Background: Children frequently exhibit high levels of distress while undergoing routine blood sampling or injections. If the child is not treated with appropriate care, the feelings of distress may increase over time and result in needle-phobia. Objective: The purpose of this study was to describe nurses´ possibilities to relieve distress in children undergoing needle sticks. Method: A systematic literature review was conducted through database search and screening of reference lists. Ten research articles with a quantitative approach were included, coded for quality and then analyzed.

The aim of the project is to develop a tool for a management system at the advertising agency ofConfetti. The company has during a longer period of time felt a need of introducing a quality and environmentalsystem but have a lack in resources of knowledge, time and money. Their goal is to have aconcrete documentation which describes their quality policy and the function of the activity.The work has been performed by mapping and analyzing the processes of the company according tothe process model with focus on one pilot process. New routines have been developed and documentedin a management system.Confetti would like their management system to fulfil the ISO-standard so that they eventually inthe future can be certified. Therefore a literature study has been done according to management systemsand standards.

The purpose of this study was to investigate to what extent  young adults use media to create the image of themselves. The questions we wanted to answer was as follows: what does the media use of young adults look like compared to their attitudes towards media content; what awareness do they have of other young adults attitudes concerning media content; and finally, how do these attitudes affect their own media use?Media consumption is a great part of  the daily lives of young adults living in Sweden: the national  average media consumption is seven hours a day, for 15-24 year olds. This provides a new way for young adults to express their identity - by showing their use of different media content, they can change other's perception of themselves.The method we used in our study was a combination between a quantitative and a qualitative method. We first made a survey in three classes with senior year high school-students, in a Swedish school.

The purpose of this study was to examine work related stressors and related coping strategies among case managers at a domestic violence shelter in the United States. We further wanted to examine whether locus of control among the participants could be related to work related stress and coping strategies. Qualitative interviews were performed with eight case managers to gain knowledge about the stressors and coping strategies they used by examining their thoughts, feelings and experiences. The result showed that the case managers experience a number of stressors in their work environment such as system problems (e.g., lack of re¬sources and time pressure) and emotional stress. Coping responses among the case managers included efforts to alter the problem, so called problem focused coping, efforts to control emo¬tions, so called emotions focused coping and social support from colleagues.

The ambition with this study is to look into and create an understanding for how an intranet can work as a support system in work processes in capacity as a source of knowledge. We want to enhance the understanding for which kind of knowledge that can be coded in and transmitted by an intranet, and which that is lost in this process. We also want to clarify what it takes to get this knowledge, in collaboration with the intranet, to support the work in an organization. It is a qualitative case study at a Swedish bank. It consisted of semi standardized, half structured interviews with five people in one of the bank?s local offices.

 The purpose with my study was primarily to illuminate the students' expectations on gained knowledge during their studies at the upper secondary school Hotel- and Restaurant program, and to what extent these expectations were fulfilled. Secondarily, the purpose was to compare the students' expected and perceived knowledge with the program goals set by the Swedish government and the knowledge requirements expressed in a pilot study made by the Education council of the Hotel and restaurant business (UHR, 2007).I chose a quantative approach and I used an anonymous group enquiry among students at the Hotel- and Restaurant program at two different upper secondary schools to carry out my study.Tendencies in the result suggested that the students at the Hotel- and Restaurant program expected high knowledge level within the competence areas of Guest reception and communication, Cleaning and hygiene, Cooking of cold and hot dishes and Waiting. The expectations were not big within the areas Computers and Internet and Business economics and management.Fulfillment of expected knowledge tended to be high within the areas where the expectations were big. It might therefore be a good investment for schools to work on the student expectations to increase motivation within the low expectation areas.A confrontation of the tendencies in the result with the program goals and the competence requirements expressed in the UHR study, suggested that the upper secondary Hotel- and Restaurant education might focus some more the areas of Guest reception and communication, Beverages and Organization of banquets. Business economics and management should be given much more weight..

Aim: The aim of the study was to investigate attitude and practice to prescribe physical activity accordingly FaR® rules among personal at the specialized department of the University Hospital. Methods: A quantitative cross-sectional study was used to answer the purpose. The data were collected using specially designed questionnaire. That contained 11 questions related to interest and complications to use FaR® as a treatment method. A total of 38 individuals participated in the study.

The thesis has been carried out at Nedis AB in Jönköping. The aim was to develop proposals on approaches that could help the company to continually improve their warehouse operations by eliminating unnecessary operations, making the warehouse more structured and how they better could use the staff's suggestions for improve-ment. The collection of data consists of observations, interviews with a total of nine people from the staff of Nedis AB and a benchmarking conducted at Husqvarna AB. A number of shortcomings and weaknesses in procedures at the warehouse were iden-tified. Packing stations were not standardized and they were seen as poorly structured and messy.

This study is based on AgroSeas business idea from environmental problems to valuable resource, with the objective to optimize a method to purify the already eutrophicated Baltic Sea by harvesting water plants, mainly reed. The nutrients will then be recirculated to arable land through residues from biogas production. The amount of nutrients that can be removed by harvesting the biomass depends on the amounts of biomass and the nutrient content of it, which in turn is strongly dependent on the nutrient concentration of the surrounding water. Vegetation suggested in the study for an effective nutrient uptake is helophytes: reed, cattails, reed canary grass, reed sweet grass in shallower water and lemnoideaes: duckweed and nymphaeids in the deeper parts. Competitive species has high purification ability but requires regular maintenance to avoid channeling and overgrowth. Regarding time and method of harvest, effectiveness may be improved by: harvesting plants above the water level and after flowering, a border is kept, harvesting twice a season, a bigger machine and a regular maintenance. This literature has illuminated a major environmental problem and it has been suggested optimizations for a method for cleaning the Baltic Sea through harvesting water plants, but to get a definite answer for the optimal method for each site tests should be carried out, this because many factors determine to what is suitable for each, specific environment. .

Purpose: The aim is to investigate the mechanisms behind the destructive entrepreneurship in the assistance industry.Method: To investigate the destructive entrepreneurship in the assistance industry, we conducted a qualitative study in the form of semi-structured questions. In total, we interviewed four authorities and an employer organization.Theory: Theoretical framework: The study is based on Baumol's (1990) theory of productive, unproductive and destructive entrepreneurship and rent-seeking by Murphy et al (1991), but the study's principal theory that we have chosen to apply is the routine activity theory of Cohen & Felson (1979) that describes three elements that must come together in order for a crime to be committed.Conclusions and discussion: Our study shows that it is clear that there is both fraud and abuse within the assistance allowance, which can be done in different ways. Some users simulate their illness that they exaggerate their need for assistance. Some assistance providers have abused the compensation by paying lower wages and empty false wages etc. The study showed that there also exists a type of human trafficking.

SAMMANFATTNING Bakgrund: Sömn är grundläggande för att människor ska uppleva hälsa och välbefinnande.Syftet: Att undersöka sömnrutiners och omgivande faktorers betydelse för god sömn hos patienter på rehabiliteringsklinik.                                                                                      Metod: En kvantitativ deskriptiv tvärsnittsstudie genomfördes med hjälp av en enkätundersökning på två rehabiliteringskliniker i Stockholm. Patienterna (n=33) togs ut enligt konsekutiv ordning utifrån att de bedömdes kunna fylla i enkäten (adekvata, orienterade till tid och rum, förstod svenska språket). Enkäten, ett validerat och reliabelt redan befintligt frågeformulär, Karolinska Sleep Questionaire (KSQ) användes efter omarbetning.     Resultat: Den sammanlagda bedömningen av sömnen utifrån de fyra indexen, sömnkvalitetsindex, uppvaknandebesvärsindex, snarkbesvärsindex och sömnighets/trötthetsindex visade att det var 76 % som ansåg sig ha dålig sömn.

Background: Ill-health related to unhealthy lifestyle is increasing and despite existing knowledge about healthy lifestyle it is difficult to change behaviour. Counselling in the primary health care is often superficial and without critical elements for behaviour change. Aim: The aim of this paper to elucidate interventions for change of lifestyle with respect diet and physical activity. Method: A literature review was carried out and ten scientific articles were analyzed and compiled in two main categories: design of these interventions and participation in them. Results: Education, decision making, goal setting, feedback, social support and follow-up were identified as critical elements for behaviour change.

During the timber floating era, most of Sweden?s watercourses were altered. This decreased the amount of available spawning habitats for salmonids, and hence had a negative effect on the riverine brown trout (Salmo trutta) populations. Reconstruction of spawning grounds is today a common measure in restoration of altered streams in Sweden. However, very little evaluation of the effectiveness of these reconstructed spawning grounds exists.

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.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.