This essay focuses on the elderly and their religious beliefs and is based on the origin idea of a secular Sweden, but where immigration has been the source of additional various religious affiliations. This study intends to nuance the problems that previous researchers focused on when doing research on immigration, by interviewing staff members of nursing homes in immigrant dense areas, especially Malmoe, Gothenburg and Stockholm.The aim is to investigate how the allocation of residents, with different religious than Protestant Christians, is distributed at nursing homes and to see if there is a need for adjustments. Additionally, the thesis about immigrants and immigrants' identity and attitudes to Swedish society is discussed with John Berry´s acculturation theories and strategies.The results show that the majority of the nursing homes have residents with different religious affiliations and that some practical adjustments have been done, but it also shows that nursing homes have changed to the extent that they have adapted to a secular society. Ignorance and prejudice contribute to the problem in terms of seeing all residents as individuals and at the same time ensuring adaption according to all their needs, which is exemplified in the solutions made by using multi-cultural staff members and specialized departments. The relationship between nursing homes and the Swedish church continues but the role of the church service has changed.

           AbstractAims: To explore whether and in that case how nurses question women in the psychiatric care about violence in close relationships and how nurses respond to women who have been exposed to domestic violence.Method: A qualitative descriptive interview study with twelve nurses from four psychiatric wards was carried out in Uppsala. Informants were chosen from a convenient selection. The interviews with semi-structured interview questions were recorded on tape, transcribed and analyzed with content analysis.Results: There is no routine to ask all female patients if they are victims of violence. It happens only in cases where the suspicion arises or is confirmed. It is individually whether and how the nurse asks the woman if she is subjected to violence in a close relationship, depending on patient and nurse.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Migration ökar i hela världen och det svenska samhället omformas från ett samhälle med ett fåtal etniska inslag till ett samhälle med över hundra nationaliteter, språk och många religioner. Varje kultur har sin syn på hälsa och sjukdom. Vårdpersonal tycker att det är svårt att bedöma, förstå och vårda personer från andra kulturer. Syftet med arbetet är att belysa kulturella skillnader och problem som kan uppstå vid omvårdnad av person med annan kulturell bakgrund. En litteraturstudie gjordes och den är baserad på åtta vetenskapliga artiklar och materialet bearbetades genom en innehållsanalys.

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.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

Background: Miscarriage is one of the most common complications connected to pregnancy, every fourth woman undergoes a miscarriage during her lifetime. There is often no medical explanation why miscarriage happens, although the risk may increase due to certain factors in lifestyle or diseases. During incomplete miscarriages medical or surgical treatment is needed.Women are treated at surgical or gynecological departments and the period of treatment is often very brief, on some occasions not even a day. Therefore, the nurse faces a great challenge in meeting the women?s needs during the period of treatment.Aim: The aim of the study is to illuminate womens experiences of miscarriage and the treatment they experienced.Methods: A systematic literary study containing 13 articles.Results: Miscarriage is an individual experience and many women are affected emotionally and have many strong feelings afterwards.

In today?s health care it?s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor?s prescription. This does not just affect the individual patient?s health but it can also result in consequences for other people and the whole society.

This essay aims to explore the possibilities for elderly in nursing homes in Örebro municipality toreceive other treatments besides medication in case of depression or anxiety. Issues associated withthe object in this paper and which are discussed are prevalence of drug usage, opportunities forelderlies to receive other treatments, prevalence of other treatments and the elderlies own power orinfluence over the choice of treatment. The survey has been conducted with questionnaires sent outby post to nurses at every nursing home for elderly in Örebro municipality. The results showed thatdrugs are used extensively when treating depression or anxiety among the nursing home residents,and other treatments are never or only occasionally being discussed at more than half of the nursinghomes in this study. The results also show that reminiscence therapy and problem-solving therapyhas been used occasionally, while alternative therapies are used more frequently.

Introduction: Psychiatric nurses in the psychiatric care can meet complex situations if the basic knowledge is not enough. Therefore it demands research for secure, improve and develop care processes that will be benefit for both patients and nursing staff. Aim: The purpose of this study was to highlight psychiatric nurses? experiences of patients' involvement in their own care. Method: Qualitative method was chosen for this study.

Background: Pervious research indicates that communication between patient and nurse has shortcomings. For the nurse, difficulties in care giving may emerge when the nurse and patient cannot understand each other. Research also shows that patients? participation in their care become more difficult by lack of communication. The care giving of patients who speak a different language is seen as a challenge by the nurse.

SAMMANFATTNINGSyftet med studien var att studera hur sjuksköterskan inom intensivvård använder NuDesc(The Nursing Delirium Screening Scale) och om de anser sig ha tillräcklig kunskap för attbedöma delirium med hjälp av NuDesc.Studien är en kvantitativ tvärsnittsstudie med datainsamling via en enkät som konstrueratsspeciellt för denna studie. Enkäten besvarades av 15 intensivvårdssjuksköterskor på ettuniversitetssjukhus i Mellansverige.Resultatet visade att bedöma delirium på en intensivvårdsavdelning uppfattas avrespondenterna som ganska svårt även om de tycker sig ha tillräckligt med kompetens attanvända bedömningsinstrument NuDesc. Den psykomotoriska förlångsamningen tillsammansmed hallucinationer/ illusioner uppfattas av sjuksköterskorna som svårast att bedöma..