Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

A consultant is an external expert that exists within all types of organizations. The consulting service can be divided into individual practitioners and large companies whose sole task is to hire out consultants to clients. The need for consultants has grown due to the restructuring of Swedish businesses during the past decades. They have put parts of their business on contract. This has led to a market with other player that have been able to focus on these parts.

The comprehensive purpose of this Master of Science thesis is to examine which fleetmanagement services for engineering vehicles, ?Fleetech? preferablyought to develop inorder to reach a broad market and meet the demands of contractors.Scanty explained, fleet management is the management of a company's vehicle fleet and theservices can include a range of functions such as driver management and fuel management. Inshort the thesis encompasses four sections:1.Survey of the general contractor industry: The survey has been preformed toevaluate the potential size of the market for fleet management services in the generalcontractor industry.2.Needs analysis: The needs analysis aim was to define what contractors tasks andgoals are, and to determine what functions they want and need from a system.3.The use of CAN and the technical premises: The prerequisite for developing asophisticated and generic system is that vehicle data can be accessed from the CANbuss.The use of CAN standards in construction equipment has therefore beenexamined.4.Specification: An explicit set of requirements have been set to be satisfied by a fuelmanagement service, based on CAN standard protocol J1939.Important conclusions: The use of CAN protocol standards are extensive and the prerequisitesfor developing elementary and CAN based services good. The services should be compatiblewith different manufacture?smachines.

AimThe aim of this study is to through managers in eldercares deskriptions of the systematic qualityleadingsystem examine the implementation process of this system in the eldercare in the municipality of Halmstad.  BackgroundIn this paper the background explains elderly care and social work context, leadership in change and implementation processes. The theoretical frame illustrates Vedungs implementation theory and Webers model of bureaucracy MethodTo collect empirical data for this study, a qualitative research design was used in which eleven managers within Halmstads municipality home care management stood as respondents. ResultThe respondents highlighted a variety in the use of the systematic quality management system tool. The result describes that several obstacles were experienced in the use of the systematic quality system. ConclusionBased on the descriptions the respondents gives of the implementation process of the systematic quality management of Halmstad municipality home care management, the conclusion can be drawn that the implementation process has not resulted in the employees making use of systematic quality management in practice. The systematic quality management system that will ensure the quality of the care work is thus used to a limited extent..

En sammanfattande rapport över de lärdomar vi gjort under bl.a. ett projekt vid Närpolisen i Lund (NÄPO Lund). Rapporten behandlar bl.a. områden som konsult-klient förhållandet, ledarskap, individuell utveckling, grupputveckling och feedback..

En kvalitativ undersökning av SEB och Föreningssparbankens strategiimplementering vid deras direktinvestering i Baltikum..

The purpose of this study was to describe how journalists do research for their articles and whether there is a need to create a knowledge bank of the material that journalists use for writing these articles. I also looked at how knowledge management could be used at a daily newspaper to add value to the information used by the journalists. The thesis is based on four interviews with journalists, a literature review and a practical project. I helped a journalist with his information seeking and later tried to organize the material. This project gave me an understanding of how varying the material that journalists use is and how difficult it would be to try to organize it in order to create an organizational knowledge resource of the material.

The purpose of this paper is to explore overarching themes regarding identity and the HR department. Our aim is to address some of the more recent developments in HR identity issues, such as dis-identification and how it relates to the changes that have occurred of late within the HR department..

Uppsatsens syfte att dels att beskriva vad begreppet management innebär för mellancheferna på det studerade företaget, dels att peka på de konsekvenser som kan följa av detsamma. I uppsatsen har en kvalitativ metod använts med krav på kritisk reflektion. Det empiriska underlaget består av åtta intervjuer med chefer inom ett medelstort svenskt företag. Inom Trade AB råder en tudelad syn på mellanchefsrollen. Denna präglas i första hand av en sälj-och specialistroll och utesluter en integration av chefsrollen, i vilken management inte bara upplevs som personalvård utan som en naturlig del av mellanchefens arbete.

To contribute to understanding of how Thai cultural context affects the leadership of expatriates in management positions. Instead of modifying the leadership styles to fit the local (Thai) context, the expatriates tried to push and influence their culture and leadership styles to Thai employees..

When an organisation is going through a work of change, it is highly important that both management and employees has a healthy communication in order to make everybody feel involved. It is then important to be observant for both the managements and employees thoughts and ideas.This study has been performed on an upper secondary school which is performing a work of change. The change has divided the employees in three different groups. One, which thinks the change have evolved the organisation to something better. The second group of people means that it is preventing individual development of competence.

Bakgrund: Mycket i litteraturen tyder på att ouppmärksammad och underbehandlad smärta hos äldre demenssjuka är vanligt förekommande. Detta strider mot principerna om människors lika värde, den enskildes värdighet och det humana i att lindra. Det finns många typer av demenssjukdom och attityden förekommer att demenssjuka inte känner smärta. Demenssjuka har ofta problem med att kommunicera eller lokalisera smärtan. Observations- och självsmärtskattningsinstrument används inte i större utsträckning.

Cystisk fibros (CF) är en kronisk, ärftlig sjukdom, som framför allt drabbar lungorna och kan p.g.a. påverkan på dessa leda till för tidig död. I Sverige är ca 650 personer drabbade av cystisk fibros och det föds runt 20 barn med CF i Sverige varje år.CF beror på förekomst av en eller flera mutationer i genen för Cystic Fibrosis Transmembrane Conductance Regulator (CFTR), vilket leder till defekt CFTR och därmed till rubbad jontransport över cellmembranet. Det finns idag inget botemedel mot CF. Fram till nu har behandlingarna av CF riktats mot sjukdomens symtom.

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-hospital care was not possible or in question, was excluded.

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.