Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Att vara sjuksköterskestudent innebär mycket klinisk praktik. Möjlighet erbjuds att känna på hur det dagliga arbetet organiseras på klinikerna. Erfarenheter av detta gav inspiration till denna studie. Hur upplever människor att vara del av en organisation? Syftet med studien var att sammanställa beskrivningar av upplevelser från beprövade sätt att organisera omvårdnadsarbetet inom sjuksköterskans område.

Children, who grow up in families, where their parents have decided to take care of a foster child on a commission of the social welfare services, are not often given the possibility to tell about their experience of having foster siblings, in research and other studies. The aim of this study was to give biological children, in these families, a chance to tell their narratives of growing up with foster siblings, creating opportunities for families, who might have plans to take care of foster children in the future. They can get a picture of how it could be for the family´s own children. The biological children got the opportunity to tell their narrative stories including the relationships in their families and how they were looking forward into their own future and family life. The used theory takes part in systemic thinking, looking at the family as an organization and how identities are created in relationships and in communication.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

The aim of this study was to investigate physician?s view of physiotherapy in primary health care. Semi structured interviews were conducted with five physicians. The study was carried out as a qualitative context analyse study. The interviews were coded in categories independently by the two authors.

Background: Every year, more than 1000 cases of adverse events are reported in the Swedish health care system. These adverse events cost approximately 240 million Swedish kronor each year. By explaining the factors that cause nurses to make mistakes when they have too great a workload, it is hoped the awareness of health care staff will increase. Aim: To perform a literature review which describes factors that can endanger patient safety when nurses experience too great a workload. Method: A systematic literature review encompassing both quantitative and qualitative material.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

Fighting against accidents with elderly involved have come to be one of the west world's greatest challenges together with the climate changes and epidemics, and in order to fight against these accidents SDF Centre, Gothenburg appointed a man to the post as a caretaker.The aim of this master thesis is to analyse whether the implementation process and the systematic work correspond with Vedungs implementation theory and also put forward arguments for and against a masculine entrance into promotion old-age care; if it strengthens or is a take-off from the classical sexual roles.The thesis main theory is Evert Vedungs theory of implementation, which is constituted of eight factors which facilitates an implementation process. In order to theorise the sexual roles I have appropriated a gender perspective, constituted of multiple researchers and authors.The conclusion I have received through the qualitative interviews carried out with actors involved in the implementation process, is that the security services implementation correspond well with Vedungs implementation theory, hence the implementation has proceeded efficiently. The classical sexual roles is on one hand strengthened through a masculine possession of the security service, and on the other hand can the masculine entrance in the old-age care entail that more men apply for promotion old-age care work..

The purpose of this study is tounderstand the approach that the staff who works in the aftercare for juvenileoffenders have to the organizational structure in the organization they workin. SiS is the authority which is taking care of the juvenile offenders if theybeen sentence to closed youth institutional care, when they are done it is thesocial service were the adolescent live which is responsible for the aftercare.This is decided by the law since 1999, if a young person between 15 and 17commit a serious crime, they can be sentenced to closed youth institutionalcare. The interest for this study was the aftercare and what possibleparticipant was involved in the aftercare for this young people. By looking upearlier research in the area and doing six different interviews with bothsocial workers, staff on the SiS-institution and an organization for ex convictthe purpose was examines. To analyze the interviews the theory called newinstitutionalism was used.

AbstraktBakgrund: Det råder idag en brist på specialistutbildade sjuksköterskor, och många avslutar sin yrkeskarriär inom hälso- och sjukvården p.g.a. ökade stressnivåer. Ett sätt att komma tillrätta med detta kan vara att använda mentorskap för den nyutexaminerade. Det är därför nödvändigt att klarlägga vilka förutsättningar som krävs och även undersöka hur den nyutexaminerade specialistsjuksköterskan synes utvecklas genom mentorskap.Syfte: Syftet med studien är att utifrån den erfarna specialistsjuksköterskans uppfattning beskriva om och hur mentorskapet synes utveckla den nyutexaminerade specialistsjuksköterskan, och vilka förutsättningar som upplevs viktiga för detta mentorskap.Metod: En fallstudie medelst en djupintervju genomfördes med en fenomenografisk ansats, för att få fram den uppfattning av mentorskap som föreligger hos den erfarna specialistsjuksköterskan.Resultat: I resultatet framkommer vikten av att verksamhetsansvariga erbjuder nödvändiga förutsättningar i form av tid, utbildning och kompetens. Genom en ökad socialisering stärks yrkesprofessionen, samtidigt som en lärande miljö skapas i den gemensamma reflektionen.Konklusion: Erfarna specialistsjuksköterskor kan medverka till att den nyutexaminerade på ett så effektivt sätt som möjligt ges möjlighet att både formulera sin nya yrkesprofession och medverka till den socialisering som krävs för att komma in i arbetsgruppen.

The aim of our study is to gain increased knowledge and understanding of how young people who has been sentenced to closed institutional care experience their own possibility to participate and influence the transition and aftercare, and which, if any, importance they believe this has for their readjustment to society. The study is based on a qualitative method. The data consist of interviews with four young persons, of which three, at the time for our interviews, where in the transitionphase, and one had left the institution a few years ago. The study?s theoretical framework is based on Erving Goffmans theory about stigma and the empowerment theory.

The aim of this study was to describe non-surgical treatment options for the diseases mucositis and peri-implantitis found in present literature. The literature review also illustrates the effect of the treatment opptions on soft tissue with mucositis and peri-implantitis surrounding dental implants. The study reviews twelve scientific articles that have been processed from the aim of the study. The result shows six therapy options, Er:YAG laser, air abrasive, ultrasonic device, hand instruments, hand instruments in combination with antibiotics and hand instruments in combination with clorhexidin. The following methods are described according to how they are used and how they affect the soft tissue surrounding dental implants.