Bakgrund: Dokumentationssystemet för sjuksköterskor har förändrats sedan sjuk-sköterskor blev skyldiga att dokumentera i patientjournalen. Detta har lett till att omvårdnaden har synliggjorts och därmed kan granskas. System för att kvalitetssäkra patientarbetet har med tiden arbetats fram, bl a VIPS-modellen och Melior. Sjuksköterskans dokumentationssystem är dock fortfarande i behov av utveckling. Syfte: Syftet var att undersöka sjuksköterskors skilda uppfattningar om omvårdnadsdokumentation. Metod: På ett sjukhus i södra Sverige genomfördes en fenomenografisk studie genom intervjuer av 11 sjuksköterskor. Resultat: Av 244 uppfattningar från intervjuerna skapades fem huvudkategorier och 12 subkategorier.

At the moment in central Täby there are small district heating network operated by Fortum Heat. The distribution network has an annual heat demand of about 70 GWh, which is supported by the network's two plants, Galten and Farmen. Täby as a region is rapidly growing and there are grand plans to develop the area. Estimated market potential for a future district heating expansion in Täby is very high and as early as in 2007 Täby decided to invest in a large-scale expansion. In autumn 2009 Täby did a procurement process, known as the ?Täby initiative?, to find a partner that could implement those expansion plans. To secure a cheap basic production the partner also need to build a power plant at Hagby recycling center. Despite high interest during initial state of the process, only one procurement offer were received and Täby suspended the contract in March the following year.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Cost allocation ? a study of how Swedish energy companies allocate costs between electricity and district heating in a combined heat and power plant District heating is today the most utilized alternative for heating in Sweden. In a combined heat and power plant (CHP) electricity and heat are cogenerated. The environmental and economic advantages with this kind of production are high. A problem in a CHP-plant is to allocate costs between electricity and heat since both products are generated in the same process.

Trots att integritet har ett fundamentalt värde i vårt samhälle finns det ingen klar definition av vad begreppet verkligen innebär. Syftet med denna studie var att belysa innebörden av begreppet integritet såsom det visar sig i mötet mellan vårdpersonal och patient. Studien är gjord som en systematisk litteraturstudie och bygger på 10 kvalitativa empiriska studier som behandlar fenomenet integritet. Resultatet visar att integritet är ett begrepp som inrymmer flera dimensioner såsom autonomi, att bli sedd som individ, att bli tagen på allvar, det privata rummet, fysisk integritet, information, kulturell identitet, social identitet samt förlöjligande. Trots att både patienter och vårdgivare till stor del delar uppfattning om hur integritet kan bevaras eller hotas utsätts många patienter för kränkande handlingar i omvårdnadssituationer..

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

In the urban planning debate of today, two strategies for city development stand out as each other's opposites, urban sprawl and smart growth. This thesis concerns a development project of the latter kind and aims to give an alternative proposal to new buildings and a park in a Swedish city block. The term sprawl is used for new developments on virgin soil on the outskirts of cities leading to a city spreading, while smart growth stand for increased city density through development on re-used land within the city boundaries. The latter are often seen as more sustainable in many levels and are also shown to have positive effects on a number of city functions. At the same time smart growth has negative consequences on other aspects of the city such as public open spaces.

Background: Human interaction by touch plays a central role for our health and well being throughout life. When people touch each other our bodies release a hormone called oxytocin into the bloodstream, this gives the body a soothing effect. Touching on the other hand can be perceived as unpleasant if it is not in accordance with the patient?s norm or wishes. From biblical times and through to today human touch plays a central part of nursing.

This study had two different aims. The main aim was to investigate the dynamics and impact of African swine fever (ASF) on a farm in Uganda during a recent outbreak through a case study. The second aim was to estimate the presence of two important differential diagnoses of ASF: Classical swine fever (CSF) and Porcine Reproduction and Respiratory syndrome (PRRS).The field and laboratory based case study of the farm level dynamics of ASF virus during a recent outbreak (October-December 2010) on a farm in the district of Mityana, Uganda, was conducted, using interviews, ELISA and RT-PCR. The financial impact on the farm was also estimated. The impact of the outbreak was profound.

Over the years, what people have considered as the center of Stockholm City has gone from the medieval Stortorget in Old Town to the contemporary Sergels Torg. But more recently it has become unclear how the area really works. It is difficult to say where the actual central part of Stockholm lies, because while the Central Station is where the majority of people arrive into town, it is not necessarily close to Sergelstorg (considered the center of town) or other attractive commercial areas. There's also another issue with where the center of Stockholm is located. The railways and roads running along Klarabergs Viaduct acts as a divide between the areas of Kungsholmen and Norrmalm; these rails, roads and water separate the two areas from each other. In response to this problem of area division, a plan is being made to construct a new district near the center to mend the gap between the districts. The idea is that the center of Stockholm city will become more lively and attractive. The plan includes building new housing, commercial areas and a larger terrace called Mälarterrassen. In addition, improved mobility within the area is being planned by having better public transportation lines like City banan and tram named Spårväg City construction, as well as more pedestrian areas shall make the area become a district to thrive in.How the area will actually operate in the future is still unclear and many questions still exist about how the area will be able to compete and, above all, integrate with the other districts. The parts considered to be most important for the area is the scale of residential property and an attractive area that keeps people in the area and to encourages them to pass through the area. Perhaps the best solution would be to have something special planned in this area that can attract people in the community ? a city park, for example?.

Palliativ vård definieras enligt Världshälsoorganisationen som ett förhållningssätt som ska syfta till att förbättra livskvaliteten för patienter och deras familjer som drabbas av problem som kan uppstå vid livshotande sjukdom. Det blir allt vanligare att människor med obotliga sjukdomar vårdas hemma den sista tiden i livet och några av förutsättningarna för att vårdas hemma är att det finns fungerande stöd från hemsjukvården samt att närstående är delaktiga i vården. Syftet med studien var att beskriva distriktssköterkans reflektioner och upplevelser av sin egen roll i relationen till närstående vid palliativ vård i hemmet. Studien har en beskrivande design med kvalitativ ansats. Det är en intervjustudie genomförd med åtta distriktssköterskor som arbetade med hemsjukvård och palliativ vård i hemmet.

Bakgrund: Fördelarna med amning är välkända men trots det avbryter många svenska mödrar sin amning tidigare. Att avbryta amningen kan för en del mödrar vara problematisk och leda till skuldkänslor. Tidigare studier visar att brister i stödet ökar känslor av frustration, förvirring och tvivel hos mödrarna. Syfte: Att beskriva vilken erfarenhet distriktssköterskan inom barnhälsovården har av att stödja mödrar som valt att avbryta amningen. Metod: Studien har en kvalitativ ansats där semistrukturerade intervjuer genomfördes med tio distriktssköterskor.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

This thesis consider alternatives for heating and cooling planned office buildings at Arlanda airport. The thesis is divided into three parts where the third part is a shorter synthesis of the two first. In the first part the energy demands of the buildings are modelled in a computer program. Two different building models are created, one more conventional and one with good energy properties. The results shows that with proper construction and ventilation systems etc.

The objective of this study was to investigate the attitude towards African swine fever (ASF) primarily among smallholder pig farmers but also among other actors along the pork value chain in Gulu district, Uganda. More specifically, the study aimed to investigate the specific challenges facing both farmers and other members of the pork value chain using participatory epidemiology (PE). ASF is a feared viral disease of pigs associated with high mortality, which is endemic in many parts of Africa. The recent history of Gulu district in Northern Uganda can be described as turbulent and the human population has suffered during decades of war and civil unrest. Pig keeping is considered a potential opportunity for business as well as a way of providing more animal protein in the diet. However, this is threatened by ASF as farmers can lose entire herds due to the disease. This study can confirm some previously known factors and risk activities such as the free range system of pigs and movement of pigs and pork during ongoing outbreaks, which make disease control difficult.