Hypertoni beskrivs vara en riskfaktor bland annat för hjärtkärlsjukdomar som tenderar att öka och patienter med hypertoni når i allt större utsträckning inte behandlingsmålen enligt Socialstyrelsens nationella riktlinjer. Tidigare studier har visat att distriktssköterskeledda hypertonimottagningar med strukturerade strategier har haft positiv effekt för patienter med hypertoni, men inte beskrivit vilka stödjande insatser som distriktssköterskorna utför. Syftet var att beskriva distriktssköterskans erfarenhet av att bedriva stödjande insatser vid en hypertonimottagning inom primärvården. Urvalet bestod av fyra distriktssköterskor som bedrev hypertonimottagning i primärvården. Materialet till pilotstudien samlades in via intervjuer.

Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

Background:An increasing number of patients with an oncology diagnose will be seen in the future. The oncology care is complex and in great need of nurses with a high level of competence. There is a lack of previous research in the specialist oncology nurses competence and therefore knowledge of their skills can reveal an understanding of their competence.Aim:The aim of the study was to describe the competence of the specialist oncology nurse.Method:Four oncology nurses and two directors of oncology care were interviewed. The interview text was analyzed using qualitative content analysis.Results:The result showed that the oncology nurses had developed six different competences within different areas. These competence areas were assertiveness, patient-centered care, ethical and moral-, pedagogical-, to lead and develop- and theoretical competence.

Identity includes an individual´s self-image and the consciousness about their self. It is about being the same person despite changes in their life situation. The identity often get´s fragile because of the disease. Beacuse of the individual´s feeling of lost identity there may arise a conflict between the person and people in his or her surroundings. They may no longer see the sick person in the same way as they used to.

Purpose- The purpose of this project is to contribute to the knowledge of creating customer value through streamlining and coordination of patient flows for children and youth with frequent need of care on child and youth medical clinics.Method- One of the methods used for achieving the project's purpose is a case study on the Child and Youth Medicine Clinic at Länssjukhuset Ryhov in Jönköping. The case study has been used for collecting the empirical data that has been generated through interviews, observations and documents from the Child and Youth Health Clinic. Except the case study the authors also made studies in literature, which the collected empirical data has been anchored and related to. Together this led to the project's analysis and results.Results- When investigating the questions found in chapter one, it was determined standardized work is of great importance to create structure and implement procedures for the patient flows. A weak link in the patient flow has been identified, which is the sub-process coordination and planning.

There are about 700 000 dogs in Sweden. Roughly 70 % of the dogs are purebred and registered in the database at the Swedish Kennel Club (SKC). The database includes records of birth date, pedigree, offspring and results from e.g. veterinary examinations related to genetic health programs.Every year approximately 10% of the dogs die; most are euthanized by a veterinarian. Dog mortality data is stored as digital medical records at animal clinics and in insurance databases.Dog owners tend to register their puppy in the SKC, but they rarely report that the dog has passed away.

The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools.

Syftet med denna studie var att undersöka sjuksköterskors respektive undersköterskors syn på god omvårdnad. Studien är av empirisk och kvalitativ karaktär där fyra legitimerade sjuksköterskor och fyra undersköterskor intervjuades och delgav sina uppfattningar. Analysmetoden innehållsanalys valdes och i resultatet presenteras nio stycken huvudkategorier; Ge patienten trygghet, att respektera patientens vilja och individuella behov, basal hygien ? och omvårdnad skall tillgodoses, social samvaro, motivera patienten, kommunikation, empati, hinder, skillnader i uppfattning..

The aim of this literature review was primarily to describe how the nurse can involve the parents in the care for their premature baby, and secondly to describe the aim, design, method, population and quality of the reviewed studies. Searches have been made in different databases in order to find articles where the search words ?neonatal care?, ?neonatalvård?, ?premature infants? and ?nurse? were included. The literature review was based on 12 scientific articles. The results of the study were divided into six categories; The nursing staff?s relation to the parents, Support group, ?Home-early program?, Decision-making, A work in progress and A safe and efficient method.

X-rays are a potential risk for animal health care personnel. The present study will examine the risks for scattered radiation to the personnel, if no lead gloves are used when holding an animal during the x-ray examination. Furthermore, how the impact of the exposure values and body parts examined, affect the scattered dose to the hands of the holder. Also, the distance between the animal and the hand that holds it was evaluated to see the impact on scattered radiation exposure. Tested by a survey, to animal health care students, the frequency of the usage of lead gloves in Swedish animal hospitals was studied. According to the results from the analysis, animal health care personnel don't need to use lead gloves every time they hold an animal or a cassette during x-ray examinations.

Health care is increasingly complex, which increases the demand for knowledge and expertise. Despite this, the share of specialized nurses, including anaesthesia nurses, has decreased from 65% to 48% from year 1995 to year 2008, according to statistics from the National Board of Health and Welfare (Socialstyrelsen) in 2010. Studies indicate that there may be various factors in the work environment that anaesthesia nurses, choose to leave the anaesthesia profession. The purpose of this study was to examine how anaesthesia nurses experienced the physical and psychosocial work. The study was conducted as a descriptive study with qualitative approach.

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.

Abstract:Background: Socialstyrelsen statistics show that breastfeeding continues to decline. Previous research some mother experiencing breastfeeding difficulties and their lack of knowledge and understanding of breastfeeding. Support to mothers varies depending on their individual needs. Factors affecting the choice are the support of health care nurses and the social network. Aim: The aim of this study was to describe health care nurse experiences of giving support to mother who are breastfeeding.

Background: A nurse who is working in the health care is expected to show the best side for other people. An emotional work demands a lot of the role of a nurse, when she has to deal with her feelings after the given situation to satisfy the patient.Aim: The purpose of the study is to seek understanding of what nurses perceive to be the essence of the emotional work in health care. The study also wants to understand what factors could affect the meeting both positively and negatively between nurse and patient in social interactionMethod: The study?s methodology is qualitative with phenomenological-hermeneutical approach to seek understanding of the six interviewed nurses lived experiences and the experiences of the emotional work.Results: The result has four main themes developed: Emotional management, to consider the patients existential needs, meeting the patient and to do something meaningful.Conclusion: The essence of the perceived emotional work for nurses is emotional transformation where the nurse changes her feelings by acting according to the situation in the meeting with the patient. It is important that nurses reflect in the work so they do not take their work home and become exhausted and burn out.Keywords: Emotional labour, emotional management, patient encounter, phenomenological-hermeneutical, existential needs, the essence, burn out.

Background: When a patient suffer from a disease and is in need of palliative care, it is normal to have existential questions and thoughts. For some patients these questions can be painful and the nurse need to have knowledge about dealing with these kind of questions and thoughts to be able to relieve and/or prevent this kind of suffering.Aim: The aim was to describe how the nurse can prevent the existential suffering among patients with palliative care.Method: A literature-based study was based on eight qualitative studies.Results: The results showed that nurses meet patients in the palliative care environment which may suffer from existential problems when their questions and thoughts don´t get answered. It showed that the most important a nurse can do is to give time to these calls and build up a safe relation to the patient. This allows the nurse to read the patients existential questions and observing possibly suffering. The result is organized in two categories "To see and confirm" and " To listen and give support" and see subcategories " Use body language", " Create reliable relationship", respond to the existential questions", "Give the patient time", " take help from others in hard situations" and "to focus on other things"Conclusion: It is easy to only focus on the physical illness while caring for a patient and believe that it is creating suffering.