The municipality of Enköping is presently working out a new layout plan for the town of Enköping and new residences are planned in the harbour area. Because of these plans, the municipal energy company ENA Energi may have to move its location from the harbour to another part of the city.The aim of this degree project is to investigate the possibility of building a new CHP plant in another area of Enköping. The future demand on district heating and infrastructure at the new location have been projected. A new CHP plant has been dimensioned and economic analyses concerning the project have been made.Results show that the future demand of district heating in Enköping will differ a little from the present needs. In 2030, the district heating production is expected to be c.

Intimate partner violence is the most common health issue for women between the ages of fifteen to sixty-four in Sweden as well as the majority of European countries according to the United Nations. Aim ? The aim of the study was to illuminate nurses? experiences when caring for women exposed to intimate partner violence. Method ? This thesis was a literature review based on both qualitative and quantitative articles to give as comprehensive a view as possible.

Aim: The aim of this study was to describe the nurse?s work at an emergency department trough a perspective of caring.Method: A literature review has been made of twelve studies published between the years of 2002 ? 2012. The focus of all the studies was on Swedish emergency departments.  Results: The researchers found four themes that they choose to use as a way of describing the nurses work in the emergency room as detailed as possible. These themes were: ?The emergency room?, ?the nurse?s job assignments at an emergency department?, ?the patient?s experiences? and ?lifeworld and communication?.

Introduction: Psychiatric nurses in the psychiatric care can meet complex situations if the basic knowledge is not enough. Therefore it demands research for secure, improve and develop care processes that will be benefit for both patients and nursing staff. Aim: The purpose of this study was to highlight psychiatric nurses? experiences of patients' involvement in their own care. Method: Qualitative method was chosen for this study.

The Rya power plant in Borås produces district heating, district cooling and electricity. The plant is owned by Borås Energi och Miljö AB and is run by Dalkia Facility Management AB.In order to get the best heat exchange from the district hot water a pair of twin pumps and a turbine circuit pump are used as return pumps. Turbine circuit pumps are used to increase the pressure through the heat exchangers at the power plant. The pumps are in use when the flow is over 2 000 m3 h-1 and during the summer when re-cooling is used to improve the effectivens of the heat boilers.Since the pumps, that are parallel connected, rotating at a fixed rate per minute, the pressure is regulated with regulating valves. This report shows that during the 4,300 hours that the pumps where in use, energy corresponding to 590 MWh was wasted.

Introduction: A big part of the patients that recently has gone through operation at surgical units experiences pain in different scales after their operation. Untreated postoperative pain has been proved in different studies to increase to risk medical complications, longer rehabilitation, more days at the hospital and higher expenses for the hospital. One of the nurses? main tasks is to notice and relieve the pain of the patients. To engage the patients more in the medical process and make the nurses´ work more person-centered could make an impact on the postoperative pain and contribute to a better pain relief.

In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.

Background: Corporal punishment has been banned in Sweden since 1979. Child abuse is known to exist in all cultures and social classes in our society. Therefore the nurse must be aware of this working with children.Aim: The aim of this study was to describe how nurses' can identify signs and symptoms of child abuse.Method: A literature review of ten articles containing six quantitative and four qualitative studies published between the years of 2000 and 2012. A content analysis was performed where similarities emerged in themes and subthemes.Results: The findings were signs and symptoms which concerns physical, psychological and social behaviors seen in child abuse. Additional findings were; an insecurity and lack of knowledge among nurses working with children.

The purpose of this work was to research how baby nurses define the concept child maltreatment and how they conduct themselves to mandatory reporting.The central questions were; How do the baby nurses interpret the concept child maltreatment and which children do they consider comprehending the concept?What are the reasons that children are maltreated according to the baby nurses opinions?Do the baby nurses apprehend that they meet children that are maltreated in their work?How do the baby nurses interpret the mandatory reporting and what course of action do they use when they suspect child maltreatment?Nine baby nurses were interviewed. The material was analyzed with the help of a phenomenological method.The participators idea of the concept child maltreatment was focused on observing signs from the child and concrete actions from the parents. The outcome of this concept is that the participators categorization is neither or nor. The participators knew about the mandatory reporting and they did a further interpretation because they focused on the risk of the child.

Aim: The aim of this study was to describe what nurses experienced in connection with waiting time related frustration among patients and relatives in the emergency department and also what strategies nurses use to manage waiting time related frustration.Background: The numbers of emergency department visits are increasing and lead to waiting times which can cause frustration among patients and relatives, a frustration that nurses encounter in their everyday work and need strategies to deal with.Methods: This is a descriptive qualitative study. Interviews are conducted with five nurses, transcribed and analyzed by qualitative content analysis.Findings: The nurses feel inadequate and powerless when they meet patients and relatives frustration. In order to deal with patients and relatives frustration, they use the strategy of participation, which implies to involve and meet patients and relatives needs for information and to be seen. In order to prevent themselves becoming frustrated they use adaptability, by creating an inner calm, not take it personally and to distance themselves from the frustration.Conclusion: The result highlights the importance of managing the activity to reduce waiting time related frustration, for example through reflection and working for reducing waiting times. Further research is also needed..

ABSTRACT The aim of this thesis is to illustrate how surgical operation theatre nurses perceive debriefing within emergency health care. The study has a qualitative design with semi structured interviews that have been performed with seven operating room nurses working in emergency health care. The strategic selection consists of professional operation theatre nurses working in emergency care at Uppsala University Hospital. The main goal of this thesis is to increase the understanding of debriefing and to highlight the need of debriefing after difficult or unexpected events in the emergency health care profession.The interviewed nurses perceive debriefing as an important way to develop the day to day work, but also as a way to unburden the staff at the time of bigger traumas. Even though the effect of debriefing is not univocally positive in the literature, the staff perceives that it reduces different kinds of stress.

Domestic violence is a serious public health issue that concerns everyone. Public health service is one of many authorities where battered women seek help. The purpose of this literature review was to describe which factors affect the encounter between battered women and nurses in public health departments. The method consisted of analysing 11 scientific articles. The result is presented in themes that show the different attitudes in the encounter between nurses and battered women.

Abstract Emma BergdahlObstacles and opportunities among occupational health nurses when implementing healthy eating habits.C thesis in Public Health. Faculty of Health and Occupational Studies. University of Gävle. Autumn 2012 Objective: The purpose of this study was to investigate which obstacles and opportunities nurses within occupational health find when trying to implement healthy eating habits among the employees in their respective company. Another objective was to see if the nurses worked according to the Guidelines, issued by the National Board of Health and Welfare.Method: The study was a quantitative study and conducted among nurses in central Sweden.

The object with the study of this literature was to describe differente programs of care and patients and relatives experience and opinion about the caring for patients with Anorexia Nervosa. The method the author used was a descriptive literature study based on imperial studies. The studies were based on 15 scientific articles within the chosen field. The results shows that these patients hade special needs to be seen and heard as individuals, involved in their own treatment, and have good contact with the caring staff. The study also shows which methods were mostly appreciated involving nurses, patients and relatives.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.