Background: Patients who deliberate self harm often feel disappointed with the health care. The consequence of this may be that the patient avoid to seek help after self harming. Nurses' often experience these patients to be difficult and hard to deal with. Both patients' and nurses' thoughts about the situation may affect the situation in a negative way. A good relationship between the caregiver and patient is important.

AbstractOur purpose for making this study is to study the implementation, the use of and the effects of Lean within our case objects.  We chose to make this thesis by case studies. The three themes mentioned above is also the main research questions that we aim to find an answer to by this study. We have chosen to do a cross section analysis where we conducted structured interviews to find answers to these questions. The theoretical reference frame consists partly of traditional theoreticians within Lean but also more recent research within the subject as well as theory specifically for Lean within the Health Care sector.The result of this study shows in all our case studies that the Management has been supporting the implementation, but that the implementation process proceeds faster if also the professionals are involved in the process.  To succeed with the implementation there is a great need for good reasons and strives that can benefit the professionals. By the use of Lean our case studies have evaluated its processes, with the main intentions being to reduce waste activities and to create flows with ?pull systems?.

Light pollution in urban areas - How to prevent light pollution at construction Jakob Sjöling Light pollution is a relatively new but rapidly growing form of pollution. Society's increasing demand for light coupled with the pace at which lighting technology evolves is accelerating that growth. The purpose of this study was to analyse how the construction industry plan and design outdoor lighting when erecting new buildings, specifically with regards to the issue of light pollution. It also investigated how local authorities work with these issues during urban planning. In both cases special interest was placed in ways to improve the planning and use of outdoor lighting in order to minimize light pollution.

Background: In previous studies on the subject hope it has been revealed that hope is an important condition for the experience of health, quality of life and well-being. In the literature hope is described as a great support in life that is vital for a person's life and for how the person manages to become afflicted with a fatal disease. Within palliative care the 6S: s is a person-centered model for care that is directed towards the promotion of patient´s participation, relief from suffering and enablement of well-being and support of the patient and his or her family members. Aim: To describe how patients find hope in their situation in palliative care, and to examine whether there is an interaction between the different dimensions of 6 S: s model and with patients' experiences of hope. Methods: This degree project is literature study.

In this essay a proposal of city renewal is made for the new train station area built on highly productive agricultural land in Landskrona. The proposal is based on how the situation for the agricultural land in terms of exploitation looks like today and also on theories of urban governance to find out why the area turned out the way it did..

Placed in an institution, what happens next? A study concerning how social workers handle the after-care of adolescents who earlier has been placed in an institution is written by Therese Wester and Sanna Sjölander Wirlöf. The purpose of the study is to understand and explain how social workers handle the after-care. This study is based on an organizational perspective since the after-care has been studied in relation to the structure of the organization and the laws and guidelines that the organization has to relate to. The method that has been used is semi-structured interviews with six social workers in different municipalities in Stockholm.

More elderly, fewer hands: The way forward Sustaining the care workforce as a political challenge ? A case study of?elderly care in Kalmar Municipality This study examines how Human Capital Theory and New Public?Management are reflected in the governance of eldercare in Kalmar?municipality. Based on document analysis and interviews with politicians?and senior officials, the study shows that investments in staff competence?and well-being coexist with efficiency-oriented management practices.?Rather than being contradictory, these approaches are often combined in?everyday governance. The study concludes that the main challenge is not?funding, but capacity and that sustainable eldercare depends on aligning?national goals with local conditions and strong human capital.

In this thesis you will meet people that are members of a ?health-choir?. This people are singing together once a week and the purpose is to get a better health. You will also see if choir-singing can be seen as A rites of Passage. You will get a direct link to the informants.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

The aim of our study is to gain increased knowledge and understanding of how young people who has been sentenced to closed institutional care experience their own possibility to participate and influence the transition and aftercare, and which, if any, importance they believe this has for their readjustment to society. The study is based on a qualitative method. The data consist of interviews with four young persons, of which three, at the time for our interviews, where in the transitionphase, and one had left the institution a few years ago. The study?s theoretical framework is based on Erving Goffmans theory about stigma and the empowerment theory.

This diploma work was performed because the company Sveriges BostadsrättsCentrum, with the abbreviation SBC, had a need to gain insight into how changes in the Work Environment Act and related regulations which took effect January 1, 2009 affecting their work with the work environment. The changes mean that the client may hand over his work environment responsibilities to a contractor and that he has to select so-called building work environment co-ordinators. At SBC they are working as representatives for tenant-owner's association when a construction is about to be carried out. The purpose was to ascertain how changes may affect the work at SBC. The diploma work intends to educate the staff at SBC how work with the work environment would look like if they met the regulatory requirements.

Klimatförändringar befaras ge en mängd olika konsekvenser för samhället. Ökade översvämningsrisker är bara en av dessa. De ökade översvämningsriskerna kommer att påverka den möjliga markanvändningen och många områden som idag anses säkra att bebygga och odla kommer att bli riskzoner för översvämning i ett framtida klimat. I samhällets anpassningsprocess ligger nödvändigheten att skydda befintlig bebyggelse men också att kunna lokalisera ny bebyggelse, odling och infrastruktur till säkra zoner. Den kommunala fysiska planeringen har styrmedel som kan påverka bebyggelsens placering och utformning.

The workplace is perhaps the most developed arena for prevention of diseases and injuries among employees. In addition, according to the Swedish Work Environment Act, the employer is responsible to address physical and psychosocial risk factors. Moreover, many employers use health promotion, primarily related to individuals and their ambition to maintain or improve health, for example through dietary means and exercise. The aim of this study is to investigate health inspirers in municipal activities and their perceived support and motivation in work related to health promotion at the workplace. A qualitative method was chosen where six health inspirers within Ludvika kommun were interviewed.

This study is based on interviews with four managers in public elderly care and four managers in private elderly care. The aim of this paper is to examine how these managers are experiencing their leadership in relation to conflict management, and if the managers leadership differs depending on private or public elderly care. Leadership and conflict management are theories that have been used in order to analyze the empirical findings. Previous research that has been used in the study concerns ?leadership/leadership styles?, ?conflict management?, ?to be active in the private/public elderly care?.

How can we plan so that smallscale industry and businesses can become an integrated part of the city? The densifying process in search of new housing areas that is going on in most swedish cities threatens to undermine the diversity and complex make up of central parts of many cities. To sustain industrial activities in central locations is critical to this diversity. This thesis discusses how to reach a sustainable city planning with Bellevue, a small industry and business area in central Gothenburg, as an example..