Bakgrund: Dokumentationssystemet för sjuksköterskor har förändrats sedan sjuk-sköterskor blev skyldiga att dokumentera i patientjournalen. Detta har lett till att omvårdnaden har synliggjorts och därmed kan granskas. System för att kvalitetssäkra patientarbetet har med tiden arbetats fram, bl a VIPS-modellen och Melior. Sjuksköterskans dokumentationssystem är dock fortfarande i behov av utveckling. Syfte: Syftet var att undersöka sjuksköterskors skilda uppfattningar om omvårdnadsdokumentation. Metod: På ett sjukhus i södra Sverige genomfördes en fenomenografisk studie genom intervjuer av 11 sjuksköterskor. Resultat: Av 244 uppfattningar från intervjuerna skapades fem huvudkategorier och 12 subkategorier.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Trots att integritet har ett fundamentalt värde i vårt samhälle finns det ingen klar definition av vad begreppet verkligen innebär. Syftet med denna studie var att belysa innebörden av begreppet integritet såsom det visar sig i mötet mellan vårdpersonal och patient. Studien är gjord som en systematisk litteraturstudie och bygger på 10 kvalitativa empiriska studier som behandlar fenomenet integritet. Resultatet visar att integritet är ett begrepp som inrymmer flera dimensioner såsom autonomi, att bli sedd som individ, att bli tagen på allvar, det privata rummet, fysisk integritet, information, kulturell identitet, social identitet samt förlöjligande. Trots att både patienter och vårdgivare till stor del delar uppfattning om hur integritet kan bevaras eller hotas utsätts många patienter för kränkande handlingar i omvårdnadssituationer..

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

Background: Human interaction by touch plays a central role for our health and well being throughout life. When people touch each other our bodies release a hormone called oxytocin into the bloodstream, this gives the body a soothing effect. Touching on the other hand can be perceived as unpleasant if it is not in accordance with the patient?s norm or wishes. From biblical times and through to today human touch plays a central part of nursing.

Advanced homecare, district nurses experiences, palliative care, quality of life,Advanced homecare is an arranged specialized medical service doing nursing round-the-clock. The care is preformed in cooperation with a multi-professional team formed of different professions. Advanced home care is mostly palliative care. The purpose is to give the patient better quality of life and anticipate, survey and palliate symptoms. The aim of this study was to describe the experiences of district nurses using advanced homecare when nursing patients with palliative care at home.

The aim of thie literature review was to study the advantages and disadventages of the intranasal medication, treating children with acute pain in  prehsopital settings and in emergency care. Searches were performed in databases PubMed and Cinahl. The intranasal method of administrating drugs could be a acceptable compliment to todays's traditional metods. Unnecessary pain is avoided as there is no need for skin penetration. Further studies are necessary in order to integrate this metod both in prehospital settings and in emeregncy care..

Dödsfall, arbetsplatsolyckor, hot och våld. Alla är de exempel på kriser som inträffar på svenska företag varje år. Dessa händelser ställer krav på att företagen har en organisation och struktur för att klara av att hantera kriserna och för att minska verkningarna av dem. Krishantering är ett samlingsbegrepp för hur man systematiskt arbetar för att minska krisens omfattning, både före, under och efter att den har inträffat. Syftet med att använda krishantering är att företagen skall kunna förebygga att allvarliga händelser inträffar och att hantera dem på ett effektivt sätt.  Ungefär sju av tio svenska företag har idag etablerad krisberedskap som gör att de klarar av att hantera kriser och olyckor, men lagstiftningen ställer krav att alla företag skall planera och organisera krisstöd och krishantering oavsett verksamhetsområde och bransch.Syftet med denna studie är att undersöka hur chefer i privata företag beskriver krishantering inom sina verksamheter och hur man ser på prioritering av krishanteringen.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

India is the country with the highest prevalence of rabies in the world, with about 20?000 human deaths occurring every year. The country also has a heavy burden of free roaming dogs, mainly because of the high amount of edible waste in the streets, which are the main hosts for the disease. Therefore to truly extinguish rabies, the main focus should be on the dogs, both stray dogs and owned. One method is to vaccinate all dogs against rabies.

Bakgrund: Inom ambulansorganisationen ordineras läkemedel via telefonordinationer eller genom generella direktiv som erhålles från ambulansöverläkaren. Ordinationer enligt generella direktiv ska utfärdas restriktivt och omprövas regelbundet. För att patienterna ska bedömas på samma sätt så behövs utarbetade bedömningsmallar och riktlinjer som sjuksköterskorna som arbetar i ambulanssjukvård kan arbeta utefter.Syfte: Att studera hur sjuksköterskor upplever läkemedelshantering inom ambulansorganisationen Västernorrland.Metod: Samtliga sjuksköterskor inom ambulanssjukvården i Västernorrlands län tillfrågades om deltagande. Totalt kom 74 individer (54%) att delta. Datainsamlingen genomfördes med enkät bestående av slutna frågor och möjlighet att skriva kommentarer till varje fråga.Resultat: Det framkom att personalen aldrig överskred maxdosen, men gav på eget initiativ läkemedel som de saknade generell ordination på utan att först kontakta läkare.

The Swedish prehospital/ambulance organization has the last decades evolved from a transport organization to a an organization that focus on alleviate and treating acute medical conditions in the field as well as transporting patient to the emergency ward. The ambulance service is developing continually and offers today a high-tech and highly specialized nursing/care. Which in turn demand a higher standard and competence on the care provider. Ambulance mission can vary in priority and magnitude. This in turn demand a high medical competence our capacity.

The purpose of this study was to examine the extent to which incontinence aids, used in local authority/municipal nursing homes, were adapted to the resident?s urine-leakage volume and to find out how nurses perceived the current situation concerning individual testing of incontinence aids in municipal nursing homes. The study method was a quantitative empirical study and was carried out in two phases. The first phase was a weighing test, carried out in three nursing homes, whereby the incontinence aids used by 25 residents during a 48 hour period were weighed. The second phase was the completion of a questionnaire by the municipal nurses working in the same local authority.

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

Background: Children?s death is unexpected and unnatural irrespective of a long time of illness or a sudden death. Nurses working with palliative care of children experience a range of different emotions during the care. Palliative care is health promoting even though the purpose no longer is to cure. According to the nursing theorist Katie Eriksson health is possible to achieve even though the patient has got a deadly disease.