Larsson, M & Marsch, M. Intensivvårdssjuksköterskors upplevelser av akut omhändertagande. En fenomenologisk studie. Examensarbete i omvårdnad 15 högskolepoäng. Malmö högskola: Hälsa och Samhälle. Utbildningsområde omvårdnad 2010.En akut situation definieras som ett oplanerat intag av patient till intensivvårdsavdelningen med hotande eller manifest svikt i vitala organfunktioner. Tiden är en viktig faktor i behandlingen av dessa patienter och den initiala kliniska behandlingen är nyckeln i omhändertagandet. Avgörande för om patienten ska överleva, undgå skada eller få allvarliga men är förmågan att fatta snabba beslut och handla. För att kunna identifiera nya utvecklingsmöjligheter i akut omhändertagande var det av intresse att få ta del av hur intensivvårdssjuksköterskan upplever situationen. Syftet med denna studie var att beskriva intensivvårdssjuksköterskors upplevelser av akut omhändertagande på en intensivvårdsavdelning. Tre djupintervjuer gjordes. I vårt resultat fann vi tre kategorier: upplevelser av kaos, upplevelser av att vara en del av ett team och upplevelser av att känna trygghet i yrkesrollen. Akut omhändertagande är ett teamwork och det framgår i vår analys att de viktiga beståndsdelarna är en strukturerad arbetsordning, samarbete och erfarenhet. Det är också inom dessa områden vi tror utvecklingsmöjligheterna finns, till exempel genom simulationsövningar med ett standardiserat omhändertagande.Nyckelord: akut omhändertagande, deskriptiv fenomenologisk humanvetenskaplig metod, intensivvårdssjuksköterskors upplevelser, teamwork. / Larsson, M & Marsch, M . Critical care nurse´s lived experiences of emergency treatment. A phenomenological approach. Degree project, 15 credit points. Malmö University: Health & Society, Department of Nursing, 2010.An emergency situation is defined as an unexpected admission of a patient to the intensive care unit with threatened or manifest failure of vital organ functions. Time is an important factor in the treatment of these patients and the initial clinical treatment is the key in the emergency care. The ability to make quick decisions and to act is decisive for the patient to survive, avoid harm or get seriously injured. To be able to identify new development of emergency treatment it was of interest to take part of critical care nurses lived experiences. The aim of this study was to describe critical care nurses lived experiences of emergency treatment in an intensive care unit. Three depth interviews were performed. The main outcome of the study resulted in three categories: experience of chaos, experience to be a part of a team and experience of feeling secure in the nursing profession. Emergency treatment is a teamwork and our findings illustrates that important parts of the work is a structured working order, cooperation and experience. It is in these areas we think development are possible, for example thru simulation exercises with a standardized concept of treatment. Keywords: critical care nurses lived experiences, descriptive phenomenological human science method, emergency treatment, teamwork

The dissertation addresses the negative consequences of the generally positive democratic ambition behind social planning: the good purpose may conceal less good actions. The aim is to study the thought-style of social planning and its most powerful topos, the denial of discrepancies. The focus of the dissertation is to exemplify how the denial of discrepancies and the consequences of denial become manifest. With emphasis on continuity and history, is shown how a Cartesian legacy shapes the thought-style of social planning, which is animated and upheld by the planning-collective: the integration of policy and science in planning. The planning-collective’s voice has become hegemonic through maintaining a harmony of illusions. The result is a lack of responsiveness to people’s varied modes of expression; voices that differ from the hegemonic thought-style are thus perceived as dissonance. Discrepancies in the form of differences of opinion and lack of consensus thus appear as sources of anxiety.  The mode of planning is based on a set of habitual thoughts and actions, topoi, that have become taken-for-granted. The result is an objectification of that which we call living, and the study shows through a number of examples, including “social economy”, how this form of objectification occurs. The epistemological frame of reference of the dissertation is constituted by Ludwik Fleck’s theory of thought-collectives, thought-styles and migrations of thought, and José Luis Ramírez’s action-theory, focused on language as action. Michel Foucault’s works on disciplining, political technologies, and discursive struggles are applied to create understanding of how the planning approach to representing people’s life activities has been shaped and how it influences them.