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Strokekedjan från början till slut: En etnografisk studie om farlighet och tid i en akut vårdkedja
Linköping University, Department of Computer and Information Science. Linköping University, The Institute of Technology.
2012 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
An ethnographic study of decisionmaking during handling of acute stroke patients (English)
Abstract [sv]

Varje år drabbas 30 000 svenskar av stroke, vilket innebär stora personliga omställningar och stora kostnader för samhället. Den mest effektiva behandlingen, trombolys, måste ges så snart som möjligt för att ha god effekt.  Samtidigt som det är av största vikt att ta reda på om patienten har några differentialdiagnoser som gör behandlingen riskfylld.

Den här studien undersöker hur strokekedjan går till och vilka faktorer som påverkar beslutsfattandet. Studien är baserad på etnografiska fältstudier på fyra svenska sjukhus och materialet är analyserat med metoder från sammansatta kognitiva system och målorienterad design. Resultaten visar att trots olika organiserade strokekedjor på de olika sjukhusen är processerna desamma och direkt kommunikation är mest framgångsrik för att effektivt sprida information mellan dem. Neurologjouren är viktig roll som, liksom resten av aktörerna i strokekedjan, ständigt balanserar sitt beslutsfattande mellan effektivitet och grundlighet. Kombinationen av analyser ger resultat både på system- och individnivå. Möjligheter för förbättrade strokekedjor ges i termer av logistiska, tekniska och organisatoriska förslag.

Abstract [en]

30 000 people in Sweden get a stroke every year. This leads to large personal adaptions as well as high costs for the society. The most efficient treatment, thrombolysis, must be given as soon as possible to have a good effect. At the same time it is very important to find out if the patient has any differential diagnosis that can make the treatment hazardous.

This study investigates how the course ov events around acute stroke patients take place and important factors for the decision making. The studiy is based on ethnographic field studys on four swedish hospitals. The material is analysed with methods from joint cognitive systems and goal-oriented design. The results show that in spite of different organisation of the course  of events around acute stroke patients are the processes and direct communication most successful for effective spread of information between the processes. The neurologist on call is an important roll who, as well as the rest of the participants in the course of events, balances the decision making between efficiency and thoroughness. The combination of analysis gives results on both system- and individual levels. Possibilites for improvents are given in three categories: logistic, technological and organizational.

Place, publisher, year, edition, pages
2012. , 67 p.
Keyword [en]
stroke, emergency medical service, cognitive science, ethnography, ethnopgraphic methodology, cognitive science engieneering, joint cognitive systems, COCOM, contextual control model, goal-directed design, behaviour variables, personas, contextual scenario, storyboard, ETTO-principle, Efficiency-Thoroughness Trade-Off
Keyword [sv]
stroke, strokevård, vårdkedja, akutsjukvård, kognitionsvetenskap, etnografi, etnografisk metod, sammansatta kognitiva system, målorienterad design, ETTO-principen, COCOM, kontextuell kontroll-loop, beteendevariabler, persona, storyboard, kontextscenario
National Category
Human Computer Interaction
Identifiers
URN: urn:nbn:se:liu:diva-78636ISRN: LIU-IDA/KOGVET-A--12/009--SEOAI: oai:DiVA.org:liu-78636DiVA: diva2:534201
Subject / course
Cognitive science programme
Presentation
2012-06-08, 09:30 (Swedish)
Uppsok
Social and Behavioural Science, Law
Supervisors
Examiners
Available from: 2012-06-18 Created: 2012-06-15 Last updated: 2012-06-18Bibliographically approved

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Strokekedjan från början till slut Sally Ståhl(3026 kB)474 downloads
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf