SAMMANFATTNINGBakgrund: Akutsjukvården har genomgått stora förändringar de senaste decennierna vilket inneburit att kraven på sjuksköterskan höjts. Den kliniskt verksamma sjusköterskan inom akutsjukvård utsätts dagligen i sitt arbete för påfrestande händelser och stress. Vissa av dessa händelser kan upplevas som särskilt påfrestande och kan föranleda krisstöd i olika former. För att motverka stressrelaterade resttillstånd kan olika former av krisstöd nyttjas.Syfte: Syftet med studien var att kartlägga vad sjuksköterskor inom akutsjukvård upplever som en särskilt påfrestande händelse, hur ofta det förekommer och vilken typ av krisstöd som erbjöds. Studien undersökte även om omvårdandsarbetet påverkades samt arbetsledningens inställning till krisstöd och om sjuksköterskorna ansåg att det kunde förbättras.Metod: En kvantitativ enkät med kvalitativa inslag valdes som datainsamlingsmetod.         198 enkäter skickades ut till sjuksköterskor vid ambulansen och två akutmottagningar i ett län i Mellansverige.100 enkäter kom in, svarsfrekvensen blev 51 %.

The hospital in Varberg has a somewhat outmoded solution regarding the state of preparedness in its water sustentation. Today?s solution is both cause to a number of mishaps and high energy consumption.The report is initiated by looking into the present situation to get an insight to the problem.Today?s media depletion is measured and analyzed.Furthermore, it also looks into some earlier performed studies. These studies are followed up in order to see if measures have been taken.The report presents a number of arrangements which should be taken, amongst those a minor re-build of the current solution and a number of arrangements which leads to decreased water consumption..

After emergencies involving chemical spills it is of great importance that correct measures are taken with short notice, both for the security of people and in order to minimize future environmental consequences. The RIB-unit at the Swedish Rescue Services Agency initiated this study, the aim of which is to propose changes to the existing chemical transport calculation tool: Chemical Spill 3.4, included in RIB - Integrated Decision Support for Civil Protection, so that it can be used for decision support as well as in preventive work. A rough estimation of chemical transport in the subsurface is considered being of great importance when making decisions during emergency response operations.The proposition presented in this report is a non site specific chemical transport model which is designed to give a rough estimation of NAPL flow in homogenous isotropic soil shortly after an instantaneous release. The model can be used at two levels; both in situations without access to information on subsurface properties, and with more accuracy in situations with knowledge of the included parameters. For that reason the user can choose among predefined alternatives or assign the parameters a numeric value to increase the quality of the model output.

This degree project is an investigation of solar cells and their ability to deliver electric power as well as reducing the need for cooling. The main object of interest is a BASE-X shelter. The shelter is purchased by the Swedish Defence Materiel Administration, FMV to be used for command and camp in the new force called Nordic Battlegroup, NBG. The demand on the equipment is firstly that it should have a small weight to be easy to transport and handle and secondly to be easy to bring up fast. Therefore the choice of solar cell technology fell on thin film cells.

Introduction: Reversal of a temporary loop-ileostomy is the final step after a long treatment for rectalcancer, an event that the patient has been looking forward to for a long time. Studies have shown that patients often have a significant impact on the bowel function after reversal of the stoma.Aim: To describe how the patient experienced the first time at home after reversal of a temporary loop-ileostomy due to rectalcancer. Method: Qualitative semi-structured interviews, with 15-20 patients who have undergone reversal of a temporary loop-ileostomy due to rectal cancer, will be conducted. The interviewes will be analysed using qualitative content analysis according to Graneheim & Lundman (2004). The patients will be recruited from the colorectal unit at Sahlgrenska University hospital/Östra and from the surgical unit at Kungälvs hospital.

Syfte: Syftet med denna tvärsnittsstudie var att undersöka hur prostatacancer patienter och deras partner skattar sina eventuella nivåer av ångest och depression samt att undersöka om skattningen mellan dessa två grupper skiljer sig åt. Syftet är även att kvalitetssäkra frågeformuläret Hospital Anxiety and Depression Scale (HADS) enligt ?Question-and-Answer?-modellen.Metod: Kvantitativ tvärsnittsstudie med deskriptiv- och jämförande metod användes. Studien innefattade sex patienter samt sex partners, sammanlagt 12 personer. Datainsamlingen skedde med hjälp av enkäter.Resultat: Både patienterna och deras partners skattar relativt låga nivåer av ångest och depression.

Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool.

The research of the essay will be about Solidarity, the Polish trade union that began to rise in the beginning of 1980. In more specific tendencies to the empirical study, it is interesting getting to know about when the free trade union was created with a view to liberate the Polish people from Communism.The essay will be studied as an empirical case study, with a qualitative text analysis. The content will also include how power is allocated to the political, economic and social aspects of the national, and international relations. Therefore it will be relevant to use a method of ideology analysis to the qualitative text.The result of the theoretical analysis was that it is difficult to apply the social movements into a political change, even if it leads to success. According to this, participants in social movements are able to use the most potential and most necessities of resources, just as activists tend to do in reality..

The main purpose of this study is to find out what kind of help social service in one selected municipality in Sweden can provide for children who have witnessed or been victims of domestic violence. Using focus group interview this study investigate how the social workers meet the needs of these children. The bases for our analysis are the Organization Theory and the Attachment Theory, as well as previous research. Important results are that the social services are dependent on notifications in order to do their work and that the most common interventions are foster care, emergency foster care and/or family therapy. The difficulties that social workers perceive their work are unjustified families and heavy workloads.

Background: An indisputable right for nurses is to have a safe and secure work environment so they can deliver a high quality care. To bring a clear definition of what threat and violence are, is an important part in the work to prevent threat and violence. One part of the problem is that the experience and understanding of threat and violence can be different from one person to another. Aim: The aim of this quality study was to emphasize Nurses experience of threat and violence at workplace. Method: The method used in this study was qualitative interviews in the sense to bring out the nurses experience.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

This thesis has been done at the Unversity of Örebro for Örebro University Hospital (USÖ). In our work we have developed a product for hearing tests to determine hearing thresholds of small children. Our product contains software and a control surface for controlling two separate screens. One of the demands was that our software could handle big file libraries. Reliability and simplicity were essential for the user.In our work we have utilized programming of both microcontrollers and Windows software.

Enligt forskning har riktig natur och bilder av natur en avstressande effekt på människor i sjukhusmiljö. Stenpartier byggs ofta för att simulera naturliga förhållanden och kan upplevas som en tredimensionell landskapsmålning som förändras med årstidens växlingar.Syftet med denna studie är att komma fram till en gestaltningsskiss med hjälp av sten och stenpartiväxter. Gestaltningen tänkta plats är utanför Gävle sjukhus. Fokus har lagts på stenpartiets uppbyggnad, växternas krav och anpassningen till sjukhusmiljön.För att ta reda på ett stenpartis uppbyggnad och stenpartiväxters krav på växtmiljö har både en litteraturstudie och platsbesök med intervjuer gjorts. Litteraturen är sökt via LIBRIS.

Syftet med litteraturstudien var att undersöka hur buller påverkar sjukhusmiljön med hänseende på vårdpersonal och patienter. Studiens avsikt omfattar även en undersökning av vårdpersonalens och patienters eventuella olika uppfattningar angående buller. Effekterna av buller och dess omfattning inom vårdavdelningsmiljön har också undersökts. Resultatet av studien visar på att bullermiljön på sjukhus överskrider de riktlinjer för buller som WHO fastslagit. Vidare visar studien på indikationer på att brittiska sjuksköterskors kunskap angående fenomenet buller är bristfällig.