Background: To wait on an emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

Denna uppsats behandlar hur integrering av informationssystem påverkar beslutssituationer i en kritisk verksamhet, vilken betydelse integreringen har i detta sammanhang. Syftet är att visa vilka konsekvenser förändringar kan leda till samt peka på argument för integration av informationssystem som kan underlätta beslut. Vi har försökt skapa en helhetsbild av ämnesområdet genom litteraturstudier och en fallstudie på SOS Alarm AB. Fallstudien omfattar fem intervjuer som behandlar ett gammalt informationssystem som delvis var integrerat och ett nytt informationssystem som är mer integrerat och som skall ersätta det gamla. Utifrån dessa intervjuer har vi gjort en jämförelse och analys för att se integreringens betydelse för beslutssituationer.

SUMMARY The purpose of this study was to explore how nurses in the emergency department experience and cope with stress in their workplace. The study had a qualitative, descriptive approach and was based on nine individual, semi-structured interviews. They were then processed using content analysis. The content analysis of interviews resulted in two categories, "the nurse's experience of stress," "the nurses coping with stress." Together, the categories highlighted how nurses experienced stress during and after their shifts. The study showed clearly that all nurses experienced and coped with stress in their daily work activities..The authors noticed that stressful time for the nurses were repeated at each session and were similar in character.

The number of persons with problems of abuse or addiction seeking care has increased during the last years in Sweden. Recent international studies show stigmatizing attitudes among nursing staff, which affect the treatment and care negatively. The purpose of this study was to describe experiences among nursing staff of treating persons with problems of abuse or addiction at an emergency department. The participants were six nurses and one assistant nurse who worked at an emergency department. The interviews were analyzed through qualitative content analysis.

Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses? perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12).

Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

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.

Falls and fallinjuries are very common in peoples own homes in various institutions. Hospital inpatients often fall during daytime in connection with their visit to the toilet. Visual impairment such as cataract, glaucoma, macular degeneration and diabetic retinopathy can cause falls. The purpose of this study was to examine patient´s records where falls and fallinjuries were documented at an emergency clinic and to examine if they were registered to visual impairment. The records from 68 hospital inpatients from the age of 65 years and older who did fall during the year of 2004, were examined.

År 2009 antog IMO en ny resolution som innebär att ett nytt instrument gradvis kommer införas som obligatorisk standardutrustning på fartygsbryggan. Detta system förkortas BNWAS vilket står för Bridge Navigational Watch Alarm System och är kortfattat ett dödmansalarm som syftar till att varna vid otillräcklig aktivitet på bryggan. Detta system har funnits en tid men blir nu obligatoriskt ombord. Detta påverkar arbetssituationen och arbetsmiljön för vakthavande styrmän. Denna studie syftar till att undersöka vad styrmän som arbetar med systemet har för uppfattning och åsikter om systemet.

The purpose of this thesis work was to develop an automatic fault detection system for surveillance of bearing temperature in hydropower turbines. The parameters used except the bearing temperature were cooling water temperature and cooling water flow. A simple static model based on data sampled every minute was developed to estimate the bearing temperature. Then a detector for detection of change in bearing temperature based on the CUSUM-algorithm was designed. Since the amount of data was very small the developed model was too uncertain to be used in a working system.The designed fault detection system showed to work well for the available data.

Det sker idag daglig samverkan mellan räddningstjänster och SOS Alarm i trafikrum på SOS-centralerna. Brandbefäl med ansvar för larm och ledning, ofta kallad systemledning, samverkar med SOS-operatörer under pågående räddningsinsatser. Denna samverkan har byggts upp med skillnader i arbets- och ansvarsfördelning mellan organisationerna. Syftet med rapporten var att kartlägga de samverkansformer och arbetssätt som tillämpas mellan räddningstjänst och SOS Alarm i trafikrum. Syftet var även att SOS Alarm skall få ta del av räddningstjänstens synpunkter och erfarenheter för att kunna utveckla samarbetet ytterligare.

The aim of the study was to examine if and how the social service and the social welfare secretary provides against threat and violence in the encounter with clients. The study is qualitative and carried out with six semi-structured interviews with social welfare secretaries and participation observations at the social welfare offices in three municipalities. The theoretical starting points used were symbolic interactionism and strange loops. The result shows that social service and social welfare secretaries both use measures to prevent threat and violence to occur. The precautionary measures mainly used by social services are ; looked doors, alarm device, loose objects removes and interview rooms are furnish in purpose for the social welfare secretary to flee the room at urgent need.

Background: The majority of patients requiring medical attention experience some degree of pain. The nurses´ assessment of pain is crucial in reducing the patients suffering in a proper and timely manner. Previous studies have shown that the treatment of pain in a emergency situation is poorly managed. The patients´ pain experience is often under assessed and undertreated which leads to increased suffering for the patient. This results in higher costs for the health care system due to prolonged hospitalization.

Background:A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department.