| 1. |
|
|
| 2. |
- Andersson, Henrik, et al.
(författare)
-
The everyday work at a Swedish emergency department – The practitioners’ perspective
- 2012
-
Ingår i: International Emergency Nursing. - : Elsevier BV. - 1755-599X .- 1878-013X. ; 20:2, s. 58-68
-
Tidskriftsartikel (refereegranskat)abstract
- In the everyday work at emergency departments (EDs), the patients being cared for have different needs and perceived symptoms. To meet their need for emergency care, knowledge of the work is important. The aim of this study is to explore the everyday work at a Swedish ED from a practitioner's perspective. METHOD: This study has a qualitative, exploratory design with observations and interviews at two EDs. Data were analysed by content analysis. FINDINGS: The everyday work is characterised by a rapid, short and standardised encounter with limited scope to provide individualised care, which leads to a mechanical approach. It is also characterised by an adaptive approach in which practitioners strive to be adaptable by structuring everyday work and cooperation to achieve a good workflow. CONCLUSIONS: The study shows that the practitioners' encounter with patients and relatives is rapid and of limited duration. The care activities that practitioners mainly perform comprise standard medical management and are performed more mechanically than in a caring way. The practitioners strive to balance the requirements and the realisation of the everyday work through structures and in cooperation with other practitioners, although they work more in parallel than in integrated teams.
|
|
| 3. |
- Damber, Ulla, 1957-, et al.
(författare)
-
Factors facilitating and obstructing a school development project
- 2022
-
Ingår i: Education Inquiry. - : Routledge. - 2000-4508. ; 13:4, s. 428-446
-
Tidskriftsartikel (refereegranskat)abstract
- This study describes and critically discusses a development project designed to create and enact a local language policy at a Swedish multilingual school, its context, content and implementation dimensions. The collaborative construction of a school language policy is a complex process, with tensions that need to be resolved. By describing the processes involved in the language policy project we examine the factors that facilitated and obstructed the enactment of the language policy. The data include 25 interviews with school headteachers and staff members, 15 observations of teachers and school-age educare teachers, field notes, and audio recordings of research circles. Drawing on insights from the enactment framework, the analysis reveals three important themes with respect to the enactment processes: continuity, cohesion, and inclusion. Factors such as communication and leadership, but also external factors, were found to influence outcomes of the project, illuminating an interwoven web of contexts and facets for understanding the enactment of the language policy. These factors influencing outcomes of the project will be discussed in the light of implications for the enactment of the school language policy project.
|
|
| 4. |
- Gustafsson, Ingrid
(författare)
-
Värmebevarande insatser utifrån patientens och operationsteamets perspektiv
- 2021
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aim: The overall aim was to map and describe experiences of heat conservationmeasures (HCM) for the patient in connection with surgery from the patientʼsand the surgical teamʼs perspectives. The four studies aimed to: determinewhether nurse anesthetists have access to, knowledge of, and adhere torecommended guidelines to maintain normal body temperature during theperioperative period (I), describe the patientʼs lived experience of warmth andcoldness in connection with surgery (II), describe the nurse anesthetistʼsperceptions of heat conservation measures in connection with surgery (III),describe the surgical team memberʼs experience of communication regardingheat conservation measures during surgery (IV).Methods: The four studies had both descriptive and explorative designs.Participants included the head of department and nurse anesthetists atoperating departments in Sweden (I), 16 patients (II), 19 nurse anesthetists(III), and 29 surgical team members (IV). Data were collected via twoquestionnaires (I), individual interviews (II, III, IV), and narratives (IV). Datawere analyzed by descriptive statistics and content analysis (I), reflectivelifeworld research (II), phenomenography (III), and deductive content analysis(IV).Results: There are two sides to the same coin when it comes to HCM. One sideis temperature comfort and the other side is body temperature and temperaturemeasurement. Patients expect that their individual needs for temperaturecomfort will be fulfilled and when it is, they felt calmness and well-being. Thereis, however, an interdependence between the patient, the surgical team, andteam members. Patients do not dare to speak up about their needs and adapt tothe HCM they have been provided. The nurse anesthetist is dependent on thedialogue with the patient to be able to provide the right HCM and also on teammembersʼ communication and attitude towards HCM. The surgical team is inturn dependent on each other’s competencies when communicating aboutHCM which often happens in several small team constellations and sparinglyin the whole surgical team. Overall, there is a lack of a common guidelines,knowledge of HCM and especially redistribution, and full access to HCM.Conclusion: It is of importance to reach the patientʼs individual needs to avoidsuffering and promote well-being and patient safety. The nurse anesthetistʼsgoal is to protect the patient by avoiding heat loss and maintaining normal bodytemperature. There is a need to highlight the patient’s role in the surgical team, whose goal is to provide the patient with the best care, there might however, bedifferent perspectives on HCM. Furthermore, the surgical team needs supportfrom their organizational management regarding the right preconditions asaccess to HCM and a common platform for education to provide HCM, toincrease patient safety during surgery.
|
|
| 5. |
- Göbel, Hannes, et al.
(författare)
-
IT Service Management : Core Processes Aligning Business and IT
- 2014
-
Ingår i: Business Information Systems Workshops. - Cham : W. Abramowicz and A. Kokkinaki (Eds.): BIS 2014 Workshops, LNBIP 183, pp. 145–155, 2014. - 9783319114590 - 9783319114606 ; , s. 145-155
-
Konferensbidrag (refereegranskat)abstract
- The problem we address is that researchers have insufficiently investigated the processes and nuances of Business and IT alignment. One attempt to tackle Business and IT alignment in a process-oriented way is to adopt the concept of IT Service Management (ITSM). However, identified challenges entails that ITSM is hard to define and that existing ITSM frameworks sometimes are considered as overly complex containing an extensive process scope, making it costly and hard to implement. The purpose of this workshop paper is to understand in what way are ITSM core processes supporting business and IT alignment? Our qualitative research approach embraced a two-phase method based on empirical studies where identified core processes were mapped using the Strategic Alignment Model. The result shows that the core of ITSM consists of five processes and that these processes somewhat constitute the bridges and interfaces that aligns Business and IT.
|
|
| 6. |
- Olsson, Martin, et al.
(författare)
-
Educational intervention in triage with the Swedish triage scale RETTS©, with focus on specialist nurse students in ambulance and emergency care – A cross-sectional study
- 2022
-
Ingår i: International Emergency Nursing. - : Elsevier. - 1755-599X .- 1878-013X. ; 63
-
Tidskriftsartikel (refereegranskat)abstract
- AimTo determine the reliability of application of the RETTS© triage scale after an educational intervention using paper-based scenarios in emergency care education.BackgroundKnowledge about and education in triage are important factors in triagescale implementation. Presenting students with a large number of triage scenarios is a common part of triage education.MethodsIn this prospective cross-sectional study at two universities students undergoing education in emergency care used RETTS© to assess triage level in 46 paper-based scenarios.Results57 students in the study made 2590 final triage decisions. Fleiss Kappa for final triage was 0.411 which is in the lower range of moderate agreement. In 25 of 46 (53.4%) scenarios, final triage levels did not agree about whether the case was stable or unstable.Conclusion/ImplicationsApplication of the RETTS© triage scale after an educational intervention with paper-based simulation in emergency care education resulted in moderate agreement about the final levels of triage.
|
|
