This essay examines the policy process of specialist medical training in three Swedish counties. The essay will first describe the policy process. Secondly the politicians parti-cipating in the process is examined. Thirdly, it is tested whether it is possible to analyze the policy process based on Ostrom's theories of cooperation around a common pool resource. In this case, the common pool resource is specialized medical practitioners skills that the Swedish county councils must collaborate on to competence should be sufficient for the county council needs, something that is not the case today.One conclusion of the study is that the health care law is not clear enough when it comes to who is responsible for providing a sufficient number of specialists.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.

Background: A common view about people with diagnosed psychosis is that they are socially withdrawn and that they neither cope nor want to engage in social relationships. Newly published specialist books on this subject also support this view.Aims: To unveil further dimensions of the phenomena by explorative analyzing consumers? own depictions about their ?social relationships".Method: The material is taken from a larger study that followed consumers regularly during a lapse of 3 years. Within this material 15 interviews from three respondents were chosen, a selection which gives maximal spreading concerning age, sex and background. The interviews where analyzed by methods based on Grounded Theory.Results: Three main dimensions were identified: supportive relationships, difficulties and social withdrawal.

The purpose of this literature study was to describe techniques for monitoring general anesthesia and standing chemical restraint in the horse. A number of various techniques and devices related to e.g. blood pressure measurement, blood gas analysis and pulse oximetry are defined, and finally their clinical relevance and reliability are discussed. The equine patient is generally far more exposed to anesthesia-related risks than other smaller species. Complications such as hypotension and hypercapnia are commonly seen during general anesthesia. Thus, close monitoring is essentially performed by the veterinary nurse, whom is responsible for monitoring the anesthetized patient.

Introduction: On the surgical wards in most hospitals in Sweden patients with different surgical needs are cared for. Patients with gastrointestinal conditions are, for example, nurtured alongside patients with urological disorders or patients in need of observation for head trauma. When the nurse, in addition to these patients, have to care for patients with palliative care needs can be perceived as problematic for nurse and patient alike.Purpose: The purpose of this study is to explore nurses' perceptions of care for patients with palliative care needs on an acute surgical ward, based on a person-centered perspective.Method: A focus group interview was conducted with the strategic selection of nurses from two acute surgical wards in a county hospital in western Sweden. The data from the interview were analyzed with qualitative directed, deductive content analysis with person-centered care as a theoretical framework. The theoretical background shows that person-centered care includes partnership, participation and structured documentation.Results: The results of this study show that even a fourth category, organization, emerged and needed to be reported.

ABSTRACTIntroduction: Postoperative wound infection is the third most common nosocomial infection in Sweden. The ever-growing problem of antibiotic resistance provides surgical departments a big challenge when it comes to preventing the spread of infection. Operating theatre nurses have a vital role in the prevention of infection. In addition, correct ventilation in the operating theatre is of great importance. The caregiver is responsible for quality assurance of ventilation in the operating theatre, but the work can be delegated to other staff within the department.

Syftet med studien var att undersöka vad sjuksköterskestudenter reflekterar över samt vilka kommentarer de fick under den verksamhetsförlagda utbildningen. För att kunna besvara frågeställningarna valde jag en kvalitativ innehållsanalys. Min metod för datainsamling var att jag analyserade sjuksköterskestudenternas loggböcker, som använts under den verksamhetsförlagda utbildningen. I resultatet framkom det att studenterna reflekterade mycket kring planering. Studenterna ville också vara självständiga men de kände sig ibland osäkra.

Palliativ vård innebär ett förhållningssätt där patientens livskvalitet står i centrum. Vården kännetecknas av en holistisk människosyn där patientens fysiska, psykiska, sociala samt existentiella behov ska tillgodoses. Från sjuksköterskans perspektiv kan palliativ vård bedrivas inom såväl primärvård som slutenvård och omfattningen av det palliativa vårdandet varierar beroende på inom vilket område sjuksköterskan är verksam. Oavsett kontext har sjuksköterskan en relations­skapande funktion och relationen har stor betydelse för patientens välbefinnande. Professionell hållning inom palliativ vård innebär att sjuksköterskan medvetet tillämpar ett empatiskt förhållningssätt.

Background: Patients who deliberate self harm often feel disappointed with the health care. The consequence of this may be that the patient avoid to seek help after self harming. Nurses' often experience these patients to be difficult and hard to deal with. Both patients' and nurses' thoughts about the situation may affect the situation in a negative way. A good relationship between the caregiver and patient is important.

Syfte: Denna studie undersöker uppfattningar och förväntningar på den specialistutbildadesjuksköterskan från övriga professioner inom det psykiatriska teamet.Metod: Strukturerad kvalitativ och kvantitativ enkätstudie utförd på två öppna psykiatriskakliniker. Data analyserades med en deskriptiv ansats.Resultat: Resultatet visade att knappt 50 procent av respondenterna uppger sig veta vad somskiljer i formell kompetens mellan en specialistutbildad och en grundutbildad sjuksköterska.Ändå uppger samtliga respondenter att det är viktigt att det finns specialistutbildadesjuksköterskor på arbetsplatsen. Nästa alla förväntar sig att den specialistutbildadesjuksköterskan har högre kompetens än den grundutbildade. Den ökade kompetens somförväntades gällde psykiatriska sjukdomar/diagnoser samt läkemedel. Inga skillnader iarbetsuppgifter rapporterades mellan den specialist- och den grundutbildade sjuksköterskan.En osäkerhet kring specialistsjuksköterskans roll och kompetens finns både utifrån och frånsjuksköterskan själv.Slutsats: För att särskilja arbetsuppgifter mellan grundutbildade och specialistutbildadesjuksköterskor bör kännedomen om skillnaderna klargöras menar författarna.

The thesis of this work has been to investigate the information behaviour of archaeologists. Interviews were made, between March-September 2002, with ten archaeologists, employed in one Swedish organisation, conducting rescue archaeology. The archaeologists were all experienced in working positions as project leaders. Our thesis could be expressed in following questions: - Which sources of information did the archaeologists use in their work? - Which external and internal factors had influence on the information behaviour? The results of this study have been analysed within a theoretical framework of T.D Wilson, Lars Seldén, Lars Höglund and Olle Persson, among others.

Omvårdnad ? Självständigt arbete I VOM080 VT 2008.

The climate at the labour-market in Sweden today means that students who have recently passed their examinations find it quite difficult to find work. The competetiveness calls for a strategy to find advantages in the employment process. The strategy explored in this thesis is called personal branding. We believe that by building a strong personal brand you can increase the possibilities to influence the decisions of those responsible for recruitments in our society. The question we ask ourselves in this essay is how to build a personal brand with the power to give students a competetive advantage in the employment process.

I Sverige lider omkring 20 procent av befolkningen av någon form av kronisk smärta. Att leva med kronisk smärta har stor påverkan på det dagliga livet. Ett bra möte är många gånger avgörande för upplevelsen av god vård. Kommunikation som visar på vänlighet, respekt och förtroende kan bli ett första steg till upplevelsen av ett bra möte. Syftet med denna litteraturstudie var att beskriva hur personer med kronisk smärta upplever mötet med sjukvårdspersonal.

The aim of this Master's thesis is to examine what effect two different models of acquisition have on user satisfaction with information resources at academic libraries. The two models examined are the traditional model where a subject specialist librarian makes the selection, and the user-governed model where the larger part of the selection is based on user requests. The scope is the libraries of Roskilde University, which employs the traditional acquisition model and Malmö University, which employs the user-governed. Both libraries have a user-oriented approach to acquisition. The study encompasses a close examination of the acquisition policy through document analysis and interviews with the librarians in charge of acquisitions at each university, as well as a user-satisfaction survey among the professors and senior teachers on two faculties at each university respectively.