The purpose of this master's degree thesis was to develop an understanding of how hospital management, in the case studied, worked to achieve changes in an organization influenced by differing professional cultures. To gain insight into the conditions that may have contributed to Nurses and physicians developing appropriate attitudes and behaviours, which may have affected the organization's ability to achieve the Swedish Quality Award 2012. A qualitative single case study was conducted at Karlskoga Hospital, with focus groups as well as individual depth interviews. The results of the case study showed the following conditions provided Nurses and physicians the potential to develop appropriate attitudes and behaviours, which may have influenced the hospitals ability to achieve the Swedish Quality Award:  Responsibility and influence over the development processes.Participation in management teams and quality development groups as well as individual fields of responsibility.Training programs that have given insights and skills in quality management related to clinical practice.Nurses and physicians as key individuals gave legitimacy to development process, and served as management advisors.Collaboration between all kind of employees and responsibilities.Committed management.    .

 Title: School nurse work with mental health problems among studentsBackground: A good mental health and psychosocial wellbeing is considered to be an important aspect of how students can cope with everyday challenges. In order to experience psychosocial wellbeing well working interpersonal relations and a belief in the future is important. School is an important aspect of the student?s early years in life and therefore it is vital that school health services become important part of the childhood. The school nurse is an important part of student health and he or she is responsible for vaccinations and health check-ups.

The aim of this descriptive literature study was to describe the patients? experience of the need for social support and the choice of coping strategies during treatment for eating disorders. Further, the authors wanted to describe the relationship with the parents and also to highlight the caring relationship between nurse and patient. Results that came to light, concerning the patients? experience, were that patients with eating disorders, in a majority of studies, indicated a deficient social network.

This is a Minor Field Study (MFS) which is a scholarship financed by the Swedish International Development Cooperation Agency (Sida). The study was held in 2007 in Yogyakarta, Indonesia and is based upon retrospective qualitative interviews with five Bachelor Nurses who experienced the disaster work during the earthquake 27th of May, 2006. The aim of the study is to explore the experiences, feelings and thoughts of Bachelor Nurses who were involved in this natural disaster. The interview, transcription and analyse work were made one year after the earthquake were a qualitative content analysis method was used. Two group interviews were held at the University of Gadjah Mada.

The number of elderly in society is increasing and therefore the number of people with dementia. They continue to live in their homes longer, which also increases the responsibility of district Nurses. The purpose of this study was to describe the experiences of district Nurses to care for and have responsibility for the care of people with dementia in home care. The method chosen was a qualitative interview study. The method chosen was a qualitative interview study and content analysis was used for data processing.

AbstractIntroduction: The condition of human health and its lifestyle has become a great questioner towards the public healthcare of our country. Despite the recommendations of at least 30 minutes physical exercise per day, many individuals of our society do not get the recommended amount of physical activity.  To improve the situation a method called ?Fysisk Aktivitet på Recept, FAR (Physical Activity on Recipe). This means that licensed health- and medical staff, as district Nurses are able to write prescriptions on physical activity to patients.Purpose: Was to highlight the district nurse?s experience in the role of the FAR-prescribers.Method: The study was conducted using qualitative method.

Dementia is a concept that describes different conditions when memory and cognitive abilities degenerate. Approximately 140 000 persons in Sweden suffers from some kind of dementia. Many are stricken with behavioral and psychological symptoms of dementia, BPSD. The aim of this study was to illuminate nursing staff?s experiences of caring for persons suffering from dementia and BPSD within municipal and institutional care.

Mulitresistent staphylococcus aureus (MRSA) is a bacteria that is resistent against penicillin, this makes it difficulte to treat. MRSA causes woundinfections and other seriouse conditions. If MRSA establishes in an hospital environment it often spreads fast. Common ways of spreading MRSA is through direct or indirect contact. The nurse should work according to guidelines, apply hygienic routines and prevent the spread of infections.

Background Swedish Nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating Nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.

Literature describes what it is like to be a leader in the healthcare and what is looked upon as the most characteristic quality for female leadership. Women often use a leadership technique that motivates the employee and they allow themselves to develop a humanitarian leadership. The aim of this study was to describe female head Nurses? experience of their leadership in healthcare. The collection of data has been carried out from interviews.

The aim: was to describe and compare a group of experts and critical care Nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care Nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care Nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Aim: The aim of this study was to investigate Nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district Nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.

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.

Background:There are approximately 45 000 people in the ages over 65 years dies outside the health facilities of the hospitals in Sweden in every year. Previous research has shown lacking knowledge in taking care of the next of kin during and after a sudden death. However, conducted research has emphasized that ambulance Nurses often are the next of kin?s first contact with the health care system during sudden death at home. Research has also shown that the mourning of the next of kin is affected by the ambulance Nurses? way of announcing the next of kin when someone close dies.

The aim: was to describe and compare a group of experts and critical care Nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care Nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care Nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.