Bakgrund: Vårdplatserna på svenska sjukhus har minskat drastiskt det senaste decenniet.  Detta har inneburit en högre beläggning på de kvarvarande och medfört längre väntetid på landets akutmottagningar. Platsbristen skapar, ibland dagliga, överbeläggningar och utlokaliseringar av patienter.Syfte: Att undersöka hur sjuksköterskor och läkare upplever att vårdplatssituationen påverkar deras arbete och vad detta får för konsekvenser för patienterna.Metod: Kvalitativ design med semistrukturerade intervjuer med tre läkare och nio sjuksköterskor från akutvårdsavdelning med inriktning infektion, mottagning med akutintag och akutmottagning. Analysarbetet genomfördes med Malteruds (2009) innehållsanalys. Resultat: Vårdplatssituationen kommer sig av en brist på vårdplatser inom främst medicindivisionen, samt en oförmåga att hålla de platser som finns öppna på grund av sjuksköterskebrist. Bristen på vårdplatser har inneburit en oförmåga för läkare och sjuksköterskor att utföra sitt arbete i enlighet med sin kompetens och beprövad erfarenhet.Slutsats: Svårigheterna med att finna platser till patienterna på deras hemavdelningar samt de ständiga omflyttningarna av patienter medför svårigheter för vårdpersonalen att ge god medicinsk vård och omvårdnad vilket medför stora risker för patientsäkerheten.

AbstractThe aim of this literature review was to describe the experience and needs of sudden bereaved family members who lost a loved one in a sudden and unexpected death. The aim   is furthermore to depict the experience of unexpected and sudden death from the nurse´s point of view. Method: The literature review study has been carried out with a descriptive design. The result of the study was based on 14 scientific articles with quantitative and qualitative approach. The articles were searched in the databases PubMed and Cinahl and through manual search.Results: A majority of close relatives that experience a sudden bereavement are dissatisfied with the way they have been encountered by the staff.

Syfte: Syftet med denna litteraturöversikt var att beskriva vad som kännetecknar ett gott bemötande inom den prehospitala akutsjukvården och vilken betydelse bemötandet har för vården. Metod: Studien genomfördes som en litteraturöversikt och artiklar söktes via databaserna CINAHL och PubMed. De elva inkluderade artiklarna resulterade i kategorier och subkategorier som beskriver vad som är utmärkande för ett gott bemötande inom den prehospitala sjukvården och vilken betydelse det har för vården. Resultat: Resultatet visade att ambulanspersonalen ska anpassa kommunikationen efter patientens förutsättningar och de ska ha ett förhållningssätt som baseras på respekt, ödmjukhet och empati. En förutsättning för en god omvårdnad är att en omvårdnadsrelation, baserad på tillit och förtroende, upprättas.

Female and male managers in crisis- A qualitative study of how daily and evening newspapers produce female and male managers in crisisThe purpose of this studie was to investigate how female and male managers are produced in daily and evening newspapers. The newspapers that has been used in this study is Dagens Nyheter, as a representation for daily newspapers, and Aftonbladet, as an representation for evening tabloids. To answer the purpose three issues has been formulated: what are the female and male managers importance in emergency situations in the articles? How are power attributed to women and men in the articles? What similarities and differences are there between the representations from Dagens Nyheter and Aftonbladet?The theories that has been used in this studie are mainly gender theory, critical discourse analysis (CDA).The results of the analysis showed that female managers in subjectivily presented articles reports are produced in a more negative way than male managers. Further could the male managers be interpreted to be attributed more power in the articles than the female managers..

AimThe purpose of this study is to, from a perspective of a PE teacher, look at how teachers of physical education in elementary school designs and assesses the teaching of swimming. The issues underlying the study are as follows:Which elements are included in the swimming education and how do teachers work with these operations?What does the PE teachers classify as swimming ability and what do teachers experience as obstacles for the students development of swimming ability?How do the PE teachers interpret the knowledge requirement in Lgr 11?MethodThe study is based on six interviews of qualitative nature, with PE teachers from various municipalities in the region of Mälardalen.ResultsThe result yielded by the study is that the swimming classes can take different forms depending on whom the teacher is. Common to all the teachers in the study is that they teach emergency management and lifesaving. When it later comes to teaching how to swim and practice, the teachers who teach in the younger age groups work more concentrated and continuously with swimming, while the teachers who work with the older age groups just checks whether students can swim or not.

Hematology-instruments that analyze blood cells can at specific cases be followed by manual counting with a hemocytometer. The plastic hemocytometer which has a fixed coverslip and is assigned for disposable use, appears to reduce the problems arising from the use of the traditional glass hemocytometer, for instance coverslip-application difficulty and dust particles. Capillary whole blood sampling may be useful for patients at the emergency department and in addition, a smaller volume of blood is taken compared to venous blood sampling. This study will focus on the platelet- and leukocyte count (PLT and WBC) in venous and capillary blood, in order to compare the plastic- and glass hemocytometers with Sysmex XN-2000 (Sysmex Corporation, Kobe, Japan), and verify if capillary whole blood sampling can be used for the measurement of these hematological parameters. 30 subjects donated both capillary- and venous blood samples and these blood samples were analyzed with glass- and plastic hemocytometers with Sysmex XN-2000 as the reference method.

Healthcare staff working within emergency care must often handle extreme and emotional situations. Most of the certified registered nurse anesthetists (CRNAs) will some time during their professionally active lives confront with events that are difficult to handle and for some these events will lead to more or less serious traumatic distress and in certain cases develop post traumatic stress disorder symptoms. Many studies demonstrate that staff working in similar stress related environment runs larger risk in order to get stress related symptoms. The aim with the study was to describe the experiences around difficult work related events among CRNAs. The study was implemented as a descriptive study with qualitative run-up via a questionnaire with open questions relevant for the study's aim.

Background: In today's Swedish health care, it is required that the various professionals must work together in teams to safer care. Several professionals with various skills expected working together in the traumateam at the care of the traumapatient. At the same time, research shows that substandard teamwork leads to avoidable errors in care. One way to improve teamwork is to practice. Purpose: The purpose of this study is to shed light on the experiences of the traumateam exercises that exercise participants feel has been favorable for the patient at the initial care of trauma patients.

Beslutsprocessen vid triage är komplex och triageprocessen bör utföras noggrant. Vid akuta situationer måste snabba beslut tas, oftast med lite information. Det ska under kort tid samlas in data genom observation, frågor och kontroll av vitalparametrar. Syftet med studien var att belysa faktorer som påverkar sjuksköterskans triagering av barn på akutmottagning. Studien genomfördes som en litteraturstudie där 13 vetenskapliga artiklar analyserades.

Simulation is a vital tool during development of JAS 39 Gripen, since money and time can be saved.The Auxiliary and Emergency Power System, AEPS, is a subsystem of the secondary power system in Gripen. It has the function of providing the aircraft with electrical and hydraulical power before activation and after deactivation of the main engine. The system also functions as backup in case of a safety critical problem in the main power supply system. The system basically consists of a control unit and an auxiliary gearbox. The gearbox is driven by an air turbine.

AimThe purpose of this study is to, from a perspective of a PE teacher, look at how teachers of physical education in elementary school designs and assesses the teaching of swimming. The issues underlying the study are as follows:Which elements are included in the swimming education and how do teachers work with these operations?What does the PE teachers classify as swimming ability and what do teachers experience as obstacles for the students development of swimming ability?How do the PE teachers interpret the knowledge requirement in Lgr 11?MethodThe study is based on six interviews of qualitative nature, with PE teachers from various municipalities in the region of Mälardalen.ResultsThe result yielded by the study is that the swimming classes can take different forms depending on whom the teacher is. Common to all the teachers in the study is that they teach emergency management and lifesaving. When it later comes to teaching how to swim and practice, the teachers who teach in the younger age groups work more concentrated and continuously with swimming, while the teachers who work with the older age groups just checks whether students can swim or not.

Svenska Kraftnät is (together with the other transmission system operators of the Nordic power system) responsible for keeping balance between the generated and demanded power in the Nordic power system. Spontaneous load variations and system disturbances, however, lead to power imbalance followed by frequency variations. The frequency deviations can be limited to an acceptable level by the spinning reserve, mainly by hydro power control. But there are also other system properties which have a great influence on the frequency and system stability. The frequency and voltage dependence of the loads have a direct influence on the power balance.

Cats and dogs are often unattended by their owners both indoors and outdoors, and therefore there is always a risk that they will get hurt. In the past, poisoning cases was considered unusual, but nowadays they are considered more common. As a veterinary nurse, it is important to know the common symptoms of poisoning, especially when working with emergency veterinary care. A very essential part of the profession as a veterinary nurse is to inform pet owners about the potentially dangerous substances and how poisonings can be prevented. The purpose of this report was to find out what is written scientifically about some common poisonings in dogs and cats and to present available statistics that covers the number of animals poisoned by various substances in Sweden. Hopefully this essay can also be used as a handbook for professionals in animal health care and to assist in educating pet owners. The report mainly covers groceries found in many homes, often easy accessible.

Suicidalitet, självskadebeteenden och psykisk ohälsa hos ungdomar är ett ökande problem. Antalet suicid i Sverige har minskat sedan 1980-talet. Men i åldersgruppen ungdomar 15-19 år har suicidantalen istället ökat markant. Suicidpreventiva åtgärdsprogram har införts för att på detta sätt försöka stoppa denna oroväckande utveckling. Syftet med detta fördjupningsarbete var att belysa ungdomars suicidalitet samt sjuksköterskans yrkesroll och förhållningssätt vid vårdandet av dessa ungdomar.

Bakgrund: Till akutmottagningen kommer alla typer av patienter av olika etniciteter, åldrar och kön, med olika skador och sjukdomar och med olika tidigare erfarenheter av hälso- och sjukvården. Patienten har mycket kontakt med sjuksköterskan på akutmottagningen, och därför är det viktigt att mötet mellan sjuksköterskan och patienten uppfattas som positivt. Forskning tyder dock på att detta inte alltid är fallet.Syfte: Att beskriva hur patienten upplever mötet med sjuksköterskan på en akutmottagning.Metod: En litteraturstudie av mixad metod med konvergent design baserad på fem kvalitativa och fem kvantitativa studier.Resultat: Fyra teman framkom: Brist på information och kommunikation; Patienten vill inte vara till besvär; Ointresse och dåligt bemötande samt Bra vård och ett gott bemötande.Slutsats: Mötet mellan sjuksköterskan och patienten på akutmottagningen blev ofta lidande på grund av bristande information, ointresse och dåligt bemötande från sjuksköterskan. Mötet var mer positivt på akutmottagningar på landsbyggden, med anledning av att stressen och arbetsbördan där var lägre.Klinisk betydelse: Genom att öka medvetenheten om problemen som belyses i denna studie och genom att implementera resultatet till akutmottagningar, ges möjligheten att förbättra vården och öka välbefinnandet för patienterna på akutmottagningen..