Background: For most children, being hospitalized is a whole new experience. The care should be safe and meet the children?s needs. In hospital care, children are a large group of patients. It?s important for them to be involved in decisions regarding their care and to get proper information.

The purpose was to study what significance communication has for the psychosocial health of elderly deaf people who live in old peoples homes. I also explored how communication works between the staff.- How do the staff feel the communication works between members of the staff and between the staff and the residents?- How do the staffs think that the staffs' knowledge of the culture of the deaf community and sign language affects the psychological health of the residents?- What changes have the staff noticed in the residents since they moved to the ward?In order to accomplish study this area I have used semi-structured qualitative interviews and observations.The main conclusion of this paper was that the possibility to communicate in ones own language was fundamental for the psychosocial health of the residents. The people I interviewed expressed that communication between the residents and the staff worked well, but communication was a problem between the staff members. Knowledge of the culture of the deaf and sign language, within the staff, had a positive influence on the psychosocial health of the residents.

A multi professional team use different professional skills to a specific target. The people in the team complement each other to achieve the best performance possible. Professional identity is a mix between the professional and personal identity. Social identities, like professional identity, is a product of social categorization and social comparison. The purpose of this study was to examine how increased cooperation in cross-disciplinary teams has affected the professional identity of home care staff.

Each year over 3000 children in Sweden lose a parent. The loss of a parent may cause some grave changes in a child?s life, leading to both mental and physical consequences. The purpose of this literature study is to examine the different ways in which health care personnel can better receive and relate to children whose parents are dying or have passed away.Data was collected through such sources as Pubmed, Academic Search Elite and Cinahl, which resulted in the inclusion of sixteen subsequent articles, ten of which were quantitative and six of which were qualitative. Thirteen of the said articles illustrate how children act in response to a dying or deceased parent and what measures were needed for them to move on with their lives.

Background: The population of the world is getting older and in the year of 2020, 1.2 billion people will be 60 years or older. A common health complaint affecting the quality of life in elderly persons are sleep difficulties. Physical activity is claimed to improve sleep quality and the maintenance of a normal circadian rhythm. Several studies have shown positive effects of physical activity on sleep quality, still the evidence of physical activity as sleep-promoter is insufficient. Aim: The aim of this study was to investigate associations between physical activities and sleep quality in persons ?60 years of age.

Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

Syftet med denna studie är att undersöka faktorer som kan vara av betydelse för att möjliggöra konflikthantering i det dagliga arbetet. Vi menar att om möjligheter skapas och initiativ tas från ledningens sida så kan organisationen utvecklas i en positiv riktning. Studien grundar sig delvis på teorier om vikten av att ha en tydlig struktur som uppfattas av medarbetarna som rättvis och att konflikter kan få konsekvenser för hela organisationen. Studien är av kvalitativ design och är utförd inom äldreomsorgen i en kommun i södra Sverige. Analysen visar att faktorer som: tydlig arbetsstruktur, gemensam vision och målsättning, utbildning inom konflikthantering, tydlig och öppen kommunikation, att ta sig tid till konflikthantering, att vara professionell och neutral och att ta ansvar och visa respekt har en betydande inverkan vid konflikthantering.

I många år har det stått klart att på grund av ökning av antalet äldre kommer det blir svårt med framtida bemanning i hemtjänsten. Arbeten anses vara låg status och underbetalda. Om arbeten i hemtjänsten anses ge anställda upplevelser av empowerment är det möjligt att flera söker sig till dessa arbeten och att befintlig personal stannar kvar.Syftet med denna uppsats är att få ökad förståelse för hur personal i hemtjänst upplever empowerment i sitt arbete samt att studera på vilket sätt ledare inom hemtjänsten kan arbeta med att stödja upplevelser av empowerment hos sina anställda. Undersökningen är genomförd som en kvalitativ fallstudie i hemtjänsten i Reykjavík. Med semistrukturerade intervjuer har sex anställda och tre ledare intervjuats och materialet har analyserats med en tematisk analys.Det visar sig att de anställda i hemtjänsten i Reykjavík upplever delvis strukturell empowerment i sina arbeten samt pyskologisk empowerment genom alla fyra kognitionerna; mening, kompetens, självbestämmande och påverkan. Ledarna stödjer personalens upplevelser av empowerment genom tillit, respekt och värdighet samt tillåtelse att göra misstag..

Society has an obligation to offer parents support of various types, an example of such a support is ?parent support?. The purpose of this study has been to describe midwives and child health care nurses conceptions of the need for early parent support. The definition of early parent support in this study is the first two weeks after delivery. Since the 1970:ies the Swedish delivery and ?BB? care has changed in that the time in hospital care after delivery has been reduced from in average six days, till an average of two days.

Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent?s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support.

Bakgrund: Trots allmänna råd och riktlinjer råder stor brist på nutritionskunskaperna inom hälso- och sjukvården i hela Europa. Många äldre riskerar att drabbas av undernäring och får ett minskat välbefinnande och en för tidig död. Genom att arbeta med att personanpassa kosten kan patienten få bli aktiv i egna beslut som påverkar dennes liv och hälsa. Syfte: Syftet med studien var att belysa omvårdnadspersonalens erfarenheter av kost som ges personanpassad på ett korttidsboende för äldre. Metod: I denna studie användes induktiv ansats där datamaterialet analyserades med kvalitativ innehållsanalys. Sex omvårdnadspersonal intervjuades på ett korttidsboende för äldre i södra Sverige. Resultat: Ur analysen av datamaterialet fyra kategorier; utgår från patientens syn på situationen, möjliggör val, möjligheter i måltidsmiljö, begränsningar i arbetsmiljön med åtta underkategorier.

 The aim of this study was to explore Swedish ambulance nurses experiences in caring for sick or wounded children.Method: A qualitative interview study with a descriptive/ explorative design. The sample consists of 10 ambulance nurses, both men and women, with varying years within ambulance service. Trough unstructured questions the data was collected. The data was analyzed with qualitative content analysis.Results: Compared to previous published studies the results of this study shows a broader perspective on ambulance nurses experiences in caring for sick or wounded children. The experiences were focused on following five categories:o The character of the alarm o The organization of the work o The specific in the meeting and treating of a child in an ambulance o Children who dies or suffer from a trauma o To work in an ambulance and at the same time being a parent Conclusion: It is always special to take care of a sick or wounded child.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..