Bakgrund: Specialistsjuksköterskan ska uppta patientberättelsen och utifrån sinspecialiserade kunskap om medicinska eller psykiatriska tillstånd göra en korrekt bedömning.Sjuksköterskan ska från sin bedömning sedan förse patienterna med adekvata vårdåtgärder. IGöteborg har andelen ambulansuppdrag som klassificeras som psykiatrisk sjukdom ökat desista åren. Med anledning av det planerar ambulanssjukvården i Göteborg en speciellpsykiatriambulans med dubbelkompetens, en sjuksköterska som har specialistkunskap inompsykiatri samt en ambulanssjuksköterska. I Stockholm skall en psykiatriambulans införas 1april 2015 men inte med dubbelkompetens. Anledningarna till planen att introducera enpsykiatriambulans är att utveckla den akuta prehospitala vården bland annat genom att hjälpapatienter med psykiatrisk problematik till rätt vårdnivå.

Physical activity is required for a good health and science shows a clear connection between exercise and a lower risk for disease. Still, the physical activity among the population is far from good. It is the individuals own responsibility to exercise, but the society also has a responsibility to give opportunities to exercise for the population. The aim with the study was to investigate what motivated the group of physical active people to use the Central hospital in Kristianstad?s health program.

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.

Vår målsättning med detta examensarbete var att ta fram en nödbogseringsmanual till skolfartyget Calmare Nyckel. Denna skulle vara helt i enlighet med de regler och riktlinjer som fanns tillgängliga och underlätta beslutsfattandet för besättningen i situationer som kräver nödbogsering. Projektbeställare var Bengt Karlsson, befälhavare på Calmare Nyckel, och efter ett inledande möte sattes arbetet i gång då i form av ett projektarbete inom ramen för examensarbete. Vi har baserat manualen på i första hand aktuell lagstiftning och riktlinjer men också på andra fartygs nödbogseringsmanualer vi bedömde som bra.Arbetet förflöt enligt utsatt tidsplan och det slutgiltiga resultatet blev väl utfört enligt oss och projektbeställaren.Calmare Nyckel är nu utrustad med en fullt fungerande nödbogseringsmanual som vi med säkerhet kan säga uppfyller alla tillämpliga krav som ställs på en sådan. Vår förhoppning är att manualen aldrig kommer att behöva användas i skarpt läge, men däremot regelbundet fungera som underlag i övnings- och utbildningssyfte..

SAMMANFATTNINGAmbulanssjuksköterskan har en komplex arbetssituation, hon ska självständigt bedöma och behandla akuta tillstånd hos patienten. Arbetet försvåras av flera faktorer, tiden med patienten är i regel kort, möjligheten till rådfrågning är liten, utrymmet och tillgången till hjälpmedel är begränsade. Trots det ställs höga krav på vården i ambulansen, många gånger samma krav som på vården på en akutmottagning. Ett av dessa krav är en god dokumentation, kraven på patientjournalen är desamma i ambulansen som i övriga vården. I journalen dokumenteras uppgifter om iakttagelser, omvårdnadsåtgärder, medicinska åtgärder och information rörande transporten.

The focus of this project has been on the drainage tank of the reheater on Ringhals 1. This tank has on two previous occasions received such a high water level that the system automatically emergency stopped. For this reason, events and various readings from these two occasions has been specifically studied and analyzed. In order to prove theories about what causes these problems a model of the system was created in the program Dymola. Using simulation results from the model, we have been able to demonstrate how the system's measured values should look likeunder normal conditions with respect to flows, pressures, temperatures, valve positions and water level in the drainage tank.

In Trollhättan municipality approximately 700 school bus stops are in service. To ensure high quality of the performance of school bus operations, with focus on traffic safety, it was decided to conduct a survey of bus stops including assessments of risks.This master thesis aims to identify the factors affecting road safety at bus stops and pedestrian connections, and to conduct an inventory and analysis of selected sites in Trollhättan municipality. The work also aims to show examples of how risk assessment should be performed in future studies. A risk analysis model provided by the Swedish Transport Administration is supplemented and used in a field study. The risk assessment is based on, inter alia, traffic flow, visibility distance, lighting, speed of traffic and the presence of bus shelter.

Can you ensure that your smoke detector will sense fire and sound the alarm in the middle of the night?In 80 percent of the cases where emergency pulls out, smoke detectors are missing where the fire occurred. In the year of 2009, 118 people in Sweden died in fires ? most of them would have survived if there had been a functioning smoke detector.Earlier development of smoke detectors has mainly been focusing on components that sense smoke and alert in case of fire. But in most cases the problem has not been whether the smoke detector was working or not as fully assembled, but rather that it was missing.

This report is a part of the process of enhanced cooperation between fire rescue services in the region of North West Scania. The aim of the report is to study and analyze how the fire rescue service should be structured, in terms of rescue units and personnel, if no account is to be taking to the current organization. Two types of accident are considered in the report, traffic accidents and building fires. These are more affected by decreased response time than other accidents. Several suggested organizations are presented and they are evaluated with the computer program REP.

Previous research shows that women who are victims of intimate partner violence and also have asubstance abuse have difficulties getting access to services to aid with their experience of violence.This study has examined social workers experiences of working with women with these problems,what types of services are provided and how their service needs are assessed. The study has ahermeneutical approach and the data consists of interviews with nine social workers in lines ofwork that come into contact with women in the previously described client group. The data hasbeen analyzed using content analysis. The result of the study indicates that women who are victimsof intimate partner violence and also have a substance abuse do not get their needs provided forthrough the current services in the field of social work. These women are described as havingcomplex problems and are therefore in need of more and other services than those currentlyprovided.

Varje år traumatiseras 200 000 barn och trauma anses vara den vanligaste orsaken till att barn söker sjukvård i Sverige. Sjuksköterskor inom akutsjukvården träffar dessa barn i sitt arbete, men de procedurer och rutiner som finns för omhändertagande av vuxna anses inte direkt vara applicerbara på barn. Syftet med denna studie var att belysa hur specialistsjuksköterskor upplever omhändertagandet av traumatiserade barn. En kvalitativ studie med individuella intervjuer (n=9) genomfördes och analyserades med hjälp av innehållsanalys. Analysen resulterade i fyra kategorier: upplevelsen av kunskapsbrist, upplevelsen av svårigheter i samband med omhändertagandet, upplevelsen av behovet av god omvårdnadskunskap och upplevelsen av skillnader i gällande rutiner.

Introduction:Violence towards women is an extensive and important problem in the society. Confronting women who are assulted by their male partner is a demanding task for the nurses.The aim of the study:The aim of this empirical study was to illustrate the experiences of nurses in the meeting with women exposed to violence by their male partner.Method:This is a qualitative interview study including nine female nurses. The material recieved from the interviews was analysed with help of content analysis. Categories were formed named Comunication, feelings, Ability to recognize the women, Lack of time, Need of support and further education. An application to the ethical council at the University of Kristianstad were remitted and approved.

Aim: The aim of this study was to investigate how VAS (Visual Analogue Scale) is used in the prehospital environment, and describe how patients 40 years and older with acute chest pain describe their pain with help of VAS. Further, to investigate how the literature describes other instruments to evaluate pain. Method: This was a descriptive study and used both literature and empiric material as foundation. The selection consist of the paramedics medical record from one emergency department, 100 men and 100 women with chest pain witch had been transported with ambulance to one hospital in middle of Sweden. A literature review was done in order to see what previous research recommends for pain rating scales.Results: The study showed that 71 (35 %) of 200 individuals pain were rated with VAS according to the guidelines for the ambulance department.

It is common that patients experience emotional reactions as agony and anxiety after an acute myocardial infarction. Only a few studies related to the support in the acute stage have been made. The aim was to describe how nurses declared their support to patients with acute myocardial infarction in the acute stage. The used method was semi structured interviews with seven nurses in an Emergency ward in South of Sweden. The material was processed and analysed with inspiration from content analysis and produced two main themes.

I dagens Sverige är det ovanligt att möta döden på nära håll. Många nyutexaminerade sjuksköterskor saknar erfarenhet av att möta döden och döende. För att kunna ge en god professionell omvårdnad är det viktigt att ha bearbetat sina tankar och känslor inför döden. Denna litteraturstudie syftar till att undersöka vilka känslor sjuksköterskan upplever vid mötet med döende patienter, om det finns några skillnader mellan förväntade och oväntade dödsfall samt vilka copingstrategier sjuksköterskan kan använda för att hantera de känslor som uppstår i samband med dödsfallen. Resultatet delades in i åtta kategorier av negativa och positiva känslor.