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Zvládnutí rolového konfliktu pacienta s využitím ošetřovatelského modelu C. Royové / Management of the patient´s role conflict exploiting C. Roy nursing care modelPLZENSKÁ, Dagmar January 2007 (has links)
Management of the Patient´s Role Conflict Exploiting C. Roy Nursing Care Model Any change in health state of a man, who represents a holistic unit, is a stresful situation, to which he/she has to respond to accommodation changes. An irreversible change becomes a stigma for an individual. It changes or affects his actual way of life and often leads to changes in value scale of personality and may end in a role conflict. A nurse´s role becomes irreplaceable because she is the person who gives direction to nursing care, works with instigations, support them or suppress them. Ideal care should complete an idea of individual attitude to a patient to support and make the adaptation easy to his full-value and satisfied life. My diploma work is intented on using the C. Roy Nursing Care Model, on an adequate adaptation achievement of a client, on prevention of a role conflict. In the theoretic part we write about personality problems interaction and problems of setting during the role implementation influenced by irreversible changes. We studied the C. Roy model and its importace when it is used in a prevention of a role conflict with clients with irreversible changes. In the practical part we made up nursing documentation according to the C. Roy and asked nurses´ opinions because they worked with the documentation. Next we concentrated on nursing diagnoses evaluation of patients with irreversible changes in adaptation systems: self {--} concept, self confidence, role playing and interdependence. Then we concentrated on improving the quality of an adaptation level and clients´ satisfaction. The goals of the work: 1. Using the C. Roy Nursing Care Model for prevention of a role conflict in clients with irreversible changes- in a primary, secondary and tertiary role sphere. 2. To evaluate client´s roles before his affection. 3. To find out client´s adaptation level. We conducted a quasiexperiment and interview in the Regional Hospital Příbram and the Hořovice Hospital. We asked 10 clients. The goals of our work were achieved. We hope that our work may help to increase quality of nursing care given to clients with irreversible changes.
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Mapeamento cruzado de intervenções de enfermagem para adultos e idosos hospitalizados com diagnóstico de risco de integridade da pele prejudicadaMeneses , Lenilma Bento de Araújo 31 August 2016 (has links)
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Previous issue date: 2016-08-31 / Introduction: With the Nursing Process arise Ratings Systems of Nursing Practice, starting with the nursing diagnosis classification, then classification of nursing interventions and Classification of Nursing Outcomes, constituting a comprehensive standardized language system of nursing practice. Objective: To analyze from the cross mapping, nursing interventions / activities, described by nursing students for the diagnosis Integrity Risk of Skin adults Impaired and hospitalized elderly, correlating them to the Nursing Interventions Classification, according to NANDA- link I / NIC, 2007 - 2008; Identify nursing interventions / activities described by nursing students for the diagnosis Integrity Risk of Skin impaired adults and elderly hospitalized; conduct cross-mapping of nursing interventions / activities, described by nursing students for the Health Risk diagnosis Impaired skin of adults and elderly hospitalized, comparing them to the classification; validate the content of nursing interventions / activities, described by nursing students to diagnose Integrity Risk of Skin Impaired of hospitalized adults and elderly, by specialist nurses. Method: a descriptive study, quantitative approach, used cross mapping. Held at the Federal University of Paraiba, with 25 nursing students and 14 nurses. Attended Resolution 466/2012. Data collection took place in three phases, the analysis based on descriptive statistics. The thesis is in articles format. Results: Mapped up with the Classification of Nursing Interventions, 32 interventions and 78 nursing activities in the fields: Physiologic complex, basic, behavioral and physiological safety. Interventions mapped 24 are in connection 8 and beyond. Conclusions: validated to 11 nursing interventions as a priority and 21 as suggested. It was identified focus on priority interventions, except for "Care bed rest," he said to the activities of "facilitating self-care", it is concluded that it is important to strengthen the teaching of this subject in nursing education. / Introducción: Con el proceso de enfermería surgen los usuarios de sistemas de la práctica de enfermería, a partir de la clasificación de diagnósticos de enfermería, a continuación, la clasificación de las intervenciones de enfermería y clasificación de resultados de enfermería, lo que constituye un sistema de lenguaje normalizado integral de la práctica de enfermería. Objetivo: Analizar la asignación de cruz, las intervenciones de enfermería / actividades, descrito por los estudiantes de enfermería para el diagnóstico Riesgo de Integridad de la piel perjudicada adultos y ancianos hospitalizados y correlacionarlos con la Clasificación de Intervenciones de Enfermería, de acuerdo con Nanda-enlace E / NIC, 2007 - 2008; Identificar las intervenciones de enfermería / actividades descritas por los estudiantes de enfermería para el diagnóstico Riesgo de Integridad de la piel perjudicada adultos y ancianos hospitalizados; llevar a cabo a través del mapeo de enfermería intervenciones / actividades, descrito por los estudiantes de enfermería para el diagnóstico de riesgos de salud de la piel perjudicada de adultos y ancianos hospitalizados, comparándolas con la clasificación; validar el contenido de las intervenciones de enfermería / actividades, descritas por los estudiantes de enfermería para el diagnóstico de la Integridad de la piel perjudicada Riesgo de adultos y ancianos hospitalizados, por enfermeras especializadas. Método: Estudio descriptivo, enfoque cuantitativo, utilizó la cartografía cruz. Celebrado en la Universidad Federal de Paraíba, con 25 estudiantes de enfermería y 14 enfermeros. Asistido a la Resolución 466/2012. La recolección de datos se llevó a cabo en tres fases, el análisis basado en la estadística descriptiva. La tesis está en formato de artículos. Resultados: correlacionados con la Clasificación de Intervenciones de enfermería, 32 intervenciones y actividades de enfermería 78 en los campos: complejo fisiológico, básicas, de comportamiento y de seguridad fisiológica. Las intervenciones son mapeados 24 en conexión 8 y más allá. Conclusiones: validados para 11 intervenciones de enfermería como una prioridad y 21 como se sugiere. Fue identificado el foco en las intervenciones prioritarias, a excepción de "reposo en cama Care", dijo a las actividades de "facilitar el autocuidado", se concluye que es importante fortalecer la enseñanza de esta materia en la educación de enfermería. / Introdução: Com o Processo de Enfermagem, surgem Sistemas de Classificações da Prática de Enfermagem, iniciando-se pela Classificação de Diagnósticos de Enfermagem e, depois, Classificação das Intervenções de Enfermagem e Classificação dos Resultados de Enfermagem, o que se constitui um sistema abrangente de linguagem padronizada da prática de enfermagem. Objetivo: Analisar, por meio do mapeamento cruzado, intervenções/atividades de enfermagem, descritas por graduandos do Curso de Enfermagem, para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados, e correlacioná-las com as da Nursing Interventions Classification, conforme a ligação NANDA-I/NIC, 2007 – 2008; Identificar intervenções/atividades de enfermagem descritas por graduandos de Enfermagem, para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados; Fazer mapeamento cruzado das intervenções/atividades de enfermagem descritas por graduandos de Enfermagem para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados e compará-las com as da classificação; Validar o conteúdo das intervenções/atividades de enfermagem descritas por graduandos de Enfermagem para o diagnóstico risco de integridade da pele prejudicada de adultos e idosos hospitalizados por enfermeiros especialistas. Método: Estudo descritivo, de abordagem quantitativa, em que se utilizou o mapeamento cruzado, e realizado na Universidade Federal da Paraíba, com 25 estudantes de Enfermagem e 14 enfermeiras. Atendeu à Resolução 466/2012. A coleta de dados ocorreu em três etapas, e a análise foi feita com base na estatística descritiva. A tese encontra-se em formato de artigos. Resultados: Mapearam-se, com a Classificação das Intervenções de Enfermagem, 32 intervenções e 78 atividades de enfermagem nos domínios: Fisiológico complexo, fisiológico básico, comportamental e de Segurança. Das intervenções mapeadas, 24 estão na ligação, e oito, fora dela. Conclusões: Validaram-se 11 intervenções de enfermagem, como prioritárias, e 21, como sugeridas. Houve concentração nas intervenções prioritárias, com exceção de “Cuidados com o repouso no leito”, e destacaram-se as atividades de “Facilitação do autocuidado”. Conclui-se que é importante reforçar o ensino desse tema na formação em Enfermagem.
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Realizace koncepce českého ošetřovatelství v praxi / Realization of Nursing Care Concept in PracticeBALDOVÁ, Martina January 2008 (has links)
The main objective of the thesis was ascertaining of realization of the Nursing Care Concept issued by the Ministry of Health in 2004, in Czech hospitals. To achieve results a quantitative research method was used. While collecting data we used a questioning method, by means of questionnaires. The questionnaires were intended for staff nurses/deputies of nursing care in Czech hospitals. As a research sample we chose hospitals in the Czech Republic which provide acute ward (bed) care. The found out data should clarify what is the actual status of realization of the Nursing Care Concept in Czech hospitals.
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A developmental care program in the Neonatal Intensive Care Unit at Arrowhead Regional Medical CenterFarr, Shirley Marie 01 January 2005 (has links)
The purpose of this project is to develop a self-administered developmental care program that will be utilized by the staff of the neonatal ICU at Arrowhead Regional Medical Center, Colton, CA.
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Vocally disruptive behaviour in severely demented patients in relation to institutional care providedRahm Hallberg, Ingalill January 1990 (has links)
Thirty-seven patients identified as vocally disruptive and a control group, selected from 264 patients at psychogeriatric wards were studied. Tape-recordings of their vocal behaviour, ratings of their functional performance and symptoms related to dementia, observations of their behaviour, activities and interaction with caregivers were performed. Seventeen plus sixteen caregivers were interviewed to give their interpretation of the experience behind the behaviour and describe their own experience of it. The severely demented vocally disruptive patients were found to be significantly more physically dependant, disorientated at the ward and prone to confusional reactions but they had a more preserved speech performance than the controls. The vocal activity expressed such as helplessness, pain, fear and protest. Some were emotionally indifferent and a few expressed positive emotions. Caregivers interpreted the behaviour as an expression of anxiety related to such as abandonment, dissolution and loss of autonomy. They also expressed a strong wish to comfort the patients but felt unable to do so. The patients' daily life was characterized by idleness and solitude. Caring activities and interactions were dominated by physical procedures performed in a fragmentary and rapid way. Two hypotheses are generated. 1. Vocally disruptive behaviour develops influenced by sensory deprivation and the brain damage. 2. The care provided is influenced by caregivers experiencing anxiety in the patients as well as experiencing a conflict between the care they would like to provide and the care they actually provide. This evokes anxiety in them which elicits defence mechanisms leading to emotional withdrawal from the patients and task oriented care. The results are discussed in a nursing perspective based on existential thoughts, psychoanalytic and psychosocial theory. / <p>S. 1-48: sammanfattning, s. 49-164: 6 uppsatser</p> / digitalisering@umu
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Insertion of peripheral intravenous catheters – A complex act including nursing care and patient safety / Insättning av perifer venkateter - En komplex uppgift som inkulderar omvårdnad och patientsäkerhetWestergren, Emma, Andersson, Matilda January 2015 (has links)
Background: Insertion of a peripheral intravenous catheter (PVC) is a common procedure performed by nurses. The practical skill is a complex act, which not only requires theoretical and practical knowledge, but also nursing care adjusted to each patient's history and needs. Aim: The aim was to explore the procedure of inserting a peripheral intravenous catheter at a local hospital in Tanzania with focus on nursing care and patient safety. Method: The study was performed as a non-participating observational study and was preceded by a pilot study performed in Sweden. Eight observations were made, which were analysed with a qualitative content analysis. Result: The categories “Execution” and “Respecting patients” with associated sub-categories constituted the results. “Execution” describes how the procedure is performed, while “Respecting patients,” explains the performed nursing care during the practical skill. Conclusion: The Model of Practical Skill Performance was used for interpreting and discussing the result. The model clarified that some components were not fulfilled and the performance can therefore not be considered as well proceeded. One can discuss whether it depends on lack of knowledge, resources and/or culture. Keywords: Peripheral intravenous catheter, nursing care, patient safety, Tanzania, low-income country. / Bakgrund: Insättning av perifer venkateter (PVK) är en vanligt förekommande uppgift för sjuksköterskor. Denna praktiska färdighet kan anses vara komplex, då den inte bara kräver teoretisk och praktisk kunskap, utan också omvårdnad anpassad efter varje patients behov och tidigare erfarenheter. Syfte: Syftet var att undersöka tillvägagångssättet vid insättning av perifer venkateter på ett lokalt sjukhus i Tanzania, med fokus på omvårdnad och patientsäkerhet. Metod: Studien utfördes som en icke-deltagande observationsstudie och föregicks av en pilotstudie utförd i Sverige. Åtta observationer genomfördes som sedan analyserades med kvalitativ innehållsanalys. Resultat: Kategorierna “Utförande” och “Respektera patienter” med tillhörande underkategorier utgjorde resultatet. ”Utförande” beskriver tillvägagångssättet vid insättnig av PVK, samt förberedelser och slutförande. “Respektera patienter” beskriver den givna omvårdnaden under det det praktiska utförandet. Konklusion: Modellen för praktisk färdighetsutövande användes för att tolka och diskutera resultatet. Modellen klargjorde att några komponenter inte uppfylldes och utförandet kan därmed inte anses som väl utfört. Det kan diskuteras om detta beror på bristande kunskap, resurser och/eller kultur. Nyckelord: Perifer venkateter, omvårdnad, patientsäkerhet, Tanzania, låginkomstland.
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An investigation into factors influencing the quality of nursing care in district hospitals in the West Coast Winelands region of the Western CapeEygelaar, Johanna Elizabeth 03 1900 (has links)
Thesis (MCur (Nursing Science))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Every patient comes to a hospital with the expectation of getting quality care. It is not always within
the ability of nursing personnel to give quality care in the work situation.
Guided by the research question “What are the factors influencing the quality of nursing care in
district hospitals in the West Coast Winelands Region of the Western Cape?” a scientific
investigation was undertaken.
The goal of this study was to identify the factors which influence the quality of nursing care in the
eight (8) district hospitals of the West Coast Winelands Region of the Western Cape.
The objectives set for the study were:
to determine whether staffing is adequate for all activities;
to evaluate what the perceptions of the nursing staff is about their current working situation;
to determine what the effect of the absence of full time doctors are on the management of
patient care;
to evaluate whether adequate equipment is available for the execution of nursing care and to
evaluate whether adequate provisions for the execution of nursing care is done.
A descriptive non-experimental design with a quantitative approach was applied. The population
for this study was all the nursing staff available at the time of data collection, working in the eight
district hospitals of the West Coast Winelands Region.
A structured questionnaire was used to collect the data. The final sample of nursing staff was N=
280 of a total population of 340 – all the members were invited to participate.
Reliability and validity were assured by means of a pilot study and the use of experts in nursing
research, methodology and statistics. Data were collected personally by the researcher.
Ethical approval was obtained from Stellenbosch University and various health authorities.
Informed written consent was obtained from the participants.
The data was analyzed with the support of the statistician; it was expressed in frequencies, tables
and histograms. Comparisons between variables were made using either ANOVA (Analysis of
variance) techniques or cross-tabulations with the Chi-square test. The 95% confidence interval
was applied to determine whether there was an association between the various variables. The analysis shows that participants of the separate wards hospitals N=142 (90%) and the mixed
wards type hospitals N=113 (95%) disagree that staff provision (numbers) is adequate. From the
analysis it is clear that the patient documentation is not up to standard. A statistical significant
correlation between hospital type and adequate time for the completion of written records (Chisquare
Test p=0.00) was shown. Management N=13 (100%), registered nurses N=80 (86%),
enrolled nurses N=63 (86%) and nursing assistants N= 81 (83%) disagree that it is not necessary
to act beyond their scope of practice.
The following recommendations were made: Safe staffing levels have to be determined; qualify
staff with the necessary skills; where unit managers are still lacking, they have to be appointed; to
make personnel development possible for staff; continuous auditing of patient documentation.
It is necessary that there is always adequate equipment and consumables. More training is
necessary for the effective and efficient implementation of the Batho Pele principles. / AFRIKAANSE OPSOMMING: Elke pasiënt kom na ‘n hospitaal met die verwagting om kwaliteit verpleegsorg te ontvang. Dit is
nie altyd binne die vermoë van die verpleegpersoneel om sodanige diens te kan lewer nie.
“Watter faktore het ‘n invloed op die lewering van gehalteverpleegsorg in die distrikhospitale van
die Weskus Wynlandstreek in die Wes Kaap? het die wetenskaplike ondersoek gelei.
Die doel van die studie is om die faktore te identifiseer wat ‘n invloed het op die lewering van
gehalteverpleegsorg in die ag (8) distrikhospitale van die Weskus Wynlandstreek in die Wes Kaap.
Die doelwitte van die studie is:
om te bepaal of personeelvoorsiening voldoende is vir al die aktiwiteite;
om te evalueer wat die persepsies is van die verpleegpersoneel betreffende hulle huidige
werksituasie,
om te bepaal watter effek die afwesigheid van voltydse geneeshere het op pasiënte sorg;
om te evalueer of toerusting voldoende is vir pasiënte sorg;
om te evalueer of daar voldoende voorsiening gemaak is vir die lewering van pasiënte sorg.
‘n Beskrywende, nie-eksperimentele ontwerp as metodologie is gebruik met ‘n kwantitatiewe
benadering. Die bevolking betreffende die studie was alle verpleegpersoneel, werksaam tydens
die insameling van die data in die ag distrikhospitale van die Weskus Wynlandstreek.
‘n Gestruktureerde vraelys was gebruik om die data te versamel. Die finale steekproef van die
verpleegpersoneel was 280 uit die totale bevolking van 340.
Betroubaarheid en geldigheid is verseker deur middel van ‘n loodstudie, en deur gebruik te maak
van kenners betreffende verpleegnavorsing, metodologie en statistieke. Data is persoonlik deur die
navorser ingesamel.
Etiese goedkeuring was verkry vanaf die Universiteit van Stellenbosch en die verskeie
gesondheidsowerhede. Ingeligde, skriftelike toestemming is van elke deelnemer verkry.
Data is ontleed met die ondersteuning van die statistikus en is uitgedruk in die vorm van
frekwensies, tabelle en histogramme. Vergelykings tussen die veranderlikes was gedoen deur
gebruik te maak van ANOVA (analise met betrekking tot variansie) en kruis-tabulerings met die Chi-kwadraat toets. 95% Betroubaarheidsinterval is toegepas om te bepaal of daar ‘n assosiasie
was tussen die onderskeie veranderlikes. Die analise het getoon dat deelnemers betreffende die
hospitale met aparte afdelings N=142 (90%) en die gemengde sale hospitale N=113 (95%)
verskil, betreffende die stelling dat daar voldoende personeelgetalle is. Dokumentasie is volgens
die analise nie op standaard nie. ‘n Statistiese betekenisvolle korrelasie is verkry met betrekking tot
die hospitaal tipe en voldoende tyd betreffende volledige geskrewe dokumentasie (Chi-kwadraat
Toets p=0.00). Verpleegbestuur N=13 (100%), geregistreerde verpleegkundiges N=80 (86%),
stafverpleegsters N=63 (86%) en verpleegassistente N=81 (83%) het verskil met die stelling dat
dit nie nodig is om buite bestek van hul praktyk te werk nie.
Die volgende aanbevelings is gemaak: die bepaling van veilige personeel vlakke moet gedoen
word; voldoende personeel moet gekwalifiseer word met die nodige vaardighede.
Eenheidsbestuurders moet aangestel word waar dit ontbreek; personeelontwikkeling moet
moontlik wees en deurlopende oudits van dokumentasie moet plaasvind.
Voldoende toerusting en voorraad is nodig om kwaliteit verpleegsorg moontlik te maak. Verdere
opleiding in die beginsels van Batho Pele is nodig ten einde effektiewe en doeltreffende
implementering daarvan moontlik te maak.
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Assessing the nurse's knowledge and opinions regarding the management of persons with physical disabilities in two healthcare settings in KimberleySnyman, Johanna Hendrina 03 1900 (has links)
Thesis (MCur)- -University of Stellenbosch, 2011 / ENGLISH ABSTRACT: It generally is a problem for persons with disabilities to have barrier free access to buildings,
which is their constitutional right. It is however, not only the physical facility that causes
barriers for persons with disabilities but also the attitudes of the able-bodied persons.
The aim of the study was to explore what opinions the nurses and persons with disabilities
held in two healthcare settings in Kimberley with reference to the nursing care provided to
persons with disabilities.
To the researcher, it was important to gather the opinions of the nursing staff on how they
saw persons with disabilities, but also to hear what they thought the problem areas in caring
for persons with disabilities were. On the other hand, it was equally important to understand
the persons with disabilities’ perceptions of the hospitals, nursing and what they saw as
solutions to the problems.
The objectives of the study were:
• To determine what the opinions and knowledge of nurses working in two healthcare
services in Kimberley are regarding the nursing management of persons with
disabilities.
• To determine what the opinions of persons with disabilities are in healthcare settings
in Kimberley, with reference to the nursing care provided for persons with disabilities.
Data was collected in two phases namely Phase 1 amongst the nursing staff in the private
and state hospital in Kimberley and Phase 2 amongst the persons with disabilities. A list of
staff members which was obtained from the Human Resource office in both the private and
state hospitals were sent to the statistician Prof Kidd and who prepared a randomised list
which was used for the participants in the study. The same process was followed when a list
of all the people who are members of the Association for Persons with Disabilities (APD) and
with the help of the statistician a randomised list was compiled from which the participants in
the study were chosen.
The design of this research is an explorative, descriptive non-experimental study with a
quantitative approach, utilizing a structured questionnaire with closed and open ended
questions. In this study it was found that the nursing staff was aware of the problems and barriers
persons with disabilities encounter. The nurses, however, were aware of their own shortcomings.
For example, the nurses identified the lack of training to equip them to assist the
persons with disabilities during nursing care, while persons with disabilities also saw this as
a problem. By addressing this shortcoming, nurses would be able to provide more holistic
care.
Recommendations were made based on the findings regarding the facility, perceptions,
caregivers, procedures, doctors and the training of the nurses. / AFRIKAANSE OPSOMMING: Om toegang te hê tot geboue wat hulle grondwetlike reg is, is vir die meeste mense met
gestremdhede ‘n voortdurende stryd. Dit is egter dikwels nie net die fisiese ontoeganklikheid
van die geboue wat dit vir die persone met gestremdhede onmoontlik maak
om ‘n normale lewe te lei nie, maar die houding van verpleegpersoneel wat dikwels meer
ontoeganklik is as die toegang tot die geboue.
Die doel van die studie was om te bepaal wat die opinies die verpleegpersoneel sowel as
persone met gestremdhede het ivm gesondheidsorg in die privaat en staatshospitale in
Kimberley
Dit was vir die navorser belangrik om te bepaal hoe die verpleegpersoneel mense met
gestremdhede sien, maar ook om hulle opinies te hoor ivm die probleme wat hulle ondervind
sowel as moontlike oplossings daarvoor. Aan die ander kant wou die navorser ook weet wat
die opinie van mense met gestremdhede is van die hospitale wat hulle besoek.
Doelwitte van die studie was:
• Om die kennis van verpleegpersoneel in die staat sowel as privaathospitale te bepaal
ivm die versorging van persone met gestremdhede..
• .Om die opinies van persone met gestremdhede te bepaal tov die verpleegsorg in die
staat sowel as privaathospitale in Kimbelrey.
Data is in twee fases versamel. In Fase 1 was die verpleegpersoneel in beide die staat
sowel as die privaathospitaal ingesluit en in Fase 2 was die deelname van die persone met
gestremdhede verkry.
Nadat ‘n personeellys van die Menlike hullpbronafdeling van beide hospitale verkry is, is dit
aan die statistikus, Prof Kidd gestuur is vir steekproefneming. .Die persone met
gestremdhede is genader nadat ‘n lys van die Assosiasie vir persone met gestremdheide
(APD) verkry is. Die lys is deur die statistikus herrangskik,en die personeel en persone met
gestremdhede is gevra om deel te neem aan die studie na aanleiding van die orde op die
lys, nadat hulle ingligting ontvang het en toestemming geteken het vir deelname aan die
studie. Die studie is eksploratief, beskrywend en nie-eksperimenteel van aard met ‘n kwantitatiewe
benadering. Gestruktureerde vraelyse wat oop en geslote –einde vrae bevat het, is gebruik..
In die studie is bevind dat die verpleegpersoneel bewus was van die leemtes in die
versorging van persone met gestremdhede. Een van die leemtes wat geïdentifiseer is, was
dat verpleegsters nie formele opleiding ontvang in die versorging van persone met
gestremdhede nie. Die persone met gestremdhede het ook hierdie leemte identifiseer. Deur
hierdie leemte aan te spreek behoort verpleegpersoneel ‘n meer holistiese versorging aan
persone met gestremdhede te lewer.
Aanbevelings wat gemaak is, is gebasseer op die bevindinge in die studie en sluit in:
fasiliteitt, persepsies, versorgers, prosedures, dokters en die opleiding van verpleegsters.
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Patientens upplevelse av delaktighet i omvårdnad : En litteraturöversikt / The patient’s experience of participation in nursing careBörjes-Andersson, Erica, Fjärdsmans, Ida January 2017 (has links)
Bakgrund: Enligt svensk lagstiftning har patienten en laglig rätt att vara delaktig i sin vård. Detta betyder också att sjuksköterskan har en skyldighet gentemot patienten att göra hen delaktig. Trots denna rättighet upplever patienter att de ibland inte ges möjlighet till att vara delaktiga. Syfte: Syftet med den här studien är att beskriva patientdelaktighet och sjuksköterskans möjlighet att främja respektive hindra patientens upplevelse av delaktighet. Metod: Studien är en litteraturöversikt vars resultat är baserat på tio vetenskapliga artiklar som publicerats mellan åren 2005-2016. Resultat: Patienten anser att det är viktigt att sjuksköterskan ger möjlighet för patienten att uttrycka sig och tilldelas information om vårdsituationen. Genom detta gavs patienten möjlighet till att vara delaktig. Patienten vill bli sedd och hörd samt ses som en jämlik partner i vården. För detta behövs en etablerad relation mellan sjuksköterska och patient. Konklusion: Studier visar att patienten upplever att det finns hinder för att upprätthålla patientdelaktighet samt att sjuksköterskans förhållningssätt har betydelse för patientens upplevelse av delaktighet. / Background: According to Swedish law, patients have a legal right to be involved in their care. This also means that the nurse has a obligation towards the patient to make her/him involved. Despite this right, patients feels that they are not given the opportunity to be involved in their care. Aim: The aim of this study is to describe patient participation and nurses opportunity to promote and prevent the patient’s experience of participation. Method: The study is a literature review whose results are based on ten scientific articles published between the years 2005-2016. Results: The patient believes it is important that the nurse give the opportunity towards the patient to express themselves and be informed about the care situation. Through this the patient was given the opportunity to be involved. Patients want to be seen and heard, and seen as an equal partner in care. This requires an established relationship between nurse and patient. Conclusion: Studies show that patients find that there are obstacles to maintain patient participation and that the nurse’s approach is relevant to the patient’s experience of participation.
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Faktorer som hindrar och underlättar omvårdnadsåtgärder i mötet med våldsutsatta kvinnor i nära relation : En litteraturstudie om sjuksköterskors upplevelserBali, Sara, Holm, Emma January 2017 (has links)
Bakgrund: Mer än en tredjedel av världens kvinnor blir någon gång under sitt liv utsatta för våld av sin partner eller sexuellt våld av annan än partner. Tidigare forskning visar att de våldsutsatta kvinnorna upplever både positivt och negativt bemötande av hälso- och sjukvårdspersonal. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av hindrande respektive underlättande faktorer för att utföra omvårdnadsåtgärder i mötet med våldsutsatta kvinnor i nära relation. Metod: En litteraturstudie där 11 kvalitativa artiklar har granskats och analyserats. Resultat: Fyra kategorier framkom efter analys av artiklar: kunskapsnivå bland sjuksköterskorna, arbetsmiljö och organisation, samhällets inverkan, sjuksköterskornas egna känslor och antaganden. I mötet med våldsutsatta kvinnor i nära relation upplevde sjuksköterskor både hindrande och underlättande faktorer för att utföra omvårdnadsåtgärder, vilket beskrivs i resultatets huvudrubriker. Hindrande faktorer var brist på kunskap, hög arbetsbelastning, tidsbrist och brist på stöd från verksamheten. Partner närvaro, kulturen i samhället, språkbarriärer, egna känslor och antaganden upplevdes också som hindrande faktorer. Underlättande faktorer var utbildning, kunskap, erfarenhet, tid, ökad personaltäthet, stöd från kollegor och god samverkan med andra instanser. Andra underlättande faktorer var att mötet sker i enrum, mer uppmärksamhet i samhället och utbildning i skolor, använda oberoende tolk vid språkbarriärer, skapa en god relation till kvinnan, kunna reglera och hantera egna känslor. Slutsats: Flera faktorer har betydelse för vilka omvårdnadsåtgärder sjuksköterskor ger i mötet med våldsutsatta kvinnor. Upplevd kunskap, erfarenhet, tid, vårdsystem, kulturella aspekter och inställning påverkar vilka omvårdnadsåtgärder som ges eller inte i mötet med den våldsutsatta kvinnan. Vidare forskning behövs om utbildningsbehov hos sjuksköterskor. / Background: More than a third of the world's women are at some time during their life victim of violence by their partner, or victim of sexual violence by other person than their partner. Previous research show that women that are victims of violence experience both positive and negative treatment from healthcare professionals. Aim: The aim was to describe the barriers and facilitating factors nurses experience to carry through nursing actions when meeting female victims of intimate partner violence. Method: A literature study of 11 qualitative articles, those were reviewed and analyzed. Results: Four categories emerged from the analysis: level of knowledge among nurses, the work environment and organisation, the impact of society, nurses own feelings and assumptions. During encounters with female victims of intimate partner violence, nurses experienced both barriers and facilitating factors when performing nursing actions. They are described under the main headlines in the results. Barrier factors were; lack of knowledge, heavy workload, lack of time, lack of support from employer culture in society, language barriers, own feelings and assumptions, presence of the partner. Facilitating factors were; education, knowledge, work experience, having enough time, increased personnel, support from colleagues, good cooperation with other instances. Other facilitating factors were opportunity for meetings in private, more attention in society and education in schools, using an independent interpreter when encountering language barriers, establishing a good relationship with the woman, and the ability to regulate and manage emotions. Conclusion: Several factors for which nursing measures that are provided by nurses has meaning when meeting with the abused women. Knowledge, experience, time, care system, cultural aspects and attitude affect what nursing measures are provided or not provided when meeting with the abused women. Further research is needed about nurses’ need of education in the subject female victims of intimate partner violence.
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