The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.

In non-profit organizations, surplus of the organization goes back to the organization's members. We have noted that Hyresgästföreningen initiated a change in 2005 when the organization merged its local membership registries to a national registry. There are few studies explaining how non-profit organizations are using management in an organizational change. What happens with the business management at an organizational change that is similar to the change in Hyresgästföreningen? The aim of this thesis is to explore how the governance of a nonprofit organization is changing at an organizational change.

Ledning och övriga anställdas upplevelser av attraktivitet på arbetsplatsen ?Mora of Sweden? looks at how management and employees at the Swedish manufacturing company ?Mora of Sweden? perceive an ideal attractive company and what factors that determine one, as well as how these two groups perceive the situation at their own company. The main purpose of the essay is to compare the management?s point of view with that of the rest of the employee respondents? perspective. While doing so the author concludes that there are several factors such as how the employees feel about their physical working environment as well as their salary, of which the management lacks understanding or perceive differently and that there needs to be more of an open dialogue between the management and the employees..

Tidigare forskning har visat på att konkurrensen kring talangfulla medarbetare aldrig förr varithårdare och att ha strategier för att behålla dessa blir därför viktigt. En strategi som syftar till att görajust detta är talent management. Men hur arbetar man med detta och vilka föreställningar kringfenomenet finns? Vilka faktorer kan finnas som hindrar och/eller möjliggör arbetet med talentmanagement? För att ta reda på detta har det i studien valts att göra en fallstudie där data samlats ingenom semistrukturerade intervjuer. Det framkommer i studien att talent management upplevspositivt då det ger erkänsla och uppskattning.

Diskussioner kring kostnader inom hälso- och sjukvårdsverksamhets kan betraktas som ett omtvistat ämne. Avvägningen mellan kostnad och kvalitet är kanske mer komplext på detta område än på många andra. Moraliska aspekter, liksom värdighet och diskretion är exempel på avseenden som är svåra att mäta i ekonomiska termer men som är nödvändiga för att kvaliteten på vården skall betraktas som hög. Det kan således anses finnas en inbyggd konflikt mellan vissa kvalitetsaspekter och kostnaden för vården.Denna uppsats har sin utgångspunkt i vårdverksamhetens ökade ekonomiska styrning, vilket är en följd av de rationaliseringar och omstruktureringar som sedan 1980-talet uppmärksammats inom den offentliga sektorn och som går under benämningen New Public Management. Syftet är att utifrån relevant teori genomföra intervjuer för att samla information om hur de förändringar som kommit att ta plats inom hälso- och sjukvården märks av och hur de bemöts av vårdpersonalen, samt konsekvenser av styrningens villkor och effekter.Slutsatserna har landat i att det inte råder något tvivel om att New Public Management kommit att förändra organisation och styrning inom hälso- och sjukvården.

The emergency medical care in Sweden has been under persistent debate, due to factors such as long waiting hours, inefficient patient flow, and understaffed departments. In an effort to meet the critique and with a willingness to improve the problems, an increasing amount of emergency clinics are adopting theories and models within Lean. Positive outcomes are evident, there has been some criticism directed towards Lean. Among these is the argument that in order for Lean to be successful it needs to be used within standardized and foreseeable processes, and that it therefore only is applicable to those kind of processes found within industrial production. This prompted the question of whether Lean was a suitable strategy within emergency medical care, considering the large variation of patients and non-foreseeable processes that in fact share little resemblance to that of industrial production.

Standardvårdplaner är vanligt förekommande inom hälso- och sjukvård och är under ständig utveckling. Standardvårdplaner är i olika grad evidensbaserade och framtagna med skiftande kvalitet. Standardvårdplaner används som ett hjälpmedel för effektivisering och kvalitetshöjning av vården för en specifik patientgrupp och är en på förhand formulerad vårdplan. Behov av ytterligare forskning efterfrågas om standardvårdplaner faktiskt minskar mängden dubbeldokumentation, leder till ökad tidsvinst och ökad vårdkvalitet. Syftet med föreliggande litteraturstudie var att göra en beskrivning av de effekter som användande av standardvårdplaner leder till.

The Private Equity industry has over the past years been booming and major external environmental changes have made the industry transform rapidly. Increased competition between Private Equity firms is one of the reasons why the industry has been and is being forced to focus more on addition of value through increased operational management. Consequently, the focus of value addition is by some said to be transferred away from deal making and financial skills, and into active operative management. This case study investigates how the portfolio management, and more specifically the measuring and management of performance, is carried out in a number of leading Swedish Private Equity funds with investments in the biotech sector. The biotech sector is characterized by extensive research and development, and many biotech companies often lack income and other measurable financial parameters in the initial phase.

This is a project in Entrepreneurship and Creativity on masters? degree. The purpose was to verify whether the Swedish retail trade within the beauty care business was ready for an in-troduction of colour cosmetics. Through the qualitative research grounded theory, I made several phone interviews with independence retail traders within the Swedish beauty care business. The selection of respondents is based on statistical facts and geographic coverage of Swedish beauty care shops.

Syfte: Syftet med vår magisteruppsats är att utreda hur involverade parter idag inom dagligvarubranschen i Sverige upplever Category Management. Syftet är även att belysa implikationer samt potentialer inom ramen för Category Management inom den svenska dagligvarubranschen. Metod: Vi har arbetat utifrån kvalitativ metod och genomfört både personliga intervjuer samt telefonintervjuer. Vårt empiriska material har därefter varit underlag vid den teoretiska kopplingen. Empiri: Vi har utfört personliga intervjuer med involverade aktörer inom den svenska dagligvarubranschen.

The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method.

Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Bakgrund: För att kunna stilla kunders behov och skapa kvalitet och därigenom värde, krävs kunskap. Två teoribildningar som talar om värde och kvalitet respektive kunskap var för sig är Service Management och Knowledge Management. Service Management är huvudsakligen externt orienterad medan Knowledge Management är näst intill uteslutande internt orienterad, vilket medför att vissa "spänningar" återfinns dem emellan. Frågan är hur dessa"spänningar"hanteras i kunskapsföretags värdeskapande. Syfte: Syftet med uppsatsen är att analysera vad Service respektive Knowledge Management bidrar till i förståelsen för kunskapsföretags värdeskapande.