Background: The need for structured practice has in recent years appeared in connection with the request for a more evidence-based nursing. In psychiatric care with its complex disabilities, it is important to have methods to identify these. Research has demonstrated the importance of patient participation in nursing that has been shown to affect their mental health. It is essential to get to know how patients with mental illness are capable of involvement in their life situation. The ICF emerged as a useful theoretical framework for development of questionnaires of patient participation.Aim: The aim of the present pilotstudy was to develop and test a questionnaire for participation, based on ICF.

Background: Living with stroke not only means coping with physical limitations, but a stroke also leads to other losses, which in various ways may change an individual?s life. A nurse can play a significant role in regards to consequences in the ordinary day of life for patients with stroke. Aim: The aim of this literature study was to describe patients? experiences living with stroke.

The purpose of this study was to find knowledge about ostomy patients experience with a focus on overall life situation and the care they receive from the nurse. The method used was a systematic literature review according to Polit, Beck & Hungler. Six scientific research reports have been used as foundation of the result in this study. The articles have been reviewed according to Antonovsky's Sense of Coherence (SOC).The result shows that experiences of having ostomy are individual. Adapting to their new life situation varies depending on the reason for having an ostomy.

Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.

Background: Patients with self-harm seek hospital care when something traumatic occurred. Self-harm was a way to cure pain and was expressed overdose, cutting, or by swallowing objects. They described that the staff were derisive, didn?t show empathy and engagement. Aim: The aim was to describe factors that effects staffs answer to self-harm behaviour through their perspective.

Stroke is a widespread disease in Sweden. Nurses play a central part for those who suffer from a stroke irrespective of where in the care chain they meet. To be able to meet the patients? need of care the nurse must understand his/her lifeworld. Each and every patient is unique and the experience of being struck by a stroke depends on personality and life situation.

In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.

Background: Prostate cancer is the fourth most common cancer disease in the world and affects mainly older men. While having prostate cancer the treatment can be both medical and surgical and both these treatments can give side effects like erectile dysfunction, lost libido and hot flushes. Sexuality among elderly is often associated with taboo, but sexuality exists among elderly and is important for their wellbeing and quality of life. It is common that nurses don?t address and discuss questions concerning sexuality with patients, even though they know that sexuality often is affected while having a disease or experiencing illness.

Uncertainty is a well-known phenomenon that is recurring in biographies, imaginative literature and science, but is less studied in nursing science. The aim of this participatory action research project was to, in collaboration with nursing students; explore nursing activities for relieving patients? uncertainty. A qualitative approach was chosen with focus groups and the text was content analyzed. The students studied their third semester on a nursing program.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

 The aim of the study was auditing medical records examine postoperative blood glucose levels after undergoing CABG surgery. Furthermore the aim was to determine if the ward staff abides the local guidelines frame of reference concerning each ward, regarding blood glucose measurements and blood glucose levels. The study included 70 patients undergoing CABG surgery at the cardiothoracic surgery, Uppsala University Hospital. The study was conducted by retrospective medical record auditing. Studied factors were postoperative blood glucose levels, number of registered blood glucose measurements, a current diagnosis of DM and preoperative HbA1c.

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

Introduktion:Inför en kirurgisk operation spelar den preoperativa informationen till patienten en mycket viktig roll för att patienten skall känna sig trygg i en annars maktlös situation. Detta lägger stort ansvar på den person som genomför det preoperativa samtalet.Syfte:Syftet med detta kvalitetssäkringsarbete var att beskriva patienters upplevelser av den perioperativa processen samt upplevelser av den preoperativt givna informationen.Metod:Arbetet har en kvalitativ ansats där åtta patienter som opererats med colorektal kirurgi vid kirurgisk klinik ingick. Semistrukturerade intervjuer gjordes där alla intervjuer spelades in och transkriberades ordagrant. Insamlad data analyserades med kvalitativ innehållsanalys.Resultat:Analysen resulterade i fyra kategorier och nio subkategorier. Dessa redovisas dels i en tabell samt i en berättande text med citat från intervjuerna.

In Sweden surgical treatment of vocal fold lesions in children is fairly uncommon. At Falun hospital they have adapted a more generous attitude towards phonosurgery of children?s vocal folds. The purpose of the present study was to evaluate surgical treatment of organic vocal fold lesions in children and to assess the phonosurgical patient utility. The study was carried out at the Ear-, Nose- and Throat clinic, Falun hospital, Sweden.

Background: The purpose of this study was to explore the reasons that motivate women to seek cosmetic breast augmentation surgery, to examine their self-concept and how they relate to their breasts.Methods: Ten female postoperative participants who have undergone an aesthetic breast augmentation surgery on private clinics were interviewed using an unstructured interview format. Self-report questionnaire was used as a complement to the interview. The purpose of this was to examine women's self-concept. Six female postoperative participants who have undergone a breast augmentation surgery on public clinic and had medically confirmed defect also completed the measures.Results: The results of the interview analysis showed that some participants experienced positive physical and psychological outcomes of surgery and some did not. Several main themes were identified relating to the initial reasons for performing surgery.