The purpose of my study was to examine a competence-development in care of older people in which some of the personnel have been ?spjutspetsar?. More specifically my aim was to investigate how the personnel managed to supervise others in the organization. My main research questions were: How do the care-managers and the care-workers persecute their functions as ?spjutspetsar?? What form has the internal meeting between the competence-development and the organization ideology taken? What possibilities and obstacles have the care-managers and care-workers been confronted? In my study my research method is based on eight qualitative interviews.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

The application of the LSS law and how the public organization (Municipality of Hudiksvall) later had to reform their organization to fit the new demands is the foundation to this master's thesis. An internal evaluation was performed due to this reorganisation process within the social care department (LSS unit). The aim was to investigate and evaluate if the reorganization resulted in a better working environment and if the work load (distribution of work) became more evenly divided between the different unit managing directors. The primary empirical information to this master's thesis is collected from that evaluation report. The main aim of this master?s thesis is to answer if the organisational choice between specialised or de-specialised working tasks has an effect (experienced and measured) on the level of stress among the unit managing directors.

The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness.

This thesis has been performed at the system development company Verendus System AB, together with the home care company Basic Care Unit (BCU).The thesis has consisted of developing a web based informationsystem for BCU in which they can administrate their business. At the time of writing this thesis, BCU was using a windows-application to administrate their activities, which was both costly aswell as resulting in an unnecessary burden. The aim the thesis has thus been to create a platform-independent information system that simplifies and streamlines BCUs work by being user-friendly aswell as imposing some simplifying features.The students has been developing the system by the help of a work method they themselves developed. The method consisted of working in several iterations that each had several milestones. The method resulted in the students knowing easily when each iteration was finished or not.The thesis resulted in a working platform independent prototype.

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

We investigated a retirement home, where we looked at whether there are differences, disagreements or conflicts between teams who work day and night shifts. Our purpose was to examine the Heads of Unit and the employees perspectives on their perceived work situation, cooperation difficulties and why they emerged. We chose the general systems theory as our theoretical basis, which gave us the opportunity to highlight different parts that can affect the working climate and the cooperation of the working groups. The study also highlights the importance of structure, common goals, reporting and dialogue meetings. To understand the perceived work situation, we used methodological triangulation, using quantitative and qualitative methods (surveys, semi-structured interviews).

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

Our purpose was to study how care managers in practice evaluate needs in eldercare. A specific focus was set on elderly persons' sex, an area where former research show that decisions vary considerably. Were the care managers influenced in their decision making by the elderly person's sex? If so, in what ways? Were there variations in the definition of eldercare needs between the four chosen municipalities. And, finally, how did the care managers handle set criteria and priorities in their evaluation of such needs?The study was based on literature as well as interviews with eight care managers, chosen from four Scanian municipalities.We arrived at the conclusion that there is no specific difference in how the care managers evaluate eldercare needs in relation to sex..

At the plant of Sandvik do Brasil in São Paulo there is a need for improving the transport of inserts between the plant building and the stock building. The idea is to install a system with an Automated Guided Vehicle (AGV) to take care of this transportation. The purpose of this report is to present which demands there are on the system and to find the best solution according to the demands.To conclude this work a study was made of the plant and the AGV technology was examined. Several providers of AGV solutions were contacted to get information about prices and detailed solutions.The conclusion was that the most suitable system for this application is a small unit load vehicle using inductive wire as guiding system..

Purpose/Aim: The aim of this thesis was to study Sydsvenskans coverage of the police crisis in Skåne 2009.Material/Method: The study is based on 26 articles which has been analysed within the frames of Norman Faircloughs Critical Discourse Analysis..

In theory, the management control of maintenance functions is described as problematic due to the nature of the work performed in the unit. The purpose of this thesis is to examine these predicted problems in practice. Further,the thesis aims at identifying how these control problems may affect the relationships between the maintenance department and its internal customers. A case study has been conducted in one of Sweden?s largest industrial companies to investigate the said control problems in practice.

Bakgrund: Sederade eller medvetslösa patienter kan inte verbalt kommunicera sin smärta. Smärta är svårt för sjukvårdspersonalen att bedöma om beteendebaserade smärtskattningsinstrument inte är implementerade. Forskning har visat att neurokirurgiska intensivvårdspatienter upplevt moderat till svår smärta under vårdtiden på intensivvårdsavdelningen och denna smärta har underbehandlats. Critical-Care Pain Observation Tool (CPOT) är ett smärtskattningsinstrument som nyligen validerats i Sverige för att kunna användas inom intensivvården på icke kommunikativa vuxna patienter, dock har neurokirurgiska intensivvårdspatienter exkluderats vid valideringen.Syfte: Syftet med denna studie var att undersöka intensivvårdssjuksköterskans uppfattning om CPOTs användbarhet inom neurokirurgisk intensivvård.Metod: Mixed-method enkätstudie. En implementering av ett beteendebaserat smärtskattningsinstrument.Resultat: Elva sjuksköterskor inom neurokirurgisk intensivvård deltog.

Aim Our aim is to highlight perceptions of fibromyalgia among health care personell.MethodsA systematic literature review conducted with a deductive approach.FindingsHealth care personell felt insecure because of a lack of understanding which lead to avoiding contact with these patients. Many felt that the fibromyalgia patient was categorised and that they would have been better served with another name of their disease. There was a great distrust against the diagnosis and its aetiology. The patient was perceived as troublesome, illness-fixated and draining the personell of energy. The paradox that the patient is looking so healthy but bearing so much pain was confusing for the health care personell.Conclusions Communication and an empathic encounter was identified as important elements for patient care.