Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool.

A peripherally inserted central catheter (PICC line) is a catheter that is inserted through a peripheral vein in the arm and then on to a central vein in the chest. It is used to give injections and infusions and to take blood samples of patients who need treatment for longer periods.The aim of this study was to investigate nurses' perceived knowledge of the care and use of PICC line in wards where PICC line does not occur daily. The aim was also to investigate if the nurses expressed a need and wished for more knowledge to be able to use PICC line, and if PICC line is not used investigate the cause of that.The study was of a descriptive design with quantitative approach. An online survey was answered by 40 nurses from five wards at a university hospital in central Sweden.A large number of the nurses who responded to the survey reported that they lacked knowledge of the care and use of PICC line. Despite this, three-quarters of the nurses usually use PICC line at the infusion / injection / blood tests on patients with PICC line, if they are cared for in their ward.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

Energy efficiency is important both to reduce costs and to reduce greenhouse gas in the atmosphere. In Sweden 40 percent of the energy consumption is related to the buildings sector. Hospitals are complex buildings with different activities in the same building, which requires flexible technical systems for ventilation, heating and lightning. A quarter of the total energy consumption in Swedish hospitals is related to user activities in the hospitals. Therefore it is not only important to work with operational optimization but also to change user activities, to reduce energy consumption.The objective of this thesis was to examine the user-related energy efficiency work at two care units, at the central hospital in Sundsvall within Västernorrlands County.

Background: Isolation care may be necessary when a patient is carrying infection or is being inflicted with disease that causes deficit immune system. Being isolated means that the patient is in a confined space and may stay only there. Even in ancient times, people discovered the importance of isolating people carrying an infection from the rest of society. According to the Infectious Diseases Act, patients should be isolated in order to reduce the spread of infection both from the patient to the surroundings as well as the opposite. Isolation care can be psychologically stressful for some patients.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

IntroductionStatistics show a declining trend despite the many benefits of breastfeeding.AimThe aim was to investigate how new mothers experienced the care associated with childbirth, with focus on breastfeeding.MethodThe study included mothers who gave birth in a hospital in the middle region of Sweden during 2011, and who responded to an online survey (n?1000). The present study was based upon answers from the open questions concerning dissatisfaction and suggestions for improvement and have been categorized using content analysis.ResultsMothers described failure in several areas, with a negative impact on breastfeeding. Many experienced that they had not been seen and treated like an individual, and that the healthcare staff had been unpleasant, impersonal, ignorant and stressed. Mothers wanted more credit from the staff concerning their own ability and some reported that they had been controlled and ?run over?.

The Swedish healthcare system is characterized by lack of resources and extensive hospital queues. In order to counter these difficulties the Lund University Hospital have introduced Lean Healthcare to the hospital organization. The purpose of this scientific paper is to study the relationship between the implementation of Lean Healthcare and the experienced motivation among the staff. This essay thereby intends to impart knowledge, which could be used on future implementations of Lean Healthcare at other hospitals. In order to fulfil the purpose of this essay a case study have been conducted at two wards at the Lund University Hospital in which qualitative research interviews have been the method chosen in order to gather data.

This is a study about children?s welfare and the Child Care Board way of working in Malmö city. We decided to make this a narrative and document analyses where the main focus have been the interactions between human beings, which means everything from the interaction between parents and child as well as the interaction between families and society.We wanted to investigate any possible alterations within the working system between 1931?1940. Our analysis showed that there hasn?t been a big change with the Swedish legislation.

Being a patient in intensive care can be experienced terrifying. Studies have demonstrated the link between unpleasant memories of hospitalization in the ICU and the development of posttraumatic stress disorder, depression, anxiety, and perception of quality of life in its aftermath. Placed on a ventilator, the patient is exposed to multiple invasive procedures. The aim was to describe critical care patients' experience of being intubated or tracheostomated. Method: Literature review using conventional content analysis.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-Hospital Care was not possible or in question, was excluded.

The Swedish healthcare system is characterized by lack of resources and extensive hospital queues. In order to counter these difficulties the Lund University Hospital have introduced Lean Healthcare to the hospital organization. The purpose of this scientific paper is to study the relationship between the implementation of Lean Healthcare and the experienced motivation among the staff. This essay thereby intends to impart knowledge, which could be used on future implementations of Lean Healthcare at other hospitals. In order to fulfil the purpose of this essay a case study have been conducted at two wards at the Lund University Hospital in which qualitative research interviews have been the method chosen in order to gather data.

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.

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.