Bakgrund: Sömnen har stor betydelse för återhämtning vid sjukdom och bevarande av god hälsa. Många gånger skiljer sig vårdmiljön från patienternas normala omvärld och möjligheten för inlagda patienter att påverka sin sovsituation är ofta liten.Syfte: Syftet med denna litteraturstudie var att belysa de faktorer som vuxna patienter upplever som störande för sömnen under sjukhusvistelsen.Metod: Litteraturstudien som genomfördes grundades på tolv utvalda vetenskapliga artiklar. Dessa artiklar granskades, analyserades och sammanställdes.Resultat: Studien visade att det fanns flera olika faktorer som patienterna upplevde som störande för sömnen under sjukhusvistelsen. Det visade sig även förekomma delade meningar kring hur mycket sömnen påverkats utav vistelsen på sjukhus. De faktorer som identifierades som störande för sömnen presenteras under följande kategorier: medicinska faktorer, omvårdnad & sjuksköterske faktorer, omgivningsfaktorer och personliga faktorer.Slutsats: Denna studie visar att den verksamhet som bedrivs idag och de bestämmelser som styr vården bidrar till att patienter upplever svårigheter att sova under sjukhusvistelsen.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Störningar som damm, buller och vibrationer förekommer vid alla byggarbeten. Detta skapar problem vid byggnation av sjukhus med pågående verksamhet. Stockholms sjukhus uppfyller inte samhällets växande behov på hälso- och sjukvård. Stora investeringar görs därför för att rusta upp sjukhusen, Södertälje sjukhus är det första att moderniseras [2].Examensarbetet undersöker vilka störningar som vårdpersonalen vid Södertälje sjukhus upplever och vad Locum samt Södertälje Sjukhus AB gör för att reducera dessa. Observationer, möten och litteraturstudier genomfördes för att samla information om Södertälje sjukhus, Locum och byggrelaterade störningar.

Lattelement AB in Ornskoldsvik is one of the leading companies in Sweden in composite elements in walls, floors and roofs in particular. The company supplies elements to buildings located with a wide geographical variation, which means that the products are subjected to very different climate with regard to snow, wind and humidity. This places high demands and requires the elements to withstand large variable loads.The elements are made of lightweight beams with flanges of structural timber and beam webs made of OSB. These are bound together by nogging pieces with the same kind of structure. On top of the beams a nailed and glued plywood is added to absorb compressive forces and on the underside of the element a sheet of steel is added for tensile absorption.These elements are then attached to the building framework in different ways depending on the particular element height, loads and the structual supporting material of the frame work.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

In this thesis a concept for floor hatches for foam pits has been developed. Since there is an existing solution that is powered by hydraulics and is expensive, the goal was to develop a cheaper solution, as simple as possible.A number of different concepts were developed and evaluated. A concept with five sections that are pulled to the side and stacked on each other was chosen as it was thought to have the lowest risk of crush injuries and to be easiest to manage and control. In the opening behind the foam mattress a lifting table is placed to regulate the height of the stacked sections.To be allowed to be installed in the floor of sports halls the sections must be dimensioned according to the construction standards for these types of buildings. Different dimensions of beams in steel and wood materials were evaluated and of those, who lived up to the requirements of the standard, a concept was chosen.

The Swedish government has introduced a goal to reduce the energy intensity by 20% to the year 2020. To reach this goal actions need to be taken throughout the energy sector which includes residential and commercial buildings. This thesis considers the possibility to reduce the energy usage in a building located close to Uppsala. The analyzed building is a combined office, cafeteria and entrance and was completed about half a year before this project started. Therefore the measures presented for a more energy efficient building are presented as measures for future constructions.Simulations have been made in VIP-Energy, a dynamic energy calculation program.

Överrapporteringen är en viktig del i arbetet som ambulanssjuksköterska.När ambulanssjuksköterskan träffar patienten så gör denna en bedömning enligt ABCDE-konceptet. Överrapporteringen förbereds på vägen in till sjukhuset. Väl framme tas en kontakt med sjuksköterska på akutmottagningen och patienten rapporteras över. Olika faktorer påverkar överrapporteringen exempelvis miljöfaktorer, hur mottagande sjuksköterska tar emot rapporten och kommunikationsproblem mellan den prehospitala och hospitala vården. Syftet med denna studie är att undersöka hur ambulanssjuksköterskor upplever överrapportering av patienter till akutmottagningen.En kvalitativ metod med intervjuer har använts för att kunna fånga upplevelsen av ett fenomen.

The latest thing in the area of environmental building today is energy-plus-house. The idea behind the energy-plus-house is to create a house that produces more energy than it consumes. To accomplish this, the house uses renewable energy, in this particular case solar energy. With the help from a proper construction and thoughtfully projected installations you can achieve a surplus of energy. The surplus energy can then be sold to the surrounding buildings and thereby conduce to a financial profit for the household.

Vargaslätten is a 15 hectare large privet garden in Halland in the south-west of Sweden.In the beginning of the 1990s Gunnar O.Westerberg, the owner of Vargaslätten,commissioned a work from the young landscapearchitect, Rolf Efvergren, to writeVargaslätten ? tillägnad naturen. It was a discribing work of the current status of the gardenand the summer-house of Vargaslätten. Vargaslätten ? tillägnad naturen was acomprehensive work with a detalied inventory of all the plants, the buildings, the descriptionof the surroundings and the history.

Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

The construction and use of buildings in the EU accounts for half of the EU?s extracted materials and energy consumptions, and a third of greenhouse gas emissions. In the past decade, the construction sector has responded to such concerns by focusing on post production energy efficiency. However, new findings indicate that upstream construction processes influence emissions significantly ? necessitating a shift in focus to include material choices and building processes.

Patienthotell är ett intressant fenomen och det är en serviceverksamhet som befinner sig i gränslandet mellan vård och hotellverksamhet. Därför har vi valt att undersöka hur förutsättningar sätter krav på ledarskapet i situationen patienthotell. Situationen patienthotell påverkas främst av hur integrerade de är i vården. Patienthotellens integrering i vården har en kundgrupp som har unika behov som är mer kopplade till medicinsk behandling och omsorg. Kundens unika behov kräver en högre kunskap och erfarenhet hos medarbetarna på patienthotell om kundens behov ska kunna tillfredställas.

Syfte: Var att beskriva sjuksköterskors upplevelser av att vårda patienter med psykisk sjukdom inom den somatiska sjukvården.Design: Studien genomfördes som en litteraturstudie.Metod: Litteratur som publicerats mellan 2003-2013 söktes i databaser PubMed CINAHL, PsykInfo, PsykArticles och ERIC. Tolv vetenskapliga artiklar utgjorde grunden för resultatet, dessa artiklar blev kvalitetsgranskade innan de användes.Resultat: Sjuksköterskor kände rädsla, oförutsägbarhet, osäkerhet samt frustation och hopplöshet i vården av psykiskt sjuka patienter då de saknade kunskap. Bristen av kunskap upplevdes som det största hindret i vården av denna patientgrupp. De upplevde osäkerhet till en följd av egna värderingar och fördomar till dessa patienter, vilket ledde till att sjuksköterskor undvek denna patientgrupp. Sjuksköterskor beskrev avsaknad av handledning och samarbete med psykiatriska kliniker då denna patientgrupp vårdades på somatiska avdelningar.Slutsats: Med en utökad kunskap inom psykiatri kan sjuksköterskor få möjlighet att minimera fördomar och rädsla i mötet med psykiskt sjuka patienter..

Today all buildings contain some form of home automation. It might be heating controlled by athermostat or motion detectors controlling outdoor lighting.This paper,The Intelligent House, deals with the planning of a house in Kiruna, in the north ofSweden and further immerses itself in home automation or intelligent control in single-familyhomes. The house has been entirely planned, from layout to structural design and plumbing.The purpose of the paper has been to investigate the possibilities in home automation in singlefamilyhomes and to choose a suitable home automation system for the house being planned.The system has been designed and the costs and energy savings have been calculated.The system chosen for the house is called KNX and is the largest system for home automation inSweden. It is used to control heating, ventilation, lighting and alarm systems in the house. Is hasbeen found that KNX is very expensive and that the amount of energy, possible to save in thehouse, using the system, is relatively small.