Background. With the mental health care reform 1995, the long-term mentally ill patients were meant to be integrated in the society. Instead, they became ?deported? to mental health care. Aim.

The group of elderly people in Sweden will increase significantly in the future and science point out that the future elderly people will not accept today?s standards and offers of assistance in today?s public elderly care. Therefore public elderly care stands before a significant challenge in terms of development that has to be sustainable. New research also points out that middle managers can be a great strategic resource, and a founder of success, in the challenge of sustainable development. The aim of the report was to increase the knowledge about what middle managers in public elderly care think sustainable development has to embrace, when it comes to quality and personnel administration, in order to meet the needs of the future elderly people.

This study aims to create an understanding of how employees relate to directives that come from a level above them in the hierarchy and is to be implemented in their working activities. This is studied by examining a case where a work group has tried to implement orders, given to them by the government and through a work group in the level above them in the organizations, concerning how employees working with child health care is to educate parents regarding the child convention. The method that have been use in this study is group interviews with 19 child health care nurses and the two main questions that are asked is why has it been difficult to implement the orders and how have the child health care nurses expressed their resistance to the changes, this since only five of the nurses had begun working with the child convention. The theories that have been used focus on how resistance towards change is expressed, organizational incapability and reluctance towards change, as well as how grass root bureaucrats relates to change. The conclusion that can be drawn from this study is that it is important to let the concerned parties participate from the beginning of the process, to minimize their reluctance to the changing process.

The purpose of this study was to look at the experiences of midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifmidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.

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.

 The purpose of this study was to investigate registered nurses experiences about giving support to relatives to patients within palliative home care. This study was descriptive with qualitative approach. The data collection was made in the form of semi structured qualitative interviews which took place in a Swedish city of medium size, in an area for palliative homecare. Six registrated nurses were interviewed which all gave informed consent. The study suffered no losses and permission from the director of the concerned department had been given prior to the start of this study.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Since the release of Avatar in 2009, the 3D movie industry has experienced an apparent growth. Almost all blockbuster movies are being released in 3D at the cinema, but the 3D format has been met with mixed opinions by the consumers. Some argue that 3D is the future, while others believe that the 2D format is enough for an appreciated movie experience. Through a qualitative survey, twenty participants with 3DTV in their homes answered questions regarding their experience of 3D movies and what improvements they desire. We suggest that 3D film creates immersion, realism and effects that 2D films can´t handle.

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.

A foundation of our welfare state is that we have a social safety net. This safety net is designed to pick up individuals who are in need of help and support to manage their way of life. This essay regards people who need help with care or people who need help with an addiction. This essay is a qualitative text analysis, which aims to see whether, and if so how, help-seekers are constructed in 40 social service documents within a municipality in central Sweden. We have endeavored to illustrate the power that the written word possesses and which categories of people are constructed depending on the language and content of the social documents.

X-rays are a potential risk for animal health care personnel. The present study will examine the risks for scattered radiation to the personnel, if no lead gloves are used when holding an animal during the x-ray examination. Furthermore, how the impact of the exposure values and body parts examined, affect the scattered dose to the hands of the holder. Also, the distance between the animal and the hand that holds it was evaluated to see the impact on scattered radiation exposure. Tested by a survey, to animal health care students, the frequency of the usage of lead gloves in Swedish animal hospitals was studied. According to the results from the analysis, animal health care personnel don't need to use lead gloves every time they hold an animal or a cassette during x-ray examinations.

This master project in landscape architecture is named Interactivation Design - places for social imagination and conversation in Lindängelund. There are two main purposes of this thesis the first being to bring forth a study of interactivity implemented in the subject of landscape architecture. The second purpose of this thesis is to present a proposal to design a confluent landscape weaving together the upcoming botanical garden of Lindängelund and the residential area of Almvik, both situated in southern Malmö, Sweden, and also weaves people and their experiences together. This project may be described as investigative and experimentative reaserch by design.The first part of this project, Interactivation, is consisting of a theoretical report which discusses different ways of approaching when, how and why we interact in public space. Literature studies in for example space, placemaking, social life, people, participation and Japanese emptiness concepts has been undertaken to gain knowledge in the aim to create interactive landscape design.The second part, Context and Design Proposal, introduces the project context area of Southern Fosie in Malmö which consists of different kinds of residential areas, people of different nationalities and a large building site for a botanical garden and recreational area.

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

Abstract Background: More and more people receiving palliative care in the home, leading to increased responsibility for the next of kin. Being a caregiver and at the same time next of kin is a complex situation for everyone involved. Next of kin´s everyday life changes drastically when everything revolves around the one who is seriously ill.Aim: To describe next of kin´s experiences of being caregivers to a palliative sick person at home. Method: A literature review in which eleven qualitative scientific articles were analyzed and summarized. Results: The results revealed three themes; experience of support, experience of changes in life and experience of strategies.

Storm water is rain and melted snow that runs off, primarily from impervious surfaces.Future storm water management is facing the challenges of increased precipitation, asclimate changes, and increased areas of impervious surfaces due to the expansion anddensification of the cities. Impervious surfaces reduce the potential for water to infiltratein the ground leading to increased surface runoff and higher peak discharge.The runoff coefficient is closely related to the percentage of impervious surfaces andrepresents the maximum percentage of a catchment that can contribute to runoff. In thisstudy, the objective was to evaluate the weighted runoff coefficient for three differenturban types; apartment buildings, townhouses and residential areas and a comparisonbetween today and the 1970`s was made.The runoff coefficient was determined by manual mapping of the different surface typesin each area based on data in the form of orthophotos and aerial photographs. The surfacetypes that were mapped were asphalt, permeable areas, tiles, sand/gravel and roof.Tiles and sand/gravel were the most difficult surface types to map. In order to see towhat extent these categories influenced the weighted runoff coefficient a sensitivityanalysis was carried out and the runoff coefficient based on surface type was changed indifferent scenarios.The results of the sensitivity analysis showed that the surface types tiles and sand/gravelhad little impact on the weighted runoff coefficient which in mainly due to the fact thatthe percentage of these surfaces types of the total area is small.The result of the study showed that the largest change in the runoff coefficient occurredin residential areas where the increase in the percentage of impervious surfaces causedby new roofs in the form of porches and garages and from paved or tiled driveways.