Early extubation of cardiac surgery patients has become increasingly important. The assessment of the patient before an early extubation is crucial and the intensive care nurses (ICU nurses) in this estimation is there for very important.The aim of this study was to examine critical care nurses' knowledge of early extubation, and what view ICU nurse has about factors that affect the time to extubation of cardiac surgery patients.A quantitative approach with descriptive and comparative design was used. Selection was all ICU nurses at a thoracic intensive care unit who were clinically active in patient care.The study showed that ICU nurses had good knowledge of why an early extubation was essential. However, the knowledge about the unit?s extubation criteria was low.

Being a patient in intensive care can be experienced terrifying. Studies have demonstrated the link between unpleasant memories of hospitalization in the ICU and the development of posttraumatic stress disorder, depression, anxiety, and perception of quality of life in its aftermath. Placed on a ventilator, the patient is exposed to multiple invasive procedures. The aim was to describe critical care patients' experience of being intubated or tracheostomated. Method: Literature review using conventional content analysis.

The aim of this study was to increase our knowledge about how the ?Conversational-contact with the social services? is experienced by the parents who attend it. The research was based on a qualitative method consisting of four individual interviews.Main issues of the study:? The parents experience of the content of the meetings with the social workers? Do the parents experience that the conversational-contact has contributed to some changes in their lives?Results indicated that all parents were positiv to the conversational-contact. Afterwards they felt more secure and stable both as persons and in their role as parents.

In this study I will analyze how men who buy sex interact with one another on two different Internet communities: ?Sekreterarakademin? and ?Flashback?. This analysis is carried out in an attempt to challenge the conventional image of the man who pays for sex.The aim is to examine the role of Internet forums for men who buy sexual services related to cross-border, both in terms of standard borders, gender boundaries, boundaries of sexuality and masculinity. I will also attempt to investigate what opportunities that are available to overrun different borders and how these opportunities affect the conditions of the various players. I will evaluate theories such as homosocialtet, hegemonic masculinity and normalization used by KAST (Köpare Av Sexuella Tjänster, the Swedish public support for clients of sexual services) and which are partially consolidated in studies published by KAST concerning issues related to internet based prostitution..

The discussion of the swedish treatment of offenders often revolves round the two contradictions punishment and care. Modern prison is described to be based on values such as humanity, care and respect, although the main task is to protect the society from criminals by keeping them locked up. This study focused on the role of the prison officer with the purpose of understanding how he sees his profesional role in an organisation influenced by punishment and care.Central questions are: How does the prison officer handle his role as caretaker in an organisation where he not only has the right to, but also is obliged to, controle and power his clients? How does the prison officer define his working role and does he find any dificulties in combining these?The research was realized during the months of April and May 2005 through qualitative interviews and conversations with prison officers working in a swedish prison. It also contained a minor fieldstudy in that same prison.The results showed that the principle conflict between punishment and care have an insignificant influence on the daily work of the prison officer.

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 care for the elderly in the municipalities has recently seen the need for a formalized system for quality assurance. Under increasing demands for monetary efficiency while bound by law to retain acceptable standards in health care, there is need for efficient and at the same time quality-assured management. The municipalities often solve this puzzle by introducing systems and standards influenced by theory-clusters such as NPM (New Public Management), TQM (Total Quality Management) or other quality management theories.This essay focuses on how the public administration in the municipalities defines quality and designs and implements system for formalized quality assurance. Our basic view of organizations is institutionalist and our theoretical framework includes theories about quality, NPM and TQM..

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

In the last few years there has been an ongoing debate concerning the methods of assessing the quality of public libraries and their services. This study investigates the opinions and needs of the users at four different public libraries in Malm : the local libraries in Bellevueg rden, Limhamn, and Kirseberg, and the main library in central Malm . The purpose was to find out whether different user groups display different patterns in their library use and, in addition, to identify what library services they prefer. The data were collected through interviews with users and librarians, and by means of a user survey ccarried out at the four libraries. The results indicate that certain differences in the usage patterns do exist between the main library and the local libraries.

Background: Critical conditions to become an attractive supplier of knowledge based IT-services in the B2B market are many. Besides the fact of supplying a service of high quality one must as a supplier communicate values which are understandable and desirable for a new buyer. Buying a knowledge based IT-service involves several risks; the consultant might not have sufficient knowledge or have difficulties understanding the corporate culture and collaborating with other staff within the client?s organization. Since services are intangible offers and it can be intricate to put right price level for something which can only be evaluated when the project is finished, puts severe strain on suppliers competing with other companies in the same market when looking for new clients.

The aim of this master thesis was to find out about librarians opinions of childrens libraries on the Internet, if it is a resource to reach children. Qualitative interviews were conducted with three librarians who had participated in the construction and development of childrens libraries on the Internet. IT and the Internet play an important role in childrens lives and children are using it to a greater extent. Libraries have begun to integrate IT and Internet into their services and are offering service on the Internet. The public library websites are usually for grown-ups and very few are directed to children.

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.

Bakgrund: Prestationsmätning syftar till att implementera ett företags strategi. För att lyckas med det krävs tillgång till relevant information för att ta rätt beslut. Nya alternativa organisationsformer som shared service centres har lett till en ökad efterfrågan på ny anpassad ekonomistyrning. En förfrågan om att utvärdera P2P-processens prestationsmätningssystem på IKEA AB, Finance Services ledde till utvärderingsstudien.Syfte: Syftet med utvärderingsstudien är att utveckla en modell med dimensioner, för att analysera prestationsmätningssystem på shared service centres. Analysmodellen kommer appliceras på P2P-processen inom IKEA AB, Finance Services.

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.