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.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.

The emergency medical care in Sweden has been under persistent debate, due to factors such as long waiting hours, inefficient patient flow, and understaffed departments. In an effort to meet the critique and with a willingness to improve the problems, an increasing amount of emergency clinics are adopting theories and models within Lean. Positive outcomes are evident, there has been some criticism directed towards Lean. Among these is the argument that in order for Lean to be successful it needs to be used within standardized and foreseeable processes, and that it therefore only is applicable to those kind of processes found within industrial production. This prompted the question of whether Lean was a suitable strategy within emergency medical care, considering the large variation of patients and non-foreseeable processes that in fact share little resemblance to that of industrial production.

Internal communication exists in all organizations and is ongoing. It is of great importanceto communicate effectively when deficiencies can have serious consequences. The tsunamithat swept over South East Asia's coast in 2004 is indicative of this. At that time the consequenceswere loss of efficiency and productivity of businesses, health care, police and themilitary. All because of the lack of information.Employees in an organization take many decisions that affect the entire organization.

Standardvårdplaner är vanligt förekommande inom hälso- och sjukvård och är under ständig utveckling. Standardvårdplaner är i olika grad evidensbaserade och framtagna med skiftande kvalitet. Standardvårdplaner används som ett hjälpmedel för effektivisering och kvalitetshöjning av vården för en specifik patientgrupp och är en på förhand formulerad vårdplan. Behov av ytterligare forskning efterfrågas om standardvårdplaner faktiskt minskar mängden dubbeldokumentation, leder till ökad tidsvinst och ökad vårdkvalitet. Syftet med föreliggande litteraturstudie var att göra en beskrivning av de effekter som användande av standardvårdplaner leder till.

This report is a market research for the company 4 Body and Mind, a start-up company that works with personal training online. They wanted to know if the market for elderly care could be interesting for them to enter. This report is hence a research of the market for health and welfare technology in elderly care within the public sector in Sweden. A general fact is that the world's population is getting older. This combined with rapid growth of individuals in the age 65+ changes the demands on the elderly care in Sweden?s municipalities.

Background: The description of different characters in soapoperas are often exaggerated to catch the viewers interest and to present an exiting content. The phenomenon that takes place in soapoperas can often relates to every-day- life-situations. The viewers should recognise them selves in the content, the imaginary situations and the characters should be normal but at the same time exaggerated and twisted to catch the viewers attention. This means that the characters in Rederiet should have connections to the real world and this makes it interesting to study how the different styels of leadership are descibed.Purpose: The purpose is to analyse and compare three choosen characters in the soapopera Rederiet, from existing leadership thoeries. To identify leadership on three hierarchical levels ? head of machinery, superintendent and captain ? and to analyse how leadership are descibed in the soapopera.

Background: The devolopment in the exchange market has attract a large number of investors. The information flow is extensive and it might be hard to follow the dynamic market. Some investors therefore choose to place their capital in a stock portfolio which is manged by a professional firm with no influence from the capital owner, this management is called discretionary managing. Purpose: the purpose of the thesis is to examine the working methods and the rationality regarding the management of the discretionary portfolios. The purpose is also to try to examine whether there is a relation between the selected risk, return and fees.

This is a project in Entrepreneurship and Creativity on masters? degree. The purpose was to verify whether the Swedish retail trade within the beauty care business was ready for an in-troduction of colour cosmetics. Through the qualitative research grounded theory, I made several phone interviews with independence retail traders within the Swedish beauty care business. The selection of respondents is based on statistical facts and geographic coverage of Swedish beauty care shops.

The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method.

Background:The concept of transition means a change in a person's life where he or she is forced to adapt. There are different phases in life that results in different adaptations. In this essay, transition is described as the physical and mental journey between the home and an elder care facility. The Aim was to describe elderly people's experiences of transition when moving from their previous home into an elder care facility. The Method used was a literature review.

Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

In recent years more countries have started to blur out their national boundaries to create andrely on international collaborations. China is one of the fastest growing markets in the worldand play an important role on export and import of commodities across the globe. ManySwedish companies have more business collaborations with China than ever. Differencesbetween the cultures can lead to many difficulties for both the employees and the employer.There is both a challenge and a necessityto find ways to communicate, and to get moreknowledge in how to follow and lead people from different background and perspectives. Theaim of this study is to investigate how leaders through their leadership deal with contextualdifferences between China and Sweden and which effect these differences can have.

This C-essay is a qualitative study designed to create a basis for understanding how managers involved in school affairs perceive the impact of merit points on students? chances to continue on to higher education and how this will affect individuals' life chances.The study is based on three interviews with managers involved in school affairs. In this paper grades, merit points and socioeconomic class differences are discussed.The aim of this paper is to answer the following questions:? What impact does merit points in language studies and the way different languages are valued, in the system, have for the individual and for society?? Who are the winners in the new grading system and who are the losers; how are different socioeconomic groups affected?The material was interpreted with the help of a report written by Ingrid Nordqvist and Monica Langerth Zetterman called "Secondary School competition field-a regional perspective", a paper written by Helen Raven who did a study on grades, national tests and social reproduction and the Frenchman Pierre Bourdieu's theories.The results show that class differences will increase and that it will be difficult to rise in the social hierarchy in the future..