Deliberate self-harm are a growing problem among young people in Sweden. It's not only the child that suffers from the behaviour, even the whole family. Parent´s need the right support from the healthcare staff for their own wellbeing, but also to be able to give good support for their child. Par-ent´s experiences are of importance for the nurse in the healthcare of the child and their families. The aim of this study was to describe parent´s experiences of living with a child with a deliberate self-harm behavior.

I denna uppsats har jag studerat förändringsarbete i samband med införande av Lean Healthcare. Arbetet har en abduktiv ansats där jag utifrån en fallstudie på Akademiska Sjukhuset i Uppsala har studerat hur de arbetar med förändringsarbetet. För att få insikt i deras förändringsarbete har jag intervjuat delar av personalen och deltagit i två av deras utbildningsdagar.Förutom en beskrivning av hur arbetet på Akademiska Sjukhuset är organiserat så innehåller arbetet även en stor teoridel som tar upp de grundläggande principerna i Lean-filosofin. I tillägg till detta så presenteras också en modell för förändringsarbete och jag har tagit med teorier som specifikt handlar om förändringsarbete i samband med införande av Lean Healthcare. Genom att jämföra teorierna med erfarenheterna från utbildningsdagarna har jag sedan kunnat dra slutsatser om förändringsarbetet.För att lyckas med Lean-implementeringen är det viktigt att inse att det kan finnas ett motstånd mot förändringarna.

The Swedish healthcare systems have over the past decades experienced a major reorganization that involves reduction of costs and cuts due to the financial problems that the public health system faced. Healthcare was criticized because it was considered to be bureaucratic and inefficient (Funck, 2007). The solution to this problem was to focus on other measures rather than the economic measures, such as modernizing the healthcare instead of cutting down. Implementing a balanced scorecard in a public sector as a hospital, perceived as failures. This is due to several factors such as communication, knowledge and expected time are not taken into consideration when implementing the scorecard.

Lung cancer is a disease which patients experience stigma in society and in care. This is because lung cancer is often seen as a self-inflicted disease. The stigma surrounding lung cancer is due to the strong relationship with smoking and have been shown to have a negative impact on the perceived health. The purpose of this study was to illuminate experiences of stigma for patients with lung cancer. The literature review was based on 11 scientific articles.

Denna uppsats ämnar förklara och skapa förståelse för förutsättningar till Lean Healthcare, den metod för effektivisering som sjukvården anammat för att utveckla och förändra de traditionsenliga verksamhetsstrategier som länge styrt sjukvårdens arbetssätt och processer. Genom att identifiera vilka egenskaper som bör stimuleras hos framtida arbetskraft för att skapa de förutsättningar som krävs för att vidmakthålla Lean Healthcare som en långsiktig effektiviseringsmetod bidrar denna studie med information som är behövlig för att ihärdigt lyckas med Lean Healthcare.De svårigheter som påvisats vid implementeringen av Lean Healthcare kan från befintlig forskning härledas till en kollision mellan den organisationskultur som förespråkas inom Lean, ursprungskonceptet till Lean Healthcare och den kulturella kontext som finns inom befintlig organisationskultur där Lean implementeras. Denna kollision påvisas genom en avsaknad av ihärdighet inom organisationerna som implementerat Lean då befintlig organisationskultur och verksamhetsstrategi motsätter sig de arbetsprocesser och det arbetssättet som förespråkas inom Lean-filosofin. Då många sjukhus i Sverige redan implementerat, eller är under omstrukturering till att implementera, Lean Healthcare ämnar denna uppsats undersöka hur framtida arbetskraft förhåller sig till det arbetssätt som förespråkas inom sjukvården.Utifrån en positivistisk kunskapssyn och ett deduktivt angreppssätt genomfördes en kvantitativ studie där arbetssättet och lärandet undersöktes hos en grupp studenter inom sjukvårdsprogrammen vid Umeå universitet. Arbetssättet och lärandet undersöktes för att kunna urskilja värderingar och beteenden som kunde härledas till att förutsäga utfallet av en integration mellan ny arbetskraft och befintlig organisationskultur inom sjukvården.Studiens resultat visar att arbete inom team innefattar karaktärsdrag hos framtida arbetskraft som behöver stärkas vilket främst bör göras genom att stimulera befintliga och kompatibla egenskaper med Lean Healthcare, så som beslutstagande och förmågan att ta an en ledarroll.

Citizens? freedom of choice has been a subject of debate in Sweden for over 30 years. This study focuses on decision making processes among patients within the Swedish healthcare system. The main conclusions are that in contrast to how patients? freedom of choice is described within governmental bills and governmental inquires and reports, patients are not following the steps included in the rational model of decision making.

How is research and science being used in political debate? An idea analysis of the debate about försäkringsmedicinskt beslutsstöd (decision tool in healthcare security)This is a case study on different types of research use (utilization) The aim of this paper is to examine how the politicians make use of expertise and research in the parliamentary debate surrounding the decision tool in healthcare security (försäkringsmedicinskt beslutsstöd). The aim is also to find out to what extent different types of research use are present in this debate. In this case study the qualitative method of idea analysis is being used on the empirical material. The tool of analysis is based upon the theories of research use by Amara et al.

More people are likely to be diagnosed with cancer and the number of people living with cancer is expected to increase, which means that patients live longer with cancer and different treatments. All patients in Sweden should have access to a nurse navigator to facilitate the cancer trajectory. The purpose of this literature review was to delineate patients' experiences of the care given by the nurse navigator. The result is based upon twelve scientific articles included in this review. The results show that the experiences of the patients can be divided into four different categories: emotional support- being present and offering supportive talks, support for physical symptoms- counseling and relief from symptoms due to illness and treatments, educational support- receiving information and knowledge about the disease and cancer trajectory and coordination support- collaboration with other healthcare professionals involved in patients´care.

Background: A group severely affected by health issues, the experiences of homeless alcohol and drug abusers in the coverage of their medical care needs is not satisfactory. Aim: The aim of the study is to explore which factors experienced by homeless alcohol and drug abusers in Uppsala in regards to their living situation affected their health, their perception of access to healthcare, the character of treatment received and coping strategies used outside of the healthcare system. Method: Nine people who had experienced both homelessness and substance abuse problem were recruited for the study during their visit to Stadsmissionens facilities for the homeless. Data was collected through qualitative, semi-structured interviews including two women and seven men. Data was analyzed using qualitative content analysis according to Giorgi modified by Malterud.Results: Among homeless substance abusers interviewed experiences of unwelcoming and prejudiced healthcare were described.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

ABSTRACTMy degree project has resulted in the improvement of the guidance in the dental center?s entrance. The patients will now find it easier to understand and find the environment?s various functions, which is the reception, registration, payment, and waiting rooms. Norrbottens läns landsting has a concept ?hälsofrämjande väntrum? that provides guidelines for how they want their patients to experience their waiting rooms.

Background: Competence development has become more important since the pressure on effectiveness is increasing and organisations are expected to constantly improvement. The design of the competence development activities is governed by the strategy which in turn will affect the outcome of the same. A knowledge intense business in which changes recently have taken place is healthcare, a business in which competition also has increased as a result from globalization. Due to this, it is highly important to take care of and improve the competence of individuals. According to this, we have found that healthcare is an interesting business to study with regard to competence development.

Syfte: Syftet med uppsatsen är att analysera vilka faktorer som möjliggör och hindrar innovation bland sköterskor inom Lean Healthcare på Ortopeden 12, USiL. Metod: Studien genomförs i form av en kvalitativ fallstudie med iterativ ansats. Teoretiska perspektiv: Studien använder sig av vanligt förekommande teorier kopplade till innovation. Cultural Web används för att analysera avdelningens paradigm som jämförs med förutsättningarna för innovation. Teorier som tar upp olika aspekter som kan påverka innovation tas också upp.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.

This report addresses the growing need to adapt the medical healthcare to the new possibilities that can be accomplished by incorporating a web aspect to the personal treatment plans of patients. It describes what implementations that need to be considered in order to successfully convert to a partially web-based treatment.The report also reflects the potential economical gain that can be made by keeping the communication between the patient and the doctor frequent. It also takes into account the personal gain to the patient by increased feedback and easier ways to communicate with their attending physician and thereby increasing the quality of their healthcare and service.The construction of a prototype of the system required is also included in the report as a description of construction and functionality of the prototype along with results and estimated outcome..