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.

Sömnen är livsviktig för alla människor eftersom det är den tid då kroppen återhämtar sig och behovet av sömn blir därför speciellt viktigt vid sjukdom. Forskning har visat att sjukhusmiljön inte alltid är optimal för att främja sömn, något som vi själva också upplevt under kliniska studier. Syftet med studien var att klargöra vilken betydelse sömn har och hur sömnen kan förstås i relation till hälsa och välbefinnande för patienten i sjukhusmiljön. Studien är en begreppsanalys där sömn har sökts och analyserats i lexikon, vetenskapliga artiklar och facklitteratur. Resultatet visar att sömnen är den tid då kroppen samlar kraft och immunförsvaret byggs upp.

Tail-biting in pigs is an animal welfare issue and in Sweden during 2002 the producers lost tree million Swedish crowns because of tail biting. This economic loss depends on the pigs which are discarded at slaughter because of tail biting. Tail biting can be separated into two stages, "pre-injury" and "injury". The aim of this study is to investigate if tail biting depends on environment or genetic background.A lot of research on the environments effects on the behaviour of pigs but not so much on the genetic effects has been performed. The frequency of tail biting in pig farms influence among others of environment enrichment, ventilation, gender and breed of the pig.

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.

Background Children spend much of their time outdoor at preschool. Preschool's mission is to provide children with a rich environment that is enjoyable, and that arouses their interest to learn new skills. Since motor skills and health are positively affected by the outdoor environment should kids get a good turnout at their preschool playgrounds as possible.Theoretical perspectives My study is based on theories from a socio-cultural perspective. The socio-cultural context is part of the outdoor environment because we experience and perceive nature depends on the society we live in and how we interact togetherPurpose I want to see what kind of vision teachers and parents have on the outdoor environment when it comes to children's learning and development. I also want to find out how the teachers are using the outdoors environment and find out the parents' reason, when it comes to choice of preschool.Methodology The work is based on qualitative interviews with two teachers and two parents from each preschool.

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.

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.

This is the result of a 10 week long study about if player behaviors and choices are affectedby the surrounding colors in their environment. A number of players are asked to movethrough a virtual environment, while being clocked, where they have to make left and rightdecisions based on different colors (red, green, blue and gray). While most choices consist oftwo different colors, some use the same color. The result shows that the players most likelyprefer one color over another, and that they most likely prefer a non-neutral color over aneutral color. With these results and the interviews that are conducted the conclusion is madethat it is very likely the players choices are affected by the colors in the environment, but it isnot clear to say how they are affected..

This is a paper about the social services waiting rooms. Our aim with the study has been to:?Describe and problematize the physical environment in social services waiting rooms. A wider purpose is to lift the question about the waiting room as a significant part of peoples encounter with the social services.? To be able to achieve this purpose, we have used two questions: What does the physical waiting room environment look like in social services in Stockholms län? How can we understand and problematize the physical environment factors impact on people who visits these environments? We have observed and photographed ten waiting rooms in ten different social services in Stockholms län.

Abstrakt: De flesta människor kommer någon gång i sitt liv i kontakt med vården och utsätts därmed för risken att möta en bristande patientsäkerhet. I sjuksköterskans roll ingår det att skydda patienter och medarbetare från detta. Tidigare forskning har indikerat att det finns ett samband mellan arbetsbelastning, arbetsmiljö och patientsäkerhet. Den aktuella studien bekräftade detta då författarna fann att då sjuksköterskor upplevde en hög arbetsbelastning och en sämre arbetsmiljö innebar det risker för patientsäkerheten..

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

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.

Tail-biting in pigs is an animal welfare issue and in Sweden during 2002 the producers lost tree million Swedish crowns because of tail biting. This economic loss depends on the pigs which are discarded at slaughter because of tail biting. Tail biting can be separated into two stages, "pre-injury" and "injury". The aim of this study is to investigate if tail biting depends on environment or genetic background.A lot of research on the environments effects on the behaviour of pigs but not so much on the genetic effects has been performed. The frequency of tail biting in pig farms influence among others of environment enrichment, ventilation, gender and breed of the pig.