The aim of this study was to map out the quality of the treatment in the forensic outpatient care unity in Malmoe from a patient point of view. This target group, seriously mentally disordered law-offenders, has been neglected in the scientific research. This investigation will hopefully contribute to a positive change in this subject. To achieve a good understanding of this field a methodological triangulation was conducted which included an observational study, a pilotstudy and semistructured interviews. 14 patients and 10 staff members were interviewed.

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: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.

Changes in swallowing function are common in elderly and chronically ill individuals. Therefore it is important to be aware of these changes and their prevalence. The aim of this study was to assess the prevalence of dysphagia in nursing homes in the municipality of Linköping, and to correlate dysphagia with variables that can be a cause or a consequence of dysphagia. These variables were gender, age, MMT-result, dentition, weight loss, medical diagnose or number of medications. The intention was also to examine the additional information regarding dysphagia supplied by pulse oximetry.Sixty nursing home residents aged 74-101 years were chosen to participate in the study.

 Like adult obesity, childhood obesity prevalence is rising, especially in the Western World.As many as 20 ? 25 percent of the ten years old children are overweight in Sweden. It isimportant to early identify overweight, since overweight could lead into diabetes, mentalsuffering, hypertension and cardiovascular disease.The aim of this study was to describe how nurses experience and perceive the conversationwith parents of overweight children. A qualitative method with a content analysis has beenused. Six nurses working in child health centre have been interviewed.The result shows that the conversation between the nurse and the parents of an overweightchild can be very difficult.

This essay examines possible maternal deaths in paleodemographic analyses and grave material by comparing three cemeteries: Nya L?d?se, Helgeandsholmen and V?sterhus. By comparing mortality patterns and burial practices, the aim is to investigate possible signs of obstetric care during medieval and early modern Sweden. The results show a higher death rate for adult women in all three burial places, indicating possible maternal deaths. Fetuses and small children were found in all cemeteries and potential evidence of medical knowledge were found in Nya L?d?se.

Bakgrund: Dokumentationssystemet för sjuksköterskor har förändrats sedan sjuk-sköterskor blev skyldiga att dokumentera i patientjournalen. Detta har lett till att omvårdnaden har synliggjorts och därmed kan granskas. System för att kvalitetssäkra patientarbetet har med tiden arbetats fram, bl a VIPS-modellen och Melior. Sjuksköterskans dokumentationssystem är dock fortfarande i behov av utveckling. Syfte: Syftet var att undersöka sjuksköterskors skilda uppfattningar om omvårdnadsdokumentation. Metod: På ett sjukhus i södra Sverige genomfördes en fenomenografisk studie genom intervjuer av 11 sjuksköterskor. Resultat: Av 244 uppfattningar från intervjuerna skapades fem huvudkategorier och 12 subkategorier.

This study aims to investigate the political reformation of the psychiatric care in Sweden, that took place 1995. The main purpose is to illuminate the transformation of subjectivity for mentally ill people after the reform 1995. The group of people which are present in the study are those who former were subjects of care in psychiatric hospitals, but with regarding to the reform have moved out from the institutions and instead become clients for community care. This new group of mentally ill people became, in connection with the reform, subjects for a new concept psykiskt funktionshinder. This new label and concept, that were attached to the present group, is the main concept for the investigation in the present study. The method, that was used in the study, develops a textual based analysis of the official documents, that were produced in connection with the political decision to reform the care of mentally ill people. With a theoretical conceptuality taken from Michel Foucault, with concepts such as discourse, power, and subjectivity, are the documents analysed in order to illuminate how the new subjectivity, under the concept of psykiskt funktionshinder arise.

In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its functionality in their patient work. Initially, a literature re-view about the use of health information system was undertaken, followed by a qualitative case study based on interviews about how healthcare staff describes their reality.

Bakgrund: Vår medellivslängd ökar, vi blir allt äldre. I hemsjukvården möter sjuksköterskan äldre personer som lever med smärta. Smärta som utgår från muskler, skelett och leder och som hindrar den äldre från att leva ett bra liv. Syfte: Syftet med denna studie var att beskriva vilka omvårdnadsåtgärder sjuksköterskan i hemsjukvården kan göra för att lindra smärta. Metod: Som metod användes en litteraturöversikt som baseras på fem kvalitativa och tre kvantitativa vetenskapliga artiklar.

Background: Young adults undergo a phase in life when they try to become independent individuals and are expected to take responsibility. The transition to adult life, cause hardship for all young adults, but with concurrent mental illness this transition can be more complicated. The young adults may need support from their parents in connection with care.Aim: The aim of this study was to describe nurses' perceptions of parental participation in the care of young adults with mental illness.Method: To describe the perceptions of a phenomenon, qualitative interviews with a phenomenographic approach were conducted. The interview texts were analyzed into five description categories and 10 perceptions. In the study, eight nurses were interviewed.Results: The result shows that parental participation in the care is based on the young adult's decision.

BAKGRUND: Studierna visar att våldet har ökat med åren. Riskfaktorer och riskbeteenden har identifierats och orsakerna kan vara flera till att patienten upplever ohälsa. Forskningen inom detta fält har hittills fokuserat på bakomliggande orsaker till patientens aggressiva beteende och bedrivits under många år. Ökade kunskaper om sjuksköterskans upplevelse av att vårda patienter med aggressivt beteende inom psykiatrisk vård kan bidra till att utveckla omvårdnad anpassad till situationen, i syfte att främja hälsa.SYFTE: Studiens syfte är att utforska sjuksköterskans omvårdnad och upplevelse av att vårda patienter med aggressivt beteende inom psykiatrisk vård.METOD: Litteraturstudie av kvalitativa och kvantitativa studier.RESULTAT: Analysen resulterade i tre huvudkategorier och 12 underkategorier. Huvudteman som uppkom var;sjuksköterskan i interaktion med patienten, organisatoriska faktorer och personliga faktorer samt underkategorier som handlade om; avledning av hotfulla situationer, personligt utrymme, information och bedömning, gränssättning, riskfaktorer kopplade till aggression, bristande support från chefer, bemanning, personalsäkerhet, erfarenhet och kommunikationsfärdigheter, lojalitet gentemot patienten och arbetet, hopplöshet och besvikelse samt coping.SLUTSATS: Resultatet visar att sjuksköterskor upplever vårdandet av patienter med aggressivt beteende inom psykiatrisk vård på olika sätt.

The purpose of our study is to interpret and understand the collaborative process around a regional model that is based on state developed guidelines for people with dementia. We have chosen to focus on the importance of interaction and have therefore interviewed participants in the project's steering committee. This group participates in efforts to develop a model for dementia care in Halland.The project work in Halland, to develop a joint model for people with dementia and their families was initiated in the spring of 2011 and is due to finish at the end of 2012. The Halland model has been named ?Annas led? and is about Anna and her husband Lars and living with dementia.

ABSTRACTParental support is needed because it promotes a positive development in children, because parents ask for it and because it has positive effects on the public economy. Those responsible in Sweden for Child health care have shown an increased interest in supporting parenthood.Aim: The overall purpose of this study was to investigate what kind of support parents today desire from child health care. An additional purpose was to investigate if they feel their needs and wishes are met.Method: The study has a descriptive and qualitative design. The selection was eight parents of children under eighteen months of age: four mothers and four fathers. None of the participants were couples.

Bakgrund: Den palliativa vården riktar sig till människor som befinner sig i livets slutskede och syftar till att tillgodose patientens fysiska, psykiska, sociala samt existentiella behov. Inom denna vårdkontext är värdighet ett centralt begrepp som anses bidra till en god omvårdnad. Värdighet är en rättighet för patienten och kan kränkas eller främjas beroende på sjuksköterskans handlingar och beteende.                                                                                              Syfte: Syftet är att beskriva vilka vårdhandlingar som kan tillämpas för att främja patientens värdighet i den palliativa vården utifrån ett sjuksköterskeperspektiv.                                                                                                                                                    Metod: Kvalitativ litteraturstudie som baserats på åtta vårdvetenskapliga artiklar.