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2089 Uppsatser om Clinical nurse specialist - Sida 44 av 140
Psykisk ohälsa hos unga ? orsaker och insatser
Mental health problems among young people - causes and actions
Results from several studies indicate that the prevalence of mental illness among young people has increased recently. This paper has a qualitative approach where three counselors and a school nurse was interviewed. The purpose of this study is to try to get an idea of how these staff are working with young people suffering from mental illness at school. The aim is also to examine whether there is an opportunity for the staff to work proactively to promote mental health..
Nytt ljus över dagbesvär vid insomni: spelar psykologiska processer en underskattad roll?
This study examined the psychological processes of autonomic arousal and distress, erroneous beliefs about sleep, worry about sleep, selective attention and monitoring and safety behaviours related to sleep, on the subject of daytime impairments associated with insomnia. The psychological processes were evaluated against as follows: sleep measures, anxiety, depression, medical disease and the use of medications. The measure daytime impairments complied with the established research diagnostic criteria. A correlation analysis indicated that psychological process, anxiety, depression and one of the sleep measures are associated with daytime impairments. The results of a multiple regression analysis proved that only erroneous beliefs about sleep, worry about sleep and safety behaviours related to sleep are linked to daytime impairments associated with insomnia.
Motiverande samtal som metod för ökad närvaro i gymnasieskolan?
Effektiviteten av manualiserad Motivational Interviewing prövades i en experimentell design. Gymnasieelever med hög frånvaro (n=89) blockrandomiserades till antingen två sessioner Motivational Interviewing eller någon av de två kontrollgrupperna, som erhöll validerande samtal respektive ingen intervention. Den beroende variabeln utgjordes av förändring i frånvaro som rapporterades av de deltagande skolorna. Utöver detta användes School Refusal Assessment Scale för att undersöka orsaker till frånvaron. University of Rhode Island Change Assessment användes för att mäta motivation enligt Prochaska och DiClementes förändringsmodell.
Med den inre känslan som drivkraft - barnmorskors upplevelser av att förmedla trygghet och en god omvårdnad
The expectations of a successful outcome are great during childbirth. The overall objective of prenatal care and birth care is that midwives contribute in creating the most positive experience of pregnancy, child birth and infancy as possible. During the past 30 years there has been a significant increase in sectiofrequency both in Sweden and the rest of the Western world. More parents feel an overall insecurity when it comes to child labour. The purpose of this study was to describe how midwives experience the work of creating a sense of security and good nursing when meeting the expectant parents.
Vilken arbetssituation, ingångslön och upplevelse har den nyutexaminerade tandhygienisten av sitt arbete som legitimerad tandhygienist -En enkätstudie
The aim of the study was to describe how hygienist`s receiving their certificate during 2003 and 2004, perceive their working situation, salary and impression of their first employment as a registered dental hygienist. A questionnaire was sent out to new dental hygienist`s examined year 2003 and 2004 in Sweden. Most of the new examined dental hygienist`s found the education adequate or more than adequate. A few individuals found it inadequate. The ones finding the education inadequate wanted more clinical practice and more training in administrative work.
Kulturkompetent sjuksköterska sökes! : Sjuksköterskans upplevelser av den transkulturella vårdrelationen - en litteraturstudie
Bakgrund: Sverige blir alltmer mångkulturellt, vilket präglar hälso- och sjukvården idag. Sjuksköterskans profession handlar om att ge en god omvårdnad till alla och sjuksköterskan förväntas inneha en allt större kulturkompetens. Trots detta visar studier på att det finns brister i kommunikation och bemötande i den transkulturella omvårdnaden. Syfte: Att beskriva sjuksköterskans upplevelser av den transkulturella vårdrelationen. Metod: En litteraturstudie där materialet från tio kvalitativa studier användes.
Jämförelse av statistiska metoder för rangordning inom sjukvården
There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.
Inappetens hos katt ? omvårdnadsbehandlingar med fokus på beröring
Particular to the cat among our pets is its´ unique nutritional needs and metabolism. The cat cannot produce some nutrients by themselves and must get them through their diet. This means that the cat quickly can suffer from various diseases unless the nutritional needs are covered. In those cases where man is completely in control of the cat?s diet, the right knowledge is crucial for the cat?s wellbeing.
Orala hälsorelaterade livskvalitetsinstrument som har använts på äldre individer ? en litteraturstudie
Aim: Through the review of scientific articles, this study aimed to identify which oral health-related quality of life instruments that have been used in studies to measure the oral health-related quality of life in older individuals and the application of such instruments.Method: The study is based on a systematic literature review, where 14 articles have been chosen and evaluated against a checklist. Result: The oral health-related quality of life instruments that have been used on individuals, 65 years and older, are OHIP-49, OHIP-14, OHIP-20 or OHIP-EDENT, GOHAI and OIDP. The instruments are used to examine factors associated with the oral health-related quality of life. Significant associations have been identified, among other things, between the number of teeth in static occlusion, dry mouth and the quality of the dentures, and oral health-related quality of life. Social and cultural associations have also been revealed.Conclusions: Today there exist several well functioning instruments that are used for research purposes.
Perceptuell bedömning av dysartri: jämförelse av detaljerad kontra övergripande analys
The aim of the present study was to compare two differenttypes of assessment of dysarthria to be able to conclude which methodmight be more suitable for use in research and in clinical practice.Five speech pathologists with extensive experience assessed 20different recordings of individuals with dysarthric speech using twodifferent forms, one more detailed and one designed for a more overallassessment. In the detailed form 30 aspects of voice and speech wereanalyzed. In the short form 5 overall aspects of voice and speech wereanalyzed. Six of the recordings were duplicated to serve forassessment intra-judge reliability for each form. The results show thatthere was a high correlation between the two forms and that theymeasures the same types of speech deviations although on differentlevels of details.
Våld i nära relationer : Sjuksköterskors erfarenheter av att möta våldsutsatta kvinnor, en systematisk litteraturstudie
Titel: Våld i nära relationer ? Sjuksköterskors erfarenheter av att möta våldsutsatta kvinnor, en systematisk litteraturstudie.Bakgrund: År 2011 anmälde 12 471 kvinnor att de blivit utsatta för våld i en nära relation. Skador som våldsutsatta kvinnor drabbas av är allt från psykiska besvär till svåra fysiska skador. Många av dessa kvinnor behöver komma i kontakt med sjukvården och sjuksköterskor i olika organisationer.Syfte: Syftet med litteraturstudien är att beskriva sjuksköterskans erfarenheter av att möta kvinnor som utsätts för våld i nära relationer.Metod: En systematisk litteraturstudie där inkluderade studier granskades och kvalitetsbedömdes. Resultaten analyserades och tematiserades utifrån likheter och skillnader.Resultat: Huvudresultatet påvisade sjuksköterskornas känslomässiga svårigheter att möta kvinnor som utsätts för våld i nära relationer, då det bland annat påverkade sjuksköterskans privatliv.
Vattenapeteorin: Paradigmskifte eller pseudovetenskap?
The Aquatic Ape theory was first formulated by Alister Hardy in year 1960. All from the beginning the theory has been criticized, ridiculed, ignored and a source to strong feelings in the anthropological community. The purpose of this essay is to investigate why the Aquatic Ape theory is so controversial and why it is understood so differently by scientists. After interviews with Swedish scientists and the general community, and after reading of anthropological books, I have tried to show that the aquatic ape-coldness depends on it challenging nature against the anthropological paradigm, which describes human beings as strong, hunting creatures who can live in any environment. The Aquatic Ape theory - on the other hand - picks out one of all these environments and says: "here has our evolution occurred: we have been aquatic apes".
Därtill är jag nödd och tvungen : En fokusgruppsstudie om distriktssköterskans erfarenhet av läkemedelsdelegering i hemsjukvård
AbstractBackground. The need for drugs delegation is increasing as more and more sick people are cared for at home and too few nurses working in home health care. Because of this, the number of delegations per nurse is often unacceptably high.Aim. The aim of this study was to describe the public health nurses´ experience in drugs delegation to home care staff in home care.Method. In this study a qualitative method with an inductive approach was used.
Hållbara projekteringsverktyg : Från byggnadsinformationsmodell till simulering ? en utvärdering av Revit och Virtual Environment
This study examines the use of building modeling and energy simulations in the design process of a building. The take-off point is the notion of energy simulations being needed early and throughout the building design process, and that the lack of energy simulations may be explained by the fact that they are time consuming and therefore often too expensive. A greater interoperability between software tools used by relevant disciplines, such as the architect and the energy specialist, would create smoother workflows, which would reduce this cost and open up for more frequent and iterative energy simulation processes. The study is an assessment of the modeling tool Revit and the simulation tool Virtual Environment and whether they can create smoother workflows, and make leeway for a more frequent use of energy simulations throughout the design process. It also investigates the limitations of what can be examined by simulations in Virtual Environment. This will hopefully help clarify the future role of energy simulations in design processes. The method is a trial by error approach of testing the two software tools by building and simulating a model. The results of these tests show that the workflow is not optimal (and therefore time consuming) for frequent and iterative simulations throughout the design process, but it also reveals some great possibilities of what can be performed with these two powerful tools at hand. Further development with regards on platform independency of the building information model, including seamless exporting and importing, seems necessary to strengthen the future role of energy simulations..
Orala hälsorelaterade livskvalitetsinstrument som har använts på äldre individer ? en litteraturstudie
Aim: Through the review of scientific articles, this study aimed to identify which oral health-related quality of life instruments that have been used in studies to measure the oral health-related quality of life in older individuals and the application of such instruments.
Method: The study is based on a systematic literature review, where 14 articles have been chosen and evaluated against a checklist.
Result: The oral health-related quality of life instruments that have been used on individuals, 65 years and older, are OHIP-49, OHIP-14, OHIP-20 or OHIP-EDENT, GOHAI and OIDP. The instruments are used to examine factors associated with the oral health-related quality of life. Significant associations have been identified, among other things, between the number of teeth in static occlusion, dry mouth and the quality of the dentures, and oral health-related quality of life. Social and cultural associations have also been revealed.
Conclusions: Today there exist several well functioning instruments that are used for research purposes.