This thesis analyses the cost accounting system KPP and its use within the Swedish health care. KPP is designed to calculate and assign health care costs to individual patients. This would facilitate evaluations and comparisons of the costs for certain diagnosis, patient groups or clinics with a different mix of diagnosis. The study investigates the following questions: 1. Does the KPP-model theoretically work as a cost accounting tool for health care purposes? 2.

Background: Human interaction by touch plays a central role for our health and well being throughout life. When people touch each other our bodies release a hormone called oxytocin into the bloodstream, this gives the body a soothing effect. Touching on the other hand can be perceived as unpleasant if it is not in accordance with the patient?s norm or wishes. From biblical times and through to today human touch plays a central part of nursing.

Introduction: Our lifestyle habits affect our health and unhealthy habits are a contributing factor to disease. Health care is an arena that should work with health promotion. MI (motivational interviewing) is a method used in various forms of care to work with lifestyle. Aim: To map methods with intention to be used in Swedish primary care, to work with the lifestyle habits diet, physical activity, alcohol and tobacco. Method: This is a literature based study.

Introduction: Mental illness is a public health issue which 20-40 per cent of the inhabitantsin Sweden suffer from. Many factors can lead to mental illness and because of that it isimportant that different organisations and professions collaborate in prevention and healthpromotion work. To develop the collaborative process by noticing difficulties and successes,documenting, follow-up and evaluation is of great importance. Aim: The aim of this literaturereview is to investigate which methods are used for evaluation of health promoting anddisease preventive collaborative projects, which focuses on mental health directly orindirectly, and find out what results these projects has revealed. Method: Literature reviewwith descriptive design.

Migrän är en återkommande, anfallsvis huvudvärk som räknas till en av de 20 mest handikappande sjukdomarna i världen. Det är sjuksköterskans ansvar att främja hälsan hos patienter med migrän genom att upplysa om sjukdomen och informera om vilka icke-farmakologiska metoder som kan verka mot migrän. Syftet med studien var att beskriva icke-farmakologiska metoder vid migränanfall hos vuxna. Litteraturstudiens resultat baserades på 13 vetenskapliga artiklar som genererade tre olika teman: akupunktur, kunskap kring utlösande faktorer samt livsstilsförändringar. Resultatet visade att akupunktur, kunskap och utbildning kring utlösande faktorer samt livsstilsförändringar är bra behandlingsalternativ i det hälsofrämjande arbetet vid migrän, då metoderna visade på signifikant minskning av migränanfall.

The goal with this study have been to investigate how teachers in physical education perceive health as a concept, and how they choose to work with in the classes they teach. Health as a concept can be somewhat diffuse and as the Swedish curriculum doesn?t define the concept the teacher are given a freedom in interpreting what health is and how it will be taught to the students. This makes it interesting to study if teachers perceive health differently and if that affect what they are teaching their students.I used interviews as a method to answer my questions and the results show that there wasn?t much difference between the teachers in how they perceive health and how, and what, they teach their students.

The aim of the study is to get a better understanding of leader's reactions in a crisis situation, and to examine whether locus of control and coping strategies can be related to leaders need for social support. The role of a leader in a crisis situation is complex and includes several aspects which must be illustrated to understand the leader's situation. Four leaders have participated in the study. The methods that have been used are questionnaires for measuring locus of control and coping and semi-structured interviews. The results show that search for social support cannot be seen as an outcome of a specific locus of control or coping strategy.

Introduction: In Skaraborg, a standardized dialogue is being held since 2005 about dietand physical activity, during the 1,5- and 3-years health control at the Child Health Carecentre (CHCC). The aim of the dialogue is to prevent overweight and obesity amongchildren. Aim: The aim of this study is to examine the parents? experience of thisdialogue, and what they perceive that the dialogue has contributed with after sixmonths. Methods: Qualitative collection of data through 11 interviews heldimmediately after the dialogue, in addition to five telephone interviews conducted six toeight months after the dialogue.

Stress is part of everyday life and in the working conditions of the social services in Sweden. Thus each and every person has resources and strategies to cope with those stressors that construct the assumption of stress. The aim of this study was to understand how persons in leading positions of the LSS of Social Services in Kalmar experience and cope with stressors in their leadership and organization and to investigate what factors during working and non-working hours promote health. Influenced by the theoretical approach of Aaron Antonovsky´s Sense of Coherence seven qualitative interviews were conducted with persons in leading positions. They were asked about stressors, coping strategies, resources and health promoting factors that help to cope with stressors.

Bakgrund: Sjukdomen schizofreni innefattas av symtom såsom vanföreställningar, vrede och apati samt har en hög självmordsprevalens. Närstående får ofta en minskad livskvalitet pga. de stora påfrestningar de utsätts för. De behöver stöd från vården för att orka vara delaktiga i den sjukes liv. Syfte: Att beskriva upplevelser av att vara närstående till en person som har schizofreni och på så vis öka sjuksköterskans förståelse för denna individgrupp.

Among young adults and especially women, psychological issues are common phenomena in the society such as depression, anxiety and stress. Research has shown that physical activity can be a complement for anti-depressant medication. The aim of this review is to examine previous research to find out how physical activity can provide positive effects on overall mood state in particular young women's psychological health. The results of this review is that there are support in the literature of young women that physical activity may enhance mood in studies of depression and anxiety symptoms and small support for the effects on reducing stress. Physical activity with both high intensity and low intensity has shown to have positive effects on depression and anxiety, but the physical activity has to be regular for long-term effects.

Background: Ill-health related to unhealthy lifestyle is increasing and despite existing knowledge about healthy lifestyle it is difficult to change behaviour. Counselling in the primary health care is often superficial and without critical elements for behaviour change. Aim: The aim of this paper to elucidate interventions for change of lifestyle with respect diet and physical activity. Method: A literature review was carried out and ten scientific articles were analyzed and compiled in two main categories: design of these interventions and participation in them. Results: Education, decision making, goal setting, feedback, social support and follow-up were identified as critical elements for behaviour change.

Introduction: Public health researchers have long been focusing on investigating health inpopulations through determinants such as income inequalities. Nevertheless, incomeinequalities can be considered an effect of the organization of welfare regimes. The publichealth status is largely affected by the organization of welfare regimes and consequently thereare large differences in health within and between welfare regimes. How are these differencesdistributed and how can they be explained?Aim: To compare health between welfare state regimes with the use of Esping-Andersen?swelfare regime typology and to investigate the relationship between welfare statedeterminants and health.Methods: A literary review based on 12 scientific articles.

During year 2007 ClaraHälsan Ltd bought the company health service Solstahälsan in Karlstad. The wide merger of the two health services the problems arose around the employees? employment agreements when certain parts of the agreement differ. At a transition of a company, in this case a health service, the rights and obligations for the employees will pass on to the new employer according to directive 2001/23/EG who came in force in the swedish legal system in year 1995. The former employer is only responsible vis-à-vis the employees ?for economic obligations related to the time before the transition, the code of protection of employment 6 b §.

We have chosen to focus on the meaning of long-term income support dependency regarding health, goal setting and motivation for the recipient of economical aid. We have chosen to use semi structurized interviews to achieve our goal of reaching the clients experience of long-term income support dependency. The study consists of interviews of six clients whose answers have been analyzed through appliance of Kielhofner´s Model of human occupation, Scheff´s Shame in self and society.   Our results show regarding, 1) the factor health that long-term income support dependency may elevate the risk of illness and less experienced options of possibilities to act. 2) regarding the factor goal setting, that goals may be inefficiently used during social work with long-term income support dependent clients and may result in a disorganized relationship between client and social worker in the sense of making the parties pull in opposite direction. 3) regarding the factor motivation, that long-term income support dependency and the living with the emotion of shame elevates the risk of maintaining a negative image of oneself that limits the willpower to assimilate new knowledge and/or skills.