Blekinge Hospital suffers from a budget shortage of 100 million SEK, while the government now requires that hospitals will no longer be running a deficit. Blekinge Hospital will then use their limited resources to survive in the future and the activity must be enhanced in order to keep costs low without having to lay off personnel. The idea is that the organisation should be more efficient with a more efficient resource usage. Performance measurement systems are important tools for achieving the policies set out within an organization, measuring and evaluating performance is a way to see where improvements in efficiency may be necessary in the business. Balanced Scorecard (BSC) is one of several measuring systems, where the focus is on measuring non-financial performances.

Westhelicopter INC. has an aviation workshop providing qualified helicopter maintenance in accordance with PART-145. Maintenance and administrative base is situated in Luleå at Kallax airport. The types that Westhelicopter INC are currently authorised to service are: Eurocopter AS 350 Base/Line Maintenance, Eurocopter EC 120 Base/Line Maintenance and Robinsson R44 Base/Line Maintenance. The thesis work has been to make new maintenance programme for Westhelicopter INC. This maintenance programme will be used to follow-up the time of the components, service bulletins and ADs.

I dagens samhälle så används internet mer och mer för att få fram information, så är även fallet förkartor. I denna uppsats, som gjorts på uppdrag av Tieto Sweden Healthcare & Welfare för att kunnaanvändas i systemet Laps Care, kommer det tas upp lösningar för att hämta geografisk data viakarttjänster med hjälp av Web Map Service (WMS) tjänster i en .NET applikation.Detta examensarbete kommer att ta upp, på en grundläggande nivå, hur WMS-standarden kananvändas av en klient för att visa digitala kartor från en WMS-tjänst samt lite kort om andraalternativ till WMS så som Web Map Service Tile Cache (WMS-C) och Tile Map Service (TMS)tjänster. Det ges olika förslag på open source komponenter som kan användas för att hantera sådanatjänster med fokus på SharpMap som valdes att användas i prototypen som gjordes för att visa huren sådan klient kan se ut.Uppsatsen kommer också behandla kartografi där det kortfattat förklaras om vilka riktlinjer somborde tas för en karta.I andra stycket tas kortfattat upp hur webbtjänster fungerar och även vad det finns för för- ochnackdelar att använda sig av sådana tjänster.Det kommer också förklaras vad Geografiska informationssystem (GIS) är och hur det användsidag.Sammanfattningsvis så utvecklades en fungerande prototyp med hjälp av open source komponentenSharpMap som kan visa kartor från WMS, WMS-C och TMS tjänster och om en ERSI Shapefilmed vägdata finns tillgänglig så går det att söka efter gator..

The purpose of this essay is to examine which factors that influence the design of internal control in municipal context and how well it works. We choose seven municipals, where we interviewed the administrative managers, the chairmen of the committees and two persons of the staff in each activity unit. The interviews were performed by telephone, due to the keeping of the essay?s timeframe.The theory in our essay comprises eight hypotheses. These hypotheses were operationalised into different variables aiming to make statistical tests possible.

The district nurses' duties with all organisational changes, above all during the last 20 years, have been changed. Economy and listing governs which visits that to be prioritized. The aim with this study was to examine what district nurses in the primary care in Uppsala län has for view about their occupational role. The method was qualitative and the selection comprized ten district nurses in Uppsala län that were interviewed individually on the basis of a semi structured interview guide that the authors the actual created. In the wide analysis of the results could a theme, As a rubber screw in a shrinking hole and three central categories be discerned, Occupational role, Diversity and Organisation.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

Vårdpersonal känner ofta stor rädsla att gå in i vårdsituationer med en döende förälder. Tidiga stödinsatser har visat sig vara av värde för barns krisbearbetning och accepterande i dessa vårdsituationer. Vården är vanligen inte anpassad för att barnen ska involveras och många föräldrar upplever det svårt att förmedla information om sjukdom och förväntad död till sina barn. Syftet med studien var att undersöka vårdpersonalens upplevelser och erfarenheter av att stödja familjer med minderåriga barn när en förälder är svårt sjuk eller döende. I form av tre fokusgruppsintervjuer intervjuades 10 personer med olika vårdyrkesbakgrund.

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.

Palliative care is a care that focuses on providing end of life care but not to delay or hasten death. Despite training, nurses often show a lack of knowledge in attitude, ethics and healthcare issues of palliative care. The nurse in palliative care has a central role in caring of the dying patient and therefore a big responsibility. However, palliative care is a low priority in basic training. The aim of this study is to investigate the roles of nurses in palliative care and if there is a need for increased education in the subject.

The expectations of a successful outcome are great during childbirth. The overall objective of prenatal care and birth care is that midwives contribute in creating the most positive experience of pregnancy, child birth and infancy as possible. During the past 30 years there has been a significant increase in sectiofrequency both in Sweden and the rest of the Western world. More parents feel an overall insecurity when it comes to child labour. The purpose of this study was to describe how midwives experience the work of creating a sense of security and good nursing when meeting the expectant parents.

Background: Good quality of communication has a significant role and is essential in the care, and there are many factors that have an impact on the communication between nurse and patient. It is important that the interaction and communication is directed to and focused on understanding in broad sense in order to make sure that the meeting between nurse and care taker will result in something positive. Through a greater understanding the cooperation between nurse and the patient will be facilitated, which will create opportunities for both sides to be part of and contribute to a meaningful rehabilitation.Purpose: The aim of the study is to describe how the elderly patient and the nurse experience the communication within the health care, however also to identify what factors that are essential for an optimal communication.2Method: In this study the method that has been chosen is metasynthesis. The metasynthesis method implies that qualitative studies, that illustrate elderly patients and nurses perceptions and experiences of communication within health care, have systematically been reviewed and compiled to a result.Result: The analysis of the study?s results in a composition that consist of the following three themes; the patients and the nurses perspective on how information should be conveyed, the role of the time aspect in communication and the impact of the attitude on communication.

BackgroundPeople with psychiatric problems, despite efforts in recent decades still experience vulnerability. Patients with borderline personality disorder (BPD), where self-harm is common, often live in difficult and complex social relationships because of their illness. Additional knowledge and studies about mental illness, self-harm, dialectical behaviour therapy (DBT) and the therapeutic alliance are needed.Purpose and MethodThis study aims to examine how staff perceive and describe: DBT as a treatment method; the therapeutic alliance and the importance it has for treatment. The study utilises a qualitative approach with a qualitative content analysis method and presents earlier research on DBT and the therapeutic alliance. The empirical material consists of focus group interviews comprising three DBT - teams.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

The aim of this thesis has been to examine how the risk for the swine flu was represented in the Swedish Radio news broadcast Ekot 16.45 during different phases of the pandemic in 2009. We wanted to study how the risk was described in different discourses and periods? Were the participants in the reporting calming or warning the listeners in relations to different aspects of the swine flu? What consequences for the community were reported in the broadcasting?To find the answers to our questions, we analysed 13 features about the swine flu broadcasted in Ekot?s main news broadcast Ekot 16.45. We used critical discourse analysis inspired by Norman Fairclough.We identified four types of discourses in our text, a journalistic discourse, a medical discourse, a nationalistic discourse and an authority discourse. The main discourse was the medical one.