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  • 1.
    Andersson, Emma
    et al.
    Karlstad University.
    Molinder, Josefine
    University of Karlstad. Karlstad University.
    Patienter med HIV/AIDS upplevelser av vårdrelationen med sjuksköterskan: - En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Idag lever cirka 36,7 miljoner människor med hiv/aids världen över. Att ha diagnosen hiv/aids bidrar till både psykiskt och fysiskt lidande. För att god vård skall upplevas utgör vårdrelationen till sjuksköterskan en avgörande roll.

    Syfte: Syftet med litteraturstudien var att belysa hur patienter med hiv/aids upplever vårdrelationen med sjuksköterskan.

    Metod: Litteraturstudie. Sökning genomfördes i Cinahl och PubMed. 10 artiklar plockades ut efter urvalsprocess med kvalitetsgranskning. Artiklarnas resultat analyserades och samband identifierades som skapade kategorier.

    Resultat: Två huvudkategorier redovisas: Diskriminerande och Omsorgsfull, med tillhörande underkategorier till vardera. Upplevelsen av vårdrelationen med sjuksköterskan påverkar patienten beroende på om den är positiv eller negativ.

    Slutsats: Flertalet patienter upplevde vårdrelationen diskriminerande som kan ses genom att de uppfattade att sjuksköterskan bland annat uppvisade ovilja att vårda, respektlöshet och särbehandling. De tillfällen patienterna upplevde vårdrelationen som omsorgsfull var sjuksköterskan exempelvis kunnig, vänlig och emotionellt stöttande

  • 2.
    Clenow, Mathias
    University of Karlstad.
    Agatha Christie: An Investigation of Recurring Features1996Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3.
    Clenow, Mathias
    University of Karlstad.
    Något om svenskt idrottsspråk1996Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
  • 4.
    Clenow, Mathias
    University of Karlstad.
    The Blacks and the Blues: A Study of Meaning and Literary Devices in Blues Lyrics1997Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
  • 5.
    Eriksson, Kaj
    et al.
    University of Karlstad.
    Anserius, Gunnar
    University of Karlstad.
    Att upprätta och använda en riskbalans1985Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 6.
    Erlandsson, Fredrik
    University of Karlstad.
    Gatunamn i Karlstad1995Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
  • 7.
    Forslund, Petter
    University of Karlstad.
    The Symbols and Images of Chaos and Imagination in Wallace Stevens' Poetry1994Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 8.
    Fridlund, Lena
    University of Karlstad.
    Invandrarbarns kamratstatus: I Sunne kommuns låg- och mellanstadieskolor1995Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 9.
    Fridlund, Lena
    University of Karlstad.
    "Jag vet inte varför dom inte vill vara med mig."1997Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
  • 10.
    Gustas, Remigijus
    University of Karlstad.
    Viability criterion to analyse the pragmatic quality of requirements1997Conference paper (Refereed)
  • 11.
    Gustavsson, Andreas
    et al.
    University of Karlstad.
    Löfgren, Henrik
    University of Karlstad.
    Investeringsklimatet i S:t Petersburg1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 12.
    Ivansson, Birgitta
    University of Karlstad.
    Framtidens pedagogik eller flummig lekskola: En studie i föräldrars attityder till montessoripedagogiken1995Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 13.
    Jonsson, Maria
    University of Karlstad.
    Datorn på gott & ont i grundskolan1999Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 14.
    Larsholt, Helén
    University of Karlstad.
    Börit Nilsdotter i Västra Fågelvik: en studie av en allmogekvinnas sociala situation utifrån ett barnamord under 1700-talet i Värmland1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 15.
    Rahman, Mohammad Reza Ur
    University of Karlstad.
    The study of performance measurement and challenges concerning its implementation in context of healthcare in Värmland2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Appropriate choice of performance measurement system (PMS) is the key to ensure that proper initiatives have been taken in the right regard to implement the policy that has been set for achieving the overall organizational goal that is to serve best interest of all stakeholders. In the context of public organization especially in health sector, choice of PMS has evolved quite significantly in order to respond to the demand of improving quality. In the bid of improving quality, healthcare sector has gone through several reforms, previous investigations are mainly concentrated towards examining process involved in designing different form of measurement system but study concerning critical attitude towards challenges of implementation of performance measurement are still few in numbers. Considering both economic and social impact it is a matter of great urgency to investigate further into the issue so that healthcare organizations can make sure the best utilization of available measurement systems, in order enhance quality of healthcare.

    The main aim of this study to understand the research gap concerning implementation related challenges and effectiveness of performance measurement system which are currently in place in context of Värmland county council healthcare organization.

    A qualitative research method has been prioritized for current study and among available alternatives case study approach through interview was considered more appropriate. The idea behind the interviews was an attempt to listen to people representing different units that would help to answer research questions and providing broader perspective for the critical analysis of the research outcome in the light of available theoretical framework.

    The result shows that in Värmland county council policy makers have adopted a combination of Balanced Scorecard (BSC) and Lean as a performance measurement tool. Challenges faced cover areas like as an origin of nonfinancial measurement system BSC was unable to measure activity based performance and the process of making it fit to cover client or patient perspective because in case of healthcare stakeholder group is quite diverse. In addition to integrate other available perspective and make into a fit with overall organizational strategy due to non-profit making nature is also quite hectic. Convincing particular key line and middle managers in favor of new measurement adoption is very expensive both in terms of time and cost associated with it. Diverse interpretations of quality book also other major challenges that received greater attention during the implementation phase.

    In addition, the bottom up approach of Lean at times creates higher difficulty for the healthcare professional that holds specific level of autonomy in their service delivery process due to their knowledge and professional expertise. Another major issue is the resource scarcity in terms of specialist doctors which makes it extremely complex to fully adopt and implement measurement model in the scope of healthcare which is originally initiated for the private and profit oriented organization, thus higher waiting time is significantly resulting in decline of service quality. The fixed payment structure that is currently in place in county council which is another major area of concern that is making the measurement of quality and implementation measurement model much difficult to apply which might be much easier in case of outcome based payment structure.

    It is obvious to point finger towards the fact, why healthcare sectors are trying to adopt BSC and lean in their organizational setting if they are exposed to so many implementation hazards? One of the logical reasoning in this regard is that despite all the difficulties these measurement systems are facilitating quite positive impacts in context of healthcare to improve service quality, providing the understanding to develop a culture that would help everyone to understand their role in reaching overall organizational goal and stood up in case of encountering any deviations, that culture would ultimately lead towards a more sustainable healthcare in the long-run.

     

    Keywords: Performance measurement system, challenges of implementation, balanced scorecard, lean, quality of healthcare.

     

1 - 15 of 15
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