Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

The purpose of this study was to describe the school situation of adolescents who were subject to multisystemic therapy in Sweden, and also if a change could be measured after treatment. Factors that preceded the need for treament were also investigated. The sample consisted of 83 adolescents, boys (65 %) and girls (35 %), with an average age of 14 years. The method used was a secondary data analysis using pre-treatment- and post-treatment data collected from a 7-month follow-up conducted by Lunds Universitet. Results showed that the adolescents were low in school performance and high in truancy at pre-treatment.

Demenssjukdomen tillhör en av våra stora folksjukdomar och är ett samlingsnamn på sjukdomar som i första hand angriper centrala nervsystemet. Symtom som minnesförlust, agnosi, apraxi och dysfasi är övergripande för demenssjukdomar. Vårdrelationen mellan vårdare och personer med demens är därför komplicerad. Denna studie syftade till att belysa vad som kännetecknar en god vårdrelation mellan vårdare och personer med demenssjukdom på vårdboende. Metoden som använts var en litteraturstudie där kvalitativa studier sammanställts.

This study is about what teachers in primary schools say that they are doing to create a school for all.The purpose of this study is to find out what teachers in primary schools say that they do on their mission to create a school for everyone and how they organize teaching to achieve this. The study was conducted as an interview of five teachers from elementary school of different gender and with a qualitative method because it provides a great opportunity to problematize, interpret and understand the responses of the interviewees.The results show that all the teachers think that their mission is to teach so that they can give each student what they need to achieve the goals. This may not be every day but over time, they hope that all students feel that they get so much of the teacher's time that they need..

Swedish school system is today victim of facing competition. Today sees the school leadership the students like customers whom they depend to operate their school. But I have asked myself, what will be the new students see and how much this spectacle in both money and time that project will cost for the municipality and school teachers. The question is if whether the school will be better when the competition becomes school or just better marketed? I'm interested in how clearly ideologies emerge in schools brochures if we study them at critically and analytically way.

The purpose of this study is to investigate? how a professional librarian can support the work with pupils, age six to twelve years, in their reading and linguistic development? how the conditions at the school have to be for this to become possible? what kind of attitudes the teachers have, and how they relate to the impact of a librarian for the pupils reading and linguistic development.The methods used are analyses of steering documents concerning school libraries and analyses of the means of the local school culture. The latter has been carried out by literature studies and through interviews of eight teachers and two school librarians. The result of the interviews showed a limited insight into how a professional librarian can support and assist teachers and pupils in the work with reading and linguistic development. They also showed the influence of existing traditions and local school culture for the use of a librarian?s services, and also how all the teachers, once they have become used to the services a librarian can provide, now find their support invaluable.

The aim of this study is to understand first line managers experiences of the impact leadership have on the health of employees. The study focuses on leadership behaviours and actions, experienced by first line managers working in elderly care, with either positive or negative outcomes on the employees health. To answer the purpose of the study a qualitative method was used and the data was collected through seven individual interviews. The analyse was conducted using theories of transformational, transactional and laissez-faire leadership. To enable a broader dimension to the study the concept of health-promotion leadership was also used in the analysis.

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

The aim of this essay is to examine how two different schools in Södertälje municipality are working to include and integrate newly arrived high school students in the subject Swedish as a second language. I will do a comparative study in which I study the teachers? completely opposite way of working to integrate newly arrived school students in the subject Swedish as a second language. I have used a qualitative method where I have conducted interviews. My main theory is Peder Haug's (1998) theory.

Bakgrund: Personer med diabetes mellitus typ-2 är ofta väl medvetna om komplikationer som föreligger. De lever med rädsla och ångest inför framtiden. Sjuksköterskans roll att stötta och hjälpa personer med diabetes mellitus typ-2 är viktig så vårdtagaren klarar sin egenvård. För att handleda och uppmuntra till egenvård hos vårdtagaren måste sjuksköterskan utgå ifrån evidens vid omvårdnad av diabetes mellitus typ-2. Syfte: Syftet var att beskriva effekten av fysisk aktivitet hos personer med diabetes mellitus typ-2.

My purpose with this work is to find out how it relates with pre-schoolteatchers view about a quality in comparasion to control document, Lpfö-98, and with factors pre-schoolteatchers consider effects quality in pre-school describe pre-schoolteatchers view on that high quality is in pre- school.The investigation has been done by quality interviews with five pre- schoolteatchers working in pre- school. The results show that they do not make a difference between what are high quality and the factors that affect the possibility of creating high quality. Most important is qualified and engaged educationalist in the pre- school who who shows a good attitude towards the children, and where development and learning is central. The most decisive to a pre- schools quality are the personell who work there. A conditon to achieve high quality in pre- school is a head who knows the pre- school activity and its curriculum, and who takes active part in the activity, invites to discussions and offers pertinent competence development.According to the leading document Lpfö-98 you will achieve high quality by offering children rear and care.

The aim of the present study is to describe the experiences of high school students as regards the effects of their activities, in and out of lessons, being published on the web. In addition, a further purpose is to acquire knowledge about whether a website could be used as means of increasing the students level of attention, and focus, to their activities in school; and, furthermore, how such a website should be designed to correspond with the students requests.The implemented methods are interviews with students, school administrators and teachers. A survey was conducted covering the student?s personal experiences and opinions. Furthermore, an interface test of the website was performed.

The purpose of this qualitative research study is to examine if and how the teachers from a multicultural International School work with intercultural pedagogy. The school in question isprofiled and consists of both Swedish- and English classes. The study examines if and how the teachers related to the great variety of cultures and created opportunities for integration between the students and handling with values at school. It is important to be aware as a teacher to be able to take an active part in working towards a school that gives possibilities for different cultures to meet. If this is neglected, it may increase the risk of problems and cultural clashes between the students.

Syftet med föreliggande studie var att redogöra för hälso- och sjukvårdspersonalens följsamhet till hygienföreskrifter avseende handhygien och de faktorer som påverkar detta. Metod: Artiklar söktes via CINAHL, Pubmed och Scopus. Sökord som användes i olika kombinationer var: hand hygiene, adherence, hygiene guidelines, health care workers, compliance, hand disinfection, infection control, nursing, nurse och hand cleansing. Tretton vetenskapliga artiklar erhölls. Vidare gjordes en manuell sökning ifrån inkluderade artiklars referenslistor och genererade två artiklar som ingick i resultatet.

Noise is a growing health problem. People are not always aware of the injuries that noise can cause. The media culture of today has a big influence on teenagers. This is caused by portable music players, computers, concerts etc. The schools are having larg classes and that can cause a lot irrelevant speech during lessons.