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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
131

The socio-economic characteristics and Implications of youth unemployment in Galeshewe Township in the Kimberley area (Northern Cape Province)

Ndhlovu, Dineo January 2010 (has links)
<p>The objective of this study was to investigate some socio-demographic aspects and implications of youth unemployment in Galeshewe Township. The study makes use of descriptive statistics to analyze and interpret data collected from a random survey of 947 young persons aged between 18 and 35 years old. An individual questionnaire was administered during the interviews. The results indicate that most unemployed youths are between the ages of twenty-five and twenty-nine years and the majority of them are females. About 58.5% of the unemployed youths have completed secondary education, with 8.9% of them having obtained a tertiary diploma or degree. The majority of the youth do not have previous work experience and this handicaps their ability to secure employment. Most of these young people originate from areas outside Galeshewe. The views collected from the unemployed youth point to the need for government to ensure that tertiary education is accessible in the city in order to improve the level of education of the youth. The government also needs to provide more targeted job creation schemes, especially to those who did well at matriculation level, and to also empower the youth through other skills acquisitions as well as training and programmes that are available.</p>
132

Upplevelse av stigma inom vården utifrån personer med psykisk ohälsa : En litteraturöversikt / Experience of stigma in health care from people with mental ill health : A literature review

Andersson, Isac, Johansson, Karl January 2018 (has links)
Bakgrund: Psykisk ohälsa är ett vanligt förekommande fenomen. Trots detta så existerar fortfarande ett stigma mot de som drabbas i form av negativa föreställningar om denna grupp. Stigmatiserande attityder finns i samhället i stort samt inom vården och kan resultera i negativa konsekvenser för den som blir utsatt. Detta är inte i linje med vårdens uppdrag där alla ska behandlas med värdighet och respekt. Syfte: Beskriva hur personer med psykisk ohälsa upplever stigma inom vården. Metod: Studien är en litteraturöversikt av kvalitativ design med en induktiv ansats. Resultatet är baserat på nio artiklar som kvalitetsgranskades utifrån ett protokoll framtaget av Hälsohögskolan i Jönköping samt analyserades utifrån Fribergs analyssteg. Resultat: Stereotypisering samt bristande vård utgör studiens övergripande teman. I dessa ingår underteman upplevelser av att anses vara inkompetent, upplevelser av social stämpling, upplevelser av bristande interaktion, upplevelser av att inte uppfattas som en hel människa samt upplevelser av kränkande bemötande. Slutsats: Det faktum att patienterna har psykisk ohälsa kan påverka vårdrelationen negativt. Stigmat kan skapa barriärer mellan patienter och vårdgivare samt kan ge upphov till lidande för patienterna. Vårdgivaren bör se människan bakom sjukdomen. / Background: Mental ill health is a widespread phenomenon. There is in spite of this still a stigma around the people affected that takes form of negative notions about this group. Stigmatizing attitudes exist both in society as a whole and in health care and may result in negative outcomes for the people affected by them. This is not in line with the commitment of health care where everyone should be treated with dignity and respect. Aim: To describe how people with mental ill health experience stigma in healthcare. Method: The study is a literature review with a qualitative design and an inductive approach. The result is based on nine scientific papers which were examined by quality through a protocol made by Hälsohögskolan in Jönköping and analysed with Friberg’s model of analysis. Results: Stereotypization and insufficient care are the general themes of the study. These themes includes the subthemes experiences of being considered incompetent, experiences of social labelling, experiences of insufficient interaction, experiences of not being perceived as a whole person and experiences of offensive treatment. Conclusions: The occurrence of patients having mental ill health may affect the relationship between caregivers and the patients in a negative manner. The stigma may create barriers between patients and caregiver and may result in suffering for the patients. The caregivers should see the person behind the illness.
133

Les exilés en communication : Le cas des auteurs de la francophonie choisie d’Europe médiane(1939 - à nos jours). / Exile in communication : The case of authors from East Central Europe who choose to write in French (1939 – present)

Boursier, Axel 11 December 2017 (has links)
Le croisement entre communication et exil ne va pas de soi. L’exilé n’est-il pas en effet celui qui perd, par son arrachement communautaire, toute possibilité de communiquer : langue, repères sémantiques, amis et familles ? Cependant, il est également celui qui entre en relation avec une nouvelle culture et société. En s’intéressant au corpus des auteurs de la francophonie choisie d’Europe médiane de 1939 à nos jours, notre thèse a pour objectif de comprendre comment l’exilé peut entrer en relation au sein de la communauté de culture rejointe.Nous nous intéressons au discours littéraire et à la fonction-auteur, dans le sens foucaldien, afin d’étudier la façon dont, par la mise en récit de sa vie, l’exilé peut configurer un ethos apte à la relation. En faisant jouer l’opposition entre un visage pré-discursif des auteurs, marqué par le contrat de communication du témoignage, et leur volonté d’être reçus comme des artistes, nous proposons de s’intéresser à la façon dont ces voix d’Europe médiane viennent s’inscrire dans le dispositif littéraire français. Nous montrons alors que le discours de l’exilé est un discours souvent soumis au processus d’incommunication : sa voix est inaudible, soumise à un contrat de communication et en proie à des erreurs sémantiques.Nous proposons alors de considérer le récit l’exil sous l’intrigue du « héros de la liberté » comme étant une possibilité pour ces auteurs de gérer cette opposition entre régime de singularité et nécessité de disposer d’un ancrage au sein du champ littéraire nouveau.Dans un deuxième temps, nous questionnons cette possibilité qu’ont les auteurs de refuser le contrat de communication pré-discursif et nous introduisons le concept de « non-lieu » afin de penser un espace de communication qui ne serait plus relié avec le public de réception premier de ces œuvres. Face à cette menace, nous intéressons au processus de révérence-inclusion présent dans les œuvres. Par ce processus il s’agit de maitriser les marqueurs de l’espace discursif français afin de montrer au lecteur son inscription dans le champ. Les réemplois de ces marqueurs agissent comme des « discours constituants » et permettent alors de montrer l’appartenance de ce corpus à un même « cadre de l’expérience ».Enfin, nous interrogeons la possibilité de parler de cette littérature comme étant assimilée. Par l’opposition entre assimilation structurelle et culturelle, nous émettons l’hypothèse que cette littérature n’est pas réellement assimilée, et que la conscience de cette intégration complexe amène les auteurs à retravailler leur positionnement discursif. Aussi, la mise en mémoire du soviétisme permet à ces auteurs de présenter une « étrangeté réappropriée » où leur expérience du nazisme et du soviétisme n’est plus rejetée dans une « commémoration négative », mais devient un jalon à partir duquel lire la modernité française. Ces réflexions nous mènent à s’interroger sur l’expérience même de ces auteurs et aux métacommunications qu’ils présentent lorsqu’ils abordent la question de l’identité, de l’Europe et de la mondialisation culturelle.Cette thèse de doctorat réalisée en science de l’information et de la communication s’intéresse aux relations interculturelles européennes. Par le corpus littéraire large choisi, cette thèse entend montrer la complexité des exils européens et réfléchir aux enjeux contemporains de cette notion. Enfin en s’interrogeant à partir de l’incommunication, cette thèse expose l’idée que si la communication n’est jamais innée, elle peut se produire grâce aux efforts de traduction de soi, de ce fait nous pensons la communication non seulement comme un facteur de diffusion, mais également comme un sujet à penser. / The link we make between exile and communication is not a classic one. In fact, an exile is someone who leaves his country and changes his language and culture. He is also someone who tries to reach a new culture and society. By considering the literature of writers from East and Central Europe, who choose to write their books directly in French, our thesis seeks to understand the way how an exile can generate new relationships in this space.We focus on the literary discourses and the notion of the author, as Foucault spoke about them, in order to understand how an author uses the narration of his own life to configure a face-speech acceptable to his host community. By using the difference between this face in a pre-discursive manner marked by the contract between the testimony and the authors’ will to be perceived as artists, we try to focus on the way those voices show their inclusion in the French literary world. We show that the exiles’ discourses must deal with the possibility of lack of communication due to inaudibility cause by semantic mistakes.We think that the configuration of exile is a way to present oneself as a « hero of freedom. » Authors manage the opposition between singularity and the necessity to find a new community in order to communicate. Moreover, we also consider the possibility of refusing the first contract of communication and we include the concept of « non-lieu » created by Marc Augé, a concept which refers to a space with no link to the community. Confronts with this threat, we consider that an author may manage this risk by a process of reverence-inclusion. According to this process, writers give their own description of French social markers to indicate to the public that they belong to the French culture. Those descriptions allow them to give to the French audience the rule of interpretation for their own books. Finally, we examine the possibility of speaking about this literature as an assimilated one. We show that this literature is not fully integrated because of the complex social integration of those authors. This difficulty of integration forces them to redefine their position in French society. As a result of their Soviet education, authors try to show a disturbing strangeness not as a marker of an outsider, but as an indication of their social place in French society. This past is made a tool for understanding French modernity. This specificity directs us to consider those writers, particularly their views on communication, identity, Europe and cosmopolitanism.Our thesis focuses on the problem of communication and tries to increase our knowledge of intercultural relations in Europe. By focusing on a large literary corpus, our thesis endeavours to understand this complex phenomena of European exiles. Finally, our thesis integrates the problem of non-communication as a conceptual center of interrogations in order to show that if communication is not an innate capacity, it can be developed into something beyond a tool for spreading a message, namely a concept to think.
134

Distraídas, dispersas, hiperativas, apáticas: que escuta fazer desses sujeitos?

Lélis Terezinha Marino Duarte 26 February 2009 (has links)
Esse trabalho de pesquisa teórica apresenta uma conceituação da função da Atenção no psiquismo humano, a partir do referencial teórico psicanalítico. Problematizamos o conceito de Atenção subjacente aos critérios propostos para definição dos transtornos de Atenção que caracterizam o TDA/ TDHA (Transtorno do Déficit de Atenção e Transtorno do Déficit de Atenção com Hiperatividade). A partir da pesquisa na obra freudiana, foi possível estabelecer a constituição da Atenção no sujeito humano, bem como as relações entre a Atenção, a atividade motora e o pensamento. A perspectiva aqui apresentada permite-nos questionar o aumento de diagnósticos de déficit de atenção e hiperatividade na atualidade. É analisado o poder do discurso que caracteriza o TDA/ TDHA como modelo de funcionamento mental propondo uma leitura de sujeito conforme concebido pela Psicanálise. Freud, em sua teoria, aponta para a função antecipatória da Atenção e para o pensar como forma de coibir a descarga motora que inibe a ação. A Atenção supõe uma reserva de energia que, não tendo sido descarregada, é usada na ação constituída pelo pensar. Assim, a Atenção é tomada desde o seu estabelecimento num tempo não cronológico, que integra o surgimento do humano a partir do organismo, considerando as fronteiras entre a realidade material e psíquica, entre o sujeito e a cultura e entre o normal e o patológico. O movimento da Aufhebung freudiana permite compreender como a Atenção de um sujeito pode incidir sobre os estímulos endógenos, voltar-se às necessidades internas e às solicitações externas. Há um corte e uma continuidade entre esses dois espaços. Partimos da palavra inaugural, trazida ao bebê pela pessoa que está atenta às suas manifestações, concebida como sendo aquilo que inscreve as dimensões na qual o ser humano está inserido e que permite um endereçamento de sua fala ao outro. A concepção do outro enquanto semelhante e enquanto lugar Outro que transmite as palavras possibilita o surgimento das dimensões de tempo e de espaço, nas quais o sujeito pode se fazer representar. A inscrição da temporalidade que define a trajetória do humano é determinante no desenvolvimento do psiquismo. Esse desenvolvimento é não linear e desarmônico por natureza, uma vez que há avanços e retrocessos que não respeitam a cronologia, mas sim o movimento interno. Aquilo, portanto, que se caracteriza como normal ou patológico, é pensado nessa dissertação a partir desses pressupostos. Colocamos em relevo o transitivismo da relação mãe-bebê e suas implicações na organização de modalidades singulares de prestar atenção ao mundo e nele situar-se. É a partir dessa singularidade que um sujeito deve ser escutado. Afirmamos que a posição psicanalítica, aqui assumida, estabelece que, diante da distração, dispersão, hiperatividade ou apatia da criança, jovem ou adulto, levantaremos a hipótese de que ali há um Sujeito, capaz de fazer uma demanda em seu nome / This piece of theoretical research aims to present a conceptualization of the function of the Attention in the human psyche, which will allow us to evaluate the increasing number of diagnoses of attention deficit and hiperactivity nowadays. Well analyse the power of speech which characterizes TDA/TDHA as a model of the way the minds works, suggesting a reading which concieves the subject from psychoanalytical viewpoint. Freud, in his work, points the antecipatory function of Attention to thought as a way of avoiding the motor discharge which inhibits action. Attention assumes a reserve of energy which if not discharged, is expended in the process of thought. Thus, Attention is seen from its origin in non-chronological time, which integrates the grouwth of the human being from its organism, considering the frontiers between material and psychogical reality, between the subject, and the culture, and the normal to the pathological. Freudian Aufhebung moviment allow us to understahow the Attention of an individual can be related to endogenous stimuli, can turn back to internal necessities and to external requests. There is a breack and a continuity between these two spaces. The language we highlight here are the frist words , brought to the baby by the person attentive to his manifestations, conceived as the one who introduces the dimensions in which the human being is inserted and who allows him to speak to anyone else. The conception on another the same as you and as a place and Another that transmites words give srise to the possibility of the growth of the dimensions of time and space in which the individual can make himself understood. The entry of time, which defines the human trajectory is decisivein the development of the psyche. This development is not linear, being disharmonious by nature.There are advances and retreats which do not respect cronology, but internal processes. So that which is characterised as normal or pathological, will be considered bearing this in mind. We will put in relief the hypotesis who mother does to her child ans its implications in the organization of individual ways to pay attention to the world and situate oneself in it. It is from this starting point that an individual must be heard. We assert that the psycoanalytical position, from our perspective, rather that assume the child demand , assumes the hypothesis that the child is capable of making a demand in his own name
135

O fenômeno da proletarização das profissões liberais e a subordinação do contrato de trabalho / The proletarianization of the phenomenon of the professions and the subordination of the employment contract

Murilo Oliveira Souza 28 August 2015 (has links)
Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro / As modificações nas relações de prestação de serviço, decorrentes da sofisticação da sociedade pós-industrial, são notórias. Os trabalhadores dos dias atuais ainda são homens e mulheres que vivem da venda de sua força de trabalho, contudo, além do trabalhador operário há o surgimento de uma nova classe de trabalhadores: o trabalhador autônomo. Com isso a subordinação se tornou um importante elemento diferenciador das relações de trabalho. A visão do trabalho subordinado, um dos elementos da relação de emprego, foi construída a partir de um modelo tradicional de trabalhador. Logo, o que se pretende analisar no decorrer desta pesquisa é se o critério da subordinação presente na Consolidação das Leis do Trabalho ainda pode ser capaz de representar todas as relações de trabalho subordinada. Isto porque está se desenvolvendo uma prática de prestação de serviço na qual o profissional liberal presta o seu serviço com restrição na sua autonomia, o que denotaria a subordinação do trabalhador intelectual, mas que não se concretiza em virtude do ato formal que reveste essa relação. Estes profissionais recebem a nomenclatura de autônomo-subordinados, porque apesar de serem contratados como autônomos desempenham a sua função de modo subordinado. Esta prática possui desdobramentos negativos, como a ausência de direitos trabalhistas e previdenciários aos trabalhadores autônomo-subordinados, além da confusão social a que estão submetidos. Tais aspectos serão abordados no decorrer deste estudo, o qual utilizou como método de abordagem o dedutivo-indutivo, e também o método de procedimento bibliográfico dissertativo-argumentativo. Ao final deste trabalhou chegou-se a conclusão de que o conceito clássico de subordinação precisa ser readequado para atender a uma nova realidade do trabalho, a do trabalhador autônomo-subordinado. / The changes in the relations of service, resulting from the sophistication of post-industrial society, are notorious. The workers of today are still men and women living selling his labor power, however, beyond the labor worker there is the emergence of a new class of workers: the self-employed. With this subordination has become an important differentiating element of labor relations. The vision of paid employment, one of the employment relationship of elements, was built from a traditional model worker. Soon, to be examined during this study is the criterion of this subordination in the Consolidation of Labor Laws may still be able to represent all labor relations subordinate. This is because is developing a practice of service in which the liberal professional provides its service with restrictions on their autonomy, called this work of self-subordinate, which would denote the subordination of knowledge worker, but that is not realized due the formal act that covers this relationship. This practice has negative consequences, as the lack of labor and social security rights to self-subordinate workers, and social confusion they face. Such aspects will be widely discussed during this study, which used as a method of approach deductive-inductive, and also the method of argumentative-argumentative literature procedure. At the end of this work we came to the conclusion that the classical concept of subordination must be reconfigured to meet a new reality of work, the autonomic-subordinate worker.
136

A utilização de audiências públicas no Judiciário: o caso da efetivação das políticas públicas de saúde / The use of public hearings in the Judiciary: the case of public health policies

Ricardo Cesar Duarte 30 May 2016 (has links)
Esta pesquisa pretende, no contexto da expansão do protagonismo judicial (principalmente sobre o aspecto da judicialização das políticas públicas), estudar as audiências públicas realizadas pelo Supremo Tribunal Federal e seus efeitos na realização do direito à saúde que, por ser um direito social, se concretiza, principalmente, por meio de políticas públicas. O objetivo é verificar se as audiências públicas realizadas sobre o tema (audiências sobre a judicialização da saúde, sobre o programa Mais Médicos e sobre a internação com diferença de classe no SUS) foram satisfatórias no sentido de serem capazes de criar uma sistemática de atuação para o Poder Judiciário nos casos que envolvem o controle de políticas públicas de saúde. Para tanto, realizamos a análise de obras teóricas sobre a judicialização dos conflitos, o estudo de casos concretos envolvendo a efetivação da saúde e dividimos a dissertação em quatro partes. Na primeira parte (capítulo um), abordaremos os limites metodológicos do direito positivo tradicional no que se refere à efetivação dos direitos sociais, no contexto da expansão do protagonismo judicial e da ascensão do neoconstitucionalismo, apontando como reflexo a estes desafios a institucionalização das audiências públicas. No segundo capítulo trataremos do papel que as audiências públicas assumiram no STF, destacando de forma crítica a apropriação do instituto como um canal de diálogo democrático com a sociedade civil, asseverando que sua utilização é discricionária, pontual e seletiva, atendendo assim, principalmente, a uma busca por maior legitimidade decisória. No terceiro capítulo, tendo em vista as dificuldades inerentes para a efetivação do direito à saúde e o caráter limitado que as audiências públicas assumiram junto à Corte Suprema, analisaremos os efeitos do instituto na criação do que poderíamos chamar de política judiciária de saúde. Por fim, no quarto capítulo, apontaremos para caminhos que visam a superação da lógica compensatória e individualista da aplicação do direito à saúde, por meio da valorização de um verdadeiro diálogo do Judiciário com a sociedade civil, alcançada somente com a realização de audiências públicas verdadeiramente deliberativas. / In the context of the expansion of judicial protagonism (especially on the aspect of judicialization of public policies), this research aims to study the Supreme Court public hearings and the effects on social rights awereness. The goal is to verify if the public hearings regarding \"judicalization of health,\", \"Mais Médicos\" program and \"admission to differences classes in the SUS\", were able to create a pattern of the Judiciary acting in cases involving control of public health policies satisfactorily. The research compreends the analysis of theoretical works on the judicialization of conflicts, case studies involving the effectiveness of health and is divided in four parts. On the first chapter the analysis will be on the methodological limits of traditional positive law, in the context of the expansion of the judicial role and neoconstitutionalism rise. On the second, the analysis will be on the role of the public hearing at the Supreme Court level. The emphases is critically pointing the institute\'s institucionalization as a democratic channel of dialogue with civil society, stressing that its use is discretionary, timely and selective. In the third chapter, given the difficulties inherent to the application of the right to health and the limited nature that the public hearings have taken by the Supreme Court, we will analyze the effects of public hearings in creating what we might call \"judicial policy of health\" . Finally, in the fourth chapter, we will point to ways to overcome the compensatory and individualistic logic of the application of the right to health through the promotion of a true judicial dialogue with civil society.
137

An Exploration of Information Inadequacy: Instances that Cause the Lack of Needed Information

Kajtazi, Miranda January 2011 (has links)
Information is one of the most essential resources in our contemporary societies, as it guideshuman thinking, planning and subsequent actions, which in turn generates consequencesthat are desired or not. The Lehman Brothers bankruptcy in 2008, the tsunami in Indonesiain 2004, the Space Shuttle Challenger destruction in 1986 are just three instances ofdramatic situations, emerging continuously, where information plays a crucial role. Thisstudy investigates the phenomenon of the lack of needed information, predominantlyexperienced with difficulties in human, social and industrial affairs. Consequently, thechallenge is to understand why such situations emerge. Two approaches are utilized toexplore this challenge using an interpretivist tradition. The first is a hermeneutic approach,the second a grounded theory approach. The first approach – theoretically oriented –investigates numerous theoretical bodies, selected with the assumption that they can explainthe addressed challenge. The results show that there are no comprehensive theoreticalbodies that can fully account for the phenomenon of the lack of needed information.Furthermore, there is no consensus on what “information” is – the very core of thechallenge, which gave the foundations for a formulation of an alternative notion ofinformation and is instrumental for the present investigation. Thus, no a priori theory isused to guide the empirical investigation. The second approach – empirically oriented –investigates fifty empirical cases, where the lack of needed information is clearly manifested.The results present an initial outline for a possible future theory of information inadequacy,constituted by the dichotomy of information-lack and information-overflow. Informationlackis dominated by: “information is non-existent”, “information is insufficient”, “information is censored” and “information is undelivered”. Whereas, information-overflow isdominated by: “information is ambiguous”, “information is redundant”, “information isirrelevant” and “information is undervalued”. The two main dichotomous characteristics andtheir interrelations result in patterns of various information inadequacies. The keyconclusion of the present study is that while dramatic situations are increasing everyday,there is as yet no theoretical body designed to comprehensively account for the phenomenonin context; only partial accounts are found. Thus, the empirical investigation suggests thatthe phenomenon of the lack of needed information seems to emerge because of diversefactors, ranging from political and cultural structures, through human individualcapabilities, and ending with procedural and technological artefacts. This study advocatesthat further research is needed to fully account for and explain instances of the lack ofneeded information, and that such an account requires an innovative and interdisciplinary focus.
138

Sjuksköterskors erfarenheter av att vårda personer med demens på akutvårdsavdelningar : En litteraturbaserad studie

Bergqvist, Johan, Stenman Josefsson, Märta January 2018 (has links)
Background: The diagnoses of dementia increases in line with the aging population of the earth. Symptoms vary between different dementia diagnoses and for some, a diagnosis might be a relief and confirmation of what’s really going on for both the patient and their relatives. Person centered care aims to empower a person's self-esteem and involvement in their own care. It urges healthcare professionals to look beyond the diagnosis of the patient, which makes this the form of care advocated for patients with dementia. Despite the fact that long waiting times is an acknowledged problem, nurses are still obliged to pursue nursing on equal standardse. Aim: The aim was to acknowledge nurses' experiences of caring for patients with dementia in acute care settings Method: A literature-based study with nine qualitative articles were chosen. Results: The analysis identified three main categories; lack of knowledge, structural deficiencies and relatives as a co-actor of the caring process, and eight subcategories. Conclusion: Dedication and education are central aspects regarding the care of patients with dementia. It becomes apparent that regardless of context, caring for patients with dementia is often mired in complexity. Nurses claim that lack of time and education combined with structural deficiencies constitutes an obstacle for nurses providing what they would consider sufficient care. These deficiencies may also negatively affect attitudes and perceptions and consequently the care of patients with dementia can be stigmatized. / Bakgrund: Diagnostik av demens ökar i takt med världens åldrande befolkning. Symtom skiljer sig mellan olika diagnostyper och en diagnos kan innebära en lättnad och bekräftelse för både patient och anhöriga. Den vårdform som förespråkas för patienter med demens är personcentrerad vård som syftar till att stärka en persons självkänsla och delaktighet i vården och se bortom diagnoser. Även om väntetiderna på landets akutmottagningar är erkänt långa för äldre patienter har sjuksköterskor en skyldighet att ge omvårdnad på en likvärdig grund. Syfte: Syftet med studien var att belysa sjuksköterskors erfarenheter av att vårda patienter med demens på akutvårdsavdelningar. Metod: En litteraturbaserad studie valdes där nio kvalitativa artiklar analyserats Resultat: Ur analysen framträdde tre kategorier; bristande kunskap, strukturella brister och anhöriga en medaktör i vårdandet med åtta underkategorier. Konklusion: Vårdandet av patienter med demens kräver engagemang och utbildning och det visar sig att det oavsett kontext är komplext att vårda patienter med demens. Sjuksköterskors erfarenheter visar att tid, utbildning och strukturella brister utgör ett hinder i vårdandet. Dessa brister kan även påverka attityder i negativ riktning och vårdandet av patienter med demens kan stigmatiseras.
139

The socio-economic characteristics and Implications of youth unemployment in Galeshewe Township in the Kimberley area (Northern Cape Province)

Ndhlovu, Dineo January 2010 (has links)
Magister Commercii - MCom / The objective of this study was to investigate some socio-demographic aspects and implications of youth unemployment in Galeshewe Township. The study makes use of descriptive statistics to analyze and interpret data collected from a random survey of 947 young persons aged between 18 and 35 years old. An individual questionnaire was administered during the interviews. The results indicate that most unemployed youths are between the ages of twenty-five and twenty-nine years and the majority of them are females. About 58.5% of the unemployed youths have completed secondary education, with 8.9% of them having obtained a tertiary diploma or degree. The majority of the youth do not have previous work experience and this handicaps their ability to secure employment. Most of these young people originate from areas outside Galeshewe. The views collected from the unemployed youth point to the need for government to ensure that tertiary education is accessible in the city in order to improve the level of education of the youth. The government also needs to provide more targeted job creation schemes, especially to those who did well at matriculation level, and to also empower the youth through other skills acquisitions as well as training and programmes that are available. / South Africa
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Behandlingsbegränsning på akutvårdsavdelningar - beslut om ej HLR : en intervjustudie om sjuksköterskors upplevelser och erfarenheter / DNR decisions in acute care units : an interview study about nurses´ experiences

Hammarin, Anna January 2011 (has links)
Bakgrund: Att ta beslut om ej HLR började redan på 50-talet och har visat sig vara ett svårt etiskt beslut. Ofta missförstås begreppet ej HLR och behandlingsbegränsningar av vårdpersonalen, vilket i förlängningen kan leda till olika vård av olika patienter beroende på hur den personal som är i tjänst tolkar begreppet. Sjuksköterskor ställs ofta inför etiska dilemman vid beslut kring behandling i livets slutskede, dels gentemot läkare och undersköterskor men även gentemot patient och anhöriga. Syfte: Syftet med studien var att beskriva sjuksköterskors upplevelser och erfarenheter av behandlingsbegränsningsbeslut gällande ej HLR. Metod: Semistrukturerad intervjustudie av åtta sjuksköterskor på en akutvårdsklinik, analys med kvalitativ innehållsanalys. Resultat: Analysen resulterade i tre kategorier utifrån sjuksköterskornas upplevelser och erfarenheter av behandlingsbegränsningsbeslut om ej HLR: Sjuksköterskors kunskap &amp; erfarenhet, sjuksköterskors känsla av frustration och sjuksköterskors upplevelse av etiska dilemman. Sjuksköterskorna hade erfarit skillnader i kunskapsläget gällande behandlingsbegränsningar och ej HLR inom alla personalkategorier. Där fanns också en upplevelse av frustration bland annat när det saknades beslut om ej HLR och när de inte delade åsikt med beslutade läkare. Detta resulterade också i att de ställdes inför etiska dilemman när de var tvungna att påbörja HLR på grund av avsaknad av behandlingsbegränsnings beslut om ej HLR. Slutsats: Sjuksköterskorna hade upplevelse och erfarenhet av brister i kommunikationen mellan vårdpersonal inom alla personalkategorier. Önskemål om mer utbildning och diskussion i ämnet utrycktes för att förbättra beslutsfattandet och vården av de patienter som har eller bör ha beslut om ej HLR. / Background: DNR-decisions started in the 50´s and it has been proven as a difficult ethical decision. Often there is a misunderstanding of the concept of DNR and end-of-life decisions among the hospital staff, which can lead to differences in care of patients. Nurses´ often experience ethical dilemmas when decisions regarding treatment must be taken in the final stages of life, both against doctors and other nurses, but also to patients and their relatives. Aim: The aim of this study was to describe nurses' experiences of DNR decisions. Method: A semi-structured interview study of eight nurses in an acute care unit, analysis with qualitative content analysis. Results: The analysis resulted in three categories based on nurses´ experiences of end-of-life decisions and DNR; Nurses knowledge and experience, nurse´ sense of frustration and nurses´ experience of ethical dilemmas. The nurses´ had experienced differences in the knowledge regarding end-of-life decisions and DNR in all categories of staff. There was also an experience of frustration in when there was no decision on DNR and when they did not share the view with the doctor. This also resulted in that they were faced with ethical dilemmas when they had to begin CPR because of the absence of DNR-decision. Conclusion: The nurses had sensed and experienced lack of communication between health professionals in all categories of staff. Desire for more education and discussion on the subject was expressed in order to improve decision making and care of patients who have or should have the decision of DNR.

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