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.

Denna studie utgår ifrån ett sociokulturellt perspektiv på lärande och syftet med studien är att undersöka huruvida seminarier som arbets- och bedömningsform kan främja intresset för olika moment inom naturvetenskap i allmänhet och biologi i synnerhet, samt att undersöka huruvida seminarier även kan fungera som ett bra bedömningsverktyg. De metoder som användes i studien var enkät och intervju. Studien utfördes i tre moment. Först genomfördes seminarier inom ämnet biologi i en årskurs 8. Därefter besvarades en enkät av ca. 60 elever från seminarieromgången.

The aim of the study is to examine how the executive leadership and the decision-making process are shaped by the leadership environment in a transition democracy as Venezuela. The questions I intend to answer are: What kind of leadership environment surrounds the leadership and what kind of consequences does it have on the leadership and the decision-making process in Venezuela? To answer my questions I will use the literature: Political Leadership in Liberal Democracies (Elgie, Robert 1995, London: Macmillian), together with the method ?The cultural determinist school of history? by Tomas Spencer, later reproduced by Kellerman. The leadership environment provides unique opportunities for a leader to gain control over the decision-making process. Institutional structures and the needs of the society are major parts in determining how the political leadership is exercised.

In Europe, the central governments are the ones to coordinate the international standards and strategies regarding GPP; Green Public Procurement. However in Spain a GPP program was introduced late and only applied to the Central Government Institutions, (AGEA) (BOE nr. 027, 2008). These means that smaller administrations, such as, Autonomous Regions, Municipalities and Town Councils were not included in the program. The absence of a national program which excludes those governments made them introduce their own criteria for GPP, and the difference in criteria varies from one government to the other.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

Society has an obligation to offer parents support of various types, an example of such a support is ?parent support?. The purpose of this study has been to describe midwives and child health care nurses conceptions of the need for early parent support. The definition of early parent support in this study is the first two weeks after delivery. Since the 1970:ies the Swedish delivery and ?BB? care has changed in that the time in hospital care after delivery has been reduced from in average six days, till an average of two days.

Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent?s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support.

 The aim of this study was to explore Swedish ambulance nurses experiences in caring for sick or wounded children.Method: A qualitative interview study with a descriptive/ explorative design. The sample consists of 10 ambulance nurses, both men and women, with varying years within ambulance service. Trough unstructured questions the data was collected. The data was analyzed with qualitative content analysis.Results: Compared to previous published studies the results of this study shows a broader perspective on ambulance nurses experiences in caring for sick or wounded children. The experiences were focused on following five categories:o The character of the alarm o The organization of the work o The specific in the meeting and treating of a child in an ambulance o Children who dies or suffer from a trauma o To work in an ambulance and at the same time being a parent Conclusion: It is always special to take care of a sick or wounded child.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

The essay is about how immigrant pupils are integrated into the Swedish school and society. I have studied how teachers work with integrating these pupils and if there is a plan of act used in their work. The essay is also about how social relations can be used as a pedagogical resource by the teachers when the institutional framework and support is failing..

Bakgrund: En kommun granskas intensivt av dess omgivande samhälle där skandaler och utmärkelser skapar ett externt tryck som pressar organisationer till att reagera. När ett externt tryck uppstår förändras rådande samhällssyn och påverkar organisationers strategiska handlande mot upprätthållande av legitimitet.Syfte: Syftet med studien är att beskriva Växjö kommuns interna handlande efter att ett externt tryck uppstått genom en utmärkelse- Europas grönaste stad.Metodval: Studien består av en kvalitativ intern fallstudie. Studien utgår ifrån granskning av offentliga dokument i kombination med ostrukturerade intervjuer som skett genom ett snöbollsurval.Slutsatser: Studien visar på hur kommunen bemött det externa trycket utmärkelsen medfört genom sitt handlande. Detta visas utifrån strategisk anpassning mot det externa trycket. Då två externa tryck motsäger varandra visar kommunens handlande på en anpassning mot det som anses skapa måluppfyllelse.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

Aktiviteter är betydelsefulla för ungdomar som vistas på institution. Forskning visar att ungdomar som har en meningsfull tillvaro med aktiviteter och en variation av sysselsättning under sin institutionsvistelse har större möjlighet att lyckas förändra ett problembeteende. En institutionsmiljö bör tillgodose ungdomarnas behov av en hemlik miljö och kontakt med pro-sociala ungdomar i övriga samhället. Syftet med denna studie är att belysa aktivteters betydelse för ungdomar som är placerade på institution, relationen mellan schemalagda och icke schemalagda aktiviteter samt vilken roll personalen har i utövandet av aktiviteter för ungdomar som vistas på institution. Studiens metodansats bygger på kvalitativa intervjuer med professionella som tjänstgör på ett HVB-hem (Vård och boende) för ungdomar.

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

The main purpose of this Master?s thesis is to develop an understanding of why non-users do not use public libraries by studying their information and culture habits and their relationship to public libraries. One of the motivating factors behind this choice is the lack of earlier research on the subject, particularly qualitative research. The theoretical framework is stratified into three associated levels with Brenda Dervin?s sense-making theory on an individual level, Marianne Andersson?s and Dorte Skot-Hansen?s model of the roles of public libraries on an institutional level and Pierre Bourdieu?s theoretical apparatus on a social level.