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.

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.

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..

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.

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.

Sedan år 2005 har personal vid Sahlgrenska universitetssjukhuset utvecklat ett triage system utifrån Manchester triage system till det svenska Medical Emergency Triage and Treatment System (METTS). Syftet med denna studie var att undersöka om METTS är ett stöd för ambulanssjuksköterskor/sjuksköterskor i deras bedömning av patienter. En kvantitativ design har valts genom att samla in enkäter från två olika län i Sverige. Insamlad data sammanställdes via statistikprogrammet Statistical Packagefor Social Sciences (SPSS) version 20.0 och analyserades i deskriptiv och analytisk statistik. I resultatet framkom det att METTS var ett system som hjälpte sjuksköterskorna i ambulansen i sin bedömning av patienter prehospitalt.

Nursing and care for the pregnant bitch and her neonatal puppies is an important part of the animal nursing profession either if it concerns normal reproductionphysiology, pregnancies, diseases or complications at home of the animalowner. This piece of work gives a guidance of what a Veterinary nurse at a clinic should have in mind while given treatments, complications and normal physiology with the bitch and her neonatal puppies in order to be able to perform a professional cooperation with the veterinary surgeon at Emergency teatmentcases and to make the animal owners satisfied with enough knowledge to answer their questions about the subject..

Introduktion: Akut hjärtinfarkt är en vanlig dödsorsak. Viktigaste behandlingsinsatsen vid hjärtinfarkt är att snabbt öppna det ockluderade kranskärlet genom primär Perkutan Coronar Intervention (PCI). Viktigt är även att behandlingen förhindrar att kärlet åter ockluderar. Detta görs genom att behandla med det blodproppshämmande och kärlpåverkande läkemedlet Clopidogrel. Enligt en ny behandlingsrutin ges Clopidogrel redan i ambulansen vid konstaterande av hjärtinfarkt för att uppnå effekt så fort som möjligt.

This thesis describes a tool for data mining used to optimize ambulance preparedness. The goal with the tool was that it should be able to retract the information necessary to be able to analyze and calibrate the preparedness model used in the software ResQMap. ResQMap is used by SOS Alarm, who are responsible for the Swedish Emergency number 112, as a decision support tool for ambulance operators. It is developed by Carmenta AB, who are the supervisors of the thesis work. Also, a minor study of the preparedness models variables has been performed in order to be able to evaluate the function of the tool.

The aim of this empirical study was to investigate how nurses on a ward within the Emergency clinic deal with analgesia prescriptions and the pain management documentation. The used method was divided into chart reviews and qualitative interviews with nurses in clinical practice at the ward. This means that both a qualitative and quantitative approach was desired. The results incline that nurses generally apply to the laws and restrictions surrounding the nursing discipline, as used in pain treatment. Thus they generally fulfill the obligations accounting to documentation.

This report is based upon an experimental study of exit sign luminescence in different environments. The purpose is to evaluate the lowest luminescence of an exit sign, based upon Swedish regulations. Scientific experiments have been conducted in a controlled environment, where exit sign luminescence was graded by an evaluation group. The results of these have been verified by similar experiments that took place in two department stores. The final result of the study is guidelines for appropriate exit sign luminescence in different environments..