Purpose- The purpose of this project is to contribute to the knowledge of creating customer value through streamlining and coordination of patient flows for children and youth with frequent need of care on child and youth medical clinics.Method- One of the methods used for achieving the project's purpose is a case study on the Child and Youth Medicine Clinic at Länssjukhuset Ryhov in Jönköping. The case study has been used for collecting the empirical data that has been generated through interviews, observations and documents from the Child and Youth Health Clinic. Except the case study the authors also made studies in literature, which the collected empirical data has been anchored and related to. Together this led to the project's analysis and results.Results- When investigating the questions found in chapter one, it was determined standardized work is of great importance to create structure and implement procedures for the patient flows. A weak link in the patient flow has been identified, which is the sub-process coordination and planning.

There are about 700 000 dogs in Sweden. Roughly 70 % of the dogs are purebred and registered in the database at the Swedish Kennel Club (SKC). The database includes records of birth date, pedigree, offspring and results from e.g. veterinary examinations related to genetic health programs.Every year approximately 10% of the dogs die; most are euthanized by a veterinarian. Dog mortality data is stored as digital medical records at animal clinics and in insurance databases.Dog owners tend to register their puppy in the SKC, but they rarely report that the dog has passed away.

X-rays are a potential risk for animal health care personnel. The present study will examine the risks for scattered radiation to the personnel, if no lead gloves are used when holding an animal during the x-ray examination. Furthermore, how the impact of the exposure values and body parts examined, affect the scattered dose to the hands of the holder. Also, the distance between the animal and the hand that holds it was evaluated to see the impact on scattered radiation exposure. Tested by a survey, to animal health care students, the frequency of the usage of lead gloves in Swedish animal hospitals was studied. According to the results from the analysis, animal health care personnel don't need to use lead gloves every time they hold an animal or a cassette during x-ray examinations.

This thesis investigates clinical nurses? information seekingand information use through semi-structured interviews withsix nurse practitioners, nurses with further education.Previous research shows that nurses have problemsimplementing evidence-searching at the clinic because oforganization, stress and heritage of an old practice that doesnot incorporate the academic education.The theoretical framework consists of T.D. Wilson?sinformation seeking behavior model and R.H. Orr?s model ofinformation needs.

BackgroundOur main goal in the clinic is to offer rehabilitation for individuals with hearing losses. The outcome of audiological rehabilitation shall be evaluated in line with the HSL (Swedish health law 2008:3). It is most important to evaluate the results of the audiological rehabilitation for the individual as well as to make sure to reach the goals of HSL.AimThe aim of this study was to try to investigate the audiologists? opinions end experiences how to evaluate audiological rehabilitation. The aim with the focus group interview was to collect increased knowledge regarding questions, answers and observations audiologists consider when evaluating audiological rehabilitation.

Background: When someone suffers a spinal cord injury, the nerve impulses between the brain, the muscles and the skin are intercepted, thereby resulting in motion and sensory loss.  During the recovery process, healthcare professionals play a vital role in ensuring that the patients have a positive experience of care, recovery and rehabilitation.Aim: The aim of this study is to determine how patients at a rehabilitation clinic in Sweden experienced the following: The patient?s experience of how well they were received by staff, the staff?s ability to explain and inform the patient of important details concerning their care and the staff?s ability to involve the patients in their own care.Method: A qualitative interview approach was used when undertaking this study. Six patients at the rehabilitation clinic were interviewed, and the interviews were later analyzed using qualitative content analysis.Result: The collected material was divided into ten categories that were sorted into three subheadings: reception of staff, information and involvement. Reception of staff, with categories: helpfulness, commitment, consideration, professionalism and reception. Information, with categories: if the patients felt well-informed.

The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement.  The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.

Child health care in Sweden is today automatically informed of newborns in the district and itis therefore natural for the maternal and child health nurses to contact and invite the new family to the child welfare clinic. So far the social services in the studied county have not reported new adoptive families to the child welfare clinics; instead the families have to contact the clinic themselves. The aim of this study was to investigate how social services inform the child welfare clinics of new adoptive families. The aim was also to investigate how and when the maternal and child health nurse thinks that contact should be established and what information/knowledge she feels a need of in contact with new adoptive families. The study has a qualitative design and interviews have been conducted with social workers, a representative of an adoption agency and maternal and child health nurses working in child welfare clinics.

Syftet med denna studie var att ta reda på nyblivna föräldrars tankar kring främst föräldraledighet, amning, föräldrautbildning, barn- och mödravården, med tyngdpunkt på vårdens roll och pappans delaktighet. Intervjuer genomfördes med 11 föräldrar och svaren analyserades och kategoriserades i teman. Resultatet visade att de allra flesta var nöjda med vården de hade fått från både MVC och BVC, men enskilda föräldrar var missnöjda med enstaka sköterskor de träffat. Informanterna var också nöjda med bemötandet, då båda föräldrarna kände sig delaktiga i samtalet med barnmorskan. Alla föräldrar ville vara hemma med sitt barn under någon period, vilket berodde på personliga skäl och en vilja att vara med sitt barn.

Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden. Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome. All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available. The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.

This literature study investigates the natural behaviour of the cat and handling of cats in the clinic. A presentation of tactile, olfactory, visual and acoustic communication is given. The reproductive behaviour of the cat is explained and the development of kittens is described. The study highlights hunting behaviour, territory structures and social life of cats. The report also includes practical instructions to how the environment and handling of cats in clinics can be improved..

This essay is intended for veterinary nurses and its purpose is to contribute to an increased knowledge about the ferret and there by a better nursing care at clinics. The essay discuss in briefness origin and earlier use of the ferret but also anatomy, physiology and reproduction. The senses of the ferret, as vision and hearing, are described in connection with behaviour. The part of the essay where nursing care is described bring up procedures as handling when collecting blood, medical techniques and how the clinic best should be suited for these animals. The main part of the essay is based on literature studies but it also contains a study visit at Blå Stjärnans animal hospital in Göteborg. 23.

The study aims to analyze conceptions of death and dying at a clinic for palliative care, using a constructivist perspective and a discourse analytical approach. The empirical material consists of interviews with staff members, documents and photographs of the environment, taking both space and materiality into account. I conclude that the studied practice is mainly characterized by a tension between a caring discourse and a medical discourse..

We know that more than 2/3 of insured dogs in Sweden are put to death by a veterinarian, which means that almost one third are killed in trauma, lost or die in some other way. An unknown number of these are killed by their owner with no veterinarian involved. This graduate thesis contains a specification of the laws that control euthanasia of dogs and cats in Sweden, and the veterinary medical basics on how to perform euthanasia. The objective is also to give understanding on how pet owners choose to put their animal to death and why, and to discuss whether that is an animal welfare problem. It is legal to kill dogs and cats by shooting, using a sporting gun, provided that it is done according to laws and regulations.

Inom hälso- och sjukvårdsområdet såväl som inom många andra yrkesområden förs idag en diskussion om säkerhet och hur denna kan upprätthållas. Anestesisjukvården är inget undantag. Den största delen av debatten ligger på en lednings eller chefsnivå, där man pratar om hela system som måste omarbetas för att finna en säkrare miljö för patienter och yrkesverksamma. Syftet med denna studie var att belysa och beskriva de metoder som de kliniskt verksamma inom anestesisjukvården kan använda sig av för att ge en så säker vård som möjligt till patienten i samband med anestesi. Metoden var en litteraturstudie som bygger på tio vetenskapliga artiklar.