Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of importance for compliance was profession, lack of time, knowledge/education, physical work environment, attitudes toward hand hygiene, and dry hands.Conclusion: More education, less workload and more visible placement of hand disinfectant containers are examples of actions that could lead to the improvement of staff hand hygiene and reduce the incidence of healthcare associated infections. Due to the fact that health care workers around the world have different training and approaches, the result of this study may be difficult to use. To increase adherence to hand hygiene, a similar study limited to a specific country, such as Sweden, would therefore be interesting to carry through.Keywords: hand hygiene, Infection Control, Compliance..

The aim of the study was to describe how managers at the eldercare system especially in nursing homes work to ensure high quality care. For this purpose, a qualitative method was used in this study and four managers at nursing home have been interviewed. Previous studies have shown that managers in some cases are restricted in their actions and that this may slow down the improvement of the care. At the same time the managers describe their work as demanding and diverse. They have a significant staff responsibility, meaning that they have to ensure the quality of care.

A third party access to district heating networks has been proposed in Sweden, to increase the competition on the district heating market. Such third party access could create opportunities for the agricultural sector as an energy producer. This study describes the technical, economical and environmental prerequisites for a farmer cluster to build and run a heating plant, fueled with local wood fuel. The heating plant in the described scenario is 8 MW and will supply a village of 1000 houses, and is fueled with wood chips exclusively. Supplying a heating plant with fuel puts high demands on the logistics, since there need to be a continuous flow of fuel. In the scenario, wood residues from felling and thinning is stored in stacks in the forest, and a few times a year chipped and transported to a storage area at the heating plant. In the study, an estimation of the profitability has been made by estimating the cost of the investment, personnel, operating and maintenance costs and costs for the fuel and ash handling.

Background: Home health care means that patients receive care in their home. Äldrevårdsenheten in Uppsala County treats people, over 65 years, in the patient's home and because of the fact that the quality of care from the patient´s perspective not have been studied previously, this study as part of the quality control of the business.Aim: The aim of this study was to investigate how patients, and family members, who receive care within the Äldrevårdsenheten in Uppsala County experiencing the care provided in the home.Method: Interview study with qualitative analysis.Results: Patients who are cared for within the Elderly Care Unit in Uppsala County Council has a positive experience of home care. Being cared for in the home creates a sense of security and calm in the patients rather than the stress and fear of long waits in the emergency department and planning advice from medical appointments . In contrast, perceived lack of physicians in home care and accessibility to health care staff.Conclusion: In general, patients in the Elderly Care Unit in Uppsala County Council very pleased with the opportunity to the treatment they received at home. However, there are some weaknesses that need improvement. .

The purpose of this study was to make a survey of a larger company in Sweden to analyze if it complied to the stipulated Systematic Work Environment Management rules in Sweden. The company chosen was Hennes & Mauritz. The key question was to see if the company was examining and judging the risks, developing handling plans and if they were making yearly follow ups so that problems could be attended to. Further, I also wanted to examine if there was lack of competence within different departments as well as give some substantiate proposals on educations in Systematic Work Environment Management. The method used to investigate this was interviews and observations on how the Systematic Work Environment Management was handled in the company.

Background: One of the healthcare tasks is to inform and support patients. Information and support is very important for the management of the disease in patients with psoriasis. Healthcare often focuses on the medical aspects and can easily forget about the individual behind the disease.Aim: To explore what kind of information and support patients with psoriasis receive and need to manage their skin disease.Method: Quantitative study with descriptive design and qualitative elements by analysis of the questionnaire with open questions. The study included 22 participants.Findings: The majority of participants responded that they had received information about various therapies, medications and generally about psoriasis. The information participants most often responded they needed, was essentially continuous information and updates on treatments and knowledge about psoriasis according to medical science.

Pharmaceuticals are environmental pollutants that are a major threat to aquatic ecosystems and very little is known about their ecological consequences. In this study growth, survival and behaviour (sociability, activity and boldness) of perch fry (Perca fluviatilis) were examined in order to study the possible effects of exposure to a benzodiazepine anxiolytic drug, Oxazepam, during embryonic development. The study tested following hypotheses: (1) perch growth is affected positively by exposure during embryonic development; (2) early perch survival is affected positively by exposure during embryonic development; and (3) boldness and activity increases while sociability decreases in perch fry exposed during embryonic development. Embryos of naturally spawned perch were exposed to water with two different concentrations of Oxazepam. The embryos were exposed during different parts (24-hour periods) of the embryonic development, because embryos may be more vulnerable at certain times during embryonic development and/or because the exposure at different times can produce different effects.

The first aim of this thesis is to descriptively identify and chart the activities of the strategic intelligence and environmental scanning that take place at the regional collaboration network Regionförbundet Örebro. This identification is essential in reaching the comprehensive and primary aim of the thesis: to discuss, through normative discourse, what the options of improvement are and in which ways systematic operations can be integrating parts in the organization. In order to offer guidance of development from the perspectives of environmental scanning, the question at issue has emanated from activities concerning the present methods of working at Regionförbundet Örebro.During the creation of this thesis, several interviews have been made with people who are regarded to be key roles within the regional collaboration network. An analysis has been made, based on governing documents and answers from the interviews, where possible improvements of the business have been identified. The inferences become parts of a greater potential of amelioration since they are presented as active solutions and proposals that can be directly adaptable to the organization.Our proposals of improvements/ameliorations are constituted by a number of concrete/explicit points such as: a wider public information supply and an introduction of several annual routines and methods..

The intention of this final thesis is to look into the improvement of small and run down railway stations. Many railway stations are today derelict and decaying. The purpose of this essay is to propose alternative strategies of action by discussing the ecology, the history and the social function of the railway station. There is also an overview of projects already completed. In the analysis part of the thesis, the genius loci or the spirit of place is put forward as means of reaching a solution.

In an effort to evaluate the effects of restorations of float ways on population density of stream dwelling fish in relation to the changes in habitat, I studied the physical habitat restored and channalized sites and their population density of brown trout (Salmo trutta L.) in three streams in the municipality of Sorsele. The differences between the channalized and the restored sites where most noticeable regarding substrate which where generally coarser in the restored sites. The analyses showed that the proportion of habitat that where suitable to the age class 0+ where significantly lower in the restored sites compared to the channalized sites. Regarding age class ?2+, no statistical differences in habitat quality were found.

The main purpose of this bachelor?s thesis is to examine how Swedish upper secondary school librarians and related staff relate to the online encyclopaedia Wikipedia. The research is placed in the all-embracing context of information literacy and source criticism on the Internet. The study was carried out in the form of qualitative interviews and based on two theoretical bases: firstly, the concept of cognitive authority stipulated by Patrick Wilson, and secondly the idea that Wikipedia has a draw towards late modern epistemological assumptions. The latter theory was also associated with the perceptions of knowledge among the library staff interviewed.

ABSTRACTAim: The aim of this study is to chart the experiences of Swedish general psychiatric care on a Swedish University hospital from a relative?s point of view. The study focus on how they are meet, satisfaction with and participation in the care. The study is done as an improvement project.Methods: The study was conducted by performing semi-structured interviews with eight close relatives to patients on a general psychiatric ward. The interviews lasted for 20-40 minutes.Results: The result shows that relatives are satisfied with the way they are meet by the staff on the ward, that they appreciate staff that are open, down to earth and are inviting to form a good relationship.

The aim of this study is to examine marriage as something both desirable and normal in three popular novels from the 1860s about marriage: Rosa Carlén?s Agnes Tell: en äktenskapshistoria (1860), Marie Sophie Schwartz?s Alma eller De moderna äktenskapen (1860) and Sara Pfeiffer?s Aurora Trampe (1867). Using a theoretical perspective from Michel Foucault and Judith Butler, I have analysed the novels as being producers of, and resistance against, norms.The good marriage is partly depicted as a utopian vision in the novels, which therefore functions as fantasies for the readers. But it is also depicted as a realistic possibility. Though difficult to achieve, the main characters reach the goal through individual improvement towards correct behaviour.The question for the main characters is not whether they are going to marry or not, but how to make their marriages good ones.

Usability is a field within systems development which doesn?t get the attention it might deserve. Above all, it?s considered time consuming and expensive by many people in the industry. The current information regarding low-cost alternatives to achieve a more usable system seems to be almost non-existent.

Abstract   Cinematic time is the most complex of all: it is composed of public time (clock), personal time (experienced) and in addition, it can run backwards, be contingent, stored and (re)created. The present study examines some aspects of cinematic time, with special reference to the instant, the moment and the present. The strictly defined instant or moment does not exist. It is a passage between the past and the future and it is impossible to record on film or a photograph. One example is the moment of death, which is an abstraction with zero duration.