Sagans betydelse för barns språkliga och emotionella utveckling i förskolan : En intervjustudie om hur pedagoger i förskolan arbetar med sagor

Syftet med denna studie är att undersöka hur pedagoger i förskolan arbetar med sagor som ett hjälpmedel till barns språkliga och emotionella utveckling. För att göra detta har jag använt kvalitativa intervjuer med fem pedagoger på tre olika förskolor. Jag har utgått från det sociokulturella perspektivet i mina intervjuer för att undersöka hur samarbetet mellan pedagoger och barn ser ut i sagoarbetet. Mitt resultat visar att pedagogerna är överens om att litteraturen är mycket viktig för barnens utveckling och att det finns många olika metoder som man kan använda sig av i arbetet med sagorna. Pedagogerna var överens om att man måste variera arbetssättet för att göra sagorna mer levande och därmed väcka barnens intresse för litteratur. 

Quality in palliative care from the patient perspective : Instrument development, perceptions of care received and the importance of care

The overall aim was to investigate the quality of palliative care from the patient perspective, to adapt and psychometrically evaluate the Quality from Patients’ Perspective instrument specific to palliative care (QPP-PC) and investigate the relationship between the combination of person- and organization-related conditions and patients’ perceptions of care quality. Methods: In the systematic literature review (I), 23 studies from 6 databases and reference lists in 2014 were synthesized by integrative thematic analysis. The quantitative studies (II–IV) had cross-sectional designs including 191 patients (73% RR) from hospice inpatient care, hospice day care, palliative units in nursing homes and home care in 2013–2014. A modified version of QPP was used. Additionally, person- and organization-related conditions were assessed. Psychometric evaluation, descriptive and inferential statistics were used. Main findings: Patients’ preferences for palliative care included living a meaningful life and responsive healthcare personnel, care environment and organization of care (I). The QPP-PC was developed, comprising 12 factors (49 items), 3 single items and 4 dimensions: medical–technical competence, physical–technical conditions, identity–oriented approach, and socio-cultural atmosphere (II). QPP-PC measured patients’ perceived reality (PR) and subjective importance (SI) of care quality. PR differed across settings, but SI did not (III). All settings exhibited areas of strength and for improvement (II, III). Person-related conditions seemed to be related to SI, and person- and organization-related conditions to PR, explaining 18–30 and 22-29% respectively of the variance (IV). Conclusions: The patient perspective of care quality (SI and PR) should be integrated into daily care and improvement initiatives in palliative care. The QPP-PC can measure patients’ perceptions of care quality. Registered nurses and other healthcare personnel need awareness of person- and organization-related conditions to provide high-quality person-centred care.