Kompetensstegen är ett värderingsinstrument för arbetsledningen där vårdpersonalensförvärvade och behövda kompetens kontrolleras. I Västra Götalandsregionen använder intealla arbetsplatser kompetensstegen och de arbetsplatser som arbetar enligt den gör detta påolika sätt, detta kan försvåra undersköterskornas/barnsköterskornas möjligheter förkompetensutveckling och vid arbetsgivarens olika bedömningar och lönesättningar.Studiens syfte är att beskriva vilka erfarenheter undersköterskor och barnsköterskor har avkompetensstegen inom akutsjukvården.För att samla in data har vi använt en enkät med 38 frågor som delgavs 88 undersköterskoroch barnsköterskor, enkätens svarsfrekvens blev 69 %.Resultatet visar att kompetensstegen inte är någon bidragande orsak till att undersköterskoroch barnsköterskor söker sig till en arbetsplats som arbetar enligt kompetensstegen. Det ärheller inte ett skäl till att de kvarstannar på en arbetsplats som arbetar enligt kompetensstegen.Respondenternas erfarenheter är att kompetensutveckling inte har bidragit till att deras lönerökat mer än andra kollegors som inte arbetar enligt kompetensstegen. Det finns dålig kunskapbland respondenterna vad kompetensstegen innebär. Förutsättningar för kompetensutvecklingges av närmaste arbetsledning, trots detta kompetensutvecklas inte alla undersköterskor ochbarnsköterskor.

Electroretinography is an examination method where the function of the retina is objectively assessed. In 2002 the European College of Veterinary Ophthalmology (ECVO) published a proposition to a standard on how to perform ERG examinations, to facilitate comparison of results and to make it possible to repeat examinations. The purpose of this study was to validate parts of the canine ERG protocol suggested by the ECVO. Our principal aim was to study if there is any interference at the recommended stimulus intervals for dark-adapted rod- and combined rod-/cone responses. The results show that there is an effect on the a- and b-wave amplitudes when different stimulus intervals are employed. When all examined intervals are pooled, there is an increase in the median b-wave to each consecutive dim, white (rod) stimulus in a series of four.

AimThe specific questions in the theoretic part were:What is contained in the terms "balance and balance skill" and how can this skill be measured?The specific questions in the empirical part were:How does balance skill in different age categories of children correlate with biological and physiological parameters such as age, gender, body height, weight and level of physical activity?MethodsLiterature search based on books and scientific papers related to the questions posed above. Selection was made at libraries and on?line through "Pubmed". Specific search words were used.

The guinea pig is an important meat-producing animal in Peru as well as in several other South American countries. They are held in different kinds of systems, from the small backyard breeders with few animals to the large commercial farms with thousands of guinea pigs. One of the major issues at the farms is animals dying of unknown causes. Salmonellosis is often considered as a major cause, but samples for confirmation are rarely taken. It has been known for a long time that Clostridium difficile (C.

In this thesis I have discussed about conflict management in school, from a teacher´s perspective. Focus has been on Swedish schools, especially on the teachers who are active in primary school. Several perspectives have been given, including an intercultural approach which has been the most recurrent. The importance of teachers? emotional maturity, knowledge about democracy and values, as well as teacher?s impact by being a sharp leader in different ways are other subjects the essay has touched.

The aim of this study was to investigate and analyze similarities and differences in trials and punishment from a gender perspective, during the inquisition in the episcopate of Linköping. A inquisition initiated by duke Karl but performed by archbishop Abraham Angermannus in the year 1596.During the working process a quantitive method was used in the purpose of getting statistic data considering number of men and women that were trialed and punished. A hermeneutic qualitive method was also used in the purpose of closer investigating certain cases that men and women were involved in. The theoretical concepts that have been of importance and used in this study are the individual and the female subject that is based on gender in judicial procedures.The results showed that 49 % of the men were trialed for quarrel. Not as many men were trialed for contempt towards the church and witchery.The most frequently used corporal punishment in this cases were flogging that were executed for totally 38 % of the men.The investigation also proved that men were punished with these forms of corporal punishments for showing their contempt towards the church.

Bakgrund: Fasthållning av barn används vid ett flertal kliniska procedurer. Barns samt vårdnadshavares upplevelse av situationen är ofta negativ. Etiska principer samt lagar och riktlinjer utgör en teoretisk grund i en fasthållningssituation. Barnets autonomi samt sjuksköterskans omvårdnadsplikt är två utgångspunkter i fasthållning som fenomen. Syfte: Att beskriva sjuksköterskors erfarenhet av fasthållning av barn vid kliniska procedurer inom somatisk vård.

Cardiac troponin I (cTnI) is considered a specific and a sensitive biomarker of cardiac disease, and due to a high inter-species sequence homology; human cTnI assays can often be used in veterinary medicine. The main aim of this study was to perform an initial evaluation of a human cTnI test, the Meritas Troponin I test, for measurement of equine plasma cTnI, in order to investigate whether the test could be a possible subject for a more comprehensive validation. The hypothesis was that the test could measure equine cTnI, as there is a good homology between equine cTnI and human cTnI. The evaluation included a dilution parallelism, an intra-assay precision study and measurement of plasma cTnI healthy horses. In the dilution parallelism and the intra-assay precision study, equine plasma with previously established high cTnI concentration, according to another cTnI assay, was used. In addition, cTnI concentration was measured in plasma, collected from 19 horses, without signs of disease at physical and ECG examinations. The obtained curve in the dilution parallelism was linear, indicating that the Meritas Troponin I test can be used to measure different concentrations of equine cTnI in plasma.

Peer learning är en handledningsmetod, som tydliggör anknytningen mellan teoretisk och praktisk kunskap samtidigt som ett större antal studenter kan erbjudas verksamhetsförlagd utbildning. Därför vore det av intresse att undersöka om det är en tillämpar metod i specialistsjuksköterskeutbildningen mot intensivvård. Syftet med studien var att undersöka peer learning som handledningsmetod inom specialistsjuksköterskeutbildningen mot intensivvård utifrån handledares perspektiv. Studien utfördes genom fokusgruppsintervju med en beskrivande design med induktiv ansats där data analyserades med manifest kvalitativ innehållsanalys. I studien framkom sex kategorier och fyra underkategorier.

The main objective of this research was to study how increased arterial oxygenation by the use of Pulsed Inhaled Nitric-Oxide (PiNO) influenced the metabolic and cardiovascular parameters on horses undergoing acute abdominal surgery because of colic. The parameters blood lactate, blood glucose, pH and heart rate were evaluated before and during anesthesia and closely after recovery. The study showed that blood lactate concentrations decreased significantly during anaesthesia in horses treated with PiNO compared to non-treated horses. It was also seen that the lactate concentration decreased most in horses with the highest levels before PiNO treatment. Since enhanced oxygen extraction ratio was evident in the PiNO group, improved oxygen delivery to the tissue may be a possible explanation for the improved situation.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

Syftet med denna studie var att beskriva sjuksköterskestudenters uppfattningar om vilka faktorer som ingår i god handledning under verksamhetsförlagd utbildning (VFU). Data samlades in via nio intervjuer och tre skriftliga svar, med hjälp av en intervjuguide, från sjuksköterskestudenter i termin 6 på sjuksköterskeprogrammet i Uppsala. Data analyserades med hjälp av kvalitativ innehållsanalys. Två teman utkristalliserades från analysen; studentens lärande och handledningens innehåll. Studentens lärande innefattar tre kategorier; kommunikation, organisation och förhållningssätt och handledningens innehåll fyra kategorier; kommunikation, organisation, förhållningssätt och arbetsklimat.

The audiologists´ knowledge-domain is generally described as a unique combination of medical, technical, social and behavioural sciences. It gives prominence to the importance of an adequate education relating to the knowledge-demands the students´encounter during their trainee-period. However, an important question is if the educational content corresponds to the knowledge-demands during the training? Aim: This study aimed to identify the knowledge-demands of students during their trainee-period. Furthermore, to identify how the students´ actual knowledge was related to the encountered knowledge-demands.

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.

Svår sepsis och septisk chock är sjukdomstillstånd som kan orsaka ett stort lidande för patienten genom att de är förknippade med hög mortalitet och morbiditet. Tidig identifiering och adekvat antibiotikabehandling är avgörande för prognosen. Detta ställer höga krav på ambulanssjukvårdens kvalitet. Ambulanssjukvården har behandlingsriktlinjer som ska utgöra beslutsunderlag och kvalitetssäkring för den givna vården. De potentiella vinsterna med en behandlingsriktlinje blir dock aldrig bättre än kvaliteten på behandlingsriktlinjen i sig.