SAMMANFATTNINGBakgrund: Delaktighet, vårdrelation och kommunikation är tre centrala begrepp inomhälso- och sjukvården. Detta med tanke på att det är tre faktorer som kan få patienten attpåverka dennes hälsoprocess samt att kunna trygghet. Syfte: Att belysa sjuksköterskansförutsättningar och hinder för att skapa delaktighet i vårdrelationen med patienter närsamma verbala språk inte talas. Metod: Studien utgår från sjuksköterskans perspektiv ochbaseras på en kvalitativ analys utifrån Evans (2002) litteraturstudie. Resultat: Det somansågs vara förutsättningar för delaktighet kunde vara tolkens närvaro för skapandet avdelaktighet i vårdrelationen.

Begreppet akut coronart syndrom (ACS) används för tillstånd som orsakar syrebrist i hjärtmuskeln genom förträngning av kranskärlen. I Sverige sker ca 42 % av alla dödsfall hos både kvinnor och män till följd av hjärtkärlsjukdom. Riskfaktorer utgörs av kön, ålder och ärftlighet samt relateras till livsstils faktorer såsom rökning, förhöjda blodfetter, hypertoni, diabetes, stress och låg fysisk aktivitet. För personen som insjuknar i en hjärtinfarkt kan upplevelsen innebära en kris och sjuksköterskan har en central roll som rådgivare och vägledare för patienter under deras sjukhusvistelse och i eftervården. Syfte med denna litteratursammanställning var att beskriva sjuksköterskans omvårdnadsåtgärder som kan stödja patienter med ACS. Studien utgörs av en systematisk litteraturssammanställning och resulterade i sex kvalitativa och fem kvantitativa vetenskapliga artiklar. Resultatet belyser två teman som betydelsefulla omvårdnadsåtgärder sjuksköterskan kan stödja patienter med vid ACS. Dessa teman presenteras som information/utbildning och skapande av relationen mellan sjuksköterska och patient.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

Researchers, planners, and government agencies agree that road safety for children must be a priority and in particular that children should have a safe and secure way to travel to and from school regardless of age or the distance travelled. In Sweden, child traffic safety is a key part of the country?s Nollvision, a long-term traffic policy goal of ?no deaths or serious injuries?. Unfortunately, many countries have recorded increases in child traffic accidents as the percentage of parents who drive their children to school and thus congestion around schools has increased. Common strategies include traffic safety education for children, the redesign and improvement of traffic infrastructure, bicycle training, and carpooling.This thesis assesses the traffic problem around Ludvigsberg School in the district Valbo in Gävle, Sweden.

Syfte: Syftet med denna studie är att beskriva hur pappor upplever ett akut kejsarsnitt.Metod: Deskriptiv studie med kvalitativ design. Semi-strukturerade intervjuer genomfördes med tio pappor som varit med om ett akut kejsarsnitt.  Resultat: I studien framkom positiva upplevelser av akut kejsarsnitt så som ett bra bemötande av personalen och en känsla av att bli omhändertagen. Personalen uppfattades som proffsiga, trevliga och snälla. Det var framförallt efter det akuta kejsarsnittet som pappor upplevde en delaktighet då de själva fick ta hand om barnet.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Syftet med föreliggande studie var att ta reda på vårdpersonal och närståendes upplevelser vad gäller vanlig palliativ vård och strukturerade vårdplaner så som LCP/ICP. Studien genomfördes som en systematisk litteraturstudie där underlaget inhämtades genom att med specifika sökord söka i Högskolan Dalarnas databas ELIN@ efter vetenskapliga artiklar. En artikel har även sökts från en annan referenslista där artikelnamnet använts som sökord. Vid sökningarna har sökorden använts var för sig och i kombination med varandra varvid 13 stycken artiklar valdes ut till resultatet. Resultatet visade att det fanns brister i den ordinarie palliativa vården vad det gäller kommunikation, symtomlindring och anhörigvård.

Researchers, planners, and government agencies agree that road safety for children must be a priority and in particular that children should have a safe and secure way to travel to and from school regardless of age or the distance travelled. In Sweden, child traffic safety is a key part of the country?s Nollvision, a long-term traffic policy goal of ?no deaths or serious injuries?. Unfortunately, many countries have recorded increases in child traffic accidents as the percentage of parents who drive their children to school and thus congestion around schools has increased. Common strategies include traffic safety education for children, the redesign and improvement of traffic infrastructure, bicycle training, and carpooling.This thesis assesses the traffic problem around Ludvigsberg School in the district Valbo in Gävle, Sweden.

Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.

Hälften av personalen inom äldrevården uppger att de dagligen lyfter tungt vilket kan geskador i rygg, skuldra och nacke som kan leda till arbetsskada alternativt sjukskrivning.Durewall-systemet och Stockholmstekniken är de vanligaste lyfttekniksmetoderna iSverige. På undersökningsplatsen användes Stockholmstekniken. Rapportens syfte är attidentifiera faktorer som associeras med sjukskrivning på grund av smärtupplevelse vidlyftmoment i arbetet inom äldrevården, beskriva eventuella smärtupplevelser vid lyft avboende samt undersöka om eventuell information om lyftteknik är effektivt förebyggandemot upplevd smärta vid lyft av boende. Då undersköterskor återfinns längst ner i svensksjukvårds hierarkiskala har yrkesgruppen svårt att påverka. Studien genomfördes på ettboende i Västsverige med enkäter och omfattade 18 undersköterskor.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Every single child has the right to a childhood as well as a future. The labor regulations within the international conventions exist in order to make sure that these rights are looked after, but the ratification of the conventions is just the beginning. In order to receive the results which are set by the conventions, it is crucial that the implementation is successful. The politics of the country have to change and improve in order to achieve compatible laws, but also the population has to be given the opportunity to obtain education and knowledge about their human rights. Children who are forced to work at a young age, often under inhuman conditions, are not only deprived of their childhood but also of the chance to develop into an independent individual at the same time as this interferes with their education.

Many of the schools premises are neglected and the physical environment has not been prioritised. Instead the focus is set on scientific learning methods and pedagogic. The need for an environmental shift has not got an essential place in the governing documents for schools, although the focus on school premises should be suited to the purpose of the activity and for the pupils needs. Today the interest and the need of research within the physical environment is evermore increasing. The Swedish Work Environment Authority, present in their activityplan for 2006, that the schools premises and equipment is not adjusting to today?s activity and it is in bad condition that can lead to work-related injuries.The purpose of this essay is to bring to light a different pedagogic train of thought around the surrounding environments importance, for students learning and to compare these with our study of a selection of classrooms and what the teachers to these classrooms consider about the environments importance.

Public health focuses on interventions related to physical activity during leisure and at work under conditions where health care is offered during working hours. Increased physical activity offers many positive effects on health in general and reduces the risk for most injuries and illnesses. Female cleaners represent a profession that is largely composed of women at high risk of overload injury and rarely participate in wellness initiatives offered at workplace. The purpose of this study was to investigate the effects of 20 minutes of daily physical exercise for 10 weeks of intervention for healthy female cleaners. A total of 40 female cleaners in a larger organization participated in the study and were divided in into an intervention group and a control group.

Peste des Petits Ruminants (PPR) is a disease of major socioeconomic impact. It is an acute and highly contagious viral disease of small ruminants caused by the agent Peste des Petits Ruminants Virus (PPRV), a Morbillivirus closely related to Rinderpest virus (RPV) which was declared eradicated from the world in 2011. PPR has a high morbidity and mortality rate and is characterised by high fever, nasal and ocular discharge, pneumonia, necrosis and ulceration of the mucous membranes and inflammation of the gastrointestinal tract causing severe diarrhoea. The role of wildlife in the epidemiology of the disease is still unclear. The disease is currently affecting sheep and goat in 70 countries worldwide and this year (2014) FAO has announced a program to eradicate the virus by 2030. In Tanzania, the disease was first reported in 2008 and has since then spread to different parts of the country.