Patienter med risk för malnutrition är vanligt förekommande på svenska sjukhus och vårdboende. Trots detta saknas det nationella riktlinjer för hur man ska bedöma och åtgärda malnutrition. Syftet med denna litteraturstudie var att undersöka hur nutritionsstatus kan bedömas hos äldre multisjuka patienter på sjukhus och vårdboende samt i vilka omvårdnadsåtgärder sjuksköterskor kan vidtaga vid malnutrition. Litteraturstudien bygger på tolv vetenskapliga artiklar. Resultatet visar att det krävs en kombination av antropometiska mått, biokemiska analyser samt någon form av bedömningsinstrument för att korrekt kunna bedöma en patients nutritionsstatus. Omvårdnadsåtgärder som sjuksköterskan kan vidta är individuellt anpassat måltidsstöd, mellanmål, tillförsel av extra näringstillskott och dryck- och kostregistrering.

Swedish forests are dominated by just two conifer species Norway spruce and Scotch pine. They are not able to achieve the highest possible production or fulfill industry demands for raw materials. The introduction of exotic conifers can potentially meet these shortcomings and present a relevant solution. This study was conducted in a block experiment with ten blocks planted in 1987 by SCA in North Sweden. The objective of the block experiment was to study if Black spruce is an appropriate alternative to Lodgepole pine, Norway spruce and Scotch pine on different site classes.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

My goal with this Project was to create four pictures which de¬scribed four different emotions. The purpose of the project was that the pictures would be placed in a psychology department and they could use them as a starting point for a discussion about the patients? emotions. My personal purpose was that I wanted to create pictures in scale 1:1 in an analogue fashion, and try to learn more about how people see and feel about pictures. What kind of thoughts can a picture give you? Can I create a picture which can be used as a platform for a discussion? Can I make a picture which describes an emotion? The making of the pictures started with developing ideas and then I took photographs of my friend Joel, in different situations and moods, which I used as reference for my paintings.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

Physical rehabilitation is a constantly growing field in veterinary nursing. To build a physical rehabilitation center for dogs you need personnel with adequate education and knowledge. In spite of good knowledge it can be hard to know which areas and equipment necessary for the work. It is of interest to describe how a physical rehabilitation center can be planned and which spaces and equipment to prioritize. In this study, data of different spaces and equipment for a physical rehabilitation center for dogs are presented and also the economical perspective is introduced as a background.

Bakgrund: Sveriges befolkning blir allt äldre vilket skapar ett krav på kunskap om vård och omsorg till den äldre patienten. Sjukhusavdelningar är fyllda av äldre patienter och många av dem är svårt sjuka och kommer spendera sin sista tid på en vårdavdelning. För att ge en helhetsvård till den döende patienten ska vården bygga på de fyra hörnstenarna symtomlindring, kommunikation, relation och stöd till närstående samt ett multiprofessionellt samarbete. Som sjuksköterska vill man göra sitt yttersta för att patienten ska må bra, vare sig det är att må bra mot ett tillfrisknande eller att må bra i livets slutskede. Den ofta hektiska vårdmiljön på en vårdavdelning kan motverka en god palliativ vård.Syfte: Att beskriva sjuksköterskors upplevelser av att vårda äldre svårt sjuka patienter i livets slutskede på vårdavdelningar utan palliativ inriktning.Metod: Studien har en induktiv kvalitativ design.

Varje år uppskattas en halv miljon svenskar drabbas av matförgiftning och knappt en tredjedelrapporteras ha drabbats av en matförgiftning orsakad av bakterier eller bakteriella toxiner.Under år 2007 drabbades drygt 2500 EU-medborgare av matförgiftning orsakade avstafylokockenterotoxiner (SEs). I livsmedel har man sett att produktion av SEs framförallt ärkopplat till Staphylococcus aureus. Studier har visat att SEA följt av övriga klassiska SEs ärde toxin som oftast orsakar matförgiftningar.Detta kandidatarbete har haft som mål att sätta upp en ELISA för kvantitativ bestämning avstafylokockenterotoxin A och C i BHI-buljong (brain heart infusion) och pastöriserad mjölkmed fetthalt 1,5 %. Ytterligare mål var att fastställa nedre gränsen för att kvantitativtbestämma enterotoxininnehållet med använd ELISA. Detta för att kunna jämföraenterotoxinproduktionen hos S.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

De instrument som används för att mäta patienters förväntningar av omvårdnaden finns i olika utformanden men det är få som är utvecklade med inverkan från patienternas egna förväntningar. Syftet med denna litteraturstudie var att beskriva patienters förväntningar av mötet med sjuksköterskan. Sju vetenskapliga studier analyserades med en manifest kvalitativ innehållsanalys och resulterade i tre kategorier: Att få en bra relation, Att kunna vara delaktig, Att vilja bli sedd och lyssnad på. Resultatet visade att patienter förväntade sig att etablera en god relation till sjuksköterskan där medbestämmande i den egna omvårdnaden var av stor vikt. Resultatet visade också att patienter ville bli sedda som individer och att sjuksköterskan tog sig tid för att lyssna på dem.

Det finns brister i kunskapen om hur patienters upplevelser efter en hjärtinfarkt ser ut. Syftet är därför att undersöka patienters upplevelser av en hjärtinfarkt. Syftet är också att ta reda på hur patienter upplever stöd och information från sjuksköterskor och annan vårdpersonal samt vilken information som är viktig för dem. En litteraturstudie har genomförts där vetenskapliga och kritiskt granskade artiklar använts. Elva artiklar har granskats enligt Polits m fl (2001) kriterier för vetenskaplighet.

In the recent years auditing scandals all around the world, deficient internal control has attracted a lot of attention. This has contributed to further requirements on insight and internal control. Those scandals have seriously damaged the auditor?s profession and contributed to a reduced trust among the public. Therefore an extensive work to recover and stringed the trust was started all around the world.

Patientinformation är en viktig del i sjuksköterskans dagliga arbete. Det är av betydelse att ge lämplig och förståelig information inför en undersökning, allt för att få en lugn och förberedd patient. Det är viktigt att kunna anpassa informationen till varje patients behov. Syftet var att lyfta fram patienters upplevelser av information av vårdpersonal inför en koloskopiundersökning. Frågeställningar; Hur upplever patienten informationen som ges innan en koloskopiundersökning? Vad önskar patienten att få för information innan en koloskopiundersökning? Metoden utgick ifrån analys av materialet med en fenomenografisk ansats för att ta reda på skilda upplevelser av ett fenomen.

The purpose of this study is to investigate the effect of physical activity for people suffering from depression and which nursing interventions nurses can do to make this patients start to exercise. The method used, is a review of articles from Ci-nahl, Cochrane, Elin, PsycInfo, Pubmed and Science Direct, which were analyzed according to Polit och Hunglers criteria for scientific research. The result from the nine studies shows that physical activity has an antidepressive and anxiety reduc-ing effect. Interventions emerged is supporting, encouraging, activating and teach-ing about physical activity as health-promoting measure. Conclusion: Nurses can as an intervention introduce exercise as complementary treatment for people suffering from depression.

The role of Art in Healthcare and its requirements through a study of Diagnostic Center (DC), a Hospital with Art and Architecture integrated.Issues: Who selected Art for DC and on what foundations? How are Art and Architecture integrated, and what is the established knowledge of Art in Healthcare?Studies of reference material, theses, research articles and interviews. Hermeneutic and discourse analyses were used.Theorists: Barthes, Bourdieu, Foucault, Arnheim, Sjögren, Rasmussen.Results: A regional group selected local Art, mainly nonfigurative, and integrated it early in the architectural process. A stimulating non-traditional hospital environment with a modern design and two artists created work specifically for the environment.Art affects our Health and Caring Sciences is a scientific field that is studying how art affects patients and staff. It is relatively new but it is growing into a vast field of research, learning more about Art's effect on Health..