Every year 120 children with Downs Syndrome is born in Sweden. The aim of the study was to investigate if there were any differences between mothers and fathers of children with Downs Syndrome regarding: experience of support from health care personnel and physicians in the time of delivery and from who parents sought most emotional support.Participants of the study was 80 mothers and 79 fathers that answered a questionnaire. There was a difference between parents if they thought they received support from health care personnel, mothers (59 %) and fathers (38 %) thought that they didn?t receive support. Emotional support sought mothers (52 %), in grater wideness then the fathers (23 %), with other families with handicapped children.

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

Background: Every year, more than 1000 cases of adverse events are reported in the Swedish health care system. These adverse events cost approximately 240 million Swedish kronor each year. By explaining the factors that cause nurses to make mistakes when they have too great a workload, it is hoped the awareness of health care staff will increase. Aim: To perform a literature review which describes factors that can endanger patient safety when nurses experience too great a workload. Method: A systematic literature review encompassing both quantitative and qualitative material.

Objective: The purpose of the study is to explore and illustrate how ultrasound midwives and medical specialist in obstetrics and gynecology believe the information given to parents about the genetic soft markers should be handled.Design: A quantitative questionnaire study with cross-sectional design. Participants: 44 ultrasound midwives and 37 medical specialists in obstetrics and gynecology.Findings: Most of the participants would like to inform before the ultrasound starts that they will be looking for genetic softmarkers during the ultrasound. Likewise the majority wanted to inform the parents about possible increases in the risk for chromosomal abnormalities based on findings on the routine ultrasound. There was a difference in frequency between those who responded that they would like to inform before the ultrasound that they will be looking for genetic softmarkers and those who responded that they believe the future parents wants information before the examination.Key conclusions: It could help Health care professionals in their role as information providers if there were common recommendations for the information to be given to future parents about genetic softmarkers in connection with the routine ultrasound.

The background of this study stemmed from the notion that the majority of homeless women with substance abuse, most of all, wanted a secured place of their own to stay. Few involved professionals agreed and instead of perceiving housing as a human right the women were mostly offered various types of short-term social housing. The purpose of this study was thus to examine and analyze how professionals attached to the social services and public housing companies in Gothenburg explained that homeless women with substance abuse were excluded from accommodation on the open housing market. The qualitative approach included ten interviews with eleven professionals in Gothenburg. The theoretical framework consisted mainly of Bourdieu's analytical concepts of field, doxa as well as social, economic and cultural, alongside symbolic capital.

The purpose of this study was to look into the work of care organizers for elderly care, in three municipalities in southern Sweden, and how they use the law and local guidelines to evaluate the need for home care. The intention was to determine if presence of relatives makes a difference in the needs assessment and if the care organizers practice harmonize with the guidelines. To do this, we did a qualitative study alongside with analyzing each of the local guidelines. By interviewing five care organizers, we were able to see their side of elderly care and how they combine the law and local guidelines in their daily work with elderly care. Our main themes are, in short, the law and local guidelines, the view of care organizing and needs and also closeness to relatives.

Background:There are approximately 45 000 people in the ages over 65 years dies outside the health facilities of the hospitals in Sweden in every year. Previous research has shown lacking knowledge in taking care of the next of kin during and after a sudden death. However, conducted research has emphasized that ambulance nurses often are the next of kin?s first contact with the health care system during sudden death at home. Research has also shown that the mourning of the next of kin is affected by the ambulance nurses? way of announcing the next of kin when someone close dies.

Bakgrund: Cirka 70 % av alla kvinnor i världen har någon gång blivit utsatta för våld. Forskning visade att det fanns en rädsla hos vårdpersonalen för att ta upp problemet med kvinnorna. Vårdpersonal har ett ansvar när det gäller att upptäcka och identifiera våldet som kvinnan upplevt. Syfte: Syftet var att belysa fysiskt våldsutsatta kvinnors upplevelser av vad som kännetecknar en god vårdrelation. Metod: Studien genomfördes som en allmän litteraturstudie, detta med hjälp av 11 vetenskapliga artiklar.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent deterioration and to treat existing ulcers.

This paper is about research carried out at a hospital at which managers had taken a course in gender equality. The aim was to get a deepened understanding of them and their work on gender equality. I wanted to find out if they themselves felt that they had obtained any new knowledge and if they had changed anything at their workplace because of this new knowledge. I also wanted to know if they had experienced any problems in this process. I found that the course has been more or less decisive in order for them to start working with questions concerning gender equality.

Bakgrund: En människa som saknar uppehållstillstånd, saknar ofta vissa rättigheter till vård. Vårdpersonal möter papperslösa patienter i olika sammanhang vilket skapar en stor variation av inställningar och uppfattningar om deras rätt till vård. För att uppnå en rättvis och fungerande vård för denna utsatta grupp krävs bland annat tydliga riktlinjer och flexibilitet av sjuksköterskan.Syfte: Att skildra vårdpersonalens, med inriktning mot sjuksköterskans, upplevelser och etiska argument i vårdandet av papperslösa.Metod: Litteraturöversikt baserad på elva vetenskapliga artiklar hämtade i databaserna SwePub, CINAHL with Full Text och Academic Search Premier. Artiklarna har analyserats enligt Fribergs (2012a) modell.Resultat: Resultatet presenteras i fem huvudkategorier och två underkategorier. Första huvudkategorin är Vårdpersonalens inställning till att vårda papperslösa vilket visar att åsikter går isär kring papperslösas rätt till vård.

In light of health scandals and intense debate in the media about the elderly, the authors investigates two Swedish newspaper and their depiction of elder care in Sweden. Using Faircloughs three-dimensional model and critical discourse analysis, it is investigated if there is a more prominent discourse and if so the impact of globalization on this discourse concerning swedish elderly care. A sample of a total of ten articles in the Swedish newspaper Aftonbladet and Dagens Nyheter is analyzed. The authors found that older people who are granted home help or place of accommodation rarely make their voices heard. Rarely were also relatives of residents given the opportunity to speak.

Diabetes mellitus type 2 and chronic obstructive pulmonary diseases (COPD) are two of the most common diseases in the world and the amount are increasing. The treatments of these diseases are self care and a change of lifestyle. For this to be successful there is a need for the person to have knowledge about the diseases and a motivation for making changes in his or her lifestyle. Most of this information is given by the district nurse at the health centre. It is important to get a better knowledge of these persons experiences and how they used the information given to them.

In this thesis an explorative study was undertaken with the aim to study how a number of private care providers, as well as politicians and officials from councils in and around the Stockholm and Uppsala counties, think about the future of the Swedish elderly care from a property perspective, i.e. homes for the elderly. The analysis shows that there is a demand for capacity in 6 out of 16 municipalities, and that the property is an important part of this capacity, and the fulfillment of it. This was mainly due to the cost of capital, but also because of several other factors such as lack of land, a wish to guide the design, ideology, and in many cases a wish to use the property as an instrument of domination to control private health care providers.Also, the property was show to be connected to economic competition, to freedom of choice, and to quality. The problems related to the property in the market for elderly care still remains to be solved.