AbstractObjective: To investigate the occurrence of and the risk factors for falls and to  investigate level of fall-related self-efficacy and health-related quality of life in people living in community living, 75 years or older within Uppsala and Västmanlands county. A further aim was to identify predictive risk factors for falls. Design: A cross-section study with a descriptive, comparative and correlative design based on a questionnaire was used. Participants: The participants were recruited from Uppsala and Västmanlands county. A random selection on 525 individuals was done, from a population based sample, in the detailed municipalities.

Purpose and framing of questions.The objective of this study has been to problematize the concept of "health" by studying the philosopher Nietzsche's writings on the subject and by analyzing four PE teachers' thoughts on his view of health. This has been achieved by examining the following questions: What types of health does Nietzsche describe, and how are these promoted and inhibited according to him? How does a Nietzschean view of health stand visavi the one expressed by the Swedish national curriculum? What do teachers think about the Nietzschean concept of health and its potential applicability in physical education?Theory and Method.The literary study had a hermeneutic approach and was conducted according to a qualitative analytical method, in addition the so-called three-step method was used to create a definition of "health" on the basis of Nietzsche's use of the term. The source material consisted of Nietzsche's overall philosophical writings (ca 2600 pages) in order to give a complete picture of his view of health. The four interviews consisted of open enquiries, which were conducted according to a qualitative interviewing technique.

This study aims to examine how families that during a long time have lived with neuropsychiatric disabilities have experienced their contact with different authorities. The study builds on qualitative interviews with two young people and five parents, from four different families. Focus in the paper lies mainly on the families' experiences of the school and different care sectors.The result shows that there is a great number of aspects as lack of information, lack of knowledge, dislodges between different authorities lack of support from school and care sectors, incorrect medication and shortage of long-term plans for treatment, which the families experienced as problematic. These aspects have also brought dramatic consequences that have strengthened the disabilities' negative effects.The result also shows that the parents are very active and bears a great responsibility for the child's health. The parents are in large extent alone in search for care, arranging meetings, searching for information, taking care of the children's medication etc.

Title: Nurses´ Experience of Triage Process in the Psychiatric A & E Departmentfor AdultsAuthor: Miljatovic, MilosDepartment: School of Life Sciences, University of SkövdeCourse: Degree of Bachelor of Science in Nursing, Thesis in Nursing Care, 15 ECTSSupervisor: -Examiner: Brovall, MariaPages: 23Keywords: Triage, Nurse, Psychiatric A & E Department for Adults, Triage scaleBackground: In the beginning of 21st century some psychiatric A & E departments inSweden have introduced triage process and psychiatric triage scales. The aim was to meetthe growing numbers of patients with mental health problems attending psychiatric A & Edepartments, in order to shorten waiting and transit times.Aim: The aim of the study was to illustrate nurses´ experiences of triage process in thepsychiatric A & E department.Method: Qualitative empirical study was conducted.Results: Three categories were identified: Triage process creates confidence, Obstacles intriage assessment, Possibilities for improved patient care through triage process; and sixsubcategories: Aid and support in having an assessment tool, Sense of comradeship,Getting possibility to take answer and show the competence, Deficiencies with assessmenttool, Sense of inadequateness due to long waiting times to physician, Sense of ambiguityduring the triage process.Discussion: Safe triage process is needed to achieve quality care in the psychiatric A & Edepartment, thus it is important that nurses have adequate triage scale, and the resultssuggest that it is important for nurses to have an adequate triage scale which makes iteasier for nurses in nursing care..

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

Background Satisfaction of life and wellbeing is shown to be important when the quality of life is to be understood. The nurse has a significant role in the care of the patient and in his/her experience of life. Aim The purpose of this study is to examine the quality of life, from a nurse perspective. Method The text analysis was carried out with qualified attempts, of a book, "Quality of life a challenge for the nurse" (in Swedish) by T. Rustoen, a nurse who also worked as a teacher in Norway. The book describes how quality of life is experienced from the patients and staffs view. Results The text analysis showed that out of the ordinary descriptions of quality of life, the author found four new themes. These themes where; the meaning of solidarity, confidence, activity and meaningfulness in the existence. Conclusion Quality of life is an important word, which means different to different kind of people.

The purpose of this paper is to explore the social worker?s perspective on working for the government as a professional in care of children, in relation to the family's right to self determination. The essay's empirical material is gathered from qualitative, semi-structured interviews with social workers who work with children and youth in communities and districts in Skåne and Stockholm City, Sweden. The analysis was conducted in line with theories of social constructivism. The results and analysis show that the interviewed social workers did not believe that the state has too much power over the citizen.

BackgroundPeople with psychiatric problems, despite efforts in recent decades still experience vulnerability. Patients with borderline personality disorder (BPD), where self-harm is common, often live in difficult and complex social relationships because of their illness. Additional knowledge and studies about mental illness, self-harm, dialectical behaviour therapy (DBT) and the therapeutic alliance are needed.Purpose and MethodThis study aims to examine how staff perceive and describe: DBT as a treatment method; the therapeutic alliance and the importance it has for treatment. The study utilises a qualitative approach with a qualitative content analysis method and presents earlier research on DBT and the therapeutic alliance. The empirical material consists of focus group interviews comprising three DBT - teams.

Background: Each year approximately 30 000 people suffer from stroke in Sweden, often with substantial mental and physical consequences. Those who suffered from stroke handled the situation by mourning what they had lost and by accepting their changed body and life situation. For those who provide care for people who has suffered a stroke help and support was required. The caring science perspective was based upon caring and suffering. Aim: The purpose of this study was to describe family caregivers? experiences of caring for persons who had suffered a stroke.

The aim of this study was to understand how the professional in social work handles the media scrutiny. When the media writes about social services there is seldom anything positive written about it, many social services organizations are instead heavily criticized and scrutinized by the media. When social services organizations are scrutinized by the media there is a crisis at work, and therefore should be handled as a crisis. Therefore, we describe how a crisis management might look like in an organization. The study is qualitative therefore we have interviewed four municipalities in Sweden that have been exposed by the media at a national level.

Despite the fact that men dominate substance abuse research and that most programs to target substance abuse therefore are developed by and for men, very little is known about the fact that substance abusing men can also be parents. Mothers are up until today regarded as the most important parent even though society is changing and fathers are taken a more active part in childrearing. The average father today still spends significantly less time with his children than the average mother does and marginalised drug abusing fathers often disappear from their families altogether. The goal and purpose of this paper has been that through a qualitative analyses of written sources and qualitative interviews with healthcare professionals and social workers recognise how marginalised drug abusing fathers interests of taking part in their children's lives are met by healthcare, treatment and child protection agencies and how we can understand marginalised fathering as an extension of how we view ordinary fathering. I wanted to examine if there are any specific actions taken in involving these men as fathers and how we can understand their situation.

AbstractBackground: Becoming a parent to a child in need of Neonatal Intensive Care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal Intensive Care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

Bakgrund: Dagens forskning visar på att det finns en oengihet om orsaken bakom fibromyalgi. Ålder, etnicitet eller social status spelar ingen roll, alla kan drabbas, dock finns det forskning som visar att kvinnor drabbas oftare än män.. De mest framträdanden symtomen är värk, stelhet och trötthet. Den behandling som erbjuds denna patientgrupp är oftas symtomlindrande behandling.Syfte: Att beskriva upplevelsen av mötet med vården för patienter med fibromyalgi.Metod: Författarna har valt att göra en litteraturöversikt av åtta vetenskapliga artiklar som har fokus på patienters upplevelse av att leva med fibromyalgi och mötet med vården. Författarna valde Joyce Travelbees omvårdnadsteori med fokus på kommunikation och mellanmänskliga relationer.Resultat: Resultatet visar att patienter med fibromyalgi upplever att sjukvårdspersonal ifrågasätter deras trovärdighet och inte tar deras problem på allvar.

Syfte: Studien syftar till att öka förståelse för hur reformen Hälsoval Skåne har påverkat såväl offentliga vårdenheter som privata aktörer och härigenom lyfta fram olika problematiska aspekter som upplevts. Metod: Kvalitativ metod, fallstudie. Empirisk analys: Studien visar bland annat på att det krävs en överrensstämmelse mellan de interna och externa faktorerna. Studien visar även att företagen inte kan forma sin strategi fritt utan att vissa faktorer måste tas i beaktande vilket går i linje med strategic fit och the design school. Vidare har även ett first mover advantage identifierats vilket i sin tur skapat barriärer likt de Porter beskriver i How competetive forces shape strategy. Ekonomiska aspekter har även identifierats vilka är av stor vikt för att överleva i hälsovalet men även olikheter beträffande konkurrenssituationen visar sin inverkan. Slutsatser: De aspekter som bland annat kan tänkas vara avgörande är företagets ekonomiska styrka samt omfattning av annan vårdverksamhet. Vidare visade det sig att uppstarten av Hälosval Skåne gav upphov till fördelar för de aktörer som var med från början..

AbstractObjective: To investigate the occurrence of and the risk factors for falls and to  investigate level of fall-related self-efficacy and health-related quality of life in people living in community living, 75 years or older within Uppsala and Västmanlands county. A further aim was to identify predictive risk factors for falls. Design: A cross-section study with a descriptive, comparative and correlative design based on a questionnaire was used. Participants: The participants were recruited from Uppsala and Västmanlands county. A random selection on 525 individuals was done, from a population based sample, in the detailed municipalities.