The purpose of this study has been to analyze how managers within the elderly care who operate according to the Social Services Act work to support the assistant nurses with the social documentation. In order to achieve my purpose and to be able to answer the research questions, a qualitative approach was selected. My empirical material consists of seven interviews, four with assistant nurses and three with managers.   Anthony Giddens’ structuration theory in Månsson, (2003 s. 422) has been my theoretical starting-point and the concepts of practical and discursive consciousness have been used in the analysis. Furthermore, I have used the concept zone of indifference in the theory regarding authority relations in organizations by Chester Barnard (Barnard, 1968). My research questions are: How do managers and assistant nurses perceive the purpose and content of the social documentation? Which approaches do managers use to inform and educate assistant nurses in the execution of the social documentation? How and when is the social documentation executed? I have used the analytical method meaning condensation, as I am interested in managers’ and assistant nurses’ perceptions and experiences of social documentation. The main headings which are developed from the results are purpose, method and organization. The essay shows that elderly care staff believe that the social documentation’s primary use is to ensure good care for patients/clients. It is the contact person’s responsibility to prepare an implementation plan together with the patient and to continuously write daily notes. There is an understanding amongst assistant nurses and managers that the implementation plan is a tool which is going to simplify the elderly care. However, it is difficult to specify exactly what should be documented. Managers’ strategies to help staff in maintaining a good social documentation is mostly done by informing that documentation should be kept. Sometimes case studies are used during planning days and workplace meetings. Training in social documentation is virtually non-existent; instead managers choose to educate the assistant nurses in computer programs that are used for documentation. / Syftet med denna uppsats har varit att studera hur chefer i verksamheter inom äldreomsorgen som bedriver vård enligt Socialtjänstlagen arbetar för att stödja undersköterskorna i arbetet med den sociala dokumentationen. För att uppnå mitt syfte och kunna besvara frågeställningarna valdes ett kvalitativt tillvägagångssätt. Mitt empiriska material utgörs av sju stycken intervjuer med fyra undersköterskor och tre chefer.    Anthony Giddens struktureringsteori i Månsson, (2003 s. 422) har varit min teoretiska utgångspunkt där begreppen praktiskt medvetande samt diskursivt medvetande har använts i analysen. Jag har även använt begreppet likgiltighetsområde i teorin om auktoritetsrelationer i organisationer av Chester Barnard (Barnard, 1968). Mina frågeställningar är: Hur uppfattar chefer och undersköterskor syftet med den sociala dokumentationens ändamål och dess innehåll? Vilka tillvägagångssätt använder chefer sig av för att ge undersköterskor information och kunskap om genomförandet av den sociala dokumentationen? Hur och när utförs den sociala dokumentationen? Jag har använt mig av analysmetoden meningskoncentrering, då jag är intresserad av chefer och undersköterskors uppfattningar/upplevelser av social dokumentation. Huvudrubrikerna som är framtagna ur resultatet är ändamål, metod och organisation.   Uppsatsen visar att omsorgspersonal anser att den sociala dokumentationen främst är till för att säkerställa en god omsorg för patienter/klienter. Det är kontaktpersonens ansvar att upprätta en genomförandeplan tillsammans med patienten och att skriva löpande daganteckningar. Det finns en förståelse hos undersköteskor och chefer att genomförandeplanen är ett arbetsredskap som ska underlätta omsorgsarbetet. Däremot är det svårt att precisera vad som ska dokumenteras. Chefernas strategier för att hjälpa personalen i att upprätthålla en god social dokumentation görs främst genom att informera om att dokumentation ska utföras. Ibland används även fallbeskrivningar under planeringsdagar och arbetsplatsträffar. Utbildning i social dokumentation är nästintill obefintlig, det som cheferna väljer att utbilda undersköterskorna i är hanterandet av datorprogrammet som används för att dokumentera i.

Inom den sociala omsorgen idag ställs krav på att dokumentation ska föras kring de  enskilda omsorgstagarna. Denna studies syfte var att beskriva och analysera  journalgranskarnas kvalitetskriterier för tillfredsställande dokumentation i journaler inom  socialtjänstens omsorg om äldre personer och personer med funktionsnedsättningar.  Studien hade en kvalitativ ansats och datainsamlingsmetoden var semi-strukturerade  intervjuer. Datamaterialet analyserades genom en kvalitativ innehållsanalys med en  induktiv ansats. Studiens resultat visade på fyra olika kvalitetskriterier som granskarna  använder sig av i sitt arbete. Två av dessa var relaterade till förekomsten av en  genomförandeplan medan övriga två inte var det. Det ena kvalitetskriteriet som relateras  till genomförandeplanen är att dokumentera måluppfyllelse och avser att måluppfyllelse  ska kunna följas i journalanteckningarna. Det andra kvalitetskriteriet som relateras till  genomförandeplanen, att dokumentera avvikelser, avsåg att det av journalanteckningarna  ska gå att utläsa att genomförandeplanen följs. De två resterande kvalitetskriterierna är  oberoende av genomförandeplanen och rör dokumentation som kan utföras och granskas  oavsett om det finns en genomförandeplan att jämföra med. Det ena av dessa kriterier är  att använda värderingsord i dokumentationen, vilket avser att personalen ska beskriva  vad de faktiskt ser utan att samtidigt tolka det. Det sista kvalitetskriteriet, att  dokumentationen är konsekvensinriktad, innebär att händelser som kräver någon form av  uppföljning ska återkopplas i dokumentationen. / Within the social care of today there is a demand that documentation is to be held for  every individual under its caretaking. The purpose of this study was to describe and  analyze the criterias of quality for satisfactory documentation in case books within the  social care for elderly people and people with disabilities. The study has a qualitative  approach and it´s method of gathering data was semi-structured interviews. The data was  analyzed by using a qualitative content analysis with an inductive approach. The studies  result points to four differentiated criterias of quality which are being used by the  inspectors in their work. Two of these were related to the existence of a plan of action,  whilst the remaining two were unrelated. One of the criterias that was related to the plan  of action was to document goal accomplishment. This refers to the possibility of  identifying goal accomplishment within the case books. The second criteria related to the  plan of action, to document anomalies, is about the ability to see from the documents if  the plan of action has been properly executed. The two remaining criterias of quality are  valid for inspection regardless of the existence of a plan of action. One of the categories,  to use words of valuation, is about how the workers should only document what they  actually see instead of adding their own interpretation. The last criteria, consequential  documentation, means that incidents that require any kind of follow up activity or  possible future consequence is to be documented.

Made available in DSpace on 2015-05-07T14:27:22Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1269622 bytes, checksum: 691db9599b9176bf6383f036b0230a0c (MD5) Previous issue date: 2014-02-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The transgenitalization surgery is a procedure used by medicine to adjust the transsexual s body to one the individual feels suitable with his or hers identity. For the surgery to happen it s necessary that a multidisciplinary team declare the transsexuality a pathology, which inflicts serious psychological suffering and reduction of the libido due to not accepting their own body. Majoritarian jurisprudence understands that after the physical modification the person may modify the civil records in order to adjust to his or hers new characteristics. After those interventions, both chirurgical and documental, this individual will have dignity. This work intends to understand if the procedures mentioned are enough to assure dignity to transsexual individuals. The main purpose here is to demonstrate society traditionally divides itself on men and women in heterosexual behavior, which translates a binary framing for people. The dissertation also clarifies that gender is a result of cultural construction, which stands in the way of a simplistic division of heterosexual behavior between men and women. It will be used a bibliographic research of the themes brought here, such as feminism, transsexuality or right to a name. As a theoretical reference it will be adopted the Marxist feminism theory. To accomplish what it proposes, this dissertation will be divided in three chapters. The first chapter will disclosure the right to a name, mentioning its principles and the legislation, both internal and international. It also clarifies about the possibilities of name change, touching especially what concerns the transsexual and, by consequence, the surgery of sexual adaptation. The second chapter approaches the feminism theory, which denaturalizes the gender debate, pointing that the relation of subjection between men and women has a political obliquity, and amplifies gender researches to involve also transsexuals. The third chapter uses the queer theory to point the necessary breaking of the binary composition of men/women and deconstruct the dominant thought that uses signs to establish the comportment pattern thought as ideal, which is called heteronormativity. In that point it is showed that both the transgenitalization surgery and the requirement of this surgery to alter social registration enforce the binary pattern of gender and it is not enough to assure dignity to those individuals that don t adapt to such a corporal dimorphism. This work then concludes that both medical and legal mechanisms aren t enough to the pretensions of dignity of transsexual individuals. / A cirurgia de transgenitalização é um procedimento utilizado pela medicina com o intuito de adequar o corpo do transexual ao pretendido pelo indivíduo por entender mais compatível com sua identidade de gênero. Para que isto ocorra é necessário que uma equipe multidisciplinar ateste alguns requisitos que impliquem no reconhecimento da transexualidade como patologia, a exemplo de grave sofrimento psicológico e diminuição da libido por não aceitar o seu estereótipo. A jurisprudência majoritária entende que após a adequação física, a pessoa pode modificar o registro civil para se adequar ao seu novo corpo e após as duas intervenções (cirúrgica e documental) o indivíduo gozará de dignidade. O que se pretende saber é se realmente os procedimentos acima mencionados são suficientes para proporcionar dignidade aos sujeitos que se reconhecem como transexuais. Objetiva-se demonstrar que a sociedade tradicionalmente se divide em homens e mulheres de comportamento heterossexual, ou seja, é o meio binário de enquadramento das pessoas, que encontra fundamento na naturalização e universalização que impõe este padrão. A dissertação também objetiva esclarecer que o gênero das pessoas é resultado da construção cultural da sociedade, não podendo haver uma divisão simplista em comportamento heterossexual em que todos devem se enquadrar entre homens e mulheres. Utiliza-se levantamento bibliográfico dos temas pertinentes do direito ao nome, feminismo e transexualidade. Como referencial teórico é adotado o feminismo marxista. Para tal intuito, divide-se o texto em três capítulos. O primeiro dispõe acerca do direito ao nome, mencionando os princípios norteadores, tutela prevista na legislação cível pátrio e instrumentos internacionais. Também é esclarecido sobre as possibilidades de alteração do nome, enfatizando o caso do transexual e por consequência a cirurgia de adequação sexual. No segundo capítulo aborda-se o pensamento feminista, que desnaturaliza o debate de gênero e apontando a relação de sujeição entre homens e mulheres como de cunho político e a ampliação das pesquisas feministas que abrangem também os transexuais. No terceiro capítulo utiliza-se a teoria queer e aponta o necessário rompimento do binarismo homem/mulher ao desconstruir o pensamento dominante que se utiliza de signos para estabelecer o padrão comportamental pretendido e tido como ideal, o que se denomina de heteronormatividade. Ao fim, é constatado que a cirurgia de transgenitalização e esta como requisito imprescindível para a modificação registral do transexual apenas reforçam o binarismo de gênero, não sendo suficiente para proporcionar dignidade aos indivíduos que não se adaptam ao dimorfismo corporal, sendo os mecanismos médicos e jurídicos inadequados às pretensões dos transexuais.

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