Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

Background: Research on presenteeism has been performed mainly during the last 15 years, where several consequences on health such as cardiovascular disease and mortality have been identified. Studies have shown a relation between sickness absenteeism and presenteeism, where presenteeism could lead to long-term sickness absence. Aim: The aim of the present study was to investigate work-related and personal causes of sickness presenteeism. The study also aimed to identify the overall prevalence of sickness presence in Scandinavia, including potential occupational sectors with higher prevalence. Method: The study was literature based and consisted of 15 peer-reviewed scientific articles that were found by a systematic search in PubMed and Scopus.

This thesis has focused on digital born personal archives; how they are different from analog paper archives and possible ways to overbridge these differences. It is also studied how archivists and librarians are dealing with digital archives, what they think about new proactive solutions when collecting private papers and collections and positive and negative effects with this way to work. The thesis is delimitated to only private collections and digital created material. It do not concern digitized material or electronic documents in government or business organizations.The challenges in digital curation and administration are discussed in aspect of the Records Continuum Model. The empirical material is also put in relation to research in Personal Information Management and identity theory.

Under de senaste åren har bemanningsbranschen expanderat kraftigt, och idag är det vanligt att företag hyr in personal. I vår undersökning har vi försökt identifiera vilka motiv som ligger bakom detta, och utreda huruvida det finns någon skillnad i motiven med avseende på komplexiteten i uppdraget. Vi har genomfört en kvalitativ intervjustudie av två företag, varav ett som hyr ut personal och ett som hyr in. De resultat vi har kommit fram till är att företag bland annat väljer att hyra in personal för att uppnå flexibilitet, få tillgång till temporär hjälp och spetskompetens, samt möjligheten att pröva en persons lämplighet innan anställning. Det har varit svårt att kartlägga någon definitiv koppling mellan motiven och uppdragets komplexitet, men vissa samband har kunnat urskiljas..

Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent?s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support.

 The aim of this study was to explore Swedish ambulance nurses experiences in caring for sick or wounded children.Method: A qualitative interview study with a descriptive/ explorative design. The sample consists of 10 ambulance nurses, both men and women, with varying years within ambulance service. Trough unstructured questions the data was collected. The data was analyzed with qualitative content analysis.Results: Compared to previous published studies the results of this study shows a broader perspective on ambulance nurses experiences in caring for sick or wounded children. The experiences were focused on following five categories:o The character of the alarm o The organization of the work o The specific in the meeting and treating of a child in an ambulance o Children who dies or suffer from a trauma o To work in an ambulance and at the same time being a parent Conclusion: It is always special to take care of a sick or wounded child.

Bakgrund: Psykiatri betyder vetenskapen om psykiska sjukdomar och deras botande. Enligt socialstyrelsen vårdades nästan 50 000 individer under 2008 inom psykiatrisk slutenvård i Sverige. Stort intresse finns om hur dessa patienter upplever psykiatrisk vård och behandling. För vårdpersonal som jobbar inom psykiatri är det av stor vikt att förstå patienternas upplevelse och tillfredställelse av vården. Syfte: Syftet med litteraturstudien var att beskriva patienters upplevelse av den psykiatriska slutenvården.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

Den här uppsatsen handlar om motivation av personal på svenska storbankers kundcenter. Bak­grunden till uppsatsen är dels diskussionen kring kundcenters ökade betydelse för företag samt problematiken kring vilka motivationsteorier som är lämpliga att använda för att moti­vera personal inom en organisation.I uppsatsen studeras personal från tre stora svenska storbankers kundcenter genom ett om­fattande enkätutskick. Uppsatsen har visat att den viktigaste faktorn för att personal på kund­center ska känna sig motiverade är att ha bra relationer med sina kollegor och överordnade. Uppsatsen har också visat att innehållsbaserade motivationsteorier är användbara för att stu­dera hur olika anställda skiljer sig i vad de värderar mest för att bli motiverade, att innehålls­baserade motivationsteorier kan användas för att förklara varför de flesta av dessa skillnader existerar samt att Herzbergs tvåfaktorsteori inte kan användas för att förklara hur mänskliga relationer påverkar en anställds motivation. .

The elderly care is an area of great importance to women. Women are more often in need of elderly care; they work with the service and provide a majority of the informal service. Research shows that managers? work-related prerequisites are significantly different between the male dominated technical administration and the female dominated care and educational administration. Studies also show that what the highest managerial organisation gives priority to, often permeate the whole organisation.

According to The National Board of Health and Welfare, about 200 000 elderly persons get some help or support with eating or nutrition problems. This was approximately 2 percent of the population. Older people in sheltered accommodation in community care were not able to manage their own nutrition. The older people were dependent on the food that was offered to them, when and how the food was served. This was a specific responsibility for the nursing staff.

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.