Submitted by Liliane Ferreira (ljuvencia30@gmail.com) on 2018-04-19T12:46:24Z No. of bitstreams: 2 Dissertação - Uyara Soares Cavalcanti Teixeira - 2018.pdf: 3846759 bytes, checksum: 2fa17037db7ff66054a8bb25a6a839b3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-04-19T12:56:35Z (GMT) No. of bitstreams: 2 Dissertação - Uyara Soares Cavalcanti Teixeira - 2018.pdf: 3846759 bytes, checksum: 2fa17037db7ff66054a8bb25a6a839b3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-04-19T12:56:35Z (GMT). No. of bitstreams: 2 Dissertação - Uyara Soares Cavalcanti Teixeira - 2018.pdf: 3846759 bytes, checksum: 2fa17037db7ff66054a8bb25a6a839b3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-04-03 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This research is inserted in the area of Mathematics Concentration in Basic Education and presents as theme mathematical education and school inclusion. It aims to contribute to the process of training teachers who teach mathematics in the hospital classes. Methodologically, the study starts from an exploratory, qualitative-based research with support in action research in the integral and systemic perspective. As a result, among others, the study provided a solid and concise training to the teachers of the Núcleo de Atendimento Educacional Hospitalar (NAEH), built with the support of the actors and authors involved; discussions that referred to new perspectives of formation, involving other areas of knowledge; a continuous space of dialogue, a basis for understanding the concept of continuing education. The research sought to contribute to the strengthening of the group of teachers, presented new work opportunities and expanded knowledge in the field of mathematics, an area presented as a deficit by teachers. / O presente trabalho se insere na área de concentração Matemática no Ensino Básico e traz como tema educação matemática e inclusão escolar. Elege como objetivo contribuir com o processo de formação de professores que ensinam matemática nas classes hospitalares. Metodologicamente, o estudo parte de uma pesquisa exploratória, de base qualitativa com suporte na pesquisa-ação na perspectiva integral e sistêmica. Enquanto resultado, dentre outros, o estudo proporcionou uma formação sólida e concisa aos docentes do Núcleo de Atendimento Educacional Hospitalar (NAEH), construída com apoio e suporte dos atores e autores envolvidos; discussões que remeteram a novas perspectivas de formação, envolvendo outras áreas do saber; um espaço contínuo de diálogo, essência da compreensão do conceito de formação continuada. A pesquisa, em síntese, contribuiu para fortalecimento do grupo, trouxe novas oportunidades de trabalhos e ampliou saberes no campo da matemática, área apresentada como deficitária pelos professores.

O presente projeto de pesquisa tem como foco a atenção domiciliar e mais especificamente, o processo de desospitalização, isto é, o processo de alta hospitalar articulado à rede de atenção à saúde com o objetivo de viabilizar a continuidade do cuidado integral no domicílio, com enfoque em Cuidados Paliativos. Imprescindível para que se garanta o cuidado integral à pessoa, que a comunicação seja efetiva, entre os três atores principais: o paciente dependente de cuidado domiciliar juntamente com a família, no papel do cuidador principal; o Hospital que definiu o diagnóstico e tratamento; e a rede municipal de saúde, que seja através do SAD ou da Unidade Básica de Saúde/Saúde da Família (UBS/USF), se responsabilizará pelo acompanhamento e continuidade desse cuidado no domicílio. O objetivo do estudo é analisar as evidências disponíveis na literatura sobre o processo de alta do paciente em Cuidado Paliativo. Para alcançar o objetivo proposto, realizamos uma Revisão Integrativa (RI). A questão norteadora para a realização desta revisão integrativa foi: \"Quais são as evidências disponíveis na literatura sobre o planejamento da alta hospitalar, como garantia da continuidade do cuidado, a pacientes em cuidados paliativos?\" A busca de artigos foi realizada em julho/2016, nas bases de dados PubMed, LILACS e CINAHL, com os seguintes descritores controlados: home care services, Patiente Discharge, Summaries patient discharge, Continuity of patient care e Patient Care planning, Serviços de Assistência Domiciliar, Alta do paciente e Continuidade da Assistência ao Paciente, além de descritores não controlados (palavras-chave), sendo estes home care services, Patiente Discharge, Continuity of patient care, Serviços de Assistência Domiciliar, Alta do paciente e Continuidade da Assistência ao Paciente. A amostra foi composta de oito estudos primários, onde foi apresentada a importância do Cuidado Paliativo, o desejo dos pacientes terem sua terminalidade em casa e alguns métodos para que se alcance esse objetivo. Na Brasil, a população conta com sistema público de saúde estruturado a partir do direito à saúde como prerrogativa constitucional, mas ainda ocorrem dificuldades de acesso. A falta de integração entre os profissionais e serviços hospitalar e unidades básicas de saúde ou de saúde da família podem produzir resultados negativos. O cuidador é um elemento chave no processo de planejamento de alta hospitalar. A continuidade do cuidado tem grande relação com o preparo a ele ofertado e o acompanhamento e apoio das equipes técnicas responsáveis. À Enfermagem é atribuída a responsabilidade pelo preparo do cuidador. Além disso, a elaboração do plano de cuidados e o início da capacitação do cuidador deve ocorrer ainda durante a hospitalização. A necessidade de capacitação não se limita ao cuidador, mas também aos trabalhadores da atenção básica. A alta hospitalar é uma transição específica e prevê a continuidade dos cuidados em domicílio. Apresentamos uma síntese dos elementos norteadores do planejamento de alta encontramos / The present research project focuses on home care and, more specifically, the process of dehospitalization, that is, the process of hospital discharge articulated to the health care network with the objective of enabling the continuity of integral care at home, with focus In Palliative Care. Essential for guaranteeing comprehensive care to the person, that communication be effective, among the three main actors: the patient dependent on home care together with the family, in the role of the main caregiver; The Hospital that defined the diagnosis and treatment; And the municipal health network, through the SAD or the Basic Health / Family Health Unit (UBS / USF), will be responsible for the follow-up and continuity of this care at home. The objective of the study is to analyze the available evidence in the literature on the patient discharge process in Palliative Care. To achieve the proposed goal, we performed an Integrative Review (IR). The guiding question for the accomplishment of this integrative review was: \"What evidence is available in the literature on planning hospital discharge as a guarantee of continuity of care for patients in palliative care?\" The search for articles was conducted in July / 2016 , In the PubMed, LILACS and CINAHL databases, with the following controlled descriptors: home care services, Patient Discharge, Patient Discharge Summaries, Continuity of patient care and Patient Care planning, Home Care Services, Patient Discharge and Continuity of Care Patient, in addition to uncontrolled descriptors (keywords), being these home care services, Patient Discharge, Continuity of patient care, Home Care Services, Patient discharge and Continuity of Patient Care. The sample consisted of eight primary studies, where the importance of Palliative Care, the patients\' desire to have their terminality at home and some methods to achieve this goal were presented. In Brazil, the population has a public health system based on the right to health as a constitutional prerogative, but access difficulties still exist. The lack of integration between hospital professionals and services and basic health or family health units can produce negative results. The caregiver is a key element in the hospital discharge planning process. The continuity of the care has a great relation with the preparation offered to him and the accompaniment and support of the responsible technical teams. Nursing is assigned responsibility for preparing the caregiver. In addition, the preparation of the plan of care and the beginning of the training of the caregiver should occur even during hospitalization. The need for training is not limited to the caregiver, but also to primary care workers. Discharge is a specific transition and provides for continuity of care at home. We present a synthesis of the guiding elements of the high planning we found

Vi ser idag en alltmer åldrande befolkning. Detta ställer allt större krav på äldreomsorgen och inte minst hemtjänsten när en målsättning är att fler ska kunna bo kvar hemma längre. Statistiska rapporter tyder på en kraftig brist på arbetskraft inom just äldrevården, och allt mer hopp och förtroende ställs till tekniska och digitala lösningar för att effektivisera verksamheterna. På uppdrag av Phoniro, en av Sveriges största leverantörer av välfärdsteknologiska lösningar till äldreomsorgen, har det här arbetet syftat till att undersöka hur det administrativa arbetet med digital nyckelhantering kan förbättras och effektiviseras med ett uppdaterat gränssnitt. Genom en enkätundersökning och semistrukturerade intervjuer har en större förståelse för användarnas arbete i och kring administrationssystemet Phoniro Care genererats. Insikterna har sammanställts i användarberättelser för att vägleda framtida designarbete med Phoniro Care. Resultaten visar på behovet av en design som stödjer flera olika användartyper, och som ger bättre verktyg för översikt och hantering av information i systemet. Vidare så väcker berättelser om de olika organisationernas struktur och anpassning till digital nyckelhantering frågor om vilken kompetens som finns i verksamheterna när det gäller att förstå effekten av nya digitala lösningars implementation. Det väcker i sin tur frågor om hur företag som Phoniro kommer att behöva anpassa sig i takt med att den kompetensen växer i verksamheterna. / What we are witnessing today is an increasingly older population. This change in demographics will drastically change the demands of elder care and especially home care services to ensure that more people will be able to stay at home for larger parts of their lives. In addition, statistical projections suggest a critical lack of manpower in home care services in the coming decade, and an increasing amount of faith is put into technical and digital solutions to streamline the organizations. On behalf of Phoniro, one of the largest distributors of welfare technologies for elder care in Sweden, this thesis has investigated how the administrative work attending to digital key management can be improved and streamlined with an updated interface. Through use of an online survey and semi structured interviews a more comprehensive understanding of the users working with the administrative system Phoniro Care have been acquired. The findings have been modelled in user stories meant to guide future design work in the development of Phoniro Care. The results indicate the need for a design that supports multiple user types and better tools for overviewing the information available in the system. Furthermore, the differences in organizational structure between different organizations implementing digital key management raises questions regarding digitization competences in public sector organizations and understanding the effect of implementing new digital tools. In turn, that raises questions regarding a possible future need for adaptation for companies like Phoniro in handling an increasing digital competence in the organizations that constitutes their clients.

There is a worldwide shortage of direct care workers who help older adults in their own homes. The purpose of this multiple case study was to explore strategies that owners of home health care businesses can use to retain adequate direct care workers for their businesses. Five home care agency owners from Wake County, North Carolina, participated. Each owner had successfully implemented strategies to ensure adequate caregivers to sustain the business. Human relations theory was used to address the business problem. Data collection involved interviewing the 5 owners of home care agency businesses in their offices. Through a process of methodological triangulation, observations and documentary evidence supplemented data collected through semistructured interviews. Deductive and inductive coding were used to arrange and identify 3 emergent themes: company reputation, training and career development, and the role of government. The results of this study may contribute to social change because home care agency owners and other business owners can use the findings to improve on their treatment of low income workers which may help eradicate discrimination to ethnic minorities.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Folkhälsan har en positiv utveckling i Sverige, det innebär att fler lever ett längre liv. Statistik visar att det finns över två miljoner personer i Sverige som är 65 år eller äldre. Med stigande ålder ökar risken för sjukdom och funktionsnedsättning, det ger en ökad belastning på vård och omsorg, såväl inom landsting, primärvård och kommun. Idag är det kommunen som ansvarar för hemsjukvården. För att hemsjukvården ska vara patientsäker krävs att teamet runt den äldre patienten samverkar, att planering av vården sker efter bedömning och behov, samt att insatser följs upp och utvärderas. Det ställer krav på sjuksköterskans ledarskap att arbeta med äldre patienter med komplexa vårdbehov. Studier visar att sjuksköterskan känner en osäkerhet i sin roll som ledare trots att det finns få forskningsresultat som beskriver sjuksköterskans ledarskap i kommunens hemsjukvård. Syftet är att beskriva sjuksköterskans ledarskap i den kommunala hemsjukvården. Metoden är en litteraturstudie med kvalitativ ansats. Totalt har 13 kvalitativa och kvantitativa artiklar analyserats enligt en kvalitativ innehållsanalys. En huvudkategori formades; sjuksköterskans ansvar att leda komplex omvårdnad med fem underkategorier som presenteras under aktuell rubrik: Att ha kompetens som ledare; Att ha ansvar för omvårdnaden; Att ha förmåga att kommunicera; Att undervisa omvårdnadspersonal och Att handleda patienter och närstående. Mer forskning behövs om sjuksköterskans ledarskap i hemsjukvården för att säkerställa en god hemsjukvård i framtiden. / Public health has a positive development in Sweden, which means that more people live a longer life. Statistics show that at present there are over two million people in Sweden who are 65 years of age or older. With increasing age, the risk of disease and disability increases, it places an increased load on care, both in county councils, primary care and municipalities. Today, the municipality is responsible for the home care. In order for home care services to be patient-safe, the team around the elderly must work together and that care planning is carried out according to assessment and needs, and that measures are followed up and evaluated. It requires nursing leadership to work with the elderly with complex care needs. Studies show that the nurse feels uncertain in their role as leader despite the fact that there are few research findings describing the nurse's leadership in the municipality's home health care. The purpose is to describe the nurse's leadership in municipality's home care. The method is a literature study with qualitative approach. In total, thirteen qualitative and quantitative articles have been analyzed according to a qualitative content analysis. A main category was formed; nurse's responsibility to lead complex nursing with five sub-men, presented under the current heading: To have skills as a leader; To be responsible for nursing care; Being able to communicate; To teach nursing staff and to supervise patients and close relatives. More research is needed about the nurse's leadership in home care to ensure good home care in the future.

Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012. / Home-Based Healthcare (HBHC) is an important aspect of South Africa's healthcare system. HBHC is the provision of care services to patients by trained or semi-trained caregivers at home. In South Africa HBHC was introduced in 2001 to address many problems with traditional healthcare such as overcrowding in public health facilities. South Africa has one of the highest HIV/AIDS infection rates in the world, which is often accompanied by opportunistic infections such as tuberculosis. HBHC is envisaged to address these challenges, thus relieving the burden on primary healthcare. HBHC is itself faced with many problems which include poor information or data management, unclear information flows, and insufficient information storage. It is also not clear how caregivers use data elements and there is no coherent indigenous knowledge base for the capturing, implementation and utilisation of data elements in local HBHC providers. This is particularly important to caregivers who rely on frameworks of indigenous knowledge in interpreting and making decisions on how to provide a care service to patients. In reality, caregivers operate in indigenous environments requiring the utilisation of local knowledge. This study explores the relationships between, and approaches to, data elements in different HBHC providers and communities. Three interpretive case studies in the Eastern and Western Cape Provinces of South Africa were conducted. Semistructured interviews, focus groups, participant observation and document analysis were used for data collection. The primary research question was: What happens when caregivers from various communities interact with data elements when providing a care service? Caregivers' indigenous knowledge and use of data elements was then harnessed in a knowledge base. The results from this study can be used by HBHC managers to develop their forms and training materials as the initial set of data elements used in HBHC has been identified. Caregivers from different communities can also learn how these data elements are used in other communities.