ABSTRACTBackground: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse?s views on promotion of self- management.Purpose: To examine the diabetes specialist nurse?s experience of promoting self-management to patients with type 2 diabetes in primary care.  Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.Results: The diabetes nurse?s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work.

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

The purpose of this literature review was to find common factors for the persons who predispose to eating disorders. These factors shall help the nurse to recognise early signs of eating disorder behaviors. The literature review is directed to the nurse and will answer the issue: Which groups in the community run the risk of developing eating disorders? Furthermore, this knowledge shall lead to a better understanding of persons having eating disorders and be used as an aid in his/her encounter with these patients. The method was a literature review based on eight scientific articles, which were interpreted on the basis of the competence of the nurse.

AbstractEmma Hjalmarsson, teacher studentMaria Talevska, teacher studentTitle: So different yet so alike â A comparative study focusing on the pedagogical leadership in two different cultures.Växjö University, Fall Semester 2005, Department of the HumanitiesGIX 192, Degree project/Religious Studies in Secondary EducationThis paper compares the pedagogical leadership in Thailand and Sweden. By performing interviews, handing out questionnaires and observing class rooms we wanted to compare the relationship between pupils and teachers from one school in Sweden and one school in Thailand.From the pupils we wanted information about their view on teachers; what characterizes the best teacher, what the worst teacher is like and how they would like a teacher to be.From the teachers on the other hand we wanted to know what kind of relationship they would like to have with their pupils and how they work to accomplish that purpose. We also wanted to find out if they put more emphasis on upbringing or knowledge and if there are any religious influences in the education.Finally, we also wanted to see if there was something from the pedagogical view in the Thai school that we could use in education in Sweden..

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

Pain and pain treatment constitute a huge part of the general nurses work. For that reason the nurse is required to have great knowledge about this area. The fact that our society is getting more multicultural increase the nurses demands even more, to understand and treat pain in patients of foreign cultural background. The aim of this literature review is to examine which culturally learned and trans-ferred valuations, norms and approaches that appear related to physical pain. The aim is also to examine the most appropriate ways for the nurse to show respect and to get more information about this cultural experience in the encounter with the patient.

This thesis addresses the subject of internal communication between the leadership and the employees. Communication is a common process and according to Tufvesson (2008), the primary focus has been on the role and responsibility of the leadership. This can mean that, from the employee's point of view, it is not clear what the organization expects, and this lack of clarity dimishes the ability of the employees to live up to those expectations (ibid). Tufvesson (2008) believes that today's organizations need common interpretations, which requires a well thought out communication strategy between leadership and employees. Because communication represents an organization's functionality, the report?s authors were interested in studying the employees? representatives.

Hypertension is one of the most common reasons for visiting primary care. It is one of the most important modifiable risk factors for cardiovascular disease, suffering and death. Lifestyle change, such as increased physical activity is the foundation of treatment of hypertension. Lifestyle change starts as a process in which patients can be helped by a nurse through conscious communication, educate and support increased physical exercise.AimThe aim of this study was to investigate the district nurse´s experiences of interacting with patients with hypertension about physical activity.MethodIndividual qualitative study. Ten nurses from health center were interviewed.

The use of coaching is fairly up to date in the business world although it?s relatively new.Despite this, there?s a lack of clarity about what coaching is and what it signifies. Our point ishowever not to define coaching. Based on the normative coaching literature, the purpose is,from a critical discourse analysis to explore the power relations that affect the coach andcoached in their relation to each other, so as to be able to criticize managerial coachingrelationship as presented in the literature. This will contribute to enabling for a more opendiscourse.The theoretical image of managerial coaching described by the literature as a democraticexercised leadership by a certain type of behavior and attitudes, will lead to improvedorganizational performance.

Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives.Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies.Method: The literature review was based on seven articles with a quality approach.Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ".To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives.

Background: The abortion issue raises many ethical, moral and religious aspectsand is therefore well debated worldwide. In the care for an abortion seeking woman, it isimportant that the nurse find a balance between her and the woman's moral opinions aboutabortion in the quest to achieve good care.Aim: The aim of this study was to describe nurses? experiences of caring for womenundergoing abortion.Methods: Literature review based on ten original articles.Results: Literature review's results highlights two key themes: nurse?s experience of anemotional roller coaster as well as difficulties and challenging experiences at work inabortion care. These two themes consists of three subthemes: to get support in the workthrough to vent thoughts and feelings, how strain and stress affects the nurse's work and as anurse learn to accept the woman?s choice.Discussions: Within abortion care nurses find it difficult dealing with theemotional roller coaster that can occur while they strive to maintain an ethical andprofessional approach.

This study aims to explore managers? experiences and perceived conditions for exercising leadership in both hybrid and physical work environments. The empirical material consists of eleven semi-structured interviews and four policy documents. The sample includes eleven managers, of whom six work in a physical environment and five in a hybrid setting. The study follows an inductive approach, where the interviews were first collected and later analyzed by identifying patterns and connecting them to theories on different leadership styles, monitoring, and trust.

The purpose of this thesis has been to explore the topic of business simulation from a theoretical foundation in social constructivism and theories concerning leadership as the management of meaning. The most important findings are that business simulation can be used for strategical leadership by management to create a common vision in the organisation members, which affects their perception of the business and the decisions and actions they make, which in turn can lead to a more efficient organisation that becomes better at meeting set goals. This can be viewed in different ways from different theoretical viewpoints: as inducing targeted changes in mental models to create changes in decision making and actions; as a secondary socialization process where the vision of management is externalized as a business simulation that is in turn internalized by the organisation members that participate in the business simulation, or as a way to frame and define the reality of the organisational members which creates a shared reference point against which a feeling of organisation and direction can emerge. In the future, business simulations may become increasingly used by organizations to create a common vision or to communicate a new decision to the organization members..

 Performance appraisals- a study of the performance appraisals significance as a tool for development in the public sector.Anders Larsson and Åsalill OlssonPerformance appraisals have been given a central role in leading businesses in the public sector and are seen as a tool to create development opportunities and achieve better results. This has resulted that performance appraisal in many organizations takes up capacity and time. This was the starting point of our interest to study whether the time spent on performance appraisals effectively pays for itself in the organization, in other words whether the effects expected actually are achieved. The paper examines first line managers` views on staff appraisal purposes and effects of a function within the Landstinget. The survey design, methodology and transaction are of qualitative and quantitative method with three different sources: literature review of previous research, interviews with first line managers in Landstinget Västmanland and the results from an employee satisfaction survey conducted on behalf of Landstinget Västmanland.

Denna kvalitativa studie undersöker ledarskapsfaktorer hos räddningschefer och kommunalråd i svenska kommuner som varit med om betydelsefulla krissituationer. Intervjudata ifrån två tidigare studier användes. Räddningschefer representerade det direkta ledarskapet medan kommunalråden representerade det indirekta ledarskapet. Analysen genomfördes huvudsakligen enligt Grounded Theory. Två dimensioner identifierades.