Sweden?s health care is continuously subjected to economical cutbacks, which results in enormous workloads. To prevent problems that arise in these situations, it is of great importance to take measures to increase the efficiency of the working process. This goal can be obtained by increasing our knowledge of the body, under both normal and sickly conditions. That is, by sharing knowledge of the various medical service units within Stockholm?s county council and thus elaborates diagnostics.

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.

Abstract: A public service sector in constant reformation is a common phenomenon in Sweden. This also includes the municipal care organisations. A central role in those reformations has the public middle chief who often is the one to implemented reforms to the organiza-tion's staff.This study is examining the role of the public middle manager in care organisations dur-ing the implementation of common ideologies value foundation in a present organisa-tion's reform. The study tries to elucidate in which way the public middle managers in municipal care organisations experience their roles, which expectations the management of the organisation has on their roles and how a present organisation changes inflict on the contents of the role. If the middle manager in a municipal care organisation feels like normative for the personal group is another aspect.There are four concepts used as theoretic framework in the study, organization, imple-mentation and public middle managers in a general aspect and the middle manager in a municipal care organisation in a specific aspect.

The Swedish healthcare system is characterized by lack of resources and extensive hospital queues. In order to counter these difficulties the Lund University Hospital have introduced Lean Healthcare to the hospital organization. The purpose of this scientific paper is to study the relationship between the implementation of Lean Healthcare and the experienced motivation among the staff. This essay thereby intends to impart knowledge, which could be used on future implementations of Lean Healthcare at other hospitals. In order to fulfil the purpose of this essay a case study have been conducted at two wards at the Lund University Hospital in which qualitative research interviews have been the method chosen in order to gather data.

This is a study about children?s welfare and the Child Care Board way of working in Malmö city. We decided to make this a narrative and document analyses where the main focus have been the interactions between human beings, which means everything from the interaction between parents and child as well as the interaction between families and society.We wanted to investigate any possible alterations within the working system between 1931?1940. Our analysis showed that there hasn?t been a big change with the Swedish legislation.

Every year an avorage of 40 000 Swedes fall ill with different forms of cancer. Chemotheraphy has an effect on the tumour cells as well as the healthy cells in the body, this causes many side effects which can be very problematic for the patient. The study was carried out in order to indicate the care measures that are taken to deal with the side effects i. e stomatit, loss of hair and sickness/vomiting, that are connected with chemotheraphy so that the outpatients will experience a quality of life. The method used was a qualitative interview with six nurses from the South if Sweden, all of whom are working with chemotheraphy patients.

Heart failure is an illness that requires life-long treatment and often affects everyday aspects of a person?s life. Self-care is a significant part of the treatment. Good self-care resources make it possible for people with heart failure to make the lifestyle changes they often need to maintain or improve their level of health. Self-care means having knowledge of and being able to recognize the symptoms and signs of deterioration that can occur with heart failure, so that the person can take appropriate measures ? and it also means knowing when it is time to seek professional help.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

AbstractIn this study eight caregivers, all with long experience from working in nursing homes for people with dementia, were interviewed.  The aim of the study was to describe the caregiver?s experiences in caring for people with dementia and Behavioral and Psychological Symptoms of Dementia disorder. Data were processed by qualitative, inductive, content analysis. The results were presented in four categories: To connect, Two days are never the same, Being calm and giving time and All are needed. The result showed that caregivers met a variety of difficult and varied tasks in nursing.

The Swedish healthcare system is characterized by lack of resources and extensive hospital queues. In order to counter these difficulties the Lund University Hospital have introduced Lean Healthcare to the hospital organization. The purpose of this scientific paper is to study the relationship between the implementation of Lean Healthcare and the experienced motivation among the staff. This essay thereby intends to impart knowledge, which could be used on future implementations of Lean Healthcare at other hospitals. In order to fulfil the purpose of this essay a case study have been conducted at two wards at the Lund University Hospital in which qualitative research interviews have been the method chosen in order to gather data.

Background:Mental illness has increased in Sweden and the individuals seeking care expect to be met with respect. The way patients perceive themselves to be treated by health care professionals plays a central part to care and treatment of patients, and the patients experience will decide how future care will proceed. The majority of complaints from patients with mental illness suggest that the way they are treated in health care is inadequate. For people with mental illness it is crucial how they perceive themselves to be treated since poor treatment can lead to reluctance in seeking future help. Aim: The purpose of this study was to describe how people with mental illness perceive themselves to be treated in primary health care.

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-hospital care was not possible or in question, was excluded.

This study, carried through interviews with six individual elderly persons, describes their stories in regards to how they experience growing old in Sweden as well as the connection between having a different ethnic background in the aging process. Therefore, the main purpose of this study is to highlight important themes and issues, i.e. the shortcomings and the advantages of growing old in Sweden, which these persons experience in their everyday life. As many of them have not by their own choice chosen to grow old in Sweden, the importance of having a relationship with fellow countrymen, being able to communicate in their own native language as well as have a basic knowledge about the elderly care system are aspects these individuals emphasize to be of great importance. The result of this study, based on several theories that reflect over individuality and perspective ethnicity, indicates that aging is based on an individual primary process experience and that there are no rights and wrongs of how one should deal with/experience the growing old process.