The purpose of this study has been to investigate how psychosocial support for families where a parent suffers from a life threatening illness can be constructed. The intent was also to explore how the child's perspective is protected and what barriers and opportunities there are for family oriented support. The study has a qualitative approach and includes interviews with four social workers. The interviews were analyzed with a systems theory and attachment theory. The conclusions are that the whole family suffers psychological and social pressures when a parent is sick.

The aim of this master thesis is to obtain a greater understanding of childrens choice of favourite books, insight in their reading experiences and their thoughts about the reading of these books. We also want to investigate if, and if so, how childrens librarians obtain knowledge of the childrens reading preferences and reading experiences and how they use this knowledge in their work to stimulate childrens reading. To reach our aim we have been carrying out quantitative interviews with six children aged nine to ten years and three childrens librarians working in public libraries. As a theoretical starting point we use the reader-oriented theory and Chambers Reading circle, which states that support from adults is the most important factor in the childs reading process. The empirical results are linked to theories and earlier research and are analysed under four different themes.

Background: An effective management of the healthcare's organization on one disaster site is considered as a condition in order to decrease damages and suffering at them as been hit of an accident. In KAMEDO-reports is described true accidents, how among other thing organizational parts been implemented and evaluations of which importance different decisions had. Aim: The aim of the study was to examine KAMEDO-reports concerning prehospital medical management on disaster sites. Method: Eight KAMEDO-reports was examined with focus on organization and management. Results: Four areas in which all could be influenced by the healthcare personnel in leading position was described: Management and Co-operation, Load and Go - Stay and Play, Priority and Triage.

Background During the child?s first year of life there is a continuous contact with the Child Health Services (CHS) and the parents feel confident and involved. After the first year, the visits to the CHS is reduced at the same time as the everyday life changes for the family as the child starts going to day-care and the parents often go back to work.Aim To examine what it is like being a parent to children aged one to five and what kind of parenting support parents of children aged one to five are in need of.Method Semi-structured interviews were used to interview 25 parents in 21 telephone interviews and one focus group with 4 parents. The recruiting of parents was done on site at one open day-care and with the help of CHS nurses in Sweden. There were 10 men and 15 women.

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.

The purpose of this essay was to study how school welfare officers cooperate with other school staff, regarding children in vulnerable positions, and how the school staff apply their obligation to report to the social services if they have concerns regarding children at risk, according to the law of social service, SoL.We have especially focused on questions concerning cooperation, both between the school staff, and between the school and the social services. We also wanted to identify some of the restraining factors and dilemmas that could come up during the process of reporting children at risk to the social services. The study was based on qualitative interviews with ten school welfare officers from the same municipality.Our conclusions of our study are that there exists a well-developed cooperation between several organizational levels, including the school welfare officers, other professions in the schools and the social services. There were though opinions among the school welfare officers that they wanted to increase their professional claims in relation to the school nurse, due to their larger competence in talking to children. Regarding the formal responsibility to report to the social services, a majority of the school welfare officers felt they had access to the support they needed from both their principal and the students healthcare-team, and that they were not left alone in the process..

Background: A nurse who is working in the health care is expected to show the best side for other people. An emotional work demands a lot of the role of a nurse, when she has to deal with her feelings after the given situation to satisfy the patient.Aim: The purpose of the study is to seek understanding of what nurses perceive to be the essence of the emotional work in health care. The study also wants to understand what factors could affect the meeting both positively and negatively between nurse and patient in social interactionMethod: The study?s methodology is qualitative with phenomenological-hermeneutical approach to seek understanding of the six interviewed nurses lived experiences and the experiences of the emotional work.Results: The result has four main themes developed: Emotional management, to consider the patients existential needs, meeting the patient and to do something meaningful.Conclusion: The essence of the perceived emotional work for nurses is emotional transformation where the nurse changes her feelings by acting according to the situation in the meeting with the patient. It is important that nurses reflect in the work so they do not take their work home and become exhausted and burn out.Keywords: Emotional labour, emotional management, patient encounter, phenomenological-hermeneutical, existential needs, the essence, burn out.

Background: When a patient suffer from a disease and is in need of palliative care, it is normal to have existential questions and thoughts. For some patients these questions can be painful and the nurse need to have knowledge about dealing with these kind of questions and thoughts to be able to relieve and/or prevent this kind of suffering.Aim: The aim was to describe how the nurse can prevent the existential suffering among patients with palliative care.Method: A literature-based study was based on eight qualitative studies.Results: The results showed that nurses meet patients in the palliative care environment which may suffer from existential problems when their questions and thoughts don´t get answered. It showed that the most important a nurse can do is to give time to these calls and build up a safe relation to the patient. This allows the nurse to read the patients existential questions and observing possibly suffering. The result is organized in two categories "To see and confirm" and " To listen and give support" and see subcategories " Use body language", " Create reliable relationship", respond to the existential questions", "Give the patient time", " take help from others in hard situations" and "to focus on other things"Conclusion: It is easy to only focus on the physical illness while caring for a patient and believe that it is creating suffering.

A possible treatment for patients with lymphoma and myeloma is stem cell transplantation (SCT). SCT is preceded with cytostatic treatment. There are several side effects related to this treatment, for example fatigue, nausea, constipation/diarrhoea, pain, mucositis and loss of appetite. Aim: Investigate which side effects related to the treatment where most troubling after SCT and if nurse assessment and patient assessment differ. Methods: A quantitative empirical study with repeated measuring.

Bakgrund: Barn har rätt till stöd som möjliggör en god hälsa och sjuksköterskor inom barnhälsovården (BVC-sjuksköterskor) ska arbeta hälsofrämjande genom ett stödjande och vägledande arbetssätt. En tidig identifiering av viktproblem är väsentlig eftersom åtgärder bör implementeras under tidig barndom. För att minska utveckling av till exempel hjärt- och kärlsjukdomar samt diabetes är det viktigt att BVC-sjuksköterskor aktivt arbetar mot övervikt och fetma. Medvetandegörande om de faktorer som kan påverka BVC-sjuksköterskor i det hälsofrämjande arbetet är viktigt för att kunna utveckla och förbättra arbetet. Syftet var att belysa vilka faktorer som kan påverka BVC-sjuksköterskans hälsofrämjande arbete mot övervikt och fetma.

This study investigates a farm in Dalarna which includes 16 ha of farmland and 1, 7 ha of pasture. The purpose is to find out if it is possible to start an animal production in Dalarna. The study is set only to compare spring lamb production with nurse cow production. There are two buildings on the farm that can be used for this purpose. One is an old cowshed, and the other is an unused silo for silage with a roof on top. Both of the buildings are compared to every alternative in the calculations.

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

Hand hygiene compliance is one of the most important factors to prevent healtcare associated infections (HAI), which can cause unnessesary suffering, prelonged insitutional care, invalidity and higher mortality rate. It has been shown that despite regulations for hygiene compliances in healthcare, these are used unadequately. HAI affects 5-10 % of all patients in industrailized countries, in development countries the number is estimated to be up to 20 times higher. The aim of this study was to illustrate healthcareworkers hygiene compliances in patient care at a rural healthcarecentre in western India. Participant observation was used as a method, fieldnotes was taken for qualitative analysis.

Preschools are nowadays a big part of almost every childhood in Swedish society and the relationships that are built there are important for the child and the child?s future integration in the world of knowledge and education. The preschool teachers are therefore the first persons the child links to beyond the parent. That?s why the relations between the parent and the preschool teacher are an important and interesting aspect in the cooperation between them.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.