The main purpose of this essay is to study the role of documentation in Swedish health care today and the consequences of the augmentations in paper work that have taken place during the last couple of decades. The method used in this study is interviews with health care personnel.The following questions are treated:-       What kind of documentation has increased in Swedish health care?-       How is the patient/health care professionals affected?-       How is the work of the health care professionals affected?The conclusion of the essay is that the increasing amount of time spent on documentation that for much part has never been performed before, (such as risk analyses, statistics and writing much more thorough charts), has consequently left very little time for actual patient care. The research also showed that faith in health care professionals has significantly decreased and that one of the major reasons for increased documenting is the anticipation of and therefore protection against potential complaints. Finally there seems to be a greater focus on being service-minded rather than on providing quality health care..

The aim of this study was to understand the contact between foster homes and social workers, by doing a comparison of the social workers and the foster homes experiences of the cooperation that is between them. We started from three main questions to get an answer to our aim, how the foster homes and the social workers experience the organization of the foster care in the Social Service as an impact of the cooperation, what does the foster homes and the social workers experience as a important fact of a successful placement and finally, how does the foster homes and the social workers experience the supporting and controlling contact that is between them. To get our results we based our study on interviews whit four foster homes and whit four social workers. The analysis was based on one theoretical perspective, Skaus (2007) analytical approach for power and help. As a conclusion we have found out, that the organization of the Social Service has significance for the contact between social workers and foster homes.

Syftet med föreliggande studie var att ta reda på vårdpersonal och närståendes upplevelser vad gäller vanlig palliativ vård och strukturerade vårdplaner så som LCP/ICP. Studien genomfördes som en systematisk litteraturstudie där underlaget inhämtades genom att med specifika sökord söka i Högskolan Dalarnas databas ELIN@ efter vetenskapliga artiklar. En artikel har även sökts från en annan referenslista där artikelnamnet använts som sökord. Vid sökningarna har sökorden använts var för sig och i kombination med varandra varvid 13 stycken artiklar valdes ut till resultatet. Resultatet visade att det fanns brister i den ordinarie palliativa vården vad det gäller kommunikation, symtomlindring och anhörigvård.

Title: Argument in favour of and against private health care ? A scenario for a future health care with a possibly new Government Authors: Jessica Andersson, Nina Gunnarsson Supervisor: Thomas Danborg Department: School of Management, Blekinge Institute of Technology Course: Bachelor?s thesis in Business Administration, 10 credits Purpose: To describe the problem with privatizing of the health care by analyse the arguments in favour of and against private health care and describe a scenario about a future health care with a possibly new Government. Method: Qualitative Grounded theory method, categorizing secondary facts in order to get the complete picture. Results: The market for private health care will increase by a possibly new Government.

The aim of this thesis was to study elderly people?s experiences of and approach to their usage of home care services with tax deduction. The aim was also to describe how elderly people reason about their underlying motives of using home care service with tax deduction. The study is based on six qualitative interviews with people between the ages of 65 and 80, living in Nacka, Sweden. This thesis is a collaboration with Stiftelsen Stockholms la?ns A?ldrecentrum/ Stockholm Gerontology Center and part of their follow up study concerning simplified administration for elderly people applying for home care services in Nacka.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Syftet var att beskriva hur sjuksköterskor inom palliativ hemsjukvård uppfattar ochlindrar andnöd hos cancerpatienter i sen palliativ fas.Metoden var kvalitativ med fenomenografis ansnats. Sex informanter från två palliativa hemsjukvårdsteam i Mellansverige valdes ut och intervjuades.Resultatet som representerar informanternas olika uppfattningar bestod av de fem kvalitativt skilda beskrivningskategorierna:Diskrepans i uppfattningen av andnöd som vanligt förekommande och svårt.Fysiska och psykosociala faktorer orsakar andnöd.Stödjande faktorer är betydelsefulla för sjuksköterksans arbete.Känsla av osäkerhet och otillräcklighet.Medicinska åtgärder prioriteras framför omvårdnadsåtgärder.Slutsats: Studien visade att andnöd var ett komplext symtom som kräver enn mångfacetterad kompetens. Det framgår också att läkarstöd, kollegialt stöd, manualer, handledning oc erfarenhet stärkte informanternas omvårdnadsarbete och ökade förutsättningarna för att patientens andnöd lindrades på ett adekvat sätt. En god tillgång till de olika stödfaktorerna ökade dessutom informanternas möjlighet att hantera den ansträngda situation som uppstod i patientens hem. .

Döden anses vara en stressfaktor för hälso- och sjukvårdspersonal och tidigare forskning visar att detta även gäller vårdare vid hospice. Ett antal vanliga copingstrategier fungerar inte i hospicemiljön på grund av att döden är ett oundvikligt inslag där. En studie framhåller dock den låga utbrändhetsgraden bland vårdgivare på hospice och föreslår bland annat att det holistiska perspektivet på omvårdnad kan vara sammankopplat med detta till synes ambivalenta förhållande. Kan hospicefilosofin inverka på synen på döden och döendet bland hospicepersonal? En intervjustudie genomfördes med tre vårdare yrkesverksamma vid ett hospice i Sverige.

Background: The abortion issue raises many ethical, moral and religious aspectsand is therefore well debated worldwide. In the care for an abortion seeking woman, it isimportant that the nurse find a balance between her and the woman's moral opinions aboutabortion in the quest to achieve good care.Aim: The aim of this study was to describe nurses? experiences of caring for womenundergoing abortion.Methods: Literature review based on ten original articles.Results: Literature review's results highlights two key themes: nurse?s experience of anemotional roller coaster as well as difficulties and challenging experiences at work inabortion care. These two themes consists of three subthemes: to get support in the workthrough to vent thoughts and feelings, how strain and stress affects the nurse's work and as anurse learn to accept the woman?s choice.Discussions: Within abortion care nurses find it difficult dealing with theemotional roller coaster that can occur while they strive to maintain an ethical andprofessional approach.

Syftet med denna studie är att belysa hur närstående till personer som vårdas palliativt upplever stödet de får från sjukvårdspersonal. Frågeställningarna i studien bygger på två centrala frågor. Vilket stöd upplever närstående att de får och hur upplevde närstående detta stöd? Den metod som har använts i detta arbete är litteraturstudie. Tio vetenskapliga artiklar användes som gav svar på frågeställningarna.

The purpose of my study was to examine a competence-development in care of older people in which some of the personnel have been ?spjutspetsar?. More specifically my aim was to investigate how the personnel managed to supervise others in the organization. My main research questions were: How do the care-managers and the care-workers persecute their functions as ?spjutspetsar?? What form has the internal meeting between the competence-development and the organization ideology taken? What possibilities and obstacles have the care-managers and care-workers been confronted? In my study my research method is based on eight qualitative interviews.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

Background:Malnutrition is a nursing issue that causes both physical and psychological suffering of those who are affected. In order to achieve care that is safe and has a good quality, it must be based on the assessment and actions of the state. District nurses play a central role in this work. Aim: The aim of this study was to describe the district nurses' work with identifying and addressing malnutrition in older people in nursing Home Care of the Community. Method: Six interviews with district nurses were conducted.

Aim. The aim of the study is to highlight Dutch nurses? opinions about assisted death. Background. Since 2002 it has been legally justified for physicians to assist a patients? death in the Netherlands.

The purpose of this study is to explore the relations between foster parents and their foster children, what kind of motivation there is behind their involvement in foster children, how they experience the commission and what good parenting mean to them. The study is including eight foster parents. They have experience of both long and short placement of foster children. The results show that all these foster families have at least one child that they have a good relationship with. It is important to know that those children either have spent many years in foster families or arrived to foster families when they were very young or as infants.