Läkemedelsbranschen är idag hårt konkurrensutsatt vilket skapar incitament till förändring av de interna processerna av vilka inköp utgör en. Läkemedelsbranschen har av tradition ansetts ha en eftersatt inköpsverksamhet för att vara en så mogen bransch. Vår undersökning gick ut på att jämföra en Best Practice modell för inköp med inköpsverksamheten i läkemedelsbranschen. För läkemedelsbranschen finns helt klart utvecklingsområden och utmaningar i förhållande till den gängse inköpsteorin och Best Practice modellerna. Vid en jämförelse med Best Practice modell för inköp och vårt fall identifierade vi ett antal avvikelser beroende på rationella, politiska och ekonomiska orsaker.

The purpose of this essay was to investigate the care personnel's experience, and thoughts concerning the elderlies use of sedatives and sleeping tablets. The purpose was also to make a comparison between different forms of living, in an attempt to find out if the form of living in itself was a factor that affected the use of sedatives and sleeping-tablets.In order to investigate this, the main questions of this essay became:- To what extent do the patients use sedatives and sleeping tablets?- What is the care personnel's experience of, and thoughts about the patients' use of sedatives and sleeping tablets?To obtain answers to my questions I interviewed care personnel working at different types of homes for elderly people and working with elderly people still living at home.I came to the conclusion that where you live may also have an influence on the use of sedatives and sleeping tablets. This could be seen when a group of elderly people lived together, and some of them were suffering from dementia. Then it could happen that the elderly with dementia where given sedatives and sleeping tablets, not just in order to calm them, but also to give the others a better environment to live in..

Palliativ vård definieras enligt Världshälsoorganisationen som ett förhållningssätt som ska syfta till att förbättra livskvaliteten för patienter och deras familjer som drabbas av problem som kan uppstå vid livshotande sjukdom. Det blir allt vanligare att människor med obotliga sjukdomar vårdas hemma den sista tiden i livet och några av förutsättningarna för att vårdas hemma är att det finns fungerande stöd från hemsjukvården samt att närstående är delaktiga i vården. Syftet med studien var att beskriva distriktssköterkans reflektioner och upplevelser av sin egen roll i relationen till närstående vid palliativ vård i hemmet. Studien har en beskrivande design med kvalitativ ansats. Det är en intervjustudie genomförd med åtta distriktssköterskor som arbetade med hemsjukvård och palliativ vård i hemmet.

The intention with this study is to investigate how schools are affected by state and municipal documents when they organize the education for children with special needs. The study is based on following questions.How do decisions on state and municipal level of politics affect the decisions that the principals make concerning organization, and do the school leaders think that the decisions are made on the right level of liability?What is the relationship between economic decisions and pedagogical decisions?What decides whether the schools have children with special needs integrated in their ordinary classes, or if they receive segregated remedial courses, and what are the views on an equivalent education?The study is conducted through interviews with principals of three schools, one politician on municipal level and one special education teacher. The interviews are linked to an historic background as well as current studies and discourses. The study shows that there are contradictions between state, municipality and school goals.

Background Adolescents and adults suffering from needle phobia have an unreasonable fear of needles that leads to negative experiences if they do not get the support they need. Negative experiences lead to patients avoiding health care, or these experiences affect important aspects of life. The suffering that a patient experiences may be obvious to some, but others hide it, and then it will be more difficult to detect. The nurse's role is to recognize the suffering and its different reactions in order to alleviate and prevent unnecessary suffering of the patient. AimThe purpose of this study was to describe about young people's and adults' experiences of having needle phobias.

Aim: The aim of this study was to describe the nurse?s work at an emergency department trough a perspective of caring.Method: A literature review has been made of twelve studies published between the years of 2002 ? 2012. The focus of all the studies was on Swedish emergency departments.  Results: The researchers found four themes that they choose to use as a way of describing the nurses work in the emergency room as detailed as possible. These themes were: ?The emergency room?, ?the nurse?s job assignments at an emergency department?, ?the patient?s experiences? and ?lifeworld and communication?.

Invasive alien plant species have historically caused major damage to ecosystems and are considered to be amongst the greatest threats to biodiversity globally. The lurking threat of harm to well functioning ecosystems has led to the development of global and regional goals and regulations which seek to stop the spread of invasive species. The Swedish Environmental Protection Agency has proposed a list of species that are specifically harmful to the Swedish flora and fauna, which includes (amongst others) garden lupin. The management of invasive species is however largely dependent on local actions, making municipal public servants key players. This qualitative study uses interviews to investigate how municipal public servants who are responsible for managing invasive alien species view this work.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Patients with COPD (chronically obstuctive pulmonary disease) often experience acute episodes of the disease. On these occasions it is usual that the ambulance nurse is the patients first contact in the care. The purpose of this study is to describe patients' experiences in acute condition of the disease COPD and the Pre-hospital nursing. The method was systematic literature review with content analysis. The results show four prominent themes on the basis of patients' experiences.

Background: Intimate partner violence (IPV) is a large public health problem that foremost affects both women and children, nationally and globally. Several accessible reports about IPV and education for staff that in their occupation can meet battered people shows the importance of increased education for several occupational groups to decrease the large number of unrecorded cases.Purpose: The study explored how six occupational groups, in the municipality of Kungälv, related to IPV in their professions, were influenced by whether they had education in IPV or not.Method: We chose a quantitative approach, a cross sectional study. A questionnaire was constructed and handed out to 156 participations. The occupational groups were a section in a hospital, the police, the home care services, an elementary school, a pre-school and the public dental care. The answer frequency was 86 %.

Practical and theoretical learning are methods that are used in schools as a way to prepare students for the working life. Within the practical learning knowledge is not only acquired to learn in practice, but the students must also be able to apply their theoretical knowledge to what he/she does. Against this background, the aim of the study was to investigate the importance of practical learning for students in college / university level and how they are experiencing the stress that may arise out of the loss of practical learning during their education, as well as their vision for working life after completing their education. The population of the study consisted of N = 36, which 18 of these had used both practical and theoretical learning and the remainder had only used theoretical learning. The method was a questionnaire survey with a high proportion of fixed alternative answers according to likert scales.

Background: Isolation care may be necessary when a patient is carrying infection or is being inflicted with disease that causes deficit immune system. Being isolated means that the patient is in a confined space and may stay only there. Even in ancient times, people discovered the importance of isolating people carrying an infection from the rest of society. According to the Infectious Diseases Act, patients should be isolated in order to reduce the spread of infection both from the patient to the surroundings as well as the opposite. Isolation care can be psychologically stressful for some patients.

  ?this Unpleasent klientel?A study on refugee care in Växjö between the years 1944 and 1947.The purpose of this study was to examine the treatment of sick refugees in Växjö in the 1940s. To achieve this a combination of quantitative and qualitative methods were used. The material found in the local archive and local newspaper was then put together and analyzed from the theoretical perspective, gender, class, ethnicity and social status.The result of this study shows that there were two main treatment wards for refugees, one that was supposed to treat women and children with active tuberculosis and the other ward treated refuges with ?epidemic diseases.? Foreign citizens were also taken care of in other words that were also not meant for refugees only, like the Epidemic hospital, which treated about 80 patients of a foreign nationality between 1944 and 1946.

Diabetes mellitus type 2 is a rapidly increasing disease worldwide. The disease is connected to lifestyle. Making lifestyle changes is hard. When suffering from Diabetes mellitus type 2 it is necessary to live healthy to prevent secondary diseases. Lifestyle changes includes for example changing dietary habits, become psychically active or losing weight.

Sammanfattning:Syfte: Att belysa barnsjuksköterskors erfarenheter av att bedriva relationsbaserad vård för det förtidigt födda barnet och dess föräldrar.Bakgrund: Aktuell kunskapsgrund redovisar vikten av en familjecentrerad, relationsbaserad, neonatalvård i strävan efter tidig anknytning och självständigt föräldraskap. Bakgrunden redovisar även barnsjuksköterkans erfarenheter av den relationsbaserade vården.Design: En intervjustudie utifrån en kvalitativ ansats, med ett vårdarperspektiv som studiens teoretiska referensram.Metod: Data samlas in under 2015 genom öppna och semistrukturerade intervjuer med 10 barnsjuksköterskor verksamma vid neonatalavdelningar. Som stöd för intervjuerna används en intervjuguide, som testas i en pilotintervju. Materialet bearbetas i en kvalitativ innehållsanalys, och resulterar i tre kategorier, 10 subkategorier och ett tema.Resultat: Resultatet redovisas utifrån följande kategorier: att utveckla en vårdande relation, att använda relationsfrämjande arbetssätt på neonatal, att erfara svårigheter att bedriva relationsbaserad vård. Temat för resultatet är; en varsam och utmanande vägledning.Konklusion: Barnsjuksköterskornas erfarenheter av att bedriva relationsbaserad vård på en neonatalavdelning kan förstås som en varsam och samtidigt utmanande vägledning mot föräldraskap.