Bakgrund: trauma är en svår kroppslig skada som uppkommit genom yttre våld. Eftersom sorg visar sig olika hos olika individer är det viktigt att kunna se sorgens olika uttryck. Anhörig är den person som patienten anger som sin närmaste. När någon som står en nära plötsligt avlider genom trauma, hamnar de anhöriga i en kris och reagerar och handlar utifrån den. Syfte: är att belysa akut- och intensivvårdssjuksköterskors bemötande av anhöriga vid oväntat dödsfall i ett trauma utifrån sjuksköterskors och anhörigas perspektiv.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

Pain and pain treatment constitute a huge part of the general nurses work. For that reason the nurse is required to have great knowledge about this area. The fact that our society is getting more multicultural increase the nurses demands even more, to understand and treat pain in patients of foreign cultural background. The aim of this literature review is to examine which culturally learned and trans-ferred valuations, norms and approaches that appear related to physical pain. The aim is also to examine the most appropriate ways for the nurse to show respect and to get more information about this cultural experience in the encounter with the patient.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

Confusion can be a life threatening condition that is often missed by the nurses, thus it occurs in the same range as pain, fever or infections. Aim: The aim of this study was to describe the phenomenon of confusion among elderly patients, in order to establish a wider understanding of the patient's nursing needs. Method: Literature study based on scientific material. Results: The result showed the patient's ability to recollect and reconstruct episodes of confusion. During the confusion the stories contained a wide variety of experiences, such as threat, fear, suspicion, chaos and order, unreal experiences, a need to escape and a bad sleep.

A qualitative study with an aim to examine the experience and reaktions nurses had while caring for patients with sepsis..

Background: War-related amputations are represented by a unique group of patients because of the wounds complexity and scope of several serious injuries. To prevent and avoid care suffering and suffering of the patient, this study focused on the nurse's way to manage and identify the needs of this unique group of patients who have suffered from war-related limb loss. To undergo a traumatic amputation is a big change for the victim, and the nurse has an important role in responding to the patient and their needs Aim: To illuminate nursing care of patients with war-related limb loss. Method: The chosen method was a literature review. The data consisted of nine qualitative and three quantitative studies.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

Bakgrund: Det är en brist på specialistsjuksköterskor inom sluten psykiatrisk vård. Det är därför viktigt för arbetsgivaren att få kännedom om vad som motiverar specialistsjuksköterskanatt stanna inom psykiatrisk slutenvård och vad som får henne eller honom att söka sig frånslutenvården.Syfte: Syftet med denna studie är att undersöka specialistsjuksköterskors inom psykiatrisk vårdoch vårdenhetschefers uppfattningar om möjliga orsaker till varför specialistsjuksköterskorinom sluten psykiatrisk vård slutar.Metod: Studien är genomförd med kvalitativ metod och fokusgruppsmetoden valdes. En gruppbestod av fyra sjuksköterskor med specialistutbildning inom psykiatrisk vård. Den andragruppen bestod av två vårdenhetschefer. Intervjuerna spelades in och transkriberades.Materialet analyserades med kvalitativ innehållsanalys.

In healthcare settings, administrative routines have been made more efficientthrough digitalization of information and the introduction of stationary computers.This situation is especially true when it comes to radiology, where pictures,referrals and patient information now is completely managed by advanced stationarycomputer systems. However, studies have shown that these rationalizationsdo not support flexible and mobile work routines.PocketRIS is a prototype illustrating a mobile terminal for radiology that hasbeen designed to simplify workflow and reduce the cognitive workload of healthcarepersonnel. PocketRIS includes a visualization of the clinicians work situationincluding a personal referral list that can make the user attentive of importantevents.Contextual Design has been used to elicit the basic system requirements for thesystem; 19 contextual inquires was conducted with physicians, nurses and assistantnurses at two different radiology clinics in Sweden during six days. The purposeof the study was also to identify the groups that have the greatest need for amobile terminal. The study was concerned with design and evaluation of differentsolutions with healthcare personnel.The result shows that physicians and assistant nurses have the greatest need ofa mobile terminal.