Hur sjuksköterskor involverar närstående i beroendevården

Bakgrund: Idag är alkohol- och drogmissbruk ett av våra största samhällsproblem. Ett missbruk är en sjukdom med överväldigande konsekvenser för missbrukaren men även dess närstående. Socialt stöd från närstående kan minska risken för återfall och gynna behandlingskontinuitet hos personer med missbruk eller beroendeproblem. Syfte: Att belysa hur sjuksköterskan involverar närstående i omvårdnaden av missbrukare. Design: Fyra semistrukturerade intervjuer med sjuksköterskor verksamma inom beroendevården utfördes för att belysa deras upplevelser av hur närstående involveras i vården av missbrukare. Resultat: Tre teman kunde utläsas varav ett av dessa fick tre underteman. Dessa var Hinder för involvering (underteman: Besöksförbud, Sekretess och Brist på resurser), Relationer och närstående och Fungerande involvering. Resultatet visade att involvering av närstående fungerade till viss del men att de flesta fynden fanns under temat Hinder för involvering. Samtidigt som viljan att involvera närstående fanns så begränsades sjuksköterskorna av olika hinder. Slutsats: Samtliga sjuksköterskor ansåg att närstående kan ha en viktig del i vården av missbrukare men fann det svårt att involvera dem så ofta som de önskade. De främsta anledningarna till detta var besöksförbudet på avdelningarna, sekretess och brist på resurser. Med bättre förutsättningar och tydligare rutiner på avdelningarna borde sjuksköterskorna på ett bättre sätt kunna involvera närstående i omvårdnaden av missbrukare. Background: Today, alcohol and drug abuse is one of our biggest social problems. An addiction is a disease with overwhelming consequences for the addict but also its significant others. Social support from people important to the addict can reduce the risk of relapse and promote continuity of treatment in people with substance abuse and dependence problems. Purpose: To illustrate how the nurse involves significant others in the care of addicts. Design: Four semi-structured interviews with nurses working in addiction treatment was performed to illuminate their experience of how significant others are involved in the care of addicts. Results: Three themes could be seen and one of those had three sub-themes. These were Barriers to involvement (sub-themes: Restraining order, Secrecy and Lack of resources), Relationships and significant others and Functional involvement. The results showed that the involvement of significant others was functioning to a certain level but most of the findings could be found under the theme Barriers for involvement. While the desire to involve significant others were there the nurses where limited by various obstacles. Conclusion: All the nurses believed that significant others may have an important part in the care of addicts but found it difficult to involve them as often as they wished. The main reasons for this was the restraining orders of the department, secrecy and lack of resources. With better conditions and clearer routines of the department nurses should be better able to involve significant others in the care of addicts.

Storskalig agil transformation - En fallstudie på Skatteverket

En dynamisk och komplex omvärld ställer allt större krav på förnyelse och organisatorisk anpassning. I många organisationer har agila arbetssätt blivit populära. Storskaliga agila transformationer kan dock i praktiken vara svåra att genomföra. Dessutom kan agilitet och en hierarkisk organisationsstruktur vara svåra att kombinera. Studiens syfte är att söka kunskap om förutsättningar som påverkar en storskalig agil transformation inom en statlig myndighet. För studiens analysmodell identifierades initialt, med grund i tidigare forskning inom organisatorisk förändring, tre utmaningar och fem framgångsfaktorer. Studiens empiriska material bygger på sju intervjuer med anställda på Skatteverket. Baserat på studiens resultat kompletterades analysmodellen med två utmaningar och två framgångsfaktorer specifika för Skatteverkets transformation. Studiens resultat visade att utmaningarna decentraliserad utveckling, arbete med värdeströmmar och synkronisering av styrning har varit framträdande. Motstånd till förändring och uppföljningsmetodik ansågs inte ha varit reella. Framgångsfaktorerna pilotstudie, stöd från ledningen, utbildning och coachning, kulturanpassning, eldsjälar och införandestrategi ansågs ha varit viktiga för Skatteverket. Vision och kommunikation ansågs inte ha varit av större betydelse.In our dynamic and complex world organizations are facing an increased demand for renewal and flexibility. Many organizations now shift to becoming agile. Large scale agile transformations are however difficult to practically implement. Moreover, combining hierarchical organizational structures and agile ways of working might be challenging. The aim of this study is to seek knowledge about which conditions that are affecting large scale agile transformations within a state agency. Three challenges and five success factors were identified for the model of analysis based on previous research within the field organizational transformation. Data was gathered through seven interviews with employees at Skatteverket. Based on the result of the study two new challenges and two new success factors were added to the model of analysis. The results show that decentralized development, value streams and synchronization of management have been prominent challenges for Skatteverket. Resistance to change and follow-up methodology were not as evident. The success factors pilot study, support from management, education and coaching, adaptation of culture, agile enthusiasts and implement strategy have been important for Skatteverket. Vision and communication were not as important

Dags att renovera : Effekten av kommunikation på relationen mellan företag och kunder i ett förändringsprojekt

Title: Time to renovate – The effect of communication on the relationship between company and customer in a change situation Course/subject:Busniess administration, Leadership, 15hp Authors:Fredrik Elghag, Ossian Olsson Tutors:Ingemar Wictor Keywords:The Million Programme, Communication, Relationship Marketing, Tentant, Landlord. Problem formulation:How does communication affect the relationship between company and customer in a change situation? Purpose:Examining how different parts of a communication process affects customers trust, commitment and loyalty to their company. Theoretical framework:The starting point for the study’s theoretical perspectives have been Morgan and Hunt’s (1994) previous studies on relationship marketing and Laswell’s (1948) communication model. Methodology:The paper is performed with a qualitative research approach and a deductive approach to answer the research question. Personal interviews were conducted with four employees in real estate companies and two tenants in each company stock. Conclusion:We have found that communication affects the relationship between company and customer. Tentants have experinced credibility of businesses is important for them to have a confidence and loyalty in the relationship.

Storskalig agil transformation - En fallstudie på Skatteverket

En dynamisk och komplex omvärld ställer allt större krav på förnyelse och organisatorisk anpassning. I många organisationer har agila arbetssätt blivit populära. Storskaliga agila transformationer kan dock i praktiken vara svåra att genomföra. Dessutom kan agilitet och en hierarkisk organisationsstruktur vara svåra att kombinera. Studiens syfte är att söka kunskap om förutsättningar som påverkar en storskalig agil transformation inom en statlig myndighet. För studiens analysmodell identifierades initialt, med grund i tidigare forskning inom organisatorisk förändring, tre utmaningar och fem framgångsfaktorer. Studiens empiriska material bygger på sju intervjuer med anställda på Skatteverket. Baserat på studiens resultat kompletterades analysmodellen med två utmaningar och två framgångsfaktorer specifika för Skatteverkets transformation. Studiens resultat visade att utmaningarna decentraliserad utveckling, arbete med värdeströmmar och synkronisering av styrning har varit framträdande. Motstånd till förändring och uppföljningsmetodik ansågs inte ha varit reella. Framgångsfaktorerna pilotstudie, stöd från ledningen, utbildning och coachning, kulturanpassning, eldsjälar och införandestrategi ansågs ha varit viktiga för Skatteverket. Vision och kommunikation ansågs inte ha varit av större betydelse.In our dynamic and complex world organizations are facing an increased demand for renewal and flexibility. Many organizations now shift to becoming agile. Large scale agile transformations are however difficult to practically implement. Moreover, combining hierarchical organizational structures and agile ways of working might be challenging. The aim of this study is to seek knowledge about which conditions that are affecting large scale agile transformations within a state agency. Three challenges and five success factors were identified for the model of analysis based on previous research within the field organizational transformation. Data was gathered through seven interviews with employees at Skatteverket. Based on the result of the study two new challenges and two new success factors were added to the model of analysis. The results show that decentralized development, value streams and synchronization of management have been prominent challenges for Skatteverket. Resistance to change and follow-up methodology were not as evident. The success factors pilot study, support from management, education and coaching, adaptation of culture, agile enthusiasts and implement strategy have been important for Skatteverket. Vision and communication were not as important

The psychological wellbeing within the veterinary profession in Sweden

The veterinary profession seems to be particularly affected by mental health problems than other occupational groups, primarily a consequence of exposure to various sources of psychological distress that is common within the profession (e.g., euthanasia administration, and client interactions). This article is the first to investigate the association between work-specific factors and wellbeing in the veterinary profession in Sweden. A cross-sectional survey sampled 280 (256 females) Sweden-registered veterinarians and nurses (235 veterinarians, 45 veterinary nurses). Multiple platforms and methods were used to increase diversity and inclusiveness in the sample. In this study, we investigated the associations between psychological wellbeing by including variables from several studies that have previously been associated with decreased wellbeing within the veterinary profession in order to get a more comprehensive picture of factors that may contribute to increased risk of mental illness. Results showed that, after adjusting for the influence of psychosocial working environment factors, except for variables related to euthanasia which were not associated with decreased wellbeing, measures indexing difficult client interactions were, on the other hand, associated with decreased wellbeing. Thus, negative experiences from client interactions suggest that these could be candidates for the development and maintenance of poor wellbeing among individuals within the veterinary profession. This research can potentially assist in designing more targeted intervention studies and serve educational purposes for both staff and future professionals.