In recent years, Lean has been implemented in a variety of companies with focus areas that differ from the conditions that characterizes manufacturing. This transfer has contributed to fairly superficial results because companies almost exclusively focus on Toyotas methodology and not on the goal of Lean. The effort of transforming Lean from manufacturing to any organization requires a definition on a general level and a view of Lean as a system. One of the core principles of Lean and the foundation of continuous improvements is standardized work. In product development there is a negative view on standardized work, where the engineers state that the principle is not applicable for knowledge processes that include non-repetitive and creative work.In the framework of this master thesis literature has been studied to find support that standardized work is applicable for product development and areas that include knowledge processes.

Cancer is one of the most feared diseases in veterinary medicine today, and the incidence is higher than ever due to the fact that our companion animals live longer then they did ten to twenty years ago. Cancer is also one of the most common causes of mortality in older companion animals. This literature review will be about two of the currently most common form of cancer treatment of companion animals in Swedish animal hospitals, chemotherapy and radiation therapy. There will also be a section of general nursing care for cancer patients. The section of chemotherapy will describe the indications for choosing chemotherapy, the way to administrate chemotherapeutic drugs, describe specific chemotherapeutic drugs, potential side effects of chemotherapy, and how to handle and store chemotherapeutic drugs safely. The section of radiation therapy will describe the current devices for delivering radiation therapy, describe the indications for choosing radiation therapy and describe potential side effects that radiation therapy may cause.

The aim of this study was to understand how evaluations are implemented and used in procured nursing homes for elderly. Our methodological approach consisted of a single-case study research. The case in this study was Växjö municipality. Three procured nursing homes for elderly were chosen in the municipality as examples of implementation and use of evaluation. The method for retrieving empirical data and the analyzing of it was based on triangulation.

This essay describes the phases of funeral rituals between the Syrian/Assyrian, and compares the homeland with Sweden. It describes the stage of rituals according to Victor Turner schema of separation, margin or limin, and aggregation. The rituals religious significance agrees with Clifford Geertz?s theory about the importance of religious beliefs for the human being.

Uppsatsen är till formen en reflekterande vetenskaplig essä som undersöker akutsjuksköterskans yrkespraktik. Den egna erfarenheten gestaltad i form av en berättelse från ett arbetspass på sjukhuset är i fokus och undersökningen tar sitt avstamp i den. Det som belyses är de olika kunskapsformer som akutsjuksköterskan lutar sig mot när hon använder sin "kliniska blick"och hur de samverkar och är beroende av varandra. Kunskapsformerna är hämtade från Aristoteles kunskapsbegrepp och stort utrymme ges till den praktiska kunskapen och den praktiska klokheten, som av Aristoteles benämndes fronesis. Texten undersöker också det för sjuksköterskan centrala begreppet omvårdnad utifrån den egna erfarenheten.

Syftet med denna litteraturstudie var att beskriva hur sjuksköterskor arbetar med preventiva åtgärder vid trycksårs uppkomst samt vilka omvårdnadsåtgärder som ges till patienter som utvecklat trycksår. Vetenskapliga artiklar söktes i databaserna Medline via Pubmed och Cinahl med sökorden nursing, pressure ulcer, prevention, treatment, therapy, intervention. Endast artiklar från år 2003- mars 2008 användes i studien. Både kvantitativa och kvalitativa artiklar användes, dessa artiklar granskades utifrån två modifierade granskningsprotokoll. Resultatet påvisade variationer av dessa preventiva insatser som sjuksköterskor använde sig av.

Sekularisering fortsätter att drabba kyrkan i både öst och väst. Uppsatsen behandlar sekulariseringsteorier utifrån ett bibliskt perspektiv. Hypotesen är att Jesus Kristus är kyrkan som kropp. Detta kyrkobegrepp har förändrats. Även budskapet och pedagogiken har påverkats.Fältarbete har genomförts i både Egypten och i Sverige.

Aim: The aim of this paper was to investigate whether scientific evidence exists to improve, of students? perceived, insufficient infection control in isolation facilities in companion animal hospitals in Sweden. Material and methods: A question was emailed to the students in the last year of the animal nursing program at SLU in the spring 2012 to get their view of perceived insufficient infection control. A literature study was thereafter preformed using the search engine Web of Knowledge. Results: The students reported several perceived shortcomings which were divided into five categories: basal hygiene, isolation routines, cleaning and disinfection, patient flow and other. Studies supporting that the shortcomings perceived by the students also exist in human health care and to some extent in animal clinics and hospitals were found. Furthermore, scientific evidence that improved hand hygiene, glove procedures and cleaning and disinfection reduces the risk of nosocomial infections in humans was reported. Conclusion: There is not a lot of research performed in the area of infection control in animal nursing.

Patients who undergo surgery receive general anaesthesia or any form of conduction anaesthesia during the operation. For most people it is strange, unexpected and for many something completely new to be a patient and undergo surgery. Awake conduction anaesthetic patients? experiences from the intraoperative period were little studied. The purpose of this study was to examine awake conduction anaesthesia patients? experiences.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

Happiness is often considered our ultimate goal in life. This essay explores the political im- plications of this view, through the critique of happiness found in the works of Simone de Beauvoir and Sara Ahmed. Ahmed and Beauvoir consider happiness to be harmful as a po- litical goal, since it tends to diminish dimensions of power and conflict in favor of harmony, and is not compatible with a political philosophy based on freedom or liberation. Happiness is often confused with the ethical Good, but this essay argues that happiness does not ne- cessarily entail good things. Indeed, happiness can be used to justify oppression and unjust political systems..

Syftet med denna studie är att utifrån ett föräldraperspektiv undersöka behov av och önskemål om stödsom föräldrar med diagnos inom autismspektrum beskriver i sin föräldraroll. Ett annat syfte är att bidra med ökad kunskaptill en diskussion kring utformandet av stödinsatser för dessa familjer. Studien är kvalitativ med intervjuer som gjorts ihalvstrukturerad form. Åtta föräldrar har intervjuats. Föräldrarna beskriver att deras svårigheter gör det svårt för dem isamspelet med barn och partner.

Bakgrund: I Sverige dör cirka 95 000 människor varje år och runt 80 % av dessa är i behov av palliativ vård. Palliativ vård är en vårdfilosofi som bygger på att ge stödjande och lindrande vård när botande vård inte längre är genomförbar. Vid den tidpunkt när patienten drabbats av en obotlig sjukdom sker en brytpunkt, vilket innebär att läkaren identifierar patientens aktuella tillstånd. När brytpunkten är identifierad erbjuds ett brytpunktsamtal. I samtalet planeras det för den kommande palliativa vården.

Bakgrund: Antalet personer över 80 år kommer att öka dramatiskt under de närmaste decennierna. Allt fler äldre blir beroende av vård på äldreboende. Joyce Travelbees omvårdnadsteori används för att förklara omvårdnadsprocessen och den mellanmänskliga relationen för att uppnå en god omvårdnad. Syftet: Syftet med litteraturstudien var att belysa hur det är att vara äldre och bo på ett äldreboende. Metod:Studien genomfördes som en allmän litteraturstudie, baserad på 14 vetenskapligt granskade artiklar.

Vilken grundläggande idé utgår vi ifrån när vi talar om förnuft och rationalitet och vilka konsekvenser får detta för synen på individen, individen i samhället samt individen i datasystemet? Uppsaten belyser problematik rörande den icke-situerade individen, vilken inte är en individ utan snarare en skenbar produkt utav homogena värderingar. .