AbstractPain among patients in their final stage of life is a commonly occurring problem. Results fromthe Swedish Register of Palliative Care (SRPC) indicate that validated instruments forassessing pain are rarely used. Nurses' insufficient knowledge of pain and pain treatmentmethods may be a cause of maltreatment of patients who suffer from pain.The goal of this study was to determine whether training within the area of pain, painassessment and pain assessment instruments increases the use of validated pain assessmentinstruments utilized by nurses working in care homes for patients in the final stage of life inthe city of Uppsala.Method: A quantitative and quasi-experimental design was selected to perform the study.The intervention study that was used consisted of one training session where onequestionnaire was given before and one after the time of training. Register data were collectedfrom the SRPC given the question of pain assessment before and after the intervention.Results: The study showed that nurses more often used pain assessment instruments after thetraining session. The results also showed that nurses to a greater extent than before alternatedbetween the two validated pain assessment instruments that were introduced at the trainingsession.Conclusion: The results showed that when nurses at care homes are given training in the areaof pain and pain assessment they absorb and use the newly acquired knowledge in theirclinical work..

The overriding purpose of this graduate thesis is to evaluate if municipalities and county councils can deviate from the legislation of public procurement during procurement of customer choice agreements within the health and social care area. The intention of this Quasi-market is to provide the users with competition in terms of quality rather then the general principal rule of economic value.My conclusion results in a legal situation without rules of general procedure. So far the authorities make their own regulation in the field of customer choice agreements. The problem lies within the authorization of new contractors and their right to make an appeal against resolutions made by the authorities social care divisions.One solution is to legislate within the present law of public procurement. Another way to solve the problem is to create a lex specialis apart from the present public procurement regulation..

Syftet med denna systematiska litteraturstudie var att beskriva patienters upplevelse av livskvalitet samt sjuksköterskans omvårdnadsåtgärder i samband med cytostatikabehandling vid cancersjukdom. För att besvara studiens syfte har sökning efter artiklar (n=17) genomförts i databaserna Blackwell Synergy samt Elin@Dalarna. Följande sökord har använts i olika kombinationer; cancer, patients, experience, nurse care, quality of life, scale, instrument, chemotherapy och care. Resultatet visade att cytostatikabehandlingen hade både positiv och negativ inverkan på patienternas livskvalitet. Livskvaliteten ökade då symtom lindrades.

   Introduktion    Övervikt och fetma (BMI > 25 respektive BMI > 30) ökar i omfattning i hela världen och så även i Sverige. Prevalensen av övervikt/fetma i Sverige är ca 44 % och specifikt i Sandvikens kommun så är drygt hälften av den vuxna befolkningen överviktig/fet vilket ökar risken för ohälsa och sjukdom.Det är angeläget att hitta de personer som löper risk att utveckla alternativt redan har övervikt/fetma för att kunna förebygga och behandla. Med tidig upptäckt och rätt behandling så gynnas förstås patienten i första hand, men även sjukvården och samhället i stort då detta i förlängningen minskar kostnaderna. I denna studie undersöktes hur ett vårdprogram som ska användas för upptäckt och behandling av övervikt/fetma tillämpades på tre hälsocentraler i Sandvikens kommun under två månader hösten 2005.MetodUtgångspunkten för vårdprogrammet med tillhörande flödesschema är att man mäter BMI först. Mätning ska ske på alla patienter som söker vård inom Primärvården Gästrikland ? inte bara de patienter som specifikt söker för övervikt eller fetma.

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.

The purpose with our essay was:-          To study how personal assistants understand their occupation role.-          To describe the attitude of personal assistants to the right of self-determination of their care receivers. We have used a qualitative research method called phenomenografic. The empirical material was based on four interviews that served as the data collection methods. The interviewees were four women from two different municipalities of Middle Sweden. The interviewed personal assistants work with adult people who have mental disabilities. As a result we came up with eight categories which showed that personal assistants, despite some difficulties, perceive their careers as crucial for society?s well being. The phenomenon of self-determination was much easier to describe than to put to practice.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

The long-term external financing of a corporation is satisfied through the bond market where issues of index-linked bonds, which are discussed in this thesis, is one alternative. (Finnerty&Emery 2001) An index- linked bond is a debt instrument where the investor is guaranteed the principal and premium amount in real terms. As the bonds cash flows are indexed to the inflation this implies that the issuer of an index-linked bond assumes an inflation risk. Purpose: The purpose of this thesis is to describe and examine corporate motives for choosing index-linked bonds as way of financing their business. Realization: Primary data was collected through interviews with corporate issuers of non-swapped index-linked bonds.

Sammanfattning/AbstractBakgrund:Många patienter väljer i dag att vårdas hemma under sin sista tid i livet istället för som tidigare på sjukhus eller ett boende. Den palliativa hemsjukvården blir därför alltmer utbredd vilket samtidigt innebär att allt större krav ställs på de närstående som då ofta intar en vårdande roll. Syfte:Syftet är att beskriva hur närstående upplever sin vårdande roll i den palliativa hemsjukvården.Metod:En litteraturstudie baserad på tio resultatartiklar som består av både kvalitativa och kvantitativa studier där vi kom fram till tre teman som handlade om den närståendes upplevelser av den vårdande rollen, närståendes vårdande roll och den sjuke och närståendes vårdande  roll och sjuksköterskan. Resultat:Många närstående fann både fördelar och nackdelar med den vårdande rollen och att den innebär en stor omställning. Många närstående kände sig mer eller mindre tvingade att ta över den vårdande rollen.Tillräcklig information och en god kommunikation ansågs av de närstående som en mycket viktig faktor. Diskussion:Att vårda en svårt sjuk anhörig är ofta en belastning. Detta kräver att vårdpersonalen är medvetna om de närståendes svåra situation och upplevelsen av denna. Det är även viktigt att uppmärksamma närståendes behov av information och att ha en bra kommunikation för att vi som sjuksköterskor ska kunna stödja de närstående i deras vårdande roll.Nyckelord:Anhörig vårdare, vårdande roll, palliativ vård, döende patienter, vård i livets slutKeywords:Family caregivers, caring role, palliative care, terminally ill, end of life care .

The study is made in Nacka, a suburb of the capital of Sweden, Stockholm, and focuses on ?the parental school choice" that takes place when children start in first grade at the age of six. New differences in the number of pupils attending various municipal schools have appeared after reforms in the early 1990s giving parents free choice of elementary school for their children. Some schools are located in areas where most children have a middle class background, while others are placed in less attractive surroundings where the parents have a lower educational status, and are more often immigrants. Parents living in the latter kind of surroundings can now send their children to schools further off, but located in more attractive areas. This leads to some schools get an increasing number of pupils and others gets a decreasing.

The aim of this study was to identify and make transitions in Swedish preschool-class-9-years elementary schools visible with a special-needs educational perspective. Transitions in focus were those between preschool-class and primary school, between grade three and four and the last between grade six and seven.In the 1960?th Swedish elementary school were devided into three levels; primary school, intermediate level school and upper level lower secondary school. Those levels were officially removed when the curriculum of 1994 was introduced. However, in some way such levels still exist, for example in organisation and structure of schools, the curriculum and teacher education.How did school leaders design transitions between levels and which tools were used? What kind of information was transferred to help children with special needs and what was the role of the special pedagogue in the transition process?The study was a combination of a quantitative and qualitative method, a questionnaire survey complemented with qualitative interviews with special pedagogues in three schools in a middle-sized Swedish town.The result of the study shows that schools in focus had a work plan.

Thesis purpose: The purpose of this thesis is to determine how a technolo-gically enhanced shopping tool, synergizing eCRM tech-niques with personalized promotion at the point-of-sale, can increase customer loyalty by considering perceptions of current grocery retailer loyalty programs in Sweden. Methodology: An exploratory research was undertaken in the light of a qualitative method collecting primary data through focus group interviews. Theoretical perspective: The major considerations regarding theoretical aspects, for this thesis, can be addressed by Behavioral/Attitudinal loyalty and Relevance of Promotion. Empirical data: The empirical data, in regards to primary data, was ga-thered based on four focus group interviews. Conclusion: The conclusions of the thesis imply, that in order to make a loyalty program successful, it needs to firstly be conven-ient for the customer; easy to join, and provide an easy and time efficient display at the point-of-sale.

The aim of this study is to understand which roles institutional personnel in HVB-homes (homes for care or living), that include animals ascribe the animals for the young clients in treatment. Using the termsrole, role-taking, primary socialisation and secondary socialisation within the perspective of symbolic interactionism, we intend to analyse the expericences from the institutional personnel of what roles the animals are ascribed in treatment of young clients. We also wanted to find out if the institutional personnel have certain expectations on the animals as tools in the treatment and whether the institutional personnel believes that the animals have important roles in the treatment of the young clients.To find the answers of our aim and approach to our problems, we have used a qualitative study where we have interviewed six institutional personnel distributed in three different HVB-homes that uses animals in treatment of young clients. Our empirical material shows that the institutional personnel ascribe the animals a variety of roles, which among others are: friendly and familiar, meaningful, safe, comforting and soothing. Other roles that the institutional personnel ascribe the animals for the young clients are: teaching in order to develop empathy and responsibility; helping in therapy situation and having an activating role.

A group of scientist, called the council of democracy in Sweden made a predictionabout members of political parties, in 2013 members should not exist. In this essaythat statement going to be questioned. It shows that most of the political parties losesmembers in Sweden. The only differences from year 2000 and now is that in 14 yearsthe parties has lost 65000 members, between 1991-1999 it was about 220000members. Something has changed.

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.