Syfte: Att undersöka hur sjuksköterskor inom särskilt boende resonerar kring kvalitetsuppföljningar och dess eventuella konsekvenser för omvårdnaden.Metod: Semistrukturerade intervjuer efter öppen intervjuguide med sex sjuksköterskor. Kvalitativ innehållsanalys enligt Graneheim och Lundmans metod.Huvudresultat: I vilken grad kvalitetsregistren och kvalitetsuppföljningarna integreras i omvårdnadsarbetet och dess utveckling är centralt för om dessa uppfattas som stöd eller hinder för god kvalité i omvårdnaden. Dubbel dokumentation bidrar till att sjuksköterskorna omprioriterar arbetstiden och arbetar mer konsultativt och administrativt. Detta minskar tiden för omvårdnadsobservationer och handleding av omvårdnadspersonal samt gör att kvalitetsregistreringar snarast uppfattas som ett hinder. Sjuksköterskorna använde sin professionella kunskap och kliniska erfarenhet i högre grad än registerdata vid omvårdnadsbedömningar.

Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.

AbstractThe aim of this study was to illuminate and collect existing research from the beginning of the 21 st century about nurses work environment in institutional and elderly care in Sweden.A literature review was made by analyzing eleven scientific articles. The result showed mainly information about nurses work load. The information dealt with high work demands, too much responsibility, shortage of staff, time press and stress. Furthermore nurses reported a lack of co-operation between staff and management. An important part in nurses? work was appreciation from colleagues, management, patients and relatives.

Syftet med denna litteraturstudie var att ta reda på hur sjuksköterskan kunde stödja barn vid smärta, vilka copingstrategier barn använde sig av när de upplevde smärta och hur sjuksköterskan genom samverkan med föräldrarna kunde stödja barnet vid smärta. Metoden som användes för att göra denna studie var deskriptiv systematisk litteraturstudie. Litteratur har sökts i databaserna Elin@Dalarna och Blackwell Synergi. Sökorden som användes var children, pain, coping, care, parent, pain management, nursing, pediatric, dental care, qualitative och quality of life. Materialet i litteraturstudien har begränsats till 22 artiklar som har granskats efter mallar.

AbstractThe aim of this study was to find out how patients with type-2 diabetes reflected on self-care and the information about selfcareactivites regarding diabetic footulcers.The study has a descriptive design with a qualitative approach. The study included fourteen patients with type-2 diabetes and they had footulcers related to their disease. They were recruited from different health centres in two cities in the Middle Sweden. The patients were interviewed and the interviewes were transcribed and worked up with qualitative content analysis. The authors recived seven subcategories which were sorted into two categories; reflection regarding information about self-care and reflection regarding self-care.

Syftet med studien var att beskriva hur närstående till intensivvårdspatienter upplevde en intensivvårdsavdelning (IVA) med fokus på delaktighet och omvårdnad. I studien intervjuades fem närstående. Intervjuerna analyserades med hjälp av en förenklad variant av meningskodning och tre kategorier som beskrev de närståendes upplevelser av IVA utvecklades. Kategorierna benämndes: "Första intrycket av IVA", Att leva med osäkerhet" och "Att vara delaktig". De närstående upplevde ett inre kaos när deras anhörig vårdades på IVA och använde sig av olika copingstrategier.

The first July 2008 did the Swedish government introduce a new family policy, the child care allowance. This essay is a case study of how the child care allowance has influenced families and which possible effects that the child care allowance can lead to. In order to respond to the issue has family models been used in order to analyze the results from a questionnaire survey distributed to households which has become granted child care allowance in Växjö municipality. Therefore is this essay?s premier contribution to the social science a description of how families have reasoned and decided about their child-care.

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

Abstract Back ground: Home based care is a meaningful activity giving patients and their families a chance to live their lives as close to normal as possible. Advanced palliative care is today provided at home, although geography does play a role in shaping that care. A rural setting can mean that conditions for such care differ from those in urban areas.Purpose: To describe the experiences of district nurses in palliative home care settings in a rural community.Method: Semi structured interviews with seven district nurses. The interviews were recorded digitally and transcribed in a precise fashion. A method of qualitative analysis of the contents, inspired by Burnard, was used to analyze the material.Results: Palliative care places high demands on the competency and experience of district nurses.

Bakgrund: Studier visar på att användandet av omvårdnadsdiagnoser har flera fördelar för sjuksköterskans omvårdnadsarbete. De främjar patientens delaktighet i vården samt uppmärksammar sjuksköterskan på patientens omvårdnadsbehov. Andra studier visar på att standardvårdplaner upplevs effektivisera sjuksköterskans omvårdnadsdokumentation och bidra till en likvärdig och god kvalité på vården. Dock kan de anses vara oflexibla och därför behöva kompletteras med en individuell vårdplan. Syfte: Syftet var att undersöka i vilken utsträckning omvårdnadsdiagnoser och -åtgärder dokumenterades och utfördes. Vidare undersöktes vilken typ av vårdplan som användes och om det gick att se någon skillnad mellan avdelningarna avseende omvårdnadsdokumentationen.

The purpose of this essay was to examine and compare what attitudes Swedish and Belgian social workers may have towards residential care and foster care for children and young people. To answer the purpose eight qualitative interviews with four Swedish and four Belgian social workers were made. The results were analyzed by theory of organization and professional acting space. The results of the study show that the social workers in both countries preferred foster care, especially for small children, and that the Swedish social workers had a more negative attitude towards residential care than the Belgian social workers. Even though the Belgian social workers preferred foster care, they found themselves forced to choose residential care due to lack of available foster care facilities, something that did not seem to affect the Swedish social workers.

In human service organizations it is important to enlighten the significance of human encounters. The aim of this study was to explore nursing students experiences of developing empathy and professional relationship in encounters with patients and next of kin during their education. Interviews with five nursing students were carried out. The method of analysing content analysis was used. One main theme and five subthemes were presented.

The aim of this thesis was to study elderly people?s experiences of and approach to their usage of home care services with tax deduction. The aim was also to describe how elderly people reason about their underlying motives of using home care service with tax deduction. The study is based on six qualitative interviews with people between the ages of 65 and 80, living in Nacka, Sweden. This thesis is a collaboration with Stiftelsen Stockholms la?ns A?ldrecentrum/ Stockholm Gerontology Center and part of their follow up study concerning simplified administration for elderly people applying for home care services in Nacka.

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).