Because of the currently large recruitment needs within the Swedish nuclear powerindustry, it is necessary to recruit trainers from other recruitment groups than that ofexperienced operators at nuclear power plants. The foundation for a trainingprogram regarding these recruitment groups, here called ?aspirants?, has in this thesisbeen prepared. It contains a suggestion for main topics in the program. It also includesdiscussion on the balance between forms of education and a concrete example ofhow a lesson could be performed.These suggestions has been developed through analysis of interviews and surveyresponses from student groups most suited for the propositioned trainee program,and individuals with service as a trainer or closely linked to training activities withinthe industry.The analysis suggests that the candidates gets, besides the opportunity to practice asoperating staff before the theoretical training begins, a training program, tightly boundto the power plant with multiple instances of practice and the chance of going intothe power plant and see how things that are being raised in theory, look in real life.The practice, in addition to helping to create an understanding of the plant, it will facilitate networking with the operations staff to build a relationship and trust.Candidates should have plenty of opportunity to educate and see both other aspirantsand experienced trainers train.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

Att vara med om en amputation innebär ett stort trauma för den enskilde. För att som sjuksköterska kunna ha ett professionellt förhållningssätt gentemot patienten krävs det god självkännedom, empati och kunskap inom området. Syftet med litteraturstudien var att söka kunskap om hur sjuksköterskan på bästa sätt kan stödja, förhålla sig och vårda traumatiskt amputerade patienter. Hur vi som sjuksköterskor på bästa sätt kan lindra lidandet för den drabbade och dennes närstående. De vetenskapliga artiklarna som ingick i studien söktes genom databaserna CINAHL, PubMed och PsycINFO samt framtogs genom personlig kommunikation med docent Hans Granhed, ortopedkliniken SU/ Mölndal.

Den offentliga sektorn anses som ineffektiv av förespråkarna för New Public Management (NPM) som hävdar att den offentliga sektorns verksamheter ska bedrivas mer resultatinriktat, likt den privata sektorn. Detta för att skattebetalarnas pengar ska komma tillbaka till medborgarna. Ett sätt att lösa vad de framhåller som ett ineffektivitetsproblem har lett till konkurrensutsättning, där privata aktörer får en möjlighet att genom upphandling utföra offentliga tjänster. Syftet var att undersöka hur det strategiskt arbetas med stöd och vägledning till chefer i konkurrensutsatt verksamhet, samt hur chefer upplever att de får det stöd som behövs för att fullgöra sitt arbete. Vi ville även förklara de bakomliggande motiven för konkurrensutsättning.

Syfte: Att undersöka vårdpersonalens känslor i mötet med våldsutsatta kvinnor inom akutsjukvården. Metod: Kvalitativ studie med halvstrukturerad intervjumetod. Tretton sjuksköterskor och undersköterskor inom akutsjukvården blev intervjuade om mötet med våldsutsatta kvinnor genom tio halvstrukturerade frågor. Resultat: Vårdpersonalen saknade kunskap om våld i nära relationer och kände sig inte beredda att möta en kvinna utsatt för våld trots framtagna riktlinjer och handlingsplaner. Mötet med våldsutsatta kvinnor väckte många starka känslor som ilska och frustration, men också medkänsla och empati.

Problemområde: Situationen på take-awaymarknaden i Sverige i relation till de möjligheter som finns för att utveckla denna i framtiden. För uppsatsen tas en utgångspunkt i följande generella frågeställningar: 1. Vilka teoretiska utgångspunkter finns för fenomenet? 2. Hur har fenomenet utvecklats och hur tar det sig uttryck idag? 3.

BAKGRUND: Litteraturen antyder att sjuksköterskor stigmatiserar och diskriminerar patienter med vissa diagnoser, i synnerhet schizofreni och borderline personlighetsstörning (BPS). BPS beskrivs som den psykiatriska diagnos med störst laddning och kring vilken det florerar flest stereotypa fördomar.SYFTE: Genom granskning av befintlig forskning i form av originalartiklar publicerade i vetenskapliga tidskrifter avser denna studie att sammanställa befintlig kunskap om sjukvårdspersonals attityder till patienter med borderline personlighetsstörning med eller utan självskadebeteende.METOD: Systematisk litteraturstudie. Litteratursökningar utfördes i databaserna PubMed, CINAHL och SCOPUS.RESULTAT: 21 studier inkluderades i resultatet. En rad olika studier påvisade en allmänt negativ attityd gentemot patienter med BPS med eller utan självskadebeteende. Vårdpersonal skattade mer negativa erfarenheter av att vårda patienter med BPS i jämförelse med schizofreni och depression.

Background: A strong brand is becoming an increasingly important factor when surviving on a competitive market. A strong brand can therefore be considered a strategically important resource. The relationship between a brand's strength and its distribution can decide the future of a brand in the long run. Lifestyle branding is becoming a more popular way of differentiating ones brand from the competition. Purpose: The purpose of this thesis is to identify factors which according to the lifestyle brand owners are central when measuring the strength of a brand.

This thesis concerns waste management on construction sites and was conducted on behalf of ICA Fastigheter.Areas of concern:How can an environmentally-efficient waste management system on construction sites be defined? What potential exists for exploiting the waste resources that are generated?How can the waste management be optimised by reducing the quantity of waste and by optimal sorting?How can the client of a project influence the waste management?The purpose of the work was to investigate sustainable waste management in the building and construction sector and to highlight waste as a resource from an environmental and economic perspective.The aim of the work was to define an environmentally-efficient waste management system, to analyse the potential that exists in waste management and to draw up guidelines for optimal waste management.The method consisted of a literature study, two visits to construction sites and four interviews.An environmentally-efficient waste management system means that the waste is managed in the following order of priority:Prevention     Reuse  Recycling     Energy recoveryLandfill     The prevention of waste is an important area that has not been adequately explored by the building and construction industry. The quantities of waste could decrease with the implementation of measures such as ordering materials in the dimensions required, prefabricated components, logistics centres with Just-In-Time deliveries, less and improved packaging and less wrapping. The reuse of waste materials and temporary apparatus as well as the use of a return pallet system are examples of reuse that reduces the quantities of waste.In most cases the source sorting work is a matter of course and the proportion going to landfill is down at a low level. The source sorting can be optimised by sorting all materials that can be reused and recycled to use them as a resource.

Syfte och mål: Syftet var att modifiera och utvidga det generiska instrumentet ?Postoperative Recovery Profile? (PRP) för att utvärdera återhämtningen efter kranskärlsoperationer (Coronary Artery Bypass Grafting (CABG)). Bakgrund: Efter en kranskärlsoperation riskerar patienterna att drabbas av en mängd olika postoperativa symtom. Goda kunskaper om återhämtningsprocessen är en förutsättning för god omvårdnad. Vi kunde inte finna något procedurspecifikt instrument för utvärdering av de postoperativa symtomens omfattning och varaktighet efter denna typ av operation. Design: För att utveckla ett procedur-specifikt instrument i form av ett frågeformulär användes en kvantitativ design. Metod: Det generiska instrumentet PRP innehållande 19 punkter, modifierades och utökades med procedur-specifika symptom som identifierades genom en litteraturöversikt. Innehållsvalideringen genomfördes med sjukvårdspersonal (n = 15), inneliggande patienter (n = 12) och polikliniska patienter (n = 4).

The expectations of a successful outcome are great during childbirth. The overall objective of prenatal care and birth care is that midwives contribute in creating the most positive experience of pregnancy, child birth and infancy as possible. During the past 30 years there has been a significant increase in sectiofrequency both in Sweden and the rest of the Western world. More parents feel an overall insecurity when it comes to child labour. The purpose of this study was to describe how midwives experience the work of creating a sense of security and good nursing when meeting the expectant parents.

Serpula lacrymans infestation has become an increasingly common problem, and is usually perceived as a tip of an iceberg.During the 21st century there has been a perceived increase of damage caused by serpula lacrymans, at AB Mats Fransson Saneringstjänst ? Anticimex in the county of Kronoberg. A similar increase has also been noted by employees at the offices in Kalmar, Karlstad, Piteå, Stockholm, Malmö, Söderhamn, Halmstad and Visby.The methods used to collect data for the project has been interviews with a number, for the project, relevant key persons, such as analysis engineers at Trygghansa and Anticimex, as well as personnel at the botanical institution at Gothenburg University and the Botaniska Analysgruppen in Gothenburg, further statistics from SMHI and analyses of reported instances of infestations have been used.The majority of the people interviewed believe that the increase is caused by renovations of old houses, higher precipitation during the summer months, as well as a moister climate and warmer winters. The latter can also be gleaned from statistics from SMHI concerning temperature, precipitation, and relative humidity.Analysed damage reports show that the most common cause for the infestation is ground moisture, even when combined wooden materials.Older houses that where built around 1900 are the ones most frequently infested with serpula lacrymans. The part of the building most frequently infested is the foundation, where cellars and suspended foundation are the most common types to be infested.

Bakgrund: Personal inom ambulanssjukva?rd utsa?tts dagligen fo?r stress och ho?g arbetsbe- lastning. Detta leder till o?kad risk fo?r ha?lsoproblem hos ambulanspersonal och riskerar att kunna pa?verka omva?rdnaden.?Syfte: Syftet med studien var att belysa ambulanspersonalens upplevelser av a?terha?mt- ning mellan uppdragen.?Deltagare: I studien medverkade tio ansta?llda inom ambulanssjukva?rden vid tva? medel- stora sta?der i Sverige och na?rliggande glesbygd.?Metod: Studien baserades pa? tio semistrukturerade intervjuer utfo?rda december 2014. In- tervjuerna spelades in och analyserades med kvalitativ inneha?llsanalys.?Resultat: Fyra kategorier framkom: Fo?rutsa?ttningar fo?r a?terha?mtning, Omsta?ndigheter som ger a?terha?mtning, Omsta?ndigheter som motverkar a?terha?mtning och Konsekvenser av bristande a?terha?mtning.

SammanfattningOlika fälttest är flitigt använda för att utvärdera fotbollsspelares fysiska uthållighet, däribland Yo-Yo Intermittent Recovery Level 1 (Yo-Yo IR1) och Coopers löptest. Ytterst lite är dock känt om Coopertestets lämplighet som mätmetod i en sport med intermittent arbete som fotboll. Syftet med denna studie var att undersöka prestation i Coopertestet i förhållande till Yo-Yo IR1 testet hos fotbollsspelare på olika tävlingsnivåer. Under försäsongen testades 19 manliga fotbollsspelare (23 ± 4 år, 181 ± 9 cm, 77 ± 9 kg) från svensk division 1 (hög-nivå, n=5), division 3 (mellan-nivå, n=6) och division 5 (låg-nivå, n=8). Coopertestet består av oavbruten löpning så långt som möjligt under 12 minuter på löparbana.

A third party access to district heating networks has been proposed in Sweden, to increase the competition on the district heating market. Such third party access could create opportunities for the agricultural sector as an energy producer. This study describes the technical, economical and environmental prerequisites for a farmer cluster to build and run a heating plant, fueled with local wood fuel. The heating plant in the described scenario is 8 MW and will supply a village of 1000 houses, and is fueled with wood chips exclusively. Supplying a heating plant with fuel puts high demands on the logistics, since there need to be a continuous flow of fuel. In the scenario, wood residues from felling and thinning is stored in stacks in the forest, and a few times a year chipped and transported to a storage area at the heating plant. In the study, an estimation of the profitability has been made by estimating the cost of the investment, personnel, operating and maintenance costs and costs for the fuel and ash handling.