Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Background: To wait on an emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

Background: A nurse who is working in the health care is expected to show the best side for other people. An emotional work demands a lot of the role of a nurse, when she has to deal with her feelings after the given situation to satisfy the patient.Aim: The purpose of the study is to seek understanding of what nurses perceive to be the essence of the emotional work in health care. The study also wants to understand what factors could affect the meeting both positively and negatively between nurse and patient in social interactionMethod: The study?s methodology is qualitative with phenomenological-hermeneutical approach to seek understanding of the six interviewed nurses lived experiences and the experiences of the emotional work.Results: The result has four main themes developed: Emotional management, to consider the patients existential needs, meeting the patient and to do something meaningful.Conclusion: The essence of the perceived emotional work for nurses is emotional transformation where the nurse changes her feelings by acting according to the situation in the meeting with the patient. It is important that nurses reflect in the work so they do not take their work home and become exhausted and burn out.Keywords: Emotional labour, emotional management, patient encounter, phenomenological-hermeneutical, existential needs, the essence, burn out.

Objective: To investigate the experiences of ambulance nurses when using Boussignac CPAPcompared to their previous model, and their suggestions for possible improvements in the use of CPAP in the care of patients with pulmonary oedema. Method: A qualitative study with a descriptive and exploratory approach. Data was collected through ten semi-structured interviews with ambulance nurses, seven men and three women. The analysis was conducted using Lundman and Graneheim?s content analysis.

The purpose of this literature review was to demonstrate the results of recent studies of the nurses ability to interpret younger childrens (0-6 years of age) experiences of pain in the postoperative stage. There is a lack of knowledge concerning young childrens ability to express themselves verbally and the nurse has to rely upon the parents knowledge about the child. Consequently, the teamwork between the nurse and the parents is of great importance in the care of the younger child. Therefore we intend to illuminate this aspect in this paper. This study aims to nurses of all categories, since patients with lack of verbal communication are frequently occurring.

Purpose: The purpose of this interview study was to describe the nurses? view of their experiences of interaction with other professionals to improve the elderly patient's nutritional status in municipal elderly care.Method: The study is based on qualitative interviews with nine nurses and was analyzed according to a qualitative content analysis method.Results: The main themes that emerged: Communication among the involved, To feel secure in their role, Lack of structure. The nurses worked closely with nursing staff and cooperated more with doctors about nutrition than with the physiotherapist and occupational therapist. The nurses felt they had the main responsibility for maintaining a good nutritional status of the elderly patient and described themselves as primarily responsible for nutrition while they lacked nutritional competence equal to the responsibilities they had during the whole nutrition process. The nurses had no community dietitian?s skills and felt that the dietitian had a great responsibility and the most updated knowledge in diet and nutrition.

The aim of this study was to examine the experience, knowledge and attitude to mandatory reports of mistreatments amongst first line managers and assistance nurses in municipal elderly care. The following questions were at the center of the analysis: how do the different professional groups view having to report their own organization? How can various factors affect the mandatory reporting of mistreatments? What knowledge do the different professional groups have of mistreatments and mandatory reporting? A qualitative research method was used to examine these questions in the form of semi structured interviews and a small document study. The interviews were carried out with assistance nurses and first line manages in elder care, we interviewed four respondents from both professional groups. The interviews were then transcribed and coded with help of a content analysis.

Ett av målen med Mobil Intensivvårdsgrupp (MIG) på Karolinska Universitetssjukhuset i Solna är att erbjuda intensivvårdskunnande och expertis för att höja kunskapsnivån på respektive vårdavdelning. Syftet med denna undersökning var att utvärdera om sjuksköterskorna på vårdavdelningarna upplevde att MIG fungerade som ett tillfälle till bedsideundervisning. En strukturerad intervju genomfördes med ett eget utformat frågeformulär, 47 sjuksköterskor deltog i undersökningen. Det framkom i resultatet att MIG förmedlade kunskap till vårdavdelningarna. Resultatet visade även att sjuksköterskor som arbetat i mindre än fem år upplevde att MIG var ett tillfälle till bedsideundervisning, i högre utsträckning än sjuksköterskor som arbetat i fem år eller mer.

The purpose of this study was to describe senior nurses? expectations concerning how a digital information and communication technology systems (ICT) can contribute to the improvement of care leadership and how it can strengthen ties between the school's theoretical world and the practical clinical work-based training (WP) in nursing. The study has a descriptive design with a qualitative approach. The study involved seven leading care nurses. Data were collected through semi-structured interviews.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Intimate partner violence (IPV) affects both men and women, in homo- as well as heterosexual relationships. The most recognized form of IPV is violence against women. The proposition "Kvinnofrid" was approved by the Swedish parliament in 1998 and proposed an extensive effort to increase knowledge and awareness of IPV among occupational groups, mainly in the health care system. These professionals are also often directly involved in the care of victims of IPV. The main purpose of this study was to investigate attitudes and level of knowledge among nurses about violence in an intimate relationship.

Background: Patients postoperative pain is often underestimated. Untreated or undertreated pain decreases the chance of optimal recovery after surgery. Pain assessment is an important factor of efficient pain relief. Aim: The aim of the literature study was to describe factors of importance for nurses´ assessment of postoperative pain in patients. Method: A literature study was done where qualitative and one quantitative article was reviewed.

Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

This is a qualitative study based on eight interviews, four of which have been probation inspectors and three have been external controllers, or controllers as they say, and one have been an email interview with the headquarters of the correctional treatment. The interviews have been made on probation service offices in southern Sweden.The purpose of this study is to investigate how the professionals in Probation service see their work with intensive supervision with electronic monitoring. We are interested in their work from mainly three aspects, how they look at their control, how they see the intensive supervision with electronic monitoring as collective punishment and how they work with the client's family.In our results it emerges through interviews that probation staff in general find it difficult to work with the Children Convention (CRC) and the law when it comes to intensive supervision with electronic monitoring. They mostly do not believe that intensive supervision with electronic monitoring is a collective punishment for the adults but when it comes to children it becomes a longer discussion with different arguments and thoughts.Our results have found that in comparison to prison, most people seem to find that intensive supervision with electronic monitoring is a decent punishment. Most of the professionals are aware, and think it's important to recognize, that they are in a position of power in relation to the client.In the analysis, we establish an outcome from the interviews into our theories and trying to find a connection between them..

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.