Bakgrund och problem: Med den ökande efterfrågan på vård men med begränsade möjligheter att utöka sjukvårdens resurser finns ett stort behov av förbättringskunskap inom vården. Det är allt vanligare att sjukvården hämtar inspiration till förbättringsarbete från industrin i syfte att öka effektiviteten och hålla en hög kvalitet.Syfte: Studiens syfte är att beskriva och analysera hur intensivvårdsavdelningen (IVA) på Danderyds sjukhus arbetar med löpande förbättringsarbete samt att baserat på analysen ge rekommendationer om hur detta arbete kan utvecklas. Ett bisyfte är att inom ramen för IVA:s förbättringsarbete undersöka det stöd från kvalitet- och verksamhetsutvecklingsfunktionen på Danderyds sjukhus som IVA kan nyttja och att ge förslag på hur detta stöd kan utvecklas.Metod: Denna kvalitativa fallstudie genomfördes på intensivvårdsavdelningen (IVA) vid Danderyds sjukhus. Datainsamlingsmetoderna som användes är semi-strukturerade intervjuer, dokumentstudier och observation. Analysen skedde genom mönsterjämförelse.Resultat: Det främsta förbättringsarbetet som genomfördes på IVA var genom förbättringsteam med ansvar över att utveckla vissa områden inom vården.

Bakgrund: V?ld i n?ra relation ?r globalt folkh?lsoproblem som drabbar fr?mst kvinnor och har allvarliga konsekvenser p? h?lsan. Sjuksk?terskors ansvar ?r att f?rebygga oh?lsa och har en viktig roll i att m?ta kvinnor utsatta f?r v?ld. Det kr?vs goda kunskaper och ett etiskt f?rh?llningss?tt f?r att kunna bem?ta dessa kvinnor.

Bakgrund: I Sverige är det idag 3-4 procent av befolkningen som har diagnosen diabetes mellitus typ 2 och antalet insjuknade ökar kontinuerligt. Diabetes kan leda till allvarliga komplikationer som kärl- och nervförändringar, ögon och njurpåverkan. Sjuksköterskans roll i omvårdnaden är att ge stöd och utföra kontroller för att förhindra komplikationer. Syfte: Beskriva vilket stöd från sjuksköterskan som vuxna med diabetes typ 2 upplever att de är i behov av. Metod: En allmän litteraturstudie med nio vetenskapliga artiklar sammanställdes.

Background: Prediabetes is caused by relative insulin deficiency and insulin resistance in the body tissue which leads to abnormal blood glucose levels. Prediabetes can over time lead to type 2 diabetes mellitus. To prevent the onset of type 2 diabetes and its complications, it is important to identify early elevated blood glucose levels and thereby prediabetes.Objective: To describe nurses' knowledge and experience regarding the management of patients with prediabetes.Methods: Qualitative descriptive design with individual interviews. Three nurses, three community health nurses and three diabetes nurses were interviewed.Results: The result can be understood from the nurses' experiences of encountering patients with prediabetes. An overarching theme in the analysis was that the nurses are working or aspiring to work preventively.

The debate about women and equality is a very burning issue in the Swedish society today. There are a lot of articles, TV-programs, books and web sites treating the position of female leaders today. There are also a lot of myths strongly attached to our minds hindering the equalization process between men and women.The main purpose of our study was to look at women as leaders and identify potential tendencies in businesses sectors dominated by mainly men or women. We also wanted to find out whether leadership behavior is more or less oriented towards relations- or task in any of the chosen sectors. It was even in our interest to see if our chosen respondents supported the myths in our society about male and female qualities.We interviewed 20 women in four different sectors, two dominated by men (Computer/It, Transport) and two dominated by women (School, Healthcare).

Blekinge Hospital suffers from a budget shortage of 100 million SEK, while the government now requires that hospitals will no longer be running a deficit. Blekinge Hospital will then use their limited resources to survive in the future and the activity must be enhanced in order to keep costs low without having to lay off personnel. The idea is that the organisation should be more efficient with a more efficient resource usage. Performance measurement systems are important tools for achieving the policies set out within an organization, measuring and evaluating performance is a way to see where improvements in efficiency may be necessary in the business. Balanced Scorecard (BSC) is one of several measuring systems, where the focus is on measuring non-financial performances.

I dagens samhälle så används internet mer och mer för att få fram information, så är även fallet förkartor. I denna uppsats, som gjorts på uppdrag av Tieto Sweden Healthcare & Welfare för att kunnaanvändas i systemet Laps Care, kommer det tas upp lösningar för att hämta geografisk data viakarttjänster med hjälp av Web Map Service (WMS) tjänster i en .NET applikation.Detta examensarbete kommer att ta upp, på en grundläggande nivå, hur WMS-standarden kananvändas av en klient för att visa digitala kartor från en WMS-tjänst samt lite kort om andraalternativ till WMS så som Web Map Service Tile Cache (WMS-C) och Tile Map Service (TMS)tjänster. Det ges olika förslag på open source komponenter som kan användas för att hantera sådanatjänster med fokus på SharpMap som valdes att användas i prototypen som gjordes för att visa huren sådan klient kan se ut.Uppsatsen kommer också behandla kartografi där det kortfattat förklaras om vilka riktlinjer somborde tas för en karta.I andra stycket tas kortfattat upp hur webbtjänster fungerar och även vad det finns för för- ochnackdelar att använda sig av sådana tjänster.Det kommer också förklaras vad Geografiska informationssystem (GIS) är och hur det användsidag.Sammanfattningsvis så utvecklades en fungerande prototyp med hjälp av open source komponentenSharpMap som kan visa kartor från WMS, WMS-C och TMS tjänster och om en ERSI Shapefilmed vägdata finns tillgänglig så går det att söka efter gator..

The district nurses' duties with all organisational changes, above all during the last 20 years, have been changed. Economy and listing governs which visits that to be prioritized. The aim with this study was to examine what district nurses in the primary care in Uppsala län has for view about their occupational role. The method was qualitative and the selection comprized ten district nurses in Uppsala län that were interviewed individually on the basis of a semi structured interview guide that the authors the actual created. In the wide analysis of the results could a theme, As a rubber screw in a shrinking hole and three central categories be discerned, Occupational role, Diversity and Organisation.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.

This is a study of some risk factors for Diabetes Mellitus (DM) in dogs. As a pilot study it is meant to give information to be used in a planned later, larger and better controlled study. The present study hypothesized that suboptimal feeding (high percentage of homemade and table foods), lack of activity and overweight contribute to the risk of DM. Twenty consecutive dogs diagnosed with DM at the Veterinary University Clinic in Uppsala between 2000 ? 2003 were chosen as the experimental group.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

The harness racing industry has roots hundreds of years back in time and breeders through time have changed the horses to a mix of potential, harmony and speed. Breeding has changed the conditions and created a horse that perform better and better. A risk with high-performance horses is that injuries related to training and racing may occur more often. In training and racing situations, lameness is the most common injury. There are many factors affecting the occurrence of injuries and lameness of the trotter horses, such as how the horse is trained and raced, the surface condition of the racetrack, banking and angle of the curves of the racetrack and how fast injuries are discovered and treated.

Palliative care is a care that focuses on providing end of life care but not to delay or hasten death. Despite training, nurses often show a lack of knowledge in attitude, ethics and healthcare issues of palliative care. The nurse in palliative care has a central role in caring of the dying patient and therefore a big responsibility. However, palliative care is a low priority in basic training. The aim of this study is to investigate the roles of nurses in palliative care and if there is a need for increased education in the subject.

The expectations of a successful outcome are great during childbirth. The overall objective of prenatal care and birth care is that midwives contribute in creating the most positive experience of pregnancy, child birth and infancy as possible. During the past 30 years there has been a significant increase in sectiofrequency both in Sweden and the rest of the Western world. More parents feel an overall insecurity when it comes to child labour. The purpose of this study was to describe how midwives experience the work of creating a sense of security and good nursing when meeting the expectant parents.

Background: Good quality of communication has a significant role and is essential in the care, and there are many factors that have an impact on the communication between nurse and patient. It is important that the interaction and communication is directed to and focused on understanding in broad sense in order to make sure that the meeting between nurse and care taker will result in something positive. Through a greater understanding the cooperation between nurse and the patient will be facilitated, which will create opportunities for both sides to be part of and contribute to a meaningful rehabilitation.Purpose: The aim of the study is to describe how the elderly patient and the nurse experience the communication within the health care, however also to identify what factors that are essential for an optimal communication.2Method: In this study the method that has been chosen is metasynthesis. The metasynthesis method implies that qualitative studies, that illustrate elderly patients and nurses perceptions and experiences of communication within health care, have systematically been reviewed and compiled to a result.Result: The analysis of the study?s results in a composition that consist of the following three themes; the patients and the nurses perspective on how information should be conveyed, the role of the time aspect in communication and the impact of the attitude on communication.