Bakgrund: Kompetensf?rs?rjningen ?r en stor utmaning f?r den svenska sjukv?rden, i samtliga av landets regioner saknas specialistsjuksk?terskor och det ?r brist p? erfaren personal. Kompetensbristen kan utg?ra ett hot mot patients?kerheten. Trots att satsningar g?rs f?r att fler sjuksk?terskor ska specialistutbilda sig ?r det inte tillr?ckligt m?nga som g?r det. Syfte: Att unders?ka grundutbildade sjuksk?terskors inst?llning till att specialistutbilda sig inom kirurgisk v?rd. Metod: En fokusgruppsstudie med 16 grundutbildade sjuksk?terskor fr?n kirurgiska avdelningar p? ett universitetssjukhus i Sverige.

Detta examensarbete handlar om hjärnans utveckling, inlärningen och våra inre inlärningsstilar. Det tar också upp kort om hur man kan utnyttja inlärningsstilar i skolan. Syftet har varit att ta reda på hur vi utvecklas och hur de utvecklingsstrukturer ser ut som vi föds med och utvecklar efterhand. De frågeställningar jag haft under skrivandets gång har varit: Vilka är "de sju olika intelligenserna"? Hur utvecklas hjärnan? Var och när börjar vi lära, och vad är det som ligger till grund för vår inlärning? Hur kan man bearbeta olika inlärningsstilar i skolans högre stadier? Den metod jag använt är en litteraturstudie med litteratur som behandlar inlärningen, hjärnans utveckling, hur vi tänker och lär mm.

The number of persons with problems of abuse or addiction seeking care has increased during the last years in Sweden. Recent international studies show stigmatizing attitudes among nursing staff, which affect the treatment and care negatively. The purpose of this study was to describe experiences among nursing staff of treating persons with problems of abuse or addiction at an emergency department. The participants were six nurses and one assistant nurse who worked at an emergency department. The interviews were analyzed through qualitative content analysis.

Diabetes typ 2 är en kronisk sjukdom som ständigt ökar. Syftet med denna litteraturstudie var att beskriva patienters upplevelser av att leva med diabetes typ 2. Nio vetenskapliga artiklar analyserades. Analysen resulterade i fem huvudkategorier; upplevelser av att ändra livsstil, coping - ett sätt att hantera sin diabetes, upplevelser av en förändrad självkänsla, upplevelser av vårdpersonalens bemötande och framtidssyn. Resultat som framkom i studien var svårigheter med att ändra livsstil beträffande kostvanor, hantering av medicinering och fysisk aktivitet.

Bakgrund: Kontrastmedelsinducerade allergiska reaktioner inom radiologin ?r s?llsynta men kan orsaka allvarlig v?rdskada. D? allvarliga allergiska reaktioner (AAR) ?r ovanliga har r?ntgenpersonal inom radiologin begr?nsad erfarenhet av att hantera dessa situationer. Syfte: Syftet var att identifiera kompetensh?jande insatser och hj?lpmedel samt vilken inverkan de har p? r?ntgenpersonalens beredskap inom radiologin att hantera AAR i samband med administrering av kontrastmedel.

Unhealthiness is not just a damaged back or asbestos. The fact that mental ill-health seems to increase in our society is well known. Statistics from Arbetsmiljöverket proves a fourfold increase of work-related disorders since 1997. These are primarily caused by organizational and social factors, 60% are considered caused by stress and a heavy workload. Sick leave due work related fatigue and depressions are scarily common today.

Bakgrund: Ett stort antal personer drabbas varje år av venös tromboembolism i Sverige och ungefär en fjärdedel drabbas av lungemboli. Symtomen kan vara mycket varierande och diffusa vilket gör sjukdomen svårdiagnostiserad. De flesta patienter som kommer till sjukhus och får behandling i tid överlever. Det finns i dag mycket forskning när det gäller riskfaktorer, diagnos och behandling vid lungemboli. Däremot är inte upplevelsen av att drabbas väl studerad, inte heller hur det påverkar patientens livskvalitet.

ABSTRACTBackground: Most cases of lumbar disc herniation are asymptomatic. When symptomatic, LDH may cause a significant physical and mental distress. Initially, most patients are treated conservative but sometimes operations may be required.Aim: The aim of this study was to provide a review of the scientific basis of physiotherapy, including behavioural therapy, as a treatment to lumbar disc herniation regarding pain, function and the size of disc herniation in people suffering from lumbar disc herniation.Method: Four databases were used in the searches of literature. Assessment of the validity of the studies was done with the PEDro-scale and valuation of evidence rate was made according to guidelines made by the Swedish Council on Health Technology Assessment (SBU).Result: Nine RCT-studies were included with a total of 713 participants. The scientific basis is moderate to support a pain reduction and limited regarding improvement of physical function when it comes to physical exercises, including MDT.

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

Bakgrund: Humant Immunbrist Virus (HIV) är en infektionssjukdom som angriper kroppens immunförsvar vilket leder till att det stegvis försämras och slutligen helt avtar. Historiskt sett har patienter med HIV blivit diskriminerade i samhället och orättvist behandlade. Joyce Travelbee?s omvårdnadsteori tar avstånd från en generaliserande människosyn och förespråkar att se individens unika egenskaper, och sjukvårdspersonal ska enligt lag möta patienter med lika värde och lika vård oavsätt diagnos. Syftet är att beskriva erfarenheter som vuxna patienter med HIV har av möten med sjukvårdspersonal.Metod: En systematisk litteraturstudie.

Background: The purpose of this study was to explore the reasons that motivate women to seek cosmetic breast augmentation surgery, to examine their self-concept and how they relate to their breasts.Methods: Ten female postoperative participants who have undergone an aesthetic breast augmentation surgery on private clinics were interviewed using an unstructured interview format. Self-report questionnaire was used as a complement to the interview. The purpose of this was to examine women's self-concept. Six female postoperative participants who have undergone a breast augmentation surgery on public clinic and had medically confirmed defect also completed the measures.Results: The results of the interview analysis showed that some participants experienced positive physical and psychological outcomes of surgery and some did not. Several main themes were identified relating to the initial reasons for performing surgery.

Bakgrund: M?nga patienter drabbas av v?rdskada i samband med kirurgi. F?r att minska risken att patienten drabbas av skador beh?ver operationssjuksk?terskan och ?vriga teamet ha goda kommunikationsf?rdigheter f?r att teamarbetet ska fungera. Alla yrkeskategorier har ett gemensamt ansvar f?r patienten och ska systematiskt arbeta f?r att f?rebygga v?rdskador. Operationssjuksk?terskans titel ?r skyddad och en stor del av professionen ?r att arbeta f?rebyggande mot komplikationer under operation.

The purpose of this study was to evaluate the effectiveness of mindfulness training in the treatment of chronic pain, estimate the degree of mindfulness before and after intervention, and to describe the participants experience of mindfulness training. Mindfulness is defined as moment to moment, non-judgmental awareness. After the treatment of chronic pain 16 patients were offered and nine agreed to participate in mindfulness training. The intervention group took part in an 8-week group-program. The comparison group, not randomized, was 16 former patients.

The study emanates from the national quality registry for persons with severe and profound hearing impairment. The aim was to examine possible differences between signing deaf and adults with acquired severe hearing loss, with reference to self-assessed problems, how the hearing loss influences daily life.In total 234 adults aged 30-90 years were included (128 women, 106 men). In the registry, there are background variables and questions that the patients have answered. The results, indicated on a visual analogue scale (VAS) from 0-100, from a question ?To which extent does your hearing loss at present influence your life?? were analysed.The study was performed by pooling the results of VAS and dividing the patients into signing deaf and those with acquired severe hearing loss, and in age groups 30-60 and 61-90 years.

5-hydroxytryptamin (5-HT) is biochemically derived from Tryptophan. Kynurenic acid and quinolinic acid are also known metabolites of tryptophan. 5-HT is considered to play a role in depression and today selective serotonin reuptake inhibitors (SSRIs) are used for treatment of depression. 5-HT may also play a role in pain perception. The aim of this study was to investigate whether a supplement of tryptophan may affect conditions such as depression and/or pain.