Syftet med studien var att beskriva nyutbildade distriktssköterskors upplevelse av första tiden i yrket. Studien genomfördes som en semistrukturerad intervjustudie och hade en deskriptiv design. Intervjuerna genomfördes med tio nyutbildade distriktssköterskor inom primärvården i ett län i Mellansverige. Materialet analyserades med hjälp av kvalitativ innehållsanalys. Resultatet redovisas utifrån tre kategorier: Utbildningen förbereder för yrkesrollen men det mesta lärs genom att utöva yrket, Inställning och tidigare erfarenhet påverkar upplevelsen av att vara nybliven distriktssköterska och Viktigt med praktiska förutsättningar för att lära sig yrket.

To increase the understanding of how individuals total life situation affects their stress level and health has lately more frequently been discussed in different contexts. Furthermore, it is important to have knowledge of power structures that exist under given circumstances in a society to get an increased understanding of how to structure the health promoting work to get the highest possible benefits. People?s work life is essential to their health, since we spend a lot of time at work. The aim of this study was to find out which factors that relate to nursing staff?s health and stress level from a general perspective.

This thesis examines a possible control strategy to minimize flow fluctuations in Uppsala?s district heating system. High variations in flow rate may lead to complications caused by hydraulic constraints in the district heating system. These complications, such as inadequate pressure and temperature levels, increase the risk of heat delivery failures. It is therefore important to avoid such situations both for the producer and for the customers.Typically, the forward temperature is controlled by using a rough correlation with respect to the outdoor temperature.

The concept of planetary boundaries was introduced in the year 2009 by a group ofresearchers led by Johan Rockström and Will Steffen. The group presented a draft of thelimits of the planet regarding nine Earth System processes concerning climate change, oceanacidification, stratospheric ozone depletion, atmospheric aerosol loading, interference with Pand N cycles, global freshwater use, land-system change, rate of biodiversity loss andchemical pollution. The starting point for the study presented in this report was that asustainable development only can be achieved if humankind stays within the boundaries. It istherefore, based on the ongoing urbanization, relevant to evaluate how cities affect the EarthSystem processes. The aim of the study was to investigate if Stockholm Royal Seaport (NorraDjurgårdsstaden), a district in the northeast of Stockholm with a clear environmental profile,affects the Earth System processes less than Stockholm in general does.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

The aim with this master thesis is to study which ambitions and strategic aims Gothenburg?s district libraries have regarding their music sections. I have utilized my theory from Sanna Talja, a Finnish researcher in Library and Information Science. She identifies three perspectives in maintaining a music library. She calls them, general education, alternative and demand.

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

The aim of this study was to understand how evaluations are implemented and used in procured nursing homes for elderly. Our methodological approach consisted of a single-case study research. The case in this study was Växjö municipality. Three procured nursing homes for elderly were chosen in the municipality as examples of implementation and use of evaluation. The method for retrieving empirical data and the analyzing of it was based on triangulation.

Arvika Fjärrvärme AB, a district heating company from Arvika, today cover 74 % of their total energy production with biofuel wich runs a 16 MW bioler giving process water at saturated liquid state.In recent years Vaporel AB has introduced a new tecnique that gives an external generation of steam after boilers. The concept is built on an adiabatic pressure drop of the saturated liquid in a so called Flashbox which makes a small part of the liquid to evaporate. The generated steam is lead into a turbine where electricity is in a conventional manner.The purpose with this rapport was to do a basic study for the specific system at Arvika where it?s possible to see the potential production of electricity that follows an installation of a flasbox.The final goal was to introduce an economic analysis of a flashox installation at given conditions.To reach our goals we have created a model in Excel where we used the given conditions at Arvika Fjärrvärme to do our calculations. The model has been tested at three different states, of process water returning to potboiler, to be able to decide the optimal operation for the system at present.The studies have resulted in a pressure of the processwater at 14,5 bar (at) and a pressuredrop to 9,5 bar (at) in the flashbox.

barnsjuksköterska (Lindfred).

This master?s degree project concerns the combination of a multi dwelling passive house with solar energy for the generation of electricity and domestic hot water (DHW). Different alternatives with either solar thermal systems or photovoltaic (PV) systems are compared with two reference alternatives producing DHW from electricity or district heating. The economical comparison uses a life cycle cost (LCC) perspective based on the present value of expenditures for investment, energy and annual operating and maintenance.The energy yields from the solar energy systems were calculated by hand and with simulation software. Calculation and dimensioning of PV systems were carried out with a software called PVSYST.

Då allt fler patienter vårdas i hemmen krävs att samordningen mellan olika vårdaktörer fungerar för att patienterna ska kunna erbjudas en god och säker omvårdnad. Syftet med studien var att beskriva distriktssköterskors erfarenheter av att samordna vården för patienter som vårdades i hemmet. En kvalitativ metod användes och som datainsamlingsmetod valdes intervjuer. Sex distriktssköterskor intervjuades i en kommun i Väst Sverige. Studien resulterade i fem teman: skiftande och komplexa vårdbehov som ska samordnas, att samordna utifrån patientens situation och behov, svårigheter att samordna vården när helhetssynen brister, samordningen av patientens medicinska situation kräver närhet till läkare att rådgöra med och tillfredställelse och nöjdhet för både patienter och distriktssköterskor när samordningen fungerar.

Bakgrund: Antalet patienter med hjärtsvikt kommer att öka i framtiden då fler äldre överlever en hjärtinfarkt vilket är en vanlig orsak till hjärtsvikt. Många patienter med hjärtsvikt väljer att vårdas i sitt hem vilket innebär en utmaning för distriktssköterskor i den kommunala hälso- och sjukvården. Syfte: Syftet med denna studie är att belysa distriktssköterskors stöd till patienter med svår hjärtsvikt som vårdas i hemmet inom kommunal hälso- och sjukvård. Metod: Genom intervjuer samlades data in från sex distriktssköterskor. Data analyserades med kvalitativ innehållsanalys med induktiv ansats.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.