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Cole, Min. "Implementation of Person-Centered Care [PCC]." Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc1505202/.
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To meet the growing demand for community-based adult services (CBAS) adult day health care (ADHC) programs, it is important these programs make the necessary modifications in their systems of care to embrace a person-centered care (PCC) model. This study was designed to create an assessment to determine a community-based CBAS/ADHC program's readiness to meet the new federal standards as determined by the program's current operational evidence and by center participants', their families' as well as staff's perspectives. This was measured by self-report of access to the community, choice of setting, individual rights, autonomy and independence, choice of services and supports, center accessibility as well as their needs and preferences in the practice. Results will assist similar CBAS/ADHCs in identifying the necessary modifications within their own program to continue as a certified licensed entity and remain a viable agency.
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Flesner, Marcia K. "Person centered care : a model for nursing homes /." free to MU Campus, others may purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3091924.
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Heston, Jennifer L. "The Role of Direct Care Workers in Person-Centered Home Care." Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami1491987309873559.
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Strollo, Jennifer Miranda. "Direct Care Staffs’ Experiences and Perceptions of Person-Centered Care Training." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7756.
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Many long-term care (LTC) facilities within the United States have replaced the institutional model of care with one that accepts person-centered care (PCC) as the guiding standard of practice. Quality training ensures that direct care staff have the skills and the knowledge in the delivery of quality PCC. However, many nurses and nursing assistants have expressed the desire for further training in PCC practices to effectively deliver quality care. The purpose of this study was to explore the types and length of training and education provided based on the perceptions and experiences of direct care staff related to their implementation of PCC practices. The theoretical framework for this study consisted of Rogers’ PCC approach theory and philosophy. A qualitative interpretative phenomenological design was used to examine the perceptions of training and education of 20 certified nursing assistants using semistructured interviews. Once the interviews were conducted and transcribed, the data were coded into superordinate themes that stemmed from participant responses. Themes of PCC practices, teaching modalities, learner type, length, and introduction of training were identified as a result of the data analysis. The data also revealed that it is important for LTC facilities to be aware of how they are providing PCC education and training to their staff so that they may provide their residents with quality individualized care that emphasizes the whole person. Study findings may inform LTC administrators, leaders, and managers on the deliverance of effective training and educational practices when implementing PCC models within their facilities. The results may also spur national LTC organizations to refocus their core beliefs, values, and culture towards a culture that considers the whole person.
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Ashburner, Charlotte Hill. "Person-centered care : using systemic and psychodynamically informed action research." Thesis, City University London, 2005. http://openaccess.city.ac.uk/8476/.
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This paper describes a three-year action research project, aimed to support staff in recognising and responding to loss of personhood in a continuing care setting. The context of this study was a National Health Service (NHS) nursing home for the long term care of older people. Interventions used to support this development included the collection and sharing of residents' life histories, weekly team supervision meetings for staff, an action learning set for managers, and monthly external supervised meetings for both the action researcher and senior manager. This paper reports on the processes and outcomes of change achieved and the learning gained from working in a collaborative way with staff. Given that current policy indicates the need for person-centred care (Department of Health 2001a), this study provides a possible mechanism for putting it into practice, through a systems and psychodynamically informed approach.
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Cole, Min. "Implementation of Person-Centered Care (PCC): A Descriptive Case Study." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1505202/.
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To meet the growing demand for community-based adult services (CBAS) adult day health care (ADHC) programs, it is important these programs make the necessary modifications in their systems of care to embrace a person-centered care (PCC) model. This study was designed to create an assessment to determine a community-based CBAS/ADHC program's readiness to meet the new federal standards as determined by the program's current operational evidence and by center participants', their families' as well as staff's perspectives. This was measured by self-report of access to the community, choice of setting, individual rights, autonomy and independence, choice of services and supports, center accessibility as well as their needs and preferences in the practice. Results will assist similar CBAS/ADHCs in identifying the necessary modifications within their own program to continue as a certified licensed entity and remain a viable agency.
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Ndeutchoua, Laure Bertille. "Facilitating Person-Centered Care for People with Intellectual and Developmental Disabilities." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3186.
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The patient centered care (PCC) model is recommended by the Institute of Medicine for individuals with intellectual and developmental disabilities. The problem identified in this quality improvement (QI) project was that PCC practices had not been included in the training curriculum within the organization. Framed within the plan-do-study-act model of QI, the purpose of this project was to develop an educational initiative on PCC that included a curriculum plan, a pretest/posttest, a protocol, a revision of the training policy, and an implementation and evaluation plan. Drawing upon the evidence-based literature and using a team approach, a curriculum plan on PCC practices was developed which included a pretest/posttest to evaluate staff knowledge on the curriculum before and after the training. Three content experts from the committee approved the curriculum and validated the pretest/posttest items. The content validation index was 0.99 showing that each item reflected the content and objectives of the curriculum. As well, a training protocol was developed which identified the steps for provision of the curriculum to maintain consistency for all users. The training policy was revised to set expectations for all staff for the incorporation of the PCC practices into the organization. This initiative will be implemented into the organization using Kurt Lewin’s model of change to guide PCC practices. A recommendation was made to add a small section on “people’s first language” to the training to preserve patients’ dignity and respect during communication. This project contributes to social change by promoting PCC practices among healthcare workers thus limiting healthcare disparities and improving access for persons with intellectual developmental disabilities.
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Hughes, LaTonya Dickerson. "The Nurse and Certified Nursing Assistant Perception of Person-Centered Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6585.
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Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for the resident and the caregiver. Using a phenomenology research design, 3 focus groups of 15 nurses and 10 certified nursing assistants (CNA), working in a long-term care facility, were asked questions to describe their perception of person-centered care. The responses from the 25 participants were stored and organized using Nvivo. The thematic analysis revealed that the nurses and CNAs perceived person-centered care to include the caring and compassionate approach taken when care is being delivered. The participants also shared that person-centered care included involving the resident in decision making through communicating openly and developing relationships. The discussions revealed that 8 carative factors influenced their understanding, with the main factor being the creative problem-solving method for decision making. The �ndings from this study have the potential to impact positive social change at the organizational level, influencing the delivery of care within long-term care settings.
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Stock, Debbie G. "Exploring Person-Centered Accountability as a Complementary Approach to Regulatory-Centered Accountability| An Action Research Study." Thesis, Northcentral University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3728217.
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Accountability in healthcare tends to dominate discussions focused on improving the quality of care, the experience of patients, pay-for-performance, and engaging employees to produce positive performance outcomes. Organizational leaders are held to answer to external regulatory agencies about performance outcomes based on prescribed standards. Frequently, these agencies adopt a punitive approach by imposing rewards and penalties for achieving or failing to meet the performance standards. Furthering the challenges, organizational leaders are expected to model accountability, hold employees accountable, and be a source for inspiration and motivation. The purpose of this qualitative action research study was to examine person-centered accountability (PCA), or the use of positive leadership, positive practices, and positive emotions, as a complementary approach to regulatory-centered accountability (RCA). Six workshops influenced by appreciative inquiry, a practice period, participant journals, interviews and the use of a portable biofeedback device to measure positive emotions were all utilized to develop an understanding of participant’s experiences and perceptions about the value of PCA and RCA. Participants were clinical and non-clinical leaders at a Midwest medical center. Results from this study revealed the participants’ perception about the holistic and interdependent nature of PCA and RCA. Integrating PCA and RCA requires a change in philosophies as well as day-to-day accountability practices. Leaders and employees need to use both PCA and RCA to improve performance outcomes, therefore, it is important to create an organizational reset to change beliefs about accountability, build leadership capacity, and invest in employees. Future research is needed to evaluate the long-term impact of PCA and RCA on performance outcomes in and out of healthcare.
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Louw, Brenda, and Linda Vallino. "Person Centered Cleft Care: Evolutionary Practice by Giving Our Clients a Voice." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7756.
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Khan, Tasrina. "Staff and Family Perspectives Regarding Person Centered Care for Adults With Intellectual Disability." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6593.
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Individuals with intellectual disabilities often require additional support in performing daily activities as compared to individuals without intellectual disabilities. New York's Office for Developmental Disabilities developed the eight hallmarks of person centered planning to help individuals with intellectual disabilities understand the options available to them regarding care and support and to advocate for themselves and their rights. Researchers have yet to articulate how guardians and professional care providers of individuals with intellectual disabilities experience person centered planning in day habilitation. Thus, using a qualitative phenomenological approach, 5 direct care staff and 5 guardians of individuals with intellectual disabilities were interviewed to understand their perspectives on the 8 hallmarks of person centered planning. The conceptual framework of this study was Piaget's theory of constructivism and Bandura's theory of social learning. I used the Colaizzi method for phenomenological analysis. Following that I used the NVivo 11 qualitative data analysis software package for finding common themes. The results of this study showed that guardians and professional care providers desired more communication and training about the 8 hallmarks of person centered planning to provide the greatest benefit to individuals with intellectual disabilities. Implications for further training of staff and families, and tracking the outcomes of the eight hallmarks of person centered planning for quality of life in clients could result in policy changes for the frame of care offered to people with intellectual disability.
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Nelson, Heather McKay. "What Matters Most: PASSPORT Home Care Aides' Views on Ohio's Initial Steps to Implement Person-centered Care." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1429869685.
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Cattoor, Erin. "The Effectiveness of Cares Dementia Training Modules on Delivery of Person Centered Care Inside a Memory Care Unit| Utilizing the Cares Observational Tool." Thesis, University of Missouri - Columbia, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13877136.
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This study compared the efficacy of using online dementia training modules on both direct and non-direct care providers in long-term care settings and how this impacted their delivery of Person Centered Care (PCC), as well as their knowledge of caring for residents with a diagnosis of Alzheimer Disease (AD), dementia. Traditional educational opportunities for staff working specifically with demented residents inside Memory Care Units (MCU) were investigated, along with an alternative approach of training all staff (to include direct and non-direct care providers). The option of utilizing online dementia training modules for all staff was then evaluated by using an observational Person Centered Care tool, to see if education had made an impact on interactions between staff and the demented residents that they care for. This study utilized a single-group, repeated measures design to test a 10-week, standardized and computerized set of 10 interactive training modules in a 60-bed MCU . Fifty-one observations were made between MCU residents and staff and included in this study, employing a single-group pre-post-posttest design. The findings suggest that online dementia training modules may be beneficial for both knowledge and delivery of PCC to staff in MCUs who care for residents with a diagnosis of AD.
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Löfgren, Karolina, Susanna Sjöberg, and Linnea Neugebauer. "Vietnamese nursing students` perception of person-centered care. : A Minor Field Study in Vietnam." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-48700.
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Summary Background: Person-centred care is a concept which aims to achieve quality in health care. Person-centred care is about taking the patient's own story into account and creating a partnership between all involved parties. Aim: Exploring nursing students` perception of person-centred care in Vietnam. Method: This study is a qualitative study with a semistructured interview guide. It has a deductive approach with a directed content analysis. Twelve nursing students were interviewed in this study. Result: The result showed that communication, nurses' knowledge, mutual respect, cooperation and family’s experienced knowledge about the patient were identified as important parts of the participants perceptions about person-centred care in Vietnam. Challenges such as time constraints and misunderstandings were shown to be a repeating problem. Conclusion: The nursing students' perception about implementing person-centred care in Vietnam is positive, but there are challenges in applying this in practice. The number of patients related to the number of nurses is uneven, which may lead to problems in Vietnam regarding person-centered care.
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Selleby, Daniel. "Enhancing the person-centered care system through digital communication tools by applying a user-centered approach to a hospital environment." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23450.
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Digital technologies are becoming increasingly common tools in our daily lives. We use it for finding information, but also to communicate with people all over the world. With a vision to strengthen Swedish healthcare's digital resources, Sweden has made major efforts in this area. Improved living conditions have changed the demographic situation as people grow older, which in turn places higher demands on healthcare efficiency. Being able to meet these demands has made digitalization of healthcare increasingly important, but also demonstrating new challenges such as participation, transparency and usability. The purpose of this study has been to investigate if communicative tools can be created to facilitate nurses work with person-centred care and to enhance patients' positive experiences of their own care. The study is based on interviews and observations with nurses working within orthopaedic sections and employees working in facility management as well as administration within the hospital. The results show that digital solutions can be effective tools for enhancing person-centered care, but with automated solutions the physical encounter between nurses and patients can be reduced. The concepts that have been developed are two mobile applications. They were developed with the intention to make it easier for nurses to document and communicate patients' activity and care plans.
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Coleman, Carissa K. "The development and evaluation of an interpersonal person-centered care intervention for geriatric nurse aides." Diss., Wichita State University, 2010. http://hdl.handle.net/10057/3646.
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Person-centered caregiving is a construct that is currently being defined and
operationalized in the gerontology literature and in long-term care. The goal of this study was to
further define interpersonal person-centered care by developing and pilot testing a training
intervention for geriatric nurse aides. The training was developed to incorporate content
regarding person-centered behaviors, knowing the residents, and understanding relationships.
Specific materials used in the training were videos to model person-centered care, personalized
resident videobiographies, and personalized videos of caregiving interactions between the nurse
aides and the residents. The pilot testing of this intervention was implemented by using a quasiexperimental,
waitlist control design in two nursing homes, Catholic Care and St. Joseph. The
outcome measures included two behavioral observation measures for assessing person-centered
care: the Person-Centered Care Inventory and the Global Behavioral Scale. Additional outcome
measures included: dyadic measures of relational closeness and relationship satisfaction, nurse
aide job satisfaction, and resident satisfaction with care. The findings indicate that the training
intervention was successful in increasing both the nurse aides’ and residents’ sense of
relationship closeness, as well as their relationship satisfaction. However, the nurse aides’
person-centered caregiving behaviors care did not increase reliably. One explanation may be
that the sampling of the nurse aides’ caregiving behaviors was too small to provide an adequate
test of the hypothesized increase. It is possible that relationship closeness increased as a result of
the combination of encouraging the nurse aides and residents to think of themselves as being in a
relationship as well as the specific content of the training intervention.Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology
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Hart, Rebecca Marie. "Hart's Home Away From Home: An Integrative Approach to Dementia Care." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1311203360.
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Shen, Xizi. "Unveiling the Concept of Person-centered Dementia Care within Occupational Therapy in Residential Aged Care Facilities: A Critical Interpretive Synthesis." Thesis, Discipline of Occupational Therapy, 2017. http://hdl.handle.net/2123/16256.
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Background: People with dementia living in residential aged care facilities are at risk of being deprived of occupational engagement. The link between occupational therapy and meaningful engagement of residents with moderate to advanced dementia has been established. Concepts regarding person-centered dementia care are adopted as the guiding principle for service providers in this field. However, it is unclear how occupational therapists embrace the essence of person-centered dementia care when promoting meaningful engagement of residents with moderate to advanced dementia. This study thus aims to explore how person-centered dementia care is presented from an occupational therapy perspective. Methods: Thirty peer-reviewed articles were used as the source sample for this study. A critical interpretive synthesis was conducted to critically consider the power structure underpinning occupational therapy practice in residential dementia care. Evidence pertaining to occupational therapy practice was integrated and analyzed using concepts regarding occupational justice and themes of doing, being, becoming, belonging, and co-occupation to generate synthesis. Results: This synthesis indicated that occupational therapists enhance occupational justice in residential dementia care by increasing access to meaningful engagement and enabling participation of residents in doing, being and belonging at the level of co-occupation where interdependence between residents and mainly staff members is 28 fostered. However, the becoming domain of occupation has not been comprehensively addressed. Thus, the needs of residents for continual growth and development as occupational beings have not been fully addressed by the current occupational therapy practice in residential dementia care. Conclusion: This finding suggests expanding the role of occupational therapists to empower people with moderate to advanced dementia to enact and build on continuing opportunities for agency.
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Odmyr, Tobias, and Linda Olsson. "Flyktingars upplevelser av mötet med hälso- och sjukvården : Att inte kunna göra sin röst hörd." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10669.
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Background: More people than ever before are now seeking refuge from war and terror in other countries (UNHCR, 2016). This has as a consequence that the health care in many Western countries faces new patient categories which don’t speak the language and are culturally different from what health professionals are familiar with. Ethical considerations are important, since being misunderstood and not met with dignity or respect can cause care-related suffering. This may increase the suffering already experienced due to loss of security, family and friends. Aim: To illustrate refugees’ experiences in the contact with health care. Method: This is a literature-based, qualitative study. 15 articles were selected to investigate refugees’ experiences of health care. The analysis resulted in 2 themes, each containing 3 subthemes. Results: The main themes that emerged were: Feeling acknowledged and respected, and Overcoming language and cultural barriers. The result mainly reveals that language barriers are common, and that refugees consider it important to be seen as individuals, which is not always the case in health care. Conclusion: The challenge in caring for refugees as a nurse consists in ensuring there is a common understanding. While being aware of a patient’s history, it is also important to see the individual in a person-centered approach.Att bryta upp från familj och allt man känner sig trygg med försätter människan i en utsatt position. Den vilsenhet detta medför skapar ett lidande. Som sjuksköterska är det viktigt att vara medveten om detta. Författarna till detta litteraturbaserade arbete har studerat 15 vetenskapliga artiklar där flyktingars perspektiv av olika vårdmöten står i fokus. Resultatet visar att flyktingar upplever språket som det största problemet i mötet, men att även deras kultur och religion spelar in i vad de tycker är en bra vård. I många fall känner flyktingar sig förbisedda eller diskriminerade. Detta har i många fall att göra med att de inte blir bemötta som individer utan ses som en del av en annan kultur. För att undvika problem med språkförbistringar är det att föredra att anlita tolk. Detta är emellertid inte helt problemfritt. Tolkar påverkar mötet på olika sätt beroende på vem patienten är. Studiens resultat visar att många flyktingar föredrar en tolk av samma kön. Det bidrar till att de lättare kan öppna upp sig och att intima situationer, exempelvis avklädning, inte blir så svåra att hantera. Samma förhållanden råder när det gäller kön på vårdpersonal. Att undersökas av någon av motsatt kön kräver att detta upplevs som ofrånkomligt och väl förankrat. De upplevelser som har med kultur och religion att göra varierar mellan flyktinggrupper och enskilda personer. De berör hur man vill bli bemött och behandlad. Det visar sig att patienterna i många fall är ovana vid ett personcentrerat förhållningssätt. Att utveckla ett sådant förhållningssätt är dock viktigt, eftersom brister i detta gör att flyktingarna känner sig diskriminerade och förbisedda. Det kan även leda till att de går miste om viktig information om sin sjukdom och rekommenderade behandling. Om sjuksköterskor tillämpar personcentrerad vård där patientberättelsen och partnerskap ligger till grund kan vårdlidande undvikas.
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Gustafsson, Christopher, and Tobias Hansson. "Livet efter en genomgången hjärtinfarkt : Den förändrade vardagen." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15443.
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Background: The number of people suffering from myocardial infarction in Sweden is decreasing, despite this the prevalence is high. Being diagnosed with myocardial infarction results in medical interventions, lifestyle changes and eventual pharmacological treatment to prevent relapse. Aim: The aim of this study was to describe patients' experience of life after amyocardial infarction. Method: A literature-based study was used, based on ten qualitative articles. The articles were analyzed in a five step-model, which resulted in three main-themes and sixsub-themes. Results: The results present life after myocardial infarction as difficult to understandand manage. This could be related to their physical and mental changes, which resulted in fear and anxiety that affected their everyday lives through experienced limitations. Fatigue where also a contributing factor in the limitations of everyday life due to energyloss. This was hard to handle without support from both relatives and health care professionals. It was essential to be meet as a unique human and not reduced to a diagnosis. Life became more valuable through the survival and gave the individuals a second chance with different priorities. Some adjusted to the lifestyle changes, while others were reluctant. Returning to work where seen as an indicator for being healthy and a return to life as before. Conclusion: To establish well-being and security through nursing, a holistic approach that is the basis of person-centered care helps nurses to see the individual situation.I Sverige minskar antalet personer som drabbas av hjärtinfarkt trots detta är förekomsten fortfarande hög och ca 5800 avlider varje år. Hjärtinfarkten medför både fysiska och psykiska förändringar hos den drabbade. Syftet med denna litteraturstudie är att belysa patienters upplevelse av livet efter en genomgången hjärtinfarkt. I studiens resultat framkom det att både män och kvinnor såg situationen och livet efter en hjärtinfarkt som svår att hantera, då både kroppen och hjärtat inte längre upplevdes pålitligt. Detta resulterade i rädsla och oro som begränsade det vardagliga livet. Personerna upplevde att det var svårt att tolka kroppsliga signaler, vilket gav en osäkerhet som resulterade i ångest och katastrof tankar om döden. Detta medförde även att de inte vågade anstränga sig fysiskt. Känslor som ilska, frustration och nedstämdhet upplevdes på grund av den mentala och fysiska utmattningen som var svår att förstå. Personerna kunde inte utföra vardagsaktiviteter i samma utsträckning som innan hjärtinfarkten, vilket resulterade i en känsla av passivitet. Det utrycktes även ett behovav stöd från anhöriga och vårdpersonal för att klara av sin situation och det vardagligalivet. Vårdpersonalens bemötande och agerande var avgörande för hur patienterna förstod informationen som gavs, deltog i rehabilitering och klarade att genomföra nödvändiga förändringar när det gäller ohälsosamma levnadsvanor. Vårdpersonalens förmåga att skapa en trygg atmosfär tillsammans med att se patienten som människa var viktigt för att uppnå välbefinnande. Anhöriga sågs som en resurs för personerna då de kunde avlasta vardagssysslorna samtidigt som de lyssnade, vilket gav trygghet och välbefinnande hemma. Patienter upplevde att familjen satt för höga krav och fick då stödet från vänner. Partnerrelationen kunde påverkas genom den minskade sexuella relationen som grundade sig i rädsla för de fysiska förändringarna och upplevdes svårt att prata om med partnern. Livet efter en hjärtinfarkt beskrevs som en ny chans till livet där nya värderingar uppstod. Personerna upplevde att arbetsgivarens attityd och förståelse för situationen var avgörande för fortsatt sjukskrivning. För att kunna möta patientens unika behov och skapa välbefinnande genom omvårdnad, är personcentrerat förhållningssätt lämpligt för att vidhålla en helhetssyn på patienten och inte bara det fysiologiska tillståndet.
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Robinson, Lisa. "Engaging Personhood at End of Life: A Qualitative Study of Nurses’ Practice in Acute Care." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38584.
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The acute care setting is designed to provide short-term care for people who require treatment for a severe episode of acute illness and exacerbations of chronic conditions. Yet, more than half of Canadians die in acute hospitals every year. Evidence shows that nurses in acute care units feel limited in their ability to provide quality end-of-life care due to a variety of factors. As a result, the needs of patients that are dying are often overlooked, which can cause them to experience a loss of identity and control, as well as suffering at the end-of-life; a unique time in one’s life trajectory marked by significant changes in personhood. Personhood is the philosophical underpinning of the frequently used concept ‘person-centered care’ – one of the fundamental ideologies of nursing and a central concept in palliative care. An interpretive description design was used to explore the following research question: What do nurses’ stories reveal about the ways in which they engage, or fail to engage, with personhood in end-of-life care in acute care units? To appreciate the culture in which participant stories were situated, a literature review of acute care culture, end-of-life care in acute care units, and the concept of personhood was conducted. Eight nurses from an acute medical-surgical ward of a tertiary care hospital in Eastern Ontario were interviewed for this study. Thematic analysis was used to analyze the data, which elucidated tensions between participants’ ability to enact ethical end-of- life care reflective of their values and the contextual constraints of working in a culture of biomedicine. Exploring these tensions provided insight on the nuances and complexities of navigating ethical end-of-life care in an acute care setting as well as implications for nursing practice, education, and research with particular attention to promoting moral communities in acute care that value personhood and biomedicine equally.
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Acraman, Clive. "Developing dialogic learning in children's health and social care teams through the use of person centered thinking." Thesis, University of Central Lancashire, 2012. http://clok.uclan.ac.uk/6579/.
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This action research study reports on the development of a process for dialogic learning underpinned by Person Centred Thinking and the use of Person Centred Planning Tools (PCPTs). This learning occurred in three separate but associated teams delivering family support services to children and their families. The aim of this study was to explore and attain an understanding of how the use of these tools and processes would affect the process of organisational learning in the three settings. It is believed to be the first time PCPTs have been used in this context. Facilitated action learning supported the use of Person Centred Thinking to attend to and decipher the challenges of the daily working practices and collaborative relationships of the three teams. This appreciative and inclusive methodology supported the development of a ‘common language’, which, where successful, helped to embed a system of whole service dialogic learning. This model of change management distinguishes the process used in this study from other interventions. Where successful, leadership was central to successful implementation of dialogic learning in the teams and their ambition to become learning organisations. The importance of the individual actions taken by the leaders and their use of power was influential to the outcome of the study. The synergy created by the synthesis of Person Centred Thinking and dialogue in the teams with good leadership, suggests that the dialogic learning emanating from it has perceptible and noteworthy connections for, and to, organisational learning. The original contribution to knowledge from this study is the development of a theoretical understanding of how person centred practices when embedded into teams can transform and positively augment ways of working. Specifically it posits how dialogic learning practices provide the culture and context to facilitate individual and team growth and understanding through organisational learning.
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Rosengren, Magdalena, and Louisa Skärvstrand. "Personcentrerad vård av patienter med demenssjukdom - Sjuksköterskans erfarenheter." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26859.
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Bakgrund: Idag finns cirka 150 000 individer i Sverige med demenssjukdom och gruppen växer i takt med att befolkningen blir äldre. Personcentrerad vård har sitt ursprung inom humanistisk psykologi och begreppet beskrevs redan på 1960-talet. Personcentrerad vård är en av sjuksköterskans sex kärnkompetenser och är en god grund för att tillgodose de varierande behov som finns hos den komplexa patientgruppen. Syfte: Syftet med litteraturstudien är att belysa vad sjuksköterskans erfarenheter är av att ge personcentrerad vård till patienter med demenssjukdom. Metod: En litteraturstudie vars resultat baseras på studier med kvalitativ ansats. Vid sökning användes databaserna; CINAHL, PsycINFO och PubMed. Resultatets femton artiklar analyserades enligt Forsberg och Wengströms (2016) femstegsmetod. Resultat: Resultatet presenterades med hjälp av fyra huvudteman; organisationen, patientrelationen, kommunikation, vårdmiljö samt sju underteman; stöd på arbetsplatsen, kompetensutveckling, tids- och personalbrist, livsberättelsen - patientens historia, personliga attribut, samverkan i team och dokumentationsrutiner. Konklusion: Hälso- och sjukvården är en komplex organisation och sjuksköterskan står inför många utmaningar. Otillräckligt stöd från både ledning och kollegor samt vårdmiljöns utformning var alla faktorer som påverkade sjuksköterskans möjlighet att tillgodose personcentrerad vård. Vidareutbildning i kommunikation och demenssjukdomar upplevde sjuksköterskorna gynnsamt för deras arbete. Även vikten av att ha en god relation till patienten och att lära sig deras livshistoria framhölls som viktiga komponenter i den personcentrerade vården.Background: Today there is approximately 150 000 individuals with dementia in Sweden and the group is expanding at the same time the population is ageing. Person centred care has its roots in humanistic psychology and the concept was described already in the 1960’s. Person centred care is one of the nurses’ six core competencies and is a good foundation for the various needs amongst the complex patientgroup. Aim: The aim for the literature review is to illustrate nurses’ experiences of giving person centred care to patients with dementia. Method: A literature review with a result based on studies with a qualitative approach. Databases used was CINAHL, PsycINFO and PubMed. The fifteen articles of the result were analyzed according to Forsberg and Wengströms (2016) model of five steps. Results: The result was presented using four main themes; the organisation, patient-relations, communication, care environment and seven subthemes; workplace support, quality of competens, lack of time and personel, lifestory - a patient’s history, personal attributes, team cooperation and documentation routines. Conclusion: The health-care system is a complex organisation and the nurse faces many challenges. Insufficient support from both management and colleagues and the formation of the care environment was all factors that affected the nurses’ ability to provide person centred care. More education in communication and different types of dementia illnesses were seen by nurses as positive contribution in their work. Even the importance of having a good relationship with the patient and learn about their lifestory was brought to daylight as important components in person centred care.
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Hassanali, Nilam, and Edvardsson Beatrice. "Varför kvinnor fortsätter att röka under graviditeten : En litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-25758.
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Bakgrund: Kvinnor som röker kan drabbas av minskad fertilitet och det kan ta längre tid för dem att bli gravida. Forskning visar att rökning i samband med graviditet bland annat kan leda till missfall, låg födelsevikt och plötslig spädbarnsdöd. En stor andel av dessa kvinnor är medvetna om riskerna rökning under graviditet kan medföra men trots det fortsätter de att röka. Om vårdgivaren är medveten om de bakomliggande faktorerna till kvinnornas rökbeteende kan hen erbjuda kvinnan en individanpassad omvårdnad. För att kunna erbjuda rätt vård är personcentrerad omvårdnad viktigt. Syfte: Syftet var att beskriva vad som gör att kvinnor fortsätter röka under graviditeten. Metod: Litteraturöversikt med en beskrivande design av både kvalitativa och kvantitativa studier. Resultat: Nio faktorer som påverkar kvinnans fortsatta rökbeteende under graviditeten har hittats. Faktorerna är: nikotinberoende, relationsrelaterade problem, stress, behov av egentid och avslappning, partnern, brist på kunskap och motivation, sociala nätverk, förträngning samt bristande stöd från vårdgivaren. Slutsats: Det är viktigt att sjuksköterskan förstår varför en kvinna väljer att röka under graviditetsperioden. Förstår sjuksköterskan vad som ligger bakom rökbeteendet hos den gravida kvinnan kan det bli lättare för hen att erbjuda rätt vård.+
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Lövgren, Erica, and Jennie Rockman. "Ett personcentrerat arbetssätt i arbetsterapeutiska interventioner : En litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-86294.
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Bakgrund: Ett personcentrerat arbetssätt är en grund inom arbetsterapeutiska verksamheter, där varje person har ett unikt utgångsläge inom sina sociodemografiska faktorer och personliga preferenser, vilket kan påverka personers utförande av aktiviteter och delaktighet i det vardagliga livet. Syfte: Att granska och sammanställa hur personer som har deltagit i arbetsterapeutiska interventioner samt arbetsterapeuter upplever ett personcentrerat arbetssätt, för att få förståelse för svårigheter och möjligheter med detta arbetssätt. Metod: En kvalitativ litteraturöversikt av tidigare forskning. Resultat: Resultatet presenteras under rubrikerna och underrubrikerna: Hur personer som har deltagit i arbetsterapeutiska interventioner upplever ett personcentrerat arbetssätt; Svårigheter och möjligheter i samarbetet, Arbetsterapeuters upplevelser av ett personcentrerat arbetssätt; Svårigheter och möjligheter i samarbetet samt:Organisatoriska svårigheter och möjligheter med ett personcentrerat arbetssätt. Slutsats: En ökad förståelse för begreppet personcentrering behövs genom ytterligare studier, detta skulle bidra till mer kunskap om begreppets innebörd och hur det bör implementeras i svenska arbetsterapeutiska verksamheter.Background: A person-centered approach is a foundation in occupational therapy activities, where each person has a unique starting point within their sociodemographic factors and personal preferences, which can affect people's performance of activities and participation in everyday life. Aim: To examine and compile how people who have participated in occupational therapy interventions and occupational therapists experience a person-centered approach, to gain an understanding of difficulties and opportunities with this approach. Method: A qualitative literature review of previous research. Results: The result are presented under the headings and subheadings: How people who have participated in occupational therapy interventions experience a person-centered approach; Difficulties and opportunities in the collaboration, Occupational therapists' experiences of a person-centered approach; Difficulties and opportunities in the collaboration and: Organizational difficulties and opportunities with a person-centered approach. Conclusion: An increased understanding of the concept of a person-centered approach is needed through further studies, this would contribute to more knowledge about the meaning of the concept and how it should be implemented in Swedish occupational therapy.
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Hermesch, Abigail Grace. "Involving direct care workers in preference-informed care planning: Association with turnover and retention." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1594649084718307.
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Hill, Heather, and heatherhill@hotkey net au. "TALKING THE TALK BUT NOT WALKING THE WALK: BARRIERS TO PERSON CENTRED CARE IN DEMENTIA." La Trobe University. School of Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20041215.100826.
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While the concept of person-centred care in dementia has been around for 15 years or more and has attracted much interest and enthusiasm, aged care facilities continue to have difficulty in actually implementing and maintaining person-centred practices. In this study I explore the experience of one aged care facility in order to identify the barriers to changing care practice. The research took place in an ethno-specific (Jewish) aged care facility, Star of David, which was in the process of setting up a program for its residents with dementia based on person-centred principles. The methodology used in the research study was ethnographic, involving participant observation and interview, with a particular focus on a limited number of participants: four residents and their families, four senior staff, four personal care attendants and the executive director. Interviews were also conducted with staff members from three other aged care facilities. The findings showed that Star of David was unable to bring about substantial change in its care practices, while the external interviews and the literature suggest that other facilities have similar difficulties. I identify three major types of barrier: procedural barriers within the institution itself; (government) policy; and barriers relating to hegemonic values and beliefs which underpin established health care practice. These three types of barrier interact with and reinforce one another. I conclude that if we are to change care practice in institutions, we must address all of these barriers at the same time. Finally, I suggest that person-centred care itself, which continues to place emphasis on professional service provision, may only be the beginning of necessary change. In order to be truly person-centred, we need to move towards a more community based or public health approach which recognizes the need of all persons to be treated both as significant individuals and accepted as part of a community.
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Telenius, Lina, and Victoria Vartanian. "Patienters upplevelser av bemötande på akutmottagningar : en litteraturstudie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15817.
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Background The emergency department is intended for people with acute illness or injuries. In the acute phase and in urgent situations, the focus of the healthcare staff is not always on attendance and respectful treatment or care. Instead, quick handling and strict schedules are prioritized. As a result, communication and information fail and the patients' basic needs are overlooked. Consequently, the healthcare staff might be perceived as indifferent and rude. This uncaring encounter leaves the patients feeling vulnerable, abandoned and disrespected. The absence of communication and respectful treatment may have adverse effects on the patients' well-being. Aim The aim of this study was to describe patients' experiences of treatment in emergency departments. Method A literary study was made using 9 articles with a qualitative approach. Results Two themes were identified: the patients' experiences of being noticed in emergency departments and the patients' experiences of the meaning of communication in emergency departments. The themes had two subthemes each: not to be seen, to feel confirmed, lack of information and the importance of communication in health care. Conclusion The absence of caring encounters and lack of information contributes to negative experiences in the emergency departments and is the cause of great suffering in patients.Denna studie hade som syfte att undersöka patienters upplevelser av bemötande när de sökte vård på akutmottagningar. Resultatet visade att patienter hade svårigheter i att tala om varför de sökte vård, då personalen upplevdes som ifrågasättande och nonchalanta. Patienterna kände sig bortglömda i väntrummet då det var långa väntetider samt att de inte informerades tillräckligt. Detta resulterade i att känslor av otrygghet, rädsla och oro belystes. De patienter som däremot informerades, uppmärksammades av personalen samt där personalen bjöd in patienten till delaktighet i sitt vårdbesök, upplevde ett gott bemötande. Denna studie visar att patienter upplevde brister i bemötandet på akutmottagningar och att personcentrerad vård värderades högt av patienterna för att känna en trygghet till vården. Att inte bli respektfullt bemött resulterar i ett onödigt lidande för patienten. Vården som bedrivs på akutmottagningen är inriktad på allvarliga skador och åkommor, där personalen har som ansvar att bedöma, sortera och prioritera så att de allvarligaste skadorna hanteras först. En del av sjuksköterskan ansvar på akutmottagningen är att uppmärksamma patientens psykosociala behov, likaledes är hennes ansvar att prioritera patienters fysiska behov. Studiens resultat påvisade att patienter upplevde brister kring dessa ansvarsområden. Patienter som sökte vård på akutmottagningen upplevde ångest och oro då de saknade kunskap om sitt förändrade hälsotillstånd och var beroende av kontinuerlig information. För att ge patienten en positiv upplevelse av sitt besök så kan personcentrerad vård vara en ingång. Personcentrerad vård innebär en kärnkompetens för sjuksköterskor och belyser vikten av att tillsammans med patienten bilda en relation och ett partnerskap för att patienten ska kunna uppleva delaktighet i sin egen vård. Genom delaktighet kan patienten på ett bättre sätt hantera och begripa sin situation. Den metod som använts är en litteraturstudie. Kvalitativ forskning har granskats för att skapa en överblick av tidigare forskningsresultat kring detta ämne. Studiens syfte var att undersöka patienters upplevelser och därför valdes kvalitativ forskning, då denna forskningsmetod rekommenderas för granskningar av upplevelser.
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Carlsson, Lisa, and Sanna Hogland. "Sjuksköterskans ledarskap för en personcentrerad vård : En litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-84940.
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Bakgrund Antalet äldre som behöver hemsjukvård ökar. Sjuksköterskan är omvårdnadsledare som ska leda teamet i strävan att uppnå personcentrerad vård hos den äldre. Syfte Syftet med denna uppsats var att sammanställa forskning om sjuksköterskans ledarskap med fokus på faktorer som påverkar personcentrerade processer inom hemsjukvård av äldre. Metod Metoden var en litteraturstudie där artiklar söktes i databaserna CINAHL, PudMed och PsycINFO. Efter diskussion om artiklarnas innehåll, kvalitetsgranskades relevanta artiklar och sju artiklar valdes ut och analyserades. Resultat Resultatet beskrivs utifrån tre kategorier som var att öka medvetenheten om personcentrerad vård, gensvar av personcentrerad vård och hinder i ledarskapet. Resultatet visar att sjuksköterskans ledarskap har inverkan på huruvida en personcentrerad vård uppnås eller inte. Slutsats Litteraturstudien visar att sjuksköterskans ledarskap kan påverka genomförandet av personcentrerad vård. Mer kunskap och utbildning samt tillgång till ett ramverk behövs hos all vårdpersonal för att kunna förstå vad personcentrerat arbetssätt innebär.
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Hasselfeld, Karolyn A. "A Caregiver's Guide to Developing A Personalized Activity for a Loved One Living with Dementia." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623165808180786.
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Stenmarck, Ulrika. "Att besöka någon som inte finns : En intervjustudie om stöd till anhöriga inom demensvården." Thesis, Linnéuniversitetet, Institutionen för samhällsstudier (SS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-77114.
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Abstract Keywords: elderly people, dementia, person-centered care and relatives. Title: To visit someone who is no longer there Author: Ulrika Stenmarck As the number of elderly people increase, the amount of people suffering from age-related illnesses is growing. Such a disease is dementia, which today is a priority research area, both nationally and internationally. It has been found that working in a person-centered way and involving the patient’s relative’s is important for the people cared for by the dementia departments. Despite this, research has shown that the support for relatives is inadequate. The purpose of this study is to identify how individual support, in the field of nursing for dementia patients, can be better adapted to support relatives. By interviewing five relatives and four staff members in a nursing home for dementia patients, answers were sought for regarding; what kind of support the relatives need and how staff work to support relatives. The relatives´ responses were analyzed based on the theories concerning crisis processing related to their relatives´ dementia diagnoses. The answers given from the staff were analyzed based on the theories concerning organizational culture The analysis indicates that the goal of crisis processing for relatives should be to “create their new life”, which seems to be a challenge for a staff that is already carrying a large workload. The results indicate that the staff have succeeded in creating a foundation of values that relatives seem to experience as a safe atmosphere. This atmosphere can be interpreted as the most important support for relatives and a necessity for progress in their crisis processing. As a complement to the unit’s staff, external support for the families can be a solution.
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Lind, Maria, and Bisan Appasi. "Att se människan bakom sjukdomen är som att lösa en gåta : En litteraturbaserad studie om vårdpersonalens erfarenheter av personcentrerad vård vid beteendemässiga och psykiska symtom vid demens (BPSD)." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-13155.
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Background: There are around 150.000 people with dementia in Sweden. It is common to suffer from BPSD sometime during the course of the disease, which adversely affects the quality of life. Symptoms cause impairment to varying degrees, making everyday life difficult to handle independently. Person-centered care means seeing the person behind the disease and it is necessary to find the cause of behavior and to compensate for loss of function. Knowledge of experience of working person-centered is a prerequisite for being able to provide staff with necessary support. Aim: To highlight healthcare professionals' experiences of person-centered care in BPSD. Method: This is a qualitative literature study based on 12 scientific articles. Result: The main themes that emerged were: Own conditions and obstacles, External conditions and obstacles and Contradictory feelings at work. With associated subthemes: Seeing the person behind the disease, To balance between strategies and routines,To take personal responsibility, To have knowledge and experience, Being in need of support and cooperation, To meet organizational / environmental factors, To have access to background information, To feel success and satisfaction and To feel insufficient and powerless. Conclusion: Several conditions that favor dementia care emerged from the results, but there were also factors and obstacles that hampered nursing work. Person-centered work practices increase the possibility of well-being for all involved. In order to care for people with dementia with a person-centered approach, more research in the subject, more resources and in-depth education is required.Demenssjukdom är ett växande problem inom såväl hälso- och sjukvården som för samhället i stort. Det finns tillgång till symtomlindrande behandling men demenssjukdomar går idag inte att bota utan kan innebära ett stort livslångt lidande för de drabbade men även för deras anhöriga samt en ständig utmaning för vårdpersonal. De flesta drabbas någon gång under sin sjukdomsperiod av beteendemässiga eller psykiska symptom, som till exempel utmanande eller avvikande beteende. Det är viktigt att komma på vad som orsakar symtomen för att kunna lindra, förebygga eller minska lidandet. Syftet med denna studie är att beskriva vårdpersonalens erfarenheter av personcentrerad vård vid Beteendemässiga och Psykiska Symtom vid Demenssjukdom (BPSD) och studiens resultat baseras på en sammanställning av 12 kvalitativa artiklar. Resultatet visade att vårdpersonal beskrev egna och yttre förutsättningar och hinder och motstridiga känslor i arbetet. Att ha helhetssyn, förståelse och kunskap gentemot personer med demenssjukdom underlättar omvårdnaden. Vårdpersonal strävar efter att behandla personer med demenssjukdom utifrån det som passar personen och situationen bäst. Att anpassa mötet och se människan bortom sjukdomen är en viktig utgångspunkt som resulterar i bättre vårdkvalitet. Kunskap och kännedom om tidigare livshistoria är en förutsättning för att lära känna och förstå personen och arbeta personcentrerat vid BPSD. Olika strategier och rutiner används som redskap för att skapa kontakt och tillgodose behov. Vårdpersonal har erfarenhet och medvetenhet om att omvårdnaden av personer med demenssjukdom är komplex och kräver kunskap och tålamod. Det ställs stora krav på vårdpersonalens anpassningsförmåga då det som fungerar ena gången, kanske inte fungerar gången därpå. Vårdpersonalens erfarenheter handlade även om behovet av stöd och samarbete, att möta organisatoriska miljöfaktorer och ha tillgång till bakgrundsinformation om patienten. Samarbete mellan kollegor främjar personcentreringen och bidrar till en förbättrad arbetssituation. Svårigheten i att påverka organisatoriska beslut är märkbar och brist på resurser, samarbete och förståelse från organisationens sida bidrar till att vårdpersonal får svårt att arbeta personcentrerat. Detta tillsammans med vårdpersonalens erfarenheter av hur välfungerande personcentrerad vård gynnar arbetet med personer med BPSD skapar motstridiga känslor i arbetet. Vårdpersonalen kände sig ibland otillräcklig och maktlös men kunde även känna framgång och tillfredsställelse
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Yozwiak, Nicole A. "Thesis: Systematic Review on Long Term Care Models." Youngstown State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1486112784386402.
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Le, Thao. "Person-centered training to promote quality of care to skilled nursing facility residents affected by dementia| A grant proposal." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024098.
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Individuals diagnosed with dementia make up the majority of the population in skilled nursing facilities (SNFs). Certified Nursing Assistants (CNAs) are the primary caretakers of older adults living in SNFs. The purpose of this grant project was to write a proposal for funding to provide Person-Centered Care (PCC) training to help CNAs enhance their skills to better enhance the quality of life of older adults living with dementia in SNFs.
The goal of PCC training is to help CNAs better understand the signs and symptoms of Alzheimer’s and dementia, improve communication skills, and provide strategies to manage the behavioral and psychological symptoms of dementia. Previous research on PCC has found it to be effective in improving the quality of care of older adults who are affected by dementia and who are living in nursing homes.
Actual submission or funding of the grant was not required for the successful completion of this project.
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Carlström, Boel, and Kristin Ebertz. "Kvinnors upplevelser av vård i samband med missfall : En litteraturstudie." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1878.
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Bakgrund: Missfall är ett ofrivilligt avslutande av en graviditet som kan medföra känslor av chock, sorg och skuld. Vårdtiden vid missfall är ofta kortvarig och vårdpersonal har en betydande roll för kvinnornas upplevelse och återhämtning. Syfte: Syftet var att genom en litteraturstudie beskriva kvinnors upplevelser av missfall och den vård som ges i samband med missfall. Metod: Allmän litteraturstudie baserad på tio vetenskapliga artiklar med en kvalitativ design. Resultat: Resultatet bestod av tre huvudteman med tillhörande subteman. Det första huvudtemat var Kvinnors egna subjektiva tankar och känslor i samband med missfall med subteman Förlust av en graviditet, Skuldkänslor, Oro och förväntningar vid framtida graviditeter. Det andra huvudtemat var Kvinnors erfarenheter av bemötande från vårdpersonal vid missfall, med subteman Attityder och bemötande, Brist på information. Det sista huvudtemat var Kvinnors behov av stöd i samband med missfall med subteman Familj och närståendes betydelse, Vårdpersonalens betydelse. Slutsats: Missfall var en chockartad upplevelse, ofta präglad av existentiell smärta och sorg. Kvinnors erfarenheter av vården var oftast negativa. Kvinnorna hade ett behov av tillräcklig och adekvat information, delaktighet, stöd utifrån den individuella upplevelsen och bekräftelse vilket är faktorer som kännetecknar personcentrerad omvårdnad. Klinisk betydelse: Beskrivning av kvinnors upplevelser av missfall och den vård som ges i samband med missfall kan öka medvetenheten hos vårdgivare om hur kvinnors individuella behov tillgodoses genom personcentrerad omvårdnad.Background: Miscarriage is an involuntary termination of pregnancy which may cause feelings of shock, sadness and guilt. The hospital stay for miscarriage is often brief and health professionals have an important role in women's experience and recovery. Objective: The objective was to provide a literature review of women's experience of miscarriage and the care associated with miscarriage. Method: Literature review based on ten scientific articles with a qualitative design. Results: The result consisted of three main themes and associated subthemes. The first main theme was Women's own subjective thoughts and feelings associated with miscarriage with subthemes Loss of a pregnancy, feelings of guilt, anxiety and expectations in future pregnancies. The second main theme was Women's experience of how they were treated by healthcare professionals during miscarriage, with subthemes attitudes and treatment, lack of information. The last main theme was Women need of support in association with miscarriage with subthemes significance of family and kindred, professionals importance. Conclusion: Miscarriage was a shocking experience, often marked by existential pain and grief. Women's experiences of care were often negative. The women had a need for sufficient and adequate information, participation, support based on the individual experience and confirmation, which are factors that characterizes person-centered care. Clinical significance: Description of women's experiences of miscarriage and the care associated with miscarriage can increase awareness among health care providers on how women's individual needs are met through person-centered care.
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Hellgren, Jennie, and Liisa Strömer. "Personcentrerad vård inom psykiatrisk slutenvård:en uppföljning av indikatorer." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397214.
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Bakgrund: Personcentrerad vård (PCV) används allt oftare inom såväl somatisk som psykiatrisk vård, med övervägande positiva effekter för individen. Kliniska studier pågår men ett annat sätt att utvärdera arbetssättet är att följa hur indikatorer från patientregister utvecklas efter införande. Syfte: I denna studie analyseras indikatorerna utifrån kunskapen om att psykiatriska kliniken på Gotland har infört PCV 2016 och har därav haft möjligheten att närmare följa indikatorernas utveckling. Metod: Denna studie har genom deskriptiv analys identifierat resultat som tyder på att det sker förändringar i indikatorutvecklingen över tid som kan kopplas till införande av PCV år 2016. Resultat: Tydligaste resultatet är minskningen av antalet individer och vårdtillfällen inom slutenvården. Minskningen av Individuella planer är tydlig och borde analyseras närmare med genusperspektiv. Resultat inom områden säker vård är inte tydliga, men ingalunda negativa, med bibehållna låga värden. Slutsats: Resultaten i denna studie tyder på att det sker förändringar i indikatorutveckling över tid som kan kopplas till införande av PCV år 2016.Background: Person-centered care (PCV) is increasingly used in both somatic and psychiatric care, with predominantly positive effects for the individual. Clinical studies are ongoing, but another way of evaluating methods is to follow how indicators from patient registries develop after implementation. Purpose: In this study, the indicators are analyzed based on the knowledge that the psychiatric clinic at Gotland has introduced PCV 2016 and has thus had the opportunity to closely monitor the indicators' development. Method: Through descriptive analysis, this study has identified results that indicate that there are changes in indicator development over time that can be linked to the introduction of PCV in 2016. Outcome: The clearest result is the reduction in the number of individuals and inpatient care. The reduction of Individual plans is clear and should be analyzed in more detail with a gender perspective. Results in areas of safe care are not clear, but by no means negative, with low numbers maintained. Conclusion: The results in this study indicate that there are changes in indicator development over time that can be linked to the introduction of PCV in 2016.
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Burshnic, Vanessa L. "Supporting Persons with Dementia in Communicating their Care Preferences." Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7753.
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Person-centered care is important to the quality of life of nursing home residents with dementia. Preference assessments enable person-centered care by documenting residents’ preferred activities. Residents with severe dementia are less likely to have a role in preference assessment due to communication challenges associated with the disease. External supports (visual and text cues) are effective in improving the communication of residents with dementia, but these cues are often not used in practice. Standard assessment (verbal questioning) places greater demands on short-term memory and attention, which are known deficits in dementia.
Applying a within-subjects design, this study evaluated two conditions (standard and supported) for assessing preferences of residents with severe dementia (N=21). This study examined the effect of these conditions on residents’ consistency over time (1-week) and utterance types in response to preference questions. Naïve judges (N=10) listened to the interviews and rated residents’ communication clarity and their confidence with understanding residents’ preferences.
Results show that residents with severe dementia can report preferences with similar consistency in both assessment conditions; however, residents may comprehend the assessment better when provided in a supported format. In addition, residents successfully engaged in preference interviews without proxy participation. Anecdotally, many residents demonstrated an accurate understanding of their environment and how they would prefer to spend their days. Future studies will optimize visual stimuli, choice options, staff training components, efficiency measures, and examine acceptability by nursing home staff.
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Zeleskov, Lilia, and Hong Mei. "Patientnära rond : Patientens och sjukvårdspersonalens perspektiv." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-309043.
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Bakgrund: Patientnära rond är ett teamarbete mellan framförallt patient, sjuksköterska och läkare. Ett bra samarbete förbättrar relationen dem emellan. Dessutom har en framgångsrik rond mellan patient och sjukvårdspersonal stor betydelse för att patienten ska kunna få en säker och personcentrerad vård. Därför är det viktigt att få en djupare förståelse för hur patienter och sjukvårdpersonal upplever patientnära rond samt för betydelsen av teamarbetet vid patientnära rond. Syfte: Att belysa vilka effekter patientnära rond har på vårdteam samt att undersöka upplevelsen av patientnära rond utifrån perspektiven från både patienter och sjukvårdspersonal (sjuksköterskor, läkare och medicinstudenter). Metod: En litteraturstudie baserad på 14 vetenskapliga originalartiklar. Databaser som användes i studien var PubMed, Cochrane Library, Cinahl, SBU och SveMed. Resultat: Resultatet av denna studie indikerar att både patienter och sjukvårdspersonal upplever en ökad tillfredsställelse vid patientnära rond. Vidare visar resultatet att patientnära rond bidrar till att sjukvårdpersonal kan ge patienter en proaktiv omvårdnad, att samarbetet sjukvårdpersonal emellan blir mer effektivt och att patientnära rond gynnar medicinstudenters utveckling samt ökar studenters tillfredsställelse med sin utbildning. En utmaning som sjuksköterskor upplever i samband med patientnära rond är tidsbegränsning – framför allt upplever de att det tar tid för sjuksköterskor och läkare att synkronisera och koordinera mötet mellan patient och vårdpersonal samt att tid för dokumentation är bristande. Läkare upplever dessutom att deras autonomi minskas i samband med patientnära rond. Slutsats: Överlag kan patientnära rond vara ett effektivt sätt att främja personcentrerad vård. Patientnära rond har en positiv inverkan på teamarbete sjukvårdpersonal emellan samt bidrar till ökad tillfredsställelse hos både patienter och sjukvårdspersonal. Det finns dock behov av ytterligare forskning om patienters upplevelse av patientnära rond och vilka specifika åtgärder som kan vidtas för att sjukvårdpersonalen ska kunna samarbeta på ett mer effektivt sätt.Background: The ward round is a team collaboration mainly between patient, nurse and physician. A good collaboration enhances the relationship between them. In addition, a successful round between the patient and the medical personnel is of great significance for the patient to have a safe and person-centered care. Therefore it is important to gain a deeper understanding of how patients and medical staff experience ward rounds, as well as of the importance of team work during the ward rounds. Aim: To shed light upon the effects of ward rounding on healthcare teams and to explore the experience of ward rounds from the perspectives of both patients and medical staff (nurses, physicians and medical students). Method: A literature study based on 14 scientific articles. Databases used in the study were PubMed, Cochrane Library, CINAHL, SBU and SveMed. Results: The results of this study indicate that both patients and medical personnel experience an increased satisfaction during ward rounds. Furthermore, the results show that ward rounds contribute in making medical personnel provide a proactive care to their patients, that cooperation between medical staff becomes more efficient, and that ward rounding benefits medical students’ development and increases students’ satisfaction with their education. A challenge that nurses experience during ward rounds is time limitation – mainly they experience that it takes time for nurses and physicians to synchronize and coordinate the meeting between patient and medical personnel, and also that the time for documentation is inadequate. Physicians also experience that their autonomy is reduced in relation to ward rounds. Conclusion: Overall, ward rounding can be an effective way to promote person-centered care. Ward rounds have a positive impact on teamwork between medical personnel and contribute to increased satisfaction among both patients and medical staff. However, there is need for further research on patients' perception of ward rounding and which specific measures that can be taken for the medical staff to be able to collaborate more efficiently.
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Fälth, Niklas, and Kristian Perers. "Att vara partner till en person som drabbats av stroke : En litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-23415.
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Stroke är en av de vanligaste orsakerna till död och funktionsnedsättning. Det är främst personer över 65 år som drabbas. Fysisk, psykisk och social påverkan förekommer ofta. Hjärninfarkt och hjärnblödning är de två orsakerna till stroke och högt blodtryck är en bidragande orsak. Symtom på stroke kan till exepmpel vara förlamning eller talsvårigheter. Att bli sjuk eller uppleva ohälsa innebär påfrestningar och omställningar i livet för hela familjen. Syftet var att beskriva hur partnern påverkas av att leva med en person som drabbats av stroke. Litteraturöversikt har valts som design och tolv artiklar, som är kvalitetsgranskade och etiskt godkända, har inkluderats i resultatet. De databaser som användes var CINAHL, Medline och PsycInfo. Artiklarna analyserades i fem steg. I resultatet framkom sex teman: Förändringar i hälsan, Förändringar i relationen, Förändringar i vardagslivet, Förändringar inför framtiden, Vägen tillbaka till det tidigare livet och Behovet av stöd och information. Det framkom att deltagarna upplevde stora individuella förändringar som var fysiskt och psykiskt påfrestande. Partners upplevde att deras hälsa också påverkades negativt. De upplevde även sociala förändringar, till exempel isolering i hemmet. Det framkom i artiklarna att god kunskap och information hade underlättat bearbetningen av situationen. Partnerna upplevde att deras ansvar för sin livskamrat hade ökat i samband med strokehändelsen. I diskussionen diskuterades vikten av information och kunskap för att upprätthålla god hälsa.Stroke is one of the most common causes of death and disability. It´s most common that people who are older than 65 years is affected. Physical, mental and social symptoms are common occurrences. Cerebral infarction and haemorrhage are the two causes of stroke and may occur because of high blood pressure, among other factors. Symptoms may present themselves as paralysis and dysarthria. Being sick or experience poor health can cause stress in life for the whole family. The aim of this study was to describe how the spouse is affected by living with a person affected by stroke. Literature review has been chosen as design, twelve articles, that has been quality and ethical approved is included in the result. Databases used in this study were CINAHL, Medline and PsycInfo. These articles were analyzed with five steps. In the result, six themes emerged: Changes in health, Changes in the relationship, Changes in everyday life, Changes for the future, Finding a way back to a normal life and The need for information and support. The result of the studies showed that the participants experienced individual changes that physical and mentally demanding. The spouses experienced that their health was affected negatively. They also experienced social changes in their lives, such as isolation. It emerged from the studies that knowledge and information was important, but was inadequate. The participants experienced that their responsibility for their sick partner had increased after the stroke. The importance of information and knowledge to maintain good health was also discussed in the conclusion.
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Melis, Ellen Helena. "Understanding the Context and Social Processes that Shape Person- and Family-Centered Culture in Long-Term Care: The Pivotal Role of Personal Support Workers." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1587396741841116.
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Lundqvist, Emma, and Anna Wasenczuk. "Betydelsen av en personcentrerad vårdmiljö för personer med demenssjukdom inom särskilt demensboende." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-29211.
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Sammanfattning Bakgrund Demenssjukdom bidrar ofta till att personerna i senare sjukdomsförlopp behöver flytta till särskilt boende, vilket ställer krav på omvårdnadsperonalen att ha förståelse och kunskap om hur vårdmiljön påverkar personer med kognitiv svikt. Riktlinjer visar att miljön måste uppfylla både fysiska och psykosociala aspekter och omvårdanden ska vara personcentrerad. Metod Artikelsökning gjordes i databaserna CINAHL och PubMed där lämpliga artiklar valts ut, samt via fri- och sekundärsökning som analyserades med integrerad analys. Syfte Syftet med litteraturöversikten är att beskriva hur en personcentrerad vårdmiljö kan påverka personer med demenssjukdom inom särskilt demensboende. Resultat Resultatet visar att personcentrering av vårdmiljön har stor betydelse för personer med demenssjukdom och kan implementeras i alla tillgängliga boendeformer. Att göra miljön så hemlik som möjligt är viktigt och naturen har en positiv inverkan på personer med demens och utomhusmiljön kan också bidra med multisensorisk stimulans. Belysning, buller, och temperatur har också betydelse för exempelvis beteendestörningar. Förbättrad orientering kan erhållas genom användning av symboler och minnesboxar men också genom användning av färger. Slutsats Personcentrering av vårdmiljön har stor betydelse för personer med demenssjukdom när det gäller upplevelse av trygghet, välmående och livskvalitet, och sjuksköterskan kan anpassa miljön med rätt kunskap och engagemang.Summary Background Dementia often leads to moving into assisted living/ nursing homes, which adds a great responsibility for the staff to understand how the environment affects people with dementia. Guidelines show that the environment must take both physical and psychosocial aspects into consideration and the care should be person-centered. Method Articles were chosen from two databases; CINAHL and PubMed. Free- and secondary references of interest were also found. The chosen articles were analysed with integrated analysis. Aim The aim of this review was to explore how the living environment affect people with dementia in assisted living and nursing homes for people with dementia. Result The result shows that person-centered care environment have great importance for people with dementia, and can be implemented in all available living facilities. Making the home environment as homelike as possible is important, and nature has a positive influence on people with dementia and can provide multisensory stimulance. Light, noise and temperature can induce behavioral changes. Improved orientation can be attained by the use of symbols and memory boxes, and also through the use of colors. Conclusion Person-centered care environment is of great importance for people with dementia to restore the sense of security, wellbeing and quality of life, and with knowledge and commitment the nurse can adjust the environment to fit its purpose.
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Persson, Evelina, and Emmie Lindgren. "Nurses´ experiences when caring for patients infected with malaria in Tanzania : A qualitative interview study." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-47551.
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Background: Malaria is one of the mosquito-transmitted diseases that is killing millions of people every year, with the highest prevalence in Africa. In Tanzania, more than 90 percent of the inhabitants are at risk of being infected with malaria. The malaria parasite Plasmodium falciparum does not obtain specific symptoms and differential diagnoses can make it difficult to diagnose malaria. If malaria gets developed into a severe stage, it can affect organs and eventually cause death. Nurses have the role to educate inhabitants on how to prevent malaria. Purpose: The aim of this study was to describe nurses ́ experiences when caring for patients infected with malaria in Tanzania. Method: Study with a qualitative approach. A content analysis with a manifest structure was carried out, based on individual semi-structured in-depth interviews with nurses. Result: Nurses found it difficult to differentiate malaria from other diseases, like typhoid or meningitis. Nurses focused mostly on patients’ physical by working with medical treatment and education about malaria prevention. Conclusion: This study highlighted the importance for nurses of being educated about malaria and knowing how to assess its condition as it can be a mortal disease.
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Latif, Mustafa Kanyau, and Linda Edvardsson. "Upplevelser av bemötande i vården hos patienter med fibromyalgi- en litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:du-20938.
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Bakgrund: Fibromyalgi är ett långvarigt kroniskt smärttillstånd som grundar sig på individens subjektiva smärtupplevelse. Syfte: Syftet var att beskriva hur patienter med fibromyalgi upplevt bemötande i vården. Metod: Denna litteraturöversikt baseras på tretton vetenskapliga artiklar. Resultat: Resultatet resulterade i två huvudkategorier "Patienters upplevelser av bemötande" och "Kunskap och stöd från vårdpersonalen". Patienterna med fibromyalgi upplever dåligt bemötande och att vårdpersonal saknar kunskap om både diagnos och behandling av fibromyalgi. I vården upplever dessa patienter misstro och att de blir dåligt bemötta när de söker för sina smärtsymtom. Patienter med fibromyalgidiagnos önskar ett personcentrerat bemötande och mer tid av sina läkare. Slutsatser: Litteraturöversikten visar att patienter med fibromyalgi i stor utsträckning uppger att de upplever dåligt bemötande, okunskap och brist på engagemang i vården. Framtida forskningen bör fokusera på hur vården kan arbeta mer personcentrerat i denna patientgrupp till exempel genom interventionsstudier.Objectives: Fibromyalgia has long been a chronic pain condition that bases itself on the individual's subjective experience of pain. Aim: The aim was to describe how patients with fibromyalgia experience the treatment, support and attitudes by the health care personal. Methods: This study is a literature review based on thirteen articles’. Results: The result resulted in two main categories "Patients experiences of treatment" and "Knowledge and support from the medical staff". The patients experience that the health care personal has a lack of knowledge of both diagnosis and treatment. The patients also experience distrust in their doctors and experience a lack of adequate help when seeking for their painful symptoms. Patients with fibromyalgia diagnosis experience poor treatment in health care, and want a person-centered approach and more time by their doctors. Conclusions: This literature review shows that patients with fibromyalgia report that they experience poor treatment, ignorance and lack of commitment from health care. Research should focus on how services can work more person-centered for this group of patients, for example by intervention studies.
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Bergman, Malin. "Omvårdnadsåtgärder som kan stödja nutritionsintaget för personer med demens – en litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:du-26367.
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Bakgrund I Sverige lever runt 160,000 människor med demens, vilket är ett neurologiskt tillstånd där hjärnvävnad förtvinat. Detta leder till att fysiologiska och kognitiva funktioner försvagas. Omvårdnadsåtgärder relaterade till en person med demens fokuserar på att lindra symtom och tillhandahålla assistans gentemot den funktionella nedsättningen. Detta kan appliceras vid nutritionsintag då måltidssituationer kan bli en komplex uppgift för personer med demens, dessa åtgärder kan utföras ur ett personcentrerat spektra för att tillgodose individen. Syfte Syftet med litteraturöversikten var att utforska personcentrerade omvårdnadsåtgärder som en sjuksköterska kan applicera till olika omständigheter för att optimera nutritionsintaget hos personer med demens. Metod En litteraturöversikt sammanställd genom 11 stycken vetenskapliga artiklar. Resultat Fem omvårdnadsåtgärder som främjade nutritionsintag hos personer med demens var att under måltid lyssna till musik, erhålla personlig assistans för att underlätta måltidsintag, muntlig uppmaning som stöd, hur maten presenterades, träningsprogram vid måltid. Konklusion Ur denna översikt har omvårdnadsåtgärder framkommit som är till fördel för personen med demens i samband med nutritionsintag. När inte omvårdnadsåtgärder appliceras för måltidssituationen kan tillståndet hos personen med demens förvärras drastiskt genom exempelvis sjukdom och orörlighet, vilket ger försämrad livskvalitet. De omvårdnadsåtgärder som presenteras skulle genom enkla tillvägagångssätt kunna tillhandahållas av vårdgivare och anhöriga.Background In Sweden, around 160,000 people live with a dementia diagnosis, which is a neurological condition where brain tissue has faded. This will lead to a decrease in physiological and cognitive abilities. Nursing interventions related to a person with dementia focus on relieving symptoms and providing assistance towards the functional decrease. These interventions can be applied to nutritional intake since meal situations can be a complex task for people with dementia. To accommodate the individual, these actions can be performed from a person-centered spectra. Aim The aim of the literature review was to explore person-centered nursing measures that a nurse can apply for various factors to optimize nutrition intake in people with dementia. Method An overview compiled of 11 scientific articles. Findings Five interventions that benefited the nutritional intake for people with dementia were listen to music during the meal, receive personal assistance to aid food intake, verbal prompting as support, how the food was presented, training programs at mealtime. Conclusion From this overview, interventions have been identified that are beneficial to the person with dementia in connection with nutritional intake. When no interventions are applied to meals, the condition of the person with dementia could be worsened dramatically through, for example, disease and immobility, resulting in deterioration in quality of life. The interactions presented could be provided by caregivers and relatives through simple approaches.
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Liss, Tano Angelica, and Linnea Barsk. "Faktorer som enligt patienten upplevs inverka på kommunikationen i mötet med ambulanspersonal prehospitalt : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4072.
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Ambulanssjuksköterskor träffar dagligen patienter i olika situationer. Varje situation är unik och ställer höga krav på ambulanssjuksköterskans kommunikativa förmåga, både icke-verbalt och verbalt. God kommunikation är en förutsättning för en bra vårdrelation mellan patienten och vårdaren och har visat sig vara en central del för att uppnå personcentrerad vård. Bristande kommunikation i vården är ett av de vanligaste klagomålen från patienter och har visat sig kunna leda till sämre vård, ökade risker för vårdskador samt ökade socioekonomiska kostnader. Syftet var att identifiera vilka faktorer som enligt patienten upplevs inverka på kommunikationen i mötet med ambulanspersonal prehospitalt. Metoden som valdes var en litteraturöversikt där sökningar efter vetenskapliga artiklar genomfördes i databaserna Cinahl och PubMed. 16 kvalitativa vetenskapliga studier användes i föreliggande litteraturöversikt efter att de kvalitetssäkrats och analyserats. I resultatet framkom fyra huvudkategorier som enligt patienten upplevdes inverka på kommunikationen i mötet med ambulanspersonal: Inge trygghet, Bekräftelse, Dialog, Information. Under kategorin Inge trygghet framkom tre subkategorier: Bemötande, Paralingvistiska element samt Empati. Slutsatsen var att de nyckelfaktorer som enligt patienten upplevdes inverka på kommunikationen med ambulanspersonal var vitala för att möjliggöra personcentrerad vård och ökad patientsäkerhet. Ytterligare forskning inom området är nödvändigt för att säkerställa vilka faktorer som enligt patienten upplevs inverka på kommunikationen i mötet med ambulanspersonal prehospitaltAmbulance-nurses meet patients on a daily basis in different situations. Every situation is unique and places high demands on the ambulance nurse’s communicative ability, both non- verbally and verbally. Good communication is a prerequisite for a good care relation between patient and carer and has proven to be a central part of achieving person-centered care. Deficient communication in healthcare is one of the most common complaints from patients and has been shown to be able to lead to inadequate care, increased risks of adverse events and also increased socio-economical costs. The aim was to identify which factors according to the patient are perceived to affect the communication in the encounter with ambulance personnel in the prehospital environment. The method that was chosen was a literature review where searches for scientific articles were made in the databases Cinahl and PubMed. 16 qualitative scientific studies were used in this literature review after they were quality assured and analyzed. The results emerged in four main categories which, according to the patient, were perceived to influence the communication in the meeting with ambulance personnel: Provide security, Confirmation, Dialogue, Information. Under the category Provide safety three subcategories emerged: The encounter, Paralinguistic elements and Empathy. The conclusion was that the key factors, which according to patients were perceived to affect the communication with ambulance personnel were vital in enabling person-centered care and increased patient safety. Further research within this field is necessary to ensure which factors influence on the communication in the encounter with the ambulance personnel in the prehospital environment.
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Boularbah, Enechar Sakina. "Att se personen bakom patienten : en litteraturöversikt om faktorer som påverkar personcentrerad vård inom akutsjukvården." Thesis, Sophiahemmet Högskola, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2849.
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Personcentrerad vård betonar vikten av att se personen bakom patienten och belyser samarbetet mellan patient och vårdpersonal. Patienten ses som en jämlik partner i vården och deltar aktivt i planeringen och genomförandet av vården. Inom akutsjukvården omfattas arbetet av många korta möten med flera patienter som kan begränsa möjligheten att bedriva personcentrerad vård. Det fragmenterade arbetssättet inom akutsjukvården samt hastiga förändringar och begränsad tid ställer höga krav på att kunna utnyttja det korta mötet för att skapa sig en helhetsbild i vården av patienten. För att bedriva personcentrerad vård inom akutsjukvården krävs ett mer holistiskt synsätt som ger en helhetssyn i vården av patienten. Personcentrerad vård ger en mer effektiv vård med högre kvalitet. För att stärka patientens ställning i vården är personcentrerad vård ett rekommenderat förhållningssätt inom akutsjukvården. Syftet var att beskriva faktorer som påverkar vårdpersonalens förutsättningar att bedriva personcentrerad vård inom akutsjukvården. Litteraturöversikt användes som metod. Datainsamlingen genomfördes utifrån sökningar i databaserna CINAHL och PubMed samt manuell sökning. Sökningen resulterade i 15 kvalitativa och kvantitativa vetenskapliga originalartiklar. Resultatet utgjordes av fyra kategorier: Vårdrelationen, kommunikation och information, professionella faktorer och organisatoriska faktorer. Resultatet visade att lära känna personen bakom patienten och att involvera närstående i vården samt att ha en tydlig kommunikation med informationsutbyte var faktorer som påverkade förutsättningar för personcentrerad vård. Vårdpersonalens inställning till patientens medverkan i vården, teamarbetet, vårdmiljön och stöd från organisation och ledning påverkar i vilken utsträckning vårdpersonal bedriver personcentrerad vård inom akutsjukvården. Slutsatsen är att personcentrerad vård är avgörande för patientnöjdheten och är en grundläggande förutsättning för att bedriva högkvalitativ vård. Det är viktigt att vårdpersonal kan förhålla sig till patienten på ett bra sätt. Med vårdrelationen, med tydlig kommunikation och information och med en optimal vårdmiljö kring patienten. Den skapas genom att ha tillräcklig personaltäthet och adekvata arbetsförhållanden. Det innebär även att det inom akutsjukvården skall finnas stöd från ledningen och organisationen. Med ett välfungerande teamarbetet kring patienten och med vårdpersonalens förmåga att se personen bakom patienten. Då skapas bättre förutsättningar för att kunna bedriva personcentrerad vård inom akutsjukvården.Person-centered care emphasizes the importance of seeing the person behind the patient as well as the cooperation between the patient and healthcare professionals. The patient is considered as an equal partner in healthcare and is participating in the planning and execution of their care. Within emergency care, there are many short meetings with multiple patients which may limit the possibility of maintaining person-centered care. The fragmented way of work within emergency care, along with changing conditions and limited time, sets high standards on the capability of healthcare professionals to utilize the short meetings in order to paint a general picture of the patient’s care. In order to conduct person-centered care within emergency care, a holistic perspective is of importance to create a comprehensive view of patients’ care. Person-centered care increases the quality and effectiveness of healthcare, and in order to strengthen the patient’s position within healthcare a person-centered approach is recommended within emergency care. The aim was to describe the factors affecting healthcare professionals’ conditions to conduct person-centered care within emergency care. A literature review was used as a method and a collection of data was done through database searches. The databases used were CINAHL and PubMed, along with manual searches, where 15 qualitative and quantitative original articles were found. The results were categorized into four categories: Care relationship, communication and information, professional factors, and organizational factors. The results showed that acquainting with the person behind the patient and involving relatives in the care, as well as having a clear communication and information, were factors that affected the conditions for person-centered care. Healthcare professionals’ attitude towards patients’ participation in care, teamwork, care environment, and support from the management, affects to what extent healthcare professionals conduct person-centered care within emergency care. The conclusion of the study is that person-centered care is crucial for patient satisfaction, and it is a fundamental prerequisite in order to conduct high quality care. It is essential that healthcare professionals can relate to the patient in a good manner, using a good care relationship, clear communication and information, and an optimal healthcare environment for the patient. These conditions are obtained by having sufficient staffing and adequate working conditions, along with proper support from management. Having well-functioning teamwork in regards to patient care and having the capability to see the person behind the patient, thus better conditions are created in order to conduct person-centered care within emergency care.
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Bonadio, Francis Tony. "Who benefits from usual care? Using latent profile analysis to identify differential treatment outcomes." Bowling Green State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1493467938066419.
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Carlsson, Kristina, and Ann Fredriksson. "Livet som närstående till en palliativ vårdtagare. : en litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-25721.
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Bakgrund: När en person blir svårt sjuk, är döende och behöver vårdas palliativt berörs inte bara den sjuke, utan även personer i dennes närhet. Det har framkommit att närstående inte alltid uttrycker sina behov i situationen. Närståendes involvering är ett faktum, och deras upplevelser varierar. Närståendes upplevelser knyts i resultatdiskussionen an till begreppet om Känsla av sammanhang. Syfte: Litteraturöversiktens syfte är att beskriva upplevelser av att vara närstående till en palliativ vårdtagare. Metod: En kvalitativ litteraturöversikt, inkluderande elva studier, har genomförts där dessa studier granskats, bearbetats och analyserats utifrån Fribergs femstegsmodell. Resultat: Det framkom att närstående upplevt förändringar i vardagen sedan deras närstående blivit sjuk. De upplevde åsidosättande av egna behov och intressen. Vårdpersonal fick en betydande roll i situationen, och närstående upplevde trygghet när de var närvarande, men upplevde en otrygghet när kontinuitet och löften inte hölls. Behov av information och stöd visade sig vara viktigt för hanterandet av situationen. Slutsats: Utifrån huvudfynden konstateras att närstående genomgår förändringar genom hela den sjukes palliativa period. Förändringarna upplevs olika, då varje situation är unik, de närstående har individuella behov som behöver tillfredsställas. Uttryckt behov av stöd och information gör att vårdpersonal får en betydande roll i deras liv.Background: When a person becomes seriously ill, dying and in need of palliative care, not only the sick person get´s affected, even the next of kin´s are concerned. Next of kin´s is not always expressing their needs in such situations. That next of kin´s get´s involved is a fact, and what their experiences are varies. Next of kin’s experiences are in the discussion connected with the theory of Sence of coherence. Aim: The aim of the literature review is to describe experiences of being next of kin to a person who´s in palliative care. Methods: A qualitative literature review, including eleven studies, have been conducted, and theese studies have been examined, processed and analyzed by the five steps of Friberg. Findings: Findings revealed that next of kin´s experienced changes in everyday life since their relative got ill. They experienced that they had to set aside their own needs and interests. The health care professionals were given a significant role in the situation, and the next of kin´s felt a sense of security when they were present, but experienced insecurity when continuty and promises were not kept. A need for information and support turned out to be important to cope with the situation. Conclusion: Based on the main findings it was stated that next of kin´s undergoes changes throughout the sick persons palliative period. The changes are experienced differently, as each situation is unique, the next of kin´s have individual needs which need to be satisfied. Expressed needs for support and information enables health professionals to have a significant role in their lives.
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Drmac, Marijana, and Angelica Jörgensen. "Omvårdnad vid smärta: En litteraturöversikt om könsskillnader." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29572.
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Bakgrund: Smärta är en vanlig orsak till att människor söker sjukvård. Smärta är subjektiv känsla, dock kan föreställningar om vad som är manligt och kvinnligt göra att patienterna kan bedömas olika och få olika riktad omvårdnad – detta trots att vård ska ges personcentrerat och på lika villkor. Syfte: Syftet med litteraturöversikten var att beskriva vilka skillnader som kan finnas i omhändertagande mellan kvinnor och män med smärta och därmed belysa könets betydelse för omvårdnad. Metod: Denna studie är gjord som en litteraturöversikt för att sammanställa vad som finns inom detta område i litteraturen. 17 vetenskapliga artiklar från PubMed och Cinahl hittades och analyserades och sammanställdes under teman i resultat. Resultat: Denna litteraturöversikt lyfter fram skillnaderna i bemötande och smärtlindring mellan män och kvinnor med smärta samt att sjuksköterskans kön också kan påverka interaktionen. Många smärttillstånd som drabbar kvinnor undervärderas oftare inom olika områden inom vården. Fysiska symptom förklaras ofta hos kvinnor vara psykosomatiska. Även åldern var en faktor som påverkar könsskillnader i bemötande vid smärta. Slutsats: Det framkom i litteraturöversikten att det inom många områden finns skillnader i omhändertagande vid smärta mellan könen. Män får oftare bättre smärtlindring och kvinnor fick vänta längre tid på både smärtlindring och behandling. Sjuksköterskor bör använda personcentrerad omvårdnad för att öka jämlikheten mellan könen inom vården. Ökad jämlikhet kan främja en hållbar framtid.Background: Pain is a common cause to seek healthcare. Pain is a subjective feeling; however, the interpretation of "male" and "female behavior" could interfere with the healthcare staff judgement and care – even though quality of care should be given person-centered and on equal terms. Aim: The aim of the study was to examine the differences in care, that may exist, between men and women with pain and highlight the gender´s meaning in quality of care. Method: This study was conducted as a literature review investigating the existing literature within this area. Seventeen scientific articles from the PubMed and Cinahl databases were analyzed and compiled into a result. Results: This review brings out the differences between the treatment and ease for men and women in pain with regards to their gender. Often women have a tendency to be undervalued when they are being cared for compared to men. Physical symptoms are often regarded as psychosomatic. Even the age of the patients was a contributing factor. Conclusion: This literature study reveals differences between genders pain care. Gender differences were identified in many sections of care. Men’s pain is treated better than women, and the women generally needs to wait longer in receiving treatment. Registered nurses should utilize person-centered treatment in order to decrease this gender gap. Increased equality in care can support a sustainable future.
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Dautovic, Alma, and Camilla Edell. "Sjuksköterskors erfarenheter av preventiva åtgärder för att minska risken för fotsår hos personer med diabetes mellitus typ II : en kvalitativ intervjustudie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9816.
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Bakgrund: Studier visar att framtiden för vården är personcentrerad och sjuksköterskor bör möta människor i ett hälsoorienterat perspektiv. Egenvårdsråd bör anpassas efter personen med diabetessjukdom och sjuksköterskan skall ta hänsyn till skillnader i synen på hälsa och sjukdom. Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter av preventiva åtgärder för att minska risken för fotsår hos personer med diabetes mellitus typ II. Metod: Kvalitativ intervjustudie där tio halvstrukturerade intervjuer genomfördes. Materialet transkriberades och analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Resultaten presenteras i två kategorier: förväntningar på sjuksköterskan och stöd till personen med diabetes. Förväntningar på sjuksköterskorna var att eftersträva att se personen bakom diabetessjukdomen och att fokusera på det mätbara. De skall eftersträva att möta individen där den befinner sig och eftersträva goda relationer. Det är genom goda relationer som egenvårdsråden lättare kan implementeras och fotsår förhindras, detta presenteras i subkategorin egenvårdsråd, som ligger under kategorin stöd till personer med diabetes. Detta för att minska lidande för individen samt undvika höga samhällskostnader. Sjuksköterskor har goda avsikter med sin omvårdnad och undervisning. Sjuksköterskorna såg fördel i motiverande gruppundervisning för att nå ut till flera personer samtidigt och erbjuda dem möjlighet att utbyta erfarenheter. Sjuksköterskorna upplevde att de hade instanser att vända sig till och kontakter med samarbetspartners är en självklarhet inom diabetesvården idag. Slutsats: Resultaten av denna studie visar att sjuksköterskor i primärvården kan förebygga fotsår genom att leva upp till förväntningar som finns på dem och att se personen bakom diabetessjukdomen genom att erbjuda sin breda kompetens, motiverande gruppundervisning, egenvårdsråd och kontakt med samarbetspartners.Background: Studies show that the future of health care is person-centeredness and nurses should meet people in a health-oriented perspective. Self-care should be adapted to the person with diabetes and nurses should take differences in views regarding health and disease into account. Aim: The aim of this study was to describe nurses' experiences of preventive measures to reduce the risk of foot ulcers in people with diabetes mellitus type II. Method: Ten qualitative semi-structured interviews were conducted. The material was transcribed and analyzed using qualitative content analysis. Results: The results are presented in two categories: expectations on the nurse and support to the person with diabetes. Expectations of the nurses was to strive to see the person behind diabetes and to focus on the measurable. They must strive to meet the individual where it is located and strive for good relationships. It is through good relationships that self-care advice can be more easily implemented and foot ulcers prevented, this is presented in the subcategory self-care, which is located below main category support to person with diabetes. This is to reduce suffering for the individuals and avoid high costs for the society. Nurses had good intentions with their care and teaching. The nurses saw advantage in motivating groups by reaching out to several people at the same time and offer them the opportunity to exchange experiences. Nurses felt that they had the ability to turn to instances and contacts with partners is obvious in diabetes care today. Conclusion: The results of this study show that nurses in primary care can help prevent foot ulcers through living up to the expectations placed on them by seeing the person behind diabetes and to offer its wide expertise, motivation work, self-care and cooperation with partners.