My purpose is to describe and analyse how care managers experience their position as middle managers in the public sector. I have used a qualitative interview method to answer this question and also to capture my six interview persons opinion and understanding of their own position as middle managers. From my six interviews I noticed some difference in their opinions about how it is being a care manger. The results show that the role as care managers have challenges such as to intertwine their own notion how the caring of the elder should be with strict politic decisions. Other challenges are the limitation of economic recourses and reorganisations.

Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results.

This study is based on interviews with four managers in public elderly care and four managers in private elderly care. The aim of this paper is to examine how these managers are experiencing their leadership in relation to conflict management, and if the managers leadership differs depending on private or public elderly care. Leadership and conflict management are theories that have been used in order to analyze the empirical findings. Previous research that has been used in the study concerns ?leadership/leadership styles?, ?conflict management?, ?to be active in the private/public elderly care?.

The study aimed to evaluate the information and training the stoma therapist at Uppsala University Hospital has given to patients who have recently undergone stoma surgery. The study was a descriptive cross-sectional study using qualitative and quantitative design. A total of 22 patients who completely or partially took care of their stomas and recently had undergone stoma surgery participated by answering a questionnaire. At discharge most of them experienced they were relatively well-informed but they wanted more information. Before the revisit they weren?t especially safe or comfortable.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

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.

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.

ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.

Placed in an institution, what happens next? A study concerning how social workers handle the after-care of adolescents who earlier has been placed in an institution is written by Therese Wester and Sanna Sjölander Wirlöf. The purpose of the study is to understand and explain how social workers handle the after-care. This study is based on an organizational perspective since the after-care has been studied in relation to the structure of the organization and the laws and guidelines that the organization has to relate to. The method that has been used is semi-structured interviews with six social workers in different municipalities in Stockholm.

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.

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 Sister Kenny Research Center is part of the Sister Kenny Rehabilitation Institute locatedat the Abbott Northwestern hospital in Minneapolis, USA. The Sister Kenny RehabilitationInstitute provides rehabilitative services, treating more than 70,000 patients a year.The Sister Kenny Research Center strives to optimize the service to patients by nurturingnew innovations in rehabilitation care and treatment. Research projects are conducted ininterdisciplinary so-called Clinical Innovation Teams. As the Sister Kenny Research Center isrecently started, it did not prior to this thesis project have a design process or structured way ofworking in design projects.The outcome of this thesis project is a comprehensive innovation strategy package with a set oftools to enhance the innovativeness at the Sister Kenny Research Center. The strategy packageconsists of three interlinked parts:?A design process adapted to the work environment at the Sister Kenny Research Centerensuring projects are conducted in a structured and innovative manner.?An Innovation Handbook describing the design process to the Clinical Innovation Teamsand providing step-by-step guidance to designing.

This study is based on interviews with four managers in public elderly care and four managers in private elderly care. The aim of this paper is to examine how these managers are experiencing their leadership in relation to conflict management, and if the managers leadership differs depending on private or public elderly care. Leadership and conflict management are theories that have been used in order to analyze the empirical findings. Previous research that has been used in the study concerns ?leadership/leadership styles?, ?conflict management?, ?to be active in the private/public elderly care?.

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..