The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Mental health problems among young people - causes and actions Results from several studies indicate that the prevalence of mental illness among young people has increased recently. This paper has a qualitative approach where three counselors and a school nurse was interviewed. The purpose of this study is to try to get an idea of how these staff are working with young people suffering from mental illness at school. The aim is also to examine whether there is an opportunity for the staff to work proactively to promote mental health..

Background: From a public health perspective it is of great interest to prevent the risk of noise induced hearing loss, because in addition to hearing loss, tinnitus and sound sensitivity also may lead to other health problems. About 1,4 million people in Sweden live with some form of hearing loss and 25000 of them are children under the age of 16. Studies have shown that hearing loss among adolescents is increasing and it is often associated with sound environments in their leisure time. Lectures in hearing prevention has been conducted in schools for adolescents but have not reached the desired results. Objective: To enquire caregivers? attitude, behaviour and perceived knowledge about sound exposure and its risks.

To become old and live in an institution could mean that the habits and routines they have obtained during their lifetime and are used to may become changed. There are fixed norms and rules which the elderly more or less have to adjust to. The aim of this study was to describe how nursing staff attitudes influence on elderly care takers meal situation. The method of this study was a literature review. The result showed that norms and rules not always are adjusted to caretakers? wishes and needs.

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 core process is responsible for internal business development and is the process that runs through the organization and the results which creates a value for the customer. Some research suggests that identification of the client's conscious or unconscious needs clarifying the so-called core process in the organization and operations can thus be more effective. The study aims to identify and analyze the experience of the core process within child health care. The method has been interviews with nine managers and 10 clinic nurses in a county. The results show a lack of knowledge regarding core process and process work.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

The purpose of this study was to describe how nurses, working in primary health care and responsible for diabetes care, reflected on patient information and education, its? content and experiences of providing it. The study had a descriptive design and seven nurses from seven health care units in the middle of Sweden participated in the study. Data were analyzed with qualitative content analysis. The results are presented in two main categories; ?The information? and ?The procedure?.

Folkhälsovetenskapligt program.

This thesis analyses the cost accounting system KPP and its use within the Swedish health care. KPP is designed to calculate and assign health care costs to individual patients. This would facilitate evaluations and comparisons of the costs for certain diagnosis, patient groups or clinics with a different mix of diagnosis. The study investigates the following questions: 1. Does the KPP-model theoretically work as a cost accounting tool for health care purposes? 2.

The aim of this thesis is to study how public libraries in Sweden use alternative shelf arrangements that differ from the library?s original classification system, which in Swedish public libraries usually is the SAB-system. I sent out a survey to 169 public libraries, where I received 114 replies. 77 of these stated that they had some kind of alternative shelf arrangement, therefore these are the ones that are included in my study. I wanted to investigate in what way the libraries had changed their shelf arrangement and why this decision was made.

Home care services have had, and will have a major imortance in the future. More people will be using home care services as a consequence of political strategies but also as an effect of caretakers own wishes. The purpose of this study was to illuminate the factors that are significant for a successful encounter between a caretaker and a caregiver. The study is made as a qualitative analysis of litterature. The data collection was based on Polit and Hungler's model of information retrieval and the data analysis on Graneheim and Lundman's model of analysis.

The aim of this study was to describe peripheral vascular patients´experiences of quality of care in connection whith ambulatory care, and to identify if ambulatory treatment responded to patients´expectations..

The extent by which pet owners follow health care instructions falls within the confines of ?compliance?. The success of any given treatment is in part due to the way in which the owner complies with the instructions received from the advising veterinary professional. Studies abroad have found that the preventative dental care sphere suffers from a low compliance rate. Together with the fact that veterinary staff commonly issue advice on preventative dental care, this provided the impetus for undertaking the current research.