There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

This study aims to find coping resources in two different paradigms of pastoral care using coping theory from the psychology of religion. The intention is to find coping resources that are functional coping strategies to help priests and chaplains in their work with pastoral care. The research questions are: What coping resources can be found in the pastoral clinical paradigm and the contextual paradigm? What are the differences and similarities? The method used is template analysis style where the theories form a framework for the material used to analyse in this study. The theories used for this study are religious coping theory and pastoral care theory.

The aim of the study was to describe how managers at the eldercare system especially in nursing homes work to ensure high quality care. For this purpose, a qualitative method was used in this study and four managers at nursing home have been interviewed. Previous studies have shown that managers in some cases are restricted in their actions and that this may slow down the improvement of the care. At the same time the managers describe their work as demanding and diverse. They have a significant staff responsibility, meaning that they have to ensure the quality of care.

Bakgrund: Inom den palliativa vården har möjligheten att få vårdas i hemmet ökat genom åren. Idag vet man att närstående utför betydande insatser inom vården och omsorgen och att deras insatser bedöms vara tidsmässigt mycket större än från den offentliga vården. Att vara närstående till någon som är sjuk är en upplevelse som är unik för varje enskild individ. Upplevelsen av isolering, att behöva ignorera sina egna känslor och kämpa för sin egen överlevnad kan uppstå hos de närstående som vårdar en sjuk i hemmet.Syfte: Att belysa närståendes upplevelser av palliativ hemsjukvård.Metod: En litteraturöversikt har gjorts baserad på elva vetenskapliga artiklar som granskats och analyserats. De databaser som använts vid artikelsökningen är Cinahl plus with Full Text, PubMed samt Medline with full text med sökorden Family, Palliative home care, Experiences och Sweden.

According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

Bakgrund: Ett växande antal svårt cancersjuka människor föredrar att vårdas i hemmet. Närstående är en självklar del av modern palliativ vård, och det är en central uppgift för den palliativa vården att stödja även dem. Syfte: Syftet med litteraturstudien var att belysa närståendes behov av stöd vid vård i hemmet av vuxna cancersjuka i livets slutskede. Metod: Som underlag för denna litteraturstudie har 14 vetenskapliga artiklar använts inom tidsperioden 2001-2011. Resultat: Resultatet visade att närstående hade behov av stöd i den vårdande rollen av cancersjuk i hemmet som redovisas i 3 kategorier och 6 subkategorier.

The purpose with this qualitative interview-study was to try, from the carer´s point of view, to describe the meaning and the essence of the good meeting. The participants were selectively chosen and were all women of varying life- and professional experience. They were interviewed with four interrogative forms that dealt with the experiences of the meaning and the essence of the good meeting. The analysis of the contents of the four interviews produced five themes: the meaning and the essence of aware presence in the good meeting, the meaning and the essence of the personal alliance, the carer's need of being seen and getting appreciation, the courage to bring up insulting behaviors while still preserving the relationship, personal qualities of the care. Aware presence was to be a main theme through out the meeting.

The purpose of my essay is to highlight the various dilemmas that can occur in the preschool during the moments of guided reflection but also the opportunities it can provide. I am using my own practical experience from situations where care for the children can be questioned and needs to be considered in comparison to the further development of the preschool teachers and with them the entire organization. In my research, I have chosen to highlight the importance of guided reflection, the importance of reliable and secure relationships for children and how these can be eradicated, and finally the importance of ethics for the preschool-teacher?s actions in a given situation.Key questions in my text are; What role does the reflection have in the work at the preschool? How are children affected while this is happening? How important is close and secure relationships for young children and how can they be affected? How can one find a balance between care and learning?By writing my essay I reflect on myself and my own actions. This leads me to a greater selfawareness and greater understanding of my own feelings and my role in the dilemmas I face in my profession.The conclusion of my work is that the preschool organization is not given and it can be constructed in many different ways.

Bakgrund: Det blir allt vanligare att människor i livets slutskede väljer att vårdas och dö i sitt hem. Anhöriga har en betydande roll i vårdprocessen, då de har ansvar för den sjukes vård och livskvalitet. Den palliativa vården arbetar utifrån de fyra hörnstenarna; kommunikation, symptomlindring, teamarbete och anhörigstöd.Syfte: Syftet var att beskriva anhörigas upplevelser av att vårda den sjuke i hemmet i livets slutskede.Metod: Litteraturöversikten utfördes med andvändning av nio svenska vårdvetenskapliga studier med kvalitativ ansats och två med mixad metod. Studierna härrör från databaserna CINAHL Complete och PubMed, mellan åren 2000 och 2015.Resultat: I resultatet framkom det att anhöriga hade ett stort ansvar och en tung belastning som informella vårdgivare, samtidigt upplevde anhöriga en tillfredsställande känsla av att vårda patienten. Anhöriga upplevde brist på stöd från hälso- och sjukvården, då de inte fick tillräckligt med information, utbildning eller avlastning i tillvaron.

Bakgrund: Varje år får cirka 54 000 svenskar diagnosen cancer. När en person drabbas av cancer och får en palliativ diagnos inverkar det stort på de närståendes situation. Ångest och oro är många gånger större hos de närstående än hos den sjuke själv. Det är tungt att som närstående stå vid sidan om och se sin kära ha plågsamma symtom. I sjukvården hamnar närstående ofta i bakgrunden och allt fokus läggs på den sjuke.

The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement.  The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.

Background: The majority of nurses experience work relatedstress, which can lead to a negative impact on patient care. Thestress can be handled by coping strategies. Aim: To illuminatecoping strategies among nurses experiencing work relatedstress. Method: The study has been accomplished as aliterature study, with a systematic review of scientific articles.Findings: Following coping strategies appeared: problemsolving, long-term strategies, passive strategies, leisurestrategies, social support and mental strategies. Conclusion:Awareness of coping strategies for dealing with work relatedstress, can lead to improvement in patient care..

AbstractBackgroundWorking in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.AimThe aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.MethodThe approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents? own life-world and has openness to the interviewee's own experiences.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

Bakgrund: När en familjemedlem drabbas av sjukdom påverkas hela familjen. De närstående kan känna oro och stress över att förlora kontrollen över vardagen och de därför bli sedda av vårdpersonalen och deras behov tillgodosedda. Sjuksköterskor bör stödja närstående för att de lättare ska kunna hantera den svåra situationen utifrån ett familjefokuserat omvårdnadsperspektiv.Syfte: Syftet med arbetet är att belysa sjuksköterskors upplevelser av att arbeta inom den palliativa vården med fokus på den närståendes behov.Metod: Metoden som vi använder oss av är kvalitativ ansats. Vi har genom semi-strukturerade intervjuer fått en del av sjuksköterskors upplevelser gentemot närståendes behov i den palliativa vården. Resultat: Denna studies resultat visade att dagens sjuksköterskor upplever sig vara i behov av att skapa och hantera relationer med närstående och stödja dessa utifrån familjefokuserad omvårdnad. Det framkom att sjuksköterskan förutom att ge allmän omvårdnad till närstående, hade en mycket viktig stödjande roll i den palliativa vården, där sjuksköterskan är lyhörd för de närståendes behov och möjligheter till att vara delaktiga i vården. Slutsats: Mellanmänskliga relationen bör kännetecknas av ömsesidighet och att sjuksköterskans kompetens vävs samman med de närståendes kunskap om den sjuke i vården av densamme, vilket också innebär en lyhördhet för de närståendes behov och närståendes vilja att deltaga i omvårdnaden.