The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

The study aims to examine the communication between older immigrants and nurses at several nursing homes.Emphasis has been placed on clarifying both parties? experience of communication regarding the older immigrant?s idiomatic difficulties. The following questions were used in the creation of the study: How does the older immigrant communicate with the personnel at a nursing home? How does the older immigrant enjoy their residence at the nursing home? How do language difficulties influence the older immigrant?s possibility to express their self?In the study eight qualitative interviews were made with four older immigrants who lives in nursing homes and four nurses working in a nursing home. The survey shows that the overall problem in the communication is the older immigrant?s lack of language.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Självmord, eller suicid som det också kallas, är i vårt samhälle ett tabubelagt ämne där en känsla av utanförskap har belysts hos den suicidnära patienten som ibland upplever sin vård som otillräcklig. Syftet med följande studie är därför att belysa sjuksköterskans upplevelse av att vårda den suicidnära patienten och för att genomföra detta har en litteraturstudie genomförts på fyra kvalitativa- samt fem kvantitativa artiklar där resultatet visar att sjuksköterskans syn på patienten, på sig själv samt på sin kompetens i stor utsträckning påverkar patientens upplevelse av vårdandet. Vidare beskrivet är att sjuksköterskan tycks vara benägen att sätta etiketter på patienten där vissa grupper upplevs som svårare att vårda. Sjuksköterskan uppfattar vårdandet som tungt, då den vård som förmedlas inte upplevs ge önskad effekt. Eftersom relationen mellan sjuksköterskan och patienten är av stor vikt för att främja en framtida patienthälsa anses det att en bredare utbildning bör erhållas den grundutbildade sjuksköterskan för att underlätta förmågan att sätta sin förförståelse åt sidan och därmed öka förutsättningen för den psykiskt sjuka patienten.

This thesis is a cultural theoretical case study of the art project (O)önskad samhällsförbättring.Via an analysis of the project, that is based on theories of power, resistance and contemporaryurban development, it examines the construction of urban space, its impact on public art including the ability of art to initiate evolvement of the urban public space.The last decades art has plaid an important role in what is called the creative city; to become attractive nodal points of the global economy, larger cities increasingly invest in art,culture and creative industry. Simultaneously the urban public space is limited to activitiesand expressions of art that are presumed to create economic growth. This introduces animpression of what is allowed and what is not allowed, possible and not possible, wished andnot wished which, as a consequence, evolves the public space. The events during the artproject and the reactions that followed enlightened these limitations. This tells a story, not only about the structuring process of the local urban space, but also important changes that are created as a simultaneous effect at different levels in society, as well locally as globally.

The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.

This Master Thesis aims to study and discuss the occurence of three concepts in some influential cultural policy documents which includes the UNESCO public library manifesto, the Swedish libraries act, the Swedish cultural policy objectives, and a study from the mid nineties which deals with the cultural policy. The questions asked are: -Do the documents mention democracy? In what way? -Do the documents mention the public sphere? In what way? -Do the documents mention information? In what way? -How can we understand the content of the documents through relevant theories about democracy, the public sphere and information? Theories about the information society are used, as well as theories from Jürgen Habermas, Herbert Schiller and Robert Dahl. The way of method is document studies and abduktion, with influences from hermeneutic theory. The analysis deals with the documents through these concepts: democracy, the public sphere and information and puts forward the content, or lack of content, about democracy in the analysed material.

The mental health has during the recent years decreased among Swedish adolescents while theinternet has become a common tool for communication between people. Aim: The overall aim is toidentify the relationship between internet use among adolescents and their mental health. Method:A literature based study within a defined research field. Result: The scientific hypotheses whichexist is based on whether social capital increase or decrease due to internet use. The healthoutcome is positively affected by internet communication, especially for boys and socially anxiousadolescents.

The aim of this Master's thesis is to explore the function of public libraries as arenas for young people's artistic creations. It examines how the public library makes activities based on independent creativity visible, and what activities of this sort imply to the public library. The thesis also relates this to the public library's task in society. The main object of examination is Demoteket, an on-going project in the south-eastern parts of Sweden. In this project Länsbibliotek Sydost co-operates with Reaktor Sydost, a centre of resource in the fields of young communication and filmmaking.

The purpose of this paper is to investigate how social workers, working in a management position in the health care system, perceive the encounter of the medical and social perspective. With seven qualitative interviews, the study tries to conclude whether or not social workers are accepted at managerial positions within the health care sector. The social worker is, as a manager in health care, a leader but at the same time in a professional alienation from the medical caregivers. Organizations in the health care sector are often multi professional and have their own long standing tradition, history and culture. The results show that the conditions for social workers, working in a management position in health care appear to be agreeable.

The study was conducted in Jönköping County Chamber of fibrillation and is about change and improvement of process modeling technology. The process for treating patients with fibrillation is in the need to evolve and improve. In order to develop the care they needed a current state description which usually is made with the traditional process modeling tool.Many scientists and health professionals is in the opinion that this technology gives a too rigid image to describe the care processes. It also does not sufficiently take into account the human aspects. This reasoning suggests that the process modeling technology in healthcare is in the need to develop multiple perspectives.

It`s important that every person take responsebly for her own lifestyle to promote health.Today the individuel often knows the consequense of a certain lifestyle, but she doesn`t know how to change the negative behavior. Health profile assesment (HPA) is a method where you through conversation transfer knowledge and awarness about the member. The healthprofiler also motivate to a healthier lifestyle. Our purpose with this studie was to examine how individuels effects of a health profile assesment also illuminate which part of the health profile assesment the individuels have noticed and which way of living they change. To answer our purpose we used a quantitative transverse study in the way ofquestionnairexamination as we shared to a selection (n=193) on different companies inOstergotland and Scania.

Lampinen, S. (2013). School?s importance of physical activity for students with disabilities: From a teacher?s perspective. Thesis in Public Health.

Background: Children are different and they live under different conditions, but one they have in common - the desire to play. Children's play is important for their health and wellbeing. The aim: was to highlight the knowledge and issues that preschool children's parents have about young children's health and wellbeing, with a focus on physical activity and play, to promote health. A further aim was to highlight the obstacles and opportunities that parents experience regarding physical activity for young children. Material and Methods: The main study two focus group interviews were used with eight parents of children of preschool age.

The city contains a great multitude of people of different ages and different lifestyles and the urban environment should be planned and designed for everyone to take part in the social life of the city. The main reason among people for heading towards the city centre is to make purchases or to run errands, but also the social aspects are very important. A socially active city is worth striving for as an empty city can lead to unsecurity, fear and hostility between people. This paper discusses mainly the possibilities to encourage people to do physical activities on public places in the city. In Sweden the lifestyle of people in general has changed to the worse in aspects of health over the last decades which has led to the fact that many people in Sweden today suffer from obesity.