Bakgrund: Svenska intensivvårdsregistret (SIR) sammanställer varje år fastställda kvalitetsmått där en av dem är ?Överflyttning till annan intensivvårdsavdelning på grund av egen resursbrist.? Flera studier har visat att de patienter som flyttas mellan intensivvårdsavdelningar har en högre mortalitet och längre vårdtid än de som inte flyttas. Enligt patientsäkerhetslagen ska vårdgivaren förebygga och utreda vårdskador. Ett sätt att mäta vårdrelaterade skador är Global Trigger Tool (GTT).Syfte: Att undersöka frekvensen av skador hos de patienter som överflyttats till annan intensivvårdsavdelning på grund av resursbrist jämfört med en matchad kontrollgrupp.Metod: En retrospektiv, deskriptiv och jämförande pilotstudie. Journaler från patienter som flyttats till annan intensivvårdsavdelning på grund av resursbristscannades efter skador med hjälp av GTT och jämfördes sedan med en kontrollgrupp som inte flyttats mellan intensivvårdsavdelningar.Resultat: I undersökningsgruppen (n=20) återfanns 67 skador med ett genomsnitt på 3,4 skador per patient.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

There is an increase of financial integration, which can be seen in recent mergers of banks, financial institutions etc. in the European Union especially in the Nordic countries. However there are some weaknesses in providing consumers cross border services in the sector of banking, such as cross border bank account transfer of payments. The existing transaction costs do not encourage cross border services. Nevertheless a customer of a global or European bank can anticipate to be treated the same way in all of its branch offices inside the EU countries.

The Homogeneous Charge Compression Ignition (HCCI) engine is promising in terms of lowNOx, low particulates and high efficiency. Due to its homogeneous charge, where thecombustion starts almost simultaneously from a number of points in the combustion chamber,only lean mixtures are possible to burn because of the resulting rapid combustion, which is muchfaster than the combustion in an SI-engine or a diesel engine. When richer mixtures are used thecombustion will start earlier and also be more violent.To phase the combustion later and lower the combustion speed, external cooled EGR can beused. The EGR-system used in this thesis uses a divided exhaust channel where one channel andits corresponding valve are used only for transporting EGR back to the intake system.Consequently the EGR-valve is connected to the intake pressure. This system is called Direct-EGR (D-EGR).Engine tests verified that the CA50 indeed is phased later when cooled EGR is used.

Sweden?s environmental work is to set out from 16 national environmental quality objectives. It aims to work for a sustainable society and to solve our current environmental problems today and not pass them on to future generations. The purpose of this study was to evaluate Uppföljning av handlingsprogram för miljömål (a follow up-study of a programme for environmental quality objectives) and to propose new methods to work with the revision of Handlingsprogram ? så genomför vi de regionala miljömålen i Hallands län (a programme to implement the regional environmental quality objectives in the County of Halland), a revision which will start in autumn 2010.

Background: The district nurse's competence description is comprehensive and sets high standards for a wide range of skills. The population's need for health care will rise according to life expectancy, lifestyle diseases and multi-morbidity increases. To graduate as a district nurse, 75 higher education credits are needed and after graduation, the district nurse must have developed both personal qualities and gained skills that makes it possible to work in primary care, child / school health care and home care. Aim: The aim of this study is to highlight the newly qualified district nurse experiences in developing professional identity and describe on how this development affects nursing.Method: In the pilot study a qualitative method with an inductive approach was used, and data collection was made by four semi-structured interviews. The interviews were analyzed using qualitative content analysis.

Syftet med detta examensarbete har varit att genomföra en nulägesanalys av Hall 7 på Sapa Heat Transfer AB i Finspång. Utifrån nulägesanalysen togs åtgärdsförslag fram som kan generera en effektivare uppvärmning, mindre yttre utsläpp och behagligare arbetsklimat. Problemet i Hall 7 är att processventilationen för varmvalsverk 2051 är ålderstigen och underdimensionerad, den saknar även värmeåtervinning och rening av processfrånluften. Detta leder till oplanerade driftstopp, höga underhållskostnader samt hög energianvändning.För att finna åtgärdsförslag för dessa problem genomfördes en nulägesanalys av Hall 7 genom att mäta luftflöden och temperaturer, analysera utsläppsmätningar och energianvändning samt intervjua personal.Utifrån dessa mätningar har fyra olika åtgärdsförslag tagits fram. De fyra åtgärdsförslagen är benämns: YIT, YIT (Enklare), Homehall och Ökad tilluft.Det åtgärdsförslag som anses vara bäst lämpat för att generera en effektivare uppvärmning, ge mindre yttre utsläpp samt ett behagligare arbetsklimat i Hall 7 är åtgärdsförslag Homehall.

Background: There are many possible reasons why a patient gets a stoma and in every case it?s of importance for the nurse to adjust nursing care, information and patient education from individual presuppositions. Problem: Patient education regarding stoma self-care is an important part of the nurse?s work within stoma care. The patient is depending on the guidance of the nurse and therefore it is relevant to illuminate the importance of education regarding gaining ability to perform self-care.

I orkestermiljo?n blir det livsla?nga la?randet konkretiserat da? varje arbetsvecka inneba?r instudering av ett nytt konsertprogram med da?rpa? fo?ljande konsert. Syftet med denna studie var att beskriva individuella instuderingsstrategier liksom det kollektiva, samtidiga, musikaliska la?randet hos erfarna orkestermusiker i ?den tredje a?ldern?; mellan 50 och 65 a?r. Sju orkestermusiker intervjuades.

Human Resource Management (HRM) has an increasingly strategic role in today?s organizations as the supply of managers is an integral part of the strategic work. In order to retain competence and knowledge, firms are usually designed so that the employees can develop their careers within the firm. Company X is a company in the financial sector and is an example of such firm. However, at Company X: Department Y, very few employees apply for the management positions when they are announced.

Today more and more companies are looking out to adopt a new generation intranet, a social intranet where all employees can engage to express themselves and share information. There are large expectations on these new services, which have the opportunity to create high business value if used actively and qualitatively. However, there is a large challenge in knowing how to best implement these services in an organization in order to achieve this. This paper has investigated how an implementation should be made by defining obstacles for the implementation and adoption, discussing how they could be overcome, investigating what incentives could be used to foster usage and finding common success factors for an implementation.By a qualitative research method, consisting of five case studies and two focus area interviews we found a number of steps that must be followed for an implementation to be successful. First the conditions of the organization must be investigated in order to see whether or not social tools are suitable.

The object with this bachelor thesis is to illustrate if equality is present during the interaction between female and male players in the World of Warcraft with focus on the female players conception. The main question is: How does gender matter in the interaction between female and male players in WoW? This question is particularly interesting because WoW is in its own construction neutral in regards to gender in the aspect that gender does not hinder or benefit your avatar when it comes to the avatars development or possibilities. This bachelor thesis describes the views three of female WoW players and how they perceive the interaction with male players with focus on equality. The informants? personal thoughts and experiences are described.

Syftet med detta examensarbete var att undersöka hur undervisningen i historieämnet kan bidra till en interkulturell identitetsutveckling. Min målsättning var att utifrån lärarnas upplägg och metoder kunna dra slutsatser om hur lärare arbetar med den kulturella identiteten i historieämnet. För att får svar på detta har jag dels fördjupat mig i teorin om kulturell identitet och interkulturell kompetens samt intervjuat tre lärare verksamma i olika kommuner i Sverige och med olika stor erfarenhet av elever med annan kulturell bakgrund. Metoden jag använde mig av var kvalitativ intervju där jag intervjuade lärare enskilt och ställde övergripande frågor och dels följdfrågor. Svaren har jag analyserat och resultatet av undersökningen visade att lärarna inte har någon medveten strategi i undervisning utifrån elever med annan kulturell bakgrund i klassen.

When the population is getting older, the need for complex care and nursing interventions in elderly care increases. To create a holistic view of the elder and their life situation, interprofessional team collaboration is often desirable and necessary. Teamwork is often described in positive terms, but previous research has shown that this work method is complicated and requires constant reflection and development. The purpose of this study was to investigate how elderly care teamwork is formed in the interaction between representatives of different professionals. To accomplish this purpose, we have studied how the team members define a well-functioning teamwork and difficulties, and how consensus is achieved in the team.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.