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Bakgrund: Skolsköterskan är en del i elevhälsoteamet. Elevhälsoteamet har med sin tvärprofessionella kompetens möjlighet att fånga olika perspektiv för att kunna sätta in rätt insatser för elever. Informationsutbytet inom teamet har dock visat sig vara en utmaning för att nå god samverkan. Skolsköterskans arbete innebär en känslig balans mellan att bidra till elevhälsoteamets arbete, att hålla sekretessen och värna om elevens värdighet och integritet. Syfte: Att undersöka skolsköterskors uppfattning om vad sekretessen har för betydelse i arbetet i elevhälsoteamet. Metod: Fenomenografisk metod med induktiv ansats. Åtta informanter deltog genom att besvara kvalitativt utformade frågor via mail. Datan analyserades med fenomenografins analysmetod i sju steg. Resultat: Skolsköterskorna uppfattade att det fanns olika uppfattningar och kunskaper kring sekretessen vilket påverkade informationsutbytet. Sekretessen uppfattades också som en isolerande faktor då skolsköterskorna kände sig ensamma i sin profession. Genom behovet av medgivande uppfattades sekretessen som en fördröjande omständighet i elevärenden. Skolsköterskorna beskrev att sekretessen ökade tilliten från elever och vårdnadshavare och att tilliten var viktig för att få medgivande och därmed eliminera det eventuella hinder som sekretessen kunde orsaka. Konklusion: Med utgångspunkt i ett etiskt förhållningssätt uppfattade skolsköterskorna sekretessen ibland som ett hinder i elevhälsoteamsarbetet men som värdefull i relationen med elev och vårdnadshavare. / Background: The school nurse is part of the student health team. With its interdisciplinary skills, the student health team is able to identify different perspectives in order to put in place the right efforts for pupils. However, the information exchange in the team has proved to be a challenge for achieving good cooperation. The school nurse’s work involves a sensitive balance between contributing to the work of the student health team, keeping confidentiality and protecting student’s dignity and integrity. Purpose: To investigate the school nurse’s perception of the impact of secrecy on the work of the student health team. Method: Phenomenographic method with inductive approach. Eight subjects participated by answering qualitatively formulated questions by mail. The data was analyzed by the methodology of the phenomenon in seven steps. Result: The school nurses perceived that there were different perceptions and understandings about secrecy, which affected the exchange of information. Secrecy was also perceived as an isolating factor when the school nurses felt alone in their profession. Due to the need for consent, confidentiality was perceived as a delayed circumstance in order to help students. School nurses reported that confidentiality increased trust from students and guardians and that trust was important in order to obtain consent, thus eliminate the possible barriers that secrecy could cause. Conclusion: Based on ethical approach, the school nurses perceived confidentiality as an obstacle in student health team work but as valuable in the relationship with student and guardians.

ABSTRACT This study explored the challenges medical social workers face that lead to burnout. Currently, there is literature on burnout among health care providers and social workers, but not specifically on social workers in the medical field. The current study aimed to fill this gap in literature. Due to the lack of literature, the study used an exploratory, qualitative design. The study utilized individual interviews with a non-random purposive sample of nine medical social workers currently employed at Kaiser Permanente’s Fontana/Ontario Social Services Department. Interviews with participants were recorded and transcribed. Transcriptions were analyzed using thematic analysis. Major themes that emerged were organizational challenges, challenges working in multidisciplinary teams, working in the medical field, and limited resources. The study’s findings aim to increase awareness of the issue of burnout among medical social workers and to contribute to the implementation of interventions or policies within health care settings to prevent burnout among medical social workers.

abstract: Identity, or peoples’ situated sense of self, can be conceptualized and operationalized in a myriad of ways, including, among others, a person’s gender, socioeconomic status, degree of expertise, nationality, and disciplinary training. This study conceptualizes identity as fluid and constructed through social interaction with others, where individuals ask themselves “Who am I?” in relation to the people around them. Such a discursive conceptualization argues that we can observe peoples’ performance of identity through the close reading and examination of their talk and text. By discursively drawing boundaries around descriptions of “Who I am,” people inherently attribute value to preferred identities and devalue undesirable, “other” selves. This study analyzes ten workshops from the Toolbox Project conducted with graduate student scientists participating in the Integrative Graduate Education Research Traineeship (IGERT) program. The emotional tone, mood, and atmosphere of shared humor and laughter emerged as a context through which collaborators tested the limits of different identities and questioned taken for granted assumptions about their disciplinary identities and approaches to research. Through jokes, humorous comments, sarcasm, and laughter, students engaged in three primary forms of othering: 1) unifying the entire group against people outside the group, 2) differentiating group members against each other, and 3) differentiating oneself in comparison to the rest of the group. I use action-implicative discourse analysis to reconstruct these communicative practices at three levels—problem, technical, and philosophical—and explore the implications of group laughter and humor as sites of “othering” discursive strategies in graduate students’ efforts to negotiate and differentiate identity in the context of integrative collaboration. / Dissertation/Thesis / Doctoral Dissertation Communication 2016

In the fields of Human-Computer Interaction and Interaction Design there is an increased interest in designing for leisure and fun in contrast to an understanding of technology primarily as part of the workplace. Along with this, the relevance of experiential aspects of design is heightened compared to usability in terms of effectiveness, efficiency and satisfaction. At the same time, this created an interest in the relationship between the human body and technology use in research and industry. The starting point for this thesis is the perceived difficulty to combine exploration and technology in early stages of the design process without becoming technology-focused. Instead of picking a technology early in the process and therefore letting the design process be shaped by it, this thesis advocates introducing technology in a way that designers can explore different technologies similar to sketching with different materials. This thesis aims to identify the needs of designers in inter- disciplinary teams when designing with movement-based interactions. This is done by first summarizing important aspects of sketching from the literature. Secondly, the tools that are currently available are reviewed. Finally, an observational study of a design situation is conducted to complete this investigation. The main outcome of this thesis is a set of guidelines for designing a sketching tool for movement-based interactions in interdisciplinary teams. The most important are low transaction costs, overview over sketches, integration into the existing ecosystem, optimization for the team setting and clear articulation of material qualities.

Although social workers are frequently part of interdisciplinary teams in health care and community settings, interdisciplinary training is often lacking in social work education (Berg-Weger & Schneider, 1998). This article describes a study of the effects of an interdisciplinary community-based experiential course preparing new health care professionals for work as part of interdisciplinary teams. The interdisciplinary curriculum was established for a summer course taught in 2006 by faculty from five disciplines: social work, nutrition, medicine, nursing, and public health. The course, Quality Improvement in Rural Healthcare, which focused on health literacy in people with a diagnosis of diabetes that live in northeast Tennessee, provided a model environment for learning interdisciplinary teamwork. Evaluation of this course found that social work students displayed a statistically significant increase in positive attitude toward interdisciplinary teamwork. Course strengths, weaknesses, obstacles, and opportunities for curriculum improvement are elaborated.

Inledning: Inom ätstörningsbehandling arbetar man ofta i tvärprofessionella team, olika professioner med olika teoretisk kunskap och inriktning. Finns det egentligen någon gemensam bas dem emellan och vad skulle den kunna vara? Syfte: Syftet med studien är att undersöka om det finns en gemensam bas mellan professioner i arbetet med ätstörningspatienter. Frågeställningar: Finns det någon gemensam bas olika professioner emellan inom ätstörningsvården? Om, hur skulle den kunna tas till vara? Metod: Studien är kvalitativ. Fem personer med olika professioner inom ätstörningsvården intervjuades; en arbetsterapeut, sjuksköterska, dietist, psykolog/psykoterapeut och en sjukgymnast. Resultaten: Resultatet i denna studie visar att det hos terapeuterna finns en samsyn i relation till ätstörningsproblematik, dess uppkomst, vård och behandling, baserat på affekternas roll. En del av problematiken hos den ätstörda handlar om känslor och affekter som behöver hitta rätt känslomässiga uttryck istället för att ta sig uttryck genom maten. Den egna viljan och motivationen till att bli frisk finns med i mötet med patienten i form av motivationsarbete oavsett profession. Slutsats: För att ätstörningsbehandlingen ska nå framgång är det viktigt att det hos patienten finns en motivation till att bli frisk, att patienten får förtroende för behandlingen och lär sig att känna igen känslor och affekter. / Introduction: In the eating disorder treatment you work most often in interdisciplinary teams, different professions with different theoretical knowledge and specialization. Is there really any common ground between them, and what would it be? Purpose: The purpose of this qualitative study is to investigate if there is a common ground between professions in the process of eating disorder patients. Questions: Is there any common ground between various professions within the eating disorder treatment. If, how could it be utilized? Method: Five people with different professions within the eating disorder treatment were interviewed, an occupational therapist, nurse, nutritionist, psychologist / psychotherapist and physiotherapist. Results: The results of this study show that the therapists there is a consensus in relation to the eating disorder problems, des emergence, care and treatment. Their willingness and motivation to get healthy is with the meeting with the patient in the form of motivational work regardless of profession. A conclusion of the study is that the base between professions and what unites the different professional groups are thoughts about the affect of the role in terms of development and treatment. To deal with the issue of the eating disorders is about feelings and emotions that need to find the right emotional expression instead of being expressed through food. Conclusion: For eating disorder treatment to achieve success, it is important that the patient´s motivation to be healthy, the patient gain confidence in reading and learn to recognize feelings and emotion.

No description available.

Le cancer du poumon a une incidence et une létalité parmi les plus hautes de tous les cancers diagnostiqués au Canada. En considérant la gravité du pronostic et des symptômes de la maladie, l’accès au traitement dans les plus brefs de délais est essentiel. Malgré l’engagement du gouvernement fédéral et les gouvernements provinciaux de réduire les délais de temps d’attente, des balises pour les temps d’attente pour le traitement d’un cancer ne sont toujours pas établis. En outre, le compte-rendu des indicateurs des temps d’attente n’est pas uniforme à travers les provinces. Une des solutions proposées pour la réduction des temps d’attente pour le traitement du cancer est les équipes interdisciplinaires. J’ai complété un audit du programme interdisciplinaire traitant le cancer du poumon à l’Hôpital général juif (l’HGJ) de 2004 à 2007. Les objectifs primaires de l’étude étaient : (1) de faire un audit de la performance de l’équipe interdisciplinaire à l’HGJ en ce qui concerne les temps d’attente pour les intervalles critiques et les sous-groupes de patients ; (2) de comparer les temps d’attente dans la trajectoire clinique des patients traités à l’HGJ avec les balises qui existent ; (3) de déterminer les facteurs associés aux délais plus longs dans cette population. Un objectif secondaire de l’étude était de suggérer des mesures visant à réduire les temps d’attente. Le service clinique à l’HGJ a été évalué selon les balises proposées par le British Thoracic Society, Cancer Care Ontario, et la balise pan-canadienne pour la radiothérapie. Les patients de l’HGJ ont subi un délai médian de 9 jours pour l’intervalle «Ready to treat to first treatment», et un délai médian de 30 jours pour l’intervalle entre le premier contact avec l’hôpital et le premier traitement. Les patients âgés de plus de 65 ans, les patients avec une capacité physique diminuée, et les patients avec un stade de tumeur limité étaient plus à risque d’échouer les balises pour les temps d’attente. / Lung cancer is among the most lethal and the most diagnosed cancers in Canada. Given the poor prognosis and symptom burden of the disease, timely access to treatment and quality care are essential. In spite of government commitments to reduce waiting times in cancer care, national clinical benchmarks for cancer care have yet to be established, and waiting time reporting by provinces is inconsistent. One of the proposed strategies for reducing waiting times in cancer care is the use of interdisciplinary teams. I undertook an audit of the interdisciplinary pulmonary oncology program at the Jewish General Hospital from 2004 to 2007. The primary objectives of this study were: (1) to audit the performance of the interdisciplinary pulmonary oncology service at the Jewish General Hospital with respect to waiting times for key intervals and subgroups of patients; (2) to compare waiting times in the clinical trajectory of lung cancer patients seen at the Jewish General Hospital with existing waiting time guidelines; (3) to determine those factors associated with longer waiting times in this population. A secondary objective was to suggest measures to be considered in order to reduce waiting times. The JGH’s lung cancer service was compared against benchmarks developed by the British Thoracic Society, Cancer Care Ontario, and the pan-Canadian waiting time benchmarks for radiation oncology. Patients waited a median of 9 days from the time they were ready to treat until their first treatment, and a median of 30 days from their first contact with the pulmonary service until their first treatment. Patients over age 65, those with early-stage disease and those with good performance status were less likely to meet the recommended guidelines.

Le cancer du poumon a une incidence et une létalité parmi les plus hautes de tous les cancers diagnostiqués au Canada. En considérant la gravité du pronostic et des symptômes de la maladie, l’accès au traitement dans les plus brefs de délais est essentiel. Malgré l’engagement du gouvernement fédéral et les gouvernements provinciaux de réduire les délais de temps d’attente, des balises pour les temps d’attente pour le traitement d’un cancer ne sont toujours pas établis. En outre, le compte-rendu des indicateurs des temps d’attente n’est pas uniforme à travers les provinces. Une des solutions proposées pour la réduction des temps d’attente pour le traitement du cancer est les équipes interdisciplinaires. J’ai complété un audit du programme interdisciplinaire traitant le cancer du poumon à l’Hôpital général juif (l’HGJ) de 2004 à 2007. Les objectifs primaires de l’étude étaient : (1) de faire un audit de la performance de l’équipe interdisciplinaire à l’HGJ en ce qui concerne les temps d’attente pour les intervalles critiques et les sous-groupes de patients ; (2) de comparer les temps d’attente dans la trajectoire clinique des patients traités à l’HGJ avec les balises qui existent ; (3) de déterminer les facteurs associés aux délais plus longs dans cette population. Un objectif secondaire de l’étude était de suggérer des mesures visant à réduire les temps d’attente. Le service clinique à l’HGJ a été évalué selon les balises proposées par le British Thoracic Society, Cancer Care Ontario, et la balise pan-canadienne pour la radiothérapie. Les patients de l’HGJ ont subi un délai médian de 9 jours pour l’intervalle «Ready to treat to first treatment», et un délai médian de 30 jours pour l’intervalle entre le premier contact avec l’hôpital et le premier traitement. Les patients âgés de plus de 65 ans, les patients avec une capacité physique diminuée, et les patients avec un stade de tumeur limité étaient plus à risque d’échouer les balises pour les temps d’attente. / Lung cancer is among the most lethal and the most diagnosed cancers in Canada. Given the poor prognosis and symptom burden of the disease, timely access to treatment and quality care are essential. In spite of government commitments to reduce waiting times in cancer care, national clinical benchmarks for cancer care have yet to be established, and waiting time reporting by provinces is inconsistent. One of the proposed strategies for reducing waiting times in cancer care is the use of interdisciplinary teams. I undertook an audit of the interdisciplinary pulmonary oncology program at the Jewish General Hospital from 2004 to 2007. The primary objectives of this study were: (1) to audit the performance of the interdisciplinary pulmonary oncology service at the Jewish General Hospital with respect to waiting times for key intervals and subgroups of patients; (2) to compare waiting times in the clinical trajectory of lung cancer patients seen at the Jewish General Hospital with existing waiting time guidelines; (3) to determine those factors associated with longer waiting times in this population. A secondary objective was to suggest measures to be considered in order to reduce waiting times. The JGH’s lung cancer service was compared against benchmarks developed by the British Thoracic Society, Cancer Care Ontario, and the pan-Canadian waiting time benchmarks for radiation oncology. Patients waited a median of 9 days from the time they were ready to treat until their first treatment, and a median of 30 days from their first contact with the pulmonary service until their first treatment. Patients over age 65, those with early-stage disease and those with good performance status were less likely to meet the recommended guidelines.