The creation of value is considered the core purpose and central process of economic exchange. Value creation is now conceptualized as shared by both producers and customers, and value is seen as fundamentally derived and determined in use, the integration and application of resources in a specific context, rather than in exchange, embedded in products and manifested as price. The field of research is abundant with publications but these do not fully further the understanding of value creation and co-creation in a way that is meaningful for theoretical development and decision making in business and marketing practise. Without a thorough understanding of the factors characterising value co-creation, the nature as well as content and locus of co-creation cannot be identified. In that case value co-creation easily becomes a concept without substance. Until now, individual publications on co-creation have focused on few or different aspects, have emphasized the process from either the customer?s or from  the firm?s vantage point, have different theoretical approaches and have ignored the complexity in interactions between actors.The purpose of this essay is to analyse how five fundamental aspects of co-creation of customer value are perceived in contemporary marketing literature. Discussing the different views on co-creation, this essay concludes that thoughthere are evident points of agreement, finding one generally valid doctrine of predestination or value co-creation is improbable.

Researchers and practitioners have recognized the need for ?transforming? every policy of the company into a competitive advantage tool. Thus, both the pricing approach and the supply chain practices of the firm have emerged as an important determinant of success. In this study, however, we are not only interested in these two aspects, but also in a third one-namely cultural conflicts as an obstacle and challenge. The interaction of the tree factors is extensively presented against the backdrop of Skanska and four of their closest Polish suppliers.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

Background: Throughout life, sexuality is a central aspect of being human and to experience a full and healthy. Several diseases and treatments can cause problems related to sexuality and sexual health. Despite this, research has shown that nurses, for various reasons choose not to take up the subject with their patients. Aim: The aim of this literature-based study was to illuminate nurses' experiences of talking with patients about sexuality and sexual health. Method: A literature-based study where both qualitative and quantitative studies, have been used.

This thesis explores how participants and leaders in ?Alpha?, an introductory course to the Christian faith, relate to and practice faith in Sweden. Sweden has often been viewed as a secular country where religion has been seen as irrational, outdated, and as something that belongs to the other but not to the self. Through the eyes of Swedish Christian practitioners, this study explores what kind of relationship my informants have to Christian faith and God while also exploring how living in a secular or post-secular context affects their way of believing and interpreting God and the stories written in the Bible. Furthermore, understanding of the Bible is viewed in the light of the concepts ?mythos? and ?logos? which highlights where Western explanatory models fail to explain and understand mythological stories.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

Background: Breast cancer is one of the most common types of cancer in the world and it usually affects elderly women. However, there are between 600-700 cases per year in Sweden where women under the age of 45 are diagnosed. Removal of the breast or part of the breast, hair loss, fatigue and nausea as a result of the breast cancer treatment has an emotional and physical impact on the women?s lifeworld. The nurse should build a relationship with the women to identify and meet their needs. Aim: To describe younger women?s experiences of getting a breast cancer diagnosis and life afterwards.Method: Four biographical books were analyzed to match the aim of the study.Result: The findings were that the women experience similar thoughts and feelings when it comes to living with a cancer diagnosis.

Botulism is a serious disease with high mortality that can affect horses. Due to this about 20-30 percent of the horses in Sweden are vaccinated against botulism. The purpose of this study was to see how common botulism is in the Swedish horse population and to se if a connection between feeding with haylage and botulism could be seen. In addition to this, the study aimed to find how common vaccination against botulism is among Swedish horses and on what grounds the diagnosis botulism is made. Medical records of horses being diagnosed with botulism at all the major large animal hospitals in Sweden between 1995-2005 were searched. In addition to this the database where general practitioners report their cases as well as the cases with botulism reported to the insurance companies were included. The results of this study show that only 0,03 percent of the Swedish horse population has been diagnosed with botulism during the time period this study covers. In all the cases included in this study the diagnosis was made based on clinical signs and in none of the cases verification by isolating the toxin was possible. In all cases where forage is noted in the journals the horse has been feed haylage which indicate that there is a connection between the use of haylage and botulism. Three horses died despite being partially vaccinated against botulism type B which indicate that a correct vaccination has to be done before the horse get any protection or that the correct diagnosis was not botulism type B..

AbstractBackgroundWorking in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.AimThe aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.MethodThe approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents? own life-world and has openness to the interviewee's own experiences.

Objective ? To study the requirement of nursing care of the equine patient during eye treatment with a lavage system together with a constant rate infusion pump. Procedures ? Three veterinary nurses at ATG: s Hästsjukhus in Skara were asked nine questions at individual interviews. Inclusion criteria for participation in the interview were that the nurse should have treated equines with and without the infusion pump to the lavage system, but also traditionally with eye drops. Results ? The equine had a higher well-being since it experienced less stress during eye treatment with the infusion pump compared to treatment given by hand through the lavage system. The treatment would be more effective with constant rate infusion and save costs for the owner.

Sexuality contains more than just reproduction and is an important part of quality of life. Chronic disease can lead to sexual dysfunction for both males and females. The nurse plays an important role in informing and teaching. Throughout dialogue and observations the nurse can detect possible problems, document and then take measures. The study was performed as information retrieval of literature where the cause was to highlight sexuality for patients that have experienced a myocardial infarction.

Background: One in ten couples suffers from some form of involuntary childlessness or infertility in Sweden. Involuntary childlessness or infertility is when an individual or a couple has a desire for a child but are unable to conceive on their own. To suffer from involuntary childlessness can be a mental strain that can result in a personal crisis, where the existential issues become central and contested. Regardless of the reason for their changed life world is because of involuntary childlessness or infertility, it is always important for the nurse to have an understanding of individual?s life-changing world and experiences. Aim: The aim of the study was to describe men and women experiences of involuntary childlessness during investigation and treatment.Method: Selected method was a literature review. The study was based on articles from systematic and unsystematic searches in databases and analyzed from the chosen method.Results: Four main themes emerged from the analysis, 'The changing life-world', 'The mental strain', 'Perceptions of relationships and social life' and 'experiences related to treatment'.Conclusion: Being involuntarily childless and infertile create a mental, physical and social stress. Clinically, this means a responsibility to offer a personalized support. For the nurse it is important to have an understanding of individual life-world and how the involuntary childlessness affects them. .

Theoretical framework: The Theory of Human Caring by Jean Watson was used as a theoretical framework.Aim: The aim of this literature review was to describe the attitude of nursing patients who go through an induced abortion, from a nurse perspective.Method: This literature review is based on a sample of nine qualitative and quantitative studies, collected in the databases Cinahl, PubMed and PsycInfo. The qualities of the studies were assessed through modified templates. Analysis of the results from the studies was inspired of a content analysis.Findings: The nurses experienced their work as meaningful since they give support to the patient. The nurses felt that their work was justified when the decision to have an abortion was well thought through and they felt respect towards the patient when they were aware of the patient?s circumstances.