Scientific research shows that humans regain their strength when they are spending time in nature. Ulrich, Kaplan & Kaplan, among others, has shown in their research that nature can reduce stress and decrease the after effects of stress. Lund University Hospital, USiL, is a big working place and has a large number of patients. To be a patient often means that you lose control of your daily life which could cause stress. For the personnel high workload can be a stress factor.

The climate changes that are occuring in the world have resulted in that the EU callingfor a 20 % reduction in energy consumption to the year 2020, to reach that goal theEU want the public sector to go forth as a good example. Västfastigheter owns andmanage the hospital buildings in the Västra Götaland region. To be able to reducetheir energy usage Västfastigheter has hired several consulting firms to chart out theenergy consumption on each hospital building. The biggest energy savings potentialhave been calculated and what the cost will be to perform each action. The energyaudit have been completed and stand as the decision basis for Västfastigheter?s choiceon which action packages that should be implemented.

No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change.

Background: The numbers of crime towards women are increasing in our society. It is the medical caregiver?s responsibility to take care of these women when they are seeking help post assault. The caregiver?s task is to provide good care and performe a forensic evidence examination.

Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role.

One third of all Swedish people will suffer in cancer. Pain is a common symptom in cancer patients. The pain is subjective and includes several dimensions. The dimensions of pain are the physical, psychological, social and spiritual. This is a literature review and the aim with this study was to identify the pain experience in patients with cancer receiving palliative care.

The aim of our study is to explore which norms that exists in the home care service, who is sending those norms, how are they maintained and how do they affect the interactions between staff and manager? We want to deep en our knowledge about home care service as an organization and increase our understanding for the psychosocial work environment and also the importance of leadership. We mean to read the organizational culture that exists which allows us to deal with the values that influence the behavior in the organization.The study is based on a qualitative method. The data consists of two focus group interviews, one with managers from the home care service - organization and one with staff from the same organization. T he interview with the managers consisted of five participants and the corresponding figure for the second interview with the staff was eight participants.The theoretical viewpoints have been communication - theory, organizational theory and Foucault´s th eory of power.Our result indicate that norms are something that unconsciously controls us and that we have learned that there are consequences when you step out of what is normative for the group.

Background: When someone suffers a spinal cord injury, the nerve impulses between the brain, the muscles and the skin are intercepted, thereby resulting in motion and sensory loss.  During the recovery process, healthcare professionals play a vital role in ensuring that the patients have a positive experience of care, recovery and rehabilitation.Aim: The aim of this study is to determine how patients at a rehabilitation clinic in Sweden experienced the following: The patient?s experience of how well they were received by staff, the staff?s ability to explain and inform the patient of important details concerning their care and the staff?s ability to involve the patients in their own care.Method: A qualitative interview approach was used when undertaking this study. Six patients at the rehabilitation clinic were interviewed, and the interviews were later analyzed using qualitative content analysis.Result: The collected material was divided into ten categories that were sorted into three subheadings: reception of staff, information and involvement. Reception of staff, with categories: helpfulness, commitment, consideration, professionalism and reception. Information, with categories: if the patients felt well-informed.

The climate changes that are occuring in the world have resulted in that the EU callingfor a 20 % reduction in energy consumption to the year 2020, to reach that goal theEU want the public sector to go forth as a good example. Västfastigheter owns andmanage the hospital buildings in the Västra Götaland region. To be able to reducetheir energy usage Västfastigheter has hired several consulting firms to chart out theenergy consumption on each hospital building. The biggest energy savings potentialhave been calculated and what the cost will be to perform each action. The energyaudit have been completed and stand as the decision basis for Västfastigheter?s choiceon which action packages that should be implemented.

Swedish healthcare is in continuous need of cost savings and efficiency improvements in order to meet the increased demand for care. The theories of lean, developed from the industry, are applied more frequently on healthcare systems to increase effectiveness and reduce waiting times in patient processes. However, some processes seem to be more successful in their lean implementation than others. In this thesis, factors influencing flow efficiency in lean healthcare are examined. Through interviews with the top executive board at Capio St Göran's hospital, data is collected in order to analyze reasons for success.

AbstractBackground: Cancer is a leading cause of death worldwide and accounted for 7.6 million deaths, about 13% of all deaths, in 2008. Several factors can affect patients' quality of life such as physical and psychological symptoms, relationship to people around and the environment. In palliative care professionals need to have good knowledge in order to improve patient quality of life and to give them as good a life as possible in the final stages of life.Aim: The purpose of this overview study is to describe the experiences of quality of life in patients with incurable cancer.Method: We conducted an overview study that was based on ten scientific articles. All articles are qualitative studies, from the year 1995 - 2011, and are from Sweden, Finland, UK, Canada and the USA. Qualitative analysis was used to group the various themes and subthemes for overview study purpose.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

Background: Cancer is the most common cause of death among children in Sweden. The disease and the treatment cause suffering among the children, which also affects their parents. Research has shown that parents of children with cancer have poorer health. It is the nurse?s responsebility to help, not only the child, but also the parents in their difficult situation.

The proportion of elderly people in Sweden is increasing. Many of these live at home and as their age increases so does the likelihood of health problems and the need for support, medical attention and care. Personnel working with home help provide a large part of this care, including areas of home-based care that are the responsibility of the district nurse. The purpose of this paper is to describe how home-help personnel perceive their work in the area of home-based care, as their views are an important factor in the ability to provide a care system that funktions successfully. The method employed here is phenomenografic and nine subjects from a home-help group have been interviewed.

Violence and aggression is a common problem for staff in different care units. Caregivers often feel frustrated and unsatisfied in their work with these patients. Even caregivers with long experience finds it valuable to get education in management of violent patients. The aim of this literature study was to illuminate staffs experience in meeting with aggresive and violent patients. The method that was used was a literature research, where earlier research findings were read, analysed and put together.