser av att tillämpa omvårdnadsprocessen inom somatisk vård. Metod: En kvalitativ deskriptiv studie genomfördes med en induktiv ansats. Data samlades in genom tre semistrukturerade intervjuer och analyserades med Braun och Clarks tematiska analys. Resultat: Två teman identifierades: Arbetsmiljö och Omvårdnaden. Temana består av fyra underteman: arbetsmiljöns påverkan på omvårdnadsprocessen, samarbetets betydelse för omvårdnadsarbetet, från teori till praktik och prioritering av omvårdnaden. Slutsatser: Studien visar att tillämpningen av omvårdnadsprocessen kan vara utmanande för nyutexaminerade sjuksköterskor på grund av flera faktorer. Dessa faktorer är bland annat arbetsbelastning, tidsbrist, bristande samarbete och att inte tillåtas vara ny i professionen. För att säkerställa god tillämpning av omvårdnadsprocessen är det därför viktigt att förbättra arbetsmiljön, ge stöd under den första tiden som nyutexaminerad sjuksköterska och en ökad medvetenhet om vikten av att prioritera omvårdnadsarbete. / Background: Nurses are responsible for leading nursing work, where the nursing process plays a crucial role. The nursing process ensures that nurses provide high-quality care that is personalized to the individual's unique needs. Studies show that newly graduated nurses have good theoretical knowledge but lack the ability to apply this knowledge in their clinical work. Purpose: To describe newly graduated nurses' experiences of applying the nursing process in somatic care. Method: A qualitative descriptive study was conducted using an inductive approach. Data was collected through three semi-structured interviews and analyzed using Braun and Clark’s thematic analysis. Results: Two themes were identified: work environment and nursing care. The themes consist of four subthemes: the influence of the work environment on the nursing process, the cooperation’s significance for the nursing work, from theory to practice and prioritising of nursing care. Conclusions: The study shows that the application of the nursing process can be challenging for newly graduated nurses due to several factors. These factors include heavy workload, insufficient time, lack of cooperation, and not being allowed to be new in the profession. Therefore, to ensure the effective application of the nursing process, it is crucial to improve the work environment, provide support during the initial period as a newly graduated nurse, and increase awareness of the significance of prioritizing nursing work.

BakgrundTransitionen från student till yrkesverksam sjuksköterska kan vara svår och utmanande och än mer utmanande som ny inom akutsjukvården. Författarna kommer beskriva sjuksköterskans profession, vad det innebär att vara nyexaminerad sjuksköterska samt vad som menas med transition. Även begreppet akutsjukvård och dess olika kontexter kommer beskrivas. Vidare beskriver författarna Duchschers (2008) transitionsteori. SyfteAtt sammanställa kunskap om nyexaminerade sjuksköterskors upplevelser av att arbeta inom akutsjukvård. MetodStrukturerad litteraturstudie med inslag av grunderna för systematisk litteraturöversikt. ResultatSammanställningen av artiklarna i denna litteraturstudie resulterade i tre kategorier Första tiden i yrket, Vikten av support och Upplevelsen av arbetsmiljön. Samt åtta subkategorier Upplevelsen av transition, Introduktion på arbetsplatsen, Utveckling inom professionen, Upplevelsen av teamwork, Kommunikation, Behov av stöd, Brist på erfaren personal och Arbetsbelastning. SlutsatsTransitionen från student till sjuksköterska kan vara utmanande på flera sätt, både inom yrkesrollen och privat. Minskad arbetsbelastning och en adekvat introduktion skulle kunna hjälpa till i transitionen från student till yrkesverksam sjuksköterska. Viljan av utveckling och skapande av erfarenheter var stärkande för nyexaminerade sjuksköterskor i tron på sin kompetens. / BackgroundThe transition from being a student nurse to becoming a registered nurse can be hard and challenging, even more challenging by being new in the emergency care. The writers will describe nurses’ profession, what it means to be a newly graduated nurse and also explain transition. Further on the writers will describe the concept emergency care and the different context where emergency care can occur. The writers will also describe Duchscher (2008) transition theory. AimTo compile knowledge of newly graduated nurses´ experiences of working in acute caresetting. MethodA review of literature with the basics from a systematic review. ResultsThis review resulted in three categories Early in the profession, The importance of support and Experience of the work environments. Eight subcategories were identified these were Experience of transition, Introduction in the workplace, development within the profession, Teamwork experience, Communication, Need for support, Lack of experienced staff and Workload. ConclusionsThe transition from student nurse to registered nurse can be challenging in many ways, both within the profession as well as the private life. Reduced workload and an adequate introduction could help in the transition from student to professional nurse. The will of development and the hunt for experiences were empowering for the newly graduated nurses in the beliefs in their own competence.

The transition from studies to professional work is a critical period for newly graduated social workers. The development of new public management collides with the moral desire to do good for the clients. The following study is based on eight qualitative interviews with social workers who graduated between the years 2019-2024 and who left their employment in social services. The results show that high expectations of oneself and insufficient support constitute a vulnerability to burnout and/or sickness absence. The results also indicate, according to Hochschild's theory, that social services have many and complex feeling rules to manage, while feelings of shame and pride have been shown to play a significant role in relation to these feeling rules. The study's conclusion indicates that there is an unattainable image of how social workers in the establishment phase should handle the emotional work that the professional role requires. Reduced engagement has been found necessary to succeed in distancing oneself from work and reducing the risk of burnout, but the role of a social worker also entails high expectations of demonstrated engagement in social work to fulfill a good social work. Based on the study’s results, we also advocate that a more comprehensive study on the emotional work of social workers in the establishment phase be conducted, as it could contribute to preventing burnout in the form of intervention strategies within the professional field.

The purpose of this study is to examine the challenges and support for newly graduated social workers during their first two years of professional practice and how this relates to work introduction and professional organization. Previous research indicates that the transition from social work education to becoming a social worker within social services is challenging. Newly graduated social workers require careful introduction and support from experienced colleagues to feel confident in their role. Improved introduction and more tailored support can facilitate the transition to the work. This study focuses on the experiences of newly graduated social workers during the initial professional period. In this study, the theories of symbolic interactionism "I" and "Me", dynamic development process, and reflective practice are used to understand the interaction and socialization within the professional role as social worker. The method used in this study is a qualitative approach to understand the experiences of newly graduated social workers in their professional life. The results of this study indicate a significant change and an overwhelming sense of responsibility compared to the time spent in education. Furthermore, shortcomings in educational preparation for practical work, especially in authority exercises, are highlighted. Practical experience, including internships within social services, facilitates the transition and boosts the confidence of newly graduated social workers. Challenges identified in this study include high workload, uncertainty in client work, and managing prejudices and expectations from clients. The results also show that support from colleagues, supervisors, and training is crucial for professional development. Requests for longer, more structured introductions and reduced workload are emphasized to improve the transition to professional life and promote well-being.

Plusieurs facteurs sociétaux, comme le vieillissement de la population et la pandémie de COVID 19, amènent les infirmières et infirmiers à débuter leur pratique sur des unités de soins intensifs, directement après leur diplomation. Sans expérience clinique préalable, les infirmières et infirmiers nouvellement diplômés doivent prendre des décisions auprès de patients dans des états critiques, ce qui peut leur causer de l’incertitude. L’incertitude est caractérisée comme une incapacité à prédire la finalité d’une situation. Bien qu’étudiée dans d’autres disciplines, l’incertitude n’a pas été explorée auprès d’infirmières et infirmiers nouvellement diplômés dans le contexte spécifique des soins intensifs. Cette étude descriptive interprétative visait à explorer l’incertitude d’infirmières et infirmiers nouvellement diplômés en soins intensifs. Utilisant une théorie sur l’incertitude d’infirmières et d’infirmiers ayant plusieurs années d’expérience en soins intensifs (Cranley et al., 2012) comme cadre de référence, six entrevues ont été réalisées auprès d’infirmières et infirmiers nouvellement diplômés ayant moins de deux ans d’expérience en soins intensifs. À la suite d’une analyse par comparaison constante, trois thèmes ont émergé d’une analyse descriptive interprétative. « La situation du patient et le regard de l’équipe infirmière », « le questionnement comme indice d’incertitude », et « l’apport des connaissances » forment une boucle d’apprentissage expérientielle où les infirmières et infirmiers nouvellement diplômés acquièrent de nouvelles connaissances leur permettant de faire à l’incertitude lors de futures situations. Ce mémoire se termine par une discussion sur l’ambiguïté des interactions de l’équipe infirmière à l’égard des infirmières et infirmiers nouvellement diplômés. Nous abordons aussi l’utilisation inégale des connaissances et les effets du manque de stratégies dans la remédiation de l’incertitude. / Several factors, such as the aging population and the COVID-19 pandemic, have led nurses to begin their practice in intensive care units immediately after their graduation. Without prior clinical experience, these newly graduated nurses must make decisions for critically ill patients, which can cause them uncertainty. Uncertainty is characterized as the inability to predict the outcome of a situation. Although studied in other disciplines, uncertainty has not been explored among newly graduated nurses in the specific context of intensive care. This descriptive interpretive study aimed to explore the uncertainty of newly graduated nurses in intensive care. Using a grounded theory of uncertainty among experienced intensive care nurses (Cranley et al., 2012) as a framework, six interviews were conducted with newly graduated nurses with less than two years of experience in intensive care. Through a constant comparison analysis, three themes emerged from a descriptive interpretive analysis: ‘’the patient’s situation and the team’s perspective’’, ‘’questioning as a clue of uncertainty’’ and ‘’the contribution of knowledge.’’ These form an experiential learning loop where newly graduated nurses acquire new knowledge that enables them to manage uncertainty in future situations. This master’s degree dissertation concludes with a discussion on the ambiguity of the nursing team interactions towards newly graduated nurses. It also addresses the unequal use of knowledge and the effects of the lack of strategies to mitigate uncertainty.

Trata do tema da higiene da habitação urbana paulista. Objetiva analisar em fontes documentais originais como a moradia foi incluída nas iniciativas governamentais estadual e municipal - para melhorar o estado sanitário da cidade de Campinas/SP, entre 1880 e 1934. Trabalha com a hipótese de que as medidas tomadas pelo governo de São Paulo e pela municipalidade, no final do século XIX, sob a organização do regime republicano e para combater as epidemias de febre amarela, estiveram fundamentadas nos princípios do urbanismo sanitarista europeu, que foram sistematizados na legislação sanitária estadual e edilícia municipal, embasando as práticas relacionadas à higiene das habitações e orientando a atividade edificativa em Campinas. Analisa o panorama da construção civil em Campinas por meio do procedimento administrativo que autorizou as licenças para construção de moradias, que foi formalizado na legislação edilícia e organizado na Repartição de Obras, identificando os protagonistas na concepção e na análise dos requerimentos e dos projetos arquitetônicos. Verifica que a expressiva maioria das obras foi conduzida por construtores não diplomados, sem formação acadêmica nas escolas tradicionais de engenharia e arquitetura, mas que foram licenciados conforme a normativa que estabeleceu a regulamentação profissional. Conclui que essa normativa municipal, atendendo aos preceitos da legislação sanitária estadual e dando suporte ao aparato sanitarista, foi decisiva para promover reformas e orientar a construção de novas habitações em Campinas/SP, ao estabelecer a obediência às determinações técnicas de aspecto, de solidez e de higiene, principalmente relacionadas à impermeabilização, à insolação e ao arejamento das edificações urbanas. / The theme of this thesis is the hygiene of urban housing of São Paulo state. It objectives to analyze, based on original documentary sources, how it was included in government initiatives - state and local - to improve sanitary conditions of the city of Campinas/SP, between 1880 and 1934. It works with the hypothesis that, the measures taken by São Paulos government and by the municipality - in the late nineteenth century - under the republican regimes organization and to fight yellow fever epidemics, were based on the European principles of sanitarian urbanism, which were organized in sanitary and constructive legislation, providing input to practices related to housing hygiene and guiding Campinas building activity. Examines construction scenery in Campinas through the administrative procedure that authorized permits for housing edification, which was formalized in constructive legislation and organized in the municipality, identifying the protagonists in the conception and analysis of requirements and architectural projects. It verifies that the significant majority of the work was conducted by non-graduated constructors, without academic degree in traditional schools of engineering and architecture, however were licensed according to rules that established the professional regulation. It concludes that these municipal rules, taking into account state laws provisions and supporting the sanitary apparatus, was decisive to promote reforms and guidance for the construction of new private urban houses in Campinas/SP, when establishes obedience to aspect, solidity and hygiene technical determinations, mainly related to buildings waterproofing, insolation and ventilation.

Trata do tema da higiene da habitação urbana paulista. Objetiva analisar em fontes documentais originais como a moradia foi incluída nas iniciativas governamentais estadual e municipal - para melhorar o estado sanitário da cidade de Campinas/SP, entre 1880 e 1934. Trabalha com a hipótese de que as medidas tomadas pelo governo de São Paulo e pela municipalidade, no final do século XIX, sob a organização do regime republicano e para combater as epidemias de febre amarela, estiveram fundamentadas nos princípios do urbanismo sanitarista europeu, que foram sistematizados na legislação sanitária estadual e edilícia municipal, embasando as práticas relacionadas à higiene das habitações e orientando a atividade edificativa em Campinas. Analisa o panorama da construção civil em Campinas por meio do procedimento administrativo que autorizou as licenças para construção de moradias, que foi formalizado na legislação edilícia e organizado na Repartição de Obras, identificando os protagonistas na concepção e na análise dos requerimentos e dos projetos arquitetônicos. Verifica que a expressiva maioria das obras foi conduzida por construtores não diplomados, sem formação acadêmica nas escolas tradicionais de engenharia e arquitetura, mas que foram licenciados conforme a normativa que estabeleceu a regulamentação profissional. Conclui que essa normativa municipal, atendendo aos preceitos da legislação sanitária estadual e dando suporte ao aparato sanitarista, foi decisiva para promover reformas e orientar a construção de novas habitações em Campinas/SP, ao estabelecer a obediência às determinações técnicas de aspecto, de solidez e de higiene, principalmente relacionadas à impermeabilização, à insolação e ao arejamento das edificações urbanas. / The theme of this thesis is the hygiene of urban housing of São Paulo state. It objectives to analyze, based on original documentary sources, how it was included in government initiatives - state and local - to improve sanitary conditions of the city of Campinas/SP, between 1880 and 1934. It works with the hypothesis that, the measures taken by São Paulos government and by the municipality - in the late nineteenth century - under the republican regimes organization and to fight yellow fever epidemics, were based on the European principles of sanitarian urbanism, which were organized in sanitary and constructive legislation, providing input to practices related to housing hygiene and guiding Campinas building activity. Examines construction scenery in Campinas through the administrative procedure that authorized permits for housing edification, which was formalized in constructive legislation and organized in the municipality, identifying the protagonists in the conception and analysis of requirements and architectural projects. It verifies that the significant majority of the work was conducted by non-graduated constructors, without academic degree in traditional schools of engineering and architecture, however were licensed according to rules that established the professional regulation. It concludes that these municipal rules, taking into account state laws provisions and supporting the sanitary apparatus, was decisive to promote reforms and guidance for the construction of new private urban houses in Campinas/SP, when establishes obedience to aspect, solidity and hygiene technical determinations, mainly related to buildings waterproofing, insolation and ventilation.

Made available in DSpace on 2016-04-27T16:58:48Z (GMT). No. of bitstreams: 1 Marcelo Cordeiro da Silva.pdf: 1895701 bytes, checksum: b76c020e24ea7c9012d0e9cd221384e6 (MD5) Previous issue date: 2008-11-27 / Secretaria da Educação do Estado de São Paulo / This present study aimed to introduce the rational numbers concept on Elementary School. This study is about semiotic approach education, based on representation s register theory by Raymond Duval (1993, 1995, 2005), found on article by French research Adjiage and Pluvinage (2000). In this article has proposed to consider the graduated straight line as a register of semiotic representation of rationals numbers, it indicates good results to education comparing to use of geometric figures dimension size 2, as chocolate bars, for example. Two questions guided this study: if the introduction of graduated straight line as a semiotic register to rationals numbers extends the possibility in opposition of difficulties to learn rationals numbers, and if it setups as element to help on Brazilian education. The dates for this analyze were Parâmetros Curriculares Nacionais para o Ensino Fundamental (PCN) to 2nd cycle (3rd and 4th grades) and 3rd cycle (5th and 6th grades) and the volumes of a didactic books' collection to these grades. We could check that the graduated straight line's or geometric s register has potential that could to promote education because it designs as a true semiotic register with a lot of signs and adaptable to development of a set of skills. This approach isn't recommendation by PCN and it doesn't act in didactics books, in this case, we can infer that if it could be introduced among us it can be a element to help on Brazilian education / O presente trabalho tem por foco a introdução do conceito de número racional no Ensino Fundamental. Trata-se de um estudo sobre uma abordagem semiótica de ensino, fundamentada na teoria dos registros de representação de Raymond Duval (1993, 1995, 2005), apresentada num artigo dos pesquisadores franceses Adjiage e Pluvinage (2000). Nela é proposto que se considere a reta graduada como um registro de representação semiótica dos racionais, indicando ganhos para a aprendizagem comparativamente ao uso de figuras geométricas de dimensão 2, como as barras de chocolate, num papel figurativo. Duas questões nortearam este trabalho: se a introdução da reta graduada como um registro semiótico para os racionais de fato amplia a possibilidade de enfrentamento das dificuldades consagradas da aprendizagem dos racionais e se ela se configura como um elemento de auxílio para o ensino brasileiro. Os dados para a análise foram buscados nos Parâmetros Curriculares Nacionais de Matemática para o Ensino Fundamental (PCN) do ciclo II (3ª e 4ª séries) e do ciclo III (5ª e 6ª séries) e nos volumes de duas coleções de livros didáticos referentes a essas séries. Pudemos concluir que o registro da reta graduada ou geométrico de dimensão 1 tem potencialidades que podem favorecer a aprendizagem, pois ela se configura como um verdadeiro registro semiótico rico em signos e mais adaptado ao desenvolvimento de um conjunto de competências. Essa abordagem não é recomendada nos PCN e nem aparece nos livros didáticos, levando-nos a inferir que se introduzida entre nós, pode se configurar como um elemento de auxílio para o ensino brasileiro

Image segmentation is a critical step in building a computer vision algorithm that is able to distinguish between separate objects in an image scene. Image segmentation is based on two fundamentally intertwined components: pixel comparison and pixel grouping. In the pixel comparison step, pixels are determined to be similar or different from each other. In pixel grouping, those pixels which are similar are grouped together to form meaningful regions which can later be processed. This thesis makes original contributions to both of those areas. First, given a Markov Random Field framework, a Stochastic Nested Aggregation (SNA) framework for pixel and region grouping is presented and thoroughly analyzed using a Potts model. This framework is applicable in general to graph partitioning and discrete estimation problems where pairwise energy models are used. Nested aggregation reduces the computational complexity of stochastic algorithms such as Simulated Annealing to order O(N) while at the same time allowing local deterministic approaches such as Iterated Conditional Modes to escape most local minima in order to become a global deterministic optimization method. SNA is further enhanced by the introduction of a Graduated Models strategy which allows an optimization algorithm to converge to the model via several intermediary models. A well-known special case of Graduated Models is the Highest Confidence First algorithm which merges pixels or regions that give the highest global energy decrease. Finally, SNA allows us to use different models at different levels of coarseness. For coarser levels, a mean-based Potts model is introduced in order to compute region-to-region gradients based on the region mean and not edge gradients. Second, we develop a probabilistic framework based on hypothesis testing in order to achieve color constancy in image segmentation. We develop three new shading invariant semi-metrics based on the Dichromatic Reflection Model. An RGB image is transformed into an R'G'B' highlight invariant space to remove any highlight components, and only the component representing color hue is preserved to remove shading effects. This transformation is applied successfully to one of the proposed distance measures. The probabilistic semi-metrics show similar performance to vector angle on images without saturated highlight pixels; however, for saturated regions, as well as very low intensity pixels, the probabilistic distance measures outperform vector angle. Third, for interferometric Synthetic Aperture Radar image processing we apply the Potts model using SNA to the phase unwrapping problem. We devise a new distance measure for identifying phase discontinuities based on the minimum coherence of two adjacent pixels and their phase difference. As a comparison we use the probabilistic cost function of Carballo as a distance measure for our experiments.

Image segmentation is a critical step in building a computer vision algorithm that is able to distinguish between separate objects in an image scene. Image segmentation is based on two fundamentally intertwined components: pixel comparison and pixel grouping. In the pixel comparison step, pixels are determined to be similar or different from each other. In pixel grouping, those pixels which are similar are grouped together to form meaningful regions which can later be processed. This thesis makes original contributions to both of those areas. First, given a Markov Random Field framework, a Stochastic Nested Aggregation (SNA) framework for pixel and region grouping is presented and thoroughly analyzed using a Potts model. This framework is applicable in general to graph partitioning and discrete estimation problems where pairwise energy models are used. Nested aggregation reduces the computational complexity of stochastic algorithms such as Simulated Annealing to order O(N) while at the same time allowing local deterministic approaches such as Iterated Conditional Modes to escape most local minima in order to become a global deterministic optimization method. SNA is further enhanced by the introduction of a Graduated Models strategy which allows an optimization algorithm to converge to the model via several intermediary models. A well-known special case of Graduated Models is the Highest Confidence First algorithm which merges pixels or regions that give the highest global energy decrease. Finally, SNA allows us to use different models at different levels of coarseness. For coarser levels, a mean-based Potts model is introduced in order to compute region-to-region gradients based on the region mean and not edge gradients. Second, we develop a probabilistic framework based on hypothesis testing in order to achieve color constancy in image segmentation. We develop three new shading invariant semi-metrics based on the Dichromatic Reflection Model. An RGB image is transformed into an R'G'B' highlight invariant space to remove any highlight components, and only the component representing color hue is preserved to remove shading effects. This transformation is applied successfully to one of the proposed distance measures. The probabilistic semi-metrics show similar performance to vector angle on images without saturated highlight pixels; however, for saturated regions, as well as very low intensity pixels, the probabilistic distance measures outperform vector angle. Third, for interferometric Synthetic Aperture Radar image processing we apply the Potts model using SNA to the phase unwrapping problem. We devise a new distance measure for identifying phase discontinuities based on the minimum coherence of two adjacent pixels and their phase difference. As a comparison we use the probabilistic cost function of Carballo as a distance measure for our experiments.