The aim of the thesis is to present a study of what works well and what does not work so well in today?s use of computers in primary care with a special focus on the use of computers in the management of referrals for consultation. In May 2009 a module for electronic consultation referrals was introduced in the computer system Cosmic at the University Hospital in Uppsala. Previously, the primary care units had to use two different systems for management of referrals. Referrals sent internally within primary care have been sent electronically while referrals to the University Hospital or other external units were sent on paper.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.

The aim of this study is to understand which strategies helped women escape honourbased violence, by reading the autobiographies of seven women. Honourbased violence is a relatively new problem in Sweden, but it has existed for a long time. According to FN (2012) 5000 women are murdered every year in the name of honour. Honourbased violence is about maintaining the honour of the family. Womens sexuality is connected to men´s honour, and because of that they are not allowed to express it.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.

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.

The aim with this study is to understand how social workers at the individual- and family sector think about child poverty and how they work with and reason about the preventive and facilitate work they do for financial vulnerable families. We have in our study used qualitative method through semi-structured interviews with social workers at the individual- and family sector to answer our purpose. The results showed that child poverty is a concept hard to define and not well established. The social workers have divided views on child poverty but still at the same time mean that it exists amongst the families they meet. There is also a big difference between municipalities and their reasoning on what a reasonable standard of living is for a financial vulnerable family and how they work with preventing child poverty.

Magnetiskresonanstomografi, MRI, är en användbar teknik inom flera områden, i denna uppsats ligger fokus på användning inom medicin. Fysiken som ligger bakom MRI presenteras, som t ex uppdelning av energinivåer och kärnmagnetiskresonans. Uppbyggnad och tekniken som ligger bakom MRI har även studeras. Sedan har det gjorts jämförelse mellan MRI, röntgen och datortomografi. Utöver litteraturstudierna har simulering gjorts. I denna del har en modell för hjärnan byggts i programmet Comsol Multiphysics.

This study examined constructions of horses and means staff working with horses parallel to therapy in institutional care ascribes to horses. A narrative method was used and the theoretical framework was social constructionism. A question was asked to the narratives: How can practice in institutional care be understood through these stories? The result showed different pictures of institutional care. Horses seem to provide a multi-faceted therapeutic tool.

The study examines conceptions of identity among girls with foreign background. The aim was to study how identity is understood by the girls based on ethnicity, images of the origin, the value of gender and the meaning of the family. The theoretical approach was post-colonial theory based on Stuart Hall in combination with gender theory by Yvonne Hirdman. The study was conducted using qualitative individual interviews of open character with six girls. They were aged 17-18 years old and were born in Sweden or had lived here since the age of six.

In Sweden the social assistance from a historical perspective, has been a part of the social legislation, since the 18th century. In that time called poor relief. Through the centuries this has established the social assistance we have today. With focus on the child, we have attempted to illustrate how the social workers consider the child perspective when they are dealing with the social assistance. We wanted to get a view of how the social worker reasons about needs the children have and how they can see that the benefit has been provided for.

Every year an avorage of 40 000 Swedes fall ill with different forms of cancer. Chemotheraphy has an effect on the tumour cells as well as the healthy cells in the body, this causes many side effects which can be very problematic for the patient. The study was carried out in order to indicate the care measures that are taken to deal with the side effects i. e stomatit, loss of hair and sickness/vomiting, that are connected with chemotheraphy so that the outpatients will experience a quality of life. The method used was a qualitative interview with six nurses from the South if Sweden, all of whom are working with chemotheraphy patients.

The aim of this master thesis is to investigate how parents? in multilingual families perceive language learning and reading for young children, and how their practice of this can be understood in relation to their language situation and cultural background.This study focuses on the interaction between parents? and young children in the light of the literacy practice. Important concepts such as early childhood literacy and family literacy have been used to study language, culture and literacy practice as phenomena that interact. The theoretical framework is a sociocultural perspective. Through qualitative interviews with seven parents?, it was found that multilingual families have a strong ambition for their children to learn all the languages spoken in the family.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

Diabetes is a widespread disease, which is increasing in the Western World and even in the developing countries. This entail an increasing strain on the medical service when to nurse and treat patients with diabetes type 2. To support and empower the patients in their choices, which will affect them for life, is a challenge to the nurse. The nurse is an important character in nursing care when patients take a more active part in treatments. The aim of this literature review was to exam the factors, which influence diabetes care.