The health care formulation of the principle of autonomy can be expressed as follows; ?you shall not treat a patient without the informed consent of the patient, or his or her lawfulsurrogate, except in narrowly defined emergencies?. The principle of beneficence refers to a moral obligation to act for the benefit of others. In heath care, the good or benefit in question is the restoration of the health of the patient. In fulfilling this obligation of beneficence, the physician sometimes intentionally overrides the patient?s preferences or actions for the purpose of benefiting the patient.

In this paper the authors are focusing on people that work in psychiatric acute care. How do they identify the individual that is in most need of acute care? How do they judge in this kind of cases?    The foundation in this study is in the qualitative method. The material to this study has been collected by doing qualitative interviews with six people in different professions and positions in psychiatric acute care.   The material that we collected from these six qualitative interviews has been analysed with help from Sherif?s and Hovland?s (1961) Social judgement theory.

BackgroundAnorexia nervosa is a growing problem in society and it is most common among women. It is a complex disease that affects both the mental and the physical health. The disease expresses itself differently from person to person, therefore, treatment should be individualized. Nurses need to gain insight into how patients feel about the treatment in order to understand their experience. Previous studies use statistical research to evaluate treatment.

In the last decade the Italian authorities have tried to adapt themselves to a united European asylum system, in the European Union, through the adoption of legal reforms, intended to improve the conditions of asylum seekers in Italy. Despite these reforms, asylum seekers and refugee?s living conditions are far from covered. The aim of this study is to explore the different functions of social work in the Italian reception process regarding unaccompanied minors and their implications on the wellbeing of the unaccompanied minors. This study was conducted through several interviews with both social workers, which in some way worked with unaccompanied minors, and the unaccompanied minors themselves.

Bakgrund: Långvarig smärta har funnits hos människor i alla tider och idag ses den långvariga smärtan som ett stort folkhälsoproblem. Långvarig smärta förändrar livsvärlden mer eller mindre. Samtidigt har anmälningar om brister inom bemötande ökat, där sjuksköterskan omnämns. Syfte: Syftet var att beskriva upplevelsen hos personer med långvarig smärta i deras möte med sjuksköterskan. Metod: En litteraturstudie framställd ur vetenskapliga artiklar.

The purpose of this study was to analyse the concept of empowerment and its meaning in the political document "En Förnyad Folkhälsopolitik" from the present Swedish government, containing guidelines and politics in the area of public health. The underlying question was if it could be considered as representative for some kind of general "empowerment approach" since the concept is central to the very definition of social work by the International Federation of Social Workers IFSW and International Association of Schools of Social Work (IASSW).By comparing its definition and consequences in the document with a historical review of different contexts of empowerment the conclusion was made that such a common approach doesn´t exist at all. The meaning of empowerment in the central document showed some similarities with the "northamerican" version of the concept represented by the social scientist Charles Murray, which is just one of the political meanings of empowerment. Alternative ways of understanding the concept was also presented such as being a tool of a constant conflict between central political principles or as a fashionable but not important word. Another alternative was to consider it a means of power through witch different political discourses tries to dominate the world..

The aim of this study was to describe the meaning of individual care according to Newborn Individualized Developmental Care and Assessment programs (NIDCAP) to the early born child. The care around the early born child has shown a big importance. NIDCAP incorporates many care aspects that give structure for an individual tailored care. A fast care planning within three days and night after the birth according to NIDCAP has a positive effect for the cognitive development. The early child has showed that the surroundings environment has an important role for their development.

There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.

The aim with this study was to learn about the experiences of field workers and welfare officers in the field of possible self-harm behavior among young people.Our problem was: Do field workers and welfare officers treat young people with deliberate self-harm differently and - How do field workers and welfare officers describe deliberate self- harm?Our study was conducted through qualitative semistructured interviews with twelve interviewee?s.The result of this study shows that there is a difference in how young people with self-harm behavior are being treated - based on their gender.One possible cause for this result could be the old tradition mindset of viewing boys and girls differently ? and thus, treating them differently when they seek help.Our study shows there is a possibility of treating boys and girls differently ? which shows that we made a thought-provoking point.

Background During the child?s first year of life there is a continuous contact with the Child Health Services (CHS) and the parents feel confident and involved. After the first year, the visits to the CHS is reduced at the same time as the everyday life changes for the family as the child starts going to day-care and the parents often go back to work.Aim To examine what it is like being a parent to children aged one to five and what kind of parenting support parents of children aged one to five are in need of.Method Semi-structured interviews were used to interview 25 parents in 21 telephone interviews and one focus group with 4 parents. The recruiting of parents was done on site at one open day-care and with the help of CHS nurses in Sweden. There were 10 men and 15 women.

The North-American sociologist Michael Lipsky has characterized social workers as street-level bureaucrats with a substantial discretion in the relationship between the welfare state and its citizens. Within Lipsky´s theoretical framework social workers appear as a powerful group that socializes the citizens to uphold certain expectations towards the welfare state and its (re)distributional programs. From this point of view, it is important to learn more about social workers and the attitudes they express towards the welfare state. The aim of this study is to analyze how the welfare-political attitudes of future social workers are affected by their social background (e.g. class background and ancestral homeland).

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

Motivation: The aim of this study has been to conduct a comparative study concerning how race, ethnicity and class is represented in American contrary to Swedish daily press and from there on to explore and explain similarities and differences that have been found in the material.Problem statement:? How is race, ethnicity and class represented in American contrary Swedish daily press?? What are the similarities and differences between the countries? daily news flow?? What causes the similiarities and differences to achieve their current form?Material: The material which has been the subject of this study consists of eight articles ? four American articles (USA Today) and four Swedish articles (Dagens Nyheter). The material has been elected to meet certain criterias and mainly discusses the effects the health care reform will have on the American population.Approach: The material has been approached by using theories concerned with race, ethnicity, class and framing. The method used to analyze the material was Critical Discourse Analysis (CDA).Results: The results shows significant similarities, although mainly differences, between the countries? daily news flow.

Rätt utförd handhygien är en av de enklaste, mest betydelsefulla och minst kostsamma metoder för att minska spridning av vårdrelaterade infektioner, VRI. Trots omfattande kampanjer för förbättrad handhygien över hela världen för att förhindra VRI är det svårt att uppnå full följsamhet till rekommenderade riktlinjer. Syftet med denna litteraturstudie var att belysa attityder som kan påverka hälso- och sjukvårdspersonals följsamhet av rekommenderade riktlinjer för handhygien på sjukhus. Litteraturstudien baseras på nio vetenskapliga artiklar som analyserats enligt Lundman och Graneheims (2008) kvalitativa innehållsanalys. Artiklarna har granskats och kvalitetsbedömts utifrån Willman, Stolz och Bahtsevanis (2011) bedömningsmall.

The aim of this study examines how two groups of social workers at two workplaces reflect to their own clothes in various work situations. We want to gain an understanding of the variables that affects social workers choice of clothes at work. In a qualitative approach the study is based on two focus group-interviews and four semi structured interviews. Empirically analyzes relate to Pierre Bourdieu?s "la distinction, Ervin Goffman?s "frontstage-backstage", and of Michele Foucault?s power concepts.