Aim: The aim of this study was to compare how patients with diabetes type 2 self-estimate their self-consciousness, problem identification, stress management and the willingness to change before and after a daycare week. The aim was also to compare if the value on HbA1c have changed after the daycare week compared to before.Method: A total of 60 patients who recived offer to participate in a daycare week at a clinic on a university hospital in Sweden. Patients replied a form (SWE-DES-SF-10) before (n=60) and three months after (n=35) the daycare week. They also left a blood sample for HbA1c before (n=60) and three months after (n=42) the daycare week. The forms and HbA1c-values were analyzed using wilcoxon´s signed-rank test and paired t-test. Results: After the daycare week estimated the participating patiens their self-consciousness and problem identification higher than before the daycare week.

The aim of this study was to investigate leadership in public health care. The methods used were shadowing and semi-structured interviews. The shadowing involved observing the shared leadership of two head nurses in an administrative management position of a ward in their daily work during two weeks. The observation was supplemented by ten semi-structured interviews. A thematic analysis of the data was carried out and the result indicated that shared leadership is a form of leadership well suited for an organisation as big and complex as the clinic where the study took place.

Bakgrund: En stor del av vårdskadorna som uppstår i vården beror på brister i kommunikation. Rapportering är en del av det dagliga arbetet som sjuksköterska, där målet är att föra vidare information om en patientens tillstånd för att säkerställa den fortsatta vården och patientsäkerheten.Syfte: att beskriva hur anestesisjuksköterskan och vårdavdelningens sjuksköterska ser på rapportering vid överföring av patient från UVA till vårdavdelning.Metod: Kvalitativ studie. Studien har analyserats med hjälp av innehållsanalys där ett tema, två kategorier och nio subkategorier har framkommit. Fokusgruppsintervjuer med sammanlagt tio sjuksköterskor från vårdavdelningar med erfarenhet av att hämta patienter på UVA samt åtta sjuksköterskor från anestesin.Resultat: För att en rapport skall bli bra krävs att rapporten följer en viss procedur och struktur. Det är viktigt att rapporten följer en röd tråd och att informationen inte blir överflödig.

Bakgrund:Awareness definieras som när en patient i generell anestesi i efterhand kan minnas händelser eller ha förnimmelser från en operation då han eller hon borde varit medvetslös. Det är en allvarlig anestesiologisk komplikation som kan leda till posttraumatiskt stressyndrom. Av de patienter som genomgår kirurgiska ingrepp i generell anestesi drabbas cirka 0,1 - 0,2 %. Den vanligaste orsaken till awareness är ytlig anestesi, vilket hos särskilda riskpatienter ibland kan vara svårt att förebygga med endast traditionell övervakning. Det finns därför ytterligare metoder att tillgå.

This bachelor thesis aimed to explore, in a qualitative manner, the relationship and the interaction between the hospital welfare officer and the rest of the nursing staff. We chose this subject because we wanted to explain the phenomena of being a medical outsider in the nursing team. Our questions at issue were the following three: How does the hospital welfare officer define his occupational sphere and how do the rest of the nursing staff define it, according to the welfare officer himself? Is the welfare officer's relation to his own professional role and to the rest of the nursing staff affected by where his office is placed - secluded from or within the clinic? How does the welfare officer himself value his profession in relation to the rest of the nursing crew? To answer these questions we interviewed eight welfare officers, placed in two different hospitals. We used three different theories to explain the primary information.

This thesis deals with the information-seeking behaviour of occupational therapists. Focus was on three different aspects of information-seeking behaviour. The purpose was to investigate how occupational therapists conceive of work-related information needs, their choice and use of formal and informal information sources and their use of the hospital library. Twelve interviews with occupational therapists were conducted at a rehabilitation clinic in a hospital. The theoretical frame consists of a general model of the information-seeking of professionals by Leckie, Pettigrew and Sylvain.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.

The aim of the study was to describe the oral health development among patients at the Public Dental Care clinic in Bromölla who made an agreement regarding Healthy Dental Care during the years 2001 and 2004, compared with patients who did not made such an agreement. The study material was obtained from dental journals in total at 150 patients. Data regarding age, sex, health status, tobacco use, plaque- and gingivitis values, pocket depht, initial- and manifest caries, risk assessments, preventive measures by dental personel and acute dental care between year 2001 and 2004 was obtained from dental results. Almost twice as many man made an agreement compared to women. Tobacco use was higher in control group both 2001 and 2004.

Background: Borderline personality disorder is a psychiatric diagnosis that one to two percent of the population and at least every fourth patient that have received treatment at a psychiatric clinic has been diagnosed with. BPD is most common in women between teenage and early adulthood. Purpose: The aim of this literature study was to emphasize the nursing care of patients diagnosed with BPD within different perspectives. Method: A literature study was conducted to get a deeper understanding for the nursing care of patients with BPD. The search for pertinent articles, answering to the aim of the study, was done in different databases.

Background: Heart failure is a complex condition which means that the hearts capacity topump blood is reduced. The aim of this study was to investigate how patients with heartfailure considered their knowledge and the information they received about their disease andself-care.Method: Patients suffering from heart failure, hospitalized at section 30 E (n=13), andpatients visiting the nurse led heart failure clinic (n=4) at Akademiska sjukhuset in Uppsala,were requested to participate in the study. The patients answered questions about knowledgeand information concerning self-care and their disease. Data were analyzed using SPSS 15.0.Results: The patients valued their knowledge about the disease as lower than their knowledgeabout self-care. The study showed that all the patients found the information they hadreceived about their self-care better than the information they had received about theirdisease.

Previous studies shows that high-intensity aphasia interventiongives better results than intervention that is less intense. This study evaluateda working model at a hospital in Gothenburg which involve related personsin intervention. The model prescribes daily training in the home. The caseseries design study investigated the effect of intervention on auditorycomprehension, impact on participation and examined how the relatedperson judged that communication was affected. Four participants withsevere aphasia received intervention for 16 weeks, 8 of which includedintensive training at home and at the clinic, while 8 weeks only includedclinical intervention.

Depression in young adults is a serious condition causing serious suffering for the victim. By finding risk factors for depression the opportunity for early preventive action is increased, which, in turn, may prevent a negative course. Two risk factors which have been shown to be related to depression are shame and rejection. Therefore this study examined the relationship between shameproneness, rejection sensitivity, shame-related events and depressive symptoms. The self-report questionnaires used were TOSCA, RSQ, Shaming index and BDI-II.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

Blood sampling is one of the most important diagnostic tools in veterinary medicine, and this is also true for avian medicine. A properly collected and handled venous sample can be used for serology, biochemistry and electrolyte analysis, as well as for blood smears, packed cell volume and cell differentiation. Caring for sick birds is a challenge for all veterinary staff. Many birds are easily stressed individuals, and to a very ill bird a big increase in stress level can even be fatal. Avian patients who are presented in a veterinary clinic are often in a poor condition, and blood sampling is an invasive procedure that can cause stress to the patient.

Limb-sparing surgery aims to provide a functional pain free leg for the patient after removal of a local tumour in the leg. Reasons to perform limb-sparing instead of amputation can be arthrosis or hipdysplasia or other problems with the locomotor apparatus that makes the patient unsuitable for amputataion. Owner reluctance to amputate is another reason for limb-sparing. This master?s thesis is a case study of a dog with an osteosarcoma in its distal radius. The dog was treated by a limb-sparing method that uses the ipsilateral ulna as a vascularized roll-over autograft.