This thesis aims to examine the possibility of understanding social change by using new institutionalism approaches on a specific case, The case, which describes the implementation of new public management reform in the Swedish health care system, is analysed from two separate new institutionalismperspectives; the tool perspective and the symbol perspective. These approaches differ from one another in the sense that the first relies on a rational choice ontology, while the latter rather refers to a sociological tradition. In the analysis, causal explanations as well as aim related explanations are presented. Formative moments such as economic stagnation, non-socialist governments and ideological isomorfism are presented as important factors behind the reformation. By using the tool perspective, the motives of the idea spreading and reformation of the Swedish health care system, are connected to a strictly rationalbasis such as cost efficiency and quality improvements.

This master thesis is developed based on the desire of the water and sewage department in the municipality of Karlskrona. The department, which vouches for the quality of produced drinking water and sewage cleaning, was in need of help dealing with risk analysis.The water and sewage department is obliged to identify and assess risks according to Swedish legislation. However, no guides for this purpose regarding safety, health, environment and quality were available. The aim of this report was to accomplish a guideline for the performance of risk analysis within water and sewage plants. If the guideline is used, the requirements in the legislation will be obtained.

Quality was earlier only an issue for the company?s quality departments but today is the entire organization involved in quality- and improvements work. With the customers in focus, both external and internal, quality and improvement work should be integrated in the daily activities. The management shall state goals and visions together with a policy. Through participation the correct requirements for a successful work are created.With SPC, statistics process control, there is an opportunity to perceive variations in the process and with the correct tools make it stable.

Having an ileostomy can affect the quality of life. Quality of life is defined by Siri Naess as being active, relating well to others, having self-esteem and having a basic mood of happiness. The nurse?s task is to focus on the stoma care and work in a holistic way. The aim of the study was to describe how adults with permanent ileostomy experience their quality of life.

Background: Older people are a major patient group seeking medical care in Sweden. Several of the elderly are living alone and the main reason for living alone is when the spouse passes away. Loneliness is a factor that can affect quality of life, health and wellbeing. Loneliness is an individual experience, loneliness can be self-chosen but involuntary loneliness can lead to lifelong suffering and feelings of loneliness. Aim: The aim of the study was to highlight the factors affecting loneliness among elderly people within municipal care living in Sweden.

BackgroundSexual health is affected by disease, dysfunction and disability but can also be experienced in spite of illness. To get a deeper knowledge of what the nurse does for the patients the background is written with the support of the holistic care and Katie Eriksson theoretical perspectives health and suffering.AimThe aim of this study is to describe the factors to why nurses do not prioritize patients' sexual health in the nursing care.MethodA literature review based on nine qualitative and quantitative studies focusing on the barriers perceived by the nurses to address sexual health.ResultThe result of this study showed that the barriers were many. Factors related to nurses unwillingness to talk to patients about sexuality and sexual health were difficulties in nurses' psychosocial work environment and lacking competence concerning sexual health. The fact that sexuality is a sensitive subject, factors related to the patient and that it was someone else's responsibility to raise the topic were other factors that made it difficult.ConclusionWe conclude that a stressed workplace where there is a lack of time and stress along with a poor education and uncertainty leads to no grasp of the subject and the problem slides between health professionals. Patients' sexual health remains untreated.

My essay deals with a problem in our society which, in my opinion, has been neglected. Even today in 2011, the quality of schools and preschools is extremely varied. This has been a problem for a long time and not nearly enough attention has been paid to it.In my essay I have tried to understand what it is that causes these differences in quality between preschools. With help from literature and research studies I have examined what quality in preschool really means.My starting point is an account of my own experience at the preschool where I currently work and a description of a study visit I made to another preschool which operates in a very different way to the one where I work. I wanted to investigate what the consequences are for children who grow up attending preschools of different quality.

Background: Patients with leg ulcer suffers often of woundpain. Healthcare professionals will strive after having knowledge and understanding for how woundpain influences the patient's quality of life. Aim: The aim is to elucidate the patient's experiences of pain at venous leg ulcer and the effects on their daily life. Method: The procedure has been a systematic literature overview with a systematic search in different databases. The search resulted in nine scientific articles.

The purpose of this thesis has been to signify what creates quality for the dwellers. Bycreating a definition of the term we have showed how well the qualitycriteria?s has been fulfilled in the newly built one family house area Pumpkällehagen in Viskafors.The questions the thesis gives answers to is: What is quality for the dwellers inhousebuilding of today? and How well have these quality aspects been carried out in tracthousing areas? These questions have taken us to our main goal: To describe what qualityfor the dwellers is and how well it has been carried out in a certain area.The literature review is describing what was published before the making of this thesis.From four different publications within the concept of quality an analysis template hasbeen enacted. This template has been used for our case study, but is also supposed towork in future analysis of tract housing areas.Interviews was carried out with the areas architects; Ola Nylander and Mattias Karlsson,as well as the client; Mikael Bengtsson. From these we have gathered their point of viewon the background of the area, as well as their view on the term quality for the dwellers.Our work has brought us to enact nine different quality aspects, which we considercreates quality for the dwellers:? The Non-measurable properties? The rooms relative connections? Sufficient and user-friendly property complements? The property complements connection to the apartment? Location of the apartment and connections to the environment? Opportunities of outdoor activities? Orientation and transportation within the area? The social unity? The cost of the apartment and its form of tenureFrom the case study, using the analysis template, we can state that Pumpkällehagen is avery successfully built area where most of our assessment criteria?s and quality aspectshave been fulfilled.

Abstract Background: The World Health Organization has expressed a great concern about the increasing prevalence of childhood obesity. Region Västra Götaland (VGR) has developed a web based program to support school nurses in their work to promote health among children with obesity. Previous research on childhood obesity emphasizes the importance of support from nurses and how their work is organized. Aim: The aim of the study is, firstly, to explore school nurses experiences with health promotion work among obese children. Secondly, to investigate whether school nurses use the salutogenic theory of health.

Each year, 800 people wait for an organ transplant in Sweden. The development of drugs for organ rejection has evolved over the past 60 years, which has increased the survival of patients who have undergone organ transplantation. The most common organ transplanted is the kidney, liver, lung and heart. There are more studies done on quality of life after an organ transplant, but very few studies on quality of life before organ transplantation.The aim of the study was to describe the experiences of quality of life among patients waiting for an organ transplant.A literature overview of eight articles was analyzed in both similarities and differences. The articles were published between 2002 and 2012.The result is presented in four themes, hope of life, living in uncertainty, the body fails and need for support.

Abstract Background: The World Health Organization has expressed a great concern about the increasing prevalence of childhood obesity. Region Västra Götaland (VGR) has developed a web based program to support school nurses in their work to promote health among children with obesity. Previous research on childhood obesity emphasizes the importance of support from nurses and how their work is organized. Aim: The aim of the study is, firstly, to explore school nurses experiences with health promotion work among obese children. Secondly, to investigate whether school nurses use the salutogenic theory of health.

Diet is mentioned by many seamen as a subject of joy and aims to give nutritional value and sufficient energy to manage a long working day at sea. The purpose with this investigation is to examine if there is a need among seamen to receive more information about diet regulations onboard and if they wish that it was shaped differently to meet their demands. The study is based on a literature part where diet regulations are examined and an interview part with semi structured qualitative interviews with five seamen. The conclusion of the study indicates that seamen have limited knowledge about the enunciation of the regulation, where it is to be found and consider it to be imprecise. Interviews showed that seamen believe that variety is the most important factor in diet intake and it was this expression that they primarily wanted stated in the regulations.

The goal with this study have been to investigate how teachers in physical education perceive health as a concept, and how they choose to work with in the classes they teach. Health as a concept can be somewhat diffuse and as the Swedish curriculum doesn?t define the concept the teacher are given a freedom in interpreting what health is and how it will be taught to the students. This makes it interesting to study if teachers perceive health differently and if that affect what they are teaching their students.I used interviews as a method to answer my questions and the results show that there wasn?t much difference between the teachers in how they perceive health and how, and what, they teach their students.

Increasing immigration to Sweden has transformed a culturally homogeneous society into a more heterogeneous one. As a consequence intercultural communication and interaction have been increasing. Child health care agencies have encountered these increases. The aim of this study was to examine what the health care professionals experienced and communicated in these intercultural environments. Eight interviews with child health care nurses were carried through at four child health care centers in the south of Sweden.