An explorative study on the work motivation of employees at a retirement home. The three main factors are internal motivation, external motivation and control. A comparison between how important they estimate the different factors to be and how they experience them today reveals which factor is their key motivator and which areas that need improvement. Results indicat that internal and external motivation are slightly more important than control. And the amount of perceived control reflects the amount of creative and initiative behaviour of the individual.

Andelen äldre personer i Sveriges befolkning ökar, vilket leder till större behov av väl fungerande äldreomsorg. Kommunerna har ansvar för äldreomsorgen oberoende om den utförs i offentlig eller privat regi. Den 1 januari 2009 trädde lagen om valfrihet i kraft som bland annat syftar till att öka individens möjlighet att välja hemtjänstutförare. Idag har privata aktörer större möjligheter att etablera sig inom hemtjänsten. Kontrakten som tecknas mellan kommunen och en privat utförare är den enda direkta legala möjligheten för den ansvariga kommunen att påverka kvaliteten i verksamheterna.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

The Iranian artist Shirin Neshat has been living in self-imposed exile since the late 1970s, as she chose not to return to her home country following the ?79 Islamic Revolution. Through her works Neshat examines Iran before and after the revolution and follows political and civil transformations through strong photographs of women in her country of birth.  My own use of the term exile deals with the analysis of the state of exile in relation to artistic work as a globalized and underlying motivation for art and artists. The new definition of exile is analyzed in relation with the artist?s photographs and the verbal and visual statements.

Today there are over 100 000 stray cats in Sweden and of these 10 000 are found in Gothenburg. There are several instances that try to reduce the number of stray cats. The problem for stray cats is primarily the suffering they may face in hunger, cold, predators, diseases, parasites, accidents, etc. The cats receive no veterinary care and may die from a simple infection that easily can be cured with antibiotics. Stray cats also can spread diseases to domestic cats, be a sanitary problem and compete with other small predators on prey. Authorities working with stray cats are the Country Administrative Board and the police authority.

Background: There has been a process of de-institutionalisation and mental health care re-forms in Sweden. Social services are, according to the law, responsible for helping persons with mental illness to live a life like others and to participate in the community. The aim of the study was to describe the culture in one of the social services adult day care center for social relations and activities in Stockholm. The aim was also to focus on the importance of the adult day care center for recovery and empowerment from the participants´ perspective. Methods Observations in the adult day care center were combined with four interviews with regular participants.

SammanfattningSyftet med studien var att utifrån distriktssköterskors berättelser beskriva deras arbete med palliativa patienter inom hemsjukvård samt deras upplevelse av arbetet. Studien hade en beskrivande design och tio distriktssköterskor från fem olika hälsocentraler i Mellansverige deltog i studien. Data samlades in via semistrukturerade intervjuer och analyserades utifrån kvalitativ innehållsanalys. Resultatet redovisas utifrån kategorier som bildade två teman. Temat ?Att balansera mellan nuet och planera slutet ? att vara steget före? framkom ur kategorierna Att se patientens livssituation och utföra omvårdnadsåtgärder, Att strukturera arbetet, Att stödja och ha kontakt med närstående, Att uppleva utvecklings och utbildningsbehov samt Att vara professionell i sitt förhållningssätt och beskriver distriktssköterskornas upplevelse av att vårda palliativa patienter.

AbstractThis essay investigates what knowledge members of staff in day care centres for grown up people with disabilities have about Alternative and Augmentative Communication, AAC (in Swedish, Alterantiv och Kompletterande Kommunikation, AKK). Day care centres are working places for people with disabilities who do not have the possibility, caused of their disability, to work in ordinary works in the open market.To communicate with other people is a human right for all people even if you have a disability, even if you don?t have a spoken language or if you, because of your disability, have difficulties to understand a spoken language. When you don?t have a spoken language you need different ways to be able to communicate, make choices and take part in activities in the community.

INTRODUCTION: Attempted suicide is very common. Those who arrive to a hospital by reason of attempted suicide need a nurse with qualifications in the care of suicidal patients. OBJECTIVE: The aim of this study was to compile and elucidate research which describes how patients in care for their attempted suicide experience the care that is received. METHOD: A literature review was chosen for this study. Scientific articles sought in the database CINAHL.

Background: Overweight in children is a growing problem around the world. Studies has shown that children suffering from overweight, are at a greater risk to remain overweight as adults as well. Child health care nurses have an important task by trying to motivate parents to better diet and exercise habits for their children. Previous research proves that overweight and obesity in children is a very complex problem which requires a good caring relationship between child health care nurses and parents.Purpose: The purpose of the study was to illuminate the experiences of child health care nurses of meeting parents of overweight children.Method: An inductive qualitative approach was used as method. The collection of data was conducted by using semi-structured interviews.

The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

Denna studie erbjuder en litterär analys av gestaltandet av sexualitet i den amerikanske författaren Rymond Carvers novell "So much water so close to home". Analysen lyfter bland annat fram den obligatoriska heterosexualiteten som den teoretiseras av Adrienne Rich och hur manlig kontroll av kvinnans sexualitet inom den heterosexuella institutionen tar sig uttryck i texten.Utöver det undersöks i analysen vilka principer som kan anses ligga bakom konstrueringen av sexualitet i novellen samt hur dessa tar sig uttryck. Den aspekten av analysen tar avstamp i Judith Butlers teori om diskursivt skapade kön och genus samt den heterosexuella matrisen som utgångspunkt för all sexuell åtrå. .

Alzheimer's disease is the most common form of dementia. The individual who fall ill can be in an age between 40-65 years old. When dementia affects individuals at this age, many relatives take their responsibility for taking care of them at home for a long time.The aim of this study was to illustrate emotions relatives experienced when a close family member's suffering from Alzheimer's disease. The study was intended to show relatives emotions, and therefor four self-biographies were chosen to read. The method used to analyze was a narrative literature review.

Family members need a great deal of support during palliative care. It is vital for the family that nursing contacts are accessible all day and night. The nurse can support the family members by sharing a professional knowledge and adapt the information to the recipient, by being present and also encourage them by not only focus on death. The support should be adapted to each individual and also have the possibility to be adjusted in each case. The aim of the study was to illustrate family members experiences of support in a late stage of palliative care.