Denna uppsats undersöker hur ledarstilen påverkas av anammandet av filosofin inom Lean Production. Syftet är att granska hur ledarna kan kombinera dynamiken bakom ett pedagogiskt ledarskap och medarbetarnas medinflytande med principerna inom Lean Production. Vår uppsats bygger på den empiri vi samlat in genom sex kvalitativa intervjuer med både ledare och medarbetare på tre avdelningar inom tre olika organisationer. De teoretiska utgångspunkter vi använt oss av grundar sig i huvudsak på Arne Malténs dimensioner kring ett pedagogiskt ledarskap. Analysen är sedan strukturerad kring dessa dimensioner.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

People with severe mental illness and co-occurring substance abuse are an especially vulnerable group in society as health care for those is shared between municipality and county council. There is an associated health need of this target group so the interaction of the social services and the psychiatric care is of great importance. However, there are shortcomings in this interaction with results in that people with dual diagnosis do not always receive adequate care. Diverse knowledge and explanatory models may create problems for the interaction as they include different ways to define, understand, explain and deal with a problem. The purpose of this study was to examine how the interaction between the social service addiction treatment and the psychiatric care is, concerning people with dual diagnosis, focusing on how their respective knowledge and explanatory models affect the interaction.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

Lean produktion (LP) etablerades som begrepp i början av 1990-talet och har sedan dess spridit sig över världen och många företag vill i dag arbeta efter konceptet. Detta innebär att arbetsförhållanden för många arbetstagare påverkas och konsekvenserna för dem är inte helt klarlagda. Ett forskningsprojekt har inletts på STH/KTH för att undersöka hur arbetsförhållanden och hälsa påverkas över tid vid införande av LP. I detta projekt fanns därför ett behov av att kunna mäta eller uppskatta om någon utveckling kan relateras till införandet av LP och en önskan om en kartläggning av metoder som använts för att göra detta.Utifrån dessa behov blev syftet med föreliggande arbete att genom en litteraturstudie undersöka och sammanställa metoder som använts för att göra en bedömning eller skattning av ett företags utveckling inom lean. En intervjuguide skulle också testas gentemot resultatet av studien för att undersöka om effekter av en lean-implementering kunde synliggöras med hjälp av intervjuguiden och i vilken omfattning den täckte in de områden som kommit fram i litteraturstudien.

In view of the difficulty of recruiting staff to care profession and in terms of the increasing need to find ways of ensuring a good language level in the profession, have an interest in language tests been revealed. The purpose of this paper is therefore to highlight the use of language tests for admission to the care courses for adults in Värmland. What provided This is a survey of the prevalence and an examination of the validity of the test. The issue that this study assumed is: How is language test in connection with admission to the certified health and social care courses for adults in Värmland? How well correlates intent of the use of the language test with the test's validity and reliability?The methods used to seek answers to these questions has been a combination of questionnaires and experiments.

Background: There has been a process of de-institutionalisation and mental health care re-forms in Sweden. Social services are, according to the law, responsible for helping persons with mental illness to live a life like others and to participate in the community. The aim of the study was to describe the culture in one of the social services adult day care center for social relations and activities in Stockholm. The aim was also to focus on the importance of the adult day care center for recovery and empowerment from the participants´ perspective. Methods Observations in the adult day care center were combined with four interviews with regular participants.

Syfte: Utvärdering av hur patienter upplever den förbokade återbesökstiden, väntetiden samt personalens bemötande vid återbesöket. Syftet är även att undersöka hur personal på ortopedens nyinrättade ?snabbmottagningen? vid AS upplever stress, patientflöde samt telefonförfrågningarna, efter införandet enligt Lean-modellenMetod: Deskriptiv kvantitativ enkätstudie. Slumpmässigt urval utfördes på patienter och av hundra procent (n=55) tillfrågade, deltog fyrtionio procent (n=27). Av hundra procent tillfrågad personal (n=14), deltog sextiofyra procent (n=9).

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

The competitiveness and profitability of swedish farm enterprises is frequently discussed in agricultural media. Increased exposure to the surrounding world with greater competitive pressure and considerable price fluctuations in the agricultural markets demand new ways of acting to secure the agricultural sector?s long-term survival and profitability. Structural change and/or diversification leads to increased numbers of stake-holders around the farm enterprise and thereby also the expectations of the farmers ability to lead and coordinate resources. Lean is the name of a management model developed by Toyota, influenced by the lack of resources in Japan during the post WWII period.

Bakgrund I den nutida forskningen är det essentiellt att företag tar hänsyn till medarbetarnas motivation så att de gynnas av det arbetssätt som tillämpas. En arbetsmetod som blivit allt vanligare är konceptet Lean som ursprungligen kommer från den japanska bilindustrin. Lean har idag utvecklats till ett allmängiltigt koncept som tillämpas i flertalet branscher världen över. Trots att konceptet innebär flertalet positiva aspekter har det fått utstå stark kritik när det kommer till de mänskliga aspekterna och forskare har ställt sig frågan om Lean är "Mean". Kritiken härleds främst till medarbetares arbetsmiljö i form av stress och brist på variation, självbestämmande, hälsa och välmående.

Syfte: Uppsatsens syfte är att identifiera de verktyg som ett svenskt industriföretag kan använda sig av inom konceptet Lean. Rapporten ska även ge en beskrivande bild av hur ett svenskt företag kan utveckla de olika verktygen för att anpassa dem i sin verksamhet. På grund av allt mer ökad konkurrens i läkemedelsbranschen har Sweden Operation valt att implementera Lean i sin verksamhet. Detta väljer de att för att skapa en effektiv produktion med minskade resurser och ökad kvalitet. Metod: Uppsatsen bygger på en deduktiv ansats där individuella intervjuer har genomförts dels med de medarbetare som arbetar dagligen med konceptet dels med de som sedan konceptets införande på olika nivåer i organisation har varit involverade i implementeringen av Lean. Resultat & slutsats: Fabriken som vi studerade i uppsatsen har förändrat sin organisation genom att tillämpa Lean. Ledningen hade tagit grundkonceptet och anpassat de delar man ansett värdefulla för sin organisation.

This is a thesis based on a study about organizational socialization and concerns a company?s intentions as well as new employees? experiences during introduction. The study had four different purposes. First, it was to examine what Mölnlycke Health Care wished to achieve with its introduction as well as what they wished new employees should incorporate during introduction. Second, the purpose was to understand how new employees at the same company have perceived how the introduction has changed them.

Every year 120 children with Downs Syndrome is born in Sweden. The aim of the study was to investigate if there were any differences between mothers and fathers of children with Downs Syndrome regarding: experience of support from health care personnel and physicians in the time of delivery and from who parents sought most emotional support.Participants of the study was 80 mothers and 79 fathers that answered a questionnaire. There was a difference between parents if they thought they received support from health care personnel, mothers (59 %) and fathers (38 %) thought that they didn?t receive support. Emotional support sought mothers (52 %), in grater wideness then the fathers (23 %), with other families with handicapped children.

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.