Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Abstract på svenska: Bakgrund: Studier har visat att humor är en betydelsefull faktor inom hälso- och sjukvård och att olika former av humor kan skapa en känsla av välbefinnande. I interaktionen mellan patienter och sjuksköterskor har skratt och humor visat sig ge positiva effekter vad det gäller att skapa en avslappnad atmosfär. Syfte: Syftet med studien är att belysa humors betydelse i mötet mellan patienter och sjuksköterskor. Metod: Studien är en systematisk litteraturstudie som baseras på 8 utvalda och granskade artiklar. Resultat: Sex huvudkategorier framkom under artikelanalysen, Humorns betydelse för mötet mellan patienter och sjuksköterskor, Humor som copingstrategi för patienter och sjuksköterskor, Humor som försvarsmekanism, Sjuksköterskors användning av humor i mötet med patienter, Humor som arbetsredskap i komplicerade omvårdnadssituationer samt Vid vilka möten bör humor undvikas.

The work is performed at Forsmark Group AB as a final step in the Bachelor ofScience program in nuclear engineering at the University of Uppsala in 2013.The work is part of an ongoing process of streamlining project system model FKA.Streamlining the project model is an important aspect that affects all largecompanies that somehow have a project governing body when there is muchfinancial resources to save. Although the quality of the projects is positivelyaffected by efficiencyThe aim is to find possible common weaknesses and strengths of the project systemby interviewing a number of project managers, and using the systems in placeexamine the model.As part of the work also includes examining what project managers have to adjust tothe newly implemented system VPMM, and other newly introduced elements thathave been added to improve the efficiency in the futureProject System is a complex system that is influenced by many different parametersand participating individuals' attitude and personality. But then small changes in themodel could have major economic consequences.The thesis has generated results that show common weaknesses among the variousprojects and their project managers' general opinions about the project model. It alsopresents some possible solutions based on own thoughts and those interviewedobjects suggestions and comments..

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

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..

Objective: To investigate the experiences of ambulance nurses when using Boussignac CPAPcompared to their previous model, and their suggestions for possible improvements in the use of CPAP in the care of patients with pulmonary oedema. Method: A qualitative study with a descriptive and exploratory approach. Data was collected through ten semi-structured interviews with ambulance nurses, seven men and three women. The analysis was conducted using Lundman and Graneheim?s content analysis.

Fossil fuels are affecting our climate negatively and there is a limited amount of them in the world, which leads to the importance of finding alternative fuels. One alternative is biogas, which is produced though a digestion process of different organic materials in a biogasreactor. Organic substrate that comes from farms has the biggest potential to increase the production of biogas in Sweden. Primarily crops from farms, but also waste products like manure are of great importance.Today there is a calculated theoretical potential for biogasproduction of 14TWh per year, which is around ten times larger than Sweden?s production today.

Syftet med föreliggande studie var att få fördjupad insikt i och att beskriva hur sjuksköterskor påverkas av, och förbereder sig inför, ett abstrakt hot såsom en förutspådd epidemi. Studien är empirisk med en enkätundersökning av kvalitativ karaktär. Inspiration till tolkning av data är hämtad från fenomenografin och resultatet belyses genom anknytning till KASAM. Studiens deltagare var 39 sjuksköterskor verksamma på en Akutklinik och en Infektionsklinik. Resultatet visade att sjuksköterskorna påverkas av hot om epidemier bland annat genom en rädsla att själva smittas.

Aim. The aim of the study is to highlight Dutch nurses? opinions about assisted death. Background. Since 2002 it has been legally justified for physicians to assist a patients? death in the Netherlands.

The aim of this study was to examine the experience, knowledge and attitude to mandatory reports of mistreatments amongst first line managers and assistance nurses in municipal elderly care. The following questions were at the center of the analysis: how do the different professional groups view having to report their own organization? How can various factors affect the mandatory reporting of mistreatments? What knowledge do the different professional groups have of mistreatments and mandatory reporting? A qualitative research method was used to examine these questions in the form of semi structured interviews and a small document study. The interviews were carried out with assistance nurses and first line manages in elder care, we interviewed four respondents from both professional groups. The interviews were then transcribed and coded with help of a content analysis.

We all know that water is very important for both animals and humans. When we are weaning the piglets from the sow we must guarantee that the piglets can start to drink more water instead of sow milk. The first thing to check is always the quality of the water that is to be used. To secure that, you must take a water sample. If the water is inadequate it can bring a lot of problems and diseases.

The object with the study of this literature was to describe differente programs of care and patients and relatives experience and opinion about the caring for patients with Anorexia Nervosa. The method the author used was a descriptive literature study based on imperial studies. The studies were based on 15 scientific articles within the chosen field. The results shows that these patients hade special needs to be seen and heard as individuals, involved in their own treatment, and have good contact with the caring staff. The study also shows which methods were mostly appreciated involving nurses, patients and relatives.

The aim of this study is to describe and analyse the cooperation between the public employment service and the refugee reception in a medium-sized municipality in southern Sweden on basis of the establishment reform. The study examines how the collaborative process is regarded when it comes to implementation of the reform, and when it comes to the directives and resource allocation between the employment services and the refugee reception. The study also focuses on the deficiencies and the benefits that can be discerned with the establishment reform at local level.A qualitative data collection method has been used. It is semi-structured interviews with workers from the public employment service and the refugee reception. Information materials and evaluations that various authorities have made have also been investigated.The study concludes that it is important that the directives are clarified and that a new local and regional agreement will be established on paper.

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.