A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Collected through face-to-face interviews, the participants' stories were tape-recorded and transcribed verbatim using a process for analysis informed by van Manen, (1997b).Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through.This study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. With the help of team leaders, managers and educators, the organisation will need to consider ways to monitor the job satisfaction of their staff. Furthermore, reinforce existing comprehensive measures, such as mentorship and clinical supervision programmes to encourage the retention and well-being of all staff, at all stages of their career on the children's burn ward.

This qualitative, descriptive study explored physiotherapists' experience of participating in peer review in public and private health services in New Zealand. Peer review is a professional activity where one health practitioner evaluates the practice of another. Accordingly, much professional effort has been expended on developing peer review systems and implementing review processes, yet the benefits of peer review are uncertain. A changing legislative environment where producing evidence of ongoing professional development is required, has provided impetus for this study given the limited research to support the use of peer review in this context. While the literature identifies competing focuses on professional development and accountability, there is lack of clarity about which model of peer review is being implemented in this country and which might serve the profession better. This study is a first step in clarifying the issues by identifying the personal, professional and organisational factors that influence health professionals' participation in peer review. The methodology consisted of a qualitative descriptive approach situated within a post positivist paradigm. Seven physiotherapists working in the New Zealand health system who had participated in a peer review process within the last 3 years participated in this study. Semi structured interviews were conducted, guided by broad questions relating to central themes identified during an extensive literature review. Interviews were then audio taped and transcribed verbatim to form the data. Transcripts were analysed by assigning content labels to units of text that seemed to encapsulate one complete thought or idea. The labelled groups were analysed into sub themes. Finally, the general themes that arose were described. Findings indicate that while peer review systems have been developed and are carried out as prescribed, therapists lack clarity about the intended outcomes. While recognising the benefits of receiving feedback on practice, many manage the review process to maintain positive working relationships and ensure their practice is favourably reviewed. The strategies they employ and the consequences of managing peer review in these ways are described. Current peer review processes in New Zealand do not provide reliable information about competence to practice. Neither do they fully achieve their potential as a professional development tool. Therefore, the professional emphasis and effort on peer review needs to be revisited. The findings highlight the need for consultation amongst individual physiotherapists, physiotherapy managers, physiotherapy professional organisations, and the registration board, to negotiate whether regulatory or professional development needs will drive peer review processes in New Zealand in the future.

The lifting associated with childcare has been linked to musculoskeletal disorders (MSDs) in mothers (Griffin & Price, 2000; Sanders & Morse, 2005). The purpose of the current study was to investigate, for the first time through observation, the lifting of young children by mothers in the home environment to identify risk factors which might give rise to MSDs. Twenty five mothers with one or two children weighing between 9 and 15kg (n = 30) completed a self-report survey modified for the New Zealand context (The Ergonomics of Caring for Children (Sanders & Morse, 2005)). They also took part in a structured observation of lifting in the home using a checklist based on the New Zealand Manual Handling Hazard Control Record NZMHHCR (OSH & ACC, 2001). Modifications were derived from careful consultation of current literature to enable contributory factors related to the load, the mother, the environment and the task to be assessed and a rating of low, medium, or high risk to be assigned to each factor. A protocol to guide risk assessment was developed to accompany the tool. The modified observational checklist was named the OMLITH (Observing Mothers Lifting In The Home). Survey data identified the mothers as aged between 28 and 40 years, predominantly NZ European, and of average height (χ = 1.69cm) and weight (Body Mass Index = 24). The children in the sample weighed between 9 and 14.5kg and had an average age of 17months. All the mothers were either married (n=20) or living with a significant other (n=5) and their partners frequently (n=13) or always (n=12) helped with childcare. The mean time mothers spent per week on the following activities were: sleep, 6.8hrs (n=25), housework, 14.9hrs (n=25), exercise, 2.9hrs (n=22), watching television or using the home computer, 4.3hrs (n=22), hobbies, 2.2hrs (n=19), gardening or home maintenance, 2.9hrs (n=18). Thirteen of the mothers worked (3 full-time, 10 part-time) and 20 mothers used childcare services. Ratings of the physical stress associated with 50 childcare tasks showed that mothers differentiated between tasks in terms of physical stress to a significant degree (p.000), typically rating ‘Bending while carrying a child’ as almost twice as stressful as the average rating. Other categories rated significantly above the average stress rating were: ‘Use of a backpack to carry infant/child’, ‘Use of baby jogger’, ‘Carrying child on your shoulders’, ‘Standing bent over to wash child in bath or sink’, ‘Lifting child into or out of cot’, ‘Prolonged squatting or stooping while playing with child’, and ‘Placing child in car seat or removing child from car seat’. Mothers reported experiencing MSDs most commonly in the low back (n=16), and the neck, shoulder and upper back (n=8 each). Data from the 87 observations using the OMLITH showed that children were a challenging load due to their moving centre of gravity, and were often unpredictable or awkward to handle. The grip required to lift a child more often than not fell outside the National Institute for Occupational Safety and Health (NIOSH) recommendation. In 72.9% of tasks the child’s weight created a high risk level. The lifting tasks involved horizontal and vertical lift distances that presented a moderate to high risk level in 82.8% of situations. Lifting while twisting and side-bending was assigned a moderate to high risk level in 72.4% of tasks. Risk associated with working at an externally controlled pace; and handling children while seated or kneeling/crouching was also observed. The home environment presented risk associated with obstacles, a variety of floor surfaces and stairs or slopes. Mothers were also observed lifting in confined spaces. Individual factors identified as important considerations were: a mismatch between mothers’ strength and fitness and the lifting requirements, pain or injury, pregnancy, and fatigue. The structured checklist proved to be an appropriate tool to identify the contributory risk factors present when mothers lift in the home and to make an assessment of the level of risk. Results suggest a notable number of risk factors which might give rise to MSDs are present when mothers lift their children at home. The author concludes that further research is warranted to quantify risks, to identify prevention strategies for MSDs in this population, and to guide health providers with regard to treatment and rehabilitation of mothers with MSDs.

L'étude didactique porte sur l'enseignement secondaire vietnamien des statistiques dans ses liens potentiels avec les concepts de probabilité. Elle part de deux constats, le premier de nature épistémologique et le second de nature didactique :<br />- il existe un corpus des savoirs en statistique inférentielle qui caractérise mathématiquement les liens entre statistiques et probabilités <br />- les deux systèmes d'enseignement, vietnamien et français diffèrent profondément puisque statistiques et probabilités sont enseignées séparément au Vietnam et ces savoirs sont absents des programmes alors qu'en France plusieurs réformes récentes ont inscrit dans les programmes certains de ces savoirs au travers de notions comme la fluctuation d'échantillonnage ou l'adéquation d'une distribution statistique à une loi probabiliste. <br />L'articulation d'une analyse épistémologique et d'une analyse institutionnelle développe la problématique de l'étude dans deux questions successives : quel effet a la coupure constatée entre statistiques et probabilités sur le rapport institutionnel à des « objets-candidats pour les liens statistiques-probabilités » au Vietnam aussi bien du côté enseignant que du côté élève ? Est-il possible de faire vivre dans les conditions actuelles de l'enseignement vietnamien quelques uns de ces objets-candidats ? Chacune des questions est travaillée via un dispositif expérimental : la première à travers un questionnaire aux élèves et aux enseignants vietnamiens et la seconde dans une ingénierie didactique réalisée dans une classe de lycée vietnamien.

Le point de départ de ce travail est l'étude de la géométrie d'un espace polonais remarquable construit par Urysohn en 1925, presque oublié pendant 60 ans puis très étudié depuis 1986, date à laquelle Katětov en a donné une nouvelle construction. Celle-ci est basée sur l'espace E(X) des fonctions de Katětov sur un espace métrique X. Ces fonctions sont l'outil majeur de cette thèse; nous caractérisons les polonais X tels que E(X) est séparable, puis utilisons E(X) pour montrer (répondant à une question d'A.S Kechris) que tout groupe compact métrisable est isométrique au groupe d'isométries d'un espace métrique compact. Nous utilisons ensuite ces techniques pour donner de nouveaux résultats sur la géométrie de l'espace d'Urysohn et sur ses isométries. Nous appliquons également notre travail à l'étude de divers problèmes de classification « définissables » ; en particulier, nous calculons la complexité borélienne de la relation d'isométrie entre espaces de Banach séparables.

<p><strong>Aim</strong>: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists – authors of the patients’ oriented studies to come to the better understanding of the situation with spirituality in caring. <strong>Method</strong>: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. <strong>Results</strong>: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient’s experience. Nursing scientists showed ideas broad enough to confirm patients’ experience. <strong>Relevance for clinical practice</strong>: By include spirituality only to religion and culture the dimension are easily forgotten, it can also in those forms mean that caregivers doesn’t see it as theirs to confirm. Nursing science do not with hold that small view of spirituality, instead the science presents a broad spectra of forms in which patients spirituality can appear. Newinsights about patients’ spirituality can be used by health care professionals to improve the care of patients as multidimensional human beings.</p>

<p>Introduction: </p><p>A job interview is for both the candidate and the company involved, an important</p><p>situation. It might be tempting for the candidate to adjust the answers to the job in question or what he</p><p>or she thinks the recruiter wants to hear. This behaviour is a part of what socialpsychology would call</p><p>impression management. This term means that you try to control the impressions you send out and</p><p>accordingly adjust your behaviour for the current situation.</p><p>Purpose: </p><p>Candidates usage of impression management is a widely debated subject where the</p><p>research mainly has focused on the candidates, their strategies and the efficiency of impression</p><p>management. Our purpose with this thesis is therefore to see how recruiters experience candidates</p><p>impression management in a job interview, how they handle it and what level of acceptance they have</p><p>for it.</p><p>Theoretical perspectives: </p><p>The theories and previous research used as models for explanation and</p><p>basis for discussion is mainly Erving Goffman´s (1974) dramaturgical perspective and thoughts about</p><p>impression management and Mark R Leary´s (1995) theories concerning impression management</p><p>tactics. In addition to these we also used more specific research concerning attribution, selfdescription</p><p>and problems with applicants use of impression management.</p><p>Methodology: </p><p>We carried out six qualitative semistructured interviews with recruiters from two</p><p>marketleading Swedish companies. The empirical foundation was analyzed through the method</p><p>concentration of meaning and thereafter put in relation to relevant theories and previous research.</p><p>Finally the empirical foundation was discussed on the basis of the thesis purpose.</p><p>Empirical foundation: The empirical foundation is mainly a description of the recruiters experiences</p><p>of different impression management tactics and their coping strategies. The result shows that there is</p><p>many different experiences of the various tactics and whether they are seen positive or negative is</p><p>dependent on which job it is and the candidates impression in general. The empirical foundation also</p><p>describes the recruiters thoughts about how a candidate carries out a successful interview and what</p><p>their interviewsituation looks like. The chapter ends with a description of which importance the</p><p>recruiters ascribe candidates usage of impression management.</p><p>Conclusions: </p><p>Our main conclusion is that even if the recruiters on direct questions concerning</p><p>different impression management tactics describe it as negative, the result shows that it often is seen</p><p>as a relevant social skill and something that is expected of a good candidate. We also think that the</p><p>recruiters are “unconciously aware” of the different impression management tactics. At first they show</p><p>no awarness concerning the tactics but after further discussions we found that they had several coping</p><p>strategies for them.</p>

Introduction: A job interview is for both the candidate and the company involved, an important situation. It might be tempting for the candidate to adjust the answers to the job in question or what he or she thinks the recruiter wants to hear. This behaviour is a part of what socialpsychology would call impression management. This term means that you try to control the impressions you send out and accordingly adjust your behaviour for the current situation. Purpose: Candidates usage of impression management is a widely debated subject where the research mainly has focused on the candidates, their strategies and the efficiency of impression management. Our purpose with this thesis is therefore to see how recruiters experience candidates impression management in a job interview, how they handle it and what level of acceptance they have for it. Theoretical perspectives: The theories and previous research used as models for explanation and basis for discussion is mainly Erving Goffman´s (1974) dramaturgical perspective and thoughts about impression management and Mark R Leary´s (1995) theories concerning impression management tactics. In addition to these we also used more specific research concerning attribution, selfdescription and problems with applicants use of impression management. Methodology: We carried out six qualitative semistructured interviews with recruiters from two marketleading Swedish companies. The empirical foundation was analyzed through the method concentration of meaning and thereafter put in relation to relevant theories and previous research. Finally the empirical foundation was discussed on the basis of the thesis purpose. Empirical foundation: The empirical foundation is mainly a description of the recruiters experiences of different impression management tactics and their coping strategies. The result shows that there is many different experiences of the various tactics and whether they are seen positive or negative is dependent on which job it is and the candidates impression in general. The empirical foundation also describes the recruiters thoughts about how a candidate carries out a successful interview and what their interviewsituation looks like. The chapter ends with a description of which importance the recruiters ascribe candidates usage of impression management. Conclusions: Our main conclusion is that even if the recruiters on direct questions concerning different impression management tactics describe it as negative, the result shows that it often is seen as a relevant social skill and something that is expected of a good candidate. We also think that the recruiters are “unconciously aware” of the different impression management tactics. At first they show no awarness concerning the tactics but after further discussions we found that they had several coping strategies for them.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists – authors of the patients’ oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient’s experience. Nursing scientists showed ideas broad enough to confirm patients’ experience. Relevance for clinical practice: By include spirituality only to religion and culture the dimension are easily forgotten, it can also in those forms mean that caregivers doesn’t see it as theirs to confirm. Nursing science do not with hold that small view of spirituality, instead the science presents a broad spectra of forms in which patients spirituality can appear. New insights about patients’ spirituality can be used by health care professionals to improve the care of patients as multidimensional human beings.

While it has been long known that the behaviour of others can influence individual behaviour, norms (the views and behaviours of others) are not generally reported as strong motivators of physical activity. Using the theory of normative social behaviour as a guiding framework, the purpose of this research was to examine if descriptive norms (the perceived prevalence of others behaviour) would be more important in predicting activity than previously suspected. A secondary purpose was to extend this examination to another health behaviour, healthy eating. Three independent studies were conducted. The first two studies examined what individuals thought motivated their physical activity (Study 1) and eating (Study 2) as well as the relationship between descriptive norms and participants own activity behaviour and healthy eating intentions. Results revealed that, despite being rated by participants as less motivating, descriptive norms were stronger predictors of activity behaviour and healthy eating intentions than other well-established non-normative reasons. It also was found that descriptive norm perceptions about a group proposed to be high in group identity (i.e., friends) was most related to physical activity behaviour and healthy eating intentions. To extend these results, a third study manipulated normative and non-normative messages to examine effects on physical activity. Participants were grouped into one of four conditions (descriptive norm, health, appearance, and control) and received motivation-based email messages specific to their condition encouraging them to be active. It was hypothesized that participants in the descriptive norm condition would experience the greatest increase in physical activity but results did not support this hypothesis, as participants across all conditions significantly increased total physical activity after receiving the messages. A secondary hypothesis examining the focal nature of the targeted behaviours was supported in that responses to normative messages were greatest with the most focal behaviour (using the stairs). Taken together, the results of the first two studies provide preliminary evidence to suggest that the relationships between both descriptive norms and physical activity and descriptive norms and healthy eating may be going undetected. In light of the results of the third study, however, future studies are needed.