Background: Self-injury can be defined as deliberate harm one's own body without conscious intent to commit suicide. These patients need skilled care. Purpose: Illuminate nursing staff attitudes and treatment of patients with self-injury behaviour for individuals diagnosed with borderline personality disorder. Method: A general literature study has been made. Based on the objective was a literature search in various databases with ten relevant articles were selected and reviewed.

The purpose of this study is to highlight the situation for youths leaving foster care and entering adult life. The study examines the services provided by the social service in the Stockholm area when a youth is leaving foster care, and if a recent change in the legislation has had any impact on the operating procedures of the social service. The study includes interviews with youths who recently left foster care, as well as information collected from social service offices through a survey, supplemented by interviews with practicing social workers. All the assembled data have been analyzed using Ecological Systems theory with focus on the child perspective and the term significant others. The study shows that the respondent youth have trouble identifying the formal ending with social services, as well as the support they received or were offered.

Background: Ill-health related to unhealthy lifestyle is increasing and despite existing knowledge about healthy lifestyle it is difficult to change behaviour. Counselling in the primary health care is often superficial and without critical elements for behaviour change. Aim: The aim of this paper to elucidate interventions for change of lifestyle with respect diet and physical activity. Method: A literature review was carried out and ten scientific articles were analyzed and compiled in two main categories: design of these interventions and participation in them. Results: Education, decision making, goal setting, feedback, social support and follow-up were identified as critical elements for behaviour change.

Old people's life situation when receiving municipal help and care in theirlast period of life is sparsely investigated from their own perspective. Thepurpose of this study was focused on the thoughts of the aged people andtheir personal experiences on what quality is within the geriatric care. Inthis qualitative study, 10 elderly people aged 75-90 years wereinterviewed from 3 different nursing homes within Solna Municipality.Qualitative interviews, with the emphasis on their present life situationespecially what brought about a good life, were performed. The interviewswere analysed using qualitative content analysis. The implication of theterm ?meaningful existence? is individual and differs from person toperson.

The study aimed to evaluate picture communication during clinical as-sessment and intervention procedures in paediatric care. As part of the project KomHIT (Augmentative communication in paediatric health care settings) care professionals at different care units were provided with education and designed pictorial supports. These consisted of appointment letters with pictorial support, visual schedules and communication boards with both general and specific vocabulary. Care professionals and parents to children with and without communication disabilities participated. Survey data from care professionals and parents at five care units was supplemented with qualitative data from an interview with a multiprofessional group at one of the care units.

Chronic obstructive pulmonary disease can limit patients physical abilities and contribute to social isolation. The purpose of this literature study is to investigate men's and women's experiences of living with chronic obstructive pulmonary dis-ease, and the supporting and guiding role of the nurse to an increased quality of life. 13 critical reviewed articles were used to find the answers to our questions. Quality rating forms were used in order to guarantee a good scientific quality. The results show that, it is of great importance for the COPD-patients well-being to experience social support from those around them, and to have a close relation-ship with their families and friends, in order to experience quality of life.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Introduction: The health for individuals with intellectual disabilities is asubject that is prioritized by the Swedish Institute for Public Health. Socialsupport has been proven to be important for health and quality of life. Despitethis fact there is no research available regarding the influence social support hason health and quality of life for people with intellectual disabilities in Sweden.Aim: To describe social support and the consequence of social support forhealth and quality of life for individuals with intellectual disabilities. Method:A litterature review of research in a defined area with a descriptive design.Systematic searches for articles were done in several databases and ultimately16 articles were chosen. Themes and categories were created with respect to theaim of this study during the analysis of the articles.

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.

Violence against women is an extensive social problem that concerns us all. The women who seek health- and medical services when they have been exposed to violence and abuse have the right to expect being well taken care of and treated by competent and understanding personnel. A kind reception can make the patient feel comfortable enough to talk about their situation. The aim of this literature review was to determine how you as a nurse should treat a woman who has been exposed to battery, to be able to offer a professional and individual care. The frame of reference is Gustafsson´s SAUK-model since the acknowledged care aim to maintain and strengthen the human´s self-judgement and self-determination.

Abstract The aim was to see how burn victims experience their situation and if they feel suffering. Then it is discussed against different perspectives of suffering. The problems were ?How does a burn victim experience their situation??, ?Does a burn victim suffer?? and ? How does the attitude inflect the suffering?? To find the answers, the authors made a literature review in which already published interviews from ordinary papers were used. In the result, the authors used the individual?s own words.

As the occurrence of obesity increases amongst young people, so increases the risk of more people suffering from heart failure as early as during middle age. The aim is to describe the life experiences of middle aged persons living with chronic heart failure. The literature study is based on twelve published, qualitative, and scientifically proved articles derived from MedLine and Cinahl using queries representing the subject, as well as from manual searching in ScienceDirect and LIBRIS. These articles have been analyzed from a life world perspective. Four main themes and four sub themes were identified from the articles' results.

The personnel policy program for the employees in studied municipality includes guidelines for the working environment, saying that health promoting activities is offered to all employees.                              Objective: To investigate how these activities were used and how the staff perceived the activities offered. The aim was also to find out how well the information about current health promotion efforts reached the staff.Method: A qualitative approach was used in the form of interviews. The sample consisted of municipal employees from seven different work sites.  A total of 12 women aged 32-52 years participated. The interviews were recorded and a hermeneutic theory was used to interpret the results.Results: The results showed that most informants used some form of fitness activity. In most cases health care-time was used for anything from walking to organized workouts. The great barrier was lack of information and lack of trained and dedicated health motivators. In several cases, informants had no knowledge about what a health motivator is supposed to do. The informants own suggestions for health promotion interventions included stress management and foot care.Conclusion: The survey showed that respondents were poorly informed about which wellness activities the municipality offered. The result could also be interpreted as a communication gap between the local authority, health motivators and the employees. A request for group activities was detected.  .

ALMI Business Partner operating in the years 2008-2010 a project called Vivan which is about innovations made by staff in the health care profession. The project Vivian is to bring new products to the market by establishing new companies. We have looked at why health care professionals to a lesser extent than other professionals choose to start businesses. Another question raised is why it is mostly men who have chosen to start their own business in the female-dominated health profession. Traditionally, men have as an advantage over women in the corporate market in Sweden.

The aim of the study was to examine how background factors, such as abuse earlier in life, affect depression and suicidal behavior, amongst persons who abuse alcohol or illicit drugs. The study was performed at the Social Service Center, Södermalm, department for adults. The data used in the study is based on Addiction Severity Index interviews (ASI) and includes 560 observations. The statistic methods used to analyse the data is chi² test and the result is presented in cross tables and charts. The main findings were that experiences of psychological, physical, or sexual abuse, earlier in life increase the risk for major depression and suicidal behavior later in life.