The purpose of this essay was to analyze the management and steering of the social welfare service. The objective was specifically to examine how the leaders approach their position as managers of the social welfare service, and also how they approach their way of steering. The social welfare service acts under political decisions, but the management interpret and transform these decisions into actions. The managers of the social welfare service are therefore important from a democratic perspective. The study was based on five qualitative interviews with two managers of the unity, two departmental managers and the head manager of the social welfare service.

Background: Febrile seizures are common in childhood. When a child is stricken with febrile seizures it is not only the child that is suffering, in fact the whole family is affected. There are different ways to prevent recurrence of febrile seizures, such as use of different drugs. The parents also need information about febrile seizures and support from the nurse. Aim: The aim of this literature study was to illuminate the nurse?s preventive work for children who have been stricken with febrile seizures.

Background: Earlier studies show that nurses work environment is a factor that may affect the quality in nursing care negatively. Other factors are: number of employees, working hours, work structure and planning and working relationships between colleagues. Work relationships are particularly important for nurses as they can affect patient safety. Nurses are prone to stressrelated illnesses and high stress levels prove to have a negative affect on the quality of nursing care. To develop and assure the quality demands effort from every employee.

The purpose of the study was to describe the nurse´s role and experiences aroundpreparation of children in front of peripheral venous catheter (PVC) placement andblood draw. The study used a descriptive design with qualitative approach and wasperformed on a pediatric clinic in Sweden. Semi-structured interviews were performedwith seven nurses of whom the first was a pilot interview, which was included in theresult. The recruitment of nurses was made by a purposeful sampling, maximumvariation sampling, with help of the quality coordinator of the pediatric clinic. Thecollected data was analyzed with the manifest qualitative content method.

Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: ?What nutrition therapy has the best outcome on growth in preterm children and/or children born with low birth weight??Author: Josefine Nyström and Rebecca HammarSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 11, 2013Background: There is a number of reasons why a child is born preterm and with a low birth weight, for instance if the mother is underweight, smoking or exposed for malaria. The negative consequences of being born preterm or with a low birth weigth are many, both on long and short term. According to the WHO preterm birth is the most common direct cause of infant mortality. By providing the right measures in time when it comes to nutrition the mortality can be reduced considerably.Objective: To examine and summarise the scientific ground when it comes to the best nutrition therapy for preterm children and children born with a low birth weight.Search strategy: A systematic literature search was done in the databases Pubmed, Cohrane and Scopus.

Background:An increasing number of patients with an oncology diagnose will be seen in the future. The oncology care is complex and in great need of nurses with a high level of competence. There is a lack of previous research in the specialist oncology nurses competence and therefore knowledge of their skills can reveal an understanding of their competence.Aim:The aim of the study was to describe the competence of the specialist oncology nurse.Method:Four oncology nurses and two directors of oncology care were interviewed. The interview text was analyzed using qualitative content analysis.Results:The result showed that the oncology nurses had developed six different competences within different areas. These competence areas were assertiveness, patient-centered care, ethical and moral-, pedagogical-, to lead and develop- and theoretical competence.

Identity includes an individual´s self-image and the consciousness about their self. It is about being the same person despite changes in their life situation. The identity often get´s fragile because of the disease. Beacuse of the individual´s feeling of lost identity there may arise a conflict between the person and people in his or her surroundings. They may no longer see the sick person in the same way as they used to.

The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools.

Syftet med denna studie var att undersöka sjuksköterskors respektive undersköterskors syn på god omvårdnad. Studien är av empirisk och kvalitativ karaktär där fyra legitimerade sjuksköterskor och fyra undersköterskor intervjuades och delgav sina uppfattningar. Analysmetoden innehållsanalys valdes och i resultatet presenteras nio stycken huvudkategorier; Ge patienten trygghet, att respektera patientens vilja och individuella behov, basal hygien ? och omvårdnad skall tillgodoses, social samvaro, motivera patienten, kommunikation, empati, hinder, skillnader i uppfattning..

The aim of this literature review was primarily to describe how the nurse can involve the parents in the care for their premature baby, and secondly to describe the aim, design, method, population and quality of the reviewed studies. Searches have been made in different databases in order to find articles where the search words ?neonatal care?, ?neonatalvård?, ?premature infants? and ?nurse? were included. The literature review was based on 12 scientific articles. The results of the study were divided into six categories; The nursing staff?s relation to the parents, Support group, ?Home-early program?, Decision-making, A work in progress and A safe and efficient method.

This Master Thesis is a product development project that has been carried out in cooperation with Scania CV AB. The purpose has been to find the relationship between geometric parameters and the swirl number for an XPI- cylinder head in order to improve the design specification.The increased focus on environmental issues from society leads to tighter emission legislations for the truck manufactures. In order to drive the development forward considerable resources are spent on research and development on diesel engines and its combustion process. The inlet air has a significant impact on the formation of emissions and the flow that is desired is called swirl. Swirl is achieved by making the air rotate around the vertical axis of the cylinder.Earlier cylinder heads that has been developed at Scania CV AB have shown clear relationships between geometric parameters of the cylinder head and the swirl number.

Introduction: In January 2005, a nationwide mandatory bicycle helmet law for children under the age of 15 was introduced in Sweden. In the current study, the effect of this law was evaluated by analyzing national trends in hospital admissions due to bicycle-related head injuries during the period 1998-2011.Methods: An interrupted time-series design with segmented regression analysis was used to evaluate the intervention effect on head injuries as a percentage of all injuries (%HI) among cyclists in age- and sex-specific groups. Effect was measured as a change in level and/or slope of the trend at the time of legislation.Results: A total of 35261 cyclists (0-54 years) were hospitalized due to a bicycle injury during the study period. Linear regression analyses of the entire study period (not segmented) showed significant year-to-year decreases in the %HI of 1.3-1.7% in all age and sex-specific groups (p < .0001). Results from the segmented regression analysis showed that, at the time of legislation, a significant drop in level occurred among males under 15 years (-4.5% [95% CI: -7.7% to -1.3%], p = .01) and a significant change in slope occurred among females aged 30-54 years (-1.6% [95% CI: -2.9% to -0.2%], p = .025).Conclusions: The law seems to have had an effect on males in the target population (<15 years).

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.

Abstract:Background: Socialstyrelsen statistics show that breastfeeding continues to decline. Previous research some mother experiencing breastfeeding difficulties and their lack of knowledge and understanding of breastfeeding. Support to mothers varies depending on their individual needs. Factors affecting the choice are the support of health care nurses and the social network. Aim: The aim of this study was to describe health care nurse experiences of giving support to mother who are breastfeeding.