Placentan (livmoderkakan) är ett metaboliskt viktigt organ och under opiat och kokain missbruk påverkas placentan negativt och det påverkar fostrets normala utveckling. Syftet med denna litteraturstudie var att ta reda på hur placenta och foster påverkades av opiater och kokain samt om det fanns någon specifik behandling för foster och barn före respektive efter förlossningen. Nio vetenskapliga artiklar granskades och analyserades enligt SBU:s analysmodell. Resultaten visade att acetylkolinfrisättningen och den viktiga aminosyratransporten till fostrets blodomlopp hämmades vid opiat och kokain missbruk. Detta resulterar i tillväxthämning hos fostret som ger lägre födelsevikt, mindre huvudomfång, kortare barn samt att de föds med neonatal abstinens symtom (NAS) i varierande styrka.

The health care is an important part of the welfare services in Sweden. Therefore it is of large interest that it is well performing. A part of this is related to how the health care is organized. This essay examines how the Swedish health care has been organized between 1960 and 1990 and what organizational changes that have been made to the health care. It shows that the Swedish health care has un-dergone many organizational changes the last decades.

Studien har syftat till att få en förståelse för familjehemsföräldrars perspektiv på anknytning och vad de menar att det finns för svårigheter och möjligheter gällande anknytning för barn som placeras i familjehem. Studien berör även hur relationen mellan barn och familjehemsförälder förändras över tid och hur samspel mellan barn och familjehemsföräldrar, barn och de biologiska föräldrarna och barnets tidigare erfarenheter kan påverka anknytningen. Studien är kvalitativ och bygger på intervjuer med sex familjehemsföräldrar. Bowlbys anknytningsteori har använts för att analysera det empiriska materialet och studien har en hermeneutiskt ansats.Familjehemsföräldrarnas upplevelser tolkas som att barn kan skapa en trygg anknytning till dem och att de kan utgöra en trygg bas för placerade barn. Familjehemsföräldrarna menar att en trygg anknytning rör både yngre och äldre barn.

Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse?s does not always succeed in getting the patient involved.

The purpose of the study is to describe how financial management functions within the individual and family care services in three mid-sized municipalities.27 interviews with managers and key personnel at three management levels in Örebro, Växjö and Jönkö-ping were conducted using a descriptive approach and qualitative method. In addition governing docu-ments and delineations in regards to these municipalities have been studied.The combined findings show that all municipalities have separate visions and control systems/models for their municipality with focus on management by objectives and politically determined goals, which in-clude economical measurements and requirements for the departments. Moreover, are also tracking sys-tems, which are described as following up on the results thru indicators and/or measurable goals. The municipalities utilize framework financials and budget processing on a high level and its timings appears similar in each municipality.Additionally the study has shown that there is a desire and aspiration to implement central economic goals in all three municipalities. The interviewees describe how they use their leadership to anchor, follow up and create participation in economic objectives and results thru instrumental and institutional leadership.

The proportion of elderly people in Sweden is increasing. Many of these live at home and as their age increases so does the likelihood of health problems and the need for support, medical attention and care. Personnel working with home help provide a large part of this care, including areas of home-based care that are the responsibility of the district nurse. The purpose of this paper is to describe how home-help personnel perceive their work in the area of home-based care, as their views are an important factor in the ability to provide a care system that funktions successfully. The method employed here is phenomenografic and nine subjects from a home-help group have been interviewed.

The aim of this study was to investigate nurse?s experience of working from the philosophy of palliative care in end of life at home. The study had a qualitative design. Semi-structured interviews were performed with nine nurses working in advanced palliative home care. The analysis of the material revealed four categories and two subcategories.

SammanfattningSyftet med studien var att undersöka hur familjehemsfo?ra?ldrar upplever att deras anknytning samt föräldraroll påverkas utifrån att barnen är familjehemsplacerade. Metoden som användes i studien var kvalitativ och elva familjehemsföräldrar från åtta familjehem intervjuades. Studiens empiri analyserades med hjälp av anknytningsteori samt systemteori. Resultatet visade att samtliga intervjuade familjehem i någon mån påverkades av komplexiteten i familjehemsuppdraget, vilket påverkade deras föräldraroll och anknytning till de placerade barnen.

The aim of this study was to describe home care personnel and their experiences in palliative care. The design was qualitative and data were collected through interviews. Five home care personnel were interviewed, all women, whom have experience of palliative home care.The material was then analysed with qualitative content analysis and eight main categories, derived from experiences of home care personnel, were identified: relationship, safety, quality of care, a better end-of-life, routine, information, knowledge and competence, and work environment. The result showed that all participants of this study identified themselves as family members of the patients whom they had cared for during a long period of time. Additionally, the participants were emotionally touched when the patient died.The majority experienced that the patients do receive good care in their homes.

An ageing population calls for enlarged needs of care and treatments that is followed by an increased demand on social and medical care. Present organization and structure are not adjusted to these new requirements. Due to this fact, necessary alterations ought to be made between and within the different institutional and non-institutional care actors. This work should be settled locally. In this study, the aim was to describe "Chealth care nearby" as being a new standard of care as well as investigate its significance in the co-operation and collaboration between different care actors.

A publicly funded elderly care that is widely available at people?s homes has been described as unique for the Nordic countries. There is much research that focuses on the relationship between caregivers and care receivers, and also about how work is organized in these organizations. However, research into how care work is organized in organizations that have implemented a salutogenic approach is limited. This is a qualitative study aimed to examine how caregivers feel that the organization of work in elderly care change after implementation of salutogenic elements in their daily work.

The purpose of this study was to gain a clearer picture of how after-school-care teachers? work with fundamental values in after-school care, both practically and theoretically based on the curriculum Lgr 11. I wanted to acquire a broader understanding of the school's core values and what kinds of tools teachers used to cope with their task. I proceeded with two questions:How does after-school care proactively work with core values based on gender, ethnicity and class?How does the work on value issues at after-school care centers compare with Lgr 11?In my study, I used literature studies and a qualitative analysis of five interviews with afterschool care teachers.

Men abuse women every day. It has become a Health Problem which we affects all of us. Help is available for those women who have the strength to seek it. Health care personnel are often these women?s only contact with the surrounding world.

Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients? autonomy.

The purpose of this study was to examine and describe how politicians and directors of care define and experience quality in aged care facilities. Further on we wanted to compare on which fundamental principles the participants base their opinion about quality and how they work with quality. To reach our aim we conducted five interviews with politicians and directors of care. The results show that it is hard to determine quality in an unambiguous and objective way. Quality in aged care appears to be about relations and encounters amongst people.