During the last decades the importance of IT has increased for businesses all over the world. It has transferred from only being used in administrative purposes to become more integrated to the core business. Due to the financial crisis in 2009 and increasing globalization, IT is facing the challenge of lower costs and increased efficiency. This requires IT-departments to embrace new strategies in order to fulfill these new tougher demands.Lean is a business development concept that aims to lower costs through more effective processes by removing all activities that does not create any value from the end customer?s perspective.

According to the Water Framework Directive of the European Union, macrophytes should be used as indicators in the ecological and environmental monitoring of lakes. In the member state Sweden the Environmental Protection Agency has elaborated assessment criteria for determining lake status based on macrophytes. The main focus of this thesis is to evaluate the efficiency of the assessment criteria for macrophytes. In addition the concordance between the ecological status classes of the four quality factors included was analysed.The assessment criteria for macrophytes are based on the total phosphorus preference of the respective species. The focus is thus mainly on the nutrient level of the investigated lakes and the environmental problem monitored is eutrophication.

The assessing of student texts is an ordinary and important task for teachers, and the purpose of this study is to investigate, analyze and discuss which aspects of writing that particularly have an effect on the assessment of the student texts. The aspects in focus are: contents, genre, text length, paragraphing, sentence structure and choice of words.The data is drawn from six texts in the national test in Swedish for the 9th grade. Thetexts are analyzed quantitatively and qualitatively regarding contents as well as language.The results show that the qualities of language influence the assessment more than the qualities of contents. Both word variation index and the number of long words increase in relation to raising marks. Uncommon words are also more frequent in texts which receive higher marks.

Background: Sphincter injury is serious complication in connection to vaginal childbirth. Desire to avoid vaginal birth again is seen in women who previously suffered from a sphincter injury.Objective: To identify and evaluate obstetric guidelines in Sweden regarding sphincter injury in relation to childbirthMethod: Content analysis with a combination of a deductive and inductive approach.Results: The most frequently occurring risk factors and prevention with help of perineal protection were described in the guidelines. The physician made diagnosis and repaired the sphincter injury at the theatre.  Complications such as coital pain and anal incontinence were described in the guidelines. Paracetamol and diclofenac was most common analgesic regimen given for pain.

Andréasson, M, Preoperativa förutsättningar och postoperativ smärta efter hysterektomi. Examensarbete i omvårdnad 15 högskolepoäng, avancerad nivå (105-120 hp). Malmö högskola: Hälsa och samhälle, Utbildningsområde omvårdnad, 2008. Syftet med studien var att undersöka hur 50 patienter bedömer den preoperativa fasen inför en planerad hysterektomi och att beskriva eventuella samband mellan dessa aspekter och upplevd postoperativ smärta. I studien användes ett frågeformulär med strukturerade frågor och ordinalskalor samt VAS verbala smärtskala för att värdera den pre- och postoperativa omvårdnaden. Studien visar att 18 (36 %) patienter hade postoperativt ingen till måttlig smärta och 32 (64 %) patienter hade medelsvår till outhärdlig smärta. Trots detta tyckte 36 (72 %) patienter att den postoperativa smärtlindringen var tillräcklig medan 13 (26 %) tyckte den var otillräcklig.

Ribs from sheep, goat and pig are rarely assessed  to species due to the fact that they are very similar in their morphology and size. The ribs are instead considered unidentifiable although it is possible to see what kind of bone it is. If these ribs would be identified to species not only would species assessment degree of archaeological source material   increase, the relationship between meat-rich and meat poor regions would change.To find out whether there are morphologically measurable differences between sheep, goat and pig ribs, three measurement points on each rib has been defined and measured. At each measurement point two measurements were measured, one medial-lateral measurement and one cranial-caudal measurement. The ratio between the medial- lateral measurement and the cranial-caudal measurement was calculated for each point.

This essay aims to analyze based on the theory SEB and Nordea´s credit assessment process against small enterprises..

Barnpsykologiska utredningar har blivit allt vanligare. En viktig del av en utredning är återgivningen då resultaten delges föräldrarna. Syftet med föreliggande studie är att undersöka föräldrars upplevelse av en återgivning med fokus på relationen till utredaren, validering, invalidering, samt emotioner i förhållande till upplevelsen av att ha fått ny förståelse för barnet. Studien är en tvärsnittsstudie med 33 deltagare. Resultaten visar att positiva emotioner och invalidering är de bästa prediktorerna för i vilken grad föräldrarna upplever att de får ny förståelse.

Our purpose was to investigate when a specific phenomenon is taken out of context and used in a manner not originally intended for. Facebook is meant to be used in the private sphere as a way for individuals to communicate and keep in touch with family, friends and acquaintances. However, Facebook has begun to be used increasingly in the professional context like recruitment. We have through qualitative interviews explored how the respondents, professional recruiters and future job applicants, think about the use of Facebook in a recruitment process. By applying theories dealing with roles and lifestyles we have been able to pinpoint our empirical data.

This thesis describes how social work language practice circulates around the implementation process of an evidence based structured assessment tool – Savry. The purpose is to examine and understand the social workers language practice in a working group that uses this structured assessment tool in their work with youth. The purpose is also to look for dimensions of identity in terms of discourse. The ontological viewpoint is post-structuralism where language is in focus. The theoretical framework is discourse theory based upon the work of Ernesto Laclau and Chantal Mouffe.

Title: Nurses´ Experience of Triage Process in the Psychiatric A & E Departmentfor AdultsAuthor: Miljatovic, MilosDepartment: School of Life Sciences, University of SkövdeCourse: Degree of Bachelor of Science in Nursing, Thesis in Nursing Care, 15 ECTSSupervisor: -Examiner: Brovall, MariaPages: 23Keywords: Triage, Nurse, Psychiatric A & E Department for Adults, Triage scaleBackground: In the beginning of 21st century some psychiatric A & E departments inSweden have introduced triage process and psychiatric triage scales. The aim was to meetthe growing numbers of patients with mental health problems attending psychiatric A & Edepartments, in order to shorten waiting and transit times.Aim: The aim of the study was to illustrate nurses´ experiences of triage process in thepsychiatric A & E department.Method: Qualitative empirical study was conducted.Results: Three categories were identified: Triage process creates confidence, Obstacles intriage assessment, Possibilities for improved patient care through triage process; and sixsubcategories: Aid and support in having an assessment tool, Sense of comradeship,Getting possibility to take answer and show the competence, Deficiencies with assessmenttool, Sense of inadequateness due to long waiting times to physician, Sense of ambiguityduring the triage process.Discussion: Safe triage process is needed to achieve quality care in the psychiatric A & Edepartment, thus it is important that nurses have adequate triage scale, and the resultssuggest that it is important for nurses to have an adequate triage scale which makes iteasier for nurses in nursing care..

En del av sjuksköterskans grundläggande arbete är att identifiera olika faktorer som kan påverka patienters upplevelse av smärta och smärtuttryck. För att en sjuksköterska skall kunna se en balans mellan effekt och biverkningar samt använda sig av nödvändig övervakning av smärtlindringen behövs kunskap. Föreliggande studies syfte var att belysa hur sjuksköterskor upplever sina kunskaper om och erfarenheter av intravenös smärtbehandling. I studien besvarade 35 sjuksköterskor arbetande på kirurgiska vårdavdelningar på ett sjukhus i södra Sverige, en enkät med såväl öppna som slutna frågor. De öppna frågorna analyserades med hjälp av manifest innehållsanalys.

SammanfattningBakgrund: Långvarig smärta är en individuell upplevelse och kan orsakas av skador eller sjukdomar, och är ihållande mer än tre månader. Detta kan innebära att det blir svårt att klara av sina vardagliga aktiviteter då funktionsförmågan kan försämras, vilket kan medföra ett lidande för individen.Syfte: Syfte med studien var att belysa individers upplevelser av långvarig smärta.Metod: En systematisk litteratur studie genomfördes och 14 kvalitativa studier kvalitetsgranskades utifrån Forsberg och Wengströms (2013) checklista för kvalitativa studier. Artiklar analyserades enligt Axelssons (2012) metod som innebär att gå från helhet till delar och till slut komma fram till en ny helhet, detta resulterade sedermera i sex teman.Resultat: Att leva med långvarig smärta kunde påverka och begränsa individens liv både fysiskt, psykiskt och socialt. Smärtan gjorde att individerna försökte anpassa sin vardag genom att hitta strategier för att hantera sin smärta. En del beskrev bristande förståelse från både anhöriga och vårdpersonal.Slutsats: Genom att lyssna och vara lyhörda kan sjuksköterskor öka sin förståelse för hur individer upplever långvarig smärta.

AbstractThe purpose of this essay is to investigate the views Swedish elementary school teachers produce on the subject of ethics. The teachers? thoughts on selection among ethical notions is described and also how these notions are assessed. The essay proceeds from the central content and the knowledge requirement in the syllabus of religious knowledge.The empirical survey is based on qualitative scientific interviews with four teachers employed in grades 4-6 at different schools.The teachers find ethics in its current state of the syllabus hard to define and they find encounters with parents and pupils difficult in their tasks. The selection of ethics is decided by previously planned basic values education or from conflicts erupting during schools hours.

Introduktion: Smärta, smärtskattning samt smärtbehandling är centrala begrepp inom hematologin. Intresset att genomföra en studie huruvida kvalitetsmål för smärtbehandling som finns utarbetade på Akademiska sjukhuset (AS) i Uppsala följs, väcktes med anledning av detta. Syfte: Författarna valde i denna uppsats att undersöka om gällande kvalitetsmål för smärtbehandling uppnås på hematologen på AS för patienter med maligna blodsjukdomar. De mål som undersöks är dokumentation, kunskap hos behandlande personal på avdelningen, smärtskattning samt smärtbehandling.Metod: Studien är en journal- och enkätstudie med deskriptiv design. 30 journalers dokumentation på inneliggande patienter från november 2008 har granskats under en period med fokus på smärta.