Introduktion/Bakgrund För att förhindra spridning av vårdrelaterade infektioner är det viktigt med en hög nivå av följsamhet till hygienrutiner hos hälso- och sjukvårdspersonal. Det finns bara en begränsad mängd forskning på ämnet utförd i Vietnam. Vårdrelaterade infektioner är både kostsamt för samhället och skapar ett stort lidande för de drabbade patienterna.SyfteSyftet är att initiera ett förbättringsarbete inom ämnet vårdhygien genom att observera hälso- och sjukvårdspersonalens följsamhet till hygienrutiner på två avdelningar på National Hospital of Pediatrics i Hanoi, Vietnam. Ett övergripande mål är att observationerna leder till att ämnet uppmärksammas av personalen som då kan bli mer medvetna om deras följsamhet till riktlinjernaMetodStudien genomfördes på två sjukhusavdelningar med hjälp av en kvantitativ observationsmetod. Personalens följsamhet till hygienrutiner noterades på ett observationsblad.

More people are likely to be diagnosed with cancer and the number of people living with cancer is expected to increase, which means that patients live longer with cancer and different treatments. All patients in Sweden should have access to a nurse navigator to facilitate the cancer trajectory. The purpose of this literature review was to delineate patients' experiences of the care given by the nurse navigator. The result is based upon twelve scientific articles included in this review. The results show that the experiences of the patients can be divided into four different categories: emotional support- being present and offering supportive talks, support for physical symptoms- counseling and relief from symptoms due to illness and treatments, educational support- receiving information and knowledge about the disease and cancer trajectory and coordination support- collaboration with other healthcare professionals involved in patients´care.

Background: To lose a child describes as the most painful loss that a human being can experience. The grief can be experienced individual depending on several factors such as culture and life experience. Being a man or woman is another factor that may influence the experience of grief. The nurse´s role is to support both parents in their role as mother and father. Aim: The aim was to describe men?s and women?s experiences of the loss of a child.

There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.

The usage of internet is growing significantly every year in today?s society and whether you like or not, the internet has an influence in your life. It is therefore important to find out how people are affected by its use. We have through our study interviewed a number of people that uses internet on a day to day basis, who have agreed to live without internet access for a period of time. We started out by interviewing these people about their internet usage and what it means to them, then proceeded with their non-internet access period.

The purpose of this study was to examine how people experience being in debt, what they consider was the reason for being in debt and how they experienced economic counselling. The empirical data was based on five semi-structured interviews with people having experiences from being in debt and experiences of economic counselling. The data was analysed by using theoretical perspectives from a model called economic-shame created by Bengt Starrin. The model shows how being in debt and the feelings of shame influence health. The conclusion shows that the reasons for being in debt often is due to several sudden and tragic events happening at the same time or due to each other.

In today?s society climate change has grown to one of the largest global issues. To reduce emissions of greenhouse gases, large changes of the energy system are required. An increasingly popular solution is investments in local production of renewable energy resources like wind, solar or geothermal power. The following report examines the possibility for implementing a solar power plant on the new hospital Nya Karolinska Solna. Two different technologies for extraction of solar energy has been studied, solar thermal collectors  to meet the need of heating and solar cells to satisfy the need for electricity linked to operating the hospital building.

The main purpose of this study was to study the heredity of osteochondrosis (OC) in fetlock-, hock- or stifle joints within the Swedish half-bred population, using data from the regional animal hospital in Helsingborg. A large number of horses with clinical symptoms, for example lameness, are radiographed every year at the regional animal hospital in Helsingborg. In addition, many clinically healthy horses are radiographed in order to be sold (inspection radiographed / export radiographed). This study is based on electronically stored data from horses in both of these groups of patients that underwent joint radiography at the regional hospital in Helsingborg during the years 1992-1999. The first file (inspection file) contained 1035 observations from 983 horses that had their fetlock-, hock - or stifle joints radiographed for inspection or export. The other file (clinical file) contained 6121 observations from 3800 horses that were radiographed due to clinical symptoms in the fetlock-, stifle or hock joints.

Background: People diagnosed with psychosis are often described as introvert, isolated and with little or no ability to create and maintain social relationships. While every angle of a phenomena is valid and important, we believe that the first-person perspective provides the only direct access to the diagnosed persons? feelings and experiences.Aims: The aim of this study is to explore how a few people diagnosed with psychosis describe their experiences of social interaction.Method: This study is conducted in a Grounded Theory manner. An analysis has been performed on interviews made with five individuals, all diagnosed with a psychosis diagnosis.Results: The main result of this study is that the self-image is a core factor in the individuals experiences of, and initiative to, social interaction. The social interactions are linked to the individuals own relation to their diagnosis in a dynamic process where all components affect each other in the creating of the self-image.Conclusion: This study concludes that people diagnosed with psychosis is no different than other people when it comes to dreaming and longing for functional social relationships, but that they have some difficulties in actually finding them due to both social stigma and a poor self-image..

The aim of this master?s thesis is to obtain greater understanding of how children relate to the film medium and their experiences. This is obtained by listening to the children and observing their verbal and nonverbal communication in two focus group interviews. Children?s access to and selection of film are due to adult?s restrictions.

Injuries of the superficial digital flexor tendon are common in racehorses with many reports on different treatment regimes. However there are few studies in riding horses. The purpose of this study was to document the result of conservative treatment of injuries on the superficial digital flexor tendon in riding horses and to find factors that may be important to the outcome. Hospital records from 1999 to 2003 of 17 non-racehorses at ATGs Animal Hospital in Skara with the diagnosis tendonitis of the superficial digital flexor tendon were reviewed. Follow-up information on treatment, convalescence and final outcome was collected.

The purpose of this master's degree thesis was to develop an understanding of how hospital management, in the case studied, worked to achieve changes in an organization influenced by differing professional cultures. To gain insight into the conditions that may have contributed to nurses and physicians developing appropriate attitudes and behaviours, which may have affected the organization's ability to achieve the Swedish Quality Award 2012. A qualitative single case study was conducted at Karlskoga Hospital, with focus groups as well as individual depth interviews. The results of the case study showed the following conditions provided nurses and physicians the potential to develop appropriate attitudes and behaviours, which may have influenced the hospitals ability to achieve the Swedish Quality Award:  Responsibility and influence over the development processes.Participation in management teams and quality development groups as well as individual fields of responsibility.Training programs that have given insights and skills in quality management related to clinical practice.Nurses and physicians as key individuals gave legitimacy to development process, and served as management advisors.Collaboration between all kind of employees and responsibilities.Committed management.    .

In Adult Education-Restaurant students often have a negative attitude towards the subject of math. Often mathematics is associated with what experiences the students had of this subject in elementary school - experiences that many times reduce the motivation for the same that is so frequent in the catering industry, in different contexts. Mathematics more or less unconsciously permeates restaurant profession at large, and as a chef you must realize the importance of mathematics in your daily work in the kitchen. The purpose of the work is to develop the mathematics lesson weight and volume by planning and designing more stimulating lessons accommodated in the kitchen - combining calculation problems with the work in a real kitchen environment. The aim is to help increase the students? motivation for and understanding of the importance of mathematics in the kitchen work. An action-oriented research method was used where students in a survey were asked to answer questions about their previous experiences with mathematics and how they themselves thought that motivating lessons on mathematics in cooking should be designed. The survey revealed that the majority of the students thought that the mathematics lessons weight and volume preferably should take place in the kitchen.

The purpose of our study was to identify and present experiences encountered by parents with a child with diagnosis. Those narratives are made open for the public. Data has been collected through ten interviews with parents having children with a diagnosis. These interviews have also been complemented by interviews with one child and one youth. The parents and the children who have been interviewed, all have their own stories and experiences of how it is to live with a diagnosis in the family and for all families there are different diagnosis.

Background:Mental illness has increased in Sweden and the individuals seeking care expect to be met with respect. The way patients perceive themselves to be treated by health care professionals plays a central part to care and treatment of patients, and the patients experience will decide how future care will proceed. The majority of complaints from patients with mental illness suggest that the way they are treated in health care is inadequate. For people with mental illness it is crucial how they perceive themselves to be treated since poor treatment can lead to reluctance in seeking future help. Aim: The purpose of this study was to describe how people with mental illness perceive themselves to be treated in primary health care.