Det är svårt att bedöma hur lång tid en människa har kvar i livet och brytpunkten för när en patients döende fas inleds kan vara otydlig (Ellershaw & Ward, 2003). Det är viktigt att den sista tiden blir så bra som möjligt och här spelar sjuksköterskan en viktig roll. Syftet med studien var att belysa sjuksköterskors upplevelser av att vårda döende patienter på en akutvårdsavdelning. Metoden som användes var kvalitativa fokusgruppintervjuer och data analyserades med induktiv innehållsanalys. Ett övergripande tema för studien kan benämnas vårdens vågskålar, dilemman och tillfredställelse, vilket speglar den dubbelbottnade natur vården har.

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.

AbstractThe purpose of this study was to describe and compare the degree of selfreporting succession to the basal hygienic routines of emplyees working in municipal old peoples care versus hospital care. It is also to describe the access of material available in prevention of cross infections. The study was also carried out with a comparative and quantitative run up design. The study is based on a questionnaire in the district of Gävleborg in the spring of 2009. Nurses, auxiliaries and carers whom were in close contact with patients were asked to join the study.

Denna undersökning avser att belysa klasstorlekens betydelse för karaktären på den verbala kommunikationen mellan eleverna under lektionen, med avseende på om de pratar om undervisningsinnehållet eller ej. Genom en etnografisk observation i en åttondeklass har vi sökt finna specifika situationer i vilka elevernas kommunikation är uppgiftsrelaterad eller inte, samt hur detta kan relateras till klassens storlek. Vi fann tendenser som visade på att den uppgiftsrelaterade kommunikationen ökade i när klassen minskade i antal, samt eleverna lättare återfår koncentrationen i mindre grupper..

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

The purpose of this study to examine and compile qualitative articles to receive knowledge about the cultural and religious cognizance and also the understanding a nurse ought to have, when she meets and nurses dying patients from other cultures and religions than her own. We also had intention to find out which outlook Jews, Muslims and Buddhists have on dying and death associated with their own or death within family..

Syftet med följande arbete är att undersöka personalens erfarenheter och uppfattningar om mobbning inom särskolan samt vilka faktorer som de anser påverkar mobbning inom särskolan. Genom halvstrukturerade intervjuer belyser studien pedagogers och elevassistenters upplevelser av mobbning inom särskolan. Sammanfattningsvis pekar mitt resultat på att förekomsten av mobbning i särskolan är relativt liten. Huvudtyperna av den mobbning som förekommer är utfrysning samt verbal mobbning. Faktorer som elevers intellektuella nivå, besvärliga hemförhållanden samt avvikande beteende kan påverka huruvida han eller hon blir utsatt för mobbning eller mobbar andra..

Vocal Cord Dysfunction (VCD) is characterized by paradoxical vocal cord movement during inspiration or expiration, and generally affects adolescents and predominantly women. Previous studies have shown a large inconsistency concerning terminology, definitions, etiology, assessment, differential diagnosis, co-morbidity and treatment. The purpose of this study was to map knowledge on and management of VCD in Sweden. The study was conducted as a written survey addressed to speech-language pathologists and physicians, and attained an answer percentage of 79 percent. The results showed that several professions were involved in the management of these patients, but no clear pattern of referral could be observed.

BackgroundOur main goal in the clinic is to offer rehabilitation for individuals with hearing losses. The outcome of audiological rehabilitation shall be evaluated in line with the HSL (Swedish health law 2008:3). It is most important to evaluate the results of the audiological rehabilitation for the individual as well as to make sure to reach the goals of HSL.AimThe aim of this study was to try to investigate the audiologists? opinions end experiences how to evaluate audiological rehabilitation. The aim with the focus group interview was to collect increased knowledge regarding questions, answers and observations audiologists consider when evaluating audiological rehabilitation.

Aim: The aim of this study was to examine nurses experiences of asking patients aboutintimate partner violence and what the nurses believed could be of help or hindrance whenasking the question.Method: The study design was qualitative. Nine nurses from four different divisions wasinterviewed. The participants worked at a Swedish university hospital with an action plan fortaking care of violated women. Data were collected through semi-structured interviews usingan interview guide. The results were analyzed using qualitative content analysis.Main result: The question about intimate partner violence raises a variety of feelings amongnurses, for example anger and empathy.

I denna uppsats undersöks språklig återkoppling i målstyrda spontana svenska talade dialoger. Syftet med studien var att undersöka förhållandet mellan språklig återkoppling och typen av angränsande talakt samt att studera prosodins roll för återkopplingens tolkning. Tre dialoger på sammanlagt ungefär 22 minuter analyserades. Språklig återkoppling definierades som en verbal interindividuell signal, som är en reaktion på en talares yttrande och som har ett visst syfte, från lyssnare till talaren i ett samtal utan att lyssnaren gör anspråk på turen..

  ?this Unpleasent klientel?A study on refugee care in Växjö between the years 1944 and 1947.The purpose of this study was to examine the treatment of sick refugees in Växjö in the 1940s. To achieve this a combination of quantitative and qualitative methods were used. The material found in the local archive and local newspaper was then put together and analyzed from the theoretical perspective, gender, class, ethnicity and social status.The result of this study shows that there were two main treatment wards for refugees, one that was supposed to treat women and children with active tuberculosis and the other ward treated refuges with ?epidemic diseases.? Foreign citizens were also taken care of in other words that were also not meant for refugees only, like the Epidemic hospital, which treated about 80 patients of a foreign nationality between 1944 and 1946.

SammanfattningSyfte och frågeställningarSyftet med studien har varit att undersöka relationen mellan multipla intelligenser och skolans friluftslivsundervisning. Frågeställningarna har varit:Vilka intelligenser utvecklas inom skolans friluftslivsundervisning, enligt lärare och elever?Genom vilka moment i friluftslivsundervisningen utvecklas intelligenserna?MetodDatainsamlingen har skett genom ostrukturerade, djupgående intervjuer. Två lärare och två tredjeårselever på gymnasiet har enskilt intervjuats om hur friluftsliv har bedrivits i skolundervisningen. Intervjuerna har analyserats med ett schema, byggt på Howard Gardners teori om de multipla intelligenserna men utformats att tillämpas på friluftsliv.ResultatResultaten visar att paddling stimulerar interpersonell, kroppslig, visuell-spatial och logisk-matematisk intelligens.

Diabetes Mellitus is one of the most common endocrinologic disorders among dogs. The disorder has a complex background, and successful treatment requires a well-functioning co-operation between pet owners and the veterinarian. The purpose of this study is to investigate the owners? perspective of diabetic treatments offered, and to estimate expected length of survival post-insulin therapy. The research findings are based on a survey mailed to 77 pet owners, whose dogs were diagnosed with diabetes between 1999 and 2003 at the small animal clinic of the Swedish University of Agricultural Sciences. The median survival for the dogs that underwent insulin treatment was 31 months, i.e.

IBS patients experiences of eating the low FODMAP-dietIrritable bowel syndrome (IBS) is a common, functional gastrointestinal tract disorder. The disease is benign but may cause much suffering for the individual. The treatments available are used to relieve symptoms. One nutrition therapy is to exclude fermentable oligo-, di-, monosaccharide and polyols, so callde FODMAPS, from the diet. This diet is proven successful and even significantly better than the standard nutrition advice for IBS.