Middle managers in social care find themselves in a middle position. The middle management position involves demands from several interested parties. The demands affect and generate feelings both within themselves and within others and the middle managers have to deal with them all.The aim of this study was to investigate the social care middle manager?s personal experiences of emotions in work.We have completed interviews with four middle managers who are assigned to carry out social care. When doing the interviews we used an interview guide divided into different interview areas.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

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.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Approximately ten people die every year at building sites in Sweden. Every year TheWork Environment Authority (Arbetsmiljöverket) receives 3200 accident reportsfrom the construction sector. The Swedish building contractor Skanska has the vision:?Zero accidents?. Only at Skanska Sweden, where this diploma work is preformed,350-520 accidents and mishaps are reported every year for the last 5 years.

Background: The starting point of the thesis is the growing importance of negotiations that serve to establish a relationship between the parties involved as companies? business activities are getting more complex. Purpose: The purpose of the thesis is to find and to analyze which elements are of importance for parties, when creating a successful negotiation with regard to building long-term relationships, and if those elements differ for sales and procurement negotiations in companies with business activities of various kinds. Research method: The study was realized with the help of twelve qualitative interviews. Result: The elements of importance when creating a successful negotiation with regard to building long-term relationships were mainly elements of co-operation and to some extent elements of competition.

Public procurement in Sweden is regulated by the Act on Public Procure­ment (lagen om offentlig upphandling, LOU, in Swedish). The Public procurement in Sweden stands every year approximately for 500 bil­lion Swedish crowns of the taxpayers? money. It is therefore im­portant that the money is spent in the best possible way. The focus in this study is set on the relationship between the small- and medium sized building entrepreneurs and the government.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

Background: Every year 56 million people die around the world and it is estimated that 60% of these people are in need of palliative care. It has been shown that patients in the palliative care experienced their situation as uncertain. When life no longer was certain, the patients tried to live their life day by day and make the best of it. Problem: When patients were diagnosed with an incurable disease the future became unsure, because their life would come to an end. Therefore patients with a palliative diagnosis could be in need of experiencing feelings of security.

In the early 1990?s more and more companies of the Swedish public sector were exposed to competition, and this started the debate on how such actions might affect the business and even society.The first chapter examines how the public sector and especially health care, is financed and managed. We also explore what it means to be exposed to competition and find that there are many different ways of exposing the public sector to competition. The study examines dental care as an example of a market with both publicly and privately owned companies. The purpose of this paper is to explore how publicly and privately owned health care companies view their relationship with their consumers.

This thesis examines the verification of the terms and conditions stated in contracts based on the Public Procurement Act. In March 2013 the Swedish state procurement commission released " Good Business - A Strategy for Sustainable Public Procurement " (SOU 2013:12), which found that the proportion of control and verification is relatively low. The thesis examine how verification is carried out and looks for an explanation to why verification is not more oftenly performed. To answer these questions two care studies, based on seven semi-structured interviews, is presented as the empirical material. Network theory has been used to analyse the empirical results, and aspects of commonly used theories such as contract management and "Markets and Hierarchies" by Williamson has also been taken into account.

Abstrakt -  As energy prices rise, energy-saving in buildings is becoming increasingly important. By applying different construction and installation technologies, to new buildings the energy consumption can be reduced effectively, compared to similar existing buildings. These technical measures are often an investment in the long term and will reduce energy costs significantly. The purpose of this report is to show how to reduce energy consumption in a small house. It is presented in this report that both building's technical saving arrangements (the sealing of a building) and an installation technical arrangement (changing from the F-system to the FTX-system) would reduce energy consumption in newly built detached houses, if compared with a similar existing house but without these technical measures. The report presents also detailed calculations showing how much energy an existing 2-storey house, built in the year 2007 in Eskilstuna, consumes and how much energy would be saved if these corrective measures were applied to a new building. It is also reported how much money would be saved each year over a 10 year period if the measures were applied. The results show that both solutions are a good investment in the reduction of energy consumption and hence the cost involved. Keywords: energy, heat energy, infiltration, FTX-system, free temperature effectively. .

EN SALIG BLANDNING AV BOENDE, ARBETSPLATSER, OFFENTLIGA VERKSAMHETER OCH OFFENTLIGA RUM, SOM SLINGRAR SIG UPPFÖR BERGSSIDAN UTAV HORNSBRUKSGATAN. ENKLA BOXAR STAPLAS TILL SYNES HULLER OM BULLER OCH SKAPAR MÄNGDER AV SPÄNNANDE YTTRE RUM. VISSA RUM BLIR STADSRUM, VISSA BLIR MER PARKLIKA TERRASSER, OCH VISSA BLIR PRIVATA BALKONGER.FÖR ATT UNDERSTRYKA HYRESGÄSTENS PLATS I STADEN FÖRSES VARJE ENHET MED EN PERSONLIG TOUCH - VALFRITT FASADMATERIAL OCH FÄRG. JAG TROR ATT DET GER ETT MERVÄRDE ATT KUNNA PEKA OCH SÄGA ?DÄR UPPE I DEN BLÅ PLÅTFASADEN BOR JAG!?JAG SER DETTA SOM ETT FÖRSTA STEG I ATT HÖGALIDSPARKEN BEBYGGS.

As energy prices skyrocket and the environmental issues become more frequently debated, interest in energy-efficient buildings has increased sharply in the past decade. Because of this, the interest to achieve high air tightness in building envelopes have once again awakened, due to a good air tightness contributes to lower energy consumption in several ways and to a healthier indoor environment.As the regulations for energy consumption and controls of achieved air tightness has tightened considerably in recent years, the work regarding sheets for air tightness changed significantly for construction contractors. This thesis includes a study that aims to detect what kind of manuals, recommendations or instructions contractors working according, and how a number of randomly selected construction companies in Halland, Sweden, are dealing with the matter of high air tightness of the building envelopes. The study also includes a knowledge inventory of supervisors, site managers and skilled workers, and what their opinions and attitudes are like towards work regarding the sheets of air tightness. The results have been compared with a similar survey dated to 2004, conducted by the SP Technical Research Institute of Sweden in collaboration with Chalmers University of Technology.