Den vård som har starkast evidens vid behandling av tvångssyndrom, Obsessive Compulsive Disorder (OCD), är kognitiv beteendeterapi (KBT), innehållande exponering och responsprevention. Idag är tillgången till denna vård begränsad främst på grund av för få behandlare. Tidigare forskning pekar på att personer med OCD kan bli hjälpta av mindre terapeutintensiva behandlingar. Att leverera vård stegvis med ökande behandlingsintensitet; Stepped Care, kan vara ett sätt att öka tillgängligheten av KBT. Denna pilotstudie har undersökt Stepped Care för OCD i form av tre steg, på Ångestenheten, Karolinska Universitetssjukhuset.

In this thesis an explorative study was undertaken with the aim to study how a number of private care providers, as well as politicians and officials from councils in and around the Stockholm and Uppsala counties, think about the future of the Swedish elderly care from a property perspective, i.e. homes for the elderly. The analysis shows that there is a demand for capacity in 6 out of 16 municipalities, and that the property is an important part of this capacity, and the fulfillment of it. This was mainly due to the cost of capital, but also because of several other factors such as lack of land, a wish to guide the design, ideology, and in many cases a wish to use the property as an instrument of domination to control private health care providers.Also, the property was show to be connected to economic competition, to freedom of choice, and to quality. The problems related to the property in the market for elderly care still remains to be solved.

Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.

Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses? perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12).

Background:Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.Aim:The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the psychiatric care.Method:The study is based on interviews with 12 nurses working in psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.Result:The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication.

Through qualitative interviews with five teachers from three schools, two public schools within the same school management and a Waldorf school, the purpose of this study is to find out teachers' views on the phenomenon of life skills in the lower classes in school. What is the subject, how do teachers work with life skills, and should it be seen as a separate subject or integrated in all school subjects?The results show that the definition of life skills is a term with many interpretations. Two concepts that can be seen as the common denominators in the educators' views on the subject, however is, social and emotional skills. This is something that educators believe develop self-awareness and empathy in children and sees that as important as learning other subjects.

AbstractBackground: To have type 2 diabetes affects life situation and thus the experiences oflifestyle changes. Treatment of type 2 diabetes consists of adapting to new lifestyles and theirown involvement. Orem (2001) theory of self-care has been used as a kind of scientificfoundation. Aim: The purpose of this study is to describe the experiences of lifestyle changesin people with type 2 diabetes. Method: Systematic literature review of descriptive andinductive synthesis approach has been used.

Background: ?Transitional care? is a new form of care in the Child and Adolescent Mental Health Services (CAMHS) in Sweden. The level of care, between outpatient and inpatient, has been developed to meet children/adolescents and their families in a different way than in the traditional outpatient and inpatient treatment. The contact offered can be intense with frequent contact and also with more time set aside for every occasion. The nurse, who is one of the categories of personnel involved in the multidisciplinary team works largely in other contexts than in the therapy room at the clinic or on the ward.

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time.

The purpose of this paper is to create an understanding of the negotiation process behind the decision of who will stay at home with a sick child and to develop the knowledge of the mechanisms considered to affect the negotiation process, in particular, the mechanisms likely to contribute to an uneven use of care leave. In the study six interviews were conducted with three sets of parents. These interviews were then analysed with Janet Finch?s (1989) definition of negotiation of family responsibilities. The study finds that the negotiation on care leave is a result of the negotiation of the shared view of reality.

The aim of this study was to examine how the feelings of ?being met? from personnel can affect suicidal youth and their parents, when searching for help. Five Swedish parents share their experiences of ?being met? by personnel regarding the care of their child who has taken their life. ?Face to face? interviews where done with four of the parents.

Bakgrund: I Sverige dör cirka 95 000 människor varje år och runt 80 % av dessa är i behov av palliativ vård. Palliativ vård är en vårdfilosofi som bygger på att ge stödjande och lindrande vård när botande vård inte längre är genomförbar. Vid den tidpunkt när patienten drabbats av en obotlig sjukdom sker en brytpunkt, vilket innebär att läkaren identifierar patientens aktuella tillstånd. När brytpunkten är identifierad erbjuds ett brytpunktsamtal. I samtalet planeras det för den kommande palliativa vården.

Caring for the suffering, dying patients and giving support to relatives is probably one of the toughest jobs a nurse can encounter. Palliative caring is, with different measures, the prolonging of life whereas hospice caring is giving patients a meaningful and natural journey toward death. The hospice philosophy is grounded on comfort, communication and peace. The expectation is that patients will have a dignified, peaceful death. The purpose of this study was to describe the nurse's role in palliative care.

BackgroundType 1 diabetes is a chronically disease that often occurs in early life. In every year around 77.000 children in the world is estimated with type 1 diabetes. When a child gets a chronically disease it affects the whole family, specially the parents who will be the child's caregiver.AimThe aim of this study was to describe parents experiences of living with a child with type 1 diabetes.MethodA literature review was carried trough based on 10 qualitative scientific articles. The articles were analyzed and two main themes and seven subthemes emerged.ResultsAll parents experienced that they needed some kind of support particularly early in their illness. They felt it was a big responsibility to take care of their child with diabetes and parents often felt anxiety and fear associated with the disease.

The undergraduate thesis "Theories on Social Life in Public Places - Applied to Selma Lagerlöf's Torg" consists of two parts: the first part presents theories concerning social life in public places; the second part presents a program for developing Selma Lagerlöf's Torg (a center in a suburb to Gothenburg) into a well-functioning social environment, i.e. a place where the social life has positive consequences on its participants and on society..