This thesis represents my individual final research in Societal Risk Management. The aim of the study is to research whether the method called Responsible Beverage Serving has had the desired effect of diminished alcohol-related violence in Karlstad City, after its implementation into the ordinary operational agenda for Karlstad district in the county of Wermland. According to the method, the alcohol-related damages as well as alcohol-related violence in a society can be reduced by refusing to serve minors and clients who are excessively intoxicated.In order to be able to reach the aim of the thesis, the subsequent questions must be answered;Has excessive drinking reduced in the bars and clubs in Karlstad City?Has it become more difficult for minors to be served alcohol in the bars and clubs in Karlstad City?Has the police reported amount of assaults outdoors diminished regarding the alcohol-related violence in Karlstad City?This research is an intervention study and uses a quasi-experimental design. The intervention itself is the method called Responsible Beverage Serving.

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.

The aim of this study is to increase understanding about addiction recovery. More specifically, we want to know what people who have had problems with alcohol and/or other drugs perceive as helpful and important for their recovery process and how we can understand this process.The study was conducted by means of qualitative semi-structured interviews with four people who have had alcohol and/or other drug problems. The analysis is based on a transtheoretical model of change from addictive behaviours, coping, interactionist theories and also a recovery perspective, inspired by research on recovery from mental illness . Main findings are that recovery from addiction can be understood as an individual process that takes place in a social context and can follow expected phases, although there are large individual differences in the process. Through the recovery process it has been of importance to the participants in the study to redefine themselves and their problems, get support from others, find ways to cope with their problems, get involved in meaningful activities and to expand their social roles.

This study is based on an observation of one of the biggest webcommunitys in Sweden today, called Lunarstorm. My main purpose was to research how young people use this media for talking about drug and alcohol-related subjects. The questions I posed were the following:- In which way do young people talk about drugs and alcohol on Lunarstorm?- What possibilities does Lunarstorm create for these questions?- How do the users relate to each other, regarding support for relatives to drug or alcohol-abusers or own substance use?My method of collecting empirical data consisted of observation of the forum, and my method for analyzing the data was based on a discourse- analysis. Trough this I found that the media creates a way for young people to meet others with similar problems, both grown-ups and people of the same age.

Bakgrund: Enligt Statens Folkhälsoinstitut, i barnmorskors guide för samtal om alkohol, redogörs för hur barnmorskor skall informera alkoholens skadliga effekter samt vilka eventuella skador alkoholen kan ge fostret. Tidigare forskning visar att det inte är ovanligt att kvinnor dricker alkohol fram tills att de blir medvetna om sin graviditet, därefter avstår det stora flertalet helt från alkohol under fortsatt graviditet. Vetskapen för den gravida kvinnan om att hon intagit alkohol innan hon var medveten om sin graviditet kan orsaka oro att barnet blivit skadat. Syfte: Syfte med studien var att beskriva barnmorskors professionella handläggning kring alkoholinformation under graviditet. Metod: Studien bygger på fem semistrukturerade intervjuer med barnmorskor som arbetar inom mödravården.

The aim of this study was to investigate whether the Swedish Institute of public health care uses paternalistic information in their alcohol publications. My intention has also been to examine to what extent the paternalistic information is being used. This is determined simply by how frequently paternalistic information is found in the publications. I chose to analyse five publications that contain alcohol related information and had a clear motive. My results show that all five publications use paternalistic methods with the intention to change readers, or people in their surroundings, alcoholic behaviour. Though this is quite a small essay, I have suggested extended research of the subject ? preferably of all 176 alcoholic publications presented by the Institute of public health care..

Sanningen bakom kvällspressens CHOCK-stora TV-bevakning.

Background: The district nurses profession has traditionally been health promotion. In order to find patients with excessive alcohol intake, district nurses use AUDIT. Research shows that health professionals find it difficult to face alcohol abusers in primary care. AIM: The aim is to describe how district nurses work with AUDIT. Method: Semi-structured interviews with six informants were carried out.

The aim of this study was to gain an understanding about how people with a former alcohol abuse expresses and gives meaning to feelings of guilt and shame in autobiographical books. In particular the purpose of the study was to find out how the authors writes about feelings of guilt and shame, whether it was expressed explicitly or implicitly, and which meaning the authors gives to feelings of guilt and shame and how these feelings are related to each other. We randomly selected 8 autobiographical books by using different criterias. The foundation of this study was social constructionism, which is also a foundation for one of our analysis methods: discourse analyse. This analysis method was used for the analysis of the expressions that were made in an explicit way.

How the Eucharist?s motive of communion in combination with Lögstrup?s ethics could motivate a non-alcoholic sacramental wine in the Church of Sweden.The purpose of this essay is to illuminate the meeting between the person who gives out bread and wine in the Eucharist and the person who receives the wine, from tree perspectives: the communion in the Eucharist, the ethical demand of K.E. Lögstrup, and today?s knowledge of alcohol and it?s negative effects on the human being. I want to study how these three perspectives can affect the interpersonal meeting in the Eucharist when it comes to giving out alcoholic wine, and to investigate if Lögstrups ethical demand could be used by the Church of Sweden when to decide about a sacramental wine with or without alcohol.I have started to study K.E Lögstrup and his theory about the ethical demand, and then researched the Eucharist in the Church of Sweden and the results of recent sociological and medical research of alcohol?s effect on the individual and on society.

The use of alcohol, narcotics, and tobacco have all long been considered health hazards, especially among children and teenagers. It is therefor not surprising to find that schools have promoted against the use of these substances in different preventative programs for many decades, and the Swedish school system is no exception. However, the use of, as well as the laws restricting alcohol, narcotics, and tobacco are, and have historically been, highly political issues. Individuals, groups, institutions, and states may all have different opinions on how these substances should be regulated and of their place in society, which in turn may lead to conflicts of values and different approaches. One can not expect parents or guardians to share the views on alcohol, narcotics, and tobacco policy presented by schools, laws or state regulations.

The purpose of our essay is to describe and analyse the experience of adults growing up with alcohol abusing parents and how their adult lives have been affected by this. The essay consists of both theoretical and empirical studies and we have used a qualitative method. We used a semi structured interview where we interviewed eight persons. We used symbolic interaction to analyse the collected data. The result is to a large extent consistent with previous research.

This masters degree is a study of factors of success in a drug preventions work of change and model or method which could facilitate this work. The target group, which is in focus in this survey, is alcohol- and drug coordinators, also called prevention coordinators who?s main task is to develop and coordinate the preventive work in the alcohol and drugs area. My method of investigation is a combination of literature studies and a quantitative poll study with the target group, alcohol and drug presenters?, in Sweden.

Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.