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?.

Introduction: The health for individuals with intellectual disabilities is asubject that is prioritized by the Swedish Institute for Public Health. Socialsupport has been proven to be important for health and quality of life. Despitethis fact there is no research available regarding the influence social support hason health and quality of life for people with intellectual disabilities in Sweden.Aim: To describe social support and the consequence of social support forhealth and quality of life for individuals with intellectual disabilities. Method:A litterature review of research in a defined area with a descriptive design.Systematic searches for articles were done in several databases and ultimately16 articles were chosen. Themes and categories were created with respect to theaim of this study during the analysis of the articles.

Studies in Sweden have shown that the districtnurses had no time for health promotion. The Swedish government also indicate that there is a lack of health promotion and preventive care in Sweden. The purpose of this study was to describe into which extent the districtnurses in the middle and southwest area of Region Skåne worked with preventive care in their profession and into which extent they documented their achievement. The inquiry was answered by 45 districtnurses about background, present situation, preventive care, secondary prevention, tertiary prevention, health promotion and documentation. Results of this study shows that the districtnurses worked mostly with tertiary prevention.

Munnen är ett viktigt organ vad gäller äldres fysiska, psykiska och sociala välbefinnande. Syftet med studien är att sammanställa sjuksköterskans syn på vilka faktorer och förhållande som spelar in på hur den orala vården utförs på äldre. Metoden för studien är en litteraturstudie. Resultatet visade att kunskapsbrist, rutinbrist, tidsbrist, utvärderingsredskap, oral hälsa i syfte att förebygga sjukdomar, etiska dilemma och samarbete med tandvården hade en stor betydelse för hur den orala vården utfördes. Kunskapsbristen ansågs vara kärnan till varför de äldres orala vård försummades av vårdpersonalen.

The aim of this study was to investigate physical education teachers (PET) view of the needs of physiotherapy in compulsory school. Semi structured interviews were conducted with five PET. The study was carried out as a qualitative content analyse study. The interviews were coded in categories independently by the two authors. The categories were then brought together in four major categories: PET work situation, pupil health, physiotherapy and cooperation.

The aim of the study was to describe lone mothers? experience of the contact with the Child Health Centre (CHC). The definition of CHC in the study was the Child Health Centre?s daily activities, the child health nurse and the parent groups. The study had a descriptive design and eleven lone mothers from parent forums on the internet participated.

In view of the difficulty of recruiting staff to care profession and in terms of the increasing need to find ways of ensuring a good language level in the profession, have an interest in language tests been revealed. The purpose of this paper is therefore to highlight the use of language tests for admission to the care courses for adults in Värmland. What provided This is a survey of the prevalence and an examination of the validity of the test. The issue that this study assumed is: How is language test in connection with admission to the certified health and social care courses for adults in Värmland? How well correlates intent of the use of the language test with the test's validity and reliability?The methods used to seek answers to these questions has been a combination of questionnaires and experiments.

The purpose of the literature review was to illuminate how family are responded to in health care and their experiences with a sick person in the palliative care. Ten articles dealing with the questions have been used. The questions emphasized how family experienced the response from people working within health care, their own situations and if they felt they were sufficiently informed. The results were presented from out in the questions in two themes families positive and negative experiences. The results show that for the families to have positive experiences of the respons, the situation and the information given, the working within health care have to make families feel part of the palliative care, to the extent they wish to participate..

Wound care of the horse?s distal part of the leg is challenging. Due to that distal limb wounds are easily enlarged, infected and generally heal slower than wounds on the body of the horse, the need for improved wound nursing arise. One way of improving wound nursing is to evaluate new ways of healing treatment. In this study, evaluation was made of a new product consisting of lactic acid bacteria and honey.

sjuksköterska (I. Dahl).

At two nursing homes for people with dementia a qualitative study was performed. The purpose was to investigate the therapy dog?s meaning to people with dementia from their perspective. Two women and five men with dementia were interviewed, everyone being somewhere between 60 and 87 years of age. All but one had previously owned a dog at some point in their lives.

Gistrand, C. has studied ?Explore young people's problematic backgrounds and their views on the opportunities and obstacles in order to improve their health?, University of Gävle in the course theory and method of application and thesis work.The object of the study was to give young people space to make their voices heard. Further on to make unemployed youths perceptions of perceived opportunities and obstacles in their way to get a job, internship or study, visible. The object of the study was also to show youths? views of health and what they thought about the contributions to society.The method was qualitative, with three semi-structured interviews with men between 20-24 years old (and problematic childhoods, for instance alcohol and drug use) was conducted..The result shows that unemployment increases the risk of illness and unhealthy habits.

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

During the end of the nineteenth century and the beginning of the twentieth century Sweden experienced social changes. The proceeding industrialization led to a process of urbanization where people were forced, more or less, in to the cities to find work. The traditional agricultural self-sufficiency society was successively replaced by salaried employment. This meant that family and home was no longer the major centre of production, nurturance and care. In order to support themselves and their families, even women applied for industrial work.

The aim of this study is to examine the attitude among teachers towards working in subjectspecific groups, so called professional learning communities. The questions being asked arewhat the teachers want to acquire from working in them and how they consider them to beorganised.Previous research show that professional learning communities are means of strengtheningteachers and their teaching from criticism from outside stakeholders such as local politicians,but also parents. They are also means of developing the teaching and the individualteachers at schools.A qualitative study has been made at a Swedish secondary school and is reported in thisstudy. It was done in a hermeneutic discourse and when analysing the results four categoriesof answers appeared. It showed that the teachers working in professional learning communitieswanted to acquire a qualitative discussion regarding what should be taught and in whatway that should be assessed.