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.

The work related illness has increased and instead of focusing on what?s causing it more and more efforts are put on trying to find the health factors within and outside the work environment. During the past years the term ?long-term health? has arisen; instead of focusing on the number of employees on the sick-list, the focus should be put on the number of employees that has a record of long-term health within an organization, i.e. health-presence.

Målet med den här studien var att undersöka de anställdas känslomässiga bedömning av den interna kommunikationen på ett svenskt skogsbolag med hjälp av en modifierad version av undersökningsverktyget Communication Satisfaction Questionnaire (CSQ) samt två kvalitativa frågor. Studien genomfördes på 65 anställda inom en region av ett svensk skogsbolag. Resultatet visade att de anställda var ganska nöjda eller nöjda med de olika dimensionerna av kommunikationstillfredsställelse samt att ingen statistiskt säkerställd skillnad kunde identifieras mellan tillfredsställelsen hos region- och distriktsanställda. Vidare kunde ett samband påvisas mellan de anställdas arbetstillfredsställelse och kommunikationsdimensionerna: kommunikationseffektivitet, chefsrelation, skvaller och presonlig feedback. Resultatet från de kvalitativa frågorna påvisade att de förbättringsmöjligheter de anställda framhöll främst fanns inom området kommunikationskanaler.

Hur patienter och sjuksköterskor upplever delaktighet i vården är en viktig aspekt för att kunna vidareutveckla och främja patientens delaktighet i vården. Syftet med studien var att undersöka upplevelser av patientens delaktighet ur ett patient- och sjuksköterskeperspektiv. Studien genomfördes som en systematisk litteraturstudie och grundar sig på 14 vetenskapliga artiklar. Resultaten visade att patienters upplevelser av patientdelaktighet innefattade att bli sedd och respekterad som en egen individ. Ett inbjudande klimat där sjuksköterskan var lyhörd och där relationen mellan parterna var jämlik upplevdes viktigt.

Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.

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.

The child perspective is a complex area primarily because of its many ways of interpretation but also because children are considered to be less competent than adults. Our hypothesis was that adults in court-proceedings make decisions in the child?s place. The aim of this study was to investigate the judicial meaning of the child perspective in ?Socialtjänstlagen? (SoL) and ?lag om särskilda bestämmelser om vård av unga? (LVU).

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

Bakgrund: Sjuksköterskan har enligt kompetensbeskrivningen och ICN:s etiska kod ett ansvar att förespråka patienten. Begreppet advocacy myntades i USA under 1970-talet och sedan dess har begreppet diskuterats i litteraturen. Advocacy innebär att sjuksköterskan ska kunna uttyda patientens önskemål, kommunicera med patient och närstående, försäkra sig om patientens säkerhet, respektera och beskydda patientens rättigheter och tala samt agera på uppdrag av patienten.Syfte: Syftet är att beskriva faktorer som påverkar sjuksköterskan i rollen som patientens förespråkare. Metod: En litteraturstudie baserad på 13 vetenskapliga artiklar, varav tio kvalitativa och tre kvantitativa. Resultat: Författarna fann i det analyserade materialet, fyra huvudfaktorer som på olika sätt påverkade sjuksköterskan i rollen som förespråkare.

En stor del av den svenska befolkningen har någon form av hjärt- och kärlsjukdom. Vi avser ge allmänsjuksköterskor en ökad kunskap om vad patienter i denna sjukdomskategori vill ha för information för att kunna möta dessa patienter på ett så bra sätt som möjligt. Syftet med denna litteraturstudie är att belysa vilken information patienter med kranskärlssjukdom och deras anhöriga anser sig behöva före utskrivning och under tiden därefter samt att undersöka den av sjuk- sköterskan prioriterade informationen. Metod: En litteraturstudie där vi använt nio artiklar som granskats enligt Forsberg & Wengströms (2003) bedömningsmall samt enligt Polit et als (2001) granskningsprotokoll med avseende på vetenskaplighet och kvalitet. Artiklarna har sökts i bl a databaserna Pubmed, Cinahl och Blackwell synergy.

Background: Suicidal patients feelings and experiences of the psychiatric service can be a decisive moment of the following treatment. Although suicide is a common problem all over the world we know very little about the feelings that the patients are feeling in residential psychiatric care. Purpose: The aim of this litterature studie was to describe suicidal patients feelings and experiences of the psychiatric service. Method: Literature study was conducted through a search of articles in different databases. The data has been done as an overview and the data has been analysed with content analysis.

Background: Effective treatment of patients with type 2 diabetes needs a good communication between nurse and patient. This creats a good relation and leads to a more effective patient education. Aim: The aim with the literature study was to describe how nurses trough patient education can achieve self-care for patients with diabetes type 2. Methods: Literature studies with both qualitative and quantitative articles were examined. Findings: The articles that were chosen for the results were sorted in the two categories relation and communication.

The aim of the present study is to examine the experiences from different ways of interpreting in nursing of patients that come from a different ethnic background and speak a different language than the nursing staff..

The aim of this study was to examine nursing personnel?s knowledge about oral health care and attitudes towards the free assessment of the oral status done by the dental service for elderly and handicapped persons in a municipality in the south part of Skåne, and also how personnel experience the free assessment of the oral status done by the dental service and how it functioned at the facilities. The study was carried out by sending out 150 questionnaires to nursing personnel at six special housing facilities. 73% (110 personnel?s) answered the questionnaires.

Syfte: Undersöka sjuksköterskors och undersköterskors erfarenheter, upplevelser och syn påanhörigas närvaro i akutrummet i samband med omhändertagandet av en kritiskt sjuk ellerskadad patient. Metod: Empirisk studie med kvalitativ ansats. 16 semi-struktureradeintervjuer genomfördes. Resultat: Vårdpersonalen har delade meningar om anhörigas närvaropå akutrummet. Generellt tycks anhörigas närvaro upplevas som positivt så länge det handlarom en kritiskt sjuk eller skadad patient.