The purpose with this study was to examine which opinions and knowledge the directors have about the physical residential environment's importance on accommodations for people with dementia disease and how they do to create and to maintain a good physical residential environment. The issues have been: Which opinions and knowledge the directors had about the physical residential environment's importance for the people with dementia? How did the managers work in order to create and maintain a good physical residential environment? We had four themes, homelike environment on the accommodations, priorities on the accommodation, care/nursing in the physical residential environment and the manager?s possibility to influence the physical residential environment. The study followed a qualitative method. Five managers were interviewed on four accommodations and the managers were said to work actively with the physical residential environment.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Quality Assurance in Service Procurement --- Total Quality and Total Quality Management refer to popular management philosophies in organizations these days. The purchasing department has an important part in the strive for organizational quality as several studies show corporate spend is significant and increasing. In this master thesis I study the actions companies take to ensure quality in service procurement. I argue that managing quality when sourcing services is particularly tricky, because of the special characteristics that belong to services. The purpose of the study is to examine whether different actions are taken to ensure the quality of different kinds of services.

Feline asthma is a condition very similar to the respiratory disease affecting humans. It is causing, among other things, a constriction of the bronchial airways, an increase of mucus production and damage to, or erosion of, the epithelial membrane. The symptoms occur intermittently and do, in most cases, evolve during a long period of time. The aim of this essay was to investigate whether there are any nursing routines for feline patients with asthma in animal clinics and animal hospitals in Sweden, and if so, to compare similarities and differences. A literary study of research material also led to a suggestion of how to form a nursing routine for this type of patient.

Systematic quality work in preschool ? How preschool teachers thinking and working with systematic quality work The purpose of this study was to investigate how Swedish preschool teachers thinking and working with systematic quality work. All Swedish preschools are required to work systematically with quality. This involves several steps that follow each other in a specific order. It includes following up, documenting and evaluating preschool activities.

The purpose of this study is to describe and analyze how auditors are affected by quality controls and if audit practice changes because of quality controls. To fulfill the purpose of this study there has been interviews made with five auditors. The conclusion by this study is that the interviewed auditors work practices are affected by quality controls and that the extent and effect depends on the auditor and the office that the auditor works in. The auditors who worked as quality reviewers at the agencies where they are employed at, we felt that they were more secured in the response towards quality controls. This may be because they are quality reviewers themselves and they know what the quality control requires and what must be met to be approved.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Pet rabbits are increasing in popularity and the owners want the same treatment for them as they would want for a dog or a cat. However, the knowledge among clinical staff about these small animals is not always up to date. The aim of this paper is to highlight the needs of the pet rabbit and how these can be met regarding veterinary nursing. Pet rabbits are different from dogs and cats in several ways and their needs as patients differ as well. Rabbits are herbivorous prey animals. To avoid predators, they are very reluctant to show any sign of weakness for as long as they can.

No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change.

Background: For most children, being hospitalized is a whole new experience. The care should be safe and meet the children?s needs. In hospital care, children are a large group of patients. It?s important for them to be involved in decisions regarding their care and to get proper information.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Syftet med denna studie var att beskriva hur vårdare inom äldrevården upplever sin arbetssituation. Metoden som använts var en beskrivande litteraturstudie. Data samlades in via databaserna Medline via Pubmed och Cinahl. Sökorden nursing homes, elderly care och geriatric care kombinerades med experience och personnel för att ett så stort område som möjligt av äldrevården skulle ingå i sökningen. Sökordet Scandinavia valdes för att författarna ville fokusera studien på skandinavisk äldrevård.

The aim of this study was to investigate the leaving care services provided to youth leaving residential care in Sweden. Through the use of qualitative research interviews residential care workers perception of what practical and emotional needs youth leaving care have, and whether current aftercare services meet these needs, were examined. The study further sought to compare the swedish and english leaving care services. The main findings of the study were that the residential care workers interviewed expressed that they had a good working relationship with the local social services and that they through the residential care services were able to provide some degree of aftercare. They further identified loneliness as the most prominent emotional need of youth had after leaving care.

Background: Children frequently exhibit high levels of distress while undergoing routine blood sampling or injections. If the child is not treated with appropriate care, the feelings of distress may increase over time and result in needle-phobia. Objective: The purpose of this study was to describe nurses´ possibilities to relieve distress in children undergoing needle sticks. Method: A systematic literature review was conducted through database search and screening of reference lists. Ten research articles with a quantitative approach were included, coded for quality and then analyzed.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..