AbstractThe aim of the studie was to investigate if the Pediatric Early Warning Score system, PEWS, is an useful instrument on a children's inpatient ward, regarding the detecting of deterioration in children's vital signs. For this, a quantitative descriptive design with qualitative elements was used. Method: Study specific questionnaires were distributed to 86 persons (helpnurses, nurses and doctors). Of these, 36 answered and sent back the surveys. Results: Of 36 responses 25 felt experienced a faster detection of deterioration of vital signs in the child.

As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

Background: Home health care means that patients receive care in their home. Äldrevårdsenheten in Uppsala County treats people, over 65 years, in the patient's home and because of the fact that the quality of care from the patient´s perspective not have been studied previously, this study as part of the quality control of the business.Aim: The aim of this study was to investigate how patients, and family members, who receive care within the Äldrevårdsenheten in Uppsala County experiencing the care provided in the home.Method: Interview study with qualitative analysis.Results: Patients who are cared for within the Elderly Care Unit in Uppsala County Council has a positive experience of home care. Being cared for in the home creates a sense of security and calm in the patients rather than the stress and fear of long waits in the emergency department and planning advice from medical appointments . In contrast, perceived lack of Physicians in home care and accessibility to health care staff.Conclusion: In general, patients in the Elderly Care Unit in Uppsala County Council very pleased with the opportunity to the treatment they received at home. However, there are some weaknesses that need improvement. .

Multiprofessional teams is a common way of organizing the work in rehabilitationmedicine clinics. Team members are usually Physicians, physiotherapists, occupationaltherapists, counselors and nurses where the counselor is the only one from the psycho-social discipline. Team care interventions are provided from a holistic perspective inwhich the patient's physical, psychological and social rehabilitation is taken intoconsideration. The meetings between the professional team and patient have the mainpurpose to increase patient participation. The aim of the study is to observe and analyzecommunication between the professionals, the patient and their relatives during teammeetings.

ABSTRACTBackgroundPostpartum depression (PPD) occurs in 10% of women who have recently given birth. Postpartum depression is treatable but unidentified and untreated it could lead to serious consequences. There are multiple instruments for screening available. The Edinburgh Postnatal Depression Scale is the most frequently used and is regarded as the best instrument. AimThe aim of this study was to analyze to what extent and how midwifes and primary care nurses identify mothers with symptoms of depression respectively PPD.

The thesis of this work has been to investigate the information behaviour of archaeologists. Interviews were made, between March-September 2002, with ten archaeologists, employed in one Swedish organisation, conducting rescue archaeology. The archaeologists were all experienced in working positions as project leaders. Our thesis could be expressed in following questions: - Which sources of information did the archaeologists use in their work? - Which external and internal factors had influence on the information behaviour? The results of this study have been analysed within a theoretical framework of T.D Wilson, Lars Seldén, Lars Höglund and Olle Persson, among others.

Syftet med studien a?r att underso?ka psykosocial oha?lsa med utmattning i fokus utifra?n arbetsrelaterade faktorer, konflikt mellan arbete och familj och ko?n hos la?kare pa? ett universitetssjukhus i Sverige. Studien grundar sig pa? tva?rsnittsdata fra?n projektet Health and Organisation among University hospital Physicians in Europe (HOUPE), da?r arbetsrelaterad oha?lsa bland la?kare pa? ett universitetssjukhus studerats. Underso?kningen genomfo?rdes genom enka?t da?r 2589 la?kare deltog.

Background: Ill-health related to unhealthy lifestyle is increasing and despite existing knowledge about healthy lifestyle it is difficult to change behaviour. Counselling in the primary health care is often superficial and without critical elements for behaviour change. Aim: The aim of this paper to elucidate interventions for change of lifestyle with respect diet and physical activity. Method: A literature review was carried out and ten scientific articles were analyzed and compiled in two main categories: design of these interventions and participation in them. Results: Education, decision making, goal setting, feedback, social support and follow-up were identified as critical elements for behaviour change.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.

The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that Physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

Syfte: Syftet med litteraturstudien var att beskriva metoder som kan förbättra kommunikationen mellan sjuksköterskor och läkare för en säkrare vård. Syftet var även att beskriva kvalitén på de granskade artiklarna utifrån metodologiska aspekter gällande undersökningsgrupp och datainsamlingsmetod. Metod: En deskriptiv litteraturstudie baserad på 15 vetenskapliga artiklar. Data samlades in ifrån databaserna PubMed och Cinahl samt via manuell sökning. Artiklarna granskades samt analyserades och resultatet presenterades utifrån tre teman.

The aim of this investigation was to determine if, and in that case how, the resources of personne1 in what in this essay will be referred to as the department of students' health in four industrial municipalities had changed from 1999 until 2004. The establishment of the department of students' health could be discussed and analys ed in regard of a few concepts from new institutionaI organizational theory and studies on implementation. The investigation answers the following questions:What differences were there between the municipalities regarding the children's accessibility to the department of students' health?What differences were there between pre-school, compulsory school and upper secondary school within the municipalities regarding the children's accessibility to the department of student's health?The municipalities were commissioned by the government to combine school health service, student welfare and the field of remediaI teaching in order to establish a new section, the department of students' health. The study was carried out quantitatively.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

This essay is about reading among patients in hospital. The aim of the essay is to find out what part reading and the library play for patients in hospital. An additional aim is to find out in what ways the collaboration between hospital librarians and hospital staff could be developed. The starting-point of the problem is one main question: What part does reading play for the patient during the stay at the hospital? On the basis of the answers to this question I have also looked for possibilities of enhanced co-operation between hospital libraries and hospital staff.The method for the essay is qualitative and fifteen persons in three different wards at University Hospital in Malm have been interviewed.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.