In this experience-based essay, I give examples of events that take place during a typical day at preschool. By highlighting these everyday events, I discuss around the parental role and its importance for children and child development. I apply a historical review when it comes to views on children and child rearing, and reflect on different approaches that we have towards the children. In the discussion, I reflect on the Childs need for boundaries, and thereby try to understand why we act differently in this respect. To gain more knowledge and understanding of the events I have taken help from theories in literature and from my own practical knowledge.

While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) ?Theory of organizational behavior in human service? became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper.Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care.

Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

The aim of the study was to see how men and women taken into custody care byLVM were described in the sentences through a gender perspective. The aim wasalso to lay more focus on young substance abusers and see in which extent youngsubstance abusers are judged to institutional care through custody care by LVM.Through a documentary study of 77 LVM sentences in Småland in Sweden, theintention of the study was to see whether women and men are judged and treatedequally or if gender makes a difference and in which way the judgement is different?The questions are in witch extent men and women are judged to institutional carethrough custody care by LVM and how the social indication LVM 4 § 3 b) are usedin the sentences when it is younger men and women that are substance abusers. Thestudy also covered a survey about how women and men are described in the sentencethrough a gender perspective and more focus is laid on younger substance abusersunder 30 years old. The methodological approaches that were used in the study areboth qualitative and quantitative with focus on the qualitative method.

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Introduction: Palliative care is based on an active total care where the patient's independence and participation are included. Few studies have been based on a concept of freedom in relation to this target group.Aim: The aim of this study was to describe the perception the nurse has about "freedom" - its significance and meaning from an existential perspective for patients with palliative care needs.Method: A qualitative content analysis based on a narrated and written down text from focus groups with adequate examples. The starting point in the focus groups was to focus on existential issues in relation to patients near death. Based on the concept of freedom, has the printouts been analyzed, categorized and codedFindings: Nature, identity, integrity and self-esteem are important aspects for our approach to freedom but freedom is also about existential questions where hope, reconciliation, freedom and forgiveness are included.Discussion: Discussion: We all have our own definitions and meanings of freedom. The largest and perhaps most important fullest freedom is our inner freedom - our own existential freedom.

The workplace is a good arena for healthy activities because of its ability to reach big target groups. A preventive health care program prevents ill-health and since 2001 Centralsjukhuset Kristianstad has a health care program, ?Främja hälsan?. Leadership is important in the health promotion work when to get the collaborators motivated and involved in the health care program. The aim of the cross-sectional study was to investigate the collaborators opinion about the managers? pedagogical role in the health promotion work at Centralsjukhuset Kristianstad.

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.

The purpose with our essay was to describe and understand the treatment of the homehelp staff towards the elderly addicted caretakers within the care system. Both in a practical aspect as well as in an attitudinal aspect. In order to get the answers to our overall purpose of our essay, we had as a starting point the following questions:* What help is given to the elderly addicted caretakers?* Are the elderly addicted caretakers a stigmatized caretaker group?* What approach does the home help staff conduct towards the elderly addicted caretakers?* Is there a preparedness among the home help staff when it comes to as to whether or not a care taker has an addiction issue or not?When analysing the material we used a qualitative analytical method in order to understand the care givers treatment towards the addicted caretakers. We combined the interviews with the so called vinjett technique; furthermore we used various sociological theories as well as earlier scientific discoveries.The result of the essay was that elderly addicted caretakers are an exposed group.

Through semi-structured interviews with 8 school photographers and 10 parents,this study attempted to clarify what photographers and parents of children(aged 1?5) in preschool think of photography business in the current situationprovides retouching children?s school photographs and what they considers tobe acceptable. The result shows that companies do not offer photo retouchingfrequent, but performs this service at the direct request of the customer. Themajority of parents agreed that dirt and food was accepted to be removed fromthe photograph, and that this does not affect the child's self image. The photographersbelieve that one should be very careful when it comes to children andretouching, and that the debate is important..

This thesis highlights the importance of social relationships for high school adolescents? identity in a multicultural school in Stockholm?s suburb. The second purpose of this thesis is to shed light on, if the school sees the students? cultural background as an asset and how teachers can take advantage and implement it to the way they teach .The theories in the study were developed by Urie Bronnfenbrenner; The ecological theory, Pierre Bourdeau; The three forms of capital and George H. Mead; The significant other, The generalized other and "I" and "Me".

Teaching in pre-school usually takes its starting-point in children?s reality and curiosity. Apart from that it has also been important to take contains of a special subject under consideration, for example development of language and communication or mathematics development. The purpose of this study was to investigate how natural science as a special subject in pre-school education is expressed by five trainee teachers when they teach children at the age of 2-7. Generally the study focuses on the students? teaching actions as well as their line of argument about their teaching and the choices they have to make.