Bakgrund: Långvarig smärta har funnits hos människor i alla tider och idag ses den långvariga smärtan som ett stort folkhälsoproblem. Långvarig smärta förändrar livsvärlden mer eller mindre. Samtidigt har anmälningar om brister inom bemötande ökat, där sjuksköterskan omnämns. Syfte: Syftet var att beskriva upplevelsen hos personer med långvarig smärta i deras möte med sjuksköterskan. Metod: En litteraturstudie framställd ur vetenskapliga artiklar.

There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.

The aim of this study was to describe the meaning of individual care according to Newborn Individualized Developmental Care and Assessment programs (NIDCAP) to the early born child. The care around the early born child has shown a big importance. NIDCAP incorporates many care aspects that give structure for an individual tailored care. A fast care planning within three days and night after the birth according to NIDCAP has a positive effect for the cognitive development. The early child has showed that the surroundings environment has an important role for their development.

I dagens hårda konkurrens är det viktigt för företag som tillverkar högteknologiska produkter att ha kännedom om vilka kostnader som uppstår på eftermarknaden dvs efter att kunden har köpt deras produkter. Detta är viktigt dels för att kunna visa kunden vilka kostnader som är förknippade med produkten under hela dess livslängd och dels för att öka kostnadsmedvetenheten internt på företaget.Syftet med detta examensarbete är att ta fram en livscykelkostnadsmodell och på ett tydligt sätt visa vilka kostnader som uppstår efter att Saab Electronic Defence Systems i Jönköping har levererat en färdig produkt till kund tills det att den ska avvecklas. Detta var ett behov som fanns på företaget eftersom det inte fanns någon övergripande modell som visar vilka kostnader som uppstår samt vilka aktiviteter som skapar dessa kostnader.För att svara på frågeställningarna har litteraturstudier genomförts parallellt med att flertalet undersökningar och intervjuer har gjorts med personal på anläggningen i Jönköping. Den insamlade empirin har med hjälp av vedertagen teori inom området gjort att frågeställningarna har kunnat besvaras.I examensarbetet finns den övergripande livscykelkostnadsmodellen redovisad. Modellen består av fyra huvudkategorier.

In Sweden, there has been a continuous increase in the volume of housing construction for dairy cattle. Since 2004, the number of new, rebuilt and extended dairy cow houses undergoing preliminary inspection by the authorities has grown. The livestock farms have mostly focused on cow units instead of calf and heifer sheds; which has led to a need for information in this area. The purpose of the study was to improve advisors? knowledge about bovine building construction and function; to enable them to provide more qualified advice to conventional and organic milk producers who sustain larger herds.

Purpose: Our aim is to get an insight on how home care workers experience, handle and looks upon their work. We also want to form an opinion of how home care workers experience the relationship to the clients they meet.Questions: How does home care workers experience their daily work with their clients? Home care workers daily meet many different sorts of clients with different needs, how do they handle this? What kind of support does home care workers get in their work?Method: A qualitative design with semistructured interviews.Conclusion: The most central conclusion from all of our interviews were: that home care service workers has a very stressful and demanding occupation, that the work has a low status, that the personnel has a big responsibility for the wellbeing of other people and that they often find their work satisfying and fun. To have someone to talk to and exchange ideas with was also mentioned by the informants as a vital part of feeling support in their work. From the Antonovskys theory, a sense of coherence, and Goffmans views of the society, we also find that the larger part of our informants feel a high sense of coherence and that when they have to adjust to their different caretakers they play different roles..

This project was started within the Market-Design programme of Elforsk, with the aim of developing representative test systems of Swedish distribution networks. Using such test systems as a basis for reliability and customer interruption cost calculations makes it feasible to analyse the network tariff regulation of Swedish power  istribution companies. In particular, it enables studies of the incentives for companies to invest in system reliability. Until now, the available test systems are either not representative of Swedish conditions, or too small in scale and limited in function.Within this project we have created two test systems. In order to represent the diversity of actual Swedish distribution networks, we have created one test system for urban environments and another for rural environments.

Background During the child?s first year of life there is a continuous contact with the Child Health Services (CHS) and the parents feel confident and involved. After the first year, the visits to the CHS is reduced at the same time as the everyday life changes for the family as the child starts going to day-care and the parents often go back to work.Aim To examine what it is like being a parent to children aged one to five and what kind of parenting support parents of children aged one to five are in need of.Method Semi-structured interviews were used to interview 25 parents in 21 telephone interviews and one focus group with 4 parents. The recruiting of parents was done on site at one open day-care and with the help of CHS nurses in Sweden. There were 10 men and 15 women.

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

Motivation: The aim of this study has been to conduct a comparative study concerning how race, ethnicity and class is represented in American contrary to Swedish daily press and from there on to explore and explain similarities and differences that have been found in the material.Problem statement:? How is race, ethnicity and class represented in American contrary Swedish daily press?? What are the similarities and differences between the countries? daily news flow?? What causes the similiarities and differences to achieve their current form?Material: The material which has been the subject of this study consists of eight articles ? four American articles (USA Today) and four Swedish articles (Dagens Nyheter). The material has been elected to meet certain criterias and mainly discusses the effects the health care reform will have on the American population.Approach: The material has been approached by using theories concerned with race, ethnicity, class and framing. The method used to analyze the material was Critical Discourse Analysis (CDA).Results: The results shows significant similarities, although mainly differences, between the countries? daily news flow.

Rätt utförd handhygien är en av de enklaste, mest betydelsefulla och minst kostsamma metoder för att minska spridning av vårdrelaterade infektioner, VRI. Trots omfattande kampanjer för förbättrad handhygien över hela världen för att förhindra VRI är det svårt att uppnå full följsamhet till rekommenderade riktlinjer. Syftet med denna litteraturstudie var att belysa attityder som kan påverka hälso- och sjukvårdspersonals följsamhet av rekommenderade riktlinjer för handhygien på sjukhus. Litteraturstudien baseras på nio vetenskapliga artiklar som analyserats enligt Lundman och Graneheims (2008) kvalitativa innehållsanalys. Artiklarna har granskats och kvalitetsbedömts utifrån Willman, Stolz och Bahtsevanis (2011) bedömningsmall.

This thesis, in the field of healthcare logistics, has been carried out at Hjärt- och Medicincentrum (HMC) at the University Hospital in Linköping during the fall and spring of 2012/2013. The thesis is done by two students at Linköping University at master?s level within the framework of Industrial Engineering and Management.As Sweden's county councils should not make a profit or loss, it is important that the councils are aware of how much care processes cost. Kardiologiska kliniken at HMC in Östergötland?s county council is one of the clinics that are profitable.

The main purpose of this study was to examine if, and how, persons with psychological impairments have worse living conditions than the population average. The papers intention was to investigate and describe these conditions and to analyze them based on theories of stigma, and systems theory. This paper was composed on a qualitative study in which god men have been interviewed, in addition to accomplish the purpose. This study has highlighted the four individual areas of economy, employment, housing conditions and social relations. Results have shown that people with mental disabilities tend to live in worse living conditions than the population average.

Senior citizens require a healthy oral cavity and healthy teeth in order to eat, speak and preserve their well-being. With age we know that the incidence and prevalence of diseases and symptoms originating from the oral cavity are more common compared to younger age groups. Senior citizens are the fastest growing population on earth, thus the need of healthcare providers with knowledge and skills in oral healthcare are in great demand.  The purpose of this thesis is to identify oral healthcare interventions and educational interventions which have been shown to improve oral health of residents over 65 years of age.  A literature review was conducted in which 15 scientific articles were scrutinized. Databases used were PubMed, Cinahl and Scopus. The results imply that good oral healthcare not only improve the oral health of senior citizens, but also prevents the occurrence of other diseases such as pneumonia and  improve the overall quality of life.

AbstractThe aim: The aim of the study was to describe what women are most satisfied with in maternity care and if women´s childbirth experiences can be described by means of the QPP-I, who contains 32 statements related to maternity care. Design: The study is part of a national cross-sectional study which lasted for two weeks in Sweden in 2007. This paper analyzes one of the two questions with open answers, which reads: "What was the best with maternity care??. Results: The results showed that out of a total of 735 responses 717 could be placed in the existing instrument QPP-I.