The aim of this study was to examine care managers and how they understand and use their discretion. We used a qualitative method and the data was gathered by semi-structured interviews. We interviewed eight care managers in four different municipalities in southern Sweden. The theoretical approach we used was Michael Lipsky?s theory about street-level bureaucracy.

Background: Nosocomial infections pose a big threat to patient safety and increased costs for society. An effective way of preventing cross-infections is to apply hygiene routines. Studies show that compliance to hygiene routines is low while there's a lack of knowledge about the best way of improving it. Aim: To investigate whether a conversation based on the Theory of Planned Behaviour (TPB) could influence a nurse's compliance to hygiene routines and whether it could benefit the understanding of a nurse's compliance. Method: A quantitative and qualitative method was used in the study and included one nurse.

Introduction Every tenth patient in Sweden is affected by nosocomial infections. Among these, urinary tract infection (UTI) is the most frequently occurring within the hospital environment. Nosocomial infections lead to increasing costs for care, more suffering among the patients, increasing use of antibiotics, and longer treatment spells. The Academic hospital have engaged all wards in the so called VRISS-project (?nosocomial infections must be stopped?) in order to reduce the number of nosocomial infections.Aim In connection to the VRISS-project new routines for removal of uretrahl catheters are introduced at ward 70E2 at the Academic hospital.

The aim of this thesis was twofold, on the one hand to compile a set of usability and accessibility guidelines in order to establish the characteristics of a user friendly website, and on the other to test these guidelines on eight library webcourses with user education to see how well they adhered to the guidelines. The methods used were literature survey and source studies. The guidelines found in the literature survey were divided into four different categories: document properties, structure and navigability, visual characteristics and accessibility. In order to establish the adequacy of the guidelines, I examined reference sources, mostly on the web. To a certain extent this examination has been based on HCI Human-Computer interaction theories.

AbstractI believe that everyone have the right to understand and be understood. It doesn´t matter if you are an immigrant, suffer from dyslexia or just don´t like to read.In this study I test the difference between a normal written and an easy-to-read routine. I want to know if there is a way to improve a routine in such a way that even people without pre-understanding can comprehend the content.Routines are an important part in many organisations. Staffroutines in nursinghomes don´t exist just to ensure that caretakers are being taken care of in the right way according to the rules and wishes of the organisation. They also exist to make the work with people who suffer from dementia easier for the staff.Routines are in other words very important.

The aim of this paper is to see if Sweden has implemented the recommendations and taken notice of the guidelines for employment that the Commission and Council set up every year and from this see the role of the Commission and Council for the national employment politics. The years that I focused on in the paper are year 2000- 2004. The method that is used is a case study research that is exploratory and explanatory. The theoretical starting points are theories about delegation, cooperation and a variation of control and autonomy. This is recognized in the Principal- Agent theory and the Principal- Supervisor-Agent model.

The thesis had its starting point in the first paragraph of the eleventh chapter in the Swedish social services act, which discusses the immediate risk assessments that has to be made when the social services receive a report about a child. The thesis highlights an area that has received a lot of attention in media since the spring of 2014, when an eight year old girl was fatally abused by her legal guardians. The social services had at the time received a report about the girl but it was left unread. This tragic case has brought attention to the routines used by the social services for dealing with reports and risk assessments. This thesis was conducted through individual interviews with social workers working with children and families in the social services, with the aim to acquire an enhanced understanding of how social workers perform immediate risk assessments and what these assessments are based on.

ABSTRACTIn an intermediate section at a large university hospital are patients with subarachnoid hemorrhage (SAH) cared for. There are international, national and local guidelines how nutrition therapy should be implemented and how much energy each patient should be given when hospitalized. The purpose of this study was to examine the documentation and actions on nutrition in patients with SAH and to see if guidelines on nutrition were followed. The study was a quantitative, retrospective record review that was analyzed statistically and descriptive. 26 patients were included.

This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space. The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space.The study has a qualitative approach and is based on semistructured interviews with five different care managers.To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea empowerment. Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make. Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers.The result in our research points out that the guidelines makes insecurity instead of comfort.Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure.It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments. Our result don´t distinguish from other studies made in this subject area. .

MPC is the company Exova Metech?s operating system that contains all the information needed for the company's objectives and guidelines to permeate the company. How changes in the MPC should be communicated with the company's employees can be seen as problematic. Routines that have been changed in practice, the process owners do not always update in the MPC, it leads to that the employees can not ensure that duties are performed properly. It is therefore important that management takes its responsibility by providing updated information.

Most major companies today have a visual identity. It answers questions like: which font do I use? and when can I use the logo or not? Westinghouse Nuclear Fuel in Västerås have a visual identity but no guidelines for the employees to follow. Further-more, rollups and rollup handouts produced by Westinghouse are not mentioned in the visual identity. ?erefore the external information from Westinghouse is someti-mes, both by employees and customers, perceived as not uniform.

Background: Society of today is characterised by greater dynamics and a constant demand for innovation and fresh ideas. This development is often named "the new economy" or "the knowledge society". Independent of how one chooses to name this society, most individuals seem to agree upon the fact that knowledge grows more and more important. New competencies, such as new knowledge and new forms of organising, will be demanded for corporations to be successful in the future. In recent years it has become more common with corporations based on projects.

Most major companies today have a visual identity. It answers questions like: which font do I use? and when can I use the logo or not? Westinghouse Nuclear Fuel in Västerås have a visual identity but no guidelines for the employees to follow. Further-more, rollups and rollup handouts produced by Westinghouse are not mentioned in the visual identity. ?erefore the external information from Westinghouse is someti-mes, both by employees and customers, perceived as not uniform.

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.

Projects of all kinds generate documentation that needs to be organized and stored for future use. Well adapted tools, together with a unified modus operandi need to be available for both the project members and those having a more organizing role if an organization is to be effective.A study of the tools available to project members at Svenska Kraftnät have been performed along with an analysis of the guidelines for the tools' usage. The study has focused on the needs of the project members, not the organization as a whole, thus providing a bottom-up approach to the problem instead of the more organizational top-down approach. Interviews of around 20 project members, whose roles include project leaders, technical experts and documentation supervisors, have been conducted to get an idea of the practical problems that exists.All systems, except for a local network storage device, were found to at least meet Svenska Kraftnät's current demands. The usage guidelines, however, covers only the general process that a project should follow and lacks detailed information on a per system level in several areas.