Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

The purpose of this study was to analyse the concept of empowerment and its meaning in the political document "En Förnyad Folkhälsopolitik" from the present Swedish government, containing guidelines and politics in the area of public health. The underlying question was if it could be considered as representative for some kind of general "empowerment approach" since the concept is central to the very definition of social work by the International Federation of Social Workers IFSW and International Association of Schools of Social Work (IASSW).By comparing its definition and consequences in the document with a historical review of different contexts of empowerment the conclusion was made that such a common approach doesn´t exist at all. The meaning of empowerment in the central document showed some similarities with the "northamerican" version of the concept represented by the social scientist Charles Murray, which is just one of the political meanings of empowerment. Alternative ways of understanding the concept was also presented such as being a tool of a constant conflict between central political principles or as a fashionable but not important word. Another alternative was to consider it a means of power through witch different political discourses tries to dominate the world..

Sustainability reporting in Sweden is a voluntary disclosure action for non-governmental companies. Since 2009 all state-owned companies must however publish a sustainability report according to GRI guidelines and with independent assurance statement. Three different sustainability reporting methods are primarily used: (1) Separate Sustainability Report, (2) Sustainability Report included in the Directors? Report, and (3) Sustainability Report forming part of the Printed Annual Report. The aim of this paper is to explore why some companies choose to publish a sustainability report and identify the motivational factors behind this decision, as well as attain an understanding for companies? choice of reporting method.

Allt fler personer drabbas av hjärt- och kärlsjukdomar, vilket på sikt kan leda till kronisk hjärtsvikt. För att förbättra omvårdnadsåtgärder för hjärtsviktspatienter har Socialstyrelsen 2004 givit ut nationella riktlinjer för hjärtsjukvård där vikten av en individuell handlingsplan betonas. Syftet med litteraturstudien är att undersöka på vilket sätt sjuksköterskor utför omvårdnadsåtgärder avseende fysisk aktivitet, egenvård, nutrition och rökstopp för patienter med hjärtsvikt och om dessa överrensstämmer med gällande riktlinjer samt om hänsyn måste tas till genusskillnader. Metoden är en litteraturstudie i databaserna PubMed och Elin@Malmö vilket resulterade i 14 artiklar som användes för att söka svaret på syftet. Som teoretisk referensram har Antonovskys KASAM modell använts.

The purpose of this project was to investigate if retention of polar compounds that are given to treat tuberculosis, diabetes, inflammatory bowel disease and childhood leukemia could be obtained with HILIC separation. By varying different parameters for different types of columns the compounds were analyzed with the aim of finding guidelines for future method optimizations. To perform these analyzes three different columns were tested ? ZIC-HILIC (silica-based with zwitterions), ZIC-pHILIC (polymer-based with zwitterions) and XBridge Amide (amide functions). The results were evaluated with selected quality measures.

Communication between people who already know eachother, and who use a social online platform to do so, have been thouroghly studied for years. Thus, the majority of the people we connect with on a day to day basis are friends and acquaintances. As children we were taught not to talk to strangers, and as we grew older we learned to avoid people who act suspiciously. These and many other factors are part of the reason we avoid strangers, but are we doing so wrongfully? Studies have shown that there are many benefits in everyday interaction with strangers, some of which are an estimated increase in happiness and letting people seemingly forget about previous grievances.

This qualitative study is based upon interviews with librarians. It investigates the librarians? opinions on material adapted for disabled people and examines strategies used to market user friendly services for the disabled. The study explores librarians? views about streaming directly on the internet.

This bachelor thesis consists of an analysis of museum environment. In the research, case studies have been done at the, Stockholm based museums, Swedish museum of Natural history?s exhibition Natur i Sverige (Nature in Sweden) and the Nordiska museet?s (Nordic history) exhibition Modemakt (Power of fashion) and learning environment Lekstugan (playhouse). The purpose of the research was to study how cultural heritage is used and developed within the museum pedagogy aimed at children. The research is based on a multimodal approach with focus on learning resources.The research examines the museums focus on children and youngsters, what the goals for this focus looks like on respective museum and how the focus is visible in the actual museums.

Tillverkning mot kundorder kräver oftast att hålla ett förrådslager med råmaterial. Ökade kundkrav på korta leveranstider kräver att material skall finnas tillgängligt i lager. Detta ger upphov till ökade lager hos ett företag som i sin tur gör att de binder mer kapital och samtidigt leder till en sämre av­kastning. För att undvika att hålla för stora förrådslager men samtidigt hålla en god servicenivå krävs en effektiv lagerstyrning.Syftet med detta projekt är att ta reda på hur efterfrågan ser ut hos företaget i dagsläget samt kunna ta fram en lämplig prognosmetod och beräkningsmodell mot en viss takt för lagerstyrningen. Prognos­metoderna skall vara ett underlag för inköp vid beställning av material.

För att förebygga komplikationer vid kirurgiska ingrepp är den preoperativa fasen viktig. Sjuksköterskans roll innebär bland annat att försöka skapa trygghet samt ge adekvat information till patienten. Syftet med studien var att undersöka följsamheten gällande preoperativa riktlinjer och allmänna omvårdnadsåtgärder. Vid datainsamlingen utfördes totalt nio observationer på sju sjuksköterskor i deras arbetsmiljö. Studien utgör en kvalitets¬säkring och sammanställdes med stöd av innehållsanalys.

Today's children characterized and named according to Palfrey and Gasser for digital natives. Children are shaped by the use of media and ICT (Information- and Communication Technology) in a natural way. If their participation in environments where the media and ICT is common, it leads to other conditionsthan the previous generations. The purpose of this study was to understand and describe what teachers say and do to create involvement in children's use of media and ICT tools. The former media education development works carried out at preschools in Piteå municipality was the starting point and inspiration for the study. Study was based on a qualitative approach. Qualitative interviews and participant observations were carried out at one preschool in Piteå.

The aim of this study was to highlight homelessness through the perspective of formerly homeless men and women. The research questions focused on the informants experiences of the process into and out of the homeless situation and how their experiences could contribute to the knowledge about the social problem of homelessness. Besides the theoretical perspective of narrative and life course research, Fuchs Ebaugh exit theory and Honneth confirmation theory were used as theoretical guidelines.The empirical material consists of five life stories obtained through indepth interviews. The results of the study indicate that alcohol and drug use was of importance for the process towards homelessness. External factors as the change in the organization of the housing market in the 1990´s may also had an impact on the lifes of the informants.

Syftet med denna studie var att beskriva riktlinjer och PM angående smärtbedömning och behandling som finns att tillgå på olika akutmottagningar och sjukhus. Smärta är en av de vanligaste orsakerna till att människor söker sjukvård i Sverige, därför ställer detta krav på sjukvårdens kompetens och tillgänglighet till riktlinjer/ PM som stödjer den vård som ges. En förfrågan om att få ta del av sjukhusens riktlinjer/ PM skickades via ut mail. Dokumenten analyserades och innehållet delades därefter in i sju kategorier som beskrev dess kontext, Definition av smärta, Bedömning/ Skattning av smärta, Behandling, Mål, Utvärdering/ Dokumentation, Smärtombud och Övrigt. I kategorin övrigt tas bland annat den bristande referenshanteringen till riktlinjer/ PM upp.

The 22q11.2 deletion syndrome is a common genetic disorder that affects for example the heart, palate, immune system and hearing and therefore affects a child?s development. The purpose of this study was to investigate the proportion of children (0-18 years) with 22q11.2 deletion syndrome who have a hearing loss. A retrospective study of 103 children diagnosed with 22q11.2 deletion syndrome was conducted by medical records. Of the 103 children, 51 were boys and 52 were girls.

The purpose of this paper is to investigate in which aspects the public library is affected by its local community. This is re-searched by means of an exemplified case study of a Swedish public library in which we analyze governing documents and the library website with respect to environmental scanning and mar-keting of library services.The research questions are: How are the local community?s demands on the public li-brary being described in the governing document? How is the public library?s response to the demands of the local community being described in the operational plan? How are the demands of the local community, as shown in the governing document and the operational plan, re-flected in the marketing of library services on the library website?Our conclusions are that:The demands of the local community are described in a general fashion in the governing document, but there is a lack of concrete political guidelines.The public library's response to the demands of the local commu-nity is described to some length in the operational plan, but not with respect to economical factors.The demands of the local community are reflected to some length in the marketing of library services on the library website. Many of the overall themes that we identify in the governing document and the operational plan can be found in the marketing directed towards important target groups..