Swedish healthcare is in continuous need of cost savings and efficiency improvements in order to meet the increased demand for care. The theories of lean, developed from the industry, are applied more frequently on healthcare systems to increase effectiveness and reduce waiting times in patient processes. However, some processes seem to be more successful in their lean implementation than others. In this thesis, factors influencing flow efficiency in lean healthcare are examined. Through interviews with the top executive board at Capio St Göran's hospital, data is collected in order to analyze reasons for success.

The family and relatives caring for older people in Sweden lies on an old tradition. The responsibility to care for older family members has gone from family to the society. The aim of this study was to examine the needs of family caregivers and their experience of municipality support. This study includes only the family caregivers who have the main responsibility for the care of relatives and have support from the municipality. The caregivers were not allowed to work more than 50 percent in another job.

Syftet med studien var att beskriva vad sjuksköterskor anser vara god omvårdnad av äldre patienter samt att beskriva vad som är viktigt i en god omvårdnad. I en empirisk kvalitativ studie av beskrivande karaktär intervjuades sju kvinnliga sjuksköterskor med mellan 2 och 39 års erfarenhet. Vid intervjuerna ställdes två öppna frågor och följdfrågor användes för att utveckla svaren. Intervjuerna spelades in på band och svaren analyserades genom att författaren skrev ner intervjuerna ordagrant för att sedan, genom bearbetning av textmaterialet, bilda subkategorier och kategorier. Resultatet redovisades med fem kategorier: grundläggande behov, informationssökning, rehabilitering, respekt och tid samt elva subkategorier.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.

Background. Anesthetic-related death in small animal anesthesia is about ten times more common than in human anesthesia. Recent research identifies the early postoperative period as particularly risky and highlights the need for regular and careful monitoring of the veterinary patient during this period. Objective. The aims of this study were to investigate whether there are standard procedures in terms of regulated routine patient observations and record-keeping during the early postoperative period at Swedish veterinary clinics, and if there are any guidelines for monitoring the veterinary patient during recovery. Methods. A small survey including ten Swedish veterinary clinics was carried out as well as a literature review. Results.

Bakgrund. Smittsamma sjukdomar har i alla tider har framkallat rädsla och fördomar. När vårdaren möter patienter med smittsamma sjukdomar måste de kunna ge trygg vård som grundar sig på teoretisk och praktisk kunskap. I dag möter vårdaren många patienter som bär på smittsamma sjukdomar, nya och tidigare kända, upplevelserna skiljer sig åt beroende på hur mycket kunskap de har om sjukdomen. Syfte.

Background: Many elderly are feeling lonely and insecure in their homes; it?s difficult for them to cope with their life situation after discharge from hospital. There is therefore a need to get a deeper understanding of their situation and the need for action, thus possibly preventing a new hospital admission. Recent research shows that a better coordination is necessary when elderly are discharged from hospital and that the quality of the discharge is essential for how they cope at home afterwards.Purpose: To get a deeper knowledge of older people´s experiences associated with frequent readmissions to hospital.Method: A qualitative research approach was used trough interviews with open questions. Ten persons with an age of 75 years and older who had a readmission to hospital within one month was interviewed.

Syfte: Syftet med denna studie var att belysa bemötandets innebörd utifrån både patient och sjuksköterskeperspektiv. Metod: Studien genomfördes som en litteraturstudie där materialet inhämtades genom sökning av vetenskapliga artiklar i sökmotorn ELIN och i databaserna CINAHL, EBSCO och Elsevier. Artiklar som ansågs besvara studiens syfte och frågeställningar kvalitetsgranskades enligt modifierade granskningsmallar av Forsberg och Wengström (2003) och Willman, Stoltz och Bahtsevani (2006) och resultatet baserades på 11 stycken kvalitativa studiers samt en studie med mixed method. Resultatet: I analysen av artiklarna framkom olika faktorer som samtliga innefattade bemötandes innebörd. Dessa faktorer presenterades som fyra huvudteman: Vikten av att skapa en god vårdrelation mellan sjuksköterska och patient, Vårdrelation ur ett patientperspektiv, Vårdrelation ur ett sjuksköterskeperspektiv och Kommunikation mellan sjuksköterska och patient.

Bakgrund: I palliativ vård var interaktionen mellan sjuksköterska och patient oerhört viktig för att patienten skulle uppleva sin sista tid både värdefull och fridfull. Tidigare forskning har dock visat att sjuksköterskans sätt att bemöta patienten inte alltid stämmer överens med patientens behov. Sjuksköterskan bär ansvaret för att vårdrelationen ska bli så bra som möjligt och därför måste kännedomen om patientens behov och önskemål finnas. Syfte: Syftet med litteraturstudien var att belysa vad som värdesattes i den vårdande relationen mellan sjuksköterska och patient vid palliativ vård. Metod: En kvalitativ litteraturstudie av åtta vetenskapliga artiklar har utförts med hjälp av en manifest innehållsanalys.

No summary of feeding recommendations for foals exists today, which is why this subject was chosen for a literature study. The aim of this study was to describe nutrient requirements of healthy full term foals and how the feeding should be designed to raise foals if they lose their mother. Mare milk composition changes during lactation to meet the requirements of the suckling foal. Foals are born with enzymes in their small intestine and the concentrations of these follow the consumption patterns of the foal. Microbes colonizes the gut as the foal becomes older and these changes cause foal diarrhea.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

Background: One of the main concerns related to medical therapy is non-compliance to drugs. More than half of all patients do not comply with prescribed medication. Non-compliance to drug therapy leads to unnecessary suffering for the patient and there are no easy solutions to the problem. In order to create understanding for the individual patient it is important that medical staffs are enlightened on the existing problems concerning this matter. Purpose: To describe factors that effect compliance to drug prescription.

In the care for the critically ill patient the next of kin is of great importance. Their support, love and care for the patient, increases the wellbeing and makes a connection to the patient?s normal lifeworld. For the next of kin to be able to be that support the next of kin needs to be helped to maintain the basic need of for example their sleep, food, hygiene and psychosocial support. The critical care nurse must see to the patient?s whole lifeworld which includes their next of kin.The aim of the study was to identify the resources available for the next of kin in intensive care units in Sweden.

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.