Sökresultat:
1308 Uppsatser om Clinical Competence - Sida 49 av 88
Effekten av e-handelns framgång på hyresmarknaden för köpcentrum : En analys av utformningen för hyresavtal
In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.
Detection of mutations in dihydropteroate synthase (dhps) and dihydrofolate reductase (dhfr) in Plasmodium falciparum in eastern Sudan
ABSTRACT: Commercial swab transport systems are used for collection and transporting of fecal and other microbiological samples. This system must maintain viability and contribute to survival of microorganisms during transport to the laboratory. Four swab transport systems have been compared, eSwab, ?- Transwab and fecalSwab, all three with flocked swabs, and Copan Venturi Transystem with rayon swabs. The study followed the recommendations from the Clinical Laboratory Standard Institute; document M40-A for recovery of Samonella, Shigella, Yersinia and Neisseria gonorrhoeae after storage for 0, 6, 24, 48 and 72 h at room- (22-25°C) and refrigerated (2-8ºC) temperature.
Interkulturell pedagogik och nyanlända elevers erfarenheter och förkunskaper
The purpose of this paper is to find out pedagogues approach to intercultural education through IVIK, goals and guidelines, the school for newly arrived students and how student experience and knowledge are utilized. In my study, I used a qualitative research method. I have interviewed four teachers and four students and a school administrator at IVIK. Results of the study show that most teachers have a good understanding of interculturalism, but that doesn?t mean that teachers make of this relationship means in their teachings.
Gymnasieflickor & idrott och hälsa : Faktorer som påverkar flickors motivation till att delta fysiskt i undervisningen
The aim of this piece of work is to highlight and investigate young female?s motivation in participation of P.E classes and the degree to which the content of classes affect their motivation. To support this piece of work two theories have been utilized, the Self-determination Theory and a gender related perspective theory. The research consists of six qualitative interviews of young females who are perceived to be less motivated. These interviews focus on their views and attitudes in relation to P.E within the Swedish high school setting.
Poker eller patiens? Multilaterala förhandlingar i Europaparlamentet; en explorativ studie av förhandlingskulturen i Europas folkvalda parlament.
Since the Maastricht Treaty the European Parliament has gained competence in the decision-making process and the Parliament is today one of two decision-making institution, next to the Ministers of Council. In this study the main focus has been to shed light over the negotiation culture within the European Parliament, which up till now has been a neglected research area. This is of great significance because the internal negotiations in the European Parliament decide the external negotiation position with the other institutions.After face-to-face interviews with MEP:s and assistants I have been able to identify certain characteristics to create an understanding of the negotiation culture in Europe's elected Parliament. The negotiations are oriented towards a problems-solving approach and the prevailing apprehension is consensus-based negotiations instead of the existence of political blocks. The committees are stronger than the European party groups, which further encourage negotiation.
Kommunikation som berör - En observationsstudie om sjuksköterskans kommunikation med närstående inne på patientrummet på IVA
Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.
RETURHANTERINGSPROCESS EN KARTLÄGGNING AV YVES ROCHERS RETURHANTERINGSPROCESS
The purpose of this thesis is to identify the factors that drive efficiency and effectiveness in technical development projects performed at A?F?s department of product development. In addition to identifying and analyzing these factors, the thesis also analyzes what needs to be taken in to account in order to implement a measurement system that is able to both monitor and control the identified factors.The thesis has been performed in a qualitative manner. It is based on interviews with people from several different technological companies, within different lines of business, all of which are customers to A?F?s department of product development.The results show that there are seven critical factors for project efficiency and effectiveness.
Att arbeta med tolk vid bedömningar : sjuksköterskors upplevelser av kvalitén
Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.
Statistiska metoder för härledning av indata till säkerhetsanalyser inom kärnkraftsområdet
Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.
Konditionstester i rehabiliteringssammanhang : - En litteraturöversikt
During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.
Prevention och orsaksinriktad behandling av gingivit, parodontit och karies med hjälp av motiverande samtal
Background: Traditional oral health education is seldom enough in order for dental care personnel to motivate their patients to good, long-lasting oral health care habits and there is a need for evaluation of other more efficient methods. One of these methods is motivational interviewing. An overview of its origin, definition, theoretical background and practical methods is given by way of introduction.
Aim: The aim of the investigation was to review studies that had used motivational interviewing in order to obtain oral health, focusing on prevention and treatment of gingivitis, periodontitis and dental caries.
Method: Systematic review. A search question was run through the databases ASSIA, ERIC, PsycINFO, Social Services Abstracts, Sociological Abstracts and PubMed. The articles were reviewed based on defined inclusion and exclusion criteria.
Results: Five publications (based on three studies) met the inclusion criteria.
Hur ofta skrivs anvädningsområde t på läkemedel inom ATC-rupp N04 (medel vid parkinsonism)?
Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.
Sjuksköterskestudenters upplevelser av bemötande från handledare och personalgrupp på verksamhetsförlagd utbildning : En intervjustudie med sjuksköterskestudenter i termin två
Bakgrund: Sjuksköterskestudenter kan känna sig sårbara i början av sin verksamhetsförlagda utbildning (VFU) och kan påverkas både positivt och negativt av bemötandet från både handledare och övrig personalgrupp.Syfte: Att undersöka sjuksköterskestudenters upplevelser av bemötande från handledare och övrig personalgrupp och hur detta påverkar förmågan att utföra omvårdnad, samt studenternas upplevelse av studentrollen.Metod: Kvalitativ forskningsdesign med fem semistrukturerade intervjuer.Resultat: Resultatet delades in i tre huvudkategorier: Bemötande från handledare; Bemötande från övrig personalgrupp och Studentroll. Ett bra bemötande karaktäriserades av vänlighet, involvering i arbetet och förmedlande av trygghet. Ett dåligt bemötande kunde bestå av försummelse, att känna sig i vägen och dålig struktur. Studenterna hade haft skiftande roller under VFU och samtliga hade positiva aspekter. Studenterna upplevde att de hade utvecklats i sin förmåga att utföra omvårdnad.Slutsats: Studien påvisar att det är viktigt för studenter hur de blir bemötta på sin VFU, och vilken roll de får på arbetsplatsen.
Användandet av WHO:s modifierade checklista för säker kirurgi : En studie om operationssjuksköterskans medverkan
BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.
Vilometabolism hos barn och ungdomar med Cerebral Pares : En deskriptiv korrelationsstudie
Background: Cerebral Palsy is usually divided into three subgroups: ataxic, spastic and dyskinetic, where children and adolescents can, because of misestimation in nutrition and energy intake, suffer from weight problems.Aim: To compare calculations with equations with the individual's measured RMR in the subgroups, to see if any equation is more suitable. This could be used as a tool to calculate the resting metabolism at times when it is not possible to perform clinical measurements.Method: The RMR has been measured in 37 children and adolescents aged 3-15 years through indirect respiratory calorimetry. Those values have been compared with calculations from five equations. The results were then analyzed in order to find if any equation is better to apply for calculating resting metabolism for each subgroup.Results: The ataxic group was overestimated by 56.5% of the calculated values. WHO/FAO/UNU?s equation indicates a significantly strong correlation between the measured and calculated values (r=0.85, p<0.05).