AbstractThe control of quality standard ISO 9001 has made the internal audit to be experienced as police authority and paragraph control. Because of that, motivation for internal auditors is low. To counteract the experience, there is a possibility to integrate internal audit with improvements in company?s processes. Theory has shown that a qualified and competent auditor can provide information that can help the organization's managements to make the right decisions that will improve product quality and result in new customer contracts.An opportunity to observe an internal and external audit at one of the case companies gave rise to this study.

Considering water quality, landuse and reducion of wetland area in the watershed of Tidan, areas witch are in need of constructions to improve the water quality are identified. Constructions are suggested to be located within the smaller streams in the watershed, so that the water is treated before it reaches the stream Tidan..

The Purpose of the study was to highlight the primary care managers' perception of the barriers and opportunities in the implementation of the national guidelines for harmful drinking and alcohol abuse in KalmarCounty. The data was collected by questionnaires which were directed to all primary care managers in the county. The response rate was low, 40%. The data collection was complemented at a later stage with a non-response analysis. To analyze the results implementation theory with following terms were used: wants to, understand and know.

The aim of the study was to describe the oral health development among patients at the Public Dental Care clinic in Bromölla who made an agreement regarding Healthy Dental Care during the years 2001 and 2004, compared with patients who did not made such an agreement. The study material was obtained from dental journals in total at 150 patients. Data regarding age, sex, health status, tobacco use, plaque- and gingivitis values, pocket depht, initial- and manifest caries, risk assessments, preventive measures by dental personel and acute dental care between year 2001 and 2004 was obtained from dental results. Almost twice as many man made an agreement compared to women. Tobacco use was higher in control group both 2001 and 2004.

More people are likely to be diagnosed with cancer and the number of people living with cancer is expected to increase, which means that patients live longer with cancer and different treatments. All patients in Sweden should have access to a nurse navigator to facilitate the cancer trajectory. The purpose of this literature review was to delineate patients' experiences of the care given by the nurse navigator. The result is based upon twelve scientific articles included in this review. The results show that the experiences of the patients can be divided into four different categories: emotional support- being present and offering supportive talks, support for physical symptoms- counseling and relief from symptoms due to illness and treatments, educational support- receiving information and knowledge about the disease and cancer trajectory and coordination support- collaboration with other healthcare professionals involved in patients´care.

Although Lean has received an increased amount of attention in the service context, research still has not established how successfully Lean manages to increase service productivity; since service productivity consists of both efficiency and quality. Research regarding productivity discusses the risk of a tradeoff between efficiency and quality in service production processes. Therefore, this thesis aims to explore if the tradeoff in a production setting with low variability in demand and low customer participation exists, after Lean has been implemented. With a qualitative approach, a case study has been conducted at Scandinavian Airlines Ground Handling to evaluate the effects of Lean in the baggage handling process. The result of the study shows that the tradeoff has not been overcome; efficiency has increased at the expense of quality.

Background: Borderline personality disorder is a psychiatric diagnosis that one to two percent of the population and at least every fourth patient that have received treatment at a psychiatric clinic has been diagnosed with. BPD is most common in women between teenage and early adulthood. Purpose: The aim of this literature study was to emphasize the nursing care of patients diagnosed with BPD within different perspectives. Method: A literature study was conducted to get a deeper understanding for the nursing care of patients with BPD. The search for pertinent articles, answering to the aim of the study, was done in different databases.

Background: Heart failure is a complex condition which means that the hearts capacity topump blood is reduced. The aim of this study was to investigate how patients with heartfailure considered their knowledge and the information they received about their disease andself-care.Method: Patients suffering from heart failure, hospitalized at section 30 E (n=13), andpatients visiting the nurse led heart failure clinic (n=4) at Akademiska sjukhuset in Uppsala,were requested to participate in the study. The patients answered questions about knowledgeand information concerning self-care and their disease. Data were analyzed using SPSS 15.0.Results: The patients valued their knowledge about the disease as lower than their knowledgeabout self-care. The study showed that all the patients found the information they hadreceived about their self-care better than the information they had received about theirdisease.

Service quality occurs in service encounters where both customers and employees come together in an interaction. It is therefore important that the staff give their best because the interaction usually takes place in real time, which is referred to as the moment of truth.The aim of this study was to find out how luxury hotels are working to ensure good service quality, and how the staff are motivated to deliver this service. We wanted to examine this from a management perspective, and an employee perspective. Information was gathered through various interviews, where the staff at the Hotel Kämp in Helsinki and at the Sheraton Hotel Stockholm participated.Survey results show that employee motivation, training and empowerment have a significant impact to provide service in high quality. The results also show that the surveyed hotel, to certain level work in the same way, but it reveals some differences even when both hotels are part of the same concern..

Considering water quality, landuse and reducion of wetland area in the watershed of Tidan, areas witch are in need of constructions to improve the water quality are identified. Constructions are suggested to be located within the smaller streams in the watershed, so that the water is treated before it reaches the stream Tidan..

Multiple factors are involved in control of beef sensory quality so great variation can be induced. The perception of meat quality can be affected anywhere in the product chain. Both the environment and the set of genes of the animals have an effect on the final output. A problem facing the beef industry today is the significant variations in meat quality between individual animals, which is reflected in the uneven quality of the meat that reaches the consumer. If the quality of meat in stores varies significantly over time, the consumers? trust may decrease.

ABSTRACTThe purpose of this thesis has been to increase the knowledge about the life situation for next of kin who are caring for the elderly and mentally disabled. Also, the impact of ?supportive actions? on the quality of life for the next of kin has been assessed. This study tried to answer the following questions:? How do next of kin perceive their every day life.? Do supportive actions lead to a better situation in your every day life.? Do supportive actions raise the quality of life for next of kinTo answer the questions above a qualitative method was used.

Placing children in foster care is today considered the best alternative for children unable to stay in their biological environment. A nuclear family consisting of a father, a mother and a child is the most common family structure within foster care today. The purpose of this thesis is to gain insight on the family norms that control the foster care system. It's a qualitative study based on interviews with six professional social workers within the field of foster care. This method gave us empirical material, that was later analyzed from two main theories and one theoretical concept.

Sleep has a recreating, health promotive and regenerative function. Research shows that intensive care patients suffer from sleep deprivation and bad sleep quality with considerable negative consequences.The aim of the report was to examine how much nocturnal sleep patients without ventilator treatment get and to observe factors that may influence sleep.Methods: An observation chart was used to collect data. The staff?s observation of the patients? night sleep and estimated nocturnal noise- and light levels in the patients? rooms were documented. The patients? answers to questions about pain and possible causes for their awakenings were noted.

Aim. The aim of the study is to highlight Dutch nurses? opinions about assisted death. Background. Since 2002 it has been legally justified for physicians to assist a patients? death in the Netherlands.