Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during theHospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringHospitalization and nursing care to promote the patient?s ability to sleep.

Sömnen är livsviktig för alla människor eftersom det är den tid då kroppen återhämtar sig och behovet av sömn blir därför speciellt viktigt vid sjukdom. Forskning har visat att sjukhusmiljön inte alltid är optimal för att främja sömn, något som vi själva också upplevt under kliniska studier. Syftet med studien var att klargöra vilken betydelse sömn har och hur sömnen kan förstås i relation till hälsa och välbefinnande för patienten i sjukhusmiljön. Studien är en begreppsanalys där sömn har sökts och analyserats i lexikon, vetenskapliga artiklar och facklitteratur. Resultatet visar att sömnen är den tid då kroppen samlar kraft och immunförsvaret byggs upp.

This is a qualitative study, whose purpose is to examine if night shelters effects homeless peoples self-perceived psychosocial health. In Sweden alone there are almost 18000 homeless people, and 12% of them uses a night shelter. The homeless can?t be seen as a heterogeneous group but instead homelessness counts as a state of being in. The Swedish National Board of Health and Welfare have done mapping over the homelessness since 1993 and the problem is an important part of what the welfare system has to fight against.

Objectives: The purpose of the study was to examine if a pre- and post-operative difference could be seen in self-reported pain disability and self-efficacy among patients undergoing surgery as treatment for spinal disc herniation in order to improve process of rehabilitation.Method: A quantitative and descriptive design was used. 10 patients awaiting surgical treatment for spinal disc herniation were included at Akademiska sjukhuset (The Academic Hospital) in Uppsala. Participation was voluntary and the selection was made by convenience. Data was collected using The Pain Disability Index and Self-Efficacy Scale by which the patient would estimate how hindered they felt because of their pain in everyday activities and their self-efficacy to perform everyday activities. This was done the day before surgery and two weeks after surgery.

The purpose of this paper is to examine information sharing in a Hospital organization that is undergoing reorganization. The aiming is to make all employees at all levels actively involved in business development in order to create a smooth and, from a patient?s perspective, adequate emergency care. The paper suggests that the theory of social capital can explain the complexity of what motivate and what promote individuals to share information. The method used in the paper is the case study, focusing on detecting, interpreting and gaining insight on how information shares in an emergency department.

Den här undersökningen syftar till att svara på huruvida arbetsförmedlare anser arbetsförmedlingen som officiell institution behövs. Vidare undersöks arbetsmiljö, stress, stressorer och arbetsförmedlares bedömning av sin egen arbetsinsats. Undersökningen är kvantitativ och i form av enkät. Studien är begränsad till Gävleborgs län. Undersökningen bygger på 3 enkäter Arbetsförmedlares syn på sin arbetsinsats (ASSA) samt Percieved Stress Scale (PSS) och Hospital Anxiety and Depression Scale (HAD).

This study is a formative evaluation of a prototypecollaboratory for sharing data collection instruments inlibrary and information science (LIS). The aims were to findout: how the study participants, five Hospital librarians,experienced the interaction with the prototype while workingwith predetermined tasks; and their views on the differentfunctions of the prototype collaboratory.Methods used for data collection was as a survey; followedby a think-aloud session where the participant verbalisedhis/her thoughts during the interaction with the prototype;and finally a semistructured interview. The survey wasanalysed with a frequency distribution, while the data fromthe other methods were analysed qualitatively by extractingthemes from the transcribed sessions.The results show that although the librarians expresseddifferent problems while working with the interface, mainlyrelated to the language in the prototype collaboratory anddifficulties with the page for applying metadata, all of themwere confident in being able to learn the system after using itfor a while. The librarians had a positive attitude towardssharing data collection instruments as well as comments inthe prototype collaboratory. At the same time, they wereaware that students and researchers might have differentabilities or incentives to work and share information.

Inledning: I Sverige drabbas årligen ca 10 000 personer av hjärtstopp, av dem överlever ca 300 personer. Under 2005- 2008 drabbades 2973 personer av hjärtstopp på sjukhus, av dessa kunde endast 30 % skrivas ut levande. Bakgrund: De första fallen av närståendes närvaro vid återupplivning inträffade vid Foote Hospital i Michigan, USA, 1982. Personalen blev då tvungna att ifrågasätta sina egna riktlinjer som uteslöt närstående vid återupplivning. Internationella riktlinjer för hjärt- lungräddning (HLR) rekommenderar att närstående bör få närvara vid återupplivning.

This paper examines and analyzes effects of the introduction of a new management control system tool within a Swedish public health organization, the Södra Älvsborg Hospital, and its possible effect on organizational change. The new management control system tool, known as the SÄS-model, has been widely criticized for being too costly and with too small positive effects to be shown. Our approach has with that as a background been to examine whether the implementation of the SÄS-model and its balanced scorecard has been able to result in effects regarding organizational change. We have through a case study aimed to analyze how a management control system, much alike one that is typically used within foremost private organizations, can promote organizational change. Our results suggest that the implementation of the SÄS-model and the balanced scorecard has given the organization clearer visions and goals.

SUMMARYPrevious research has shown that there is a connection between the doorways and postoperative wound infections. Despite recommendations from Socialstyrelsen and the individual Hospitals' PM there is still high traffic in the operating theatres. In a hybrid theatre environment combined X-ray techniques of surgery, resulting in it being further two categories inside the operating theatre. This may generate an increase in traffic flow. The study is a prospective, non-participant observation study conducted in the spring of 2013 at a university Hospital in western Sweden.

In the United States, see recommendations for cardiac safety of sports arenas but also to health and fitness facilities. However, this does not exist in Sweden today. Objective: The purpose of this study is to identify the health- and fitness facilities today are equipped with respect to cardiac safety and specifically relating to preparedness for cardiac arrest. Method: Quantitative data are collected and compiled with the help of a questionnaire. The questionnaire contained 19 questions in total.

In the project, my ambition was to make a stage design for theater withteenagers as target group. I have worked with the musical theater groupTheater ACTA in Gothenburg and independently from scripts, interpretedand shaped an outline for the basis of the set design of the play?s differentelements. The play, If this was a feel-good movie, is written by Elin Frostand Anna Lundholm, two members of Theater ACTA. The story is aboutthree people in their twenties with different relationships to each other andone week that would change their lives.

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in Hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the Hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

Aim: To investigate the quality of life and the social life situation, with special focus on the consequenses of fear of hypoglycemia (FoH), in Islet transplanted patients.Method: 11 patients were included, four women and seven men, who have been Islet tranplanted at Uppsala University Hospital during the years 2001-2009. Two questionaires, Short Form 36 (SF-36) and the Swedish version Hypoglycemia Fear Survey (Swe-HFS) were used to investigate the quality of life, in relation to fear of hypoglycemia. Also, telephone interviews were conducted to investigate the patients social life situation in relation to FoH, after Islet transplantation and were analysed using content analysis method.Results: The mean value for quality of life was lower than that in the normal population. Three out of ten patients experienced FoH. Three predominant themes were revealed, one theme associated with pre- transplant, was ?Struggle for control of Social Life Situation? and two themes associated with post-transplant, were ?Regain power and controll of  Social Life Situation? and ?At Peace with the balance between the Present and the Future?.Conclusion: The patients experienced improved control over social life situation and quality of life in relation to FoH may been improved following islet tranplantation..

Introduction: The population of Sweden has during the last century doubled. An increased live expectancy results in an older population and the share needing medical care increases. Demographic and political changes in developed counties have resulted in changed demands on the care of the elderly. The elderly are discharged from Hospital earlier and this results a significant responsibility on the elderly themselves and their relatives. Often the relatives are engaged in the elderly?s health problems, care needs and the future consequences the current situation results in for the elderly and the domestic life.