Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

Background: Moral distress is an increasing concern among nurses in their workplace. Previous research has suggested that moral distress is associated with ethical climate and job dissatisfaction. Economic restraints in the organization have led to loss of nurses from the workplace. Aim: To examine nurses experience of moral distress and their causes. Method: The study was a literature review. Twelve articles were used in the study.

SAMMANFATTNINGSyfte: Syftet med detta arbete var att undersöka sjuksköterskors uppfattning om omvårdnadsdokumentation och dess påverkan på omvårdnadsarbetet.Metod: Kvalitativ intervjustudie med innehållsanalys enligt Lundman och Hällgren Graneheim (2008). Bekvämlighetsurval med fem sjuksköterskor från olika avdelningar på ett Universitetssjukhus i Mellansverige.Resultat: Sjuksköterskor i denna studie uppfattade att dokumentationen tar tid, det är mycket som ska dokumenteras och att kvalitén varierade. De uppfattade också att information kunde gå förlorad på grund av att många skrev på flera olika ställen. Dokumentationen upplevdes ibland som inkonsekvent eftersom sjuksköterskorna inte dokumenterade exakt lika. De belyste också att systemet var rörigt och ologiskt.

The aim of this study was to review scientific articles to evaluate which nursing treatment are in use to ease problems such as dysphagia, mucositis and xerostomia and its efficiency. The method was a literature review in which the scientific articles where found in the database PubMed. A total of sixteen articles where included, these articles where analyzed based on their quality and contents. The result showed that electrical stimulation and rehabilitation was used against dysphagia, they both had a doubtful effect. Mouth washes was commonly used to reduce mucositis; triclosan mouthwash, benzydamine mouthwash, sacralfate mouth wash, povidone-iodine and salt-sodium mouthwash showed effect.

?Hur sjukvården är organiserad har betydelse för sjuksköterskans förutsättning för att utföra omvårdnadsarbetet. Ledarskap och arbetsmiljö är delar av vårdorganisationen som påverkar sjuksköterskans arbete. Syftet med studien var att beskriva vilka faktorer i organisationen som påverkar sjuksköterskans omvårdnadsarbete. Det genomfördes en litteraturstudie där 12 artiklar granskades och analyserades.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Introduction: Today caring for newborn, sick babies or premature infants is in neonatal intensive care units (NICUs). There is an opportunity in NICUs for advanced critical care and skilled nursing care of the child, conducted by health professionals in an active partnership with parents. To encourage parental participation in the care of their children parents are offered accommodation in a family room in the NICU. Objective: The aim is to describe parents' experience to stay in a family room in the NICU when their child is cared for there. Method: This is a research plan for a qualitative study with an inductive, descriptive approach.

Syftet med studien var att göra en litteraturstudie vilken beskriver hur sjuksköterskans omvårdnadsåtgärder förebygger komplikationer vilka kan uppstå vid måltidssituationer för patienter drabbade av dysfagi till följd av stroke. Studien genomfördes som litteraturstudie med beskrivande design, 12 vetenskapliga artiklar granskades och sammanställdes under tre huvudrubriker; Åtgärder för att förebygga aspirationspneumoni, Nutritionsstöd samt Kvalitetsgranskning av artiklar.Resultatet visade att många av sjuksköterskans omvårdnadsåtgärder kunde minska risken att patienter med dysfagi drabbas av aspirationspneumoni. Det framkom en rad olika kompensationsstrategier och åtgärder sjuksköterskan kunde bidra med, bland annat intensiv munhygien samt stimulering av tunga och mun med is eller annat kallt föremål vilket stimulerar sväljreflexen. Andra åtgärder var rätt sittposition och anpassad konsistens på mat och vätska samt kosttillskott. Resultatet i föreliggande studie visade att utbildning inom förebyggande omvårdnadsåtgärder var nödvändiga för att rätt matningsteknik användes och att kostrekommendationer följdes, samt att det fanns ett lämpligt instrument för sjuksköterskans kompetens vid screening av dysfagi.

Diabetes mellitus type 2 and chronic obstructive pulmonary diseases (COPD) are two of the most common diseases in the world and the amount are increasing. The treatments of these diseases are self care and a change of lifestyle. For this to be successful there is a need for the person to have knowledge about the diseases and a motivation for making changes in his or her lifestyle. Most of this information is given by the district nurse at the health centre. It is important to get a better knowledge of these persons experiences and how they used the information given to them.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Då sexualiteten är en integrerad del av varje människas liv hör det till sjuksköterskans ansvarsområde att tala om ämnet med patienten för att kunna bedriva en holistisk vård. Flertalet sjukdomar och behandlingar kan ha en inverkan på patientens sexualitet. Många patienter känner ett behov av att kommunicera kring detta ämne, trots det är sexualitet ett område som ofta undviks av sjuksköterskan. Det är därför av vikt att undersöka varför det är så och vilka faktorer som främjar sjuksköterskans kommunikation kring sexualitet. Därför var syftet att belysa vad som hämmar och främjar sjuksköterskans kommunikation kring sexualitet med patienten.

It?s known that the drug information patients get at discharge from hospital is often insufficient. Patients? ignorance of which drug they use and how to take them can lead to drug related problems, can cause suffering and heavy expenses.The aim of this study was to shed light on the patients? understanding for drug information, which was given at discharge from hospital. The literature survey was used as a method and based upon a systematic choice of scientific articles, which were found in different databases during the period of April 1 to May 31, 2008.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.