Middle managers in social care find themselves in a middle position. The middle management position involves demands from several interested parties. The demands affect and generate feelings both within themselves and within others and the middle managers have to deal with them all.The aim of this study was to investigate the social care middle manager?s personal experiences of emotions in work.We have completed interviews with four middle managers who are assigned to carry out social care. When doing the interviews we used an interview guide divided into different interview areas.

In the last couple of years changes in the legal systems treatment of young offenders has given the social worker more legal responsibility. In view of this, our purpose with this study was to examine how social workers and prosecutors apprehend the role of the social worker during the legal process. The study was delimited to look into the handling of young offenders between the ages of 15 and 18 years old. The questions we intended to look at were: How do the social workers reason when trying to see the need of a child within a legal context; Do prosecutors and social workers experience that they have different approaches when looking at young offenders, as a consequence of their different professions; What is the opinion among social workers considering the duty of the social services to administrate community service for young offenders; How do the social workers argue when determining whether or not a young offender has a "special need for care". These questions were answered through empirical studies where six social workers and two prosecutors were interviewed.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

In Swedish school library research, the role of the school library has seldom been studied in a subject-specific context. When it has been, the subject has usually been a theoretical subject such as Swedish or Social studies. The purpose of this master's thesis is to study what role or roles the school library can play in a different context, in the program-specific subjects at a trade oriented program in the Swedish upper secondary school, and to determine what factors affect the possibility for the school library to play a role in such a context. The Food Programme was selected as the specific program to be studied. In this program, the students learn a trade, in this case bakery, and the teaching in the program-specific subjects can be expected to be practical in nature.

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.

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.

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.

This essay discusses my proposed collection of short stories. The aim has been to examine the texts in terms of form and thematics, and position of the texts in a social context. First I present the collection, and then look at the texts from stylistic angle. I have chosen to use the concept of descriptive style. I have picked out certain parts of my texts in order to see which effect they have on the reader (in this case I).

THE THIN RED LINE ? Identity in theory and method With this essay I want to explore some possibilities with the term identity within archaeology. Identity is a term best understood in the light of different scientific approaches. For instance the anthropological and historical angel combined with the quality of archaeology, as is the case in this essay. By combining these approaches, I create a (clarification) method of exploring traces of identity.By analysing two different graves from Scania, having a negligible number of artefacts from the Viking Age, and three graves from Bornholm, known for its large number of finds from this period, I test the ability of my method.

This is a study of how young flutists experience playing their instrument and having music lessons, especially what they think is most enjoyable. 27 flutists between the ages of 8 and 19 years old, from three different municipal schools of music in central Sweden, were interviewed during spring 2000.Some of the conclusions are that enjoyment coincides with meaningful when you are in a musical context, and when your progress is confirmed by the teacher.The study is to be seen as some examples of different things that young flutists find enjoyable. It is not an enumeration of recommended items in teaching, rather some thoughts about the positive experiences of playing the flute, and how teachers may relate to that..

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

Alzheimer's disease is the most common form of dementia. The individual who fall ill can be in an age between 40-65 years old. When dementia affects individuals at this age, many relatives take their responsibility for taking care of them at home for a long time.The aim of this study was to illustrate emotions relatives experienced when a close family member's suffering from Alzheimer's disease. The study was intended to show relatives emotions, and therefor four self-biographies were chosen to read. The method used to analyze was a narrative literature review.

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.