Bakgrund: Övervikten ökar i världen och i Sverige är varannan man och var tredje kvinna överviktig. Att vara överviktig är en riskfaktor för många sjukdomar och kan leda till en för tidig död. Sjuksköterskor har enligt kompetensbeskrivningen ett ansvar att behandla alla patienter lika. Trots det förekommer negativa attityder hos sjuksköterskor till överviktiga patienter, vilket kan leda till att överviktiga personer undviker vården.Syfte: Syftet är att beskriva vuxna personers upplevelser av att leva med övervikt. Metod: I litteraturöversikten har elva kvalitativa vetenskapliga artiklar analyserats. Vid genomläsning av artiklarna identifierades nyckelfynd i studiernas resultatdelar som ansågs ha relevans för syftet. Därefter strukturerades dessa upp i nya teman som bildar resultatet i denna litteraturöversikt. Resultat: I resultatet framkom fem teman; annorlundaskap relaterat till miljö och kroppsstorlek, upplevelser av stigmatisering och diskriminering, relationen till sig själv och andra, upplevelser i mötet med vården samt upplevelser av att kämpa med vikten. Dessa beskriver hur vuxna personer upplever att det är att leva med övervikt i samhället och vården.  Diskussion: Samhället är inte anpassat för överviktiga människor, miljön leder till känslor av annorlundaskap, skam och skuld. Det finns en brist på ett holistiskt synsätt i vården som gör att man hänvisar alla hälsoproblem till patientens övervikt. Vidare är utrustningen inte anpassad för överviktiga vilket leder till utsatta situationer för både patient och sjuksköterska. Personalen kan i de här situationerna hamna i kläm. I diskussionen diskuteras resultatet mot livsvärldsperspektivet samt egna reflektioner. Slutsats: Av resultatet framgick olika svåra upplevelser som hör samman med att vara överviktig. Stigmatisering genomsyrar överviktiga personers möten med vården och samhället. De känner sig begränsade av icke anpassade miljöer och utrustning som leder till känslor av utanförskap. Det förekommer samma typer av fördomar och negativa attityder hos vårdpersonal som i resten av samhället."

<p>Mäns hot och våld mot kvinnor är ett allvarligt samhällsproblem. Syftet med studien var att utifrån aktuell forskning belysa faktorer som har betydelse i mötet mellan vårdpersonal och den våldsutsatta kvinnan. Metoden som har användts var en litteraturöversikt. Vetenskapliga artiklar söktes i databaserna Cinahl, Medline, HighWire press, samt psyk INFO. Resultatet består av 12 vetenskapliga artiklar publicerade mellan 1996-2007 . Analysen av materialet resulterade i ett antal områden.  Dessa områden är attityder och fördomar i vårdmötet, bemötande, miljöfaktorer, utbildning och screeningprogrammens betydelse, ekonomins betydelse, samarbete mellan olika yrkesgrupper, kunskap och rädsla. Det framkom i resultatet att mer utbildning av personalen är önskvärt, för att alla parter ska känna sig trygga i mötet. Genom att belysa områdena kan arbetet inom vården påbörjas för att decimera de negativa och understödja de positiva faktorerna. Resultatet talar för att undervisning om bemötande av våldsutsatta kvinnor bör ingå i utbildning för all vårdpersonal.</p> / <p>Men's threats and violence against women is a serious social problem. The aim of the study was to, based on current research, find and highlight factors of importance in the meeting between health professionals and the vulnerable woman. Method that was used was a literature review. Scientific articles sought in the databases Cinahl, Medline, High Wire Press, and psych INFO. The result consists of 12 scientific articles published between the years of 1996-2007. The analysis of the material resulted in a number of areas. These areas are the attitudes and prejudices in the health care meeting, treatment, environmental, education and screening programs, importance, economic importance, cooperation between different professions, knowledge and fear. It appeared in the result that for everyone to feel safe in the meeting, more professional training of staff members was to be desirable. By highlighting these areas the work in health care can begin to decrease the negative factors and support the positive ones. The results suggest that education concerning the response to women exposed to domestic violence should be included in all training of health professionals.</p>

Purpose: The aim of the study is to gain a holistic understanding of the reflection ofemployee empowerment practiced in the customer's perception of service quality in serviceencounters. Research Method: Exploratory research method based on a single case study Results: Through the analysis of both primary and secondary data, it has been found thatemployee empowerment practice is reflected in customer perception of service quality through improved service delivery provided by empowered frontline employees. Research limitations: This is a single case study, which is confined to the activities of onesmall company related to the health industry in Mexico. The choice of conducting theresearch only focusing on one company ignoring others can not open a true reflection of theentire problem. Practical implications: The results may be applicable for companies which in some extenthave similar retailing and services activities. Originality/value: This research makes a contribution to the existing literature on employeeempowerment by adding relevant qualitative data.

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Background: A variety of factors may interplay between nurses and maternity clients of diverse ethnic origins to disrupt effective ethnocultural care encounters. Study Aim/Research Questions: The aim of this study was to explore maternity nurses care experiences with African immigrant/refugee women. Methodology: Focused ethnography. Methods: Data collection through a purposive sample using semi-structured interviews. Location/Setting: Maternity units of three acute care hospitals in Alberta, Canada. Participant Number & Characteristics: Twelve maternity nurses of RN or LPN designation. Approach to Analysis: A cyclical, iterative process of data collection & analysis with Atlas.ti6. Findings: Maternity nurses use multiple ways of gaining knowledge and information to negotiate ethnocultural care encounters. Awareness of larger social structures that impede deeper critical reflection and assessment is needed. Implications: This research study has the potential to affect positive learning outcomes amongst nurses such as improved therapeutic communication, care decision making and subsequent nurse-client relationships in ethno-cultural encounters.

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A presente pesquisa busca contribuir à compreensão do processo de constituição de debates na cultura arquitetônico-urbanística, atentando, em específico, ao aspecto da migração e adaptação de determinadas discussões de seus contextos originais para outros, à fusão e à agregação de novos significados que ocorre neste deslocamento. Para tanto, enfoca-se o V Seminário de Arquitetura Latino-americana (SAL), realizado em Santiago do Chile, em 1991. O objetivo geral é demonstrar, através do estudo da conjuntura que permitiu a realização do V SAL, a existência de uma hibridação entre os debates relativos a uma possível identidade latino-americana e à revisão do movimento moderno a partir do vocabulário tipo-morfologia entre meados dos anos 1980 e início dos anos 1990. Dissonante com o que foi habitualmente escrito e divulgado sobre os debates produzidos no interior destes seminários no período entre 1985 e 1995, no V SAL - cujo tema fora \"Nuestro Espacio Público: Propuestas Morfológicas\" - não teve seu debate pautado em questões referentes à \"modernidade apropriada\" ou à interação entre \"o espírito do tempo e o do lugar\". A tese embasa-se através de três hipóteses complementares. A primeira hipótese é que V SAL não foi uma ruptura, nem mesmo uma cesura dentro da história dos Seminários de Arquitetura Latino-americana; mas sim a assunção pública e o ápice de um debate sobre a cidade latino-americana e sua morfologia que esteve latente desde os primeiros eventos e foi majoritariamente omitido pela crítica. A segunda hipótese é que a realização do V SAL não se explica somente pela história própria dos Seminários de Arquitetura Latino-Americana; pelo contrário, este evento se insere uma série de traduções culturais do debate tipo-morfológico que buscaram vínculos latino-americanos como forma de garantir sua legitimação - e para qual parte de seus organizadores contribuiu ativamente. A terceira e última hipótese é que estes encontros e traduções culturais distintos não foram inócuos, através deles permitiram-se hibridações de conceitos e recombinações de significados nos debates originais e a construção de representações comuns sobre a morfologia de uma \"cidade latino-americana\" e a forma de se intervir nela, cujos vestígios transparecem nos debates dos SAL. Dois eixos de análises organizam o conjunto de métodos empregados e se manifestam na estrutura da tese: um insere o V SAL dentro da trajetória dos Seminários de Arquitetura Latino-americana; outro busca, a partir deste referencial, desconstruir as redes de profissionais e as traduções culturais que permitem compreender a realização do evento de Santiago do Chile. / This research has as the purpose to contribute to understanding the process of setting up debates in architectural-urban culture, noting in particular the aspect of migration and adaptation of certain ideas from their original contexts to other ones, the fusion and the addition of new meanings that occurs among these displacements. Therefore, we focus in the V Seminar of Latin-American Architecture (SAL), which had place in Santiago, Chile, in 1991. Our goal is to demonstrate, by studying the circumstances that allowed the realization of SAL V, the existence of hybridization between the debate about a possible Latin American identity and the revision of the Modern Movement by applying the type-morphology vocabulary, between mid-1980s and early 1990s. Dissonant with what was usually written and published about the debate that took place in those seminars between 1985 and 1995, the V SAL - whose theme was \"Our Public Space: Morphological proposal\" - has not discussed the \"appropriated modernity\" neither \"the interaction between the spirit of the time and spirit of the place\". The thesis relies on three complementary hypotheses. The first one is that the V SAL was not a break, nor even a gap in the history of the Seminars of Latin-American Architecture: it was the assumption and the summit of a public debate about the Latin-American city and its morphology that was underlying since the first seminar and was largely omitted by critics. The second hypothesis is that the realization of the V SAL cannot be explained only by the history of the SAL itself: on the contrary, this event is part of a series of cultural translations of the type-morphological debate that used to seek Latin-American bonds in order to ensure its legitimacy - in which part of V SAL\'s organizers had actively contributed. The third and final hypothesis is that these meetings and cultural translations were not innocuous: they allowed the construction of hybrid concepts, as well as new meanings in common representations about the urban form of the \"Latin American city\" and about how should be interventions in it, whose traces are apparent in the debates in SAL. Two axes of analysis organize the set of methods employed in the structure of the thesis: one inserts the V SAL within the path of seminars Latin American Architecture; the other searches, from this reference, to deconstruct professional networks and translations cultural that enable understanding the event of Santiago de Chile.

This dissertation examines how customers' attribution for service failures and expected recovery in online service encounters are influenced by whether the recovery efforts are satisfying or dissatisfying to the customers; the relationship between satisfaction and other behavioral outcomes such as intention to remain and word-of mouth is examined. Many customers are using the Internet to purchase products and services, pay bills online, and make hotel and airline reservations. The Internet service recovery encounter warrants special attention because of its inherent ramifications such as the ease of attributing failure to the service provider after a service failure, the lack of interpersonal relationship, and the ease of leaving one service provider for another. The purpose of this study is to explore some of the importance of Internet service recovery mechanisms relative to customer's attribution for failure, expected service recovery, satisfaction, and intent to remain. This study further seek to explore how these mechanisms can be employed by the service providers to improve customer satisfaction, minimize negative word-of-mouth, and improve the firm's profitability. Many studies have examined customer satisfaction/dissatisfaction in traditional retailing, and the antecedents of the unsatisfactory behavior however, the same cannot be said of the Internet service encounters despite ecommerce revolution and its impacts on retailing and service encounters. A conceptual framework of recovery expectation and satisfaction in Internet based service encounters is presented, and a scenario-based experimental design is developed to measure the constructs. A web-based data collection was employed and the collected data were analyzed using correlation and regression analysis to provide answers to the research questions. The results of the analyzed data were discussed and presented. The findings overwhelmingly support all the hypotheses and contribute to the field of marketing by exploring some issues that might be unique to the online shopping experience and add more to the body of literature on online service failure and recovery management. The managerial implications, limitations, and future research directions are also presented.

Rural-urban migration has been increasing and is commonly seen in northern cities of Mexico.  Indigenous students do not always have opportunities to receive higher education in their communities, and therefore migrate to urban areas. After migrating they can face certain challenges navigating the urban lifestyle. With the help of the translocality concept, this study employed a questionnaire and semi-structured interviews to explore the reason behind five indigenous students' migration and their experiences of different translocal circumstances. The results and analysis indicated that the students had both similar and different experiences in the various translocal arenas. The analysis showed the reasons behind the students’ migration were often linked to educational opportunities, but they also expressed different aspirations and plans for the future Further, adjusting to their new city environment proved to be challenging. They experienced both a negative and positive sense of place in Monterrey, but Mision del Nayar, the university and other indigenous students helped them feel a sense of belonging. The experiences the students had in the different translocal arenas shaped their narrative, and hence, impacted their sense of place and sense of belonging. Lastly, the students experienced translocal identities on a daily basis. / Migration från landsbygd till städer har ökat och har blivit vanligare i norra städer i Mexiko. Studenter från ursprungsbefolkningar har inte alltid tillgång till högre utbildning i sina samhällen och migrerar därför till stadsområden. Efter migrationen kan de genomgå vissa utmaningar med att navigera sig i den urbana livsstilen. Med hjälp av translokalitetskonceptet tillämpade denna studie ett frågeformulär och semistrukturerade intervjuer för att undersöka orsakerna till fem inhemska studenters migration och deras erfarenheter av olika translokala omständigheter. Resultatet och analysen tydde på att studenterna hade både liknande och olika upplevelser i de olika translokala arenorna. Analysen visade att anledningarna till studenternas migration ofta var kopplade till utbildningsmöjligheter, men de uttryckte också olika ambitioner och planer inför framtiden. Vidare visade sig anpassningen till deras nya stadsmiljö vara utmanande. De upplevde både en negativ och positiv känsla av plats i Monterrey, men Mision del Nayar, universitetet och andra inhemska studenter hjälpte dem också att känna tillhörighet. De erfarenheter som studenterna hade av de olika translokala arenorna formade deras berättelse och påverkade därmed deras känsla av plats och känsla av tillhörighet. Avslutningsvis påvisade studien att studenterna dagligen upplevde translokala identiteter.

Bakgrund: I Sverige är barnmisshandel olagligt, ändå förekommer det och skapar förödande konsekvenser för barnen. Sjuksköterskor har en skyldighet att anmäla vid misstanke om barnmisshandel. Trots detta är anmälningsbenägenheten låg. Syfte: Att belysa sjuksköterskans upplevelse av att bemöta och hantera situationer där ett barn misstänks bli utsatt för våld i nära relationer. Metod: En kvalitativ litteraturöversikt baserad på 10 vetenskapliga artiklar. Resultat: I studien framkommer det fyra huvudkategorier som besvarar syftet. Svårt att bemöta föräldrarna, Svårigheter i att anmäla, Osäkerhet i identifiering, bedömning och definition samt Behov av stöd. Huvudfynden som framförs är en upplevd känslomässig påfrestning vilket försvårar arbetet runt fallet och att vara professionell. Även en osäkerhet och okunskap kring hur patientfallen ska hanteras. Slutsats: Den gemensamma upplevelsen var osäkerhet som är ett återkommande begrepp i sjuksköterskans upplevelser. Osäkerheten fanns både i att definiera, identifiera, bedöma samt anmäla. Det framkommer ett behov av bättre stöd från kollegor och tydligare riktlinjer för att stärka sjuksköterskan i att hantera situationen. / Background: In Sweden, child abuse is illegal, yet it still occurs and creates devastating consequences for children. Despite nurse’s obligation to report suspected child abuse, there is a low tendency to report. Aim: To shed light on the nurses’experience of responding to and handling situations where a child is suspected of being exposed to violence in close relationships. Method: A qualitative literature review based on 10 scientific articles. Results: In the study, four main categories emerged. Difficult to meet the parents, Difficulties in reporting, Uncertainty in identification, assessment and definition and A need for support. The main findings that are presented are a perceived emotional strain which makes it more difficult to be professional in the situation. Also an uncertainty and ignorance about how patient cases should be handled. Conclusion: The common experience was uncertainty, which is a recurring concept in the nurses’ experiences. The uncertainty existed in defining, identifying, assessing and reporting. There is a need for a better support system including support from colleagues and clearer guidelines that focus on strengthening the nurse’s ability to handle situations of abuse