Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Children, who grow up in families, where their parents have decided to take care of a foster child on a commission of the social welfare services, are not often given the possibility to tell about their experience of having foster siblings, in research and other studies. The aim of this study was to give biological children, in these families, a chance to tell their narratives of growing up with foster siblings, creating opportunities for families, who might have plans to take care of foster children in the future. They can get a picture of how it could be for the family´s own children. The biological children got the opportunity to tell their narrative stories including the relationships in their families and how they were looking forward into their own future and family life. The used theory takes part in systemic thinking, looking at the family as an organization and how identities are created in relationships and in communication.

Bakgrund: Asylsökande löper större risk att drabbas av psykisk ohälsa än den generella befolkningen, på grund av traumatiska händelser och förlusten av kultur och stöd. Sjukvårdspersonal behöver kunskap om asylsökandes specifika vårdbehov för sin psykiska hälsa och inneha en kulturell kompetens för att kunna ge en personcentrerad vård. Syfte: Studiens syfte var att undersöka hur distriktssköterskor skattade sin egen förmåga att identifiera, bedöma och hantera psykisk ohälsa hos asylsökande. Metod: En kvantitativ tvärsnittsstudie med enkät som datainsamlingsmetod har utförts. Enkäten besvarades av 53 distriktssköterskor.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

Uppsala County has ambitious environmental aims for the planned residential area inÖstra Sala backe. In this thesis different energy sources have been evaluated todetermine which system that would be most favorable given currently availableinformation about the project. Planned energy usage has been divided into tap waterheating, space heating and power. Three base case scenarios were made with districtheating, small scale bio fuel and heat pump. Solar power and solar heating were thensimulated and the production from the two could individually be deducted from theenergy need in the base cases, constituting 9 different scenarios.

Background: Every year, more than 1000 cases of adverse events are reported in the Swedish health care system. These adverse events cost approximately 240 million Swedish kronor each year. By explaining the factors that cause nurses to make mistakes when they have too great a workload, it is hoped the awareness of health care staff will increase. Aim: To perform a literature review which describes factors that can endanger patient safety when nurses experience too great a workload. Method: A systematic literature review encompassing both quantitative and qualitative material.

Bakgrund: Den medicinska och ekonomiska kostnaden för hjärt- kärlsjukdomar är idagmycket omfattande. Största delen av dessa sjukdomar liksom andra kroniska, ickesmittsamma sjukdomar som cancer, lungsjukdom och diabetes, hör ihop med påverkbara,livsstilsrelaterade riskfaktorer. Genom att göra hälsosamma val när det gäller mat, rökning,alkohol och motion kan livsstilssjukdomar förhindras eller fördröjas. Livsstilsfrågor är enav distriktssköterskans huvuduppgifter och efter vårdvalet är det få distriktssköterskor somverkligen får arbeta med detta. Syfte: Syftet med denna studie är att beskriva hurdistriktssköterskan arbetar med sjukdomsförebyggande metoder inom primärvården.Metod: Studien är baserad på en kvalitativ metod med en induktiv ansats.

Fighting against accidents with elderly involved have come to be one of the west world's greatest challenges together with the climate changes and epidemics, and in order to fight against these accidents SDF Centre, Gothenburg appointed a man to the post as a caretaker.The aim of this master thesis is to analyse whether the implementation process and the systematic work correspond with Vedungs implementation theory and also put forward arguments for and against a masculine entrance into promotion old-age care; if it strengthens or is a take-off from the classical sexual roles.The thesis main theory is Evert Vedungs theory of implementation, which is constituted of eight factors which facilitates an implementation process. In order to theorise the sexual roles I have appropriated a gender perspective, constituted of multiple researchers and authors.The conclusion I have received through the qualitative interviews carried out with actors involved in the implementation process, is that the security services implementation correspond well with Vedungs implementation theory, hence the implementation has proceeded efficiently. The classical sexual roles is on one hand strengthened through a masculine possession of the security service, and on the other hand can the masculine entrance in the old-age care entail that more men apply for promotion old-age care work..

The purpose of this study is tounderstand the approach that the staff who works in the aftercare for juvenileoffenders have to the organizational structure in the organization they workin. SiS is the authority which is taking care of the juvenile offenders if theybeen sentence to closed youth institutional care, when they are done it is thesocial service were the adolescent live which is responsible for the aftercare.This is decided by the law since 1999, if a young person between 15 and 17commit a serious crime, they can be sentenced to closed youth institutionalcare. The interest for this study was the aftercare and what possibleparticipant was involved in the aftercare for this young people. By looking upearlier research in the area and doing six different interviews with bothsocial workers, staff on the SiS-institution and an organization for ex convictthe purpose was examines. To analyze the interviews the theory called newinstitutionalism was used.

The purpose with our study is to increase our knowledge about how personnel in different activities experience the work with childrens who is growing up with addicted parents. What the personal experienced as important facts was structure and flexibility to take care of all children´s special need.Something else they experienced was, during discussions with children it´s important to listen to them and confirm their self-esteem.We have found that there are many well-functioning activities of this kind of children, but there are difficulties to have the parents to take the children to the activities.The personal believe that this is because the parents do not realise their addiction problem enough. The respondents expressed a which to get closer to the school so they can increase cooperation and reach more children in this way, and a lot of these respondents also point out that the community where ever the children are has a obligation to report or notify the social service if there are any children that need care..

Syftet med denna studie är att undersöka vilka likheter och skillnader i undervisningen som finns mellan en grundsärskoleklass och en grundskoleklass. Undersökningens metod är strukturerade observationer genomförda av två observatörer i en grundskoleklass och i en särskoleklass på samma skola. Olika aspekter av undervisningen observerades, av vilka några kan anses utgöra förutsättningar för en inkluderande undervisning. Dessa är: samarbete mellan pedagoger i undervisningen, ledarskapsmodeller, cooperativt lärande (samarbetsinlärning), dynamisk pedagogik samt samarbete mellan pedagoger i problemlösande undervisning. Resultatet visar på likhet mellan de båda skolformerna beträffande användandet av en organismisk modell med ett demokratiskt ledarskap, där grundsärskolans pedagoger endast använder det aningen mer frekvent än grundskolans pedagoger.

More elderly, fewer hands: The way forward Sustaining the care workforce as a political challenge ? A case study of?elderly care in Kalmar Municipality This study examines how Human Capital Theory and New Public?Management are reflected in the governance of eldercare in Kalmar?municipality. Based on document analysis and interviews with politicians?and senior officials, the study shows that investments in staff competence?and well-being coexist with efficiency-oriented management practices.?Rather than being contradictory, these approaches are often combined in?everyday governance. The study concludes that the main challenge is not?funding, but capacity and that sustainable eldercare depends on aligning?national goals with local conditions and strong human capital.

The aim of our study is to gain increased knowledge and understanding of how young people who has been sentenced to closed institutional care experience their own possibility to participate and influence the transition and aftercare, and which, if any, importance they believe this has for their readjustment to society. The study is based on a qualitative method. The data consist of interviews with four young persons, of which three, at the time for our interviews, where in the transitionphase, and one had left the institution a few years ago. The study?s theoretical framework is based on Erving Goffmans theory about stigma and the empowerment theory.