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.

ABSTRACTAim: The aim of this study was to examine differences in the documentation of the case incident reports, before (FRP) and after (FRE) the introduction of a quality standard for fall prevention in the geriatric departments at a Swedish University hospital. Method: 51 fall incident reports were collected before the introduction of quality standards for fall prevention and 63 after. Differences in documentation between the fall incident reports were analyzed with a Chi-2 test. Results: Number of case incidents in which the use of the alarm mat was documented increased after the introduction of quality standards for fall prevention and documented use of shoes and walker decreased. The majority of all documented case incidents occurred inside the patient room according to both FRP and FRE.

Enligt WHO (2012) ska förlossningsvård innebära att kvinnan ska kunna föda sitt barn på ett säkert och tryggt sätt. Hon ska kunna känna att hon får en säker vård och bli omhändertagen. För att den födande kvinnan ska få en positiv förlossningsupplevelse har kontinuerligt stöd visat sig vara av ytterska vikt. Syftet med denna tvärsnittsstudie var att undersöka kvinnors upplevelser av förlossningsvården i Göteborg och se om det fanns några skillnader i förlossningsvården på Sahlgrenska Universitetssjukhuset/Östra och Sahlgrenska Universitetssjukhuset Mölndal. Mätinstrumentet KUPP (Kvalitet Ur Patientens Perspektiv) som modifierats för att passa förlossningssjukvården användes.

The aim of this bachelor thesis is to find out how a number ofhospital librarians look at child and youth patients' reading and itspossible role in a mental and physical healing process. We alsoinvestigate the knowledge, strategies and thoughts the librarianshave on bibliotherapy.Qualitative interviews have been used and seven librarians, at twodifferent hospital libraries with children's and youth activities, wereinterviewed during November and December 2011. The analysis isbased on one theory; we use Sten Furhammar?s model whichincludes four different categories of reading.We can see, according to the librarians? answers, that the mostcommon function of the patients? reading can be explained throughtwo of Furhammar?s categories. Our respondents believe that thepatients mostly read to relax from heavy thoughts and situationswhich can be connected to the category impersonal experiencereading.

This thesis rewievs present day research on the settlement of Östra Aros in central Sweden. The thesis deals with the period from late Iron age to about 1270 AD, when the Swedish archdiocese moved to the already existing early-medieval settlement of Östra Aros, thus becoming the medieval town of Uppsala. The basis of the thesis is the study of a variety of source materials, such as artefact studies, runestones, topography and the prehistoric and early medieval hinterland. The thesis centers on archaeological excavation data and dating of settlement structures, particularly focusing on the settlements establishment. Through a critical review of primarily the written record and the archaeological data, the settlements characteristics and functions are discussed, emphasising when and if the settlement could be described as a town, central- or trading place..

 Pain is common among women undergoing first trimester surgical abortions. At the postoperative unit, department of gynaecology, University Hospital, Uppsala, the goal is that 80 % of the women should rate pain as £ 3 on a numeric rating scale (NRS), when leaving the unit.The aim of the study was to investigate how rating was performed at the unit and to investigate patient?s perceptions of pain after having undergone first trimester surgical abortion.20 patients (74%) participated in the study. Ninety percent of the patients rated their pain as NRS £ 3 when leaving the unit. Seven patients (35 %) rated their pain as NRS > 3 directly after operation, and 2 (10 %) patients NRS > 3 when leaving the unit.

ABSTRACT Infertility is a medical condition that affects approximately 16 % of Swedish couples in childbearing age and is a condition found in both men and women. When a couple has been trying to conceive for more than 12 months without success they need to see a health care provider. Infertility can be treated with medicine, insemination or assisted reproductive technology such as in-vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI). The aim of this study was to validate a morphokinetic selection model, KIDScore? D3 Basic, against morphological selection model that is currently in use at the Fertility unit at University hospital in Orebro.

The National Property Board (SFV) has been appointed by the Swedish government to administer all property of cultural value owned by the Swedes collectively. The commission includes maintaining the soul and character of each individual building, to adapt these buildings to present needs and requirements, and furthermore making them available to the public. The return on equity demanded by the government is based on the CAPM used within the real estate industry. The theoretical assumption that organizations are either function-driven or pay-driven will serve as a starting point, after which SFV will be defined as a function-driven organization with a pay-formed management control system. This paper aims to examine how applying a pay-formed management control system will affect a function-driven organization.

This essay will discuss the process of drawing a restaurant ? the position of the house lot, requirements from the authority and architectural quality.During the summer months are many people celebrating their spare time in the beach in Jönköping, by the shore of Lake Vättern. There is some existing buildings in this area that is not used by a general public. In cooperation with the municipality of Jönköping and a person who wants to operate a restaurant on the beach, is this essay a proposal of how this part of the shore of Lake Vättern can look in the future.The focus of the work is to design a restaurant. This is made on the basis of the interviews that have been made with the operators of the area and a thought building, and from the existing rules of the performing and designing of a restaurant.The planned restaurant is placed in an area where it today is a public toilet.

AbstractThe church of Borrie lies about 10 km north of Ystad in the southern of Sweden. Though thechurch is one of the smallest in Scania it holds a very complicated history.In this essay all relevent material concerning the church of Borrie is presented. The materialdoes not only concist of literature, but also photographs. The purpose of this investigationwas to use this material to sort out and explain the history of the church of Borrie.The problem is presented in the following points:1. Is it possible to do a building archaeological analysis with photographs of the churchas the main material?2.

This is a Bachelor?s degree project withthe aim of investigating how to preventwarranty errors in apartment buildings.Our goal has been to compile the mostcommon warranty errors and the reasonbehind them.To achieve this goal, we have studiedthe warranty protocols from fiveprojects. We also performed interviewswith people who work in house productionand people who work with warranties. Thepurpose of the interviews was to findout the underlying causes of warrantyerrors and what one could do to preventthose.Cracks in walls and ceilings were themost frequent remarks on the warrantyprotocols. Remarks on the floors,windows and doors were also common, butnot to the same extent.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Arbetet som ambulanssjuksköterska i en pre-hospital vårdmiljö innebär omvårdnad av patienter som är allvarligt skadade eller svårt sjuka. Medvetslösa patienter betraktas som en utmaning, där tillståndet är allvarligt och förknippas med hög mortalitet. Syftet med denna intervjustudie var att beskriva ambulanssjuksköterskornas erfarenheter av att pre-hospitaltvårda patienter vid medvetslöshet. I denna intervjustudie deltog åtta ambulanssjuksköterskor.Data har analyserats med kvalitativ innehållsanalys vilket resulterade i sex kategorier: Att värdera teamarbete och ta ansvar för den medvetslösa patienten, att arbeta med trygghet utifrån behandlingsriktlinjerna, att agera utifrån varje vårdsituation med riskmedvetenhet, att skapa en god relation till patient och närstående, att arbeta under tidspress i en begränsandemiljö och att utvärdera utförd arbetsinsats och vidareutveckla kunskaperna. Resultatet visade att ambulanssjuksköterskorna arbetar i team, omhändertagandet sker individuellt utifrån varjepatient och eventuella åtgärder utgår från behandlingsriktlinjerna.

The purpose of this study was to investigate registered nurses experiences about the current model for triage at the emergency department at Uppsala University Hospital. The study is descriptive with qualitative approach. The data collection was made in the form of semi structured interviews. The interviews took place at the emergency department. The sample consisted of eight registered nurses with varying work experience of emergency care.

There are several treatment methods that are used by physiotherapists to treat migraine and tension type-headache (TTH). The effects of these methods have been evaluated in previous studies. However, there are few studies evaluating headache patients own perception of the treatment. The purpose of this study was both to examine the patient?s perception of the physiotherapy headache treatment and to examine if the treatment had effect on their quality of life.