Background Nightingale attention that hygiene was an important task to prevent health- related infection. Today there are guidelines how hand hygiene should be followed, to prevent health- related infection. Good knowledge and education in hand hygiene and its consequences if it’s not followed is of great importance. Hand hygiene should be performed before and after the clean and the unclean work with patients and materials. Health- related infection is an infection which can affect both employees and patients as a result of care, regardless of care service. Good compliance is when hand hygiene is carried out at an appropriate time, but several studies show that this is not followed. Aim The aim with the study was to describe nurse’s knowledge and compliance to hand hygiene. Method A literature review was used to analyze scientific articles related to the topic. Results The result showed that knowledge and education was an important factor to retain compliance to hand hygiene. Hand hygiene was performed as a routine, but this could be lacking when nurses where interrupted in their working moment. Another reason why hand hygiene was not performed was that some nurses experienced skin irritation as a result. Nurses used soap and water instead of hand disinfection. Compliance was better after than before patient contact. Conclusion The authors have noted that after the hygiene education increases compliance to hand hygiene. Regular education is seen as an important part to create and maintain procedures for hand hygiene.

Bakgrund: SFOG har tillsammans med SBF, SNS och LÖF upprättat riktlinjer för förlossningsvården som bland annat berör dokumentation av CTG. Dessa har tagits fram genom ”Projekt säker förlossningsvård” och antagits av Blekingesjukhuset Karlskrona år 2008. Syfte: Syftet var att undersöka barnmorskors och läkares följsamhet av CTG-dokumentation, vid aktivt förlossningsförlopp, i förhållande till lokala PM, aktuella riktlinjer och nationella styrdokument på förlossningsavdelningen, Karlskrona. Metod: Retrospektiv journalgranskningmed deskriptiv design har använts.  Datainsamling omfattar tidsperioden 2011-07-01 t.o.m. 2012-03-04. Totalt ingick 748 journaler och 1547 dokumentationer i studien. Dataanalys har skett med hjälp av statistikprogrammet SPSS. Resultat: Av journalerna hade 22% ingen dokumentation om CTG och 46% av dokumentationerna innehöll en klassifikation. Åtgärd har dokumenterats i 80% och dokumentationerna var skriven utan förkortning i 45%. Följsamheten av klassificering och åtgärd tillsammans var totalt 44%medan barnmorskors var 38% och läkares 8%. Konklusion: Följsamheten av CTG-dokumentationbehöver förbättras på förlossningsavdelningen i Karlskrona. Majoriteten av vad som dokumenteras följer inte PM, riktlinjer och nationella styrdokument. / Background: SFOG, SBF, SNS and LÖF have conducted guidelines for obstetric care including documentation of CTG. These have been developed during “Projekt säker förlossningsvård” and adopted 2008 by the hospital in Blekinge, Karlskrona. Aim: The aim of this study was to examine the compliance of CTG documentation by midwives and physician, during active labor, in relation to local PM, current guidelines and national policy at the labor ward Karlskrona. Method: Retrospective study using descriptive design was used. Data collection covers the time period 2011-07-01 to 2012-03-04. Totally 748 records and 1547 documentations were reviewed. Data analysis was progressed in SPSS. Result: Of the total records, 22% did not have any documentation about CTG and 46% of the collected documentations had a classification. Action was documented in 80%, and the documentations were written without an abbreviation in 45%. Compliance of classification and action together was 44%, midwives had  38% and physicians 8%. Conclusion: The compliance of CTG documentation needs improvement in the labor ward in Karlskrona. The majority of documents are not followed by PM, guidelines and national policy documents.

The current study evaluated the effect of a teacher conducted play intervention on pre-school aged children’s compliance in child care settings. Study participants included 11 children ranging in age from 2 to 5 years old and seven early childhood education teachers within seven classrooms across five child care centres. Teachers were trained to conduct daily 5 minute play sessions consisting of contingent praise, mirroring, and warm responsiveness. A combination ABAB and multiple baseline design was used to demonstrate the effect of the play intervention. Pre-treatment observations revealed varying degrees of recurring child compliance difficulties. The play intervention was associated with improved rates of compliance for each participant child regardless of differences in age, gender, and level of compliance difficulties. The intervention is discussed with regard to its potential as a pro-active, non-intrusive strategy for improving young children’s classroom compliance.

Canada’s Patented Medicines (Notice Of Compliance) Regulations fail to achieve the intended purpose of balancing innovation with timely generic market entry. An examination of the inefficiencies created by the Canadian regulations reveals that key features of U.S. pharmaceutical law should be adopted to improve the disjointed regulatory system that impedes generic competition. Specifically, the regulations should be amended to consolidate multiple proceedings into one cause of action that evaluates patent validity. An economic incentive to challenge weak patents should also be introduced in Canada. These features encourage competition without deterring pharmaceutical research and development because only patents that are not truly inventive will be invalidated after a full inquiry. As such, the intellectual property laws will continue to satisfy Canada’s international intellectual property obligations and protect innovative medicines and allow recovery of costs and monopoly profits to new and useful pharmaceutical products.

Canada’s Patented Medicines (Notice Of Compliance) Regulations fail to achieve the intended purpose of balancing innovation with timely generic market entry. An examination of the inefficiencies created by the Canadian regulations reveals that key features of U.S. pharmaceutical law should be adopted to improve the disjointed regulatory system that impedes generic competition. Specifically, the regulations should be amended to consolidate multiple proceedings into one cause of action that evaluates patent validity. An economic incentive to challenge weak patents should also be introduced in Canada. These features encourage competition without deterring pharmaceutical research and development because only patents that are not truly inventive will be invalidated after a full inquiry. As such, the intellectual property laws will continue to satisfy Canada’s international intellectual property obligations and protect innovative medicines and allow recovery of costs and monopoly profits to new and useful pharmaceutical products.

Adaptation to role transitions can have various outcomes. Health and demographic characteristics as well as environmental control have been shown to affect the transition to the role of patient. The acutely ill elderly's adaptation to the role of hospitalized patient has not been measured from the elderly patient's perspective. This study utilized a random sample of 176 hospitalized elderly medical-surgical patients and the patients' registered nurses to examine the relationships among demographic and health characteristics, latitude of choice and elderly hospitalized patient adjustment. Patients were excluded who had been in ICU for more than 24 hours, had decreased mental status, or were judged to be too physically ill to participate. The study used an adaptation of the Latitude of Choice Scale (a measure of environmental control) developed by Hulicka and colleagues, a nurse-rated hospitalized patient adjustment scale developed by Cicirelli, and an adaptation of the adjustment scale for patients' self-assessment. Results from a series of multiple regression analyses indicate that, taken as a group, neither demographic nor health characteristics predict environmental control, as measured by the adapted version of the Latitude of Choice Scale (LOC). However, one individual health characteristic, length of time since last hospitalization, was a negative predictor of LOC. Further, the results indicate that taken as a group, health and demographic characteristics, along with patient LOC scores are not predictive of either nurse or patient-rated adaptation. The individual health characteristic "patient acuity rating" did negatively predict both nurse and patient-rated adjustment scores. Nurse-rated patient adjustment scores were also negatively predicted by the participants' prior number of hospitalizations. A paired-t test indicated that patients rated themselves significantly better adjusted than did their nurses. This finding was judged to be clinically unimportant because of the small real difference in the mean scores. Random-effects ANOVA found no significant variance between nurses' ratings of patients. / Graduation date: 1991

Podpiera (2006) found that compliance with Basel Core Principles (BCP) in banking provisions has a direct positive effect on bank performance. Using Non-performing Loans (NPL) ratio and Net-Interest Margin (NIM) as indicators of bank performance, his panel data from 1998 to 2002 with 65 different countries proved that higher compliance results in better bank performance and soundness. This paper is a reexamination of this relationship in a more recent time period from 2006 to 2010 when another global financial crisis took place. I found evidence that the positive relationship between BCP compliance and bank performance continues to be true.

The current study evaluated the effect of a teacher conducted play intervention on pre-school aged children’s compliance in child care settings. Study participants included 11 children ranging in age from 2 to 5 years old and seven early childhood education teachers within seven classrooms across five child care centres. Teachers were trained to conduct daily 5 minute play sessions consisting of contingent praise, mirroring, and warm responsiveness. A combination ABAB and multiple baseline design was used to demonstrate the effect of the play intervention. Pre-treatment observations revealed varying degrees of recurring child compliance difficulties. The play intervention was associated with improved rates of compliance for each participant child regardless of differences in age, gender, and level of compliance difficulties. The intervention is discussed with regard to its potential as a pro-active, non-intrusive strategy for improving young children’s classroom compliance.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%. In the observation task “proper use of protective apron” a total adherence of 86 % was found. The observations in the category of "hand disinfection before patient contact" showed an adherence of 74 %. In the observation category "proper use of gloves" a total adherence of 52% was found. The greatest difference between professions was seen in the observation category of "proper use of gloves", where physicians’ observed adherence was 100% and the nurses observed adherence was 48%. In the observation category "proper use of apron” adherence varied between 76-91%. Adherence to “hand disinfection before patient contact” are lower in comparison with adherence to “hand disinfection after patient contact”. An awareness of this is seen in the responses also, with the majority indicating that their own routine deficiencies in this particular moment. Otherwise the compilation of the responses shows that staff rates their adherence lower than the observed adherence. We believe that our presence may have affected the staff during the observations with the consequence that adherence to the basic hygiene routines influenced in a positive direction. / Syftet med detta arbete var att undersöka följsamhet till basala hygienrutiner hos personal på en vårdavdelning samt undersöka eventuella skillnader i följsamhet mellan olika yrkeskategorier. Syftet med studien var också att undersöka hur personalen skattar sin egen följsamhet till gällande riktlinjer. Data till studien insamlades genom observationer och enkäter. Totalt observerades 35 personer och enkäten besvarades av 15 personer. Högst observerad följsamhet fanns i kategorin ”handdesinfektion efter patientkontakt” med ett resultat på 96 %. Observationsmomentet ”korrekt användning av skyddsförkläde” visade en total följsamhet på 86 %. Observationerna i kategorin ”handdesinfektion före patientkontakt” visade en följsamhet på 74 %. I observationsmomentet ”korrekt användning av handskar” fanns en total följsamhet på 52 %. Störst skillnad mellan personalkategorierna sågs i observationskategorin ”korrekt användning av handskar” där läkarnas observerade följsamhet var 100 % och undersköterskornas observerade följsamhet var 48 %.  I observationsmomentet ”korrekt användning av skyddsförkläde” varierade följsamheten mellan 76 – 91 %. Personalens observerade följsamhet till ”handdesinfektion före patientkontakt” är lägre i jämförelse med den observerade följsamheten till ”handdesinfektion efter patientkontakt”. En medvetenhet om detta syns i enkätsvaren där flertalet anger att deras egen rutin brister i just detta moment. I övrigt visar sammanställningen av enkätsvaren att personalen skattar sin följsamhet lägre än den observerade följsamheten. Vi anser att vår närvaro kan ha påverkat personalen vid observationerna med konsekvensen att följsamheten till de basala hygienrutinerna påverkats i positiv riktning.

<p>The purpose of this thesis is to examine if there is a problem with compliance in the World Trade Organization, to investigate the validity of the managerial and the political economy approaches to compliance and to analyze reform proposals that tackle the issue of compliance, pursuing improvement of the system.</p><p>Drawing on the scenario of increasing legalization and cooperation in trade, the first question is examined by way of interviewing trade experts and officials as well as analyzing case studies that are pertinent to the research at hand. The second question – if management is preferred to enforcement as to induce compliance – is answered by analyzing official WTO Dispute Settlement reports, interviews, case reviews and articles on retaliation and compliance written by different authors. The third question is answered as a reflection of the findings of the first two questions.</p><p>Analysis on the managerial theory of compliance examine whether enforcement plays a minor role in inducing compliance in the WTO, if there is a propensity to comply amongst states and if noncompliance is inadvertent rather than a result of calculation of interests. In the other hand, tests conducted on the enforcement approach to compliance investigate the importance of retaliation in WTO Dispute Settlement, the necessity of an enforcement tool and the claim that noncompliance is a political decision.</p><p>Tests conducted suggest that the enforcement school of compliance is correct when stating that noncompliance is a political decision, resulted from careful calculation of interests. The research indicates that the WTO Dispute Settlement presents a dual facet of compliance, in which the enforcement tool is responsible for allowing the managerial effects to take place. In this regard, the enforcement tool alone is seen as inappropriate, especially if economic asymmetries are present. An approach that accommodates both enforcement and managerial aspects is prescribed.</p><p>The research has indicated that successful reform proposals should aim at increasing the credibility of the threat of retaliation as to follow the diagnosis verified by the tests conducted.</p>