A litterature review concerning nurses experiences of different workschedules in Healthcare..

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 main purpose of this thesis is to investigate hospital librarians understanding of their professional role in working with children. Two different aspects of the professional role were focused on; professional knowledge and ethics. The following research questions were posed: - How do hospital librarians experience their professional role in working with children and young people? - What is regarded as professional knowledge content for hospital librarians in working with children and young people? - How do hospital librarians view ethical aspects in working with children and young people? The issues have been addressed through qualitative interviews with seven hospital librarians. We have used phenomenography which is both a set of theoretical assumptions and a methodology.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by Healthcare professionals. The aim of this study was to evaluate how the midwives and child Healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

The study is based on a new approach on how Swedish Healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish Healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the Healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make Healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The governance and control of Healthcare organizations has traditionally been run byprofessions inside the organization (Fölster et al., 2003). During the last decades SwedishHealthcare has undergone an institutional transformation where the governance has changedfrom professional governance to a more market like one (Sahlin-Andersson, 2006). Governingof Healthcare can however be problematic as professional work is characterized by a highlevel of autonomy and tacit knowledge (cf. Tsoukas, 1997, Freidson, 2001). An expression ofthe new kind of governance is the annually published report ?Öppna jämförelser av hälso- ochsjukvårdens kvalitet och effektivitet?.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish Healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish Healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.

Vården i Sverige har sedan länge kännetecknas av långa vårdköer och bristande resurser. Allt fler sjukhus och vårdcentraler däribland Brahehälsan, Hälsocentralen Akka, Akutmottagningen på Länssjukhuset i Kalmar samt Diagnostiskt centrum på Länssjukhuset i Kalmar väljer att möta dessa problem med hjälp av ?Lean Healthcare?. Denna nya modell och den filosofi den bygger på bidrar till ett nytt arbetssätt som är tänkt att medföra effektivisering av sjukvården. Är effektivisering av sjukvården det verkliga motivet eller finns det bakomliggande motiv för att införa ?Lean Healthcare?? Vid allt förändringsarbete är det viktigt att ha med sig medarbetarna.

Literature describes what it is like to be a leader in the Healthcare and what is looked upon as the most characteristic quality for female leadership. Women often use a leadership technique that motivates the employee and they allow themselves to develop a humanitarian leadership. The aim of this study was to describe female head nurses? experience of their leadership in Healthcare. The collection of data has been carried out from interviews.

Literature describes what it is like to be a leader in the Healthcare and what is looked upon as the most characteristic quality for female leadership. Women often use a leadership technique that motivates the employee and they allow themselves to develop a humanitarian leadership. The aim of this study was to describe female head nurses? experience of their leadership in Healthcare. The collection of data has been carried out from interviews.

Despite the fact that men dominate substance abuse research and that most programs to target substance abuse therefore are developed by and for men, very little is known about the fact that substance abusing men can also be parents. Mothers are up until today regarded as the most important parent even though society is changing and fathers are taken a more active part in childrearing. The average father today still spends significantly less time with his children than the average mother does and marginalised drug abusing fathers often disappear from their families altogether. The goal and purpose of this paper has been that through a qualitative analyses of written sources and qualitative interviews with Healthcare professionals and social workers recognise how marginalised drug abusing fathers interests of taking part in their children's lives are met by Healthcare, treatment and child protection agencies and how we can understand marginalised fathering as an extension of how we view ordinary fathering. I wanted to examine if there are any specific actions taken in involving these men as fathers and how we can understand their situation.

Background: When someone suffers a spinal cord injury, the nerve impulses between the brain, the muscles and the skin are intercepted, thereby resulting in motion and sensory loss.  During the recovery process, Healthcare professionals play a vital role in ensuring that the patients have a positive experience of care, recovery and rehabilitation.Aim: The aim of this study is to determine how patients at a rehabilitation clinic in Sweden experienced the following: The patient?s experience of how well they were received by staff, the staff?s ability to explain and inform the patient of important details concerning their care and the staff?s ability to involve the patients in their own care.Method: A qualitative interview approach was used when undertaking this study. Six patients at the rehabilitation clinic were interviewed, and the interviews were later analyzed using qualitative content analysis.Result: The collected material was divided into ten categories that were sorted into three subheadings: reception of staff, information and involvement. Reception of staff, with categories: helpfulness, commitment, consideration, professionalism and reception. Information, with categories: if the patients felt well-informed.

IT is often seen as a solution to many problems concerning effectiveness in organizations. Information systems within the Healthcare sector is often viewed as medical devices rather than just systems or services. These medical devices are thoroughly regulated by laws, standards and certifications. In this study I participated in an innovative project that aimed to bring new life and use to the old fashioned patient journal by giving it a visual representation through the use of an avatar. I aimed to study the effects of regulators connected with the patient journal as a source of information for the innovative project.

The study is based on a new approach on how Swedish Healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish Healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the Healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make Healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The Swedish Healthcare systems have over the past decades experienced a major reorganization that involves reduction of costs and cuts due to the financial problems that the public health system faced. Healthcare was criticized because it was considered to be bureaucratic and inefficient (Funck, 2007). The solution to this problem was to focus on other measures rather than the economic measures, such as modernizing the Healthcare instead of cutting down. Implementing a balanced scorecard in a public sector as a hospital, perceived as failures. This is due to several factors such as communication, knowledge and expected time are not taken into consideration when implementing the scorecard.