The purpose with this essay is to examine if the Swedish government?s intentions regarding to the mental health care reform, have been fulfilled. We have classified the intentions into three categories, regulation, financing and responsibility for organizing the policy. The intentions have then been compared with the results of the reform.Our theoretical framework starts with a model, developed by Evert Vedung (1998). We use this model as a tool to examine the fulfillment of the mental health care reform.

Background: To wait on an emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

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.

As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

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.

Background A lot of children live in families where a parent is suffering from some kind of mental illness. As nurses we have to notice these children, when we meet patients with mental illnes.Aim The overall purpose of this study was to examine if and how the district/ psychiatric nurse acknowledge the child?s situation, when a parent is suffering from mental illness.Method A qualitative approach was chosen for this study. Six psychiatric nurses and seven district nurses were interviewed. Content analysis was used for the analysis.Result Four main themes appeard in the result: dialogs of different character, family focus, collaboration and report duty.

The aim of this study was to describe home care personnel and their experiences in palliative care. The design was qualitative and data were collected through interviews. Five home care personnel were interviewed, all women, whom have experience of palliative home care.The material was then analysed with qualitative content analysis and eight main categories, derived from experiences of home care personnel, were identified: relationship, safety, quality of care, a better end-of-life, routine, information, knowledge and competence, and work environment. The result showed that all participants of this study identified themselves as family members of the patients whom they had cared for during a long period of time. Additionally, the participants were emotionally touched when the patient died.The majority experienced that the patients do receive good care in their homes.

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.

This study, a narrative analysis of it, deals with the term, home, its importance and the use of it by Child welfare investigators in the city of Malmö between the years 1930-1936. Commonly used and acknowledged, home stood for security and order while the term, street, had just the opposite meaning. Living in the countryside symbolized health and sensibility, while city life was considered to be cramped, dirty and immoral. The responsibility of achieving the liberals and conservatives ideal of a sunny, clean and orderly home was given to the woman of the house, as was the task of keeping the home morally correct, and providing the necessary atmosphere for proper upbringing of the children. Consequently, the basis of theory, using Karl Marx and Friedrich Engels in regards to the conflicts between the upper and lower classes, and even theories of Jane Lewis of woman´s connection to home and family, have been the grounds for the study.

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.

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.

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 aim of this study was to illuminate how patients with mental illness experience encounters with the nurse in psychiatric care, in order to acquire increased understanding for the patients needs. A litterature study was used to analyse previously published scientific articles within psychiatric nursing care. Content analysis inspired by Graneheim and Lundman was used to perform the analysis. The result showed that the patients recovery depended on the relationship with the nurse. If the relationship was good, the patient was moore likely to regain his mental health, than if the relationship with the nurse was poor.

Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of importance for compliance was profession, lack of time, knowledge/education, physical work environment, attitudes toward hand hygiene, and dry hands.Conclusion: More education, less workload and more visible placement of hand disinfectant containers are examples of actions that could lead to the improvement of staff hand hygiene and reduce the incidence of healthcare associated infections. Due to the fact that health care workers around the world have different training and approaches, the result of this study may be difficult to use. To increase adherence to hand hygiene, a similar study limited to a specific country, such as Sweden, would therefore be interesting to carry through.Keywords: hand hygiene, Infection Control, Compliance..

During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.