Aim: Compare occurrences of first-time-events reported by mothers and fathers with children at high tech NICU according to kangaroo-mother-care method in two university hospitals. Method: Descriptive, quantitative design. Fourty-five couples of parents, with premature children born and cared for at university hospitals in Uppsala or Örebro, answered questionnaires about first-time-events: interaction-events, measures-of-care-events and sleeping-place-events. Results: All differences regarding the children?s age at first-time-events showed Uppsala-children to be younger than Örebro-children. Interaction-events were reported first in children?s lives, measures-of-care-events and sleeping-place-events later.

The aim of this study was to, using previously collected data from self-declared antisocial behaviour questionnaires, examine if the crime frequency has been different between adolescents that have either been referred to two different forms of open care in social service, child and youth psychiatric inpatient care or have been sent to Homes for Specialised Supervision. The criminality frequency and the most common crimes committed were compared between the study groups and further between genders in each particular study group. Statistical significance testing was used and the results of the survey revealed that juvenile delinquents that had committed severe criminal acts were represented in all four groups. The study group with adolescents in national care was the most different from other groups. These youths seemed to have had a lower crime frequency than the other groups with the exception assault and robbery.

Background: How small children sleep influence the whole family. Sleeping problems, could influence children physical, mental, emotionally, cognitive and socially. When parents get waked by the children, who wake by themselves in the middle of the night, the parents do not always now what to do. Aim: The aim of this study was how children sleep and how it influence their parents sleep habit. The question formulation was threefold: Firstly.

Ljudnivån på intensivvårdsavdelningen är hög. Övervakningsutrustning och medicinskteknisk apparatur bidrar till bullret med sina larm, patientgruppen på intensivvårdsavdelningen är mycket personalkrävande och den höga personaltätheten bidrar till den höga ljudnivån. Forskning visar att buller påverkar arbetsprestationen och kan medföra att det blir svårare att genomföra en uppgift. Mänskligt tal är mer distraherande än annat buller även vid låga ljudnivåer. Syftet med studien är att beskriva hur sjuksköterskor inom intensivvård upplever att buller påverkar arbetsprestationen.

Middle managers in social care find themselves in a middle position. The middle management position involves demands from several interested parties. The demands affect and generate feelings both within themselves and within others and the middle managers have to deal with them all.The aim of this study was to investigate the social care middle manager?s personal experiences of emotions in work.We have completed interviews with four middle managers who are assigned to carry out social care. When doing the interviews we used an interview guide divided into different interview areas.

Det är väl känt att sjuksköterskor ofta har en hög nivå av arbetsrelaterad stress. Syftet meddenna studie var att hitta orsaker till stress hos sjuksköterskor och hur detta påverkaromvårdnaden av patienter. Studien genomfördes som en litteraturstudie vilken omfattade 12artiklar med varierande metoder och upplägg utförda i Europa och Nordamerika. Orsaker tillstress identifierades och tematiserades i två teman; Hur påverkas patienten ochomvårdnaden samt Hur påverkas sjuksköterskan. Följande huvudsakliga resultat hittades:Hög bemanningsnivå visade samband med hög omvårdnadskvalitet, hög arbetstillfredsställelseoch låg stress.

Bakgrund Diabetes mellitus typ 2 är en snabbt ökande sjukdom i hela värl-den. Den påverkar människors välbefinnande och skapar ofta stort lidande för de drabbade. Det är en endokrin och kronisk sjukdom med påverkan på blodsockernivån. Långvarigt förhöjda blodsockernivåer kan leda till svåra följdsjukdomar som hjärt- kärlsjukdomar. Sjuksköterskan har en betydande roll i att för-medla kunskap genom ett holistiskt bemötande och att stärka pa-tienten genom ökad empowerment.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

Bakground: Puerperal fever caused by group A Streptococcus is in a global context seen as a common cause of death in childbirth.Aim: To examine the consequences of group A streptococcus infections in women postpartum and to see what a nurse can do to stop the infection with adequate nursing interventions.Method: This is a review built on 15 articles. These articles were read in full and audited with a suitable template.Result: Women postpartum has 20 times higher risk to get group A stretococcus infection as compared to non pregnant. The consequences of Group A Streptococcus infection can lead to high fever, abscesses around the uterus, sepsis, acute respiratory distress syndrome (ARDS), hysterectomy and death. Patients who share room with infected patients carries an increased risk to be infected. Curtains between patient beds can be colonized by Group A Streptococcus.

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.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Dagens och framtidens avancerade vård flyttas alltmer ut i patientens hem. Utskrivning från den slutna vården sker i allt snabbare takt, större krav ställs på hemsjukvården. Överlämning och rapportering av patienten mellan olika funktioner och personal skall ske så att patientens omvårdnadsbehov tillgodoses på ett tillfredsställande sätt. Studiens syfte var att beskriva överlämnande och rapportering i patientens hem från distriktssköterska till ambulanspersonal. Postenkät, med slutna frågor av Likert typ och med möjlighet att motivera svaren, har använts i studien.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

Literature describes what it is like to be a leader in the healthcare and what is looked upon as the most characteristic quality for female leadership. Women often use a leadership technique that motivates the employee and they allow themselves to develop a humanitarian leadership. The aim of this study was to describe female head nurses? experience of their leadership in healthcare. The collection of data has been carried out from interviews.