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Teamarbete vid vård i hemmet, ur ett sjuksköterskeperspektiv / Teamwork in care at home, from a nursing perspectiveThorsén, Anna-Karin, Östlund, Rebecka January 2023 (has links)
Background: Because we are living longer today, the need for healthcare is increasing. Therefore, the need for care at home also increases, which can be a challenge for the nurse to provide. Teamwork means that those involved in the patients’ care use their competencies to complement each other. Nurses are responsible for care, the leadership role includes sharing knowledge, supervising, and giving colleagues feedback. Aim: The aim was to examine nurses’ experiences of teamwork in care at home. Method: This qualitative based literary study included ten articles, searched, and selected from the databases Cinahl and Pubmed. They were analysed using Friberg’s (2017) five steps model. Results: Lack of communication was an obstacle for cooperation, such as language difficulties, insufficient communication of information between colleagues and problems finding information related to different record systems. Hierarchy, mistrust of each other’s competence and uncertainty about who had the overall responsibility for the patient were other difficulties. Having a pleasant tone while talking, being humble and listening to each other was important. If the doctor was available was seen as positive as well as knowing each other in the team since before. Working alone was challenging and in complex situations nurses were happy to collaborate in pairs. It was desirable to have group reflections and supervision mentoring. Conclusion: The conclusion was that communication and attitudes towards each other are essential for cooperation. Group reflections and tutoring guidance can increase cohesion and team strength. / Då vi lever allt längre och uppnår högre åldrar, ökar behovet av hälso- och sjukvård. Således ökar även behovet av vård i hemmet. Vård i hemmet gavs under år 2021 till 388 000 personer i Sverige. Teamarbete innebär att de inblandade i patientens vård använder sina kompetenser för att komplettera varandra. Sjuksköterskan är omvårdnadsansvarig, och i ledarrollen ingår att dela med sig av kunskap, samt handleda och ge återkoppling till kollegor. Vård i hemmet kan vara en utmaning för sjuksköterskan att ge. Syftet med denna litteraturstudie var därför att undersöka sjuksköterskors erfarenheter av teamarbete vid vård i hemmet. Metoden som användes var litteraturbaserad studie, där tio vetenskapliga artiklar av kvalitativ ansats analyserades och sammanställdes till ett nytt resultat. Resultatet visade att bristande kommunikation sågs som ett hinder för samarbete. Svårigheterna visade sig i form av språkförbistringar, otillräcklig förmedling av information kollegor sinsemellan, samt svårigheter att ta till sig information på grund av olika journalsystem. Det ansågs viktigt att ha en trevlig ton vid samtal, samt att vara ödmjuk och lyssna till varandra. Maktobalans mellan medlemmarna i teamet, och misstro till varandras kompetens, ledde till en försämrad kommunikation. Det kunde vara otydligt vem som hade det övergripande ansvaret för patienten, vilket också försvårade samarbetet. Att känna varandra sedan tidigare framkom som positivt för samarbetet. Att läkaren fanns tillgänglig när sjuksköterskan behövde råd, samt att alla i teamet var delaktiga kring patienten, ansågs också främjande. Sjuksköterskorna upplevde det som utmanande med ensamarbete, och samarbetade gärna i par när komplexa situationer uppstod. Att vara omvårdnadsansvarig och leda teamet krävde ett stort ansvar. Utveckling i form av gruppreflektioner och mentorskap med handledning var önskvärt. Slutsatser som drogs var att kommunikation är a och o för att samarbetet ska fungera. Även förhållningssätt mot varandra var viktigt, det vill säga att ha en trevlig ton i samtal, att se alla som lika värda och att inte se ner på någons kompetens främjar samarbetet. Genom gemensamma reflektioner och handledning kan samhörigheten ökas och teamet stärkas.
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Psykologisk trygghet hos individen och ansvarstagande i yrkesrollen : En kvalitativ intervjustudie / Psychological safety and accountability in the professional role : A qualitative interview studyAndrén Castagna, Maria, Zetterberg, Monika January 2024 (has links)
Studiens syfte är att undersöka upplevelser av och uppfattningar om psykologisk trygghet i relation till ansvarstagande bland skogliga planerare utifrån frågeställningarna: hur ser den psykologiska tryggheten ut bland skogliga planerare? Samt: hur påverkar förekomsten av psykologisk trygghet individens upplevda möjlighet till ansvarstagande i sin yrkesroll? Kvalitativ, induktiv metod med fenomenologisk ansats valdes för studien. Materialinsamlingen genomfördes genom semistrukturerade intervjuer. Det insamlade materialet analyserades genom induktiv tematisk analys. Studiens resultat visar att informanterna genomgående uttrycker ett stort ansvarstagande och hög psykologisk trygghet i sitt arbete. En starkt negativt påverkande faktor på den psykologiska tryggheten visade sig vara ensamarbete och då främst i samband med att informanterna fattade komplexa beslut. Studiens slutsats visar på stort ansvarstagande kombinerat med upplevd stor psykologisk trygghet bland dessa skogliga planerare. Informanterna uppfattas i stor utsträckning befinna sig i en arbetsmiljö med goda förutsättningar för lärande vilket möjliggör en hållbar utveckling för individ och organisation. / The purpose of the study is to investigate the degree of psychological safety in relation to responsibility among forest planners based on the questions: what are the experiences of psychological safety among forest planners? And: How do different experiences of psychological safety relate to experiences of individuals responsibility in their professional role? A qualitative, inductive method with a phenomenological approach was chosen for the study. The collection of material was conducted through semi-structured interviews. The collected material was analyzed through inductive thematic analysis. The results of the study show that the informants consistently expressed high accountability and an experienced high psychological safety in their work. A negative factor mentioned as important for experiencing psychological safety at work is working alone, mainly in connection with the informants making more complex decisions. The study's conclusion shows high accountability combined with perceived high psychological safety among these forest planners. The informants are perceived to be in a work environment with good conditions for learning, which enables sustainable development for the individual and the organization.
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Assessment of technologies and response strategies for lone agricultural worker incidentsAaron Etienne (6570041) 08 March 2024 (has links)
<p dir="ltr"><a href="" target="_blank">ABSTRACT</a></p><p dir="ltr">A literature review was conducted, to determine and gain a better understanding of the environmental, technological, physiological, and psychological issues that lone agricultural workers potentially face in the event they are involved in an emergency. An investigation was conducted of communication devices used in other industries where working alone was common, to monitor for and detect incident occurrences. An assessment of currently available emergency alert software and sensing technology for <a href="" target="_blank">communication </a><a href="#_msocom_1" target="_blank">[AE1]</a> devices was also undertaken in this review.</p><p dir="ltr">Three hundred and sixty-eight U.S. cases of fatalities or injuries were analyzed in which working alone was identified as a contributing factor. Cases included lone agricultural workers, between the ages 15-64, who were identified from a convenient sample of incident reports from <a href="" target="_blank">2016-2021</a><a href="#_msocom_2" target="_blank">[AE2]</a> . Of the 368 lone agricultural worker incidents analyzed, 38% (140) were caused by tractor rollover or tractor runover, and ATV/ UTV rollovers. Grain bin entrapments accounted for 13% (48) of all identified cases, of which 86% (42) were fatal. Thirty-three percent (121) of the identified incidents involved equipment roll over (not including runovers), and 50% of identified victims, when age was known, were 57 years of age or older. In 11 cases (3%), the victim was under 15 years old and active in agricultural-related tasks at the time of incident occurrence.</p><p dir="ltr">Geospatial Information Systems (GIS) tools were used to identify the proximity of Emergency Medical Service (EMS) facilities and cellular towers from a convenient sample of 29 fatal and serious agricultural related injuries from 2016-2021, occurring in the state of Indiana. This analysis found that there were substantially fewer EMS facilities within close proximity to documented rural incident locations compared to injuries or fatalities occurring closer to a populated area. There were also fewer cellular towers within close proximity of incidents located primarily on or near rural agricultural land. More densely populated areas tended to have a greater density of EMS and cellular tower locations, with, most likely, more favorable outcomes from injuries due to shorter <a href="" target="_blank">response times.</a><a href="#_msocom_3" target="_blank">[AE3]</a></p><p dir="ltr">An investigation of the physical and operational impact that agricultural equipment would have on the efficacy of commercially available wearable technologies was undertaken, to detect the potential injury-causing agricultural incident. Five experiments were conducted to test the feasibility of these selected wearable devices in detecting agricultural-related incidents with the potential of causing serious injuries. Only one <a href="" target="_blank">simulated agricultural incident</a> <a href="#_msocom_4" target="_blank">[AE4]</a> successfully triggered incident detection. <a href="" target="_blank">Incidents successfully triggered incident detection on one wearable device, the Garmin Vivoactive 4 smartwatch. </a><a href="#_msocom_5" target="_blank">[AE5]</a></p><p dir="ltr">Recommendations included greater emphasis on the hazards associated with lone workers assigned agricultural workplaces, development of new, evidence-based educational resources to incorporate in current prevention strategies directed at farmers, ranchers, and agricultural workers, enhanced supervision of young agricultural workers and compliance with existing child labor regulations, equipping lone workers with appropriate cellphones and/ or wearable technologies to be carried in their vehicles, agricultural equipment, or on their person, use of electronic surveillance or monitoring equipment, written policies and procedures that enhance awareness of worker locations and conditions on a regular basis, and adherence to existing federal and state workplace safety and health regulations related to lone workers.</p><p><br></p><p dir="ltr"><a href="#_msoanchor_1" target="_blank">[AE1]</a>Changed</p><p dir="ltr"><a href="#_msoanchor_2" target="_blank">[AE2]</a>Fixed</p><p dir="ltr"><a href="#_msoanchor_3" target="_blank">[AE3]</a>I’m not sure how to address that more rural people are dying, given the limited scope and criteria for selection of the incidents selected in this study.</p><p dir="ltr"><a href="#_msoanchor_4" target="_blank">[AE4]</a>Not sure if this Is the best way to say it. I may end up cutting this part. I’ll pair the abstract down to ~250 words. For whatever reason, I thought the intro chapter abstract needed to be longer for a dissertation.</p><p dir="ltr"><a href="#_msoanchor_5" target="_blank">[AE5]</a>Shortened this paragraph and removed unnecessary detail, for clarity.</p>
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