70 % of all implementations of Balanced Scorecard fail. In this essay, we look into which difficulties that exist when implementing a Balanced Scorecard. We have chosen the general hospital of Ängelholm for our case and we have made qualitative interviews with key persons in the organization to explain these difficulties. The most difficult problem the hospital faced was to make the employees motivated for the change. It is important that the management is encouraging and is taking an active interest in the implementation as well as experience, patience and having a long term focus.

The aim of this study was to determine the self-perceived learning needs in patients with Coronary Heart Disease (CHD). CHD is the leading cause of death worldwide. Poor compliance is one of the causes of rehospitalisation. Patients suffering from CHD need education in order to manage their disease and prevent readmission to hospital. As hospital stays diminish the time available for patient education is limited.

This thesis analyses how a radiology department at the largest hospital in Sweden, Karolinska University Hospital, most profitably could expand its capacity for investigating cancer patients using magnetic resonance imaging (MRI). The queues today for patients waiting to be scanned are long, which delays the start of cancer treatments. Meanwhile the hospital has a budget deficit of half a billion SEK, which make any expansion hard. In this thesis we evaluate the alternatives of investing in new machinery; utilize the current machinery better by using them more days annually or through a shift work system. Finally we evaluate a combination of these.

There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.

Background: IT-security is included in the concept of information security, which considers all the security of handling information within an organisation. Good IT-security is about finding the right level of measurement, however, it is hard to implemement new IT-solutions in an organisation, particularly within the health care field, where sensitive information are handled daily. Lately the Swedish government, together with county- and city council, understand the importance of IT and health care. Carelink, an organisation of interest, is working actively for the presumption of benefit by using IT within the health care field. During spring 2006 the Swedish government introduced a national IT-strategy.

The main aim of this study is to determine whether the monastery in Ny Varberg has been used as a hospital during its active years. The second aim has been to investigate weather the buried individuals at the monastery at Ny Varberg exclusively are deceased monks. Only individuals from the monastery's active years has been included in this study. A total of 16 inhumated individuals was analysed. Both men, women and children was shown to be present, as well as wide spread of children and adults.

Schools inspections investigation has shown that most pedagogues are experiencing significant challenges to stimulate students and to invite students to participate and to influence the teaching structure and content. This study is based in the school inspections school questionnaire from 2013 which shows that Vallentuna high school results in two categories stimulation as well as participation and influence gets a low index value compared to all participating school units. Previous research has shown that the field studies creates greater amount of stimulation, increases students? participation and provide experience of a bigger influence. Careful preparations are also important and the right form of field studies.

This thesis is a systematic review of the Swedish healthcare and hospital-library?s authorities on the consumer health information. The goal is to evaluate the strengths and weaknesses that are inherited in two professions (medical and LiS) with two completely different perspectives on mediating information.The method used is a mix between conceptual analysis of the Swedish term ?patient information? and a Critical conceptual analysis, according to Fairclough, of published native theses and international professional journals.Conclusion of the thesis is that although the nursing and medical staff has the necessary medical expertise it does not, in many cases have either the time or skill to completely satisfy a patient or his/her next of kin´s information needs when exposed in a uneasy situation as when in need of treatment or help in any kind.The hospital librarian on the other hand does have the intermediating skills and most often the time to explain complex treatments or medical procedures, but the lack in medical or nursing expertise.In a perfect setting there is an inter-professional cooperation which brings a lot of positive results. The problem today is often to overcome the gap in awareness of one and other that exists in a modern Swedish hospital..

This bachelor thesis aimed to explore, in a qualitative manner, the relationship and the interaction between the hospital welfare officer and the rest of the nursing staff. We chose this subject because we wanted to explain the phenomena of being a medical outsider in the nursing team. Our questions at issue were the following three: How does the hospital welfare officer define his occupational sphere and how do the rest of the nursing staff define it, according to the welfare officer himself? Is the welfare officer's relation to his own professional role and to the rest of the nursing staff affected by where his office is placed - secluded from or within the clinic? How does the welfare officer himself value his profession in relation to the rest of the nursing crew? To answer these questions we interviewed eight welfare officers, placed in two different hospitals. We used three different theories to explain the primary information.

This thesis deals with the information-seeking behaviour of occupational therapists. Focus was on three different aspects of information-seeking behaviour. The purpose was to investigate how occupational therapists conceive of work-related information needs, their choice and use of formal and informal information sources and their use of the hospital library. Twelve interviews with occupational therapists were conducted at a rehabilitation clinic in a hospital. The theoretical frame consists of a general model of the information-seeking of professionals by Leckie, Pettigrew and Sylvain.

AbstractTitle: Welfare officers personal experiences of stress and coping in an emergency hospital in StockholmThe purpose with this study was to describe how welfare officers in an emergency hospital experienced stress in their workplace and what coping strategies they used. Through qualitative interviews the welfare officers thoughts and experiences were examined. The result showed that welfare officers experienced some stress at the workplace; this was related to lacks in the organization, heavy workload and short of time. The most commonly used coping strategies were social support, physical training, short breaks during the day to handle the stress at work. The conclusions of this study was that factors that reduces stress for welfare officers who work at emergency hospitals was a functioning organization and management, the ability to control and at some levels effect their own work, to have guidance and other opportunities to ventilate with co-workers.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Objective: The out-of-hospital cardiac-arrest incidence in Sweden averages about 10 000 a year. Whether the victim will survive or not is dependent upon rapid actions according to the chain of survival ? early alarm, early CPR, early defibrillation and early medical treatment. While waiting for the ambulance the victim is completely dependent on immediate help from any bystander, because early CPR improves survival rates by two-three folds. Unfortunately not all bystanders start CPR because of different reasons.

BackgroundMalnutrition in hospitalized patients has a high prevalence. This led to an action plan against malnutrition that was conducted in 2012 at Enköpings hospital. This paper investigated the nursing staff perceptions of this project on nutrition and nutrient intake in two different departments, and whether these perceptions differ between departments. MethodAn inductive approach with semi-structured interview was used in interviews with eight persons from the staff of the two departments of the hospital in Enköping involved in the project. Interviews were recorded, transcribed and analyzed by content analysis. ResultsIn the interview material four categories were identified as well as six different subcategories. The different categories were: "Attitude", "Knowledge", "Procedures" and "Workload".

This is a study of the importance of culture for persons who are in their terminal stage of life. The purpose of my study is to find out if culture, particularly literature, can be a comfort for persons who are about to die. The study is based on interviews with people who are working in the palliative team at Norra Älvsborgs Länssjukhus (NÄL) in Trollhättan. It is also based on study of literature. It is literature about hospital library, culture in hospital treatment, palliative care, bibliotherapy and ?own stories? from dying persons.