Background:In Sweden there are several thousand surgical procedures performed every day. The treatment is expected to be efficient, profitable and safe. Despite that, complications occur in 3-16 % of the surgical procedures. To prevent this, WHO has developed a surgical safety checklist containing safety issues to give the surgery team an opportunity to a last control that everything has been properly done. The profession of the surgical nurse focuses mainly on patient safety especially regarding hygiene and sterility.Aim: The aim of the study was to investigate and describe the perceptions of the perioperative nurses regarding WHO: s surgical safety checklist.Method:To test the suitability of the method a pilot study was performed where tree operating room nurses were interviewed and the data was analyzed using qualitative content analysis.Results: Four categories emerged; Increased patient safety, enhanced team spirit, good planning, stronger professional role.Discussion: The result from the study showed positive perceptions regarding the surgical safety checklist, a fact known from earlier research.Conclusion: The results of the pilot study showed that surgical nurses had good support in their work when the surgical safety checklist was used..

BackgroundToday a common approach to solve a complicated problem is to assemble a temporary workforce in order to solve the problem by working together within a project. One of the difficulties with working in projects is to maintain the planned budget. Working hours and costs are often exceeded. Many companies presume that any certain project will succeed, a presumption that leads companies not to anticipate risks involved in a project. In companies today there is seldom time for evaluation or moderation of a project, in order to have time for evaluation there is a great need for an adequate planning of the project.IntentThe intention with this study is to create a model for planning, budgeting and evaluation of projects within consultancy companies.MethodWith the help of interviews and discussions within the group Hamnar och Byggkonstruktioner at Sweco has evidence to present a proposal on planning, budgeting and monitoring been developed.ResultsA model has been developed to ease for consultancy companies to plan, budget, monitor and evaluate projects.

AbstractBackgroundParkinson?s disease is a chronically not curable progressive disease that leads to different degrees of disability. Controlled studies on how patient education influences subjective health in Parkinson?s disease are lacking.AimThe aim of this study was to examine the influence patient education had on drug requirements and on subjective health status of persons with Parkinson?s disease.MethodologyA short form of Health Survey, SF-12, was used to measure perceived health. SF-12 was administered before and one month after patient education (intervention group; n= 48), and in waiting list control (n= 48).

This student report is about canine atopic dermatitis It includes a description of the immunologic mechanisms and how the reaction affects the body. The symptoms are various, most common is pruritus, erythema and alopecia and directly associated with the immunologic reaction. The diagnostic process includes symptoms, physical findings, differential diagnosis, intradermal test and serological test. The options of treatment are several and vary for each patient. The report includes hyposensitization, medical treatment such as corticosteroids, antihistamin and cyclosporine, topical treatment, fatty acid supplements and environmental treatment. The prognosis is individual for each patient due to their different response to the treatment. It may take a while to find the right combination of treatments to achieve satisfactory control of the disease..

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

Today`s society requires that municipalities focus must be more on effectivity and quality. Because of this it is important for municipalities to look after the controlling systems. Many municipalities choose to adopt models that reflect the efficacy. The municipality of Vellinge has chosen to implement balanced scorecard in all their efficacies. We found it interesting when it was exposed that 70 % of all implementations of balanced scorecard fails.

Övervikt bland barn är ett utbrett folkhälsoproblem och att vara överviktig som barn är relaterat till övervikt också i vuxen ålder men även till följdsjukdomar. Syfte med denna litteratur studie var att erhålla kunskap om vad sjuksköterskor behöver kunna för att förebygga och minska fetma och övervikt hos barn. Granskning av elva vetenskapliga artiklar visade att sjuksköterskor bör ha kännedom av livsstils faktorerna som fysisk aktivitet, mat konsumtion och föräldrar rollen. Åtgärder så som patient undervisning, stödsamtal, motivation och empati torde vara omvårdnads åtgärdes som kan underlätta preventiv sjuksköterske arbete..

A recent development in the field of accounting has been an increasing use of fair values in financial reporting. In 2005, this development was reinforced in Sweden by the adoption of the International Financial Reporting Standards. The aim of this thesis is to discuss the problems related to the use of fair values, through a case study of the Swedish investment bank Carnegie. In May 2007, Carnegie announced that the result had been overly stated by 630 MSEK, due to the valuation of derivatives within the trading department. The empirical material consists of documents produced in the legal process between Carnegie and the Swedish Financial Supervisory Authority.

Purpose: The purpose of this essay is to apply "Discount Dividend model" and "Discounted Cash Flow model" in reality during periods of economic boom alternatively recession.Method: A quantitative research method as well as secondary data and data collection method is used. This data consists of the company?s annual reports. Totally, 20 companies of different sizes under diverse economic conditions are involved in this data.Conclusion: After reviewing the companies? calculations, it is noted that the both models that are used reflect better stock-exchange rate during an economic recession..

The purpose of this essay is to understand how children and adolescent regard participating infamily therapy sessions, and the children´s views on their own contribution to the therapy.Another focus is weather family therapy can strengthen children´s identity and sence ofcoherence, and thus help them being more able to coping with dificulties in the future.Important questions for this work is to investigate how the attitudes and abilities of familytherapists can help the children become participating subjects, and how the collaborativeapproach contribute to bringing new perspectives and opportunities in the family's relationalcontext and life situation. By using Antonovsky´s salutogenic theory and narrative theory, theaim of this paper is to bring forth ways to approach children as family therapist that helpsstrengthen the childrens identity, self-esteem and sence of coherence.By analyzing family therapists known for being child-focused, such as Jim Wilson, MichaelWhite, David Epston and Haldor Övreeide, and compare the approach as therapist to theconclusions of the recent studies, this paper wants to emphasize how to approach children,adolescents and parents in a way that helps children contribute to solving the problem and thatbrings forth new narratives about the childs identity and relational context..

Bakgrund: Att som sjuksköterska delta i palliativ vård ställer stora krav på kunskap och empatisk förmåga. I vårdmöten mellan sjuksköterska och patient med dennes anhöriga är vissa faktorer och problemställningar särskilt viktiga för sjuksköterskan att vara medveten om. Syftet: Studiens syfte är att belysa vårdmöten mellan sjuksköterska och patient med dennes anhöriga inom den palliativa vården på hospis. Metod: Litteraturstudien. Resultat: Resultatet har redovisats utifrån följande teman: kommunikation (inklusive samtal), känslor och relation.

ABSTRACT Background: The ward round is a collaboration between nurse, doctor and patient. A good collaboration and communication is essential to their interrelation. Aim: The aim of this study was to investigate patients' comprehension in regard to integrity, information and participation during round. We also looked at differences about comprehension between men and women.  Methods: A questionnaire was answered by 34 patients in three wards at the University hospital in Uppsala. Results: The patients believed they could talk openly ?quite well? but they experienced it ?sometimes? disturbing to talk openly if other patients were in the room.

The aim of this essay was to examine children's experiences of having a pathological gambler as a parent, which consequences this led to socially, economically and emotionally, if those children got any help and in that case where and what kind of help.Central questions asked where:* In what way did the child experience consequences from the parent's gambling?* How did the child experience the gambling parent during the gambling period?* In what way did the gambling affect the relationship between the parent and the child?* How did the parent's gambling affect the child socially, emotionally and economically?* How did the child handle this?* What help did the child itself think it required?* Where did the child got help?This is a qualitative study of nine today adult persons that grown up with a pathological gambler as a parent. The method is qualitative semi structured interviews.The results of the study are that all of them experienced large consequences socially, emotionally and economically. The consequences varied depending on the total situation in the family. The result shows that all of them have got coping abilities and they have applied more to emotion-focused forms of coping than to problem-focused coping..

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.

Inom palliativ vård är en professionell interaktion väsentlig såväl för sjuksköterskan som för patienten och dennes närstående. Interaktionen utgör grunden i omvårdnaden och medför att patienten upplever trygghet. Syftet med studien var att belysa interaktionen i mötet mellan sjuksköterskan, patienten samt dennes närstående inom palliativ vård. Metoden som användes var litteraturstudie. Resultatet visar, att förutom att interaktionen mellan sjuksköterska, patient och dennes närstående ansågs utgöra basen i omvårdnaden så var det väsentligt att sjuksköterskan med hjälp av interaktionen förmedlade stöd, bekräftelse och respekt.