SammanfattningBakgrund: Sjuksköterskor ställs kontinuerligt inför omvärldsförändringar som inte går attpåverka. Det innebär att ständiga förändringar i arbetsmetoder genomförs och att all personalhela tiden är i behov av utbildning. Allt syftar mot att göra kvalitetsförbättringar för bådepersonal och patienter.Syfte: Att beskriva akutsjuksköterskors upplevelser av implementeringen av ettförbättringsarbete, i detta fall införandet av triage på en akutmottagning.Metod: Studien har en deskriptiv design med kvalitativ metod. Datainsamlingen genomfördesi fokusgruppsintervjuer och materialet har analyserats med en kvalitativ innehållsanalys.Resultat: Ur analysen framkom det övergripande temat enönskan att känna trygghet under enimplementeringoch fyra kategorier; kommunikation, planering och målsättning,förändringsbenägenhetoch kompetensutveckling som beskriver akutsjuksköterskorsupplevelser av implementeringen av ett förbättringsarbete.Slutsats: Under en implementering behöver ledningen ha kunskap om ovanstående resultat.Sjuksköterskorna beskriver åtgärder för att skapa möjligheter och undanröja hinder för attkunna uppnå trygghet under implementeringen. Det kan vara att t.ex.

The aim of this study was to explore and try to understand the subject of AnabolicAndrogenic Steroids (AAS) from the users own perspective. Four qualitativeinterviews with former AAS-users was carried out to find out why the informantsstarted and continued to use AAS, and what benefits and disadvantages theyexperienced in relation to their use of AAS. Two of the interviews were conductedby telephone, and the other two in person. One of our main results was that maleusers of AAS in our study tried to attain a higher status in society, which we haveexplained with Connells theory about Hegemonic Masculinity. The two othertheories used in the study are Erving Goffmans Stigma Theory and SystemTheory.

I dagens samhälle ställs höga krav på sjuksköterskan. Hon/hanska kunna möta och ta hand om patienter med olika bakgrundoch erfarenhet. Syftet med litteraturstudien var att belysa faktorersom påverkar sjuksköterska och patient vid omhändertagande påakutmottagning. Studien genomfördes som en litteraturstudie, medinduktiv metod där fakta i resultaten kategoriserades i tre delar,vilka var kompetens, bemötande och bedömning. Alla som utsättsför något traumatiskt riskerar att drabbas av posttraumatisktstressyndrom.

We have made a suggestion for a map based search tool used with a database containinginformation on natural disasters. The database is being developed by NCO (SwedishCentre for Lessons Learned from Incidents & Accidents).We examined both Swedish and international examples of databases on naturaldisasters. The examples that we found were often hard to get the hang of, due to poorcompilation. The problem, that is typical of the international examples, is that the processof data collection is not standardized, as it is performed by different organizations andcompanies with diverse demands on and needs for the database. Therefore, to keep itsymmetrical, there ought to be only one department with the overall responsibility for anational database on natural disasters in Sweden.The natural disaster we based our study on was the flooding in Arvika in the year 2000.We inspected the availability of data about the flooding, and found it to be satisfying.Through contact with the municipality of Arvika, by mail and telephone, and a visit at theArvika municipality office, we acquired reports on the flooding and the joint rescueoperation that followed, and also GIS layers showing the extension of the flooding..

Background: Today small business firms represent a considerable part of swedish economy, and the number of small firms has steadily increased the last ten years in relation to the total employment. The fact that there are firms willing to grow, it ought to be interesting observing their motives of growth, and what kind of strategies that can be identifiable in these firms. Purpose: To examine the motives of growth in small business firms, and to study which growth strategies the firms use when expanding their business. Realization: The study is accomplished through telephone interviews with six small business firms in the province of Jönköping. The firms contain between 10-49 employees.

We studied how librarians would adapt to telework, the performance of job responsibilitiesfrom home. We found'that all duties could be accomplished. but to varied extents.Computerbased searches, interlibrary loans, acquisitions, indexing and telephone referenceservices are the duties most likely to adapt to telework whereas cataloguing andclassification probably are best performed in the ordinary workplace.Most duties would demand access to technical means of assistance when performed fromhome. Connections to the library's local network, directly or via modem, are requiredbecause it is unrealistic to expect librarians to telework with fewer tools than theyordinarily have available. Although librarians generally believe that teleworking will nothave a large irnpact on the operation of the library, most would like to telework.Whether teleworking is a viable strategy depends on the characteristics of the duties, thelibrarian's desire to telework, but also on the size of the library, the size of its staff, thelibrary's activities, and how work is distributed between librarians..

Varje dag vårdas ett antal intoxikerade patienter på landets akutmottagningar. Av antalet akutbesök var 2-45% alkohol- och drogrelaterade. Intoxikerade patienter kan utgöra ett stort hot mot vårdpersonal på grund av intag av droger som leder till aggressivitet. Patienter med misstanke om intoxikation löper risk att felbedömas då de inte vill medverka till vård samt förmedlar inte hela bilden av sin sjukdom/symtom. Återkommande intoxikerade patienter kan leda till försämrad attityd hos vårdpersonal gentemot denna patientgrupp.

Bakgrund: Bukaortaaneurysm (AAA) har under de senaste tjugo åren blivit allt vanligare både när det gäller förekomst och diagnostisk upptäckt. Oftast är sjukdomen symtomfri och upptäcks ofta först när det rupturerar. AAA behandlas med antingen endovaskulär aortaaneurysm reparation (EVAR), öppen kirurgi av aorta (ÖA), farmakologiskt eller inte alls.Syfte: Syftet var att se hur mortaliteten och komplikationerna ser ut efter EVAR jämfört med ÖA och vilka olika kort- respektive långsiktiga för- och nackdelar som finns med de olika metoderna.Metod: Sökning av artiklar gjordes i databasen PubMed. Totalt valdes 10 artiklar ut som var baserade på 6 olika studier.Resultat: Majoriteten av dödsfallen som skedde inom 30 dagar hos ÖA-patienterna var aneurysmrelaterade och fler än inom EVAR. Efter 2-3 år syntes inte längre någon signifikant skillnad mellan de två patientgrupperna.

Since 1983 all Swedish companies are legally obliged to allow themselves to be audited. Recently the question of whether small companies should be subject to this or not has frequently been discussed. Many find it superfluous and think it ought to be abolished. In England small companies no longer have to be audited. However, in a study by Jill Collis it has been shown that a large number of companies choose to be audited although there is no obligation for them to do so.

Att arbeta som sjuksköterska på en psykiatrisk akutmottagning innebär ansvar att ta beslut i komplexa situationer samt ställer stora krav. För att underlätta bedömning av patientens vårdbehov och minska risken för subjektiva bedömningar genomfördes ett utvecklingsarbete genom införande av triageringsverktyget och beslutsunderlaget RETTS-Psy vid en psykiatrisk akutmottagning i Västsverige. Syftet med pilotstudien var att ur ett omvårdnadsperspektiv belysa sjuksköterskans erfarenhet av införandet och arbetet med RETTS-Psy. Studien genomfördes utifrån en kvalitativ ansats via semistrukturerade intervjuer med fyra strategiskt utvalda sjuksköterskor. Materialet analyserades med kvalitativ innehållsanalys och fyra teman kunde urskiljas.

The main purpose of this examination paper has been to do a review of recent scientific and evaluated studies performed on children 0-15 years of age, treated with an animal as an assistant to the therapist/professional. The key term is Animal Assisted Therapy (AAT). Our focus has been to describe in what fields these kinds of studies have been performed, what the results are and how effective they have been. As a supplement to our study we have performed 8 short telephone interviews with professionals in the same field of occupation corresponding to the studies we have summarized. Our results concerning the studies show that there has been a positive outcome in the treatment of children and adolescents and AAT.

The aim of this Bachelor?s thesis is to find out what librarians think about the public libraries? collections. How do they want to develop their collection and what do they want the collection to offer society?Sanna Talja has developed a theory about different attitudes regarding collection development. These are named ?the general education repertoire?, ?the alternative repertoire? and ?the demand repertoire?.

This thesis is an investigation of Iranian immigrants and their use of libraries in Sweden. It isbased on a combination of a qualitative and a·quantitative method.Using a qualitative method, I give an outline of the history of lran from ancient times up to the present, as well as the different ethnological groups in Iran and their cultures. The main objective of this part is to clarify the contrasts between Iranian and Swedish cultural, social, linguistic and family structures, and also the characteristics of the crisis that most immigrants go through on their arrival in the new country. The qualitative method also involves structured telephone interviews with eight highly educated Iranians.This method was supplemented by a quantitative study through questionnaires of the attitudes· of lranian immigrants to libraries and reading. Iranians in Sweden turned out to be frequent Iibrary users.

SAMMANFATTNINGSyfte: Utifrån observation undersöka hur lång tid det tar innan patienter med bröstsmärta, som tas in på akutmottagningens akutrum med triagegrad orange respektive gul, träffar läkare och sjuksköterska samt tid till rutinkontroller påbörjas. Även att undersöka vårdtidens längd på akutmottagningen och belysa eventuella könsskillnader avseende vårdtidens längd för definierad patientgrupp.Metod: Studien var en kvantitativ observationsstudie där 27 patienter deltog, 14 män och 13 kvinnor. Data insamlades genom observation på akutmottagningen. Patienter som anlände till akutmottagningen på dagtid, vardagar studerades.Resultat: De flesta patienter, oavsett triagegrupp orange eller gul, träffade läkare och sjuksköterska inom tio minuter efter ankomst till akutmottagningen. Enstaka patienter väntade längre tid på att träffa sjuksköterska och läkare.

This thesis is an investigation of Iranian immigrants and their use of libraries in Sweden. It isbased on a combination of a qualitative and a·quantitative method.Using a qualitative method, I give an outline of the history of lran from ancient times up to the present, as well as the different ethnological groups in Iran and their cultures. The main objective of this part is to clarify the contrasts between Iranian and Swedish cultural, social, linguistic and family structures, and also the characteristics of the crisis that most immigrants go through on their arrival in the new country. The qualitative method also involves structured telephone interviews with eight highly educated Iranians.This method was supplemented by a quantitative study through questionnaires of the attitudes· of lranian immigrants to libraries and reading. Iranians in Sweden turned out to be frequent Iibrary users.