I denna uppsats har jag studerat förändringsarbete i samband med införande av Lean Healthcare. Arbetet har en abduktiv ansats där jag utifrån en fallstudie på Akademiska Sjukhuset i Uppsala har studerat hur de arbetar med förändringsarbetet. För att få insikt i deras förändringsarbete har jag intervjuat delar av personalen och deltagit i två av deras utbildningsdagar.Förutom en beskrivning av hur arbetet på Akademiska Sjukhuset är organiserat så innehåller arbetet även en stor teoridel som tar upp de grundläggande principerna i Lean-filosofin. I tillägg till detta så presenteras också en modell för förändringsarbete och jag har tagit med teorier som specifikt handlar om förändringsarbete i samband med införande av Lean Healthcare. Genom att jämföra teorierna med erfarenheterna från utbildningsdagarna har jag sedan kunnat dra slutsatser om förändringsarbetet.För att lyckas med Lean-implementeringen är det viktigt att inse att det kan finnas ett motstånd mot förändringarna.

Lung cancer is a disease which patients experience stigma in society and in care. This is because lung cancer is often seen as a self-inflicted disease. The stigma surrounding lung cancer is due to the strong relationship with smoking and have been shown to have a negative impact on the perceived health. The purpose of this study was to illuminate experiences of stigma for patients with lung cancer. The literature review was based on 11 scientific articles.

Denna uppsats ämnar förklara och skapa förståelse för förutsättningar till Lean Healthcare, den metod för effektivisering som sjukvården anammat för att utveckla och förändra de traditionsenliga verksamhetsstrategier som länge styrt sjukvårdens arbetssätt och processer. Genom att identifiera vilka egenskaper som bör stimuleras hos framtida arbetskraft för att skapa de förutsättningar som krävs för att vidmakthålla Lean Healthcare som en långsiktig effektiviseringsmetod bidrar denna studie med information som är behövlig för att ihärdigt lyckas med Lean Healthcare.De svårigheter som påvisats vid implementeringen av Lean Healthcare kan från befintlig forskning härledas till en kollision mellan den organisationskultur som förespråkas inom Lean, ursprungskonceptet till Lean Healthcare och den kulturella kontext som finns inom befintlig organisationskultur där Lean implementeras. Denna kollision påvisas genom en avsaknad av ihärdighet inom organisationerna som implementerat Lean då befintlig organisationskultur och verksamhetsstrategi motsätter sig de arbetsprocesser och det arbetssättet som förespråkas inom Lean-filosofin. Då många sjukhus i Sverige redan implementerat, eller är under omstrukturering till att implementera, Lean Healthcare ämnar denna uppsats undersöka hur framtida arbetskraft förhåller sig till det arbetssätt som förespråkas inom sjukvården.Utifrån en positivistisk kunskapssyn och ett deduktivt angreppssätt genomfördes en kvantitativ studie där arbetssättet och lärandet undersöktes hos en grupp studenter inom sjukvårdsprogrammen vid Umeå universitet. Arbetssättet och lärandet undersöktes för att kunna urskilja värderingar och beteenden som kunde härledas till att förutsäga utfallet av en integration mellan ny arbetskraft och befintlig organisationskultur inom sjukvården.Studiens resultat visar att arbete inom team innefattar karaktärsdrag hos framtida arbetskraft som behöver stärkas vilket främst bör göras genom att stimulera befintliga och kompatibla egenskaper med Lean Healthcare, så som beslutstagande och förmågan att ta an en ledarroll.

Citizens? freedom of choice has been a subject of debate in Sweden for over 30 years. This study focuses on decision making processes among patients within the Swedish healthcare system. The main conclusions are that in contrast to how patients? freedom of choice is described within governmental bills and governmental inquires and reports, patients are not following the steps included in the rational model of decision making.

AIM The aim of this paper was to clarify some of the factors that motivates pet owners to follow advice and instructions from veterinary nurses, so called compliance. METHOD An empirical study with an inductive approach was conducted, and a qualitative content analysis was performed. Content analysis is a scientific method of achieving qualitative results. The analysis is based on interviews with five pet owners, completed in February 2012. The interviews were transcribed and the results are made up of abstracted quotations. RESULTS The result in the study indicate that pet owners are motivated by information, respect, trustworthiness and treatment in meeting.

How is research and science being used in political debate? An idea analysis of the debate about försäkringsmedicinskt beslutsstöd (decision tool in healthcare security)This is a case study on different types of research use (utilization) The aim of this paper is to examine how the politicians make use of expertise and research in the parliamentary debate surrounding the decision tool in healthcare security (försäkringsmedicinskt beslutsstöd). The aim is also to find out to what extent different types of research use are present in this debate. In this case study the qualitative method of idea analysis is being used on the empirical material. The tool of analysis is based upon the theories of research use by Amara et al.

The purpose of this literature study was to describe techniques for monitoring general anesthesia and standing chemical restraint in the horse. A number of various techniques and devices related to e.g. blood pressure measurement, blood gas analysis and pulse oximetry are defined, and finally their clinical relevance and reliability are discussed. The equine patient is generally far more exposed to anesthesia-related risks than other smaller species. Complications such as hypotension and hypercapnia are commonly seen during general anesthesia. Thus, close monitoring is essentially performed by the veterinary nurse, whom is responsible for monitoring the anesthetized patient.

This work is a combination of a literature study and a practical pilotstudy. In the literature study essential physiological reasons of why anaesthesia of horses is so risky are explained. Diffrent methods of induction and recovery are brought up, together with significant aspects of positioning the horse on the operating table and perianaesthetic complications such as myopathy, neuropathy and limb fractures. The pilotstudy had the purpose of examine the bodytemperature of horses undergoing general anaesthesia and to control the perianaesthetic temperature measurements performed in Swedish horseclinics and veterinary hospitals. Our hypothesis was that the bodytemperature of the horses would decrease but not enough to cause a problem. The purpose of this work has been to gather more profound knowledges in the subject of perianaesthetic nursing of horses which is an important part of the assignment of a veterinary nurse..

The field rehabilitation in veterinary medicine has expanded over the past ten years. Animalswith disorders in the musculoskeletal system are often treated. The methods used lacksufficient scientific documentation; however claim to affect the animal's function in a positiveway. In order to investigate the efficacy of different rehabilitation modalities, it is important touse validated evaluation tolls. Therefore, a literature study on pain, pain-scales and functionaltest was performed together a pilot study on a functional test.The aim of the present pilot-study was to investigate a functional test, "Bioarth functionalevaluation scale", used in veterinary medicine.

Background: A group severely affected by health issues, the experiences of homeless alcohol and drug abusers in the coverage of their medical care needs is not satisfactory. Aim: The aim of the study is to explore which factors experienced by homeless alcohol and drug abusers in Uppsala in regards to their living situation affected their health, their perception of access to healthcare, the character of treatment received and coping strategies used outside of the healthcare system. Method: Nine people who had experienced both homelessness and substance abuse problem were recruited for the study during their visit to Stadsmissionens facilities for the homeless. Data was collected through qualitative, semi-structured interviews including two women and seven men. Data was analyzed using qualitative content analysis according to Giorgi modified by Malterud.Results: Among homeless substance abusers interviewed experiences of unwelcoming and prejudiced healthcare were described.

It is a well known fact today that suffering due to skin disorders is one of the most common causes to veterinary calls. For the Doberman breed included in the group of working dogs, the frequency and distribution of the different skinrelated diagnoses that causes visits to the veterinary clinics remains undocumented. The purpose of this study was to evaluate the frequency of skinrelated problems causing veterinary visits of Doberman at four different veterinaryclinics in Sweden retrospectively, and compare these results with dogs in general and three other working dog breeds with the help of information collected from Agria - a Swedish animal insurance company. The total amount of veterinary calls that were registered at the clinics in question during the time of the study was 2460 visits. From these, 658 visits were due to skinrelated disorders, which amount to 27%. The most frequent cause to skinsuffering was injury caused by trauma, 15,7% of the Dobermans that were included in the study were affected, the second most frequent cause was inflammatory and infectious skin problems with 12,3% followed by neoplastic changes in the skin with 7% of the Dobermans affected.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

ABSTRACTMy degree project has resulted in the improvement of the guidance in the dental center?s entrance. The patients will now find it easier to understand and find the environment?s various functions, which is the reception, registration, payment, and waiting rooms. Norrbottens läns landsting has a concept ?hälsofrämjande väntrum? that provides guidelines for how they want their patients to experience their waiting rooms.

Syfte: Syftet med uppsatsen är att analysera vilka faktorer som möjliggör och hindrar innovation bland sköterskor inom Lean Healthcare på Ortopeden 12, USiL. Metod: Studien genomförs i form av en kvalitativ fallstudie med iterativ ansats. Teoretiska perspektiv: Studien använder sig av vanligt förekommande teorier kopplade till innovation. Cultural Web används för att analysera avdelningens paradigm som jämförs med förutsättningarna för innovation. Teorier som tar upp olika aspekter som kan påverka innovation tas också upp.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.