No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change.

AbstractTitle: External communication channels of Prime Care How they where thought to be, how they work and how costumers apprehend them.Number of pages: 50 (64 Including enclosures)Author: Sophie DicksenTutor: Peder Hård af SegerstadCourse: Media- and Communication Studies DPeriod: Spring 2007University: Division of Media and Communication, Department of Information Science, Uppsala UniversityPurpose/Aim: The focus of this paper lies on the external communication channels of Prime Care and the aim is to study the following aspects: How do the channels work? How are they apprehended by customers of the company? What are Prime Cares own thoughts behind the channels? How does Prime Cares self-image correspond to the way that customers apprehend the company?Material/Method: Twenty interviews has been done with different customers of Prime Care in order to see how the company and its communication flow is apprehended. A consultant manager of Prime Care has also been asked about purposes behind the companies external communication channels in order to enable a comparison between Prime Cares image and profile. Prime Cares website, one of their mail sendouts, their salescalls, salesvisits and their exhibition participation have been studied on the basis of relevant litterature. Maletzkes model of mass communication was used as a general view of communication flow.Main results: All communication channels included in this study have different ways of function even though they all have the same main purpose, videlicet to promote the company, to inform about its activities and to recruit new customers and consultants.

Diabetes typ 2 är en av de vanligast förekommande sjukdomarna i Sverige. Eftersom sjukdomen ställer stora krav på egenvård är det viktigt att patienten själv förstår sjukdomen. Kommunikationen mellan sjuksköterska och patient har därför en central roll. Syftet var att belysa kommunikationens betydelse för samspelet mellan sjuksköterska och patient med diabetes typ 2. Studien gjordes i form av en litteraturstudie där 12 vetenskapliga artiklar utgjorde grunden för resultatet.

Detta arbete a?r en sja?lvstudie i att utveckla improvisation pa? saxofon. Syftet a?r att utforska hur det a?r mo?jligt att uppna? en niva? av frihet i det improviserade spelet. En grundtanke som presenteras i inledningen a?r att all musik egentligen kommer ur improvisation.

Denna uppsats är en komparativ studie där fem patografier, självbiografiska sjukdomsskildringar jämförs. Detta görs för att belysa hur relationerna kan se ut mellan olika karaktärer inom sjukvården, i synnerhet förhållandet mellan patient och läkare, patient och sjusköterskor, men också förhållandet mellan sjukvårdspersonalen och patientens anhöriga..

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

Palliativ vård innebär att patientens symtom lindras med olika behandlings- och omvårdnadsåtgärder för att främja patientens välbefinnande. Palliativ vård ska bedrivas oavsett var patienten vårdas.Syfte: Syftet med studien var att beskriva hur sjuksköterskor uppfattade den palliativa vården på kirurgisk akutvårdsavdelning.Metod: Kvalitativ metod med fenomenografisk forskningsansats har använts. Från två kirurgiska akutvårdsavdelningar intervjuades 15 sjuksköterskor.Resultat: Tre huvudkategorier identifierades. Första huvudkategorin var palliativ vård för en sjuksköterska på kirurgisk akutvårdsavdelning, med två underkategorier: innebörden av palliativ vård för sjuksköterskan och kärnan i omvårdnaden av en patient i palliativt skede. Andra huvudkategorin var hinder för omvårdnadsarbetet av en patient i palliativt skede med underkategorierna: tid, kompetens, kommunikation/information, bristande planering och dokumentation, resurser och samarbete.

Skyfall kan leda till stora konsekvenser för samhället, framförallt i en stad då den urbana miljön är känslig för extrema händelser. Västerås stad har tidigare drabbats av skyfall där följderna har varit kostsamma. Den senaste forskningen pekar på att intensiva regnhändelser kommer bli allt mer vanligt förekommande, därför är det intressant att undersöka vilka konsekvenser dessa regn kan leda till.En analys har gjorts med utgångspunkt från SMHI:s lågpunktskartering över Västerås. Utifrån denna kartering undersöktes vilka förorenade områden, bostadsområden, exploateringsområden, infrastruktur, vårdcentraler, skolor, nätstationer och prioriterade pumpar som ligger i lågpunktsområden. Denna jämförelse har gjorts i ArcGIS.

This work is a part of the project ?Våtmarker i odlingslandskapet ? uppföljning av miljömålen? (Wetlands in arable land ? following-up of the environmental goals). The main objective with this project is to study nitrogen and phosphorus retention in a constructed wetland by using mass balance calculations. Continuous measurements of nutrients and water flow through the inlet and the outlet of the wetland are made. However, substantial amounts of nitrogen and phosphorus were assumed to reach the wetland with a drain-pipe transporting wastewater from nearby houses (10 persons).

Bakgrund. Många patienter oroar sig inför kirurgiska ingrepp. Ett av orosmomenten är smärtan efter operationen. Smärtpåverkade patienter utsätts för ett lidande. Detta lidande bryter patientens naturliga förhållningssätt till den levda världen.

Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.

Background: Elderly people with visual impairment increases in the society. To measure vision with visual acuity charts doesn?t indicate how patients with Age-Related Macular Degeneration (AMD) experience their disease. Aim: The aim of the literature review was to describe patients? experiences of living with age-related macular degeneration.

Background: Human interaction by touch plays a central role for our health and well being throughout life. When people touch each other our bodies release a hormone called oxytocin into the bloodstream, this gives the body a soothing effect. Touching on the other hand can be perceived as unpleasant if it is not in accordance with the patient?s norm or wishes. From biblical times and through to today human touch plays a central part of nursing.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Trots att integritet har ett fundamentalt värde i vårt samhälle finns det ingen klar definition av vad begreppet verkligen innebär. Syftet med denna studie var att belysa innebörden av begreppet integritet såsom det visar sig i mötet mellan vårdpersonal och patient. Studien är gjord som en systematisk litteraturstudie och bygger på 10 kvalitativa empiriska studier som behandlar fenomenet integritet. Resultatet visar att integritet är ett begrepp som inrymmer flera dimensioner såsom autonomi, att bli sedd som individ, att bli tagen på allvar, det privata rummet, fysisk integritet, information, kulturell identitet, social identitet samt förlöjligande. Trots att både patienter och vårdgivare till stor del delar uppfattning om hur integritet kan bevaras eller hotas utsätts många patienter för kränkande handlingar i omvårdnadssituationer..