The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Syftet med studien är att öka kunskapen om elevers förståelse av sina skriftliga omdömen och om vilka faktorer som påverkar förståelsen av dokumenten. Forskningsansatsen är starkt inspirerad av grundad teori. Studiens resultat utgår dels från analys av intervjuer av elever i år två och dels från dokumentanalys av elevernas skriftliga omdömen. Dessa båda har i den avslutande analysen relaterats till varandra, vilket har resulterat i en teoretisk modell, EFO-modellen som står för Elevers Förståelse av sina Skriftliga omdömen. Vid intervjuerna framkom att eleverna förstår omdömena på olika sätt och i olika utsträckning. Förståelsen påverkas av elevens motivation och koncentration, deras behov av bekräftelse samt deras språkliga förmåga.

The purpose of this study was to examine social workers apprehensions about institutional placement of youths and what determines when these proceedings are used. When research not always shows that institutional placements lead to positive changes for youngsters, we wondered how social workers act on their assessment to institutional placement. We wanted to find out if the social workers meet any dilemmas along the way. To find out about that we used qualitative interviews with ten social workers, who worked in social service and came from different places in the southern parts of Sweden. To analyze our material we used the theory of human service organization and street-level bureaucrats work situation.

Österbyverken is an industrial estate in Östhammars municipality in Uppland, Sweden. Many different activities have taken place on the estate the last 600 years. During the last 15 years both health and environmental studies have been made by different companies. At the most recent study a great increase of metals in Nerån, a river that runs partly through and partly next to the estate, was identified with mass balances. The purpose of this thesis is to accomplish a deepened study about the reasons for the increase of metals in Nerån.

The purpose of this study was to find out why the law that regulates downloading copyrighted material does not work and which of the most important main reasons lies behind downloading behaviour. The phenomenon being well investigated earlier has actualized a new demand for normative investigation in connection with the hot debated IPRED-law.Using qualitative method comprising of interviews with three typical file sharers and anchored in Max Webers action typology, rational choice theory and the norm model followed by two assessment models, we found that four important reasons lies behind downloading behaviour: 1) economical reasons was the most central and frequent determinant followed by 2) accessibility and comfort, and 3) social acceptance and moral and also 4) habits. Although the content of the law was correctly provided by the interviewees, it was clear that they did not perceive the impact of the law as meaningful or threatening.The results, being compatible with previous research, are discussed in terms of the named theories and assessment models. We suggest further research to take into account peoples norms as the new IPRED-law soon will be functional as well as studies from a perspective of the legal rights of the individual..

Detta arbete utgår ifrån den diskussion som förts i det svenska samhället vad gäller förskollärarnas ansvar som synliggjorts i den reviderade läroplanen samt införandet av lärarlegitimation.Arbetet syftar på att förstå, genom kvalitativa intervjuer, vad fyra verksamma pedagoger inom förskolan har för tankar omkring arbetets huvudfrågor: Samarbete, ledarskap och ansvar, erfarenhet och praktisk kunskap samt teoretisk kunskap. Vidare finns viss historik omkring förskolan och förskollärarens bakgrund. Målet med denna undersökning är att lyfta upp frågan om samverkan mellan praktisk kunskap och teoretisk kunskap och diskutera samarbetet mellan yrkesgrupperna samt stärka betydelsen av att inneha båda dessa kunskaper.I resultatdelen ämnas de fyra intervjuade pedagogernas åsikter framföras och sedan diskuteras i förhållande till begreppen och tidigare forskning. Samtliga pedagoger är och har varit aktiva i förskolan under minst fem år.Genom studien har resultatet pekat allt tydligare på att de två förskollärarna och de två barnskötarna har olika syn på de olika arbetsrollerna. Sammanfattningsvis menar jag att förskollärarna verkar tycka att ansvar och ledarskap till viss del är deras uppgifter men att arbetslaget, innefattande både förskollärare och barnskötare, bör samarbeta och man kan ana att de inte vill ta hela ansvaret själva.

The aim of this study was to reach a deeper understanding of the process that occurs within the social services after receiving a notification according to Chapter 14, section 1, The Social Services Act. More specifically the focus of this study was to illustrate how social secretaries reason about children?s participation in the process, as well as to examine whether the legislative change, Chapter 11, section 1 a, The Social Services Act, has affected the process in any way. The study?s results reflect interviews with five social secretaries who are active in four different municipalities in southern Sweden.

Organic material used for biogas production can also undergo other treatments. The emissions and impact from the different treatments are evaluated in this environmental assessment, with a focus on energy and climate. The materials included in the study are organic household waste, slaughterhouse waste and liquid manure. Other than biogas production, the possible treatments for organic household waste and slaughterhouse waste are incineration and composting, and for liquid manure storing and spreading. The analysis is based on data and information from current and relevant literature, and relates to the conditions in the Swedish energy system.

The purpose of this thesis was to explore how Swedish librarians working with educational matters In Swedish: studiebibliotekarier experience his/her pedagogic work in the context of a public library. My intention was thus to reach an understanding of how they experienced their educational work. The following questions were asked: 1 How do the librarians experience the physical environment created for their students? 2 How do the librarians experience the co-operation with others involved in their work? 3 How do the librarians experience the formal task that he/she now is given? 4 How do the librarians experience their own pedagogic qualifications regarding the demands that are made upon them by the students? I have interviewed six librarians and incorporated theories on pedagogic roles in an educational context. I reached the conclusion that these librarians believed the environment to be important for the outcome of the students success with their studies.

The purpose of this work is to find out how present manager contracts are set up in Landstinget Västmanland (the county council of Västmanland), explore managers? perception of these contracts and why managers have chosen leadership. The work has also reviewed the question if managers need to have a relationship or expertise to the activities they lead and which qualifications are needed in such case. The survey was conducted in two divisions in which nine interviews were held with managers at all levels. In addition to this a questionnaire including the 87 managers in the divisions were held.

Purpose: The purpose of this qualitative study was to illuminate and compare how teachers and parents are describing the homework. The study will also attempt to answer these issues; How is the purpose of the homework described from teachers and parents? How are the effects of the homework described by teachers and parents? How do teachers and parents describe the responsibility for the implementation of the homework?Methods: Qualitative study, a comparison between teachers and parents description of the homework phenomenon. The material that forms the discussion are fetched from blog forums.Summary of conclusions: The Swedish school system is based on democratic values. This means that the students are supposed to gain equal opportunity for qualified education independent of their socioeconomic backgrounds.

The purpose of this thesis was to examine the municipal guidelines regarding the construction of the prerequisite "other living expenses", and how the construction of the prerequisite was constructed in relation to the legislation. The sample of the thesis was the municipalities in Stockholm?s county. The empirical result was compiled with the hermeneutical method, and analyzed through a legal perspective and three different theoretical perspectives, as well as compared with previous studies. The theoretical perspectives were legal pluralism, bureaucracy, legitimacy and rule of law.

Kroniskt obstruktiv lungsjukdom (KOL) leder till ökat energibehov, relaterat till ökat andningsarbete och brister i näringsintag är vanligt hos patienter med KOL. Näringsmässigt stöd för patienter med KOL, som lider av nutritionsproblem, är en viktig del av omvårdnaden vid KOL.Syftet var att beskriva och jämföra nutritionsstatus, lungfunktion och boendesituation hos patienter med KOL inom primärvård.Studien har en beskrivande och komparativ design och genomfördes som en tvärsnittsstudie. Urval och datainsamling baserades på en tidigare studie och studiegruppen innehöll 81 deltagare. För att bedöma nutritionsstatus användes bedömningsinstrumentet Mini Nutritional Assessment (MNA).Resultatet visade att de inkluderade patienterna med KOL, som var ensamboende, bedömdes ha sämre nutritionsstatus än de icke ensamboende. Jämförelsen mellan lungfunktion och nutritionsstatus visade inget signifikant samband.

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

ABSTRACTStatistics show that breastfeeding prevalence for Sweden has fallen since the mid 90´s. Studies show that breastfeeding offers health benefits to both mother and child and that the mothers' belief and confidence in their ability to breastfeed is a key factor to having a positive breastfeeding outcome. In 2010, Amningshjälpen in collaboration with Sensus studieförbund, started a nursing course, for mothers-to-be, who wished to breastfeed their babies and its aim was to prepare them for a successful and enjoyable experience.Objective: To examine whether a preparatory breastfeeding course can affect mothers' confidence in their ability to breastfeed and if that ability can affect the breastfeeding outcome when the child reaches four months. A further aim is to investigate the experience of  perceived problems surrounding breastfeeding and what affect these might have on the mothers' confidence in breastfeeding when the child reaches four months.Design/Methods: A quantitative approach with prospective experimental design was used to evaluate the study. The questionnaire Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used three times to measure women's trust in lactation.