Syftet med föreliggande studie var att utvärdera participation i ett förändringsarbete inom hälso- och sjukvården, i ett projekt för kvalitetsutveckling och processorientering inom vårdkedjan i Höglandsområdet, Jönköpings läns landsting.Den övergripande målsättningen med projektet var att utveckla ett processorienterat och därigenom mer helhetsorienterat vårdsystem, för att uppnå bättre kvalitet för äldre vårdtagare, som ofta har behov av behandling vid olika enheter i vårdkedjan.Syftet med studien var också att utvärdera hur participation förhåller sig till ständigt förbättringsarbete och lärande i riktning mot en processorientering av vårdkedjan och ökat fokus på patienten.Vårdinstanserna i vårdkedjan inom samtliga sex kommuner och primärvårdsområden i Höglandsregionen, såväl som en medicinklinik och en rehabiliteringsklinik vid två olika sjukhus, har medverkat i studien. 55 personer, som representerade de olika yrkeskategorierna inom vårdkedjan, har deltgit i utvärderingen. Studien utfördes med hjälp av fokusgrupper och materialet analyserades ur ett fenomenografiskt perspektiv.Resultaten visar att participation på alla nivåer i organisationen är en förutsättning för ett uthålligt kvalitetsutvecklingsarbete och en processorientering av vårdkedjan. Omfattningen av participationen avspeglas i omfattningen av ständigt förbättringsarbete och lärande.Kritiska faktorer var ledningens förmåga att kommunicera med och informera de anställda, ledningens engagemang i fråga om att driva ett strukturerat och långsiktigt förändringsarbete, ett tydligt processägarskap inom vårdkedjan och adekvata resurser. Resultaten genererade åtskilliga intressanta frågor för fortsatt forskning och utveckling..

AbstractThe purpose of this minor thesis is to describe and systematize the Swedish debate about Sweden?s participation in the defence community of the European Union. Should Sweden take part of this or not? My aim is to describe the debate in a structured and legible way, so that the reader can get a comprehensive picture. The questions of the study are:· Which actors join in the Swedish debate about Sweden?s military participation in the EU:s defensive community; the possible common defence of the EU and the EU:s military crisis management?· Which arguments are delivered (for and against) in the debate?To be able to fulfil the aim of this study I have done an argumentation analysis.

The Swedish model for developing the national infrastructure is based on increasing the cooperation between municipalities, government and businesses. The method to establish the infrastructure in Sweden is the geodatastrategin. The effort to implement the geodatastrategin has resulted in an interaction model, Geodatasamverkan. The purpose of this study is to alert municipalities and to investigate the usefulness of their participation in Geodatasamverkan. The study also presents examples of different applications where geodata can be used within a municipality. The report is based on literature reviews, surveys and interviews. Online Surveys were sent to some of Sweden's municipalities to get an overall idea of ??how they make use of geodata and their general attitude towards Geodatasamverkan.

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

The purpose of this media scientific study is to contribute to a better understanding about how blind people?s empowerment and participation may affect their role in the digital society.Earlier international studies in this area have shown that blind people not only need more knowledge then the seeing population about the computer, but also about the technology behind their tools for using Internet. The results from these studies have also shown that Internet increases the blind people?s independents and that those who use Internet feel more involved in the society.A qualitative method was chosen to study the three most common categories from the earlier studies: knowledge of technology, empowerment and participation. Are there differences in the results compared to our study in Sweden 2014?Interviews with eight blind, experienced computer users have shown that knowledge of technology is essential for their use of Internet and that the Internet increases their empowerment and their participation.

The purpose of the study has been to recognise good development and the factors behind this development. We have chosen an aid-project co-financed first by the Swedish government and later by the government of Great Britain for our study. One of the conditions for good development, according to our chosen theory Another development, is peoples participation. To study good development and peoples participation we conducted a Minor Field Study (MFS) in Rajasthan in the north-west of India in June-August 2001. We had a hermeneutic approach and consequently accomplished interviews and participant observations in the Lok Jumbish project in Rajasthan.

The function of budgetary controls is to control the resource allocation within companies. It can also be an instrument for measure and control subordinates and/or business units? performance (Van der Stede 2001). This paper concerns the latter; when the budgetary control function is used to measure and control subordinates performance based on budget. Previous research in this area has not yet accomplished to explain the effects of tight budgetary control which Hartman (2000) considers as the main issue to be concerned about in management accounting research.Previous research has presented contradictory findings regarding tight budgetary control explained by positive effects as well as negative effects during the last decades.

The purpose of this study was to examine the leadership style that is preferred by the employees from a psychosocial- and productive perspective. The study is based on Lewin et al´s research on the three leadership styles authoritarian, democratic and laissez-faire leader. This is a quantitative study with a questionnaires as data collection method. The sample consisted of individuals working in a municipality in one nursing unit. The data from the survey were analyzed by three separate one-way depending ANOVA in IBM statistics SPSS 22.

What role should science play in democracy? Political scientists often assume that it is possible to demarcate between ?instrumental? and ?moral? knowledge, and argue that citizens and/or politicians should use their moral knowledge to agree upon political goals and then apply the instrumental knowledge of scientists to achieve them. This straightforward view is challenged by writers in science studies, who identify three major problems in the use of science in democracy: uncertainty, risk and hidden values. They suggest that these problems could be solved through citizen participation.In this essay I perform an analysis of the internal logic of their suggestion. Is it likely that citizen participation enhances the democratic decision making process so as to reduce the problems? The internal analysis shows that it is rational to advocate citizen participation by reasons of legitimacy.

The representative democracy has become weakened during the last decades. At the same time the United Nations declared at the Rio de Janeiro meeting in 1992 that environmental problems can best be solved by involvement of all concerned citizens in decision-making. The main purpose of this study has been to examine if citizens panels is a possible way to involve citizens in environmental decision-making and what the outcomes can be. Furthermore the study has investigated what the participation has contributed to environmental politics and how representative the results have been. This has been carried out by investigating the Piteåpanel in the municipality of Piteå by conducting interviews.The result of the study shows that the involvement of the citizens in the decision-making influenced the environmental politics of the municipality.

In 1974 the three municipalities of Åsele, Dorotea and Fredrika were amalgamated despite of hunger strikes, mass protests and a serious threat of violence. But after six years the marriage shattered as Dorotea left the other two after years of continued struggle. In 2005 the idea of an amalgamation of Åsele, Dorotea and Vilhelmina municipalities was brought to life by an older and ever declining population.By creating a democratic ideal type consisting of the three variables ? legitimacy, participation and identity ? this study assesses what impact an amalgamation of the three municipalities might have on local democracy.Combining a qualitative and a quantitative approach this study concludes that amalgamating the municipalities today could create a democratic unit lacking legitimacy, having a weak identity and impeding participation. But the study also brings forth that the impact of an amalgamation upon the variables of the ideal type as defined is not written in stone.

A QUALITATIVE STUDY ON THE EXPERIENCE OF ESCORT SERVICE UNDER THE ACT (SFS 1993:387) SUPPORT AND SERVICE FOR THE DISABLED The purpose of this study was to examine the experiences of escort service under the Act (SFS 1993:387) concerning Support and Service for the disabled (LSS) for self-determination, participation and equality of living conditions. In the results of this study appears that the escort service fulfills its role in breaking the isolation of persons with disabilities. It gives a picture of the escort service is much more than to break the isolation of people with disabilities. The aspects that emerges is that escort service gives persons with disabilities the opportunity to develop their independence, increase their self-esteem and broaden their frames of reference through increased participation in community life. All users report that they experience autonomy in the choice and order of activities within their grant initiatives.

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

Nursing and care for the pregnant bitch and her neonatal puppies is an important part of the animal nursing profession either if it concerns normal reproductionphysiology, pregnancies, diseases or complications at home of the animalowner. This piece of work gives a guidance of what a Veterinary nurse at a clinic should have in mind while given treatments, complications and normal physiology with the bitch and her neonatal puppies in order to be able to perform a professional cooperation with the veterinary surgeon at emergency teatmentcases and to make the animal owners satisfied with enough knowledge to answer their questions about the subject..

Background: Young adults undergo a phase in life when they try to become independent individuals and are expected to take responsibility. The transition to adult life, cause hardship for all young adults, but with concurrent mental illness this transition can be more complicated. The young adults may need support from their parents in connection with care.Aim: The aim of this study was to describe nurses' perceptions of parental participation in the care of young adults with mental illness.Method: To describe the perceptions of a phenomenon, qualitative interviews with a phenomenographic approach were conducted. The interview texts were analyzed into five description categories and 10 perceptions. In the study, eight nurses were interviewed.Results: The result shows that parental participation in the care is based on the young adult's decision.