This master thesis is an analysis of how the amount of health centers per inhabitant has changed since the Swedish government implemented a new health care reform in 2010. The reform implies a free choice of health centers in the Swedish regions and opens up the market for private firms. The purpose of the thesis is to study the effects of the different financing systems toward the health centers in the regions. The models are based on theories of the need of health care. Two of the independent variables which are studied are income and age.

Bakgrund: Patienter som ska genomgå elektiva operationer kan uppleva preoperativ oro och ångest. Preoperativ oro kan grundas i bristande information, tanken på att mista kontrollen samt vistelse i okänd miljö. Det vilar ett stort ansvar på sjuksköterskan då hon ska möjliggöra optimal delaktighet i vård och behandling för patienten samt uppmärksamma patienter som inte själva uttrycker ett omvårdnadsbehov. Syfte: Att sammanställa kunskap om vilka omvårdnadsåtgärder som kan minska patienters preoperativa oro vid elektiva operationer. Metod: Litteraturstudie, baserad på två kvalitativa och åtta kvantitativa artiklar.

This essay reflects upon how recruiters working at a recruitment-agency interpret their gender equality plan and their understanding of the term gender equality. This was done by semi-structured interviews with five recruiters. Through theories concerning the gender system, organization theory with a gender perspective and the doing-gender-perspective we have come to the conclusion that the employees of the company lack a coherent interpretation of gender equality. Concerning the gender equality plan there were diverse understandings of its meaning and the application of the plan is partly insufficient. As a recruitment agency there are a number of specific difficulties related to working towards gender equality.

The Swedish and the Finnish compulsory care legislation that regards abusers differ in several ways. The arguments for compulsory care and for the time which one will receive compulsory care are dissimilar. The aim of this thesis is to describe and analyse which arguments for compulsory care and the length of the care time that has been expressed in the Swedish and the Finnish laws and in the statutes. The tools were an argumentation analysis, which is a form of qualitative text analysis method, combined with a hermeneutic scientific position. We have investigated the arguments that try to justify compulsory care and the care time that has been expressed in the laws and the statutes.

The aim of this study was to examine care managers and how they understand and use their discretion. We used a qualitative method and the data was gathered by semi-structured interviews. We interviewed eight care managers in four different municipalities in southern Sweden. The theoretical approach we used was Michael Lipsky?s theory about street-level bureaucracy.

The aim of this literature review was to put together scientific knowledge about the need of sexuality among elderly people, so that the nurse in the future can use this knowledge in nursing. The research questions that will be answered are: In what extent do elderly people have the need to experience sexuality? In what extent do elderly people have the possibility to practice their sexuality? In what degree do the nursing staff respect and understand elderly people's need of sexuality? How can nursing staff support elderly people in their sexuality? The method used to answer the research questions was analysis and interpretation of ten scientific articles. The results, which are presented within ten categories, shows that elderly people have a need of sexuality. Loneliness, lack of privacy and knowledge and attitudes are factors that affect elderly people's possibility to express their sexuality.

This study highlights the importance of computer technology and its impact on elder care staff's skills development in the public sector. The government presents the digital agenda within which information and communication technology today is considered to have a potential for sustainability, growth and development. According to the EU Commission, there are several important elements that should be improved to digitize the workplace. Among these are digital literacy, collaboration between agencies and increased investments in research, education and innovation. New technology can be understood in different ways by individuals, some see the computer as something positive and exciting, while others may find it hard to see the opportunities for learning and development.

People born 1940-1949 will be more demanding regarding help from the elder care than previous generations. The explanation often proposed is that people born in the 1940?s grew up after the Second World War when cultural changes took place in society. The aim of this qualitative study was to describe the social needs of people born in the 1940?s today, in order to make cautious assumptions about what type of social needs elder care is likely to face in the future, when the older people becomes in need of elder care.

Syfte: Att undersöka hur sjuksköterskor inom särskilt boende resonerar kring kvalitetsuppföljningar och dess eventuella konsekvenser för omvårdnaden.Metod: Semistrukturerade intervjuer efter öppen intervjuguide med sex sjuksköterskor. Kvalitativ innehållsanalys enligt Graneheim och Lundmans metod.Huvudresultat: I vilken grad kvalitetsregistren och kvalitetsuppföljningarna integreras i omvårdnadsarbetet och dess utveckling är centralt för om dessa uppfattas som stöd eller hinder för god kvalité i omvårdnaden. Dubbel dokumentation bidrar till att sjuksköterskorna omprioriterar arbetstiden och arbetar mer konsultativt och administrativt. Detta minskar tiden för omvårdnadsobservationer och handleding av omvårdnadspersonal samt gör att kvalitetsregistreringar snarast uppfattas som ett hinder. Sjuksköterskorna använde sin professionella kunskap och kliniska erfarenhet i högre grad än registerdata vid omvårdnadsbedömningar.

Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.

AbstractThe aim of this study was to illuminate and collect existing research from the beginning of the 21 st century about nurses work environment in institutional and elderly care in Sweden.A literature review was made by analyzing eleven scientific articles. The result showed mainly information about nurses work load. The information dealt with high work demands, too much responsibility, shortage of staff, time press and stress. Furthermore nurses reported a lack of co-operation between staff and management. An important part in nurses? work was appreciation from colleagues, management, patients and relatives.

This multiple use forestry plan is made on the property Basunda which is located in the southern parts of the province Östergötland. The owners of the property today are Jonas and Ulrik Saanum, but it has been in the family since their grandfather bought it 1933. There is a slaughterhouse on the property in which they take care of domestic cattle and animals from the forest. Jonas and Ulrik are also dedicated hunters. These are the two reasons to why the focus is wildlife and wildlife management. The question at issue of this work is simplified: what demands does the wildlife have; and how will the owners be able to fulfill these, what changes in the forest management must be made and will these changes result in a different budget, compared to the ordinary forest management. This work is based from a freshly made forestry management plan. I based my fieldwork on this plan, but made my own management proposals, that would benefit the game.

Syftet med denna litteraturstudie var att ta reda på hur sjuksköterskan kunde stödja barn vid smärta, vilka copingstrategier barn använde sig av när de upplevde smärta och hur sjuksköterskan genom samverkan med föräldrarna kunde stödja barnet vid smärta. Metoden som användes för att göra denna studie var deskriptiv systematisk litteraturstudie. Litteratur har sökts i databaserna Elin@Dalarna och Blackwell Synergi. Sökorden som användes var children, pain, coping, care, parent, pain management, nursing, pediatric, dental care, qualitative och quality of life. Materialet i litteraturstudien har begränsats till 22 artiklar som har granskats efter mallar.

AbstractThe aim of this study was to find out how patients with type-2 diabetes reflected on self-care and the information about selfcareactivites regarding diabetic footulcers.The study has a descriptive design with a qualitative approach. The study included fourteen patients with type-2 diabetes and they had footulcers related to their disease. They were recruited from different health centres in two cities in the Middle Sweden. The patients were interviewed and the interviewes were transcribed and worked up with qualitative content analysis. The authors recived seven subcategories which were sorted into two categories; reflection regarding information about self-care and reflection regarding self-care.

Syftet med studien var att beskriva hur närstående till intensivvårdspatienter upplevde en intensivvårdsavdelning (IVA) med fokus på delaktighet och omvårdnad. I studien intervjuades fem närstående. Intervjuerna analyserades med hjälp av en förenklad variant av meningskodning och tre kategorier som beskrev de närståendes upplevelser av IVA utvecklades. Kategorierna benämndes: "Första intrycket av IVA", Att leva med osäkerhet" och "Att vara delaktig". De närstående upplevde ett inre kaos när deras anhörig vårdades på IVA och använde sig av olika copingstrategier.