Background: Triage is the sorting of patients according to the severity of medical assessment. Triage has a long history of use in Anglo-Saxon countries but is a fairly new method in Sweden. Researchers have described the Manchester triage group method (MTS) and a literature review of the concept; working contentment and competence focusing on triage. Aim: The ambition with this study was to describe a number of triage nurses working conditions. The research questions were; working with MTS- does it bring work contentment? What kind of competence is needed? Method: Data was collected from 74 triage nurses by a questionnaire containing 37 questions and two questions provided the nurses the opportunities to describe their triage experiences.

In the beginning of the 21th century several successful companies filed for bankruptcy. These bankruptcies have been known as large accounting scandals and the largest scandals did Enron and Worldcom stand for. These bankruptcies arose without any warning signal from the auditors about the companies? financial problems and their inability to continue as a going concern. The bankruptcies damaged the reputation of auditors and broad criticism has developed at the auditors? inability to discover companies? financial problems and their unwillingness to reveal a going concern opinion in the audit report.

In this thesis an explorative study was undertaken with the aim to study how a number of private care providers, as well as politicians and officials from councils in and around the Stockholm and Uppsala counties, think about the future of the Swedish elderly care from a property perspective, i.e. homes for the elderly. The analysis shows that there is a demand for capacity in 6 out of 16 municipalities, and that the property is an important part of this capacity, and the fulfillment of it. This was mainly due to the cost of capital, but also because of several other factors such as lack of land, a wish to guide the design, ideology, and in many cases a wish to use the property as an instrument of domination to control private health care providers.Also, the property was show to be connected to economic competition, to freedom of choice, and to quality. The problems related to the property in the market for elderly care still remains to be solved.

Feline asthma is a condition very similar to the respiratory disease affecting humans. It is causing, among other things, a constriction of the bronchial airways, an increase of mucus production and damage to, or erosion of, the epithelial membrane. The symptoms occur intermittently and do, in most cases, evolve during a long period of time. The aim of this essay was to investigate whether there are any nursing routines for feline patients with asthma in animal clinics and animal hospitals in Sweden, and if so, to compare similarities and differences. A literary study of research material also led to a suggestion of how to form a nursing routine for this type of patient.

Bakgrund: Smärta är ett flerdimensionellt fenomen och ett vanligt problem inom äldrevården. Smärtbehandling finns att tillgå, trots detta är smärta underbehandlat hos äldre patienter.Syftet: Syftet med studien är att belysa hur sjuksköterskor bedömer fysisk smärta i omvårdnad av äldre patienter.Metod: Litteraturöversikt med kvalitativ ansats har använts. Datamaterialet bestod av fem kvantitativa och fyra kvalitativa vetenskapliga artiklar.Resultat: Det framkom tre huvudkategorier: smärtbedömningsprocesser, smärtbedömningsmetoder och smärtbedömningsredskap. Ur huvudkategorierna urskildes sex underkategorier: smärtidentifiering, smärtbedömningssvårigheter, kommunikation med patienterna för att bedöma smärta, smärtobservation, smärtbedömningsinstrument och dokumentation.Slutsatser: För att göra en smärtbedömning behövs en god relation till patienten, närstående och övrig personal där kommunikation har central roll. Sjuksköterskan måste tro på patientens egen skattning och smärtupplevelse..

This thesis has been performed at the system development company Verendus System AB, together with the home care company Basic Care Unit (BCU).The thesis has consisted of developing a web based informationsystem for BCU in which they can administrate their business. At the time of writing this thesis, BCU was using a windows-application to administrate their activities, which was both costly aswell as resulting in an unnecessary burden. The aim the thesis has thus been to create a platform-independent information system that simplifies and streamlines BCUs work by being user-friendly aswell as imposing some simplifying features.The students has been developing the system by the help of a work method they themselves developed. The method consisted of working in several iterations that each had several milestones. The method resulted in the students knowing easily when each iteration was finished or not.The thesis resulted in a working platform independent prototype.

Att Sverige idag är ett mångkulturellt samhälle återspeglas i dagens sjukvård. Sjuksköterskor möter idag patienter med invandrarbakgrund och kan därmed uppleva svårigheter att förstå dessa patienters behov på grund av språkhinder och/eller kulturella skillnader. Syftet med studien var att beskriva sjuksköterskans upplevelser i mötet med patienter med invandrarbakgrund. Vi använde oss av en litteraturstudie där 11 kvalitativa vetenskapliga artiklar granskats och analyserats enligt Evans (2003) modell. Analysen resulterade i följande fem teman; Språkbarriär ? ett hinder för god omvårdnad, Tolkens för - och nackdelar, Anhöriga - på gott och ont, Att uppleva bristfällig kulturkompetens, Upplevelsen av både positiva och negativa fördomar och förutfattade meningar.

Aim: The aim of this study was to investigate how VAS (Visual Analogue Scale) is used in the prehospital environment, and describe how patients 40 years and older with acute chest pain describe their pain with help of VAS. Further, to investigate how the literature describes other instruments to evaluate pain. Method: This was a descriptive study and used both literature and empiric material as foundation. The selection consist of the paramedics medical record from one emergency department, 100 men and 100 women with chest pain witch had been transported with ambulance to one hospital in middle of Sweden. A literature review was done in order to see what previous research recommends for pain rating scales.Results: The study showed that 71 (35 %) of 200 individuals pain were rated with VAS according to the guidelines for the ambulance department.

The aim of this study was to describe nurses? knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary.

Bakgrund: Cirka 30 000 personer drabbas varje år av stroke. Efterföljderna beror på skadans utbredning i hjärnan. Den mest påtagliga konsekvensen är negativ påverkan på motoriska funktioner som till exempel förlamning. En annan vanligt förekommande konsekvens är afasi och dysartri. Syfte: Syftet var att belysa de känslor som uppkommer i samband med att en person drabbas av och vårdas efter en stroke.

Background: Obesity is one of the fastest growing medical conditions both for children and adults. Children with overweight/obesity risk to be exposed to social discrimination and stigmatization from peers. Stigmatization is when the society labels an individual that deviates from what is considered normal behaviour. Purpose: The aim of this literature review was to describe potential stigmatization of children with overweight/obesity. Method: The study was carried out as a general literature review study.

Pheromones are chemical substances representing very specific signal messages within a species. Although a lot remains unknown about their precise effects, it is known that pheromones influence the behaviour of the receiver. Since the mid 1990s, when it was first possible to synthesise analogues of two fractions of feline facial pheromone, F3 (Feliway®) and F4 (Felifriend®), these have been used in so called pheromonotherapy to treat behavioural problems in cats. The initial use of pheromones for specific behavioural problems has been extended to cover the wide field of stress related issues. This studycontains a questionnaire where veterinary nurses and surgeons at 50 Swedish veterinary hospitals and clinics were asked about their use of synthetic analogues to feline facial pheromones in the care and treatment of cats.

Wind damages next to strip roads in 1st and 2nd thinning in Boxholm, Östergötland Anneli Fransson, SLU, inst f sydsvensk skogsvetenskap, Examensarbete no 108 Wind damage is something we are all familiar with since the storms Gudrun (2005) and Per (2007). Research about strip roads and wind damage is very limited. It is commonly known that the trees next to the strip roads more often fall whit heavy winds, and the purpose of this thesis was to verify this statement. Data was collected from first- and second thinnings at Boxholms Skogar AB, Östergötland. In first thinnings data was collected from both spruce and pine stands and second thinnings only data from spruce stands was collected.

Aim: The aim of the current study was to investigate nurses? experiences of caring for palliative patients in palliative home care, and to examine the coping strategies they use.Method: The study was empirical descriptive with qualitative approach. The data was collected by nine semi-structured interviews and analyzed by using manifest content analysis.Result: By analysing data three categories: Positive experiences of palliative home care, Stressful experiences of palliative home care and Problem-focused coping strategies, and 15 subcategories, were distinguished.Conclusion: Experiences of palliative home care were both of positive and challenging characters. Stressful situations were managed by problem-focused coping strategies. Nurses are in need of the work situation at home to become more ergonomic and designed to protect the nurse?s physical wellbeing.

The purpose of this study is to describe and analyze how health care providers, working at care facilities providing maintenance treatment programs for opiate dependence, perceive and manage the legal framework governing the treatment. The study is limited to a few particular rules within this framework which over the recent decade have been the subject matter of debate regarding i.a. their alleged lack of relation to scientific research and their frequently disastrous implications for program participants. The empirical material consists of interviews with five respondents working at four different care facilities and has been analyzed by using Lipskys theory on street-level bureaucrats as policymaking agents. The results of the study show that the rules are looked upon and dealt with in a liberal fashion and that the primary loyalty of the maintenance treatment staff is clearly directed towards promoting the well-being of their patients and helping them reach their treatment goals rather than strictly following the rules..