This thesis investigates management accounting systems in a Swedish health care environment. Through a qualitative case study of an activity-based cost accounting system that was introduced in 1994 at S:t Görans Sjukhus, a large Stockholm hospital, the following questions are addressed: What benefits can an activity-based cost accounting system offer the Swedish health care providers? What are the potential problems impeding the implementation of such a system? Main findings: an activity-based cost accounting system can improve the understanding of where costs are generated in the production processes. Comparisons between alternative production processes are improved, and the data may serve as a basis for internal pricing measures. Concerning the second question, difficulty in reconciliating the principles of economic control with the culture present in a hospital is identified as the main obstacle to a new management accounting system..

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.

Aim: The aim of this study was to describe how patients with acute illness experience their given care in the emergency department. Method: A literature review of ten studies where differences and similarities were analyzed. These studies had been published between the years of 2000 and 2011. Results: The analysis showed a lack of sufficient care concerning patients? subjective experiences.

It has long been discussed how to use music in a new way in the field of food and elderly, and in this study, the authors wanted to test this. Music is the language of emotions. It?s a powerful tool, but its effects are difficult to predict (Theorell, 2009). Malnutrition in the elderly is a serious condition that often gets overlooked (Edfors & Westergren, 2012).

The purpose of this study was to examine the obstacles and problems prescribers of exercise on prescription (EoP) in primary care in Bollnäs and Söderhamn experience when using the method. It also aimed at examining if the barriers identified in previous studies also will be found in Bollnäs and Söderhamns municipalities. A qualitative study was made and four interviews with the managers of health centers in Bollnäs and Söderhamns municipalities were completed. The only inclusion criteria was that it would be a licensed health care professional at the clinic who work with, and prescribe the EoP. A content analysis was performed, which categorized the statements made according to their content.

Background: Asthma is an illness that many adolescents have today. The symtom can prevent them to live like contemporaries and the development phase they experience makes asthma difficult to get control of. Aim: The aim of this study was to describe adolescent?s experience of living with asthma. Method: The literature review was performed by reviewing nine scientific articles.

Background: Stroke is one of the leading causes for longlasting sequelae, among themloss in cognitive function, like aphasia. Aphasia effects the patients ability to understandand express themselves in speaking and writing. To be able to reach a good level of care,the careproviders and patients ought to have the same goals and values. This requires agood communication between the careproviders and patients. Which can be problematicfor the caregivers when they don't feel secure in their way of getting close to these patients.Aim: The purpose of this study was to illuminate caregivers experience of caring forpatients with the diagnosis aphasia following stroke.Method: This is a literature study where nine studies, with qualitative design, has beenanalyzed and compiled.

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

The family and relatives caring of older people in Sweden lies on an old tradition. By legislation the responsibility for the older people has gone through a development from the family to the society. According to the new social service law (2000) it is not that clear that the utmost responsibility lies on the society. According to the social service law ( 5th chapter, 10 §) the municipality should ease things up by giving support and relief for relatives taking care of older people, prolonged ill and function disabled people. The purpose with the study was to examine how the family care givers are finding their everyday work and their experience of the support that the society is giving.

The aim of this essay is to bring up and mediate a teacher?s life story and professional history to take part of her experience of an animated pedagogy. As a tool I use the life story method, which is a qualitative interview method which purpose is to put the narrative person?s life history in the centre.One of the goals for an animated pedagogy is to learn how to be. Animated pedagogy is about making teaching living and making it meaningful and exciting.

Background: Relatives to people with schizophrenia often experience a great burden and inmany cases takes a lot of responsibility for the person suffering from schizophrenia. Nationalguidelines emphasize the importance for relatives to be involved in mental health care, butunfortunately that is not always the case. Objective: The aim of this study is to investigateand describe how relatives to people with schizophrenia have experienced collaboration andsupport from mental health services, and what requests they might have for the futureregarding the design of collaboration and support. Method: Qualitative approach. Interviewbased study with qualitative content analysis as a method.

Syftet med denna studie var att beskriva patienters psykiska hälsa efter en hjärtinfarkt.Studien genomfördes som en litteraturstudie. Sökorden myocardial infarction, mental health, experience, psychological health och quality of life kombinerades för att hitta artiklar. Arton artiklar inkluderades i studien och hittades i databaserna PubMed och Cinahl och genom andra artiklars referenslista. Undersökningarna i artiklarna var genomförda med intervjuer, enkäter och observationer. Resultatet visade att män upplevde en bättre hälsorelaterad livskvalitet än kvinnor samt att kvinnors psykiska hälsa påverkades mer efter en hjärtinfarkt.

The objective of this paper is to describe and analyze female irregular immigrants and their experience of how relationships with other people affect their lives and identity.A qualitative method is used in the study, because my main purpose is to analyse the respondents? lives and life experiences. The analysis is based on a symbolic interactionism perspective. The results are also analyzed based on previous research and the concepts underlying the paper; irregular immigrants, discrimination, power and identity.In summary, the respondents have a clear picture of how they live and experience their relationship to others and themselves and how this affects their lives and identity.Their experiences affect their lives and influence their behaviour and identity when they interact with others. Their own view of their situation means that they are afraid to seek care or report sexual abuse, threats or other similar conditions.

ABSTRACTIn this study, five people were interviewed who are involved in a drug-assisted program for opiate addiction, also called substitution program. The meaning of substitution is that these clients' drug addiction is replaced with substitute preparations, either methadone or Subutex in an orderly manner. The clients of the researcher decided to study the substitution program have all been a heavy opiate addiction for years. Their participation in the replacement program is more than two years, and those who have been around the longest have been in the program for six years, so long as the substitution program has existed in Visby.This is a qualitative study in which interviews are conducted face to face with each individual client, and the interview was unstructured in the sense that no specific issues made in advance. The interviews have been themed, and the researcher has gone through various areas of life around the respondent.

ABSTRACT The aim of this thesis is to illustrate how surgical operation theatre nurses perceive debriefing within emergency health care. The study has a qualitative design with semi structured interviews that have been performed with seven operating room nurses working in emergency health care. The strategic selection consists of professional operation theatre nurses working in emergency care at Uppsala University Hospital. The main goal of this thesis is to increase the understanding of debriefing and to highlight the need of debriefing after difficult or unexpected events in the emergency health care profession.The interviewed nurses perceive debriefing as an important way to develop the day to day work, but also as a way to unburden the staff at the time of bigger traumas. Even though the effect of debriefing is not univocally positive in the literature, the staff perceives that it reduces different kinds of stress.