Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

An environmental review has been carried out at FORIA AB, a transportation- and machine service company, to analyze the company?s environmental aspects from the transportation segment. This report describes the essential background and the methods of identifying and evaluate the environmental aspects. It also describes how the work with the environmental aspects often vary between different actors. The design of the ISO 14001 is intentionally broad in order to apply on all sorts of activities and organizations.

Risk analysis in connection with transportation of dangerous goods is associated with great uncertainty. In addition there are a number of specific problems that the risk analyst faces when risks associated with transportation of dangerous goods are to be analysed. In this report those problems and uncertainties are described.One of the most important conclusions in this report is that uncertainty analysis within risk analysis in connection to transportation of dangerous goods has to be made more effective..

Försvarsmakten genomgår, sedan snart tio år tillbaka, en transformering mot ett insatsförsvar med ökad försvarsförmåga. Behovet av luftburen taktisk transport har i denna transformering blivit alltmer betydelsefullt, främst vid internationella insatser. Författaren ställer sig dock frågan hur den taktiska luftburna transporten är tänkt att användas vid nationella insatser. Syftet med uppsatsen är således att utifrån Försvarsmaktens doktriner, Militärstrategisk doktrin och Doktrin för luftoperationer, undersöka om den resurs som det taktiska transportflyget utgör i det framtida användbara försvaret vid nationella insatser är att anse som kritisk.För att svara på syftet analyseras hur det användbara försvaret är tänkt att nyttjas vid nationella insatser, vilka målsättningar som finns för det taktiska transportflyget samt hur denna förmåga ser ut i dagsläget. Författaren använder sig sedan av de teorier som hämtats från doktrinerna för att analysera hur taktisk luftburen transport kan kopplas samman med den nya insatsorganisationen.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Background: Chronic pain is a condition that approximately 18% of the Swedish population suffers from. This condition affects many aspects of a person´s life and causes psychological, physiological and social suffering. Multimodal treatment is considered the most effective treatment for patients with chronic pain. Patient participation and motivation are very important to treatment. Aim: The aim of this study was to explore patients´ experience of a multimodal chronic pain treatment program regarding their experience of patient participation and interaction with the rehabilitation team.

The purpose of this study was to look at the experiences of midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifmidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.

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.

BackgroundHeart failure is an increasing chronic disease in the western world due to an aging population and a changed lifestyle. The basic treatment is pharmacological with substantial lifestyle changes. Much is known about physical exercise in middle aged and younger patients but in the patients over the age of 65, little is known. AimThe aim of this study was to investigate the effects of physical exercise on patients aged over 65 with congestive heart failure. MethodA systematic review was undertaken in the databases Cinahl and PubMed.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Vid transport av temperaturkänsliga produkter krävs en förpackning som klarar av att hålla temperaturen inom ett visst intervall så att innehållet inte skadas. Omgivningstemperaturen kan variera mycket under en transport och det är viktigt att förpackning kan kyla passivt utan att påverkas för mycket av omgivningen. Ett typiskt användningsområde för denna typ av förpackningar är inom sjukvård för transport av läkemedel, organ och andra biologiska produkter.Problemet som denna rapport behandlar är att ta fram en sådan förpackning för hingstsperma som skulle kunna skickas med posten. Sperman behövde först kylas ned från rumstemperatur till 5°C under tio timmar innan den skulle hållas vid denna temperatur i ytterligare 24 timmar. För att lösa detta användes en kombination av isolering och fasomvandlingsmaterial vars egenskap att lagra energi gör att en konstant temperatur kan hållas under en längre tid.

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

AbstractIntroduction: The condition of human health and its lifestyle has become a great questioner towards the public healthcare of our country. Despite the recommendations of at least 30 minutes physical exercise per day, many individuals of our society do not get the recommended amount of physical activity.  To improve the situation a method called ?Fysisk Aktivitet på Recept, FAR (Physical Activity on Recipe). This means that licensed health- and medical staff, as district nurses are able to write prescriptions on physical activity to patients.Purpose: Was to highlight the district nurse?s experience in the role of the FAR-prescribers.Method: The study was conducted using qualitative method.

This study has been made on behalf of the Swedish Transport Administration to study the work of the department National Projects. The Swedish construction industry has for many years been characterized by low productivity. By being the largest purchaser of contracts in the industry the Swedish Transport Administration has a unique opportunity to influence the productivity. In order to improve in productivity The Swedish Transport Administration is adopting a new role in which they will order more turnkey projects. In our study, we will focus on how one department within the Swedish Transport Administration, National Projects, can perform successful turnkey projects.To clarify how the department National Projects can perform successful projects, this study identifies critical factors for projects and their links to different phases of the project.

Today adult patients' relatives are seen as a resource in psychiatric care but few researchers have examined the lived experience of relatives' participation in psychiatric care. The aim of this study was to illuminate how mental health staff and relatives of adult patients experienced the relatives' participation in psychiatric care on hospital ward.The study was guided by a phenomenological approach and a lifeworld perspective. Data were collected through in-deep interviews with ten adult patients' relatives and three group-interviews with ten mental health carers from two hospitals in Sweden.The essence of the lived experience of relatives' participation in psychiatric care in hospital ward is described in the constituents: invitation to participate in psychiatric care; meet the staffs' care; to participate in own or others terms; bring the common everyday world with you; feel burden; participation a trip in time and space. The findings of the study show that the relation between the staff and the relatives are important for the relatives' participation in psychiatric care. The relatives' participation can alter from no participation to a meaningsful participation, from suffering to well-being.This study can help medical staff to understand relatives and their participation in a new way..