The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Syfte: Undersöka hur nyutexaminerade sjuksköterskor upplever sin första yrkesverksamma tid och om utbildningen upplevs ge en tillräcklig förberedelse inför yrket.Metod: En deskriptiv kvalitativ studie. Åtta sjuksköterskor som arbetat mellan åtta och 18 månader på en medicinsk avdelning intervjuades med semistrukturerade frågor. Alla var kvinnor och i åldrarna 24-36 år. Analysmetoden som användes var kvalitativ innehållsanalys.Resultat: Det upplevs som en stor omställning att börja arbeta som sjuksköterska. Det var mycket nytt att lära och de upplevde yrket som ansvarsfullt, vilket kunde kännas skrämmande.

The aim of the study was to study how a today journal system is applied in homecare. The aim was also to examine if a portable journal system could make any effectiveness on the nurse's work and secure the quality of care. The study is a part of a project called Grensebroen which connects public health care, economic industry and university to a network beyond the borders. The primary goal of this cooperation was to develop technological means of assistance which could simplify nursing on daily basis. An empirical study on homecare was made in a district were long distance travels were common for the nurses in duty.

I dagens Sverige konsumeras årligen stora mängder kläder. Nyproduktion av textil har en betydande miljöpåverkan med bland annat stor åtgång av vatten samt mängder av kemikalier. Ett alternativ till allt nyproducerat skulle kunna vara andrahandsmarknaden för kläder.Syftet med studien är att undersöka om de kvinnliga kunderna hos butikerna Myrorna och Beyond Retro konsumerar färre nyproducerade plagg för att de konsumerar second hand- och vintagekläder.Vi har använt oss utav en kvantitativ undersökning där vi intervjuat totalt hundra stycken respondenter i anslutning till Myrorna och Beyond Retros butiker. Vidare har vi genomfört fem stycken kvalitativa intervjuer med vana konsumenter hos ovannämnda butiker, för att fånga deras resonemang bakom svaren.De kvantitativa intervjuerna visar på att en liten majoritet anser sig konsumera färre nyproducerade plagg för att de konsumerar second hand- och vintagekläder. Samt att det överhängande motivet bakom köpen var att second hand- och vintagekläder är unikt och trendigt.

Literature describes what it is like to be a leader in the healthcare and what is looked upon as the most characteristic quality for female leadership. Women often use a leadership technique that motivates the employee and they allow themselves to develop a humanitarian leadership. The aim of this study was to describe female head nurses? experience of their leadership in healthcare. The collection of data has been carried out from interviews.

BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.

The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools.

 AbstractHygiene plays an important role in health care to prevent contamination. Their lack of application of the basal hygienrutinera is a major cause for the spread of microorganisms occurs. The purpose of this study is to examine how rules of basic hygiene and clothing followed in the emergency department a quantentative approach involving the observation was to collect data on this activity. The data collection went on for 1 week at the emergency room, where hospital staff including doctors, nurses and assistant nurses was observed. The study showed that staff at the emergency department did not fully comply to the rules for basic hygiene routines.

BACKGROUND: There is a high incidence of pain amongst older people. Several studies have shown that between 50 to 80 % of older people, who require domestic care or live in care homes, suffer from pain. Despite this many older people are under treated. AIM: The aim of this study was to explore what care providers perceive to be obstacles and opportunities of managing pain in older people. METHOD: A qualitative approach was used and the date was semi-structured interviews with open-ended questions.

The aim of this study was to get insight into refugee children?s perception about experience of the preparatory class, the transition to the ordinary class and the ordinary class. To get access to my informant?s perspective and also to get a more profound understanding of their experience, I oriented the study in a qualitative approach. This study will highlight the refugee children?s personal experiences and their point of view regarding the schools preparatory class, ordinary class, together with other pupils behaviour against them in the social interaction.

Background: The need for structured practice has in recent years appeared in connection with the request for a more evidence-based nursing. In psychiatric care with its complex disabilities, it is important to have methods to identify these. Research has demonstrated the importance of patient participation in nursing that has been shown to affect their mental health. It is essential to get to know how patients with mental illness are capable of involvement in their life situation. The ICF emerged as a useful theoretical framework for development of questionnaires of patient participation.Aim: The aim of the present pilotstudy was to develop and test a questionnaire for participation, based on ICF.

Background: Miscarriage is a common phenomenon in our society. It is reported that approximately 17 % of all pregnant women in Sweden go through a miscarriage every year. For many women miscarriage is a tumultuous life event that often has a deep emotional impact. Miscarriage is a subject that often is prohibited to talk about in our western society. Consequently this means that nurses have an important role in the emotional support for these women.

In Sweden there is an integration policy and a policy for national minorities. The integration policy aims to integrate newly arrived immigrants (nyanlända invandrare), whereas the minority policy aims to maintain and strengthen the rights of the national minorities. The national minorities are though, at times, included into the integration policy, even though they hold a minority status in Sweden. This paper aims to, through discourse analysis, investigate the research question: ?how is the content of integration referred to, when it is related to immigrants, contra when it is related to national minorities?.

In Sweden the real estate sector accounts for 33 % of energy consumption and just below 10 % of the emission of carbon dioxide. As a consequence of the external pressure from climate change it?s in everybody?s interest to reduce the energy consumption and thus reduce the emission of carbon dioxide. An additional incentive to reduce the energy consumption is the substantial increase of the energy price since the deregulation of the electricity market in 1996.In this study the techniques that exist to build multi-storey residential buildings with high energy performance will be investigated. Further the study intends to investigate the optimal energy performance from a real estate economic perspective.In order to investigate the optimal energy performance a model has been created with the parameters investment cost, rental revenues, operation and maintenance cost, discount rate and investment horizon.The result shows a relationship between a high investment cost and a high energy performance for newly constructed multi-storey residential buildings.

Background: There is a newly founded national sports education program. This newly founded national sports program comprises of several different sports of which football is one of them. Before a football player can reach the European- or national elite the player usually is first developed in clubs and their respective academies where a lot of time is spent on fine tuning the players? individual skillsets.The main goal for the NIU program is to develop future elite athletes to different sports. When it comes to football, the Swedish Football Association and the Swedish school board have together developed a study plan which will serve as a guideline for the NIU-football classes in Sweden.