AimThe aim of this study is to through managers in eldercares deskriptions of the systematic qualityleadingsystem examine the implementation process of this system in the eldercare in the municipality of Halmstad.  BackgroundIn this paper the background explains elderly care and social work context, leadership in change and implementation processes. The theoretical frame illustrates Vedungs implementation theory and Webers model of bureaucracy MethodTo collect empirical data for this study, a qualitative research design was used in which eleven managers within Halmstads municipality home care management stood as respondents. ResultThe respondents highlighted a variety in the use of the systematic quality management system tool. The result describes that several obstacles were experienced in the use of the systematic quality system. ConclusionBased on the descriptions the respondents gives of the implementation process of the systematic quality management of Halmstad municipality home care management, the conclusion can be drawn that the implementation process has not resulted in the employees making use of systematic quality management in practice. The systematic quality management system that will ensure the quality of the care work is thus used to a limited extent..

The workplace is for many associated with joy and commitment, for others it is associated with fatigue, inadequacy and cynicism that is explained as the three dimensions of burnout. A general view of burnout is that it is an individual problem that many companies ignore, because a preventive task does not generate immediate profits. This has been a growing problem for years. Burnout costs not only money but also time and knowledge. Unfortunately, the popular belief is that "If it ain?t broke, don?t fix it." Organizations that think this way are sacrificing future benefits for short-term gains.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.

As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

Background/Literature: Workplace environment has a significant influence on the livelihood of many in today?s world. In Sweden one million employees feel the effects of ill-health due to a dissatisfactory workplace environment. Consequently there has been a recent focus on the promotion of health in the workplace with an emphasis on physical activities. However scientific research has shown that psychological and social aspects need to be addressed in addition to the physical aspects.

This study deals with one particular instance of foreign policy change in Sweden; The political take-off for enhanced Nordic Defence and Security Cooperation in the beginning of the 21st century which led to an agreement on a Nordic declaration on slolidarity. The aim of this study is to explain why the political development has undergone a rapid upturn and when such a policy change occur. Its purpose is to explain what factors and conditions that influenced the policy change. It also explores the meaning of the Nordic Declaration of Solidarity. The theoretical point of departure is Foreign Policy Analysis combined with John Kingdons policy-window theory.

Bakgrund: Snabb kunskapsutveckling, ökade krav på kvalité och kostnadseffektivitet inom hälso- och sjukvården gör det viktigt att sjuksköterskor har god förmåga att söka och använda evidensbaserad kunskap. Idag finns ett glapp mellan forskning och klinik. Sjuksköterskor upplever flera hinder till att arbeta evidensbaserat. Under hösten 2010 och våren 2011 pågick ett projekt på ett sjukhus i en stad i mellansverige. Projektet hette ?Klinisk bibliotekarie?, syftet var att höja vårdkvalitén och patientsäkerheten genom att det dagliga vårdarbetet ska bli mer evidensbaserat och att sjuksköterskorna ska känna större säkerhet i att ta fram vetenskapligt underlag för sitt arbete.Syfte: Belysa sjuksköterskornas erfarenhet av projektet ?Klinisk bibliotekarie?.Metod: Studien har en kvalitativ design.

Syftet med studien är att intervjua ledare och klarlägga deras åsikter: i) om hur de ser på mångfald, ii) hur de anser att organisationen de arbetar i ser på mångfald och iii) hur de själva ser på sin chefs-/ledarroll. Uppsatsen är genomförd i en kvalitativ metod utifrån en fenomenologisk ansats. Sju inter­vjuer av ledare i en statlig kunskapsorganisation har genomförts. Intervjuerna har varit ostrukture­rade och har utgått från temana: mångfald, ledarskap och organisation. Resultatet visar ett ledarskap som främst ser mångfald utifrån kön men även i viss mån ålder och etnicitet.

ObjectiveThe objective of this study was to investigate the clinical application to use ASSR in anesthetized childrenDesignOne main ambition of the investigation was to compare hearing threshold using ABR with estimated hearing threshold using ASSR. Another aim was to examine if the duration of an ASSR measurement could be reduced by only using the frequencies 1, 2 and 4 kHz and exclude the frequency 0.5 kHz. This is a retrospective study using electrophysiological measurement from a database.ResultResults showed a high correlation between hearing threshold using ABR and estimated thresholds using ASSR, with the frequency 0.5 kHz showing a slightly lower correlation. Result also showed that the test duration was increased when using all test frequencies in ASSR-measurement compared to when 0.5kHz was excluded. ConclusionThe study showed a high correlation when comparing hearing threshold using ABR and ASSR.

Background: Prostate cancer is the fourth most common cancer disease in the world and affects mainly older men. While having prostate cancer the treatment can be both medical and surgical and both these treatments can give side effects like erectile dysfunction, lost libido and hot flushes. Sexuality among elderly is often associated with taboo, but sexuality exists among elderly and is important for their wellbeing and quality of life. It is common that nurses don?t address and discuss questions concerning sexuality with patients, even though they know that sexuality often is affected while having a disease or experiencing illness.

To be able to protect themselves from credit risk, the banks must constantly check the performance of  the companies they have lent money to. There are many mathematical models for predicting financial distress. These models use accounting-based ratios, which often are historical and not representative for the present situation. This study describes how the banks do in practice to find signals of insolvency in time and the variables they are observing for doing that.In addition to financial reports which the company sends in to the bank at least once a year, also the relationship between them and information from different information  agencies are of great importance to track  signals of insolvency. Poor profitability is the primary cause of insolvency.

This study is about organizing major sporting events. Sporting events? numerous positive outcomes for the hosting region has resulted in a growing number and size of sporting events globally. The aim of this study was therefore to provide further knowledge about how organizations in major sport events practically and strategically operate and how processes related to organization and leadership can contribute to the success of the event. The study focuses the context of a Swedish national multi-sport event hosted and held by three different cities, three different years.

Handledning av sjuksköterskestudenter är ett komplext arbete som kräver tid och. Handledare upplever brist på stöttning från kollegor och avdelningschef. Det är önskvärt om kollegor är villiga att ta över en del av patientomvårdnande så att handledare får mer tid för handledning av studenter under verksamhetsförlagd utbildning [Vfu]. Syftet med denna litteraturstudie var att belysa studenthandledning under Vfu där studenters och handledares uppfattningar belyses. Litteraturstudien består av 20 artiklar vilka analyserats utifrån studiens syfte och delats in i två teman utifrån handledares och studenters uppfattningar.

Scintigraphic examination of the esophagus has for some time been the method of choice for the study of motility dysfunction in humans. The method has not yet been described for horses hence the lack of reference values for passage time for a bolus through the esophagus in healthy subjects. The purposes of this study were to measure passage velocity and time for a bolus to pass through the esophagus in healthy subjects, as well as to evaluate the reproducibility of the method. Eight warm-blooded trotters were used in the study. The horses were sedated with a low dose of Acepromazine prior to onset of the study.