Background: The incidence of caesarean section for breech presentation has reached approximately 90 % in Sweden. In many of these cases, by means of specific selection criteria, it would be as safe to plan for vaginal breech delivery. Aim: The objective of this study was to investigate differences in management and to compare maternal and fetal outcomes according to delivery mode of breech presentation; vaginal vs. caesarian section. The study included breech presentation in full term singleton pregnancies at the UppsalaUniversityHospital, Uppsala, Sweden (UAS). Method: The study was based on medical record data with a retrospective, descriptive, comparative design with quantitative approach. The method for data collection was a manual review of patient records using a structured questionnaire. Results: Of the women with children in breech presentation during the period studied, 11 % gave birth vaginally.

Background: Pressure ulcers have during a long time ages caused great suffering for the patients. The factors affecting the occurrence of pressure ulcers can be both internal and external, such as immobility and malnutrition. Nurses´ role is to assess risks and thus pay attention to prevent and treat pressure ulcers. The nurse may use various assessment tools to highlight and document patients at risk for developing pressure ulcers. Aim: This study was to describe health professionals´ thoughts and actions about the pressure ulcers.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

From the day we are born, we slowly grow old and sooner or later most people will have to use geriatric care provided by the community. In the Swedish model, society is responsible for the geriatric care, so the elderly can live a dignified, meaningful and active life. Home help insert activity is designed to help elderly get their social needs satisfied in the form of, for example, being outdoors, walk and visit a friend or some other form of social interaction. The study's purpose is to study how older people use and perceive bet activation in the municipal home care. To find out how this was conducted five interviews with older people who have help from home care to insert activation was made.

The purpose of this study was to examine how some young mothers, who previously have been in foster care or residential care, describe the way motherhood has affected their lives and identities. Narrative interviews were conducted with three teenage mothers and one mother aged 23. As tools for analyzing the narratives, theories about narrative psychology and how people present themselves through story-telling and language were used. The results of the study show that becoming a mother was life-changing in a positive way, according to the young mothers. They described how they, since becoming mothers, had become more mature and now lived less risk-full lives.

Flera studier har pekat på viktiga faktorer för att hälsa och återgång till yrkeslivet ska vara möjliga men hur detta i praktiken ska ske och vilka rehabiliteringsåtgärder som är mest effektiva är otillräckligt belagt. Studien har genom intervjuer med sju kvinnor med stressrelaterade störningar granskat hur en tillfriskningsprocess kan upplevas och vad som upplevs som meningsfull hjälp i samband med den. Deras tillfriskning har inneburit en kamp och ett starkt personligt engagemang. Beslutsamhet och målinriktning var förutsättningar för att få ta del av rehabiliteringsåtgärder. Kvinnorna i studien har upplevt ett stort personligt ansvarstagande för sin tillfriskning men de har också betonat vikten av bekräftelse från en förstående omgivning.

Background and problem discussionThe temporary employment industry has grown extensively during the past two decades since the market was deregulated. Companies today need to be flexible to meet fluctuating demand and economic climate in society which has made the market expand. When using employees not directly employed by the company there is a risk that long term effects appears that the companies have not thought of.Aim of studyTo create a model of what negative aspects companies should consider when making the decision to use temporary employees.Methodological frameworkThe study performed through an abdicative literature study and with an empirical data collection method of a qualitative approach where we interviewed five hiring companies and one temporary agency on the decision of hiring temporary employees.Frame of referenceProblem areas with the use of temporary employments were identified through four perspectives of the organization; the structural, human resource, symbolic and political perspective. The problem areas we address are organizational learning, motivation, risk of eroding human capital, belongingness and conflicts. These will be described and presented together with management control to counter the problems.EmpiricsThe empirics are focused on what aspects the companies of the study considered when making the decision to use temporary employment, what the companies? different reasons for using temporary employment are and what they do to minimize possible negative effects.Analysis and conclusionsCompanies use temporary employees mostly to become more flexible, both numerically and in their competence.

Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.

Abstract          Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach.

The western societies is characterized by a strong future concern and the members of the society are valued most of all according to their capability to produce. In our time the elder ness is representing a rapidly increasing number of relatively well kept elders. What sight of the future does the aging human have? Are one meditating of what kind of service and care one are going to need? The purpose with this study was to describe how individuals in ages between 60 and 96 sees, both the future and their coming need for care in relation to sex, age, social activities and experienced health. The material was taken from ?SNAC-Blekinge? witch is a part of a bigger national study; SNAC (The Swedish National study on Aging and Care).

The integration policy in Sweden shall encourage individuals to support themselves and take part in society. It shall alsocontribute to equal rights and opportunities for women as well as for men. In Borlänge this has resulted in a program ofintroduction for new arrivals from other countries. However, at the unit responsible for economic support, they havediscovered that women with immigrant background more often than men seem to have trouble starting or became to anending of the program, which then especially leads women to a long-term dependence for economic support. The purpose of this study has therefore been to investigate what factors affect immigrant women?s participation in theintroduction, and what significance this participation has for their possibilities to become economically self-supporting,and integrated into Swedish society.

Syftet med studien är att undersöka huruvida interna och externa variabler påverkar personers friskhet samt utreda hur långtidsfriska skiljer sig från övriga medarbetare. Undersökningen genomfördes med ett frågeformulär bland personal med olika arbetsuppgifter. 150 medarbetare besvarade enkäten. De undersökningsvariabler som ingår i den interna skalan är personlighetsdrag, locus of control, KASAM och optimism. Den externa skalan består av krav, kontroll, stöd, ledarskap samt organisationskultur.

The purpose of doing this essay was to illustrate how people living with chronic disease, dependent on medical technology experience their life situation. The study includes people with either dialysis therapy, mechanical ventilator or chronic oxygen therapy. A meta-synthesis was used as a method where a systematically review of studies that are made in a given issue compiles. Findings of the studies resulted in a synthesis of three themes: Limitations in life as a consequence of life-long treatment, to take responsibility for your life provide self-esteem and safeness, and to be cared for in different contexts ?help or prohibit.

Clearcutting systems have been the dominating silvicultural approach during the last decades in the Nordic countries. While economically rational, it is also leading to a trivialisation of the flora and fauna, and may result in negative reactions of people in urban settings. As a consequence of this, and a more diversified view on which goods and services forests should deliver, there is an increasing interest in broadening the range of silvicultural methods that are used. The term continuous cover forestry (CCF) represents a suite of methods that have gained increasing interest in the Nordic countries. In CCF a considerable amount of the trees are left after harvest to favour values that require a continuity of tree-covered areas. There are thus hopes that this method will meet the needs for maintaining biodiversity and satisfy social and cultural values.

The purpose of this essay is to investigate which components previous scientific studies suggest that an efficient treatment for adolescents with behavioural problems should contain. For this purpose, an extensive review of scientific research conducted in Scandinavia has been read and will be presented in this essay. This essay also present an introduction to residential care in Sweden as well as to an alternative form of treatment for adolescents with behavioural problems called Multidimensional Treatment Foster Care (MTFC). The result of this essay suggest that treatment of adolescents with behavioural problems should be based on the emphasis of risk/resilience factors of the youth and that the treatment should be adapted to the youth?s individual personality and way of learning.