Bakgrund: Invånare i Sverige uppnår högre ålder än tidigare och fler diagnostiseras med demenssjukdom. Vården av personer med demenssjukdom är väldigt sårbar och forskning har visat att personcentrerad vård kan skapa bättre livskvalitet för denna grupp. Genom att förstå sjuksköterskans erfarenhet av att arbeta med personcentrerad vård hoppas vi kunna belysa fördelar men även hinder i vården av personer med demenssjukdom och förhoppningsvis ge förslag för utveckling.   Syfte: Att beskriva sjuksköterskans erfarenhet av att använda personcentrerad vård i vården av personer med demenssjukdom   Metod: En intervjustudie utfördes med 8 sjuksköterskor som arbetar med personer med demenssjukdom och analyserades med kvalitativ innehållsanalys. Intervjuerna genomfördes i 2 län. De transkriberade intervjuerna analyserades med en manifest innehållsanalys.   Resultat: Resultatet visade att sjuksköterskans erfarenhet av att använda personcentrerad vård baseras mycket på tid för utbildning och handledning av kollegor, men även av kunskap för personcentrerad vård. Livsberättelsen spelar en central roll i utformningen av både vården och miljön kring personen.   Slutsats: Sjuksköterskor som arbetar med personer med demens behöver mer tid för utbildning och handledning för att kunna ge bättre personcentrerad vård utifrån personens enskilda behov. / Background: Swedens population is getting older then before and more are diagnosed with dementia. Caring for people with dementia is very vulnerable and research shows that person centered care can increase quality of life. By understanding the nurse´s experiance of working person centered can contribute to development of this type of care but also illustrade obstacles the nurses are facing.   Aim: To describe the nurse's experience of using person-centered care in the care of people with dementia  Methods: Qualitative interview study. 8 nurses that work with dementia care were interviewed in two different countys in Sweden. The transcribed interviews were analyzed with a manifest content analysis.  Result: The result showed that the nurse's experience of using person-centered care is based on time for training and supervision of colleagues, but also on knowledge for personal center care. The life story plays a central role in the design of both the care and the environment around the person.  Conclusion: Nurses working with people with dementia need more time for education  and supervision to be able to provide better person-centered care based on the persons individual needs.

Bakgrund: En del patienter som söker hälso- och sjukvård har ett annat modersmål än vad som talas i landet de söker vård. Det leder till svårigheter att erbjuda vård och problem med att tillgodose information om hälsoåtgärder till patienten. Tidigare forskning visar på de problem patienter upplever i sådana situationer. Problem: Missförstånd kan uppstå mellan sjuksköterska och patient när de inte talar samma modersmål. Patienter kan inte beskriva sina symtom vilket leder till svårigheter att få sina omvårdnadsbehov tillgodosedda. Detta kan leda till att patienter känner sig diskriminerade och upplever att de inte får den vård de har behov av. Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av kommunikation i omvårdnadsarbetet med patienter som har ett annat modersmål. Metod: En allmän litteraturöversikt genomfördes med 11 artiklar, varav nio kvalitativa, en kvantitativ och en mixed method. Resultat: När översättning med tolk användes underlättades kommunikationen mellan sjuksköterskan och patienten. Missförstånd minskade i informationsutbytet vilket bidrog till att omvårdnaden förbättrades. Patienternas oro avtog då de delgavs information som de förstod. Det var likaså viktigt att avsätta tid för kommunikationen med patienterna med ett annat modersmål. Slutsats: När sjuksköterskor har stöd i kommunikationen med patienter med ett annat modersmål bidrar det till bättre omvårdnad. / Background: Some patients seeking healthcare have a different mother tongue than what is spoken in the country seeking healthcare in. This leads to difficulties in providing care and information on health measures to patients. Research shows the problems patients experience in such situations. Problem: Misunderstanding can occur between nurse and patients when the same language is not spoken. Difficulties in describeing symptoms can lead to difficulties in meeting patients caring needs. Patients can feel discriminated and experiencing not receiveing the care they need. Aim: The purpose was to describe nurses' experiences of communication when caring for patients who have a different mother tongue. Method: A general literature review was conducted with 11 articles, nine were qualitative, one quantitative and one mixed method. Result: Use of interpretor in translation facilitated communication between the nurse and the patient. Misunderstandings decreased in the information exchange, which contributed to nursing improvement. The patients' concerns subsided as they understood the information. It was important to set aside time for the patients with another mother tongue. Conclusions: When nurses have support in communication with patients with another mother tongue contribute to a better care.

Bakgrund: Forskning tyder på att en vård som bygger på en personcentrerad grund bidrar till en högre kvalitet av vården och har en positiv påverkan på patienter samt hälso- och sjukvårdsprofessionen. Samtidigt pekar studier på att hälso- och sjukvården står inför en mängd utmaningar för att kunna införa ett personcentrerat förhållningssätt i den dagliga vården. Syfte: Att beskriva vilka barriärer som hindrar sjuksköterskan att arbeta personcentrerat i mötet med patienten. Metod: Studien har genomförts som en litteraturöversikt, där resultatet är baserat på 16 vetenskapliga artiklar. Resultat: Flera faktorer som kan utgöra svårigheter för sjuksköterskan att arbeta personcentrerat i vårdmötet med patienten identifierades och genererade fyra kategorier: Samarbete och teamwork, Attityd och kultur, Tid och resurser samt Kommunikation och Patient berättelsen. Resultatet tyder på samarbetssvårigheter mellan olika professioner inom hälso- och sjukvården, motsträvande attityder samt rutiner som inte vilar på vetenskaplig grund. Brist på utbildningsmöjligheter och bristande kunskap kring vad personcentrerad vård innebär och hur ett personcentrerat förhållningssätt kan tillämpas i klinisk praxis. Hög arbetsbelastning och brist på tid påverkade sjuksköterskans möjlighet till att skapa en relation till patienten, samt var en bidragande faktor till stress och känslor av otillräcklighet. Konklusion: Sammantaget tyder litteraturöversikten på att det finns ett flertal barriärer som försvårar för sjuksköterskan att arbeta personcentrerat i mötet med patienten. För att ett personcentrerat förhållningssätt ska praktiseras krävs aktivt arbete individuellt och kollektivt på olika nivåer inom en organisation för att bli en del av den dagliga praktiken. / Background: Research suggests that care based on a person-centered basis contributes to a higher quality of care, and has a positive impact on the patients and the healthcare profession. At the same time, studies point out that health care is facing a variety of challenges in order to introduce a person-centered approach into daily care. Aim: To describe which barriers prevent the nurse to work person-centered in the healthcare meeting with the patient. Methods: The study was conducted as a literature review, the result is based on 16 scientific articles. Results: Several factors that may constitute difficulties for the nurse to work personcentered in the healthcare meeting with the patient were identified and generated four categories: Collaboration and Teamwork, Attitude and Culture, Time and Resources, and Communication and The patient Narrative. The result indicates cooperation difficulties between different health care professions, contradictory attitudes and routines that not lie on a scientific basis. Lack of educational opportunities and knowledge about what person centered care means and how a person-centered approach should be applied in clinical practice. High workload and lack of time affected the nurse's ability to establish a relationship with the patient, and contributed to stress and feelings of inadequacy. Conclusion: Summary the literature study indicates that there are several barriers that make it difficult for the nurse to work person-centered in the meeting with the patient. In order for a person-centered approach to be practiced, active work is required individually and collectively at different levels within an organization to become part of the daily practice.

The objectives of the work The objective of this work has been set as the mapping of degree of patient's contentment/ rate of patient's satisfaction in view of the nurse's approach within the scope of the post-thoracic operation care and the evaluation/ assessment whether the needs of the aforementioned patients have been satisfied. Another objective of the research enquiry has been set as finding out the level of the nurse's awareness regarding the ways and possibilities of the subsequent care. Methodology For the purpose of the research enquiry the form of qualitative research has been chosen and adopted, which has been applied and performed by means of using a method of interviewing i.e. putting questions which have been prepared beforehand, well in advance. Research array of patients consisted of 10 patients from one hospital (which is not going to be specified in this work) as well as 8 nurses whose job was to take care of the post-operative patients/ the post-thoracic operation patients. The results of the research have been processed by applying the method of open coding, pencil-paper method. Assets and Benefits of this Work The research enquiry has showed certain level of absence of desirable knowledge as well as ignorance of the staff taking care of the patients regarding the ways of subsequent care. Nurses should be educated about the possibilities of home care, hospice care as an integral part of their profession. The results gained by research enquiry process could be presented at seminars, conferences aimed at the subsequent care.

Bakgrund: Vårdandets mål är att lindra eller förhindra lidande. Barn som vistas på sjukhus utsätts många gånger för onödigt lidande. Som barnsjuksköterska har man en viktig roll i mötet med barnet, där barnets perspektiv alltid ska vara i fokus. Syfte: Syftet med studien var att belysa barnsjuksköterskors erfarenheter av att bedöma smärta hos barn i åldern två till sju år. Metod: Semistrukturerade intervjuer med 8 barnsjuksköterskor vid en barnklinik i norra Sverige. Materialet analyserades med kvalitativ innehållsanalys. Resultat: Resultatet visade på ett ökat behov av utbildning och tydligare rutiner/riktlinjer. Samtliga barnsjuksköterskor ansågs använda den kliniska blicken i bedömningen av barnets smärta dock var det få som skattade smärta enligt smärtskattningsskala. Slusats: Mer utbildning efterfrågas om barn och smärta, samt i vilken omfattning smärtskattningsinstrument bör användas. / Background: The aim of the caregiver is to alleviate or prevent suffering. Children who are hospitalized are often subjected to unnecessary suffering. As a child nurse, one has an important role in the meeting with the child, where the child's perspective should always be in focus. Purpose: The purpose of the study was to highlight the nurses' experiences of assessing pain in children aged two to seven years. Methods: Semi-structured interviews were conducted with 8 child nurses’ at a children's clinic in the north of Sweden. The material was analyzed with qualitative content analysis. Results: The result showed an increased need for education and clearer routines / guidelines. All child nurses were considered to use the clinical look in the assessment of the child's pain, however, there were few who estimated pain according to the pain estimation scale. Conclusion: More education is required about children and pain, and to what extent pain assessment instruments should be used / <p>Betyg E, 190603.</p>

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2007. / Typescript. Includes bibliographical references (leaves 190-197). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 192-203). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 113-132). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

The overall development of scientific and technical disciplines has enabled the introduction of minimally invasive surgical techniques in cardiac surgery practice. Implementation of minimally invasive cardiac surgery brings many positive effects for patients and healthcare. At the same time, however, it requires for the nurses to have appropriate knowledge, skills and experience to effectively provide comprehensive nursing care. The thesis is divided into theoretical and empirical parts. A total of four objectives were set. The first goal determines the specifics of nursing care of the patient before and after minimally invasive cardiac surgery. The second mapping the differences in nursing care in minimally invasive cardiac surgery from heart surgery classical approach. The third objective determines the role of nurses in patient awareness of minimally-invasive cardiac surgery. The fourth objective is focused on the needs and feelings of patients undergoing minimally invasive cardiac surgery. The results of qualitative research showed that preoperative and postoperative nursing care for minimally invasive cardiac surgery is similar to nursing care before and after cardiac surgery by standard median sternotomy approach. Nurses often wipe away differences associated with nursing care of standard and minimally invasive surgery, differences arose mainly after analysis of the data obtained. The differences include shorter hospital stay, shorter duration of mechanical ventilation, lower incidence of postoperative confusion, differences in invasive inputs, rehabilitation and awareness. For the majority of respondents from the ranks of the patients minimally invasive heart surgery technique had clearly positive impact on their mental condition.

Orientador: Gastão Wagner de Sousa Campos / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Enfermagem / Made available in DSpace on 2018-08-23T23:38:37Z (GMT). No. of bitstreams: 1 Bueno_FloraMartaGiglio_D.pdf: 3835227 bytes, checksum: 81c456ac3eeb5cc69e4d8783f561aeb6 (MD5) Previous issue date: 2013 / Resumo: Este estudo buscou compreender como se dá a inserção do enfermeiro na gestão hospitalar, a partir de um contexto de mudanças do modelo assistencial e de gestão que vinha ocorrendo no local do estudo. Utilizou os conhecimentos da filosofia para destacar o saber fazer da enfermagem (téchne), mais precisamente do enfermeiro no processo do cuidar e, buscando entender a atuação do enfermeiro na gestão. Realizou-se uma reflexão teórica, utilizando o conceito de Gramsci de "intelectual orgânico" e a busca pela hegemonia cultural no processo de gerenciar o cuidado na enfermagem. Desenvolveu-se uma construção dialética entre cuidado e gestão em saúde, utilizando-se referenciais de planejamento em situação de governo de Carlos Matus e a organização da assistência de enfermagem de Florence Nighitingale, além de discutir possibilidades de reformulação do papel gerencial do enfermeiro e refletir sobre a aplicação e impacto dos novos desafios na gestão das pessoas que produzem o cuidado. Participaram dessa investigação, profissionais enfermeiros não docentes que atuam como Diretores Técnicos de Serviço de Enfermagem (cargos de representação) das áreas assistenciais e supervisores de seção de um hospital público universitário do Estado de São Paulo. Trata-se de um estudo de abordagem qualitativa e as técnicas empregadas para a coleta e organização dos dados envolveram a elaboração de um questionário auto-aplicado com questões estruturadas e semiestruturadas, utilizando a técnica de tabulação dos dados para identificação de algumas variáveis. Para a análise de conteúdo das respostas obtidas, as mesmas foram tratadas, organizadas e interpretadas no intuito de apreender os seus significados. Constatou-se que os gerentes de enfermagem tem adequada concepção sobre suas responsabilidades tanto na dimensão assistencial quanto gerencial, porém na execução de suas atribuições não se notam estratégias de ação bem definidas para atuarem como "intelectuais orgânicos", bem para que se reconheça que o espaço do cuidado é o eixo central de sua téchne e que o mesmo existe e está institucionalizado e que suas ações no âmbito gerencial tem como finalidade a qualidade do cuidado, vislumbrando o indivíduo com necessidades de recuperação da saúde e as pessoas que realizam a assistência de enfermagem, articulando-as de forma eficiente com os demais membros da equipe de saúde. Os resultados e análises permitiram sugestões, reflexões e considerações relevantes para os enfermeiros gerentes, bem como para os gestores da área hospitalar, assim como poderão influenciar nos objetivos de ensino formal e desenvolvimento profissional na área da saúde. / Abstract: This study aims to understand the nursing professionals entered in hospital management process,from context changes of assistance model and management that occurs at the study site. To highlight the nursing expertise (téchne), philosophy knowledge are used, more precisely about the nurse practitioner care process, attempting to understand the nursing professionals's management function. This paper develops a theoreticalreflection about Gramsci's conception "organic intellectual" and the search of cultural hegemony in nursing care process. It also intends to develop a dialectical construction between care and health management using Carlos Matus's government situation benchmarks and Florence Nighitingale's nursing assistance organization, besides of discuss reformulation possibilities of management nurse function and to reflect about the application and impact people management of care production's new challenges. This investigation counted with the participation of 37 non-teaching nurses who act as Technical Directors of Nursing Services (representative positions) of assistance areas and are section supervisors of São Paulo state public university hospital. It is qualitative study and the techniques adopted to collect and the organizing of data involved the creation of a self-administered questionnaire with structured and semi-structured questions, using the technique of data tabulation to identify some variables. For the analysis of the responses obtained, they were treated, organized and interpreted in order to grasp their meanings. It was found that nursing managers have adequate conception of their responsibilities both in care responsabities dimension and management experience, however in the execution of their duties there are no action strategies well defined to act as "organic intellectuals", trying to understand that the care space, téchne core element, exists and is institutionalized, as well as to understand that their management sphere actions aims to care quality, seeing the needs of health recovery and people who perform nursing care, and better articulating with other members of the healthcare team. The results and analyzes allowed suggestions, reflections and relevant considerations to nursing managers as well as care area managers, and may influence the goals of formal education and health professional development. / Doutorado / Enfermagem e Trabalho / Doutora em Enfermagem