School can be an effective environment for achieving a more equal health among children and adolescents, since many individuals can be reached by the health promoting work in the school. In the year of 2000 a project in Skåne was started for the development of health promoting schools. The health promoting projects however, have shown to be of short duration. So, as an alternative, the integration of the health in school ought to be tried. The aim of this study is to give examples how health promoting schools can strengthen their profile.

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

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.

The elderly care is an area of great importance to women. Women are more often in need of elderly care; they work with the service and provide a majority of the informal service. Research shows that managers? work-related prerequisites are significantly different between the male dominated technical administration and the female dominated care and educational administration. Studies also show that what the highest managerial organisation gives priority to, often permeate the whole organisation.

School can be an effective environment for achieving a more equal health among children and adolescents, since many individuals can be reached by the health promoting work in the school. In the year of 2000 a project in Skåne was started for the development of health promoting schools. The health promoting projects however, have shown to be of short duration. So, as an alternative, the integration of the health in school ought to be tried. The aim of this study is to give examples how health promoting schools can strengthen their profile.

Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results.

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.

Most of the people in today's society have at least some knowledge about Alzheimer's disease to some extent. When a person with Alzheimer's disease is being taken care of at home, the relatives have to change their own priorities and readapt themselves to the existing situation. The primary aim of this study is to describe how the relatives experience their own situation in life. The secondary aim of this study is to describe how the relatives understand their own relation with the health care authorities concerning the help and support issues. The authors have realized this study using the analytic inductive method and have interviewed four informants using a semi structured interview guide.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

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.

Female genital mutilation is an ancient custom, practiced mainly in African countries. For several years, Africans has immigrated to Sweden and many of the women are genitally mutilated or circumcised. The aim of this study was to bring some clarity to the attitudes and experiences regarding female genital mutilation among those who are affected. Articles for this literature review were searched for in international databases, and in the university library database. The outcome of this study shows that health care staff is in need of greater knowledge about this custom, in order to be able to handle the situation appropriately.

  Aim. The aim of the study was to describe how nurses in home care experience to pursue palliative care in ordinary housing. Methods. The study had a descriptive design with qualitative approach and was carried out through semi-structured interviews with 14 nurses in home health care from two medium-sized Swedish municipalities. The material was analyzed with manifest and latent content analysis. Findings. The underlying theme that emerged in the study was: Working with palliative care in the patient´s own homes is positive but challenging. Informants describe among other things that they perceived palliative home care as meaningful and that relatives have a central role in the palliative home care since they are close to the patient around the clock. The stress that emerges from the heavy work load and the long geographic distances are described as strenuous and to affect the care in a negative way. Informants describe the home environment as challenging as it is often not adapted for care and the collaboration with the palliative team is described to be experienced as both positive and negative.

Background: The oral health is a problem for many people with psychical disabilities. The reason for that is among other things that the psychical disabilities could do it hard to handle fundamental routines in the everyday life. Aim: The aim of the literature review was to describe how the nursing staff experienced their situation about their work with oral health in persons with psychical disabilities. Method: The study has been done as an overview and the data has been analysed with content analysis. Result: Two head categories were identified; barrier that influence the ability to perform the work with oral health and barrier that influence the performance of the work with oral health.

Background: Many people within the health care system experience uncertainty. Uncertainty can be described as a feeling, a condition or as a phenomenon. Uncertainty is often associated with stress and an emotional burden among patients. It?s important for the nurse to have knowledge about the expressions of uncertainty to get a higher appreciation for the patients? situation.

ABSTRACTBackground:To work irregular hours, so called shift work, involves a greater risk to develop bad health compared to work daytime. The society today requires availability 24-hours per day which makes shiftwork necessary. We have to find a way to make shift working people remain at a good health.Purpose:The purpose of this study was to examine the self estimated health of shift workers. This study concerns significant differences between self estimated health and: main reason for shiftwork, possibility to decide what to do at work and possibility to decide how to perform work tasks.Method:A cross sectional study was performed in four companies in industrial manufacturing, printing business and service business in the community of Örebro. 113 questionnaires were delivered and 71 persons filled the questionnaires and returned them, the reply fervency were 65 %.Results:In this population almost 80 % of the participants declared their health good, very good or excellent and no one declared their health as poor.