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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.
11

PRIORITERING FRÅN LARM TILL SJUKHUS : En retrospektiv registerstudie om bedömningar i den prehospitala vårdkedjan

Lundblad, Martin, Svensson, Helena January 2017 (has links)
Introduction: When in care, patients are assessed and prioritised throughout the whole process of care, but to perform these assessments is a complex task. The emergency dispatch center performs the assessment and prioritise the patient over the phone, and do not see them in person. Often it is not even the patients themselves that are on the other end of the line. The ambulance nurse meets their patient when the assessment is made and all senses can be utilized. The purpose of the ambulance nurse assessment is that the patient should receive the best care upon arrival in the pre-hospital care and further in the chain of care. It is desirable that there is a connection between the assessments between the assessments that are made in the pre-hospital chain of care, despite that they have different purposes. Today a tendency to contact the emergency dispatch center prevails, and a general increase of ambulance assistance compared to earlier years can be seen in Sweden. However, the number of ambulance resources are limited and can in the long run become a problem for patient safety. Seriously ill patients must not be overlooked, and therefore correct assessments must form the foundation for those assessments that are being made across the whole chain of care. A well functioning pre-hospital chain of care is of significant importance for patient's security and for the following process of care. Aim: The aim of the study was to investigate what differences and associations that exists between the emergency dispatch centers' assessment of the level of care priority and those from the ambulance nurse. Method: A quantitative study with a retrospective design. In total, 638 alarms were analysed via data from an ambulance operation in the south of Sweden. The result was accounted for by statistical analysis. Result: The result showed a weak connection between the prioritisation performed by the emergency dispatch center compared to that performed by the ambulance nurse. In order to strengthen the  validity of the study, the ambulance nurse different assessments (CUPS and RETTS-triage) were also compared which showed a relatively strong association. Conclusion: The comparison between the emergency dispatch center's assessment and the ambulance nurse assessment of the patients can be seen as problematic since they have different preconditions an purposes. The assessments are and should be different and a certain degree over-priorities has to be accepted in order to ensure that acute ill patients not should be overlooked. A stronger connection between these two in order not to endanger patient safety is however desirable. / Introduktion: Inom vården bedöms och prioriteras patienter genom hela vårdprocessen men att utföra dessa bedömningar är en komplex uppgift. Larmcentralen utför bedömningen och prioriterar patienten via telefon och träffar inte fysiskt någon patient. Ofta är det inte ens patienten själv som ringer. Deras prioritering har till syfte att rätt patient ska få hjälp av ambulanssjukvård i rätt tid. Ambulanssjuksköterskan möter sin patient när bedömningen görs och alla sinnen kan användas. Syftet med ambulanssjuksköterskans bedömning är att patienten ska få rätt vård i rätt tid både prehospitalt och vidare genom vårdkedjan. Att det finns ett samband mellan de bedömningar som görs i den prehospitala vårdkedjan är önskvärt trots att de har olika syfte. Det råder idag större benägenhet att kontakta larmcentralen och begära ambulanssjukvård än tidigare år och en generell ökning kan ses i Sverige. Dock är antalet ambulansresurser begränsade och kan i slutänden bli ett problem för patientsäkerheten. Svårt sjuka patienter får inte förbises och därför måste korrekta bedömningar ligga till grund för de beslut som fattas genom hela kedjan. En väl fungerande prehospital vårdkedja är av stor betydelse för människors trygghet och hela den efterföljande vårdprocessen. Syfte: Syftet med studien var att se vilka skillnader och samband som fanns mellan larmcentralens bedömning av prioriteringsnivån och ambulanssjuksköterskans bedömningar. Metod: En kvantitativ studie med retrospektiv design. Totalt 638 ambulansuppdrag granskades via data från en ambulansverksamhet i södra Sverige. Med hjälp av statistisk analys redovisades resultatet. Resultat: Resultatet visade ett svagt samband mellan den prioritering som utförs av larmcentralen jämfört med ambulanssjuksköterskans bedömning. För att stärka studiens validitet jämfördes också ambulanssjuksköterskans olika bedömningar (CUPS och RETTS-triage), vilket visade på ett relativt starkt samband. Slutsats: Jämförelsen mellan larmcentralens prioritering och ambulanssjuksköterskans bedömning av patienten kan ses som problematisk eftersom de har olika förutsättningar och syfte. Bedömningarna är och ska vara olika och viss överprioritering måste accepteras för att akut sjuka patienter inte ska förbises. Önskvärt är dock ett starkare samband mellan dem för att inte äventyra patientsäkerheten utan alla patienter får rätt vård i rätt tid.
12

Which functional and design aspects to prioritize when developing outdoor tents - To optimize customer satisfaction and four season use.

Lidén, Stina, Rosdahl, Amanda January 2023 (has links)
Optimizing customer satisfaction is vital to maintain relevance as well as being competitive on a growing market. This research is aimed to explore what aspects of design and functionality that should be prioritized when developing solo tunnel tents for four season use within a European market. Since solo tents are small in size, users seem to prioritize purchasing a tent for two people because it provides bigger space for equipment, accompanied animals and is more reliable in bad weather. To examine the research questions, a design theory and human centered design method has been applied to optimize customer satisfaction. The study consists of literature study, survey, interviews, empathy mapping and prototyping, which resulted in an implemented prototype for a four season solo tent planned for future production. Furthermore, a prototype has been developed by data conducted from the survey, interviews and a design brief given by the partnering company. Conspicuous results have been shown through a survey and interviews, which explains the difficulties in development of tents to ensure a wider range of customer satisfaction. Findings in this research emerged that weight was not the most important aspect when buying a four season solo tent. A correlation has been investigated, there was an expectation from the producer that lightweight tents were preferred by the users, however this research exposed that it is not as important as imagined for a four season solo tent. In the sense of a solo tent for four seasons, the users desire space over weight. Furthermore, the results also showed that there was a difference in requirements related to the two different groups that had been investigated. It was found that experienced users had a higher preference of design and ergonomic aspects compared to the common users that did not rank it as important. Within this research a total of 55 people participated, where 44 people participated in the survey and 11 people participated in the interviews. For future research a larger number of participants, preferably women, could provide an interesting result and more on if people from a larger area outside Sweden participated in the research. Furthermore a physical test of the prototyped tent would ensure that this study results in a design that optimizes customer satisfaction.

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