Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Perioperativ vårdprocess är ett arbetssätt och forskning inom området visar att den har betydelse för patienters välbefinnande i samband med operation. Anestesisjuksköterskor har en nyckelroll i vårdmöten i samband med operation för att minska patienters vårdlidande. Syftet med studien är att genom en kvalitativ intervjustudie ta reda på hur fyra anestesisjuksköterskor på sjukhus resonerar om den perioperativa vårdprocessen. Data analyserades med kvalitativ innehållsanalys. Resultatet visade att informanterna resonerar om perioperativ vårdprocess utifrån tre kategorier; förutsättning att kunna prioritera användning, organisatoriska faktorer som påverkar möjlighet till användning negativt och yrkesansvar finns vilket har betydelse för korrekt bedömning av omvårdnadsbehov i samband med operation.

Obesity is one of the biggest threats to child- and adolescent health. The amount of obese children is today increasing more in Sweden than in the US. This may in a couple of years have bad consequences for the Swedish children?s quality of life. When a child suffers from obesity it is a big stress on the body and can lead to serious consequences in adulthood.

The environmental work of companies has become an incredibly important factor in achieving reduced levels of environmental pollution. For companies the work on environmental issues began in the 1980s. During this time companies also began to show interest for the personnel, an interest that was shown in the form of attempts to disclose personnel information in economics. Earlier this information was separated from the financial information, despite the fact that the revenues are created by the employees.The purpose of this paper is to examine how well companies with a notification or a permit today account for environmental- and personnel information in their director?s report.

Title: Mountain birds ? a comparative study from valley to mountaintop in a northern and southern Swedish fjeld  Author: Kristian Zackrisson Abstract Main aim in this study was to increase the knowledge about birds in the Swedish mountain area. Three questions were asked: 1) Which bird species can be found during the breeding season along a low mountain slope from a forested valley to a mountaintop with bare mountain environment? 2) Do the number of species and individuals differ in different elevation zones? 3) Is the composition of bird species along a low mountain slope the same in the Kebnekaise mountains inLaplandand the Grövelsjön mountains in Dalarna? Bird census in two study sites located in the Kebnekaise mountains and the Grövelsjön mountains and subsequent analysis of the results from the bird census was the main parts in this study. Totally 20 bird species were found along a low mountain slope in the Kebnekaise mountains.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

Stress är ett vanligt hälsoproblem som ökat under de senaste åren. Många sjuksköterskor upplever stress på sin arbetsplats vilket kan påverka omvårdnaden och patientsäkerheten. Vid stress sker fysiologiska-hormonella reaktioner i kroppens organsystem som utlöser fysiska och mentala påfrestningar.Syftet: var att beskriva sjuksköterskors hantering av stress på vårdavdelning. Metod: har varit en litteraturstudie. Databaser som använts var CINAHL och PubMed.

Manual signs are an augmentative and alternative communication mode which enables and facilitates communication for persons with impairments in speech, language and hearing. There are different ways of teaching signs to persons with intellectual disabilities. One of them is milieu teaching, which is a method where the teaching takes place in natural settings. This method has proven to give good results in generalization and maintenance. Teaching signs to staff in groups has been shown to be effective.

Klinisk blick är en term som frekvent återkommer under sjuksköterskeutbildningen och i klinisk verksamhet. Den återfinns ofta i samband med klinisk bedömning och somen övergripande beskrivning av en patient. Endast antydda betydelser har framkommit och då tätt knutna till andra termer och processer. Syftet med studien var attundersöka komponenterna intuition och tyst kunskap som delar i sjuksköterskans kliniska blick. Studien genomfördes som en litteraturstudie där 17 vetenskapliga artiklar granskades.

Intensivvårdssjuksköterskor uttrycker upplevelser av moralisk stress i det dagliga arbetet och detta kan leda till utbrändhet eller behov av att byta yrke då de inte lyckas bemästra sin situation. Studiens syfte var att kartlägga moralisk stress hos intensivvårdssjuksköterskor med hjälp av Moral Distress Scale(MDS). Studien utfördes med en deskreptiv metod av tvärsnittsdesign där 45 sjusköterskor med intensivvårdsutbildning i västsverige tillfrågades att vid ett tillfälle besvara en enkät med en validerad svensköversatt MDS. Resultatet påvisade att det finns signifikant höga nivåer av moralisk stress hos intensivvårdssjuksköterskor yngre än 45 år(p=0,044) och även i gruppen med kandidat/-magisterexamen(p=0,003). De högsta nivåerna av moralisk stress kunde uppmätas när intensivvårdssjuksköterskorna ställdes inför situationer där de upplevde att ingen var beredd att fatta beslut om att avsluta livsuppehållande behandling.

Roughly 130 000 dwellings have been officially registered since Norway as of summer 2009 passed their bill ?Energimerkeforskriften? on energy performance certificates in buildings. The main objective is to decrease the total amount of national energy consumption by producing a methodology of calculation of the integrated energy performance of buildings as well as proposing cost effective measures to lower each building?s energy consumption. As the measures should not contravene nor be incompatible with the intended quality and character of the building, the ?Energimerkeforskriften? exempts buildings that due to their historical and cultural values are protected cultural heritage legislation. The current system offers a couple of professional certification alternatives, but when two online semi-automatic methods developed specifically for non-professionals are by far the most used, and since the methods of calculation primarily have focused on modern building materials and construction, the rest of the historical building stock stands literally unprotected by incorrect performance certificates and high-risk energy efficient measures. The objective of this thesis is to identify if the current Norwegian energy certificate system poses a threat to older buildings.

Background: In small animal healthcare fluid therapy is an important area. To get an adequate treatment there are several factors that may play important roles in this matter. One of these factors is the correct use of the administration technique. Aim: The aim was to investigate how correct the amount of prescribed fluid was given when different people set up a fluid administration set. Method: An experimental study was performed to compare two different infusion techniques.

Denna uppsats behandlar ämnet palliativ vård ur sjuksköterskors perspektiv. Begreppet palliativ vård innebär att fokus läggs på lindrande åtgärder då det inte längre är möjligt att bota patienten. För att skapa en bra vårdrelation, vilket är grunden i fungerande vård, krävs en bra kommunikation. Att kommunicera med en döende patient kan vara svårt för sjuksköterskor då de inte vet vad de skall säga eller hur de skall agera. Känslor hos både sjuksköterskor och patienter kan utgöra hinder i kommunikationen, vilket riskerar att vårdrelationen påverkas negativt.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

It is a well known fact today that suffering due to skin disorders is one of the most common causes to veterinary calls. For the Doberman breed included in the group of working dogs, the frequency and distribution of the different skinrelated diagnoses that causes visits to the veterinary clinics remains undocumented. The purpose of this study was to evaluate the frequency of skinrelated problems causing veterinary visits of Doberman at four different veterinaryclinics in Sweden retrospectively, and compare these results with dogs in general and three other working dog breeds with the help of information collected from Agria - a Swedish animal insurance company. The total amount of veterinary calls that were registered at the clinics in question during the time of the study was 2460 visits. From these, 658 visits were due to skinrelated disorders, which amount to 27%. The most frequent cause to skinsuffering was injury caused by trauma, 15,7% of the Dobermans that were included in the study were affected, the second most frequent cause was inflammatory and infectious skin problems with 12,3% followed by neoplastic changes in the skin with 7% of the Dobermans affected.