Dissertations / Theses on the topic 'Hard Approach'
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Rashid, Waleed Bin. "Surface defect machining : a new approach for hard turning." Thesis, Heriot-Watt University, 2014. http://hdl.handle.net/10399/2840.
Full textDehkordi, S. Emad. "Groundwater resources in coastal hard rock terrains : Geostatistical and GIS approach." Thesis, KTH, Mark- och vattenteknik, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-151296.
Full textSagoo, Jaspal S. "The development of hard real-time systems using a formal approach." Thesis, Aston University, 1992. http://publications.aston.ac.uk/8092/.
Full textPugacs, Sergejs. "A clustering approach for vehicle routing problems with hard time windows." Master's thesis, Faculdade de Ciencias e Tecnologia, 2014. http://hdl.handle.net/10362/13045.
Full textThe Vehicle Routing Problem (VRP) is a well known combinatorial optimization problem and many studies have been dedicated to it over the years since solving the VRP optimally or near-optimally for very large size problems has many practical applications (e.g. in various logistics systems). Vehicle Routing Problem with hard TimeWindows (VRPTW) is probably the most studied variant of the VRP problem and the presence of time windows requires complex techniques to handle it. In fact, finding a feasible solution to the VRPTWwhen the number of vehicles is fixed is an NP-complete problem. However, VRPTW is well studied and many different approaches to solve it have been developed over the years. Due to the inherent complexity of the underlying problem VRPTW is NP-Hard. Therefore, optimally solving problems with no more than one hundred requests is considered intractably hard. For this reason the literature is full with inexact methods that use metaheuristics, local search and hybrid approaches which are capable of producing high quality solutions within practical time limits. In this work we are interested in applying clustering techniques to VRPTWproblem. The idea of clustering has been successfully applied to the basic VRP problem. However very little work has yet been done in using clustering in the VRPTW variant. We present a novel approach based on clustering, that any VRPTW solver can adapt, by running a preprocessing stage before attempting to solve the problem. Our proposed method, tested with a state of the art solver (Indigo), enables the solver to find solutions much faster (up to an order of magnitude speed-up). In general this comes with at slightly reduced solution quality, but in somes types of problems, Indigo is able to obtain better solutions than those obtained with no clustering.
Rucci, Josh. "A hard or soft approach? reconfiguring South Korean relations with North Korea /." Click here for download, 2007. http://proquest.umi.com/pqdweb?did=1288668421&sid=1&Fmt=2&clientId=3260&RQT=309&VName=PQD.
Full textJones, A. V. "An approach to the design of expert systems for hard real-time applications." Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.637449.
Full textStampanoni, Marco. "A novel approach towards hard X-ray submicrometer computer tomography with synchrotron radiation." [S.l. : s.n.], 2002. http://e-collection.ethbib.ethz.ch/ecol-pool/diss/fulltext/eth14884.pdf.
Full textJordan, Heidi Lynn. "A Purposeful Approach to Student Conduct with Deaf and Hard of Hearing Learners." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2735.
Full textSlimani, Amel. "Photonic approach for the study of dental hard tissues and carious lesion detection." Thesis, Montpellier, 2017. http://www.theses.fr/2017MONTT125.
Full textPhotonic properties of dental hard tissues allowed us to proceed to in vitro analysis of enamel and dentin on a molecular level. Confocal Raman microscopy has been used to produce a mapping of collagen cross-link and crystallinity of human dentin–enamel junction (DEJ) with a spatial resolution not achieved up to now. The method is a non-invasive, label-free and a high spatial resolution imaging technique. This chemical analysis of DEJ led us to redefine a wider width of this transition zone and advance our understanding of dental histology. A study on the intrinsic fluorescence changes of sound and carious tissues using conventional fluorescence microscopy suggests the involvement of protoporphyrin IX and pentosidine in the fluorescence red-shift observed in carious tissues. Multiphoton microscopy allowed to detect nonlinear optical signal changes during caries process using second harmonic generation (SHG) and two-photon excitation fluorescence (2PEF). Our studies led us to propose the ratio SHG/2PEF as valuable parameter to monitor caries lesion. Collectively, advances described in this thesis show the potential of photonic properties of enamel and dentin using Raman and multiphoton microcopies for molecular investigations on sound as much as on carious tissues. It opens new perspective in dental research and clinical applications
Karpenko, Tatyana S. "Te(te(te(text)xt)xt)xt : a cognitive approach to the study of intertextuality." Thesis, Lancaster University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268003.
Full textAustin, Annie. "Hard times and capabilities : the effects of economic crisis on well-being in the UK." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/hard-times-and-capabilities-the-effects-of-economic-crisis-on-wellbeing-in-the-uk(14edea4f-b2b8-4308-927b-0bd5238a10a1).html.
Full textNagpal, Charu. "A delay-efficient radiation-hard digital design approach using code word state preserving (cwsp) elements." Texas A&M University, 2008. http://hdl.handle.net/1969.1/85906.
Full textShah, Purvi. "A PRIORITY-BASED RESOURCE MANAGEMENT APPROACH FOR DYNAMIC AND HARD MISSION CRITICAL REAL-TIME SYSTEMS." Ohio University / OhioLINK, 2005. http://www.ohiolink.edu/etd/view.cgi?ohiou1113835813.
Full textCastrignano, Salvatore [Verfasser], and Jörg [Akademischer Betreuer] Evers. "A Quantum Theoretical Approach to Hard X-ray Time-Domain Interferometry / Salvatore Castrignano ; Betreuer: Jörg Evers." Heidelberg : Universitätsbibliothek Heidelberg, 2019. http://d-nb.info/1180326628/34.
Full textWalters, Philippa Anne. "A rheological approach to the formulation and drug release of thixotropic gels for hard gelatin capsules." Thesis, University of Sunderland, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239687.
Full textPatterson, Jesse. "An Energy-Efficient Semi-Partitioned Approach for Hard Real-Time Systems with Voltage and Frequency Islands." DigitalCommons@USU, 2016. https://digitalcommons.usu.edu/etd/4969.
Full textMurphy, Lyndon John. "An analysis of innovation programmes in Wales along a 'hard-soft' policy continuum : a case study approach." Thesis, University of South Wales, 2011. https://pure.southwales.ac.uk/en/studentthesis/an-analysis-of-innovation-programmes-in-wales-along-a-hard--soft-policy-continuum(3294d1c4-e285-439c-bd6f-30526f44add3).html.
Full textStirrup, Rodney. "Optimization of a renewable energy supply system using hard and soft computational control methodologies : a hybrid approach." Thesis, University of Southampton, 2005. https://eprints.soton.ac.uk/72107/.
Full textOlsson, Carl Olof. "A new world order? : A methodological approach to the soft and hard power of the European Union." Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Statsvetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-6810.
Full textGlusniewska, Magdalena. "What has the European Union done to approach terrorism - Responses to a growing security challenge." Thesis, Linnéuniversitetet, Institutionen för statsvetenskap (ST), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-75026.
Full textLaclau, Charlotte. "Hard and fuzzy block clustering algorithms for high dimensional data." Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCB014.
Full textWith the increasing number of data available, unsupervised learning has become an important tool used to discover underlying patterns without the need to label instances manually. Among different approaches proposed to tackle this problem, clustering is arguably the most popular one. Clustering is usually based on the assumption that each group, also called cluster, is distributed around a center defined in terms of all features while in some real-world applications dealing with high-dimensional data, this assumption may be false. To this end, co-clustering algorithms were proposed to describe clusters by subsets of features that are the most relevant to them. The obtained latent structure of data is composed of blocks usually called co-clusters. In first two chapters, we describe two co-clustering methods that proceed by differentiating the relevance of features calculated with respect to their capability of revealing the latent structure of the data in both probabilistic and distance-based framework. The probabilistic approach uses the mixture model framework where the irrelevant features are assumed to have a different probability distribution that is independent of the co-clustering structure. On the other hand, the distance-based (also called metric-based) approach relied on the adaptive metric where each variable is assigned with its weight that defines its contribution in the resulting co-clustering. From the theoretical point of view, we show the global convergence of the proposed algorithms using Zangwill convergence theorem. In the last two chapters, we consider a special case of co-clustering where contrary to the original setting, each subset of instances is described by a unique subset of features resulting in a diagonal structure of the initial data matrix. Same as for the two first contributions, we consider both probabilistic and metric-based approaches. The main idea of the proposed contributions is to impose two different kinds of constraints: (1) we fix the number of row clusters to the number of column clusters; (2) we seek a structure of the original data matrix that has the maximum values on its diagonal (for instance for binary data, we look for diagonal blocks composed of ones with zeros outside the main diagonal). The proposed approaches enjoy the convergence guarantees derived from the results of the previous chapters. Finally, we present both hard and fuzzy versions of the proposed algorithms. We evaluate our contributions on a wide variety of synthetic and real-world benchmark binary and continuous data sets related to text mining applications and analyze advantages and inconvenients of each approach. To conclude, we believe that this thesis covers explicitly a vast majority of possible scenarios arising in hard and fuzzy co-clustering and can be seen as a generalization of some popular biclustering approaches
McArthur, Guillian K. "Spectral and spatial characteristics of solar flare hard x-ray emission : a non-uniformly ionised thick target approach." Thesis, University of Glasgow, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312728.
Full textTAVARES, Eduardo Antônio Guimarães. "A time Petri net based approach for software synthesis in Hard Real-Time embedded systems with multiple processors." Universidade Federal de Pernambuco, 2006. https://repositorio.ufpe.br/handle/123456789/2589.
Full textAtualmente, sistemas embarcados são ubíquos. Em outras palavras, eles estão em todos os lugares. Desde utilitários domésticos (ex: fornos microondas, refrigeradores, videocassetes, máquinas de fax, máquinas de lavar roupa, alarmes) até equipamentos militares (ex: mísseis guiados, satélites espiões, sondas espaciais, aeronaves), nós podemos encontrar um sistema embarcado. Desnecessário afirmar que a vida humana tem se tornado mais e mais dependente desses sistemas. Alguns sistemas embarcados são classificados como sistemas de tempo real, onde o comportamento correto depende não somente da integridade dos resultados, mas também nos tempos em que tais resultados são produzidos. Em sistemas embarcados de tempo real críticos, se as restrições temporais não forem satisfeitas, as conseqüências podem ser desastrosas, incluindo grandes danos aos equipamentos ou mesmo perdas de vidas humanas. Devido a tarefas que possuem alta taxa de utilização de processador, alguns sistemas embarcados (ex: dispositivos médicos) precisam ser compostos de mais de um processador para obter performance aceitável e, no caso de sistemas embarcados de tempo real críticos, para satisfazer as restrições temporais críticas. Entretanto, questões adicionais precisam ser consideradas para lidar com um ambiente multiprocessado, tal como comunicação entre processadores e sincronização. Nessa dissertação, um método de síntese de software baseado no formalismo matemático redes de Petri com tempo é apresentado para lidar com sistemas embarcardos de tempo real críticos com múltiplos processadores. A abordagem inicia a partir de uma especificação (usualmente composta de tarefas concorrentes e comunicantes) e automaticamente gera o código fonte de um programa considerando: (i) as funcionalidades e restrições; e (ii) o suporte operacional para execução das tarefas em um ambiente multiprocessado. Síntese de software é uma alternativa para sistemas operacionais especializados para dar suporte a execução de um programa. Sistemas operacionais são usualmente genéricos e podem introduzir atrasos no tempo de execução, e ao mesmo tempo produzir alto consumo de memória. Por outro lado, a síntese de software é uma alternativa de projeto, dado que este método automaticamente gera o código fonte do programa, satisfazendo a funcionalidade, as restrições especificadas, o suporte para execução, e a minimização dos atrasos e uso de memória
Badarch, Bayarbat. "Yield Efficiency Using a Stochastic Frontier Approach for Corn, Soybeans, and Hard Red Spring Wheat in North Dakota." Thesis, North Dakota State University, 2017. https://hdl.handle.net/10365/28589.
Full textGargh, Prashant Pawan. "INVESTIGATING AND UNDERSTANDING THE MECHANICAL RESPONSE OF LINKED STRUCTURES OF HARD AND SOFT METALSUSING CONSTANT DISPLACEMENT APPROACH: A NUMERICAL STUDY." University of Akron / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=akron1467977759.
Full textNakeva, von Mentzer Cecilia. "Rethinking Sound : Computer-assisted reading intervention with a phonics approach for deaf and hard of hearing children using cochlear implants or hearing aids." Doctoral thesis, Linköpings universitet, Handikappvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-108902.
Full textI denna avhandling undersöktes fonologisk lästräning vid datorn för döva och hörselskadade barn 5, 6 och 7 år gamla som använde cochleaimplantat, hörapparat eller en kombination av båda. Barn med normal hörsel som var matchade avseende icke-verbal intelligens och ålder utgjorde jämförelsegrupp. Döva och hörselskadade barn utgör en heterogen grupp avseende kognitiv förmåga och skolframgång. Många av dem når inte kraven för åldern avseende språk och läsförmåga under skoltiden vilket får negativa konsekvenser för senare utbildning och arbete. Att hitta relevanta interventionsmetoder för att främja tidig språkinlärning och läsutveckling som är lätta att genomföra, är därför av stor betydelse. I avhandlingen undersöktes tre aspekter av kognitiv förmåga (fonologisk bearbetningsförmåga, lexikal åtkomst och arbetsminneskapacitet) och läsförmåga vid tre tidpunkter; förtest 1, före intervention och efter intervention. Dessutom undersöktes om datorbaserad intervention som genomförs via Internet i hemmet, skulle vara en användbar och effektiv metod för döva och hörselskadade barn. Resultaten i stort visar att fonologisk lästräning vid datorn i barnens hem är en alternativ metod att stödja inte bara barn i risk att utveckla lässvårigheter, utan även döva och hörselskadade barns fonologi och avkodningsförmåga.
Hopkins, Thomas A. "An Automated Approach to a 90-nm CMOS DRFM DSSM Circuit Design." Wright State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=wright1281645939.
Full textManca, Laura. "Fonctionnements des sociétes de la fin du Néolithique au début de l'âge du Cuivre en Sardaigne : Une approche inédite à partir de l'étude des productions en matières dures animales." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM3086.
Full textThe hard animal materials industry plays an important role in the prehistory of Sardinia. This importance is emphasized by the presence of many artefacts found in various types of archaeological sites (habitats, graves and “worship” sites) whose chronology extends from the Palaeolithic to the end of the Copper Age. The aim of this work is to provide a comprehensive overview of hard animal materials production in the Sardinian prehistory based on actual published data and especially on the analysis of the late Neolithic Ozieri and the first Copper Age (4200-2900 B.C.) industries. In the first step, this work implies to achieve a state of art of current knowledge on the production of hard animal materials in Sardinian prehistory and highlights the heterogeneity of the data and the extreme rarity of specific studies about this category of artefacts. In a second step, the technological analysis of hard animal materials industry of two major sites of Sardinian prehistory, Su Coddu at Selargius (Cagliari) and Cuccuru s’Arriu at Cabras (Oristano) permit to lay the first bases for the characterization of these two industries, defining the role of hard animal materials industry (constitution of equipment) and to reconstruct the techniques, procedures and methods used for the production of finished objects. This work also seeks to characterize the economic implications of this industry and to highlight the techno-economic similarities and differences between the hard animal materials productions of the late Neolithic and the first Copper Age in Sardinia
Loukus, Amy Katherine. "Variables affecting hand sanitizer use in public facilities." OpenSIUC, 2010. https://opensiuc.lib.siu.edu/theses/284.
Full textOdeh, Khaled. "Nouveaux algorithmes pour le traitement probabiliste et logique des arbres de défaillance." Compiègne, 1995. http://www.theses.fr/1995COMPD846.
Full textSuljevic, Selma, and Ida Marquardt. "Parental Attachment and Adolescent Self-harm: : A multidimensional approach examining patterns of attachment in relation to self-harm." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-52801.
Full textHeinbach, Sonja, and Nathalie Binkiewicz. "Oriflame : What influence has management approch, marketing approach and product offering had on the ccompany's success?" Thesis, Mälardalens högskola, Akademin för hållbar samhälls- och teknikutveckling, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-12785.
Full textRehnberg, Rebecka, and Gabrielle Svensson. "HR-funktionen : en praktiknära studie om HR-arbete." Thesis, Högskolan i Borås, Akademin för textil, teknik och ekonomi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-10413.
Full textHRM, human resource management, is a profession concerning, as its name indicates, managing the human resources of an organization. Ever since emerging, it has been ambiguous and constantly evolving. Many of the studies conducted in the field has therefore focused on identifying what HR is and what its function should be. Research has focused on finding universal answers, but there are few studies that allow these questions to be answered on the basis of a specific organizational context. Furthermore, there is also a lack of empirical studies in the field of HR. Through this, as well as through the ambiguity and changing background the field of HR is characterized by, we have, in research, identified the HR function as vaguely framed. Based on this, the purpose of the study is to contribute with practice oriented knowledge about how HR work is managed in practice.We have conducted a qualitative study, on which we have applied a comparative design. Based on a theoretical sample, three corporations with an independent HR department were included in the study through semi-structured interviews. In every corporation a HR manager and three department heads were interviewed. The analysis has been shaped by an abductive approach, inspired by a hermeneutic perspective. The theoretical model used in the analysis, was developed on the basis of previous research and served purpose to help emphasize, possibly opposing, differences in the interviewees views, regarding HR.The findings of this study has led to conclusions that HR as a function should not be determined in specific terms. However, the importance is to create an internal consistency regarding the role of HR and then to communicate this throughout the organization. This, in order to promote consistent expectations of the function and thus minimize misguided criticism. In all the corporations, dualistic HRM was the most appearing approach, in which both soft and hard HRM exist. Opposed to the majority of previous presented research of the field, this study focus on exploring HR-practice in its specific context, thus it contributes to a deeper understanding the practice of the field. This paper is written in Swedish.
Somasekharan, Arun. "Muscle activation mapping of skeletal hand motion : an evolutionary approach." Thesis, Bournemouth University, 2012. http://eprints.bournemouth.ac.uk/20980/.
Full textClark, Makena C. "Bow Hold Buddies| An Efficient Approach for Right Hand Formation." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10784183.
Full textRight hand violin technique is a challenge to both seasoned professionals and students. Particularly during group violin classes, difficulty arises in teaching many children, simultaneously, how to formulate a proper bow hold. If a teacher chooses to incorporate Bow Hold Buddies, a technically strong bow hold may become easily achievable for their students. These pedagogical tools may mold the right hand into a technically correct bow hold, so that students can begin to work on sound quality instead of spending hours on establishing a difficult position of the hand.
My Project Report examines how Bow Hold Buddies help to create technically strong young violinists as well as playing a role in improving the progress and efficiency of group classes. My project focuses on the use of the Bow Hold Buddy in classes of beginning violinists. I studied the progress of students over the course of a semester and noted how much more they improved when compared to teaching bow holds traditionally.
Cacciapaglia, Holly M. "A STEPPED-CARE APPROACH to SMOKING CESSATION and HARM REDUCTION." Bowling Green State University / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1151035089.
Full textBrackett, Andrew. "Understanding healthcare staff's hand hygiene adherence : a theory-driven approach." Thesis, University of Leicester, 2016. http://hdl.handle.net/2381/38219.
Full textHeath, Hannah. "Understanding the impact of self-harm on friendship : a qualitative approach." Thesis, University of Bath, 2016. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.687362.
Full textAmayeh, Gholamreza. "A component-based approach to hand-based verification and identification system." abstract and full text PDF (UNR users only), 2009. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3387799.
Full textMACIEL, CRYSTAL LYNN. "IMPROVING HAND HYGIENE IN THE CLINICAL SETTING A BEST PRACTICE APPROACH." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/613252.
Full textIsikli, Cansel. "Preparation And Characterization Of Chitosan-gelatin/hydroxyapatite Scaffolds For Hard Tissue Engineering Approaches." Master's thesis, METU, 2010. http://etd.lib.metu.edu.tr/upload/3/12611568/index.pdf.
Full text&bdquo
tissue-like&rdquo
structures or organoids. Chitosan is a linear amino polysaccharide that can provide a convenient physical and biological environment in tissue regeneration attempt. To improve chitosan&
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s mechanical and biological properties, it was blended with another polymer gelatin. 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC) and N-hydroxysuccinimide (NHS) were used to crosslink the chitosan-gelatin matrix to produce stable structures. These natural polymers are mechanically weak especially to serve as a bone substitude and therefore, an inorganic calcium phosphate ceramic, hydroxyapatite, was incorporated to improve this aspect. The objective of this study was to develop chitosan-gelatin/hydroxyapatite scaffolds for a successful hard tissue engineering approach. For this reason, two types of hydroxyapatite, as-precipitated non-sintered (nsHA) and highly crystalline sintered (sHA) were synthesized and blended into mixtures of chitosan (C) and gelatin (G) v to produce 2-D (film) and 3-D (sponge) structures. The physicochemical properties of the structures were evaluated by scanning electron microscopy, X-Ray Diffraction (XRD), Fourier Transform Infrared-Attenuated Total Reflectance spectrometer (FTIR-ATR), differential scanning calorimetry, contact angle and surface free energy measurements and swelling tests. Mechanical properties were determined through tensile and compression tests. In vitro cell affinity studies were carried out with SaOs-2 cells. MTS assays were carried out to study cell attachment and proliferation on the 2-D and 3-D scaffolds. Several methods such as confocal, fluorescence and scanning electron microscopy were used to examine the cell response towards the scaffolds. Cell affinities of the samples were observed to change with changing chitosan-gelatin ratio and hydroxyapatite addition into the matrices. XRD and FTIR results confirmed the purity of the hydroxyapatite synthesized. Mechanical test results showed that 2-D and 3-D chitosan-gelatin/hydroxyapatite constructs have similar properties as bones, and in vitro studies demonstrated that the prepared matrices have the potential to serve as scaffold materials in hard tissue engineering applications.
Gibbs, Sally Elizabeth. "Learning to learn the hard way? : learning styles and approaches to doctoral research." Thesis, University of Bristol, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368399.
Full textBengtsson, Hanna, and Malin Isaksson. "Vårdkedjeprojektet : En utvärdering av hur Vårdkedjeprojektets mål har implementerats i verksamheten på Behandlingshemmet Rällsögården." Thesis, Örebro University, Department of Behavioural, Social and Legal Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-481.
Full textAn evaluation: how have the goals of “Vårdkedjeprojektet” been implemented at the treatment centre of Rällsögården
This evaluation was commissioned on behalf of the treatment centre of Rällsögården. The aim of this study is to evaluate how the goals of “Vårdkedjeprojektet” (VKP) have been implemented in the institutional care at the treatment centre of Rällsögården. This study was focused on the following questions: a) how is the function ”internal coordinator” experienced by staff at Rällsögården, b) in the function of internal coordinator what aspects are thought of as effective/non-effective concerning the cooperation with ”external coordinators” and contact with clients and staff, c) how is Vårdkedjeprojektet and its treatment approach “Community Reinforcement Approach” (CRA) experienced by coordinators, clients and staff and d) how well is the aftercare functioning for clients who have finished their treatment at Rällsögården, and still participate in VKP?
The choice of research method was triangulation; a combination of qualitative and quantitative methods. Data was collected through interviews with all the coordinators and clients and a questionnaire was distributed among the staff at Rällsögården. The result shows that the function internal coordinator is appreciated by the external coordinators as well as by staff at Rällsögården. The external coordinators and the internal coordinator find their cooperation as satisfying. However most of the clients experience the contact with the internal coordinator as not satisfying. The majority of the staff at Rällsögården would appreciate more participation from the internal coordinator in the daily treatment work at Rällsögården. A majority of the staff and none of the clients at the institution have knowledge of the significance of CRA. The clients in aftercare have knowledge of the method and they have had CRA-sessions. The two clients in aftercare have two different experiences of the aftercare and the contact with concerned authorities. One of the clients is satisfied with his aftercare and the contact with the internal coordinator and the other client is not satisfied.
In conclusion a majority of the respondents think that the positive aspects of VKP are the “over-all thinking” and the increased cooperation between social services and institutions. Another important aspect is the guaranteed six months aftercare.
Keywords: Aftercare, clients, coordinator, Community Reinforcement Approach, implementation, Vårdkedjeprojektet
En utvärdering av hur Vårdkedjeprojektets mål har implementerats i verksamheten på Behandlingshemmet Rällsögården
Denna utvärdering utförs på uppdrag från Rällsögårdens behandlingshem. Syftet med studien är att dels utvärdera den funktion som innehas av Rällsögårdens interna samordnare (IS), dels undersöka vilka hinder och möjligheter som kan identifieras vid implementeringsprocessen av Vårdkedjeprojektets mål på Rällsögården. Ur syftet formulerades följande frågeställningar: a) hur uppfattas funktionen intern samordnare av personal på Rällsögården, b) i samordnarfunktionen; vad upplevs som verksamt/mindre verksamt avseende samarbetet med samordnare och kontakt med berörda klienter samt personal, c) hur upplevs Vårdkedjeprojektet (VKP) och dess samtalsmetodik Community Reinforcement Approach (CRA) av samordnare, klienter och personal, d) hur har vårdkedjan fungerat för de klienter som avslutat sin behandling på Rällsögården?
För att besvara studiens syfte och frågeställningar tillämpades metodtriangulering; det vill säga en kombination av kvalitativa och kvantitativa metoder. Utvärderingen innefattar material från intervjuer med samtliga samordnare inom VKP, Rällsögårdens interna samordnare och klienter samt data från den enkätundersökning som genomfördes bland personal på behandlingshemmet Rällsögården. Av resultatet framkommer att funktionen intern samordnare är uppskattad av såväl samordnare inom VKP som personal på behandlingshemmet. Samtliga samordnare är nöjda över kontakten med Rällsögårdens interna samordnare och denne är i sin tur nöjd över samarbetet med samordnarna. Flertalet av klienterna är dock ej tillfredsställda över kontakten med den interna samordnaren. Ett önskemål som framförs av personalgruppen är att den interna samordnaren borde vara mer involverad i det dagliga arbetet på behandlingshemmets olika avdelningar.
Klienterna på institutionen uppger att de ej har kännedom om CRA, medan klienterna i eftervård har kunskap om metoden och har haft CRA-samtal. Även flertalet av personalen på behandlingshemmet uppger att de ej har kännedom om metoden. De två klienterna i eftervård har olika upplevelser av vårdkedjan och kontakten med berörda myndighetspersoner. Den ena klienten är nöjd över sin eftervård och den andra klienten är missnöjd med den. Flertalet respondenter menar att de positiva aspekterna av VKP är att projektet innebär ett helhetstänkande och att det har ökat samarbetet mellan socialtjänst och institutioner. Ytterligare aspekter som framhålls är projektets långsiktighet och dess satsning på eftervård.
Nyckelord: Community Reinforcement Approach, eftervård, implementering, klienter, samordnare, Vårdkedjeprojektet
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