Although Lean has received an increased amount of attention in the service context, research still has not established how successfully Lean manages to increase service productivity; since service productivity consists of both efficiency and quality. Research regarding productivity discusses the risk of a tradeoff between efficiency and quality in service production processes. Therefore, this thesis aims to explore if the tradeoff in a production setting with low variability in demand and low customer participation exists, after Lean has been implemented. With a qualitative approach, a case study has been conducted at Scandinavian Airlines Ground Handling to evaluate the effects of Lean in the baggage handling process. The result of the study shows that the tradeoff has not been overcome; efficiency has increased at the expense of quality.

According to the statistics, the number of older inmates in prison is increasing, and the care needs for this group are relatively unexplored. The purpose was to study prison officer?s perceptions of older inmates and their care needs. The study was based on a qualitative approach in which prison officers at one prison were interviewed. The interviews were analyzed based on earlier research and from a social constructionist perspective.

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.

Den japanska industrins intresse under efterkrigstiden för ? denav Henry Ford (1863?1947) förädlade ? löpande bandsteknikenframbringade Toyotas Production System (TPS). Japanernasförfinade automationstanke väckte uppmärksamhet på denamerikanska bilmarknaden, vilket ledde till att TPS under 80-talet blev föremål för forskningsprojekt vars utkomst blev Lean.Från att ha utvecklats för fordonsindustri återfinns i Sverige idagexempel på alltifrån kommunstyren till sjukvården somassimilerat Lean som verksamhetsstyrande metod.Trots att några av de mer basala principerna bakom Lean ärenkelhet och tydlig kommunikation tenderar västerländskaföretag som implementerar Lean köpa konceptet, och med dettaanvändande av engelska och japanska termer eller akronymer iorganisationens vardag, rakt av. Arbetets syfte är att undersökahuruvida användningen av dessa termer på svensk- ellerengelskspråkiga företag på något sätt motverkar eller försvårarimplementeringen och förståelsen för Leans grundläggandefilosofi: Uppkommer det inom en organisation begreppsförvirringvid användandet av Leans terminologi?Studien är utförd vid tre Lean-implementerande organisationer avolika karaktär, genom intervjuer med Lean-ledare ochkvalitetschefer samt kortintervjuer av medarbetare.Resultatet visar att det vid en Lean-implementering, och arbetetefter det, förekommer förvirring och missanvändning av olikaverktyg och begrepp inom Lean.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

The aim of this study has been to examine how people with the chronic disease diabetes are seek-ing information about their disease. The study also look at the sources, which are mainly used, and the information behavior of the participants in this study. Especially in diabetes health care the idea of empowerment is central, which means that the patients need a lot of information to get know-ledge and become empowered. The study also examine the public library as a resource of health information, and for that purpose an examination of the OPAC catalog in two public libraries has been done, using the word ?diabetes? to illustrate the literature and other medias related to di-abetes.

Aim: To describe the lived experience of women with polycystic ovary syndrome (PCOS). Method: Eight scientific articles of appropriate quality were found, analyzed, condensed and synthesized. Different experiences by women with PCOS were found and ordered into themes. The findings were then anchored in associated literature and discussed. Results: Four different themes were found: Feeling different; Disturbing symptoms; Searching for answers; Care treatment.

Bakgrund: Cancer är en sjukdom som drabbar 48 600 personer i Sverige. Av dessa väljer 50-70 % att vårdas palliativt i sitt hem. De patienter som vårdas palliativt har behov av en bra symtomlindring och god kommunikation med vårdpersonal. Syfte: Syftet med studien var att undersöka vilka behov patienter med cancer har som vårdas palliativt i hemmet. Metod: Metoden som använts var en litteraturstudie.

Background: Breastfeeding frequency decrease in Sweden and infants born preterm is a particularly vulnerable group to not be breastfed according to current recommendations. Mothers of preterm infants have an extra need of support from the health care system. Mothers' self-efficacy in breastfeeding affects the outcome of breastfeeding. Health professionals' attitudes to breastfeeding have an impact on the breast feeding support they provide to the mothers.Aim: To investigate whether an intervention could strengthen self-efficacy in breastfeeding among mothers of premature babies. A further aim was to investigate whether the intervention influenced health professionals' attitudes to breastfeeding.Method/Design: An experimental study with quantitative approach in the form of questionnaire survey was conducted.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

Background: When a person suddenly pass away, the relatives often arrive to the Emergency Department under chaotic circumstances. In this critical situation the nurse has an important role for the care. Many nurses lack of knowledge about how to take care of the bereaved relatives. Aim: The aim of the literature study was to describe aspects of caring for suddenly bereaved relatives. Method: The data for the study were scientific articles found in the databases PubMed and Cinahl and from a manual search.

Background:Borderline personality disorder is a complex mental disorder that has become increasingly common in those individuals who seek care today. These individuals are often perceived as being different by society and the health care system, because of the prejudice and lack of knowledge that exists around mental illness and borderline personality disorder. Aim: Highlighting adults experiences of living with a diagnosis of borderline personality disorder. Method: Literature study with qualitative approach. Seven articles were chosen to be read, reviewed and analyzed.

This thesis examines the problems related to IT in the Swedish healthcare system, specifically the drug searching part of the electronic healthcare systems used in Sweden. The question formulation is divided into two questions: What parameters and functions are of greatest importance when performing a search on drugs, and how should these be presented in a graphical user interface? Thus the purpose is to answer these questions through developing a design concept, in the form of a prototype, which describes how a drug search can be carried out.The entry point is a central quality checked drug database that is managed and owned by Swedish county councils and regions. The problem is attacked through user-centered methods where interviews of physicians and developers, in conjunction with observations, are used to give an overview of the problem area as well as to specify a requirements specification for the prototype that this thesis aims to develop. The thesis result is a requirements specification in combination with a prototype that exemplifies how drug searching can be performed, the prototype is based the requirements gathered from the interviews with the user group of physicians..

Background: Miscarriage is a common phenomenon in our society. It is reported that approximately 17 % of all pregnant women in Sweden go through a miscarriage every year. For many women miscarriage is a tumultuous life event that often has a deep emotional impact. Miscarriage is a subject that often is prohibited to talk about in our western society. Consequently this means that nurses have an important role in the emotional support for these women.

Investigations concerning adolescent mental health shows a negative development. Many pre-vious studies have focused on young women's mental health. Therefore, the aim of this study was to investigate young men's (17-19 years) experience of their mental health. Qualitative interviews were used as a method. The participants were six young men who all go to high school in a major municipality in the county of Gävleborg.