Background: High demands are today placed upon Swedish elderly care nurses as more elderly live with multimorbidity while the hospital bed capacity is becoming lower. Aim: The aim of the study was to explore nurses? perception of decision-making in situations with acutely ill patients in nursing homes and which factors may influence the decision about transferring patients to the emergency department or not. Method: This is a qualitative study with a phenomenographic approach. Semi-structured interviews have been conducted with 11 nurses working in nursing homes. The data analysis was based on Dahlgren and Fallsberg (1991) data analysis. Result: Three different description categories were presented, which describes variations of the nurses? perceptions.Feeling comfortable in making the decision; which involved the nurses feeling confident in the decision-making about transferring patients to the emergency department or not.Hesitant in making the decision; which described how nurses perceived the decision-making as problematic, with regard to transferring patients to the emergency department.Many wishes to consider in taking the decision; which explained how nurses? decision-making was influenced by requests from the patients or from people close to them.Conclusion:  The study reflected how  supporting and aggravating factors could influence how nurses in nursing homes perceived the decision-making and how nurses have to take in consideration different opinions concerning the decision making process of transferring patients to the emergency department or not.

In 2002 the Norrköping municipality decided to establish a number of supportive teams and one teaching group with the purpose of developing alternative supporting efforts for children with social problems. This development work came to be called BUSS. BUSS today consists of four local teams, team Ett, team Norra, team Torpet and the Mathson School.The teams? focus, beyond the commission from Norrköping municipality, is to reduce the number of children being placed outside their own homes, get them to function in school, develop their self-confidence and social competence. Also their task is to support parents and take up a functional spare time for the children.

Background: Female circumcision or female genital mutilation is a tradition that is carried out mainly in Africa. The intervention refers to that part of- or all of the girl?s external genital organs are removed. Aim: The study's purpose was to highlight the consequences of female circumcision in the encounter with western health care.Method: A systematic literature reviews was performed as a method. Twelve articles were selected for the study and these were sought in Chinal, PubMed and PsycINFO. Analysis and interpretation was done according to qualitative content analysis, inspired by Lundman and Granheim.

Syfte: Att utifrån vetenskaplig litteratur beskriva föräldrars upplevelse av stöd generellt och av distriktssköterskan specifikt, efter att ha förlorat ett barn i plötslig spädbarnsdöd. Ett ytterligare syfte var att beskriva de ingående artiklarnas urvalsmetod. Metod: Litteratursökningen genomfördes i databaserna Medline och Cinahl samt via manuell sökning. Tio artiklar som mötte inklusionskriterierna granskades. Resultat: De flesta föräldrarna ansåg att de fick bra stöd i det akuta skedet och på sjukhuset.

Background:In Sweden and Northern Europe, cardiovascular disease mortality rates are high. The clinical picture in the Western world is dominated by lifestyle diseases in which individual behavior and attitudes have a significant impact on the health effect. In the society cardiovascular disease is seen as an illness factor and contribution to disability. Conditions for a good life are not only good health also factors such as intimate relationships and meaningful work which affect the person's quality of life.Aim:Lifestyle changes and quality of life for patients, regarding cardiovascular disease.Method:A literature review was made. Eight articles, quantitative and qualitative were analyzed.

The aim of the study was to install a biogas system consisting of three tubular polyethylene biogas digesters at a rural household in Malawi and to evaluate the constructed biogas system with regards to relevant system parameters. The purpose was to evaluate if the technology is a possible solution to reduce deforestation and support Malawi in climate change mitigation and adaptation. The study was carried out in the southern part of Malawi in cooperation with the University of Malawi. Locally available materials were used to construct and install the system. Three different feed materials, cow, goat and a mix of cow and goat manure, were used in order to determine which one was best suited to utilise as a digester substrate. After the installation, measurements of temperature, pH, biogas production, biogas composition and system functionality were made. The results of the study show that a biogas system with tubular polyethylene biogas digesters can be successfully installed at a rural household and that the most suitable feed material is a mix of cow and goat manure.

The aim of this study has been to create an understanding for the situation of an often forgotten group in foster care, the carers? own children. Our main focus has been the experience this group has of foster care, their experience of participation in caring for the foster children and their possible need of support and help. Our chosen method has been qualitative interviews with six adult children of foster carers, two men and four women. The theory used in this study has been Sense of Coherence.Our interviewees gave mainly a positive description of being part of a foster family even though they could give examples of difficult situation and of loss.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

The district nurses' duties with all organisational changes, above all during the last 20 years, have been changed. Economy and listing governs which visits that to be prioritized. The aim with this study was to examine what district nurses in the primary care in Uppsala län has for view about their occupational role. The method was qualitative and the selection comprized ten district nurses in Uppsala län that were interviewed individually on the basis of a semi structured interview guide that the authors the actual created. In the wide analysis of the results could a theme, As a rubber screw in a shrinking hole and three central categories be discerned, Occupational role, Diversity and Organisation.

The treatment that women get from health care staff can influence the experience of the abortion and how women manage to coping the experience emotionally. The aim of this study was to illuminate women?s experiences in connection with an abortion. The findings show that the women?s social situation led them to the decision of abortion.

Author: Cajsa VallinderTitle: Double exposed - A qualitative study of professional?s opinion about effort and needs of effort for abused women with substance abuse in Kalmar.Supervisor: Svante ForsbergAssessor: Ulf Drugge Women with substance abuse are more likely to be exposed to violence. Despite this, they are having a hard time to get help and support from social service. The purpose of this study is to analyze how professionals express their experience about efforts and needs of efforts for abused women with substance abuse problems. Questions:1. How do professional´s in Kalmar think about the efforts for abused women with substance abuse problems?2.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

Bakgrund: Perifer venkateter (PVK) är en allmän och rutinmässig åtgärd inom hälso- och sjukvården för att kunna lindra, bota och behandla genom att tillföra infusioner, läkemedel eller för att hålla en fri venväg. PVK består av ett främmande material som i kontakt med blod kan leda till att komplikationer som tromboflebiter bildas. Vid minsta tecken på rodnad, ömhet, svullnad, tromboflebit eller extravasation ska PVK avlägsnas. Syfte: Studiens syfte var att beskriva de senaste forskningsrönen kring sjuksköterskans omvårdnadsåtgärder för att undvika PVK-relaterade komplikationer. Metod: Studien är en litteraturstudie där resultatet baserats på kvantitativa och kvalitativa artiklar.

 Syftet med detta projekt är att göra en marknadsundersökning av dimensioneringsprogram för byggnadskonstruktörer och att ge en rekommendation till Byggteknik AB för val av programvara. Metoden är att först genomföra en marknadsundersökning, sedan utvärdera lämpliga program och sist ge en rekommendation. Utvärderingen och rekommendationen ska grundas på användarvändlighet, pris, support, uppdateringar, långsiktig ägare, landsstandarder och utbildningsbehov. Resultatet från användandet gav stora differenser, med över 50% större maximalt moment i StruSoft FEM- Design och över dubbelt så stor nedböjning i Robot Millennium. Jämförelsen mellan programmen visar att Robot Millennium har en bättre användarvänlighet och lägre pris. Dock har StruSoft FEM- Design svensk support, automatiska uppdateringar och hanterar svensk landsstandard.

Bakgrund: Ledarskapet för omvårdnaden är ett av sjuksköterskans kompetensområden och därmed en del av det dagliga arbetet. Därför är ledarskapet en viktig del av den nyutexaminerade sjuksköterskans kompetens för att säkerställa bästa möjliga omvårdnad för patienten. Detta kan upplevas som kravfyllt men också spännande.Syfte: Syftet med följande studie är att beskriva hur nyutexaminerade sjuksköterskor ser på sin arbetsledarroll inom den psykiatriska omvårdnaden.Metod: Kvalitativ ansats. Fem stycken intervjuer genomfördes med sjuksköterskor från tre olika avdelningar inom en psykiatrisk klinik. Intervjuerna gjordes med stöd av en intervjuguide med öppna frågor.Resultat: I materialet framkom fyra teman.