Healthcare staff working within emergency care must often handle extreme and emotional situations. Most of the certified registered nurse anesthetists (CRNAs) will some time during their professionally active lives confront with events that are difficult to handle and for some these events will lead to more or less serious traumatic distress and in certain cases develop post traumatic stress disorder symptoms. Many studies demonstrate that staff working in similar stress related environment runs larger risk in order to get stress related symptoms. The aim with the study was to describe the experiences around difficult work related events among CRNAs. The study was implemented as a descriptive study with qualitative run-up via a questionnaire with open questions relevant for the study's aim.

                                  The study aimed to explore how patients with ICDs experience their quality of life with a focus on everyday life, electric shocks, and how support from the health service is perceived. The studydesign is descriptive with a qualitative approach. Semi-structured interviews were conducted with seven patients. Data collection lasted for three weeks and interviews were conducted in the participant´s homes, at the participants? workplaces or over the phone.The study shows that most participants have learned to live with the ICD.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

How do you do co-operation between government agencies? It is a wide spread view that there can be quite a few hitches in co-operation between agencies. In later years this idea has spread to the media where there has been negative coverage of the social service agencies. This generally applies to cases where children suffer because the right assistance takes too long to co-ordinate or does not get co-ordinated at all between schools, healthcare and social services. The social welfare law dictates that it is the social welfare office duty to co-ordinate the government agencies for the child?s best interest.

Denna studie undersöker hur privata vårdföretags webbplatser bör utformas för att förmedla en hög trovärdighet mot användare och potentiella kunder. Antalet privata vårdföretag blir allt fler och det blir allt viktigare att synas och framförallt att synas på rätt sätt. Därför väljer många privata vårdföretag att marknadsföra sig med hjälp av en företagswebbplats för att framhålla sig själva och sina produkter och tjänster.Utifrån en stegvis modell för att utvärdera trovärdighet har ett antal faktorer identifierats som ligger till grund för hur användare uppfattar trovärdighet i sammanhanget. Genom att studera hur personer från målgruppen upplever trovärdighet på ett antal utvalda webbplatser har en djupare förståelse för de framkomna resultaten uppstått. Resultaten visar på att det bör läggas stor vikt på fokusering av målgrupp, bilder och bildspråk, den grafiska utformningen och informationsstrukturen vid utveckling av webbplatser för privata vårdföretag.

The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant factors in the development of moral distress, such as providing life-sustaining care, competing loyalties, conflicts with the physician, communication barriers, emotional barriers, cultural barriers, regulation and rules and working environment that gives the nurse difficult or unsolved ethical dilemmas.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

Abstract Children with neuropsychiatric disorders often require special arrangements from the society. These measures could target the child itself, its parents, or other parts of the social network surrounding the child. Parents of children with neuropsychiatric disorders are often deeply engaged both in their child and in these measures.Three parents of children with neuropsychiatric disorders, and four counselors in different habilitation centers, were interviewed. The purpose of this qualitative interview study was to describe the methods with which the counselors worked to support parents of children with neuropsychiatric disorders, and to understand how the parents experienced this support offered by the counselors.The qualitative interviews with counselors and parents followed a thematic interview guide. A structured interview form was used.

The thesis strives to reveal the dynamics between a central and a peripheral shopping area in Kalmar, Sweden. The establishment of larger shopping centers has become a hallmark of postindustrial cities. Cities globally are at risk of creating an urban economic rift between the central and peripheral shopping areas. By establishing major shopping venues around the traditional central business districts, cities hope to create a larger customer hinterland and thereby also increased economic growth. The aim of this thesis is answered by two research questions regarding collaboration and competition between two shopping areas; the central Kvarnholmen and peripheral Hansa City Mall.

Störningar som damm, buller och vibrationer förekommer vid alla byggarbeten. Detta skapar problem vid byggnation av sjukhus med pågående verksamhet. Stockholms sjukhus uppfyller inte samhällets växande behov på hälso- och sjukvård. Stora investeringar görs därför för att rusta upp sjukhusen, Södertälje sjukhus är det första att moderniseras [2].Examensarbetet undersöker vilka störningar som vårdpersonalen vid Södertälje sjukhus upplever och vad Locum samt Södertälje Sjukhus AB gör för att reducera dessa. Observationer, möten och litteraturstudier genomfördes för att samla information om Södertälje sjukhus, Locum och byggrelaterade störningar.

This graduation thesis is about baths and beach like places in city centers. It focuses on recreation and the creation and development of public, social spaces in the city containing water as a visual and useable element. The thesis is divided into three parts; background, inspiration and application. The background examines four factors which we consider important for the occurrence of inner city baths; water, the history of bathing, inner city recreation and social life in public places. A discussion of the (future) importance of inner city baths and beach like places' is then presented. The inspirational part is divided into examples of existing places and examples of types of places. The first is used in an attempt to examine the function and importance of inner city baths and beach like places as well as the opportunities and challenges associated with them. The latter contains a presentation of six categories developed by us to facilitate the planning of inner city baths and beach like places.

Bakgrund och problem: Med den ökande efterfrågan på vård men med begränsade möjligheter att utöka sjukvårdens resurser finns ett stort behov av förbättringskunskap inom vården. Det är allt vanligare att sjukvården hämtar inspiration till förbättringsarbete från industrin i syfte att öka effektiviteten och hålla en hög kvalitet.Syfte: Studiens syfte är att beskriva och analysera hur intensivvårdsavdelningen (IVA) på Danderyds sjukhus arbetar med löpande förbättringsarbete samt att baserat på analysen ge rekommendationer om hur detta arbete kan utvecklas. Ett bisyfte är att inom ramen för IVA:s förbättringsarbete undersöka det stöd från kvalitet- och verksamhetsutvecklingsfunktionen på Danderyds sjukhus som IVA kan nyttja och att ge förslag på hur detta stöd kan utvecklas.Metod: Denna kvalitativa fallstudie genomfördes på intensivvårdsavdelningen (IVA) vid Danderyds sjukhus. Datainsamlingsmetoderna som användes är semi-strukturerade intervjuer, dokumentstudier och observation. Analysen skedde genom mönsterjämförelse.Resultat: Det främsta förbättringsarbetet som genomfördes på IVA var genom förbättringsteam med ansvar över att utveckla vissa områden inom vården.

Bakgrund: V?ld i n?ra relation ?r globalt folkh?lsoproblem som drabbar fr?mst kvinnor och har allvarliga konsekvenser p? h?lsan. Sjuksk?terskors ansvar ?r att f?rebygga oh?lsa och har en viktig roll i att m?ta kvinnor utsatta f?r v?ld. Det kr?vs goda kunskaper och ett etiskt f?rh?llningss?tt f?r att kunna bem?ta dessa kvinnor.

Abstract Children with neuropsychiatric disorders often require special arrangements from the society. These measures could target the child itself, its parents, or other parts of the social network surrounding the child. Parents of children with neuropsychiatric disorders are often deeply engaged both in their child and in these measures.Three parents of children with neuropsychiatric disorders, and four counselors in different habilitation centers, were interviewed. The purpose of this qualitative interview study was to describe the methods with which the counselors worked to support parents of children with neuropsychiatric disorders, and to understand how the parents experienced this support offered by the counselors.The qualitative interviews with counselors and parents followed a thematic interview guide. A structured interview form was used.