The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.

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.

Purpose: The purpose of this thesis is to investigate whether abnormal stock returns could be identified as a result of a layoff announcement during weak economy.Method: An event study methodology.Theory: Efficient market hypothesis, signal theory.Empirical results: Quantitative data from observations of stock prices in thirty two companies listed on the Nasdaq OMX Stockholm, in the period 2008 -2012.Conclusion: The results indicate that the market reaction was negative because there were negative abnormal returns on the Stockholm Stock Exchange during the period 2008-2012 in connection with the layoff announcements. The market reaction was milder when staff reductions were carried out as a result of a restructuring and stronger when staff reductions were carried out as part of a cost reduction program.The layoff announcements elicited different market reactions depending on the company's industry affiliation. The most negative reaction was in the Healthcare industry. Negative abnormal returns were lower in industries Industrials, Consumer Services and Consumer Goods. There were no abnormal returns for shares of companies in the industry Financials.

Amning, amningskomplikationer, stöd och råd vid amning är en del av den sexuella och reproduktiva hälsan och ingår i barnmorskans kompetensområde.Det finns mycket forskning som beskriver nyblivna föräldrars upplevelse av amningsstöd men inte lika mycket forskning på hur vårdpersonalen upplever amningsstödet som ges till gravida och nyblivna föräldrar. Syftet med denna studie var att undersöka vårdpersonals upplevelser av amningsstöd till gravida och nyblivna föräldrar.Studien utfördes genom en kvalitativ metod utifrån en induktiv ansats. Data hämtades från intervjuer med semistrukturerade frågor i 11 fokusgrupper. All data bearbetades genom kvalitativ, induktiv innehållsanalys.Resultatet i studien visade att vårdpersonal upplever amningsstödet de ger som en viktig del i deras arbete. Amningsstödet hade brister och en betydande brist uppgavs vara kontinuiteten av amningsstöd genom hela vårdkedjan.Informanterna ansåg att amningsstödet borde förbättras och många förslag nämndes för att främja amningen hos nyblivna föräldrar och barn.Denna studie kan öka medvetenheten av den egna och kollegornas upplevelse av amningsstöd vilket kan leda till ett bättre samarbete mellan enheterna och en bättre kommunikation samt förändringar i organisationen som gynnar och främjar amningen..

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.

Det primära syftet med denna litteraturstudie var att beskriva hur cancerrelaterad malnutrition uppkom och hur kroppen påverkades. Vidare syftade studien till att beskriva hur patienterna upplevde nutritionsproblemen och dess konsekvenser. Studien syftade även till att beskriva hur patienternas livskvalitet påverkades av nutritionsproblemen, samt vilka åtgärder sjukvårdspersonalen kunde vidta för att förbättra nutritionen hos patienter med cancer. Artikelsökningen har skett via databaserna Elin@Dalarna, Blackwell Synergy och EBSCO Host. Sökorden som användes var cancer, Healthcare, nutrition, malnutrition, nurse, nursing, quality of life och experiences.

SAMMANFATTNINGBakgrund: Delaktighet, vårdrelation och kommunikation är tre centrala begrepp inomhälso- och sjukvården. Detta med tanke på att det är tre faktorer som kan få patienten attpåverka dennes hälsoprocess samt att kunna trygghet. Syfte: Att belysa sjuksköterskansförutsättningar och hinder för att skapa delaktighet i vårdrelationen med patienter närsamma verbala språk inte talas. Metod: Studien utgår från sjuksköterskans perspektiv ochbaseras på en kvalitativ analys utifrån Evans (2002) litteraturstudie. Resultat: Det somansågs vara förutsättningar för delaktighet kunde vara tolkens närvaro för skapandet avdelaktighet i vårdrelationen.

Background. With the mental health care reform 1995, the long-term mentally ill patients were meant to be integrated in the society. Instead, they became ?deported? to mental health care. Aim.

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.

Backround: Many studies indicate that people with mental illness often suffer from physical illness. Many people with mental illness do not exercise even though they often have knowledge about the benefits of physical activity. Studies suggest that psychiatric patients have the desire to have an everyday life with more content. It is apparent in studies that Healthcare professionals believe that it is the patients' own responsibility to keep themselves physically active.Aim: The primary objective with this study is to examine motivation and possible obstacles to exercise for persons with self-perceived mental illness and experience of psychiatric care. The secondary objective is to investigate how psychiatric care may be of importance to people with mental illness when it comes to exercise.Methods: Semi-structured interviews.

Bakgrund: Vårdmiljön har genom tiderna gått från att vara i fokus, till att bli åsidosatt till förmån för den medicintekniska utvecklingen och nu på senare år blir den igen allt mer uppmärksammad. Problem: Sjuksköterskan har en viktig roll i skapandet av en vårdmiljö men hur upplever patienten vårdmiljön? Syfte: Att belysa patientens upplevelser av vårdmiljön. Metod: En litteraturstudie med kvalitativ inriktning med en beskrivande syntes som metod. Resultat: Utifrån patientens upplevelser av vårdmiljön identifierades tre teman med tillhörande subteman.

This essay describes my work as a director in a specialized orientation within psychodrama, surrealistic psychodrama. Using the language and performance techniques of theater and under the guidance of a director, psychodrama creates an improvised narrative or story. The essay describes several dramas I have directed, reflecting on my actions and choices as a director and group leader. I examine whether my working method has allowed me to be spontaneous and creative, which I believe the example of "The dangerous bear" demonstrates. The process enabled me to establish trust and receptivity so that a newly constituted group dared to investigate conflicts in symbolic ways associated with illness and death.