Inom sjukvården ställs sjuksköterskor inför situationer där vård i livets slutskede krävs. Som sjuksköterska är en av de svåraste uppgifterna i yrket att möta döende patienter och deras närstående. Syftet med litteraturstudien är att undersöka allmänsjuksköterskans erfarenheter av att vårda patienter i livets slutskede, utanför specialiserade palliativa vårdenheter som till exempel hospice. Resultatet delas in i sju kategorier: Sjuksköterskors känslor i mötet med palliativ vård, Tidsbrist och stress, Resurser för att hantera påfrestande situationer, Vikten av erfarenhet, Betydelsen av kommunikation, Anhörigas roll i vården samt Positiva erfarenheter av vård i livets slutskede som speglar sjuksköterskors upplevelser. Denna litteraturstudie visar att det är komplext att vårda patienter i livets slut men med stöd och erfarenhet kan de negativa upplevelserna vändas till en personlig utveckling i yrkesprofessionen för allmänsjuksköterskan..

Background: When a patient suffer from a disease and is in need of palliative care, it is normal to have existential questions and thoughts. For some patients these questions can be painful and the nurse need to have knowledge about dealing with these kind of questions and thoughts to be able to relieve and/or prevent this kind of suffering.Aim: The aim was to describe how the nurse can prevent the existential suffering among patients with palliative care.Method: A literature-based study was based on eight qualitative studies.Results: The results showed that nurses meet patients in the palliative care environment which may suffer from existential problems when their questions and thoughts don´t get answered. It showed that the most important a nurse can do is to give time to these calls and build up a safe relation to the patient. This allows the nurse to read the patients existential questions and observing possibly suffering. The result is organized in two categories "To see and confirm" and " To listen and give support" and see subcategories " Use body language", " Create reliable relationship", respond to the existential questions", "Give the patient time", " take help from others in hard situations" and "to focus on other things"Conclusion: It is easy to only focus on the physical illness while caring for a patient and believe that it is creating suffering.

The purpose of this study was to use qualitative interviews with students at Södertörn University to find out what drives the men who begin to study for preschool teachers, how they are treated and how they are influenced by others. I also wanted to find out what the informants believe is the cause to why so few men apply to the program and what they think need to happen to change this.This is a qualitative study based on the selected students' experiences. In order to get different perspectives, I chose to interview three students and former students. One of them chose to terminate their studies after half the time, the second is at the end of the program and the third graduated a couple of years ago and has been working for a while.I originated in the theory of ethical concepts of gender, gender contract, "token" and hegemonic masculinity. Previous research addresses that the perception of men in pre-schools can look very different.

Introduktion: Liverpool Care Pathway (LCP) är en vårdplan framtagen för palliativ vård vars syfte är att överföra det bästa av hospicevården till den övriga sjukvården. LCP ger vägledning för vårdpersonal i vården av patienter i livets slutskede för att säkerställa god vård för patient och närstående. Syfte: Syftet var att beskriva hur sjuksköterskan upplever användandet av vårdplanen Liverpool Care Pathway (LCP) i livet slutskede. Metod: Metoden som användes var litteraturstudie. Sökningar gjordes i CINAHL och PubMed där elva vetenskapliga artiklar, som svarade på studiens syfte, framkom och granskades i sin helhet.

Bakgrund: Smärta är för intensivvårdspatienten en unik, subjektiv, obehaglig och flerdimensionell upplevelse. Intensivvårdssjuksköterskan har ett moraliskt ansvar att lindra patienternas smärta. Verbalt icke-kommunicerandepatienter kan inte skatta sin smärta med hjälp av Numeric Rating Scale (NRS). På en neurointensivvårdsavdelning (NIVA) i Stockholm har det beteendebaserade smärtskattningsverktyget- the Critical-Care Pain Observation Tool (CPOT), implementerats. Intensivvårdssjuksköterskorna på NIVA använder CPOT dagligen i sitt arbete.

The educational underachievement of children in foster care has been known for a long time. This study aimed to compile and analyze the current knowledge about interventions, intended to improve foster children?s school achievements. The method used was a systematically undertaken narrative review. Despite a comprehensive searching strategy, only ten relevant studies were found, indicating that little has been done to improve the educational outcomes for children in public care.

Background: Parents attitudes about illness and health reflects on their children. When the child has acute pain the parents often reacts with fear and confusion. The demands on the parenting role increase and therefore it´s important that the nurse show consideration for the parents experience and practise family nursing. Aim: The aim of this study was to illuminate parents experiences in connection with their child´s acute pain in a caregiving situation. Method: This literature study is based on ten scientific articles.

Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts.

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

The aim of this text is to study how sectional managers in the care of the elderly work so as to promote basic human values. Semi-structured interviews generated qualitative data from five sectional managers. A hermeneutical approach was applied for interpreting the interviews. The result shows that the respondents are conscious of the fact that it takes a lot of long term work before a change in current procedures will happen. Also, the common everyday principles of work and basic values will continue to be part of the care of the elderly.

The aim of this essay is to get a deeper understanding of a teachers' profession and to get knowledge of how earlier experiences can influence you as a teacher. I have interviewed a female teacher, Pia to get this understanding. As a tool to get the teacher's whole story I used the life story method. In her profession she is influenced by her own importance of security as a child.Her own needs of security has given her an deeper understanding for pupils like herself during the childhood; insecure and afraid. Her understanding for all kinds of behavior among the children has increased by her own experiences.The story shows that Pia is frustrated by the fact that she can't control her own working time.

The purpose of this literature review was to demonstrate the results of recent studies of the nurses ability to interpret younger childrens (0-6 years of age) experiences of pain in the postoperative stage. There is a lack of knowledge concerning young childrens ability to express themselves verbally and the nurse has to rely upon the parents knowledge about the child. Consequently, the teamwork between the nurse and the parents is of great importance in the care of the younger child. Therefore we intend to illuminate this aspect in this paper. This study aims to nurses of all categories, since patients with lack of verbal communication are frequently occurring.

The aim of this study was to provide an understanding of the situation of an often forgotten group in foster care, the carers? own children. Our main focus was to explore this group?s experience of foster care, their experience of participating in caring for the foster children and their possible need of support and help. Our chosen method was qualitative interviews with six adult children of foster carers, two men and four women.

The aim of this study was to investigate whether there is a social-psychological relevance in allowing animals to be involved in therapy work. I have examined if the animals may contribute to effects on human relationships between caregivers and patients, and if the animals can contribute to helping patients to achieve better well-being. Through previous research and a quantitative interview I have received answers to the following questions: How are animals used in the treatment work? How do animals affect the relationship between caregiver-patient? In what ways do animals in treatment affect relationships between people? How do the professionals who work with animals believe that animals can affects the patient? I have interviewed people working in different kinds of treatment work using animals. The areas examined include work with animals at youth care, police, disability care, elderly care and school.

The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method.