This project is a deepening in how the space in psychiatric care setting can promote and improve thepatient?s well-being. The aim with this study was to create a manual for architects and the care to takepart of. This would consist of different aspects of how the space can be created for a more secure,care taking and healing space. With help of the manual the study would continue by creating a healingpatient room in a psychiatric clinic.The main questions were; can we create an environment which improves the healing process for thementally ill? What are the factors that we need to consider to creating a room for psychiatric care?This study only looks at the patient room, the common room and how the environment can affect theiremotional and physical well-being.By taking part of already made studies in this subject or similar, making my own studies by visitingpsychiatric departments and exploring how the spaces there contribute or not contribute to the healingprocess of the patient.

Introduction: The population of Sweden has during the last century doubled. An increased live expectancy results in an older population and the share needing medical care increases. Demographic and political changes in developed counties have resulted in changed demands on the care of the elderly. The elderly are discharged from hospital earlier and this results a significant responsibility on the elderly themselves and their relatives. Often the relatives are engaged in the elderly?s health problems, care needs and the future consequences the current situation results in for the elderly and the domestic life.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

In 2003 the deciding political council in Bromölla municipality requested that an overhaul on the committee and public administration structure should be conducted. In the report Bromölla was characterized as a traditional organization with a low degree of change. This case study will examine why the organization previously has been reluctant to change its structure and why they are willing to do so now. In the pursuit of this objective I conducted document studies, interviews and observations. I have used theories on, institutional change and organizational culture to enlighten this.My findings shows that the traditionalists within the organization has greatly affected this reluctance towards change, in the deciding council 39 % of the representatives are 60 years or older.

In 2003 the deciding political council in Bromölla municipality requested that an overhaul on the committee and public administration structure should be conducted. In the report Bromölla was characterized as a traditional organization with a low degree of change. This case study will examine why the organization previously has been reluctant to change its structure and why they are willing to do so now. In the pursuit of this objective I conducted document studies, interviews and observations. I have used theories on, institutional change and organizational culture to enlighten this.My findings shows that the traditionalists within the organization has greatly affected this reluctance towards change, in the deciding council 39 % of the representatives are 60 years or older.

We want to search knowledge in how teachers with a focus on after-school recreation centre estimate how their own competence is used in after- school recreation center and school and what expectations/apprehensions they have on their profession in the future. In our study we have asked teachers with a focus on after-school recreation center how they estimate that their competence has been used in after-school recreation center during the last three years. The method we have used to illustrate this is the Delphi method Nordänger (2009), where we interviewed eight respondents by e-mail. From the responses, we have found that teachers with a focus on after-school recreation center experience that their skills should get more attention in the school. They want to combine care and pedagogy that supports students' physical, intellectual, social and emotional development.

An increasing number of students leave the Swedish compulsory school without having a satisfactory grade in mathematics. Causes why students risk ending up with difficulties in the subject of mathematics are debated but one explanation might be that more and more students are diagnosed with dyscalculia. The purpose of this study is to investigate how educationalists identify and organize their teaching in order to help students with difficulties in mathematics to reach the schools requirement and long-term goals that are defined in advance. It is vital to detect learning difficulties at an early stage. Accordingly, it can be avoided that the student starts to develop a negative self-image due to repeated failures and in the same time provide relevant help.

Syftet var att studera hur den palliativa vården upplevs av sjuksköterskor vid användandet av Liverpool Care Pathway. Studien baserades på data från sex informanter på särskild boende/korttidsboende i en kommun i Dalarna. Studien har en kvalitativ design med innehållsanalys enligt Graneheim och Lundman.Analys av insamlad data resulterade i de tre kategorierna: Tydliga kriterier ger trygghet i vården, Omvårdnadsarbetet har utvecklats och tydligare information. Resultatet visade att tydliga kriterier vid användningen av Liverpool Care Pathway i den kommunala vården gav den palliativa patienten trygghet i omvårdnaden vid livets slut samt klara kriterier som gjorde att personalen tillämpade lika arbetsätt i den palliativa vården. Att stanna kvar i hemmet vid livet slut var en självklarhet för den palliativa patienten när Liverpool Care Pathway var infört i kommunen.

The aim of the thesis is to present a study of what works well and what does not work so well in today?s use of computers in primary care with a special focus on the use of computers in the management of referrals for consultation. In May 2009 a module for electronic consultation referrals was introduced in the computer system Cosmic at the University Hospital in Uppsala. Previously, the primary care units had to use two different systems for management of referrals. Referrals sent internally within primary care have been sent electronically while referrals to the University Hospital or other external units were sent on paper.

The aim with my study is to highlight, illuminate and examine the social and maternal health care motivational work of pregnant women with a risk or abuse of alcohol and / or drugs, and what actions can be considered for these women. In addition, the aim is to explore how social services and maternity care might interact in this type of case. The aim is to convey the subjective experience of each of the interviewees. For the purposes of this study, I have chosen to use the qualitative research method. I have interviewed social workers in individual and family care, and midwives.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.

This thesis is composed within the framework of the supplementary course in psychotherapy concentrating on family therapy (60 credits) arranged by Lund University's affiliate in Västerås, Sweden.The purpose of this thesis has been to explore how the idea to initiate evidence based methods in the workings of the Individual and Family Care Department of the City of Västerås was born. Furthermore the thesis will explore if consideration for methods of theoretical implementation are implied. The study assumes a qualitative attempt and is based on semi-structured interviews from three levels within the organization, including both management and operation.Theories on organization,implementation and the theory on change strategies have been used as a theoretical starting point.The study result shows that introduction of evidence based methods in the City of Västerås is based on the experiences of the organization regarding the need to develop and increase social services contributions to non-institutional care. Experiences from expensive transferrals to institutions which only occasionally produced satisfactory results were a contributing factor. New published research and a strong interest and desire inside the department to improve and change social services contributions have naturally been a positive influence for the development.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.

Abstract:Background: Socialstyrelsen statistics show that breastfeeding continues to decline. Previous research some mother experiencing breastfeeding difficulties and their lack of knowledge and understanding of breastfeeding. Support to mothers varies depending on their individual needs. Factors affecting the choice are the support of health care nurses and the social network. Aim: The aim of this study was to describe health care nurse experiences of giving support to mother who are breastfeeding.

The purpose on this study is to determine the extent of possible connections between tendencies to increased violent behavior and increased alcohol consumption among a total cohort of girls in the 9th grade compulsory school and 2nd grade upper secondary school in a Swedish county. In 2004 the Epidemiological Department carried out a health-status survey, using a self-report questionnaire, with students from both private and public schools in a specific county in Sweden. All respondents (N= ca 4000), attending all compulsory (at 9th grade) and upper secondary schools (second tier) on the survey date completed the questionnaire. For this particular study, 9 questions from the questionnaire, all concerning self-reported violent behavior and alcohol consumption habits were used either individually or combined in index variables. The result showed that while violence experience is low among these 4000 girls, it increased in relation to a corresponding increase in alcohol consumption.