Swedish healthcare has experienced increased economic pressure during the last decades and organizations have faced many changes. Managers and their roles in organizations have also been affected by the changes. Traditionally, managers in the healthcare sector are highly specialized doctors with a strong medical background. In the thesis, we study a big private healthcare company with an ambition to lead the development in the sector. In order to accomplish its goal, the company is trying to change the organization of managers.

Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.

The purpose of this study was to investigate women's experiences of pain, bleeding,to discover the fetus, hospitalization associated with medical abortion at home and toexplore differences in experiences between different groups of women, as age orprevious childbirth. The study was conducted at two gynecological clinics in Uppsalaand in Stockholm. A questionnaire was distributed and analyzed using a quantitativeanalysis method. The response rate was 30 %. Most women were satisfied with thepain relief given to them from the hospital.

Toothbrushing is the best available method in remaining or restore dental health in dogs. This report treats different aspects about toothbrushing and other dental home care treatments in dogs. Questions like why the dog?s teeth should be brushed, what effects toothbrushing have on dental health and how the teeth can be brushed are treated. Furthermore complements to toothbrushing are treated, the options and their effects.

Urination is a biological need but the routines surrounding urination are culturally specific and ever changing. This makes the organization of public space an important part in deciding what actions are made possible for the people in it. This paper considers women?s public urination and the possibilities to merge the need to urinate and the construction of the female body as feminine.A number of texts that describe the construction of the female body and identity as both gendered and socially produced are analysed in relation to women?s experiences of incontinence. Incontinence as a medical diagnosis is by this becoming possible to question, and may be seen as one of several strategies used to manage both the organization of the public space and the expectations of the female body to be a docile body.The conclusion is that a woman who wants to enter public space has the following options when it comes to the need to urinate:To strive for the feminine ideal.

Introduction: Our lifestyle habits affect our health and unhealthy habits are a contributing factor to disease. Health care is an arena that should work with health promotion. MI (motivational interviewing) is a method used in various forms of care to work with lifestyle. Aim: To map methods with intention to be used in Swedish primary care, to work with the lifestyle habits diet, physical activity, alcohol and tobacco. Method: This is a literature based study.

BackgroundIncreased prevalence of obesity in children- and young adults and risk for diseases related to obesity will increase the burden on Medical care. It is important to identify early risk factors that can be noticed by nurses in the daily work.AimThe aim was to investigate whether children- and young adults themselves perceive overweight as a problem and if there was a difference in the measured activity levels between overweight children- and young adults in families with different socio-economic family status.Method descriptionExisting survey from the Obesity Centre at the Akademiska Sjukhuset were examined together with the results from an accelerometer, where children- and young adults activity was recorded, compared to their perception of how active they were. The results were compared using a statistical software program and compiled with descriptive and non-parametric statistics.ResultsThe results do suggest that the majority of children- and young adults experiencing excessive weight have a problem in their everyday lives. Nearly half overestimate themselves as more active than what the actual measurements with accelerometer demonstrated. Much time is spent in front of the TV and computers.

Background:The definition of mental illness is characterized by a lack of management regarding mood, thoughts or behavior. It is difficult for the person to cope with everyday duties as well as relationships with other people.The study revealed that the society should take action to prevent social isolation for those with mental illness. The central concepts of care theory is love, learning and well-being, where nurses' conditions and actions create results in the patient.Aim:Describe skills and prerequisites nurses need at the meeting of patients with mental illness. A further aim was to examine the ethical considerations included studies made use of.Method:A descriptive literature studyMain result:Nurses feel they do not have skills regarding mental illness. When nurses care for patients with mental illness are often formed stigmatizations regarding these patient groups and care will suffer.

Aim: The aims of this essay were first to see if there were any factors that could have an inpact on participating in supportive care groups and activities after a prostatic cancer diagnosis. The second aim was to examine what kind of support the patients would chose. Methods: Data was collected with a survey handed out to the prostate cancer patients visiting the urologist reception at the hospital in Uppsala, during two weeks in the fall of 2011. Main Results: Men show very little interest in participating in supportive care groups and activities. When asked to chose which kind of support they could consider, individual sessions and group sessions were the most common choice. Conclusion: Men diagnosed with prostate cancer chose not to participate in supportive care. Further studies are required to determine what may be the reason to that..

First during early 1960s fathers got access to the labor room in Sweden. Theirparticipation are a relative new trend and it`s not thoroughly described in theliterature. Midwives? responsibility is to give a good and medical safe care, and tocreate a positive childbirth experience for the woman and her partner. No previousstudies have paid attention to midwives' experiences of fathers' presence duringchildbirth.

SAMMANFATTNING Syftet med denna studie var att ta reda på vad sjuksköterskan upplever som sitt inre etiska ansvar samt lyfta fram och reflektera över den etiska dimensionen i omvårdnaden. Studien är empirisk och grundar sig på en kvalitativ metod med innehållsanalys. Data har samlats in från fyra intervjuade verksamma allmänsjuksköterskor. Forskningen anknyter till Katie Erikssons omvårdnadsteori samt till Iréne von Post. Etiken hos de intervjuade sjuksköterskorna förknippades till stor del utifrån ett medicinskt perspektiv.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

The number of elderly in society is increasing and therefore the number of people with dementia. They continue to live in their homes longer, which also increases the responsibility of district nurses. The purpose of this study was to describe the experiences of district nurses to care for and have responsibility for the care of people with dementia in home care. The method chosen was a qualitative interview study. The method chosen was a qualitative interview study and content analysis was used for data processing.

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes.