Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of importance for compliance was profession, lack of time, knowledge/education, physical work environment, attitudes toward hand hygiene, and dry hands.Conclusion: More education, less workload and more visible placement of hand disinfectant containers are examples of actions that could lead to the improvement of staff hand hygiene and reduce the incidence of healthcare associated infections. Due to the fact that health care workers around the world have different training and approaches, the result of this study may be difficult to use. To increase adherence to hand hygiene, a similar study limited to a specific country, such as Sweden, would therefore be interesting to carry through.Keywords: hand hygiene, Infection Control, Compliance..

Syftet med denna uppsats är att undersöka hur undersköterskor i fyra olika verksamheter upplever att deras arbetssituation har förändrats sedan man införde LCP (Liverpool Care Pathway). Vidare belyses hur undersköterskorna menar att samarbete, kommunikation och relation har påverkats och på vilket sätt och i så fall hur. Uppsatsen är skriven utifrån samverkan och ett professionellt förhållningssätt i socialt arbete. Ett annat perspektiv som uppsatsen belyser är på vilket sätt metoden blev introducerad i organisationen, detta utifrån implementeringsprocesser och kommunikationsteorin. Resultatet visar att undersköterskorna upplever en större delaktighet och trygghet i deras arbete idag jämfört med tidigare.

The aim of the study was to examine individual staff experience and management of threats and violence in the acute psychiatric department for children and teenagers in Uppsala. Previous research shows that the experience of threats and/or violence is individual, and that it is difficult to distinguish between these concepts. Research shows that it is particularly vulnerable to work in psychiatry when mental illness is a cause when threats and violence occurs. Threats and violence can result in different consequences for the individual. The study is based on qualitative interviews and the material was collected in the autumn of 2012 at Akademiska sjukhuset.

The environmental work in Sweden has developed a lot over the past fifty years. Today, most companies have some kind of environmental work. Environmental activities are regulated by the Environmental Code, which applies in parallel with other laws. This report is an environmental review for Bräcke Diakoni. The report aims to find out how much environmental impact Bräcke Diakoni has.

BACKGROUND: Previous research shows that many nurses feel that patients with borderlinepersonality disorder (BPD) are more difficult to provide care to than patients with otherdiagnoses. Experiences of these meetings with BPD patients are often negative. With thisbackground, a literature study was made in order to elucidate the patients' perspective. AIM:Compiling knowledge of how patients diagnosed with BPD experience their treatment and themeeting with health care professionals. METHOD: Through the databases PsycINFO andPubMed, twelve qualitative articles were selected and summarized in a literature study.

 The number of hidden refugees in Sweden is estimated to be at least 15,000. The law, which only allows this group a very limited access to health care, can be considered to clash with the human rights and the ethical codes related to the health care professionals.The aim of the study was to examine how the personnel in public health care may experience treating hidden refugees and which ethical conflicts that may be connected to this. The study, which is of a qualitative descriptive design, is based on eight semi-structured interviews. The interviewees were trained nurses and mid-wives in an emergency room, a maternity ward and a health care centre for asylum seekers.The experience of treating hidden refugees amongst the informants was limited. The study proved that the knowledge of laws and guidelines regarding hidden refugees amongst the interviewed health care personnel was poor.

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.

Background Being outdoors on a regular basis is beneficial for all individuals, people with dementia who is living in special accommodation have not always that possibility. If the person with dementia live in a stimulating environment can contribute to the person's functions are maintained. Aim To provide a basis for evaluation of a new outdoor environment at a special accommodation for people with dementia. Method of data collection in action research was done through focus group with staff on the accommodation and the participants in the project, a total of five informants. Results Informants thoughts and experiences were analyzed and divided into three main categories to describe the project - design, obstacles and goals.

The purpose of this master?s thesis is to examine how librarians perceive the importance of staff reading groups in helping to make fiction more accessible to adult users of public libraries. The study also examines how librarians perceive the learning processes in such groups, and what these learning processes involve and how they appear. The empirical data was acquired via observations of four staff reading groups and interviews with seven public librarians who took part in the groups. In part, the empirical data is interpreted by means of Lena Wilhelmsson?s analytical tool, which deals with changes of perspective within an organised group.

AbstractThe aim of the present study was to investigate what kind of factors contributed to motivate a group of nurses at a nursing home in western Sweden to to perform their work. Furthermore, the authors wanted to investigate whether the staff nurses felt that the leader helped to increase or reduce the perceived motivation to perform such work, and the way in which staff nurses perceived their relationship to the leader. The study is based on Herzberg's (1959) two-factor theory, Hackman and Oldham's (1980) work designs theory and Leader-member exchange (LMX) theory, and those theories are the basis of the study's structure. The study was of a qualitative property, interviews were conducted with seven nurses and was structured, the questions concerned their subjective experience of motivating factors in their everyday work. The results of this study demonstrated that respondents experienced confirmation, the meaningfulness of the work, work colleagues, beneficiaries of care and residents' families as contributing factors to motivate them in their daily work.

Healthcare staff working within emergency care must often handle extreme and emotional situations. Most of the certified registered nurse anesthetists (CRNAs) will some time during their professionally active lives confront with events that are difficult to handle and for some these events will lead to more or less serious traumatic distress and in certain cases develop post traumatic stress disorder symptoms. Many studies demonstrate that staff working in similar stress related environment runs larger risk in order to get stress related symptoms. The aim with the study was to describe the experiences around difficult work related events among CRNAs. The study was implemented as a descriptive study with qualitative run-up via a questionnaire with open questions relevant for the study's aim.

BackgroundMalnutrition in hospitalized patients has a high prevalence. This led to an action plan against malnutrition that was conducted in 2012 at Enköpings hospital. This paper investigated the nursing staff perceptions of this project on nutrition and nutrient intake in two different departments, and whether these perceptions differ between departments. MethodAn inductive approach with semi-structured interview was used in interviews with eight persons from the staff of the two departments of the hospital in Enköping involved in the project. Interviews were recorded, transcribed and analyzed by content analysis. ResultsIn the interview material four categories were identified as well as six different subcategories. The different categories were: "Attitude", "Knowledge", "Procedures" and "Workload".

Abstract______________________________________________________________________Title:A study about creating understanding for different kinds of empowermentLevel:Bachelors thesis in Business Administration, 15 creditsAuthor:Fredrik LegovicSupervisor:Tomas KällquistDate:2014 - JuneAim:The main purpose of this study is to increase the understanding for different kinds of empowerment and how it affects the staff in the public sector.Method:The choice of method was based on the research aim. The method used to meet the objective was qualitative. The qualitative study was conducted with a hermeneutic basis, where individuals were asked to describe their experience of empowerment and how they feel affected of it. This thesis has a deductive approach, where existing theories dealing empowerment formed the basis for the design of interview substrate, which is then paired with the empirical evidence, based on this the conclusions was drawn.Result & Conclusion:What separates the different kinds of empowerment and how it affect the staff depends most of all on how the management chooses to communicate and share information with their staff.Suggestions for future research:A study regarding managers that works with different kinds of empowerment, and how that affects them, could be regarded as an interesting future research.Contribution of thesis:It shows that different kinds of empowerment affect the staff in different ways, which I made clear to the readers.Keywords:empowerment, thinking skills, relations and organizational - structure and theory.

The aim of the study is to examine which present conceptions of sexuality there are in treatment of substance abuse for men. The intention is to examine how staff members in these environments perceive clients? sex and sexuality as well as studying if and in that case how they work with sexuality in treatment. A qualitative method formed the methodological approach and semistructured interviews were carried out for the collection of data. Four staff members from two different treatment institutions for substance abuse were interviewed.

Background: In Sweden the healthcare has moved from the homes to the hospitals, as the system has developed. Parents were not allowed to visit their children when they were hospitalised in the past. It was noticed in the beginning of the 20th century that it might be harmful for the children to be left without parents at the hospital. Today it is considered a fact that the parents should stay with their hospitalised children and the healthcare is based on a family-centered care. Aim: The aim of this literature study was to elucidate parents experience when having hospitalised children.