BakgrundSjuksköterskor ansvarar för att bedöma om en patient har smärta, vilket kan vara utmanande om patienten har svårt att kommunicera. För att bidra med mer kunskap kring detta uppfattades ett behov av att undersöka vad sjuksköterskor inom olika verksamheter har för erfarenheter kring att bedöma smärta hos dessa patienter och deras tankar kring smärtskattning som omvårdnadsåtgärd.SyfteSyftet med studien var att belysa sjuksköterskors erfarenheter kring smärtskattning av patienter med nedsatt förmåga att kommunicera.MetodSemistrukturerade intervjuer genomfördes med sjuksköterskor inom olika verksamheter i Umeå och analyserades med kvalitativ innehållsanalys.ResultatVi identifierade erfarenheter som sammanställdes inom åtta olika kategorier fördelade på fyra domäner. Centrala iakttagelser är att smärtskattning bör ske med välfungerande metoder och att smidiga rutiner för deras användning är viktiga. Det behövs mer kunskap om smärtskattning för att kunna komplettera de erfarenheter som finns. För att förbättra kvaliteten bör likaså hänsyn tas till nackdelar med alltför stela arbetssätt för att inte den personliga kunskapen och viljan ska gå förlorad.

A new phenomenon on the Internet is the online audience response. Mentimeter is a web-based tool where you can create online polls. The users can then cast a vote and the result is shown in real time. We want to test the information visualization in Mentimeter and we base our hypothesis, that a better graph design is possible, on the work of Edward Tufte and Stephen Few. Edward Tufte is an emeritus at Yale University, where he held courses in statistical evidence and information design and has created theories about how visual information should be designed.

Bakgrund: Migrationen ökar över hela världen. Sverige har, i likhet med andra länder, förvandlats från ett relativt homogent till ett multikulturellt samhälle. Varje kultur har sin syn på hälsa och sjukdom. Vårdpersonal uppger att de upplever stora svårigheter i mötet med patienter från andra kulturer. Syfte: Denna studies syfte var att belysa hur sjuksköterskor och sjuksköterskestudenter upplever mötet med patienter från andra kulturer.

The investigation aims to clarify to what extent non-conscious thought has efficacy in e.g. decision making and also examine some aspects of the question whether decisions are caused by free will. This will be conducted through an analysis of new research pertaining to neuroscience, economics, the combination of the two within neuroeconomics; evolutionary theory and especially the new theory of Unconscious thought (Nordgren & Dijksterhuis 2006) which will enjoy special scrutiny due to its recentness in the scientific field. A decision strategy ought to put high-level conscious cognition to use where it's most effective and this is on a different level than the canonized one. Meta decision making is decision making pertaining to which decisions ought to be made consciously.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: A vegetarian diet, a possible treatment complement for relief of symptoms ofrheumatoid arthritis? A systematic review.Author: Alexandra Ahlsén and Caroline ForsbergSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Rheumatoid arthritis (RA) is a chronic remitting polyarthritis that is relapsing.Symptoms are inflammation of the joints with pain, stiffness and degradation of joint tissue.In some cases, also other parts of the body are involved. The treatment consists ofmedications to reduce pain, inflammation and degradation of joint tissue. Today, the offerednutritional treatment is primarily focused on meeting energy requirements and nutrient needs.The diet has also been discussed as symptomatic treatment, and one of the factors believed toinfluence the symptoms is meat.Objective: To assess the evidence as to whether a vegetarian diet affects the symptoms ofrheumatoid arthritis, and if so, to suggest how it can be implemented in practical dieteticswork.Search strategy The databases used in the literature search was PubMed, Scopus, and AMED.The search words used were: "rheumatiod arthritis", "vegetarian", "vegan", "diet", "meat" and"animal protein".Selection criteria: Studies investigating a vegetarian diet on the symptoms of RA wereincluded. Only RCT, clinical trial, controlled clinical trial, human studies and original articlesin English or Swedish were included.

Introduction: Palliative care is based on an active total care where the patient's independence and participation are included. Few studies have been based on a concept of freedom in relation to this target group.Aim: The aim of this study was to describe the perception the nurse has about "freedom" - its significance and meaning from an existential perspective for patients with palliative care needs.Method: A qualitative content analysis based on a narrated and written down text from focus groups with adequate examples. The starting point in the focus groups was to focus on existential issues in relation to patients near death. Based on the concept of freedom, has the printouts been analyzed, categorized and codedFindings: Nature, identity, integrity and self-esteem are important aspects for our approach to freedom but freedom is also about existential questions where hope, reconciliation, freedom and forgiveness are included.Discussion: Discussion: We all have our own definitions and meanings of freedom. The largest and perhaps most important fullest freedom is our inner freedom - our own existential freedom.

ABSTRACTBackground: Obesity and overweight are health issues that more than every tenth person around the world suffers from and the number of individuals with BMI >30 is every growing. As a result, more patients that are subjects to anesthesia will have an increased BMI. Changes in respiration, airway anatomy, altered drug metabolism and multiple physiological changes in the body makes general anesthesia, of the patient with obesity, an anesthesiological challenge.Purpose: The aim of this study is to identify the specific anesthesiological nursing care of the patient with a BMI >30, undergoing general anesthesia.Method: A research plan is created and to test its credibility, a pilotstudy of 15 surveys in two surgical departments will be conducted. This study has a qualitative inductive design and the data collected through semistructured questionnaires. The result was analyzed using qualitative content analysis.Result: The result showed a clear focus on three main areas; airway management, pharmaceuticals and positioning of the patient.

Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others. Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder  Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit. Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder.

 The aim and scope of this study is to describe the coordination of joint efforts concerning chemicals and hazardous substances in the Baltic Sea region, between the Swedish Chemicals Agency (KemI) and the land-based pollution group of the Helsinki Commission (HELCOM LAND). Based on the description of the coordination, the second aim is to discuss the consequences for the Swedish Chemicals Agency in its policy shaping work towards a nontoxic environment. A qualitative and descriptive case study method is used for this purpose. Theories of coordination and achievement-inducing criteria for environmental goals are applied to the case. Components and related processes of coordination are applied to the descriptive part of the study, whilst the achievement-inducing criteria are applied in the discussion.

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.

The objective of this literature study was to describe how the school nurse can adopt the salutogenic perspective in her health promoting work. The articles were examined in order to identify what was written about the school nurse?s work from the salutogenic perspective. In parallel, Eriksson?s, Orem?s, and Newman?s nursing theories were examined from the same perspective.

AIM The aim of this paper was to clarify some of the factors that motivates pet owners to follow advice and instructions from veterinary nurses, so called compliance. METHOD An empirical study with an inductive approach was conducted, and a qualitative content analysis was performed. Content analysis is a scientific method of achieving qualitative results. The analysis is based on interviews with five pet owners, completed in February 2012. The interviews were transcribed and the results are made up of abstracted quotations. RESULTS The result in the study indicate that pet owners are motivated by information, respect, trustworthiness and treatment in meeting.

International studies show that literacy skills have deteriorated among Swedish students. Empirical evidence states that before being able to learn to read it is important to have phonological awareness. From this perspective, an intervention study was launched to examine whether pupils´ phonological awareness could be enhanced through the work of a special model during a limited time. The aim of the study is to investigate whether six pupils in preschool develop phonological awareness based on Bornholmsmodellen during a limited period of time. The control group was made up of the remaining pupils in the preschool class.

The purpose of this essay was to examine female and male nursing students expectations and goals referring to the nursing profession from a gender perspective and examining the students reasons to apply for nursing school. A descriptive study with qualitative design was implemented. Data acquisition was made through interviewing ten nurse students, five male and five female. The interview material were analysed in accordance with Kvale?s method of analyzing.