Ett ökande antal palliativa patienter med cancerdiagnos väljer att vårdas hemma den sista tiden i livet. Den palliativa vården ställer speciella krav på distriktsköterskan som ska vara professionell i en annan persons hem. Syftet var att beskriva distriktsköterskans erfarenheter av den palliativa vården i hemmet. Litteraturstudie baserad på 11 kvalitativa artiklar. Distriktsköterskan anser att det viktigaste är att skapa trygghet och en god relation med patienten och dess familj för att den palliativa vården ska fungera. Distriktsköterskan känner att de fyller en stor funktion och det positiva med arbetet är att de är självständiga. För att bibehålla kompetensen behövs det utbildning inom den palliativa vården. Distriktsköterskans huvuduppgift med den palliativa vården är att se till att patienten får så god livskvalité som det är möjligt den sista tiden i livet. Vid vården i hemmet blir även familjen involverad.

The Swedish Government has set a target to reduce energy consumption through energy efficiency within the construction and real estate sector. The purpose of the study is to examine how energy efficiency within this sector could affect the district heating volume in the future, on basis of Vattenfalls district heating system in Uppsala.An Excel model has been created to study how energy effficiency measures affects district heating demand in buildings by 2045, based on technical and economicalconditions. Furthermore, an interview study has been conducted to examine incentives for district heating customers to invest in energy efficiency measures.Result of the Excel model shows that the district heating volume of Vattenfall in 2045 is expected to 931 GWh, which corresponds to a volume decrease of 10,6 %. Based on the study?s theoretical framework only 15 %, 1 024 GWh, of the technical-economical potential is assumed to be implemented.

During the autumn of 2008 I obtained office experience by working at the local government of Örnsköldsvik. I started working on the district green plan of the green structure and that led to the work of this exam paper. The purpose of this exam paper has been to define some standpoints for the green structure of the local government district of Örnsköldsvik. I have used both a larger and a smaller scale to obtain a wide a perspective as possible of the green structure. The larger scale gives an overall view of the whole municipality while the smaller scale is found in the study of the two local areas Centrum and Domsjö. For the local government planning to be able to obtain an agreeable level of verdure to the residents it is necessary that the green structure is brought up on the agenda.

Background:When the patient is critically ill the family is in a vulnerable position. The nurse's role is to support and help the family to find meaning in the difficult situation and to provide realistic hope. Balancing between the patient's and the family's needs is difficult. Knowledge about how nurses experience difficulties in the interaction with family is required in order to grant good care too critically ill patients and their family-members.Aim:To describe nurses' perceived difficulties in the interaction with family-members of critically ill patients.Method:The study is a qualitative literature-based study based on qualitative research. Results: The analysis resulted in four main themes; difficult disunion, environmental constraints, interpersonal difficulties and communicative difficulties.

AbstractBackground. The need for drugs delegation is increasing as more and more sick people are cared for at home and too few nurses working in home health care. Because of this, the number of delegations per nurse is often unacceptably high.Aim. The aim of this study was to describe the public health nurses´ experience in drugs delegation to home care staff in home care.Method. In this study a qualitative method with an inductive approach was used.

The aim of this study was to describe nurses? knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

The purpose of this study was to find out what are the information needs of the nurses and if the hospital library can satisfy these needs, and see how the hospital library reaches the nurses with their information provision. The main questions are: what kinds of service exist at the hospital library? What kinds of needs have the nurses concerning the hospital library? How are the needs satisfied by the hospital library? What marketing strategies are used by the hospital library to reach out to the nurses? Is it enough to achieve the goal? The method in this study was a case study with the emphasis on the qualitative interviews. The study was conducted at the hospital library at Södra Älvsborgs Sjukhus in Borås. The interviews concerned the nurses views on the hospital library, information needs and marketing.

Diabetes mellitus type 2 and chronic obstructive pulmonary diseases (COPD) are two of the most common diseases in the world and the amount are increasing. The treatments of these diseases are self care and a change of lifestyle. For this to be successful there is a need for the person to have knowledge about the diseases and a motivation for making changes in his or her lifestyle. Most of this information is given by the district nurse at the health centre. It is important to get a better knowledge of these persons experiences and how they used the information given to them.

The aim of the study was to study how a today journal system is applied in homecare. The aim was also to examine if a portable journal system could make any effectiveness on the nurse's work and secure the quality of care. The study is a part of a project called Grensebroen which connects public health care, economic industry and university to a network beyond the borders. The primary goal of this cooperation was to develop technological means of assistance which could simplify nursing on daily basis. An empirical study on homecare was made in a district were long distance travels were common for the nurses in duty.

  Aim. The aim of the study was to describe how nurses in home care experience to pursue palliative care in ordinary housing. Methods. The study had a descriptive design with qualitative approach and was carried out through semi-structured interviews with 14 nurses in home health care from two medium-sized Swedish municipalities. The material was analyzed with manifest and latent content analysis. Findings. The underlying theme that emerged in the study was: Working with palliative care in the patient´s own homes is positive but challenging. Informants describe among other things that they perceived palliative home care as meaningful and that relatives have a central role in the palliative home care since they are close to the patient around the clock. The stress that emerges from the heavy work load and the long geographic distances are described as strenuous and to affect the care in a negative way. Informants describe the home environment as challenging as it is often not adapted for care and the collaboration with the palliative team is described to be experienced as both positive and negative.

The purpose of our study was to establish whether the knowledge about vegetarian diet was enough among nurses in order to practise professional nursing. We made an empirical study based on a questionnaire. Twenty-one registered nurses answered the questionnaire that consisted of mostly open questions. The result showed that almost everyone experienced that they gave dietcounselling and many nurses mentioned that dietcounselling was important. The majority of the nurses thought that they had enough knowledge to be able in order to deliver a fundamental dietcounselling but nobody considered that they knew much about vegetarian diet..

 To enjoy work, and be satisfied in the work you do, is important to most people. Work scientific research shows that dissatisfaction with physical or the psychosocial work environment often gives negative effects on the performed work. The purpose of our study is to chart the experience in work satisfaction and psychosocial work environment amongst nurses within psychiatric care. It is an empiric cross section study. The participants in the study contains nurses who are either employed on a conditional tenure or have a temporary post (>3 months) in policlinics and wards in general adult psychiatric care (n=126).

There are several energy systems in the Swedish society and to ensure the comfort and health of the citizens it is of importance that the different energy systems are functioning properly. District heating is one of these energy systems and many household depend only on district heating to warm up their homes. District heating is dependent on several processes where every step needs to function in order to deliver the produced heat to the end consumer. Previous studies have investigated the distribution of district heating and how to make customers choose district heating as their heating method. The supply of fuel to the district heating plant has not been studied as much, even though it is an important part of the whole system. This thesis is a part of the project NORD-STAR (Nordic Strategic Adaption Research), which has focused on climate adaption in the Nordic countries.

The demand for district heating is expected to decrease in the future, due to competition from heat pumps and energy efficiency measures in buildings. Development of existing district heating systems is therefore necessary for district heating companies to maintain market shares. This Master?s thesis describes and investigates the heat and electricity production and profitability of a combined Organic Rankine Cycle (ORC) and heat pump that is integrated with an existing district heating system. The studied district heating system is utilizing heat from waste incineration. In Sweden waste constitute 20 % of the fuel mix used in district heating systems, and this share is expected to increase in the future.