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3374 Uppsatser om Clinical experiences - Sida 2 av 225

"Att orka vara själavårdare" : En jämförande studie av copingresurser i pastoralkliniskt och kontextuellt själavårdsparadigm.

This study aims to find coping resources in two different paradigms of pastoral care using coping theory from the psychology of religion. The intention is to find coping resources that are functional coping strategies to help priests and chaplains in their work with pastoral care. The research questions are: What coping resources can be found in the pastoral clinical paradigm and the contextual paradigm? What are the differences and similarities? The method used is template analysis style where the theories form a framework for the material used to analyse in this study. The theories used for this study are religious coping theory and pastoral care theory.

Clinical Innovation Fellowships : Uppföljning av en ny metod för förändringsarbete inom sjukvården

Centrum för Teknik i Medicin och Hälsa (CTMH) har, i samarbete med Stanford University, utvecklat programmet Clinical Innovation Fellowships (CIF) för att identifiera förändringsbehov inom vården. Syftet med den här uppsatsen är att undersöka huruvida arbetssättet med Clinical Innovation Fellowships har åstadkommit förändringar för patienter, medarbetare och ekonomi på värdklinikerna.Undersökningen har visat att arbetssättet med CIF framförallt har åstadkommit förändringar för medarbetare. Även förändringar för patienter har genomförts, dock har den ekonomiska aspekten av programmet varit svårare att mäta och se några konkreta förändringar inom.Det har gått att tyda en generell trend som visar att de undersökta värdklinikerna valt att börja med de förändringar som är av mer praktisk natur och enklare att genomföra lokalt på kliniken. Värdklinikerna har haft svårare att genomföra större, organisatoriska förändringar, vilka styrs mer centralt på sjukhusen. Undersökningen på de utvalda värdklinikerna visade att något som skulle gynna CTMHs arbetssätt med CIF skulle vara att etablera en uppföljning på klinikerna.

Escherichia coli-mastitis in dairy cows :

Escherichia (E) coli is one of the most common udder pathogens associated with acute clinical mastitis in Swedish dairy cows. The aim of this study is to review some of the existing literature on E coli mastitis from a Swedish perspective. The bacteria, its most important characteristics, and diagnostics under field conditions is covered, as well as what happens during infection, how E coli affects the cow and which consequences this have. Clinical symptoms associated with E coli mastitis are described and information on when these cases of mastitis usually occurs is given. Risk factors in the cow?s enviroment are described as well as the importance of the cow?s immune defence.

Sjuksköterskors upplevelser av kommunikation med patienter med invandrarbakgrund

Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.

Äldre patienters upplevelser av delirium i samband med sjukhusvistelse

Background: Delirium is a common condition among elderly patients who are being treated in a hospital environment. However, a large number of patients are wrongly diagnosed. The highest risk categories to develop delirium are elderly people and postoperative patients. By understanding the patients´ experiences the nurse can formulate the care to make it easier for the patient. Aim: The aim of the literature review was to illuminate elderly patients´ experiences of delirium in connection with a hospital visit.

Utvärdering av Komm-A, en modell för arbete med kommunikationsbok för personer med afasi i logopedisk verksamhet

The purpose of this study was to evaluate Komm-A, a model for usingcommunication books in clinical practice for people with aphasia. The studyconsisted of two group studies and one case study. One of the group studies had apretest-posttest design and consisted of nine couples; a person with aphasia andhis/her communication partner. The material used was Quality of communicationlife scale (QCL), Communicative effectiveness index (CETI), Goal attainmentscaling (GAS), and a questionnaire to the communication partner. The other groupstudy consisted of seven speech-language pathologists who worked with thecouples according to the Komm-A model.

Utveckling av metod för utvärdering av synnervens funktion hos häst :

VEP, visual evoked potential is an electrophysiologic test that can be used for evaluating the higher visual pathways. The aim of this study was to investigate if it is possible to adapt this method to horses. This method could have a clinical use in addition to the existing diagnostic methods that are available to evaluate vision in horses. Firstly, this study contains a summary of relevant studies done on animals and, secondly, an experimental part where the possibility of recording VEP in nonsedated and sedated horses is investigated and where to position the recording electrode to obtain the best results. Our results show that it is possible to record VEP in horses in a clinical setting. VEP was best recorded in the sedated horse to avoid movement artifacts and other disturbances.

Telefonrådgivning : kritisk granskning av aktuell forskning

The telenursing service deals with offering the public guidance as what to do with their health and illness concern. More specifically this service includes triage, support, advice, education, referral, information and coordination. To conduct telephone advice is a complicated task to perform and put specific demands of the nurse?s communication skills.The purpose of this study was to critically review the impact of telephone counseling focused on context of implementation, perspective, design and clinical relevance by a sample of studies within the field.The critical review focused on inconsistencies in the material. Strengths and weaknesses of the studies were explored, with emphasis on detecting areas of skill gaps.Twelve of thirteen studies were made in the context of telenursing.

Jämförelse av plackutbredningen under fyra veckor hos individer som kompletterar sin mekaniska tandrengöring med munsköljning innehållande antingen essenslösning eller CPC samt upplevelser av smak och känsla i munnen - en pilotstudieComparison of plaquef

The aim of this pilotstudy was to compare the plaqueformation during four weeks in individuals using a mouthrinse containing either essential oils (Listerine Cool Mint) or CPC (Colgate Total) as a complement to their ordinary toothbrushing. Another purpose was to evaluate the individual?s experiences regarding taste and sensation in the mouth after rinsing. A semiblind, clinical pilotstudy was conducted in 20 individuals at a university in southern Sweden. According to a screening-plaqueindex the individuals were stratified into two intervention-groups of ten people, one group rinsing with essential oils and one group with CPC twice daily as a complement to their toothbrushing routine.

Hypoadrenokorticism hos storpudel :

Hypoadrenocorticism (Addison´s disease) results from insufficient production of glucocorticoid and mineralcorticoid hormones from the adrenal glands. The disease is often difficult to diagnose in an early stage because of the multitude of associated vague clinical signs. The standard poodle is one breed presupposed to be at higher risk of developing the disease. The purpose of this study was to give a review of canine hypoadrenocorticism as described in literature, and to characterise Addison´s disease in a population of standard poodles in Sweden. Statistics on incidenceproportions by breed for hypoadrenocorticism from the database of the Swedish insurance company Agria are presented.

Studenters upplevelser av handledning : under specialistsjuksköterskeutbildningen med inriktning anestesisjukvård

The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement.  The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.

Påverkar GIH:s utbildning i friluftsliv studenterna? : En studie av naturupplevelser hos studenter vid GIH:s lärarprogram  

AimThe aim of this study is to examine students' previous experiences of stay in the nature and their experiences of nature in the context of teaching situations in friluftsliv at GIH. It also aims to elucidate how the teaching of friluftsliv at GIH affects their former interpretation about nature. The questions of the study are: What past experiences of stay in the nature elucidate GIH-students? Have the students approach to nature changed according to the education? If yes ? how? What affects students' perception of nature? MethodTo answer the questions, a quantitative approach (questionnaire survey) and qualitative methods (interview study) was used. The qualitative method is based on phenomenology and hermeneutics.

Insättningsrutinernas effekt på tillväxt samt effekten av klinisk sjukdom på ätbeteendet hos kalvar i gruppbox med automatisk mjölkutfodring :

The aim of the present study was to investigate the effect of strategy for grouping calves into group pens with automatic milk-feeding systems on the calves' health and growth rate. The usefulness of changes in feeding behavior recorded by the computerized milk-feeder during periods of illness to identify calves with clinical diease was also studied. In the first experiment, 64 calves were moved in and out of group pens in a continuous way, while 46 calves were transferred into group pens until the the pen was considered "full". The calves in the latter groups were then held together until weaning. It was found that calves in the fixed groups grew approximately 100 g / day more compared to the calves in the dynamic groups. Signs of clinical respiratory disease were less frequent in this group, while the incidence of diarrhoea was slightly higher. In the second experiment health parameters, milk consumption and feeding behaviour was recorded daily for 46 calves.

Utvärdering av en snabbtest för diagnostisering av hypokalcemi hos nötkreatur :

Clinical signs of hypocalcaemia in dairy cows are easily recognized, and a rapid response to treatment generally confirms the diagnosis in the field. However, clinical signs of other disorders in cows, such as toxemia, calving paralysis, or muscoskeletal injury, may mimic those associated with hypocalcaemia. Therefore, making a diagnosis of hypocalcaemia on the basis of clinical signs alone may be difficult. In ambulatory veterinary practices, cow-side tests are useful to make the diagnosis and prognosis easier. Kruuse?s Kalcium Test is a cow-side test based on the principle that calcium ions are necessary for coagulation of blood, and that chelation with EDTA prevent coagulation.

Att vårda sjuka barn i hemmet : Distriktssköterskors och sjuksköterskors upplevelser

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

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