The purpose of this study has been to investigate how psychosocial support for families where a parent suffers from a life threatening illness can be constructed. The intent was also to explore how the child's perspective is protected and what barriers and opportunities there are for family oriented support. The study has a qualitative approach and includes interviews with four social workers. The interviews were analyzed with a systems theory and attachment theory. The conclusions are that the whole family suffers psychological and social pressures when a parent is sick.

The aim of this master thesis is to obtain a greater understanding of childrens choice of favourite books, insight in their reading experiences and their thoughts about the reading of these books. We also want to investigate if, and if so, how childrens librarians obtain knowledge of the childrens reading preferences and reading experiences and how they use this knowledge in their work to stimulate childrens reading. To reach our aim we have been carrying out quantitative interviews with six children aged nine to ten years and three childrens librarians working in public libraries. As a theoretical starting point we use the reader-oriented theory and Chambers Reading circle, which states that support from adults is the most important factor in the childs reading process. The empirical results are linked to theories and earlier research and are analysed under four different themes.

This project is a deepening in how the space in psychiatric care setting can promote and improve thepatient?s well-being. The aim with this study was to create a manual for architects and the care to takepart of. This would consist of different aspects of how the space can be created for a more secure,care taking and healing space. With help of the manual the study would continue by creating a healingpatient room in a psychiatric clinic.The main questions were; can we create an environment which improves the healing process for thementally ill? What are the factors that we need to consider to creating a room for psychiatric care?This study only looks at the patient room, the common room and how the environment can affect theiremotional and physical well-being.By taking part of already made studies in this subject or similar, making my own studies by visitingpsychiatric departments and exploring how the spaces there contribute or not contribute to the healingprocess of the patient.

Bakgrund: Enligt statistik i Sverige ökar antalet anmälningar av barn som far illa, men endast en liten del av anmälningarna görs av hälso- och sjukvårdspersonal. BVC-sjuksköterskan är en viktig person inom barnhälsovården för att främja barns hälsa och trygghet samt att tidigt identifiera problem.Syfte: Syftet med studien var att beskriva BVC-sjuksköterskors upplevelser av att anmäla barn som far illa till Socialnämnden.Metod: Studien baserades på kvalitativ metod med induktiv ansats. Intervjuer användes som datainsamlingsmetod och materialet analyserades med hjälp av kvalitativ innehållsanalys.Resultat: I resultatet framkom att BVC-sjuksköterskorna ansåg det rätt att göra anmälan då barnet for illa, men att det var känslomässigt engagerande. BVC-sjuksköterskorna satte barnets bästa i centrum vid anmälan men hade samtidigt en önskan om fortsatt förtroende från föräldrarna. Behovet av stöd och samarbete upplevdes viktigt och betydelsefullt för BVC-sjuksköterskorna.Konklusion: Resultatet i denna studie bidrar med ökad kunskap om BVC-sjuksköterskors upplevelser av att anmäla barn som far illa, men kan också öka förståelsen för BVC-sjuksköterskors betydelsefulla och komplexa arbetssituation.

Introduction: The population of Sweden has during the last century doubled. An increased live expectancy results in an older population and the share needing medical care increases. Demographic and political changes in developed counties have resulted in changed demands on the care of the elderly. The elderly are discharged from hospital earlier and this results a significant responsibility on the elderly themselves and their relatives. Often the relatives are engaged in the elderly?s health problems, care needs and the future consequences the current situation results in for the elderly and the domestic life.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

This is a qualitative interview study about intellectually disabled parents and their children. I have conducted interviews with six professional staff who have some experience working with intellectually disabled persons. In my investigation I used vignettes and those I interviewed had to read the same story about Anders and Britta in preparation for the interview. The six persons whom I interviewed were: a midwife at a mother care centre, a nurse at a child health centre, a social welfare officer at a rehabilitation centre, a "LSS administrator" at a local authority, and two social welfare secretaries. One of the two welfare secretaries works to assess the social situation of children and the other one works with fostercare.The conclusion that I have drawn is that the relationship between intellectually disabled parents and their children is very important.

Syftet var att studera hur den palliativa vården upplevs av sjuksköterskor vid användandet av Liverpool Care Pathway. Studien baserades på data från sex informanter på särskild boende/korttidsboende i en kommun i Dalarna. Studien har en kvalitativ design med innehållsanalys enligt Graneheim och Lundman.Analys av insamlad data resulterade i de tre kategorierna: Tydliga kriterier ger trygghet i vården, Omvårdnadsarbetet har utvecklats och tydligare information. Resultatet visade att tydliga kriterier vid användningen av Liverpool Care Pathway i den kommunala vården gav den palliativa patienten trygghet i omvårdnaden vid livets slut samt klara kriterier som gjorde att personalen tillämpade lika arbetsätt i den palliativa vården. Att stanna kvar i hemmet vid livet slut var en självklarhet för den palliativa patienten när Liverpool Care Pathway var infört i kommunen.

The aim of the thesis is to present a study of what works well and what does not work so well in today?s use of computers in primary care with a special focus on the use of computers in the management of referrals for consultation. In May 2009 a module for electronic consultation referrals was introduced in the computer system Cosmic at the University Hospital in Uppsala. Previously, the primary care units had to use two different systems for management of referrals. Referrals sent internally within primary care have been sent electronically while referrals to the University Hospital or other external units were sent on paper.

Roughly 130 000 dwellings have been officially registered since Norway as of summer 2009 passed their bill ?Energimerkeforskriften? on energy performance certificates in buildings. The main objective is to decrease the total amount of national energy consumption by producing a methodology of calculation of the integrated energy performance of buildings as well as proposing cost effective measures to lower each building?s energy consumption. As the measures should not contravene nor be incompatible with the intended quality and character of the building, the ?Energimerkeforskriften? exempts buildings that due to their historical and cultural values are protected cultural heritage legislation. The current system offers a couple of professional certification alternatives, but when two online semi-automatic methods developed specifically for non-professionals are by far the most used, and since the methods of calculation primarily have focused on modern building materials and construction, the rest of the historical building stock stands literally unprotected by incorrect performance certificates and high-risk energy efficient measures. The objective of this thesis is to identify if the current Norwegian energy certificate system poses a threat to older buildings.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.

The purpose of this study is to describe and analyze a group of participants (social workers, contact families and the young adults who had been given a contact family as children) and monitor their experience of the intervention contact family and its goals, contents and design. We also wanted to look into what goals and guidelines are available regarding the interventions design and contents. We also looked into parts of the intervention which the participants found most useful for them individually. The method we used in our study was qualitative interviews. We compared and analyzed our results to research made on the subject and the theoretical frame.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.

Hazel (Corylus avellana L.) is a common feature of meadows and pastures where it can grow in large populations and become very old. Is it possible to use the size of hazel stools for age determination and is it possible to use the size distribution of a population to provide information about how the land has been used? Hazel populations on ground where the lake-water level had been lowered, has been studied to validate an already developed growth model of hazel clones. Different hazel populations, on wooded meadows affected by mowing or grazing or overgrown meadows, were studied to evaluate the method utilizing hazel as land use indicator. The growth model was used to compare the size distributions of hazel populations with historical periods, which has been important for changes in agriculture or demography.