The aim of this case study was to investigate the role of leadership and interpersonal relations among staff during implementation of lean at a University Hospital in Sweden. The 15 respondents were leaders and staff members from different wards and clinics, who had started working according to lean principles. One of the methods used was explorative, low structured interviews. Other methods used for gathering information about the case was attending lectures about lean healthcare at the hospital, part-taking in the lean game and reading articles about lean and the implementation in both daily press and on the intranet of the hospital. The results showed that an open and accessible leader that coaches his/her staff and supports their work, helps the staff to develop a lean identity.

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

Background: Critical conditions to become an attractive supplier of knowledge based IT-services in the B2B market are many. Besides the fact of supplying a service of high quality one must as a supplier communicate values which are understandable and desirable for a new buyer. Buying a knowledge based IT-service involves several risks; the consultant might not have sufficient knowledge or have difficulties understanding the corporate culture and collaborating with other staff within the client?s organization. Since services are intangible offers and it can be intricate to put right price level for something which can only be evaluated when the project is finished, puts severe strain on suppliers competing with other companies in the same market when looking for new clients.

Through the different stages of life people have different requirements for their homes. The requirements changes depending on people?s life situation, lifestyleand age. Depending on where people are in life they live in different place, often in areas with other people who are in the same stage of life. In Sweden, this separation has always been noticeable, sometimes more than other.

The aim of this study was to understand how care staff in residential care perceive and work with elderly mental health and how these perceptions and work is related to aging. We have gathered our empirical material through eight qualitative interviews and vignettes with care staff in residential care. The study was conducted in a municipality with 10 000 to 20 000 inhabitants in southern Sweden. The material was analyzed with use of ageism as a theoretical frame of reference. The results showed that the care staff had different perceptions of mental illness in general and regarding the elderly.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

Geothermal energy can be extracted from an aquifer, where the groundwater is used as heatexchange medium while heat and cold are stored in the surrounding material in the aquiferand to some extent in the groundwater. Application of aquifer storage for the use ofgeothermal energy is mainly used in large scale facilities and is limited to sites with suitableaquifers in the form of ridges, sandstone and limestone aquifers.Löwenströmska hospital in the municipality of Upplands Väsby, north of Stockholm, islocated nearby the northern part of the Stockholm esker. This means that it can be profitableand environmentally beneficial for the hospital to examine the possibilities of aquifer storagein the esker material next to its property.The purpose of this master thesis has been to investigate if geothermal energy storage with aseasonal storage of heat and cold can be applied within Löwenströmska hospital?s propertyarea using groundwater modeling. A hydraulic groundwater model was constructed inMODFLOW based on a simplified conceptual model of the groundwater system.

A home for elderly is planed to be built at Zakrisdal, Karlstad, Sweden. The heat source for the building was at the time not determined. In order by the local government of Karlstad this report is meant to examine if the need of heat could be provided only by solar heat combined with a seasonal heat storage. The problem to solve is, if the need of heat from the home for elderly is provided from only solar heat, whitch dimensions of the solar collectors and the storage is needed?.

This essay is a time-geographic study of workinglife mobilities and investigates two days of work for five respondents. One from home and the other from the persons workingplace. Qualitative and quantitative methods has been applied to illustrate and analyze the two days along with time-geographic constraints. The findings are concluded into themes which represent the two local pockets of order: Home and Workplace. Themes of home are: Comfort station, Household, Curtained-off, Tele-contact and Environment.

Studies in Sweden have shown that the districtnurses had no time for health promotion. The Swedish government also indicate that there is a lack of health promotion and preventive care in Sweden. The purpose of this study was to describe into which extent the districtnurses in the middle and southwest area of Region Skåne worked with preventive care in their profession and into which extent they documented their achievement. The inquiry was answered by 45 districtnurses about background, present situation, preventive care, secondary prevention, tertiary prevention, health promotion and documentation. Results of this study shows that the districtnurses worked mostly with tertiary prevention.

The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..

A QUALITATIVE STUDY ON THE EXPERIENCE OF ESCORT SERVICE UNDER THE ACT (SFS 1993:387) SUPPORT AND SERVICE FOR THE DISABLED The purpose of this study was to examine the experiences of escort service under the Act (SFS 1993:387) concerning Support and Service for the disabled (LSS) for self-determination, participation and equality of living conditions. In the results of this study appears that the escort service fulfills its role in breaking the isolation of persons with disabilities. It gives a picture of the escort service is much more than to break the isolation of people with disabilities. The aspects that emerges is that escort service gives persons with disabilities the opportunity to develop their independence, increase their self-esteem and broaden their frames of reference through increased participation in community life. All users report that they experience autonomy in the choice and order of activities within their grant initiatives.

Background: Parents that loose a child in connection to labour are in great need of support.Health care provider treatment and support is of great importance to how the parents will experience something that is doomed from the beginning to be one of the most tragic events the parents will ever experience. For care givers to live up to this it is incredibly important that there are worked out guidelines to follow at these situations.Aim: To chart and describe Swedish maternity wards care program with reference to ?IUFD?.Method: All clinics in Sweden have been questioned regarding care program for handling of ?IUFD?. Care programs has been gathered, charted and described.Results: 87% (29 of 33) off the maternity wards has a plan for treatment and guidelines for ?IUFD?.

The purpose of this study is to identify how the needs, demands and preferences for a certain service appear among University students in Kalmar. This is necessary to examine in order to create and design a possible service that will solve the problem with the University students eating habits.This study is based on a qualitative method with quantitative elements. The qualitative method contains of three focus group discussions. The quantitative method contains of a questionnaire. All respondents in this study fits in the target group.One important conclusion that we have stated after the investigation of this study, is that the nature of this problem seems to differ from person to person.

The purpose of the literature review was to illuminate how family are responded to in health care and their experiences with a sick person in the palliative care. Ten articles dealing with the questions have been used. The questions emphasized how family experienced the response from people working within health care, their own situations and if they felt they were sufficiently informed. The results were presented from out in the questions in two themes families positive and negative experiences. The results show that for the families to have positive experiences of the respons, the situation and the information given, the working within health care have to make families feel part of the palliative care, to the extent they wish to participate..