Bakgrund: WHO:s checklista är avsedd för operationskliniker världen över som vill reducera komplikationer i samband med operativa ingrepp. Studier har visat att checklistan inte bara förbättrade patientsäkerheten utan också bidrog till bättre teamarbete och kommunikation mellan personal. Få studier finns om hur patienter som är vakna under operation påverkas av att man använder checklista. Syfte: Syftet med denna pilotstudie var att belysa hur ett antal operationssjuksköterskor upplevde att använda checklistan inför vaken patient. Metod: En pilotstudie med kvalitativ ansats där datainsamlingen genomfördes i form av halvstrukturerade intervjuer med tre operationssjuksköterskor.

Bakgrund: Sveriges största folkhälsoproblem idag är hjärt- kärlsjukdomar och den vanligaste orsaken till att personer uppsöker akutsjukvård. Att drabbas av hjärt- kärlsjukdom innebär ett lidande och en livsstilsförändring för den drabbade. Syfte: Syftet med studien var att undersöka vad som kan påverka en patient till förändrad livsstil efter hjärtinfarkt. Metod: En litteraturstudie gjordes utifrån 8 stycken artiklar där författarna inspirerades av Burnards analysmetod. Resultat: Resultatet redovisades i 4 kategorier sjukdomsinsikt, informationskällor, socialt stöd och professionellt stöd.

Höft- och knäprotesoperationer är idag en vanlig operation vid artros i höft- och knäled. Trotsminutiösa infektionsförebyggande förberedelser inför operationen drabbas ändå en delpatienter av postoperativa infektioner. Vid ortopedisk proteskirurgi är postoperativainfektioner ett direkt hot mot den nya inopererade leden och kan leda till långabehandlingstider som påverkar patientens livskvalitet under lång tid.Syftet med studien var att utforska patienters möjlighet till delaktighet i tidig upptäckt avpostoperativ infektion utifrån given information vid operation för höft- eller knäprotes.Semi-strukturerade intervjuer genomfördes med tio patienter med diagnostiserad postoperativinfektion efter höft- eller knäprotesoperation. Transkriberade intervjuer analyserades medinnehållsanalys. Journaler granskades för att beskriva patientens tidigare sjukdomar.Resultatet visade att första tecknen på infektion kan beskrivas med temat: Vad är normalt ochvad är inte normalt.

Palliative care concerns care of those who are dying and when cure is no longer an option. The nurse´s job is then to support the patient and to give care of good qualitive so that the patient will experience optimal quality of life. The aim of this literature review was to describe how the nurse can prepare herself/himself for the meeting with both the patient and close ones also to describe a nurse´s need of support and education. Nine studies have been used as a foundation for this literature review. Four headlines have been crystallized out of the result, a) the view of death b) the impact of the meeting c) the importance of support d) the importance of preparation and education.

What role should science play in democracy? Political scientists often assume that it is possible to demarcate between ?instrumental? and ?moral? knowledge, and argue that citizens and/or politicians should use their moral knowledge to agree upon political goals and then apply the instrumental knowledge of scientists to achieve them. This straightforward view is challenged by writers in science studies, who identify three major problems in the use of science in democracy: uncertainty, risk and hidden values. They suggest that these problems could be solved through citizen participation.In this essay I perform an analysis of the internal logic of their suggestion. Is it likely that citizen participation enhances the democratic decision making process so as to reduce the problems? The internal analysis shows that it is rational to advocate citizen participation by reasons of legitimacy.

The representative democracy has become weakened during the last decades. At the same time the United Nations declared at the Rio de Janeiro meeting in 1992 that environmental problems can best be solved by involvement of all concerned citizens in decision-making. The main purpose of this study has been to examine if citizens panels is a possible way to involve citizens in environmental decision-making and what the outcomes can be. Furthermore the study has investigated what the participation has contributed to environmental politics and how representative the results have been. This has been carried out by investigating the Piteåpanel in the municipality of Piteå by conducting interviews.The result of the study shows that the involvement of the citizens in the decision-making influenced the environmental politics of the municipality.

I sjuksköterskans arbetsuppgifter ingår venösa blodprov och insättande av perifera venkatetrar (PVK). Även då patienten bär en blodsmitta skall detta utföras, vilket sätter sjuksköterskans professionalism och biologiska säkerhet på prov. Sjuksköterskans upplevelser inför att sticka en patient med känd blodsmitta är ett ämne som bör diskuteras mer. Föregås stickmomentet av rädsla eller obehagskänslor? Denna studie syftade till att undersöka sjuksköterskans tankar och upplevelser inför att sticka en patient med känd blodsmitta.

In today?s health care it?s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor?s prescription. This does not just affect the individual patient?s health but it can also result in consequences for other people and the whole society.

In 1974 the three municipalities of Åsele, Dorotea and Fredrika were amalgamated despite of hunger strikes, mass protests and a serious threat of violence. But after six years the marriage shattered as Dorotea left the other two after years of continued struggle. In 2005 the idea of an amalgamation of Åsele, Dorotea and Vilhelmina municipalities was brought to life by an older and ever declining population.By creating a democratic ideal type consisting of the three variables ? legitimacy, participation and identity ? this study assesses what impact an amalgamation of the three municipalities might have on local democracy.Combining a qualitative and a quantitative approach this study concludes that amalgamating the municipalities today could create a democratic unit lacking legitimacy, having a weak identity and impeding participation. But the study also brings forth that the impact of an amalgamation upon the variables of the ideal type as defined is not written in stone.

A QUALITATIVE STUDY ON THE EXPERIENCE OF ESCORT SERVICE UNDER THE ACT (SFS 1993:387) SUPPORT AND SERVICE FOR THE DISABLED The purpose of this study was to examine the experiences of escort service under the Act (SFS 1993:387) concerning Support and Service for the disabled (LSS) for self-determination, participation and equality of living conditions. In the results of this study appears that the escort service fulfills its role in breaking the isolation of persons with disabilities. It gives a picture of the escort service is much more than to break the isolation of people with disabilities. The aspects that emerges is that escort service gives persons with disabilities the opportunity to develop their independence, increase their self-esteem and broaden their frames of reference through increased participation in community life. All users report that they experience autonomy in the choice and order of activities within their grant initiatives.

Background: Young adults undergo a phase in life when they try to become independent individuals and are expected to take responsibility. The transition to adult life, cause hardship for all young adults, but with concurrent mental illness this transition can be more complicated. The young adults may need support from their parents in connection with care.Aim: The aim of this study was to describe nurses' perceptions of parental participation in the care of young adults with mental illness.Method: To describe the perceptions of a phenomenon, qualitative interviews with a phenomenographic approach were conducted. The interview texts were analyzed into five description categories and 10 perceptions. In the study, eight nurses were interviewed.Results: The result shows that parental participation in the care is based on the young adult's decision.

The aim with this study was to illustrate communicative meetings between people that are visiting and working in two different associations for people with intellectual disabilities. The method we used was interviews. To find out the meaning of the associations for the members creating of identity, participation and self esteem we asked them if they felt stigmatized and if they thought that the associations reduced that feeling and how the pedagogy cooperation between them selves and the coaches were working. The results of the study showed that the members of the association experienced that it had a positive influence according to their creating of identity, participation and self esteem. The members felt that coaching and the pedagogy cooperation had both positive and negative aspects but mostly it worked well..

Clients with dual diagnosis have difficulties to recover and have a tendancy to fall between two stools. Among other things this is due to the fact that caregivers have different approaches, values and focus. The purpose of this study is to compare how clients, therapists and socialworkers look upon the aim of the treatment, its form, residential care, the conception of goalfulfillment and participation. In our study we have applied the theories of Aaron Antonovsky, Howard Becker and Erving Goffman. The paper consists mainly of qualitative interviews with clients, therapists and socialworkers.

It seems like Swedish municipalities are dominated by beliefs that all citizen participation is good for the development of local democracy. A critic of this certainty is rising among Swedish scholars of political science. However, a critic with an ambition of such generalization is harsh. Different democratic projects contents different qualities and thereby diverse problems in the democratic process. If these democratic problems within the process can be recognized, a deeper understanding can be found and in the prolongation a strengthening of the democracy.This essay examines the democratic process of Lomma municipality's democratic project of citizen participation.

The function of budgetary controls is to control the resource allocation within companies. It can also be an instrument for measure and control subordinates and/or business units? performance (Van der Stede 2001). This paper concerns the latter; when the budgetary control function is used to measure and control subordinates performance based on budget. Previous research in this area has not yet accomplished to explain the effects of tight budgetary control which Hartman (2000) considers as the main issue to be concerned about in management accounting research.Previous research has presented contradictory findings regarding tight budgetary control explained by positive effects as well as negative effects during the last decades.