The purpose of this study was to analyze how the key staff concept is used in residential care for children and young people and which role the key staff concept plays in the organization.The study was based on semi-structured qualitative interviews with six key staff and two managers from two different residential care facilities for children and young people. The theoretical perspective used was the neo-institutional theory and Hasenfeld´s term Human service organizations.One of the conclusions of the study was that the key staff describe that they have a central role when it comes to the treatment of the children. Another conclusion showed the variety of tasks that the key staff have, like the administrative work that they do. They also have an educational role, similar to the one that parents normally have which means that they are responsible of parenting the children. They also described themselves as a link between the children and their social network.

SummaryIntroductory: Since the mid-90s, the numbers of places in psychiatric inpatient settings have decreased and accommodations for individuals with schizophrenia have become increasingly common. In addition to the basic needs that we humans have, individuals with schizophrenia may be in need of special support. Social support can be seen as a protective factor for maintaining health and the recovery of the individual. Lack of social support has shown to be linked to mental illness. The extent of need and support of individuals with mental disabilities may be such that they live in a special accommodation where such assistance can be provided by staff.

This qualitative interview study examines the shared and discrepant experiences that nine professionals, three from each field of psychiatry, social service, and housing have from working with people with hoarding disorder, and their view on help. The main difficulty when working with hoarding disorder is described as lack of insight and understanding of the severity and consequences of the disorder among people with the disability. Professionals highlight the importance of proper diagnosis and cooperation among disciplinary teams working with hoarding disorder. Approaches differ regarding the issue of how to best help a person with hoarding disorder, especially as the emphasis of autonomy becomes more prevalent. The landlords who were interviewed expressed the hoarders? need of help from the society, whereas the social service interviewees accentuated voluntariness and motivation as a favorable long-term management.

The overarching goal of this paper is to explain the intensive occurrence of partnerships ? regarded as a specific organizational structure ? in the formulation and implementation of Regional Growth Programs.By using theoretical concepts from new institutionalism, the paper tries to examine the explanatory capacity of this theory in the specific case of partnerships. The basis is a skeptical stance towards the conventional interpretation that views partnerships as rational organizational tools. Hence, the purpose of the paper is also to compare our own institutional explanation with the conventional.The paper finds that the occurrence of partnerships can be understood as the effect of an intensive institutional pressure. The government has, in what we regard as the institution for regional development, prescribed the partnership as a rational solution ? a rationalized myth - to the regional growth problem.

The study was performed based on a qualitative method using a hermeneutical approach used to interpret the semi-structured interviews. The study aimed to investigate the Multisystemic therapy (MST) team in Halmstad municipality perceptions on the treatment method multisystemic therapy for youths from the ages of 12-18 years old.The questions were: Does the MST therapists experience that the MST is a method that leads to an improved situation for young people who receive the method? What do the MST therapists describe as opportunities and obstacles in the work with the method?The study builds on previous research on MST and empowerment based on MST. The study shows three therapists and an MST leader's experiences of the treatment and how it is aimed at influencing the parents and the youth for a change. From therapists statements it highlights how the MST method is designed for the young people?s motivation to change by means of the internal and external networks.

Denna uppsats syftar till att undersöka de normativa utrymmen som det finns i dagens internationella samhälle för förebyggande interventioner. Interventioner definieras som ett medel i en större politisk strategi som sker inom en suverän stats gränser mot dess officiella vilja. Vidare skiljer sig förebyggande interventioner från icke-förebyggande genom dess preventiva karaktär. Utifrån en begreppsanalys studeras olika interventionsformer och argument för interventionspolitikens legitimerande. I den följande normativa analysen diskuteras och ställs olika argument om interventioners legitimerande emot varandra, och det normativa utrymmet för interventioner undersöks.

Bakgrund: Lagen om psykiatrisk tvångsvård och Lagen om rättspsykiatrisk vård ger rätt att vårda patienter mot deras vilja. I psykiatrisk vård förekommer specifika omvårdnadsåtgärder som bältesläggning, tvångsmedicinering och avskiljning. Dessa väcker många känslor och kräver att sjuksköterskan arbetar med hänsyn och respekt. Relationen är en central del inom psykiatrisk omvårdnad och ska baseras på tillit och empati. Syfte: Att belysa sjuksköterskors uppfattning om tvångsåtgärders inverkan på omvårdnadsrelationen.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Effects of isoflavone supplementation from soybeans on LDL-cholesterol levels in adultAuthors: Malin Blomgren Alegria and Ruut ReivaaraSupervisor: Lena HulthénExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-08Background: One of the most common causes of death in Sweden is due to cardiovascular diseases such as heart attack and stroke. Hypercholesterolemia is one of the risk factors for cardiovascular disease. In Asia, hypercholesterolemia is less common than in the Western countries. In Asian countries, soy products are consumed in larger quantities than in the Western world, which has led to implemented research with the intention of examining soy's potential effect on cholesterol levels.Objective: To investigate whether there is scientific evidence that isoflavone supplementation from soy bean may have a lowering effect on LDL-cholesterol.Search strategy: The databases used for the systematic literature search were PubMed, Scopus and Cochrane. Keywords used were cholesterol and 9 versions of this, and isoflavones and 11 versions of that.Selection criteria: RCT articles, on humans, written in English, published from 2011 onwards, that focused on interventions with isoflavones from soybeans and its effect on blood cholesterol, the participants were over 18 years old and the study time was at least 24 weeks.

Bakgrund: All sjukvård som bedrivs i Sverige är frivillig, även den psykiatriska vården. Dock kan vården ibland ske med tvångslagar mot patienters vilja. När sjuksköterskan begränsar en patients autonomi i form av tvångsåtgärder kan det bidra till att sjuksköterskan upplever det etiskt jobbigt även om syftet är att göra gott för patienten. Syfte: Syftet med litteraturstudien var att belysa sjuksköterskors upplevelser av att utföra tvingande åtgärder mot patienter med psykossjukdom inom psykiatrisk slutenvård, ur ett etiskt perspektiv. Metod: En litteraturstudie med tio kvalitativa artiklar bearbetades och analyserades av författarna.

The study aims to illustrate how women victims of male violence in intimate relationships are treated during the legal process and with professional perspective describe what women?s experiences considered to be in the legal process. The study also aims to draw attention to the interventions for abused women during the legal process.The results are based on interviews with professionals in the justice system, and on observations in the courtroom. Overall our results show that abused women are in need of a great quantity of help and support before, during and after the negotiation. The legal process is very stressful for the women.

The purpose of this review was to examine in what situations patients with myocardial infarction could feel anxiety. We also wanted to examine what a nurse could do to relieve the anxiety. The results are based on eight scientific articles and one literature review. The results shows that the patient could feel anxiety before examinations and transfers. The patient's anxiety increased if relatives had anxiety and if there were a lack of information from the nurse.

The purpose of this study is to incrementally, through a combination of various methods, examine the assumptions about the working economic outcomes that can be made based on planned ergonomic intervention in a department at Pfizer Health AB in Strängnäs. The study contributes to knowledge about how assumptions on OSH financial results can be made, based on planned ergonomic interventions. These assumptions were based on biomechanical calculations made on the basis of ergonomics measurements with inclinometer. The study is important because previous research has shown that poor work environment have a bad impact on the economy of a company in different ways. It can for example be negative impact on the company's productivity and quality of the units produced or the services provided.

Vårdtagare med demenssjukdom uppvisar ofta beteendemässiga och psykiska symptom vid demens, (BPSD). Syftet med denna studie var att utforska litteratur om sjuksköterskans omvårdnadsåtgärder vid BPSD. Vilka omvårdnadsåtgärder kan sjuksköterskan använda sig av och vilka omvårdnadsåtgärder har mest effekt vid BPSD? Det material som användes var elva vetenskapligt granskade studier som var inriktade på vårdtagare med olika beteendemässiga och psykiska symptom vid demens (BPSD). Kvalitetsgranskning gjordes med hjälp av kvantitativ och kvalitativ granskningsmall. Resultatet delades in i Sociala åtgärder, Musik som åtgärd, Aromaterapi och Beröring som åtgärder, samt Hygienåtgärder.

När en socialsekreterare ska utreda en klient enligt Lag om Vård av Missbrukare i vissa fall (LVM) behöver denne ta ställning utifrån många olika perspektiv. Syftet med denna studie var att ge kunskap om LVM-ärenden ur socialsekreterarens perspektiv samt att belysa deras tankar, uppfattningar och erfarenheter av LVM-handläggning. Undersökningens empiriska material grundar sig på kvalitativa semistrukturerade intervjuer med åtta socialsekreterare. För att kunna tolka och analysera vårt material använde vi oss av utilitarismen och det salutogena perspektivet som tolkningsram.Resultatet visar på att socialsekreterarna upplever både för- och nackdelar i arbetet med lagstiftningen. Socialsekreterarna upplever handläggningen av LVM-ärenden likt ett dilemma.

The purpose of this study was to illustrate the effects of music in pre-, peri-, and postoperative care. This study is a systematic literature study based on 22 scientific articles with quantitative methods. Music is an alternative treatment used in nursing care. Nurses could as a complement to routine pre-, peri-, and postoperative nursing have music interventions in mind, because an operation involves anxiety, fear and pain for many patients. The result of the study shows that music can reduce patients? anxiety, pain and improving their wellbeing and recovery.