Anafylaxi är en akut, oförutsedd, allergisk reaktion som kan uppkomma när som helst. Alla sjuksköterskor skall ha kunskap om anafylaxi, samt beredskap att ta hand om denna reaktion på ett korrekt sätt. I bakgrunden beskrivs den immunologiska mekanismen vid anafylaxi och allergi, symtom och behandling, samt det omvårdnadsvetenskapliga perspektivet. Syftet med denna litteraturöversikt var att identifiera och beskriva bidragande orsaker som ligger bakom osäkerheten kring anafylaxi och därmed ge en ökad kunskap om anafylaxi i sjuksköterskans professionella omhändertagande. Metoden som vi har använt oss av har varit litteraturstudie och sökning har skett via databaserna Pubmed, Cinahl och Scopus.

On the first of January 2012, a new public authority was formed in Värmland, due to a new legislation on public transport. The first task for the new public authority was to produce a plan for the development of public transport. In order to do so, it had to execute an extensive consultation process about the long-term goals of public transport. The purpose of the thesis is to investigate how a public authority can use a consultation process as a means to clarify accountability and produce unified goals. To answer that, I have done a case study about how the new regional public authority in Värmland for public transport has acted in the process of writing a plan for the development of public transport.

 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.

AbstractThis report was undertaken at the request of the Management and maintenancedepartment of Swedish National Road Authority (Vägverket Region Sydöst) inJönköping.In 1992, the management and maintenance of Swedish roads were laid out onexternal contractors. When putting out a tender for the work, the foundation isfrom a national set of rules which are in constant change. This report is limited towinter road upkeep.The trend in the invitation for tenders is that it is moving from the moreconventional executional demands towards the less controlling demands. Thedownside of functional, less controlling demands is that it is difficult to articulatehow to measure them. The order authority therefore has to find ways to makesure to get what has been paid for.In connection to the invitation for tender of winter road upkeep for 2005, the newset of rules, ATB Vinter 2003 was deployed.The main purpose of this thesis is to see which the big changes in the set of rulesare and how these changes affect the organisation and activities of the contractor.It is also studied how the changes in execution is perceived by road users and howit affects the possibilities of the contractor to come as a newcomer to a new areaof administration.Interviews and examination of sets of rules has led to a list of a number ofchanges that the contractors feel affect their work in any sense.Views from road users that have come in to the order authority have beenscrutinized to see how they have experienced the change.

This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.

This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.

This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.

ABSTRACT The aim of this thesis is to illustrate how surgical operation theatre nurses perceive debriefing within emergency health care. The study has a qualitative design with semi structured interviews that have been performed with seven operating room nurses working in emergency health care. The strategic selection consists of professional operation theatre nurses working in emergency care at Uppsala University Hospital. The main goal of this thesis is to increase the understanding of debriefing and to highlight the need of debriefing after difficult or unexpected events in the emergency health care profession.The interviewed nurses perceive debriefing as an important way to develop the day to day work, but also as a way to unburden the staff at the time of bigger traumas. Even though the effect of debriefing is not univocally positive in the literature, the staff perceives that it reduces different kinds of stress.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.

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.

This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.

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.

This study examines use and users of information and records originating in the context of a contemporary police organisation. This area of research has only been of focus for a relatively few researchers. This in contrast to use and users of historical archives which has been in centre for more studies. The study is conducted with a quantitative method structuring data from 120 selected registered matters containing user queries. The research questions addressed are:- what user categories use the records of the authority- which are the ways of contacting the authority preferred by the users- which are the identifiers provided by the users and how well are they matched by the search artefacts available to the staff of the authority- what information and records are sought-after by the users.For comparing the identifiers provided to the search artefacts has been selected the two most frequently used registry systems within the authority.

Aim: The aim of this study was to describe what nurses experienced in connection with waiting time related frustration among patients and relatives in the emergency department and also what strategies nurses use to manage waiting time related frustration.Background: The numbers of emergency department visits are increasing and lead to waiting times which can cause frustration among patients and relatives, a frustration that nurses encounter in their everyday work and need strategies to deal with.Methods: This is a descriptive qualitative study. Interviews are conducted with five nurses, transcribed and analyzed by qualitative content analysis.Findings: The nurses feel inadequate and powerless when they meet patients and relatives frustration. In order to deal with patients and relatives frustration, they use the strategy of participation, which implies to involve and meet patients and relatives needs for information and to be seen. In order to prevent themselves becoming frustrated they use adaptability, by creating an inner calm, not take it personally and to distance themselves from the frustration.Conclusion: The result highlights the importance of managing the activity to reduce waiting time related frustration, for example through reflection and working for reducing waiting times. Further research is also needed..

Introduction: Frequent attenders is a term used in health care services that define a person attending a health care setting more than four times during a 12 month period. Recently published research concerning frequent attenders in pediatric emergency departments describes their reasons for attending a health care service or characteristics of these individuals but lacks a qualitative approach exploring their experiences. There is a need of these experiences to be shared so that health care personnel caring for this group may gain a greater understanding of their needs and expectations.Aim: The aim of this study is to describe how parents of children defined as frequent attenders experience the care received at a pediatric emergency department.Method: Qualitative approach with semi-structured interviews. A pilot study of four interviews was conducted to test the method. Sampling consisted of parents of children defined as frequent attenders and that were not diagnosed with a chronic illness.