Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

The purpose of this study is to see how adolescent students in high school formulate their thoughts of death and if a belief in transcendent existence affects their thoughts. The study was done on two separate schools, one municipal school and one private religious school, in minor cities in Sweden. The method used was qualitative inquiries and the amount of participants was four from each school, eight in total. The result of the study showed that six out of eight participants had a belief of a transcendent existence, three from the municipal school and three from the religious private school. The result also showed that the participants from the municipal school that had a belief in an transcendent existence also had a belief in a form of ?afterlife?, this was however not reflected on the students in the religious private school where result showed that one out of four had a belief in a form of ?afterlife? and three view death as the final stage of existence..

The aim of the study has been to explore certain aspects of implementation perspectives and to analyse the introduction of an environmental management system called ecoBUDGET in the Municipality of Växjö. A framework has been developed through thorough studying of earlier research in the field of policy implementation in public administrations. The framework is made up of the steering relationship between politicians and public administrators, decision making and implementation and the ability, want and understanding of how and why decisions should/could be implemented. By using this framework in combination with interviews held with individuals that host valuable knowledge and experience of the system these questions were to be answered:-What factors in the implementation process of ecoBUDGET can be seen to have facilitated alternativly hindred the integration of the environmental management system within the municipalitys administration and companies?- In what direction has the integration of a sustainable devleopment thinking for the environment thru ecoBUDGET evolved within the organisation?The result came to be that sustainable development and the strive for this is more and more amalgamated in to the everyday work within the municipal organisation and that the environmental management system is likely to have played a part in this..

Large retirement numbers and fierce competition of available labour, results in municipalities have to be more attractive as an employer. One way for the municipalities to fulfil their staffing requirement is partly to increase their recruitment efforts, and partly to educate their existing employees. Discussions about the supply of competence are therefore pressing within municipal activity. The aim of the study was to investigate how the concept of competence is used within a municipal administration. The method that has been used is Norman Fairclough?s critical discourse analysis, a method that allows multi dimensional analysis.

Our purpose with this master thesis is to look at school libraries in two separate municipal contexts and with the help of case studies try to reach understanding of how the municipal organisation in general influences and co-operates with day to day reality. In order to achieve this objective we have posed the following questions: What importance are school libraries given in relation to questions of overall management and goals in the greater organisation? How are resources distributed and management allocated in the two cases? How are the various school libraries in the two municipalities organised when it comes to workload, employee role assumption and teamwork? In the section dealing with theory and previous research we present the theoretical viewpoint and the literature of importance for our subject. This includes a short history, reports and laws, and also some research and theory on school library organisation. Our method has been to study the circumstances in two separate municipalities, Varberg and Växjö.

The purpose of this study is to examine the mediatization of Swedish politics on a municipal level. We live in a world were media affects many aspects of life. One of those aspects is the communication between the citizens and the politicians.Our main research questions are:To what extent do politicians communicate with journalists and who initiates these contacts?Do politicians talk to some types of media rather than others?What factors make a politician choose to speak to media?To what extent do leading Swedish municipal politicians use media strategies?To answer these questions we have used various theories to help us understand media?s role oftoday. First we explain the transformation that has taken part in Swedish media over the last century, from political party press to independent media companies.

? Does Karlstad municipality have adequate institutional conditions to make the best use ofthe citizens? proposals??The purpose with the thesis is to investigate if citizens? proposals lead to a broader politicalinfluence. To answer that, I have done a case study about how Karlstad municipal administers citizens? proposals. The research assignment is: Does Karlstad municipal have adequate institutional conditions to make the best use of the citizens? proposals? The perspective is a democracy perspective and the theory is institutional theory and policy process theory.A selection of citizens? proposals that have arrived to Karlstad municipal between 2008 and 2010 have been studied in detail to analyze how the proposals have been administered and if it matters how the proposals are phrased.

The national spatial planning guidelines and the subsequent legal regulation in the Natural Resources Act and the Environmental Code has been a part of the Swedish planning system for almost 40 years. In the recent years, critics have claimed that the regulations are outdated and does not work the way it was intended. This paper examines closer why it is perceived that the regulations does not work, with a focus on how the national interests are managed in the municipal planning. Why is the national interests not applied in the municipal planning as intended? Is the error in the system or in the implementation of it? The aim of this essay is to study the gap between theory and practice by studying how the land management provisions in the Environmental Code is applied in five selected municipalities. The aim is also to find interesting issues for futher studies of the topic.

Background: The Waldorf school was founded by Rudolf Steiner during the early nineties in Austria. The pedagogy is established in the antrophosofical sight of humanity, which contains focus on three watchwords when it comes to teaching. These are the will, the feeling and the thought. Purpose: The aim of this study is to investigate how teachers in three Waldorf schools are working during to the curriculum and to bring out the differences and the similarities with the municipal school. This essay is focusing on four themes and theories; artistic learning processes, gender, multimedia and environment.Method: In order to investigate this kind of teaching I choose interviewing as a method, specifically semi structured interviews. Four teachers at three different schools in Stockholm county was interviewed.

According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

The Social Democratic Party and the Moderate Party are two parties with different ideological background. The parties have different opinions in issues of public and private matters. The Social Democratic Party profiles it self, through the local and national party programs, as a party for solidarity and security. The Moderate Party, on the other hand, profiles it self through their programmes as a party with a possibility for the individual to shape his or her own life. Through a survey on members in the local government, and two key persons at national level, the view of municipal self-government has appeared.

The purpose of this Masters thesis is to investigate how actors involved in a municipal's adult education view students access to information- and library resources. The adult education in the municipal is on contract which means that there are several different actors involved in the realization of the adult education. The raised questions in this study deals with; libraries role within adult education, students needs for becoming information literate and where responsibilities for students access to libraries lies. We used a qualitative method which includes interviews with two principles, a controller, three pedagogues and a librarian. The empirical data is analysed against taxonomies and categories which originates from the theories of David Loertscher and Christine Bruce.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Safety, its a word not commonly associated with elderly people living alone. There is however a device that is supposed to bring safety, and enable elderly people to continue living in their present household - an emergency dialer. However these devices does not serve their own purpose in terms of design. Thepurpose of this study is to create an emergency dailer that everybody would want to put on their wrist or bedside table. The market for these devices have looked the same for the last twentyfive years, despite of society´s advancements in both design and technology.

Falls and fallinjuries are very common in peoples own homes in various institutions. Hospital inpatients often fall during daytime in connection with their visit to the toilet. Visual impairment such as cataract, glaucoma, macular degeneration and diabetic retinopathy can cause falls. The purpose of this study was to examine patient´s records where falls and fallinjuries were documented at an emergency clinic and to examine if they were registered to visual impairment. The records from 68 hospital inpatients from the age of 65 years and older who did fall during the year of 2004, were examined.