Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

Sweden has formulated ambitious energy goals which signify that by year 2050 the energy usage should be halved. One of the objectives is the reduction of energy usage by 20% by year 2020 and that it should be compared to the usage of energy from 1995. In parallel with increased energy requirements for buildings the demand on housing conservation, by highlighting also buildings from the last 50 years as part of the building heritage, continues to enhance, which in theory means that there is a conflict between these.The law will never be able to point out unique buildings and PBL (planning and building act) is not especially concrete. The National Housing Board has tried to make this more concrete by the new BBR regulations though there are still an enormous variety of interpretations.This report deals with the conflict between conservation requirements and additional insulation of the building envelope and is limited to multi-residential buildings built between the years 1945 and 1975. It is the stock with the greatest energy consumption and that is where the big challenge lies.

Background and aim: The number of refugees and unaccompanied children are increasing in Sweden and these people belong to one of the groups that are at higher risk for developing suicidal behavior. At the same time the lack of research on the subject is mentioned several times by different sources. The aim of this study is therefore to investigate suicidal behavior among young refugees between the ages 13 to 18 years in Sweden, from personnel experiences in social services.Method: We have chosen a qualitative approach with seven narrative interviews that each lasted for about one hour and were recorded. The interview guide was semi structured. The respondents in this study consist of one student counselor, workers from two child psychiatry departments and four different Residential care homes for unaccompanied children and young persons.Results and conclusions: The respondents had the understanding that young refugees have been through a lot, lost their families and experienced difficult traumas and a tough refuge.

This thesis investigates management accounting systems in a Swedish health care environment. Through a qualitative case study of an activity-based cost accounting system that was introduced in 1994 at S:t Görans Sjukhus, a large Stockholm hospital, the following questions are addressed: What benefits can an activity-based cost accounting system offer the Swedish health care providers? What are the potential problems impeding the implementation of such a system? Main findings: an activity-based cost accounting system can improve the understanding of where costs are generated in the production processes. Comparisons between alternative production processes are improved, and the data may serve as a basis for internal pricing measures. Concerning the second question, difficulty in reconciliating the principles of economic control with the culture present in a hospital is identified as the main obstacle to a new management accounting system..

This paper constitutes graduate work at the Depart-ment of Urban and Rural Development at the Swedish University of Agricultural Sciences. In this paper the urban structure of the million program suburb Husby in Stockholm is examined and what effect this structure has on social life in the area. The main objective of the study has been to, with the help of morphological analyses, examine how to create meeting places and make the Husby Park more accessiblefor the inhabitants in Husby. There has been a selection of analyses to ensure that Husby?s spatial relationship with surrounding suburbs as well as local spaces in the Husby Park is described.

When the population is getting older, the need for complex care and nursing interventions in elderly care increases. To create a holistic view of the elder and their life situation, interprofessional team collaboration is often desirable and necessary. Teamwork is often described in positive terms, but previous research has shown that this work method is complicated and requires constant reflection and development. The purpose of this study was to investigate how elderly care teamwork is formed in the interaction between representatives of different professionals. To accomplish this purpose, we have studied how the team members define a well-functioning teamwork and difficulties, and how consensus is achieved in the team.

The aim of this study was to map out the quality of the treatment in the forensic outpatient care unity in Malmoe from a patient point of view. This target group, seriously mentally disordered law-offenders, has been neglected in the scientific research. This investigation will hopefully contribute to a positive change in this subject. To achieve a good understanding of this field a methodological triangulation was conducted which included an observational study, a pilotstudy and semistructured interviews. 14 patients and 10 staff members were interviewed.

Mulitresistent staphylococcus aureus (MRSA) is a bacteria that is resistent against penicillin, this makes it difficulte to treat. MRSA causes woundinfections and other seriouse conditions. If MRSA establishes in an hospital environment it often spreads fast. Common ways of spreading MRSA is through direct or indirect contact. The nurse should work according to guidelines, apply hygienic routines and prevent the spread of infections.

Vår studie undersöker tolkens betydelse i kommunikationen mellan handledare på HVB och ensamkommande flyktingbarn. Vi fokuserade främst på möjligheter och brister som finns i tolkning idag, men även för att kunna förbättra handledarnas arbetssätt med barnen.  Vi har genomfört en kvalitativ studie där vi har intervjuat fyra tolkar och fyra handledare på HVB. För att analysera vårt resultat har vi använt oss av tre kommunikationsmodeller och Habermas teori om det kommunikativa handlandet. Modellerna har använts för att förklara specifika tolkningssituationer mellan barnen och handledare, och Habermas teori har vi använt för att förklara tolkningen utifrån samhället. I studien framkommer det att tolkningen ger goda möjligheter för att skapa en kommunikation mellan två individer.

Rapportens syfte är att arbeta fram förslag till en hållbar förnyelse av bostadsområdet Gulsparven i Trollhättan, på uppdrag av AB Eidar Trollhättans bostadsbolag. I dagsläget har området energirelaterade problem och är i behov av upprustning. För att komma fram till goda lösningar har litteratur- ochinformationsstudier, intervjuer med erfarna personer samt inventeringar av området gjorts. Förslagen åskådliggörs i form av ritningar samt 3D-vyer.Fyra förslag till förnyelse har tagits fram med olika grad av åtgärder, där två av dem kräver en omprövad detaljplan. Generella åtgärder, vilket gäller i samtliga förslag, är betydelsefulla lösningar för att växa mot rollen som ett hållbart bostadsområde.

Background:An increasing number of patients with an oncology diagnose will be seen in the future. The oncology care is complex and in great need of nurses with a high level of competence. There is a lack of previous research in the specialist oncology nurses competence and therefore knowledge of their skills can reveal an understanding of their competence.Aim:The aim of the study was to describe the competence of the specialist oncology nurse.Method:Four oncology nurses and two directors of oncology care were interviewed. The interview text was analyzed using qualitative content analysis.Results:The result showed that the oncology nurses had developed six different competences within different areas. These competence areas were assertiveness, patient-centered care, ethical and moral-, pedagogical-, to lead and develop- and theoretical competence.

Background: Nurses´daily has to face death and dying in their work with patients in a palliative state.  This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.

Background: In studies about Romani people?s health, it becomes clear that the Romani inseveral countries have a poor health and avoid seeking health care.Objective: The purpose of this study was to explore Romani men's experiences of treatmentin the Swedish health care.Method: A qualitative interview study was conducted with respondents about theirexperiences in individual interviews. Seven male Romanis were elected with a purposefulsample. A content analysis by systematic text condensation on the data obtained was made asdescribed by Granheim & Lundman (2004).Results: The summed up impressions of the responses was perceived to be good, however,many men believe that the information is inadequate. Staff at the emergency department inUppsala should listen more to patients.