Operationssjuksköterskan träffar dagligen patientersom ska genomgå någon form av kirurgi. Många patienter upplever rädsla och oroi den perioperativa perioden där operationssjuksköterskan har som uppgift attskapa en tillitsfull relation och vara ett stöd för patienten. Humor har visatsig ha en positiv inverkan på interaktionen mellan patient och vårdare. Syfte: Att sammanställa kunskap om hur patientenoch sjuksköterskan kan uppleva humor i omvårdnaden och hur humor kan användassom ett kommunikationsredskap. Metod: Metodenvar litteraturstudie.

The structure and performance of grocery distribution in Sweden has changed profoundly since the second world war. Increasing access and usage of the private car, in combination with an accommodating town planning has enhanced the exploitation of scale economies within distribution firms. There is, however, some ambiguity concerning the overall efficiency of the distribution system when the costs associated with travelling and purchasing performed by households are treated as an integrated part of the total distribution cost function. The purpose of this master thesis is to develop the foundation of a spatial optimisation model, which defines the most efficient distribution system. The underlying idea is that the optimal localisation and size of grocery stores is a function of economies of scale within the firms weighed against distributions costs within the households, such as transportation costs.

Many reports in recent years are suggesting that young people should be involved in the development of the digital society. The Swedish government's Digidel campaign launched in 2011 involved adolescents to train elderly people. This thesis builds on the campaign with its major aim being to investigate how young people think about digital society and their own knowledge and skills to promote digital inclusion.The research questions were set to examine how adolescents look upon the competencies needed in today's digital society, what specific skills and capital the adolescents suggest that they have which can promote digital inclusion and how projects in this direction are perceived by the participants. The theoretical framework is based on theories about social capital. It encompasses Bourdieu's theories about symbolic capital and people's habitus, Putnam's theories about social capital and the power of the organization and Gidden's vision about how people are organizing themselves in the modern world.

Axelopererade personer har svårt att röra sig under några veckor efter operationen. Den som bor i glesbygden och blir opererad i axeln eller armen måste regelbundet åka långa sträckor för att besöka sjukvården och bli undersökt. Frågan är om det går att minska dessa bilturer och samtidigt behålla vårdkvaliteten? Man har kunnat reducera patienternas resande till och från sjukvården med hjälp av en enkel videokonferensanläggning som patienten får låna hem. Med denna utrustning kan patienten upprätta videomöten med vårdpersonalen istället för att åka till sjukvården.

Bakgrund: Tidigare forskning visade att ett kirurgiskt ingrepp är en stressfylld upplevelse både fysiskt och psykiskt eftersom kroppens integritet hotas. Preoperativ oro var ett vanligt problem vid elektiv kirurgi. Omvårdnad var ett stöd till medicinsk behandling t.ex. genom information som minskar patientens oro och ängslan samt ökar patientens tolerans för smärta. Syftet: Var att beskriva vad patienterna är oroliga för inför elektiv kirurgi samt ge kunskap i vad sjuksköterskan omvårdnadsmässigt kan göra för att minska oron inför elektiv kirurgi.

Suicid har länge varit den främsta dödsorsaken bland unga människor.Det är en stor uppgift för sjukvården att bemöta patienterna på ett respektfullt sätt med en öppenhet och acceptans. Att ge en personcentrerad vård kräver ett holistiskt synsätt, vilket kan vara en utmaning och bygger på god kommunikation. Det finns endast ett fåtal studier genomförda om patienters upplevelser av att bli vårdade på sjukhus. Det gör att behovet av fler studier kring ämnet bör genomföras. Syftet var att belysa patienters upplevelser av omvårdnad på sjukhus efter suicidförsök.Studien var en litteraturstudie där resultatet baserades på 11 vetenskapliga artiklar som granskades och bearbetades.

The purpose of this study was to describe patients? experiences when living with a venous leg ulcer in physical, psychological and social perspectives. The articles used to describe this condition were found in the databases: PubMed and Cinahl. Ten articles were included in the result: five with a qualitative approach, two with a quantitative approach and three with both qualitative and quantitative approaches. The results were presented through three headings: physical, psychological and social.

ABSTRACTPressure ulcers are a serious health damage that causes great suffering, prolonged hospital stays and increased health care costs. Patients undergoing surgery are at high risk of developing pressure ulcers and it is the operating theatre nurse responsibility to protect against health damage through nursing. There are little research made in the area of perioperative pressure ulcer prevention. In order to investigate perioperative pressure ulcer preventive care measures that are described in the litterature and to answer the question how the operating theater nurse can protect the patient, a pilot study of a systematic literature review was carried out. Data base searches were conducted in PubMed and Cinahl from where ten articles were selected and examined for their quality and content.

Abstract: This report covers primarily the work of documenting electromagnetic fields generated by one of the later parts in the electrical power distribution chain: The electrical substation, wherein 10 kV is transformed to 400 V for use by private consumers. Thus it is one of the most widespread and frequently occurring parts in the Swedish power grid and of particular interest, as electrical substations are found everywhere in populated areas, often in close vicinity to people and animals.The report deals with a number of formulated questions and/or hypothesis? stated at the onset of the work undertaken, theory that is relevant for the topics the report covers, the details of the field work undertaken and the following analysis of the readings, which in term provide answers for the questions stated in the beginning. It also covers what is the currently known short term and long term risks associated with electromagnetic fields in the power frequent spectrum and of varying intensity in the vicinity of humans.The analysis also provides recommendations and identifies several points to carefully consider when planning for new installations or replacements of some parts of existing installations.For enhanced reading comprehension there is, aside from sections with pictures and attached explanatory texts and templates, several graphs, one-line diagram and maps of the power grid among the appendixes to the rapport..

The essay's aim is to explain how responsibility distribution between private and public bodies, primarily within three important service areas, can be visualised in light of the fact that they have experienced different forms of readjustment. We have chosen to study this by looking at the restoration work taking place after the hurricane Gudrun swept across southern Sweden on January 8-9, 2005; and we have chosen to concentrate on the service areas of electricity- and telephone supply, and public transport. The responsibility distribution has been depicted by carrying out qualitative interviews with employees within both private and public bodies included in the restoration work. The conclusion produced is that there were obscurities in the formal responsibility distribution between private and public actors taking place in conjunction with the hurricane restoration work.In a deeper analysis, the result can be explained by a ?several hands? problem arising since the number of actors has increased as the public sphere has adopted leadership forms influenced by the private business sector.

Vårdas på en intensivvårdsavdelning och vara allvarligt sjuk är för många en obehaglig upplevelse. Övervakning och behandling av vitala funktioner sker dygnet runt i en miljö som är främmande för patienten. Många patienter har på grund av läkemedel och behandling svårt att kommunicera, vilket kan leda till minnesförlust och hallucinationer. Sjuksköterskan kan som en del i omvårdnaden skriva en dagbok över vårdtiden. Syftet med litteraturstudien var att belysa patientens upplevelser av att läsa sin dagbok över vårdtiden på intensivvårdavdelningen och hur det kan påverka patientens återhämtning.

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.

Blekinge Hospital suffers from a budget shortage of 100 million SEK, while the government now requires that hospitals will no longer be running a deficit. Blekinge Hospital will then use their limited resources to survive in the future and the activity must be enhanced in order to keep costs low without having to lay off personnel. The idea is that the organisation should be more efficient with a more efficient resource usage. Performance measurement systems are important tools for achieving the policies set out within an organization, measuring and evaluating performance is a way to see where improvements in efficiency may be necessary in the business. Balanced Scorecard (BSC) is one of several measuring systems, where the focus is on measuring non-financial performances.

The topic of this thesis interest is the relation between branding as a place making/marketing technology and the process of regionalization. The main proposition advocated is that the officially communicated image of the Øresund Region, as a cohesive place and community, is a space that has been configured with branding and can be described as a territorial simulation. The concept of territorial simulation consists of two conjoined terms: simulation which aim at explaining the idiosyncratic brand image, as a social formation, which does not represent the place it imitates but commoditise it; and territorial which seeks to visualize the process of the unfolding of this image as a territory. The main argument is made in the third chapter, which traces the process of actualization of the brand image as a territory: ?Øresund?.

Type 2 diabetes is a growing disease in the population which includes that older people are a risk group. With the disease grows even cost?s. A lifestyle change is a major part of the treatment for type 2 diabetes. There are several factors that suggest positive effects on prevention among the elderly where, among other things, economic and health benefits are presented.