In this essay I have tried to present the ideas and thoughts of the Swedish author Rolf Edberg (1912-1997), journalist, ambassador and county governor. By many regarded as an environment philosopher and the introducer of deep ecology into Sweden. The essay emphasizes Edberg as a modern renaissance man of important knowledge with a rhetorical force to present and generalize the problems the planet Earth is meeting. The paper compares him with Henry Thoreau but also finds a close but perhaps unintended relationship with the German philosopher Ernst Haeckel although Edberg himself claimed to be a Darwinist at heart.The essay stresses on four characteristic features in his authorship namely 1) a holistic view of nature and man, rejecting dualism for monism; 2) a cosmic relationship within the whole universe and also between organic and inorganic matter; 3) the planet Earth is in a crisis due to an uneven and unjust distribution of the resources of the Earth, the nuclear weapon threat and the overpopulation; 4) the evolution and not the religion has the answer to our existential questions..

Background:When the patient is critically ill the family is in a vulnerable position. The nurse's role is to support and help the family to find meaning in the difficult situation and to provide realistic hope. Balancing between the patient's and the family's needs is difficult. Knowledge about how nurses experience difficulties in the interaction with family is required in order to grant good care too critically ill patients and their family-members.Aim:To describe nurses' perceived difficulties in the interaction with family-members of critically ill patients.Method:The study is a qualitative literature-based study based on qualitative research. Results: The analysis resulted in four main themes; difficult disunion, environmental constraints, interpersonal difficulties and communicative difficulties.

Background: Nurses´daily has to face death and dying in their work with patients in a palliative state.  This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.

Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.

Det är svårt att bedöma hur lång tid en människa har kvar i livet och brytpunkten för när en patients döende fas inleds kan vara otydlig (Ellershaw & Ward, 2003). Det är viktigt att den sista tiden blir så bra som möjligt och här spelar sjuksköterskan en viktig roll. Syftet med studien var att belysa sjuksköterskors upplevelser av att vårda döende patienter på en akutvårdsavdelning. Metoden som användes var kvalitativa fokusgruppintervjuer och data analyserades med induktiv innehållsanalys. Ett övergripande tema för studien kan benämnas vårdens vågskålar, dilemman och tillfredställelse, vilket speglar den dubbelbottnade natur vården har.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

AbstractThe purpose of this study was to describe and compare the degree of selfreporting succession to the basal hygienic routines of emplyees working in municipal old peoples care versus hospital care. It is also to describe the access of material available in prevention of cross infections. The study was also carried out with a comparative and quantitative run up design. The study is based on a questionnaire in the district of Gävleborg in the spring of 2009. Nurses, auxiliaries and carers whom were in close contact with patients were asked to join the study.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Project management has been a very popular way of conducting information system development in the past years. Among all major information system developing companies today, almost everyone work in some form of project management. Our objective with this study has been to find out if there are any problems that begin in the early part of the project. Problems that, if they aren?t solved directly, can become bigger problems later on in the project.

I denna rapport behandlas verktyget FMEA (Failure Mode Effect Analysis), dess användning och genomförande på identifierade komponenter som ingår i elmotorer tillverkade hos ABB LV Motors i Västerås. Målet med detta arbete har varit att ge lärdom om metoden FMEA på företaget för att möjliggöra användandet av verktyget bland medlemmarna på företaget och att vi implementerar verktyget på befintlig motor för att analysera de felsätt som kan uppstå. Eftersom ABB just nu har ett pågående projekt med en ny motor kan våra slutgiltiga felanalyser även ge dem information om vilka ändringar och åtgärder som kan vara till nytta vid utformningen av den nya motorn.Efter två veckors praktik i verkstan och en grundlig genomgång av företagets reklamationer kunde vi avgränsa arbetet genom att identifiera de komponenter som analyserna skulle genomföras på. Efter en genomgång tillsammans med våra handledare på företaget kom vi fram till att utföra våra analyser på fem komponenter, två av dem framstod som mycket kritiska som upptäcktes redan vid genomgång av reklamationerna.Komponenterna som vi har analyserat är:1. Lager2.

The purpose of this study to examine and compile qualitative articles to receive knowledge about the cultural and religious cognizance and also the understanding a nurse ought to have, when she meets and nurses dying patients from other cultures and religions than her own. We also had intention to find out which outlook Jews, Muslims and Buddhists have on dying and death associated with their own or death within family..

Vocal Cord Dysfunction (VCD) is characterized by paradoxical vocal cord movement during inspiration or expiration, and generally affects adolescents and predominantly women. Previous studies have shown a large inconsistency concerning terminology, definitions, etiology, assessment, differential diagnosis, co-morbidity and treatment. The purpose of this study was to map knowledge on and management of VCD in Sweden. The study was conducted as a written survey addressed to speech-language pathologists and physicians, and attained an answer percentage of 79 percent. The results showed that several professions were involved in the management of these patients, but no clear pattern of referral could be observed.

BackgroundOur main goal in the clinic is to offer rehabilitation for individuals with hearing losses. The outcome of audiological rehabilitation shall be evaluated in line with the HSL (Swedish health law 2008:3). It is most important to evaluate the results of the audiological rehabilitation for the individual as well as to make sure to reach the goals of HSL.AimThe aim of this study was to try to investigate the audiologists? opinions end experiences how to evaluate audiological rehabilitation. The aim with the focus group interview was to collect increased knowledge regarding questions, answers and observations audiologists consider when evaluating audiological rehabilitation.

A number of studies in human medicine has documented positive effects of whole body vibration treatment in humans. The Vitafloor system, witch is based on treatment of horses with vibration, has the purpose to be used in training of healthy horses and as rehabilitation for horses with injuries in their musculosceletal system. The purpose of this study was to analyse what happens with a clinically healthy horse during treatment with Vitafloor. The methods used is mainly thermography before and after treatment, but also blood samples, measurement of rectal temperature, heart rate, clinical examination and observation of psychic reactions has been done. Statistic significant changes in skin temperature in hoofs and fetlocks of front legs has been observed after treatment with Vitafloor. Analyzing of the blood samples showed a tendency for decrease in Kalium, and two of the horses had changes in CK. No negative effect has been observed with the treatment of horses with Vitafloor, and the horses seems to like the treatment. .

Aim: The aim of this study was to examine nurses experiences of asking patients aboutintimate partner violence and what the nurses believed could be of help or hindrance whenasking the question.Method: The study design was qualitative. Nine nurses from four different divisions wasinterviewed. The participants worked at a Swedish university hospital with an action plan fortaking care of violated women. Data were collected through semi-structured interviews usingan interview guide. The results were analyzed using qualitative content analysis.Main result: The question about intimate partner violence raises a variety of feelings amongnurses, for example anger and empathy.