Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.

Elever från omvårdnadsprogrammet har delar av sin utbildning förlagd i klinisk verksamhet. Undersköterskor ute i verksamheten är ålagda att handleda dessa elever. För att göra detta ställs det krav på att hon/han är kompetent för uppdraget. Idag finns ett litet dokumenterat underlag för vad det innebär att vara undersköterska och kompetent handledare.Denna studies syfte var att belysa synen på undersköterskans kompetens som handledare utifrån fyra perspektiv.Det är en kvalitativ studie. Data samlades in från fyra informanter/respondenter från varje grupp, lärare, chef, undersköterska och elev, totalt 16 intervjuer.

Bakgrund: Sjuksköterskestudenter kan känna sig sårbara i början av sin verksamhetsförlagda utbildning (VFU) och kan påverkas både positivt och negativt av bemötandet från både handledare och övrig personalgrupp.Syfte: Att undersöka sjuksköterskestudenters upplevelser av bemötande från handledare och övrig personalgrupp och hur detta påverkar förmågan att utföra omvårdnad, samt studenternas upplevelse av studentrollen.Metod: Kvalitativ forskningsdesign med fem semistrukturerade intervjuer.Resultat: Resultatet delades in i tre huvudkategorier: Bemötande från handledare; Bemötande från övrig personalgrupp och Studentroll. Ett bra bemötande karaktäriserades av vänlighet, involvering i arbetet och förmedlande av trygghet. Ett dåligt bemötande kunde bestå av försummelse, att känna sig i vägen och dålig struktur. Studenterna hade haft skiftande roller under VFU och samtliga hade positiva aspekter. Studenterna upplevde att de hade utvecklats i sin förmåga att utföra omvårdnad.Slutsats: Studien påvisar att det är viktigt för studenter hur de blir bemötta på sin VFU, och vilken roll de får på arbetsplatsen.

BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.

Studien koncentrerades på den ökade uppmärksamheten kring pokerspel i media. Intresset tycks ha ökat kring detta "fenomen" vilket fört med sig både kommersiell uppmärksamhet och kanske en ökad nyfikenhet för dem som tidigare inte varit spelintresserade. Föreliggande analys diskuterade varför ett sådant intresse plötsligt fått genomslagskraft. Diskussionen inleddes med ett teoriavsnitt där flera teser togs upp. Dessa kom att handla om livsstilar, risktagande, tillfälligheten, Internet och spel i vardagen, störst utrymme fick Anthony Giddens.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Background: Cerebral Palsy is usually divided into three subgroups: ataxic, spastic and dyskinetic, where children and adolescents can, because of misestimation in nutrition and energy intake, suffer from weight problems.Aim: To compare calculations with equations with the individual's measured RMR in the subgroups, to see if any equation is more suitable. This could be used as a tool to calculate the resting metabolism at times when it is not possible to perform clinical measurements.Method: The RMR has been measured in 37 children and adolescents aged 3-15 years through indirect respiratory calorimetry. Those values have been compared with calculations from five equations. The results were then analyzed in order to find if any equation is better to apply for calculating resting metabolism for each subgroup.Results: The ataxic group was overestimated by 56.5% of the calculated values. WHO/FAO/UNU?s equation indicates a significantly strong correlation between the measured and calculated values (r=0.85, p<0.05).

ABSTRACTMultiple sclerosis (MS) is the leading cause of adult disability inSweden. Hematopoietic stem cell transplantation (HSCT) can be used as a treatment option for patients with MS where the disease has an aggressive course. The treatment is preceded by high-dose chemotherapy which lowers the patient's immune system. It is therefore of interest to study infectious complications associated with HSCT in this patient.Aim: The purpose of this study was to identify infection problems in this population associated with HSCT, and to study differences in infectious complications between this group and patients diagnosed with lymphoma who have undergone the same treatment.Method: The study was a retrospective descriptive study with quantitative data. A medical record review was conducted.

The purpose of this study is to examine immigrants' experiences of social services' treatmentand their expectations of social services. In this study we have used the following questions:how immigrants have experienced the treatment of the social service, the way in whichimmigrants would like to be treated by social services as well as what kind of beliefs andexpectations immigrants have concerning the social services' duties and powers. We haveused a qualitative method in the study that consists of ten semi-structured interviews. Thetheoretical concepts we have used are culture, ethnicity, cultural competence, professionalismand social psychology. The survey reveals a majority of negative experiences, such as afeeling of being ?tossed around?, suspicion and discrimination by the caseworkers due to theethnicity of the respondents.

The aim of this Master?s thesis is to examine how health information is integrated into knowledge in an everyday health related context on the web. The more specific aim is, from a LIS point of view, to map knowledge related discourses with the focus on pregnancy, in discussion forums on Swedish health related web sites. The following main questions in this paper are: (1) a) What discourses on pregnancy knowledge can be found and b) how are they expressed? (2) What are the functions of the recognised discourses? and (3) what are the relations between the identified discourses? The theoretical and methodological starting-point is discourse theory with the main focus on discursive psychology according to Wetherell?s and Potter?s theoretical and empirical work.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

ABSTRACT: Commercial swab transport systems are used for collection and transporting of fecal and other microbiological samples. This system must maintain viability and contribute to survival of microorganisms during transport to the laboratory. Four swab transport systems have been compared, eSwab, ?- Transwab and fecalSwab, all three with flocked swabs, and Copan Venturi Transystem with rayon swabs. The study followed the recommendations from the Clinical Laboratory Standard Institute; document M40-A for recovery of Samonella, Shigella, Yersinia and Neisseria gonorrhoeae after storage for 0, 6, 24, 48 and 72 h at room- (22-25°C) and refrigerated (2-8ºC) temperature.

Det fanns många studier avseende attityder och kunskaper gentemot ECT bland både läkare och patienter. Däremot fanns ett fåtal studier ur sjuksköterskor och sjuksköterskestudenters perspektiv gällande attityd, kunskap och omvårdnad vid ECT behandlingen. Syftet var att ur ett omvårdnadsperspektiv beskriva ECT behandlingen avseende attityd, kunskap och omvårdnadshandling. Studien genomfördes som en litteraturöversikt baserad på tio vetenskapliga artiklar, nio kvantitativa och en kvalitativ, funna genom litteratursökning i databaserna Academic Search Elite, Cinahl, CSA Psychology, PsycInfo, PubMed, SweMed+, Scopus och Web of Science. Resultatet visade motsägelsefulla fynd angående attityderna.

In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.

Based on phenomenological hermeneutics and narrative theory the study explored how parents experience and create meaning when the child receives the diagnosis of autistic disorder. Interviews were conducted with eight parents and the analysis concerned both contents and form in their stories. The resulting aspects of the contents is presented in seven areas: stories about the time before the diagnosis, seeking help, receiving the diagnosis, the meaning of the diagnosis, coping, living with autism and stories about the future. The six resulting aspects of form included: chronology of the stories, creating order out of chaos, cultural norms, rewriting the story about the child, aspects of metaphors and changing perspective. The conclusion of the study is that the diagnosis serves as a way for the parents to transform experiences into a meaningful whole.