BakgrundDjup sedering är associerat med förlängd vårdtid och ett flertal komplikationer för intensivvårdspatienten. Även för ytlig sedering medför komplikationer, stress och lidande. Studier visar på vikten av adekvat sedering, samt att skalor och protokoll används. Syftet med denna studie var att beskriva sederingsnivå, andel optimalt, över- och undersederade patienter, vårdtid i ventilator och vårdtid inom intensivvården för patienter på en svensk intensivvårdsavdelning.MetodStudien, med deskriptiv design, inkluderade konsekutivt sederade, ventilatorbehandlade patienter, 18 år och äldre, på en svensk intensivvårdsavdelning under nio månader. Primära utfallsvariabler var sederingsnivå, utifrån Motor Activity Assessment Scale och andel optimalt, över- och undersederade patienter.

ABSTRACTBackground: As a nurse it is a part of your work description to precepting students. A good relationship between preceptor and student is important for a successful precepting witch can be rewarding for both parties. There are many studies on how nurses in hospital departments experience precepting students, however it is not as explored in the prehospital care.Objective: To describe ambulance nurses' experience of precepting nursing students in the third and final year of university-level nursing school.Method: A qualitative study was conducted. Nine respondents at two ambulance stations in central Sweden were selected with the help of strategic convenience sample. The informants were nurses with specialist education in ambulance/prehospital care who had experience of working in the ambulance unit for at least a year.Result: The majority of participants were positive to precepting students and the time seemed adequate.

The proportion of elderly people in Sweden is increasing. Many of these live at home and as their age increases so does the likelihood of health problems and the need for support, medical attention and care. Personnel working with home help provide a large part of this care, including areas of home-based care that are the responsibility of the district nurse. The purpose of this paper is to describe how home-help personnel perceive their work in the area of home-based care, as their views are an important factor in the ability to provide a care system that funktions successfully. The method employed here is phenomenografic and nine subjects from a home-help group have been interviewed.

Introduction: Parental involvement is becoming increasingly common in the paediatric health care. Parental participation at home means that parents receive instruction by nursing staff in order to perform a caregiving procedure at home.Aim: To explore parents' feelings about performing caregiving procedures on their child at home, and their experience of instruction about these, and to explore nurses? experiences of their instruction to parents.Method: A descriptive quantitative and qualitative design using questionnaires with statements to be responded by nurses and parents according to scales graded 1-10. The study was carried out during the autumn of 2009 at a pediatric unit in the University Hospital in Uppsala.Results: Ten completed questionnaires from the nursing staff and ten from parents were obtained. The mean assessment of parents' perceived safety and security, and their perception that their questions had been answered ranged between 8,6 and 9,2.

During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.

The aim of this study was to investigate nurse?s experience of working from the philosophy of palliative care in end of life at home. The study had a qualitative design. Semi-structured interviews were performed with nine nurses working in advanced palliative home care. The analysis of the material revealed four categories and two subcategories.

Patienter på IVA är utsatta för obehagliga upplevelser, både genom sjukdom, behandling och vårdmiljö. Närstående beskriver känslor av overklighet och skräck. Patienter minns drömmar, mardrömmar och faktiska händelser lång tid efter intensivvårdsvistelsen. Dagbok används på många IVA-avdelningar för att ge patienten ett underlag att bearbeta händelser och eventuella minnesluckor från vårdtiden. Syftet med litteraturstudien är att belysa betydelsen av dagbok för IVA-patienter och deras närstående.

The aim of this study was to describe home care personnel and their experiences in palliative care. The design was qualitative and data were collected through interviews. Five home care personnel were interviewed, all women, whom have experience of palliative home care.The material was then analysed with qualitative content analysis and eight main categories, derived from experiences of home care personnel, were identified: relationship, safety, quality of care, a better end-of-life, routine, information, knowledge and competence, and work environment. The result showed that all participants of this study identified themselves as family members of the patients whom they had cared for during a long period of time. Additionally, the participants were emotionally touched when the patient died.The majority experienced that the patients do receive good care in their homes.

An ageing population calls for enlarged needs of care and treatments that is followed by an increased demand on social and medical care. Present organization and structure are not adjusted to these new requirements. Due to this fact, necessary alterations ought to be made between and within the different institutional and non-institutional care actors. This work should be settled locally. In this study, the aim was to describe "Chealth care nearby" as being a new standard of care as well as investigate its significance in the co-operation and collaboration between different care actors.

The aim of my study is to investigate how last year students in upper secondary schoolunderstand certain mathematical concepts, in particular the unit circle and its trigonometry.I have used intentional analysis to interpret student?s actions when they solve certain tasks onthe basis of a cognitive, situated and cultural context.Interviews with four university teachers in mathematics about the unit circle, trigonometry,and mathematical understanding, serve both as background for the study and as basis for adiscussion, where I relate students understanding to what the teachers want new students toknow about these concepts when they begin university studies in mathematics.The students were arranged in three groups with three students in each group. Each group waspresented with two tasks, one in which they were asked to calculate the cosine values for onepointed, one blunt and one straight angle, each located in a separate triangle. They were alsoasked to decide whether the points (0,71; 0,71) and d (1 2 , 3 2 ) are located on the unit circleor not.My conclusion is that students mainly have an operational conception of the unit circle andtrigonometry. The lack of structural conceptions result in difficulties in seeing connectionsbetween the concepts in unfamiliar situations.

A publicly funded elderly care that is widely available at people?s homes has been described as unique for the Nordic countries. There is much research that focuses on the relationship between caregivers and care receivers, and also about how work is organized in these organizations. However, research into how care work is organized in organizations that have implemented a salutogenic approach is limited. This is a qualitative study aimed to examine how caregivers feel that the organization of work in elderly care change after implementation of salutogenic elements in their daily work.

IntroduktionIntensivvårdsdelirium är en vanlig och allvarlig komplikation av intensivvård och det är viktigt att det upptäcks och behandlas tidigt. Trots att detta är välkänt är det sällsynt att intensivvårdsavdelningar arbetar aktivt för att screena patienter för intensivvårdsdelirium, och få studier har gjorts för att klargöra hur intensivvårdssjuksköterskor uppfattar intensivvårdsdelirium. Det screeningsinstrumentet som vi valt att undersöka uppfattningen om är Confusion Assessment Method for the Intensive care unit (CAM- ICU). SyfteSyftet med studien var att undersöka intensivvårdssjuksköterskornas uppfattning om intensivvårdsdelirium, och det enda till svenska översatta och validerade screeningsinstrumentet CAM-ICU.MetodVi har gjort en fördjupad forskningsplan och en pilotstudie. Data insamlades genom semistrukturerade intervjuer med fyra intensivvårdssjuksköterskor och analyserades sedan med fenomenografisk metod.

The purpose of this study was to gain a clearer picture of how after-school-care teachers? work with fundamental values in after-school care, both practically and theoretically based on the curriculum Lgr 11. I wanted to acquire a broader understanding of the school's core values and what kinds of tools teachers used to cope with their task. I proceeded with two questions:How does after-school care proactively work with core values based on gender, ethnicity and class?How does the work on value issues at after-school care centers compare with Lgr 11?In my study, I used literature studies and a qualitative analysis of five interviews with afterschool care teachers.

The aim of my study is to investigate how last year students in upper secondary schoolunderstand certain mathematical concepts, in particular the unit circle and its trigonometry.I have used intentional analysis to interpret student?s actions when they solve certain tasks onthe basis of a cognitive, situated and cultural context.Interviews with four university teachers in mathematics about the unit circle, trigonometry,and mathematical understanding, serve both as background for the study and as basis for adiscussion, where I relate students understanding to what the teachers want new students toknow about these concepts when they begin university studies in mathematics.The students were arranged in three groups with three students in each group. Each group waspresented with two tasks, one in which they were asked to calculate the cosine values for onepointed, one blunt and one straight angle, each located in a separate triangle. They were alsoasked to decide whether the points (0,71; 0,71) and d (1 2 , 3 2 ) are located on the unit circleor not.My conclusion is that students mainly have an operational conception of the unit circle andtrigonometry. The lack of structural conceptions result in difficulties in seeing connectionsbetween the concepts in unfamiliar situations.

The aim of my study is to investigate how last year students in upper secondary schoolunderstand certain mathematical concepts, in particular the unit circle and its trigonometry.I have used intentional analysis to interpret student?s actions when they solve certain tasks onthe basis of a cognitive, situated and cultural context.Interviews with four university teachers in mathematics about the unit circle, trigonometry,and mathematical understanding, serve both as background for the study and as basis for adiscussion, where I relate students understanding to what the teachers want new students toknow about these concepts when they begin university studies in mathematics.The students were arranged in three groups with three students in each group. Each group waspresented with two tasks, one in which they were asked to calculate the cosine values for onepointed, one blunt and one straight angle, each located in a separate triangle. They were alsoasked to decide whether the points (0,71; 0,71) and d (1 2 , 3 2 ) are located on the unit circleor not.My conclusion is that students mainly have an operational conception of the unit circle andtrigonometry. The lack of structural conceptions result in difficulties in seeing connectionsbetween the concepts in unfamiliar situations.