The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..

To have a forest area close to the city is of great importance for the city population?s well being. Children develop their motor skills, concentration and imagina-tion and the adults have a place to shake of the stress from work. Forest areas are used to exercise at, play in and to find a moment of peace and silence. The urban forest and the old farming pastures at Markussonvallen and Per-Isakssonvallen already has natural assets worth to preserve and a great potential to create more. The goal is to develop a forest with a variation of tree species and ground vegetation that will appeal to the human senses and different animal species such as birds, insects etc.

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

Bakgrund: Specialistsjuksköterskan ska uppta patientberättelsen och utifrån sinspecialiserade kunskap om medicinska eller psykiatriska tillstånd göra en korrekt bedömning.Sjuksköterskan ska från sin bedömning sedan förse patienterna med adekvata vårdåtgärder. IGöteborg har andelen ambulansuppdrag som klassificeras som psykiatrisk sjukdom ökat desista åren. Med anledning av det planerar ambulanssjukvården i Göteborg en speciellpsykiatriambulans med dubbelkompetens, en sjuksköterska som har specialistkunskap inompsykiatri samt en ambulanssjuksköterska. I Stockholm skall en psykiatriambulans införas 1april 2015 men inte med dubbelkompetens. Anledningarna till planen att introducera enpsykiatriambulans är att utveckla den akuta prehospitala vården bland annat genom att hjälpapatienter med psykiatrisk problematik till rätt vårdnivå.

This thesis investigates management accounting systems in a Swedish health care environment. Through a qualitative case study of an activity-based cost accounting system that was introduced in 1994 at S:t Görans Sjukhus, a large Stockholm hospital, the following questions are addressed: What benefits can an activity-based cost accounting system offer the Swedish health care providers? What are the potential problems impeding the implementation of such a system? Main findings: an activity-based cost accounting system can improve the understanding of where costs are generated in the production processes. Comparisons between alternative production processes are improved, and the data may serve as a basis for internal pricing measures. Concerning the second question, difficulty in reconciliating the principles of economic control with the culture present in a hospital is identified as the main obstacle to a new management accounting system..

To reach an Ecological Sustainable Development, Sweden has established environmental quality objectives. Green spaces are attractive for exploitation and in Sweden the access to large jointly green spaces has decreased, which has impact on humans recreation and the biodiversity. The economic aspect has great impact on the planning process which gives indications that the environmental objective may collide with other sector goals within the municipality. The thesis overall aim is to see how the management by objectives for the green spaces implements and how the green spaces is handled in the planning process in a specific case. The thesis builds on a content analysis, strategic interviews and a case study.

Uppsatsen behandlar temat urbana tillväxtstrategier i svensk planering. Studien syftar till att undersöka hur översiktsplaner har påverkats av entrepreneurial city, platsmarknadsföring och kreativa klassen som alla är olika teorier om urban tillväxt. Undersökningen utgår ifrån fem kommuner med en översiktsplan från tidigt 90-tal och en aktuell plan antagen omkring 2010. Översiktsplanerna studeras utifrån de valda teorierna (entrepreneurial city, platsmarknadsföring och kreativa klassen) om urban tillväxt för att ge förståelse för hur strategierna i kommunernas översiktsplaner har påverkats av teorierna. Den genomförda undersökningen visar på en förändring över tid som pekar mot mer tillväxtorienterad planering..

When the population is getting older, the need for complex care and nursing interventions in elderly care increases. To create a holistic view of the elder and their life situation, interprofessional team collaboration is often desirable and necessary. Teamwork is often described in positive terms, but previous research has shown that this work method is complicated and requires constant reflection and development. The purpose of this study was to investigate how elderly care teamwork is formed in the interaction between representatives of different professionals. To accomplish this purpose, we have studied how the team members define a well-functioning teamwork and difficulties, and how consensus is achieved in the team.

The aim of this study was to map out the quality of the treatment in the forensic outpatient care unity in Malmoe from a patient point of view. This target group, seriously mentally disordered law-offenders, has been neglected in the scientific research. This investigation will hopefully contribute to a positive change in this subject. To achieve a good understanding of this field a methodological triangulation was conducted which included an observational study, a pilotstudy and semistructured interviews. 14 patients and 10 staff members were interviewed.

Mitt examensarbete går ut på att ge förslag till stadsomvandling av ett industriområde i centrala Malmö, även kallat Varvsstaden. Förslaget skall framförallt fungera som underlag och inspirationskälla till exploatering av området under förutsättning att industriföretagen flyttat ut. En inventering av området har gjorts, där de befintliga och planerade förutsättningarna studerats. Tyngdpunkterna i förslaget bygger på strukturen och kopplingarna mot omgivningen, men målet är också att skapa en funktionsblandad, integrerad och attraktiv stadsdel med ett varierat utbud av bostäder, verksamheter och service. En viktig aspekt i projekteringen av området är bevarandet av den äldre bebyggelsen inom området och hur man förhåller sig mellan gammalt och nytt. Även den frågan har jag utrett, dock i en mindre omfattning..

Mulitresistent staphylococcus aureus (MRSA) is a bacteria that is resistent against penicillin, this makes it difficulte to treat. MRSA causes woundinfections and other seriouse conditions. If MRSA establishes in an hospital environment it often spreads fast. Common ways of spreading MRSA is through direct or indirect contact. The nurse should work according to guidelines, apply hygienic routines and prevent the spread of infections.

Background:An increasing number of patients with an oncology diagnose will be seen in the future. The oncology care is complex and in great need of nurses with a high level of competence. There is a lack of previous research in the specialist oncology nurses competence and therefore knowledge of their skills can reveal an understanding of their competence.Aim:The aim of the study was to describe the competence of the specialist oncology nurse.Method:Four oncology nurses and two directors of oncology care were interviewed. The interview text was analyzed using qualitative content analysis.Results:The result showed that the oncology nurses had developed six different competences within different areas. These competence areas were assertiveness, patient-centered care, ethical and moral-, pedagogical-, to lead and develop- and theoretical competence.

Background: Nurses´daily has to face death and dying in their work with patients in a palliative state.  This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.

Background: In studies about Romani people?s health, it becomes clear that the Romani inseveral countries have a poor health and avoid seeking health care.Objective: The purpose of this study was to explore Romani men's experiences of treatmentin the Swedish health care.Method: A qualitative interview study was conducted with respondents about theirexperiences in individual interviews. Seven male Romanis were elected with a purposefulsample. A content analysis by systematic text condensation on the data obtained was made asdescribed by Granheim & Lundman (2004).Results: The summed up impressions of the responses was perceived to be good, however,many men believe that the information is inadequate. Staff at the emergency department inUppsala should listen more to patients.

This essay examines possible maternal deaths in paleodemographic analyses and grave material by comparing three cemeteries: Nya L?d?se, Helgeandsholmen and V?sterhus. By comparing mortality patterns and burial practices, the aim is to investigate possible signs of obstetric care during medieval and early modern Sweden. The results show a higher death rate for adult women in all three burial places, indicating possible maternal deaths. Fetuses and small children were found in all cemeteries and potential evidence of medical knowledge were found in Nya L?d?se.