Dagligen kommer barn till sjukhus inför en planerad operation. De flesta barn är mer eller mindre ängsliga. De kommer till en okänd miljö och vet inte vad som ska hända. Att inte veta vad som ska hända skapar oro och rädsla. Barns oro och rädsla inför planerad operation kan även påverka barnets beteende negativt efter operationen med bland annat separationsångest och sömnsvårigheter.

The aim of our study is to explore which norms that exists in the home care service, who is sending those norms, how are they maintained and how do they affect the interactions between staff and manager? We want to deep en our knowledge about home care service as an organization and increase our understanding for the psychosocial work environment and also the importance of leadership. We mean to read the organizational culture that exists which allows us to deal with the values that influence the behavior in the organization.The study is based on a qualitative method. The data consists of two focus group interviews, one with managers from the home care service - organization and one with staff from the same organization. T he interview with the managers consisted of five participants and the corresponding figure for the second interview with the staff was eight participants.The theoretical viewpoints have been communication - theory, organizational theory and Foucault´s th eory of power.Our result indicate that norms are something that unconsciously controls us and that we have learned that there are consequences when you step out of what is normative for the group.

Our main purpose has been to describe and compare two community's ways of organising and executing the social welfare sectors drug and alcohol abuse programs. We also wanted to explain the similarities and differences we found with the help of an organisations theoretical perspective. A second purpose has been to try to find out if the difference affects the clients possibility to receive equal care.To find out how the community's organise and execute their drug and alcohol programs, we interviewed two social workers in leading positions in Landskrona and Ängelholm. We have further more, to find out if the differences we found influencing the clients possibility to recieve equal care, completed an inquiry with fictional cases that all of the involved social workers, at each community, built an opinion upon.Our main result showed more simmularities than differences in our two community's ways of organasing and executing their drug and alcohol programs. We judged the clients possibility to adequate care to be equally sufficient no matter where he sought care, since our study showed that the social workers choice of approach did not differ significantly between the two communities, even though we found differences in their way to organise and execute the social welfare sectors drug and alcohol abuse programs..

Att vårdas i respirator innebär att den verbala kommunikationsförmågan förloras, vilket kan medföra känslor av frustration och maktlöshet hos patienter. För att uppnå en vårdande relation är samtalet av stor betydelse, vilket försvåras om kommunikationsförmågan är nedsatt. Syftet är att beskriva intensivvårdssjuksköterskors upplevelser av kommunikation med lätt sederade, respiratorbehandlade patienter. En kvalitativ ansats har använts. Halvstrukturerade forskningsintervjuer utfördes med åtta intensivvårdssjuksköterskor från två sjukhus.

The main aim of this bachelor thesis is to describe through a quantitative study the extent of support received by foster families, their opinion of the support and any areas that might need improvement. The foster families receive foster care support through a private agency. We concentrated on the following areas of support; education, health, contact with the children?s biological relatives and behavioral difficulties. These four areas have, in previous research, shown to be problematic for foster children.

Thisbachelorthesisdealswithhealthcare.Whichisacurrentandurgentsubject.ItconcernsspecificallySkaraborg´sHospital,oneoutoffourhospitalgroupswithintheVästragötaland´sRegion.ThishospitalgroupinturnconsistsofthehospitalsinFalköping,inLidköping,inMariestadandinSkövde.Skaraborg´sHospitalisafterarecentreorganizationofanextensivedegree,dividedintofourdifferentmainareas(divisions)withatotalofapproximately4200employees.Thefourmainareas(divisions)are(1)Surgery(K),(2)MedicineandPsychiatry(M),(3)ResearchandEducationalDevelopment(FoUU),and(4)StabincludingHumanRelations(HR)andEconomy.TherearetodaysomespecificdifficultiestoinadequatewaysmonitorandunderstandthedifferentactivitieswithinSkaraborg´sHospital.Suchrelationshipsnaturallycreatesobstaclesforexampletocarryoutorganizationalandoccupationalwork.Onesuchexampleisthelackofopportunitytolinkmainareas(i.e.divisions),sub-­?divisionsandorganizationalunitswiththesurfacesandpremisesthattheseusestoday.Theaimofthebachelorthesisis(fortheseandotherreasons)toconnectthedifferentorganizationalunits,etc.withinSkaraborg´sHospitaltothesurfacesandpremisesthattheyuse,andtothusmakeitpossibletodescribethemainareas(divisions),sub-­?divisionsandorganizationalunitswithmoreaccurateandpracticaldenotations,sothattheycanbeunderstoodbybusinessrepresentatives(patients)andemployees.DuetothefactthatSkaraborg´sHospitalisalargeandcomplexorganization,Ihaveenclosedthethesisbyprimarilystudyonlyonemedicalsubdivision,whichisM.3andconsistsofseventeenorganizationalunitsprovidingcarebymeansofmainlythreemedicalspecialties,namelycardiology,skininfectionandrenalmedicin.SubdivisionofM.3waschosenforthisentireactivityislocatedinthesamelocality,whichisinSkövde.Butalsoduetothefactthatthiswasoneofthemorecomplexorganizationalunitscontributedtothischoice.Thebachelorthesiscontainssevenappendices,inwhichthethesisso-­?calledmethodstepsaredetailedfurther,whichalsoincludestheappropriatesub-­?results.Therebyaretheresultscomprisedintheseappendixes.Observe,thatsomeofwhatarepresentedarecontributionsfromotherauthors,i.e.resultsfromaprogressiveresearchprojectwithinSkaraborg?sHospital.Theseappendicesarecalled(1)?Skaraborg´sHospitalashortdescription?,(2)?TheworkwiththefourExceldocuments?,(3)?BuildingswithinSkövdehospitalillustratedwithcurrentbuildingdrawingsfromVästfastigheter,incombinationwithadevelopedschemetoshowsuchbuildings?,(4)?ResultsfromthephysicalinventoriesofthesurfacesandpremiseswithinthesubdivisionM.3?,(5)?Suggestionsformoreaccurateandpracticaldenotationsonareas(divisions),sub-­?divisionandorganisationalunits?,(6)?ExampleofasurveyproposedtobesenttounitmanagerswithinthesubdivisionM.3toensuretheresultsofthephysicalinventory?and(7)?Commentsonsomeresultsobtainedfromasemi-­?structuredinterviewwithoneofthemanagers(i.e.adoctorresponsibleforsomeoftheactivitieswhithinResearchandEducationalDevelopmentFoUU).ThethesisisbasedonanumberofExcel-­?documentsobtainedfromSkaraborg´sHospitalanddrawingsofthepremisesobtainedfromVästfastigheter.ItisalsobasedonavarietyoffieldtripswhereIhavebeenabletovisitandtherebycarryoutthephysicalinventoriesofthesurfacesandpremisesoftheselectedorganizationalunitsandinterviewsofanumberofkeyemployees.Thetheoreticalframeworkforthisthesisispartlybasedonorganizationandorganizationalmanagement,organizationalcultureandworkofchangewithinanorganizationandtheworkingenvironmentandsafetyresponsibilities.Thethesisisalsobasedontheoriesandstudiesthathavebeendoneonhealthcareorganizationsandhealthcaremanagement.ThethesisworkhashelpedtoidentifyallsurfacesandpremisesthatorganizationalunitswithinthesubdivisionM.3exploits,andtoprovidesuggestionsformoreaccurateandfunctionaldenotationsfortheseorganizationalunits.ThisthesisalsoprovidesabetterfoundationforvariousongoingandfutureinitiativestoimproveefficienciesaswellasworkandworkconditionswithinSkaraborg´sHospital.Anexampleoftheresultstherebygained,isthatthemethodusedtoidentifyboththesurfacesandpremisessubdivisionM.3uses,whichcanbeusedforalloftheothersubdivisionsandorganizationalunitsthanthosethathavebeenstudiedinthisthesisframes..

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.

To reach health and wellbeing, despite a disease as rheumatoid arthritis, the patient needs help to manage and cope with his situation. The caregiver?s task is to give this support. The aim of this study was to illuminate how patients with rheumatoid arthritis experienced the relationship to the caregivers in the ?rheumatic-team?, and the participation in this team.

The purpose of this litterature review is to illustrate the nursing care to patient with chronic pain. As a theoretic frame for this study we choose Aron Antonowsky. The results of this study are based on 8 scientific articles. The findings are presented in main categories and ideas. The findings show that chronic pain is a multidimensional phenomenon that influences peoples quality of life in a physical, psychological as well as social way.

AbstractThis thesis is the final part of the Innovation and Design Engineering Programme (180 ECTS credits)at the Faculty of Health, Nature and Engineering Science at Karlstad University. The extent of thisthesis is 22.5 ECTS credits and has been performed independently by Hannes Jernberg during thespring of 2013. Metso Paper Karlstad AB is the task maker of this project, and Arvid Johansson is thecompany Representative. Metso Paper Karlstad AB is one of the world leading developer andmanufacturer of tissue paper machines.In the current situation, the company has developed and patented a power management systembased on a Cross Flow Turbine. The current construction is limited to a paper width of 2.9 meters.The company wants to take advantage of all the opportunities provided by the patents, to develop aturbine solution paper machine with a paper width that is wider than 5.5 meters, and give the abilityto manufacture paper for lower energy consumption which is an important part of the production asit is very energy intensive.Problems arise with the increasing length of the turbine, ultimately resulting in that the deflectionbecomes too big and that the momentums, due to the increased torque the turbine blades breaks.By applying the design process, this work has resulted in a number of potential solutions to theproblem.

Sweden, being a multicultural society, has an increased need for transcultural care. The purpose of this literature review is to provide, through Madeleine Leinger's Culture Care-theory and her Sunrise model, a greater knowledge to nurses and to other professions within the health care units in meeting with circumcised or genitally mutilated girls or women. The result is based upon two scientific dissertations and nine scientific studies. It emerged mainly the etic (outsider) perspective. To underline the emic (insider) perspective, pure literature and fiction have been used.

BackgroundAnorexia nervosa is a growing problem in society and it is most common among women. It is a complex disease that affects both the mental and the physical health. The disease expresses itself differently from person to person, therefore, treatment should be individualized. Nurses need to gain insight into how patients feel about the treatment in order to understand their experience. Previous studies use statistical research to evaluate treatment.

SammanfattningBakgrund: Övervikt och fetma är ett växande problem i Sverige och i stora delar av världen. Överviktskirurgin har ökat kraftigt de senaste åren och är idag en utbredd metod för att behandla övervikt och dess följdsjukdomar. Trots att syftet med operationen är att minska risken för ohälsa så visar studier att personer som genomgått denna typ av behandling, konsumerar mer sjukvård än personer som behandlats med andra metoder mot sin fetma. Därav är det viktigt att få en djupare förståelse för hur personer som genomgår överviktskirurgi upplever sin situation i samband med ingreppet.  Syfte: Att beskriva personers upplevelser och behov i samband med överviktskirurgi ur ett vårdvetenskapligt perspektiv.Teoretisk utgångspunkt: Transitionsteorin utifrån Meleis et.

The Swedish preschool combines both education and care from a holistic point of view. This makes it even harder for both parents and the educators to make an objective evaluation on their own preschool. In Sweden we are proud to have one of the world?s best preschools. It is regulated by the government and is obligated to undertake critical evaluation from the state and the parents that are the consumers of these services.

The aim of this study was to investigate whether the Swedish Institute of public health care uses paternalistic information in their alcohol publications. My intention has also been to examine to what extent the paternalistic information is being used. This is determined simply by how frequently paternalistic information is found in the publications. I chose to analyse five publications that contain alcohol related information and had a clear motive. My results show that all five publications use paternalistic methods with the intention to change readers, or people in their surroundings, alcoholic behaviour. Though this is quite a small essay, I have suggested extended research of the subject ? preferably of all 176 alcoholic publications presented by the Institute of public health care..