Bakgrund: Shaken Baby Syndrom är en allvarlig form av barnmisshandel. Förekomsten är vanligare bland barn under ett år och barnets skrik anses vara den enskilt största orsaken. BVC-sjuksköterskorna har ett ansvar i att arbeta förebyggande mot Shaken Baby Syndrom. Att som BVC-sjuksköterska möta en familj där barnet utsatts för skakvåld väcker mycket känslor och ställer höga krav på professionalitet. Syfte: Syftet med denna studie var att belysa BVC-sjuksköterskors erfarenheter av att möta en familj, där barnet utsatts för Shaken Baby Syndrom. Metod: Data analyserades med kvalitativ innehållsanalys med induktiv ansats. Fem intervjuer genomfördes med BVC-sjuksköterskor. Resultat: Ur analysen av datamaterialet framträdde fyra kategorier; lyhörd för varningssignaler, tillämpa beprövad kunskap, egna insatser otillräckliga och kollegial avlastning med totalt 11 underkategorier. Konklusion: Resultaten av denna studie kan bidra till att utveckla och förbättra BVC-sjuksköterskors komplexa arbetssituation i mötet med familjen. Det kan också bidra till att BVC-sjuksköterskor lättare upptäcker varningssignaler och får en större insikt i betydelsen av att arbeta förebyggande och därmed minskar förekomsten av Shaken Baby Syndrom. / Background: Shaken Baby Syndrome is a serious form of child abuse. The occurrence is more frequent among children younger than one year, and the baby's cries are considered the largest single cause. Child health care nurses have a responsibility to work to prevent Shaken Baby Syndrome. Meeting a family where the child has being abused evokes a lot of emotions and requires a high level of professionalism.Aim: The aim of the study was to highlight child health care nurses’ experiences of meeting a family, where the child is a victim of Shaken Baby Syndrome.Method: The data were analyzed using qualitative content analysis technique with an inductive approach. Five interviews with child health care nurses’ were performed.Result: Four categories emerged from the analysis; perceptive to warning signs, application of proven knowledge, own efforts inadequate and collegiate relief, with 11 subcategories.Conclusion: The results of this study may contribute to develop and improve how child health care nurses handle their complex interaction with families. It can also contribute to a deeper understanding and awareness of warning signs. Preventive work is essential to decrease the prevalence of Shaken Baby Syndrome.

The consultation is the GP’s form of work. How long a consultation should be, and what short/long consultations imply with regard to the satisfaction of patient and doctor has been much debated. The aim of this thesis was to study consultations with regard to content and time consumption in a short term and long term perspective. Three studies were carried out. 1. Consultations with the members of a group of GPs were investigated, where patients and doctors separately assessed different aspects of the consultation, and their ratings were related to the real length of the consultations. The following questions were posed: Was there time enough? Could the patient tell the doctor about her/his problems? Were the problems physical or psychological? 2. Nurses at the primary care health centres were interviewed about their considerations in booking short or long appointments for the patients. 3. Patients who frequently attended one health centre during one year and consumed much time were studied. Quantitative and qualitative methods were used. The results of the first study (Papers I-III) show that the average length of the consultations was 21 minutes; there was considerable variation (ranging from 3 to 60 minutes). (About 600 consultations with 7 male doctors were registered in two batches). The doctors’ mean consultation length also varied widely, from 13-28 minutes. Consultations dealing with psychological problems were longer than those dealing with physical problems. Older patients had longer consultations than younger patients, and female patients had somewhat longer consultations than male patients. The patients were generally more satisfied with the consultations than the doctors were, and there were no clear affinities between long consultations and high satisfaction. Male patients and patients with physical problems mainly received short consultations, whereas patients with ”mixed" problems and older patients received long consultations. The single factors most decisive for the length of a consultation were ‘the doctor factor’, the character of the problem and the age of the patient. "Good” consultations (operational definition) were associated primarily with ‘the doctor factor’, and the real length of the consultations was less important. The interviews with ten experienced primary care nurses (Paper IV) showed that the nurses worked in two perspectives: in the ”immediate” perspective, appointments were booked according to rules which directly impacted the length of the visit, and in the "reflective" perspective, appointments were booked with a view to the quality of the work at the health centre and the long-term time consumption. Other factors of importance were the patient’s age and problem(s), the doctor’s experience and working style, and the current situation at the health centre. Frequent attenders (FAs) at one health centre (Paper V) were compared with a contrast group of matched patients (CPs). The FAs represented 1.7% of the population of the catchment area and made 15% of the visits. The FAs were a heterogeneous group where small boys, women of working age and pensioners of both sexes were overrepresented. The FAs had higher consultation frequency than the CPs during the year of investigation, but few remained FAs for longer periods. The FAs had more problems and more complex problems than the CPs. Complaints regarding the musculo-skeletal organs, and psychosocial problems were common among these patients, often in combination. The present work thus shows that longer consultations do not naturally imply higher patient satisfaction. Other factors than the time factor, in particular ‘the doctor factor’ seem to be more important. ‘The doctor factor’, the characteristics of the patients, the type of problem and the situation at the health centre also have a bearing on consultation length and time consumption in a short-term as well as long-term perspective. The implications of these factors and their relative importance are discussed, but further studies of certain issues, such as ‘the doctor factor’, are necessary. / <p>Diss. (sammanfattning) Umeå : Umeå universitet, 1995, härtill 5 uppsatser.</p> / digitalisering@umu

De senaste åren har forskning runt miljöns betydelse för patientens välbefinnande och tillfrisknande tagit fart. Medvetenhet om närståendes betydelse för den kritiskt sjuke har också ökat. Detta har gjort att de befintliga flerpatientrummen är i behov av renovering för att göra plats för närstående som är allt mer närvarande på rummet. Forskningen har visat att genom att vårdas i enpatientrum kan patienten få mera ro och förbättrad sömn. Förekomst av delirium minskar och smittspridningen blir lägre. Dock finns det negativa aspekter av enpatientrum som ger en ökad kostnad och kräver mer personal – något som kan bidra till att det inte byggs i lika stor utsträckning som behovet finns. Den aktuella studien är genomförd på en IVA som har byggts om till modulsystem, där två enpatientrum kopplas samman med hjälp av en skjutdörr. Syftet med studien var att beskriva sjuksköterskors upplevelser av att arbeta i en IVA-modul.  Information samlades in med hjälp av en kvalitativ forskningsintervju där tio sjuksköterskor intervjuades. Datamaterialet granskades med kvalitativ innehållsanalys. Samtliga sjuksköterskor var nöjda med att arbeta i modul. Rummens storlek och utformning uppskattades. De intervjuade upplevde dock att genom att vårda två patienter men i olika rum kunde de förlora kontroll vilket kunde skapa stress. Grundbemanningen där en sjuksköterska och en undersköterska ansvarar för två kritiskt sjuka patienter tycktes oftast inte räcka till då det kunde vara svårt att få hjälp av kollegor. Denna modullösning upplevdes som en bra kompromiss till flerpatientrum. En viktig slutsats är att modullösningar kräver mer personal och ställer högre krav på kommunikation samt samarbete personalen emellan.

No description available.

Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2006. / Härtill uppsatser.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1990. / eContent provider-neutral record in process. Description based on print version record.

Intensivvårdssjuksköterskor har en viktig uppgift i att identifiera potentiella organdonatorer. Endast 200-270 personer per år i Sverige är potentiella organdonatorer och det är därför viktigt att alla dessa identifieras. Tidigare har endast de människor som avlidit i totalhjärninfarkt och som vårdats på en intensivvårdsavdelning i respirator varit möjliga organdonatorer. Nu pågår ett projekt på uppdrag av Sveriges kommuner och landsting i syfte att öka organdonationer. Det handlar om donation efter cirkulationsdöd (DCD). Det är viktigt att intensivvårdssjuksköterskor känner sig väl förtrogna med döden till följd av total hjärninfarkt och känner sig trygga i sin yrkesroll vid vården av potentiella organdonatorer. Forskning visar att sjuksköterskor och läkare kan uppleva det obekvämt att ta upp frågan om donation med närstående. Författarna önskade ta reda på vilka faktorer som kan främja arbetet för intensivvårdssjuksköterskor kring donationsprocessen. Syftet med examensarbetet var att belysa hinder och förutsättningar som intensivvårdssjuksköterskor upplever i vården av potentiella organdonatorer. En kvalitativ ansats valdes. Datainsamlingen bestod av sex semistrukturerade intervjuer med intensivvårdssjuksköterskor på tre olika intensivvårdsavdelningar. Data analyserades utifrån kvalitativ innehållsanalys vilket resulterade i fyra olika kategorier. Kategorierna var Synen på donation, Donationsprocessen – en utmaning för intensivvårdssjuksköterskan, Kommunikationen med närstående samt Organisatoriska förutsättningar. Sjuksköterskors kommunikation med närstående upplevdes som ett hinder innan läkaren hade haft samtal med dem. För att underlätta detta bör närstående få information i ett tidigt skede. Intensivvårdssjuksköterskor  önskar  mer  utbildning  om  donationsprocessen  och  det svåra samtalet med närstående.

The nursing profession belongs to helping professions which are heavily demanding in terms of mental and physical aspects. The nurses who are university graduates enter into practice more mentally and physically mature, and their approach to patients and the care provided may be better than in nurses with secondary education. In care provision nurses have to cooperate with physicians, but also with other healthcare professionals. Due to the lack of medical personnel nurses assume responsibilities of other team members, which they may perceive as a restriction in fulfilling their professional identity. This restriction may be reflected in the quality of the care provided. It often happens that a nurse cannot fulfill her professional identity because of the pressure of her family which requires the fulfillment of their own requirements prior to fulfilling the professional identity of a nurse.The aim of the thesis was to determine how nurses, but also their family members, perceive the professional identity of nurses. The aim was achieved. The research was carried out in two phases. The first phase was conducted using interviews with six nurses of different ages both with and without university education. The second phase was carried out through a quantitative survey using a questionnaire method in health care facilities in Písek, České Budějovice and Plzeň. Results of the research can be used in qualification and lifelong education of nurses to strengthen their identification with the profession.

Purpose: to describe the knowledge, beliefs, and attitudes of physicians and hospital administrators regarding the role and scope of practice of acute care nurse practitioners in rural Montana. Background: Nurse practitioners have been increasingly called upon to provide high quality and cost-effective healthcare in variety of settings and have consistently shown to provide a high-level of patient care in both the primary and acute care settings. The acute care nurse practitioner specialty is relatively new, and with very few licensed acute care nurse practitioners in the state of Montana, the role and scope of practice is not well understood by physicians and hospital administrators who are often tasked with hiring and recruiting providers in the hospital setting. The Consensus Model, which served as the conceptual framework for this project, advocates that nurses provide care for the population that is specific to their licensure, accreditation, certification, and education. Method: Some 28 physicians and hospital administrators completed a survey that included 21 Likert scale statements that were divided into the subscales of Knowledge, Belief, and Attitude. Results included: 1) An existing gap in knowledge regarding the role and scope of practice of acute care nurse practitioners, 2) acute care nurse practitioners should always have some form of physician oversite, and 3) there is disparity in patient outcomes when patient care is provided by nurse practitioners. Conclusion: Attitudes of survey respondents were overwhelmingly positive for the future of acute care nurse practitioners filling various provider roles in the hospital setting. These results can provide a foundation for future inquiry and can assist in the development of education and collaborative efforts to further advance the utilization of acute care nurse practitioners in Montana.