Fel i operationssalen kan få stora konsekvenser. Enligt både WHO och Socialstyrelsen är kommunikation och koordination den främsta orsaken till vårdskador inom sjukvården. Operationsavdelningen är den plats inom sjukvården där flest vårdskador händer och de beror ofta på dåligt samarbete i operationslaget. Studier har visat att störst skillnad i uppfattning om effektivt samarbete finns hos operationssjuksköterskor och kirurger. Operationssjuksköterskor beskriver gott samarbete som när deras arbetsinsats respekteras medan ett gott samarbete för kirurger kännetecknas av att ha operationssjuksköterskor som förutser deras behov och följer instruktioner.

The purpose of the study was to describe the nurse´s role and experiences aroundpreparation of children in front of peripheral venous catheter (PVC) placement andblood draw. The study used a descriptive design with qualitative approach and wasperformed on a pediatric clinic in Sweden. Semi-structured interviews were performedwith seven nurses of whom the first was a pilot interview, which was included in theresult. The recruitment of nurses was made by a purposeful sampling, maximumvariation sampling, with help of the quality coordinator of the pediatric clinic. Thecollected data was analyzed with the manifest qualitative content method.

Avvikelserapportering är grundläggande för att identifiera risker som kan leda till vårdskador. Trots detta väljer många sjuksköterskor att inte anmäla avvikelser. Syftet med studien var att beskriva faktorer som påverkar sjuksköterskans beslut att avstå från att anmäla avvikelser. Studien genomfördes som en litteraturstudie där 13 vetenskapliga artiklar utgjorde underlaget för resultatet. I resultatet angavs tidsbrist som ett hinder för att anmäla avvikelser.

The annual cost of home care services of transport in Falun/Borlänge, is now at 31 million kronor. It is clear from previous research that it is possible to reduce these costs through a restructuring of the existing home-help service. The restructuring aims to have a higher proportion of older people, who are in need of care, to live in special accommodation, in order to reduce transport costs. Therefore there is a need for systems that allow home-help service to plan their operations in such a way that transport is working as efficiently as possible. Through better planning, there are profits to be done.

Work environment has been an important part of the Swedish working life for a long time and with the help of the Working Environment Law the work environment is mandatory. The purpose of this study was to gain a deeper insight into how the system of middle managers systematic work environment looks like. The question was: How do six middle managers perceive and deal with systematic work environment? A qualitative study was conducted with six middle managers from a global company. During the analysis, there were three main themes to be recognized (cooperation and support facilitates the work environment, problem with the systematic work and difficulties with staff) and six sub themes.

The objective of this study was to explore the mechanisms controlling elderly people's choice of staying in there own home.The main questions were: What makes some people move to retirement homes while some people stay in their own home? What is the emotional relation to housing for people in general and elderly people in particular? How does the assessment of aid and application of the law affect elderly people's possibility to choose their way of living? What mechanisms during the twentieth century have controlled the society's way of looking on elderly people's housing? What future scenarios can we expect concerning elderly people's housing?Our method consisted of a literature study combined with qualitative interviews.The authors found a complex picture concerning elderly people's relationship to their housing and the will, wishes and possibilities to move to a retirement home or stay in their own home. One factor that affects elderly people's will to move is a deteriorated health. Another is the increased need of a safe living and access to personnel at all time. Also the assessment of aid and application of the law affect elderly people's possibility to stay at home or to move to a retirement home.

Background: Research shows that the nurse?s presence has a great significance for the relationship between patient and nurse. By this, the nurse can gain a greater understanding for the patient?s situation and thus have an opportunity to influence the patient?s health processes.Problem: Today?s focus on the technology and lack of time in healthcare can create a stress which can make it more difficult for the nurse to prove presence to the patient.Aim: To describe patients? experiences of the nurse?s presence in healthcare.Method: A qualitative approach, where Evans descriptive synthesis has been used. Eleven previously published qualitative, caring science, articles has been used in the synthesis.Results: The synthesis revealed two themes.

The thesis was done in collaboration with EAB situated in Smålandsstenar. In the initial discussion faze on doing a thesis with them there was a need to analyze and ensure the strength of an existing product, cantilever racks. This included performing FEM calculations on a model and comparing the results with physical tests.EAB has two models of cantilever racks, a light duty and a heavy duty. Within the heavy duty model series there are five product variants that differ in both size and load capacity. We will be working with the product variant with a load capacity of 1000 kg/arm which is the variant that is in the middle of the series.When we started work on the thesis we did a literature study and couldn?t find any well defined methodology that integrates both product development and computer aided design analysis.

Introduction: Parental involvement is becoming increasingly common in the paediatric health care. Parental participation at home means that parents receive instruction by nursing staff in order to perform a caregiving procedure at home.Aim: To explore parents' feelings about performing caregiving procedures on their child at home, and their experience of instruction about these, and to explore nurses? experiences of their instruction to parents.Method: A descriptive quantitative and qualitative design using questionnaires with statements to be responded by nurses and parents according to scales graded 1-10. The study was carried out during the autumn of 2009 at a pediatric unit in the University Hospital in Uppsala.Results: Ten completed questionnaires from the nursing staff and ten from parents were obtained. The mean assessment of parents' perceived safety and security, and their perception that their questions had been answered ranged between 8,6 and 9,2.

This thesis work was made to optimize the writing of the construction specificationsat FKA. These construction specifications are created before each plant modificationsthat is started because requirements from the Swedish radiation safety authority(SSM) and internally on Forsmarks nuclear group as constructions / implementationdocumentationThe study was done through seven interviews of two people at three different groupsinvolved in the construction specification and an interview from the group accreditedverification. The four selected groups were selected through an extensive analyticalwork resulted in an elimination matrix where these four groups was considered to bemost involved with the construction specification.The questions asked to these individuals were based on the instructions and sampletext that are described in the construction specification. To ensure the quality of thethesis were to limit itself to the chapters that were considered most relevant toimprove. The analysis revealed a number of points that should be improved, partlyinto the routines when writing the construction specification and when ether sampletext or suggestions should be changed and complemented.

I alla byggprojekt som behandlas är arkitekter och brandkonsulter två viktiga aktörer. Arkitekternas huvudsyfte är att ge människor ett gestaltningsmässigt intryck av en byggnad, men även att ge den ett praktiskt och tryggt användande. Brand-konsulternas roll är bland annat att hjälpa arkitekterna med den del som innefattar brandsäkerhet. Idag är samarbetet mellan arkitekter och brandkonsulter inte optimalt men det finns enkla förändringar som skulle effektivisera arbetsmetodiken.Detta examensarbete har resulterat i en lathund gällande brandprojektering som riktar sig till arkitekter. Lathunden baseras på kapitlet om brandskydd i Boverkets Byggregler (BBR), de omfattande handböckerna som används vid projektering samt statistik gällande de vanligaste problemen mellan aktörerna idag.

Statistics indicate an increase in online shopping. This indication could result in the loss of safety factors for the customer, for example the possibility to physically examine the product, interact with professional store personnel and try the product before purchase ? factors which all could support the customer in her choice of company and product. The purpose of this study is to increase the theoretical knowledge regarding strategies in the area of trust-development between customers and companies. We have chosen to investigate what strategies web based companies apply and how they are perceived by their customers.

Since the wild boars (Sus scrofa) escaped from their enclosures in the 1970s, their numbers has increased dramatically. It is an animal that is currently involved in many traffic accidents. The wild boar is a popular animal to hunt. As the population has grown so has the hunting. But, unfortunately, there have also been an increased numbers of attacks on hunters.

In the essay, the view of mistakes and disciplinary sanctions within the military aviation and health and medical service, are compared. The comparison shows that military aviation and health and medical service could have several points in common on how mistakes may occur, but that the present view of mistakes is different betwen the sectors. The view of mistakes and disciplinary sanctions is explicit within military aviation, and is based on a clear ideology on how mistakes occur, which is characterised of a systematic approach. Within health and medical service, an explicit and unequivocal ideology on how mistakes occur is missing, but, however, there are implicit ideas about infallibility and perfection. The comparison indicates that the view of mistakes is also, possibly directed by a bureaucratic model (instead of an ideology on mistakes), which aims to legitimacy, but that this may happen on the expense of not taking surrounding circumstances into consideration.

In order for a business management to be able to make informed decisions for their companies need enterprise management system regularly checked by internal audits. The aim of purpose with this work was to develop a working manual for integrated internal audits. This was done through a litterature study and interviews with auditors. An in-depth interview was conducted with an experienced auditor to get more understanding and depth of the internal audits process, and how the manual could be designed. Discussions were held with the person responsible for environment, health and safety at Swedspan Hultsfred to adjust the manual to the company?s internal management system.