Background: Patients who deliberate self harm often feel disappointed with the health care. The consequence of this may be that the patient avoid to seek help after self harming. Nurses' often experience these patients to be difficult and hard to deal with. Both patients' and nurses' thoughts about the situation may affect the situation in a negative way. A good relationship between the caregiver and patient is important.

Every year an avorage of 40 000 Swedes fall ill with different forms of cancer. Chemotheraphy has an effect on the tumour cells as well as the healthy cells in the body, this causes many side effects which can be very problematic for the patient. The study was carried out in order to indicate the care measures that are taken to deal with the side effects i. e stomatit, loss of hair and sickness/vomiting, that are connected with chemotheraphy so that the outpatients will experience a quality of life. The method used was a qualitative interview with six nurses from the South if Sweden, all of whom are working with chemotheraphy patients.

The aim of this study was to increase our knowledge about how the ?Conversational-contact with the social services? is experienced by the parents who attend it. The research was based on a qualitative method consisting of four individual interviews.Main issues of the study:? The parents experience of the content of the meetings with the social workers? Do the parents experience that the conversational-contact has contributed to some changes in their lives?Results indicated that all parents were positiv to the conversational-contact. Afterwards they felt more secure and stable both as persons and in their role as parents.

The aim of this study was to understand the contact between foster homes and social workers, by doing a comparison of the social workers and the foster homes experiences of the cooperation that is between them. We started from three main questions to get an answer to our aim, how the foster homes and the social workers experience the organization of the foster care in the Social Service as an impact of the cooperation, what does the foster homes and the social workers experience as a important fact of a successful placement and finally, how does the foster homes and the social workers experience the supporting and controlling contact that is between them. To get our results we based our study on interviews whit four foster homes and whit four social workers. The analysis was based on one theoretical perspective, Skaus (2007) analytical approach for power and help. As a conclusion we have found out, that the organization of the Social Service has significance for the contact between social workers and foster homes.

The aim of this study is to try to explain the process using both an actor driven perspective as well as a structural perspective examining the reasons why the County Council of Värmland wants to merge with Region Västra Götaland. The answers to the following research questions are sought to shed light on the problem: What constrained the discretion of  the political actors in the choice of region to merge with? Which role did  different political actors play? Does the study provide Game Theory, from Rational Choice theory,  and Path Dependency, from Historic Institutionalism, a new perspective and strength especially  when bringing them together? The study is limited to two policy areas, health care and regional development policy. The structural background is drawn upon the Annual Report 2008 of the County Council Värmland, the Regional Development Program and Regional Transport Infrastructure Plan 2010-2021 by Region Värmland. The chronological order of decisions and events is drawn upon protocols from various regional political organs all linked to the municipal of Värmland and the correspondence between the officials of Värmland?s municipal and the Legal, Financial and Administrative Services Agency of the State.

Bakgrund: Relationen mellan sjuksköterska och patient har genomgått stora förändringar. Från att patienten tidigare sågs som ett objekt utan egna resurser, till att idag ses ur ett holistiskt perspektiv, som en individ med styrkor, tillgångar och som är expert på sin egen person. Begreppet patientdelaktighet uppmärksammades år 1978 av World Health Organization i  Alma-Ata deklarationen och har sedan dess fått större utrymme i vården. Patienters lagliga rätt till delaktighet i sin vård är idag omfattande och det är vårdpersonalens skyldighet att informera och involvera sina patienter. Patienter idag ställer allt högre krav på sjukvården och det är en utmaning för sjuksköterskor att kunna förhålla sig till dessa.Syfte: Syftet var att belysa faktorer som påverkar patienters delaktighet i sin vård.Metod: En litteraturstudie baserad på elva vetenskapliga artiklar analyserade med induktiv ansats.Resultat: Författarna fann elva underteman som påverkade patienters upplevelse av delaktighet i sin vård.

The purpose of this study is to investigate whether an increasing amount of elderly immigrants will set new demands upon the public eldercare. The focus is on the officials whithin the public care of elderly in Västra Götaland district, and their experiences. A second purpose of this study is to add the experiences of the officials to former research treating the topic of elderly immigrants and their experiences of the public eldercare in Sweden.The survey has been carried out through interviewing all together seven officials working within the public care of elder in varying districts of Västra Götaland. The interviews have later been summoned under four different themes such as, ?Culture, customs and tradition?, ?Interaction and communication?, ?Information? and ?The future of the public eldercare?.The study indicates that our result based on the interviews, is in several references corresponding to former research on the topic.

Lilja, C & Svensson, K. Omvårdnad vid neutropeni orsakat av cytostatika. En litteraturstudie. Examensarbete i omvårdnad 15 högskolepoäng. Malmö Högskola: Hälsa och samhälle, Utbildningsområde omvårdnad, 2008. Neutropeni är en allvarlig komplikation hos patienter som behandlas med cytostatika och är förenat med risk för vårdrelaterade infektioner och sepsis som kan vara livshotande.

Den vård som har starkast evidens vid behandling av tvångssyndrom, Obsessive Compulsive Disorder (OCD), är kognitiv beteendeterapi (KBT), innehållande exponering och responsprevention. Idag är tillgången till denna vård begränsad främst på grund av för få behandlare. Tidigare forskning pekar på att personer med OCD kan bli hjälpta av mindre terapeutintensiva behandlingar. Att leverera vård stegvis med ökande behandlingsintensitet; Stepped Care, kan vara ett sätt att öka tillgängligheten av KBT. Denna pilotstudie har undersökt Stepped Care för OCD i form av tre steg, på Ångestenheten, Karolinska Universitetssjukhuset.

Background: In Sweden, heart transplantation increases as a method of treatment. Patients undergoing heart transplantation require special needs of care. Nurses have to increase knowledge about experiences that these patients percieve to conform the health care in the future. In this study, health science has been used as a theoretical frame of reference which includes a patient perspective.Aim: The aim of this study was to describe experiences among patients, elder than 18 years old, undergoing heart transplantation.Method: The method was a qualitative descriptive study with a context analysis based on ten scientific articles and an autobiography corresponding with the aim of the study.Results: The results of this study showed six themes about experiences that emerged among patients undergoing heart transplantation: feeling of vitality, existential crisis, importance of social support, destructive feelings, capacity of going on and the experience of quality of life.Conclusion: It?s not a guarantee that the quality of life will increase among patients undergoing heart transplantation and they need a specialist trained nurse available to support at all hours..

As an effect of increased living standards and improved health care, life expectancy has risen in many parts of the world. At the same time, welfare diseases such as diabetes and obesity increases. As the number of elderly and long-term sick rises, so will the medical care needs. E-health applications are often presented as a way to meet future medical and doing so within the scope of existing resources. By facilitating health communication and widen access to health services by offering them online, e-health applications encourages people to become more engaged in their own health, thus working proactively towards a healthier population.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Our purposes with this essay was from the perspective of young people that has completed a stay at HVB-home, their parents and the social welfare secretaries get an apprehension on their way of looking at the purpose of placement in a HVB-home agrees with the comprehensive view of the placement. We also wish to get a picture of what is of important to change in this matter. How do they experience the reasons for the placement, goals and purpose? What positive and negative experience do they have from their placement? What is relevant to change when you look at the different parties' ways of looking at change/progress in this matter? In what different ways do the parties look upon collaboration and how does that effect the treatment? Our qualitative study is built upon interviews with the persons mentioned, upon educational visits to HVB-homes and upon interviews of staff at HVB-homes. The staffs opinion has also been compared with the other perspectives.

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time.

Introduktion Varje år begås ca 1500 självmord och 20000 självmordsförsök. Som sjuksköterska kommer man med stor sannolikhet att vårda självmordsnära patienter. Patienterna kan reagera på olika sätt och att som sjuksköterska bemöta dem på ett bra sätt är många gånger svårt. Travelbees teorier kan då vara ett gott stöd för sjuksköterskan.Syfte Att belysa hur patienter upplever att de har blivit bemötta av sjuksköterskan efter ett självmordsförsök för att få vägledning i vad som är ett gott bemötande.Metod Litteraturstudie av artiklar sökta och funna via databasen Cinahl med sökorden suicide attempt, patients´ perspective och nursing care. Resultat Det huvudtema som framträdde var bemötande.