Expectant parents’ experiences of parental education within the antenatal health service

Being an expectant parent is a life changing event and it is something that most people will experience in their lifetime. Many people who are parents for the first time will participate in parenting education. Most of the previous studies associated with parenting education focus on subjects such as birth outcome and breastfeeding. The purpose of this study is to focus on the less investigated aspect of the parents’ experience of participating in parenting education with Maternal Healthcare Services (MVC). A qualitative, phenomenological, hermeneutical method was selected to be used to analyze our findings and we used the statements of twenty participants to accumulate enough material to develop it into twelve sub-themes and five themes. The results of this study show that these expectant parents had few or no expectations of the parenting education that they were going to participate in. Generally speaking the parents seemed to be satisfied with the program. They described their reasons for participating as a chance to get together with other people in similar circumstances and to share information and they found a midwife to be a trustworthy professional person to confirm the information that was available to them from other sources

How do informal information sources influence women’s decision-making for birth? A meta-synthesis of qualitative studies

Background: Women approach birth using various methods of preparation drawing from conventional healthcare providers alongside informal information sources (IIS) outside the professional healthcare context. An investigation of the forms in which these informal information sources are accessed and negotiated by women, and how these disconnected and often conflicting elements influence women’s decision-making process for birth have yet to be evaluated. The level of antenatal preparedness women feel can have significant and long lasting implications on their birth experience and transition into motherhood and beyond. The aim of this study was to provide a deeper understanding of how informal information sources influence women’s preparation for birth. Methods: Seven electronic databases were searched with predetermined search terms. No limitations were imposed for year of publication. English language studies using qualitative methods exploring women’s experiences of informal information sources and their impact upon women’s birth preparation were included, subject to a quality appraisal framework. Searches were initiated in February 2016 and completed by March 2016. Studies were synthesised using an interpretive meta-ethnographic approach. Results: Fourteen studies were included for the final synthesis from Great Britain, Australia, Canada and the United States. Four main themes were identified: Menu Birth; Information Heaven/Hell; Spheres of Support; and Trust. It is evident that women do not enter pregnancy as empty vessels devoid of a conceptual framework, but rather have a pre-constructed embodied knowledge base upon which other information is superimposed. Allied to this, it is clear that informal information was sought to mitigate against the widespread experience of discordant information provided by maternity professionals. Conclusion: Women’s access to the deluge of informal information sources in mainstream media during pregnancy have significant impact on decision making for birth. These informal sources redefine the power dynamic between women and maternal healthcare providers, simultaneously increasing levels of anxiety and challenging women’s pre- existing ideations and aspirations of personal birth processes. A lack of awareness by some professionals of women’s information seeking behaviours generates barriers to women-centred support, leaving an experience expectation mismatch unchecked

Patients' experience of nursing : In an Emergency Department

Bakgrund: Hög omsättning av patienter och ett högt arbetstempo på en akutmottagning gör det svårt att etablera en relation. Det har visat sig att det tekniska genomförandet går före omvårdnaden. Mötet spelar en central roll för omhändertagandet vilket bör präglas av medmänsklighet, trygghet och omtanke.Även god kommunikation är en förutsättning för god omvårdnad. Syfte: Syftet var att beskriva patienters upplevelse av omvårdnad på en akutmottagning. Metod:En allmän litteraturstudie, där vetenskapliga studier sökts i databaser varav 13 stycken valts ut.Studierna granskades, analyserades och resultatet delades in i fyra teman. Resultat: De fyra teman är: Patienters upplevelser av medverkan, upplevelser av information, upplevelser av stöd och upplevelser av miljö. Medverkan påverkades framförallt av av hur vårdpersonal väljer att integrera patienter i vården. Upplevelsen av information handlar om och hur informationen ges till patienter. Stöd innebär hur vårdpersonalen visar intresse och uppmärksammar patienters behov, även vårdpersonalens attityder. Upplevelse av miljö innefattar bland annat hur miljön påverkar patienters integritet. Slutsats: Patienters upplevelse av omvårdnad på en akutmottagning har visats sig påverkas av de fyra identifierade teman. Vårdpersonal kan förväntas ha ett holistiskt synsätt och använda personcentrerad vård för att patienters upplevelse ska bli så bra som möjligt.Background: High turnover of patients and high working pace in an emergency department makes it difficult to establish a good relationship. It proved that the technical accomplishment is more important than nursing. The meeting has an important role of nursing and should be characterized by humane behaviour, safety and concern. Good communication is also a requirement for good care. Aim: The aim was to describe patient’s experiences of caring in an emergency department. Method: A literature review with articles done in a scholarly manner. A total of 13 articles were reviewed, analyzed, and subsequently divided into four categories. Results: The four topics: experience of participation, experience of information, experience of support and experience of environment. Participation is influenced by how nursing staff chooses to interact with the patient´s. The experience of information is about if and how the information was given. Support refers to the nursing staff showing interest, notice the patient´s needs and the behaviour of the nursing staff. Experience of environment is about how the environments influence the patient´s integrity. Conclusion: Patient´s experience of nursing in an emergency department depends on the four identified topics. Nursing staff should have a holistic approach and individual caring which makes the patient´s experience as good as possible

HR-funktionens förändrade roll : En studie om linjechefers uppfattning av HR-funktionen i Falu och Avesta kommun

Traditionellt har HR-arbetet främst varit fokuserat på administrativa uppgifter och inte ansetts vara tillräckligt effektivt och värdeskapande. För att HR-arbetet ska bli mer strategiskt behöver funktionen organiseras så att den tillgodoser dessa behov (Boglind et al, 2013). Vi menar att HR-funktionens relation till ledare och linjechefer är avgörande för hur framgångsrikt deras arbete blir. Syftet med detta arbete är därför att undersöka hur chefer uppfattar HR-funktionens förändrade roll och vilken typ av stöd de förväntar sig av den. Vi vill också undersöka om uppfattningen av HR-funktionen skiljer sig åt beroende på hur den är organiserad. Undersökningen är baserad på en multipel fallstudie utförd på Falu och Avesta kommun. Totalt har tretton djupintervjuer genomförts, där fem personer representerar HR-avdelningarna och åtta personer representerar linjecheferna. Falu kommun började genomföra en HR-transformation vid årsskiftet 2013/2014, Avesta kommun har inte genomfört en HR-transformation utan har funktionen uppdelad i två team. Av empirin framkommer att linjecheferna i båda kommunerna har en ganska vag uppfattning om HR-funktionens organisation och trots de strukturella skillnaderna mellan kommunerna efterfrågar linjecheferna något mer. I Avesta är samtliga respondenter överens om att en samsyn kring HR-funktionens arbetsuppgifter inte finns på grund av att en tydlig strategi för HR-funktionen saknas. Cheferna i Avesta efterfrågar ett arbete med personalfrågor från grunden samt ett mer strategiskt arbete. I Falun visar empirin att linjechefer och HR-personer har olika åsikter kring huruvida det finns en samsyn. Även om flera linjechefer i Falun anser att HR-funktionen fungerar bättre efter transformationen efterfrågar samtliga en kontakt med en specifik HR-person istället för att kontakta ett HR-center. Trots att de organisationer vi studerat har HR-funktioner som skiljer sig åt i storlek och struktur kan vi konstatera många likheter. Vi drar därför slutsatsen att de problem som linjecheferna beskriver inte är relaterade till HR-avdelningens organisering, utan snarare kan kopplas till en obalans i HR-arbetets inneboende dualitet som uppstått i och med ett mer strategiskt fokus. Vi anser att båda kommunernas HR-funktioner bör ha en tydlig och kontinuerlig dialog med linjecheferna för att maximera värdeskapandet dem emellan. Sammanfattningsvis menar vi att kommunerna bör lägga fokus på att identifiera vilka aspekter av personalarbetet som är värdefulla och unika för just deras organisation samt arbeta strategiskt utifrån dessa.Traditionally, HR work has not been considered sufficiently effective and value creating because of its main focus on administrative tasks. For HR work to become more strategic the function has to organize in a way that meet the new needs (Boglind et al, 2013). We believe that the success of the HR function depends on their relationships to leaders and line managers. The purpose of this essay is to examine how line managers perceive the changing role of the HR function and what kind of support they expect from them. We also want to investigate whether the perception of the HR function is related to how it’s organized. The survey is based on a multiple case study conducted in Falu and Avesta municipality. A total of thirteen in-depth interviews were conducted where five respondents represented the HR departments and eight respondents represented the line managers. Falun municipality began implementing an HR transformation at the turn of 2013/2014. Avesta municipality has an HR function divided into two teams and hasn’t performed an HR transformation. Our empirical data reveals that line managers in both municipalities have a rather vague idea of the HR function and its organization. Despite structural differences between the municipalities line managers in both organizations demand something more. All respondents in Avesta municipality agree to a lack of consensus regarding the duties of the HR function, due to an absence of a distinct strategy. The line managers of Avesta requests a more fundamental and strategic HR management. Empirical data from Falun municipality reveals that line managers and HR respondents disagree on whether there is a consensus regarding the tasks of the HR function. Although several line managers in Falun mentions that the HR function have improved from the transformation, they still prefer close relations to a specific HR person over contacting the HR call center. Although the studied HR functions differ in size and structure, we observe many similarities. We therefore conclude that the difficulties described by line managers isn’t related to the structure of the HR function, but instead relates to an imbalance in the immanent duality of the HR work that emerge from a more strategic focus. We believe that the HR function in both municipalities should have a consistent and continuous dialogue with line managers to maximize the exchange of value. In conclusion we suggest that the municipalities should focus on identifying the aspects of HR work that is most valuable and unique to their organization and build their strategies from these

Increased IL-17 A secretion in response to candida albicans in APS1 and its animal model

http://conferencehound.com/conference/40th-australasian-society-immunology-annual-scientific-meeting/4909