Anafylaxi är en akut, oförutsedd, allergisk reaktion som kan uppkomma när som helst. Alla sjuksköterskor skall ha kunskap om anafylaxi, samt beredskap att ta hand om denna reaktion på ett korrekt sätt. I bakgrunden beskrivs den immunologiska mekanismen vid anafylaxi och allergi, symtom och behandling, samt det omvårdnadsvetenskapliga perspektivet. Syftet med denna litteraturöversikt var att identifiera och beskriva bidragande orsaker som ligger bakom osäkerheten kring anafylaxi och därmed ge en ökad kunskap om anafylaxi i sjuksköterskans professionella omhändertagande. Metoden som vi har använt oss av har varit litteraturstudie och sökning har skett via databaserna Pubmed, Cinahl och Scopus.

SammanfattningSyftet med studien var att beskriva och sammanställa befintlig forskning om de etiska konflikterna, som ambulanspersonal ställs inför i samband med HLR och att inventera om prehospitala HLR riktlinjer tar hänsyn till etiska aspekter på HLR. En litteraturstudie genomfördes där tretton vetenskapliga artiklar analyserades. Resultatet visade att etiska konflikter uppstod när det gällde ambulanspersonalens beslut om att påbörja HLR eller inte, på patienter som av litteraturen beskrevs som terminalt sjuka eller äldre terminalt sjuka patienter. Ibland kränkte ambulanspersonalen patienternas autonomi genom att påbörja HLR mot patienternas och de anhörigas vilja, trots att det existerade en Ej HLR önskan från patienterna och deras anhöriga. Den huvudsakliga orsaken till att sådana situationer uppstod var oklarheter i lagstiftningen omkring prehospitala HLR riktlinjer i USA och Kanada.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

On the basis of theoretical knowledge about the complex of problems which can occur in an implementation of a collaboration project, the purpose of this essay is, to examine how representatives on each authority relate to and manage collaboration as a work method, the awareness of problems within the organisations that collaborate, and the preparedness around how to manage problems with collaboration. "Unga vuxna" is a collaboration project between Kalmar county council and all 12 municipalities in the county council. More specifically it is a cooperation project between psychiatry and social services. Theories used in this essay are professor Berth Danermarks studies about collaboration, and social psychologist Jay Hall?s theory about capability.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

Bakgrund. På akutmottagningen är flödet av patienter stort och möten mellan sjuksköterskor och patienter är korta och tidspressade. Det primära för patienter på en akutmottagning är att sjuksköterskan vet vad som ska göras. Omvårdnad kan delas upp i två kategorier: instrumentell omvårdnad och emotionell omvårdnad. För att agera med omvårdnad, måste sjuksköterskan dels ha ett omhändertagande med teknisk kompetens och samtidigt stödja patientens emotionella behov.

ABSTRACTBackground: As a nurse it is a part of your work description to precepting students. A good relationship between preceptor and student is important for a successful precepting witch can be rewarding for both parties. There are many studies on how nurses in hospital departments experience precepting students, however it is not as explored in the prehospital care.Objective: To describe ambulance nurses' experience of precepting nursing students in the third and final year of university-level nursing school.Method: A qualitative study was conducted. Nine respondents at two ambulance stations in central Sweden were selected with the help of strategic convenience sample. The informants were nurses with specialist education in ambulance/prehospital care who had experience of working in the ambulance unit for at least a year.Result: The majority of participants were positive to precepting students and the time seemed adequate.

When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide the priority need and is based upon templates which point out in which of the 5 categories a patient is to be placed, to eliminate any future risk regarding his or her health. A lower triage level means lower priority but implies better health when the evaluation takes place. To obtain optimal effect of the Triage model the evaluation of symptoms must be reproducible so that patients with the same symptoms are placed at the same triage level regardless of whom among the staff conducts the evaluation. The purpose of the study was to see if the resources are allocated based on priority level of the patients.

The purpose with our essay was to describe and understand the treatment of the homehelp staff towards the elderly addicted caretakers within the care system. Both in a practical aspect as well as in an attitudinal aspect. In order to get the answers to our overall purpose of our essay, we had as a starting point the following questions:* What help is given to the elderly addicted caretakers?* Are the elderly addicted caretakers a stigmatized caretaker group?* What approach does the home help staff conduct towards the elderly addicted caretakers?* Is there a preparedness among the home help staff when it comes to as to whether or not a care taker has an addiction issue or not?When analysing the material we used a qualitative analytical method in order to understand the care givers treatment towards the addicted caretakers. We combined the interviews with the so called vinjett technique; furthermore we used various sociological theories as well as earlier scientific discoveries.The result of the essay was that elderly addicted caretakers are an exposed group.

Med anledning av att flera kriser av extraordinära slag har inträffat i fredstid har förmågan att hantera dessa fått stor uppmärksamhet. Ett exempel är stormen Gudrun som lamslog delar av Sverige i januari 2005. För att kunna hantera sådana kriser behövs en fungerande beredskap och här har kommunerna en viktig roll. Om kommunerna har en väl utvecklad krisberedskap kan samhället bättre klara av en kris. Genom utvärderingar och erfarenheter från kriser har det visat sig att samverkan mellan kommuner är av stor betydelse för en god krisberedskap.

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..

In the year 1783 a fissure eruption from Laki in the southern part of Iceland produced a large amount of volcanic gases during a period of eight months. The volcanic gases and aerosols spread across the northern hem sphere due to ideal weather conditions and had a substantial impact on the environment, human health and also climate effects. This, so called dry fog, caused severe health problems, which led to death casualties, killing animals, crops and other vegetation. The consequence was a widespread famine which was aggravated by a hard and long winter in 1783/84. Analysis shows that the Icelandic volcanoes are the primary risk to produce dry fog that can affect Sweden.

Risk- och beredskapsfrågor är idag mycket aktuella inom olika verksamheter. Studien undersökte hur barnomsorgspersonal i Örebro betraktade risk och beredskap i arbetet samt hur känslan av sammanhang (KASAM) samt arbetsrelaterade faktorer som krav, kontroll och stöd påverkade dessa upplevelser. Studien baserades på enkäter byggda på frågeformulären QPS-Nordic 34+, 13 frågors KASAM samt egna frågor. 53 personer deltog. Resultatet visade att den upplevda beredskapen var god i förhållande till den upplevda risken.

Risk- och beredskapsfrågor är idag mycket aktuella inom olika verksamheter. Studien undersökte hur barnomsorgspersonal i Örebro betraktade risk och beredskap i arbetet samt hur känslan av sammanhang (KASAM) samt arbetsrelaterade faktorer som krav, kontroll och stöd påverkade dessa upplevelser. Studien baserades på enkäter byggda på frågeformulären QPS-Nordic 34+, 13 frågors KASAM samt egna frågor. 53 personer deltog. Resultatet visade att den upplevda beredskapen var god i förhållande till den upplevda risken.

The aim of this study is to investigate attitudes among relatives and Emergency Department staff, concerning relatives possible presence during resuscitation. Seven scientific articles revises in the studys method. The articles have been searched for in CINAHL, Elin and PubMed. Articles have been analysed using Polit, Beck and Hungler (2001) instructions to evaluate scientific quality. The findings of this study show there it seems no longer appropriate routinely excluding relatives from family presence during resuscitation.