The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method.

In our paper we chose to study care management in the old age care. According to the law for the social services the needs of elderly should govern the assistance they are granted. But research has shown that municipal guidelines govern the assistance and that the elderly have to adjust their needs to them. Thus there is a discrepancy between law and practice. The aim of this study was to understand how care managers relate to municipal guidelines, laws and the requests of elderly when the application for assistance is established.

Background:The concept of transition means a change in a person's life where he or she is forced to adapt. There are different phases in life that results in different adaptations. In this essay, transition is described as the physical and mental journey between the home and an elder care facility. The Aim was to describe elderly people's experiences of transition when moving from their previous home into an elder care facility. The Method used was a literature review.

Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Problemformulering: Varje år avlider ett stort antal personer till följt av en cancerdiagnos. Patienter med en obotlig cancer vårdas palliativt och målet med den palliativavården är att uppnå bästa möjliga livskvalitet. Upplevelser så som rädslor och ångest är vanliga problem och har en speciell innebörd för varje patient. Det är därför betydelsefullt att belysa upplevelser av att stå inför döden för att ökaförståelsen och kunskapen hos sjuksköterskor.Syftet: var att belysa upplevelser av att stå inför döden hos patienter med cancer iden palliativa fasen. Metod: En litteraturstudie som utgörs av 12 vetenskapliga artiklar med kvalitativ ochkvantitativ ansats.Resultat och konklusion: Resultatet visar att existentiella upplevelser, upplevelsen av ångest och oro, förlust, hopp samt acceptans infann sig hos merparten av patienterna som stod inför döden.Implikation: Patienternas upplevelser vid livets slut är varierande och är viktiga att uppmärksammaav sjuksköterskor för att tillgodose patienternas behov. Utbildning och ytterligare forskning utifrån ett patientperspektiv krävs för att optimera denpalliativa vården för patienter med obotlig cancer..

En intervjustudie har genomförts på en palliativ avdelning på ett sjukhus i södra Stockholm och bygger på sex semistrukturerade kvalitativa intervjuer med manliga sjuksköterskor. Syftet med studien var att undersöka hur manliga sjuksköterskor upplever sitt arbete, manligt och kvinnligt på arbetsplatsen och hur de upplever att omgivningen ser på deras yrkesval, i detta fall på en palliativ avdelning. Under studiens gång fann jag det svårt att hitta forskning om genus i palliativ vård, varken svensk eller utländsk forskning verkar ha uppmärksammat detta område.Teorier och tidigare forskning om genus, manliga sjuksköterskor och genus i yrken har legat som grund och diskuteras tillsammans med resultatet.Tidigare forskning visar att manliga sjuksköterskor ofta hamnar inom vården av en slump eller brist på andra arbeten. De dras till delar av vården där det händer mycket och är "actionfyllt" såsom ambulansen och akutvården. Det sker en uppdelning i arbetssysslor mellan de manliga och kvinnliga sjuksköterskorna där kvinnorna står för omvårdnad och männen för den tekniska kunskapen.

The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

This thesis investigates management accounting systems in a Swedish health care environment. Through a qualitative case study of an activity-based cost accounting system that was introduced in 1994 at S:t Görans Sjukhus, a large Stockholm hospital, the following questions are addressed: What benefits can an activity-based cost accounting system offer the Swedish health care providers? What are the potential problems impeding the implementation of such a system? Main findings: an activity-based cost accounting system can improve the understanding of where costs are generated in the production processes. Comparisons between alternative production processes are improved, and the data may serve as a basis for internal pricing measures. Concerning the second question, difficulty in reconciliating the principles of economic control with the culture present in a hospital is identified as the main obstacle to a new management accounting system..

Bakgrund: När en familjemedlem blir svårt sjuk har det en stor påverkan på hela familjen. Närstående har och känner ofta ångest, depression och maktlöshet. Familjemedlemmens sjukdom kan också leda till att rollerna i familjen ändras, och en förändring i den ekonomiska situvationen och en ökad påfrestning för familjen. Syfte: Syftet med studien var att belysa behov som närstående till patienter inom palliativ vård kan ha. Metod: En litteraturstudie genomfördes med sökningar i Pubmed och Cinahl.

År 2004 avled 190 barn i åldrarna 5 - 14 år i Sverige av en sjukdom som krävde palliativ vård. När dessa barn insjuknade berördes även de närstående. Syftet med denna litteraturstudie var att belysa de närståendes behov av stöd när ett barn vårdades palliativt. Studien genomfördes som en allmän litteratur studie och aktuell forskning från år 2000 - 2007 granskades och analyserades. Resultatet visade att närstående hade behov av empati, ärlighet och förståelse.

When the population is getting older, the need for complex care and nursing interventions in elderly care increases. To create a holistic view of the elder and their life situation, interprofessional team collaboration is often desirable and necessary. Teamwork is often described in positive terms, but previous research has shown that this work method is complicated and requires constant reflection and development. The purpose of this study was to investigate how elderly care teamwork is formed in the interaction between representatives of different professionals. To accomplish this purpose, we have studied how the team members define a well-functioning teamwork and difficulties, and how consensus is achieved in the team.

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.