BAKGRUND: Sverige har de senaste decennierna blivit ett multikulturellt samhälle. En god kommunikation är en viktig aspekt i omvårdnaden. Om patienten och sjuksköterska inte kan kommunicera med varandra, leder det till onödigt lidande för patienten och en påfrestande situation för sjuksköterskan. De kulturella aspekterna kan påverka kommunikationen och vårdmötet med patienter med annan kulturell bakgrund. Tidigare artiklar visar vikten av att sjuksköterskan har kunskap om andra kulturer.

Asthma is one of the most common diseases among children. The aim of this study was, through a literature review, describing children's experience of living with asthma and show how negative experiences can be turned into positive ones, by the nurse's work. Results showed that many of the children with asthma experienced respiratory- and chestproblems, tiredness, panic, fear, anger, frustration, discomfort, irritation and anxiety. Children felt most restricted in physical activity's. Education used to enhance children's experiences included relaxation, imaginary exercises and confidence training.

The purpose of this study was to investigate interactional patterns in the context of a fifth grade class in Sweden. It was also to investigate whether the interactional patterns of the class and their teacher was subject to any change dependent on the lesson subject, specifically mathmatics and science. The study was conducted through observations and interviews. The results of the study varied somewhat from the results of earlier studies within the same field of research. The girls of this class was more likely than the boys to initiate interaction with the teacher or other pupils.

A case study of professional interaction designers' usage of design materials was conducted. Five interviews were performed in order to gain insight in the systems used by designers, how these work, how they collaborate within them, and what they think of recent research about them. Design studios allow collaboration for several users at once. Digital material (mockups, pictures, etc.) are commonly used, but needs to be made analog, e.g. printed, to be usable in the design studio environment.

The objective of this literature study was to describe how the school nurse can adopt the salutogenic perspective in her health promoting work. The articles were examined in order to identify what was written about the school nurse?s work from the salutogenic perspective. In parallel, Eriksson?s, Orem?s, and Newman?s nursing theories were examined from the same perspective.

Background Atelectasis is a commun respiratory complication related to general anesthesia and may contribute to pneumonia and acute respiratory failure. Atelectasis apear within 10 minutes after anesthetization and occur in 90% or more anesthezied patients regardless of age and gender. The aim of this study was to indentify if there are any evidence for which methods are ultimate or are most efficacious to reduce and prevent the formation of atelectasis.                                                                                                          Methods This study is a descriptive litterature study where 28 scientific studies have been indentified for review and analysis.                                                                                                               ResultsThe use of 100% oxygen during the induction of anesthesia favors the developement of atelectasis. This can be prevented by preoxygenation with oxygen content of 100% combined with a PEEP of 6-10 cmH2O. When free airway is secured, oxygenation with 100% was found to be unnecessary.

SAMMANFATTNINGÅr 2013 drabbades drygt 55 000 personer i Sverige av cancer. Behandling av cancer görs med kirurgi, strålbehandling, cytostatikabehandling, hormonbehandling och målsökande behandlingar. För att kunna utvärdera och utveckla de olika behandlingarna behövs kliniska studier. Innan en patient ingår i en klinisk studie krävs ett informerat samtycke som skrivs på av den ansvarige prövaren och patienten.Alla patienter har rätt till information och delaktighet avseende den egna vården och behandling. Det är därför viktigt att genom individuellt anpassad information förmedla kunskap, förståelse och insikt om hälsotillstånd, diagnos och metoder för undersökning och behandling.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

SAMMANFATTNINGÅr 2013 drabbades drygt 55 000 personer i Sverige av cancer. Behandling av cancer görs med kirurgi, strålbehandling, cytostatikabehandling, hormonbehandling och målsökande behandlingar. För att kunna utvärdera och utveckla de olika behandlingarna behövs kliniska studier. Innan en patient ingår i en klinisk studie krävs ett informerat samtycke som skrivs på av den ansvarige prövaren och patienten.Alla patienter har rätt till information och delaktighet avseende den egna vården och behandling. Det är därför viktigt att genom individuellt anpassad information förmedla kunskap, förståelse och insikt om hälsotillstånd, diagnos och metoder för undersökning och behandling.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

The purpose with this examination is to interpret and analyze interviews with a few chosen teachers and parents to find out what they think about using Instagram in preschool. My purpose of my study is also to see how preschools can improve parental interaction by using social media in their daily occupation.My questions for this study are: How can you use social media in preschool and what is the purpose with this? What does a few teachers thinking about using Instagram in preschool? What does a few parents thinking about using Instagram in preschool? Could it be any problems with the using of Instagram in preschool? What kind of material is published on a few chosen preschools Instagram account? To get answers to my questions, I have made qualitative interviews with three teachers and three parents. As a complement to my interviews, I have made an observation and description what preschools publish on their Instagram account. I have featured some research about parental interaction and the meaning of that.

Background:The new guidelines for cardiopulmonary resuscitation states that the family should be given the opportunity to be present at the resuscitation of a close relative. A cardiac arrest is an emotional experience for the family. In addition to being part of the resuscitation effort, the nurse also needs to take care of the family.Aim:The aim of this study was to describe nurses' experiences of family presence during resuscitation.Method:A literature review has been made of 13 studies where differences and similarities were analyzed. The articles were published between the years of 2009 ? 2013Result:The nurses' experiences were divided into three categories; Factors that affect family presence, The nurse' experience surrounding the presence of the family, Factors affecting family presence in the resuscitation room.

The purpose of my study is to contribute with knowledge about three teachers? view on the possibilities and difficulties to support students with intellectual disabilities insocial interaction.to get answers to my research questions in the analysis I have in my qualitative study used the theory of Fleck's model about thinking styles rooted in a socio-cultural perspective. In the study, I have used semi-structured interviews. My study shows that teacher?s way of thinking affect students' opportunities to practice social interaction. An important finding in the study was that the school management?s attitude, is of great importance for educator?s opportunities to support the students with intellectual disability in social interactions.

PurposeThe purpose of this study has been to investigate the documentation process following the guiding principles of the Quality Norms for Fall Prevention concerning fall risk assessment, risk identification, fall preventive measures, information and the making of an individual care plan.MethodThis study is a quantitative, descriptive and retrospective journal review study. There were 100 journals examine the existing documentation concerning fall risk assessment of patients who received treatment in geriatric patient care. The sample was consecutively.ResultsThe results showed that fall risk assessment was documented in 79 of 100 examined journals. 56 (71 %) of the fall risk assessments were made within 24 hours. In 59 of 100 journals the patient, relatives or former caretakers was asked whether the patient had had a fall within the last year, and in 61 of 100 journals it was documented that the nursing staff had made an assessment that the patient was going to have a fall during his or her length of stay if no preventive measures were set in.The majority of fall risk factors and fall preventive measures were documented within the areas of walking and transfer. It was documented that the patient was informed of fall risk, fall risk factors and fall preventive measures in 15 of 100 journals.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.