The main purpose of this thesis was to examine how hospital librarians worked with young people at a children?s and young people?s hospital in Sweden. We wanted to see how they promoted their health with culture and cultural means such as book trolleys. We did a case study, and made three qualitative interviews with the hospital librarians. The purpose was also to find out what the hospital librarians thought of young peoples.

Background: Type 2 diabetes is a chronic disease that vigorously increases worldwide. The disease can affect the entire everyday life which usually results in major lifestyle change. The treatment consists largely of self care which the patient itself has great responsibility for. The nurses have an important role in supporting, guiding and teaching the patients. Since every patient is unique the nurse would benefit from an increased knowledge about the patients experiences of what promotes and prevents self care in type 2 diabetes. Aim: The aim was, from a patient perspective, describe the experience of what promotes and prevents a self care in type 2 diabetes. Methods: A literature review based on nine scientific articles gathered from the databases CINAHL plus with full text, PubMed and Medline.

ABSTRACTWe have chosen to write an essay about competence because we think that it is an important and a current subject of interest, both to us as future team leaders, but also to all activities within the community. We have a background working with eldercare and we have noticed that there are continued changes going on. This made us want to study what team leaders and their staff think about competence and the development of competence. The purpose of this study is to analyse how team leaders work to develop competence with their personnel working in home care. We also want to analyse how the personnel experience their competence and their need for development of competence.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

The aim of our study is to examine experience of the quality of life for elderly people with assisted living from their own, and caretakers, perspectives. We also aim to examine how elderly people in assisted living, and caretakers, experiences that they could affect the elderly people´s quality of life. The study is based on a qualitative method and the data is collected by interviews with four recipient of care and three care takers. The result shows that there are many factors that have an importance when it comes to quality of life for the recipient of care. It has shown in the study that the recipient of care and the caretakers put emphasize in the same factors. These factors are health, the affect of assisted living, happiness, relationships and self-determination. The result has shown that the assisted living has a major importance when it comes to the quality of life for the recipient of cares..

Background: Several patients wish to die at home and relatives often become thecaregivers. This task can be a burden and the opportunity for the patient to die at homecan be overshadowed by obligations and responsibilities. Participation of relatives isoften the prerequisite to offer palliative care in the home environment. The purpose: The purpose of the study was to illuminate relatives? need of support during palliativecare in the home based care.

Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool.

The purpose of this essay was to investigate the care personnel's experience, and thoughts concerning the elderlies use of sedatives and sleeping tablets. The purpose was also to make a comparison between different forms of living, in an attempt to find out if the form of living in itself was a factor that affected the use of sedatives and sleeping-tablets.In order to investigate this, the main questions of this essay became:- To what extent do the patients use sedatives and sleeping tablets?- What is the care personnel's experience of, and thoughts about the patients' use of sedatives and sleeping tablets?To obtain answers to my questions I interviewed care personnel working at different types of homes for elderly people and working with elderly people still living at home.I came to the conclusion that where you live may also have an influence on the use of sedatives and sleeping tablets. This could be seen when a group of elderly people lived together, and some of them were suffering from dementia. Then it could happen that the elderly with dementia where given sedatives and sleeping tablets, not just in order to calm them, but also to give the others a better environment to live in..

A peripherally inserted central catheter (PICC line) is a catheter that is inserted through a peripheral vein in the arm and then on to a central vein in the chest. It is used to give injections and infusions and to take blood samples of patients who need treatment for longer periods.The aim of this study was to investigate nurses' perceived knowledge of the care and use of PICC line in wards where PICC line does not occur daily. The aim was also to investigate if the nurses expressed a need and wished for more knowledge to be able to use PICC line, and if PICC line is not used investigate the cause of that.The study was of a descriptive design with quantitative approach. An online survey was answered by 40 nurses from five wards at a university hospital in central Sweden.A large number of the nurses who responded to the survey reported that they lacked knowledge of the care and use of PICC line. Despite this, three-quarters of the nurses usually use PICC line at the infusion / injection / blood tests on patients with PICC line, if they are cared for in their ward.

A part of the midwife?s profession is to promote and support breastfeeding. The objective of this study was to describe the perception of the level of support and advice regarding breast-feeding given to women who have received postnatal care at maternity wards, and to present the opinions of the aforementioned women on how this support could be improved.Method: Women who have given birth at Uppsala University Hospital were routinely asked to fill in internet-based questionnaires regarding their views on the care that they have received. In this study, our data consists of the feedback from four questions in these questionnaires regarding breast-feeding. The answers to the closed questions were presented with descriptive statistics and the comments on two open questions have been analysed with content analysis.Results: Out of 622 women who were cared for at the hospital?s maternity ward after giving birth, 83% stated that they were very satisfied or satisfied with the information and support they received about breast-feeding, and 78% expressed the same views regarding the delivery ward.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

Focusing of what´s best for the child has been a keyword in social work for a long time. That seems obvious for many people, but sometimes it lacks in the care of the children and the child may be taken in to care. The purpose was to find circumstances of success that can contribute to a successful placement of the child according to social workers and foster families. In which way does the cooperation between social worker, foster family and the origin family affect the placement? The study is based upon a qualitative method in form of interviews intending to get the respondents own knowledge and experience of foster care.

Background:Nurses can meet women who have been victims of abuse anywhere in the healthcare. Healthcare providers have a responsibility to these women, and it requires a broad range of skills to identify the women and thus be able to help them. It is important to see all patients as unique individuals and provide good care to maintain their specific needs. This paper was done to increase the understanding of nurses' experiences in the encounter with the battered woman.Aim:The aim of this study was to illustrate how nurses experience the encounter with the battered woman.Method:Literature review with both qualitative and quantitative studies. Nine articles were chosen to be read, reviewed and analyzed.Results:Three themes and ten subthemes appeared.

Energy efficiency is important both to reduce costs and to reduce greenhouse gas in the atmosphere. In Sweden 40 percent of the energy consumption is related to the buildings sector. Hospitals are complex buildings with different activities in the same building, which requires flexible technical systems for ventilation, heating and lightning. A quarter of the total energy consumption in Swedish hospitals is related to user activities in the hospitals. Therefore it is not only important to work with operational optimization but also to change user activities, to reduce energy consumption.The objective of this thesis was to examine the user-related energy efficiency work at two care units, at the central hospital in Sundsvall within Västernorrlands County.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.