Depicting the interplay between organisational tiers in the use of a national quality registry to develop quality of care in Sweden

BACKGROUND: With a pending need to identify potential means to improved quality of care, national quality registries (NQRs) are identified as a promising route. Yet, there is limited evidence with regards to what hinders and facilitates the NQR innovation, what signifies the contexts in which NQRs are applied and drive quality improvement. Supposedly, barriers and facilitators to NQR-driven quality improvement may be found in the healthcare context, in the politico-administrative context, as well as with an NQR itself. In this study, we investigated the potential variation with regards to if and how an NQR was applied by decision-makers and users in regions and clinical settings. The aim was to depict the interplay between the clinical and the politico-administrative tiers in the use of NQRs to develop quality of care, examining an established registry on stroke care as a case study. METHODS: We interviewed 44 individuals representing the clinical and the politico-administrative settings of 4 out of 21 regions strategically chosen for including stroke units representing a variety of outcomes in the NQR on stroke (Riksstroke) and a variety of settings. The transcribed interviews were analysed by applying The Consolidated Framework for Implementation Research (CFIR). RESULTS: In two regions, decision-makers and/or administrators had initiated healthcare process projects for stroke, engaging the health professionals in the local stroke units who contributed with, for example, local data from Riksstroke. The Riksstroke data was used for identifying improvement issues, for setting goals, and asserting that the stroke units achieved an equivalent standard of care and a certain level of quality of stroke care. Meanwhile, one region had more recently initiated such a project and the fourth region had no similar collaboration across tiers. Apart from these projects, there was limited joint communication across tiers and none that included all individuals and functions engaged in quality improvement with regards to stroke care. CONCLUSIONS: If NQRs are to provide for quality improvement and learning opportunities, advances must be made in the links between the structures and processes across all organisational tiers, including decision-makers, administrators and health professionals engaged in a particular healthcare process.

Una danza di parti interagenti. Gregory Bateson pensiero ecologico e educazione

The thesis focuses on the ecological thought of Gregory Bateson and the contributions that such epistemology can offer nowadays to the educational scene, connecting in particular to the problematicistic perspective of Giovanni Maria Bertin with the aim of rethinking and updating it. The writing explicates the meaning of education to an ecological knowledge, that privileges connections, creativity and solidarity with the living world. The work analyzes, moreover, the cultural and epistemological value of relations focusing on ethic commitment as an instrument of promotion of the right to difference. A final part of the work is dedicated to some ecological aspects such as environmental safeguard and development, fundamental topics especially for the educational context.

Studi testuali sulle parti liriche dell'Elettra di Euripide

La tesi offre un commento critico-testuale alle principali parti liriche dell'Elettra di Euripide: la Monodia di Elettra, la Parodo, il primo, il secondo e quarto Stasimo, il Kommòs. Ogni capitolo è relativo al commento di ciascuna delle sezioni menzionate. Ognuno di essi si apre con un'introduzione relativa ad i problemi interpretativi di portata generale; segue il commento verso per verso; si offre infine, al termine di ogni capitolo, testo, traduzione ed interpretazione metrica.

Ubersetzungstheorien. Eine einfuhrung: Traduzione e commento di parti selezionate

La presente tesi si concentra sulla traduzione di parti scelte di Übersetzungstheorien. Eine Einführung, manuale di carattere saggistico ad opera della nota linguista tedesca Radegundis Stolze contenente una spiegazione esaustiva, chiara e dettagliata delle più note teorie divenute oggetto di studio della scienza della traduzione dalla nascita della disciplina fino ai giorni nostri. Punto di partenza dell’elaborato sarà l’analisi del saggio, in cui si tracciano le caratteristiche testuali del genere, sia per quanto riguarda il testo originale tedesco, sia per quanto riguarda quello italiano, in modo da notare le differenze e mettere in evidenza le principali tecniche da prendere in considerazione per la trasmissione del messaggio da un modello all’altro. In seguito sarà effettuata un’analisi del testo di partenza secondo i criteri di Brinker (2010) e Nord (2009) con particolare interesse all’aspetto grammaticale e tematico , al rapporto autore-lettore e agli aspetti interni ed esterni al testo. Sulla base di questa analisi verranno poi indicati gli aspetti più significativi a cui prestare attenzione durante la traduzione e si procederà alla traduzione vera e propria. Questa consta di due testi particolarmente significativi per la teoria della traduzione, rispettivamente il discorso sulla traduzione delle Sacre Scritture di Nida e la spiegazione della Teoria dello skopos di Vermeer e Rice. Alla traduzione vera e propria seguiranno un commento riguardante le principali problematiche incontrate e le tecniche utilizzate di volta in volta per risolverle e un paragrafo conclusivo a riassumere i risultati ottenuti.

Proposta di traduzione e analisi di parti del libro “La Collina” di Andrea Delogu e Andrea Cedrola

At first, the main author of the book was presented together with the Italian source text: it was pointed out her double role of author and protagonist of the very events narrated in the book, inspired from facts which truly happened and which have to do with the story of her family. Afterwards, the translation part itself follows. Some pages taken from the original Italian book were translated into English; the parts which have been chosen are various extracts which were thought as a leading thread to understand the meaning and the intention of the entire book. After the translation, the analysis part was presented, where idiomatic expressions which can be found in great quantity throughout the book, are explained and commented. Here, clarifications can also be found concerning geographical and historical references, and something about the main characters who stand for people that truly existed. Finally some other little extracts from the book were included: they were translated and some translating choices were explained. These extra parts were integrated in the thesis in order to point out the main difficulty of translating the book La Collina, that is, the presence of a great deal of idiomatic and slang expressions both of everyday colloquial use and concerning the field of drugs. The English translation of these parts had to sound natural and spontaneous to an English-speaking readership, which should not notice they were translated from Italian. A great deal of research on the Internet was carried out in order to make sure those expressions didn’t seem contrived and unnatural in English: this was one of the main concerns of the translation.

Proposta di traduzione e analisi di parti del libro "Per dieci minuti" di Chiara Gamberale.

Ce mémoire propose la traduction de certains passages du livre « Per dieci minuti » de Chiara Gamberale. Ce roman raconte l’histoire de Chiara, une fille qui, pendant un période de troubles de sa vie où elle croit avoir perdu tous ses points de repère, décide d’essayer une thérapie-jeu: tous les jours, pendant dix minutes, elle doit faire quelque chose de nouveau, qu’elle n’a jamais expérimenté avant. Ce traitement thérapeutique s’inspire de la théorie des six exercices de Rudolf Steiner, un pédagogue autrichien qui décrit les six étapes fondamentales pour retrouver l’équilibre intérieur. D’un côté, ce mémoire veut souligner l’importance de se consacrer à la traduction d’un genre qui semble avoir de plus en plus du succès de nos jours: la littérature sur le développement personnel et le bien-être. De l’autre, il présente une analyse de l’histoire de la traduction, surtout en ce qui concerne la traduction des référents culturels, à travers une comparaison entre l’approche « normalisante » et l’approche « exotisante ». De plus, il traite le sujet épineux, puisque complexe et fascinant en même temps, des « intraduisibles », c’est-à-dire les implicites culturels. Il s’agit de mots pour lesquels il est impossible de trouver un équivalent direct dans les autres langues puisqu’ils décrivent les habitudes spécifiques d’une certaine communauté ou ils sont le fruit d’une vision spécifique et unique du monde de la part d’une culture. Moi-même, à travers cette traduction, j’ai dû me confronter avec toute une série de défis au niveau traductif , liés surtout au contexte culturel et au style de l’écrivain: j’ai traduit par exemple des parties en dialecte, des passages en rimes et j’ai dû même reproduire volontairement des erreurs de grammaire afin de m’adapter au registre linguistique de certains personnages.