ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

Den offentliga sektorn anses som ineffektiv av förespråkarna för New Public Management (NPM) som hävdar att den offentliga sektorns verksamheter ska bedrivas mer resultatinriktat, likt den privata sektorn. Detta för att skattebetalarnas pengar ska komma tillbaka till medborgarna. Ett sätt att lösa vad de framhåller som ett ineffektivitetsproblem har lett till konkurrensutsättning, där privata aktörer får en möjlighet att genom upphandling utföra offentliga tjänster. Syftet var att undersöka hur det strategiskt arbetas med stöd och vägledning till chefer i konkurrensutsatt verksamhet, samt hur chefer upplever att de får det stöd som behövs för att fullgöra sitt arbete. Vi ville även förklara de bakomliggande motiven för konkurrensutsättning.

Syfte: Att undersöka vårdpersonalens känslor i mötet med våldsutsatta kvinnor inom akutsjukvården. Metod: Kvalitativ studie med halvstrukturerad intervjumetod. Tretton sjuksköterskor och undersköterskor inom akutsjukvården blev intervjuade om mötet med våldsutsatta kvinnor genom tio halvstrukturerade frågor. Resultat: Vårdpersonalen saknade kunskap om våld i nära relationer och kände sig inte beredda att möta en kvinna utsatt för våld trots framtagna riktlinjer och handlingsplaner. Mötet med våldsutsatta kvinnor väckte många starka känslor som ilska och frustration, men också medkänsla och empati.

I det hälsofrämjande arbetet ska sjuksköterskor uppmuntra och stödja patienters egna resurser samt respektera deras autonomi till en livsstilsförändring. Studier visar att sjuksköterskor upplever barriärer och kunskapsbrister i arbetet med hälsofrämjande insatser som Motiverande samtal och att det inte prioriteras i samma utsträckning som det sjukdomsinriktade arbetet. Syfte: var att beskriva sjuksköterskors upplevelser av det Motiverande samtalet som metod inom hälsofrämjande vård. Metod: En litteraturstudie utfördes med induktiv ansats för att besvara syftet. Sökningar gjordes i databaserna PubMed, CINAHL och Academic Search Elite och sammanlagt inkluderades 16 artiklar som svarade mot syftet.

BAKGRUND: Litteraturen antyder att sjuksköterskor stigmatiserar och diskriminerar patienter med vissa diagnoser, i synnerhet schizofreni och borderline personlighetsstörning (BPS). BPS beskrivs som den psykiatriska diagnos med störst laddning och kring vilken det florerar flest stereotypa fördomar.SYFTE: Genom granskning av befintlig forskning i form av originalartiklar publicerade i vetenskapliga tidskrifter avser denna studie att sammanställa befintlig kunskap om sjukvårdspersonals attityder till patienter med borderline personlighetsstörning med eller utan självskadebeteende.METOD: Systematisk litteraturstudie. Litteratursökningar utfördes i databaserna PubMed, CINAHL och SCOPUS.RESULTAT: 21 studier inkluderades i resultatet. En rad olika studier påvisade en allmänt negativ attityd gentemot patienter med BPS med eller utan självskadebeteende. Vårdpersonal skattade mer negativa erfarenheter av att vårda patienter med BPS i jämförelse med schizofreni och depression.

Background: A strong brand is becoming an increasingly important factor when surviving on a competitive market. A strong brand can therefore be considered a strategically important resource. The relationship between a brand's strength and its distribution can decide the future of a brand in the long run. Lifestyle branding is becoming a more popular way of differentiating ones brand from the competition. Purpose: The purpose of this thesis is to identify factors which according to the lifestyle brand owners are central when measuring the strength of a brand.

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.

The ever-evolving information technology gives users more opportunities, but also put higher demands on them. The digital agenda of the state and society clarifies the objectives and effects academic libraries? development. E-books influence the development of organizational, economic, legal and political perspectives. At the University Library in Gävle work is ongoing. The process is controlled by the acquisition policy which makes it clear that e-books should be purchased if possible.

Serpula lacrymans infestation has become an increasingly common problem, and is usually perceived as a tip of an iceberg.During the 21st century there has been a perceived increase of damage caused by serpula lacrymans, at AB Mats Fransson Saneringstjänst ? Anticimex in the county of Kronoberg. A similar increase has also been noted by employees at the offices in Kalmar, Karlstad, Piteå, Stockholm, Malmö, Söderhamn, Halmstad and Visby.The methods used to collect data for the project has been interviews with a number, for the project, relevant key persons, such as analysis engineers at Trygghansa and Anticimex, as well as personnel at the botanical institution at Gothenburg University and the Botaniska Analysgruppen in Gothenburg, further statistics from SMHI and analyses of reported instances of infestations have been used.The majority of the people interviewed believe that the increase is caused by renovations of old houses, higher precipitation during the summer months, as well as a moister climate and warmer winters. The latter can also be gleaned from statistics from SMHI concerning temperature, precipitation, and relative humidity.Analysed damage reports show that the most common cause for the infestation is ground moisture, even when combined wooden materials.Older houses that where built around 1900 are the ones most frequently infested with serpula lacrymans. The part of the building most frequently infested is the foundation, where cellars and suspended foundation are the most common types to be infested.

The way towards an equal society, where both women and men has the same possibilities both private and in professional life, has been a long and still ongoing process. During my practical studies to become a recreation instructor I have noticed a difference between the children I have met in my workplace. What I saw was that girls and boys had a different approach towards their future, plus that the pedagogues at the school had different roles depending if they were men or women.In this study I have investigated which dreams and visions a group of after-school children has, plus how these distinguish between the genders. I have through group interviews, first three boys and then three girls, investigated how children look at their future focusing on career, spare time and familysituation. The questions have also focused on how children look at the schools pedagogues with gender as a premiss.My result shows that the children's vision on their future tends to look different between the genders.

Eutanasi, eller den svenska översättningen dödshjälp, innebäratt vårdpersonal genom olika åtgärder påskyndar döendet hossvårt sjuka patienter. Aktiv dödshjälp är olagligt i Sverigeliksom i flertalet andra länder. Samtidigt är det inte ovanligtatt patienter efterfrågar eutanasi med hänvisning till att dödendärigenom kan bli mer stilla och fri från lidande. Genom sinnära kontakt med patienten har sjuksköterskan en given roll idet som här kallas eutanasiprocessen. Syftet med litteraturstudienvar att beskriva sjuksköterskans delaktighet i eutanasiprocessen.Utifrån riktlinjerna för en litteraturstudie i Friberg(2008) har 11 artiklar granskats.

A third party access to district heating networks has been proposed in Sweden, to increase the competition on the district heating market. Such third party access could create opportunities for the agricultural sector as an energy producer. This study describes the technical, economical and environmental prerequisites for a farmer cluster to build and run a heating plant, fueled with local wood fuel. The heating plant in the described scenario is 8 MW and will supply a village of 1000 houses, and is fueled with wood chips exclusively. Supplying a heating plant with fuel puts high demands on the logistics, since there need to be a continuous flow of fuel. In the scenario, wood residues from felling and thinning is stored in stacks in the forest, and a few times a year chipped and transported to a storage area at the heating plant. In the study, an estimation of the profitability has been made by estimating the cost of the investment, personnel, operating and maintenance costs and costs for the fuel and ash handling.

Background: There are many possible reasons why a patient gets a stoma and in every case it?s of importance for the nurse to adjust nursing care, information and patient education from individual presuppositions. Problem: Patient education regarding stoma self-care is an important part of the nurse?s work within stoma care. The patient is depending on the guidance of the nurse and therefore it is relevant to illuminate the importance of education regarding gaining ability to perform self-care.

The ?good girl? is today an accepted and widespread notion. It is delimited to young girls and women who are characterised to be, for example, ambitious, high performing, working too much and risks developing mental illnesses. In today?s society women are assumed to pursue their career alongside maintaining the main responsibility for the household and family.

Vikten av att som närstående uppleva stöd och hjälp av distriktssköterskan beskrevs vara mycket positivt både för den närstående och av den sjuke, vilket också krävde nya kunskaper inom området. Syfte: Syftet var att belysa närståendes upplevelser vid palliativ vård i hemmet av en familjemedlem. Metod: Studien är en litteraturstudie och utförandet har varit att följa de nio stegen enligt Polit och Becks tillvägagångssätt för genomförandet av litteraturstudie. Utifrån nyckelord identifierades sökord som kombinerades vid sökning i databaserna Academic Search Elite, PubMed och CINAHL. Materialet analyserades genom traditionell innehållsanalys. Resultat: Resultatet baseras på tolv vetenskapliga artiklar och analysen resulterade i fyra huvudkategorier: välbefinnande, relationen till den döende, en förändrad livssituation samt den palliativa vården.