Vården i Sverige har sedan länge kännetecknas av långa vårdköer och bristande resurser. Allt fler sjukhus och vårdcentraler däribland Brahehälsan, Hälsocentralen Akka, Akutmottagningen på Länssjukhuset i Kalmar samt Diagnostiskt centrum på Länssjukhuset i Kalmar väljer att möta dessa problem med hjälp av ?Lean Healthcare?. Denna nya modell och den filosofi den bygger på bidrar till ett nytt arbetssätt som är tänkt att medföra effektivisering av sjukvården. Är effektivisering av sjukvården det verkliga motivet eller finns det bakomliggande motiv för att införa ?Lean Healthcare?? Vid allt förändringsarbete är det viktigt att ha med sig medarbetarna.

This essay studies what has been written about religious experience and visions both in the past and now. It deals with both the religious experience and tries to explain how and if there is any place in the modern society for religious visions and experience. The essay has a strong theoretical perspective to psychology of religion as presented by Anton Geels whose writings in the subject have been of one of my main sources.The study shows that people of all times and cultures have had religious visions and the feeling of a divine experience even if this has changed because of tradition, time and place. Religious experience and visions can furthermore occur both in a spontaneous, unprepared way as well as being cultured through ascetic practice in order to facilitate the divine reception. The study also shows that religious experience in no means is reserved for special ?chosen ones? but can occur to each and every one, no matter what class, race or position in life.

Despite the fact that men dominate substance abuse research and that most programs to target substance abuse therefore are developed by and for men, very little is known about the fact that substance abusing men can also be parents. Mothers are up until today regarded as the most important parent even though society is changing and fathers are taken a more active part in childrearing. The average father today still spends significantly less time with his children than the average mother does and marginalised drug abusing fathers often disappear from their families altogether. The goal and purpose of this paper has been that through a qualitative analyses of written sources and qualitative interviews with healthcare professionals and social workers recognise how marginalised drug abusing fathers interests of taking part in their children's lives are met by healthcare, treatment and child protection agencies and how we can understand marginalised fathering as an extension of how we view ordinary fathering. I wanted to examine if there are any specific actions taken in involving these men as fathers and how we can understand their situation.

AbstractThe purpose with this study was to get knowledge if there are any possible differences in, and correlation between, experienced stress, experienced demands, experienced control and experienced social support in correlation to shiftwork.The study was made at two central hospitals in south of Sweden and had 90 participants (78 women and 12 men) that answered a questionnaire in the current variables. The result in experienced stress showed that there were no differences between shift workers. The results showed a difference between the day- and the nightshift in the correlation between control and stress. The writers speculates that the reason why the nightshift experience high stressvalues with high control can depend on the lack of presence by higher managers, compared with the dayshift. .

Abstract: The purpose of the study was to analyze the experience of being a woman diagnosed with ADHD as an adult. Another aim was to analyze how the women think itwould have influenced them, if they had been diagnosed during childhood.In the study, with a qualitatively approach, three women diagnosed with ADHD were interviewed. The data was analyzed with qualitative content analysis.The result shows that the women perceived affirmation when they received their diagnosis but they also pointed out that they had wished to receive the diagnose during childhood to avoid unnecessary suffering.The conclusion of the study was that it is essential to, as early as possible, follow up deviances in children and adolescents. Therefore, there is a need for more knowledge of how symptoms of ADHD in girls present itself.It is reasonable to believe that if healthcare and school have increased knowledge of symptoms of ADHD in girls, then these girls would be diagnosed at an earlier time.Keywords:ADHD,women,girls,treatment,self?esteem.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The Swedish healthcare systems have over the past decades experienced a major reorganization that involves reduction of costs and cuts due to the financial problems that the public health system faced. Healthcare was criticized because it was considered to be bureaucratic and inefficient (Funck, 2007). The solution to this problem was to focus on other measures rather than the economic measures, such as modernizing the healthcare instead of cutting down. Implementing a balanced scorecard in a public sector as a hospital, perceived as failures. This is due to several factors such as communication, knowledge and expected time are not taken into consideration when implementing the scorecard.

Bakgrund: Human immunodeficiency virus (HIV) är en kronisk sjukdom som successivt försämrar det mänskliga immunförsvaret. Det finns medicinsk behandling som leder till ökad livslängd. Detta innebär att antalet personer med HIV kommer att öka och hälso- och sjukvårdspersonal kommer att kunna möta dessa personer inom flera vårdkontexter än enbart i HIV-specifika sammanhang. HIV har varit en uppmärksammad sjukdom sedan 1980-talet och den diskriminering och stigmatisering som sjukdomen mötte då finns kvar idag, trots nationella och globala lagar och riktlinjer.Syfte: Syftet med denna litteraturöversikt var att beskriva hur personer med HIV upplever hälso- och sjukvårdspersonalens bemötande.Metod: Metoden för denna litteraturöversikt inkluderar tio vetenskapliga artiklar hämtade från databaserna CINAHL och PubMed. Av dessa var två kvantitativa och åtta kvalitativa.

Företagsförvärv är en vanligt förkommande strategi för tillväxt och verksamhetsutveckling. Hur den förvärvande parten hanterar själva integrationsprocessen av den uppköpta verksamheten är av avgörande betydelse för möjligheten att realisera önskade samordningseffekter. Integrationsprocessens framgång är i sin tur beroende av de anställdas upplevda välmående och belastning under processen. Syftet med undersökningen är att studera hur hårda integrationsansatser påverkar de anställdas upplevda välmående och belastning i samband med ett företagsförvärv. Undersökningen studerar också huruvida det existerar samband mellan anställdas upplevda välmående och deras arbetsbelastning, samt hur upplevelserna skiljer sig åt mellan olika faser i integrationsprocessen.

Abstract: The purpose of the study was to analyze the experience of being a woman diagnosed with ADHD as an adult. Another aim was to analyze how the women think itwould have influenced them, if they had been diagnosed during childhood.In the study, with a qualitatively approach, three women diagnosed with ADHD were interviewed. The data was analyzed with qualitative content analysis.The result shows that the women perceived affirmation when they received their diagnosis but they also pointed out that they had wished to receive the diagnose during childhood to avoid unnecessary suffering.The conclusion of the study was that it is essential to, as early as possible, follow up deviances in children and adolescents. Therefore, there is a need for more knowledge of how symptoms of ADHD in girls present itself.It is reasonable to believe that if healthcare and school have increased knowledge of symptoms of ADHD in girls, then these girls would be diagnosed at an earlier time.Keywords:ADHD,women,girls,treatment,self?esteem.

The aim of this report is to discuss computer security in handheld computers and to find out the appropriate security level that must be implemented to be able to use handheld computers within the Swedish healthcare system. Most healthcare centers are using some kind of electronic journals for their patient´s data today, but there are still a number of clinics that are usingthe old paper-system. On a few places in Sweden the use of handheld computers at the clinics has already started, but in the United States the use of handheld computers in the medical area is already widespread and from this we can see a lot of different situations where it is useful and effective to work with handheld computers. The security demands on patient´s journals are high and regulated in both Swedish law and regulations from the National Swedish Board of Health and Welfare. The law does not have any substantial demands, but states that there should be an adequate security level based on the nature of the information and the costs.

Syftet med denna uppsats är huvudsakligen att ta reda på hur det kommer sig att Lean har implementerats på Karolinska Universitetssjukhuset i Solna med stor framgång, medan det inte fått samma genombrott på Akademiska Sjukhuset i Uppsala. Empirin är baserad på  semistrukturerade intervjuer som genomförts med tre intervjupersoner från respektive sjukhus för att få både ledningens och medarbetarnas uppfattning. Empirin har sedan analyserats utifrån våran teoretiska referensram som omfattar New Public Management, Service Management Theory, Värdestjärnan, Lean, Lean Healthcare samt Värdebaserad Vård.Vi har kunnat urskilja skillnader mellan sjukhusens sätt att förbereda och implementera Lean samt effekterna av arbetet. Bland annat visar resultatet att Karolinska Universitetssjukhuset varit bättre på att utbilda och informera sina arbetare och därmed motivera och engagera dem, samt varit bättre på att mäta och därmed har konkreta resultat att visa på..

Background: One of the main concerns related to medical therapy is non-compliance to drugs. More than half of all patients do not comply with prescribed medication. Non-compliance to drug therapy leads to unnecessary suffering for the patient and there are no easy solutions to the problem. In order to create understanding for the individual patient it is important that medical staffs are enlightened on the existing problems concerning this matter. Purpose: To describe factors that effect compliance to drug prescription.

In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.

The purpose of this study has been to examine how elderly people in today?s society look upon themselves and experience their own aging. We have inquired answers to the following main questions: What main events during the life course are emphasized in the elderly?s stories about their lives, and in what way has it affected their experience of growing old? In what way have social relationships, interests and the experience of health changed during the life course? How do the elderly experience their own aging, and what emotions are expressed in the speech surrounding their life course? The results of the study have been analyzed and interpreted with the help of the life course theory, Erikson?s psychosocial development theory and the continuity theory. The results show that elderly people of today don?t feel their age.