SAMMANFATTNING Syftet med denna studie var att ta reda på vad sjuksköterskan upplever som sitt inre etiska ansvar samt lyfta fram och reflektera över den etiska dimensionen i omvårdnaden. Studien är empirisk och grundar sig på en kvalitativ metod med innehållsanalys. Data har samlats in från fyra intervjuade verksamma allmänsjuksköterskor. Forskningen anknyter till Katie Erikssons omvårdnadsteori samt till Iréne von Post. Etiken hos de intervjuade sjuksköterskorna förknippades till stor del utifrån ett medicinskt perspektiv.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Achievements within the fields of computer- and telecommunication technology have led to a revolution when it comes to managing information. These achievements have made it possible to offer new services in healthcare, especially in telemedicine. New technology has become a complement to traditional care, thus partly compensating for insufficient time and resources. Telephone Linked Care (TLC) is a telecommunication technology that enables automated dialog counselling and monitoring of patients in their homes. During the last two decades numerous randomized controlled studies with TLC have demonstrated improvement among outpatients with chronic and health behaviour disorders.

Organisationer och personer runt om i världen blir alltmer beroende av olika former av IT-stöd. För att effektivisera arbetet skaffa sig organisationen nya system eller försöker förbättra det redan befintligt systemet. En användare kan reagera på olika sätt vid införandet av ett nytt system beroende på olika faktorer hos systemet eller personen. Jag studerade ett komplett Care-system som används inom äldreomsorgen. Ett Care-system kan bestå av en webbapplikation inklusive digitala och mobila verktyg.

Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.

Background The aim of palliative care is to improve the quality of life for both the patient and her next of kin during the patient?s end of life. Palliative care rests on the four cornerstones managing symptoms, communication and relationship, teamwork and relative support. The nurses? task is to assess the patients? physical, mental and spiritual needs according to these four cornerstones.Aim To assess nurses? experiences of treating patients at the end of life.Method Eleven academic journals that respond to the aim has been analyzed and synthesized in a literature review in order to summarize current research on the subject.

Att vara närstående och närvara vid återupplivning av de närmaste har länge varit ett kontroversiellt ämne inom hälso- och sjukvården såväl nationellt som internationellt. Närvaron ses som en självklarhet för närstående medan personalen kan uppfatta det som ett hinder i deras arbete. Det kan således uppstå ett etiskt dilemma för personalen som måste ta ställning i frågan under ett kritiskt skede av vården. Syftet med studien var att belysa upplevelsen av närståendes närvaro vid hospital återupplivning. Metoden för studien var en litteraturöversikt av fjorton vetenskapliga studier.

Shivering är ett fenomen som uppstår hos patienterna postoperativt. Det innebär att patienten har okontrollerbara muskelskälvningar som gör att patienten darrar, skälver eller huttrar i mer än 15 sekunder. Shivering påverkar kroppen negativt, men är också obehagligt och ett onödigt lidande för patienten. I takt med den tekniska utvecklingen utarbetas nya operationstekniker och idag utförs flera operationer med laparoskopisk teknik. Pilotstudiens syfte var att undersöka före-komsten av postoperativ shivering hos patienter som opererats med laparoskopisk teknik.

The purpose of this study was to evaluate the effectiveness of mindfulness training in the treatment of chronic pain, estimate the degree of mindfulness before and after intervention, and to describe the participants experience of mindfulness training. Mindfulness is defined as moment to moment, non-judgmental awareness. After the treatment of chronic pain 16 patients were offered and nine agreed to participate in mindfulness training. The intervention group took part in an 8-week group-program. The comparison group, not randomized, was 16 former patients.

Geothermal energy can be extracted from an aquifer, where the groundwater is used as heatexchange medium while heat and cold are stored in the surrounding material in the aquiferand to some extent in the groundwater. Application of aquifer storage for the use ofgeothermal energy is mainly used in large scale facilities and is limited to sites with suitableaquifers in the form of ridges, sandstone and limestone aquifers.Löwenströmska hospital in the municipality of Upplands Väsby, north of Stockholm, islocated nearby the northern part of the Stockholm esker. This means that it can be profitableand environmentally beneficial for the hospital to examine the possibilities of aquifer storagein the esker material next to its property.The purpose of this master thesis has been to investigate if geothermal energy storage with aseasonal storage of heat and cold can be applied within Löwenströmska hospital?s propertyarea using groundwater modeling. A hydraulic groundwater model was constructed inMODFLOW based on a simplified conceptual model of the groundwater system.

The population of asylum seekers puts new challenges on the Swedish health care since their difficulties are complex; having both atraumatic background and a continuing worry about the asylum process.This study aims at investigating how health care professionals working with asylum seekers are affected emotionally using the theoretical concepts of empathy, compassion fatigue and compassion satisfaction. Nine qualitative interviews with health care professionals were conducted and the material was analyse dusing thematic analysis. Results were deductively found in thematerial, using the asylum process itself along with the concepts of empathy, compassion fatigue and compassion satisfaction as themes. Previous findings regarding empathy and its relations to compassion fatigue and compassion satisfaction were confirmed. This was furhter developed in this study through its focus on health care professionals working with asylum seekers..

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes. Furthermore the study aimed at describing how the dependency was related to the staffing of non-licensed and licensed nursing staff in nursing homes. Method: A descriptive and analytical quantitative method was used in the study.

ABSTRACT The persons whom the authorized nurse encounters in hospital wards and nursing homes are in great extent elderly persons. According to Wasserman (2000), about 30 to 40 percent among these, show signs of depression. To be aware of the signs of depression, and how an authorized nurse can support the patient is therefore of great value. The introduction to this study describes the symptoms of depression and how depression in elders is expressed. It also describes treatment possibilities and nursing aspects of concern.

BACKGROUND: There is a high incidence of pain amongst older people. Several studies have shown that between 50 to 80 % of older people, who require domestic care or live in care homes, suffer from pain. Despite this many older people are under treated. AIM: The aim of this study was to explore what care providers perceive to be obstacles and opportunities of managing pain in older people. METHOD: A qualitative approach was used and the date was semi-structured interviews with open-ended questions.

Every year, approximately 700 000 individuals´ visit an emergency ward in Sweden as a result of injuries and to the emergency ward at Umea University hospital (NUS) about 12 000 injured arrive every year. This study is a retrospective cross-sectional study that surveys injuries caused by crashes among 153 pedestrians and 53 bicyclists, who have been injured in a geographically well defined area during the period January to June 2009. The aim of this study is to survey injuries among pedestrians and cyclists and to examine what preventive measures could reduce these injuries in the Umeå municipality. The results show that falls caused by slipper surface are common among both pedestrians (71 %; n = 109) and bicyclists (32 %; n = 17). Almost one third of the pedestrians (34 %; n = 43) were in the age of 65 or older.