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.

Befolkningstillväxt har blivit någon form av ett ideal som kommuner anstränger sig för att öka genom att försöka attrahera nya invånare till sina orter och städer. En förutsättning för detta kan vara att till exempel kunna erbjuda attraktiva boendemiljöer med nybyggda och fräscha bostäder. Frågan är dock vilka är förutsättningarna för att en stad ska vara attraktiv? Det finns en mer eller mindre omfattande etnisk segregation i olika delar av samhället i de flesta länder som har en etniskt blandad befolkning. Sverige är inget undantag för detta fenomen.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

Background: Every year 56 million people die around the world and it is estimated that 60% of these people are in need of palliative care. It has been shown that patients in the palliative care experienced their situation as uncertain. When life no longer was certain, the patients tried to live their life day by day and make the best of it. Problem: When patients were diagnosed with an incurable disease the future became unsure, because their life would come to an end. Therefore patients with a palliative diagnosis could be in need of experiencing feelings of security.

In the early 1990?s more and more companies of the Swedish public sector were exposed to competition, and this started the debate on how such actions might affect the business and even society.The first chapter examines how the public sector and especially health care, is financed and managed. We also explore what it means to be exposed to competition and find that there are many different ways of exposing the public sector to competition. The study examines dental care as an example of a market with both publicly and privately owned companies. The purpose of this paper is to explore how publicly and privately owned health care companies view their relationship with their consumers.

Hur samverkar de nationella folkhälsomålen med fysisk planering, och på vilket sätt kan folkhälsomålen beaktas för att förbättra förutsättningarna för ökad fysisk aktivitet hos barn? Denna studie är en fallstudie i Hjo kommun. Studien tar utgångspunkt i kommunens folkhälsoproblematik som visar att det finns en hög förekomst av övervikt hos barn. Intentionen är att undersöka vilka organisatoriska processer som kan underbygga det kommunala arbetet med folkhälsomålen, liksom att ta reda på vilka faktorer i den fysiska miljön som skapar förutsättningar för barns fysiska aktivitet. Avsikten med studien har varit att skapa ett underlag för Hjo kommuns översiktliga planering.

The Department of Forest Products and Management, Swedish University of Agricultural Sciences has received means from Vinnova for a preliminary study of the organisation of logging work of today and how a better logging organisation should be brought about. This thesis reports results from qualitative interviews with nine forest machine contractors regarding the situation of their companies. The interviews have been analysed with respect to the genesis of the companies, which tasks they perform or that they could consider perform-ing, business relationships of the companies, relationships between the different partners of the companies, and the state of competition experienced by the contractors. The companies have developed either from the contractor previously being machine operator employee or from that the contractor in making has owned a machine and needed work. Their primary business is mechanised logging.

In 2014-2015 a large-scale Ebola epidemic occurred in West Africa. The Swedish Civil Contingencies Agency was given the order to conduct the Swedish response. The purpose of this case study was to investigate the impact on project planning of the three factors: the nature of the crisis, political initiative and developing countries. In this case study the crisis was an epidemic, and the project was initiated by the Swedish Government and conducted in two developing countries. The results were intended to contribute to developed understanding and recommendations for future project managers in similar projects.

Mycket händer i Norra Sorgenfri. Det här arbetet syftar till att sätta omvandlingen under lupp och att granska möjligheterna för ett inkluderande stadsliv i området. Vissa forskare hävdar att Malmö segregeras och att fler malmöbor lever i en marginalposition. Avsikterna med omvandlingen är goda och det verkar på planer och program som att stadsdelen kan bli ett område för hela Malmö. Det är dock viktigt att diskutera hur området skulle kunna fungera som mötesplats och boendemiljö.

Denna uppsats har fokus på platser som är möjliga att tala om som mellanrum. Till skillnad från planerade och kontrollerade platser i staden, talas det ofta om mellanrum som oplanerade, okontrollerade och övergivna platser. Enligt forskning av mellanrum, präglas dessa platser av en rad olika motsättningar. Arkitekter och planerare har en tendens att se på mellanrum som överblivna platser utan värde och som en markreserv i väntan på en framtida stadsutveckling. Trots detta används dessa platser av människor, som snarare ser på mellanrum som värdefulla platser och som en slags frizon för människor och aktiviteter som inte ges något utrymme på planerade och kontrollerade platser i staden.

Mellan 1960 och 1970 lades många järnvägssträckor ner sin verksamhet i Sverige, spåren revs upp och bilen tog över vår vardags pendling på allvar. Nu när effekterna av bilens framfart blivit kända är tåget åter ett intressant alternativ och olika gamla tågsträckningar vill återupplivas. Simrishamnsbanan är en sådan tågsträcka och är tänkta att åter förena de orter som finns mellan Malmö och Simrishamn. Veberöd är en av de orter som ligger utmed den forna tågsträckan och orten ingår i Lundskommun och mitt syfte med detta examensarbete är att finna svar på hur Veberöd ur ett ekonomiskat, socialt och ekologiskt "hållbart" sätt ska kunna anpassa sig till ett stationsnära läge, med tyngdpunkt på: Bostadsstruktur, Infrastruktur och Grönstruktur. Detta utifrån ett scenario där Simrishamnsbanan realiseras. Examensarbetet börjar med att problematisera hållbarhetsbegreppet och begrepp som täthet och gleshet, därefter följer en omfattande analys av Veberöds historia, bostadsområden, grönstruktur, verksamhet och service.

Jag har i mitt examensarbete undersöka om man kan skapa en trevligare gatumiljö längs en väg med mycket trafik. Planområdet jag valt att arbeta med sträcker sig mellan Göteborg och Mölndal. Dessa städer binds samman av flera olika vägar. Den första förbindelsen mellan dessa städer gick längsmed Mölndalsån där idag Södra vägen, Mölndalsvägen och Göteborgsvägen finns. Om man ska färdas mellan Göteborg och Mölndal väljer många fortfarande att röra sig längs denna sträckning då den är genast och för att spårvagnen färdas den sträckningen.

The aim of this literature study has been to investigate the general nurse's knowledge of diabetes type 1 and its complications. The questions were: What does the general nurse need to know about diabetes type 1? What does the general nurse know about diabetes type 1? To answer these questions, a literature study has been done of 8 scientific articles. The theoretical reference study on which the study has been based is Gustafsson's SAUK Model for affirmative nursing care. The result shows that the nurse lacks knowledge in the nursing care of diabetes patients and this reflects the fact that little research has been done on diabetes mellitus type 1 in recent years.