AbstractOur purpose for making this study is to study the implementation, the use of and the effects of Lean within our case objects.  We chose to make this thesis by case studies. The three themes mentioned above is also the main research questions that we aim to find an answer to by this study. We have chosen to do a cross section analysis where we conducted structured interviews to find answers to these questions. The theoretical reference frame consists partly of traditional theoreticians within Lean but also more recent research within the subject as well as theory specifically for Lean within the Health Care sector.The result of this study shows in all our case studies that the Management has been supporting the implementation, but that the implementation process proceeds faster if also the professionals are involved in the process.  To succeed with the implementation there is a great need for good reasons and strives that can benefit the professionals. By the use of Lean our case studies have evaluated its processes, with the main intentions being to reduce waste activities and to create flows with ?pull systems?.

Background: In previous studies on the subject hope it has been revealed that hope is an important condition for the experience of health, quality of life and well-being. In the literature hope is described as a great support in life that is vital for a person's life and for how the person manages to become afflicted with a fatal disease. Within palliative care the 6S: s is a person-centered model for care that is directed towards the promotion of patient´s participation, relief from suffering and enablement of well-being and support of the patient and his or her family members. Aim: To describe how patients find hope in their situation in palliative care, and to examine whether there is an interaction between the different dimensions of 6 S: s model and with patients' experiences of hope. Methods: This degree project is literature study.

Purpose: The purpose of this paper is to highlight three preschool teachers and three child nurses? views on the educational work tool pedagogical documentation and Reggio Emilia educational philosophy, often associated with pedagogical documentation. Preschool teachers and child nurses? are all employees under the same pre-school director, and works on three preschools located in the same area. The purpose of the selection of respondents is based on highlighting how far the staff describes the concept of educational documentation, and pedagogy of Reggio Emilia, and how far their statements are consistent with each other or not.Questions: The thesis is based on three questions;How does preschool teachers and child nurses? describe pedagogical documentation?How does preschool teachers and child nurses? describe the Reggio Emilia pedagogical philosophy?If there are differences between the preschool teachers and child nurses?, what could these mean for the pedagogical documentation in preschool?Method: The study is based on empirical data collected through qualitative interviews.

Child poverty in Sweden is a widespread phenomenon and occurs in diverse spheres in society; at home, in school and in leisure activities. Therefore more professions than just traditional social workers meet this phenomenon in varied areas which creates different comprehensions and abilities to handle the issue among various professions.This study aims to investigate the collaboration between different professions in relation to child poverty in a municipality in Sweden. Represented professions are social workers, teachers, welfare officer, recreation instructor and leaders, special assistant and municipality coordinator. In total eleven persons were interviewed.The results illustrate a good will among the professions to collaborate to improve negative consequences of child poverty. Traditional boundaries between professions are limited since every profession is needed in this collaboration and have the opportunity to use their professional knowledge in a certain field.

Placed in an institution, what happens next? A study concerning how social workers handle the after-care of adolescents who earlier has been placed in an institution is written by Therese Wester and Sanna Sjölander Wirlöf. The purpose of the study is to understand and explain how social workers handle the after-care. This study is based on an organizational perspective since the after-care has been studied in relation to the structure of the organization and the laws and guidelines that the organization has to relate to. The method that has been used is semi-structured interviews with six social workers in different municipalities in Stockholm.

Bakgrund: En moder som lider av post partum depression har svårare att knyta an till sitt barn. Barnets kognitiva och känslomässiga utveckling kan då hämmas. Det är viktigt att tidigt upptäcka dessa mödrar för att på så vis kunna erbjuda stöd och förkorta moderns sjukdomstid. Syfte: Syftet var att belysa BVC-sjuksköterskors erfarenheter av att ge stöd till mödrar med post partum depression. Metod: Datamaterialet analyserades med kvalitativ innehållsanalys med induktiv ansats.

The purpose of this research has been to study and find out if a diagnose AD/HD is of importance. Does a diagnostic significance matter for how to support and respond to children in school? Are diagnosed children with signs of AD/HD treated differently than children without diagnosis? My study is based on input from teachers, special educators, from two different schools and also one doctor and one parent.I have interviewed teachers, special educators, one physician and one parent. I have been using qualitative interviews with tape recorders and emailed them with open questions. I have been using literature; see bibliography.

Bakgrund: Föräldragruppsutbildning, arrangerad av barnhälsovården, ska erbjudas alla nyblivna föräldrar. Region Skåne har 2011 infört en manual med rekommendationer för hur föräldragruppsutbildningen skall läggas upp i syfte att få en mer enhetlig föräldragruppsverksamhet. Syfte: Syftet med studien var att undersöka förstagångsmammors upplevelser av föräldrastöd i grupp. Metod: Öppna individuella intervjuer genomfördes med elva förstagångsmammor. Intervjumaterialet analyserades med hjälp av kvalitativ innehållsanalys.

In this thesis you will meet people that are members of a ?health-choir?. This people are singing together once a week and the purpose is to get a better health. You will also see if choir-singing can be seen as A rites of Passage. You will get a direct link to the informants.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

Child sex tourism is a growing problem in todays globalized world.This paper is conserned with the problems of those who isn't sexually drawn to children when they are in their own community but who, on their travels, sexually abuse them.The aim of the study is to analyze what makes people commiting sex crime abroad, and breake those laws which, usually, are in line with the persons own values and normsystems.What impact has travelling and tourism on the behaviour of the individual? And which social factors makes people into sudden offenders? By comparing the litterature on child sex turismwith theories in sociology and criminology you could se some factors of and structures in society contributing to the issue..

The workplace is perhaps the most developed arena for prevention of diseases and injuries among employees. In addition, according to the Swedish Work Environment Act, the employer is responsible to address physical and psychosocial risk factors. Moreover, many employers use health promotion, primarily related to individuals and their ambition to maintain or improve health, for example through dietary means and exercise. The aim of this study is to investigate health inspirers in municipal activities and their perceived support and motivation in work related to health promotion at the workplace. A qualitative method was chosen where six health inspirers within Ludvika kommun were interviewed.

This study is based on interviews with four managers in public elderly care and four managers in private elderly care. The aim of this paper is to examine how these managers are experiencing their leadership in relation to conflict management, and if the managers leadership differs depending on private or public elderly care. Leadership and conflict management are theories that have been used in order to analyze the empirical findings. Previous research that has been used in the study concerns ?leadership/leadership styles?, ?conflict management?, ?to be active in the private/public elderly care?.

The overriding purpose of this graduate thesis is to evaluate if municipalities and county councils can deviate from the legislation of public procurement during procurement of customer choice agreements within the health and social care area. The intention of this Quasi-market is to provide the users with competition in terms of quality rather then the general principal rule of economic value.My conclusion results in a legal situation without rules of general procedure. So far the authorities make their own regulation in the field of customer choice agreements. The problem lies within the authorization of new contractors and their right to make an appeal against resolutions made by the authorities social care divisions.One solution is to legislate within the present law of public procurement. Another way to solve the problem is to create a lex specialis apart from the present public procurement regulation..

The purpose of this research has been to study and find out if a diagnose AD/HD is of importance. Does a diagnostic significance matter for how to support and respond to children in school? Are diagnosed children with signs of AD/HD treated differently than children without diagnosis? My study is based on input from teachers, special educators, from two different schools and also one doctor and one parent.I have interviewed teachers, special educators, one physician and one parent. I have been using qualitative interviews with tape recorders and emailed them with open questions. I have been using literature; see bibliography.