ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

Identity includes an individual´s self-image and the consciousness about their self. It is about being the same person despite changes in their life situation. The identity often get´s fragile because of the disease. Beacuse of the individual´s feeling of lost identity there may arise a conflict between the person and people in his or her surroundings. They may no longer see the sick person in the same way as they used to.

Falls and fallinjuries are very common in peoples own homes in various institutions. Hospital inpatients often fall during daytime in connection with their visit to the toilet. Visual impairment such as cataract, glaucoma, macular degeneration and diabetic retinopathy can cause falls. The purpose of this study was to examine patient´s records where falls and fallinjuries were documented at an emergency clinic and to examine if they were registered to visual impairment. The records from 68 hospital inpatients from the age of 65 years and older who did fall during the year of 2004, were examined.

The outdoor environment at Children's hospital, the University Hospital, Uppsala, is used by sick children at the Children's hospital, their families and the hospital staff. The staff at the Children's hospital wanted to render the site more attractive and available. This graduation thesis is a proposal about how the outdoor environment at the Children's hospital can be improved. The aim is to design an environment for the sick children, their families and the hospital staff that will serve as a place for relaxation and privacy, as well as for play and movement. In order to find support for the redesign of this site I read literature about theories concerning healing environments, healing gardens, children's play and designs for children.

The purpose of my study is to examine how the Hospital Play Specialists looks at the importance of play for children in the hospitalenvironment. The thesis is based on qualitative research interviews. This means that respondents followed an interview guide with questions. These questions I compiled in advance. The main theme in the interviews has been the characteristics and importance of play.

The study was conducted on 72nd company at Livgardet in order to find out what motivators makes the soldiers stay. The material in the essay is based on an interview with soldiers from the 72nd company. The motivators are then categorized in the model Employee Motivation: A Powerful New Model. The model is based on human drives and I used as a tool for the analysis to identify lack of motivation in a working place. The study shows that the key motivators that make soldiers stay is: the opportunity to go on a peacekeeping mission and comrade/esprit de corps, the soldiers state that they will quit without these two essential motivators.

Self- determination and autonomy of elderly people living in long- stay care homes is the forefront of discussion in the media and in society today. It examines the extent to which elderly people actually have the opportunity for self- determination and to what extent they have an impact and influence in their daily lives. A suitable way to look at how the quality of long ?stay care looks like is too look at the extent to which the user has self- determination. The aim of our study was to examine how self-determination appears in long- stay care homes. We also talk about in what way the officials perceive self- determination and how elderly identify and perceive their right to self- determination and the importance it has for the individual. The essay has been made with the help of interviews and surveys on a number of long-stay care homes in Skåne.

SAMMANFATTNINGIntroduktion: Utvecklingen inom somatisk slutenvård har under de senaste decennierna gått mot kortare vårdtider. En del patienter på sjukhus vårdas under betydligt längre tid än genomsnittet. Detta skulle kunna leda till fysiskt lidande för patienten, en känsla av hopplöshet på grund av ovisshet gällande sjukdomsförlopp och vårdtidens längd, saknad av familj, en längtan tillbaka till arbetslivet och övrigt socialt liv. Få studier inom medicinsk slutenvård har undersökt patienters upplevelser av att vårdas länge på sjukhus. Syfte: Syftet med studien var att beskriva patienters upplevelser av att vårdas mer är 40 dagar på sjukhus.

A major part of the Swedish population suffers from myocardial infarction. A wish in the study is to give nurses an increasing knowledge about what patients with myocardial infarction wish to be informed about so that the nurses can meet these patients as good as possible.The aim is to show what nurses need to inform heart patients about to prevent anxiety and fear after hospital care.The method used was literature reviews where seven articles were reviewed according to Polit, et. al., (2001). The databases used were Cinahl and ELIN.Results: There is a dissonance between what the patient and what the nurse is ranking to be the most important item to be informed about after a myocardial infarction. The patients prioritize information about symptoms and lifestylechanges.

This essay aims to examine and compare the attitudes of decision makers in the local government and representatives of pensioners in two different geographic areas. The main questions were:- their attitudes towards the "stay home principle" (kvarboendeprincipen, a principle that aims to make it possible for people with a handicap, disease or age to stay in their homes instead of moving to nursing homes).- their attitudes towards nursing homes for old people- their attitudes towards the possibility of staying at home when you are old and handicapped and in need of care.The essay is built on qualitative research methods, based on interviews and on a review of research in the field.The author found a complex picture of attitudes. Everybody thinks that the best is to live in your own home as long as possible, except from those who live with Alzheimer´s disease. They showed different opinions on the issue of the need for moving to nursing homes. This might result in forcing people to stay at home.

Aim: On the basis of the Swedish 2012 National Patient Survey and its open answers, study how patients experienced the quality of care during hospitalization in a surgical divisionMethod: In this study, 306 patients' responses was compiled and analyzed by qualitative content analysis and reported descriptively in running text.Results: The way patients were treated by staff was experienced by respondents mainly as positive. The staffs? courteous and sympathetic attitudes were appreciated. The food that was served was described as substandard, distasteful and dull. The cleanliness of the hospital departments were reported to be inadequate, particularly in washrooms.

Hospital Mergers have been proved to be troublesome, the most crucial ingredient is believed tobe the participation of members of the organization on all levels. When the hospital mergerbetween the hospital of Malmö and the hospital of Lund is a fact, it seems clear that knowledgeabout managing motivation is important. The knowledge could also lead to increased possibilitiesto improve support for motivation where needed at the hospital.I have through a literature review created a descriptive model of the theoretical view onmotivational factors for participation in change and their relationships. The theoretical modelwhere then tested in a empirical study in which additional data created a more true model of themotivation on participation at the hospital.The findings of the study show how the descriptive model illustrates how the twodifferent departments both work with a empowering philosophy that have built in properties thatenable the employees to gain more motivation. The model also underline the importance of thecommunication role to enlighten the employee in what, where, when and why the change takesplace.

In this project I have worked with creating a new kind of room in a hospital enviroment for children. The main purpose of the project has been to form a secure and positive experience for the patient while visiting a specific room at the department of childrens physiologi, at Drottning Silvias Children- and youth hospital in Gothenburg.The project was based on questions like how it is possible to move the focus from the unsecure and scary, to something secure and positive, when the patient is going through an testing situation.The target gruop included a wide age span (0-16 years old), therefore I have worked with a theme, H2O, that works for diffrent ages. In the room, I have applicated the theme in different levels that is changeable depending on the age of the patient.During the project I have presented my ideas for the staff at the hospital. We have discussed their problems, what they wish in their working enviroment and how they experience the situation for the patients. I have also asked the patients how they experience the specific room today.The result of the project is a visual idea of how you can create a room, that you don?t exepect to find in a hospital..

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

The main purpose of this thesis is to investigate hospital librarians understanding of their professional role in working with children. Two different aspects of the professional role were focused on; professional knowledge and ethics. The following research questions were posed: - How do hospital librarians experience their professional role in working with children and young people? - What is regarded as professional knowledge content for hospital librarians in working with children and young people? - How do hospital librarians view ethical aspects in working with children and young people? The issues have been addressed through qualitative interviews with seven hospital librarians. We have used phenomenography which is both a set of theoretical assumptions and a methodology.