Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.

This masters thesis aims at a discussion about whether the public library will be an educating and cultivating society institution in the future. The method used is a combination of interviews with library staff in leading position and studies of the public librarys relationship to cultivation and adult education in a changeable society. The work concentrates on two main questions. One is about what, and in which way, changes, that are important for the public library and that take place in society now or within the next ten years, affect the future activities of the library. The other is about the public librarys relationship to cultivation in general and in the future.

Background. With the mental health care reform 1995, the long-term mentally ill patients were meant to be integrated in the society. Instead, they became ?deported? to mental health care. Aim.

The group of elderly people in Sweden will increase significantly in the future and science point out that the future elderly people will not accept today?s standards and offers of assistance in today?s public elderly care. Therefore public elderly care stands before a significant challenge in terms of development that has to be sustainable. New research also points out that middle managers can be a great strategic resource, and a founder of success, in the challenge of sustainable development. The aim of the report was to increase the knowledge about what middle managers in public elderly care think sustainable development has to embrace, when it comes to quality and personnel administration, in order to meet the needs of the future elderly people.

Syftet med denna studie är att utvärdera ett HVB-hem vilket bedriver miljö- och individualte-rapeutisk behandling av ungdomar i åldrarna 16-19 år. Vidare syftar studien till att utvärdera verksamhetens arbetssätt vid kritiska händelser enligtcritical incident-metoden. Således fin-ner författarna följande frågeställningar relevanta för utvärderingen: Vilka slags kritiska hän-delser uppstår i verksamheten enligt personalens upplevelser? Hur löses/slutar de kritiska händelserna i verksamheten? Är lösningarna av de kritiska händelserna förankrade i miljöte-rapeutisk teori? Utvärderingen grundas i uppgifter från nio respondenter, varav en av respondenterna är utvärderingens författare. Datainsamlingen utgörs i sin tur av observationer, frågeformulär och kompletterande intervjuer.

During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.

This study aims to create an understanding of how employees relate to directives that come from a level above them in the hierarchy and is to be implemented in their working activities. This is studied by examining a case where a work group has tried to implement orders, given to them by the government and through a work group in the level above them in the organizations, concerning how employees working with child health care is to educate parents regarding the child convention. The method that have been use in this study is group interviews with 19 child health care nurses and the two main questions that are asked is why has it been difficult to implement the orders and how have the child health care nurses expressed their resistance to the changes, this since only five of the nurses had begun working with the child convention. The theories that have been used focus on how resistance towards change is expressed, organizational incapability and reluctance towards change, as well as how grass root bureaucrats relates to change. The conclusion that can be drawn from this study is that it is important to let the concerned parties participate from the beginning of the process, to minimize their reluctance to the changing process.

ABSTRACTExamensarbete inom lärarutbildningenTitel: ?Spänningen är vår värsta fiende? ? en kvalitativ studie om hur klarinett- och saxofonlärare arbetar med ergonomi.Title in English: ?The tension is our greatest obstacle? -  a quality study in how clarinet and saxophone teachers handles ergonomics.Författare: Martin Bondeson och Thomas Haglund.Termin: Ht 2013.Kursansvarig institution: Musikhögskola, Örebro universitet.Handledare: Johanna Österling Brunström.Examinator:Christer Bouij..

This examination work is performed at the institution of industrial economy and production at Jonkoping technical university, for JELD-WEN Door Solutions plant in Forserum.Today the focus in the company is on to reduce their inventories binding of capitals as well as inventory of products and that includes to get a good control of the supply and handling of material which is of great importance.JELD-WEN Door Solutions is one of the worlds leading producers of windows and doors and the head-office is located in Oregon, USA.A great number of wooden doors are manufactured by the company in varying of constructions, classifications and performance.The production of the plant in Forserum has a project- and customer focus manufacturing where only internal doors are produced. The overall market they are concentrated on is to different institution such as schools, hospitals etc.The purpose of this work is to investigate possibilities to improvement of material- and production control at JELD-WEN. The report will handle the master production schedule to and from the production divisions within manufacturing industry. Focus will be on the way for information- and material flows from arrival, transport within the company and further on to customers.Further a map of the flow was performed which gave a clearer picture of the connection between the flow of information- and material for the manufacturing process. On the basis of the mapping of the flow, the group discovered that the flow of material had some improvement potential.

The purpose of this study was to look at the experiences of midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifmidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.

No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change.

 The purpose of this study was to investigate registered nurses experiences about giving support to relatives to patients within palliative home care. This study was descriptive with qualitative approach. The data collection was made in the form of semi structured qualitative interviews which took place in a Swedish city of medium size, in an area for palliative homecare. Six registrated nurses were interviewed which all gave informed consent. The study suffered no losses and permission from the director of the concerned department had been given prior to the start of this study.

Uppsatsen grundar sig på en diskursanalytisk undersökning av det hälsofrämjande arbetets struktur och förhållningssätt ur ett sociologiskt perspektiv. Fyra olika verksamheter som på ett eller annat sätt arbetar med hälsofrämjande verksamhet har undersökts, Socialdepartementet, Folkhälsoinstitutet(Fhi), Hälsofrämjande Sjukhus(Hfs) samt Södra Älvsborgs Sjukhus(SÄS). Jag utförde även en undersökning på individnivå, där anställda på SÄS fick uttrycka åsikter och tankar om hälsa och hälsofrämjande arbete. Syftet med uppsatsen var att undersöka den sociologiska forskningens inverkan och roll inom det hälsofrämjande arbetet.Det hälsofrämjande arbetet är uppbyggt kring tvärvetenskaplig forskning men fokuset på hur detta ska implementeras i individers vardag har fokus på det samhällsvetenskapliga. Sociologiska begrepp och perspektiv ges utrymme i diskurser och de sociala behoven uppmärksammas och bidrar till utvecklingen.

Studies have shown that young people in residential care homes tend to be low achievers in school and are at high risk of entering adulthood with a low level of education. This group has also shown tendency to adverse psychosocial outcomes. The aim with this study is to reach an understanding of how teenagers and young adults view themselves and their future, what ambitions they have in life and how they see their opportunities to realize their goals. The study is based on a qualitative method and was conducted with semi structured personal interviews with five youngsters 15-21 years old in two different residential care homes. The theoretical viewpoints have been based on E.H Erikson?s theory about identity as well as the theory about resilience.The result of this study indicates that the persons we have interviewed have expressed difficulties in describing themselves.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.