The care for the elderly in the municipalities has recently seen the need for a formalized system for quality assurance. Under increasing demands for monetary efficiency while bound by law to retain acceptable standards in health care, there is need for efficient and at the same time quality-assured management. The municipalities often solve this puzzle by introducing systems and standards influenced by theory-clusters such as NPM (New Public Management), TQM (Total Quality Management) or other quality management theories.This essay focuses on how the public administration in the municipalities defines quality and designs and implements system for formalized quality assurance. Our basic view of organizations is institutionalist and our theoretical framework includes theories about quality, NPM and TQM..

Background: Patients with heart failure is a patient group growing in numbers, the most common treatment focuses on reliving symptoms and the only cure is heart transplantation. Objective: Aim of the study was to illuminate patients' experiences of living with heart failure at his home. Method: Qualitative design, with a manifest content analysis. The results are based on 12 scientific articles.  Results: Patients with heart failure find that the disease is limited to their daily lives through mental illness and physical symptoms.

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

The aim of this study was to get an insight into the pet owners? experiences associated with euthanasia at small animal clinics, concerning their emotions, the treatment by the personnel and the experiences around various types of support provided by the personnel. The target group was pet owners who had had their animal euthanized at a small animal clinic. Incomplete survey responses and responses where it was clear that the euthanasia took place in the owner?s home were excluded. In the end, a total of 442 pet owners participated and out of those were 92 % women and 8 % were men. The study was carried out using a web-based questionnaire consisting of standardized questions with the opportunity to give further comments to each question and in the field of ?Other comments? as well. Swedish small animal related companies and forums were contacted via email and were asked to alert about the present study on their website or forum.

Introduction: Domestic violence is a big public health problem and the hiddennumbers over victims are big. There is a lack of scientific research in the Nordiccountries when it comes to how the health- and medical care identify and care for thevictims of domestic violence. Aim: This literature review has two aims: To investigatewhat kind of methods maternal health services, child health services and gynecologyclinics in the Nordic countries use to discover women and children exposed to domesticviolence and to investigate if there are any guidelines to go by when a victim ofdomestic violence is identified. Method: A literature review. 12 articles were found inPubMed, Scopus and Cinahl and three more were included after a manual search.

The Bachelor thesis ?Oh, it?s only student radio? is a qualitative study of the Swedish student radio and its members. The study aims to investigate the professionalisation of the radio hosts through Pierre Bourdieu?s theories of field and habitus as well as theories of profession. In order to do so, it?s also necessary to establish the radiostations? perceived role in today?s media landscape by analysing their ambition in relation to other media organisations.

The present study sought to examine the collaborative role of the student organization Here 4 U and the impact of this collaboration on the organization and its partners. As a point of departure a questionnaire was distributed to supervisors, principals and other cooperation partners of Here 4 U, the most prominent quantitative results of which were related to previous research, new institutional theory and empowerment theory. It turned out that partners interacting with Here 4 U felt that the collaboration was necessary and wanted to continue with it. The respondents to the questionnaire were asked to define the concept of collaboration. Factors emphasized by respondents included feeling of community, security, and common goals.

This study, a document analysis with a qualitative approach, explores children, under 18years, who have been subject to measures of child welfare in the city of Malmö during theyears 1935-1937. It also explores the school's role in this context. The questions that the studyis guided by is: How was children described in the Child Welfare documents in Malmö duringthe years 1935-1937? And what role did the school have in Child Welfare work and whatmotivated this? The theoretical approaches are Foucaults theories of power, control anddisciplining.It appears from the study that the school and child welfare authorities had a close cooperationwith the purpose to control the upbringing and disciplining of the children. It was through theupbringing that the deviant child would become a "normal", docile and good, industriouscitizen.

A major part of the Swedish population suffers from myocardial infarction. A wish in the study is to give nurses an increasing knowledge about what patients with myocardial infarction wish to be informed about so that the nurses can meet these patients as good as possible.The aim is to show what nurses need to inform heart patients about to prevent anxiety and fear after hospital care.The method used was literature reviews where seven articles were reviewed according to Polit, et. al., (2001). The databases used were Cinahl and ELIN.Results: There is a dissonance between what the patient and what the nurse is ranking to be the most important item to be informed about after a myocardial infarction. The patients prioritize information about symptoms and lifestylechanges.

The aim of this work is to analyze if a change in the benthic community can be detected two years after a restoration of a small stream. The samples were taken in a small stream at Tinnerö Eklandskap just south of Linköping. In addition to the restored area, two reference sites upstream and downstream of the restored area were sampled to compare to the restored site. The method used for sampling of benthic fauna in the stream was kick sampling. ASPT, Berger-Parker and Renkonen-indices were used to find out if there was any difference between the reference areas and the restored area.

For a long time economic tax equalization system in Sweden has been creating dispute between Swedish communities. Despite the main purpose of the system - to reduce disparities and create equal economic opportunities for all communities ? some regions were not satisfied.The main purpose of this study is to determine what extant has equalization tax on investment spending of Danderyd municipality during 2000-2010 year period. The study is based on annual reports and personal interviews. The theoretical frame of the investigation is founded on Fjertorp's classification of investments and public choice theory.The investigation shows that there were no significant changes neither in investment spending or equalization tax during 2000-2010 period, even after the last changes of economic tax equalizations system in 2005.

The aim of this study is to understand and describe school staff´s view on the legal obligation to report child maltreatment. With this approach I will get a better understanding how child maltreatment can be caught up in the Swedish community. Previous research shows that school is one of the authorities who report most children to social services. Previous research indicates that cooperation between school and social services reduces the time of the investigations, and gives a better understanding of what is to be reported. The result shows that a functional cooperation between school staff´s as well as between school and social services is important for children to be caught up in the community.

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.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.

Syftet med denna uppsats var att beskriva vad som låg i fokus i ungdomars diskussioner, på ett webbaserat community, kring självskadebeteende. Urvalet blev 114 ungdomar mellan 13 och 25 år på communityt Helgon.net. Frågeställningarna var: ?Vilka huvudteman ligger i fokus i ungdomarnas diskussioner??, ?Fungerar diskussionerna på forumen som ett socialt stöd?? och ?Vilka erfarenheter har ungdomarna av professionell hjälp?? Den metod som användes var en kvalitativ analys av de fyra huvudtemana ?Självskadetrend?, ?Varför skada sig själv?, ?Sårskador, ärr och skamkänslor? och ?Behandling och stöd?, som skapades utifrån vad som låg i fokus i ungdomarnas diskussioner. Enligt Alderman, Ahmed och Stacey är självskadebeteende ett sätt att hantera känslomässigt svåra situationer och att därigenom återställa den inre balansen, alltså en slags överlevnadsstrategi.