Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

Background: Moral distress is an increasing concern among nurses in their workplace. Previous research has suggested that moral distress is associated with ethical climate and job dissatisfaction. Economic restraints in the organization have led to loss of nurses from the workplace. Aim: To examine nurses experience of moral distress and their causes. Method: The study was a literature review. Twelve articles were used in the study.

The aim of this study was to investigate whether the Swedish Institute of public health care uses paternalistic information in their alcohol publications. My intention has also been to examine to what extent the paternalistic information is being used. This is determined simply by how frequently paternalistic information is found in the publications. I chose to analyse five publications that contain alcohol related information and had a clear motive. My results show that all five publications use paternalistic methods with the intention to change readers, or people in their surroundings, alcoholic behaviour. Though this is quite a small essay, I have suggested extended research of the subject ? preferably of all 176 alcoholic publications presented by the Institute of public health care..

Background and aims: The population of older people in our society is increasing. Agerelated changes in the skin results in a diminished perception of pain and pressure and a decreased microcirculation in the skin affects its ability to adapt to injury. Occurrence of pressure sore on geriatrikal clinics are 5-10%, witch means that between five and ten thousand patients gets daily treat for pressure sores. When the patient gets a pressure sore the need for help increases. A common apprehension is that if the patient?s affects with pressure sores it?s because of deficiency in care.

This report is about the current outdoor environment in the housing area Brunnsbacken in the city of Eskilstuna. The report examines the various factors in the outdoor environment that can affect the physical and psychic well being of the elderly people through availability and inclusion. The research methods that are affected are qualitative and has been implemented in order to give insight and knowledge about the way elderly people view the outdoor stay in their neighborhood, but also through analysis produce an informed design suggestion..

Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.

The aim of the report is to develop a new design proposal for an existingsenior high school building in Skärholmens Center, Stockholm. Theschoolhouse is a result of the extensive residential project during theperiod between the years 1965-75 in our large cities peripheral and holdsanonymousand "gray face" that has characterized many houses from thesame era. Over the years, the number of students steadily declined andthe reason lies partly in the school's physical environment which cancertainly be regarded as substandard. This despite the fact that it islocated right next to Sweden´s largest trading block. A thorough analysisof the school building and the ambient area has been made incombination with a continuous dialogue with students and staff at theschool.

Background. With the mental health care reform 1995, the long-term mentally ill patients were meant to be integrated in the society. Instead, they became ?deported? to mental health care. Aim.

To build a sustainable future should we first understand that; every aspect of our daily lives can affect the environment. It?s important that we take responsibility for understanding how we impact the environment and change our actions accordingly. The worlds total energy consumption equivalent to 80 million MWh / year. This corresponds to about 220 million MWh / day.Energy consumption is one of the main reasons for increased greenhouse gases when the reduction of this consumption has a great demand worldwide.In order to prevent the energy that consumed the buildings must be energy efficient but there is a conflict between radon ventilation and energy conservation in a building, given that ventilation can consume as much energy (currently 29-59% of energy-efficient houses use), especially in a cold climate as in Norway.

The purpose of this literature review was to describe the paths of exposure and accumulation of organic pollutants into the tissues of farm animals. Organic pollutants can be spread in the environment by air and rainwater. Farm animals can be exposed to these pollutants for example by eating soil or contaminated plants. Many of the pollutants can then accumulate in the fat tissues of the body because of their lipophilic character. Brominated flame retardants and perfluorolated compounds are both pollutants of current interest.

The group of elderly people in Sweden will increase significantly in the future and science point out that the future elderly people will not accept today?s standards and offers of assistance in today?s public elderly care. Therefore public elderly care stands before a significant challenge in terms of development that has to be sustainable. New research also points out that middle managers can be a great strategic resource, and a founder of success, in the challenge of sustainable development. The aim of the report was to increase the knowledge about what middle managers in public elderly care think sustainable development has to embrace, when it comes to quality and personnel administration, in order to meet the needs of the future elderly people.

Abstract Background: Families with sick children are expressing the needs of accommodation near the hospital, in order to be close to their children and be together as a family.Aim: To investigate how parents experienced the hospitality and the environment at the Ronald McDonald House (RMH) in Uppsala and how they feel their children have experienced the stay.Method: Descriptive qualitative interview study. Five parents who lived with their family at RMH between 2013- 2014 have been interviewed with a semi-structured approach. A qualitative content analysis with an inductive approach according to Graneheim and Lundman (2003) was conducted on a manifest level.Results: RMH made the families? situation easier. RMH met their needs of a homelike environment where they could be themselves; be together and maintain everyday routines.

Urbanization has for a long time been a threat to our biodiversity. Epiphytic organisms such as lichens have been negative affected by traffic pollution and the new urban environment surrounding their old habitat (van Her 2001). Another epiphytic organism is the green algae Desmococcus olivaceus. Unlike lichens the green algae is favoured by polluted areas. The aim of this study was to investigate if time in urban environments affected the cover of the green algae on old oaks.

This study aims to create an understanding of how employees relate to directives that come from a level above them in the hierarchy and is to be implemented in their working activities. This is studied by examining a case where a work group has tried to implement orders, given to them by the government and through a work group in the level above them in the organizations, concerning how employees working with child health care is to educate parents regarding the child convention. The method that have been use in this study is group interviews with 19 child health care nurses and the two main questions that are asked is why has it been difficult to implement the orders and how have the child health care nurses expressed their resistance to the changes, this since only five of the nurses had begun working with the child convention. The theories that have been used focus on how resistance towards change is expressed, organizational incapability and reluctance towards change, as well as how grass root bureaucrats relates to change. The conclusion that can be drawn from this study is that it is important to let the concerned parties participate from the beginning of the process, to minimize their reluctance to the changing process.

The purpose of this study was to look at the experiences of midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifmidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.