This thesis, in the field of healthcare logistics, has been carried out at Hjärt- och Medicincentrum (HMC) at the University Hospital in Linköping during the fall and spring of 2012/2013. The thesis is done by two students at Linköping University at master?s level within the framework of Industrial Engineering and Management.As Sweden's county councils should not make a profit or loss, it is important that the councils are aware of how much care processes cost. Kardiologiska kliniken at HMC in Östergötland?s county council is one of the clinics that are profitable.

While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) ?Theory of organizational behavior in human service? became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper. Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care.

The aim of this essay was to describe and interpret the managements and organizations impact regarding the caregivers working conditions. To examine this we used a qualitative method. We completed two group interviews and five individual interviews with a total of fifteen enrolled nurses that worked within elderly care. In our interviews we found that the enrolled nurses felt that the organizations economic interests collided with their personal values regarding good quality elderly care. We also found that the caregivers experienced that they had an impact on their working conditions and that their employer was the main reason for making it possible..

In our study the purpose was to examine the influence of Continuing Professional Education on small and medium sized auditing- and accounting practices. The study also aims to analyze possible similarities and differences in how small and medium sized auditing and accounting practices are affected of the requirements regarding Continuing Professional Education. In order to fulfill our purpose in the study we conducted interviews with auditors and accounting consultants on small and medium sized auditing- and accounting practices. Totally did we conduct seven interviews with four auditors and three accounting consultants. The majority of auditors and accounting consultants we interviewed are satisfied with the current requirements on Continuing Professional Education and think they contribute to the increase of quality and status of the work tasks performed by auditors and accounting consultants.

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).

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

The purpose of this study is to highlight the situation for youths leaving foster care and entering adult life. The study examines the services provided by the social service in the Stockholm area when a youth is leaving foster care, and if a recent change in the legislation has had any impact on the operating procedures of the social service. The study includes interviews with youths who recently left foster care, as well as information collected from social service offices through a survey, supplemented by interviews with practicing social workers. All the assembled data have been analyzed using Ecological Systems theory with focus on the child perspective and the term significant others. The study shows that the respondent youth have trouble identifying the formal ending with social services, as well as the support they received or were offered.

Bakgrund: Patienter som ska genomgå elektiva operationer kan uppleva preoperativ oro och ångest. Preoperativ oro kan grundas i bristande information, tanken på att mista kontrollen samt vistelse i okänd miljö. Det vilar ett stort ansvar på sjuksköterskan då hon ska möjliggöra optimal delaktighet i vård och behandling för patienten samt uppmärksamma patienter som inte själva uttrycker ett omvårdnadsbehov. Syfte: Att sammanställa kunskap om vilka omvårdnadsåtgärder som kan minska patienters preoperativa oro vid elektiva operationer. Metod: Litteraturstudie, baserad på två kvalitativa och åtta kvantitativa artiklar.

abstractBackground: Dementia affected patients have increasing problems with memory , impaired language ability, which affects communication and behaviour is considerable. These difficulties may provide an outlet for aggression, agitation and anxiety, and are common in dementia, which is exhausting for patients and their relatives and carers. Behavioural changes are common condition in patients with dementia and affects quality of life and cause unnecessary suffering . Pharmacological treatment that is inserted to relieve these symptoms have many side effects. Printed out more knowledge about non- pharmacological nursing interventions that can facilitate care for patients , relatives and carers are great.Aim: To describe non- pharmacological nursing interventions in dementia care .Method: A general literature review of thirteen scientific papers compiled and described in a result.Results: Compilation resulted in two themes,  Music in dementia care and Stimulation in dementia care and four subthemes, Singing in the care, Listening to music, Activities and Consolation and fillip that showed a dominant positive effect on dementia affected patients and carers and there by create opportunities for caring in dementia care .Conclusion: The different nursing interventions may be useful in dementia care when they show a dominant positive effect on various behavioural changes, it seems memory stimulant and promotes communication between patients and carers which favours caring .Keywords: Agitated behaviour, dementia, non- pharmacological, literature review, nursing. .

Background: In today's Swedish health care, it is required that the various professionals must work together in teams to safer care. Several professionals with various skills expected working together in the traumateam at the care of the traumapatient. At the same time, research shows that substandard teamwork leads to avoidable errors in care. One way to improve teamwork is to practice. Purpose: The purpose of this study is to shed light on the experiences of the traumateam exercises that exercise participants feel has been favorable for the patient at the initial care of trauma patients.

Palliativ vård innebär ett förhållningssätt där patientens livskvalitet står i centrum. Vården kännetecknas av en holistisk människosyn där patientens fysiska, psykiska, sociala samt existentiella behov ska tillgodoses. Från sjuksköterskans perspektiv kan palliativ vård bedrivas inom såväl primärvård som slutenvård och omfattningen av det palliativa vårdandet varierar beroende på inom vilket område sjuksköterskan är verksam. Oavsett kontext har sjuksköterskan en relations­skapande funktion och relationen har stor betydelse för patientens välbefinnande. Professionell hållning inom palliativ vård innebär att sjuksköterskan medvetet tillämpar ett empatiskt förhållningssätt.

The colour choice of spiders and the effects of competition on this phenomenon were examined in the laboratory using the sit-and-wait predator goldenrod crab spider (Misumena vatia, (Thomisidae)). This species can  be both white and yellow (could also change colour)  and it was here examined whether individuals preferred to sit on flowers which has the same colouration as their bodies. I found that M.vatia showed preference for flowers that matched their own body colour, but when competition was introduced this preference disappear. It seems, however, that position is a factor that can influences the substrate decisions of M. vatia, where the edge of the flower is preferred..

SammanfattningSyftet med studien var att utifrån distriktssköterskors berättelser beskriva deras arbete med palliativa patienter inom hemsjukvård samt deras upplevelse av arbetet. Studien hade en beskrivande design och tio distriktssköterskor från fem olika hälsocentraler i Mellansverige deltog i studien. Data samlades in via semistrukturerade intervjuer och analyserades utifrån kvalitativ innehållsanalys. Resultatet redovisas utifrån kategorier som bildade två teman. Temat ?Att balansera mellan nuet och planera slutet ? att vara steget före? framkom ur kategorierna Att se patientens livssituation och utföra omvårdnadsåtgärder, Att strukturera arbetet, Att stödja och ha kontakt med närstående, Att uppleva utvecklings och utbildningsbehov samt Att vara professionell i sitt förhållningssätt och beskriver distriktssköterskornas upplevelse av att vårda palliativa patienter.

Compressed air is an energy source that is widely used in today's trucks and buses.Compressor located next to the engine supplies the pneumatic system with the compressed air and is lubricated with the engine oil. Some of the oil follows the air flow in both liquid and solid phase. The solid phase, namely the carbon particles are created due to the high temperature in the compression chamber.Oil- and particles carryover softens and destroys the rubber material in the air valves and disturbs the mechanical function of various components in the pneumatic system. In order to reduce oil- and particles carryover is an Air Processing System (APS) set downstream the compressor.No method for establishment of oil- and particles carryover from the compressor exists at the moment. Therefore the filtration efficiency of APS is currently unknown.

Aim: To describe the lived experience of women with polycystic ovary syndrome (PCOS). Method: Eight scientific articles of appropriate quality were found, analyzed, condensed and synthesized. Different experiences by women with PCOS were found and ordered into themes. The findings were then anchored in associated literature and discussed. Results: Four different themes were found: Feeling different; Disturbing symptoms; Searching for answers; Care treatment.