The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit by Paula A. Rodney MSN, California University of Pennsylvania, 2011 BSN, University of Virginia, 1979 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University April 2015   Patient satisfaction and clinical outcomes have become important issues in healthcare since the introduction of the Value Based Purchasing Program. Patient satisfaction, as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, was declining and hospital-acquired pressure ulcers (HAPU), falls, and catheter-associated urinary tract infections (CAUTI) were rising on the pilot unit. The purpose of this non-experimental correlational design quality improvement project was to combine information from focus groups, a content analysis of the literature on Kristen Swanson's theory of caring, and relationship-based care, to develop and implement a relationship-based care delivery model. An additional aim was to determine its impact on patient satisfaction and the reduction of HAPU, falls, and CAUTI. The model was designed and implemented by a team consisting of bedside care providers, leaders, an educator, and a student facilitator. The components of the model included scheduling for continuity of care, whiteboards, seated bedside report, hourly rounding, a nurse advocate, and 5 focused minutes of attention per shift. Descriptive statistics were used to determine the mean change in HCAHPS scores before and after implementation of the model, and revealed improvements in dimensions of communication with nursing by 13.2%, responsiveness by 12.5%, overall rating of care by 14.5%, and willingness to recommend by 8.7%. The result of audits of the pilot unit's medical records indicated a reduction in falls by 3, HAPU by 2, and CAUTI by 2 from August, the baseline month. As a result of these findings the model will be implemented on all inpatient nursing units. The target audience for this project includes nursing leaders, educators, and bedside providers with interest in patient-centered care and staff empowerment.

Within this essay a study is made of an LGBTQ-orientated Christian service in Stockholm called Queer Service. The following questions seek to be answered: What reasons does an individual set for his/hers participation in Queer Service? Which aspects of a queer service highlight the participants as important to them? As a method to answer these questions, the author has observed a number of queer church services in autumn of 2012. Moreover communication within the group of the assembly on the social media page Facebook has been followed and five individuals from the Queer Service congregation have been interviewed. As a background to the study, the European religious climate seen from Grace Davies eyes is depicted.  The reader also learns of how the Swedish church has handled questions about homosexuality and bisexuality and what liberation theology is. An (incomplete) section on other existing services with LGBTQ orientation in Sweden and the USA has been added as well as background information on Queer Service. The results from the gathering of material and the analysis of it show that the interviewees perceive themselves in need of a safe place free of harassment or suspicion linked to sexual orientation or gender identity. Several interviewees also experienced a conflict between Christian faith and an LGBTQ personality - a conflict the service could help solve. Participation in the service was also motivated as a way to resist structures that confirmed heterosexuality as a norm. Another aspect important to the interviewees is Queer Service's emphasis on internal authority and its lack of a clear hierarchy.

Denna uppsats är skriven i syfte att genom en värderande textanalys undersöka likheter och skillnader mellan två av svenska skolans läroböcker i religion. Erland Ehnmarks Världsreligionerna från 1955 samt Söka Svar från 2009, av Leif Eriksson, Malin Mattsson Flenngård och Uriel Hedengren. Denna jämförelse anser jag vara ett sätt att närma sig en förståelse för olika generationers sätt att se på religionen och att på så sätt få en inblick i hur generationsklyftan skapats. De frågeställningar jag har använt mig av är följande. • Tolkas religionerna opartiskt eller ur en kristen synvinkel? • Förändras texternas värderingar mellan de två böckerna? • I så fall, hur skiljer sig detta åt? Det resultat jag kommit fram till är att det har skett en utveckling både när det gäller genusperspektiv och centrering kring kristna begrepp i läroböckerna. Trots detta är läromedel som används idag inte konfessionslösa utan fortfarande kan en centrering kring kristendomen tydligt ses. Bland annat i och med att kristna grupper och begrepp benämns som vi och våra, medans andra religioner ses utifrån och benämns som de eller deras. Utveckling har även skett i och med att eleverna nu inte i samma utsträckning förväntas vara kristna, dock finns en del av detta synsätt kvar i vissa stycken. Litteraturen för den svenska skolan har med andra ord utvecklats i riktning med styrdokumenten, även om den inte nått målet på den konfessionslösa skolan.