Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Arbetet handlar om hur man som höft och knäopererad patient känner sig bemött på en ortopedisk vårdavdelning efter att ha fått en protes inopererad. Dessa operationer kan i efterförloppet vara mycket smärtsamma och behöver i regel lång rehabilitering, vilket ställer stora krav på personalens sätt att vårda och bemöta patienter i postoperativt skede.Syftet är att beskriva hur patienter efter höft och knäprotesoperationer upplever personalens bemötande på ortopedisk vårdavdelning.En litteraturstudie är gjord utifrån kvalitativa artiklar som har bearbetats och analyserats enligt Evans metod som utgångspunkt för ett deskriptivt resultat.Resultatet presenteras utifrån tre teman; Att känna sig bemött som en unik individ: som skildrar patienters upplevelser av hur personalen tillgodoser varje enskild patients behov. Att känna sig professionellt omhändertagen: beskriver hur patienter känner när de blir väl omhändertagna under sin postoperativa tid på avdelningen. Att känna sig förbisedd: beskriver att patienter känner sig försummade och negligerade under sin postoperativa tid på vårdavdelningen. För att patienter med höft och knäproteser skall uppleva vården som positiv diskuteras vikten av att sjuksköterskan ger god information till patienten, att hon får fortlöpande utbildning och att vårdpersonalen arbetar med etiska reflektioner..

Background: The need for structured practice has in recent years appeared in connection with the request for a more evidence-based nursing. In psychiatric care with its complex disabilities, it is important to have methods to identify these. Research has demonstrated the importance of patient participation in nursing that has been shown to affect their mental health. It is essential to get to know how patients with mental illness are capable of involvement in their life situation. The ICF emerged as a useful theoretical framework for development of questionnaires of patient participation.Aim: The aim of the present pilotstudy was to develop and test a questionnaire for participation, based on ICF.

Man spends most part of the day at work and is therefore influenced by it?s ambience. That?s why it?s important that the environment at work is health promoting and can function as a supportive environment. The purpose of this study was to describe job satisfaction among employees and to analyse a possible connection between job satisfaction and employees experiences of SOC.

Abstract          Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

Background: The amount of elderly patients who?s suffering from dementhia increases every year. Many of these patients develop and decrease in their cognitive ability. The development can lead to people's communication skills deteriorate. It can be a problem for the nurse to communicate with these patients.

To become old and live in an institution could mean that the habits and routines they have obtained during their lifetime and are used to may become changed. There are fixed norms and rules which the elderly more or less have to adjust to. The aim of this study was to describe how nursing staff attitudes influence on elderly care takers meal situation. The method of this study was a literature review. The result showed that norms and rules not always are adjusted to caretakers? wishes and needs.

The study aims to examine the communication between older immigrants and nurses at several nursing homes.Emphasis has been placed on clarifying both parties? experience of communication regarding the older immigrant?s idiomatic difficulties. The following questions were used in the creation of the study: How does the older immigrant communicate with the personnel at a nursing home? How does the older immigrant enjoy their residence at the nursing home? How do language difficulties influence the older immigrant?s possibility to express their self?In the study eight qualitative interviews were made with four older immigrants who lives in nursing homes and four nurses working in a nursing home. The survey shows that the overall problem in the communication is the older immigrant?s lack of language.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

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.

Utredningshemmet in Hässleholm, Sweden, is a special residential home for acute management and investigative evaluation of juvenile delinquents.Utredningshemmet has, since 1991, used an investigative model, which is based on systems theory. The investigative work is done in close co-operation with social workers, youths and their parents.This study takes into account the youths, who have had a commissioned placement to carry out an investigation of their needs of care and treatment, 71 juvenile delinquent cases. They are divided into three one year intervals: 17 cases in 1993, 28 cases in 1998 and 26 cases in 2003.The purpose of this evaluation is to illustrate changes in the social workers, parents and youth's level of satisfaction during the development of the special residential home's investigative model.Approximately one to three months after discharges social workers, youths and their parents completed a level of satisfaction questionnaire. The results demonstrate no significant difference in the level of satisfaction between different time periods. There are, however, differences in satisfaction levels between social workers, who have the highest level of satisfaction, parents, who have the next highest level and finally the youths level of satisfaction..

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

Depression är ett folkhälsoproblem, som sjuksköterskan ofta möter. Förhållningssättet gentemot patienterna är betydelsefullt i omvårdnaden och grundar sig i relationen mellan sjuksköterska och patient. Syftet med studien var att belysa sjuksköterskans omvårdnad i mötet med patienter med depression. Studien är genomförd som en litteraturstudie där 14 vetenskapliga artiklar valdes ut och granskades. I resultatet framkommer tre kategorier: att skapa relation, att kommunicera och att främja hopp.Resultatet visar att patienter med depression värdesätter att sjuksköterskan tar sig tid, är närvarande och lyssnar aktivt i mötet med patienterna.